Medicine and Health Sciences Commons^™

Long-Acting Intraductal Drug Delivery Systems For The Breast, Mibin Joseph

Electronic Theses and Dissertations

Breast cancer is the second most commonly diagnosed cancer in women in the US. Ductal carcinoma in situ (DCIS) is a premalignant lesion that has not metastasized through the regional lymph nodes to other organs. Currently, all breast cancers including localized breast cancers are treated with the same aggressive therapy. Localized drug delivery by direct intraductal injections into the mammary ducts can achieve high drug concentration at the target site. However, poor retention of drugs in the ducts limits the successful translation of this approach to the clinic. To this end, the main goal of this dissertation is to develop …

Wellness Policy Awareness Among School Leaders And The Impact On Written Policy Scores, Mariah Reil

Electronic Theses and Dissertations

Background: All schools participating in the National School Lunch Program must possess a written School Wellness Policy (SWP) as mandated by the Healthy, Hunger- Free Kids Act of 2010.1 School officials and leaders play a major role in SWP implementation. It is essential to written SWP implementation that school level officials and leaders in the district are aware of the SWP. However, the association between school leader awareness of SWP and policy quality has not yet been studied.
Purpose: The purpose of the present study was to determine if school leader awareness of a SWP impacts the written SWP quality. …

Conflict Management In Occupational Therapy Education: Process Drama As A Teaching Strategy, Theresa Delbert, Tyson Schrader

Journal of Occupational Therapy Education

The stressful and demanding environment of a healthcare facility can lead to interpersonal conflict. As a result of working in these environments, occupational therapy students may experience such conflict during Level II fieldwork. Research has shown that effective conflict management is an important component of success on Level II fieldwork; however, occupational therapy students often self-report a lack of confidence, comfort, and competence with managing conflict. Forty Master of Occupational Therapy students took part in a 2-day conflict management workshop. The workshop consisted of didactic training of conflict management concepts; large group process drama activities that introduced relevant role-play concepts; …

Student Perspectives On The Immediate Feedback Assessment Technique, Lauren E. Milton, Laura E. Landon

Journal of Occupational Therapy Education

A retrospective qualitative study was conducted to explore first-year occupational therapy graduate student perspectives on the Immediate Feedback Assessment Technique (IF-AT) which was implemented during a two-semester neuroscience course. The IF-AT system was used during small group application activities six times across a two-semester course sequence. Students discussed multiple-choice questions in small groups, used critical thinking skills and collaboration to select answers, then finally used the IF-AT scratch-off cards to indicate selections. At the conclusion of the second semester, 33 students provided qualitative feedback regarding their experience using the IF-AT. Conventional content analysis was used to capture the student voice …

Perceptions Of Assessment In Norwegian Occupational Therapy Students, Tore Bonsaksen, Astrid Gramstad, Gry Mørk, Susanne G. Johnson

Journal of Occupational Therapy Education

In addition to securing minimum standards of learning among students, assessment is increasingly used as a tool to improve students’ learning. Assessment quality is measured as part of the Course Experience Questionnaire; however, the original ‘appropriate assessment’ scale has demonstrated ambiguous psychometric properties. The current study aimed to gain knowledge about occupational therapy students’ perceptions of assessment, and this was achieved by examining the factor structure and internal consistency of the six items on the ‘appropriate assessment’ scale. Students from six Norwegian universities (n = 187, response rate 61.3 %) completed the scale and reported demographic information. The factor …

Elevating Student Understanding: Irish Occupational Therapy Students’ Experience Of A Service Learning Project, Karen Mccarthy, Marian Mccarthy

Journal of Occupational Therapy Education

Service learning is a pedagogy that embraces learning in action and addresses community needs. Since the adoption of the Occupational Therapy Competencies in 2008 and the launch of national occupational therapist registration in Ireland in 2015, there has been limited research on the effectiveness of service learning pedagogies in Irish higher education for meeting core competencies. The majority of research focusing on evaluating service learning have been North American studies which brings to question the relevance of these service learning outcomes beyond North America and specifically Ireland. This qualitative study examined 11 occupational therapy students’ journal reflections, portfolio entries, and …

Social And Cultural Concepts Module: Curricula To Foster Cultural Responsiveness, Elizabeth Ching, Elsa Contreras, Precious Dimalanta, Linda Duran, Robert Freeman, Ursula Hawe, Susannah Hong, Wilton Ramos

Journal of Occupational Therapy Education

The lack of racial diversity in the occupational therapy profession as well as its educational programs are obstacles in providing culturally responsive care to serve all people, populations, and communities. Research has shown that student engagement in case studies, activities that emphasize exposure to diverse populations, reflective journaling, and interviewing someone from a different culture are effective in developing practitioners who are more culturally responsive. Students from one culturally diverse occupational therapy program took a nine-hour Social and Cultural Concepts Module (SCCM) that incorporated best practice pedagogy for teaching cultural responsiveness. A one group pretest-posttest design was utilized to explore …

Hybrid Learning To Develop Safe Patient Handling Judgement In Occupational Therapy Students, Steven D. Eberth, Ingrid Provident, Carla Chase

Journal of Occupational Therapy Education

The goal of this mixed methods pilot study was to determine the effectiveness of a hybrid pedagogy to develop safe patient handling knowledge, self-efficacy, and skills in occupational therapy students. Developing safety judgment is integral to occupational therapy education programs, which requires the deepening of knowledge associations. As evidence suggests, patient handling is taught in academic programs with traditional pedagogy. Safe patient handling requires teaching the breadth of the most relevant and contemporary theory and techniques. A growing body of evidence demonstrates the effectiveness of online education. The project author developed an evidence-based hybrid pedagogical approach that included four narrated …

Interprofessional Education Enhancement: Inclusion Of Occupational Therapy, Julie Woodnorth, Heather A. Davidson

Journal of Occupational Therapy Education

The increase in interprofessional education (IPE) opportunities provides an excellent opportunity for occupational therapy (OT) educators to partner with other health professions to deepen the understanding of how the OT profession adds value to future healthcare teams. The purpose of this study was to describe the development and impact of a curricular unit about the OT profession that was integrated into an established IPE program for medical, advanced practice nursing, pharmacy and social work students. A Needs Assessment was conducted by embedding an OT consultant within interprofessional student teams working in clinical environments over six weeks to observe baseline understanding …

The Short Assist Scales: Measurement Properties In A Sample Of Occupational Therapy Students In The Usa, Tore Bonsaksen, Adele Breen-Franklin

Journal of Occupational Therapy Education

Shortening measurement scales can improve the scales’ feasibility, but at the same time, their measurement properties can be affected. This study investigated psychometric properties of the short Approaches and Study Skills Inventory for Students (ASSIST) among occupational therapy students in the United States. The students (n = 120) completed the ASSIST and provided basic socio-demographic and education-related information. Scale structure was examined with Principal Components Analysis (PCA), while consistency between scale items was assessed with Cronbach’s α and inter-item correlations. Three factors were confirmed, but three items showed poor or ambiguous fit with the proposed scales. These items were …

The Effect Of Instructor-Produced Videos As Supplemental Material For Training Visual Screening Procedures In Occupational Therapy Education, Holly Grieves, Noralyn Davel Pickens, Tracy Young, Theresa M. Smith

Journal of Occupational Therapy Education

The aim of this study was to explore student perceptions of instructor-produced videos to enhance knowledge, self-efficacy, and clinical skill with administering visual screening procedures. The video library, hosted by Vimeo™, consisted of 26 videos, with an average video duration less than 90 seconds. The videos were made available to occupational therapy students as supplemental material. Three focus groups consisting of 23 participants captured students’ perceived value of instructor-produced videos to enrich their learning. Three categories emerged from the data analysis including clinical application, learning preferences, and elements of video production. Students commented on how the videos positively influenced their …

Entry-Level Occupational Therapy Students’ Beliefs About Knowledge And Knowing: Findings From Three Masters Level Programs In The Us, Diane M. Long, Anita W. Mitchell, Carla Chase, Bernadette Mineo

Journal of Occupational Therapy Education

One of the expected outcomes of higher education for all entry-level occupational therapy (OT) students is to develop the capacity to think critically and engage in complex clinical reasoning. Beliefs about the justification of knowledge (epistemic cognition) and the nature of knowledge (ontological cognition) underlie the ability to develop sophisticated ways of thinking. There is a scarcity of research specific to occupational therapy students in the literature related to epistemic and ontological cognition. Based on a discussion prompted during an AOTA Scholarship of Teaching and Learning (SoTL) workshop in 2014, OT faculty members from three entry-level occupational therapy …

Self-Reflection And Measurement Of Professional Behavior Growth In Entry-Level Occupational Therapy Students, Brenda S. Howard, Rebecca Barton

Journal of Occupational Therapy Education

Occupational therapy (OT) educators have recognized the need to facilitate student professional development along a continuum of behavior that leads them toward professionalism. Reflection has often been a tool assisting in that process. The teaching of professional behavior has been a curricular thread throughout entry-level OT programs. Few studies exist, however, that have measured use of a self-assessment tool for reflection and development of professional behaviors. The purpose of this study was to examine how self-perception of professional behaviors changed in two cohorts of an entry-level occupational therapy program. Investigators compared two cohorts of students at two points in time …

Comparing Outcomes Of Entry-Level Degrees From One Occupational Therapy Program, Stacy Smallfield, Laura Flanigan, Anna Sherman

Journal of Occupational Therapy Education

The purpose of this study was to compare the professional outcomes of two entry-level occupational therapy degrees: the Master of Science (MSOT) and occupational therapy doctorate (OTD). This was a quantitative, exploratory study using a survey method. An online survey was sent to graduates from one occupational therapy program with known email addresses (N = 711). The survey included items relating to professional outcomes, such as job title, salary, and engagement with evidence-based practice, leadership, research, and interprofessional practice. Descriptive statistics and Mann-Whitney U tests were used to describe and to compare groups. The survey yielded 208 responses eligible …

Part 1: Preparing Entry-Level Occupational Therapy And Physical Therapy Students To Promote Health And Wellbeing With Individuals With Disabilities, Brooks C. Wingo, Donald H. Lein Jr., Beth A. Barstow, Christopher A. Eidson, Tara S. Pearce, Laurie A. Malone, David M. Morris

Journal of Occupational Therapy Education

To address accreditation standards for health and wellbeing within entry-level occupational therapy (OT) and physical therapy (PT) programs, the OT, PT, and Human Studies Departments at the University of Alabama at Birmingham (UAB) collaborated with community partners to conduct an interdisciplinary service learning activity based on the I Can Do It, You Can Do It Program (ICDI). This program is a structured community health program where individuals without disabilities are partnered with individuals with disabilities to enhance physical activity, healthy eating, and community participation. The purpose of this paper is to describe a formative evaluation of ICDI at UAB, and …

Perceptions Of Low Income By Canadian Student Occupational Therapists, Naomi Newfield, Lucy Bartlett, Ellen Murray, Tim Park, Keri Chambers, Farah Hameed, Lynn Cockburn

Journal of Occupational Therapy Education

Low income negatively impacts health, access to health services, and overall quality of life. Living with low income is complex, strongly correlated with disability, age, gender, race, and mental illness, and can present barriers to participation in employment, self-care, and leisure occupations. Occupational therapists are well-positioned to reduce these socioeconomic, environmental, and personal barriers. Research on student occupational therapists’ learning and perceptions in working with individuals living with low income is unexplored. This study aimed to understand student occupational therapists’ perceptions and experiences related to low income and their knowledge of their professional roles in working with low income populations. …

Nonword Repetition And Word Learning In Children With Specific Language Impairment, Kerianne Schoff

Undergraduate Honors Thesis Collection

Children with specific language impairment (SLI) are notorious for inconsistent use of grammatical morphemes, as well as a small vocabulary. This lack of vocabulary is linked to their difficulty in learning new words, which requires a strong phonological memory. Tasks of nonword repetition call upon this same skill. This overlap in skills suggests a strong relationship between the two tasks. The current study explores the relationship between nonword repetition performance and novel word learning abilities in preschool-aged children with SLI as compared to their typically developing (TD) age-matched peers. Nine children with SLI and nine TD children completed a nonword …

Effect Of Rurality On Diabetes-Related Hospitalizations In A Small Acute Care Hospital In Jackson County, Indiana, Lindsey Ridlen

Undergraduate Honors Thesis Collection

Patient access to healthcare can be a potentially significant barrier to overall health outcomes, especially when paired with a costly and complex disease state such as diabetes. The purpose of this study was to determine if patients with Type 2 diabetes mellitus living in rural areas of Jackson County experience greater health disparity and more diabetes-related hospitalizations than those living in non-rural areas. The study was conducted at Schneck Medical Center in Seymour, Indiana. A total of 164 patients were included in the final analysis based on the presence of a diabetes-related diagnosis code in the patient’s chart; of these, …

Comparison Of Patient Outcomes In A Pharmacist-Led Outpatient Parenteral Antimicrobial Therapy Program, Zachary Howe

Undergraduate Honors Thesis Collection

Purpose: Outpatient parenteral antimicrobial therapy (OPAT) is a therapeutic option meant to conserve healthcare resources when treating infections requiring the administration of IV antibiotics over a prolonged treatment course. In November 2016 at Franciscan Alliance Indianapolis, a dedicated pharmacist was hired to build a formal OPAT program for all patients discharged on IV antimicrobials under the care of the infectious disease physician group. The number of “good catch” events observed since the program’s formal inception has encouraged the creation of this study designed to examine the impact of this program on patient outcomes and antimicrobial stewardship.

Methods: This was a …

The Association Of Reduced Bone Density With Paraspinal Muscle Atrophy And Adipose Tissue In Geriatric Patients: A Cross-Sectional Ct Study, Eli̇f Evri̇m Eki̇n, Muhi̇tti̇n Emre Altunrende

Turkish Journal of Medical Sciences

Background/aim: The aim of the study is to examine the relationship among bone density, adipose tissue, and muscle mass with abdominal CT in geriatric patients.Materials and methods: The study is a retrospective cohort study of patients 65 years and over who underwent abdominal CT for any reason between October 2017 and July 2018. Third lumbar vertebra density, fatty degeneration of the paraspinal muscle, subcutaneous adipose tissue, and mesenteric adipose tissue ratio were evaluated. Results: A total of 312 patients, 144 females and 168 males, were included in the study. Reduced bone density was found in 237 (76%) patients. Reduced bone …

Protective Effects Of Ghrelin On Kidney Tissue In Rats With Partial Ureteral Obstruction, Serhan Çi̇men, Cemal Taşdemi̇r, Ni̇gar Vardi, Burhan Ateş, Seda Taşdemi̇r, Ayla Özaydoğdu Çi̇men

Turkish Journal of Medical Sciences

Background/aim: The aim was to investigate the protective and therapeutic effects of ghrelin, which has antioxidant and antiinflammatory activity, on preventing kidney damage that occurs by induced partial ureteral obstruction in rats.Materials and methods: Twenty-eight adult male rats were included in the study, and the rats were divided into 4 groups. After the laparotomy operation on the sham group, the ureter was identified in the retroperitoneal area and was duly sutured (n = 7). Ghrelin was administered for seven days intraperitoneally, and after the nephrectomy performed on the 15th day, the rats were sacrificed (n = 7). A partial ureteral …

The Effectiveness Of Renal Nephrometry Score In Ablated Renal Tumors Via Radiofrequency Ablation Or Cryoablation, Seda Aladağ Kurt, Cem Yücel, Suna Özhan Oktar, Gonca Erbaş, Tevfi̇k Si̇nan Sözen, Ali̇ Yusuf Öner

Turkish Journal of Medical Sciences

Background/aim: This study aimed to evaluate the clinical efficacy of radiofrequency ablation (RFA) and cryotherapy and to scrutinize the therapeutic success of the RENAL (radius, exophytic/endophytic, nearness to collecting system, anterior/posterior, and location) nephrometry score in terms of possible complications and the predictive status of oncological results.Materials and methods: Forty-five patients with biopsy-proven renal cell carcinomas (32 males, 13 females) treated with RFA and cryotherapy were included. Patients were 22-90 years old (average: 59.2 years). Statistical analyses were performed using SPSS for Windows. Results: A total of 79 lesions with dimensions varying between 0.9 and 4.5 cm (average: 2.2 cm) …

Three Dimensional Printing And Biomaterials In The Repairment Of Bone Defects; Hydroxyapatite Pla Filaments, İsmai̇l Kaya, Meryem Cansu Şahi̇n, İlker Deni̇z Ci̇ngöz, Nevi̇n Aydin, Murat Atar, Ceren Kizmazoğlu, Sali̇h Kavuncu, Hasan Emre Aydin

Turkish Journal of Medical Sciences

Background/aim: Application fields of bone tissue engineering studies continue to expand. New biocompatible materials aimed to improve bone repairment and regeneration of implants are being discovered everyday by scientists, engineers, and surgeons. Our objective in this study is to combine polylactic acid which is a polymer with hydroxyapatite in the repairment of bone defects considering the increased need by medical application fields. Materials and methods: After 750 g of PLA with a diameter of 2.85 mm was granulated into minimum particles, these particles were homogenously mixed with hydroxyapatite prepared in laboratory environment. Using this mixture, HA-PLA filament with a diameter …

Is Leptin Receptor Expression Triggered In The Case Of Embryo Transfer To Endometrium Coculture?, İskender Kaplanoğlu, Gülnur Take Kaplanoğlu, Özgür Çinar, Güleser Göktaş, Serdar Di̇lbaz, Cemi̇le Merve Seymen

Turkish Journal of Medical Sciences

Background/aim: A synchronized dialogue between maternal and embryonic tissues is required for successful implantation. Low uterine receptivity is responsible for two-thirds of implantation failures and leptin is effective in the physiology of reproduction by binding to specific receptors. In this study, we investigateleptin receptor expression in cases of embryo transfer to endometrial coculture. Materials and methods: Biopsy materials were taken from 20 females with indication for coculture application and were cultured in an appropriate medium after the epithelial cells were isolated. The grown cells were cultured in chamber slides as the first group. For the second group, day 3 embryo …

Association Between Ppargc1a Single Nucleotide Polymorphisms And Increased Risk Of Nonalcoholic Fatty Liver Disease Among Iranian Patients With Type 2 Diabetes Mellitus, Leila Saremi, Shirin Lotfipanah, Masumeh Mohammadi, Hassan Hosseinzadeh, Zahra Hosseini-Khah, Behrooz Johari, Zohreh Saltanatpour

Turkish Journal of Medical Sciences

Background/aim: Environmental and genetic factors may play a major role in the development of nonalcoholic fatty liver disease (NAFLD) among people with obesity and type 2 diabetes mellitus. Based on the fact that PGC-1?, as the protein encoded by the PPARGC1A gene, plays a key role in energy metabolism pathways, it has been hypothesized that polymorphisms within the PPARGC1Agene may be associated with increased risks of NAFLD. Thus, this study was designed to evaluate the Gly482Ser polymorphism (rs8192678) within the PPARGC1A gene and its association with the increased risk of NAFLD in Iranian patients with type 2 diabetes.Materials and methods: …

Clinical Instructor Perceptions Of The Collaborative Clinical Education Model: Providing Solutions For Success In Physical Therapy Education, Katherine Myers, Alice Davis, Shelene Thomas, Catherine Bilyeu

Internet Journal of Allied Health Sciences and Practice

Purpose: The most common approach to physical therapy clinical education is the one-to-one (1:1) model. The collaborative clinical education model (CCEM) offers an alternative and beneficial approach to education but is not widely utilized within physical therapy. The primary aim of this study was to explore the experiences and perceptions of clinical instructors (CIs) teaching within the CCEM while also receiving structured support from an academic program. Methods: This study used semi-structured interviews before and after the CCEM experience to explore CI perceptions. CIs received formalized support that included pre-experience meetings, a CCEM Toolkit resource, scheduled follow-ups during the experience, …

Ua66/4 Ogden College Of Science & Engineering Allied Health, Wku Archives

WKU Archives Collection Inventories

Records created by and about the Department of Allied Health.

Files are organized into the following subseries:

1. Administration
2. Publications

Ua66/6/3/1 Ogden College Of Science & Engineering Biology Student Organizations Alpha Epsilon Delta, Wku Archives

WKU Archives Collection Inventories

Records by and about Alpha Epsilon Delta.

Ua66/13/4 Ogden College Of Science & Engineering Public Health Allied Organizations, Wku Archives

WKU Archives Collection Inventories

Records related to Public Health allied organizations.

Ua1c11/65 Helen Turner Photo Collection, Wku Archives

WKU Archives Collection Inventories

Photographs of Helen Turner, Kentucky nurse.