Medicine and Health Sciences Commons^™

A Group Protocol For Promoting Wellness In Rural Community-Dwelling Older Adults, Emily Bachmeier, Laurel Busch

Occupational Therapy Capstones

Purpose: In the United States, there are currently 46 million citizens aged 65 and older. This number is projected to more than double by the year 2060 (Mather, 2016). As the elderly population continues to grow, the need for evidence-based, client centered prevention programs for community-dwelling older adults becomes more crucial to promote independence and preserve well-being in the community. Older adults living in rural areas are at an even higher risk of losing independence secondary to decline in activity tolerance, which further elevates their need for targeted interventions (Park, Kim, & Lee, 2015). Creating a preventative program to maintain …

Occupational Therapy With An Adventurous Twist, Ashley Cambronne, Mikaela Karpen

Occupational Therapy Capstones

The purpose of this scholarly project is to increase knowledge and awareness of adventure therapy (AT) for occupational therapists (OTs) practicing in mental health settings or who are interested in practicing in mental health settings within the United States. Currently, there is a lack of knowledge and awareness of AT by OTs practicing within the United States. This lack of knowledge and awareness is due to a lack of research, especially research focused on AT implementation by OTs. The process for gathering data and creating the scholarly project was first, identifying a problem, then searching CINAHL, PubMed, PsychInfo, and Academic …

Toda La Familia: An Occupational Therapy Resource Guide For Working With Latino Children Diagnosed With Asd And Their Families, Rachel Fritzler, Stacey Sigmond

Occupational Therapy Capstones

The purpose of this scholarly project was to create a resource guide for occupational therapists working with Latino children diagnosed with ASD and their families. Autism Spectrum Disorder (ASD) is a developmental disability that has become increasingly prevalent within the United States (Baio, Wiggins, and Christensen, 2018), with ASD rates triplining in Hispanic children between the years of 2002 through 2006 (Pedersen et al., 2002). Blanche, Diaz, Barretto, and Cermak (2015) indicated that multiple family members, not just primary caretakers, are aiding in caring for a child diagnosed with ASD. However, many extended households which may include grandparents, aunts, uncles, …

The Experiences Of Occupational Therapists Working In Oncology Care And The Implications Of The Referral Process, Samantha Albrigtson, Jade Clement

Occupational Therapy Capstones

Purpose: The purpose of this independent study was to explore the current role of occupational therapists working in oncology care and to understand the implications of the referral process for this specific population.

Methodology: A phenomenological research design, derived from Giorgi and Giorgi (2008), was used to implement this study. The researchers interviewed 6 occupational therapists, from a variety of settings, in the Midwest region using a semi-structured interview style. The interviews were recorded, transcribed, and broken down into key constituents (Giorgi & Giorgi, 2008).

Results: The subsequent results from the 6 interviews were developed from 11 key constituents that …

From Here To There: An Occupational Screening Tool For Transitioning Soldiers, Bailey Fruit, Hannah Williams

Occupational Therapy Capstones

Time has shown that it can be difficult for military personnel to resume their typical life roles within civilian life. The wars in Iraq and Afghanistan were the longest wars in United States history and involved some of the most intense ground engagements since Vietnam (Cogan, 2014). This left many soldiers to deal with the traumatic experiences they went through. This study aimed at developing a screening tool to address the difficulties experienced by veterans during their transition into civilian life.

The researchers began with a thorough review of literature to identify the occupational challenges the project would address. Following …

Secondary Tia Outpatient Prevention (Stop) Program: Addressing Individuals Of Lower Socioeconomic Status, Mackenzie Funke, Kasey Nieland

Occupational Therapy Capstones

The purpose of this scholarly project was to provide secondary prevention in an outpatient setting to individuals who have experienced a transient ischemic attack (TIA) and are of lower socioeconomic status (SES). Stroke is the fifth leading cause of death in the United States and the leading cause of long-term disability (National Stroke Association, 2018). An estimated 795,000 plus Americans experience a stroke each year (Benjamin et al., 2017). Of this estimation, about 185,000 Americans experience a recurrent stroke (Benjamin et al., 2017). Roughly, one half of patients fail to seek medical attention within 24 hours of a TIA (Sharry …

Access To Occupational Therapy Practice: A Review Of Current Licensing Processes In The United States, Melissa Groth, Martha Scoby

Occupational Therapy Capstones

Purpose This study was conducted to gain insight on the 50 United States and Washington D.C. occupational therapy (OT) licensure application process. This study sought to examine the accessibility of the OT licensure websites as well as the compliance each OT state licensure application has with the Americans with Disabilities Act (ADA). The researchers predicted that, while the profession of OT seeks inclusion for all individuals, there is discrimination prominent in the OT state licensure process for individuals living with disabilities.

Methodology A two-fold process was used to collect information regarding accessibility and accommodation within licensing processes for OT licensure …

Occupational Therapy Community Reintegration For Inmates With Co-Occurring Disorders, Miranda Hosking, Kara Moore

Occupational Therapy Capstones

A co-occurring disorder (COD) is the coexistence of a substance use disorder and mental health disorder (Substance Abuse and Mental Health Services Administration, 2016). The prevalence of inmates with COD in correctional facilities is disproportionately high (Grant, Stinson, & Dawson, 2004). Despite the high incidence, correctional facilities are not equipped to meet the complex needs of individuals with COD, which often leads these individuals to re-offending or re-incarceration (Sacks, Chaple, Sacks, McKendrick, & Cleland, 2012). The role of occupational therapy in this area of practice is not clearly distinguished. However, occupational therapy’s holistic, client-centered, and occupation-based principles position the profession …

Occupational Therapy At Stable Days: Supporting A Christian Worldview, Liz Nerhus, Jordan Mooney

Occupational Therapy Capstones

Purpose: The purpose of this project was to provide a framework for use by an occupational therapist providing integrated services from a Christian worldview perspective within a faith-based setting.

Methodology: An extensive literature review was completed on the topics of occupational therapy in integrated faith-based settings, with an emphasis on spirituality, experience of practitioners, current tools of the profession, and the basic tenants of the Christian faith. The search databases used included: CINAHL, OTSEARCH, Pubmed, SocIndex, and PsycINFO. The literature review revealed that nearly 80% of Americans identify spirituality as an important part of their life (Williams-Reade, Lobo and Gutierrez, …

Addressing Role Transitions In Young And Middle-Aged Adults Post-Stroke In The Inpatient Rehabilitation Setting: An In-Service For Occupational Therapists, Ashley Ystaas, Kelsey Raymond

Occupational Therapy Capstones

Young and middle-aged adults experience disruptions to their daily life roles and responsibilities due to the variety of impairments they may face following a stroke. This population is in the time of their lives where they have a variety of roles and responsibilities that are important to them such as work, parenting, home management, education, driving, community re-integration, and social participation (Harris & Bettger, 2018; Lawrence, 2010, Maaijwee et al., 2015). An extensive literature review was conducted to determine if and when occupational therapists address roles during the rehabilitation process with young and middle-aged adults post-stroke. The thorough review of …

Myopia Outcome Study Of Atropine In Children (Mosaic): An Investigator-Led, Double-Masked, Placebo-Controlled, Randomised Clinical Trial Protocol, Saoirse Mccrann, Daniel Ian Flitcroft, Niall C. Strang, Kathryn J. Saunders, Nicola S. Logan, Samantha Szeyee Lee, David A. Mackey, John Butler, James Loughman

Articles

Background: The Myopia Outcome Study of Atropine in Children (MOSAIC) aims to explore the efficacy, safety, acceptability and mechanisms of action of 0.01% unpreserved atropine for myopia control in a European population. Methods: MOSAIC is an

A Review Of The Putative Causal Mechanisms Associated With Lower Macular Pigment In Diabetes Mellitus, Grainne Scanlon, James Loughman, Donal Farrell, Daniel Mccartney

Articles

Macular pigment (MP) confers potent antioxidant and anti-inflammatory effects at the macula, and may therefore protect retinal tissue from the oxidative stress and inflammation associated with ocular disease and ageing. There is a body of evidence implicating oxidative damage and inflammation as underlying pathological processes in diabetic retinopathy. MP has therefore become a focus of research in diabetes, with recent evidence suggesting that individuals with diabetes, particularly type 2 diabetes, have lower MP relative to healthy controls. The present review explores the currently available evidence to illuminate the metabolic perturbations that may possibly be involved in MP’s depletion. Metabolic co-morbidities …

Directory Of Services And Resources To Support Breastfeeding Initiation, Exclusivity, And Longevity In The El Paso Texas Region, Tiffany Nichelle Butler

Open Access Theses & Dissertations

Human milk is recognized as the ideal food for infants; however, in order for human milk to get to the infants, breastfeeding requires the support of the healthcare system. Among infants born in 2015 in United States, 4 out of 5 started to breastfeed and despite of this high rate, only 22% of mothers exclusively breastfed for 6 months. The decisions to breastfeed are influenced by multiple factors including breastfeeding education and support, hospital practices, and participating in tailored education programs. The Office of the Surgeon General has identified the need for healthcare systems to "guarantee continuity of skilled support …

Sexual And Relationship Victimization Of Hispanic Sexual Minority Women On A University Campus In A U.S.-Mexico Border City, Mika Gehre

Open Access Theses & Dissertations

Background: Sexual minority women (SMW) are at high risk for health disparities in response to discrimination and stigma. Sexual victimization (SV) in campus settings is a common issue impacting a majority of female students. Rates of sexual victimization and violence within relationships are higher among SMW compared to non-SMW. To date, only a few studies report sexual and family victimization among minority populations in a campus setting. Purpose: The purpose of this study is to describe the rates and relationships between sexual minority status, SV, and abusive relationships among Hispanic women on a University campus in a U.S.-Mexico border city. …

Listener Perception As A Measure Of Treatment Effectiveness In Voice Modification For A Transwoman, April M. Gutierrez

Open Access Theses & Dissertations

Purpose: The purpose of this study was to assess treatment effectiveness using listener perception as a measure of vocal femininity in a 22-year old transwoman.

Participant: The participant for this study was a monolingual, English-speaking, 22-year old transwoman. Inclusion criteria included self-identification as a transwoman. Exclusion criteria included surgical procedures to the vocal folds.

Methods: This cross-sectional survey study focused on using listener perception as a measure of treatment effectiveness in voice feminization. This study used surveys to investigate how naïve listeners would perceive the participants voice after she received voice modification treatment at the University of Texas at El …

Serosurvey For Evidence Of Dengue And West Nile Virus Human Infections In El Paso, Texas, Veronica Suarez

Open Access Theses & Dissertations

Dengue viruses (DENV), including the 4 serotypes are the cause of dengue fever and dengue hemorrhagic fever. The viruses are transmitted by Aedes aegypti mosquitoes in urban communities in tropical, sub-tropical, and temperate regions and are the cause of the highest rate of infection and death of all known Flaviviruses. DENV are endemic in United States (US) -Mexico (MX) border communities in the Rio Grande Valley and suspected of being endemic in Ciudad Juarez, a sister city to El Paso, TX. To determine if DENV were endemic in the El Paso community, cord-blood samples from mothers were tested for antibody …

Exploring The Association Between Post-Traumatic Stress Disorder And Social Connectedness With Quality Of Life Among High-Risk Hispanic Women Living In The U.S.-Mexico Border: A Mixed Methods Approach, Tamanna Ferdous

Open Access Theses & Dissertations

Quality of life (QOL) is an emerging significant public health concern. The QOL among the women living in the U.S.-MX border region is different than that of other parts of the United States. The unique characteristics of U.S.-MX border include lower socioeconomic status, immigration and acculturation challenges. These along with social, structural, and regional norms place individuals, particularly women, living in this region at high-risk for post-traumatic stress disorder (PTSD), substance use disorder (SUD), weakened social connectedness, and domestic violence, which in turn affect their QOL. The purpose of this study is to examine the effects of PTSD and social …

Psychologically Satisfying: Exploring Client Experiences With Dynamics Of Shared Decision-Making In Care From Prescribing Psychologists, Ashley Graboski-Bauer

Open Access Theses & Dissertations

The purpose of this study was to explore the field of prescribing psychology as it is practiced by providers and experienced by clients in New Mexico. Prescribing psychology is an emerging field of hybrid mental healthcare in which psychologists with special post-doctoral training can obtain prescriptive authority in certain jurisdictions. The study sought to take a client-centered approach to investigating the type and quality of care provided to clients by prescribing psychologists (RxPs). This study included a provider survey of knowledge, attitudes, and practices regarding health literacy and shared decision-making, and a client survey of satisfaction and experiences with care …

Differences In The M1 And M2 Macrophage Subtypes Between The Sexes Determine Susceptibility To Francisella Tularensis Infection, Michelle Arlene Sanchez

Open Access Theses & Dissertations

Francisella tularensis is the causative agent of the human disease tularemia. It is highly infectious with as few as 10 microorganisms via inhalation causing a lethal infection. F. tularensis infects a variety of cell types, including macrophages and neutrophils, since it needs to enter, survive and proliferate in order to cause pathogenicity. Disease is the result of over activating the host's own inflammatory response initiated by the macrophage's response to infection.

Known differences exist in the intensity of the inflammatory response between the sexes which leads to differences in sensitivity to autoimmune and infectious disease. Males tend to be more …

Antibiotics And Antimicrobial Resistance: An Evaluation Of The Knowledge, Attitude And Perception Among Dental Students And Academic Deans And Department Chairs Within U.S. Dental Schools, Magdalena S. Holz

Theses and Dissertations

Purpose: This study aimed to survey current 3^rd and 4^th year dental students, academic deans, and department chairs within U.S. dental schools to analyze the level of understanding; education; guidelines; and overall awareness regarding antibiotic use within dentistry and antimicrobial resistance.

Methods: A 25-question survey intended for 3^rd and 4^th year dental students and a 20-question survey intended for academic deans and various department chairs of U.S dental schools were each developed utilizing REDCap. The survey invitations were sent via e-mail to the current academic dean of each U.S. dental school for distribution.

Results: There were …

Designing Biomimetic Implant Surfaces To Promote Osseointegration Under Osteoporotic Conditions By Revitalizing Mechanisms Coupling Bone Resorption To Formation, Ethan M. Lotz

Theses and Dissertations

In cases of compromised bone remodeling like osteoporosis, insufficient osseointegration occurs and results in implant failure. Implant retention relies on proper secondary fixation, which is developed during bone remodeling. This process is disrupted in metastatic bone diseases like osteoporosis. Osteoporosis is characterized low bone mass and bone strength resulting from either accelerated osteoclast-mediated bone resorption or impaired osteoblast-mediated bone formation. These two processes are not independent phenomena. In fact, osteoporosis can be viewed as a breakdown of the cellular communication connecting bone resorption to bone formation. Because bone remodeling occurs at temporally generated specific anatomical sites and at different times, …

Health For All: Using Utilitarianism To Require Childhood Vaccinations, Hannah Vercellotti

Augustana Center for the Study of Ethics Essay Contest

In the last few decades, many parents have chosen not to vaccinate their children against serious infectious diseases. In seeking exemptions, they often cite conflicting religious beliefs and fear of risks. Using the principle of utilitarianism, this paper argues that despite parents' cited religious beliefs and concerns about risks, state laws should require all children to get vaccinated unless doing so would cause direct harm to the child’s health. Adopting this mandate would ensure that the maximum number of people would benefit from immunity to serious and deadly diseases.

Function Of Piwi-Interacting Rnas In Prostate Cancer, Shunjia Zhang

Public Health Theses

Abstract

Background: As the most common cancer in male, prostate cancer makes up 9.5% of new cancer cases and 4.8% of all cancer death in US in 2018. Though the 5-year survival of prostate cancer is high and multiple treatments are available, the death rate of prostate cancer was still more than 19.5 per 100,000 men per year. With more and more evidence suggested that piRNA may play a more important role in tumorigenesis, we want to find out if piRNAs can be a potential treatment for prostate cancer.

Method: Two Prostate cancer cell lines (PC3, LNCap) and a normal …

Geospatial Analysis Of Rickettsial Species In Arkansas, Amy D. Frank, Ashley P.G. Dowling

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Rickettsia species are obligate intracellular, arthropod-borne bacteria with a potential to cause multiple diseases including Rocky Mountain spotted fever (RMSF). Fleas, mites, and ticks serve as vectors for Rickettsia, but ticks are the primary vector of interest. RMSF and other rickettsial diseases have continued to gain importance in both human and veterinary medicine as RMSF is the most common tick-borne disease within the United States according to the Lyme and Tick-Borne Disease Research Center. A statewide citizen science project was utilized to determine the prevalence of Spotted Fever Group (SFG) Rickettsia in Arkansas. This project yielded results in 64 …

Where Are The Paediatricians? An International Survey To Understand The Global Paediatric Workforce, Beth D. Harper, Waceke Nganga, Robert Armstrong, Kevin D. Forsyth, Hazen P. Ham, William J. Keenan, Christiana M. Russ

Paediatrics and Child Health, East Africa

Objective: Our primary objective was to examine the global paediatric workforce and to better understand geographic differences in the number of paediatricians globally. Secondary objectives were to describe paediatric workforce expectations, who provides children with preventative care and when children transition out of paediatric care.

Design: Survey of identified paediatric leaders in each country.

Setting: Paediatric association leaders worldwide.

Main outcome measures: Paediatrician numbers, provision of primary care for children, age of transition to adult care.

Results: Responses were obtained from 121 countries (73% of countries approached). The number of paediatricians per 100 000 children ranged from a median of …

Etsu Health Annual Report - 2019, 2019

ETSU Health Annual Reports

No abstract provided.

Prior History Of Anterior Cruciate Ligament (Acl) Reconstruction Is Associated With A Greater Risk Of Subsequent Acl Injury In Female Collegiate Athletes, Jason Brumitt, Alma Mattocks, Amy Engilis, Dale Isaak, Jeremy Loew

Faculty Publications - College of Physical Therapy

Objectives: The risk of a subsequent anterior cruciate ligament (ACL) sprain is greater in high school aged female athletes with prior history of ACL reconstruction (ACLR) than in age-matched controls. The risk of a subsequent ACL injury in female collegiate athletes with prior ACLR is unknown. The primary purpose of this study was to determine the relative risk of a subsequent ACL injury in female collegiate athletes with prior ACLR when compared to age-matched controls. The secondary purpose of this study was to evaluate the ability of jump and hop tests to discriminate ACL injury risk.

Design: Prospective cohort.

Methods: …

Delta-Aminolevulinic Acid-Mediated Photodiagnoses In Surgical Oncology: A Historical Review Of Clinical Trials., Joseph F Georges, Amber Valeri, Huan Wang, Aaron Brooking, Michael Kakareka, Steve S Cho, Zein Al-Atrache, Michael Bamimore, Hany Osman, Joseph Ifrach, Si Yu, Carrie Li, Denah Appelt, John Y K Lee, Peter Nakaji, Kristin Brill, Steven S. Yocom

PCOM Scholarly Works

Fluorescence imaging is an emerging clinical technique for real-time intraoperative visualization of tumors and their boundaries. Though multiple fluorescent contrast agents are available in the basic sciences, few fluorescence agents are available for clinical use. Of the clinical fluorophores, delta aminolevulinic acid (5ALA) is unique for generating visible wavelength tumor-specific fluorescence. In 2017, 5ALA was FDA-approved for glioma surgery in the United States. Additionally, clinical studies suggest this agent may have utility in surgical subspecialties outside of neurosurgery. Data from dermatology, OB/GYN, urology, cardiothoracic surgery, and gastrointestinal surgery show 5ALA is helpful for intraoperative visualization of malignant tissues in multiple …

Low Prevalence Of Patellar Tendon Abnormality And Low Incidence Of Patellar Tendinopathy In Female Collegiate Volleyball Players, Marcey Keefer Hutchison, Christopher Patterson, Tyler Cuddeford, Robert Dudley, Eric Sorenson, Jason Brumitt

Faculty Publications - College of Physical Therapy

The prevalence of patellar tendinopathy has been reported to be as high as 50% in elite male volleyball (VB) players; however, the rate of injury in female collegiate VB athletes is unknown. The purpose of this study was to 1) identify the prevalence of ultrasonographic evidence of patellar tendon abnormality at the start of the preseason in female collegiate VB players; 2) report the incidence of tendinopathy during the season; and 3) determine if the preseason presence of tendon abnormality is associated with onset of disease. One hundred and six female collegiate VB players had both patellar tendons imaged. Incidence …

Does Physical Therapy Produce Value For Post-Operative And/Or Non-Operative Foot And Ankle Patients?, Jeff Houck, Christopher Neville, Kostantinos Vasalos, Chad Condidorio, Kathleen Fear, Judith F. Baumhauer

Faculty Publications - College of Physical Therapy

Introduction/Purpose: Healthcare is at a unique time in history where patient reported outcomes have become important in assessing value and subsequent reimbursement with pay-4-performance initiatives. It is unclear whether physical function, pain and depressive symptoms can assist providers determine if additional physical therapy may improve care for foot and ankle patients considering post-op and/or non-operative care. The purpose of this research was to examine symptom severity (PROMIS PF, PI, and Dep) after surgery or with non-operative care at the start of formal physical therapy to determine if this symptom severity presentation and/or change in symptoms over time are predictors of …