Medicine and Health Sciences Commons^™

An Arm And A Leg: Medtech Perspectives On Human-Centered Design, Evan D. Poff

Marriott Student Review

The art of human-centered design accounts for both technological and emotional specifications in order to deliver meaningful products that meet the specific needs of the individual customer. Every business professional can deepen his or her understanding of human-centered design – regardless of our industry of choice – by looking to perspectives that the business of medical technology offers. To that end, this article draws upon interviews with three figures in this remarkable field, distilling their insights on how to cultivate businesses that produce human-centered solutions.

How Professional Physical Therapist Education Programs Develop Cultural Competence Within Their Students: An Exploratory Concurrent Mixed Methods Study, Dustin E. Domingo

Dissertations

Purpose: The purpose of this exploratory concurrent mixed methods study was to describe experiences that shape the factors of cultural intelligence (CQ) as perceived by students of professional physical therapist education programs. In addition, it was the purpose of this study to determine whether any particular factor of cultural intelligence influenced one’s overall cultural competence according to the cultural competence continuum by Cross et al. (1989).

Methodology: Students in a professional physical therapist education program completed a questionnaire, which included Likert scale questions, open ended questions, and a 37-item self-assessment based on the expanded cultural intelligence scale by Van Dyne …

Ada News - 04/15/2019, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Managing Madness: The Ethics Of Identifying And Treating Mental Illness, Mason Seely

Helene Lafrance Library Undergraduate Research Award

This essay analyzes different contemporary models for defining mental illness and offers a new framework that promotes the use of normative values during the clinical diagnostic process. Although ethic centric models for identifying mental illness do currently exist, these accounts are limited. Specifically, these accounts acknowledge the relationship between mental illness labels and implied responsibility in making their argument to support a normative framework, yet do not explain what capacities are necessary for an agent to have full responsibility. Recognizing this shortcoming, this paper provides an enriched model for identifying mental illness by marrying a normative conception of psychiatric dysfunction …

What's Happening: April 15, 2019, Maine Medical Center

What's Happening

No abstract provided.

The Use Of The Home Safety Self-Assessment Tool To Decrease The Risk Of Falls In Community Dwelling Older Adults, Brooke Mack

MOT Student Capstones

Older adult falls ages sixty-five and older are a major health concern in the United States of America. This project is an educational in-service provided through a power point presentation designed to educate community dwelling older adults on areas in their home that could increase their chance of falling in their home environment. This will be accomplished by using components of the home safety-self assessment tool. There are three main objectives which include: educating community dwelling older adults on various areas in the home that could lead to an increased risk of falls, suggest possible solutions, assistive devices, helpful products, …

Consultation-Based Ot Services To Improve Complex Environmental Modifications: Perspective Of Practicing Occupational Therapists, Brooke E. Wallace

MOT Student Capstones

Occupational therapists (OTs) are skilled medical professionals who use a holistic and clientcentered approach to improve one's functional independence. Research demonstrates that consultation-based occupational therapy services between a client, OT, and building professional would benefit aging and/or disabled adults who are seeking complex home modifications. The objectives of this capstone project are threefold: to increase practicing occupational therapists' awareness of an expanding area of need with >50% of participants in agreeance that consultation-based services will increase a client's level of independence, for OTs to report an increased familiarity level with relevant assessments and with the implementation process for consultation-based OT …

Enhancing Mot Student Fieldwork At The Community Free Clinic, Antwon Griffin

MOT Student Capstones

The purpose of this project was to development of a level I fieldwork manual to improve the structure of the occupational therapy student learning experience at Community Free Clinic. It aimed for the occupational therapy student to gain perspective and understanding of occupational therapy's role in a unique setting to enhance organization and critical thinking skills to apply theory to practice. The manual is based upon the importance of establishing mutual respect, trust, and communication skills with other healthcare professionals to provide quality care and cultural competence to provide additional services to the people of underserved communities. Evidence supports that …

Aol Transfer Training Program For Nursing Staff In The In-Patient Rehab Setting Through Occupational Therapy Based Skills, Bailey Christiano

MOT Student Capstones

This capstone is a project implementation of an AOL transfer training program for nursing staff for an in-patient rehab facility. The three objectives of this project include decreasing the overall number of client falls on the unit, increasing the self-efficacy of the nursing staff in regards to ADL transfers, and to educate the nursing staff on how to perform safe ADL transfers at a minimal assist level. Training videos were created through the collaboration of OT, nursing, and hospital videographers and were viewed by all nursing staff participants. Three hands-on training sessions for nursing staff were conducted by OT clinicians …

Occupational Therapy-Based Education Of Sensory-Enriched Activities For Interdisciplinary Services, Emily Minton

MOT Student Capstones

This capstone is a project implementation of sensory-based activities for an interdisciplinary team of therapy practitioners at a pediatric outpatient facility. The objectives of this project include increasing self-efficacy in pediatric-based practitioners addressing sensory seeking behaviors, educate practitioners on the importance of addressing sensory seeking behaviors to promote participation via sensory-enriched activities, and educating practitioners on four simple sensory-based activities to decrease sensory seeking behaviors during sessions. Educational handouts, as well as a PowerPoint presentation, and visual demonstration were created and viewed by all members of the interdisciplinary team at the pediatric outpatient clinic. The education session and all data …

Why Doula Services Should Become An Essential Health Benefit In New York State, Jalisha Hanshaw, Amy White

Publications and Research

Doulas are birth workers who assist expecting mothers through pregnancy, birth and postpartum using holistic techniques. Techniques include: prenatal yoga, birth affirmations and induction acupuncture. Doulas are underrated healthcare providers who deserve the same respect as clinical and non-clinical providers. Doulas are well-rounded alternative care providers who focus on mental, emotional, and physical well being of mothers. Also, they know special alternative medical techniques that prevent mothers from maternal mortality among other negative health outcomes. The amount of time and effort doulas perform with expecting mothers are equal or more than the average medical healthcare provider and should be a …

Polydopamine As A Biomaterial For Hydrogels, Abdulhaq Syed, Elena Dermendzhieva, Josiah Hicks, Madeline Wong, Naphtali O'Connor

Publications and Research

Hydrogels are networked polymers with hydrophilicity that helps them to retain an ample amount of water. Recent research on hydrogels have been focusing on their use as tissue scaffolding, wound dressings, and drug delivery agents. Polydopamine is formed from the oxidation of dopamine and is attractive as a biomaterial because of the adhesive properties it imparts due to the catechol motif. We proposed polydopamine may behave utility as an antioxidant, as its precursor dopamine has antioxidant properties. We recently developed a method of preparing polysaccharide-polyamine hybrid hydrogels by first reacting the less reactive polysaccharides with the cross-linker epichlorohydrin and completed …

Opioid Use Disorder Simulation For Preprofessional Health Care Students, Kerri Green Ms, Med., Margaret A. Hadinger Edd, Ms

Department of Education

No abstract provided.

Implementation Of A Nurse-Led Transitional Care Model For Older Adults With Copd Admitted To Home Health, Michelle Ryan Hunt

Doctor of Nursing Practice Projects

Problem Description: The importance of management of chronic disease and preventing rehospitalization has been identified at national and local levels. Chronic obstructive pulmonary disease (COPD) is one of the chronic diseases with notable rates of emergency department use and recurrence of hospitalizations.

Rationale: Implementation of transitional care models have been successful for health care organizations in chronic disease management.

Interventions: The health-social partnership transitional care management program (HSTCMP) was used to design a transitional care model process pilot for a home health agency (HHA) within a health system. This process used a multidisciplinary team led by a registered nurse for …

Protocol For Serious Fall Injury Adjudication In The Strategies To Reduce Injuries And Develop Confidence In Elders (Stride) Study, David A. Ganz, Albert L. Siu, Jay Magaziner, Nancy K. Latham, Thomas G. Travison, Nancy P. Lorenze, Charles Lu, Rixin Wang, Erich J. Greene, Cynthia L. Stowe, Lea N. Harvin, Katy L.B. Araujo, Jerry H. Gurwitz, Yuri Agrawal, Rosaly Correa-De-Araujo, Peter Peduzzi, Thomas M. Gill, Shalender Bhasin, Thomas M. Gill, David B. Reuben, Siobhan Mcmahon, Nancy K. Latham, Shehzad Basaria, Brooke Brawley, Richard Eder, Amy Larson, Lori Goehring, Molly Lukas, Scott Margolis, Thomas W. Storer, Martha B. Carnie, Priscilla Gazarian

Orthopaedic Surgery Faculty Publications

Background: This paper describes a protocol for determining the incidence of serious fall injuries for Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE), a large, multicenter pragmatic clinical trial with limited resources for event adjudication. We describe how administrative data (from participating health systems and Medicare claims) can be used to confirm participant-reported events, with more time- and resource-intensive full-text medical record data used only on an "as-needed" basis. Methods: STRIDE is a pragmatic cluster-randomized controlled trial involving 5451 participants age ≥ 70 and at increased risk for falls, served by 86 primary care practices in 10 US …

Cross-Cultural Evidence Does Not Support Universal Acceleration Of Puberty In Father-Absent Households, Rebecca Sear, Paula Sheppard, David A. Coall

Research outputs 2014 to 2021

Father absence in early life has been shown to be associated with accelerated reproductive development in girls. Evolutionary social scientists have proposed several adaptive hypotheses for this finding. Though there is variation in the detail of these hypotheses, they all assume that family environment in early life influences the development of life-history strategy, and, broadly, that early reproductive development is an adaptive response to father absence. Empirical evidence to support these hypotheses, however, has been derived from WEIRD (Western, Educated, Industrialized, Rich and Democratic) populations. Data from a much broader range of human societies are necessary in order to properly …

March/April 2019, Randy Curry, Cindy Brooks

RURAL ROCKS

Rural Rocks, the Rural Health Network newsletter by the SWOSU College of Pharmacy

Iron-Containing Nanoparticles For The Treatment Of Chrionic Biofilm Infections In Cystic Fibrosis, Leisha M. A. Martin

Nanoscience and Microsystems ETDs

Cystic fibrosis (CF) is the most common genetic disease resulting in the morbidity and mortality of Caucasian children and adults worldwide. Due to a genetic mutation resulting in malfunction of the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) protein, CF patients produce highly viscous mucus in their respiratory tract. This leads to impairment of the mucociliary clearance of inhaled microbes. In addition to reduced microbial clearance, anoxic environmental conditions in the lungs promote biofilm-mode growth of the pathogenic bacterial species Pseudomonas aeruginosa. Chronic infections of P. aeruginosa begin in early childhood and typically persist until respiratory failure and death result. The …

Week Of April 15, 2019, New York Medical College

InTouch

• D.P.T. Class of 202 1 Marks Milestone at White Coat Ceremony
• NYMC Kicks Off Its Strategic Planning Process
• NYMC Stands out at Resident Research Day
• NYMC Shows Support for Autism Awareness
• SOM Seeks MMI Interviewers

“The Experience:” A Pilot Summer Work Experience Program For High School Students, Margaret A. Hadinger Edd, Ms, Kerri Green Ms, Med., Jenae Holtzhafer Bs, Cheryl Arndt Phd, Kristyn R. Senneca Bs

Department of Education

No abstract provided.

Rabies-Based Vaccine Induces Potent Immune Responses Against Nipah Virus., Rohan Keshwara, Thomas Shiels, Elena Postnikova, Drishya Kurup, Christoph Wirblich, Reed F. Johnson, Matthias J. Schnell

Department of Microbiology and Immunology Faculty Papers

Nipah Virus (NiV) is a re-emerging zoonotic pathogen in the genus Henipavirus of the Paramyxoviridae family of viruses. NiV is endemic to Bangladesh and Malaysia and is highly fatal to both livestock and humans (human case fatality rate = 74.5%). Currently, there is no approved vaccine against NiV on the market. The goal of this study was to use a recombinant RABV vector expressing NiV glycoprotein (NiV G) to develop a bivalent candidate vaccine against NiV disease and rabies virus (RABV) disease, which is also a significant health burden in the regions where NiV is endemic. The rabies vector is …

Perspectives Of Behavioral Health Providers In School Based Health Clinics (Sbhc) About Behavioral Health Services And Low-Income Adolescent Males’ Academic Achievement, Suzanne Gagnon

Nursing ETDs

ABSTRACT

Low-income adolescent males are subject to both health and educational inequities. Male adolescents are the least likely of all pediatric age and gender groups to access either primary care or behavioral health services. This same population is most likely to not complete high school or college. Health and educational outcomes are both affected by social determinants. School-based Health Centers (SBHCs) are known for providing access to primary care and behavioral health services for low-income and vulnerable populations. The purpose of this qualitative descriptive study was to identify themes from one-on-one semi-structured qualitative interviews with behavioral health providers, who provide …

Mortality Influenced By Sepsis Bundle Compliance And Initial Lactic Acid In Severe Sepsis And Septic Shock, Evelyn George

DNP Projects

Sepsis, a life-threatening infection killing 270,000 yearly, is a concern to health care providers, policy makers, and patients due to its high volume and increasing cost. Patients older than 64 years have a higher occurrence of sepsis and greater mortality risk. The Surviving Sepsis Guidelines (SSG) recommends the use of the three-hour bundle that standardizes care to decrease cost, morbidity, and mortality. The three-hour bundle includes two treatments, intravenous fluids and antibiotics, and two tests, blood cultures and lactic acid level. One bundle element, lactic acid level, is associated with higher mortality rates, although only a few studies exist. The …

A Study Of Music: Music Psychology, Music Therapy, And Worship Music, Jessica Whittemore

Senior Honors Theses

There are three specific fields related to music: the psychology of Music and how it affects human brain and functions, the methodology of Music Therapy and how it affects individuals undergoing treatment, and the psychological effects of Worship Music and how it can be used in music therapy. Music therapy is a growing field in which the therapeutic outcomes greatly benefit the patients. The overall purpose is to create a greater understanding of music and music therapy in order to a provide a system for introducing group worship services into music therapy to ultimately bring spiritual healing to individuals.

Caregiver Perceptions On The Effects Of A Therapeutic Camp On Well-Being Using The Flourishing Through Leisure Model, Abigail L. Greer, Brent Wolfe, Katy Gregg

Honors College Theses

Literature has noted the contribution of therapeutic camping programs in enhancing overall functioning and well-being. Therapeutic camps can provide an opportunity for recreation involvement, skill development, and reduction in deficits by providing a variety of activities suited for the needs of the population. This study explores caregivers’ perceptions on the impacts of a four week therapeutic day camp program on well-being in adolescents with disabilities. Qualitative data was collected through functional profiles, treatment goals, discharge summaries, and caregiver surveys provided by Camp RAD to evaluate the outcomes of the camp through the lens of the Flourishing through Leisure Model. By …

The Long And Winding Road: A Case Study Of A Child With Niemann-Pick Disease, Michele M. Dzomic

Patient Care Services / Nursing

No abstract provided.

Are Serum Leptin Levels Predicted By Lipoproteins, Vitamin D And Body Composition?, Aysha Habib Khan, Syeda Sadia Fatima, Ahmed Raheem, Lena Jafri

Department of Pathology and Laboratory Medicine

BACKGROUND: Both obesity and vitamin D deficiency are important health issues in Pakistan. The connection between body composition, Vitamin D and leptin in young adults is important to be studied as body composition may affect bone health and therefore the possibility of osteoporosis in later life. Few studies have attempted to investigate the effect of body composition and leptin with vitamin D in adolescence. AIM: To investigate the association of serum leptin with body composition, lipids and 25-hydroxyvitamin D (25OHD) in adults. METHODS: This cross-sectional study was conducted on 167 apparently healthy adults. Demographics were recorded, bioelectrical impedance analysis was …

Medical School Watercooler Newsletter - April 14, 2019, Lindsey Lyle

Watercooler Newsletter

This is the April 14, 2019 edition of the Frederick P. Whiddon College of Medicine's Newsletter - Watercooler.

Contents Include:

Mark Your Calendar: Pediatric Resident Research Day

Heather Crisler named April Employee of the Month

Pediatric Grand Rounds set for April 19

USA Health Children’s & Women’s Hospital Welcomes Hayley Chancey as Children’s Miracle Network Hospitals Program Manager

Increasing Physical Activity In Hispanic Adults To Reduce Complications Of Type 2 Diabetes, Linda C. Valenzuela

Doctor of Nursing Practice Projects

Problem Description: Adults in the United States do not exercise sufficiently to meet the specifications outlined in the 2018 Physical Activity Guidelines (U.S. Department of Health and Human Services, 2018). The Office of Disease Prevention and Health Promotion’s (2018) Healthy People 2020 aims to eliminate health disparities and achieve health equity among all population groups in the United States. However, statistics from the U.S. Office of Minority Health (2014) indicate that Hispanics are twice as likely to be diagnosed with type 2 diabetes as non-Hispanic whites. According to a Centers for Disease Control and Prevention (CDC) report in 2015, …

Early Extubation After Cardiac Surgery: An Evidenced-Based, Nurse-Driven Protocol, Emily Brooks

DNP Final Reports

Prolonged mechanical ventilation in cardiac surgery patients has been associated with increased hospital stay, increased intensive care unit (ICU) length of stay, higher health care costs, and higher morbidity from atelectasis, intrapulmonary shunting and pneumonia. Early extubation of post-operative cardiac surgery patients has been associated with shorter ICU and overall hospital stays, reduced mortality, decreased resource use, and is safe and effective in elderly patients with no increased risk of reintubation. As such, the question arises in intubated post-operative cardiac surgery patients, how does a nurse-driven extubation protocol compared to no standardized protocol affect extubation rates within six hours post-operative? …