Medicine and Health Sciences Commons^™

Com Outlook_Spring_2019, College Of Osteopathic Medicine

COM Outlook

No abstract provided.

Emily Kropfl's Portfolio, Emily Kropfl

Honors College Portfolios

The curriculum of a four-year degree RN-BSN Nursing Student is not one of mere science and theory. Beyond these vital sciences are the even more essential courses involving critical thinking, creativity, self-reflection, and cultural immersion. Where the “RN” portion of the four-year student’s education teaches the individual what to do to be a nurse, the “BSN” portion teaches the individual how to get there. Much like a nurse is expected to focus on the whole patient rather than simply the patient’s disease, that is how the RN-BSN degree acts; that is, the RN-BSN student is not just taught how to …

Jane Miller's Portfolio, Jane Miller

Honors College Portfolios

The portfolio that I am presenting is a collection of work and experiences that represent who I am as a motivated individual and a hard-working student.

As a whole, my portfolio provides evidence that I am able to reach my professional goal of becoming a diligent pharmacist because it demonstrates that I am able to achieve my maximum potential of a balanced, motivated individual, even when I am given large amounts of responsibility.

Initiating Buprenorphine In Patients Hospitalized With Intravenous Drug-Use-Related Endocarditis, Naiska Y. Cheung

Yale School of Medicine Physician Associate Program Theses

During the current opioid crisis, hospitalizations for the treatment of intravenous drug use-related infective endocarditis have increased. Despite this, opioid use disorder is inadequately treated resulting in continued drug use, higher surgical intervention, recurrence and mortality rates relative to non-drug use-related endocarditis. Buprenorphine* is a safe and effective medication-assisted addiction treatment in outpatient settings; however, buprenorphine remains underutilized, particularly among patients hospitalized for infective endocarditis. Emergency department-initiated buprenorphine combined with referral to ongoing treatment is associated with improved rates of addiction treatment engagement. Therefore, our objective is to investigate whether hospital-initiated buprenorphine combined with referral in patients with opioid use …

Psilocybin-Assisted Therapy: A Double-Blind Randomized Controlled Trial, Katherine Gruppo

Yale School of Medicine Physician Associate Program Theses

Alcohol use disorder is one of the most prevalent mental health disorders worldwide, treatment options are limited, and relapse rates are high. There remains an urgent need for effective treatments. Research involving the therapeutic potential of classic hallucinogens has reemerged in recent decades and the hallucinogen psilocybin has shown some promise in early studies. We aim to assess the efficacy of psilocybin in treating alcohol use disorder with a 10-week double blind randomized double dummy crossover control trial comparing psilocybin-assisted psychotherapy to ketamine-assisted psychotherapy in individuals with alcohol use disorder. Our primary outcome will be the mean percent heavy drinking …

Effectiveness Of Telepsychiatry Among Geriatric Participants With Age-Related Hearing Loss, Stephanie Mock

Yale School of Medicine Physician Associate Program Theses

Presbycusis (hearing loss that occurs with age) affects 30% of adults aged 65 to 74, yet hearing loss is rarely considered when developing novel treatment deliveries. For example, research shows that telepsychiatry improves depression symptoms among geriatric patients similarly to traditional forms of therapy, however, there is no literature on effectiveness of telepsychiatry in geriatrics with presbycusis. The objective of this study is to assess whether, compared to face-to-face psychotherapy, telepsychiatry produces superior outcomes assessed by the Beck Depression Inventory II, among depressed geriatric patients suffering from presbycusis. We will conduct a randomized controlled trial among elderly individuals with depressive …

Ketamine Plus Exercise For Major Depressive Disorder: A Randomized Controlled Trial, Sean J. Mccarthy

Yale School of Medicine Physician Associate Program Theses

Major Depressive Disorder is the leading cause of disability among mental illnesses worldwide, but existing therapies fail to adequately treat approximately 30-50% of depressed patients. Ketamine has promising rapid antidepressant effects, but these effects are of short duration. Exercise yields moderate antidepressant effects both as a primary treatment and as an adjunct to standard therapies, but has not been investigated as an adjunct to ketamine. This study seeks to determine whether the addition of regular aerobic exercise regimens to ketamine therapy will potentiate or prolong ketamine’s antidepressant effects. We propose a single-blind, randomized controlled trial in which patients will be …

Increasing Collegiate Strength And Conditioning Coaches' Communication Of Training Performance And Process Goals With Athlete, E. Whitney G. Moore, Alessandro Quartiroli, Rebecca Zakrajsek, Morgan Eckenrod

Kinesiology, Health and Sport Studies

The purpose of this paper is to present information about goal setting and how strength and conditioning coaches (SCCs) can incorporate goal setting strategies in their training of athletes. This paper presents an overview of outcome, performance, and process goals, and the SMAART framework. Strategies a SCC can utilize are presented to illustrate how to increase the effectiveness of the performance and process goals that informed the program periodization and feedback provided by the SCC. This paper aims to start bridging the gap between SCCs familiarity with goal setting and incorporation of this mental strategy into their communication with athletes …

The Hiv Epidemic In Dominican Republic: Local Issues With A Global Effect, Brianna Sutherland

Honors Projects in Science and Technology

The island of Hispaniola, consisting of the vastly different nations of Haiti and Dominican Republic, creates an interesting dichotomy to study, especially because they rank amongst the top fifty highest seroprevalence rates for human immunodeficiency virus (HIV) globally. To date, little has been done to analyze the contributing factors that lead to the observed high rates of HIV in the population because most literature has focused on Sub-Saharan Africa. Therefore, the goal of this project was to review literature and global data in order to explore the unique factors contributing to the HIV epidemic in the Dominican Republic. Key communities …

Law & Health Care Newsletter, Spring 2019

Law & Health Care Newsletter

No abstract provided.

The Mechanics Of A Basketball Jump Shot And The Necessary Muscle Recruitment, Jacob Wall, Luke Beamer

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

No abstract provided.

Effect Of Eccentric Rehabilitation Training On Preventing Hamstring Strain Recurrences In Power Athletes, Kira Ramsey

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

The purpose of this study was to analyze the effect of an ET rehabilitation program on preventing recurring HSI in power athletes. It was hypothesized that using an ET rehabilitation program will reduce the rate of HSI.

The Effects Of Caffeine On The Agility T-Test And Heart Rate, Kaylin Schuda, Callie Thornton, Jordan Vitale, Lindsey Wright, Kylie Ameres

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

It was hypothesized that caffeine will increase speed and agility, and increase resting heart rate.

Exercise Testing And Prescription For Type Ii Diabetes, Eric Jamison, Adonus Lee, Kira Ramsey

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

No abstract provided.

Type I Diabetes And Exercise, Tia Howell, Anna Henderson

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

No abstract provided.

The Prevalence Of The Female Athlete Triad In Division 1 Athletes, Kylie E. Ameres

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

The Female Athlete Triad (FAT) is characterized by three individualized disorders that are present at the same time. Low energy availability with or without disordered eating, amenorrhea, and osteoporosis are the three components that make up the Female Athlete Triad. Due to the competitive nature and extreme exercise expenditure of female athletes at the Division 1 level, it is likely that these females are at a higher risk of experiencing the components of the Female Athlete Triad.

Ten Day Nutritional Assessment, Kaylin Schuda, Weslyn Almond, Kinzy Hancock

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

No abstract provided.

The Effects Of An Aerobic Exercise Program On Strength And Quality Of Life In Lower-Leg Amputees With Post-Traumatic Stress Disorder, Kristin Russell

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

There is a need to determine if an exercise program that focuses on improving aerobic exercise will be beneficial for amputees in comparison to the traditional therapy programs. This study sought to answer this research question. It was hypothesized that an aerobic therapy program would improve quality of life, strength, and decrease PTSD episode frequency.

Activating Nursing To Address Unmet Needs In The 21st Century, Patricia Pittman

Health Policy and Management Faculty Publications

No abstract provided.

Interrupted Progress: Water And Sanitation In Haiti, Emily Bauer

Thinking Matters Symposium Archive

Haiti has faced damaging environmental and social impacts, which have interrupted progress towards clean drinking water and adequate sanitation facilities for its over 10 million people. Natural disasters, disease outbreak, political corruption and economic instability have contributed to poor health and social outcomes for the small, island nation. This study used the most recent data from the World Health Organization and United Nations Children’s Fund Joint Monitoring Programme (WHO/UNICEF JMP) to assess national trends in water source and sanitation facility improvements from 1990-2015. WHO/UNICEF JMP defines water improvements as piped or non-piped protected water, and sanitation improvements as networked, flushed …

What Gun Safety And Access Policies Did Participants Think Would Be Effective In Preventing Accidental Gun Deaths?, Bridget O’Keefe, Stephen White

Thinking Matters Symposium Archive

Firearm-related incidents are often highly publicized tragedies that fuel unproductive political debates on gun policies at the local, state, and national levels. Current best practices in safe gun storage suggest that caregivers can protect their children from injury or death from an accidental gun discharge by keeping guns unloaded, locked up, and stored separately from their ammunition (Crifasi, Doucette, McGinty, Webster, & Barry, 2018). Child access prevention mechanisms including trigger locks, lock boxes, gun safes, and safe storage legislation are encouraged by the American Academy of Pediatrics (Dowd & Sege, 2012). This study gathers quantitative responses from 1,021 participants using …

Expanding International Health Curriculum For The Internal Medicine Residency At Mmc, Brian King, Hassan Mahmoud, Anthony Pastore

Thinking Matters Symposium Archive

While internal medicine residents at Maine Medical Center provide care for many refugees and immigrants, there is not a formal international health curriculum to equip residents to care for this vulnerable population. Since 2002, 3,793 refugees have arrived in Maine for resettlement. Our aim was to survey residents about their interest in added international health instruction and design an educational curriculum for these physicians.

Opioid Use Disorder At Delivery Hospitalization In Maine: Prevalence And Characteristics (2009-2017), Sarah Gabrielson

Thinking Matters Symposium Archive

A recent multi-state analysis found Maine had the second highest average annual increase in opioid use disorder (OUD) at delivery hospitalization, with 34.1 OUD per 1,000 delivery hospitalizations in 2012. The objective of this analysis is to describe the prevalence and characteristics of OUD deliveries in Maine using recent data. We used International Statistical Classification of Diseases and Related Health Problems diagnosis and procedure codes (9th & 10th revisions) to identify deliveries among all hospital discharges in Maine, 2009-2017 (n=109,004), and to categorize deliveries according to prevalence of OUD and selected medical conditions. We ran log-binomial regression to assess trends …

Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp

Thinking Matters Symposium Archive

The ongoing opioid crisis has overwhelmed the traditional opioid use disorder (OUD) treatment resources across America. The treatment resources in rural communities have been especially hard hit as geographic and financial barriers limit service capacity. Telemedicine, or medicine delivered via remote means, has been proposed as a potential solution to the lack of conventional opioid treatment resources in rural Maine. Current legalities in the US prohibit telemedicine being used to prescribe opioid agonist drugs, and insurance reimbursement for telemedicine remains a major barrier. This qualitative content analysis looks at the existing research on telemedicine's treatment efficacy for use with OUD …

Professional Impressions And Experiences Of The Complex Needs Of Human Trafficking Survivors, Jackie Klock, Kelsey Haynes

Thinking Matters Symposium Archive

Abstract Human trafficking is a monumental and pervasive human rights issue, and one that carries immense physical, psychological, and psychosocial repercussions to its survivors. This project explores the complex needs and service gaps that exist for survivors of human trafficking. Through a qualitative study, with six in-person interviews of professional providers in Maine, we gain access to important information regarding complex needs of human trafficking survivors. Using thematic analysis we analyze common themes throughout the interviews in relation to previous literature. Recommendations for practice are also presented.

Experiences Of Veterans With Ptsd And Sud In An Outpatient Setting, Andrew Breault, Hannah Shifflett-Kohler

Thinking Matters Symposium Archive

In 2014, there were approximately 7.9 million adults in the United States with co-occurring Post Traumatic Stress Disorder (PTSD) and Substance Use Disorders (SUD) (SAMHSA, 2014). Of the veterans who served in the conflicts in Iraq and Afghanistan alone, 30% of those in SUD treatment also meet the criteria for PTSD (Seal et al, 2008, pp. 476). Furthermore, statistics show that about 20 Veterans in the United States complete suicide daily (Spiva, 2019, p. 8). The Department of Veterans Affairs is urgently seeking successful approaches to addressing the high incidence of suicides among all veterans along with the low retention …

Cyberbullying And Suicide Among Lgbtq Youth: Is There A Connection?, Holly Wright, Victoria Wilson Townley

Thinking Matters Symposium Archive

The suicide rate among children and teens has been rising over the last decade, and members of the LGBTQ youth population are at considerably greater risk for suicide than their heterosexual peers. LGBTQ youth are also at heightened risk of being bullied due to sexual orientation. Recent technological advancements have created a new platform for bullying, that of cyberbullying, which can contribute to feelings of depression and low self-esteem. The detrimental impact that cyberbullying can have on mental health suggests the possibility of a potential connection between cyberbullying and LGBTQ youth suicide. This qualitative study examines the possible link between …

Fake Service Dogs: Leading By Example, Joshua Ferguson

Thinking Matters Symposium Archive

This qualitative research examines public awareness pertaining to the protocols surrounding service dogs and their handlers, known collectively as the service team. The use of service dogs has been on the increase as more people discover the benefits provided by service dogs. The increase in the number of service dogs fosters questions about safety, training, the dog’s purpose, and its legitimacy. Previous studies suggest that many individuals are falsely claiming their dogs as service dogs or “fake service dogs.” This research explores what trends are leading to increases in service dog use and how fake service dogs affect people involved. …

Lgbt+ Teens, Social Media Use & Depressive Symptoms, Megan Curtis, Danielle Ryder

Thinking Matters Symposium Archive

Sexual and gender minority youth are statistically more likely to face severe mental health challenges than their cisgender, heterosexual peers; they consistently comprise a disproportionate percentage of youth who report experiencing depression, suicide ideation and attempted suicide in the United States every year (e.g. Abreu & Kinney, 2018). The aim of this study was to fill a gap in the current literature base by investigating the effects of social media use on sexual and gender minority youth mental health. The researchers conducted an online anonymous questionnaire targeted toward American LGBT+ (Lesbian, Gay, Bisexual, Transgender, etc.) youth ages 14 to 18, …

Convolutional Neural Networks For Protein Image Classification, Nick Littlefield

Thinking Matters Symposium Archive

A solution to the Kaggle competition: Human Protein Atlas Image Classification. Using microscopic images of cells provided by the Human Protein Atlas, convolutional neural networks, CNNs, were used to analyze and predict the location of protein patterns. Challenges included working with an unbalanced dataset, finding a correct learning rate, and choosing a correct architecture to solve the problem. To learn how to overcome these challenges and gain more understanding of the problem, various kernels and discussion posts for the competition, as well as papers on different CNN architectures were used.