Medicine and Health Sciences Commons^™

Breaking Down Barriers To Sustainable Eating At The University Of Dayton, Lauren Murray

Honors Theses

Sustainability is at the forefront in many conversations and innovations at the University of Dayton (UD), ranging from the Hanley Sustainability Institute to the Sustainability club. However, sustainability extends beyond water and energy conservation. In addition to these, students and faculty at UD can impact their carbon footprint through sustainable eating. The purpose of this research was to define sustainable eating, determine the carbon footprint of foods served in the UD dining halls, and develop and evaluate an educational intervention aimed at UD students within the Virginia West Kettering dining hall. The results of this research were considered in the …

Reshaping Minds Using An Occupational Based Approach, Marisha Griffin

MOT Student Capstones

Human trafficking is defined as the recruitment, harboring, transfer, transporting, and receipt of a person using force or manipulation. Sex trafficking refers to engagement in sexual activity against one's will followed by a lifestyle of physical and mental abuse. There are numerous social determinants that impact the health and wellbeing of youth. Due to a lack of community awareness regarding the risk factors associated with human trafficking, vulnerable youth are submissive to occupational injustice activities. The aim of this qualitative study is to educate Present Age Ministries (PAM) on the role and effectiveness of occupational therapy (OT) to gain approval …

Gw Nursing, Spring 2019, George Washington University, School Of Nursing

GW Nursing Magazine

No abstract provided.

Humor Therapy To Alleviate Depression, Joanna Dafin, Claire Venn

Spring Showcase for Research and Creative Inquiry

The researchers have studied the topic of Humor Therapy. According to the literature, there is no agreement on how humor therapy should be defined. In general, it is the facilitation of activities that trigger laughter ranging from funny videos to laughter yoga. At the very beginning, the researchers both found literature that was relevant to our research topic. After reviewing the literature, we contacted an expert and interviewed the CTRS regarding previous experiences with Humor Therapy. With the information from all these resources, we developed a knowledge translation plan to guide CTRS through the use of Humor Therapy. One of …

Prevalence And Practice For Rare Diseases In Primary Care: A National Cross-Sectional Study In The Usa, Ara Jo, Samantha Larson, Peter Carek, Michael R. Peabody, Lars E. Peterson, Arch G. Mainous

Family and Community Medicine Faculty Publications

Objectives There are more than 7000 rare diseases in the USA, and they are prevalent in 8% of the population. Due to life-threatening risk and limited therapies, early detection and treatment are critical. The purpose of this study was to explore characteristics of visits for patients with rare diseases seen by primary care physicians (PCPs).

Design The study used a cross sectional study using a national representative dataset, the National Ambulatory Medical Care Survey for the years 2012–2014.

Setting Primary care setting.

Participants Visits to PCPs (n=22 306 representing 354 507 772 office visits to PCPs).

Primary outcome measures Prevalence …

Blended Learning: Call Of The Day For Medical Education In The Global South, Zehra Jamil, Azra Naseem, Eman Rashwan, Sumrah Khalid

Department of Biological & Biomedical Sciences

Blended learning (BL) is an e-learning approach that combines the strengths of both online and face-to-face learning, creating meaningful interactions between students, teachers, and resources. This paper explores students’ expectations and satisfaction with, and participation in, a basic science course offered through BL approaches in an undergraduate medical education programme in Pakistan. Developmental anatomy (embryology) was redesigned as a BL course and offered to a hundred first-year students. Both online activities and technology-assisted face-to-face interactive discussions were used in each topic. Students’ expectations were gathered at the start of the course and perceptions regarding their satisfaction with the course was …

Healthcare, The Environment And Biomedicine, Ahkar Phyo Phyo, Suraj Bala, Mason Barrett, Jack Connelly, Lucy Cummins, Claire Fuller, Hannah Gorga, Jonathan Huang, Dowha Karar, Katrina Kuhn, Elizabeth Lopez-Lopez, Carolina Montoya, Liz Narwold, Lindsay Pett, Shruti Police, Grace Ann Robertson, Rachel Schuman, Virginia Sun, Katie Wall, Ivy Zhong

SSIR Presentations 2019

The final SSIR project aim: To better understand the factors that impact student well-being at the University of Richmond, with a focus on those that raise happiness and reduce stress.

Goals and questions included:

● To find statistically significant data that correlates to who the happiest spidURs are
● Tried to separate student groups to identify individual factors
● Sought out students who had lowest stress, highest happiness

Dampak Bumdes Terhadap Kesejahteraan Masyarakat Di Desa Aik Batu Buding, Kabupaten Belitung, Provinsi Bangka Belitung.

Jurnal Ilmu Kesejahteraan Sosial

Village development is a priority in national development, because it is closely related to the third point of the President's Nawacita which states that it is developing Indonesia from the periphery by strengthening regions and villages within the framework of a unitary state. This study aims to describe the impact of BUMDES on the welfare of rural communities. BUMDES is one of the programs to strengthen the role of the region. village aik batu buding, Belitung Districts, Bangka Belitung Islands Province has become one of the best BUMDES in the Province in 2016, because it is interesting to see the …

The Value Of Quick Sepsis-Related Organ Failure Assessment Scores In Patients With Acute Pancreatitis Who Present To Emergency Departments: A Three-Year Cohort Study., Alexander Hallac, Nishant Puri, David Applebury, Kurt Myers, Parag Dhumal, Ashish Thatte, Wichit Srikureja

Articles, Abstracts, and Reports

Background: Distinguishing sepsis from other inflammatory syndromes continues to be a clinical challenge. The goal of risk stratification tools is to differentiate sepsis from other conditions. We compare the ability of quick sepsis-related organ failure assessment (qSOFA) and systemic inflammatory responses syndrome (SIRS) scores to predict prolonged length of stay (LOS) among patients who presented to the emergency department and hospital ward with acute pancreatitis (AP).

Methods: We compiled a retrospective database of all adult patients hospitalized for AP during 2015 - 2018 at a single tertiary care center. Independent

Results: The sensitivity and specificity of an SIRS score of …

Cancer And How The Patients See It; Prevalence And Perception Of Risk Factors: A Cross-Sectional Survey From A Tertiary Care Centre Of Karachi, Pakistan, Saira Saeed, Javaid Khan, Nousheen Iqbal, Sana Irfan, Alviya Shafique, Safia Awan

Section of Pulmonary & Critical Care

Background: The incidence of cancer is rising but data available regarding prevalence of cancer and patient perception of the disease in Pakistan is limited. It is difficult to deal with Cancer if the main causes are negligence towards risk factors and bizarre myths. This study was aimed to investigate common cancer presentations at a government sector hospital and to gain insight into patient knowledge of the disease.

Methods: This was a cross-sectional study conducted on cancer patients from Jinnah Postgraduate Medical Centre. A self-made questionnaire was used to assess the norms related to cancer prevalence in our society, associated myths, …

Education On Burnout And Self-Care At The University Of Southern Maine School Of Social Work: A Case Study, Noelani S. Hansen Msw

All Student Scholarship

Social work practitioners can experience symptoms of burnout at high rates, and sometimes are not able to effectively engage in self-care to combat these symptoms. For social work students, learning the signs of burnout and how to practice self-care are crucial tools. However, there is scant information in the literature on burnout and selfcare in social work curricula. This case study looks at the education on burnout and selfcare in the University of Southern Maine (USM) School of Social Work. Social work professors were interviewed on how they teach about burnout and self-care, and undergraduate and graduate students were interviewed …

Motivating And Engaging Pulmonary Rehabilitation Patients, Shelly May Dubois Ma

All Student Scholarship

Lung disease compromises breathing and decreases quality of life for those who have it. The purpose of this qualitative study is to investigate innovative strategies used successfully by pulmonary rehabilitation leaders to keep patients motivated and engaged in completing pulmonary rehabilitation. An open-ended questionnaire asking participants questions pertaining to being a successful pulmonary rehabilitation. The results of this study may help pulmonary rehabilitation leaders to gain a better understanding of the full range of interventions taken by leaders to ensure patients complete pulmonary rehabilitation successfully. This study may help both pulmonary rehabilitation leaders as well as patients. It may help …

Checking In, Concussions Out: Body Checking As A Way Of Reducing Concussion Rates, Griffin Germond

All Student Scholarship

Women’s college ice hockey, according to a study released by the NCAA in 2014, has the highest rate of self-reported concussions of any collegiate sport, men’s or women’s. This is shocking, considering the fact that body checking is illegal in women's ice hockey. Why are these rates so high when there isn't body checking? This investigative research project aims to realize a novel approach at reducing concussion rates in women’s ice hockey by doing the unexpected: Allowing body checking. If body checking were allowed, this would reduce the rate of concussions if it were to be implemented and taught under …

Efficacy Of Post-Hospital Follow-Up With A Heart Failure Nurse Practitioner In Older Adults, Gabrielle Bell

Books, Presentations, Posters, Etc.

No abstract provided.

Sodium Glucose Co-Transporters Inhibition And Diabetic Kidney Disease, Radica Alicic

Books, Presentations, Posters, Etc.

No abstract provided.

Understanding Wellness In A University Setting: Insight Through The Experiences Of Frequently, Physically Active Students Engaged In Resistance Training, Alia T. Sadek, Payal Shah, Michael Lagomarsine

Senior Theses

The health and wellness of undergraduate students at the local and national level is a growing public health concern, especially as college enrollment rates increase. Although wellness-based approaches are utilized to improve undergraduate health, current methods and adopted frameworks vary and lack conformity across universities making it difficult to identify effective means to improving this issue. One aim of this study was to explore a novel method of understanding wellness at the undergraduate level using both a traditional wellness questionnaire and semi-structured interviews. Using these methods, the wellness of undergraduate students attending a large, south-eastern university was evaluated across two …

Absolutist Thinking And Depression, Katherine Cohen

Senior Theses

A key characteristic of depression is the presence of cognitive biases (American Psychiatric Association, 2013). This study added to the growing literature examining absolutist thinking as a potential cognitive bias associated with depression. We used data from a survey conducted at the University of South Carolina Columbia campus which included 116 students to compare the use of absolutist words in participants’ writing with their depressive symptomatology. We further compared the difference in the use of absolutist words in participants’ responses about success versus their responses about failure. Results revealed that there was not a significant relationship between BDI scores ( …

Bringing Truth To The Table: An Evidence Review To Dispell Common Dietary Myths, Madison Pierce

Senior Theses

Background/Significance

Nurses are most directly involved with patient care and are in an excellent position to be patient educators. Patients are more likely to actively listen after establishing rapport, especially for loaded topics such as lifestyle choices. While nurses have general nutrition knowledge, they may lack current, scientifically-based information to help patients implement a healthy diet. Nurses can both educate and be an example of health habits that patients should emulate, and therefore need to be adequately informed about topics like dietary misconceptions.

Purpose

The purpose of this project is to provide current evidence-based information regarding dietary misconceptions to nurses …

The Impact Of Nutritional Changes On Dietary Inflammatory Index: New Soul Study, Callie Mclean

Senior Theses

The Impact of Nutritional Changes on Dietary Inflammatory Index: NEWSoul

Callie McLean; Gabrielle Turner-McGrievy, PhD, MS, RD; Michael Wirth, PhD; Anthony Crimarco, MS

Background: Historically, a soul food diet consisted of mainly plant-based foods in West Africa and evolved to a mostly meat-based diet in the Southeastern United States. As a result, many soul foods today often exceed the recommended dietary guidelines for saturated fats and cholesterol. This is important to consider for dietary interventions focusing on African American populations, since they are at a greater risk for cardiovascular disease and chronic illness compared to all other ethnic groups. One …

Orthographic And Phonological Processing In Beginning Readers, Emily Fisher

Senior Theses

In order to learn to “sound out” new words, children must have phonological awareness, the ability to reflect on and manipulate the sounds in words. However, in skilled readers, performance on phonological awareness tasks is influenced by orthographic awareness, the awareness of spelling patterns and constraints. Both orthographic and phonological awareness are essential to reading, however, until recently the role of orthographic knowledge in phonological awareness has not been thoroughly investigated in beginning readers. Therefore, this study examined the relationship between orthographic and phonological knowledge in beginning readers and established a proof of concept for the use of …

Fall Prevention Education Training For Older Adults With Serious Mental Illness And Previous Homelessness, Alex Manwaring, Bs, Tina Deangelis, Edd, Otr/L, Elizabeth Brooks, Bs

Department of Occupational Therapy Posters and Presentations

Purpose: To examine the effect of an occupational therapy education and training program on fall risk awareness and fear of falling (FOF) with older adults who reside in one permanent supportive housing site, Project HOME (Housing. Opportunity. Medical. Education.), who have a history of serious mental illness and chronic homelessness.

Methods: Seven individuals aged 55+ from Project HOME, a permanent supportive housing non-profit organization in the Northeast, participated in a six-week pre-post occupational therapy education and training group program aimed to decrease FOF. Fear of falling was measured using the Fear of Falling Efficacy Scale –International (FES-I) with cut-off scores …

Jefferson Digital Commons Quarterly Report: January-March 2019, Kelsey Duinkerken, Msi, James Copeland, Libt

Jefferson Digital Commons Reports

This quarterly report includes:

• Arlen Specter Center Research Fellowship
  
• Papers
  
• Articles
  
• Dissertations
  
• From the Archives
  
• Grand Rounds and Lectures
  
• Handouts
  
• JeffMD Scholarly Inquiry Abstracts
  
• Journals and Newsletters
  
• Posters
  
• What People are Saying About the Jefferson Digital Commons

Download Entire Issue: Gibbon Surgical Review, Volume 2, Issue 1, 2019

Gibbon Surgical Review

Table of Contents

4 - The Gibbon Surgical Externship: A Student’s Perspective

6 - Invited Article: The PCOM Wisely Surgical Association and the Philadelphia Surgery Conference

8 - Interview With Thomas Jefferson Cardiothoracic Surgeon, H. Todd Massey, MD

12 - The Life of a Rwandan Surgical Resident

14 - Role Of Technological Advancement In The Context Of Surgical Planning And Execution: Perspective Of Jefferson Surgical Faculty

16 - Interview with William B. Hughes, MD, Director of the Thomas Jefferson University Hospital Burn Center

19 - Women in Surgery: An Interview with Dr. Karen Chojnacki, Vice Chair of Surgical Education at …

Cadm1 Is A Twist1-Regulated Suppressor Of Invasion And Survival., Edward J. Hartsough, Michele B. Weiss, Shea A. Heilman, Timothy J. Purwin, Curtis H Kugel, Sheera R. Rosenbaum, Dan A. Erkes, Manoela Tiago, Kim Hookim, Inna Chervoneva, Andrew E. Aplin

Department of Cancer Biology Faculty Papers

Metastatic cancer remains a clinical challenge; however, patients diagnosed prior to metastatic dissemination have a good prognosis. The transcription factor, TWIST1 has been implicated in enhancing the migration and invasion steps within the metastatic cascade, but the range of TWIST1-regulated targets is poorly described. In this study, we performed expression profiling to identify the TWIST1-regulated transcriptome of melanoma cells. Gene ontology pathway analysis revealed that TWIST1 and epithelial to mesenchymal transition (EMT) were inversely correlated with levels of cell adhesion molecule 1 (CADM1). Chromatin immunoprecipitation (ChIP) studies and promoter assays demonstrated that TWIST1 physically interacts with the CADM1 promoter, suggesting …

Diffuse Low-Grade Glioma - Changing Concepts In Diagnosis And Management: A Review, Rashid Jooma, Muhammad Waqas, Inamullah Khan

Section of Neurosurgery

Though diffuse low-grade gliomas (dLGGs) represent only 15% of gliomas, they have been receiving increasing attention in the past decade. Significant advances in knowledge of the natural history and clinical diversity have been documented, and an improved pathological classification of gliomas that integrates histological features with molecular markers has been issued by the WHO. Advances in the radiological assessment of dLGG, particularly new magnetic resonance imaging scanning sequences, allow improved diagnostic and prognostic information. The management paradigms are evolving from "wait and watch" of the past to more active interventional therapy to obviate the risk of malignant transformation. New surgical …

Students’ Perspectives Regarding Clinical Preceptors (Cps) In The Baccalaureate Undergraduate Nursing Programme In Karachi, Pakistan, Amina Aijaz Khowaja Ap, Jacqueline Maria Dias

School of Nursing & Midwifery

Introduction: Clinical practice is considered an integral part of nursing education. It is in the clinical area that the students integrate the theory learnt in the classroom into practice. An enabling clinical environment with the assistance of a clinical preceptor (CP) ensuresthat student nurses become independent practitioners and competent in their roles and responsibilities.
Design : A comprehensive study was undertaken to explore the emerging role of CPs in Pakistan. This research has been reported in the literature. This paper will deal exclusively with the perceptions of nursing students when working with CPs in the four-year undergraduate baccalaureate program at …

Factors Associated With Postoperative Pain Among Patients After Cardiac Surgery In The Tertiary Care Teaching Hospital Of Karachi, Pakistan, Sineer Micah, Rubina Barolia, Yasmin Parpio, Santosh Kumar, Hasanat Sharif

School of Nursing & Midwifery

Background: Pain is the subjective feeling of an individual, which affects the overall recovery of patients after cardiac surgery. Postoperative pain is the most inadequately managed symptom of cardiac surgery. Subsequently, there are many factors that can either hinder or facilitate pain management, including patients' beliefs, cultural values, physiological features, hospital policies, and healthcare providers' knowledge and beliefs. The purpose of this research was to identify factors associated with postoperative pain and its management, after cardiac surgery, among patients in a tertiary care hospital in Karachi, Pakistan.
Methods: Quantitative correlational study design was employed to attain the study purpose. Data …

Acarbose Improves Health And Lifespan In Aging Het3 Mice., David E Harrison, Randy Strong, Silvestre Alavez, Clinton M Astle, John Digiovanni, Elizabeth Fernandez, Kevin Flurkey, Michael Garratt, Jonathan A L Gelfond, Martin A Javors, Moshe Levi, Gordon J Lithgow, Francesca Macchiarini, James F Nelson, Stacey J Sukoff Rizzo, Thomas J Slaga, Timothy M Stearns, John Erby Wilkinson, Richard A Miller

Faculty Research 2019

To follow-up on our previous report that acarbose (ACA), a drug that blocks postprandial glucose spikes, increases mouse lifespan, we studied ACA at three doses: 400, 1,000 (the original dose), and 2,500 ppm, using genetically heterogeneous mice at three sites. Each dose led to a significant change (by log-rank test) in both sexes, with larger effects in males, consistent with the original report. There were no significant differences among the three doses. The two higher doses produced 16% or 17% increases in median longevity of males, but only 4% or 5% increases in females. Age at the 90th percentile was …

Contact Point Spring 2019, Arthur A. Dugoni School Of Dentistry

Contact Point

No abstract provided.

Cannabinoid Hyperemesis Syndrome: An Unrecognized Cause Of Nausea And Vomiting, Tiffany Smith, Anne Walsh, Christopher Forest

Physician Assistant Studies Faculty Articles and Research

Cannabis has long been used for medical and recreational purposes because of its antiemetic, analgesic, and mood effects. Ironically, chronic use of cannabis can result in paradoxical effects, including a condition known as cannabinoid hyperemesis syndrome. Patients with this syndrome often are seen in the ED with cyclic vomiting, nausea, and epigastric pain. Although the definitive treatment of cannabinoid hyperemesis syndrome is discontinuing the causative agent, medical management that includes rehydration is important to prevent complications. Common antiemetic medications are ineffective, but some studies have shown haloperidol and lorazepam to be effective in treating acute symptoms.