Medicine and Health Sciences Commons^™

Health Effects Of A Vegan Diet And Pediatric Cancer Prevention, Lindsay Wisehart

Senior Honors Theses

Veganism is a diet which excludes consumption of all animal products. With proper planning and vitamin supplementation to ensure adequate intake of protein, fat, calcium, zinc, iron, and vitamins D and B12, a vegan diet is widely accepted as suitable for growing and developing children. The decreased levels of dairy, red and processed meats, fat, and protein, and increased levels of fruits and vegetables characteristic of a vegan diet have been shown to reduce risk of mortality and a number of diseases including adult and childhood cancer. Childhood cancer is the second leading cause of childhood death in Western society. …

Extracorporeal Cardiopulmonary Resuscitation, Emily Carr

Senior Honors Theses

Extracorporeal cardiopulmonary resuscitation (ECPR) is a method of resuscitation in which venoarterial (VA) extracorporeal membrane oxygenation(ECMO) is initiated during refractory cardiac arrest. ECPR promises to enhance outcomes after cardiac arrest by minimizing neurological deficits, stabilizing the patient for early reperfusion and hypothermia, and serving as a bridge to treatment or transplant. ECPR must be initiated according to structured guidelines and protocols, which are based on the patient’s age, comorbidities, code status, neurological baseline, no flow time, and low flow time.

If a patient achieves return of spontaneous circulation on ECMO, the patient will receive post cardiac arrest care which includes …

The Development Of Hypersensitivity Reactions In The Pediatric Population: A Review, Heather Burns

Senior Honors Theses

Over the past several years, pediatric allergies have come to the forefront of many studies. Reports of immune-mediated hypersensitivity in younger patients have grown and led to an interest researching the causes of pediatric hypersensitivities. There are various risk factors that have been discussed that may lead to the development of allergies including genetic inheritance, genetic mutation, and environmental sensitization. It is important for all of these factors to be discussed in relation to the function of the immune system and its role in hypersensitivity reactions. If the causes of hypersensitivity reactions could be further studied and understood, treatments might …

Substance Use Prevention: Communication And Strategies To Reduce Alcohol, Marijuana, And E-Cigarette Use Among College Students, Emily Bauer

Muskie School Capstones and Dissertations

Substance use among college students impacts universities, communities and student outcomes across the United States. Based on the Monitoring the Future study (MTF), college students have a higher prevalence of past 30-day alcohol use at 63% than their non-college peers (59%) (2016). Nearly one-third of college students (32%) have had five or more drinks in a row in the past two weeks (2016). Monthly marijuana use for college students has remained steady at 22% (2016). Electronic cigarette (e-cigarette) use is 6.9%, which is gaining in popularity but still lower than traditional cigarettes (8.9%) (2016). There are many prevention communication strategies …

Identifying Challenges Different Provider Group Encounter In Managing Opioid Use Disorder, Chinonye Anumaka

Muskie School Capstones and Dissertations

The Centers for Disease and Control (CDC) describes opioid use disorder (OUD) also known as opioid addiction as the problematic pattern of opioid use leading to clinically significant impairment or distress. In 2016, about 2.1 million people were diagnosed of OUD in the US. In Maine, York County has the third highest drug overdose response and had 166 deaths occurring between 2012-2016. York County is a designated medically underserved area and has a shortage of provider workforce and limited treatment infrastructure. To further understand the challenges providers in York County encounter in managing patients with OUD, 6 focus groups was …

For Our Health: Partnerships In Maine, Joanna Morrissey

Muskie School Capstones and Dissertations

The Maine Shared Community Health Needs Assessment (Maine Shared CHNA) has created a mature network of local collaborations that come together every three years to conduct a statewide needs assessment. This capstone looks into whether there have been successful partnerships that continue collaborating on health improvement planning and implementation post CHNA. Key questions included, “Where there were successful collaborations, what was it that made them successful? What are the challenges to forming and maintaining a collaboration and how have groups overcome those challenges?” A comparative case study approach was used in order to compare and contrast two sites, each demonstrating …

A Comparative Analysis Of Primary Care Practice Payment Models: Practice And System Level Implications, Travis Masood

Muskie School Capstones and Dissertations

EXECUTIVE SUMMARY

The purpose of this capstone was to (1) assess the likely effects of various primary care practice reimbursement models on quality of care and costs, (2) assess each reimbursement model’s applicability relative to practice size, and (3) analyze each model’s practice and system level implications. This was done through the conduction of a comparative analysis of current practice reimbursement models. The questions addressed in this analysis include:

• What are the primary, practice reimbursement models currently being used?
• What are the implications of these models on quality and costs?
• Are these reimbursement models applicable in all practice types (e.g. …

Recommendations For Creating A Certification System For Community Health Workers In Maine, Lyvia Gaewsky

Muskie School Capstones and Dissertations

Executive Summary

The following report was developed to inform the Maine Community Health Worker Initiative (MECHWI) on the processes used by five other states to create a Community Health Worker (CHW) certification system. An assessment of the current situation in Maine as it pertains to certification development was also conducted and a set of recommendations to guide the MECWHI in furthering CHW certification efforts is provided. In summary, the processes used to develop a CHW certification system in Massachusetts, Oregon, Texas, Rhode Island and Indiana tended to involve the following activities: outreach to CHWs and CHW employers, engagement of key …

The Pairing Of Trigger Point Dry Needling With Rehabilitation Techniques, Karle Kotze

Senior Honors Theses

Trigger point dry needling is a manual treatment modality used for individuals experiencing tightness, pain, and inhibited range of motion in any region of the body. Dry needling can be described as the insertion of a blunt, microfilament non-medicated needle into the skin for the purpose of targeting specific muscles, which contain tight bands known as trigger points. When the needle is inserted into the trigger point the muscle contracts, holds tight to the needle, and elicits a neural twitch response. This ultimately causes the muscle to relax, allowing for reduction in pain and improvements in range of motion. Although …

The Prevalence And Consequences Of Poor Posture In Children And Adolescents, Timothy Kounter

Senior Honors Theses

Correct posture is identified as a crucial aspect of healthy bodily functioning. The scientific community continues to discover evidence suggesting that improper sitting and standing posture results in musculoskeletal pain, degradation of ligaments, hindered respiratory functioning, and even increased feelings of negative emotions such as anxiety and depression. Whether due to limited physical capabilities, a lack of knowledge regarding the importance of physical posture, or other reasons, much of the general population consistently partakes in improper posture for increasing bouts of time despite the research. Technological advancements in particular seem to be exacerbating the situation, with the youngest and most …

2019-2020 Summer Bulletin, University Of Mississippi Medical Center

Bulletins/Catalogs

2019-2020 Summer Bulletin

Right Ventricular Outflow Tract Velocity Time Integral-To-Pulmonary Artery Systolic Pressure Ratio: A Non-Invasive Metric Of Pulmonary Arterial Compliance Differs Across The Spectrum Of Pulmonary Hypertension., Priyanka T. Bhattacharya, Gregory S. Troutman, Frances Mao, Arieh L. Fox, Monique S. Tanna, Payman Zamani, E. Wilson Grandin, Jonathan N. Menachem, Edo Y. Birati, Julio A. Chirinos, Sula Mazimba, Kerri Akaya Smith, Steven M. Kawut, Paul R. Forfia, Anjali Vaidya, Jeremy A. Mazurek

Student Papers, Posters & Projects

Pulmonary arterial compliance (PAC), invasively assessed by the ratio of stroke volume to pulmonary arterial (PA) pulse pressure, is a sensitive marker of right ventricular (RV)-PA coupling that differs across the spectrum of pulmonary hypertension (PH) and is predictive of outcomes. We assessed whether the echocardiographically derived ratio of RV outflow tract velocity time integral to PA systolic pressure (RVOT-VTI/PASP) (a) correlates with invasive PAC, (b) discriminates heart failure with preserved ejection-associated PH (HFpEF-PH) from pulmonary arterial hypertension (PAH), and (c) is associated with functional capacity. We performed a retrospective cohort study of patients with PAH (n = 70) and …

Menakar Keberlanjutan Program Kube: Peluang Dan Tantanganprogram Kube Dalam Pemberdayaan Masyarakat Miskin Perkotaandi Kelurahan Keparakan, Kecamatan Mergangsan, Kotayogyakarta, Laras Aprilianti, Eka Zuni Lusi Astuti

Jurnal Ilmu Kesejahteraan Sosial

KUBE is one of the poverty alleviation programs under the Directorate of Social Empowerment and Poverty Reduction, Ministry of Social Affairs. This program aims to empower the poor groups through the financial assistance to support productivity in economy. KUBE in Keparakan Village, Mergangsan, Yogyakarta City is one of the KUBE in DIY Province which is the best KUBE candidate in DIY. Ironically, within 3 years implementation of the KUBE Program, from 6 KUBE, 4 KUBE sustainable and the other 2 was discontinued. This paper seeks to examine what are the supporting and inhibiting factors for the implementation of sustainability KUBE …

Badan Usaha Milik Desa (Bumdes) Ijen Lestari Sebagai Inovasipelayanan Publik Untuk Mendukung Pengembangan Ekonomilokal Melalui Community Based Tourism, Harod Rahmad Novandi, Isbandi Rukminto Adi

Jurnal Ilmu Kesejahteraan Sosial

The proportion of rural poverty is always higher than urban poverty in Indonesia. Poverty reduction programs, especially in rural areas, should put the community as the priority subject in each program. Banyuwangi Regency in East Java Province is one of the best example in poverty reduction program. Banyuwangi succeed to reduce its poverty rate significantly from tourism sector. This tourism increases income per capita of Banyuwangi from year to year. The poverty reduction in Banyuwangi is influenced by smart kampung and local economic development through a community-based tourism. (CBT) and Initiating local industry.Based on observation and in depth interview, Village-Owned …

Dampak Bumdes Terhadap Kesejahteraan Masyarakat Didesa Aik Batu Buding, Kabupaten Belitung, Provinsi Bangkabelitung, Muhammad Fajar Nandra Caya, Ety Rahayu

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 …

Aksi Sosial Komunitas Nelayan Cantrang Terhadapkebijakan Larangan Penggunaan Alat Penangkapan Ikan, Aulia Siti Ambarwati, Isbandi Rukminto Adi

Jurnal Ilmu Kesejahteraan Sosial

This research describes the existence of interventions at the community level through social action / community action carried out by the cantrang fishing community in Tasikagung Village, Rembang Regency. This action is an effort by the cantrang fishing community to fight for their welfare after the issuance of a policy on the prohibition on the use of cantrang type fishing gear through the Minister of Maritime Affairs and Fisheries Regulation of the Republic of Indonesia. This research is a study that uses a qualitative approach, with the type of research descriptive. The results of this study show that the change …

Redefining Burnout: Exploring Common Conceptualizations And The Neurophysiology Of Chronic Stress To Establish An Integrated Allostatic Model, Danny A. Guzzi

Dissertations

Burnout is a widely researched stress-related phenomenon associated with numerous adverse outcomes for employees and organizations. Unfortunately, burnout is not well understood and research to this point has been flawed due to a lack of consensus on the definition, dimensionality, and context of the construct. Prevalent conceptualizations of burnout have been criticized for being arbitrarily developed without solid theoretical foundation and for failing to clearly distinguish burnout from depression or other work-related conditions such as compassion fatigue, secondary traumatization, and vicarious traumatization. The current project first examines relevant literature to identify commonalities among prevalent burnout conceptualizations. Then relevant stress research …

The Role Of Compassion In Medical Ethics And Its Reintegration In Modern Practice, Hannah E. Borchers

Senior Honors Theses

Compassion has been an integral part of medical ethics since its origins, but as medicine progressed, compassion slowly disappeared from practice. The development of any industry results from many complex factors, but the decline of compassion in medicine can be largely attributed to the evolution of technology and role of medical ethics committees. Change is not always negative, but in this case, medicine neglected one of its foundational principles. This is seen by analyzing the history and progression of medical ethics and its four pillars. Plato and Aristotle defined justice in Greek philosophy, Hippocrates used the concept of non-maleficence in …

Celebrating The 72nd Anniversary Of Faculty Of Medicine, Chulalongkorn University, Sittisak Honsawek

Chulalongkorn Medical Journal

It is remarkable to be celebrating the 72nd anniversary of the Faculty of Medicine, Chulalongkorn University, which was established in 1947 in accordance with the royal principles of HM King Ananda Mahidol (RAMA VIII) to develop outstanding and selfless individuals to benefit all mankind. Together, this triad of excellence is known all over the world as the country’s most robust and progressive medical network. In addition, the royal wishes aspired to educate a sufficient number of medical doctors to provide better health care for Thai people and satisfy the public’s demands. The Faculty of Medicine was found in King Chulalongkorn …

In Vitro Biocompatibility Of Novel Titanium-Based Amorphous Alloy Thin Film In Human Osteoblast-Like Cells, Saran Tantavisut, Boonrat Lohwongwatana, Atchara Khamkongkaeo, Aree Tanavalee, Pairat Tangpornprasert, Pubul Ittiravivong

Chulalongkorn Medical Journal

Background: Toxic free Ti-based amorphous alloy has the potential to be used in biomedical fields due to itsexcellent biocompatibility and osseointegration.Objectives: The purpose of this study was to develop a series of Ti44Zr10Pd10Cu6+ gif.latex?\timesCo23-gif.latex?\timesTa7 (gif.latex?\times = 0, 4, 8)and examine their biocompatibility, biological properties, and toxicity in osteoblast-like cells.Methods: Having developed the alloy ingots by induction melting, we used the cast rod as a plasma cathode in a filtered cathodic vacuum arc deposition chamber to coat a 25-nm thin film of amorphous alloy on cover glass slides. These coated cover glass slides were then examined for biocompatibility. The biocompatibility tests …

Mental Health Status And Quality Of Life Of The Elderly In Rural Saraburi, Thanan Supasiri, Somrat Lertmaharit, Thanapoom Rattananupong, Parinya Kitidumrongsuk, Vitool Lohsoonthorn

Chulalongkorn Medical Journal

Background: Mental health problems are frequently underdiagnosed in older populations. Mental healthproblems and poor quality of life (QoL) can lead to adverse health outcomes and economical loss. Awarenessof the problems can lead to finding their causes and proper managements.Objective: To evaluate the mental health status and QoL of the older population in a community in SaraburiProvince, Thailand.Methods: Secondary data from a cross-sectional survey with simple random sampling to evaluate mental health status and QoL of the elderly were used. The survey was done by interviewing participants aged 55 years and above by 183 4th-year medical students of the Faculty of …

Scn5a Gene Exome Sequencing Profile In Sudden Unexplained Nocturnal Death Syndrome In Thai Population, Rachtipan Pitiwararom, Kornkiat Vongpaisarnsin, Udomsak Hoonwijit

Chulalongkorn Medical Journal

Background: Sudden unexplained nocturnal death syndrome (SUNDS) or Lai-tai is a sudden death that oftenoccurs in Southeast Asia. The characteristics of SUNDS cases are healthy young males, 20 – 49 yrs., that suddenly die during sleep with no relevant medical history. Previous studies found that SUNDS is similar to Brugada syndrome (BrS) which correlates to SCN5A mutations. Moreover, SCN5A variations affect sodium ion channel functions are different from one populations to anothers.Objective: The aim of this study is to describe the phenotype of SUNDS cases in the Thai population and establish SCN5A gene exome sequencing profiles using Next-Generation sequencing.Methods: All …

A Case Report Of Case Report Pursuit By Medical Student, Jonathan Li, Jennifer Wilson, Wayne Bond Lau

Student Papers, Posters & Projects

Medical students often seek case reports as vehicles for academic writing opportunities, conference presentation avenues, and residency/fellowship application highlights. Here we review a case where, due to unfortunate circumstances, a student made a unique diagnosis central to proper patient clinical care, wished to write up the case subsequently, but was ultimately excluded from the final work stemming from the patient case. We review the pitfalls that occurred in the process of pursuing publication of an interesting case, the educational value of pursuing case reports for students, the necessity for strong mentorship in this process, and general principles that medical students …

Honorable Mention Contest Entry: Consonant Acquisition In Infants With Cochlear Implants And Their Normal-Hearing Peers, Minh-Chau Vu

Kevin and Tam Ross Undergraduate Research Prize

This is Minh-Chau Vu's submission for the 2019 Kevin and Tam Ross Undergraduate Research Prize, which received an honorable mention. It contains her essay on using library resources, a summary of her research project on consonant acquisition in infants with cochlear implants and their normal-hearing peers, and her works cited list.

Minh-Chau is a sophomore at Chapman University, majoring in Biological Sciences. Her faculty mentor is Dr. Mary Fagan.

Is Breastfeeding Truly Best? Evolutionary, Physiological, & Cultural Factors That Shape Breastfeeding Practices, Emily J. Green 19

Honor Scholar Theses

No abstract provided.

Optimizing Strategies For Care Coordination And Transition Management: Recommendations For Nursing Education, Beth Ann Swan, Regina Conway-Phillips, Sheila Haas, Laura De La Pena

College of Nursing Faculty Papers & Presentations

The purpose of this descriptive qualitative study was to explore nurse and healthcare leaders' experiences and perceptions of care coordination and transition management (CCTM®). Four barriers emerged that added insight into the lack of adopting and integrating CCTM knowledge, skills, and attitudes in nursing education in the following categories: curriculum redesign, silos of care settings and care providers, knowledge gap, and faculty development/resistance. Recommendations and implications for education, for both nursing students and practicing nurses, are described.

An In Vitro Study Of Surface Alterations To Peek And Titanium And Its Effect Upon Human Gingival Fibroblasts, Maryam Gheisarifar

Master's Theses (2009 -)

Objective: Soft tissue attachment to different surfaces plays a pivotal role in long term success of dental implants. The aim of the current study was to evaluate viability and adhestion of human gingival fibroblasts (HGFs) upon specific surface modifications on different implant abutment materials. Material & Methods: A total of 150 specimens in 6 experimental groups were used: titanium alloy (Ti [smooth machined]), titanium laser-modified (TiL), PEEK (P [smooth machined]), PEEK laser-modified (PL), PEEK plasma treated (PP), PEEK laser and Plasma treated (PLP). The surface roughness (Sa), water contact angle (WCA), and X-ray photoelectron spectroscopy (XPS) were measured. Human gingival …

The Ability Of Children With Developmental Language Disorder (Dld) To Infer Emotions From Pictures: Where's The Breakdown?, Mary Rebekah Forbes

Theses and Dissertations

Children with Developmental Language Disorder (DLD) often have difficulties with social and emotional learning, including emotion understanding and inferencing. Five children with DLD, ages 6;4 to 11;9, identified emotions depicted in pictured scenarios over a period of 10 weeks. Emotion categories included happy, sad, anger, fear, surprise, and disgust. Each child's responses were analyzed and plotted on a confusion matrix. In a few cases, children did not interpret the scenario accurately. Even when they interpreted the scenario accurately, all of the children misapplied, overgeneralized, or confused emotion labels in some cases. These errors represented limitations in social and emotional learning …

The Distinction Between Lingua-Palatal Contact Patterns Of English Light And Dark [Ɫ]: A Precursor To Using Electropalatography In Second Language Instruction, Kallie Lynne Chaves

Theses and Dissertations

Electropalatography (EPG) is a system designed to provide visual feedback of lingua-palatal contact via electrodes and computer software in real-time. Traditionally, EPG technology has been effective in the treatment of both developmental and acquired speech disorders. Little research, however, has been done to show the effectiveness of EPG feedback in second language instruction and foreign accent reduction. The present thesis is part of a larger project examining the utility of EPG technology as a potential tool for teaching English speakers learning German as a second language (L2). A common error that English speakers make in German pronunciation is the incorrect …

Modeling Subglottic Stenosis Effects On Phonation Threshold Pressure In The Porcine Larynx, Jessica Maryn Murphey

Theses and Dissertations

Subglottic stenosis (SGS) is a narrowing of the airway below the vocal folds and above the trachea. This narrowing may be idiopathic or caused by scarring in the airway due to prolonged endotracheal intubation, radiation therapy, trauma, or gastroesophageal reflux disease. People who present with SGS often experience respiratory difficulty both at rest and during exertion. Breathing difficulty increases with stenosis severity. SGS is also associated with voice problems. Research has identified relationships among stenosis severity, voice function and certain types of surgical management; however, many aspects of these relationships are not fully understood due to the complexities of studying …