Medicine and Health Sciences Commons^™

Mentorship In Surgical Training: Where Do We Stand?, Saleema Begum, Muhammad Rizwan Khan, Madeeha Safa

Section of General Surgery

Mentorship in medicine aims at professional and personal development of trainees in the early stages of their careers. It is more popular in surgical subspecialties since transfer of technical skills is an integral part of surgical training, which makes it distinct compared to other specialties. Effective mentoring in surgery plays a crucial role in academic success, professional development, career guidance and personal growth of residents, and provides guidance and support to mentees to excel in their respective fields, and increases the likelihood of success by enhancing motivation with positive impact on burnout among residents. Efforts have been made by accreditation …

Role Of Preoperative Embolization In Management Of Central Nervous System Tumours, Ummey Hani, Ahmer Nasir Baig, Muhammad Shahzad Shamim, Basit Salam

Section of Neurosurgery

Preoperative embolization plays a significant role as an adjunct to surgical intervention in the cases of certain vascular tumours of the brain. While the procedure has resulted in facilitated resection of the tumour, and has reduced morbidity and mortality, its application remains debatable within the neurosurgical community, owing to rare, but major post-procedural complications. Herein, we have reviewed the literature to assess the safety and efficacy of preoperative angiographic embolization for brain tumours.

Digitalisation Provisions For Controlling Depression In Developing Countries: Short Review, Naureen Akber Ali, Hasan Nawaz Tahir, Rawshan Jabeen

School of Nursing & Midwifery

Depression is a global health issue which is associated with disability, absenteeism, decreased productivity and high suicide rates. It is the fourth most common cause of disability globally and by the year 2020 it will be the second leading cause of disease burden. In Pakistan, the prevalence of depression is 45.9%. A unique and promising method for addressing the issue is mobile health (m-health). It refers to the utilisation of mobile technology to support various aspects of healthcare. Electronic record, SMS, internet, wearable devices and mobile applications are some of the digitalisation approaches used to bridge the treatment gap in …

Altered Physiology Of Gastrointestinal Vagal Afferents Following Neurotrauma, Emily N. Blanke, Gregory M. Holmes, Emily M. Besecker

Health Sciences Faculty Publications

The adaptability of the central nervous system has been revealed in several model systems. Of particular interest to central nervous system-injured individuals is the ability for neural components to be modified for regain of function. In both types of neurotrauma, traumatic brain injury and spinal cord injury, the primary parasympathetic control to the gastrointestinal tract, the vagus nerve, remains anatomically intact. However, individuals with traumatic brain injury or spinal cord injury are highly susceptible to gastrointestinal dysfunctions. Such gastrointestinal dysfunctions attribute to higher morbidity and mortality following traumatic brain injury and spinal cord injury. While the vagal efferent output remains …

Addressing Violence Against Women Within The Midwifery Curriculum In Bangladesh: A Focus Group Discussion Inquiry, Shahanaz Parveen, Noormahal Akter, Mauluda Zahan, Kerstin Erlandsson, Ulrika Byrskog

Journal of Asian Midwives (JAM)

No abstract provided.

Editorial: Midwifery 2021 In A World In Turmoil, Rafat Jan, Edwin Van Teijlingen

Journal of Asian Midwives (JAM)

No abstract provided.

Developing A New Analytical Model For Combatting Crises: A Comprehensive Review, Seth Spire

Research Awards

As the world emerges from the COVID-19 pandemic, it is critical to reflect on the lessons learned and prepare for potential future health crises. While data analytics and artificial intelligence (AI) played a pivotal role in managing the pandemic, there is much room for improvement and further use. This study examines the current state of data science tools employed during COVID-19, evaluating their advantages, limitations, and challenges in their broader implementation. We also review literature on future directions for AI in healthcare. Our findings highlight significant challenges, including difficulties in accessing usable data and common distrust of AI models for …

The Demographic, Behavioral, And Clinical Factors Associated With The Quality Of Life Of Cancer Survivors, Odette Chirinos

Honors Undergraduate Theses

The objective of this thesis is to assess the prevalence of low quality of life in adult cancer survivors and predictors for these low scores, separately for physical and mental quality of life. Possible predictors can include sociodemographic, clinical, and behavioral factors. The data source for this thesis is the National Health and Nutrition Examination Survey (NHANES) 2005-2012. The sample population included 1244 cancer survivors 20 years or older that answered “yes” to the question “have you ever been told by a doctor or other health professional that had cancer or malignancy of any kind?” Mental and physical health scores …

An Examination Of The Research Related To American Physicians' Prescription Of Opioid Analgesics Before And After The Joint Commission Pain Standards For 2001, Valory Anne S. Vailoces

Honors Undergraduate Theses

The purpose of this thesis was to explore the literature regarding physicians’ prescriptions of opioid analgesics before and after The Joint Commission Pain Standards for 2001. Opioids are a last resort treatment for chronic pain due to their high potential for tolerance, dependency, and misuse. The establishment of The Joint Commission Pain Standards for 2001 was the culmination of several movements to address the underassessment and undertreatment of pain. The Joint Commission Pain Standards for 2001 focused on improving pain assessment, management, and treatment through a systematic approach. The Joint Commission (TJC), formerly the Joint Commission on Accreditation of …

Identifying Pathways Affected By The Hrpa Rna Helicase, Brandon Simons

Honors Undergraduate Theses

HrpA is a poorly characterized DEAH-box helicase found in many enterobacteria, including Escherichia coli. For unknown reasons, HrpA causes sickness in cells lacking Elongation Factor P, a transpeptidation enhancer that prevents ribosome stalling at proline-rich motifs during protein synthesis. HrpA's C-terminal RNA binding motifs and association with the degradosome suggest this protein interferes with an important translational process. Deletion of hrpA does not produce an overt phenotype, obscuring its role in cellular physiology. This thesis sought to identify pathways affected by this highly conserved protein. A bioinformatic analysis of HrpA's predicted interactome was conducted using a database called STRING. In …

Racial Disparities Among Black Women In Maternal Health: A Literature Review, Tatiyana Rich

Honors Undergraduate Theses

African American women are at a higher risk of experiencing maternal health complications than women of other races. Determining the factors that contribute to the severity of their maternal health complications can help bring awareness and exposure to the disparities among black women in maternal health. The purpose of this study was to explore the various elements that contribute to the high pregnancy mortality ratio and infant mortality ratio in black women and black infants. The secondary purpose was to determine the relationship between stereotypes about African American women as healthcare consumers and the disproportionate percentage of black women experiencing …

Using Physical Exercise Interventions To Reduce Depression And Anxiety In People With Lung Cancer, Jordan E. Dubocq

Honors Undergraduate Theses

People with lung cancer are at a high risk of developing anxiety and depression during cancer treatments. Previous research has shown physical activity to be effective in improving psychological symptoms in people with cancer, however, the majority of studies have focused on female breast cancer survivors. The purpose of this literature review was to determine if physical activity interventions can effectively and feasibly reduce anxiety and depression in people with lung cancer who are undergoing treatment. A database search was conducted in CINAHL Plus, MEDLINE, APA PsycInfo, and SPORTDiscus. The search resulted in 265 articles and 9 were selected for …

Parallel Systems Of Health Care: How Grassroots Organizations And Health Care Practitioners Perceive Farmworker Health, Andrea Ocasio Cruz

Honors Undergraduate Theses

Socioeconomic and citizenship barriers prevent farmworkers from accessing public health care; thus, grassroots organization members and health care practitioners collaborate to create community health clinics that provide care for farmworkers and low-wage immigrant workers. Such community clinics are known as parallel health care systems, yet the concept's existing literature lacks comprehensive studies on the parallel systems operating within farmworker communities. To fill this research gap, I conducted nine semi-structured interviews to collect the perceptions of key community stakeholders involved in providing accessible health and financial aid to farmworker communities in Florida. I analyzed the interviews through the qualitative grounded theory …

Examining The Relationship Between Mental Health Conditions And Risk Perception In Determining Covid-19 Preventative Health Behaviors, Krupali Patel

Honors Undergraduate Theses

Depression and anxiety are relatively common among college students and research suggests that risk perceptions may be modulated by these mental health conditions. In addition, studies have demonstrated that higher perception of risk predicts more frequent practice of preventative health behaviors, and this relationship may also be modulated by depression and anxiety. The present study examined the relationship between these factors in the context of COVID-19. Using survey data from undergraduate students, risk perceptions about COVID-19, self-reported practice of COVID-19 preventative behaviors, and their relationship were compared between those with and without the common mental health conditions of Major Depressive …

Impact Of Systemic Pathologies On Increased Risk Of Endodontic Disorders, Jayla Mercer

Honors Undergraduate Theses

The purpose of this study is to evaluate possible factors that have the potential to contribute to increased risk for endodontic disease. Some of the factors that were analyzed in this study include current diagnosis with systemic disease, particularly diabetes and cardiovascular disease. Association between these factors, treatment outcome, and prognosis have also been analyzed. Since the topic of endodontic medicine and its association with systemic disease is not fully explored in the literature, it is critical to conduct studies to further contribute to this topic. This study analyzed clinical data from patients who received treatment for endodontic disease between …

Association Between Plasma Genistein And Health-Related Quality Of Life In Breast Cancer Survivors, Tran Pham

Honors Undergraduate Theses

According to the American Cancer Society, breast cancer is the most commonly diagnosed cancer and is the second leading cause of cancer death in American women. Breast cancer screenings and improvement in treatments have resulted in the rising number of survivors in the recent decade. This urged the need for post-diagnosis lifestyle changes to improve breast cancer patients' quality of life. Many studies found soy food, the primary dietary source of phytoestrogens, has a protective effect against breast cancer recurrence and mortality. Dietary phytoestrogens can be classified into two groups: isoflavones and lignans. Daidzein and genistein were identified as the …

The Effects Of Bioidentical Hormone Replacement Therapy On Irritability In Menopausal Women, Giavana Hanna

Honors Undergraduate Theses

The start of the menopausal transition involves the introduction of various somatic, urogenital, and psychological symptoms; of the symptoms, irritability is one of the main complaints reported by women. The use of bioidentical hormone replacement therapy has become more prevalent in society, specifically treating the somatic and urogenital symptoms of the menopausal transition. This study aims to determine the effects of bioidentical hormone replacement therapy (BHRT) on irritability in menopausal women. To test the hypotheses, an online survey was distributed to women via social media and word-of-mouth. Participants were asked to respond to various questions, which were then analyzed based …

The Effect Of Microdosing Classical Psychedelics On Cognitive Performance, Michael Harris

Honors Undergraduate Theses

Public interest and scientific inquiry are currently bringing psychedelic research back into the spotlight after a decades-long respite from clinical human trials. A majority of the research during this recent renaissance has surrounded applications of psychedelics in the fields of mental health. Less attention is being focused to other research areas where psychedelics may also prove informative, such as cognition and information processing. A common trend taking place is the act of administering very small doses of psychedelics as a potential cognitive enhancer, called microdosing. With less research being focused on these areas however, it is not well documented whether …

Complementary And Alternative Medicine (Cam) For Individuals With Epilepsy, April Detrick

Honors Undergraduate Theses

Individuals with epilepsy manage the clinical manifestations of the condition, primarily seizure-related activity, with daily use of pharmacologic agents, making it one of the most common neurological conditions treated with drug therapy for symptom management. Pharmacologic agents for epilepsy, also known as anti-epileptic drugs (AEDs), are commonly prescribed to treat seizures and neurologic conditions associated with epilepsy but can lead to a reduced quality of life and many unwanted side effects. Complementary and alternative treatments can also provide relief from seizures associated with epilepsy. The purpose of this literature review was to evaluate the effectiveness of complementary and alternative treatments …

Relationship Between Cannabis Use And Immediate, Delayed, And Working Memory Performance Among Older Adults, Madison H. Maynard

Honors Undergraduate Theses

Cannabis is increasingly accessible in the United States for recreational and/or medical use. Additionally, the Baby Boomer birth cohort exhibits a greater prevalence of cannabis use than prior generations of older adults. Past research has most frequently addressed the potential cognitive effects of cannabis use in populations of adolescents and young adults. Some of these studies suggest that cannabis use is chronically associated with worse performance on tasks of verbal working memory and executive functioning, however, due to methodological variation and a wide variety of potential confounds including duration of abstinence and frequency of use, results are still inconclusive. Through …

The Role Of Ms-818 In Altering Age-Related Characteristics Of An In Vitro Model Of Senescence In Neural Stem Cells, Sandeep Sreerama

Honors Undergraduate Theses

Aging of the brain is the leading risk factor for neurodegenerative diseases and brain cancers and has deleterious effects on brain functions. It follows that attempts to reverse the aging process may be therapeutically valuable. Neural stem cells (NSC) have been shown to play a critical role in maintaining brain functions, and their number is severely decreased with age. The development of senescence-like characteristics and declining functions in NSCs have been proposed to be responsible for brain aging and tumorigenesis. MS-818 is a pyrrolopyrimidine that has been shown to increase the NSC population and reverse the decline of behavioral function …

Awareness Of Genetic Predispositions That Increase The Risk Of Breast Cancer, Carly Huber

Honors Undergraduate Theses

Breast cancer is the most commonly diagnosed cancer in women in the United States and is the leading cause of cancer-related death among women worldwide. Certain demographics, such as racial/ethnic, age, and gender groups, are underrepresented in breast cancer studies. This lack of representation results in issues with creating genetic tests, as variants associated with those groups are not being detected. Furthermore, these underrepresented demographics are receiving a worse prognosis than those that are overrepresented in research. This study aimed to understand how informed the understudied racial/ethnic, gender, and age populations are regarding breast cancer and genetic testing compared to …

The Benefits Of Creative Art Therapy For Youth With Autism Spectrum Disorder: A Review Of The Literature, Jazlyn Marie Akridge

Honors Undergraduate Theses

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder typically diagnosed during childhood. The primary symptoms of ASD include language impairments and deficits in social skills, which can negatively affect the overall quality of life. Traditional treatment for ASD includes medication, applied behavior analysis, physical therapy, and occupational therapy; however, these treatments may have unwanted side effects and fail to address the psychosocial challenges that may result from ASD symptoms. There has been increasing interest in alternative forms of therapy, such as creative art therapies; however, the types of creative art that have been used during therapy and their benefits are …

Targeting T Cell Glycolysis To Mitigate Graft-Versus-Host Disease, Kevin Ezhakunnel

Honors Undergraduate Theses

Hematological cancers account for nearly ten percent of cancer cases diagnosed annually in the United States. Patients who fail to respond to chemotherapy or radiotherapy must often undergo a bone marrow transplant to treat their malignancy. A significant complication following this procedure is Graft versus Host Disease (GvHD), which occurs when donor T cells mount an immune response against recipient tissues. Immunological research has highlighted the role of aberrant T cell metabolism, specifically a shift toward aerobic glycolysis, as a key driver behind the occurrence of this condition. The transcription factor FoxK1 has been revealed to be a key regulator …

A Qualitative Systemic Review On Maternal Health Disparities In Haitian Women, Alexandra Jean-Louis

Honors Undergraduate Theses

Background: It is universally known that pregnancy is a vulnerable time for a woman's health. Women of all backgrounds endure significant physiological and anatomical changes during pregnancy and after childbirth. But the latest research studies have called attention to the unique experience of Black mothers. Compared to other racial and ethnic groups, Black women encounter health disparities at an all-time higher rate. According to research studies conducted in Haiti and the United States, Haitian women are amongst the community of Black women who are experiencing disproportionate maternal outcomes.

Research Aims: The aim of this systematic review is to …

Targeting T Cell Metabolism To Ameliorate Graft-Versus-Host Disease, Karin Zikra

Honors Undergraduate Theses

Hematopoietic stem cell transplantation (HSCT) is an important form of therapy for hematological genetic disorders and malignancies, particularly hematological cancers. However, common usage of this procedure is obstructed by graft-versus-host disease (GvHD), in which transplanted donor T cells wage an attack on recipient antigens, causing severe tissue damage and mortality. GvHD prognosis remains poor, and current treatment methods continue to be insufficient, especially for patients with more advanced and severe GvHD. T cells have been identified as the fundamental force behind GvHD, and their cellular metabolism is deemed vital to their fate and function, especially in pathogenic environments. A hallmark …

Improving Outpatient Medical Reconciliation, Nachiket Datar, Elijah Engwall, Payal Parikh, Devin Bazick, Christie Hua, Anisha Gill, Sean Gibbs, Burt Banks, Anthony Shadiack

South Atlantic Division GME Research Day 2021

No abstract provided.

A Retrospective Review Of Outcomes In Intensive Care Unit Patients Infected With Sars-Cov2 In Correlation To Admission Acute Physiologic Assessment And Chronic Health Evaluation Ii Scores, Pratishtha Singh, Kayle M. Warren, Hannah Adler, Andrew Mangano, Jilian Sansbury, Richard Duff

South Atlantic Division GME Research Day 2021

No abstract provided.

Karl Tomm’S Internalized Other Interviewing: From Theory To Practice, Robin Akdeniz

Department of Family Therapy Dissertations and Applied Clinical Projects

Over the last 40 years, the Canadian psychiatrist and family therapist Karl Tomm has been a key contributor to postmodern developments in family therapy (Collins & Tomm, 2009; Strong et al., 2008; Tomm, Hoyt, & Madigan, 2001). This dissertation traces the people, ideas, and practices that have influenced Tomm's approach, providing an in- depth examination of the method he developed for putting his ideas into practice: Internalized Other Interviewing (IOI). A systemic, relational approach to the practice of postmodern family therapy uses language as a means to create change. Family therapists routinely use different types of questions to ask clients …

Player Pricing Mechanisms And The Daily Fantasy Sport Chance Versus Skill Debate, Jeremy M. Losak

Sport Management - All Scholarship

Differentiating and defining games of skill versus chance have major legal implications when classifying gambling, especially in relation to daily fantasy sports in the United States.This paper provides a theoretical discussion and introduces an empirical approach to analyzing game player pricing mechanisms. If game pricing mechanisms are fully efficient - player prices fully reflect the expected contributions from players-then that game is one of chance since there is no opportunity for skill to play a role in outcomes. This paper examines player prices from DraftKings' daily fantasy football product. Empirical results show that there are strategies deriving from the pricing …