Medicine and Health Sciences Commons^™

The Lived Experience Of Older Adults With Visual Impairments And Their Integration Into Social And Recreational Activities In The Long-Term Care Setting: A Phenomenological Study, Julie Ann Conboy Russo

Theses & Dissertations

The prevalence of vision loss in the elderly is high. Visual impairment in long-term care (LTC) settings may be a barrier to fully interacting in therapeutic recreational and social activities. Living with visual barriers may hamper safety (i.e., fear of falling and navigating in unfamiliar settings); cognitive ability; and participation in activities leading to isolation, depression, and loss of self-esteem. Decreased stimulation may affect one’s overall happiness and quality of life. A qualitative phenomenological design was followed to capture the lived experience of older adults with visual impairments living in LTC settings and their integration into social and recreational activities …

Augmented Immunomodulation Of Endogenous Marrow-Derived Stem Cells In The Setting Of Acl Rupture, Mackenzie Fleischer, Michael Newton, Samantha Hartner, John A. Driscoll, Anthony Arveschoug, Chritopher C. Vasileff, Kevin Baker

Conference Presentation Abstracts

PURPOSE: Augmentation of MSC immunomodulation is an unexplored, potentially useful therapeutic to combat PTOA following ACLR. Lower kynurenine-to-tryptophan ratios observed in synovial fluid of ACL rupture (ACLR) rats suggests decreased activity of tryptophan metabolizing enzyme, Ido, known to be secreted by MSCs to promote T-reg expansion and Th17 suppression. This study aims to characterize the immunomodulatory capacity of pharmacologically mobilized MSCs in conjunction with exogenously delivered Ido. METHODS: Rats (N = 48) underwent ACLR to evaluate the effects of mobilized MCSs on Ido1 and inflammatory cytokine expression profiles in the synovial fluid. Additionally, rats (N = 160) underwent ACLR to …

Loss-Of-Function Variants In Tiam1 Are Associated With Developmental Delay, Intellectual Disability, And Seizures, Shenzhao Lu, Rebecca Hernan, Paul C Marcogliese, Yan Huang, Tracy S Gertler, Meltem Akcaboy, Shiyong Liu, Hyung-Lok Chung, Xueyang Pan, Xiaoqin Sun, Melahat Melek Oguz, Ulkühan Oztoprak, Jeroen H F De Baaij, Jelena Ivanisevic, Erin Mcginnis, Maria J Guillen Sacoto, Wendy K Chung, Hugo J Bellen

Duncan NRI Faculty and Staff Publications

TIAM Rac1-associated GEF 1 (TIAM1) regulates RAC1 signaling pathways that affect the control of neuronal morphogenesis and neurite outgrowth by modulating the actin cytoskeletal network. To date, TIAM1 has not been associated with a Mendelian disorder. Here, we describe five individuals with bi-allelic TIAM1 missense variants who have developmental delay, intellectual disability, speech delay, and seizures. Bioinformatic analyses demonstrate that these variants are rare and likely pathogenic. We found that the Drosophila ortholog of TIAM1, still life (sif), is expressed in larval and adult central nervous system (CNS) and is mainly expressed in a subset of neurons, but not in …

Changes In Blood Mineral Concentrations And Adhd Symptoms After 8 Weeks Of Micronutrient Supplementation, Elizabeth S. White

OHSU-PSU School of Public Health Annual Conference

Previous studies have discovered associations between nutritional status of children with ADHD and severity of ADHD symptoms. Data from the Micronutrients in ADHD Youth (MADDY) study was analyzed to assess the effectiveness of micronutrient supplementation for ADHD symptoms in children. The MADDY study is a randomized double-blinded three-center clinical trial. Data on the following seven minerals were assessed based on blood measurements from OHSU and OSU: lithium, selenium, copper, zinc, iron, manganese, and magnesium. All of these minerals were contained in the supplement given to subjects who received the active treatment and absent from the placebo supplement given to the …

Recommendations For Providers To Improve Quality Of Care & Health Outcomes For Patients With Tick-Borne Diseases, Kayla G. Hugate, Jennifer Hall

Student Scholar Showcase

Background: Healthcare providers lack knowledge about tick-borne diseases related to recognition, diagnosis, treatments, and communication. With the number of ticks and types of tick-borne diseases increasing, it is vital that providers know how to effectively diagnose, manage and treat a TBD patient.

Methods: A mixed method survey was implemented in 2021 with persons diagnosed with a tick-borne disease to explore their experiences with diagnosis, management and treatment. The survey was posted on TBD social media pages and sent through email snowballing. Thematic analysis was used to code results from three open-ended questions.

Results: A total of 434 …

Association Between Abdominal Aortic Calcification Severity And Depressive Symptoms: Cross-Sectional Study Findings From Nhanes 2013-2014, Shabir Sarwary

OHSU-PSU School of Public Health Annual Conference

Association between Abdominal Aortic Calcification Severity and Depressive Symptoms: Cross-Sectional study findings from NHANES 2013-2014

Shabir Sarwary, MPH

BACKGROUND

Abdominal aortic calcification (AAC) is an asymptomatic condition in which calcium deposits build up in abdominal aorta. AAC is detectable only by imaging. When present, severe AAC increases the risk of developing major coronary heart disease compared to no or minimal AAC. Depression affects nearly 10% of U.S. adults and is often present among those who have experienced a major coronary heart disease event, such as myocardial infarction. It is unknown if the prevalence of depression is elevated in adults who …

The Effects Of Running On Arithmetic Problem Solving, Kayia C. Snyder, Nicholas Smith

OHSU-PSU School of Public Health Annual Conference

In this work, we propose to examine the effects of physical activity on academic performance as physical activity is shown to improve mood, energy levels, confidence, and memory retention. We propose to recruit a sample of 200 psychology students from Portland State University. Each student will be asked to take an arithmetic problem-solving test then asked to study the material for three weeks. Of the 200 students, 100 will be randomly assigned to a physical activity condition, in which they will be asked to run 30 minutes prior to studying, then all students will be asked to take a timed …

Post-Intensive Care Syndrome Prevention And Detection In Covid-19 Patients, Bethany Sloane Melega

Student Scholar Showcase

COVID-19 has impacts on patient health beyond the hospital. The trauma that patients, and families of patients, can experience during an admission to an intensive care unit (ICU) can last long after discharge from the ICU and the hospital in general. The psychological and physical impacts of ICU hospitalization can cause patients to experience Post Intensive Care Syndrome (PICS). PICS is the culmination of symptoms that persist after a critical illness that involve all aspects of a patient’s physical and mental well-being and can significantly affect family life and increase recovery time. Due to the strict personal-protective equipment (PPE) usage …

Provider Perspectives On Benefits And Challenges Of Mhealth Autism Screeners​ In Underserved Families, Yesenia Morales

OHSU-PSU School of Public Health Annual Conference

Background: Mobile-health (mHealth; using mobile devices) screening tools for autism are becoming more prevalent, and have potential benefits such as video content, eye tracking, and adaptive design. However, it is unclear whether such tools will ameliorate disparities in access to autism diagnosis and treatment for children from under-privileged backgrounds, instead of improving treatment only for those already advantaged in autism care.

Objective: To understand factors affecting equity in use of mHealth autism screening tools from the perspective of primary care providers (PCPs) and Early Intervention/Early Childhood Special Education providers (EIPs).

Design/Methods: We conducted qualitative interviews about mHealth autism screening tools, …

Examination Of An Individual-Level Stigma Reduction Tactic In Front-Line Service Encounters, Christopher J. Waterbury, Nicholas A. Smith Phd., Larry Martinez Phd., Shi (Tracy) Xu Phd.

OHSU-PSU School of Public Health Annual Conference

Minority stress theory links short- and long-term negative health outcomes to stigma and discrimination. It is important that workers have the agency to effect change in the processes of discrimination as a social determinate of health. Identity management strategies are elective tactics that workers may wish to use to reduce discrimination. Front line service workers may be discriminated against by customers in the form of negative customer service evaluations. Group-level stereotypes may influence customer service perceptions more than objective service quality. In this poster, we report findings from two studies in which we examined the effectiveness of an individual-level stigma …

Animal-Assisted Therapy In The Intensive Care Unit, Amanda M. Pugh

Student Scholar Showcase

This paper will explore animal-assisted therapy used in intensive care units. Patients in the intensive care unit (ICU) are at risk for developing an array of complications called post-intensive care syndrome, which can negatively affect patients’ psychological, motor, and cognitive abilities. While the widespread use of animal-assisted therapy in the ICU is still in need of improvement, studies have shown animal-assisted therapy can improve depression and anxiety, increase motor function, and strengthen patient participation in treatment. This is significant because the benefits of animal-assisted therapy can counteract the symptoms related to post-intensive care syndrome. The studies will be analyzed, and …

Building Resistance And Sustainability To Improve Population Health In Tokyo, Japan., Ma'adjoa N. Manu

OHSU-PSU School of Public Health Annual Conference

The use of policy decisions and urban health indicators can promote a more healthy and equitable city. Over a period of ten weeks, stories and activities going on in Tokyo, Japan, were followed to identify pressing urban health issues in the city. Disaster preparedness measures, city sustainability initiatives, and ageing population health improvement were selected and focused on for this poster presentation. Through policy actions and urban redevelopment plans, Tokyo, a super-aged society, and a city prone to natural disasters like tsunamis and earthquakes, is developing structures that will reduce the impact of disasters, improve the living conditions of the …

Evaluation Of Resting Metabolic Rate Between Sex And Sport Type Of D3 Athletes., Alissa Anderson

Student Scholar Showcase

Introduction: Sex, muscle characaterstics, and training have been shown to affect resting metabolic rate (RMR) of elite level athletes. However, there is little known about the resting metabolic rates of non-elite Division 3 athletes.

Purpose: Therefore the purpose of this research study is to observe differences in resting metabolic rate among different types of various Division 3 athletic male and female teams.

Methods: University of Lynchburg Division 3 athletes between the ages of 18-22 were recruited to have their RMR, body composition, and anthropometrics assessed . 4 athletes were recruited from each of the following teams based on sex and …

Association Of Patient- Provider Language Concordance With Health Care Comprehension Among Latino/As In Oregon: Work In Progress, Grace Parra

OHSU-PSU School of Public Health Annual Conference

Authors: Grace Parra, Sara Diaz-Anaya, & Blair G. Darney PhD, MPH.

Title

Association of patient- provider language concordance with health care comprehension among Latino/as in Oregon: Work in progress

Background

Language concordance in a healthcare setting is a clinical encounter where the patient and provider speak the same language. Health care comprehension is the degree to which individuals understand health-related information given by the provider. Research to date suggests that language barriers in health care negatively impact quality of care .The purpose of this study is to describe need and preferences for language concordant care and test the association …

Prevalence Of Perceived Weight Stigma And Its Psychological Impact On Obese People In Saudi Arabia, Wafi Albalawi

OHSU-PSU School of Public Health Annual Conference

No abstract provided.

Lifetime Smoking History And Prevalence Of Osteoporosis And Low Bone Density In U.S. Adults, Nhanes 2005-2010, Molly Joyce

OHSU-PSU School of Public Health Annual Conference

Background

Osteoporosis and low bone density are common among older adults; women are more likely to have osteoporosis and low bone density than men. The prevalence of osteoporosis and low bone density varies with race/ethnicity, with the greatest prevalence being among non-Hispanic, Asian women. Prior studies identified a negative association between smoking and changes in bone mineral density; however, the association between smoking and osteoporosis or low bone density has not been investigated according to race/ethnicity.

Materials and methods

This study utilized National Health and Nutrition Examination Survey data from 2005-2010. In this study 4,226 U.S. adults aged 50 years …

Volume 8 Full Text, Bjur Staff

Butler Journal of Undergraduate Research

No abstract provided.

Table Of Contents And Front Matter, Bjur Staff

Butler Journal of Undergraduate Research

No abstract provided.

Effect Of Sin Lek Rice Intervention On Cognitive Function, Dietary Patterns, And Fecal Microbiota Of Elementary School Children In Chiang Rai, Thailand, Angie Setthavongsack, Siam Popluechai, Jackilen Shannon, Justin Denny, Eleni Gentekaki, Kongkiat Kespechara, Lucsame Gruneck, Thomas J. Sharpton, Kullawong Niwed, Lisa K. Marriott

OHSU-PSU School of Public Health Annual Conference

Thailand has struggled with malnutrition rates in young children. Rice is a key component of Southeast Asian diets and a whole grain rice varietal (Sin Lek) may support improved nutrition. Diet can influence cognitive function and human gut microbiota, which were explored in the context of a rice intervention. We conducted a pilot study using a non-randomized, crossover clinical trial of Sin Lek rice versus traditional white rice consumption in elementary school children in Chiang Rai, Thailand. Outcomes related to diet, anthropological factors, cognitive function (e.g., short-term working memory, attention, impulsivity), and gut microbial populations were measured at baseline and …

Coaching For Covid: A Qualitative Assessment Of Incorporating Community Health Workers Into Primary Care-Based Covid-19 Outreach, Gina Richardson, Emily Mitchell, Armin Takallou, Brian Frank

OHSU-PSU School of Public Health Annual Conference

Context/background: In July 2020, recognizing the potential negative interaction between COVID-19 quarantine and medical and social needs, Oregon Health & Science University Family Medicine at Richmond developed a workflow to support clinic patients with acute social and medical needs who test positive for COVID-19. The workflow relies on Community Health Workers (CHWs) who call these patients and ask questions intended to identify social and medical needs. Within this workflow, patients with identified needs are connected by CHWs to community resources. The workflow is intended to reduce barriers to patients’ ability to maintain isolation while adhering to physical distancing guidelines, and …

Focusing The Lens: Recognizing U.S. Prisons As Fortresses Of Environmental Injustice, Elijah R. Hart

OHSU-PSU School of Public Health Annual Conference

Background:

Mass incarceration, the dramatic increase in incarcerated people over the past four decades, disproportionately impacts Black, Brown, Indigenous, and low-income communities in the United States. The health impacts of imprisonment in the U.S. are well documented (increased risk for chronic health disorders and mortality). However, public health professionals have only recently recognized the relationship between the prison industrial complex and environmental justice issues.

Methods:

Through a mini-literature review of the experiences of prisoners across the nation, this presentation will examine the location of prisons, exposure to environmental hazards in prisons, and pollution from prisons as key pathways by which …

Effects Of Environmental Conditions, Core Temperature, And Hydration Status On Women’S Soccer Performance, Abigail G. Poague

Student Scholar Showcase

This study aimed to discover the effects of hydration status, core temperature, sleep data, perceived exertion, and environmental conditions affected the GPS-tracked performance of women's division III soccer players. The results of this study support the association between internal load, hydration status, and environmental conditions with external load.

Acute:Chronic Workload Ratios And Positional Differences In Collegiate Men’S Lacrosse Players, Michael J. Phifer

Student Scholar Showcase

Positional differences in Acute:chronic workload ratios (ACWRs), distance traveled, and activity intensity throughout a season for men’s lacrosse players have not been determined. The purpose of our research was to determine if there were positional differences in ACWRs, distance traveled, and activity intensity in men’s NCAA DIII lacrosse players. We recruited 53 NCAA DIII lacrosse players (age=20.4 years, weight=81.6 kg, height=182.4 cm, Attack=12, O-Mid=14, D-Mid=6, FO=4, Goalie=3, Defense=14) from one team for our cross-sectional study. Sport Performance Tracking (SPT, Melbourne, Australia) GPS units tracked athletes’ACWRs (AU), total distance traveled (m), and intensity (proprietary composite score; AU) for every game and …

Parent Perceptions Of Athletic Trainers At The Secondary School Setting, Rebecca Lynn Natoli

Student Scholar Showcase

No abstract provided.

Biomechanical Comparisons Of Metacarpophalangeal Joint Arthrodesis Techniques In The Horse, Lawrence Ivan M. Kadic

LSU Master's Theses

INTRODUCTION - Break down injuries resulting in the disruption of the suspensory apparatus, or the development of moderate to severe osteoarthritis of the metacarpophalangeal (MCP) and/or metatarsophalangeal (MTP) joint, are well documented reasons to perform a surgical arthrodesis in horses. The objective of this thesis was to compare the biomechanical characteristics of different arthrodesis techniques for the equine MCP joint.

MATERIALS AND METHODS - The first cadaveric study evaluated the biomechanical properties of two constructs with 5.5 mm broad 10-hole LCP alone or in combination with a 2.0 mm stainless-steel cable under cyclic fatigue testing and single cycle to failure …

Investigating Alternative Induction Of The S. Aureus 80a Prophage, Jody Caretti

Student Scholar Showcase

Widespread antibiotic resistance has quickly become one of the most concerning crises affecting modern medicine, especially in cases of Staphylococcal infections, which have become resistant to all ��-lactam antibiotics. As a result, research into alternative forms of treatment for bacterial infections is a top priority. Bacteriophage therapy is a popular candidate for replacing antibiotics, due to the way the viruses interact with the bacteria. The 80�� prophage integrates its DNA into Staphylococcus aureus strain 10616 via the lysogenic cycle, and replicates with the bacterial cell. When stressed, the bacteria stop replicating and the prophage stimulates the lytic cycle, activating transcription …

2022-04-06_Michiganoverview_Covidcounts, Michigan Department Of Health & Human Services

Michigan COVID-19 Confirmed Cases by Date of Onset Data

Data was downloaded as an Excel spreadsheet which appeared in the Public Use Datasets section under the Cumulative Data link of Michigan's Coronavirus webpage, under the url https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173---,00.html.

Cases are aggregated by the date of onset of COVID-19 symptoms, if known, otherwise by laboratory specimen date if known, otherwise by case referral date. Deaths are aggregated by the date of death if known, otherwise by the last date of a change to the case status.

Toward Suicidal Ideation Detection With Lexical Network Features And Machine Learning, Ulya Bayram, William Lee, Daniel Santel, Ali Minai, Peggy Clark, Tracy Glauser, John Pestian

Northeast Journal of Complex Systems (NEJCS)

In this study, we introduce a new network feature for detecting suicidal ideation from clinical texts and conduct various additional experiments to enrich the state of knowledge. We evaluate statistical features with and without stopwords, use lexical networks for feature extraction and classification, and compare the results with standard machine learning methods using a logistic classifier, a neural network, and a deep learning method. We utilize three text collections. The first two contain transcriptions of interviews conducted by experts with suicidal (n=161 patients that experienced severe ideation) and control subjects (n=153). The third collection consists of interviews conducted by experts …

2022-04-06_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated once a week on Wednesdays.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There is …

Cardiac Telehealth Rehabilitation: Empowering The Patient, Alexander James Schmidt Hoff

Nursing Masters Papers

Coronary artery disease or coronary heart disease is one of the leading causes of death in the world. Center-based cardiac rehab has long been a sustainable answer for recovery from an acute coronary event. However, the COVID-19 pandemic halted in-person appointments for cardiac rehab patients. Therefore, patients and their healthcare team met virtually. The objective of this literature review is to discover the efficacy and cost-effectiveness of cardiac telerehabilitation, as it will likely have a more prominent role in patient recovery from acute myocardial infarctions. To determine this, a literature review was conducted based on recent studies involving coronary artery …