Medicine and Health Sciences Commons^™

Ataxia Pancytopenia Syndrome Associated Ocular Albinism: A Clinical Vignette, Dru Curtis, Catherine Boon, Stephanie Ryan, Nausheen Khuddus

North Florida Division GME Research Day 2022

No abstract available.

A Rare Case Of Statin-Associated Autoimmune Myopathy, Mercedes Malone, Atif Siddique

North Florida Division GME Research Day 2022

No abstract available.

Postnatal Venous Thrombembolism (Vte) Risk Assessment In Cesarean Section Patients, Mai-Tram Phan, Michelle Ozcan

North Florida Division GME Research Day 2022

No abstract available.

Improving Recombinant Zoster Vaccination Rates In Patients Receiving Biologic Therapy In The Rheumatology Clinics At The Orlando Va Healthcare System, Kathlyn Camargo Macias, Taylor Kann, Marilyn Mosquera, Ravi Shahu Khal, Ashwini Komarla

North Florida Division GME Research Day 2022

No abstract available.

Improving Inpatient Life Sustaining Treatment Documentation At Orlando Va Healthcare System, Patrick Abou Jaoude, Jomaris Centeno, Muhaimeen Hossain, Michael Stewart, Lahari Tumuluri, Jorge Restrepo, Palacios

North Florida Division GME Research Day 2022

No abstract available.

Perfecting The Art Of Consultation, Ana Ledo, Hannah Vansumeren, Aaron Verbeelen, Geover Virella, Anwar Alshaakh Moh'd Mari, Manuel Carrazana

North Florida Division GME Research Day 2022

No abstract available.

Comparing The Effects Of Vegan Diets Versus Ketogenic Diets On Glycemic Control In Type 2 Diabetes Mellitus, April Mccune, Timothy Aylward, Andrea Abernathy, Justin Gambini

Doctor of Medical Science (DMSc)

Purpose: The purpose of this review is to explore whether plant-based (vegan) diets result in greater reductions in hemoglobin A1c (HbA1c) than high-fat carbohydrate-restricted (ketogenic) diets in adults with type 2 diabetes mellitus.

Search Criteria: PubMed and Cochrane library databases were systematically searched for all relevant studies using MeSH terms (("diet, high fat" AND "diet, carbohydrate restricted") OR "diet, ketogenic" OR "diet, vegan") AND "diabetes mellitus, type 2/therapy". Limiting the research to meta-analyses and systematic reviews narrowed the results to six articles. One systematic review was excluded because it examined the effects of ketogenic diets on the quality …

The Affects Of The Foot Conditions On The Homeless Population, Alexander Kaye

Honors Undergraduate Theses

The research is attempting to acknowledge and explain the impact, if any, on homeless individuals not wearing socks. The curiosity for this study started on December 25th, 2018 when my family and I were volunteering at a homeless shelter in South Florida. After having numerous conversations with homeless individuals, I was informed on how they do not have enough pairs of socks to keep their feet in a healthy condition. Thus, I decided to initiate a sock drive to improve the lives of those who are homeless. This study is looking at a series of articles that are reviewing the …

Cardiology And The Brain: How An Individual's Cardiovascular Health Relates To Their Mental Health, Megan Shea Kopicko

Senior Honors Theses and Projects

A scoping review was conducted to explore the relationship between the cardiovascular system and neurological system to determine if there is a connection between certain mental illnesses and heart health. This study was guided through implementation of Arksey and O’Malley’s (2005) framework for scoping reviews. A literature search was conducted using PubMed, CINAHL, Cochrane Library, and Google Scholar databases. Of the 934,251 sources found, only 21 studies met the study criteria and were ultimately selected for this study. Upon review, three themes were identified: (a) anxiety and cardiovascular disease; (b) schizophrenia and cardiovascular disease; and (c) depression and cardiovascular disease. …

Progression Through Return-To-Sport And Return-To-Academics Guidelines For Concussion Management And Recovery In Collegiate Student Athletes: Findings From The Ivy League–Big Ten Epidemiology Of Concussion Study, Douglas J. Wiebe, Abigail C. Bretzin, Bernadette A. D'Alonzo, Ivy League–Big Ten Epidemiology Of Concussion Study Investigators, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

Objective To examine the progression of collegiate student athletes through five stages of a return-to- activity protocol following sport-related concussion (SRC).

Methods In a multisite prospective cohort study, we identified the frequency of initial 24–48 hours physical and cognitive rest, and the sequence of (1) symptom resolution and return to (2) exertion activity, (3) limited sport, (4) full sport and (5) full academics. In resulting profiles we estimated the likelihood of return to full sport ≤14 days or prolonged >28 days and tested for variability based on timing of the stages.

Results Among 1715 athletes with SRC (31.6% females), 67.9% …

Head Impact Exposure In Youth And Collegiate American Football, Grace B. Choi, Eric P. Smith, Stefan M. Duma, Steven Rowson, Eamon Campolettano, Mireille E. Kelley, Derek A. Jones, Joel D. Stitzel, Jillian E. Urban, Amaris Genemaras, Jonathan G. Beckwith, Richard M. Greenwald, Arthur C. Maerlender, Joseph J. Crisco

Center for Brain, Biology, and Behavior: Faculty Publications

The relationship between head impact and subsequent brain injury for American football players is not well defined, especially for youth. The objective of this study is to quantify and assess Head Impact Exposure (HIE) metrics among youth and collegiate football players. This multiseason study enrolled 639 unique athletes (354 collegiate; 285 youth, ages 9–14), recording 476,209 head impacts (367,337 collegiate; 108,872 youth) over 971 sessions (480 collegiate; 491 youth). Youth players experienced 43 and 65% fewer impacts per competition and practice, respectively, and lower impact magnitudes compared to collegiate players (95th percentile peak linear acceleration (PLA, g) competition: 45.6 vs …

Constructing Neural Network Models From Brain Data Reveals Representational Transformations Linked To Adaptive Behavior, Takuya Ito, Guangyu Robert Yang, Patryk Laurent, Douglas H. Schultz, Michael W. Cole

Center for Brain, Biology, and Behavior: Faculty Publications

The human ability to adaptively implement a wide variety of tasks is thought to emerge from the dynamic transformation of cognitive information. We hypothesized that these transformations are implemented via conjunctive activations in “conjunction hubs”—brain regions that selectively integrate sensory, cognitive, and motor activations. We used recent advances in using functional connectivity to map the flow of activity between brain regions to construct a task-performing neural network model from fMRI data during a cognitive control task. We verified the importance of conjunction hubs in cognitive computations by simulating neural activity flow over this empirically-estimated functional connectivity model. These empiricallyspecified simulations …

Affective Flexibility As A Developmental Building Block Of Cognitive Reappraisal: An Fmri Study, Jordan E. Pierce, Eisha Haque, Maital Neta

Center for Brain, Biology, and Behavior: Faculty Publications

Cognitive reappraisal is a form of emotion regulation that involves reinterpreting the meaning of a stimulus, often to downregulate one’s negative affect. Reappraisal typically recruits distributed regions of prefrontal and parietal cortex to generate new appraisals and downregulate the emotional response in the amygdala. In the current study, we compared reappraisal ability in an fMRI task with affective flexibility in a sample of children and adolescents (ages 6–17, N = 76). Affective flexibility was defined as variability in valence interpretations of ambiguous (surprised) facial expressions from a second behavioral task. Results demonstrated that age and affective flexibility predicted reappraisal ability, …

Sustainability In Biomedical Engineering, Kyle Borror, Christopher Hartemink

Summer Research

Boston Scientific (BSC) is a biomedical engineering company that specializes in designing and manufacturing devices that are used to help diagnose or treat health conditions in the human body. Primarily based in Europe and North America, BSC has recently been faced with the need to adhere to new sustainability protocols. Many of these protocols are addressed through a product accounting system called a Life Cycle Analysis (LCA), which is a standardized method for analyzing a product life cycle. A product life cycle for a medical device typically includes material extraction and refinement, component manufacturing, assembly, storage and distribution, use, and …

Preknop Research: The Benefits Of Educating Women About Reproductive Health, Alysa Runhaar, Joyce Jun, Adejoke Ayoola

Summer Research

In the United States, there are high rates of unplanned pregnancies. Many women are not educated on how to plan for, prevent or detect pregnancies and these unexpected life changes have negative outcomes such as sexually transmitted diseases, inadequate prenatal care, postpartum depression, premature birth with birth complications and high cost of delivery, and maternal mental health problems later in life. The purpose of this research is to examine the benefits of educating women about their reproductive health and about contraceptive use and effectiveness. This education is important for women’s health and the wellness of newborns and children.

What Is Transpersonal Psychology? A Concise Definition Based On 20 Years Of Research, Glenn Hartelius

International Journal of Transpersonal Studies

Research on definitions of the field of psychology and themes in the literature of the field over a period of 20 years inform this description: Transpersonal psychology is a transformative psychology of the whole person embedded within a diverse, interconnected, and evolving world that pays particular attention to states of consciousness and developmental models reflecting expansion beyond conventional notions of self. Each element of this definition is examined, as well as the four phases of definitional development within the field from its founding in 1968 up to the present.

The Role Of Spiritual Intelligence And Differentiation In Predicting Marital Adjustment Of Married Iranian Students, Sedigheh Ahmadi, Richard H. Morley, Faezeh Ghalebi, Hossein Ilanloo, Christine D. Nguyen

International Journal of Transpersonal Studies

The aim of this study was to investigate the role of spiritual intelligence and differentiation in predicting marital adjustment of Iranian students. The participants of this study were 312 married students from Yazd University. The instruments used in this study were the Dyadic Adjustment Scale (DAS) to measure marital adjustment, Differentiation of Self- Inventory, and the Spiritual Intelligence Self-Report Inventory (SISRI). The results of the study demonstrated that spiritual intelligence predicted the marital adjustment of married students (p

Improved Database Filtering Technology Enables More Efficient Ab Initio Design Of Potent Peptides Against Ebola Viruses, Thomas Ripperda, Yangsheng Yu, Atul Verma, Elizabeth Klug, Michellie Thurman, St. Patrick Reid, Guangshun Wang

Journal Articles: Pathology and Microbiology

The rapid mutations of viruses such as SARS-CoV-2 require vaccine updates and the development of novel antiviral drugs. This article presents an improved database filtering technology for a more effective design of novel antiviral agents. Different from the previous approach, where the most probable parameters were obtained stepwise from the antimicrobial peptide database, we found it possible to accelerate the design process by deriving multiple parameters in a single step during the peptide amino acid analysis. The resulting peptide DFTavP1 displays the ability to inhibit Ebola virus. A deviation from the most probable peptide parameters reduces antiviral activity. The designed …

Addressing Nurse Burnout, Matthew Panattoni

Doctor of Ministry

The following is an abstract identifying the need, problem, and opportunity for the specific ministry context presented. Key insights emerged and guided the research leading up to the final developments of the project. The project description gives a snapshot of the research and conclusions. The project was developed in response to the NPO: Addressing the need for spiritual resilience to create a positive impact on nurse burnout for rural healthcare nurses providing home health and hospice services.

Key insights were to, first, gain nuanced understanding of rural nurse context; second, define a rural nurse’s values; and, third, seed further visionary …

Transformative, Noetic, And Transpersonal Experiences During Personal Development Workshops, Helané Wahbeh, Cassandra Vieten, Garrett Yount, Agnes Cartry-Jacobsen, Dean Radin, Arnaud Delorme

International Journal of Transpersonal Studies

The global personal development market was valued at $38.28 billion in 2019 and is expected to grow an additional 5% from 2020 to 2027. Many of these workshops promise to be transformational. This secondary analysis study examined transformative, transpersonal, and noetic aspects of personal development workshops. We found that 74% of post-survey records endorsed that participants experienced a moment of clarity or profound insight during their workshop. In addition, 66% endorsed that participants had experienced at least one noetic experience, and 84% endorsed at least one transpersonal experience. These analyses provide preliminary evidence for the transformational potential of personal development …

Eliciting Awe In The Spectator: The Case Of A Dhrupad-Based Dance Performance, Alfonso Santarpia, Andrée Martin, Armando Menicacci, Pierre De Oliveira, Daniel Lemieux, Laurence Éthier, Caroline Charbonneau, Bruno Pucella, Christophe Flambard, Les Frères Gundecha, Louis-Charles Lusignan, Alice Bourgasser, Élisabeth-Anne Dorléans, Ariane Dubé-Lavigne, Angélique Poulin

International Journal of Transpersonal Studies

This paper describes “Kalos, eîdos, skopeîn,” an immersive Dhrupad-based dance installation designed to elicit feelings of awe in the spectators, in a real-life artistic context. This study used a mixed-methods approach in order to explore spectators’ awe experience (N=45), using specific scales and interpretative phenomenological analysis. Results suggested that “Kalos, eîdos, skopeîn,” with its combination of nature motifs and the slow dance-walk associated with the Dhrupad music in the choreography, was able to produce awe-related moments in some spectators and inspire a degree of positive emotions. Our qualitative results viewed awe explicitly as a positive emotion and showed that generally …

Covid-19 Pandemic Impact On Us Childhood Caries And Potential Mitigation, Christina Scherrer, Shillpa Naavaal, Susan O. Griffin, Mei Lin

Dental Public Health and Policy Publications

Non-Hispanic Black (NHB) and Hispanic and low-income US children have a higher prevalence of untreated caries than their higher-income and non-Hispanic White (NHW) counterparts. Due to the COVID-19 pandemic, many dental offices and school sealant programs closed beginning March 2020. We examine the effect of reduced access to restorative care and sealants on the oral health of children from low-income households overall and by race/ethnicity and how increased sealant delivery in September 2022 could mitigate these effects. We used Markov chain Monte Carlo simulation to model COVID-19’s impact on first permanent molar (1M) caries incidence and loss in quality of …

Comprehensive Pregnancy Dental Benefits Improved Dental Coverage And Increased Dental Care Utilization Among Medicaid-Enrolled Pregnant Women In Virginia, Shillpa Naavaal, David W. Harless

Dental Public Health and Policy Publications

Objectives: To evaluate the changes in dental insurance and utilization among pregnant women before and after the pregnancy Medicaid dental benefit policy implementation in 2015 in Virginia.

Methods: We used pooled cross-sectional data from six cycles of the Virginia Pregnancy Risk Assessment Monitoring System on women aged ≥21 years. Using logistic regression models and a difference-in-difference design, we compared the effects of policy implementation on dental insurance and utilization between pre-policy (2013-2014) and post-policy period (2016-2019) among women enrolled in Medicaid (treatment, N = 1,105) vs. those with private insurance (control, N = 2,575). A p-value of 0.05 was …

Liability For Use Of Artificial Intelligence In Medicine, W. Nicholson Price, Sara Gerke, I. Glenn Cohen

Law & Economics Working Papers

While artificial intelligence has substantial potential to improve medical practice, errors will certainly occur, sometimes resulting in injury. Who will be liable? Questions of liability for AI-related injury raise not only immediate concerns for potentially liable parties, but also broader systemic questions about how AI will be developed and adopted. The landscape of liability is complex, involving health-care providers and institutions and the developers of AI systems. In this chapter, we consider these three principal loci of liability: individual health-care providers, focused on physicians; institutions, focused on hospitals; and developers.

Electroencephalogram Classification Of Brain States Using Deep Learning Approach, Hrishitva Patel

Computer Science Faculty Scholarship

The oldest diagnostic method in the field of neurology is electroencephalography (EEG). To grasp the information contained in EEG signals, numerous deep machine learning architectures have been developed recently. In brain computer interface (BCI) systems, classification is crucial. Many recent studies have effectively employed deep learning algorithms to learn features and classify various sorts of data. A systematic review of EEG classification using deep learning was conducted in this research, resulting in 90 studies being discovered from the Web of Science and PubMed databases. Researchers looked at a variety of factors in these studies, including the task type, EEG pre-processing …

Correlating Measles Cases And Vaccination Rates In The United States And Abroad, Charu L. Gupta

Scholarship in Medicine - All Papers

Introduction: Measles is a highly contagious and vaccine-preventable viral respiratory infection that continues to affect children and adults in the United States (U.S.) and abroad. Objective: This study aims to correlate vaccination rates and measles cases in the U.S. to countries worldwide during 1995 to 2000 and 2013 to 2018. Methods: Two datasets, measles reported cases and percent single dose measles-containing-vaccine coverage in 1-year old infants, were obtained from World Health Observatory Data portal for 165 countries. Third dataset, population dynamics, was utilized from World Bank portal to convert reported measles cases to measles case rates for selected 165 countries. …

Mitigating Weight Stigma In The Medical System: Self-Compassion For Nursing Students, Ellen C. Joseph

Electronic Theses and Dissertations

Weight stigma is a form of oppression that has been shown to have a detrimental impact on the well-being of people with higher weight. Healthcare providers are one of the most common sources of weight stigma, and their stigmatizing beliefs have been found to be associated with differential care for patients with “obesity”. The current study aimed to explore the feasibility of the loving-kindness meditation (LKM) as a brief intervention that reduces weight bias in nursing students by increasing self-compassion, positive, other-focused emotions, and cognitive flexibility, in order to improve compassionate care for patients with higher weight. Participants (189 nursing …

Aac Use By Children With Asd And Their Aac Co-Pilots, Kelcy Rolak

Master's Theses and Doctoral Dissertations

Employing a multiple case study approach, this study explored the perspectives of parents of children with autism spectrum disorder (ASD) on their child’s use of augmentative and alternative communication (AAC). Deemed “AAC co-pilots” by this study, these parents play a crucial role in their children’s daily AAC use, yet their perspective is largely under-explored in existing research that otherwise explores AAC use by individuals with ASD extensively. Semi-structured interviews were conducted with parents of children with ASD who have used AAC for at least one year and whose AAC use is documented in their IEP. Findings indicated the depth and …

The Relationship Between Nursing Faculty Stress And Gratitude Journaling, Kathleen L Whalen

Regis University Student Publications (comprehensive collection)

“The relationship between nursing faculty stress and gratitude journaling”

Kathleen L. Whalen, MS RN – Regis University

The National League for Nursing (NLN) has reported a national shortage of nursing faculty. Some of the factors involved are limited qualified faculty, schools’ inability to offer competitive wages, and faculty leaving due to stress or retiring. A quality improvement project was developed for full-time faculty in a university nursing program in dealing with stress, which could aid in retention. A quasi-experiment with a pre-test and post-test design was used to measure participants’ stress using the Perceived Stress Scale–10 (PSS-10) before and after …

The Rhythm Of Your Life: The Effects Of Daily Routine On Mental Health, Kristen Brown

Graduate Research Projects

No abstract provided.