Medicine and Health Sciences Commons^™

Effectiveness Of Speech Intervention Methods In Children With Speech Delays, Andrea Noel, Rachel Windemuth, Brett Porter

Williams Honors College, Honors Research Projects

Speech delays in children is a common issue that can be treated by a wide variety of interventions. Our PICOT question is, in children, ages six months to thirteen years, with speech/language delays, how does the addition of innovative and supplemental interventions, compared with standard interventions alone, effect improvements in the delays. All three group members have known someone who has suffered from a speech delay, and we want to research the best possible methods to overcome that obstacle to answer our questions, we will begin to take on the task of creating and writing a systematic review. This review …

The Accuracy Of Recreational Athletes In Self Detecting Ventilation Threshold During A Maximal Exercise Test, Andrew Biegner

Williams Honors College, Honors Research Projects

INTRODUCTION: Ventilatory threshold (VT) is where minute ventilation (VE) increases nonlinearly with increasing exercise intensity. Prior studies have shown that subjects can recognize VT by changes in breathing during exercise. Teaching recreational athletes to use VT as a training method could result in better quality training. PURPOSE: Determine if recreational athletes can accurately perceive changes in ventilation associated with VT during maximal exercise testing. METHODS: Subjects were recruited (n=20, age= 20.5 ± 1.7 yrs.) to participate in the study. Subjects performed a modified maximal treadmill protocol with gas analysis. Subjects indicated when they noticed a considerable change …

Knockout Of Endospanin 1 Via Crispr In Zebrafish, Danio Rerio, Jared Kittinger

Williams Honors College, Honors Research Projects

I made endospanin 1 knockout (KO) zebrafish to examine its effects on lipid and bone metabolism. Endospanin 1, or leptin receptor overlapping transcript (leprot), is a cytosolic protein linked to the protein hormone leptin that influences the trafficking of leptin receptors to the plasma membrane of cells. Genes for endospanin and tyrosinase (a pigmentation enzyme) were targeted via a microinjection of guide RNAs and CRISPR Cas9 into zebrafish embryos at 2-4 cell stages. I was able to disrupt the endospanin 1 gene (based upon the disruption of tyrosinase), but very few mutant zebrafish fully developed into adults. Only low KO …

Cost-Benefit Analysis Of Increased Water Treatment Plant Service Goals On Reducing Water Quality Risk, Briton Polen, Kendra Sanner

Williams Honors College, Honors Research Projects

To treat water to make it safe to drink, disinfection processes are used in water treatment plants. These disinfection processes produce disinfection byproducts (DBPs) through the reaction of organic matter and the disinfectant, such as chlorine. DBPs have been shown to pose a cancer risk to consumers. In this report, the focus is on two types of DBPs, trihalomethanes (THMs) and haloacetic acids (HAAs). The cancer risks associated with DBPs are analyzed through ingestion and inhalation pathways. Ingestion and inhalation consist of common water uses like drinking, cooking, or bathing. In addition to this, DBPs have been shown to increase …

Mouthpiece For Patients With Neuromuscular Disorders, Rebekah Starkey, Carissa Thompson, Michael Dickens, Andrew Pero

Williams Honors College, Honors Research Projects

Neuromuscular Disorders (NMDs) impact people throughout the world. An early hallmark of these disorders includes some degree of facial muscle weakness. Respiratory testing is important to evaluate the progression of these patients’ NMDs. However, these tests require that the patient purses their lips around a mouthpiece to create a tight seal. This is a difficult task for one with facial muscle degeneration. This often leads to results that fail to reflect the patient’s true respiratory ability and prevents their physician from providing the appropriate degree of care. The objective of this project was to develop a face mask or mouthpiece …

The Association Between Inflammatory Diet And Infection-Related Cancers In Adults: A Systematic Review, Alfu Laily, Jason B. Reed, Madeline Q. Powers, Anna Giuliano, Monica Kasting

Libraries Faculty and Staff Supplemental Materials

Poster presented at the 2023 American Academy of Health Behavior conference. Presents preliminary results of a systematic review investigating the relationship between inflammatory dietary patterns and infection-related cancers in adults.

Usability Evaluation Of A Community Pharmacy Health Information Exchange Interface Prototype, Katelyn N. Hettinger, Margie E. Snyder, Omolola A. Adeoye-Olatunde, Alissa L. Russ-Jara

Department of Pharmacy Practice Faculty Publications

Objective
Few community pharmacies have access to health information exchange (HIE) data. We conducted a first-of-its-kind usability evaluation of an HIE interface prototype (referred to throughout as the “HIE-Pioneer mock-up”) developed with pharmacists and pharmacy technicians to aid future implementation in community pharmacies.

Methods
Community pharmacists and pharmacy technicians were recruited to complete usability evaluations with the HIE-Pioneer mock-up. Each usability evaluation lasted up to 60 minutes. System usability scale (SUS) scores were collected from each participant following each usability evaluation session and summarized with descriptive statistics. Usability evaluation videos were reviewed for common usability attributes, such as the impact …

Disparities In Medicare Beneficiaries’ Receiving Medication Synchronization, Prajakta H. Waghmare, Chien-Yu Huang, Heather A. Jaynes, Wendy M. Green, Margie E. Snyder, Omolola A. Adeoye-Olatunde, Antoinette B. Coe, Joel F. Farley, Alan Zillich

Department of Pharmacy Practice Faculty Publications

Background

Medication synchronization (med-sync) aligns patients’ monthly or quarterly chronic medications to a predetermined single pickup date at a community pharmacy. The study objective was to examine med-sync enrollment disparities based on Medicare beneficiaries’ predisposing, enabling, and need characteristics.

Methods

This was a retrospective cohort study using a Medicare dataset of beneficiaries receiving medications from pharmacies that self-identified as providing med-sync. Medicare beneficiaries who were continuously enrolled in fee-for-service medical and pharmacy benefits during the study period (2014–2016) were included. Study cohorts (med-sync and non–med-sync patients) were defined, and bivariate and multivariable logistic regression analyses were performed. Andersen’s Health …

An Examination Of The Role Of Adrenergic Receptor Stimulation In Mediating The Link Between Early-Life Stress And The Sensitization Of Neuroinflammatory-Based Depressive-Like Behavior In Isolated Guinea Pig Pups, Rachel Renate Kessler

Browse all Theses and Dissertations

Early-life stress appears to sensitize neuroinflammatory signaling to increase later vulnerability for stress-related mental disorders. How stress initiates this process is unknown, but sympathetic nervous system activation during the early stress may be key. Isolated guinea pig pups display inflammatory-mediated depressive-like behavior and fever that sensitize on repeated isolation. We assessed whether sympathetic nervous system activity contributed to the sensitization process in guinea pig pups. In Experiment 1, the adrenergic agonist ephedrine, either alone or with cortisol, did not increase depressive-like behavior or fever during an initial isolation the following day. In Experiment 2, both depressive-like behavior and fever sensitized …

It's Never Too Soon! Comparing Intercultural Learning Outcomes Of Undergraduate Students Via Face-To-Face And Online Teaching Modalities, Aparajita Jaiswal, Christi Masters, Lan Jin, Tanvin Inani, Annika Schenkel, Muna Sapkota, Lata Krishnan

Department of Speech, Language, and Hearing Sciences Faculty Publications

Purpose: Providing culturally responsive care for a diverse patient population is critical for future speech-language pathologists and audiologists. Prior studies have shown gains in intercultural competence (ICC) from study abroad programs, face-to-face classes, and online courses; however, limited studies have investigated differences between face-to-face and online modes of delivery in speech-language pathology and audiology. The purpose of this study was (a) to evaluate whether there are quantitative differences in development of ICC in a direct comparison of a face-to-face and 100% asynchronous online introductory in communication dis-orders, and (b) to describe participants learning through the structural intercultural learning activities embedded …

The Heads-Ed: A Psychosocial Screening For Pediatric Patients In Emergency Departments: A Systematic Review, Jessica Burns

Theses and Dissertations

The rates of mental health (MH) conditions among the pediatric population are rising steadily (Abramson, 2022; Clark et al., 2019). Given that MH symptoms and concerns frequently present in the emergency department (ED)-particularly since the onset of the COVID-19 pandemic-the ED setting may be a practical and effective setting to implement screening measures to identify youth at risk for mental illness and suicide (Leeb et al., 2020; Leff et al., 2021). This integrative systematic review examined the extent to which the HEADS-ED, one specific psychosocial screening measure, has been administered in the ED setting with youth and which healthcare professionals …

Black Midwives For Black Mothers: Ameliorating Racial Disparities In The Quality Of Maternal Healthcare, Kimberly Navarro

Theses and Dissertations

In the United States, maternal mortality represents a dire health crisis with a stark racial imbalance. Black women are two and a half to three times more likely to die from pregnancy and birth-related complications than their White counterparts. Racial disparities in maternal health can be explained by variations in the quality of maternal healthcare services that women tend to receive. Racial and ethnic minority women are more likely to receive inferior quality prenatal care (PNC), which brings to question the care model of traditional PNC and its adequacy in serving the healthcare needs of Black women. Since Black women …

Experiences And Perceptions Of Bilingual Spanish-English Latinx Clients And Bilingual Spanish-English Latinx Therapists In Psychotherapy: A Systematic Review, Irvin I. Navarrete

Theses and Dissertations

As the bilingual Spanish-English Latinx population in the United States increases, so will the need for culturally and linguistically competent mental health therapists. While past research has focused on providing culturally competent care, the role of language in the process of psychotherapy has received limited attention. This study aimed to comprehensively analyze the existing literature on bilingual Spanish-English Latinx clients’ and bilingual Spanish-English Latinx therapists’ experiences and perceptions within a bilingual psychotherapy setting and identify recommendations to enhance language proficiency. A systematic review was conducted and identified nine studies for inclusion. Results highlight seven themes focusing on bilingual Spanish-English Latinx …

Internal Medicine Interns' Perceived Preparation For Residency And Perceived Value Of Non-Surgical Ttr Course, Anthony Gaynier

Wayne State University Dissertations

Transition to residency (TTR) courses have become increasingly popular in medical schools. Yet there is limited data on interns’ perceived preparation for residency and the value of non-surgical TTR courses and their common components. Research has shown that TTR courses increase medical knowledge, clinical skills, and an increase in confidence in participants, but still incoming residents still do not feel prepared for the start of residency. Currently, there are only a few single institution studies researching interns’ perceived value of TTR courses.

This quantitative study surveyed internal medicine interns at five residency programs to find their preparation for residency, their …

The Mechanisms Of Trail Resistance In Triple-Negative Breast Cancer, Julio Macias Pimentel

Wayne State University Dissertations

Triple-negative breast cancer (TNBC) is an aggressive form of breast cancer that lacks targeted therapies. Previous studies have shown that TNBC cells are highly sensitive to tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL), making it a promising agent for treating TNBC. However, the development of TRAIL resistance limits its further clinical development, and the underlying mechanisms are not fully understood. In this study, we report the role of PD-L1 and inflammation in TRAIL resistance. Specifically, we found that TRAIL treatment increases PD-L1 expression in TRAIL-sensitive cells and that basal PD-L1 expression is increased in acquired TRAIL-resistant cells. Mechanistically, we found …

Mechanistic Insights Into The Therapeutic Potential Of Adjunctive Thymosin Beta-4 Treatment In Pseudomonas Aeruginosa-Induced Keratitis, Yuxin Wang

Wayne State University Dissertations

Tβ4, a naturally occurring 43-amino acid protein, has been found to promote wound healing and reduce corneal inflammation. Topical Tβ4 as a therapeutic agent in conjunction with ciprofloxacin improves the outcome of Pseudomonas aeruginosa-induced keratitis by regulating the cellular functions of PMNs and MΦs and enhancing the production of SPMs. Understanding the mechanisms of Tβ4 provides valuable insights and novel therapeutic potential for resolving disease pathogenesis not only in the cornea but also in other infectious and immune-regulated inflammatory conditions.

Shortness Of Breath In An Immunocompromised Patient, Bethany Langner, Hope Cain Lackey, Khalid Ameen, Farrah Ibrahim

UAB Huntsville Research Day - All Presentations

2023 clinical vignette poster

Defining County-Level Terrestrial Rabies Freedom Using The Us National Rabies Surveillance System: Surveillance Data Analysis, Amber Kunkel, Gabriella Veytsel, Sarah C. Bonaparte, Haillie Meek, Xiaoyue Ma, Amy J. Davis, Jesse Bonwitt, Ryan M. Wallace

United States Department of Agriculture Wildlife Services: Staff Publications

Background: Rabies is a deadly zoonotic disease with nearly 100% fatality rate. In the United States, rabies virus persists in wildlife reservoirs, with occasional spillover into humans and domestic animals. The distribution of reservoir hosts in US counties plays an important role in public health decision-making, including the recommendation of lifesaving postexposure prophylaxis upon suspected rabies exposures. Furthermore, in surveillance data, it is difficult to discern whether counties have no cases reported because rabies was not present or because counties have an unreported rabies presence. These epizootics are monitored by the National Rabies Surveillance System (NRSS), to which approximately 130 …

Deriving Spatially Explicit Direct And Indirect Interaction Networks From Animal Movement Data, Anni Yang, Mark Q. Wilber, Kezia R. Manlove, Ryan S. Miller, Raoul Boughton, James Beasley, Joseph Northrup, Kurt C. Vercauteren, George Wittemyer, Kim Pepin

United States Department of Agriculture Wildlife Services: Staff Publications

Quantifying spatiotemporally explicit interactions within animal populations facilitates the understanding of social structure and its relationship with ecological processes. Data from animal tracking technologies (Global Positioning Systems [“GPS”]) can circumvent longstanding challenges in the estimation of spatiotemporally explicit interactions, but the discrete nature and coarse temporal resolution of data mean that ephemeral interactions that occur between consecutive GPS locations go undetected. Here, we developed a method to quantify individual and spatial patterns of interaction using continuous-time movement models (CTMMs) fit to GPS tracking data. We first applied CTMMs to infer the full movement trajectories at an arbitrarily fine temporal scale …

Long Term Changes In Aquaculture Influence Migration, Regional Abundance, And Distribution Of An Avian Species, Paul C. Burr, Brian S. Dorr, Jimmy L. Avery, Garrett M. Street, Bronson K. Strickland

United States Department of Agriculture Wildlife Services: Staff Publications

Agricultural development has been causing changes to the environment and the abundance and distribution of avian species. Agriculture is dynamic with changes in products occurring at large scales over relatively short time periods. The catfish aquaculture industry is one such agriculture industry that has undergone dramatic changes over the last 25 years. The double-crested cormorant (Nannopterum auritum) is a piscivorous bird that has an extensive history with the aquaculture industry of Mississippi due to its depredation of cultured catfish. A large-scale monitoring program began in 1989 to estimate the abundance and location of cormorants at every known roost in the …

Raccoon Rabies Control And Elimination In The Northeastern Usa And Southern Québec, Canada, Amy J. Davis, Marianne Gagnier, Ariane Massé, Kathleen M. Nelson, Jordona D. Kirby, Ryan Wallace, Xiaoyue Ma, Christine Fehlner-Gardiner, Richard B. Chipman, Amy Gilbert

United States Department of Agriculture Wildlife Services: Staff Publications

Rabies virus (RABV) is a deadly zoonosis that circulates in wild carnivore populations in North America. Intensive management within the USA and Canada has been conducted to control the spread of the raccoon (Procyon lotor) variant of RABV and work towards elimination. We examined RABV occurrence across the northeastern USA and southeastern Québec, Canada during 2008–2018 using a multi-method, dynamic occupancy model. Using a 10 km× 10 km grid overlaid on the landscape, we examined the probability that a grid cell was occupied with RABV and relationships with management activities (oral rabies vaccination (ORV) and trap-vaccinate-release efforts), habitat, neighbour effects …

Validation Of A Nutria (Myocastor Coypus) Environmental Dna Assay Highlights Considerations For Sampling Methodology, Anna M. Mangan, John A. Kronenberger, Ian H. Plummer

United States Department of Agriculture Wildlife Services: Staff Publications

Nutria (Myocastor coypus) is a semiaquatic rodent species that is invasive across multiple regions within the United States. Here, we evaluated a qPCR assay previously described for use in Japan for application across invasive populations in the United States. We also compared two environmental DNA sampling methodologies for this assay: field filtration of large volumes of water passed through filters versus direct sampling of small volumes of water. We validated assay specificity, generality, and sensitivity, compared assay performance between two independent laboratories, and successfully tested the assay in situ on a known wild population. The filtration method required …

Producers’ Perceptions Of Large Carnivores And Nonlethal Methods To Protect Livestock From Depredation: Findings From A Multistate Federal Initiative, Keith M. Carlisle, Hailey E. Ellis, Colorado State University, Alan D. Bright

United States Department of Agriculture Wildlife Services: Staff Publications

We examined livestock producers’ perceptions of wolves, grizzly bears, black bears, and mountain lions, as well as their experiences with using nonlethal methods to protect livestock from depredation. All producers in the study received nonlethal predator management assistance in 2020 from USDA-APHIS-Wildlife Services (“WS”) pursuant to a federally funded initiative focused on the use of nonlethal methods to protect livestock. Such methods included assistance from range riders (i.e., individuals who monitor livestock and carnivores), fladry (i.e., flags hung from rope that serve as a repellent), and other audio/visual deterrents (e.g., Foxlights). The producers did not specifically seek nonlethal assistance from …

Distribution Of Baylisascaris Procyonis In Raccoons (Procyon Lotor) In Florida, Usa, Mark W. Cunningham, Daniel P. Wolf, Katherine A. Sayler, Michael Milleson, Brittany Bankovich, Paul Schueller, Betsy S. Haley, Savannah Stura, Michael J. Yabsley

United States Department of Agriculture Wildlife Services: Staff Publications

Baylisascaris procyonis, or raccoon roundworm, is an intestinal nematode parasite of raccoons (Procyon lotor) that is important to public and wildlife health. Historically, the parasite was uncommon in the southeastern US; however, the range of B. procyonis has expanded to include Florida, US. From 2010 to 2016, we opportunistically sampled 1,030 raccoons statewide. The overall prevalence was 3.7% (95% confidence interval=2.5–4.8%) of sampled individuals, and infection intensity ranged from 1 to 48 (mean±standard deviation 9.9±4.0). We found raccoon roundworm in 9/56 (16%) counties sampled, and the percent positive ranged from 1.1% to 13.3% of specimens collected per …

An Ode To Owls: Review Of What An Owl Knows: The New Science Of The World’S Most Enigmatic Birds By Jennifer Ackerman, Alan B. Franklin

United States Department of Agriculture Wildlife Services: Staff Publications

Owls are mysterious creatures, mainly because we humans hardly ever encounter them. They are mostly nocturnal, are silent in their flight, and tend to unnerve us with their ghostly and sometimes quavering vocalizations. There have been numerous books on the natural history of owls written for nonexperts, but Jennifer Ackerman’s What an Owl Knows takes a novel tack, blending natural history and scientific discovery with a discussion of recent technological innovations. The result is a fascinating read on how scientists are beginning to better understand the lives and ecology of these secretive and rarely visible birds.

The book’s nine chapters …

Tourism‑Supported Working Lands Sustain A Growing Jaguar Population In The Colombian Llanos, Matthew Hyde, Esteban Payán, Jorge Barragan, Diana Stasiukynas, Sanmantha Rincón, William L. Kendall, Jerónimo Rodríguez, Kevin R. Crooks, Stewart W. Breck, Valerie Boron

United States Department of Agriculture Wildlife Services: Staff Publications

Understanding large carnivore demography on human-dominated lands is a priority to inform conservation strategies, yet few studies examine long-term trends. Jaguars (Panthera onca) are one such species whose population trends and survival rates remain unknown across working lands. We integrated nine years of camera trap data and tourist photos to estimate jaguar density, survival, abundance, and probability of tourist sightings on a working ranch and tourism destination in Colombia. We found that abundance increased from five individuals in 2014 to 28 in 2022, and density increased from 1.88 ± 0.87 per 100 km² in 2014 to 3.80 …

Science‐Driven Guidelines Needed To Better Manage And Conserve Black Vultures In North America, Scott A. Rush, Neil J. Buckley, Patrick A. Zollner, Bryan M. Kluever, Brooke Mcwherter, Grant C. Burcham, Zhao Ma, Marian L. Wahl, Adrián Naveda‐Rodríguez

United States Department of Agriculture Wildlife Services: Staff Publications

Black vultures (Coragyps atratus) provide invaluable ecological services through disposal of carrion and the mobilization of energy within the landscape. Human‐wildlife conflicts with these birds have increased as populations have grown and the species distribution has expanded. We identify critical science needed to understand conflict between black vultures and humans to inform effective management of this species in North America. It is imperative that diagnostic criteria supporting the identification of the impacts of black vulture on livestock be standardized and verified. Management guidelines that take these criteria into account will enable reduction in the potential for black‐vulture‐farmer conflict …

The Impact Of The Covid‑19 Pandemic On Wildlife–Aircraft Collisions At Us Airports, Levi Altringer, Sophie C. Mckee, Jason D. Kougher, Michael J. Begier, Stephanie A. Shwiff

United States Department of Agriculture Wildlife Services: Staff Publications

Exploiting unprecedented reductions in aircraft movements caused by the COVID-19 pandemic, we investigated the relationship between air traffic volume and the frequency of wildlife-aircraft collisions, or wildlife strikes, at the 50 largest airports in the United States. During the COVID- 19 months of 2020 (March–December), both air traffic volume and the absolute number of wildlife strikes were reduced. The net effect of these two movements, however, was an increase in the wildlife strike rate from May 2020–September 2020. This increase was found to be most pronounced at airports with larger relative declines in air traffic volume. We concluded that the …

Fertility Control Options For Management Of Free-Roaming Horse Populations, Ursula S. Bechert, John W. Turner Jr., Dan L. Baker, Douglas C. Eckery, Jason E. Bruemmer, Candace C. Lyman, Tulio M. Prado, Sarah B. King, Mark A. Fraker

United States Department of Agriculture Wildlife Services: Staff Publications

The management of free-roaming horses (Equus ferus) and burros (E. asinus) in the United States has been referred to as a “wicked problem” because, although there are population control options, societal values will ultimately determine what is acceptable and what is not. In the United States, free-roaming equids are managed by different types of organizations and agencies, and the landscapes that these animals inhabit vary widely in terms of access, size, topography, climate, natural resources, flora, and fauna. This landscape diversity, coupled with contemporary socioeconomic and political environments, means that adaptive management practices are needed to regulate these free-roaming populations. …

Texas Hunters' Attitudes Toward Wild Pigs (Sus Scrofa) And Their Management: An Applied Approach For Wildlife Managers, Lauren M. Jaebker, Alan D. Bright, Hailey E. Ellis, John M. Tomeček, Maureen G. Frank, Rachel L. Connally, Stephanie A. Shwiff, Keith M. Carlisle

United States Department of Agriculture Wildlife Services: Staff Publications

Choosing and executing a wild pig management strategy is often a considerable challenge for wildlife managers due to the wide variety of potential strategies and stakeholder preferences. Our research aims to understand management preferences for and tolerance of wild pigs among Texas resident hunters within 8 managerial districts of Texas. We applied the Potential for Conflict Index (PCI2) to estimate potential management preference conflicts within each district. From 24,201 questionnaires completed in 2019, we found that, on average, 74% of respondents across all management actions in each district were found to be acceptable. Resident respondents were overall intolerant of wild …