Medicine and Health Sciences Commons^™

Elearning Improves Allied Health Professionals' Knowledge And Confidence To Manage Medically Unexplained Chronic Fatigue States: A Randomized Controlled Trial, Matthew D. Jones, Sally M. Casson, Benjamin K. Barry, Sophie H. Li, Trinidad Valenzuela, Joanne Cassar, Camillo Lamanna, Andrew R. Lloyd, Carolina X. Sandler

Research outputs 2022 to 2026

Objectives: To evaluate the impact of eLearning by allied health professionals on improving the knowledge and confidence to manage people with medically unexplained chronic fatigue states (FS). Methods: Using a parallel randomized controlled trial design, participants were randomized 1:1 to a 4-week eLearning or wait-list control group. Knowledge and self-reported confidence in clinical skills to implement a therapeutic intervention for patients with FS were assessed at baseline, post-intervention and follow-up. Secondary outcomes (adherence and satisfaction with online education, knowledge retention) were also assessed. Data was analyzed using intention-to-treat. Results: There were 239 participants were randomized (eLearning n = 119, control …

“I Believe…” - Graduating Midwifery Students’ Midwifery Philosophies And Intentions For Their Graduate Year: A Longitudinal Descriptive Study, Kate Dawson, Heather Wallace, Sara Bayes

Research outputs 2022 to 2026

Objective: Midwifery graduates may experience transition shock that makes them question their fit for their workplace and the profession and in extreme cases, may lead to them leaving. Understanding graduate midwives’ worldviews, job intentions and work experiences is important to inform retention strategies. Factors such as having a strong professional identity and experiencing strong job satisfaction are important for midwife retention. Conversely, stress, trauma and work-life imbalances are examples of factors that lead to attrition from midwifery. Transition shock experienced by some graduates can exacerbate these factors if not managed effectively. This study aimed to identify causes and impact of …

Investigating Weekend Effect In The Management Of Upper And Lower Extremity Degloving Injuries, Kaamya Varagur, Janessa Sullivan, Sarah N. Chiang, Gary B. Skolnick, Justin M. Sacks, Joani M. Christensen

2020-Current year OA Pubs

BACKGROUND: Weekend presentation has been associated with adverse outcomes in emergent conditions, including stroke, myocardial infarction, and critical limb ischemia. We examine whether a weekend effect exists in the management of and outcomes after extremity degloving injuries.

METHODS: The cohort included adults presenting with open extremity degloving injuries to a tertiary level one trauma center between June 2018 and May 2022. We collected demographics, comorbidities, injury information, interventions, and complications. Propensity score weighting was used to minimize confounding differences between those presenting on weekends (Sat-Sun) versus weekdays (Mon-Fri). Weighted regressions were used to examine differences in interventions by day of …

Skin Breakdown Prevention, Brianna Bayly Bsn, Rn, Jennifer Huxta Bsn, Rn, Rebecca Kane Bsn, Rn, Emily Tora Bsn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Teaching And Tomorrow: Children's Mercy Hospital Pediatric Gastroenterology Fellowship Program, Children's Mercy Kansas City

Posters

No abstract provided.

Anesthetic Management Of Clamshell Thoracotomy For Large Tumor, Kasey Brooks, Nathaniel Lata

Posters

No abstract provided.

Education For Ed Nursing Staff On Diagnostic Glucose Checks On Higher Acuity Patients, Morgan Reiss Bsn, Rn, Victoria Kraus Bsn, Rn, Rachel Moser Bsn, Rn, Fazia Khan Bsn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

September / October 2023, Randy Curry, Cindy Brooks

RURAL ROCKS

This is the September & October 2023 issue of Rural Rocks from the SWOSU College of Pharmacy.

Advocating And Educating The Role Of Occupational Therapy For Adaptive Swim Lessons Among Children With Autism, Charlotte Leonard, Zeida Gutierrez, Jon Edenfield

Fall 2023 Virtual OTD Capstone Symposium

Drowning is the number one cause of death for children ages 1-4 and the second leading cause of death for children ages 5-14 (Centers for Disease Control and Prevention [CDC], 2022). Children with autism are 160x more likely to drown than their neurotypical peers (Autism Society of Florida, n.d.). Many parents and caregivers put protective layers in place such as locks, gates, and fencing. However, children with autism are known to wander from safe spaces. According to the Autism Society of Florida (n.d.) children with autism are naturally drawn to water due to its ability to ease sensory needs. Brenner …

Healthy Seniors: Supporting Chronic Condition Management Through Educational And Motivational Materials., Megan Wiggs, Helen Carey

Fall 2023 Virtual OTD Capstone Symposium

Within the United States, the older adult population is rising and facing a growing number of chronic conditions (Mirza et al., 2020). Chronic conditions are associated with an increase in hospitalizations, functional decline, and healthcare spending. Largely, chronic conditions are managed under primary care physicians and treatment is not put into place until an exacerbation and hospitalization occurs (Mirza et al., 2020). Thus, a cruel cycle is created in which an individual undergoes functional decline, worsening of the condition, and decreasing quality of life and well-being. The older adult population wishes to age in place and manage their health; however, …

Building Resilience To Treat Trauma And Improve Social Participation With Youth In Foster Care, Rachel Greene, Keisa Boykin, Dana Madalon

Fall 2023 Virtual OTD Capstone Symposium

Childhood trauma is classified by adverse childhood experiences (ACEs) that caused the trauma. An ACE is a traumatic event that an individual has observed from birth to 18 years old (Atchison & Suarez, 2021). ACEs include but are not limited to physical, sexual, or emotional abuse, and neglect. ACEs also include household dysfunctions such as domestic violence, divorce, incarceration of family, substance abuse, food scarcity, poverty, and the COVID-19 pandemic. Building resilience promotes healthy coping skills, the ability to trust and engage with support systems, and the prevention of retraumatization (Bethell et al., 2017). Trauma and resiliency are invertedly related, …

The Role Of Occupational Therapy And The Use Of Physical Agent Modalities And Occupational Therapy Interventions To Decrease Pain Associated With Endometriosis To Provide Increased Occupational Performance In Leisure Activities, Ciara Autumn Pearce, Keisa Boykin

Fall 2023 Virtual OTD Capstone Symposium

Endometriosis is a condition that can affect women of reproductive age (Kalaitzopoulos et al., 2021). This condition causes endometrial-type tissue to grow outside of the uterus (Kalaitzopoulos et al., 2021). Women diagnosed with endometriosis often have difficulty participating in their daily responsibilities and leisure activities. In a study completed by Lozano-Lozano et al., 2021, 22.6% of women reported limitations in at least one activity of daily living and instrumental activity of daily living. Other limitations include incontinence, meal preparation, leisure activities, and household chores (Mundo-López et al., 2020). Symptoms of endometriosis often include chronic fatigue, anxiety, depression, sexual dissatisfaction, and …

An Occupational Therapy Assessment Guide For People With Posttraumatic Stress Disorder, Cynthia Sakian, Steven M. Gerardi

Fall 2023 Virtual OTD Capstone Symposium

This poster presents development of an occupational therapy assessment guide tailored for individuals with posttraumatic stress disorder. Motivated by the lack of standardized assessment protocols in the field, the initiative seeks to mitigate inconsistencies among occupational therapy practitioners and propel advancements in treatment. Key objectives include a comprehensive review of pertinent literature on occupational therapy and posttraumatic stress disorder, identification of functional impairments associated with the disorder, and the formulation of an assessment framework. Rooted in the Model of Human Occupation, the guide underscores the significance of volition, habituation, performance capacity, and environmental influences, accommodating individual preferences and disruptions while …

Advocating For The Role Of Occupational Therapy In The Burn Population, Jordan Faircloth, Keisa Boykin

Fall 2023 Virtual OTD Capstone Symposium

In 2018, around 450,000 individuals in the United States (U.S.) suffered from severe burn injuries (ABA, 2018). The largest burn center in the U.S. is the Joseph M. Still Burn Center at Doctors Hospital, located in Augusta, Georgia. This location is where the capstone experience was completed. Individuals who suffer from severe burns are at risk for developing contractures. Scar contractures can impact an individual during ADL participation, limiting their independence and causing a disruption in daily routine, habits, and roles (Oosterwijk et al., 2017). Five main components of scar management focus on compression gear, sun protection, appropriate positioning/splinting to …

Establishing A Transformative Social Emotional Learning Evaluation Plan To Support All Students Within A Targeted School District, Tia Coleman, Angela Blackwell, Tiffany Lee

Fall 2023 Virtual OTD Capstone Symposium

Social and emotional learning (SEL) refers to the process through which individuals acquire social and emotional competencies (Geesa et al., 2022). This capstone project aimed to enhance education by developing a transformative SEL evaluation plan in a school district. The school district presented a commitment to fostering SEL but recognized the need for more targeted and transformative actions. This initiative arises from the acknowledgment that the existing SEL program did not meet the district's specific needs of inclusivity and equity, potentially impacting overall student performance, participation, and well-being. To address this gap, the district incorporated insights from occupational therapy practice …

An Activity Program For Individuals With Intellectual And Developmental Disabilities, Rebecca Wright, Keisa Boykin

Fall 2023 Virtual OTD Capstone Symposium

According to the Diagnostic and Statistical Manual of Mental Disorders intellectual and developmental disabilities (IDD) are characterized by onset in the developmental period and include both intellectual and adaptive functioning deficits in conceptual, social, or practical domains that limit functioning in one or more areas of daily life (American Psychiatric Association [APA], 2013). Occupational therapists provide interventions for individuals with IDD however there are gaps surrounding occupation-based leisure and recreation activities (Kalijaca, et al 2019). Purpose: The purpose of this project is to create an activity program for individuals with IDD to increase participation and performance in leisure and recreation …

A Occupational Therapy Guidebook For Teachers On Sensory Processing And Sensory Integration, Kaitlyn Stanley, Keisa Boykin, Heidi Woolley

Fall 2023 Virtual OTD Capstone Symposium

Children with sensory processing (SP) challenges find simple classroom tasks overwhelming and can present with deficits in behavior management, emotional regulation, and occupations due to the inability to self-regulate the sensory input from their environment. In addition, deficits in SP may impact a child's ability to maintain engagement and participation in the learning process. If these SP needs are not met through the school, the child lacks the adequate tools to be successful in learning, which is considered occupational injustice (AOTA, 2020). By providing teachers with the adequate educational tools to understand sensory processing and sensory integration (SP-SI), identify and …

Prevalence Of Age-Related Macular Degeneration And Associated Factors In Indian Cohort In A Tertiary Care Setting, Jacqueline Hamati, Sai Prashanthi, Raja Narayanan, Niroj Sahoo, Anthony Vipin Das, Padmaja Kumari Rani, Umesh Chandra Behera, Rohit Khanna, Gudlavalleti V.S. Murthy

Student Papers, Posters & Projects

PURPOSE: To report a big data analysis of risk and protective factors in patients with AMD, as well as report on the age-adjusted prevalence in a geriatric Indian cohort in a hospital setting.

METHODS: This retrospective, observational study of all patients older than 60 years of age. Multiple logistic regression was performed for the binary outcome and the presence of AMD. Variables analyzed include age, gender, socioeconomic status, occupation, urban-rural-metropolitan distribution, self-reported history of diabetes mellitus (DM), hypertension (HTN), or coronary artery disease (CAD), ocular comorbidities, history of cataract surgery, and presenting VA. Odds ratios (OR) and 99% confidence intervals …

Pelaksanaan Tanggung Jawab Sosial Perusahaan Melalui Program Pemulihan Mata Pencaharian Oleh Lembaga X, Muhammad Hanif Ridho, Mochammad Rizqy Maulana, Muhamad Azami Nasri

Jurnal Ilmu Kesejahteraan Sosial

This study examines the implementation of corporate social responsibility through the Livelihood Restoration Program (LRP) by Institution X. The study employs a qualitative approach with descriptive research methodology. Data collection techniques include in-depth interviews and literature review. The study is motivated by land acquisition conducted by PT Y, which affected the livelihoods of the local community. Consequently, PT Y initiated livelihood restoration for the affected community through the LRP managed by Institution X. The findings indicate that Institution X has two primary roles: providing consultancy services and facilitating the implementation of the LRP. First, as a consultancy agency, Institution X …

Program Penanganan Fakir Miskin Di Desa Mulyasari Kota Banjar Provinsi Jawa Barat, Aep Rusmana, Eri Susanto, Muhammad Rai Jemadila, Nabila Aulia Putri

Jurnal Ilmu Kesejahteraan Sosial

Poverty is a condition where a person cannot fulfill their basic needs to achieve a more dignified life. This research aims to explain the program for handling the poor in Mulyasari Village which is directed at three things, namely: 1) managing social problems, 2) mechanisms for meeting needs, and 3) providing opportunities for advancement for the poor. The method used in this research is a descriptive qualitative method with a phenomenological tradition. Determining the research sample used purposive sampling technique. There were 6 research informants consisting of Mulyasari Village officials, poor families who received social welfare services, and Community Social …

Keterlibatan Serikat Pekerja Dalam Perubahan Kebijakan Pengupahan Melalui Advokasii Sosial, Zeni Tri Lestari, Arif Wibowo

Jurnal Ilmu Kesejahteraan Sosial

This research is about the involvement of trade unions in changing wage policies through social advocacy from the social welfare perspective. The urgency of conducting this research is to reveal how KASBI's involvement as a worker's union encourages changes in wage policies to ensure better labor welfare through advocacy against the Job Creation Law and advocacy against Minister of Manpower Regulation Number 2 of 2022. This research uses a descriptive qualitative method. Data were collected from February to June 2023 through online and offline interviews involving three informants selected by the purposive sampling technique. The research results reveal that KASBI …

Pengembangan Sistem Informasi Desa Dalam Upaya Penanggulangan Kemiskinan Di Desa Rarang Selatan, Meita Annisa, Bambang Shergi Laksmono

Jurnal Ilmu Kesejahteraan Sosial

Indonesia continues to face challenges in poverty alleviation, with extreme poverty still prevalent in the country. Despite having a social protection system aimed at reducing poverty and cushioning the poor and vulnerable from crises, its implementation often encounters difficulties, particularly in obtaining valid and verified data sources. This study explores how the development of the Village Information System (SID) can contribute to poverty alleviation in Rarang Selatan Village, West Nusa Tenggara Province (NTB). When SID was introduced in 2016, Rarang Selatan was a newly established village classified as underdeveloped. By 2022, the village had progressed to the category of an …

Role Of Preoperative Nerve Conduction Studies For Penetrating Hand Injuries Involving The Median Palmar Cutaneous Nerve, Saral Patel, David Hutchinson, Sebastian D. Arango, Andrew J. Miller, Rowena Mcbeath

Department of Orthopaedic Surgery Faculty Papers

Penetrating lacerations to the hand are a common cause of nerve injury and can lead to debilitating pain and numbness in the distribution of the nerve affected. Owing to an overlap in the cutaneous innervation from different sensory nerves, clinically identifying the injured nerve can be difficult. We present a novel case of isolated injury to the palmar cutaneous nerve from a penetrating knife injury which was detected using 'comparison waveform' nerve conduction studies. Using this technique, we can isolate injuries to the palmar cutaneous branch of the median nerve (PCBmdn) from the median nerve, dorsal radial sensory nerve, and …

Global, Regional, And National Incidence Of Six Majorimmune-Mediated Inflammatory Diseases: Findings From Theglobal Burden Of Disease Study 2019, Kavita Batra, Manoj Sharma, Asma Tahir Awan, Numerous Authors, See List Below

School of Medicine Faculty Research

Background: The causes for immune-mediated inflammatory diseases (IMIDs) are diverse and the incidence trends of IMIDs from specific causes are rarely studied. The study aims to investigate the pattern and trend of IMIDs from 1990 to 2019.

Methods: We collected detailed information on six major causes of IMIDs, including asthma, inflammatory bowel disease, multiple sclerosis, rheumatoid arthritis, psoriasis, and atopic dermatitis, between 1990 and 2019, derived from the Global Burden of Disease study in 2019. The average annual percent change (AAPC) in number of incidents and age standardized incidence rate (ASR) on IMIDs, by sex, age, region, and causes, were …

Dean's Report- Fall 2023, Marina K. Holz

GSBMS Dean’s Report

No abstract provided.

Une Com Research And Scholarship Fall Forum October 2023, Une Com Research & Scholarship

Osteopathic Student Research Symposia

Program including abstracts from the University of New England College of Osteopathic Medicine’s 2023 Research and Scholarship Fall Forum.

Supplemental content: List of award winners.

Effects Of Thermocycling And Hydrolytic Aging On The Flexural Strength Of Additively Manufactured Restorative Materials, Steven Mustafa Abu Al Tamn

Master's Theses (2009 -)

Introduction: Additive manufacturing is being integrated into various aspects of clinical prosthodontics due to its potential for use in various indications and the promise of improved clinical efficiency and properties.Objective: The purpose of this in-vitro study was to evaluate the flexural strength of two 3D-printed resin composites in relation to a conventionally fabricated resin composite after being subjected to two different artificial aging methods: thermocycling and distilled water storage. Material and methods: A total of 220 samples were fabricated (N=220); 72 samples were fabricated from Integrity composite (Dentsply Sirona) and 148 samples were fabricated from two 3D-printed composite materials MFH …

Long-Term Assessment Of Skeletal And Dental Asymmetry After Conventional And Mini-Screw Assisted Rapid Palatal Expansion, Brett Barton

Master's Theses (2009 -)

Objective: To evaluate the long-term skeletal and dental asymmetry following Mini-screw Assisted Rapid Palatal Expansion (MARPE), Rapid Palatal Expansion (RPE) and controls with 3D cone beam computed tomography (CBCT) analysis. Methods: 180 CBCT scans were evaluated retrospectively for 60 patients at pre-treatment (T1), post-expansion (T2), and post-treatment (T3). The patients were randomly assigned into 3 groups – MARPE, RPE, and controls. Anterior Nasal Spine (ANS), Posterior Nasal Spine (PNS), Zygomaticomaxillary Point (ZMA), Anterior Nasal Cavity Width (ANCW), Posterior Nasal Cavity Width (PNCW), External Maxillary Width (EMW), Palatal Width (PW), Maxillary Width (MMW), Maxillary Canine Width (MCW) were measured on the …

A Single Center Analysis Of Patients Undergoing Liver Resection For Intrahepatic Cholangiocarcinoma, Nazli Begum Ozturk, Laith H. Jamil

Conference Presentation Abstracts

Background: Intrahepatic cholangiocarcinoma (iCCA) is the second most common primary liver cancer with increasing rates of incidence and mortality. Surgical resection with negative margins and regional lymphadenectomy is the mainstay of the treatment for patients with resectable-iCCA. Because of its rarity and low resectability rate of iCCA, prognostic markers and outcomes of patients who undergo liver resection are not well defined. We aimed to evaluate the characteristics of patients undergoing liver resection for iCCA at our institution over ten years. Methods: All patients with iCCA who had liver resection between 3/2013-3/2023 at our institution were included in the study. An …

Web-Grading-A Tool To Test Personal Grading Of Renal And Prostate Cancer, Glen Kristiansen, Matthias Schmid, Lars Egevad, Hemamali Samaratunga, Murali Varma, Kaan Inam, Hans-Jürgen Thiesen, Brett Delahunt, Yulin Dai

Faculty, Staff and Student Publications

Only a few pathologists have the opportunity to verify their personal grading through objective assessment. This study introduces a web-based grading platform to facilitate and validate the grading of renal cell carcinoma and prostate cancer. Two representative images of two clinically annotated cohorts of 100 cases each of prostate and renal cell carcinoma were used. Each participant was asked to grade a tumor series utilizing a three tiered grading system. Finally, a Kaplan-Meier curve was drawn, and the log-rank test was used for statistical testing of the p-value. The grading of 22 participants (68%) achieved prognostic significance. Further analysis highlighted …