Medicine and Health Sciences Commons^™

Differences In Urine Creatinine And Osmolality Between Black And White Americans After Accounting For Age, Moisture Intake, Urine Volume, And Socioeconomic Status, Patrick B. Wilson, Ian P. Winter, Josie Burdin

Exercise Science Faculty Publications

Urine osmolality is used throughout research to determine hydration levels. Prior studies have found black individuals to have elevated urine creatinine and osmolality, but it remains unclear which factors explain these findings. This cross-sectional, observational study sought to understand the relationship of self-reported race to urine creatinine and urine osmolality after accounting for age, socioeconomic status, and fluid intake. Data from 1,386 participants of the 2009–2012 National Health and Nutrition Examination Survey were utilized. Age, poverty-to-income ratio (PIR), urine flow rate (UFR), fluid intake, estimated lean body mass (LBM), urine creatinine, and urine osmolality were measured. In a sex-specific manner, …

An Evaluation Of The Rural Gobabygo Program At West Virginia University, Shayna Rexrode, Alexa Morgan, Haleigh Parsons, Holly Raines

Graduate Student Scholarship

The GoBabyGo program is a powered mobility program for young children with mobility and/or cognitive deficits that aims to increase their social participation, environmental exploration, and overall play abilities. This study aims to evaluate the rural GoBabyGo program at West Virginia University through caregiver and therapist perceptions. Traditionally, the GoBabyGo program process occurs primarily in person and includes consultation, builds, modifications, and delivery. Due to the rural nature of West Virginia, environmental barriers have led to the use of virtual services with the GoBabyGo program at West Virginia University. Evaluating these novel services is essential to successfully continuing the GoBabyGo …

Does Follow-Up Contact Impact Caregiver Perceptions And Reports Of Usage Of The Go Baby Go Car, Ashten Cenkus, Taylor Grout, Loryn Frame

Graduate Student Scholarship

Previous studies have shown that a lack of follow-up from a child’s care team affects the level of usage of an assistive technology device. Occupational therapy plays a role in improving this carryover. The present study investigates the use of the Go Baby Go powered ride on toy vehicles and their ability to promote children’s independence, mobility, exploration, and participation in play through caregiver interviews. The qualitative research design employed was a descriptive phenomenology to understand the meaning to the caregivers of their child’s receipt of and use of the Go Baby Go assistive technology in order to facilitate mobility …

“Courtesy, Respect, And Follow Through”: A Mixed Methods Evaluation Of Faculty Members’ Experiences, Needs, And Approaches To Research Collaborations, Daniela B. Friedman Ph.D., Christina Ek, Jean Neils-Strunjas Ph.D, Ccc-Slp, Andrea Tanner Ph.D., James R. Hébert Scd, Lorie Donelle, Sue E. Levkoff, Freda Allyson Hucek, Brooks Yelton Ma, Lmsw, Dwayne E. Porter

Faculty Publications

Introduction: Guided by a communications-focused framework developed by an interdisciplinary team of authors, this paper presents data from a survey of health science faculty members to better understand how research collaborations are established and maintained. Methods: An electronic survey was distributed to faculty in six colleges at a Research 1 institution. Quantitative data were downloaded into Excel and then RStudio for descriptive analysis. Open-ended, qualitative responses were coded and analyzed for themes. Results: Most respondents were in public health (44.0%) or medicine (25.3%); 40.0% were tenured. A grant deadline was the main impetus reported for initiating research collaborations (86.1%). Most …

Reflecting On Partnerships Established And Sustained Over Four Cycles Of A Federally Funded Cancer Prevention And Control Research Program: Lessons Learned For Community-Academic Networks, Swann Arp Adams, Lauren Workman Ph.D., Mayank Sakhuja, Brooks Yelton Ma, Lmsw, Karen E. Wickersham Phd, Rn, Ciaran Fairman, Jan Eberth Ph.D., Sue Heiney Scd, James Hébert Scd, Freda Allyson Hucek, Lauren Schaurer, Daniela B. Friedman Ph.D.

Faculty Publications

Introduction: The Centers for Disease Control and Prevention (CDC) funded Cancer Prevention and Control Research Network (CPCRN) is a national network which aims to accelerate the adoption and implementation of evidence-based cancer prevention and control strategies and interventions in communities, enhance large-scale efforts to reach underserved populations and reduce their cancer-related health disparities, and develop the capacity of the dissemination and implementation work force specifically in cancer prevention and control. Methods: Our site has been a part of the CPCRN since its inception in 2002 with the exception of the 2004–2009 funding cycle. As community-based participatory research is a core …

Advanced Practice Providers In Emergency Medicine, Matthew Kalonick

Physician Assistant Scholarly Project Papers

The emergency department is at the core of healthcare in western medicine. It is commonly the first site of patient contact prior to admission or surgical intervention. Management of admission and discharge from the ED is integral to efficient flow of hospital operation. The critical operation of the ED has long acted as a barrier for the application of advanced practice providers (nurse practitioners and physician assistants) from being heavily utilized in this setting. As healthcare costs, physician shortages, and the acceptance of APPs has increased over time, EDs have increased their utilization of APPs. However, there remains concerns regarding …

Premenstrual Dysphoric Disorder/Premenstrual Syndrome Luteal Phase Treatment, Shelby Gawarecki

Physician Assistant Scholarly Project Papers

Many women suffer from PMS/PMDD symptoms that affect their emotional and physical wellbeing. This research aimed to compare luteal phase treatment options for PMS/PMDD, such as SSRIs, progesterone, and sepranolone. The research was conducted using electronic search databases PubMed, Embase, CINHAL, Access Medicine, Cochrane Library, and NaProTECHNOLOGY Creighton Model FertilityCare System. Studies used in this research were found using keyword and MESH search terms. Each reviewed study was peer-reviewed, including randomized control trials or a meta-analysis. Among the treatments analyzed, SSRIs emerged as a consistent primary treatment for symptom alleviation, particularly in addressing cognitive symptoms associated with PMS/PMDD. SSRIs, at …

Let’S Move! Benefits Of Exercise Compared To Ssris (Escitalopram) For The Management Of Depression: Research From 2020 And Beyond, Brianna Droessler-Aschliman

Physician Assistant Scholarly Project Papers

The purpose of this literature review is to determine the effectiveness of exercise as either monotherapy or in combination with SSRIs (selective serotonin reuptake inhibitors) for the management of major depressive disorder. Studies gathered for this review came from the following databases: PubMed, SpringerLink, Academic Search Ultimate, Academic Search Complete, and CINAHL. Current research completed between the years 2020-2023 that consisted of either clinical trials, RCTs, or meta-analysis were included. A total of eleven studies were reviewed that addressed either the benefits of exercise, SSRIs, or a combination for the management of depression. Upon completion of the literature review, it …

Efficacy Of Vitamin D Versus Biological Agents In The Management Of Rheumatoid Arthritis, Kayli Day

Physician Assistant Scholarly Project Papers

Rheumatoid arthritis (RA) is a chronic inflammatory disease leading to joint destruction. There are several treatment options available to patients, including conventional disease modifying antirheumatic drugs (DMARDS) and biological agents, but their efficacies vary per patient and have significant adverse effects and costs associated. There is, however, encouraging evidence to suggest the incorporation of vitamin D in treatment regimens may be a promising option for patients. A comprehensive literature review was conducted using PubMed and CINHAL databases, employing keywords and MeSH terms related to RA treatment options, with the goal to compare efficacy of biological agents and vitamin D in …

Mobilized Healthcare: The Future Of Accessible Medicine, Zachary Carlson

Physician Assistant Scholarly Project Papers

This literature review discusses the impact that MIH teams can have in our health system. It is well known that there are communities that benefit from MIH teams such as rural or underserved areas; however, this paper discusses a variety of other demographics that may benefit from implementation of MIH teams. It will also evaluate how MIH teams alter patient Emergency Department (ED) visits, hospital admissions, facility spending, and patient outcomes. MIH is a form of preventative medicine that may be better optimized by healthcare facilities going forward, and this article helps to weigh the pros versus cons of MIH …

Comparison Of Cryopreservation Of Ovarian Tissue Versus Cryopreservation Of Oocytes In Fertility Preservation, Madison Nitschke

Physician Assistant Scholarly Project Papers

This literature review aims to compare ovarian tissue cryopreservation (OTC) and oocyte cryopreservation as methods for fertility preservation. Electronic health science databases including PubMed, Clinical Key, ScienceDirect, and UpToDate were utilized. Seven articles met the inclusion criteria and were analyzed for this comprehensive review. This review indicates that both oocyte and ovarian tissue cryopreservation can effectively preserve fertility, however, ovarian tissue cryopreservation is deemed most effective for prepubertal girls at high risk of iatrogenic primary ovarian insufficiency (POI), or women who are unable to postpone gonadotoxic treatment. Ovarian tissue cryopreservation offers advantages that oocyte cryopreservation does not, such as multiple …

Efficacy Of Complimentary Manual Therapies For Labor Pain Management, Emily Yenter

Physician Assistant Scholarly Project Papers

Labor and delivery pain is commonly considered to be the most pain a woman will ever experience. Options for pain control during labor include pharmacological and nonpharmacological. The purpose of this systematic literature is to determine if complementary manual therapies such as massage therapy, acupressure, and reflexology are effective nonpharmacologic management tools for labor pain. The electronic databases PubMed and ClinicalKey were searched, and the ten studies chosen for this review were randomized controlled trials published within the past ten years. Current research provides significant data supporting these three complementary modalities as effective nonpharmacologic management tools to control labor pain. …

Comparing The Efficacy Of Heart-Conserving Measures And Retransplantation For Chronic Rejection In The Pediatric Population, Lacey Zeiszler

Physician Assistant Scholarly Project Papers

Coronary allograft vasculopathy (CAV) is the leading cause of morbidity and mortality among pediatric heart transplant recipients and faces unsuccessful treatment for prevention and management. Post-transplant immunosuppressive therapy has been modified over the years to determine the most effective regimen for rejection. Tacrolimus has been the superior immunosuppressant used for rejection since the early 2000s. It has been shown to have substantial immunosuppressive effects, least number of adverse effects, and decreased comorbidities compared to other regimens. Despite these advantages, CAV is still prevalent. Heart retransplantation is currently the only curative treatment. Google Scholar, PubMed, ClinicalKey, ScienceDirect, Elsevier, Wiley Online Library, …

Increasing Quality Of Life And Well-Being Among Older Adults Living In An Assisted Living Facility Through Engaging In A Wellness Program., Hannah Steckler

Occupational Therapy Capstones

Purpose: The focus of this scholarly project was to create a group protocol to increase the quality of life and well-being of older adults living in an assisted living facility (ALF). Furthermore, it promotes increased engagement in meaningful activities to combat health disparities and provide education on various areas of wellness. Older adults' quality of life and well-being are impacted when residing in an ALF due to decreased engagement in wellness activities (Bartley et al., 2018; Morgan et al., 2016). Furthermore, risk factors and health disparities increase among the older adult population, which causes a negative impact on everyday routines …

Addressing Burn Scarring And Contractures While Measuring Range Of Motion, Josie F. Sylte

Occupational Therapy Capstones

Purpose: In the community of healthcare professionals that work with individuals who have survived a burn injury there has been a shift in the way that range of motion (ROM) is being measured taking into consideration the use of cutaneous functional units (CFUs), multi joint movements, and burn scarring and contractures (Parry et al., 2019). Working with a burn intensive care unit therapy team a need was identified to address therapist education and the integration of revised positioning for measuring ROM following a burn injury and throughout the rehabilitation process.

Method: To determine the needs of the burn facility a …

Navigating The Wheelchair Recommendation Process: A Preventative Approach For Rural Providers, Kelsey M. Rajewsky

Occupational Therapy Capstones

Title: Navigating the Wheelchair Recommendation Process: A Preventative Approach for Rural Providers

Background: Wheelchair procurement is a complex process that begins with patients seeing their physician for a prescription and guidance on where to go for step two. It is this critical second step that can make the difference for someone receiving a basic wheelchair meant for short-term use, or a referral to a practitioner specializing in seating and wheeled mobility. While getting to a physician's office can be challenging for all wheelchair users, a rural wheelchair user experiences additional barriers such as limited resources available locally, culture, and difficulties …

Engage As You Age: An Interprofessional Toolkit To Increase Meaningful Activity In Long-Term Care Facilities, Annah Greenmyer

Occupational Therapy Capstones

Title: Engage as You Age: An Interprofessional Toolkit to Increase Meaningful Activity in long-term care Facilities

Background: When making the major life transition of moving into a long-term care facility, older adults have an increased chance of experiencing negative mental health symptoms. During this life transition, older adults may experience loss of self-efficacy, because of the shift from their preferred roles and activities. When older adults do not engage in their preferred activities and/or roles, they may experience loss of motivation or energy which can eventually lead to feelings of depression and anxiety. For residents in rural long-term care facilities, …

Supporting Occupational Performance For Children With Cancer, Rachel Elise Koenig

Occupational Therapy Capstones

Purpose: The purpose of this doctoral experience was divided into two categories: a) advanced clinical practice and b) needs assessment and completion of project. The advanced clinical practice objectives were to implement evidence-based evaluations and interventions to children with cancer, collaborate with parents and interprofessional team members, and adhere to safety precautions for children with cancer. The project-based objectives focus was to translate knowledge to practice by aiding in the transition process of children with cancer when leaving the hospital.

Method: The primary author completed a literature review of best practices for children with cancer prior to their arrival on-site. …

Impact Of A Covid-19 Related Lockdown On The Experience Of Informal Caregiving In Singapore, Vicky Mengqi Qin, Abhijit Visaria, Rahul Malhotra

ROSA Journal Articles and Publications

Introduction: Lockdowns, while limiting COVID-19 transmission, can affect provision of care by informal caregivers and their caregiving experience. We assessed, among informal caregivers in Singapore, (a) the perceived impact of a 2-month (April to May 2020) nationwide lockdown on their care provision, (b) correlates of different perceptions of the impact of the lockdown on care provision, and (c) association of different perceptions of the impact with negative and positive experiences of caregiving. Methods: In the August 2020 wave of the Singapore Life Panel (SLP; nationally representative, longitudinal monthly survey of Singapore citizens and permanent residents aged 50-70 years at baseline), …

Epidemiologic Profile And Treatment Analysis Of Cervicalgia In Patients With Migraine Vs. Tension-Type Headaches From A Multicenter Electronic Medical Record Database (Trinetx), Ethan J. Le, Victor S. Wang, Md, Hsiangkuo Yuan, Md, Phd

Alpha Omega Alpha Research Symposium Posters

BACKGROUND

• Cervicalgia, or chronic neck pain, remains an understudied and undertreated comorbid condition in patients with headache disorders that benefits from both pharmacologic and non-pharmacologic treatment profiles.

• Cervicogenic headaches present a significant global healthcare burden, with estimates projecting up to 4.1% of the global population and 20% of headache complaints are attributed to cervicalgia (Fernandez et al. 2020).

• What is the global demographic, treatment, and migraine preventive profile of cervicalgia in patients with either concurrent migraine (CM) or tension-type (CT) headaches?

Actin Depolymerization Of Tenocytes Promotes A Tendinosis-Like Gene Expression, Kameron Inguito, Ba, Valerie West, Karl Matthew Ebron, Justin Parreno, Phd

Alpha Omega Alpha Research Symposium Posters

Optimal cellular mechanotransduction is essential for tendon matrix homeostasis. We recently developed an in vivo rat model of tendinosis, where the plantaris tendon are overloaded through ablation of the synergistic Achilles tendon. Using this model we determined that tissue overload disrupts matrix-cell interactions, which results in under-stimulation of tendon cells (tenocytes) (Fig.1)

Using an ex vivo model of tendon stress deprivation by maintaining tail tendon fascicles in floating culture we showed that tenocyte under-stimulation results in destabilization of filamentous (F-)actin (Fig.2). F-actin destabilization coincides with tendinosis-like gene expression: downregulation of tenogenic genes (Col1, Tnc, asma, Scx), upregulation of chondrogenic (Acan, …

Determining Bystander Motivations And Hesitations To Intervene During An Opioid Overdose Event, John Wahlstedt, Alana Platukus, Eric Fei, Yasmine Eichbaum, Noah Streitfeld, Robert S. Pugliese, Kelly Kehm

Alpha Omega Alpha Research Symposium Posters

Background

Harm reduction initiatives have been shown to improve morbidity and mortality of overdose; however, the rate of death due to opioid overdose continues to rise in Philadelphia. One aspect of the overdose scenario that requires more focus is the response of witnesses to overdose.

Aging Expectations Predict Subjective Cognitive Decline Among Community-Dwelling Older Adults, Justin Do, Bs, Casey Fishman, Ba, Sakshi Bhargava, Phd, Emily Bratlee-Whitaker, Phd, Rn, Jennifer R. Turner, Phd, Jacqueline Mogle, Phd, Ms, Nikki L. Hill, Phd, Rn

Alpha Omega Alpha Research Symposium Posters

Purpose: Subjective cognitive decline (SCD), or perceived decline in cognition, is a precursor to mild cognitive impairment, a prodrome of Alzheimer’s disease. SCD’s predictive utility is limited as it is impacted by multiple psychosocial factors. Expectations regarding aging among older adults have been linked to self-efficacy and health-related outcomes; however, their relationship with SCD is unknown. The aim of this cross-sectional study was to investigate the relationships between older adults’ aging expectations regarding physical, mental, and cognitive health, and SCD.

Methods: An online survey of community-dwelling adults aged 65 years or older (n=582, M(SD)=71.36(4.80)) with no history of dementia …

Preoperative Predictors Of Arthroscopic Partial Meniscectomy Outcomes: The Apm Index Score, Natalie Lowenstein, Yuchiao Chang, Hanna Mass, Angela M. Mercurio, Chierika Ukogu, Jeffrey N. Katz, Elizabeth G. Matzkin

Alpha Omega Alpha Research Symposium Posters

Problem Statement:

- Arthroscopic partial meniscectomy (APM) has been shown to be the most common meniscal surgical treatment in the United States

- Pre-op risk factors known to contribute to poor outcomes after APM:

• Symptom duration and radiographic OA at baseline

• Baseline knee functional score, location of meniscal tear, BMI, activity level, age, sex, and chondral damage on MRI

Project AIM:

To create an index score using easily available preoperative risk factors such as Kellgren-Lawrence (KL) grade, age, duration of symptoms, BMI, activity level, and preoperative outcome scores to predict the …

Longitudinal Monitoring Of Gait Parameters For Lower Limb Prosthetic Users With Physical Therapy Using Video-Based Gait Analysis, Alisha Agarwal, Bs, Anthony Cimorelli, Cpo, R. James Cotton, Md, Phd

Alpha Omega Alpha Research Symposium Posters

Introduction

Gait training in physical therapy is a common standard of practice for new lower limb prosthetic users. Progress is typically assessed through functional outcome measures such as the 10-meter or 6-minute walk tests1. While these tests measure walking speed and endurance, they fall short of capturing gait quality or quantifying gait parameters which literature shows to be of therapeutic value 2,3. Routine access to quantitative gait assessment could provide clinicians with benchmarks to optimize treatment interventions. Traditional gait analysis systems require specialized equipment making them very resource-intensive and inconvenient to operate. Using human pose estimation techniques, we have developed …

Swimming: A Great Decision And An Even Better Journey, Eva M. Hunnius

Emerging Writers

Swimming is loved, feared, and cherished by so many around the world. People love it because it gives them a sense of freedom and peace, while also receiving a great workout. Some may fear it because they do not know how to swim, or they feel like there are many dangers and risks to swimming. Others cherish it because it is the only sport they have ever known. In my case, swimming is one of the only things that has been with me since I was a little kid. This remains true for many athletes. In this discussion, I hope …

Ada Constitution & Bylaws (2024), American Dental Association

Constitution & Bylaws

The ADA Commons Constitution & Bylaws archival collection comprises printed issues of the American Dental Association's Constitution and Bylaws. The collection also includes the ADA Charter and the ADA Code of Ethics issued 1924-1946.

Stakeholder Perspectives On Therapeutic Value Assessment, Victor M. Amana

Public Health Theses

No abstract provided.

Hemin As A Contributor To Inflammation In Sickle Cell Disease, Sarah Hinderstein

Public Health Theses

Background: Sickle Cell Disease (SCD) is the most common genetic hematological disorder and puts individuals at increased risk of morbidity and mortality due to infectious disease. Those with SCD also have a reduced capacity to mount successful vaccine responses compared to healthy individuals but there is an incomplete understanding of the mechanisms behind this.

Objectives: We aim to investigate the role of hemin as a potential contributor to inflammatory dysregulation and decreased vaccine immunogenicity in patients with SCD.

Methods: Peripheral blood mononuclear cells (PBMC) were isolated from patients with SCD aged 7-22 and healthy participants aged 22-30. We utilized flow …

Cardiovascular Disease Mortality Trends & Excess Deaths In Connecticut, Sadia Rehman Safwi

Public Health Theses

Background: There is a decline in cardiovascular disease (CVD) mortality in the United States (US) butthere are also disparities reported among different racial and ethnic groups in the US. This research highlights a lack of state-specific research on CVD mortality and introduces a study conducted in Connecticut using CVD mortality data from 2011 to 2020. Methods. This study used publicly available and deidentified data from the CDC WONDER to examine CVD mortality trends in Connecticut. Annual deaths, population counts, and age-adjusted mortality rates were reported by year, race, and gender for all cardiovascular disease (CVD) combined, Ischemic heart disease, Hypertensive …