Medicine and Health Sciences Commons^™

The Integrated Behavioral Model Of Mental Health Help Seeking (Ibm-Hs): A Health Services Utilization Theory Of Planned Behavior For Accessing Care, Joseph H. Hammer, David L. Vogel, Patrick R. Grzanka, Nayeon Kim, Brian T. Keum, Claire Adams, Sarah A. Wilson

Chemical and Materials Engineering Faculty Publications

This article introduces the integrated behavioral model of mental health help seeking (IBM-HS), a theoretical model for understanding the constructs (e.g., systemic, predisposing, and enabling factors; mental health literacy; illness perceptions; perceived need; stigma; shame; perceived benefits, motivation) that influence people’s decision making around seeking professional mental health care and their ultimate access to formal treatment. The IBM-HS is a help-seeking-specific adaptation of the empirically supported integrated behavioral model and integrative model, which are themselves evolutions of the theory of planned behavior and theory of reasoned action. The IBM-HS posits that help-seeking determinants (e.g., structural forces; cultural influences; past help-seeking …

Advocacy Spotlight: Telehealth Regulations For Dentistry Established, Neema Katibai Jd

The Journal of the Michigan Dental Association

The article discusses the rise of telehealth in the last three years and its implications for dentistry, focusing on recent rulemaking by the Michigan Board of Dentistry. The regulations address key aspects such as definitions, informed consent, scope of practice, and prescribing medications. Dentists must comply with HIPAA and state/federal privacy regulations when using telehealth. Notably, the rules restrict teledentistry delegation to allied personnel after an in-person visit within 24 months. The article emphasizes the importance of understanding and following these regulations for legal telehealth use, reimbursement, and malpractice coverage. The Michigan Dental Association advocates for sensible teledentistry laws to …

Staff Matters: Are There Risks To Using Ai In Our Practice?, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

As your practice adopts AI for hiring processes, it brings efficiency but also potential pitfalls. The increasing use of AI, such as ChatGPT, streamlines tasks like resume screening, but caution is essential. Recent executive orders emphasize safety assessments and civil rights in AI. The Equal Employment Opportunity Commission focuses on transparency and consent in recruitment AI use. Legal compliance is vital to prevent discrimination; criteria like education and experience must be applied consistently. Additionally, employee monitoring AI requires careful implementation, ensuring transparency and human oversight. While AI offers benefits, its workplace integration demands careful consideration, testing, and ongoing evaluation.

Mda Services: Yes, You Can Recoup Your Dues With Mda-Endorsed Programs, Reva Darling

The Journal of the Michigan Dental Association

MDA Services Report highlights how being an organized dentistry member can yield significant financial returns through MDA-endorsed products and services. By leveraging just eight of the 32 endorsed offerings, potential savings of $25,659 are achievable. Key endorsed services include Best Card for credit card processing, iCoreConnect for software needs, Quality Dental Plan for in-office dental plans, The Dentists Supply Company (TDSC.com) for supplies, ProSites for website and e-marketing, D-MMEX Easyrefine for precious metal refining, Eagle Associates for regulatory compliance, and Dental Business Specialists for accounting. Members are urged to explore the range of endorsed programs for comprehensive benefits.

Digital Health Care: Time For A New Standard?, Z K. Winkelmann

Clinical Practice in Athletic Training

Introduction: The rapid influx of digitalization in healthcare has presented opportunities for innovative engagement, delivery, and outcomes for patient care. However, it also presents with several barriers and challenges that require teaching and learning opportunities to prepare future athletic trainers for these tasks. Currently, the CAATE curricular content standards integrate digital health care through Standard 64 on health informatics and Standard 87 on biometrics. However, the art and science of digital healthcare are expansive, including various skills such as digital literacy, computer skills, online communication, and privacy and security standards. Methods: The presentation will provide an overview of current digital …

Burnout In Athletic Training: Measured By Survey In Most Common Settings For Athletic Trainers, R Johnson Krug, N Sand, S Brooks, T Smith

Clinical Practice in Athletic Training

Introduction: Burnout is a common problem in athletic training, affecting both athletic trainers (ATs) and the athletes they serve. Athletic trainers are responsible for the prevention, diagnosis, and treatment of sports-related injuries. Long work hours, often including evenings and weekends, as well as frequently under pressure to meet the demands of athletes, coaches, and parents. Athletic trainers face numerous stressors that contribute to burnout. These stressors may include heavy workloads, lack of control over their schedules, time pressures, and pressure to produce positive outcomes. Athletic trainers may also experience emotional and physical exhaustion, depersonalization, and a reduced sense of personal …

Educational Outcomes Of The Dat: A Document Review And Thematic Analysis, S H. Orr, L E. Eberman, M J. Rivera

Clinical Practice in Athletic Training

Context: The transition in athletic training education allows for unique and new opportunities in postprofessional education. The Doctor of Athletic Training (DAT) degree is one of the postprofessional education pathways that could provide athletic trainers advancement in clinical practice, practice leadership, and scholarship. However, there is no data on the educational outcomes of DAT programs and what graduates should expect from their experiences. The aim of this study was to explore whether DAT programs are delivering curricula consistent with the development of clinical scholars with advanced knowledge and skills that are needed for high-level patient care and literature relative to …

Athletic Trainers’ Familiarity With Potential Concussion Biomarkers: A Descriptive Study, T R. Campbell, B J. Davis, J C. Martinez, J M. Cavallario

Clinical Practice in Athletic Training

Introduction: An estimated 3.8 million individuals sustain a concussion annually in the United States. Despite the high number of cases, this number may not accurately depict the true incidence rate due to underreporting of symptoms by patients. With current concussion tools relying heavily on subjective input from patients, it is imperative that a valid and reliable objective tool, such as a clinical biomarker, is identified to improve concussion diagnosis and management. If such a biomarker is identified, it will be essential that athletic trainers (ATs) be familiar with how biomarkers could be used. The purpose of this study was to …

Athletic Training Preceptors’ Experience With Interprofessional Education And Collaborative Practice In The Clinical Learning Environment, A Bender

Clinical Practice in Athletic Training

Introduction: Professional athletic training (AT) programs are now required to align their educational curricula with the Institute of Medicine's (IOM) core competencies, preparing students to work in dynamic, interprofessional healthcare teams to strategically address patient outcomes. Although interprofessional education and collaborative practice (IPECP) is commonly implemented in didactic settings, our understanding of how IPECP is implemented by AT preceptors in various clinical settings is limited. The purpose of this study was to gain a greater understanding of AT preceptors’ experience with IPECP and how they implement this with students in their clinical settings. Methods: A convergent mixed-methods design was used …

Using Alums Involvement To Increase Student Investment In An Athletic Training Program, C J. Heffner, A L. Green

Clinical Practice in Athletic Training

Introduction: Student investment and retention are not new concerns among athletic training program directors. Graduate programs are expected to meet minimum enrollment standards to demonstrate the need for the program. Programs that are unable to maintain student enrollment will be eliminated by institutions experiencing financial stress. Retention strategies and benefits have previously been investigated among undergraduate students and across disciplines. One common theme in the research is that student retention increases when students feel a sense of belonging from the faculty, staff, and peers in their program. There is less research on the retention of graduate students, but the themes …

Using Data In The Classroom To Drive Instructional Design And Delivery, L E. Eberman, J P. Young

Clinical Practice in Athletic Training

Introduction: Roughly half of ATP program directors include education on transgender health care in their programs, and even fewer report having the competence to do so. However, professional-level accreditation standards (56, 57, and DEI 2) require that programs have faculty with contemporary expertise to educate students on these outcomes. Current research suggests a comprehensive transgender and sexual health curriculum, including safe-zone training, traditional lecture, lab, and project-based instruction, was partially effective at changing students’ attitudes toward transgender patients but did not improve sexual health care delivery during a standardized patient encounter. The purpose of this project was to evaluate the …

Traveling The Pathway To A Culturally Competent Health Care Provider: Incorporating Study Abroad Into Your Curriculum, A L. Johnston Green, C J. Heffner

Clinical Practice in Athletic Training

Introduction: As athletic training employment settings expand and diversify, so does the patient population with whom these healthcare providers interact. This growth furthers the need to ensure that students enrolled in an athletic training program (ATP) accredited by the Commission on Accreditation of Athletic Training Education (CAATE) are educated to provide culturally competent care. Culturally competent care is provided when decisions made diminish the inequalities that may be present in a system based upon a patient’s individual circumstances. Implementing cultural competency education may be integrated into athletic training education in various manners as necessitated by each institution’s unique circumstances. Programs …

Exploring The Work-Related Quality Of Life Of Athletic Trainers In Physician Practice, N T. Anderson, K E. Games, J P. Young, M J. Rivera, L E. Eberman

Clinical Practice in Athletic Training

Introduction/Context: The National Athletic Trainers’ Association (NATA) identified the vitality of the athletic training profession as a research priority, which includes exploring solutions to improve work-life balance. There is a common perception that athletic trainers (AT) working in the physician practice setting have lower work-life conflict and increased job satisfaction, but no data to support this belief. Work-Related Quality of Life (WRQoL) has been studied in some healthcare settings but has not been studied in any athletic training clinical practice setting. Therefore, the purpose of this study is to investigate the WRQoL of athletic trainers in physician practice. Methods: A …

How Do Athletic Trainers Impact Patient Health Literacy?: A Critically Appraised Topic, T Bouchard

Clinical Practice in Athletic Training

Introduction/Context: Health Literacy is defined as “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.” An estimated 80 million Americans are estimated to have low levels of health literacy. Low health literacy has been linked to poor patient outcomes and decreased usage of health services. Athletic trainers are multiskilled medical professionals recognized by the American Medical Association, trained in, among other things, wellness promotion and education, injury prevention and rehabilitation, and primary care. Although athletic trainers have traditionally been employed in collegiate/elite sports, many are …

An Exploration Of Mhealth Applications Usage Among Older Adults: A Mixed Methods Study, Francine N. Sutton

Graduate Thesis and Dissertation 2023-2024

This study examines the technology and appointment scheduling habits of older adults over the age of 55 through an exploratory sequential three phase mixed methods study. Phase One of this study examined features of ten existing mHealth applications through a qualitative content analysis, then a mHealth wireframe was developed from the app to replicate in addition to a redesigned version. Phase Two of the study was a thirty-four questions survey with 40 participants that inquired about their background with appointment scheduling, prior experience with technology, and demographics. After that, the mHealth applications were revised into two mHealth application prototypes. Lastly, …

I Am Not A Hero: Heroic Action Divorces The Hero From The Political Community, Ari Kohen, Brian Riches, Andre Sólo

Department of Political Science: Faculty Publications

Most people who perform a heroic act will, afterward, deny that their actions were heroic and claim that anyone would have done the same, even though that is demonstrably false (and, often, others were present who failed to act heroically at all). The literature on the psychology of heroism has never investigated why this is. This theoretical paper proposes an answer and seeks to provoke exploration of a previously unexplored topic. We note that people who undertake heroic action face a unique conflict: they embody their community’s highest values, while simultaneously breaking norms to stand apart from that community. We …

Efficacy Of Praziquantel In Treating Schistosoma Haematobium Infection Among Ethiopian Children, Louis Fok, David Brett-Major, Berhanu Erko, John Linville, Hongying Dai, Yohannes Negash, Abebe Animut, Abraham Degarege

Journal Articles: Epidemiology

Background/Objectives: Praziquantel is a cornerstone of schistosomiasis control and elimination efforts. Continued surveillance of praziquantel efficacy is needed to monitor for the development of resistance, as well as to help public health officials gauge the effect of mass praziquantel administration on schistosomiasis control in communities, since it is the only drug used in schistosomiasis control programs. The objective of this study was to assess the praziquantel cure rate and egg reduction rate against urogenital schistosomiasis.

Methods: This study enrolled 977 children from 12 villages in Afar and Gambella, Ethiopia, who provided urine samples that were checked for Schistosoma haematobium …

Aborted Confidentiality, Stacey A. Tovino

Faculty Articles

As the number of abortion-restricting laws continues to grow in the wake of the Supreme Court’s ruling in Dobbs v. Jackson Women’s Health Organization, law enforcement officers are increasingly interested in obtaining and using reproductive health information for law enforcement purposes. Although physicians and other covered entities generally are required to keep protected health information (PHI) confidential under the Health Insurance Portability and Accountability Act Privacy Rule, a number of regulatory exceptions historically have permitted covered entities to disclose PHI for civil, criminal, and administrative investigations and proceedings. On April 26, 2024, the Department of Health and Human Services …

Zeitlin’S Top 200 Dental Deckades (January 2024), Benjamin D. Zeitlin

Pacific Open Texts

Pharmacology courses in any institution are information intensive with a constant, high volume of new material. With that in mind, the standards that the American Dental Education Association set for Pharmacology include that: “the student must identify the influences drugs taken for non-dental purposes may have on a proposed treatment (…) and the student must recognize therapeutic agents used in the routine practice of clinical dentistry.” This requires that students at a minimum, recognize common drugs and know their major implications for dental therapy.

This learning tool has been created to address the drug recognition aspect of that standard.

See …

Statistics Used In The Nebraska Beef Reports And Their Purpose, University Of Nebraska-Lincoln

Nebraska Beef Cattle Reports

The purpose of beef cattle and beef product research at UNL is to provide reference information that represents the various populations (cows, calves, heifers, feeders, carcasses, retail products, etc) of beef production. Obviously, the researcher cannot apply treatments to every member of a population; therefore he/she must sample the population. The use of statistics allows the researcher and readers of the Nebraska Beef report the opportunity to evaluate separation of random (chance) occurrences and real biological effects of a treatment. Following is a brief description of the major statistics used in the beef report. For a more detailed description of …

Evaluation Of Vivalto® On Growth Performance And Carcass Characteristics In Growing And Finishing Beef Steers, Garrett N. Lemon, Rebecca Mcdermott, Galen E. Erickson, Jeff Heldt, Pablo L. Loza

Nebraska Beef Cattle Reports

A finishing trial conducted at the Pan-handle Research, Extension, and Education Center (PREEC) near Scottsbluff, NE evaluated the effect of Vivalto^®, a B-vitamin complex, on the feeding performance and carcass characteristics of feedlot steers. The design of the study was completely randomized block design with three treatments, control without Vivalto^®, 1g Vivalto^®/steer/day, and 2g Vivalto^®/steer/day. Cattle fed the diets that included Vivalto^® feed had lower intakes during the first 56 days than cattle that received no Vivalto^® in the diet. No significant differences were observed for ADG, intake, feed efficiency …

Effect Of Biochar On Enteric Methane Production And Cattle Performance, Hanna Cronk, Holly Heil, Rebecca Mcdermott, Mitch Norman, Galen E. Erickson, Andrea Watson

Nebraska Beef Cattle Reports

Methane is a more potent greenhouse gas than carbon dioxide. Because ruminant animals, including cattle, emit methane, strategies are actively being sought to reduce these emissions. Pistachio shell-sourced biochar was included at 0.5% of a finishing cattle diet to determine effects on methane emissions and cattle performance. Eight pens of cattle were rotated through a 2-chambered emissions barn to analyze methane and carbon dioxide produced by the cattle. Biochar tended to increase methane emissions on a g/d basis with no effect on methane emissions as g/lb of feed intake and no differences in carbon dioxide emissions. There were no differences …

Impact Of Strip-Grazing Stockpiled Annual/Cover Crop Forages On Carrying Capacity And Animal Performance, Shelby L. Davies-Jenkins, Abigail Sartin, Devin Jakub, Zac Carlson, Erin Laborie, Jack Arterburn, Ben Beckman, Brad Schnick, M. E. Drewnoski

Nebraska Beef Cattle Reports

Annual forages/cover crops can be used to fill the fall/winter grazing gap, and strip grazing may increase carrying capacity by reducing trampling losses of the forage. The current experiment utilized a series of on-farm experiments across two growing seasons to compare continuous and strip grazing of various summer planted cover crops. Strip grazing increased carrying capacity by an average of 47 ± 15% and gain per acre by 44 ± 5% compared to continuous grazing although significant variability in the amount of increase was observed. This variability can likely be attributed to forage type (quality), frequency of moves, and forage …

Strategies For Ddgs Supplementation Frequency To Frazing Yearling Streers, Sydney T. Vanderhoff, Rebecca L. Sjostrand, Mitchell M. Norman, Isaque F. Vicci, Jim C. Macdonald, Mary E. Drewnoski

Nebraska Beef Cattle Reports

Infrequent supplementation saves labor and may reduce animal performance, but recent research with reduced fat distillers grains has provided inconsistent results. This experiment evaluated the effects of daily and three times a week supplementation of dried distillers grains on yearling steer performance grazing smooth bromegrass pastures from May to August. Daily supplemented steers received 5.6 pounds of dry matter per steer of dried distillers grains with solubles 7 days/week. The three times a week supplemented steers received 13.0 pounds of dry matter per steer of dried distillers grains with solubles three days/week (Monday, Wednesday, Friday). A control treatment received no …

Effect Of Methionine Supplementation During Late Gestation In Beef Females, Landon F. Tadich, Jim R. Teichert, Kathryn J. Hanford, Jacki A. Musgrave, Rich N. Funston

Nebraska Beef Cattle Reports

Some amino acids are known to be essential to cattle and effect protein availability to the animal, especially during gestation when nutrient requirements are higher. Methionine is found to be one of the most limiting in low quality forage diets. Two 3-yr studies were performed to evaluate the impact of methionine supplementation during late gestation on intake, body weight, average daily gain, and subsequent calf performance in primiparous and multiparous females. In exp 1, 120 artificially inseminated pregnancy heifers were placed in a Calan gate feeding system (n=40/yr) and assigned 1 of 3 treatments during late gestation and fed ad …

Impact Of Prolonged Exposure To Occasional And Regular Waterpipe Smoke On Cardiac Injury, Oxidative Stress And Mitochondrial Dysfunction In Male Mice, Naserddine Hamadi, Suhail Al-Salam, Sumaya Beegam, Nur Elena Zaaba, Ozaz Elzaki, Abderrahim Nemmar

All Works

Regular waterpipe smoking (Reg-WPS) is well recognized for its deleterious effect on the heart. However, there is a paucity of experimental studies on the impact of occasional waterpipe smoking (Occ-WPS), also known as nondaily smoking, versus Reg-WPS on cardiac homeostasis, and the mechanisms underlying these effects. Hence, we aimed, in the present study, to investigate the effect of Occ-WPS (30 min/day, 1 day/week) versus Reg-WPS (30 min/day, 5 days/week) for 6 months on systolic blood pressure (SBP), cardiac injury, oxidative markers, chemokines, proinflammatory cytokines, DNA damage and mitochondrial function compared with air (control) exposed mice. Our results show that SBP …

Cyclic Amp-Regulatory Element-Binding Protein: A Novel Uv-Targeted Transcription Factor In Skin Cancer, Julianne C. Nayar, Myriam Abboud, Katie M. Dixon

All Works

Abstract: Common therapeutics in relation to melanoma and non-melanoma cancers include the use of kinase inhibitors. The long-term benefits of kinases, however, are limited by development of drug resistance. An alternative approach for treatment would be to focus on transcription factors. Cyclic AMP-regulatory element-binding protein (CREB) is a transcription factor that is commonly overactivated or overexpressed in many different cancers including skin cancer. Ultraviolet radiation (UVR), one of the main causes of skin cancer, can activate CREB in both melanocytes and keratinocytes. In addition, CREB has been found to be activated in skin cancers. Considering the prominent role that CREB …

On The Performance Of A Photonic Reconfigurable Electromagnetic Band Gap Antenna Array For 5g Applications, Taha A. Elwi, Fatma Taher, Bal S. Virdee, Mohammad Alibakhshikenari, Ignacio J.Garcia Zuazola, Astrit Krasniqi, Amna Shibib Kamel, Nurhan Turker Tokan, Salahuddin Khan, Naser Ojaroudi Parchin, Patrizia Livreri, Iyad Dayoub, Giovanni Pau, Sonia Aissa, Ernesto Limiti, Mohamed Fathy Abo Sree

All Works

In this paper, a reconfigurable Multiple-Input Multiple-Output (MIMO) antenna array is presented for 5G portable devices. The proposed array consists of four radiating elements and an Electromagnetic Band Gap (EBG) structure. Planar monopole radiating elements are employed in the array with Coplanar Waveguide Ports (CWPs). Each CWP is grounded on one side to a reflecting L-shaped structure that has an effect of improving the antenna's directivity. It is shown that by inductively connecting Minkowski fractal structure of 1^{st} order to the radiating element, the impedance matching is improved that results in enhancement in the array's bandwidth performance. The EBG structure …

Esthetic Evaluation Of Implant Restoration In Esthetic Zone: A Long-Term Follow-Up, Harit Muangmore

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: This study aimed to evaluate the correlation between esthetic outcomes of single-tooth implant restorations (STIRs) in the anterior maxilla, assessed by the Pink Esthetic Score (PES), White Esthetic Score (WES), and the newly introduced Esthetic Sustainable Criteria (ESC), over two follow-up periods: 5 years and 10 years. Materials and Methods: A cross-sectional retrospective study was conducted involving 22 patients treated with STIRs at the Faculty of Dentistry, Chulalongkorn University, from January 2009 to December 2024. Patient demographics, treatment protocols, and follow-up assessments were collected at both 5 and 10 years. PES and WES were utilized to evaluate esthetic outcomes, …

Artificial Insemination Of Beef Heifers With Multi-Sire Semen, Dempster Christenson, Jordan Thomas, Daniel J. Kelly, John G. Maddux, R. Funston

Nebraska Beef Cattle Reports

The study compared pregnancy rates of beef heifers artificially inseminated with multi-sire semen to single-sire semen at ranch 1 and demonstrated pregnancy to multi-sire sexed semen at rand 2. It was hypothesized pregnancy rates resulting from multi-sire semen would be increased compared to single-sire semen. Ranch 1 heifers were inseminated with either single-sire or multi-sire semen and all heifers expressing estrus at ranch 2 were inseminated with multi-sire semen averaged numerically greater pregnancy rate than the average single-sire pregnancy rate and pregnancy outcomes from multi-sire sexed semen exceed previous literature but cannot be directly compared. Despite similar pregnancy results between …