Medicine and Health Sciences Commons^™

Leveraging The Public Health Infrastructure Grant To Support Alabama’S Workforce Training Needs Assessment, Matthew Fifolt, Elena Kidd, Riley Blum, Wei Su, Melissa (Moose) Alperin, Lisa C. Mccormick

Journal of Public Health in the Deep South

Background. In 2024, the Alabama Department of Public Health (ADPH) leveraged the Public Health Infrastructure Grant (PHIG) to support the development and training of Alabama’s public health workforce. Technical assistance was provided by the Region IV Public Health Training Center evaluation team to conduct ADPH’S Workforce Training Needs Assessment.

Purpose. The purpose of this Research Brief is to report key findings from this needs assessment and discuss implications for public health practice in the Deep South.

Methods. The evaluation team administered an online survey through Qualtrics to report key measures.

Results. Survey responses were received from 1,434 ADPH employees for …

A New Paliperidone Palmitate Formulation: How Is It Different And Where Does It Fit In Our Array Of Choices For Long-Acting Formulations Of Risperidone And Paliperidone?, Justin Faden, Leslie Citrome

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Long-acting injectable (LAI) antipsychotics have been shown to enhance treatment adherence and outcomes in individuals with schizophrenia, schizoaffective disorder, and bipolar disorder. In recent years, the U.S. Food and Drug Administration (FDA) has approved several LAIs with differing amenities of care, such as mode of administration, duration of oral medication supplementation, dosing frequency, needle gauge and size, and injection volume, amongst others. Additionally, several LAIs are distinct formulations of risperidone and paliperidone, making it difficult to distinguish between formulations, and many providers are unfamiliar with these newer agents. In 2024, a once-monthly LAI formulation of paliperidone palmitate, manufactured by Luye …

Optimizing Transcutaneous Spinal Cord Stimulation: An Exploratory Study On The Role Of Electrode Montages And Stimulation Intensity On Reflex Pathway Modulation, Shirin Madarshahian, Michael Trakhtorchuck, Tatiana Guerrero, Kristin Gustafson, James Harrop, Caio Matias, M. J. Mulcahey, Alessandro Naopli, Alex Vaccaro, Mijail Serruya

Farber Institute for Neuroscience Faculty Papers

Transcutaneous spinal cord stimulation (tSCS) is a promising non-invasive method to improve motor function in individuals with spinal cord injury (SCI) by enhancing spinal reflex pathways. This study aimed to investigate the effects of different tSCS electrode placement montages and targeted spinal levels on neurophysiological responses such as spinally evoked motor responses (sEMRs), dorsal root reflex activation, and muscle recruitment in individuals with SCI and healthy controls to optimize stimulation strategies for motor recovery. Five participants (three individuals with SCI and two controls) underwent transcutaneous spinal cord stimulation using various electrode montages, target spinal level stimulation, and single- and paired-pulse …

Implementation Of The Modified Early Obstetric Warning System (Meows) In Obstetric Patients Within A Level Iv Maternal Care Facility, Mei M. Stalder

Student Scholarly Projects

Practice Problem: Incidences of increasing maternal morbidity and mortality are often preceded by a period of unrecognized deterioration. The lack of an obstetric early warning system in a high-risk Level IV Maternal Care Facility further contributed to delayed identification and intervention of deteriorating mothers.

PICOT: The PICOT question that guided this DNP project was, in obstetric patients, 18-years or older (P), does the Modified Early Obstetric Warning System (MEOWS) (I), compared to current standard practice (C), affect the number of patients transferred to the ICU (O) within a six-week time frame (T)?

Evidence: Nine evidence-based articles were included in this …

Implementing A Validated Screening Tool For Intimate Partner Violence In A Women’S Primary Care Setting: A Quality Improvement Project, Alexis Senu

DNP Projects

Background: Intimate partner violence (IPV) is a significant public health crisis, disproportionately affecting individuals identifying as women, with lifelong physical and psychological consequences. Despite recommendations from the U.S. Preventive Services Task Force (USPSTF) for routine IPV screening, many primary care settings lack standardized tools to perform this screening. The Modern Woman Health and Wellness Center (MWHWC), a women’s only primary care clinic in Connecticut, identified the need for a validated screening tool to increase detection of IPV, improve patient outcomes and align with national screening guidelines.

Objective: This quality improvement (QI) project aimed to implement the HARK (Humiliation, …

The Antimicrobial Resistance-Water-Corporate Interface: Exploring The Connections Between Antimicrobials, Water, And Pollution, Jason P Burnham

2020-Current year OA Pubs

Antibiotic resistance is a public health emergency, with ten million deaths estimated annually by the year 2050. Water systems are an important medium for the development and dissemination of antibiotic resistance from a variety of sources, explored in this perspective review. Hospital wastewater and wastewater systems more broadly are breeding grounds for antibiotic resistance because of the nature of their waste and how it is processed. Corporations from various sectors contribute to antibiotic resistance in many direct and indirect ways. Pharmaceutical factory runoff, agricultural antibiotic use, agricultural use of nitrogen fertilizers, heavy metal pollution, air pollution (atmospheric deposition, burning of …

Machine Learning To Optimize Use Of Natriuretic Peptides In The Diagnosis Of Acute Heart Failure, Dimitrios Doudesis, Kuan Ken Lee, Mohamed Anwar, Adam J. Singer, Judd E. Hollander, Camille Chenevier-Gobeaux, Yann-Erick Claessens, Desiree Wussler, Dominic Weil, Nikola Kozhuharov, Ivo Strebel, Zaid Sabti, Christopher Defilippi, Stephen Seliger, Evandro Tinoco Mesquita, Jan C. Wiemer, Martin Möckel, Joel Coste, Patrick Jourdain, Komukai Kimiaki, Michihiro Yoshimura, Irwani Ibrahim, Shirley Beng Suat Ooi, Win Sen Kuan, Alfons Gegenhuber, Thomas Mueller, Olivier Hanon, Jean-Sébastien Vidal, Peter Cameron, Louisa Lam, Ben Freedman, Tommy Chung, Sean P. Collins, Christopher J. Lindsell, David E. Newby, Alan G. Japp, Anoop S. V. Shah, Humberto Villacorta, A. Mark Richards, John J V Mcmurray, Christian Mueller, James L. Januzzi, Nicholas L. Mills, Gordon Moe, Carlos Fernando, Hanna K. Gaggin, Antoni Bayes-Genis, Roland Rj Van Kimmenade, Yigal Pinto, Joost H. W. Rutten, Anton H. Van Den Meiracker, Luna Gargani, Nicola R. Pugliese, Pemberton Christopher, Michael Neumaier, Michael Behnes, Ibrahim Akin, Michele Bombelli, Guido Grassi, Peiman Nazerian, Giovanni Albano, Philipp Bahrmann

Department of Emergency Medicine Faculty Papers

AIMS: B-type natriuretic peptide (BNP) and mid-regional pro-atrial natriuretic peptide (MR-proANP) testing are guideline-recommended to aid in the diagnosis of acute heart failure. Nevertheless, the diagnostic performance of these biomarkers is uncertain.

METHODS AND RESULTS: We performed a systematic review and individual patient-level data meta-analysis to evaluate the diagnostic performance of BNP and MR-proANP. We subsequently developed and externally validated a decision-support tool called CoDE-HF that combines natriuretic peptide concentrations with clinical variables using machine learning to report the probability of acute heart failure. Fourteen studies from 12 countries provided individual patient-level data in 8493 patients for BNP and 3899 …

Machine Learning To Optimize Use Of Natriuretic Peptides In The Diagnosis Of Acute Heart Failure, Dimitrios Doudesis, Kuan Ken Lee, Mohamed Anwar, Adam J. Singer, Judd Hollander, Md, Camille Chenevier-Gobeaux, Yann-Erick Claessens, Desiree Wussler, Dominic Weil, Nikola Kozhuharov, Ivo Strebel, Zaid Sabti, Christopher Defilippi, Stephen Seliger, Evandro Tinoco Mesquita, Jan C. Wiemer, Martin Möckel, Joel Coste, Patrick Jourdain, Komukai Kimiaki, Michihiro Yoshimura, Irwani Ibrahim, Shirley Beng Suat Ooi, Win Sen Kuan, Alfons Gegenhuber, Thomas Mueller, Olivier Hanon, Jean-Sébastien Vidal, Peter Cameron, Louisa Lam, Ben Freedman, Tommy Chung, Sean P. Collins, Christopher J Lindsell, David E. Newby, Alan G. Japp, Anoop S V Shah, Humberto Villacorta, A Mark Richards, John J V Mcmurray, Christian Mueller, James L. Januzzi, Nicholas L. Mills

Department of Emergency Medicine Faculty Papers

AIMS: B-type natriuretic peptide (BNP) and mid-regional pro-atrial natriuretic peptide (MR-proANP) testing are guideline-recommended to aid in the diagnosis of acute heart failure. Nevertheless, the diagnostic performance of these biomarkers is uncertain.

METHODS AND RESULTS: We performed a systematic review and individual patient-level data meta-analysis to evaluate the diagnostic performance of BNP and MR-proANP. We subsequently developed and externally validated a decision-support tool called CoDE-HF that combines natriuretic peptide concentrations with clinical variables using machine learning to report the probability of acute heart failure. Fourteen studies from 12 countries provided individual patient-level data in 8493 patients for BNP and 3899 …

Case Study: Effect Of Stroboscopic Vision Training During A Softball Season, Doug Dendy, C Roger James, Toby Brooks, Micah Lierly, Nolan Riley, Larry Munger

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 6: Issue 1, Article 3, 2025. This case study examined the effects of stroboscopic vision training during an entire varsity softball season for a 16-year-old female. Stroboscopic vision training uses specialized glasses with crystallized fluid that flickers, intermittently impeding vision, a technique that enhances visual performance. The stroboscopic glasses were worn two to three times a week during hitting and fielding skills. The central hypothesis was that the stroboscopic vision training would enhance softball vision performance. The central hypothesis was tested using these specific aims: 1) batting statistics for a year with no …

Abstract Book (Pdf), School Of Medicine

Medicine Research Day

The collection of abstracts for all three sections of the 2025 Medicine Research Day organized by session (Translational Research, Quality Improvement, Clinical Vignettes) then alphabetical by last name of the primary author.

Book Review: Neuro-Visual Processing Rehabilitation: An Interdisciplinary Approach, Paul B. Freeman Od

Optometric Clinical Practice

Book review

Disc Edema Secondary To Sleep Apnea: A Case Report, Jeannette A. Wong-Powell Od

Optometric Clinical Practice

Background: Bilateral optic disc edema is associated with multiple systemic conditions of potentially dire consequences. Idiopathic intracranial hypertension (IIH) is a common culprit and diagnosis of exclusion, which has been observed in multiple patients with obstructive sleep apnea (OSA) and raised questions of a pathophysiological link between the two.

Case Report: A 28-year-old Caucasian male with history of transient ischemic attack-like symptoms presented with bilateral disc edema prompting a multi-disciplinary work up that included imaging, lumbar puncture, laboratory analysis, neuroophthalmological, cardiological, and pulmonary evaluations that ultimately led to a diagnosis of OSA. The case is unique in that it followed …

An Uncharacteristic Case Presentation Of Functional Vision Disorder, Ramandeep Kaur Od, Theresa Zerilli-Zavgorodni Od, Nancy Shenouda-Awad Od

Optometric Clinical Practice

Background: Functional Vision Disorder (FVD), also commonly referred to as functional vision loss (FVL) or non-organic vision loss (NOVL), is defined as a visual acuity (VA) loss and/or visual field (VF) loss, without any identifiable ocular or cortical pathology. Many clinicians look at FVD as a diagnosis of exclusion and while it is imperative to rule out organic pathology, FVD diagnosis must be supported by clinical findings that prove normal visual function. Incorporating supplementary tests specific for demonstrating the integrity of the visual system and the non-organic nature of the symptoms will allow clinicians to be more confident when diagnosing …

A Case Report Of Vitreopapillary Traction Mistaken For Optic Disc Edema, Breyne Middleton Od, Drew Anderson Od

Optometric Clinical Practice

Background: Traction of the optic disc occurs during incomplete detachment of the posterior vitreous from the peripapillary glial tissue. It can sometimes cause the appearance of disc edema and bilateral cases can be confused with papilledema or cause patients to be worked up for pseudotumor cerebri.

Case Report: A patient presented with an outside diagnosis of unilateral optic disc edema and was found in fact to have vitreopapillary traction.

Conclusion: Costly, ultimately unnecessary testing such as magnetic resonance imaging can be sometimes avoided if vitreopapillary traction is considered as a differential for disc edema. It can be easily identified with …

A Space-Occupying Lesion Manifesting As Unilateral Optic Disc Edema, Len V. Koh Od, Phd, Anna Wells Od, Lindsay Jansen Od

Optometric Clinical Practice

Background: Primary and secondary orbital diseases can arise from different tissues in the periorbital regions as space-occupying lesion leading to ophthalmic symptoms. Therefore, eye care providers are often the first encounter for these patients.

Case report: A 54-year-old Caucasian male presented as a new patient at the eye clinic with an incidental finding of edema of the left optic disc. After a thorough optometric evaluation, a referral was made to a local ear-nose-throat (ENT) specialist who confirmed a diagnosis of cavernous hemangioma by further neuroimaging. Surgical removal eventuated in resolution of disc edema with restoration of vision.

Conclusion: An insidious …

Marijuana And Intrinsically Photosensitive Retinal Ganglion Cells, Denise A. Valenti Od

Optometric Clinical Practice

Expanding the Box

Editor's Note: Debbie Hettler, Od, Mph, Paul B. Freeman Od

Optometric Clinical Practice

Editor's note

Where Have All The Doctors Gone?, Paul B. Freeman Od

Optometric Clinical Practice

Editorial

Social Health Among Adolescents In The Global School-Based Student Health Survey (Gshs), Luke Pontoriero, Sarah Simon, Lauren Anderson

Seaver College Research And Scholarly Achievement Symposium

Background: Social health is a function of the quantity and quality of relationships, including with family members and peers. Adolescents who report being lonely or having no close friends have a low quantity of relationships, and those who feel that their peers are unkind and their parents are not understanding have low quality relationships. We examined whether poor social health is associated with violent behavior.

Methods: We analyzed data from the Global School-based Student Health Survey (GSHS), which employs a standardized two-stage cluster sampling method and a validated questionnaire to explore health and risk behaviors among nationally representative samples of …

Closing The Gap: Preschool Quality Affect On Language Acquisition Across Socioeconomic Statuses, Abby E. Hannnon Ms, Kaitlyn Clark Ms, Olivia Lewis Ms, Catherine L. Cotton Ms

Undergraduate Research Conference

Language acquisition is impacted greatly in the early years of life by many contributing factors. Children begin to have the conscious ability to acquire, learn, and develop language in exponential capacities around the age of 3-4 years old. These years are vital for the future of individuals' speech and communication. Preschool education is the beginning building blocks that lead to K-12 language learning and development. Socioeconomic statuses differ across all preschool aged children’s homes, consequently affecting the language heard and learned in the household. Our goal is to examine whether the quality of preschool education reduces the language acquisition gap …

How Do Slp's In Mississippi Incorporate Religious Activities In Adult Therapy Sessions, Nina M. Coker, Kenzie Priest, Claire Leak, Callie Abraham

Undergraduate Research Conference

Our research study proposes that Speech-Language Pathologists (SLPs) in Mississippi consider including religious activities in therapy sessions with adult clients, highlighting the impact of these practices on the clinician-client relationship. The purpose of this research proposal is to gain information on how SLPs can incorporate religious activities in therapy sessions. It also seeks to emphasize the importance of clinicians’ cultural awareness regarding religious practices and how their awareness can impact their client’s experience. This study will consist of two surveys. The first survey will be completed by clinicians to gain knowledge of their awareness and incorporation of religion within therapy …

Does Awareness Of Behavioral Challenges Impact The Preparedness Of Recent Slp Graduate Students For Their Professional Practice?, Madison K. Jones, Catherine L. Cotton Dr.

Undergraduate Research Conference

This research aims to explore how awareness of behavioral challenges, such as aggression, defiance, and hyperactivity, affects the preparedness of recent Speech-Language Pathology (SLP) graduates. With over 84% of children receiving SLP services also facing emotional or behavioral difficulties, it is crucial to examine whether new SLPs feel prepared to manage these challenges. The study seeks to assess whether increased awareness of behavioral issues correlates with greater confidence and readiness in addressing them during the first year of clinical practice. The study will involve administering a survey to first-year Speech-Language Pathologists. The survey will focus on their preparedness and their …

Difference Or Disorder? Misidentification Of Speech And Language Disorders In Mississippi’S Public Schools, Lori Leachman, Catherine Cotton Dr.

Undergraduate Research Conference

Students who are misdiagnosed with speech and language disorders often miss out on necessary class time and can fall behind their peers. In order to decrease the prevalence of misdiagnoses due to dialectal and linguistic differences, we must first understand how SLPs currently differentiate between typical and disordered speech. In this study, information will be gathered on the current abilities of Mississippi public school SLPs to identify the difference between a speaker that is linguistically diverse and a speaker with disordered speech or language. SLPs will listen to AI generated speech samples–some disordered, some typical, but with non-mainstream dialects–and be …

Effects Of Beetroot Juice Supplementation On Power Output During Resistance Exercise In Resistance-Trained Women, Christopher B. Sottile, Sydney N. Brennan, Trevor J. Molnar, Raymond T. Gerardo, Justin M. Foster, Ryan Tran, Michael Egiazarian, Kyle S. Geppert, Abigial F. Ballhagen, Adam Pennell, Rachel Tan

Seaver College Research And Scholarly Achievement Symposium

Dietary nitrate supplementation has been reported to enhance explosive-type movements, but our understanding of the ergogenic potential of nitrate in resistance exercise and women is understudied. PURPOSE: To investigate if dietary nitrate, provided as nitrate-rich beetroot juice (BR), improved resistance exercise performance compared to nitrate-depleted beetroot juice (PL) in resistance-trained women. METHODS: Eighteen resistance-trained women were assigned in a randomized, double-blind, crossover design to consume PL (0.10 mmol nitrate) and BR (6 mmol of nitrate) 2.5 h prior to performing barbell back squats and bench press at 55% one-repetition max (1RM), 60%1RM, and 65%1RM. Power and velocity were measured via …

Natal And Neonatal Teeth In Mississippi Newborn, Keona Sanders, Anna Mcdowell, Dr. Sarah Mccrary

Undergraduate Research Conference

Title: Natal And Neonatal Teeth In Mississippi Newborns

Submission Type: Semester Long Research/ Oral Presentation

Abstract: In recent years, we have seen a growth in Mississippi infants being born with or growing teeth at an earlier stage. This may be caused by several things, like gestational age, maternal age, or possibly the mother’s diet. We are now looking for common similarities between these infants to see what the possible cause may be. Although this may not seem detrimental, this is still very harmful for infants, causing diseases like Riga Fede Disease. This is a disease that is caused by mandibular …

Psilocybin Impairs The Extinction Of Contextual Fear In Adult Female, But Not Male, Rats, Lillianna P. Puppel, Aleece K. Al-Olimat, Kylie M. King, Marisa J. Savini, Claire E. Miller, Colin R. Del Valle, Heather R. Sparkman, Brooke E. Bramlage, Phillip R. Zoladz

ONU Student Research Colloquium

Fear-related disorders are often treated with exposure therapy, a technique based on the concept of extinction. However, this type of therapy is ineffective for many individuals, so finding a pharmacological adjunct that augments the extinction of fear could lead to better treatment outcomes. In recent preclinical work, investigators have shown that psychedelics can accelerate the extinction of fear, potentially through their impact on neurotrophic signaling. We previously found that psilocybin exerted sex-dependent effects on the extinction of conditioned fear to an isolated cue (i.e., a tone). Specifically, psilocybin enhanced the extinction of cue fear in male rats but impaired it …

Resting Blood Pressure And Heart Rate Measurements Are Different In Division Iii Male And Female Athletes At Ohio Northern University From 2000-2023, Scott Swanson, Katie Prusnek, Nora Metcalf, Dani Widmark, Rachel Ruggles

ONU Student Research Colloquium

Introduction/Background

Resting blood pressures and heart rates are common pre-participation cardiovascular measurements in college athletes. Athletes in the NCAA’s Division III comprise nearly 40% of all participants in college athletics. Despite the large number of athletes participating in Division III athletics, few studies have examined resting pre-participation cardiovascular measurements in male and female Division III athletes.

Purpose

Determine resting systolic and diastolic blood pressures and heart rates in male and female athletes at ONU from 2000 - 2023.

Methods

Resting systolic and diastolic blood pressures and heart rates were measured in athletes on 19 ONU sport teams (N = 10 …

Use Of Visual Cues In Pacu Pca Pumps On Increasing Patient Satisfaction Of Pain Management, Rebecca Willier

ONU Student Research Colloquium

Abstract

Problem: Effective pain management in the Post-Anesthesia Care Unit (PACU) is crucial for patient recovery and satisfaction. Patient-controlled analgesia (PCA) pumps are commonly used to manage post-surgical pain, allowing patients to self-administer analgesics within prescribed limits. However, confusion about dosing intervals and uncertainty about when the next dose can be administered may lead to anxiety and dissatisfaction among patients. Previous research suggests visual cues can enhance user experience and confidence in medical device use.

Aim: This study aims to investigate whether the addition of visual cues on PCA pumps improves patient satisfaction with pain management compared to standard PCA …

Cognitive Function And Cardio-Pulmonary Responses Following One Night Sleep Deprivation Among College-Age Students, Jacob S. Kreger, Andrew Schroeder, Michael Ranney

ONU Student Research Colloquium

The relationship between sleep and quality of life has been extensively studied. Previous research suggests that even one night of sleep deprivation negatively impacts cognitive ability and stress levels. In this study, physiological stress markers—heart rate (bpm), blood pressure (systolic, diastolic, mean arterial pressure), respiratory rate (rpm), and oxygen saturation (%)—were measured while participants rested. Cognitive function was assessed using the Stroop color test. Twenty five healthy college students (ages 18-23, male and female) were grouped based on sleep duration (0-4, 4-6, and 7-9 hours), each group consisting of male and females. It was hypothesized that shorter sleep durations would …

Jeremy Bentham Will See You Now, Kevin Suiter

Clinical Research in Practice: The Journal of Team Hippocrates

A discussion of remote patient monitoring through the lens of Jeremy Bentham's Panopticon