Medicine and Health Sciences Commons^™

Perceived Healthfulness Of The Environment Of Communities With Low Income: Focus Groups And Interviews With Extension Nutrition Educators, Elder Garcia Varela, Jamie Zeldman, Jade Mcnamara, Jesse S. Morrell, Lisa Franzen-Castle, Melissa D. Olfert, Tandalayo Kidd, Kendra Kattelmann, Geoffrey Greene, Karla P. Shelnutt

Journal of Extension

This study explored Extension nutrition educators’ (NEs) perceptions of community members’ challenges and opportunities for achieving a healthy lifestyle. NEs represented various communities with low income across nine states. NEs across locations identified similar barriers (i.e., lack of access and availability of healthy and affordable foods; access to transportation; and financial insecurity) and opportunities (i.e., trustworthy and free nutrition education resources and programs; and access to food banks, food pantries, and health care professionals) that prevented or facilitated a healthful lifestyle. Future research should explore key community stakeholder and community member perceptions to guide the development of community-driven interventions.

Genetic And Environmental Contribution To Phenotypic Resemblance Between Iranian Couples: Tehran Cardiometabolic And Genetic Study (Tcgs), Parisa Riahi, Amir Hossein Saeidian, Albert Tenesa, Carolyn T Hogan, Michael March, Kamran Guity, Mahmoud Amiri Roudbar, Asieh Zahedi, Maryam Zarkesh, Farideh Neshati, Mehdi Hedayati, Fereidoun Azizi, Hakon Hakonarson, Maryam S Daneshpour, Mahdi Akbarzadeh

Faculty, Staff and Students Publications

Objective: To provide an applied framework for assessing the genetic contribution to assortative mating (AM) using height as a model trait and disclose the trace of certain pieces of evidence of AM in the form of the shared environmental effects from long-term cohabitation on spouses' anthropometric traits and lipid serum levels.

Methods: 2315 genotyped couples were extracted from the Tehran Cardiometabolic Genetic Study (TCGS). Pearson correlation analysis was used to assess the relationship between spouses' height. The GCTA-GREML was used to assess the SNP-based heritability of individual and spousal heights with AM adjustments. We used a recent GWAS meta-analysis of …

Inadequate Intensification Of Ldl-Cholesterol Lowering Therapy After Coronary Revascularization: Insights From The Gould Registry, Benjamin E Peterson, Deepak L Bhatt, Christie M Ballantyne, James A De Lemos, Robert S Rosenson, Mikhail N Kosiborod, Christopher P Cannon

Faculty, Staff and Students Publications

Background: Patients with a history of coronary revascularization are at a higher risk for subsequent cardiovascular events and all-cause mortality. Lowering LDL-cholesterol (LDL-C) levels post-revascularization significantly reduces these risks.

Methods: This analysis compared LDL-C-lowering therapies at baseline and over time among patients with and without prior coronary revascularization in the GOULD registry (a prospective multicenter cohort study). Baseline- and 24-month follow-up characteristics-including LDL-C levels and strategies for lipid-lowering therapy (LLT)-were evaluated.

Results: Out of 5006 patients, 2195 (43.8%) had prior coronary revascularization. At baseline, these patients had lower LDL-C (99.2 mg/dL vs. 102.5 mg/dL; p < 0.001) and were more likely to be on intensive LLT (52.8% vs. 42.7%; p < 0.001). At 24 months, they had small reductions in LDL-C (-15.6% vs. -13.7%; p = 0.145) and were more likely to be on intensive LLT (61.9% vs. 51.5%; p < 0.001). Similar LDL-C reductions were observed in the PCSK9i group regardless of revascularization status.

Conclusions: Despite slightly better baseline …

Acute Care For Elders Unit Implementation At Banner Health: A Quality Improvement Analysis, Jacob Lahti, Tony Gaidici, Shreya Bharath, Esha Saraswat, Nimit Agarwal

Annual Research Symposium

There is an increasing need to optimize hospital care for older adults as Age Friendly Health Systems (AFHS) become increasingly popular. Geriatric patients may often be subject to extended hospital stays, which can result in functional decline, increases in hospital-acquired injury, infections, and neurocognitive deterioration. Early acute inpatient rehabilitation (IRF) is known to improve functional optimization of older adults as compared to therapy in a skilled nursing facility (SNF). In this study we demonstrate the effect of a structured program based on the 4Ms of AFHS in our newly established Acute Care for Elders (ACE) unit, a first in Arizona. …

A Comparative Look At Current Clavicle Orif Recovery Timeline, Eric Demro

Annual Research Symposium

No abstract provided.

Evaluating The Role Of Vitamin D3 In Enhancing Post-Orthodontic Treatment Stability: A Randomized Controlled Trial, Gabriel Eisenhuth, Sebastian Eisenhuth

Annual Research Symposium

Roseman Research Symposium

Current Concepts In Prenatal Dental Care: A Narrative Review, Adam Lawlor

Annual Research Symposium

No abstract provided.

Blunt And Penetrating Trauma In Resource-Limited Settings: Challenges, Innovations, And Opportunities For Improvement​, Tallon Muhlestein

Annual Research Symposium

This literature review explores key challenges with innovative solutions to managing blunt and penetrating trauma in resource-limited settings. Healthcare gaps can be closed in resource-limited settings through technology advances and these innovative solutions.

High-Output Cardiac Failure Caused By Large Coronary Artery Fistulas Treated With Coil Embolization, Nawal Mustafa, Blain Tafaesse, Hajra Nadeem, Muhammad Mustafa

The VAD Journal

There are many causes of high-output cardiac failure. We present a unique case of high-output cardiac failure caused by multiple coronary-to-pulmonary artery (PA) fistulas, which, to our knowledge, is a rare finding that has not been previously researched. The purpose of our case report is to highlight the importance of considering coronary-to-PA fistulas in the differential diagnosis of patients presenting with high-output cardiac failure. Our patient presented to the emergency department with shortness of breath and underwent nuclear stress testing, which, through cardiac catheterization, revealed coronary-to-PA fistulas as the cause of the high-output cardiac failure. These fistulas were successfully treated …

Accuracy Of 3d Printed Surgical Splints In Orthognathic Surgery: A Systemic Review, Aasha Patel, Alia Chaudhry, Shilpa Bhandi, Frank Licari, Shankargouda Patil

Annual Research Symposium

No abstract provided.

Evaluation Of Nasal Airway Volume In Adults After Maxillary Expansion With Clear Aligner, Boyu Pan, Dr. Tarek El-Bialy, Lindsey Westover, Omar Badawi, Kimia Kazemi, Damneek Grewal, Kathryn Kang

Annual Research Symposium

In this 15-patient pilot study, slow maxillary expansion with clear aligners yielded a statistically significant 10.43% increase in nasal airway volume (p < 0.001).

Visual Effects Of Sodium Hypochlorite On Necrotic And Inflamed Pulpal Tissue, Justina Gorgy, Mitchell Hogue, John Wisniewski

Annual Research Symposium

No abstract provided.

Oral Cancer And The Impact Of Glossectomy: Challenges And Pathways To Recovery, Merna Roman, Kamran H. Awan

Annual Research Symposium

No abstract provided.

Dysbiosis Of The Oral Microbiome And Pathophysiology Of Pregnancy Complications, Jiselle Cornejo, Claudia M. Tellez Freitas

Annual Research Symposium

No abstract provided.

Artificial Intelligence In Conservative Dentistry And Endodontics, Keerthana Kesavalu Krishnamurthy

Annual Research Symposium

No abstract provided.

Counseling Students’ Perceptions Of Support During The Covid-19 Crisis: A Qualitative Study, Breahannah Hilaire, Galaxina G. Wright, Lea H, Laurie O. Campbell

Journal of Counselor Preparation and Supervision

The COVID-19 pandemic changed the counseling programs in clinical instruction, mentorship, and student’s perception of the university. The qualitative data presented in this paper identifies eight counseling students’ beliefs of support during their time in counseling program during the COVID-19 pandemic. Data was obtained through semi-structured interviews. An interpretive phenomenological analysis resulted in four themes: including higher education response, personal resources, emotions in crisis, and transitions in crisis.

The Development Of Teacher Identity In Counselor Education Doctoral Students, Wes Allen, Joel F. Diambra, Rebecca Gaylor

Journal of Counselor Preparation and Supervision

Abstract

Counselor educators (CE) prepare counselor education doctoral students (CEDS) to work as counselors, scholars, leaders, supervisors, and teachers. While we have a firm understanding of how CEDS develop in general (Limberg et al., 2013; Moss et al., 2014), there is little known about how they develop specifically as teachers. The goal of this research study was to gain insight into how teacher identity develops for CEDS. We interviewed 10 participants using transcendental phenomenology methodology to gain insight into their teaching preparation experiences and identities as teachers. We identified three primary themes from the data: (1) Connection, (2) Confidence, or …

Impact Of Educational Models On Student Confidence In Acute Care Physical Therapy: A Comparative Analysis, Robert Dekerlegand, Pt, Mpt, Phd, Ccs

Department of Physical Therapy Posters

Background and Purpose

• Hybrid and blended education have evolved as innovative models to deliver physical therapy (PT) education.¹
• PT faculty rapidly integrated these models into their pedagogy during the COVID pandemic in 2020 and many have retained these methods.¹
• Assessment of these models most frequently use cognitive indicators of learning outcomes (e.g. National Physical Therapy Examination).²
• Noncognitive indicators (e.g. confidence and self-efficacy), should be considered when assessing new educational models in PT given their relationship with competency and career direction.^3-5
• The impact of “distance models” on noncognitive learning indicators is of particular value to acute care …

Bystanders To Bias: Witnessing Gendered Microaggressions Affects Men's And Women's Outcomes In Stem Small Group Contexts, Nadia Vossoughi, Logan C. Burley, Ryan P. Foley, Lorelle A. Meadows, Denise Sekaquaptewa

Michigan Tech Publications

We tested whether merely witnessing gendered microaggressions affects group work experiences among male and female undergraduate computer science and engineering students. Across three experiments (N = 753), we randomly assigned computer science and engineering students to witness microaggressions targeting female students, or control interactions, using a video manipulation. Witnessing microaggressions-compared to the control-resulted in heightened gender-specific stereotyping concerns, with women being concerned about appearing incompetent and men being concerned with appearing sexist. For both women and men, witnessing microaggressions resulted in decreased enthusiasm for participating in group work. Moreover, for women, the relationship between decreased enthusiasm and witnessing microaggressions was …

Long-Acting Injectables: A Strategy To Mitigate Nonadherence In Bipolar Disorder, Justin Faden, Elina Maymind

Rowan-Virtua School of Osteopathic Medicine Departmental Research

No abstract provided.

"Impact Of Nicotine Pouches On Oral Health: A Comprehensive Analysis”, Andrew Gallos, Kamran H. Awan

Annual Research Symposium

Poster presentation

Glycemic Variability And Migraine: New Insights From Glucose Monitoring, Christina A. Nelson, Kyle Reavely, Matthew Jennings, Brandon Burger, Jackson Nielsen, Amanda Page, Alexander Kim, David Sant, Kyle Bills

Annual Research Symposium

No abstract provided.

The Role Of Nutrient Deficiency In Persister Cell Formation- A Morphological Study, Ryan Newman, Emajoy Rains, Isaac Young, Victor M. Jimenez

Annual Research Symposium

No abstract provided.

Aspartame: Is It Truly Safe For Human Consumption?, Zachary Bernstein, Kamran Awan

Annual Research Symposium

Poster Presentation

Utilizing Food As An Art Medium In Eating Disorders Treatment, Keren Blumenthal Yanir

Expressive Therapies Dissertations

This research explored food as an art medium in an innovative art therapy intervention for adults with eating disorders (EDs) and what this nontraditional art material can evoke. Several interventions (e.g., food exposure, cooking, and some family-based therapy) incorporate food in ED treatment, but none use it as an art medium.

Six Israeli adults (one with bulimia nervosa, two with atypical anorexia, and three with anorexia nervosa) individually participated in three meetings, each with a 30-min experiential component and an interview. While wearing a GoPro camera, participants created spontaneous artwork using foods (e.g., vegetables, legumes, pasta, flour, candy). The researcher …

Rideshare Services For Transportation Assistance In Gynecologic Oncology: A Quality Improvement Study, Anna Jo Smith, Sam Pancoe, Mary Pat Lynch, Megan Wachlin, Kristina Powell, Stefanie N. Hinkle, Nathanael C. Koelper, Meredith Doherty, Justin E. Bekelman, Fiona Simpkins, Emily M. Ko

SKMC Student Presentations and Publications

OBJECTIVE: Transportation barriers can lead to delays in care and suboptimal treatment. Our objective was to assess the utilization of a novel transportation pilot intervention in gynecologic oncology.

METHODS: Since May 2022, we have provided donor-funded transportation to patients receiving gynecologic cancer treatment at 5 University of Pennsylvania practices. Patients are screened for transportation barriers at first visit and re-screened during care. Patients who screen positive are referred to the intervention, a HIPAA-compliant ride-sharing service. There are no income or insurance restrictions; distance was limited to 25 miles. We report descriptive statistics on ride completion, distance traveled, and cost.

RESULTS: …

Proxy Panels Enable Privacy-Aware Outsourcing Of Genotype Imputation, Degui Zhi, Xiaoqian Jiang, Arif Harmanci

Faculty, Staff and Student Publications

One of the major challenges in genomic data sharing is protecting participants' privacy in collaborative studies and in cases when genomic data are outsourced to perform analysis tasks, for example, genotype imputation services and federated collaborations genomic analysis. Although numerous cryptographic methods have been developed, these methods may not yet be practical for population-scale tasks in terms of computational requirements, rely on high-level expertise in security, and require each algorithm to be implemented from scratch. In this study, we focus on outsourcing of genotype imputation, a fundamental task that utilizes population-level reference panels, and develop protocols that rely on using …

Effects Of Sex And Cross-Sex Hormone Treatment On Renal Mct/Smct Expression Following Prepubertal Gonadectomy, Annie Lee, Qing Zhang, Hao Wei, Melanie A. Felmlee

Pacific Faculty Work

Background: Kidney proton- and sodium-dependent monocarboxylate transporters (MCT/SMCT) are involved in the renal reabsorption of substrates, and thus factors involved in their regulation may have pharmacokinetic implications. Previous studies have demonstrated sex hormone-dependent regulation of MCTs and SMCTs in tissues involved in drug disposition. The present study evaluates the impact of puberty on renal MCT/SMCT expression with ovariectomy and castration conducted before puberty, removing the initial exposure to sex hormones. Methods: Male and female rats were castrated or ovariectomized before puberty (4 weeks of age), and subsequently treated with testosterone, 17β-estradiol, progesterone, or both 17β-estradiol and progesterone for 21 days …

Staff Education On Medication Adherence Teaching For Psychiatric Patients In The Outpatient Setting, Ernestina Akosua Ohene-Agyakwah

Walden Dissertations and Doctoral Studies

Summary The type of doctoral project was staff education. The aim was to address the practice gap of lack of standardized staff education on medication adherence in the outpatient psychiatric care setting. The practice-focused question was "Will staff education on medication adherence for psychiatric patients in the outpatient setting result in an increase in staff knowledge?" To provide staff with the information and abilities they needed to consistently deliver patient education that supported evidence, the project created, carried out, and assessed a structured staff education program. Knowledge changes among the 10 participants were evaluated and measured using the mean difference …

Staff Education Program To Reduce Burnout Using Mindfulness Techniques In A Psychiatric Outpatient Clinic, Miriam Ambe

Walden Dissertations and Doctoral Studies

Burnout is becoming more common among nurses, which has a negative impact on the well-being of nurses, patients, and organizations. The practice problem for this DNP project was the need for more awareness about burnout and associated strategies to address nurse burnout among outpatient nurses in a psychiatric clinic. This DNP project was a staff education program to teach nurses how to identify burnout in themselves while offering them mindfulness techniques to prevent or mitigate burnout. This project’s guiding practice-focused question and framework was, “Will a staff education program on mindfulness techniques to prevent burnout lead to nurses’ identification of …