Medicine and Health Sciences Commons^™

New Vs. Reprocessed: A Scoping Review On Ilizarov Frame Reuse, James Hughes, Nicholas Obias, Dustin Prins, Amanda Killeen

School of Podiatric Medicine - Student Research

This review examines current literature regarding the viability of reused/reprocessed Ilizarov External Fixation (IEF) – with the end-goal of improving surgical options for complex limb pathologies in austere environments. We hypothesize this review will find no statistically significant difference between clinical outcomes of reused vs. new IEFs

IEF is an important but costly modality for complex limb pathologies, such as trauma, deformity, and nonunion (Chironga et al., 2023). Though effective, the cost of IEF is exacerbated by its single-use deployment (Chironga et al., 2023). A proposed cost-control measure is IEF reuse/reprocessing via (1) antiseptic pre-treatment, (2) structural stability assessment, (3) …

Epidemiologi Kejadian Luar Biasa Malaria Bulan September-November 2024: Studi Serial Kasus Di Kabupaten Indragiri Hilir, Provinsi Riau, Rajunitrigo Rajunitrigo, Irwan Muryanto, Renti Mahkota, Fadhil Armen, Yusni Nuryanti, Fahrul Rizal, Rabiatul Adwiyah

Jurnal Epidemiologi Kesehatan Indonesia

Abstract

Malaria remains a public health issue in Indragiri Hilir Regency, Riau, despite its elimination certification 2018. In 2024, a malaria outbreak occurred, and an epidemiological investigation was then carried out. This study aims to describe the epidemiological characteristics of the malaria outbreak based on person, time, and place. This study used a serial case design, analyzing all confirmed malaria cases reported in the e-SISMAL system of Indragiri Hilir Regency from September 1^st to November 30^th, 2024. Data on Anopheles Sundaicus habitats were obtained from epidemiological investigation reports. Univariate and bivariate analyses were conducted using the chi-square …

Implementing Noninvasive Capnography Monitoring To Enhance Early Recognition Of Postoperative Respiratory Decline In High-Risk Patients: A Quality Improvement Project, Trevor A. Messenger

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Implementing Noninvasive Capnography Monitoring to Enhance Early Recognition of Postoperative Respiratory Decline in High-Risk Patients: A Quality Improvement Initiative

Trevor Messenger

Background: Those suffering from chronic respiratory disease, obstructive sleep apnea (OSA), obesity, and other serious comorbidities are at an increased risk of respiratory decline after receiving general anesthesia. Respiratory decline leads to adverse outcomes, including increased hospital length of stay, intensive care unit (ICU) admissions, morbidity, and mortality.

Purpose: To improve the safety of postoperative patients at risk for OSA, and to reduce adverse events and airway interventions by enhancing the monitoring capabilities of bedside clinicians with waveform …

All-Terrain Vehicle Injuries Among Youth: A Multidimensional Analysis Of Injury Patterns In West Virginia And Safety Laws Across High-Fatality States, Sabrina Chyann Beal

Graduate Theses, Dissertations, and Problem Reports (ETD)

All-terrain vehicles (ATVs) pose significant injury risks, particularly among youth. These powerful machines are widely used across recreational and rural settings. West Virginia consistently ranks among the top five states for ATV-related deaths and injuries. Safety equipment and requirements are often not followed nor enforced, causing children and adolescents to be the most vulnerable group because they tend to not wear safety equipment such as helmets, ride on roadways, carry passengers, and operate oversized ATVS. This study examined ATV injury patterns from the WVU Medicine Trauma Registry and ATV laws across the five states with the highest reported fatalities. This …

Code Blue Narrator Documentation: An Evidence Based Quality Improvement Initiative, Stefanie A. Benvenuto

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: The code documenter plays a crucial role in ensuring accurate, real-time documentation during Code Blue events, which is critical for patient care and compliance with established guidelines and protocols. However, nurses have reported discomfort with the Code Narrator tool in EPIC, which has hindered effective documentation during these high-pressure situations.

Purpose: The lack of comfort in using the Code Narrator tool has led to inconsistent and inaccurate documentation during Code Blue events, potentially impacting the effectiveness of the response and patient outcomes, such as the achievement of return of spontaneous circulation (ROSC).

Intervention: An educational competency …

Opportunities For Inter-Cultural Awareness In The Education Of Dental Hygienists, Elizabeth J. Sandell, Lynnette Engeswick

Elementary and Literacy Education Department Publications

Professional standards require that dental hygienists deliver culturally appropriate services and demonstrate respect for patients whose cultural beliefs and values may conflict with normative clinical recommendations. The present study provided a snapshot of undergraduate students in one dental hygiene education program about the students' Intercultural competence (ICC): "the capability to understand and adapt behavior to cultural differences and commonality accurately." Rather than a longitudinal study of a student cohort, investigators sought to understand if program outcomes were congruent with the stated visions and missions of the university, co llege, and department. The participants completed an Informed Consent before taking the …

The Special Issue “The 20th Anniversary Of Pharmaceuticals—Multi-Targeted Natural Products As Therapeutics” Editorial—Multi-Targeted Therapeutics From Natural Sources: What Do We Know?, Elena Y. Enioutina, Katheleen M. Job, Catherine M.T. Sherwin

Pediatrics Faculty Publications

Herbal and marine products in the form of extracts, infusions, and decoctions have been used for centuries in folk and traditional medicine. Preparations typically contain multiple biologically active compounds. The World Health Organization (WHO) estimated that about 65% of consumers worldwide use natural remedies containing bioactive molecules to treat various diseases [1]. Most single-molecule drugs of natural origin were developed in the middle of the 20th century through the active screening of natural products for bioactive molecules [2]. Examples include artemisinin, cyclosporine, taxol, doxorubicin, and many others. However, at the beginning of the 21st century, we saw a decline in …

Communication Interventions For Families With Parental Cancer With Dependents: Findings From A Scoping Review, Cinzia Caparso, Zoe Bowen, Sung Won Choi

Nursing Faculty Research Publications

Background: Since 2019, invasive cancer diagnoses in people younger than 50-years-old have increased by 12.8%, which impacts people of child-bearing age. Currently, interventions in families of parents with cancer are focused primarily on the parent with cancer communicating with their dependents about the initial cancer diagnosis or at end-of-life through in-person interventions. Limited web-based interventions have been developed to increase communication across all family members (e.g., parents with cancer with coparents; children with their parents) about communicating the impact of cancer on the individual’s and family’s well-being cross the cancer trajectory, a key gap to improved outcomes in this population. …

App Assisted Depression Self-Management In Integrated Primary Care: A Pilot Study Exploring Patient And Provider Experiences, David J. Johnson, Margaret R. Emerson, Danae Dinkel, Robbin Thomas, Shinobu Watanabe-Galloway, Maria S. Mickles, Carli Culjat

Journal Articles: Epidemiology

The integrated primary care (IPC) setting is currently the de facto institution for accessing mental healthcare among underserved populations. However, many barriers exist for these populations when seeking regular and adequate mental healthcare, including provider availability and transportation challenges. This study piloted the incorporation of mindLAMP, a mHealth app, into IPC treatment to offer a low-resource intervention designed to improve and expand access to mental healthcare for underserved patients between face-to-face visits. This study gathered data from a sample of both behavioral health providers and patients (N = 6) in IPC settings to pilot the use of the mindLAMP app …

Laryngeal Hypersensitivity From The Perspective Of Pain Science: An Integrative Review Of Empirical Studies On Associated Factors And Processes, William Saint-Jules, Hugo Massé-Alarie, Nicole Y. K. Li-Jessen, Maude Desjardins

Revues de littérature, synthèses de connaissances

Objective

Laryngeal hypersensitivity (LHS) is a state of heightened sensorimotor response to stimuli in the upper airway. Although its clinical picture is becoming progressively clearer with recent research progress, specificities about its associated factors and processes remain to be clarified. The aim of this integrative review was to synthesize published empirical data from human studies on LHS, focusing on related factors and pathophysiology.

Study Design and Data Sources

Integrative review of the literature; Pubmed, EMBASE, and Web of Science.

Methods

Keywords associated with the following three main concepts were used to query databases: (1) manifestations potentially associated with an irritable …

Pediatric Caregiver Interventions: A Scoping Review, Venisa Rodriguez

Student Research Design & Innovation Symposium

Caregivers are an integral component in pediatric healthcare service delivery. Caregiver education/interventions and health beliefs vary greatly, as do barriers and facilitators, including their accessibility, quality, and effectiveness. A family-centered care approach, defined as utilizing the family as a formal member, resource, and collaborator in the care team, has been found to be beneficial and contribute to positive health and wellbeing outcomes for caregivers, their child, and the family unit as a whole. A scoping review was conducted to investigate the utilization and impacts of caregiver education/interventions on their engagement in the therapeutic process. The results of this review will …

The Genetic Role Of Cerebral Palsy, Samantha Bruno

Student Research Design & Innovation Symposium

Cerebral palsy is a group of various disorders that impact a person's mobility, posture, and balance. It affects muscle control and can be caused by abnormal development of the brain or by brain damage. This condition can develop before birth, during birth, within a month postpartum, or during the child's first year of life while the brain is still in the developmental process. Studying the genetic role of cerebral palsy is crucial to ensure an early diagnosis and proper treatment moving forward. In this research study, genes were explored that have been known to play a role in the development …

Impacts Of Ramadan Fasting During Pregnancy On Pregnancy And Birth Outcomes: An Umbrella Review, Abdullah Al-Taiar, Md Estiar Rahman, May Salama, Ali H. Ziyab, Wilfried Karmaus

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Background

Despite a large number of primary research studies, and systematic and narrative reviews, there is no consensus on the impact of fasting during Ramadan while pregnant on pregnancy and birth outcomes. Currently, there is no evidence-based guideline for Muslim women regarding Ramadan fasting during pregnancy and clinicians cannot provide firm recommendations.

Objectives

To review the current evidence regarding the impact of Ramadan fasting during pregnancy on pregnancy and birth outcomes.

Search Strategy

We conducted an umbrella review of all systematic and narrative reviews examining the impacts of fasting during Ramadan while pregnant on pregnancy and birth outcomes by searching …

Politics In Public Health: Growing Partisan Divides In Covid-19 Vaccine Attitudes And Uptake Post-2021 Presidential Inauguration, Hongbin Fan, Zhongliang Zhou, Guanping Liu, Chi Shen, Qi Zhang

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Objectives: To investigate whether the 2021 U.S. presidential inauguration contributed to a widening of partisan divides in COVID-19 vaccine attitudes and uptake. Methods: We leverage the presidential inauguration as a natural experiment and analyze data from the Household Pulse Survey and CDC vaccination records. Using a difference-in-differences framework with continuous treatment, we examine how the transition differentially affected state-level vaccine refusal rates and county-level vaccination rates, based on varying levels of partisanship as measured by the Trump-Biden vote gap. Results: Following Biden's inauguration, vaccine refusal declined more in pro-Biden states. Distrust in government and vaccines accounted for approximately 80% of …

Machine Learning Models For Pancreatic Cancer Survival Prediction: A Multi-Model Analysis Across Stages And Treatments Using The Surveillance, Epidemiology, And End Results (Seer) Database, Aditya Chakraborty, Mohan D. Pant

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Background: Pancreatic cancer is among the most lethal malignancies, with poor prognosis and limited survival despite treatment advances. Accurate survival modeling is critical for prognostication and clinical decision-making. This study had three primary aims: (1) to determine the best-fitting survival distribution among patients diagnosed and deceased from pancreatic cancer across stages and treatment types; (2) to construct and compare predictive risk classification models; and (3) to evaluate survival probabilities using parametric, semi-parametric, non-parametric, machine learning, and deep learning methods for Stage IV patients receiving both chemotherapy and radiation. Methods: Using data from the SEER database, parametric models (Generalized Extreme Value, …

Challenge Based Learning For Social Entrepreneurship Education, Koen Depryck, Ilse Wambacq

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Challenge Based Learning (CBL) provides a promising educational framework for teaching social entrepreneurship, addressing the persistent gap between theoretical knowledge and practical implementation. Through a comprehensive analysis of existing literature and theoretical frameworks, this paper demonstrates how CBL’s seven key elements-authentic challenges, stakeholder involvement, interdisciplinary approaches, student agency, work and life skills development, entrepreneurial mindset cultivation, and impact focus-directly align with and support core social entrepreneurship competencies. The integration of Kolb’s experiential learning theory, Santos’ social entrepreneurship framework, and Rogers’ innovation diffusion theory provide a basis for understanding how CBL can enhance social entrepreneurship education. Evidence suggests that CBL particularly …

Pediatric Hearing Loss: Screening For Developmental Delays Among Children With Hearing Aids, Kelsey Wallace

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Children with hearing impairments are at risk for developmental delay, and research has shown that children born with sensorineural hearing loss (SNHL) are at a higher risk for delays in motor, sensory, and social skills development. The literature points to an obvious impact of hearing loss on development, but also a lack of screening for this phenomenon beyond language development skills. A doctoral capstone project was conducted to pilot a process for the implementation of developmental screening for children with hearing aids (HAs), as well as subsequent therapy referrals and parent education, in collaboration with a hospital-based pediatric audiology department. …

Toward A More Accountable And Inclusive Vision Of Health Ethics: Navigating Complexity In Contemporary Clinical Practice, Peter A. Depergola Ii

Journal of Health Ethics

Editor's introduction to Vol. 21, No. 1 of the Journal of Health Ethics.

The Ethics Of Student Attrition In Healthcare Education Programs, Kent Haina Jr, Peter A. Depergola Ii

Journal of Health Ethics

Student attrition is a problem in healthcare education programs, but there is little in the literature regarding the organizational ethics of lowering it. Some argue that lowering attrition is unethical, because it would lower academic and professional standards, potentially impacting patient care. Others say students deserve to make decisions about when to leave a course of study. However, these arguments ignore inequities in attrition, as well as the conflicts of interest in, and moral obligations of colleges and universities. Lowering attrition rates in healthcare education programs is inherently ethical because it levels the playing field for underrepresented minorities that disproportionately …

The Ethical Impermissibility Of Implanting Embryos That Carry The Genetic Markers For Deafness, Cat Mastalerz

Journal of Health Ethics

Preimplantation genetic diagnosis is a reproductive procedure that involves testing embryos conceived by in vitro fertilization for genetic conditions, including cystic fibrosis, Duchenne’s muscular dystrophy, and controversially deafness. This paper examines the ethical dilemma surrounding parents using this technology to select for and choose to implant an embryo that carries the genetic markers for deafness. Disability and impairment are discussed, followed by an in-depth analysis of the role of Deaf culture, including the perspective of hearing children of deaf adults. The effect of deafness on life opportunities is then viewed through the lens of the child’s right to an open …

Enhancing Wellbeing Through Caregiver Support: Improving Quality Of Life For Individuals With Special Needs And Complex Medical Diagnoses In Nicaragua, Jenna K. Devchand

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Individuals with disabilities living all over the world are constantly faced with additional barriers. In low-income countries, such as Nicaragua, there is often a gap in access to resources and education, for both individuals living with disabilities and their caregivers. Access is essential to provide high quality care to meet unique needs. This occupational therapy doctoral capstone project was created to support individuals providing care to children with special needs and complex medical diagnoses in Nicaragua by providing community-based education and sustainable resources to caregivers to enhance wellbeing in daily life. The deliverable was presented in country in Nicaragua to …

Nurturing Potential: Building Teacher Capacity To Support Infant Developmentin Low Income Daycares, Jeanae A. Williams

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Nurturing Potential: Building Teacher Capacity to Support Infant Development in Low Income Daycares

Jeanae Williams, OTDS

Faculty Mentor: Kelly McGloon, PhD, OTR/L

ABRSTRACT:

Early childcare centers play a critical role in fostering young children’s learning and development. Each year, approximately 600,000 infants are born at risk for developmental delays, yet less than 50% are identified early. Early detection and support are crucial in reducing long-term developmental challenges and improving outcomes for reaching milestones. This capstone project aims to enhance the capacity of infant classroom teachers in low-income daycare settings by providing education on typical development and increasing awareness of resources …

Improving Home Exercise Program Adherence In Stroke Survivors: Examining Influencing Factors And Developing Educational Resources For A Behavioral Intervention, Megan E. Thompson

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Improving Home Exercise Program Adherence in Stroke Survivors: Examining Influencing Factors and Developing Educational Resources for a Behavioral Intervention

Nearly 800,000 individuals experience a stroke annually in the United States and stroke often results in upper extremity functional limitation which can impact the individual’s ability to perform their activities of daily living. Because of this, home exercise programs are prescribed to facilitate rehabilitation; however, adherence is inadequate which ultimately impacts overall functional recovery. The purpose of this capstone is to enhance understanding of factors that influence home exercise program adherence and to improve upper extremity functional recovery post stroke through …

Occupational Therapy In Oncology: Enhancing Quality Of Life For Head And Neck Cancer Survivors, Anna C. Hildebrand

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

This occupational therapy capstone project was completed through collaboration with a site that aims to eradicate cancer through multidisciplinary patient care, innovative research, and education and training. The purpose of the project is to improve the quality of life (QoL) in Head and Neck Cancer survivors through resources created to enhance self-efficacy, symptom management, and overall well-being throughout the cancer trajectory. The project included the goal of furthering the health care team’s understanding of occupational therapy’s role within the cancer population, specifically HNC, by providing these supportive resources. Educational patient handouts were distributed to HNC care providers to then distribute …

Non-Enzymatic Glycoxidation Reports On Society, Environment And Biology To Inform On Enduring Cancer Disparities, Fariha Imtiaz, Boxiao Ding, Bradley A. Krisanits, Katherine A. Walter, Lindsay L. Peterson, Susan Steck, Marvella E. Ford, Gayenell Magwood, Victoria J. Findlay, David Turner

Annual Research Day

Background: Despite advancements in cancer treatment, disparities in incidence and mortality persist among different races and ethnicities. These disparities are influenced by an intricate interplay between environmental, biological and social factors that underscore the need for a multifaceted approach to understand this relationship. Objective/Aim: To show that advanced glycation end products (AGEs) due to non-enzymatic glycoxidation represent informative and functional markers that report on the combined impact of environmental, biological and social factors on enduring cancer disparities. Methods: To address this objective, a more holistic approach to disparities research was used ranging from basic research, population-based investigations, preclinical and clinical …

Learning Curve And Patient Outcomes Of Minimally Invasive Esophagectomy: One Surgeon’S 10-Year Experience, Moamad Chehab M.D., Cody Tragesser M.D, Franklin Geroudis M.D., Rebecca Deitch M.D., Anthony Cassano M.D., Rachit Shah M.D.

Annual Research Day

Objective: To examine the learning curve of one surgeon performing minimally invasive esophagectomy (MIE) over a 10-year period since the beginning of their practice with a focus on patient outcomes. Methods: This is a retrospective study of all patients undergoing MIE for malignancy by one surgeon at an academic high-volume tertiary center over a 10-year period (10/2012 to 9/2022). Patients were stratified into 2 equal groups based on chronological order and termed Early MIE and Late MIE. Primary outcomes included operative measures and patient outcomes over a 1- year period post-operatively. Results: A total of 128 patients were identified, divided …

The Collaborative Care Model And Depression Mediation Adherence, Remmy Rocha, Megan Mcclain, Anusha Mubin, Nicholas Morgenstern, Makenzie Maroney, Melanie Menning, Shannon Kinnan, Ryan W. Walters

Posters and Presentations: Family Medicine

No abstract provided.

An Evaluation Of The Association Between Female Reproductive Health Policy And Children's Health Outcomes, Kira Markowski, Rachel Bobko

Scholarship in Medicine - All Papers

Background: As policy pertaining to female reproductive health and education continues to be a central issue concerning Americans and a divisive focus of political campaigns, it is important to fully understand the ramifications of female reproductive health legislation not only on women’s health outcomes but also the health outcomes of children and adolescents.
Objective: We set out to identify how legislation and policy related to female reproductive health and education impacts the health and well-being of children and adolescents. By evaluating this relationship, we aim to show whether variations in policy correlate with variations in a child’s well-being as lawmakers …

Awake And Affected: Cultural And Socioeconomic Impacts On Sleep Insufficiency In Modern-Day Ohio, Nehal Mittal, Marina Shenouda

Scholarship in Medicine - All Papers

Background: Previous literature explores factors such as urban environments, screen use and stress negatively impact sleep quality in American adults. However, there is a lack of demographic focus on non-white, low-income populations specifically related to sleep. There is a growing need for targeted interventions to address increasingly prevalent disparities.
Objective: Our study aims to look deeper into race, age, and socioeconomic status and other demographic factors that may affect sleep health.
Results: Our analysis revealed a strong positive correlation between insufficient sleep and selfreported poor or fair health (r = .728) and a moderate positive correlation with unemployment (r = …

Prevention Of Substance Related Deaths Through Mental Health Counseling, Lindsey Tout, Camille Zonfa

Scholarship in Medicine - All Papers

Background: Substance abuse, particularly alcohol and drug use, remains a critical public safety issue in Ohio. Those suffering with abuse disorders are likely to often have accompanying mental health disorders, however, there lies a significant gap in treatment.
Objective: This study examines trends in alcohol-related driving deaths, drug overdose deaths, excessive drinking, and mental health provider availability from 2016 to 2023 in rural and urban counties of Ohio.
Methods: Data collected from the public source, County Health Rankings and Roadmaps, was analyzed using statistical methods to assess changes between 2016 to 2023 for the 88 counties of Ohio. Urban versus …