Medicine and Health Sciences Commons^™

I’M Here Whether I Like It Or Not: A Focused Ethnographic Description Of Transition Into Residential Aged Care, Stacey Scott, Annette Raynor, Julie Dare, Jennifer Grieve, Leesa Costello

Research outputs 2022 to 2026

Transition into residential aged care (RAC) is a challenging process, often characterised by vulnerability, fear, and isolation. This study aimed to provide a contextualised description of transition within a care-facility in Australia to deepen our understanding of this major life event. A focused ethnography was conducted, which included formal interviews with residents during their first 6 months of living in RAC. The findings provide an account of the participants’ views on acceptance, highlight the challenges of loss, and showcase the coping practices new residents used. This paper provides a type of report card for the sector, which reveals that there …

Temporal Eating Patterns And Ultra-Processed Food Consumption Assessed From Mobile Food Records Of Australian Adults, Janelle D. Healy, Satvinder S. Dhaliwal, Christina M. Pollard, Amelia J. Harray, Lauren Blekkenhorst, Fengqing Zhu, Deborah A. Kerr

Research outputs 2022 to 2026

Background/Objective: Temporal eating patterns and ultra-processed food (UPF) consumption have independently been associated with obesity and non-communicable diseases. Little is known about the temporal patterns of UPF consumption, as data is challenging to collect. Temporal data can be extracted from mobile food records (mFRs). The aim of this study was to identify the temporal eating patterns of those consuming UPFs using an mFR. Methods: A combined sample of 243 young (18–30 years) and 148 older (>30 years) adults completed a 4-day mFR. The time of eating was extracted from the mFR image metadata. UPFs were identified using the NOVA …

Co-Designing A Resilience-Based Mentoring Program For Novice Midwives: A Participatory Action Research Approach, Dianne Bloxsome, Tracy Martin, Kaoru Nosaka, Sara Bayes

Research outputs 2022 to 2026

Aim: To co-design a resilience-based mentoring program for novice midwives in Western Australia, informed by the experiences of past midwifery graduates and the perspectives of midwives in senior roles. Background: Effective workforce planning and retention strategies are essential in preventing the continued loss of midwives and in attracting newly qualified midwives to healthcare organisations. Transitioning from student to registered midwife is a known period of vulnerability that requires structured, evidence-informed support. Design: A Participatory Action Research (PAR) approach was adopted to collaboratively develop a mentoring program tailored to the transition needs of newly qualified midwives. Methods: Fourteen participants contributed to …

Calcium Supplementation And The Risk Of Dementia In The Perth Longitudinal Study Of Aging Women: A Post-Hoc Analysis Of A Randomised Clinical Trial For Fracture Prevention, Negar Ghasemifard, Joshua R. Lewis, Simone Radavelli-Bagatini, Simon M. Laws, Blossom C.M. Stephan, Jonathan M. Hodgson, Kun Zhu, Richard L. Prince, Marc Sim

Research outputs 2022 to 2026

Background: Concerns have been raised around whether calcium supplements increase dementia risk. This post-hoc analysis of a five-year double-blind, placebo-controlled randomised trial of calcium supplements for primary fracture prevention evaluated the long-term risk for dementia in older women, randomised to either calcium supplements or placebo. Methods: 1460 community-dwelling dementia-free Australian women (≥70 years) were randomised to 1200 mg/day calcium carbonate (n = 730) or placebo (n = 730) for five years and were observed for an additional 9.5 years afterwards. Over 14.5 years, all-cause dementia events (comprising dementia-related hospitalisations and/or deaths) were identified from linked health records. The influence of …

Woman-Centred Ethical Grid For Midwifery Education: A Content Analysis, Kate Buchanan, Darcie Bygraves, Emma Ritchie, Krystyl Toneycliffe, Sara Bayes, David Seedhouse

Research outputs 2022 to 2026

Background: Midwives across the world are required to practice in accordance with an internationally agreed set of ethical principles. Midwifery education for many students includes ethics theory content, but this does not necessarily provide them with the skills toward ethical competence in practice. Aim: To understand students' perception of ethical issues and to use these findings as foundational information with which to create an ethical deliberation tool for practice. Methods: Qualitative Content Analysis was used for this study. Purposive sampling provided twenty-one ethics-focused reflective assignments from one Western Australian university. Ethical considerations: Institutional review board approval was obtained. Findings: Three …

Accelerating Precision Exercise Medicine In Cancer Patients Using Pooled Individual Patient Data: Polaris Experience, Laurien M. Buffart, Marlou Floor Kenkhuis, Robert U. Newton, Anne M. May, Daniel A. Galvão, Kerry S. Courneya

Research outputs 2022 to 2026

Numerous exercise oncology trials have been completed, greatly informing exercise recommendations for patients with cancer. Exercise medicine can be administered in various types, doses, and schedules at various time points. Advancing precision exercise medicine requires understanding of how the effects of different exercise interventions vary by characteristics of individual patients. The Predicting OptimaL cAncer RehabIlitation and Supportive care (POLARIS) study provides an international infrastructure and shared database to perform pooled analyses of individual patient data (IPD) from multiple randomized controlled trials. This commentary aims to highlight the value of pooled IPD analyses, summarize key findings from published pooled IPD analyses …

Exploring Preferences For Interventions To Increase Active School Transportation Among Children And Adolescents In Australia, Anna Gannett, Paula Hooper, Julie Saunders, Gina Trapp

Research outputs 2022 to 2026

Introduction: The observed decline in children's active school transport (AST) across numerous countries over recent decades necessitates targeted, multi-level interventions to reverse this trend. However, data on young people's preferred AST interventions is lacking. This study aimed to explore children's preferences for AST interventions and assess differences between AST users and non-users among primary and secondary school students. Methods: In 2023, a cross-sectional survey was conducted in Perth, Western Australia with n = 742 primary school students from 23 schools and n = 412 secondary school students from 9 schools. The survey assessed AST frequency, preferred transport mode, and AST …

Understanding Interprofessional Co-Debriefing Practices Within Large Scale Ward-Based Simulation, Melanie Barlow, Robyn Dickie, Alycia Jacob, Shari Maver, Nick Flynn, Alison Blunt, Susan Darzins, Hugh Davies, Michelle Smith-Tamaray, Elisabeth Jacob

Research outputs 2022 to 2026

Background: Despite growing use of interprofessional simulation in healthcare education, there is a lack of published frameworks to guide structured, co-facilitated debriefing between professions. This study explored how nursing and allied health facilitators engage in interprofessional co-debriefing within a large-scale, ward-based simulation program involving over 2000 health students. Methods: Twelve interprofessional co-debriefings were observed and assessed using the debriefing assessment for simulation in healthcare (DASH) tool, with both rater (observer) and instructor (debriefer) versions. Mean debriefing assessment for simulation in healthcare (DASH) scores were compared across five core elements. Qualitative data from instructor short-answer responses and observer field notes were …

Assessing Compliance With Evolving Exposure Standards: Respirable Crystalline Silica (Rcs) Exposure In Western Australian Mining, Adelle Liebenberg, Kiam Padamsey, Kerry Staples, Matthew Oosthuizen, Marcus Cattani, Andy Mccarthy, Jacques Oosthuizen

Research outputs 2022 to 2026

The link between occupational exposure to Respirable Crystalline Silica (RCS) and silicosis, a potentially fatal respiratory disease, has been well-established, leading to global reductions in RCS Exposure Standards (ES). In Western Australia (WA), RCS data have been collected by the Department of Energy, Mining, Industry Regulation and Safety (DEMIRS) from 1986 to 2024 (n = 144,141). These results were analysed to assess the impacts of recent changes to the ES on compliance. Findings suggest that the WA mining sector, regardless of commodity type, is compliant with RCS exposures as assessed against the 0.05 mg/m³ ES (2019). Laboratory technicians, exploratory …

Sovereign Solutions: Reclaiming Reproductive Autonomy In Oklahoma Indian Country After Dobbs, Morgan Sandler

Dickinson Law Review (2017-Present)

In the United States, Native American women face disproportionately high rates of sexual violence and adverse maternal health outcomes. In addition to these ongoing challenges, they continue to face significant barriers to reproductive healthcare access. Oklahoma’s near-total abortion ban—without exceptions for rape or incest—exacerbates these negative trends, particularly for Native women and the Two-Spirit community. Following the Supreme Court’s decision in McGirt v. Oklahoma, approximately 42 percent of Oklahoma’s land area is recognized as Indian Country. This Comment explores how Oklahoma’s abortion ban disproportionately impacts Native women due to systemic inequities stemming from the federal government’s long history of …

Concurrent Local Therapy Extends Clinical Benefit Of Tebentafusp In Metastatic Uveal Melanoma Patients, Tristan L. Lim, Kamaneh Montazeri, Eric Wehrenberg-Klee, Antoine Desilets, Rino S. Seedor, Marlana Orloff, Takami Sato, Michael Caplan, Mariam El-Ashmawy, Benjamin Izar, Shaheer Khan, Inderjit Mehmi, Aleigha Lawless, Theodore S. Hong, Omid Hamid, Richard D. Carvajal, Alexander Shoushtari, Ryan J. Sullivan

Kimmel Cancer Center Faculty Papers

BACKGROUND: Tebentafusp has significantly improved overall survival in HLA-A*02:01+ metastatic uveal melanoma (mUM) patients even in those with a best objective response of progressive disease. Thus, strategies to maintain tebentafusp therapy are critical. Here, we examine the efficacy and safety of adding concurrent local therapy (CLT) to tebentafusp upon radiological progression with tebentafusp alone.

PATIENTS AND METHODS: This multicenter retrospective study included mUM patients treated with tebentafusp and CLT, consisting of extrahepatic soft tissue irradiation and liver-directed therapies (LDTs). Efficacy of target and nontarget sites were assessed per RECIST version 1.1. PFS with tebentafusp alone (PFS1) was compared to that …

Equine-Based Occupational Therapy To Develop Social And Emotional Skills In Adolescents: An Educational Video Series, Annabeth Dorris, Steven Gerardi, Angela Blackwell

Fall 2025 OTD Capstone Symposium

Adolescents experience rapid physical, emotional, and social changes that often challenge self-regulation and social-emotional skill development. Occupational therapy (OT) practitioners are equipped to address these needs through a variety of ways, like equine-based occupational therapy (EBOT), yet resources on this setting remain limited. This capstone project developed an educational video series to guide OT practitioners in using equine-based occupations to promote social-emotional learning (SEL) skills in adolescents, targeting self-awareness, self-management, social awareness, relationship skills, and responsible decision-making. The seven videos were posted to YouTube for easy access. This resource serves as a tool OT practitioners can use for knowledge and …

Regain Confidence Postpartum: A Guide For Pelvic Floor Health​, Taylor Jackson, Mary Jan Greer, Donna Carver

Fall 2025 OTD Capstone Symposium

Postpartum pelvic floor dysfunction can disrupt daily occupations such as toileting, hygiene, mobility, sexual health, sleep, and infant care. These challenges often reduce confidence and limit participation. Although pelvic floor issues are common, occupational therapy has not been widely recognized in this emerging area, leaving a gap in functional, client-centered support.

This capstone project developed Regain Confidence Postpartum: A Guide for Pelvic Floor Health, an occupation-focused resource designed to help postpartum individuals understand pelvic floor dysfunction and return to meaningful routines. A needs assessment was completed through clinical observation, discussions with providers at Purely Pelvic Floor, and a review …

Assistive Technology For Proper Seating And Positioning For Geriatrics, Jacee Lyons, Rebecca King

Fall 2025 OTD Capstone Symposium

The lack of staff education on pressure injury prevention places older adults at a higher risk of developing pressure injuries in a skilled nursing facility.

Program For Teachers To Address The Needs Of Students With Adhd, Ashton R. Wagner, Wendy Tremaine, Dr. Mary Jan Greer, Phd, Otr

Fall 2025 OTD Capstone Symposium

The capstone project focused on supporting teacher participants from Eden Gardens Fundamental Magnet Elementary by providing practical strategies to address students who struggle with attention, regulation, and daily classroom routines. After completing a needs assessment, it was clear that many teachers faced similar challenges, including difficulty with transitions, staying on task, and responding when students became overwhelmed. To address this, created an OT-led teacher-training program that uses the PEOP model and focuses on simple, practical strategies teachers can implement right away. This included visual cues, sensory and movement supports, and minor changes to the classroom setup. As teachers began using …

Bridging Sensory Processing And Community Integration For Adults With Idd: A Bilingual Approach, Stephanie J. Newman, Cynthia Haynes

Fall 2025 OTD Capstone Symposium

The capstone project included creation, implementation, and evaluation of an educational program. The program provided education for adults with intellectual and developmental disabilities and their respective caregivers. The educational materials included development and implementation of educational workshops of sensory processing strategies in the community, work, and social settings for adults with IDD and bilingual home programs created for caregiver education. The program was evaluated through pre- and post-surveys administered to caregivers to demonstrate changes in knowledge of sensory processing strategies, as well as client assessments administered to assess changes in client understanding of sensory strategies.

Staying In The Game: Understanding The Impact Of Gaming On Musculoskeletal Health And Occupational Performance, Sereniti A. Forkey Dr, Zeida Gutierrez

Fall 2025 OTD Capstone Symposium

The purpose of this capstone is to examine the physical demands that gaming places on the musculoskeletal system and to gain a deeper understanding of gamers’ habits and behaviors. The goal of this project is to explore the population within its context, including psychosocial impacts and the potential need for intervention. By doing so, this research aims to provide valuable insights to both gamers and clinicians, supporting and enhancing occupational performance in gaming.

Educating Early Childhood Educators On Creating A Sensory Inclusive Classroom, Maryah Booker, Zeida Gutierrez, Maureen Fischer

Fall 2025 OTD Capstone Symposium

This capstone paper focuses on educating early childhood educators on sensory processing, helping them understand its impact on their students’ classroom activities, and equipping them with sensory-based strategies to support children with sensory differences, allowing them to thrive in a classroom environment.

Improving The Quality Of Life Of Adults With Visual Impairments Through An Occupational Therapy Lens, Vanessa R. Patel, Rebecca King, Jaimee Fielder

Fall 2025 OTD Capstone Symposium

Adults with visual impairments often experience decreased independence, safety concerns, and reduced confidence in daily occupations, particularly during meal preparation. This capstone project aimed to develop and implement an occupation-based educational program to support safe and independent cooking for adults with visual impairments. A needs assessment was conducted at Envision Dallas, resulting in a program focused on meal preparation and the use of adaptive strategies. The program consisted of twelve structured lessons delivered through a combination of individual sessions and group-based instruction. Outcomes were measured using pre- and post-session questionnaires, informal observation, and participant and family feedback. Results indicated improvements …

Improving Rest And Sleep For Hospitalized Individuals: An Occupation Based Approach, Margaret R. Greene, Lakesia Boykin

Fall 2025 OTD Capstone Symposium

Design and create an educational program for occupational therapy practitioners working within hospital environments, patients, and occupational therapy students on evidence grounded, occupation-based sleep activities to use with patients in inpatient rehabilitation hospitals. The educational program will contain modules focusing on the importance of sleep for overall health, how sleep impacts recovery, common environmental and personal factors impacting sleep, and interventions to help improve patient sleep. These educational modules and interventions will focus on the specific client and environmental factors within the occupational therapy scope of practice (American Occupational Therapy Association, 2020).

Occupational Therapy's Role In Maternal Health: Empowering Mothers Experiencing Postpartum Depression And Anxiety Through Education On Child Development, Phoebe Spernal, Keisa Boykin

Fall 2025 OTD Capstone Symposium

To empower mothers experiencing postpartum depression and anxiety by strengthening their maternal knowledge and self-efficacy in supporting their baby’s development through an occupational therapy-based educational program.

Educating High School Advisors On The Benefits Of Life Skills Education Prior To Post-Secondary Transition, Noble H. Steenbergen, Zeida Gutierrez

Fall 2025 OTD Capstone Symposium

To develop and provide a viable life skills program to high school educators, with the intent to educate students on life skills and reduce mental health problems during post-secondary transition

A Golfer's Guidebook For Prevention And Intervention For Golf Injuries, Brianna A. Martinez, Lesley Khan-Farooqi Phd, Otd, Otr

Fall 2025 OTD Capstone Symposium

The purpose of this capstone project was to create a guidebook for golfers who can be at increased risk for medial epicondylitis focused on prevention and intervention strategies to support productivity, leisure participation, and self-care.

Escape Of Kdm6a From X Chromosome Is Detrimental To Ischemic Brains Via Irf5 Signaling, Conelius Ngwa, Afzal Misrani, Kanaka Valli Manyam, Yan Xu, Shaohua Qi, Romana Sharmeen, Juneyoung Lee, Long-Jun Wu, Louise Mccullough, Fudong Liu

The Brown Foundation: Institute of Molecular Medicine

The role of chromatin biology and epigenetics in disease progression is gaining increasing recognition. Genes that escape X chromosome inactivation (XCI) can impact neuroinflammation through epigenetic mechanisms. Our previous study has suggested that the X escapee genes Kdm6a and Kdm5c are involved in microglial activation after stroke in aged mice. However, the underlying mechanisms remain unclear. We hypothesized that Kdm6a/5c demethylate H3K27Me3/H3K4Me3 in microglia, respectively, and mediate the transcription of interferon regulatory factor 5 (IRF5) and IRF4, leading to microglial pro-inflammatory responses and exacerbated stroke injury. Aged (17–20 months) Kdm6a/5c microglial conditional knockout (CKO) female mice (one allele of the …

Complementary, But Not Equivalent: Clarifying The Role Of Rwe And Rct In Migraine Research, Mario F. P. Peres, Hsiangkuo Yuan, Cristina Tassorelli

Department of Neurology Faculty Papers

No abstract provided.

Neck Pain In Migraine: A Narrative Review And Steps To Correct Evaluation And Treatment, Tayla A. Rees, Diana Doukhi, Victor S. Wang, Anita Balcerbula, Michelle Bravo, Haniyeh Fathi, Bahtigul Holmuratova, Michalis Kodounis, Seblewongel A. Seyoum, Semih Tasdelen, Hasmik Vekilyan, Edoardo Caronna, Patricia Pozo-Rosich

Department of Neurology Faculty Papers

Background: Neck pain is common in migraine patients, occurring during all migraine phases and between attacks. It can be a migraine symptom, trigger or a coexisting condition, and is associated with greater disability and poorer treatment response. There is evidence that neck pain associated with headaches can be frequently incorrectly diagnosed as a cervical disorder rather than migraine, resulting in a lack of appropriate treatment. Accurately assessing the connection between neck pain and migraine is crucial for effective treatment. Methods: This narrative review aims to summarise existing research on the role and contribution of neck pain in migraine, both as …

Diabetes-Related Foot Complications And Socioeconomic Influences Among Hispanic Males In South Texas: A Scoping Review, Mariana J. Rodriguez, Demian Rodriguez, Amanda L. Killeen

School of Podiatric Medicine - Student Research

Introduction: Diabetes mellitus is the 7^th leading cause of death in the United States and is 6^th in the state of Texas. Counties from South Texas are primarily affected with higher rates of diabetes than both the state and national average. Diabetes mellitus is a complex and progressive disease which can affect multiple systems of the body, leading to serious complications if untreated, especially in the lower extremities. Uncontrolled diabetes is often associated with diabetic foot ulcers (DFU), foot infections, and lower extremity amputations (LEA). South Texas is a region predominantly populated by Hispanic Americans who are disproportionally …

Soft Tissue Envelope Compromise Following Low-Side Motorcycle Accident: A Case Study And Literature Review, Steven A. Bolton, Ali Ahmad, Jonathan Rodriguez, Hooman Mir

School of Podiatric Medicine - Student Research

Purpose: This case report details a staged approach in managing a patient who presented to the ER with a displaced proximal second phalanx fracture, extensive soft tissue damage, and diffuse fracture blistering following a motorcycle crash. This case highlights that soft tissue damage may not always correlate with severe osseous injury.

Methodology: This case is a concurrent chart review of a 40-year-old who sustained a low side motorcycle injury resulting in a minimally displaced avulsion fracture of the medial 2nd toe proximal phalanx base with extensive soft tissue damage, fracture blisters, and lower extremity edema.

Procedures: Radiographic evaluation demonstrated no …

Diabetes-Related Foot Complications And Socioeconomic Influences Among Hispanic Males In South Texas: A Scoping Review, Mariana J. Rodriguez, Demian Rodriguez, Amanda Killeen

School of Podiatric Medicine Publications

Introduction: Diabetes mellitus is the 7th leading cause of death in the U.S. and 6th in Texas. South Texas counties have higher diabetes rates than state and national averages. This complex, progressive disease affects multiple body systems and can lead to serious complications, especially in the lower extremities. Uncontrolled diabetes is often associated with diabetic foot ulcers (DFU), foot infections, and lower extremity amputations (LEA). South Texas, predominantly Hispanic American, is disproportionately affected. This demographic faces clinical barriers due to a lack of cultural understanding, highlighting the need for culturally sensitive healthcare workers such as promotoras. This study aimed to …

The Home Visiting Referral Quality Improvement Initiative (Thrive) Change Package, Elizabeth Yakes Jimenez, Theresa Cruz, Rebecca Craig, Ivan De La Rosa

Population Health Research and Scholarship

Early childhood home visiting programs improve maternal and child health outcomes but remain underutilized. Healthcare providers are well-positioned to connect families to home visiting services; however, structural barriers in clinical settings limit consistent and effective referral practices. The Home Visiting Referral Quality Improvement Initiative (THRIVE) change package was developed to provide a starting point for addressing these challenges. The THRIVE change package outlines actionable improvement strategies to test, such as standardizing referral workflows, training clinical teams, and establishing relationships and feedback loops with home visiting programs. It offers a scalable approach to strengthening clinical–community linkages and improving family engagement with …