Medicine and Health Sciences Commons^™

What Accounts Should You Draw From First In Retirement

Virginia Dental Journal

No abstract provided.

Peer Review: A Thirty-Year Perspective, Neil A. Landy Dmd

Virginia Dental Journal

No abstract provided.

Virginia Board Of Dentistry Notes September 9, 2022, Ursula Klostermyer Dds, Phd

Virginia Dental Journal

No abstract provided.

Take Action: Inflation Is Hiding In Your Insurance Policies Too, Andrew Gerner

Virginia Dental Journal

No abstract provided.

Meet Your New Vda President, Cynthia Southern Dds

Virginia Dental Journal

No abstract provided.

Putting Insurance Dollars To Work For Patients, Ryan Dunn

Virginia Dental Journal

No abstract provided.

Recent Vda Tooth Pac Events, Laura Givens

Virginia Dental Journal

No abstract provided.

The Vda Political Action Committee Needs Your Help, Bruce Hutchison Dds

Virginia Dental Journal

No abstract provided.

Through The Looking Glass, Sarah Glass

Virginia Dental Journal

No abstract provided.

Periodontal Measurement Terminology Revisited, Mea A. Weinberg Dmd, Msd, Rph, Stuart Segelnick Dds, Ms, James Burke Fine Dmd, Leena Palomo D.D.S., M.S.D.

Virginia Dental Journal

No abstract provided.

Where Is Dentistry Heading?, Gary Oyster Dds

Virginia Dental Journal

No abstract provided.

Not Fade Away, Richard F. Roadcap Dds

Virginia Dental Journal

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Strength In Numbers, Cynthia Southern Dds

Virginia Dental Journal

No abstract provided.

Va Dent J October, November And December 2022

Virginia Dental Journal

No abstract provided.

Occupational Therapy In Adolescent And Young Adult Oncology: An Educational Guidebook, Bailee N. Fleming, Lesley Khan-Farooqi

Summer 2025 OTD Capstone Symposium

Adolescent and young adult (AYA) cancer patients, typically aged 15 to 39, face numerous physical, emotional, and psychological challenges during and after treatment, which can significantly affect their quality of life and ability to engage in daily activities. While occupational therapy has proven effective in addressing these challenges, its integration into AYA cancer care remains underutilized. This project aimed to bridge the gap by developing a comprehensive guidebook for AYA oncology patients and their oncology care teams, providing an in-depth understanding of the impact of cancer and its treatments on occupational performance, and promoting the role of occupational therapy in …

Helping Children Cope With Sensory Overstimulation At Theme Parks: An Educational Video Series For Parents, Ashley M. Garcia, Steven M. Gerardi Phd, Otd, Mss, Otr

Summer 2025 OTD Capstone Symposium

Parents of children with sensory processing challenges often feel overwhelmed and unprepared when visiting high-stimulation environments such as theme parks. Loud sounds, bright lights, crowded walkways, and unpredictable routines can contribute to sensory overload, creating distress for both children and caregivers. Although theme parks aim to provide joyful family experiences, they may not fully account for the needs of neurodivergent children, including those with autism spectrum disorder, attention-deficit/hyperactivity disorder, or sensory processing disorder. Parents of children with debilitating sensory issues are unsure and uncertain on how to prepare to assist their child to cope with the overwhelming sensory stimuli at …

Identifying And Addressing Maternal Health Needs: Using Occupational Therapy To Empower, Educate, And Support Mothers, Anne K. Lyles

Department of Occupational Therapy Entry-Level Capstone Projects

There is a critical need for extended maternal support, particularly when viewed through the lens of occupational therapy. This capstone project aimed to address this gap by conducting a needs assessment using the Maternal Occupational Therapy Health & Environment Risk Screening (MOTHERS) to gain a deeper understanding of the challenges mothers face during the prenatal and postpartum periods. Findings from the needs assessment informed the development of practical, evidence-based resources—including digital products, social media content, educational flyers, and a virtual course—designed to support postpartum mothers in a format that is both accessible and empowering.

Integrating Occupation-Based Activities And Habit Training To Support Independence In Senior Living Facilities, Jamie Spangler

Department of Occupational Therapy Entry-Level Capstone Projects

This doctoral capstone project was completed at Seaside at Fort Myers, a senior living facility encompassing Independent Living (IL), Assisted Living (AL), and Memory Care (MC) settings. The primary objective was to promote independence among older adults through two occupational therapy-informed initiatives: the development and facilitation of a structured habit training program and the creation of a practical activity planning checklist for staff. The 4-week habit training program focused on supporting daily routine development using analog tools such as calendars, checklists, and simulated planning tasks. These sessions targeted cognitive functions commonly impacted by aging, including task initiation, planning, and consistency. …

Maternal Mortality In Zambia: Associations With Health Services Utilization, Birth Spacing, And Province, Selina Mubwanga

Walden Dissertations and Doctoral Studies

Maternal mortality remains one of the leading public health issues in Zambia characterized by elevated maternal mortality rates among women of reproductive age. This research study investigated the effect of birth spacing, province type and location, and maternal health services utilization on maternal deaths among women in the Lusaka, Eastern, Central, and North-Western provinces of Zambia. The theoretical underpinning of this investigation drew upon the social-ecological systems framework. Using secondary data from the 2018 Zambia Demographic and Health Survey (ZDHS) of 1,868 women aged 15–49 years, the study adopted a quantitative, descriptive, cross-sectional research design. Binary logistic regression analysis revealed …

Feasibility And Preliminary Efficacy Of A Lymphedema And Fibrosis Self-Management Program For Head And Neck Cancer Survivors: A Pilot Randomized Controlled Trial, Jie Deng, Barbara Murphy, Lucy Andersen, Erin Mcmenamin, John Lukens, Joy Cohn, Karthik Rajasekaran, Ryan Quinn, Bryan Spinelli, Alexander Lin

Department of Physical Therapy Faculty Papers

OBJECTIVES: Survivors of head and neck cancer (HNC) are at high risk for developing lymphedema and fibrosis (LEF). Once diagnosed with LEF, survivors must engage in a lifelong program of self-care to minimize long-term adverse effects. However, evidence-based LEF self-management (SM) programs are lacking. To fill this void, we developed and pilot-tested a LEF-SM program for HNC survivors.

MATERIALS AND METHODS: The LEF-SM Program was developed using the Information-Motivation-Behavioral Skills model of health behavior change as a framework. The program was pilot tested in a three-group randomized controlled trial evaluating feasibility and preliminary efficacy. Fifty-nine participants were randomized to: Usual …

A Toolkit For Treating Obesity In Children With Metabolic Syndrome, Karen Mayers-Scott

Walden Dissertations and Doctoral Studies

This doctoral project seeks to bridge the existing knowledge gap in using Metformin to manage childhood obesity in patients with metabolic syndrome. The primary goal was to develop a complete toolkit to educate healthcare providers on utilizing Metformin in obese children with metabolic syndrome. Metabolic syndrome, characterized by higher triglycerides, decreased high-density lipoprotein cholesterol, increased blood pressure, elevated fasting plasma glucose, and increased waist circumference, offers considerable health hazards for children. The practice-focused question is, Is the toolkit deemed useful to providers for treating obesity in children with metabolic syndrome using metformin?” The project employed the theory of planned behavior, …

Staff Education To Improve Knowledge Of Phq-9 Use, Grace Eluma

Walden Dissertations and Doctoral Studies

The DNP project revolved around educating healthcare staff on using a depression screening tool known as the Patient Health Questionnaire (PHQ-9). Undiagnosed depression can affect people’s quality of life, their functional condition, and general health outcomes, making it a significant problem that needs to be addressed. The U.S Preventive Services Task Force (USPSTF) recommends using evidence-based screening tools such as the PHQ-9 to assess, diagnose, and monitor the condition’s severity. However, a few nurses use this tool despite being aware of it or misusing it, resulting in under-utilization, inappropriate assessment, and increased events. The project aimed to implement a staff …

Sustained Impact: Long-Term Application Of Diagnostic Uncertainty Communication Training, Danielle M. Mccarthy, Jethel Hernandez, Dimitrios Papanagnou, Kenzie A. Cameron, David H, Salzman, Andrew W. Long, Alexandra D. Franiek, Kristin L. Rising

Department of Emergency Medicine Faculty Papers

OBJECTIVES: More than one-third of discharged emergency department (ED) patients leave without a clear diagnosis for their symptoms. In 2019-2020, we implemented a simulation-based mastery learning curriculum across two academic medical centers to train emergency medicine residents to discuss diagnostic uncertainty during ED discharge, guided by the Uncertainty Communication Checklist (UCC). We sought to assess if this cohort continues to apply skills learned and to obtain trainee insights into the most valuable checklist items.

METHODS: A survey was emailed to all 109 participants who completed the training in 2019-2020. Questions assessed how often participants currently encountered uncertainty and used the …

Dynamic Mutational Profiling Of Binding Interactions And Allosteric Networks In Conformational Ensembles Of The Sars-Cov-2 Spike Protein Complexes With Classes Of Antibodies Targeting Cryptic Binding Sites: Confluence Of Binding And Allostery Determines Molecular Mechanisms And Hotspots Of Immune Escape, Mohammed Alshahrani, Vedant Parikh, Brandon Foley, Gennady M. Verkhivker

Mathematics, Physics, and Computer Science Faculty Articles and Research

The ongoing evolution of SARS-CoV-2 variants has underscored the need to understand not only the structural basis of antibody recognition but also the dynamic and allosteric mechanisms that could underlie complexity of broad and escape-resistant neutralization. In this study, we employed a multi-scale approach integrating structural analysis, hierarchical molecular simulations, mutational scanning and network-based allosteric modeling to dissect how Class 4 antibodies (represented by S2X35, 25F9, and SA55) and Class 5 antibodies (represented by S2H97, WRAIR-2063 and WRAIR-2134) can modulate conformational behavior, binding energetics, allosteric interactions and immune escape patterns of the SARS-CoV-2 spike protein. Using hierarchical simulations of the …

Dosimetric Evaluation Of Clearsight Bolus Versus Superflab Bolus For Vmat Head And Neck Treatment, Courtney M. Williams

Masters Projects

This study compares the dosimetric performance and fit accuracy of ClearSight and Superflab boluses in head and neck (HN) volumetric modulated arc therapy (VMAT) treatment plans, focusing on dose distribution and air gap volumes. A RANDO anthropomorphic phantom was used to simulate HN VMAT treatment for oral cavity cancer with positive lymph nodes, prescribed 70 Gy in 35 fractions. Four configurations were tested: ClearSight bolus over a thermoplastic mask (CSO), ClearSight under a mask (CSU), Superflab over a mask (SFO), and Superflab under a mask (SFU). Five computed tomography (CT) scans, one without bolus and four with bolus, were performed …

Hydrogen Sulfide Deficiency And Therapeutic Targeting In Cardiometabolic Hfpef: Evidence For Synergistic Benefit With Glp-1/Glucagon Agonism, Jake E. Doiron, Mahmoud H. Elbatreek, Huijing Xia, Xiaoman Yu, Natalie D. Gehred, Tatiana Gromova, Jingshu Chen, Ian H. Driver, Naoto Muraoka, Martin Jensen, Smitha Shambhu, W. H.Wilson Tang, Kyle B. Lapenna, Thomas E. Sharp, Traci T. Goodchild, Ming Xian, Shi Xu, Heather Quiriarte, Timothy D. Allerton, Alexia Zagouras, Jennifer Wilcox, Sanjiv J. Shah, Josef Pfeilschifter, Karl Friedrich Beck, Thomas M. Vondriska, Zhen Li, David J. Lefer

School of Graduate Studies Faculty Publications

Heart failure with preserved ejection fraction (HFpEF) presents significant treatment challenges. We assessed hydrogen sulfide (H2S) bioavailability in HFpEF patients and 2 animal models: the "2-hit" L-NAME + high-fat diet mouse model and ZSF1 obese rats. H2S levels were significantly reduced in patients and both models, linked to decreased cystathionine-γ-lyase expression and increased sulfide quinone oxidoreductase. Cystathionine-γ-lyase knockout worsened HFpEF, whereas pharmacological supplementation with an H2S donor improved diastolic function and reduced cardiac fibrosis. H2S supplement synergized with GLP-1/glucagon agonist and ameliorated HFpEF. These findings suggest that enhancing H2S bioavailability may provide a novel therapeutic strategy for HFpEF.

Pcsk9–Dyslipidemia Interplay In Children And Adolescents With Type 1 Diabetes: A Potential Modulator Of Vasculopathy, Eman Ramadan

Pharmacy

BACKGROUND: Proprotein convertase subtilisin/kexin type-9 (PCSK9) has recently emerged as an important vasculopathy modulator. However, limited data exist on its level and expression in children and adolescents with type 1 diabetes (T1D). AIM: To assess serum PCSK9 and gene expression among children and adolescents with T1D and correlate them with glycemia, dyslipidemia, and microvascular complications. METHODS: Fifty children and adolescents with T1D were compared to 50 matched healthy controls. Serum PCSK9 enzyme-linked immunosorbent assay (ELISA) and reverse transcription polymerase chain reaction (RT-PCR) gene expression, glycated-hemoglobin, fundus, urinary albumin-to-creatinine ratio (uACR) and fasting lipids were assessed with calculation of the estimated-glucose …

Fostering Inclusive Care: Advancing Cultural Humility In Healthcare Professional Education: A Micro-Credential, Delaney A. Williams, Lacey Spark, Angela Blackwell

Summer 2025 OTD Capstone Symposium

Health outcomes are the results of healthcare and rehabilitative therapy interventions and describe what a client can accomplish through the rehabilitative therapy process. To achieve positive outcomes, practitioners identify possible barriers impacting clients’ participation in tasks and administer interventions to address these barriers in order to facilitate participation. As a result, cultural humility has been labeled as “paramount in therapeutic practice” (American Occupational Therapy Association [AOTA], 2020) due to it being a foundational principle underpinning effective client care and professionalism. Cultural humility is an ongoing process of acknowledging one’s biases and limitations through self-reflection and self-critique, while actively seeking to …

Policy Change: Analysis Of Public Health Policies To Address Issues With Inclusivity Within The Hiring Process, Donna Barnes

Doctor of Nursing Practice Projects

This project evaluated employee satisfaction with inclusivity efforts in a community health department setting prior to and after revisions to hiring and promotion policies. Interventions promoting and fostering inclusion efforts amongst employees in the healthcare setting have been linked to the best practice standards of increased patient satisfaction and improvements in outcomes. The purpose was to determine if policy revisions resulted in feelings of belonging to improve organizational culture towards inclusion, which has been demonstrated as a widespread problem in many workplace settings. Using Leininger’s Cultural Care Diversity and Universality Theory as a guiding framework and the FOCUS-PDSA model to …

Hand Hygiene Knowledge, Attitudes, Practices, And Hand Dirtiness Of Primary School Students Before And After A Behavioral Change Intervention During The Covid-19 Pandemic, Belize 2022-2023, Anh N Ly, Christina Craig, Kelsey Mcdavid, Dian Maheia, Yolanda Gongora, Francis Morey, Russell Manzanero, Alexandra Medley, Allison Stewart, Allison Lino, Ramiro Quezada, Rosalva Blanco, Vickie Romero, Gerhaldine Morazan, Ella Hawes, Oluwadara Okeremi, Kanako Ishida, Matthew Lozier, Kristy O Murray

Faculty, Staff and Students Publications

Hand hygiene (HH) can prevent the spread of infectious diseases and school absenteeism. However, limited data exist on HH practices at schools. Our study assesses the impact of a pilot HH intervention in 12 schools in Belize during the coronavirus disease 2019 (COVID-19) pandemic. After a national assessment of existing water, sanitation, and hygiene resources (December 2021-January 2022), 12 pilot schools were selected to evaluate an HH intervention, which included environmental nudges and HH education. Baseline assessments occurred in March 2022, the HH intervention was implemented during October 2022-May 2023, and follow-up assessments were conducted in June 2023. Student knowledge, …