Medicine and Health Sciences Commons^™

Eku Os/Ot Adult Population Video Library, Abigail E. Coffey

Occupational Therapy Doctorate Capstone Posters

Developing clinical reasoning and analytical skills can be challenging when learning is limited to theoretical case studies. Exposure to real-world clients allows occupational therapy students to observe how clinical principles and interventions are applied while adapting to each individual's unique needs. The purpose of this project was to begin developing a video library demonstrating activities of daily living (ADLs) and occupational therapy's role with adults to strengthen students' clinical reasoning and connect classroom instruction with authentic practice experiences. This project also addresses a gap in the literature regarding the use of real-world learning experiences in occupational therapy education.

A survey …

Cns Regulation And Neuroprotection In The Nicu/Picu, Kelly D. Wheatley

Occupational Therapy Doctorate Capstone Posters

Infants admitted to the Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU) experience numerous stressors, including painful medical procedures, excessive sensory stimulation, disrupted sleep, limited positive sensory experiences, and separation from caregivers. These factors can negatively affect central nervous system (CNS) development, self- and co-regulation, neurobehavioral organization, feeding, and long-term occupational performance. Despite growing evidence supporting neuroprotective and developmentally supportive care, accessible educational resources are needed to promote consistent implementation among healthcare providers, volunteers, and families.

The purpose of this capstone project was to increase awareness and application of CNS regulation and neuroprotective care principles within the …

Promoting Workplace Wellness Through Occupational Therapy, Fischer R. Proffitt

Occupational Therapy Doctorate Capstone Posters

This doctoral capstone project was completed at London Country Club in London, Kentucky, and focused on the ACOTE areas of Education, Leadership, and Program Development. The purpose was to promote workplace wellness and occupational balance among Pro Shop staff through ergonomic education, injury-prevention strategies, stress-management interventions, and workflow improvements.

A needs assessment was conducted through private staff interviews, a workplace wellness questionnaire, direct observation, and a review of literature related to occupational therapy, ergonomics, and workplace wellness. Findings revealed prolonged standing, repetitive lifting, physical discomfort, moderate-to-high workplace stress, and opportunities to improve ergonomics, workflow efficiency, and employee wellness supports. These …

Empowering Teachers Through Knowledge, Resources, And Strategies For Sensory Regulation And Handwriting Success, Natalie A. Ossege

Occupational Therapy Doctorate Capstone Posters

My doctoral capstone project was completed at Woodfill Elementary School within Fort Thomas Independent Schools under the ACOTE focus areas of education and program development. The purpose was to develop educational resources that increased elementary educators' understanding of occupational therapy concepts related to handwriting development and sensory regulation while supporting student participation, engagement, and academic success.

A needs assessment identified teachers' desire for greater knowledge of occupational therapy services and practical classroom strategies for handwriting and sensory regulation. Limited access to occupational therapy consultation, due to one occupational therapist serving the entire district, further emphasized the need for sustainable educator …

Improving Access To Therapeutic Knowledge: Caregiver Education For Children With Cerebral Palsy In Vietnam, Hallei N. Bittlinger

Occupational Therapy Doctorate Capstone Posters

My doctoral capstone was completed at Hope Therapy Center (HTC), located in Da Nang, Vietnam through a virtual applied leadership experience. The primary ACOTE focus area for my capstone project included education and leadership. The primary goal of this capstone includes sustainably improving the knowledge and skills required for intervention planning for children with Cerebral Palsy (CP). Related goals include, developing training resources for HTC staff to review to understand CP and the effect it has on occupational performance, as well as providing virtual consultations for the current client caseload to enhance current practices and provide evidence-based interventions into the …

From Bump To Baby: A New Parent Role Preparation Webinar, Emma K. Ward

Occupational Therapy Doctorate Capstone Posters

The purpose of this Capstone project is to alleviate some of the stress and fear associated with the transition to parenthood through the development of a parental role preparation webinar that educates new and expecting parents on how to effectively care for and support the development of their child. The primary area of focus for the project is Education, and the project site is the Haven Care Center in Danville, Kentucky. A SWOT analysis and discussions with Haven Care staff indicated a need for educational materials that focus on caregiver skill development, understanding and responding to infant cues, infant developmental …

Non-Pharmacological Interventions Impacting Quality Of Sleep, Stephanie Grome

Occupational Therapy Doctorate Capstone Posters

This doctoral capstone/ALE project was a quality improvement project completed at E.C. Shaw Company in Cincinnati, Ohio. The primary ACOTE focus area was health promotion and wellness, emphasizing the role of occupational therapy in improving sleep as an essential occupation that supports overall health, productivity, and quality of life. The goal was to determine participants’ current sleep satisfaction and determine what, if any, non-pharmacological interventions impact sleep quality among adults working full time jobs.

The literature review identified the importance of quality sleep and explored several pharmacological interventions and interventions specific for conditions.However, minimal evidence exists examining non-pharmacological factors for …

Play For All: An All-Inclusive Playground For Manchester, Ky, Tiheya Marcum

Occupational Therapy Doctorate Capstone Posters

My Doctoral Capstone and Applied Leadership Experience (ALE) focused on designing an evidence-based, all-inclusive playground for Rawlings and Stinson Park in Manchester, Kentucky. Guided by the ACOTE focus areas of advocacy, education, and program development, the project aimed to improve equitable access to meaningful play for children of all abilities while promoting occupational justice within a rural community. A comprehensive needs assessment and SWOT analysis identified strengths, barriers, and opportunities related to inclusive recreation. Findings highlighted community support for park improvements, occupational therapy's emphasis on occupational justice, limited knowledge of inclusive playground design, and financial and infrastructure challenges. These results …

Workplace Wellness: Ergonomics And Injury Prevention, Makenzie Vorbeck

Occupational Therapy Doctorate Capstone Posters

This Capstone project, Workplace Wellness: Ergonomics and Injury Prevention, was completed in a local retail jewelry store as part of an Applied Leadership Experience (ALE) with a primary focus of health promotion and wellness as outlined by ACOTE Standards. This project aimed to address the high risk of work-related musculoskeletal disorders (WRMSDs) among jewelers and sales staff due to prolonged static postures, repetitive hand movements, and improper workstation set-ups.

The primary goals of my project were to 1) improve participant knowledge of ergonomic principles and injury prevention strategies, 2) enhance knowledge of proper body mechanics and workstation set-up, and 3) …

Ot At Work: Engineering Better Bodies For Better Manufacturing, Gracie Johnson

Occupational Therapy Doctorate Capstone Posters

This doctoral capstone project was completed at Manchester Tank, a manufacturing facility, and focused on the ACOTE areas of Education and Program Development. The Applied Leadership Experience (ALE) aimed to reduce workplace ergonomic risks, promote musculoskeletal injury prevention, and increase awareness of occupational therapy's role in manufacturing. A needs assessment including an employee pre-survey, workplace observations, employee feedback, and a review of current literature identified opportunities to improve ergonomic practices and employee knowledge related to work-related musculoskeletal disorder (WMSD) prevention.

In response, ergonomic evaluations were conducted within the facility, and evidence-based recommendations were developed to improve workstations and job tasks. …

Increasing Older Adult's Participation/Engagement In Their Meaningful Iadls In Long-Term Care Facilities, Allison L. Hedges

Occupational Therapy Doctorate Capstone Posters

My doctoral capstone and Applied Leadership Experience (ALE) were completed at Telford Terrace, a skilled nursing and rehabilitation facility in Richmond, Kentucky. My capstone focused on education and program analysis, with the goal of increasing participation in meaningful instrumental activities of daily living (IADLs) among older adults, particularly those with memory-related diagnoses. This was accomplished by educating staff on activity adaptations and environmental modifications while incorporating resident feedback into activity planning.

Following a needs assessment, literature review, and stakeholder interviews, I identified barriers to participation, including limited staffing, varying resident interests, and differences in physical and cognitive abilities. To …

Eku Os/Ot Pediatric Population Video Library, Heaven L. Taylor

Occupational Therapy Doctorate Capstone Posters

The purpose of this Doctor of Occupational Therapy capstone project was to develop the EKU Occupational Science and Occupational Therapy Pediatric Population Video Library, an educational resource designed to enhance occupational therapy education through in class video instruction. Completed virtually in collaboration with site mentor Dr. Leslie Hardman, OTD, OTR/L, the project addressed the limited opportunities students often have to observe authentic pediatric occupational therapy sessions before entering clinical practice.

Research supports the use of video-based learning as an effective educational strategy for improving students clinical reasoning, and understanding by providing exposure to real-world occupational therapy practice. In response to …

Eku Os/Ot Adult Population Video Library, Abigail E. Coffey

Occupational Therapy Doctorate Capstone Posters

As a student in the classroom setting, it can become very difficult to expand clinical reasoning and analytic skills using theoretical scenarios and clients. Real-world individuals/clients allow the student to see how certain principles, frameworks, or techniques are truly applicable and how to adapt to each scenario as is often in occupational therapy. The purpose of this project is to increase analysis skills in future occupational therapy practitioners by beginning to create a video library about activities of daily living and OT's role or lack of thereof in adults. Goals included expanding access to real-world learning opportunities to connect classroom …

Build Wellness: A Life Learning Series, Sydny B. Terry

Occupational Therapy Doctorate Capstone Posters

My capstone project was completed with Build Inclusion, a non-profit based in Lexington, to develop the Build Wellness series. This series focused on program development and community-based practice for teens and young adults with intellectual and developmental disabilities (IDD). The primary ACOTE focus areas addressed through this project included program development, advocacy, education, and leadership.

The goal of Build Wellness: A Life Learning Series was to educate, empower, and encourage teens and young adults with IDD to confidently navigate adulthood and participate more independently in their communities. Specific goals included increasing knowledge of life skills topics, promoting confidence and self-efficacy, …

Developing A Developmentally Appropriate Fine Motor Curriculum For Pre-K Sunday School, Allison E. Casey

Occupational Therapy Doctorate Capstone Posters

This Doctor of Occupational Therapy (OTD) Capstone project was completed in a Sunday school program serving preschool-aged children. The purpose of the project was to develop a year-long craft curriculum that promotes fine motor skill development through engaging, developmentally appropriate activities while providing volunteers with easy-to-use resources that integrate with weekly Bible lessons.

A needs assessment, classroom observations, discussions with church leaders and volunteers, and a review of current literature identified limited opportunities for fine motor skill practice within the Sunday school program. In response, a curriculum was developed consisting of four crafts per month, each including supply lists, step-by-step …

Bringing Awareness And Education To Rural Areas About The Role Occupational Therapy (Ot) Has In Infant Care, Makenzi Richwald

Occupational Therapy Doctorate Capstone Posters

This capstone project focused on education and advocacy. The aim of my capstone project was to provide education to parents of eastern Kentucky (KY) about what Occupational Therapy (OT) can address with infants aged 0-18 months. I saw a gap in knowledge in the eastern KY community about what OT could do for infants and wanted to address this. Through my research, consultation with my mentors, and collaboration with the occupational therapists at my site (BPT) I discerned 14 areas of development and/or common reasons of needed referral for OT services by this age group. These educational materials aimed to …

The Restorative Effects Of Virtual Reality Nature Simulations: An Empirical Investigation, Isabel T. Folger, Yichen Zhang, Kenneth B. Abrams

Psychology Faculty Work

Although extensive research demonstrates that nature films can facilitate recovery from stress and cognitive overload, it remains unclear whether more immersive media, such as virtual reality (VR), are more effective than similar two-dimensional films. The present study examined the effects of immersiveness on affective, cognitive, and physiological restoration. Three levels of immersiveness for film viewing were employed: 2D (computer monitor), standard VR (visual and auditory input), and enhanced VR (standard VR plus olfactory and haptic input). All participants were exposed to parallel versions of a six-minute nature film. We hypothesized that greater immersiveness would produce stronger restorative effects. All versions …

Migration Of Copper Bullet Fragment Through The Orbit And Conjunctiva, Maxwell A. Levi, Mehron G. Kouhestani, Giovanni Disandro, Peter A. Netland

Department of Ophthalmology Faculty Publications

This is a case report of a 31-year-old female who sustained a gunshot wound to the left orbit, resulting in a ruptured globe and retained bullet fragments extending into the frontal lobe. The patient underwent enucleation without orbital implant, and no metallic fragments were recovered intraoperatively. Three months later, she returned with bloody conjunctival discharge. Examination revealed a 1.25-cm copper-colored metallic bullet jacket fragment spontaneously protruding through the conjunctiva. Serial CT imaging confirmed anterior and inferior migration of the bullet fragment over time, with a total migration distance of 32.9 mm through the orbit. The shrapnel was removed in clinic …

Hyphema Associated With Water Bead Projectile Toys: A Retrospective Comparative Study, Aashri I. Aggarwal, Priya K. Singh, Diego E. Arias, Peter A. Netland

Department of Ophthalmology Faculty Publications

Purpose: Superabsorbent water beads can be used in projectile toy guns. We aimed to characterize water bead-related hyphema and compare the prevalence with other causes of traumatic hyphema.

Methods: In this 10-month retrospective review, we identified 35 consecutive patients with traumatic hyphema presenting to the emergency department. Cases were grouped by injury mechanism, water bead-related compared with all other causes. Clinical data on initial presentation and subsequent visits were compared.

Results: In the patients with traumatic hyphema, 8 (23%) cases were due to water bead trauma. Bead-related cases involved significantly younger patients (16 ± 9 years) compared with other cases …

J Am Coll Dent 2026 92 2b

Journal of the American College of Dentists

This special issue of the Journal of the American College of Dentists responds to a growing but long-underrecognized demand for humanities and ethics in dental education, practice, and scholarship. It emerges from the work of the National Collaborative on Humanities and Ethics in Dentistry (NCHED), a multi-institutional partnership formed in 2023 to address the persistent exclusion of dentistry from broader health humanities conversations. Through national webinars and scholarly collaboration, NCHED has demonstrated substantial interest in ethical reflection, historical analysis, narrative inquiry, and the arts as essential to understanding oral health and dental care.

The unexpectedly strong response to the call …

Letters To The Editor

Journal of the American College of Dentists

This section of the Journal of the American College of Dentists presents professional correspondence regarding previously published articles and issues relevant to dentistry, ethics, education, policy, and patient care. Letters to the editor provide readers an opportunity to offer scholarly critique, clarification, perspective, or additional insight, while author responses promote constructive academic dialogue and continued professional reflection.

The letters in this issue respond to the JACD article “The Racial Politics of Early Dentistry and the Terrible ‘Toothache Blues’” (Vol. 92, No. 2).

Between Tradition And Transition: Cultural Negotiations And Contraceptive Perceptions Among Ghanaian Students In The United States, Beatrice Amissah

Theses and Dissertations

As global mobility continues to rise, international students often encounter new cultural norms and health practices that differ from those in their home countries. While some studies have focused on contraception within the context of gender and types, less focus has been placed on diasporic populations, especially how students navigate tensions surrounding contraception within new cultural environments. This study explores how Ghanaian students in the United States interpret, negotiate, and respond to contraceptive messaging while navigating the cultural transition between their heritage and host societies. Drawing on Berry’s (1980)  Acculturation Theory, the study examines the tensions students experience, the strategies …

A Narrative Review Of The High-Carbohydrate Fueling Revolution (≥100 G/H) In The Professional Peloton, Patrick B. Wilson

Exercise Science Faculty Publications

High-carbohydrate fueling in cycling (defined as ≥ 100 g/h for this paper) has received significant media attention in recent years. Whether this practice improves performance, however, remains an unresolved issue in the scientific literature. The purpose of this narrative review is to provide an up-to-date analysis of the practice of high-carbohydrate fueling, with a specific focus on potential performance implications in professional cycling. Topics covered include historical carbohydrate intake guidelines, research directly comparing high-carbohydrate fueling with traditional fueling guidelines, theorized benefits of high-carbohydrate fueling specific to cycling, potential risks associated with high-carbohydrate fueling, and personalizing carbohydrate intakes. Among a small …

Peculiarities Of Phosphatidylserine Externalization By Nano- And Microsecond Electric Pulses, Mantas Silkunas, Alayna Enos, Iurii Semenov, Giedre Silkuniene, Eleni Zivla, Olga N. Pakhomova, Andrei G. Pakhomov

Bioelectrics Publications

Phosphatidylserine (PS) externalization is a hallmark of apoptosis but can also be triggered within seconds by pulsed electric fields (PEFs). Whether PS reaches the outer leaflet by lateral migration through electropores or indirectly through Ca²⁺-dependent signaling and scramblase activation remains debated. We used total internal reflection fluorescence (TIRF) microscopy with Annexin V-Alexa Fluor 568 and/or bovine lactadherin-FITC to resolve PS externalization in HEK293 cells placed on an indium tin oxide (ITO) transparent electrode. PEF exposures produced discrete PS-positive puncta ("freckles") within ~ 10 s after a 20-µs pulse (1.2-2.5 kV/cm) or with a ~ 1-min delay after a …

Genetic Causes Of Classical Ehlers-Danlos Syndrome: Investigating A Pathogenic Single Nucleotide Variant In The Col5a1 Gene, Annika Gulling

Undergraduate Research Awards

Classical Ehlers-Danlos Syndrome (cEDS) is a rare genetic disorder affecting connective tissue in the body. Common symptoms of classical Ehler’s Danlos syndrome include skin fragility, atrophic scarring, joint instability, and generalized hypermobility. Despite an increasing understanding of cEDS within the medical and scientific community, its complex and multisystem nature can make clinical diagnosis challenging. This paper examines the clinical features, diagnostic criteria, and genetic causes of the disease with a focus on the role of type V collagen and the COL5A1 gene in regards to cEDS. The specific genetic variant investigated in this paper is a single-nucleotide variant in the …

Granulomatous Cellular Signatures In Nontuberculous And Tuberculous Mycobacterial Infections, Brianna M. Doratt, Ethan G. Napier, Mahdi Eskandarian Boroujeni, Sarah Douglas, Michael H. Davies, Luiz Bermudez, Eliot Spindel, Erin F. Mccaffrey, Ilhem Messaoudi

Microbiology, Immunology, and Molecular Genetics Faculty Publications

Mycobacterium tuberculosis (Mtb) and nontuberculous mycobacteria (NTM) are acid-fast bacilli that trigger granuloma formation, a hallmark immune response aimed at containing infection. While the biology of Mtb granulomas has been widely investigated, far less is known about granulomas caused by NTM infection, despite the increasing prevalence and clinical challenge of NTM cases worldwide. Because granulomas influence infection control, pathology, and treatment response, understanding their cellular organization and signaling is critical to improving therapeutic strategies. Therefore, we characterized granulomas formed following infection of rhesus macaques with Mycobacterium avium subsp. hominissuis (MAH) and compared them to granulomas from cynomolgus macaques infected with …

Glycoprotein-Specific Transcriptional Response Contributes To Differential Vaccine Protection Against Lethal Ebola Virus Infection, Sheridan B. Wagner, Delphine C. Malherbe, Ethan G. Napier, Andrea Marzi, Ilhem Messaoudi

Microbiology, Immunology, and Molecular Genetics Faculty Publications

Since the West African Ebola virus (EBOV) epidemic in 2014-2016, recurrent outbreaks of the EBOV-Makona variant have been driven by recrudescence and human-to-human transmission emphasizing the need for effective vaccination strategies. A live-attenuated recombinant vesicular stomatitis virus (VSV)-based vaccine expressing the EBOV-Kikwit variant glycoprotein (VSV-Kik) received FDA approval in December 2019 and provides complete, rapid protection against EBOV-Makona as early as 7 days post-vaccination (DPV). During the 2018-2020 Ebola outbreak, the VSV-Kik vaccine, known as ERVEBO, was administered to lower-risk individuals at a 5-fold dose reduction of the standard 2 × 10 ⁷ PFU to provide broader population protection. Identification …

Cocaine Upregulates Microglial Lipid Droplet Formation Through Increasing Lipid Synthesis Activity In Vitro And In Vivo, Yan Cheng, Brooke Russell, Liam Liyang Guo, Aryan Patel, Yan Y. Sanders, Ming-Lei Guo

Department of Biomedical and Translational Sciences Faculty Publications

A novel subtype of microglia, lipid droplet accumulation microglia (LDAMs), has been identified in the aged brain, which is characterized by sustained inflammation and senescent-like phenotypes. LDAMs are deeply involved in promoting brain aging as well as the pathogenesis of multiple neurodegenerative diseases. Cocaine can alter brain lipidomic profiles, induce microglial activation, and accelerate brain aging. This suggests that cocaine might affect microglial lipid metabolism, which ultimately aggravates aging-related neurological disorders in people with addictions. In this study, we explored the effects of cocaine on microglial lipid metabolism. Our results showed that chronic cocaine administration altered brain lipid profiles and …

Sex Differences In Allergic Asthma Responses Of Mice Prenatally Exposed To Wood Smoke, Adelynne Walley

Undergraduate Theses, Professional Papers, and Capstone Artifacts

No abstract provided.

The Impact Of Community-Based Educational Workshops On The Sexual Health Literacy And Sexual Satisfaction Of Lgbtq+ Adults, Meaghan Burns, Kathryn Burke Otd, Otr/L

Occupational Therapy Doctorate Capstones

A large number of adults who were brought up in the United States have limited sexual health literacy because of incomprehensive sexual education in adolescence. Many adults view sexual activity as an important component that contributes to their quality of life. Occupational Therapists can address sex and intimacy to improve literacy and satisfaction for adults with limited knowledge. The proposed study uses a quasi-experimental design with pre/post surveys to assess the efficacy of educational programming surrounding topics on sexual health literacy and satisfaction. The intended setting and population are adult members who attend programming and events at the Taunton location …