Medicine and Health Sciences Commons^™

Upper Limb Rehabilitation For Amputees, Michaela Ramandanes

Virginias Collegiate Honors Council Conference

It is estimated that 75% of the 30 million people that need prosthetic devices lack access to the technologies they need. This suggests a need for solutions outside of standard healthcare models. In this work we present a solution by development of a simple, safe and accessible at-home exercise program for individuals with upper limb loss. It is intended to help amputees strengthen the muscles needed to operate body-powered prostheses when muscles have atrophied from lack of use. Extensive research identified the most effective exercises to hinder overuse injuries. The exercises were compiled and published on a website with a …

Novel Method Of Supplementing Current Depression Treatments: Using Autonomous Sensory Meridian Response-Centered Therapy To Improve Constipation-Associated Comorbidity Of Depression, Shivam Patel

Virginias Collegiate Honors Council Conference

One-third of individuals struggling with constipation also suffer chronically from comorbid depression, but the evidently shared etiology has remained relatively ambiguous. This proposed study aims to analyze the role of Autonomous Sensory Meridian Response (ASMR), a newly recorded neural phenomenon that causes relaxing “tingles” from unique “triggers” in a subset of individuals, in altering serotonin (5-HT) levels within the ENS to aid with both depression and constipation. In depressed individuals, reduced 5-HT has been clinically accepted as a key symptom and is frequently treated with ineffective SSRIs. Prospective alternative methods of non-invasive treatment, such as ASMR, would not only aid …

Modulator Therapy For Cystic Fibrosis: An Exploration Of Current Research, Jessalyn Rombocos

Senior Honors Theses

Developing a drug therapy that addresses the root cause of cystic fibrosis (CF) by increasing CFTR protein levels has long been a research challenge. After genetic therapy failed because a suitable delivery system could not be found, researchers began searching for small organic molecules that could act as chaperones for CFTR. These molecules, known as modulators, allowed CFTR to be assembled correctly and function similarly to wild type CFTR. Since 2012, four modulator drugs have been developed, tested, and approved by the FDA. In October 2019, Trikafta was approved as the first triple-combination modulator drug and has completely revolutionized CF …

Genetic Relationships And Therapeutic Options For Relapsed Acute Lymphoblastic Leukemia, Hailie Shertzer

Senior Honors Theses

Acute lymphoblastic leukemia (ALL) is the most common form of cancer among children and can be lethal to the adult population. Though 80% of patients with ALL reach complete remission after treatment, about 20% of those diagnosed fail to remain cancer-free. Genetic rearrangements are the hallmark of relapsed ALL, but the mechanism by which these rearrangements occur is still unclear. Recent research suggests these mutations may be detectable during initial diagnosis. If researchers are able to accurately assess the probability of relapse during diagnosis by analyzing the genome of the leukemic cells, the likelihood of administering effective therapy would increase. …

2020-04-17_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

2020-04-17_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

The webpage was obtained from Michigan's Coronavirus Cumulative Data page, under the link Data About Places. Data is self-reported by hospitals daily to the EM Resource System per MDHHS Director Robert Gordon's Emergency Order.

Contains the tables Statewide Available Bed Tracking for COVID-19, COVID-19 Metrics, Statewide Available PPE Tracking for COVID-19 (Statewide Available PPE and Bed Tracking), as well as the table Reports of Congregate Setting Respiratory Outbreaks in 2020 by County.

2020-04-17_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., with COVID-19 results included as of 10 a.m.

Note on cumulative counts: This report is provisional and subject to change. As public health investigations of individual cases continue, there will be corrections to the status and details of referred cases that result in changes to this report.
Note on the deaths: Deaths must be reported by health care providers, medical examiners/coroners, and recorded by local health departments …

Home Assessment Modifications For Individuals With Autism Spectrum Disorder And Sensory Processing Disorder, Danielle Stelbasky

OTD Capstone Projects

Based off of the identified needs of individuals with Autism Spectrum Disorder, the goals of this project were to investigate and implement modifications in homes due to specific challenges these individuals face. Coinciding with Tucker's House Agency mission and vision, and incorporating the PEO model as a guideline, Tucker's House staff and EC student created projects to enhance occupational performance in individuals with ASD by reducing environmental barriers in their home.

Cultivating Vocational And Independent Living Skills Through Meaningful Occupations, Sawyer Dullaghan

OTD Capstone Projects

A 12-week curriculum was developed for adults with intellectual and developmental disabilities to teach life skills, employment skills and foster independent living. These skills are taught in a simulated environment including rooms such as: the bedroom, the living room, and the office.

Home Assessments And Modifications: Researching Safety Features, Grant Opportunities, And Durable Medical Equipment Available For Tucker’S House Agency, Autumn Triggs

OTD Capstone Projects

Doctoral capstone project completed with Tucker's House, a nonprofit organization that completes home assessments and modifications for families with children with disabilities to improve accessibility and independence for the children at home. The project included: completing home assessments and providing client-centered recommendations and researching grant opportunities for Tucker's House as well as the families benefitting from the services, current durable medical equipment options, and safety features that should be included in the home assessments, recommendations, and modifications.

2020-04-17_Michiganoverview_Covidcounts, Michigan Department Of Health & Human Services

Michigan COVID-19 Confirmed Cases by Date of Onset Data

Data was captured from the Cumulative Data link of Michigan's Coronavirus webpage, under the url https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_99207---,00.html.

The website contained the table Count of Confirmed COVID-19 Cases by Date of Onset , sorted by Michigan Preparedness Region. It also contained 18 charts, including the count of confirmed Covid-19 cases by date of onset in the state overall as well as in each preparedness region,and the normalized rate of Covid-19 cases per 1,000,000 residents in both the state and in each preparedness region.

Coronavirus Update 4-17-2020, The Coronavirus Planning Team

University Briefings & Virtual Events

A few updates: In response to an executive order from the City of Bridgeport and strong guidance from Governor Lamont, we are now requiring everyone to wear a mask. We will hold a virtual conferral ceremony on May 9 and 10 to acknowledge the earning of degrees. WSHU is launching a podcast to update listeners on the latest with the coronavirus outbreak in our region.

Spatiotemporal Dynamics Of Vector-Borne Disease Risk Across Human Land-Use Gradients: Examining The Role Of Agriculture, Indigenous Territories, And Protected Areas In Costa Rica, Brett R. Bayles, Andria Rusk, Rebecca Christofferson, Gabriellah Agar, Maria Alvarez Pineda, Bobin Chen, Kiera Dagy, Emma Kelly, Tyler Hummel, Kira Kuwada, Serena Martin, Alec Murrer, Carlos Faerron GuzmáN

Global Public Health | Faculty Scholarship

Background

Costa Rica has undergone significant changes to its forest ecosystems due, in part, to the proliferation of palm oil and other industrial agriculture operations. However, the country also boasts conservation programmes that are among the most robust in the neotropics. Consequently, gradients of anthropogenic to intact ecosystems are found throughout the country. Forest ecosystems may decrease vector-borne disease (VBD) risk by maintaining insect populations in a state of relative equilibrium; however, evidence suggests that intact forests foster biodiversity and may also amplify VBD risk in some circumstances. As a result, focal points of human-vector contact are likely idiosyncratic. This …

Advocacy For Occupational Therapy Within A Local Jail, Caitlin Clark

OTD Capstone Projects

This capstone project looks at advocating for the occupational therapy profession within the Nashville Davidson County Sheriff's Office and ways to implement quality interventions and group therapy into the jails. It also looked at current re-entry programs at the DCSO and ways to improve current programming.

Power Skills Curriculum Development For Individuals With Intellectual And Developmental Disabilities At Friends Life Community, April Coleson

OTD Capstone Projects

Development of life skills curriculum for individuals with intellectual and developmental disabilities from an occupational therapy perspective

The Right To Explore: On Time Pediatric Power Mobility, Elizabeth Stuckey

OTD Capstone Projects

The following project was completed in partial fulfillment of OTD 6680, for the degree of Doctorate of Occupational Therapy from Belmont University in Nashville, Tennessee. This project focused on the importance of pediatric power mobility. After identifying the needs of the agency, goals and outcomes were developed in order to best serve the agency. Various outcomes were achieved through this project including a review of the literature, development of a protocol, participation in a power mobility related research study, creation of various educational materials, and engagement in other educational opportunities.

Development Of Paper-Based Screen-Printed Carbon-Paste Electrode For Sensing Glucose For Diabetics, Yechan Hwang

19th Annual Celebration of Undergraduate Research and Creative Activity (2020)

In recent years there have been many interests in developing paper based electrodes.[1] The purpose of this project is to develop a working paper-based electrode that can detect glucose via an enzyme and redox mediator (Tris(5-amino-1, 10-phenanthroline) Iron(II)). In the process of developing a paper-based electrode, cyclic voltammetry (CV) and electrochemical impedance spectroscopy (EIS) were used as primary methods. The redox mediator was electropolymerized onto glassy carbon (GC) and carbon-paste electrodes (CPE) and their subsequent charge-transfer properties were characterized using CV and EIS. Cyclic voltammetry characterization studies of the electropolymerized films revealed excellent charge transfer properties with ΔEp ~0 mV. …

Covid-19 In The United States: Insights From Healthcare Systems, Aaron Harris, Nancy Foster, David Reich, Amy Compton-Phillips

Articles, Abstracts, and Reports

During this COCA Call, presenters will discuss the current impact of the COVID-19 pandemic on healthcare systems in the U.S., including key successes and challenges from the hospital response perspective.

Finding Trends In Big City Health Issues With Data Visualization, Shridhar Kulkarni

Dissertations and Theses

In recent years, data visualization has become one of the most effective tools to understand and identify unseen features of the large datasets available. An open source data set available for health issues for big cities across the United States was obtained. There are numerous indicators presented in the dataset including Demographics, Chronic Health Diseases, Social and Economic Factors, Food Safety, Mortality Rates, Cancer and Life Expectancy Rates. The dataset encompassed myriad of demographics as well as specific data for a number of US cities. The data was explored in different methods in Data points in terms of the demographic …

Muscle Excitation Of The Lower Extremity During A Single Leg Rotational Squat In Individuals With And Without A Previous Hamstrings Strain Injury, Claudia M. Simpson

Honors College Theses

The hamstrings muscles work with quadriceps and gluteal muscles to stabilize the hip and knee during multidirectional movements. The purpose of this study was to determine muscle excitation patterns of the lower extremity during a single leg rotational squat (SLRS) in individuals with and without a previous hamstrings injury. Twenty physically active individuals between 19-23 years old participated in the study, ten with previous injury and ten without. The Hamstring Outcome Score was used to assess participants’ perceived physical abilities (Hamstring=89.37+7.2%, Control=96.75+2.83%; p=0.011). Participants completed five trials of a SLRS moving through four phases to a 72bpm metronome and reaching …

Impact Of Reappraisal Of Fluoroquinolone Minimum Inhibitory Concentration Susceptibility Breakpoints In Gram-Negative Bloodstream Isolates, Stephanie C. Shealy, Matthew M. Brigmon, Julie Ann Justo, P Brandon Bookstaver, Joseph Kohn, Majdi N. Al-Hasan

Faculty Publications

The Clinical Laboratory Standards Institute lowered the fluoroquinolone minimum inhibitory concentration (MIC) susceptibility breakpoints for and glucose non-fermenting Gram-negative bacilli in January 2019. This retrospective cohort study describes the impact of this reappraisal on ciprofloxacin susceptibility overall and in patients with risk factors for antimicrobial resistance. Gram-negative bloodstream isolates collected from hospitalized adults at Prisma Health-Midlands hospitals in South Carolina, USA, from January 2010 to December 2014 were included. Matched pairs mean difference (MD) with 95% confidence intervals (CI) were calculated to examine the change in ciprofloxacin susceptibility after MIC breakpoint reappraisal. Susceptibility of to ciprofloxacin declined by 5.2% (95% …

Support, Advocacy, And Education For Individuals With Mental Illness, Mackenzie Mellinger

OTD Capstone Projects

The National Alliance on Mental Illness of Davidson County provides support, advocacy, and education to those with mental illness and their loved ones. This semester long project includes (but is not limited to) advocacy through the use of instagram/social media, attending legislative events, creating marketing materials appropriate for the population, and looking at mental health through an occupational therapy lens.

Covid-19-Related Knowledge, Attitudes, And Practices Among Decisionmakers Of Indigenous Municipalities In Guatemala: Study Description, Angel Del Valle, Hannah Briggs, Benjamin Chang, Aiken Chew, Brian Medina, Gabriela Muñoz, Thoai Ngo, Elizabeth Vásquez, Corinne White, Ramón Zamora

Poverty, Gender, and Youth

Indigenous communities are often socially and economically marginalized which makes them particularly vulnerable to the impact of COVID-19. The Population Council has a longstanding partnership with indigenous communities in Guatemala through the "Abriendo Oportunidades" program. To understand the knowledge, perspectives, and needs related to the COVID-19 pandemic, we will conduct key informant interviews with indigenous community leaders and frontline workers. Phone-based surveys will be carried out with approximately 130 key informants in the municipalities of Chisec, Patzún, San Andrés Semetabaj, San Juan Ostuncalco, San Juan Sacatepéquez, San Pedro Carchá, Santa María Chiquimula, Totonicapán, Uspantán and Sololá in April 2020. These …

Coronavirus Transmission In The Dental Setting, Susan H. Davide, Anty Lam, Christine Macarelli

Publications and Research

Oral health professionals should remain up-to-date on the coronavirus, and clinical measures to prevent its transmission in the dental setting.

2020-04-17 A Message From Chancellor Roth, Paul B. Roth

HSC Messages from the Chancellor

No abstract provided.

2020-04-17/18 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Lori D. Sloane, Samuel Anyona, Perez Olewe, Evans Raballh, Elly Munde, Cristian Bologa, Orrin Myers, Andrew S. Rowland, Kristine Tollestrup, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

Daily NM Recap. Stimulus checks. Whitehouse reopening guidelines. Increased suicide calls. Commentary on COVID and African Americans. NYC ventilation rate. 300K African deaths predicted. Thai horse virus outbreak. Europe eases lockdown. UK vaccine research. Chinese death undercount. Biosafety breaches. General wearing of masks. PPE for emergency physician. FDA approves safer swabs. Mental health lockdown impact. Intermittent social distancing. Undetected US cases. NYC hospitalization characteristics. Adapting veterinary surveillance. "Infectious disease” hospital. NIH vaccine and treatment partnership. Repurposing anesthetic machines as ventilators. Guidance for psychiatrists. Elective surgery risk stratification. Hemodialysis facility. Pathologist on IgG/M tests. Abnormal coagulation and ECMO. Paramedic …

Effect Of Lifestyle Modifications On Blood Pressure And Bmi In Overweight Or Obese Adults With Primary Hypertension, Mariska Vandenbergh

Evidence-Based Practice Project Reports

Hypertension (HTN) and obesity contribute to poor cardiovascular outcomes which can be managed with diet and exercise lifestyle changes. In addition, self-awareness (SA) of eating patterns can be a useful tool to promote adherence to lifestyle changes. The purpose of this project was to determine the effect of lifestyle education, the DASH diet, and tools to increase SA for adult clinic patients who were overweight with hypertension. The REAP and PIH tools were utilized to increase patients’ SA of their diagnosis and current dietary habits. A literature search over five databases was conducted and analyzed thoroughly. National guidelines strongly recommend …

A Comparative Policy Analysis Of The United Kingdom And India Regarding The Reuse Of Medical Devices., Shamaa Vora

Galileo-W Conference

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Evaluation Of School Wellness Policies For Accordance With The Healthy, Hunger Free Kids Act Of 2010 And Obesity Prevention, Marissa Conley

Galileo-W Conference

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Outcomes Of Neuropace Rns Vs Surgery Among Patients With Epilepsy In Eloquent Foci, Erica Hartmann

Galileo-W Conference

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