Medicine and Health Sciences Commons^™

Assessing The Impact Of Street Medicine Oakland On Medical Student Perceptions Of Clinical Preparedness, Michael Marchiori, Laura Ortiz

Posters

• Medical students spend the first two years of medical school focusing on didactic learning supplemented with clinical skills training as they prepare for their hospital rotations

• Opportunities for in-field practice of clinical skills are typically sparse for medical students during their M1 and M2 didactic years

• Research suggests clinical supervisors rank professionalism and willingness as the two most important characteristics in students that promote clinical preparedness, but there is limited research on interventions that promote students’ self-perceptions of clinical preparedness1

• Medical students at Oakland University William Beaumont (OUWB) have the opportunity to volunteer with Street Medicine …

Improving The Patient Care Experience In Residential Eating Disorder Treatment: A Quality Improvement Project, Paige H. Nguyen

Doctor of Nursing Practice Final Project Abstract

Purpose

The purpose of this project was to implement structured biweekly patient check-ins at a residential treatment facility for eating disorders. This project was intended to increase the patient care satisfaction scores on patient discharge surveys from under 80% to over 90%.

Background

The project was implemented at a 12-bed residential treatment facility for adolescents and adults diagnosed with eating disorders located in Cypress, Texas.

Methodology

The Baird 2007 concept of scripting during rounds was utilized as well as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAPS) patient care experience survey questions when creating the script used during …

Qi Charter: A Risk Assessment Protocol To Improve The Management Of Aggression And Violence In A Psychiatric Setting, Juliette N. Bateki

Doctor of Nursing Practice Final Project Abstract

Background: Patient care and staff safety are considered when determining aggressiveness and violence in psychiatric settings. However, structured violence risk assessment tools like the Broset Violence Checklist (BVC) are difficult to integrate into clinical practice when utilizing the prediction of violent behavior that allows healthcare professionals to intervene proactively. The BVC has been promising at predicting violence, but implementation needs to be done correctly, with proper training and integration into the routine workflow.

Purpose: This project aims to implement the BVC as a violence and aggression predictive tool within a psychiatric intensive care unit. It aims to increase violence prediction …

The Lived Experience Of Women Who Have Experienced Intimate Partner Violence In Trinidad And Tobago, Lyris Antoinette Greenidge

Theses & Dissertations

Background: Intimate partner violence (IPV) is an increasing public health issue worldwide and is predominantly committed by males against females. One in every three women worldwide has experienced IPV (World Health Organization [WHO], 2024). The Pan American Health Organization studied IPV in 12 Latin American and Caribbean countries (Bott et al., 2019), and the Republic of Trinidad and Tobago was included. At the inception of this study in 2018, the prevalence and effect of IPV, though captured in the media by Fraser (2014) and others, were recognized as a widespread monumental problem in Trinidad and Tobago. However, it appeared to …

Reducing Falls In The Emergency Department By Implementing A Virtual Tele Sitter, Danette Riherd

Doctor of Nursing Practice Final Project Abstract

Purpose: This Quality Improvement project focused on evaluating the effectiveness of a portable tele-sitter device in reducing fall rates in the emergency department from February 10, 2025 to May 1, 2025. Background: This project was implemented in a 20-bed emergency department within a hospital system located within the suburbs of a major United States city. Methodology: Baseline data was collected prior to project implementation. Data collected during the implementation period was then collected and compared to baseline data to evaluate whether the intervention effectively reduced falls in the emergency department. Results: Post implementation descriptive statistics indicated a 43% reduction in …

Peripheral Nerve Stimulation For Post-Spinal Fusion Sacroiliac Joint Pain, Changho Yi, Evgeny Bulat, Oranicha Jumreornvong, Sravya Madabhushi, Sudhir Diwan, Alan David Kaye

School of Medicine Publications

No abstract provided.

Assessing Chatgpt's Capability As A New Age Standardized Patient: Qualitative Study, Joseph Cross, Tarron Kayalackakom, Raymond E. Robinson, Andrea Vaughans, Roopa Sebastian, Ricardo Hood, Courtney Lewis, Sumanth Devaraju, Prasanna Honnavar, Nikhilesh Anand

School of Medicine Publications

Background: Standardized patients (SPs) have been crucial in medical education, offering realistic patient interactions to students. Despite their benefits, SP training is resource-intensive and access can be limited. Advances in artificial intelligence (AI), particularly with large language models such as ChatGPT, present new opportunities for virtual SPs, potentially addressing these limitations.

Objectives: This study aims to assess medical students' perceptions and experiences of using ChatGPT as an SP and to evaluate ChatGPT's effectiveness in performing as a virtual SP in a medical school setting.

Methods: This qualitative study, approved by the American University of Antigua Institutional Review Board, involved 9 …

Oh, The Places You Will Go? Exploring The Geographic Program Distribution And Use Of Geographic Preferences In The Radiation Oncology Residency Application Cycle, Mary T. Mahoney, Laura E. Flores, Anthony L. Alanis, Joshua Y. Qian, Drew T. Bergman, Jie Jane Chen, Stephenie E. Weiss, Jillian R. Gunther, Jeremy G. Price

School of Medicine Publications

No abstract provided.

Introducing Social Determinants Of Health To The Alzheimer's Disease Research Center Network: Development And Implementation In The Uniform Data Set, Megan Zuelsdorff, Erin L. Abner, Joyce E. Balls-Berry, Gregory A. Jicha, Serggio Lanata, Gladys Maestre, Monica Rosselli, Shana D. Stites, Rachel A. Whitmer, Consuelo H. Wilkins

School of Medicine Publications

The Alzheimer's Disease Research Centers (ADRCs) consortium represents a critical locus of research on Alzheimer's disease and related disorders (ADRD) prevention, diagnosis, and intervention. Through the National Alzheimer's Coordinating Center's (NACC) standardized protocol, the Uniform Data Set (UDS), ADRCs have collected rich, harmonizable clinical and cognitive data. However, the collection of social data has been sparse and Center specific, constraining ADRD science that addresses research priorities on social determinants of health (SDOH) and health equity. Capitalizing on the transition to a revised UDS version 4, an interdisciplinary committee representing 10 ADRCs reviewed the literature and instrumentation, ultimately creating a brief …

Development And Validation Of An Adolescent Sleep Algorithm For Pediatric Primary Care, Holly Hink

Doctoral Scholarly Projects & Capstones

Poor sleep quality is a common challenge for many adolescents due to various developmental, environmental, and social factors. Nearly half of all adolescents reported regularly experiencing sleep disruptions. Poor sleep quality among adolescents might have severe mental, emotional, and cognitive consequences including an increased risk for several psychiatric conditions, obesity, and poor academic performance. However, sleep disorders among this population frequently go unreported and are rarely screened during annual well-child exams with primary care providers. The purpose of this project was to develop an evidence-based sleep algorithm for pediatric primary care providers designed to improve screening and treatment of adolescent …

Assessing Correlation Of Dental Health And Appalachian Culture, Samantha G. Cheek

Honors Theses

Proper dental health is crucial for overall well-being, yet access to dental care remains a significant challenge in rural Appalachia. This study examines the relationship between Appalachian cultural identity, fatalistic beliefs, and dental health. Using survey data from 20 participants at dental offices in Chattanooga, Tennessee, the study assessed correlations between Appalachian identity, fatalism, and self-reported dental health. Results indicate a high prevalence of dental health issues (95% reported significant problems), with 70% lacking dental insurance. However, correlations between Appalachian identity, fatalism, and dental health were not statistically significant. Findings suggest that while cultural factors play a role in healthcare …

‭Prevalence Of Potentially Pathogenic Bacteria In Showers At A Long-Term Nursing Care Facility, Joseph Caleb Kulon

Honors Theses

Pathogenic bacteria on environmental surfaces in nursing homes may contribute to the‬ growing burden of healthcare-associated infections (HAIs), particularly as the U.S. population‬ ages and more individuals transition into long-term care. In this study, 70 swab samples were‬ collected from five community shower rooms at a nursing home over three sampling trips. Five‬ common shower surfaces were sampled: the floor drain, shower bench, faucet/valves, shower‬ curtain, and grab bars. Samples were processed in the UTC CIDC microbiology lab and‬ inoculated onto four selective and differential media: Hardy CHROM MRSA agar (for‬ methicillin-resistant‬‭ Staphylococcus aureus‬‭ [MRSA]‬‭ and‬‭ S. pseudintermedius‬‭ [SIM]), mannitol‬ …

Bacterial Contamination Of Wheelchairs In A Long-Term Rehabilitation Facility, Storm A. Welch

Honors Theses

The presence of bacterial contamination on wheelchair surfaces in long-term care facilities poses a significant risk to infection control and patient safety. This study aimed to assess the prevalence and diversity of bacterial species, including Staphylococcus aureus (SA), methicillin-resistant Staphylococcus aureus (MRSA), Staphylococcus epidermidis (SE), Pseudomonas spp., and enteric bacteria on five key components of wheelchairs at a local long-term care facility. A total of 320 swabs were collected from wheelchair components, including handles for pushing, armrests, seats, wheel handles, and tires. Samples were analyzed using selective culture media, and bacterial species were identified based on colony morphology. The results …

Evaluation Of Avenanthramide-A As A Skin Penetration Enhancer: In Vitro And In Vivo Testing On Permeation Of Magnesium Ascorbyl Phosphate And Diclofenac Sodium From Topical Gels, Darshil Dhiren Shah

Selected Full-Text Dissertations 2020-

Topical and transdermal drug delivery are favored to deliver active pharmaceutical ingredients directly to the skin as an alternative to oral administration for systemic effects. In either case, the active molecules must cross the stratum corneum and epidermis to reach the site of action. The stratum corneum serves as a primary barrier limiting compounds from fully penetrating the skin. Therefore, it is necessary to add penetration enhancers to topical formulations to enhance drug delivery through the skin. Often, penetration enhancers are also irritant to the skin. Earlier research in our pharmaceutical laboratory showed that an addition of colloidal oatmeal, produced …

Pain Registry For Me 2 Participant Flyer, Ling Cao

Maine Pain Registry

Flyer calling for participation in UNE project Pain Registry for ME 2.

Pain Registry For Me 2 Participant Information Sheet, Ling Cao

Maine Pain Registry

Information sheet for potential participants in UNE project Pain Registry for ME 2. Including: "Chronic pain is a serious public health problem but little is known about how pain affects Mainers. We plan to establish a pain registry through this study. This registry will collect information from Maine adults who experience recurrent and frequent pain. It is estimated that one in three Mainers experience chronic pain. We would like to hear from as many Mainers as possible. The information we obtain could inform public health approaches to improve pain care across Maine in the future."

A Review Of Praziquantel Resistance In Schistosomes And The Future Of Schistosomiasis Control, Gabriela G. Eastham

Senior Honors Theses

Schistosomiasis is a group of both acute and chronic parasitic trematode infections of the genus Schistosoma. Praziquantel (PZQ) has been the drug of choice to treat schistosomiasis for decades. Though it is effective against all three clinically relevant species, heavy reliance on PZQ has led to concerns of schistosome resistance, especially in areas that have implemented this drug in mass drug administration (MDA) programs. Although there is currently insufficient evidence to conclude that schistosomes are becoming resistant to PZQ on a large scale, other control methods are a necessity to best treat and eliminate schistosomiasis. This article summarizes the …

To Heal A Mind: A Comparison Of Functional And Conventional Treatments In Major Depressive Disorder, Gillian Chambers

Senior Honors Theses

Incidence of major depressive disorder is increasing year over year, with little able to be done to halt the spread of the condition. However, there are many treatment possibilities considered unconventional by the healthcare system. This thesis examines the respective benefits and risks, in comparison to one another, between conventional pharmacological treatment and functional, holistic treatment of depression. This was done via integrative review of available clinical literature, synthesizing evidence on both conventional and functional treatments for depression, as dictated by Whittemore and Knafl (2005). Exploratory search methods revealed 758 records fulfilling inclusion criteria, which were screened and narrowed down …

Efficacy And Safety Of Angiopoietin-Like 3 Inhibitors In Decreasing Low-Density Lipoprotein Cholesterol, Paige Fritz

Physician Assistant Scholarly Project Papers

Hypercholesterolemia is estimated to effect 31.7% of the United States population according to the Center for Disease Control and Prevention. The mainstay of treatment for this condition is currently statin therapy. While these medications are often effective in decreasing low-density lipoprotein cholesterol (LDL-C) to patient’s goal range, there are populations in which they are not sufficient. These populations include those who have genetic predispositions, such as familial hypercholesterolemia, or those who experience refractory hypercholesterolemia to statin medications. To combat this issue, a class of medications named Angiopoietin-like 3 (ANGPTL3) inhibitors have been created to use as an adjunct to statin …

Safety And Efficacy Of Combined Glucosamine And Chondroitin Supplementation In Osteoarthritis, Klayton Johnson

Physician Assistant Scholarly Project Posters

• Over 30 million U.S. adults have osteoarthritis, often experiencing pain, stiffness, and swelling that impacts daily activities. • Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used but carry risks like gastrointestinal, renal, and cardiovascular complications. • This literature review evaluates the efficacy and safety of glucosamine and chondroitin supplementation as an alternative treatment. • The combination of glucosamine and chondroitin supplementation is considered safe. • The current research shows mixed results regarding pain reduced or improved physical function in osteoarthritis patients. • A literature review was conducted using PubMed, Embase, and Google Scholar. • Keywords and MeSH terms identified studies …

D-Mannose Efficacy In Preventing Recurrent Urinary Tract Infections In Women, Miah Lee

Physician Assistant Scholarly Project Posters

• Evaluate the efficacy, safety, and mechanisms of D-mannose, a natural sugar, in preventing and treating UTIs. Evidence from various studies, including randomized controlled trials and pilot research, indicates that D-mannose may reduce UTI recurrence rates and alleviate acute symptoms with comparable efficacy to standard antibiotics. • Recurrent urinary tract infections (rUTIs) are a significant health concern for women, affecting their quality of life and requiring effective and safe prophylactic and therapeutic interventions. • Daily D-mannose demonstrated a significant reduction in recurrence rates for prophylaxis compared to placebo and nitrofurantoin, with fewer adverse effects. • In acute UTI management, D-mannose-based …

Efficacy Of Turmeric In The Treatment Of Osteoarthritis, Mckenna Taylor

Physician Assistant Scholarly Project Posters

Osteoarthritis is one of the most common types of arthritis that affects millions of people worldwide. This is a progressive disease, one that comes from persistent use of one’s joints. Currently, treatment of this disease includes oral NSAIDs, acetaminophen, corticosteroids, corticosteroid injections, oral and topical analgesics. These medications do have some long-term effects impacting the cardiovascular, gastrointestinal, and hepatic systems. A literature review was completed using randomized controlled, placebo controlled, and double-blind studies that emphasized the addition of turmeric to the treatment of osteoarthritis and its effects on pain, serum inflammatory markers, and physical functionality. Nine articles were found from …

Primary Molar Loss And Resulting Space Outcomes: A Systematic Review, Kaitlin Carlson, Meredith Clark, Richard Nguyen, Brenda S Bohaty, Amy Burleson, Robin Onikul, Neena Patel, Jenna Sparks

Posters

Premature loss of a primary molar can occur due to a multitude of reasons, including caries, infection, and trauma. When this occurs and restoration of the affected primary tooth is not possible, the AAPD recognizes space maintenance as a “Best Practice” to prevent loss of arch length, width, and perimeter after extraction. However, reports suggest that with proper intercuspation of first permanent molars, space loss from premature loss of a primary molar is minimal and a space maintainer in that area may not be needed. The clinical management for such cases has been controversial across pediatric dental providers, with factors …

Functional Polymer Nanocomposites By Gas Aggregation Cluster Source And Initiated Chemical Vapor Deposition, Torge Hartig, Joschka Paulsen, Jonas Drewes, Asmaa Mohamed, Nasra F. Abdel Fattah, Cedric Hinrichs, Felix Pohl, Stefan Rehders, Ainura Aliyeva, Henning Wieker, Jörg Wiltfang, Salih Veziroglu, Samah A. Loutfy, Oral Cenk Aktas, Alexander Vahl, Thomas Strunskus, Aydin Gülses, Amal Amal, Stefan Schröder, Franz Faupel

Nanotechnology Research Centre

Functional metal-polymer nanocomposites are required for highly tailored surface properties and coatings. However, past approaches like cosputtering, physical evaporation, or plasma polymerization can not retain the functionality of the polymer matrix or produce tailored nanoparticles. A new kind of codeposition of nanocomposite polymer thin films is presented via the combination of a gas aggregation cluster source (GAS) and initiated chemical vapor deposition (iCVD) in a common GAS+iCVD vacuum system. iCVD delivers ultraprecise and defect-free polymer thin films on the nanoscale while a GAS creates nanoparticles that form in the gas phase and can be tuned in size and composition. Using …

Rural And Urban Differences In Suicide In The United States, 2018-2021, Qian Huang, Nicole Galler, Michael Meit, Amy Wahlquist

ETSU/NORC Rural Health Research Center Policy Briefs

No abstract provided.

Artificial Intelligence (Ai)-Assisted Cardiotoxicity Management In Lung Cancer Radiotherapy, Xinru Chen

Dissertations and Theses (Open Access)

Lung cancer remains one of the leading causes of cancer-related mortality worldwide, with radiation therapy being a cornerstone of treatment. However, radiation-induced cardiotoxicity has emerged as a significant long-term complication, impacting patient survival and quality of life. There is increasing evidence that post-radiotherapy cardiotoxicity is better indicated by cardiac substructure dose, compared with whole heart dose. Despite this, cardiac substructures are not routinely incorporated into clinical workflows due to the significant time and resource demands associated with manual segmentation. Moreover, the relationship between dose distribution in radiotherapy plans and radiation-induced cardiotoxicity remains incompletely understood. Therefore, the development of an automated …

Fc Gamma Receptors Facilitate Antigenic Modulation Of Lilrb4 And Function As Predictive Biomarkers In Acute Monocytic Leukemia, Joshua Morse

Dissertations and Theses (Open Access)

Acute monocytic leukemia (monocytic AML) is a subtype of AML marked by a proliferation of abnormal monoblasts. This subtype represents approximately 10% of AML cases. The prognosis of monocytic AML is poor, with a 5-year survival of ~30%. Most patients are diagnosed at an age when they are unlikely to survive first-line non-targeted cytotoxic chemotherapy as a bridge to hematopoietic stem cell transplant (HSCT). Even patients who achieve remission commonly relapse. This population of patients would greatly benefit from precision-targeted therapies but currently there are none approved for monocytic AML.

Leukocyte immunoglobulin-like receptor B4 (LILRB4) is an immune checkpoint expressed …

Expanding Inducible Epithelial Resistance Against Pneumonia: Novel Virus, Novel Receptor, Michael Longmire

Dissertations and Theses (Open Access)

Pneumonia is the leading infectious cause of death worldwide and presents a continuing risk among immunocompromised patients. Our work has been focused for many years on the phenomenon of inducible epithelial resistance, where activation of the innate immune response in the airway epithelium is necessary and sufficient to produce a pathogen-killing but self-protective environment to prevent severe disease. Inducible resistance is pathogen-agnostic and has been demonstrated against an array of respiratory infections. We achieve this using a combination of pattern recognition receptor agonists – Pam2CSK4 and ODN M362 being the current formulation – which produce synergistic levels of pathogen reduction …

Healthy Sendoffs: The Long-Term Mental Health Effects On Nicu Parents And How Nurses Can Improve Outcomes, Christine Lyford

Senior Honors Theses

Parents who enter the neonatal intensive care unit (NICU) undergo numerous stressors on their psychological wellbeing that can leave them with impacts long after discharge. This review was conducted to analyze the severity of long-term mental health deficits in parents and compare various nursing interventions that could decrease the incidence of these deficits. Seven databases were searched within the past seven years and documented in the PRISMA flow chart with twelve articles being identified as meeting the inclusion requirements. These articles found a higher prevalence of adverse mental health outcomes in NICU parents, with a focus on family centered care …

Professional Quality Of Life Among Emergency Department Clinicians And Impact Of Trauma Informed Care Training: A Before-And-After Cohort Study, Savannah F. Steinhauser, Rachel Haroz, Iris Jones, Christopher W. Jones, William Skelton, Stephen Trzeciak, Brian Roberts

Cooper Rowan Medical Journal

Objectives: Trauma exposures and high rates of burnout are widespread among emergency department (ED) clinicians and patients. Trauma-informed care (TIC) education promotes resilience for patients and clinicians. However, there remains a scarcity of data on the impact of TIC on ED clinician outcomes. The objectives of this study were to evaluate post-COVID-19 pandemic professional quality of life among ED clinicians and to test if participation in a TIC education initiative among ED clinicians (1) improves professional quality of life and (2) decreases bias toward patients who misuse opioids.

Methods: This was a single center, prospective, parallel before-and-after pilot study conducted …