Medicine and Health Sciences Commons^™

How To Kill A Human: Creating An Immersive Learning Game, Théo Caldwell, Nathan Bonnell

OHSU-PSU School of Public Health Annual Conference

How to Kill a Human is an experiment in teaching through gameplay. The environmental crisis facing the planet, though denied by many, is a collection of well-documented historical environmental catastrophes. The purpose of this project was to design a method of relating the impacts of environmental systems on human health, highlighting the dangers of ill planned human tampering, by presenting hypothetical environmental catastrophes and then relating them to documented historical disasters. In pursuit of this goal, we designed a semi-collaborative game for three to six players with a suggested age rating of 10+, ideal for teaching individuals of middle school …

Differences Between Stem Students And Faculty On Seeing Value In A Classroom Belonging Exercise, Kaisa S. Holt

OHSU-PSU School of Public Health Annual Conference

Efforts to enhance belonging in undergraduate STEM classrooms are believed pivotal for student success. However, we must not only promote belonging interventions but also understand STEM students and faculty perceptions of their value and utility. We gathered perspectives of faculty and undergraduates regarding the implementation and efficacy of a belonging exercise (Our Lives Lived, OLL) used in multiple STEM classes at one university over two years. We hypothesized that students would see more value in the exercise than faculty. We sent a survey instrument with an OLL summary and a series of open-ended responses to faculty. We recruited for focus …

Primary Health Care: Strengthening Health Systems In Low- And Middle-Income Countries, Erin Young

OHSU-PSU School of Public Health Annual Conference

In recent decades, global health priorities have shifted away from promoting selective, donor-led interventions and towards the goal of strengthening primary health care systems in low- and middle-income countries. This project seeks to identify recommendations for and best practices of primary health care system development from the existing literature. A critical literature review was conducted using the Ovid-MEDLINE database to identify articles that focused on primary health care, included recommendations for health systems strengthening, and addressed low- and middle-income countries. Ultimately, 27 articles published between 2004 and 2019 were included in this review. Results suggest that important priorities for building …

Universal Health Care, Oregon, Jennifer S. Arnold, Bethany Clouse, Alec Martin

OHSU-PSU School of Public Health Annual Conference

Historically, the US has chosen not to fund universal health care at every opportunity, leaving our nation as the only industrialized country without some system of health coverage for our citizens and with the worst health care outcomes of any high-income nation in the world. Health care in Oregon is no exception. Our current health care system is financially unsustainable, harmfully complex, and socially unjust, as well as inequitably delivered. Too many Oregonians, because of their race, age, income, geography, or insurance, endure vastly different health care access, varied health care quality, and wide-ranging health outcomes. In 2019, the Oregon …

Behind The Walls: The Implications Of Assisted Living Building Codes On Resident Safety, Adam Pennavaria, Lindsey Smith, Paula Carder, Cassandra Hua, Eric Jutkowitz, Kali Thomas

OHSU-PSU School of Public Health Annual Conference

As the US population collectively ages, issues related to assisted living (AL) resident safety have become an increasingly pressing issue for the general public, reflected by major media reporting in the last year. The building codes that govern ALs play an important role in mitigating the risks associated with falls, wandering, and other hazards, especially for residents living with Alzheimer’s disease and related dementias. We sought to understand how states vary in their approaches to building code regulations that might impact resident safety. We used search term-based text retrieval to identify areas of text relevant to locks, alarms, and egress …

The Intersecting Association Of Speaking A Non-Dominant Language And Lower Healthcare Access On Self-Reported Depression Among U.S. Adults: A Cross Sectional Study Using Nhanes Data (2015-March 2020), Vincenzo J. Cornacchione, Corey Linver

OHSU-PSU School of Public Health Annual Conference

Objective: This analytic study examined the joint and independent associations between language preferences and healthcare access on moderate to severe depression among non-institutionalized adults living in the U.S., using data from the 2015 to March 2020 National Health and Nutrition Examination Survey (NHANES).

Methods: In this cross-sectional study design, we analyzed a nationally representative data set comprised of 11,051 participants. Multivariable logistic regression models were used to estimate the joint and independent associations between our dual exposures and moderate to severe depression, adjusting for key demographic variables based on our theoretical framework. We created categorical measures of preferred language (speaking …

Primary Place To Go For Health Care And Its Association With Hpv Prevalence In Us Adults: Results From Nhanes 2013-2016, Amy L. Mcveety, Miyuki Sun

OHSU-PSU School of Public Health Annual Conference

Background: While access to health care is a known risk factor for many infectious diseases, including sexually transmitted infections, little research has investigated the relationship between access to primary care services and prevalent human papillomavirus (HPV) infection. Given HPV’s prevalence in the general population and lack of available treatments, it is necessary to understand possible risk factors to identify areas for intervention. This study uses primary place to go for health services as a proxy measure for access to care, in order to understand which sources of health care are serving patients with the highest prevalence of HPV infections and …

Dentists Beyond The Chair: Caitlynn Haas, Dds, Holland, Mi, Rachel Sinacola Dds, Ms

West Michigan District Dental Society Bulletin

"Dentists Beyond the Chair" focuses on the out of office interests and lifestyles of West Michigan dentists. This article features Dr. Caitlynn Haas: a Holland, MI dentist and fitness center owner.

2025 Silent Bell Recipient: Richard W. Panek, Dds

West Michigan District Dental Society Bulletin

The West Michigan District Dental Society’s highest award is the Distinguished Service Award. This award, also known as the “Silent Bell,” is given to recognize contributions to organized dentistry. These contributions include service to dental professionals, patients, and the community.

Dr. Richard Walter Panek, a devoted oral surgeon and community leader, is honored with the 2025 Silent Bell Award. His life reflects compassion, practicality, and service, shaped by his Polish roots, faith, and deep commitment to family, dentistry, and the broader West Michigan community.

Wmdds Bulletin Winter 2025

West Michigan District Dental Society Bulletin

In the Winter 2025 issue, the reader will find the following articles:

• 2025 Silent Bell Recipient: Richard W. Panek, DDS, as well as Silent Bell Night Celebration Highlights and a list of Past Recipients

• Dentists Beyond the Chair: Caitlynn Haas DDS, Holland, MI

Also included are your monthly tripartite update, news from West Michigan counties, the President's Message and Editor's Letter.

Nutrition Education Intervention For Patients Living With Hiv Attending An Outpatient Clinic In Dubai, Uae, Souheir Mahmoud Alia

Thesis/ Dissertation Defenses

Nutrition is crucial to HIV/AIDS management. HIV affects the immune system, making infections and illnesses harder to resist. Despite the importance of nutrition for people living with HIV (PLHIV), there have been no studies of nutritional interventions for PLHIV in the MENA region. Aim: The objective of this study is to assess the baseline status of PLHIV and the impact of a lifestyle intervention on various aspects of their health and lifestyle status, including nutritional knowledge, attitude and practices (KAP), and intake of immune-boosting food/nutrients. Methods: Sixty-three patients attending an outpatient clinic in Dubai were randomly assigned to an intervention …

Association Between Arsenic And Other Heavy Metal Exposures Through Drinking Water And Food With Lung Function And Respiratory Symptoms: A Cross-Sectional Study, Sofia I. Chapela Lara, Seth O'Neal Md, Mph For The Cysticercosis Working Group In Peru

OHSU-PSU School of Public Health Annual Conference

Impaired lung function is a major health concern, particularly in children, as it increases the risk of chronic respiratory diseases and long-term morbidity. Environmental exposure to heavy metals (HMs) such as arsenic, lead, cadmium, and manganese has been associated with reduced lung function and respiratory symptoms. However, findings vary by exposure context and population, with limited research in pediatric populations and few studies evaluating the combined effects of multiple HMs. These exposures disproportionally affect marginalized rural communities, especially in low and middle-income countries with mining activities. This cross-sectional study investigated the association between exposure to As and other HMs through …

Assessing Behavioral Health Services In Oregon's Rural Health Clinics, Sanya M. Surya

OHSU-PSU School of Public Health Annual Conference

The purpose of this research project was to conduct an assessment of the current state of Behavioral Health Services (BHS) in Oregon’s Rural Health Clinics (RHCs). This project was housed within and funded by a grant received by The Oregon Office of Rural Health (ORH), an organization at OHSU with a mission to improve the quality, availability and accessibility of health care for rural Oregonians. In this project, I collected, compiled, and analyzed qualitative and quantitative data through a mixed-methods approach, using surveys and interviews, to evaluate the state and delivery of BHS in RHCs. Surveys and interviews aimed to …

Expanded Patient Reach At New Student Run Free Medical Clinic Location, Olivia Krol, Hana Warmflash, Alex Foster

OHSU-PSU School of Public Health Annual Conference

Background: Critical to modern medical education, student run free medical clinics (SRFCs) are present at more than 75% of AAMC member institutions. SRFCs educate students while providing low-barrier, free healthcare to underserved populations. SRFCs provide unique leadership and health systems management opportunities not traditionally emphasized in training, including leading logistical and operational changes.

In this project, we highlight the impact of a student-led operational initiative that transitioned our clinic from the River District Navigation Center (RDNC) to the Resource Center (RC), improving accessibility.

Methods:

Deidentified patient data from medical clinics from January 2024 to February 2025 were analyzed using RStudio …

How Taste Shaped The Use Of Botanical Drugs, Marco Leonti

Oxford ICSB

The perception of taste and flavour (a combination of taste, smell and chemesthesis) also referred to as chemosensation, enables animals to find high-value foods and avoid toxins. Humans have learned to use unpalatable and toxic substances as medicines, yet the importance of chemosensation in this process is poorly understood. We generated tasting-panel data for botanical drugs and applied phylogenetic generalised linear mixed models to test whether intensity and complexity of chemosensory qualities as well as particular tastes and flavours can predict ancient Graeco-Roman drug use. We found chemosensation to be strongly predictive of therapeutic use: botanical drugs with high therapeutic …

The Relevance Of Gut Microbiota For The Activity Of Herbal Drugs, Rudolf Bauer

Oxford ICSB

Despite intensive research, the active principles and mechanisms of action of many herbal drugs are still not clear. Moreover, the bioavailability of many polar plant constituents is rather limited, why they are not likely to act systemically. Therefore, alternative approaches to explain their activity have to be considered. Gut microbiota and the human body form a symbiosis which is essential for our health and well-being. Dysbiosis can lead to various diseases, like inflammation, obesity, asthma, diabetes, and even cancer. Therefore, gut microbiota are a relevant target for herbal drugs, and may help to understand their effects. For example, Faecalibacterium prausnitzii …

Insights From Ethnobotanical Research In North America, Latin America, And West Africa Into The Phytochemical Quality, Pharmacokinetics, Pharmacodynamics, And Toxicology Of Botanicals, Robin Marles

Oxford ICSB

Insights perhaps worth sharing have been gained over a career spanning 50 years of ethnobotanical and pharmacognostic research on botanicals of Canada, Mexico, Ecuador, and Togo, and the development of standards on the quality, safety, and evidence-based uses of botanicals in health products and foods. Perspectives provided by traditional healers in these countries have informed approaches to a better understanding of, and possible goals for future research on traditionally used plants. This includes their phytochemical quality; absorption, distribution, metabolism, and excretion; possible mechanisms of action; and potential safety concerns. These insights will be illustrated by specific examples from research conducted …

Korea Ginseng Corporation: Ginseng Expertise Since 1899, Joanne Lee

Oxford ICSB

Ginseng has been cultivated in Korea for over 1,000 years, and Korea Ginseng Corporation has been at the forefront of developing Red ginseng as a core ingredient since 1899. Over 126 years, KGC has become the world's leading ginseng brand, holding a 43% share of the global ginseng market. This success is driven by more than $2M in annual investment in R&D and over 100 clinical studies, which have built trust with customers. KGC secures high-quality raw materials through a 100% contracted cultivation system and supports farmers with financial and technical support. The company also maintains rigorous quality standards, conducting …

Advancing Peripartum And Pelvic Health Rehabilitation At Tristar Centennial: Empowering Recovery Through Occupational Therapy, Lilly Martin

OTD Capstone Projects

This capstone project, Advancing Peripartum and Pelvic Health Rehabilitation, was completed through the Peripartum Inpatient Program and Pelvic Health Outpatient Program at TriStar Centennial Medical and focused on empowering recovery through occupational therapy (OT). It addressed needs by revising educational materials, developing videos for at-home recovery, defining OT’s role alongside physical therapy and social work, and improving the OT presentation and packet for peripartum rehabilitation. Deliverables included educational materials, videos, and graphics to boost patient engagement, alongside an OT presentation clarifying interdisciplinary collaboration. Materials were prepared for dissemination to interdisciplinary teams, patients, and families, ensuring alignment with OT’s scope and …

The Pulse - April 10, 2025, Unm Hsc Marketing & Communications

The Pulse

Weekly newsletter of the UNM Health Sciences Center.

Assessing Oral Cancer Screenings Provided By Dental Hygienists, Nora N/A Basheer Megerdichian

Dental Hygiene ETDs

Oral cancer remains a significant public health concern, with a five-year survival rate of approximately 50% due to late-stage diagnoses. Dental hygienists play a crucial role in the early screening of oral cancer through routine intraoral and extraoral examinations. This study evaluates the effectiveness of oral cancer screenings conducted by dental hygienists in referring for further evaluation and their overall perception of the importance and frequencies of these examinations. A survey was distributed through the American Dental Hygienists’ Association (ADHA) to practicing dental hygienists across the United States, gathering data on screening frequency, referral patterns, perceived importance, and challenges faced …

Facilitating The Use Of Sbar By Nursing Staff For Handoff Communication, Amarillis L. Tompkins

Student Scholarly Projects

Practice Problem: Clear communication during shift handoffs is crucial to minimize errors and ensure patient safety in intensive care. The current SBAR framework used in the MICU is constrained by limited documentation space, which led to communication inefficiencies and heightened risks for patient care.

PICOT: The PICOT question that guided this project was: In the NFSG VA MICU, will staff nurses (P) using a revised SBAR communication tool with a checklist (I), compared to the current outdated SBAR tool without a checklist (C), improve the accuracy and completeness of patient handoff communication (O) over eight weeks (T)?

Evidence: The project …

Securing Biometric Data, Alyssa F. Carroll

Cybersecurity Undergraduate Research Showcase

Biometric data has been widely adopted across various sectors, including digital identity, artificial intelligence (AI), border control, digital wallets, and national identification systems. While biometric identifiers—such as fingerprints, retina scans, and facial recognition—offer reliable and convenient authentication, they also raise significant concerns regarding privacy and security. This paper examines how biometric data is stored, the vulnerabilities it faces, and the most effective methods for safeguarding it. By highlighting the critical importance of biometric data protection, this study reviews current research on approaches, strategies, and policies that enhance security while preserving the functionality and efficiency of biometric systems.

Self-Management Program For Dyslipidemia: Impact On Health Behaviors To Modifiable Risk Factors And Compliance, Michael S. Lespron

Student Scholarly Projects

Practice Problem: Dyslipidemia management requires participation by both the healthcare provider and the patient alike. The inability to control lipid levels, including modifiable risk factors, can lead to cardiovascular disease which is the leading cause of death globally.

PICOT: In patients at a federally qualified health center that are 18-99 years of age and have a diagnosis of any type of dyslipidemia (P), does the implementation of a self-management program (SMP) via continued access to video recordings, take-home booklets, and biweekly follow-up calls (I) compared to current practices (C), increase compliance to medication adherence and lifestyle modification recommendations (O) within …

Enhancing Understanding Of Infant Cues And The Role Of Rehabilitative Therapies In The Neonatal Intensive Care Unit, Lexie Jones

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Research emphasizes the importance of early rehabilitative therapy involvement in the NICU to improve outcomes for preterm infants. The American Academy of Pediatrics (AAP) recommends the presence of occupational therapy (OT) and speech-language therapy (SLP) services in Level III NICUs to enhance neurodevelopment, promote feeding success, and support interdisciplinary collaboration (AAP, 2020). Cue-based feeding approaches have been linked to improved weight gain, reduced hospital stays, and decreased physiological stress in preterm infants compared to volume-driven approaches (Pados et al., 2020). However, limited staff understanding of infant behavioral cues and the distinct roles of OT and SLP can lead to missed …

Maternal Physical And Mental Health In The State Of South Carolina: Creating High-Quality Educational Materials, Elizabeth Chard

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

This capstone project, in collaboration with the Empowering Moms team at the Medical University of South Carolina, aimed to establish the foundation for a statewide occupational therapy initiative focused on maternal mental and physical health education as a preventative approach to addressing rising maternal mortality rates. The project involved assessing the needs of mothers, developing evidence-based educational materials, and compiling a comprehensive resource list to enhance access to information for mothers and community health partners (CHPs) across South Carolina. To support this initiative, a website and REDCap surveys were created to facilitate information dissemination and track outcomes. Embedded within the …

Evaluating The Effectiveness Of A Non-Pharmacological Sleep Bundle For The Prevention Of Delirium In Geriatric Patients In The Intensive Care Unit: A Scoping Review, Morgan Wilkins Bsn, Rn, Vanessa D'Amico Bsn, Rn, Alyssa Goyda Bsn, Rn, Seema Janga Bsn, Rn, Kaylin Story Bsn, Rn, Tracy Mcclinton Dnp, Aprn, Agacnp-Bc

Doctor of Nursing Practice Projects

Purpose/Background

Delirium is an acute disorder yielding cognitive deficits, such as disruption in attention and awareness. It impacts approximately 50% of individuals over the age of 65 who are admitted to the hospital and is prevalent with patients in the intensive care unit (ICU). ICU delirium is associated with adverse outcomes, including higher morbidity, prolonged hospital stays, and chronic neurocognitive deficits. Research demonstrates that implementation of a non-pharmacological sleep bundle can reduce the overall occurrence of delirium. The purpose of this scoping review is to examine the efficacy of a non-pharmacological sleep bundle on the incidence of ICU delirium in …

Addressing Frailty In Heart Failure: Essential Tools & Strategies For Occupational Therapists, Malachy Clancy, Phd, Otr/L, Bcpr

Department of Occupational Therapy Posters and Presentations

Learning Objectives

• Understand and describe the concept of frailty and its impact on occupational performance for patients with heart failure (HF).
• Identify comprehensive assessments that encompass physical, cognitive, and psychosocial domains to provide a holistic assessment of frailty.

Policy And Practice: Analyzing Abortion Laws And Their Relationship To Competent Women’S Health Services In Ohio, Daija Smith

MUSC Theses and Dissertations

This study examines the relationship between abortion policy changes and women’s health services, focusing specifically on the state of Ohio’s evolving abortion laws and their implications. Using a qualitative approach, the research explores competency's role in addressing mental health disparities among diverse populations and marginalized communities. Through analyzing state policies and interviews with healthcare advance practice providers, this study completed a thematic analysis that identified opportunities such as shaping access and quality of care. The findings aim to inform strategies that reduce health disparities and improve competent care in women’s health services.

Education About Eds: How Can Colleges Reduce The Risk And Prevalence Of Eating Disorders In Ncaa Female Athletes?, Meghan J. Mcnabb, Alexandra Jakubiak

Department of Nutrition Student Projects

Female collegiate athletes are currently recognized as a high-risk group for developing eating disorders due to performance pressures and unrealistic body standards. Limited studies have analyzed the impact of tailored educational and behavioral interventions on the prevalence of eating disorders among female athletes in the National Collegiate Athletic Association (NCAA). This proposed research will be conducted at Nova Southeastern University to explore how colleges can decrease the cases of eating disorders among female athletes using a multi-component educational intervention. Participants will be screened through the EAT-26 assessment tool and initial BMI measures will be recorded to establish a baseline for …