Medicine and Health Sciences Commons^™

Pitch It Big: Cultivating Entrepreneurism Through Use Of An Innovative Competitive Business Plan And Presentation, Margaret (Peggy) Grill, Erin Epley

Journal of Occupational Therapy Education

This educational innovation aimed to explore the effectiveness of a student assignment titled ‘Pitch it Big,’ designed to enhance understanding of the business aspects outlined in the accreditation standards for occupational therapy programs. Limited research evidence exists for business education related to occupational therapy. Working in self-chosen groups based on their targeted area of interest, students collaboratively wrote a business plan for a fictitious occupational therapy business or product invention. Students then participated in a competition modeled after the popular television program Shark Tank, where they pitched their business proposals to a panel of experts acting as judges. The panel …

Exploring The Teaching Methods And Approaches Used By Australian Educators To Teach Occupation, Melanie J. Roberts, Barb Hooper, Bernadette Sebar, Jim Woodburn

Journal of Occupational Therapy Education

Occupational therapy education standards for teaching occupation are inconsistently applied and there is a lack of evidence to inform teaching practice in Australia. This qualitative study explored what teaching methods and approaches Australian occupational therapy educators used in their classroom, and why those methods were used. The research was completed in two phases: narrative inquiry guided Phase I where educators were interviewed about the methods and approaches used to teach occupation. In Phase II video-reflexive ethnography was implemented, where a video recording of teaching was used as a prompt for a reflexive discussion about the educator’s teaching approaches. The interviews …

Intentional Grouping: Impacts On Cognitive And Social Presence In A Hybrid Classroom, Bridget Scheidler, Kelly Layne, Marian Gillard, Barbara M. Doucet

Journal of Occupational Therapy Education

Hybrid learning models in healthcare education often present challenges related to reduced cognitive and social presence. This study explores the impact of intentional grouping of students, using Learning and Study Strategies Inventory (LASSI) scores, on cognitive and social presence in a hybrid Doctor of Occupational Therapy program. Over four seven-week terms, students were grouped intentionally based on their LASSI scores, which measured anxiety, motivation, and test strategies. Quantitative data were collected using the Community of Inquiry survey, and qualitative data were gathered from open-ended questionnaires. Student responses revealed that consistent intentional grouping improved perceived work quality, time management, and relationship …

Culturally Sensitive Mentorship In Occupational Therapy Education, Janet Njelesani, Shanteria Watson, Amanda Gahlot, Ayesha Ahmed, Grace Kim

Journal of Occupational Therapy Education

Mentorship provides crucial support and guidance for students, significantly influencing their academic and professional success. Mentorship experiences can vary considerably, with students from historically underrepresented groups facing racism, discrimination, and a lack of opportunities in their professional development. Despite the recognized need for culturally sensitive mentorship, there is a lack of literature within occupational therapy that focuses on the mentoring experiences of students from historically underrepresented groups. This study aimed to address this gap by exploring occupational therapy students’ mentoring needs and experiences to inform the future development of culturally sensitive mentoring programs. Utilizing a cross-sectional survey, the study collected …

Temporal Occupational Patterns Amidst Covid-19: A Comparative Analysis Of Occupational Therapy Graduate Students’ Self-Reports, Amanda C. Jozkowski, Julie M. Werner, Meagan Downey

Journal of Occupational Therapy Education

This study employed a qualitatively-driven mixed method approach to exploring temporal occupational patterns among occupational therapy graduate students in the United States during the COVID-19 pandemic. Data collected from cohorts in 2021 and 2022 were contrasted with those previously reported for 2019 and 2020, highlighting how these patterns evolved over time. Notable changes in time use were identified between the 2021 and 2022 cohorts. In 2022, students reported increased time spent in class and in driving/community mobility, while their time dedicated to physical activity, health maintenance, and family interactions declined. The analysis revealed the complexity of students' time use due …

Predictors Of Nbcot Examination Pass Rates: The Role Of Gpa, Gre, And Otke Scores In Occupational Therapy Education, Sherri Powers, Lori Eggers Saxby, Christopher Mecklin

Journal of Occupational Therapy Education

Given the critical role of National Board for Certification in Occupational Therapy (NBCOT) certification in occupational therapy (OT) practice, this study examined predictors of NBCOT examination success to inform program improvement. Analyzing data from 59 Master of Science in Occupational Therapy (MSOT) graduates at a single institution over the course of three years (2020–2022), a retrospective design with logistic regression assessed undergraduate grade point average (GPA), prerequisite GPA, within-program GPA, Graduate Record Examination (GRE) scores, and pre- and post- Occupational Therapy Knowledge Examination (OTKE) scores as predictors of first-attempt NBCOT pass rates. Of 58 students with reported outcomes, 56% passed …

Improving Self-Regulated Learning Among Occupational Therapy Students, Pola Ham

Journal of Occupational Therapy Education

Many occupational therapy students, particularly first-generation students, face significant academic and social challenges in higher education that affect their self-regulated learning (SRL). SRL involves goal setting, self-monitoring, strategy implementation, and reflection. The rigorous academic demands, combined with the unique challenges experienced by many first-generation students, exacerbate these difficulties, particularly in developing SRL skills, which are essential for academic and professional success. While first-generation students often lack these skills due to a variety of factors, many occupational therapy students also struggle to develop these skills, regardless of background. This narrative review examines the role of SRL in occupational therapy education and …

Implementing “Break Buddies”, A Nurse-Nurse Collaboration Model, To Improve Employee Satisfaction Within Cardiology Unit, Amanda Barbarino

DNP Projects

Background/Introduction: Employee satisfaction and patient satisfaction/experience are largely correlated and when one declines, evidence suggests that the other will be affected similarly (Copanitsanou et al., 2017). The Great Place to Work (GPTW), a nationally recognized designation, is measured using a standardized, commercially available staff survey to evaluate nurses’ satisfaction throughout the project site organization (Boo, 2024). Nurse-nurse collaboration is one model to implement approaches to improve staff satisfaction (Stutting, 2023).

Project Goals

1. Implement and pilot a nurse-nurse collaboration ‘break buddy’ model to support staff and increase employee satisfaction on a Cardiology Unit in a community hospital setting within a 2-month …

Provider-Nurse Rounding Checklist: A Quality Improvement Project, Danielle Ursone

DNP Projects

Background/Introduction: Communication and collaboration between healthcare providers and nurses are essential for a good working relationship. Increased collaboration has been shown to improve staff attitudes and job satisfaction. Using a checklist provides an organized way to perform rounds and increase satisfaction with teamwork as well as decrease miscommunication. At this DNP project site, a rounding checklist is not being used, resulting in a disconnect between the nurses and healthcare providers.

Objective/Purpose: Project goals include:

1. Assess nurses' and providers’ thoughts and feelings on current collaboration and rounding done. Assess what nurses and providers find as barriers for using a rounding checklist …

Weight Loss Education And Telehealth Reviews For Obese Patients: A Quality Improvement Project, Selena Menjivar-Delgado

DNP Projects

Significance and Background: Obesity is a multifactorial disease resulting in multiple health complications. Telehealth is a strategic method incorporating obesity management into primary care (PC). External evidence supports the use of telehealth for obesity management, as it can increase access to care and promote weight loss. The identified benefits of telehealth include convenience, efficiency, communication, privacy, comfort, increased patient satisfaction, and minimized cost. Primary care providers (PCPs) need designated time with patients to discuss obesity and weight loss in addition to the typical patient encounter.

Purpose: Increase PC patient knowledge of obesity and possible health complications. Utilize telehealth to educate …

Improving Hemoglobin A1c Levels In A Fqhc: A Quality Improvement Project, Laura E. Mason

DNP Projects

Significance and Background

Incarcerated individuals have a higher incidence of type 2 diabetes (T2D) than the general population and face unique challenges in managing their condition. These include limited access to nutritious food, disruptions in the healthcare continuity, and socioeconomic barriers such as unstable housing and unemployment. Upon release these challenges can compromise glycemic control.

The Transitions Clinic Model supports formerly incarcerated individuals in managing chronic conditions, including T2D during their reintegration. Continuous Glucose Monitors (CGM) have been shown to improve glycemic control and self-efficacy, leading to reductions in Hemoglobin A1c (HbA1c) levels. This project aimed to implement a CGM …

Implementing A Nurse Education Seminar To Improve Chlorhexidine 4% Compliance On A Cardiac Surgical Unit, Erin Wilson

DNP Projects

No abstract provided.

The Effects Of Capsaicin On Vascularization In Patients With Diabetes Mellitus: A Literature Review, Karen Hernandez, Leslie Guerrero, Myra Mudassar, Amanda L. Killeen

School of Podiatric Medicine Publications

Diabetes Mellitus (DM) is a metabolic disorder affecting 11.6% of the United States population and 43.95% of the population in the Rio Grande Valley of Texas. A common complication of diabetes mellitus is neuropathy, a type of nerve damage that affects as many as half of the people with this condition. Vascular factors and metabolic interactions are major influencers of the pathogenesis of diabetic neuropathy. This literature review evaluates the therapeutic role of capsaicin, a known component of capsicum pepper, commonly used as a treatment for neuropathic pain. However, several studies show that in addition to pain management, capsaicin counters …

Why Ai Monitoring Faces Resistance And What Healthcare Organizations Can Do About It: An Emotion-Based Perspective, Karl Werder, Lan Cao, Eun Hee Park, Balasubramaniam Ramesh

Information Technology & Decision Sciences Faculty Publications

Continuous monitoring of patients' health facilitated by artificial intelligence (AI) has enhanced the quality of health care, that is, the ability to access effective care. However, AI monitoring often encounters resistance to adoption by decision makers. Healthcare organizations frequently assume that the resistance stems from patients' rational evaluation of the technology's costs and benefits. Recent research challenges this assumption and suggests that the resistance to AI monitoring is influenced by the emotional experiences of patients and their surrogate decision makers. We develop a framework from an emotional perspective, provide important implications for healthcare organizations, and offer recommendations to help reduce …

The Impact Of Facility Dogs On College Students' Stress Management And Emotional Regulation, Anna Reichert

Senior Honors Theses and Projects

College is a demanding transitional time where students experience new friendships and personal growth. During this time, mental health issues can surface, which impact emotional well-being. Studies have shown that dogs reduce stress, anxiety and depression, encourage exercise, lower blood pressure, and raise oxytocin and dopamine levels (American Heart Association, 2021). Eastern Michigan University introduced their own facility dog, Tinker, a two-year-old golden retriever. Since Fall 2024, she has provided emotional comfort and relief to students and the campus community. Students were surveyed on stress levels and if and how Tinker made an impact. Survey results show Tinker’s effect on …

Elementary-School-Based Speech-Language Pathologists’ Perspectives On Implementing Literacy, Samantha Kadian

Master's Theses and Doctoral Dissertations

This study explores elementary-school-based speech-language pathologists’ (SLPs) perspectives about implementing literacy. Though the American Speech-Language-Hearing Association (ASHA) standards specify literacy is within their scope of practice, many school-based SLPs may not be addressing reading and writing competencies. The literature indicates that several constraints may contribute to this lack of involvement, including a lack of preparation, varied expectations, and ambiguous definitions. The purpose of this study was to gain an understanding of the perspectives of elementary-school-based SLPs. Three SLPs were interviewed in a semi-structured format, and the data from the interviews was examined using qualitative analysis. The findings indicated that SLPs …

Lead Bioaccessibility And Commonly Measured Soil Characteristics (Detroit, Mi, Usa) Phase Ii, Conor T. Gowan, Sabrina R. Good, Allison R. Harris, Patrick Crouch, Shawn P. Mcelmurry

Open Data at Wayne State

Urban soil contaminated with anthropogenic sources of Pb is a major contributor to child Pb exposure. To assess the Pb risk in urban areas, composite samples were collected from 142 voluntary privately owned 142 residential parcels in Detroit, Hamtramck, and Highland Park, Michigan. Samples were collected at two time periods, before and after treatment applied for those denoted as treatment sites. Samples were collected from areas covered with turf grass on the parcels from the front, middle and rear sections. Soils were collected with a bulb planter at approximately 10cm depth and were cleaned with a tap water-Liquinox detergent solution …

Can Fat Absorption Be Enhanced With A Novel Medical Food?, Cassie Brown

2025

No abstract provided.

Borreliosis And Doxycycline Treatment Disrupt Gut Microbiota And Immune Responses In Nonhuman Primates, Ethan G. Napier, Isaac R. Cinco, Sheridan B. Wagner, Ethan V. Stuart, Qi Qiao, Joshua Taylor, Brian Stevenson, Ilhem Messaoudi

Microbiology, Immunology, and Molecular Genetics Faculty Publications

Borrelia burgdorferi (Bb) is the spirochete that causes Lyme disease (LD). Transmission to humans occurs via bites of infected Ixodes spp. ticks. Doxycycline is often used to treat LD patients, which is sometimes delayed due to current diagnostic challenges. Recently, several lines of evidence show dysbiosis of the gut microbiome in LD patients, which may be a host factor contributing to pathogenesis and symp tomology but is still an understudied area in the field. To address this knowledge gap, we longitudinally compared the immune response and gut microbial composi tion of Japanese macaques after intradermal infection with Bb strain 297 …

Racial Health Disparities Among Pregnant Women Of Color In New York City: Biological And Systemic Impacts, Kaylin Peña

Pitzer Senior Theses

Racial Health Disparities Among Pregnant Women of Color in New York City: Biological and Systemic Impacts

Abstract

This thesis aims to explore how racial health disparities, underrepresentation in gynecology, and socioeconomic barriers contribute to adverse pregnancy outcomes among women of color in New York City. Through an interdisciplinary approach that combines resources from medical anthropology and human biology, this research will examine the biological implications of chronic stress, specifically HPA axis dysregulation, and its role in maternal health outcomes. With the idea of intersectionality, as conceptualized by Kimberlé Crenshaw, the study analyzes the various effects of systemic inequities and social …

Understanding The Pathogenesis Of Uveitis In Ebola Virus Disease Survivors: An Observational Cohort And Cross-Sectional Study Protocol For Clinical, Molecular Virologic And Immunologic Characterisation, Caleb D. Hartley, Susanne Linderman, Tolulope Fashina, Laura Ward, Carolyn Drews-Botsch, Catherine Pratt, Sanjana Kuthyar, Alcides Filho Fernandes, Ye Huang, Charlene Choo, Nam Nguyen, Jessica Carag, Jill Morgan, Colleen S. Kraft, Angela L. Hewlett, David Brett-Major, John S. Schieffelin, Robert F. Garry, Donald Grant, Grant A. Justin, Christopher D. Conrady, Justine R. Smith, Brent R. Hayek, Shiama Balendra, Nisha Acharya, Thuy Doan, Anais Legand, Pierre Formenty, Xiankun Zeng, Ibrahim Conteh, Matthew Jusu Vandy, Lloyd Harrison-Williams, Jalikatu Mustapha, Zikan Koroma, Michael R. Wiley, Ian Crozier, Jean-Claude Mwanza, Jessica G. Shantha, Rafi Ahmed, Steven Yeh, Smile And Evict-Vr Investigator Study Groups

Journal Articles: Epidemiology

INTRODUCTION: The 2013-2016 Western African outbreak of the Ebola virus disease (EVD), the largest recorded outbreak since the discovery of Ebola virus (EBOV) in 1976, destabilised local health systems and left thousands of survivors at risk for postacute sequelae, including vision-threatening uveitis. In an EVD survivor with severe panuveitis, the detection of persistent EBOV in the aqueous humour, long after clearance of acute viremia, focused clinical and research attention on the host-EBOV interaction in the unique terrain of ocular immune privilege. Despite the recognition that uveitis is common and consequential in EVD survivors, our understanding of pathogenesis is extremely limited, …

The Landscape Of Cyclin‑Dependent Kinase 4/6 Inhibitors In Solid Malignancies: Emphasis On Immunotherapy Combinatorial Strategies, Maha R.A. Abdollah, Sara A. Hussein, Ahmed H. Saadawy, Eman Badr, Neamtullah Wael, Rasha M. Allam, Ahmed M. Al‑Abd, Ana Maria Roncero Sanchez, Mai Tolba

Pharmacy

Given the pivotal role of CDK4/6 deregulation in the pathogenesis of various malignancies, CDK4/6 inhibitors have been incorporated into cancer treatment protocols. Beyond their antiproliferative effects, these inhibitors exhibit prominent immunomodulatory properties. Preclinical data indicated that CDK4/6 inhibitors enhance the tumor cell antigen presentation capacity and restrict the proliferation of immunosuppressive regulatory T-cells. Furthermore, studies showed that CDK4/6 inhibitors could enhance the development of memory T-cell in vivo in melanoma mouse models and in the clinical setting in breast cancer (BC) patients. In silico analysis identified 225 protein targets for CDK4/6 inhibitors involved in 57 immune-related pathways which further supported …

Corchorus Olitorius Exhibits Antiproliferative Potential Supported By Metabolic Profiling And Integrative Biological Analyses, Maha R.A. Abdollah, Salma Sameh, Ahmed Elissawy, Eman Al-Sayed, Rola Labib, Lan Ye, Fang-Rong Chang, Abdel Nasser B. Singab

Pharmacy

Herbal nutraceuticals could be employed as alternative or complementary routes for alleviating cancer. Corchorus olitorius (Malvaceae) was employed traditionally in the management of tumors. The study aimed to investigate the antiproliferative activity of C. olitorius leaves. In vitro cytotoxic and anti-angiogenic activities of C. olitorius were estimated. The bioactive fraction was subjected to in vivo study on BALB/ c female mice using Ehrlich Ascites Carcinoma model. UPLC-ESI-MS/MS analysis was done to determine the phytometabolites followed by in silico studies on the major identified compounds. The bioactive fraction possessed potent in vitro activity against A549 cells with IC50 = 7.8 µg/mL …

A Bioethical Analysis On The Allowance Of Physician-Assisted Death In Cases Of Mentally Declined Patients, Megan Nelson

Schultz-Werth Award Papers

As advancements are continually made in science, there is an increase in ethical issues that the world needs to address. When deciding where the law should fall on these new issues, it is important to use different ethical theories to view the issues from all sides. This is where the growing field of bioethics comes into play. “Bioethics is the study of ethical, social, and legal issues that arise in biomedicine and biomedical research” (Resnik, 2023). One of these bioethical issues that has become increasingly prevalent in society is physician-assisted death, which is sometimes referred to as euthanasia. This paper …

Comparison Of Hypertension Outcomes In Pharmacist Managed Patients Versus Cardiology Provider-Only Care Models, Alexis Clarke Pharmd

Pharmacy Residency

Presented at Midyear Clinical Meeting.

In this study, pharmacist-managed patients achieved BP goal 80 days faster than provider-only patients. Integrating pharmacists into care teams helps patients achieve their BP goal faster through increased visits and closer follow-up. Pharmacist managed groups had less therapeutic inertia regarding drug class changes.

No Cap! Evaluation Of Empiric Antibiotic Duration For Community Acquired Pneumonia, Bailey Castato Pharmd

Pharmacy Residency

Presented at the Midyear Clinical Meeting.

This evaluation found that patients hospitalized for CAP (including severe) without culture data or with negative respiratory cultures met clinical stability criteria early in admission. The maximum time to clinical stability was approximately 5 days. However, total median antibiotic duration was 7 days (IQR 6.0- 8.7), resulting in 2 days (IQR 1.5-3.9) of excess antibiotics.

Evaluation Of A Pharmacist-Driven Electrolyte Replacement Protocol In A Community Health System, Corey Uetrecht Pharmd Candidate

Pharmacy Residency

This evaluation found a higher rate of pharmacist consults for electrolyte management, though these were not always indicated. Repletion via oral route was not optimized and there were opportunities for improvement in protocol alignment.

Presented at Great Lakes PRC

Implementation Of An Evidence Based Skin And Soft Tissue Infection Algorithm At A Large Community Health System, Jennifer Mccarthy Pharmd, Ms

Pharmacy Residency

This study found a continued need for an updated skin and soft tissue infection algorithm. Ongoing reliance on IV antibiotics suggests underutilization of oral options. Promoting oral antibiotic use may reduce inpatient admissions and length of stay.

Presented at OHIO PRC

Evaluating The Impact Of A Pharmacist-Led Wellness And Weight Management (Wwm) Service In The Primary Care Setting, Nicholas Buttermore Pharmd

Pharmacy Residency

This evaluation found superior weight loss from baseline with pharmacist management, along with comparable GLP-1 and non-GLP-1 use and considerable financial benefits.

Aluminum In Beverages And Foods: A Comprehensive Compilation Of Regulations; Concentrations In Raw, Prepared, And Stored Beverages And Foods; And Intake, Robert Yokel

Pharmaceutical Sciences Faculty Publications

The history and controversy concerning aluminum use in beverage and food preparation and storage are reviewed. This review on aluminum in drinking water, foods, and beverages updates and exceeds prior reviews. Country and international organization regulations that permit incorporation of aluminum containing food additives, their use limit, and purposes are presented. The aluminum concentration in beverages and foods consumed worldwide was gleaned from approximately 2100 sources available to the author. The approximately 17700 values are compiled in 175 tables by beverage or food category that include the analytical method used, sample source, and reference. The tables are posted on the …