Medicine and Health Sciences Commons^™

Is The Lecture Dead? Medical Students' Perspectives On Reconciling Live Lectures And 21st-Century Learning, Vamsi Chodisetty, Amish Jain, Landry Cowles, Nate Cowan, Marisa Imbroane, Hejin Jeong, Sarah Fry, Amy L. Wilson-Delfosse

Student Scholarship

This chapter describes a literature review evaluating five innovative health professions education approaches to large group teaching and presents student perspectives regarding their implementation.

Building Trust: The Role Of Place-Based Consciousness In Vaccine Hesitancy, Ramsey W. Ash

Quantitative Social Science Undergraduate Senior Theses

Vaccine hesitancy poses a threat to public health initiatives of the 21st century. Following a stark divide in the rural/urban COVID-19 vaccine uptake and harsh disparities between these areas in COVID-19 moralities and morbidities, further understanding of the drivers of vaccine hesitancy are needed. This study makes use of the framework of place-based consciousness (PBC), pioneered by scholars of rural political science, such as Katherine Cramer, to explore this phenomenon as a mechanism by which to understand vaccine hesitancy. To examine this, an experimental survey was distributed to 300 Americans (150 rural and 150 urban) that inquired about their PBC, …

Differentiation Between Descending Thoracic Aortic Diseases Using Machine Learning And Plasma Proteomic Signatures, Amanda Momenzadeh, Simion Kreimer, Dongchuan Guo, Matthew Ayres, Daniel Berman, Kuang-Yuh Chyu, Prediman K Shah, Dianna Milewicz, Ali Azizzadeh, Jesse G Meyer, Sarah Parker

Faculty, Staff and Student Publications

BACKGROUND: Descending thoracic aortic aneurysms and dissections can go undetected until severe and catastrophic, and few clinical indices exist to screen for aneurysms or predict risk of dissection.

METHODS: This study generated a plasma proteomic dataset from 75 patients with descending type B dissection (Type B) and 62 patients with descending thoracic aortic aneurysm (DTAA). Standard statistical approaches were compared to supervised machine learning (ML) algorithms to distinguish Type B from DTAA cases. Quantitatively similar proteins were clustered based on linkage distance from hierarchical clustering and ML models were trained with uncorrelated protein lists across various linkage distances with hyperparameter …

Examining The Influence Of The General Surgery Resident Colorectal Experience On The Pursuit Of Colorectal Surgery Fellowship, Adam D. Price, Bilal W. Nasim, Frances Hu, Desmond Layne, Robyn Richmond, Zachary E. Hier, Antonela Muca, Alexander R. Cortez, Jonathan Abelson, Jitesh A. Patel

Conference Presentation Abstracts

Purpose/Background: Colon and Rectal Surgery (CRS) is a highly sought after and competitive fellowship following General Surgery (GS) residency. However, it has not been studied as to how a resident’s CRS experience during residency impacts their career choice and pursuit of CRS. This study aims to identify individual and program factors associated with matriculation into CRS fellowship. Methods/Interventions: An analysis of case logs and demographic data from graduates of 19 ACGME-accredited GS residency programs between 2010-2020 was completed utilizing the US Resident OPerative Experience (ROPE) Consortium. The demographics and operative experience of residents who pursued CRS fellowship were compared to …

A Case-Based Implementation Of Heart Failure Therapies, A Consensus Pathway By The Saudi Heart Failure Working Group, Abeer Bakhsh, Ibrahim Jelaidan, Ammar Gulzar Chaudhary, Sahar Al Amro, Kamal Alghalayini, Osama Almogbel, Maryam Alqaseer, Hanan B. Albackr, Fayez Elshaer, Fakhr Al Ayoubi

Journal of the Saudi Heart Association

The implementation of guideline-directed medical therapy (GDMT) in heart failure (HF) has many challenges in real-world clinical practice. The consensus document is written considering the variability of the clinical presentation of HF patients. HF medical therapies need frequent dose adjustment during hospital admission or when patients develop electrolyte imbalance, acute kidney injury, and other acute illnesses. The paper describes clinical scenarios and graphs that will aid the managing physicians in decision-making for HF therapy optimization.

Abstract Book (Pdf), Department Of Psychiatry

Dept. of Psychiatry Research Symposium

Abstract book for the 2nd Annual Department of Psychiatry Research Symposium held June 2024.
Abstracts are in alphabetical by last name of the lead author.

Accessibility statement: The attached document has been formatted to meet PDF/UA v1 accessibility compliance standards. Please contact [email protected] if further assistance is needed.

Transport Of The Fluorescent Substrate Asp+ By Organic Cation Transporter-3 In Human Corneal Epithelial Cells, Jeremy Laws

Theses & Dissertations

ABSTRACT

Organic cation transporter-3 (OCT3) is expressed abundantly throughout the body, but little is known about the presence of these transporters within the eye and, more specifically, the cornea epithelium. An extensive library of compounds interacts with OCT3, including the fluorescent molecule ASP⁺ and metformin. Metformin is an OCT3 substrate and antidiabetic medication that can lower the risk of eye-related diseases like keratopathy and retinopathy linked to hyperglycemia. Utilizing high throughput microplate assays in a human cornea epithelial cell line (HCE-S), the time-dependent saturation of ASP⁺ uptake and the competition of ASP⁺ uptake by corticosterone (CORT), a …

Development Of An Advanced Step Counting Algorithm With Integrated Activity Detection For Free Living Environments, Paige M. Dolan

Master's Theses

Physical activity plays a crucial role in maintaining overall health and reducing the risk of various chronic diseases. Step counting has emerged as a popular method for assessing physical activity levels, given its simplicity and ease of use. However, accurately measuring step counts in free-living environments presents significant challenges, with most activity trackers exhibiting a percent error above 20%. This study aims to address these challenges by creating a machine learning algorithm that leverages activity labels to improve step count accuracy in real-world conditions. Two approaches to balancing data were used: one employed a simpler oversampling technique, while the other …

Bedrest Reduction Post Electrophysiology Population, A Joint Clinical Inquiry Project Between Ep And Short Stay Unit, Mary Jo Kelly

2024 Swedish Learning and Celebration Day

No abstract provided.

Seven Attributes Of Risk Assessment, Roger C. Jensen

Safety Health & Industrial Hygiene

Key Takeaways:

- Risk assessment matrixes provide a measurement-like tool for characterizing hazard risk by accounting for severity and likelihood. The best matrix format depends on the needs of the organization.

- The many differences between risk matrixes are due to seven attributes: fundamental elements, orientation, size, axes scales, row and column header terms, risk indicators, and cell colors.

- This article focuses on the two-factor model of risk as a function of severity and likelihood. It was developed with the aim of sharing with the occupational safety community an appreciation for risk assessment matrixes beyond what is typically found …

The Impact Of Concussion History On Balance Performance In Collegiate Football Players, Cade R. Montgomery, Evan Braesch

Applied Health Sciences Student Works

This study aims to investigate the enduring impact of prior sport-related concussions on static and dynamic balance performance among collegiate football players. Twenty-six players (n=26), half with a history of diagnosed concussions (n=13). underwent balance testing using the Biosway Balance Error Scoring Scale test (BESS) for static balance, and the Y-Balance test (YBT) for dynamic balance. The Biosway test revealed notable statistical discrepancies in BESS composite scores between groups (p=0.010) and individual test items such as single leg stance with eyes closed (p=0.034) and tandem stance with eyes closed (p=0.030). No significant difference in the YBT composite scores between groups, …

Creating More Diversity, Equity, And Inclusion In The Swedish General Surgery Residency, Bruce Carman

2024 Swedish Learning and Celebration Day

No abstract provided.

Postural Control In Adults With Age-Related Hearing Loss, Elizabeth Tobener

Alternative Theses and Dissertations (AETDs)

The present study investigated postural control measures in adults with age-related hearing loss (ARHL). Individuals between the age of 50 and 70 were recruited (10 with normal hearing, 32 with ARHL) and evaluated using pure-tone audiometry, vestibular function assessments, and postural control measures. Results of this study revealed significant correlations between ARHL and cervical vestibular evoked myogenic potential (VEMPs) and ocular VEMPs. As ARHL increased, amplitude of cervical VEMPs and ocular VEMPs decreased. There were no significant correlations for ARHL and video head impulse test (vHIT) gain. Single leg stance with head tilt was significantly associated with ARHL. As ARHL …

Representation Of Nouns And Verbs During Play Between Caregivers And Children With Developmental Language Disorder, Alaina Grissom

Alternative Theses and Dissertations (AETDs)

Purpose. This project compared how children and caregivers use gestures and objects to contribute to the representation of nouns and verbs during play interactions between children with developmental language disorder (DLD) and their caregivers. Observations were used to determine if there was any differentiation in how children or caregivers used gestures and/or objects when nouns and verbs were presented within the play context.

Methods. Observations of parent-child dyads were recorded at a local children’s museum. All dyads included children with DLD between four and six years of age. The child and caregiver’s use of gestures and objects within the interaction …

Evaluation Of Sphingolipid Biosynthetic Inhibitor L-Cycloserine To Prevent Retinal Degeneration, Faiza Tahia

Alternative Theses and Dissertations (AETDs)

Retinal degenerative diseases, affecting millions worldwide, are caused by irreversible photoreceptor cell death. These conditions lead to irreversible vision loss or blindness, presenting significant economic challenges. Retinal degenerative diseases result from a complex interplay of genetic and environmental factors, such as light exposure and oxidative stress. Effective treatments are currently limited, which underscores the urgent need for comprehensive solutions. Ceramide, a bioactive sphingolipid, has emerged as a pivotal mediator in the apoptotic cascade associated with retinal degeneration, presenting a promising target for therapeutic intervention. This research explores the therapeutic potential of L-Cycloserine, a small molecule inhibitor of de novo ceramide …

The Role Of Skeletal Muscle Ampk/Mtorc1 Signaling In Disrupted Metabolism During Chemotherapy Treatment And Recovery, Jessica L. Halle

Alternative Theses and Dissertations (AETDs)

Colorectal cancer patient survival rate has increased over the past decade due to improved screening and treatment options. The clinically relevant FOLFOX (5-fluorouracil [5-FU], oxaliplatin, leucovorin) chemotherapy regimen is a mainstay treatment option, despite the development of severe side-effects that can occur acutely or develop as a late effect after treatment cessation. Cancer and chemotherapy can promote systemic metabolic dysfunction; consequently, patients will likely experience debilitating weakness and fatigue, and these symptoms are often accompanied by excessive fat and muscle loss. Although studies have established chemotherapy effects on the tumor, few have investigated mechanisms underlying the metabolic complications associated with …

Graphic Medicine As Library Outreach, Chanda Briggs

Gleeson Library Faculty and Staff Research and Scholarship

One of the most compelling aspects of graphic novels is the ability to connect to the emotions of the reader through visual storytelling. Understanding the challenges another person faces or realizing that one’s own challenges are not unique can boost a reader’s empathy as well as their sense of belonging.

The low-lift-high-impact nature of graphic medicine is perfect for awareness campaigns as well as critical scholarship. It makes praxis practical and disarms a reader’s defenses to experience the vulnerability of being fully human. Graphic novels meet students where they are. The high circulation statistics speak for themselves and through graphic …

Enhancing Patient’S Perceptions Of Cesarean Indications Through Teach-Back Methods, Naveena R. Daram, Malika L. Day, Rose A. Maxwell, Keith Reisinger-Kindle

Obstetrics and Gynecology Faculty Publications

Introduction

Cesarean section (C-section) deliveries are on the rise, with an increase from 23.5% in the 1990s to 32.2% in 2022. Research has shown that poor communication by health care providers can lead to negative outcomes. Patients’ understanding of their C-section indications has significant implications for their future obstetric health. Therefore, interventions are needed to ensure optimal communication between providers and patients to improve outcomes.

Materials and Methods

Sixty-eight participants were enrolled and randomized into traditional counseling or teach-back intervention groups. Phone interviews were used to capture data at 2 weeks and 6 months postoperatively. Chi square and Fisher’s Exact …

June 2024: Region 10 Emerging Special Pathogen Treatment Center (Resptc) At Providence Sacred Heart Medical Center & Children’S Hospital, Providence - Special Pathogens Program

Special Pathogens Newsletters

REGION 10 SPECIAL PATHOGENS NEWSLETTER

Sensory's Role In The General Education Classroom, Grace Sievert

OT Student Capstones

Background. Sensory processing significantly impacts students’ ability to learn successfully in educational environments (Little et al., 2017). Classroom sensory strategies have been shown as an effective method to regulate student’s sensory systems, promoting academic success through improved participation and attention (Dean et al., 2018). Academic faculty are the ideal candidates to provide sensory strategies to the general student population, yet these roles typically lack sensory education (Budd & Rehling, 2014). Occupational therapists are in a prime position to provide academic faculty with sensory education due to their expertise in sensory processing, their responsibility to provide professional development to educators, and …

Leisure Education Program For Older Adults At Beatitudes Campus, Kendall Morrissey

OT Student Capstones

As individuals age they may experience a decrease in quality of life that impacts their overall health and well-being. One way to improve quality of life in older adults it through leisure activities that can provide a sense of purpose, autonomy, and roles or routines within their lives. The purpose of this doctoral capstone experience and report is to enhance older adult’s leisure competence through to improve leisure satisfaction and overall quality of life. The occupational therapy capstone student developed a five-session Leisure Education Program for residents at a continuing care retirement community, Beatitudes Campus. Using an occupational therapy point …

Low Vision And Dementia, Anna Bradner

OT Student Capstones

Low vision and dementia are highly common among older adults. Individuals with these conditions often experience decreased ability to perform daily tasks safely and independently due to the functional implications of visual and cognitive decline. This leads not only to decreased participation in meaningful activities but also to an increased dependence on a caregiver. Over time, these caregivers can experience a perceived strain, or caregiver burden, that affects not only their own health but also the health of the individual they are caring for. Occupational therapists can provide skilled services to address the needs of older adults with low vision …

Novel Occupational Therapy Treatment In The Pediatric Intensive Care Unit, Aegia Mari Baldevia

OT Student Capstones

Millions of children are hospitalized in the United States each year. Hospitalization can negatively impact the child, their family, and their education. Occupational therapy can be used to target the family unit in coping and engagement in meaningful occupations in the hospital setting. The magazine photo collage has been used in the past to target coping and social interaction, but there is limited evidence of its use in occupational therapy in the hospital setting. This project aimed to explain the experience of families in creating and using the magazine photo collage in occupational therapy in the hospital setting. In this …

Understanding The Role Of Ot In Infertility, Jordan Swarztrauber

OT Student Capstones

Infertility is prevalent in the United States, affecting approximately 16% of couples. Those affected by infertility often seek Assistive Reproductive Technology (ART) treatments to help them conceive. Past literature has found that ARTs have negative effects on those undergoing treatments in their occupations, routines, habits, and mental health. Although it is commonly known in the medical literature, there is a dearth of research and clinical support for individuals who are experiencing disturbances in the above-described areas, leaving a gap in care for individuals who are undergoing ARTs. The present research study consists of 13 in-depth qualitative interviews, which gather data …

Dance As A Sensory-Based Occupation To Improve Regulation Skills In A Pediatric Population, Anna Seedall

OT Student Capstones

Dance is integrated into every culture. There are several psychosocial, cognitive, and physical benefits to dancing. The sensory system is highly involved in dance. Further, many children have difficulties with sensory processing and regulation. There are finite programs outside of therapeutic services to address this gap in utilizing sensory strategies. Limited research has been conducted to determine if dance is an effective approach for improving sensory regulation. A 10-week program was designed for eight participants, ages 4 to 8 by an occupational therapy doctoral student. The program utilized the Alert Program®, breathing techniques, yoga positions, tactile input, proprioceptive input, and …

Maximizing Prehabilitative Care For Breast Cancer: Program Evaluation And Quality Improvement In Outpatient Therapy, Aedan Collins

OT Student Capstones

Background. Individuals with breast cancer experience side effects and impairments from the disease and treatments that impact their physical, cognitive, neurological, emotional, and social health. Breast cancer-related psychosocial issues are most prevalent right after diagnosis. Services prior to receiving breast cancer treatment or surgery are termed prehabilitation (prehab) and have been shown to improve patient outcomes. Occupational therapy (OT) practitioners play an important role in the rehabilitation of patient with cancer and can contribute to prehab services.

Methods. This was a program evaluation and quality improvement project that used data collected during prehab evaluations for breast cancer to create supplemental …

The Effect Of The Safe And Sound Protocol On The Emotional Regulation Of Children: The Caregiver Experience, Brooklyn Gratzer

OT Student Capstones

Introduction: Emotional regulation is a complex process that develops throughout one's lifetime. Emotional dysregulation can be due to an individual’s unbalanced physiological state leading the vagus nerve into a “fight or flight” mode (Auditory Processing Center, 2022). The Safe and Sound Protocol (SSP) targets the autonomic nervous system through filtered music to improve social-emotional functioning by bringing safety to the nervous system.

Methods: The purpose of this project is to evaluate the effect of the SSP on emotional regulation in children through the caregivers perspective. Participants were chosen if their child had difficulties with emotional regulation. They completed a caregiver …

Discharge To Success: A Life Skills Manual Developed By Ots For Transitioning Individuals With Smi From Forensic Hospitals, Kelsie Cooper

OT Student Capstones

This research project examined the development of and staff training using a discharge manual aimed at improving transition outcomes for individuals with serious mental illness (SMI) within a forensic psychiatric setting. The manual, tailored to the needs of patients at Arizona State Hospital (ASH), addresses barriers to community reintegration through the provision of occupation-based interventions and resources. Occupational therapists (OTs) played a central role in the project, emphasizing the importance of meaningful activities in promoting independence and well-being among individuals with SMI in an effort to reduce recidivism. Interdisciplinary collaboration among healthcare professionals underscored the holistic approach to mental health …

Exploring Advanced Technology In The Outpatient Adult Neurorehabilitation Clinical Setting, Cynthia Burhop

OT Student Capstones

Background: Occupational therapists have access to many advanced technological devices that can aid in enhancing patients’ functional occupations. Such devices can be very costly and beneficial to the profession at large however they are not being used to their fullest potential. Barriers surrounding the usage of advanced technology can include a lack of therapist training, a lack of confidence in skills required to operate the devices and being uninformed on the benefit that technology can have on the client’s functionality. Purpose: The purpose of this study is to identify and reduce the barriers surrounding the usage of the neurosensorimotor integrator …

The Effects Of A Training Module On Ot's Self-Efficacy In Montessori Settings, Raquel Crowe

OT Student Capstones

Background. The Montessori method is a non-traditional education setting that uses child-directed learning with practical life materials to foster natural learning patterns in students. Montessori students have been shown to display increased cognitive, academic, and psychological skills that continue to impact an individual through their adulthood. Due to the traditional ways of the Montessori method, related services, such as occupational therapy (OT), are not always viewed as a valuable addition to a student’s learning environment. Lack of familiarity and education regarding the Montessori method may impact the self-efficacy an occupational therapist has when providing services to Montessori students. Methods. A …