Medicine and Health Sciences Commons^™

Evaluating A Program To Lower Prescription Opioid Doses For Patients With Chronic Pain, Reach Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Patients who use opioids for a long time are at increased risk for addiction, care crashes, overdose, & injuries.

Improving Classroom Behaviors Among Students With Symptoms Of Autism Spectrum Disorder (Asd) Or Attention Deficit Hyperactivity Disorder (Adhd), Reach Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The study aimed to compare the effectiveness of two school-based behavioral programs on improving executive functioning behaviors among students with symptoms of ADHD or ASD.

Helping Patients With Mental Illness Engage In Their Transitional Care, Reach Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Effective transitional care can keep patients from going back to the hospital.

Examining Health Outcomes For People Who Are Transgender, Reach Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The Study of Transition, Outcomes, and Gender was initiated to assess morbidity among transgender people in general and after gender-affirming treatments.

Does A Video Chat Referral Process Help Families With Children Who Have Medicaid To Initiate Mental Health Care?, Reach Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Many children with Medicaid and mental health concerns don’t get the care they need.

Using A Transitional Care Program To Prepare Patients To Take Care Of Themselves After Leaving The Hospital, Reach Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Some patients have difficulty caring for themselves after they return home from a hospital stay.

Peer-Navigator Support For Latinx Patients With Serious Mental Illness, Reach Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

People who have a serious mental illness (SMI), are at higher risk for other health problems.

Does A Peer-Led Program With Wellness Coaching Improve Wellness Among People With Serious Mental Illness?, Reach Dissemination Committee

REACH: Research Evidence-to-Action for Community Health

People with serious mental illness, or SMI, such as bipolar disorder or schizophrenia often also have long-term physical health problems.

Occupational Therapy's Role In Supporting Mothers With Breastfeeding, Courtney Kessler

MOT Student Capstones

Breastfeeding and post-partum mental health can impact the bond and quality of life for mothers, especially first-time mothers and their infants. As mothers try to juggle the occupation of breastfeeding, it can become very overwhelming with the role of parenting. Transitioning from hospital to home reduces the amount of direct support and direct access to instruction on breastfeeding and maternal well postpartum. This creates a need for an occupational therapy based breastfeeding wellness program. An occupational therapy based breastfeeding wellness program will be beneficial as it will be client-centered with a focus on quality of life. To combat the issue …

Bringing Occupational Therapy Outdoors: The Impact Of Nature-Based Interventions On Mental Health And Attention In Children With Developmental Disabilities, Caitlin Hankins

MOT Student Capstones

This paper explores the emerging practice area of nature-based occupational therapy (OT) and its potential impact on the mental health and attentional outcomes of children and adolescents with developmental disabilities. Drawing from the Occupational Therapy Practice Framework (OTPF) and existing literature, it highlights the benefits of nature-based practice approaches on the overall well-being of children and adolescents. The project aims to disseminate current evidence regarding nature-based practice approaches to various professionals, including OT practitioners, physical therapists, and speech-language pathologists, particularly those who work in the nature-based adjacent setting of Hippotherapy. The process included conducting research through a thorough literature review, …

Acute Post-Surgery Education And Occupational Therapy For Improved Outcomes In Rural Below Knee Amputation Patients, Spencer Mauk

MOT Student Capstones

Below knee amputation (BKA) patients who live in a rural setting see poorer functional outcomes, face systemic healthcare barriers, and have limited access to necessary healthcare resources. To improve this population's outcomes a project aimed to improve acute occupational therapy (OT) approaches for BKA patients in rural areas was developed. This project started with a literature review to identify existing best practices and gaps in post-operative care. The study also analyzed current educational materials, therapy protocols, and practices. The project's main goal was to develop educational and intervention materials catered to the health literacy levels of rural BKA patients. These …

Visual-Mobility: Occupational Therapy's Role In Promoting Aging In Place Among Older Adult Conditions, Jody Shivey

MOT Student Capstones

While the number of aging individuals continues to grow in the U.S., the presence of chronic conditions often minimizes the opportunity to age in place. Moreover, age-related eye disorders inhibit one's access to the environment and participation in valued occupations, leading to a greater risk of falling and being displaced from the home. Despite an older adult's preference to remain in the home, lack of accommodation reduces the potential to do so. As such, an individualized approach to aging in place can be achieved through an occupational therapy practitioner and client partnership, facilitating the use of modifications and adaptations. This …

Heart To Heart: Educating Allied Health Professionals On The Occupational Therapy Role In Cardiovascular Disease Prevention And Management, Hayley Thompson, Peyton Wilson

MOT Student Capstones

Cardiovascular diseases (CVDs) are identified as the leading cause of death globally, often stemming from factors such as hypertension, smoking, and obesity. Despite the effectiveness of preventative care services, including occupational therapy, they remain underutilized. Occupational therapy practitioners (OTPs) can play a vital role in CVD prevention and management by addressing identified research gaps and educating allied health professionals in cardiac rehabilitation facilities. This project emphasizes the importance of occupational engagement and holistic approaches, aligning with principles outlined in the Occupational Therapy Practice Framework {OTPF). The Transtheoretical Model (TTM) and the Canadian Model of Occupational Performance and Engagement (CMOP-E) are …

Identifying And Referring Patients For Occupational Therapy Services In Developing Countries, Rachel Pudlik

MOT Student Capstones

Objective: Developing nations lack the resources and trained professionals on a local level to provide healthcare services. Medical mission organizations host trips in developing nations to provide short term medical care to bridge the gap in services. However, Occupational Therapy (OT) services are underutilized within these organizations. This capstone project explores the expansion of OT services within one medical mission organization, specifically with their school based population, by using a sensory based lens to identify students that would benefit from OT services. Methods: The methodology portion of this project includes reviewing evidence based research articles. conducting needs assessment. completion of …

Occupational Therapy's Role In Preventing Geriatric Learned Dependency Through Caregiver Training, Anna Dediemar

MOT Student Capstones

Occupational therapy (OT) plays an important role in the training of geriatric caregivers to reduce learned dependency and caregiver burden, which can ultimately reduce hospital readmissions. Studies have highlighted the importance of caregiver education and training in promoting independence among geriatric patients, but OT's role in this area has yet to be explored. Caregivers play a crucial role in the geriatric patient's functional progress at home, so it is essential to educate and train them thoroughly to prevent dependency which may lead to negative patient outcomes, longer recovery times, increased risk of injury or complications, and higher readmission rates. The …

Caries Management For The Modern Era

Journal of the Macomb Dental Society

This month's Meeting lecture reviewed non-restorative versus restorative management of caries based on science, evidence based research and leading expert guidelines with Dr. Margherita Fontana. Dr. Fontana stressed that caries risk assessments done with patients give insights but that should not be the end of the conversation.

Macomb Dental Society Journal Spring 2024

Journal of the Macomb Dental Society

In the Spring 2024 issue, the reader will find the following feature articles:

• Reporting from the Macomb Legislative Event
• Caries Management for the Modern Era
• Membership: Thinking Outside the (Sudoku) Box

Also included are regular columns from the President, Executive Director and Editor, as well as news shorts and information on upcoming events.

Wcn24-931 Aki Phenotypes In Ugandan Children Hospitalized With Hypoxemia And Malaria, Andrea Conroy, Anthony Batte, Rodney Ogwang, Sophie Namasopo, Robert Opoka, Michael Hawkes

Paediatrics and Child Health, East Africa

Introduction: Acute kidney injury (AKI) is a frequent life-threatening complication in hospitalized children. Emerging data suggest AKI is a heterogeneous condition that varies based on the underlying cause and is composed of distinct phenotypes. The objective of this study was to define AKI phenotypes using proposed classification systems in Ugandan children hospitalized with hypoxemia and to evaluate differences in phenotypes by malaria infection.

Methods: Between 2019 and 2021, 2402 Ugandan children <5 years of age hospitalized with hypoxemia were enrolled in a cluster randomized trial of solar powered oxygen delivery across 20 districts in Uganda. At enrollment, urine NGAL was measured using a point-of-care lateral flow test with a positive test defined as a level ≥150ng/mL. Malaria was assessed using a threeband rapid diagnostic test. In an extended sub-study, 491 children had creatinine measured to define AKI. AKI was defined using a single creatinine measure at enrolment and phenotypically characterized using two acute dialysis quality initiative (ADQI) proposed AKI phenotypes. The AKI biomarker definition incorporated urine NGAL into the KDIGO definition[group 1, no AKI; group 2, subclinical AKI (biomarker positive); group 3, AKI; group 4, biomarker positive AKI]. The ADQI sepsis AKI phenotype groups stage 1 AKI as sepsis phenotype (SP)-1 irrespective of biomarker status and differentiates severe AKI (stage 2/3) based on biomarker positivity where severe AKI that is biomarker negative is (SP2) and severe biomarker positive AKI is SP3.

Results: Overall, 491 children were included in the extended study with AKI defined and uNGAL measured. The median age was 1.3 years (interquartile range, 0.7 to 2.3) and 53.8% …

Neurocognitive Impairment In Ugandan Children With Sickle Cell Anaemia Compared To Sibling Controls: A Cross-Sectional Study, Paul Bangirana, Amelia Boehme, Annet Birabwa, Robert Opoka, Deogratias Munube, Ezekiel Mupere, Phillip Kasirye, Grace Muwanguzi, Maxencia Musiimenta, George Ru

Paediatrics and Child Health, East Africa

Introduction: The neurocognitive functions in Ugandan children aged 1–12 years with sickle cell anemia (SCA) were compared to their non-SCA siblings to identify risk factors for disease-associated impairment.

Methods: This cross-sectional study of the neurocognitive functions in children with SCA (N = 242) and non-SCA siblings (N = 127) used age- and linguistically appropriate standardized tests of cognition, executive function, and attention for children ages 1–4 and 5–12. Test scores were converted to locally derived age-normalized z-scores. The SCA group underwent a standardized stroke examination for prior stroke and transcranial Doppler ultrasound to determine stroke risk by arterial …

Hubungan Presepsi Dukungan Sosial Teman Sebaya Dan Supervisor Dengan Tingkat Burnout Mahasiswa Saat Melaksanakan Praktikum : Studi Pada Mahasiswa Ilmu, Zatadini K. Paradasa, Getar Hati

Jurnal Ilmu Kesejahteraan Sosial

Students assigned with field practice (practicum) are prone to experiencing burnout. This study focuses on Social Welfare students who are currently undertaking practicum assignments. Burnout conditions can disrupt their social functioning and impacting target groups, institutions, and universities. One factor related to burnout is social support perceived by students. However, there is still minimal research related to burnout and social support among practicum students from social departments in Indonesia. Therefore, this study aims to describe the relationship between social support and burnout. This study uses a quantitative approach with descriptive objectives. The sample in this study was …

Increased Perceived Confidence In Professional Role Skills Among Undergraduate Dietetic Students Following Simulation-Based Learning Experiences, Makenzie Barr-Porter, Elizabeth Combs, Lauren Batey, Dawn Brewer, Aaron Kyle Schwartz, Tammy Stephenson

UK CARES Faculty Publications

Simulation-based learning experiences (SBLEs) are effective for teaching healthcare students clinical and communication skills. The current study assessed self-perceived clinical and communication confidence among dietetics students completing a series of four SBLEs (3 group, 1 individual) across nine months. Dietetics students were recruited in February 2023 prior to their first SBLE. Simultaneously through the academic year, students completed clinical and communication courses. Students were invited to complete an online, anonymous self-reported survey regarding confidence with nutrition care and communication prior to their first SBLE (Time 1), prior to their third SBLE (Time 2), and following their final SBLE (Time 3). …

Nursing News & Views - April 2024, Joanne Miller Rn

Nursing Newsletters

Nursing News & Views Newsletter - April 2024

Piloting A Simulated Electronic Health Record In Cambodia For Nursing Students In A Nursing Informatics Course, Eam Mao, Tricia Hester, Sreypeov Tun, Monirath Soun, Cheryl D. Parker

Nursing Faculty Publications and Presentations

Introduction

Electronic health records (EHR) integration is vital in modern healthcare, yet there is limited research on EHR training in nursing education in Cambodia and the ASEAN region. This study explores the implementation of simulated EHR training for Cambodian nursing students and its potential benefits for the curriculum.

Method

A four-week pilot was conducted with 62 Cambodian nursing students at the University of Puthisastra. Students participated in simulated EHR activities and completed a post-course survey to identify challenges such as medical terminology, computer literacy, and English proficiency.

Results

93.5% of students recommended continuing EHR training despite challenges, including difficulties with …

Mychart Patient Portal Utilization, Sherri Uteck

MSN Student Capstones

No abstract provided.

Cortisol Production In Female Soccer Players, Katelyn Seagraves

Honors Projects

Cortisol is released from the adrenal glands when there is an apparent stressor. Exercise, while beneficial, is seen as stress to the body and incites increased cortisol release. Cortisol is known to increase with exercise, and higher-intensity exercise tends to raise cortisol more compared to lower intensities. However, less is known about interval training and cortisol concentrations.

This review of literature dives into the background of cortisol: how it's produced, what systems it regulates, and differences in production based on gender, stressors, exercise intensity, and duration. This paper identifies some knowledge gaps and links training intensities in soccer to cortisol …

Speech Language Pathologists’ Confidence And Preparedness Working With Clients With Hearing Loss, Katherine Rosa Giustino

Masters Theses

Speech language pathologists (SLP) are professionals who may work with clients with hearing loss. With hearing loss, there are many devices, such as hearing aids, that must be functioning to provide effective speech and language therapy. Therefore, SLPs must be familiar with how to check and maintain these devices to provide optimal therapy. However, it is unknown how confident SLPs are with working with such devices. Data from a Qualtrics survey with questions that assess SLPs’ confidence in working with hearing assistive devices and communicating effectively with individuals with hearing loss was analyzed.

Overall, this study found confidence across all …

Gibbon Surgical Review, Volume 7, Issue 1, 2024

Gibbon Surgical Review

Table of Contents

6 - Socially Responsible Surgery: Better Practices for Better Outcomes

8 - Interview with Dr. Talar Tatarian - Assistant Professor

10 - Global Surgery : Current State and Involvement as a Trainee

12 - Interview with Dr. Ibnouf Sulieman - Transplant Surgery Fellow

14 - Resident Spotlight - Dr. Sam Nasser - PGY3

16 - A Review of the FIRST and SECOND Trials

18 - Residency Signaling in General Surgery

20 - Navigating Competency: Entrustable Professional Activities (EPAs)

22 - The Effect of Language Barriers on Surgical Outcomes

24 - Research Spotlight: The First Complete Human Eye …

Cortisol Production In Female Soccer Players, Katelyn Seagraves

ASPIRE 2024

Cortisol is released from the adrenal glands when there is an apparent stressor. Exercise, while beneficial, is seen as stress to the body and incites increased cortisol release. Cortisol is known to increase with exercise, and higher-intensity exercise tends to raise cortisol more compared to lower intensities. However, less is known about interval training and cortisol concentrations.

This review of literature dives into the background of cortisol: how it's produced, what systems it regulates, and differences in production based on gender, stressors, exercise intensity, and duration. This paper identifies some knowledge gaps and links training intensities in soccer to cortisol …

Neurotensin Modulates Ovarian Vascular Permeability Via Adherens Junctions, Andrew Pearson, Ketan Shrestha, Thomas E. Curry, Diane M. Duffy

UK CARES Faculty Publications

Neurotensin (NTS) is a 13-amino acid peptide which is highly expressed in the mammalian ovary in response to the luteinizing hormone surge. Antibody neutralization of NTS in the ovulatory follicle of the cynomolgus macaque impairs ovulation and induces follicular vascular dysregulation, with excessive pooling of red blood cells in the follicle antrum. We hypothesize that NTS is an essential intrafollicular regulator of vascular permeability. In the present study, follicle injection of the NTS receptor antagonist SR142948 also resulted in vascular dysregulation. To measure vascular permeability changes in vitro, primary macaque ovarian microvascular endothelial cells (mOMECs) were enriched from follicle aspirates …

Impact Of Burnout And Professional Fulfillment On Intent To Leave Among Pediatric Physicians: The Findings Of A Quality Improvement Initiative, R. Thomas Collins Ii, Aric Schadler, Hong Huang, Scottie B. Day, John A. Bauer

UK CARES Faculty Publications

Background and Objectives Physician burnout is rampant, and physician retention is increasingly hard. It is unclear how burnout impacts intent to leave an organization. We sought to determine how physician burnout and professional fulfillment impact pediatric physicians’ intent to leave (ITL) an organization.

Design and Methods We performed 120, 1:1 semi-structured interviews of our pediatric faculty and used the themes therefrom to develop a Likert-scale based, 22-question battery of their current work experience. We created a faculty climate survey by combining those questions with a standardized instrument that assesses burnout and professional fulfillment. We surveyed pediatric and pediatric-affiliated (e.g. pediatric …