Medicine and Health Sciences Commons^™

Epds-Us (English), Sara W. Moyer, Patricia Kinser

School of Nursing Publications

How we talk about perinatal mental health matters, even in the minute details of words on screening forms. Any shifts towards removing barriers to screening, reducing stigma, encouraging disclosures, raising awareness related to symptom prevalence and the breadth symptom related experiences, and creating opportunities for connecting with support and care are essential.

In the EPDS-US, we have adapted the wording of the original Edinburgh Postnatal Depression Scale (EPDS), using a respectful care and trauma-informed approach with a focus on optimizing patient experiences and clinical utility while maintaining reliability and validity of the 10 item scale. Many individuals report feelings of …

Harold Hargis Photograph Collection, Jaclynn Martin

Prints and Photographs Department

Dr. Harold Walter Hargis (1925-2015), a distinguished oral and maxillofacial surgeon, was born in Bluefield, West Virginia on June 11, 1925. His parents were Thomas and Mary Clare Hargis. Dr. Hargis made significant contributions to the field of dentistry.

He served in the U.S. Navy during World War II and subsequently pursued his education, earning a Bachelor of Science in Liberal Arts from Howard University in 1951 and a Doctor of Dental Surgery (DDS) from the same institution in 1955. During his time at Howard, he met his wife, Mary Frances Diggs, and joined the Omega Psi Phi fraternity.

After …

Microbiota, Metabolic Profiles And Immune Biomarkers In Infants Receiving Formula With Added Bovine Milk Fat Globule Membrane: A Randomized, Controlled Trial, Chloe Christensen, Car Reen Kok, Cheryl L. Harris, Nancy Moore, Jennifer L. Wampler, Weihong Zhuang, Steven S. Wu, Robert Hutkins, Jacques Izard, Jennifer M. Auchtung

Journal Articles: Internal Medicine

INTRODUCTION: Few studies have evaluated the effects of milk fat globule membrane (MFGM) on microbiota and immune markers in early infant nutrition.

METHODS: In this double-blind randomized study, infants (7-18 days of age) received either bovine milk-based infant formula (Control) or similar formula with an added source (5 g/L) of bovine MFGM (INV-MFGM) for 60 days. A reference group received mother's own human milk over the same period (HM). Oral and stool samples were collected (Baseline and Day 60) to evaluate microbiota, immune markers, and metabolites.

RESULTS: At Day 60, stool bacterial diversity and richness were higher in formula groups …

Menopausal Awareness: Use Of A Menopausal Questionnaire To Assess Symptomology In Menopausal Transitional And Postmenopausal Women, Lori Dalcour, Debby Macmillan, Sallie Coke, Jessica Marcus

Graduate Research Showcase

INTRODUCTION: Many women experience the debilitating symptoms of hot flashes, night sweats, memory loss and vaginal dryness during the perimenopausal, menopausal, and postmenopausal period. Limited knowledge and awareness about the menopausal experience by patients and clinicians has been correlated to delays in recognizing and managing symptoms. The practice site for this quality improvement project did not have a formal process for screening, evaluating and educating patient’s menopausal awareness and goals for quality of life.

PURPOSE: The purpose of this project was to implement and evaluate a process for routinely screening and educating all patients between 40 and 65 years seen …

Understanding The Role Of Occupational Therapists In Managing Type 1 Diabetes In Adolescents: A Critically Appraised Topic, Jatin Cranmore, Morgan Harshman, Kelsey Milleson

Critically Appraised Topics

This critically appraised topic focuses on occupational therapy's role in working with adolescents (10-18 years of age) to manage Type 1 diabetes (T1D). Managing T1D can be challenging and overwhelming, especially for younger individuals because of the added responsibility and transitions that occur during puberty. There is a lack of literature that supports occupational therapy's role when working with clients who have T1D, especially when it comes to the younger populations.

Identifying Occupational Therapy’S Role In Rural Areas For Women Who Have Experienced Domestic Violence, Meagan R. Danda, Maria L. Johnson, Hannah L. Street

Critically Appraised Topics

This critically appraised topic (CAT) paper focuses on the effectiveness of occupational therapy utilized via telehealth within adult women (18-64 years old) who are experiencing or who have experienced domestic violence in rural areas. Domestic violence is a common type of violence/abuse that can occur toward any gender or sexual orientation (Rural Health Information Hub, 2024). Domestic violence encompasses physical, social, and/or emotional abuse (Rural Health Information Hub, 2024). It is a form of repetitive behaviors of abuse that occurs within a relationship. (Rural Health Information Hub, 2024). Common behaviors of domestic violence may include preventing social contact, preventing access …

The Use Of Evidence-Based Practice To Strengthen Professional Identity Among Occupational Therapists., Allison M. Stephani, Kaelyn J. Talley, Ariel K. Tix

Critically Appraised Topics

This critically appraised topic focuses on occupational therapy practitioners’ use of evidence-based practice in their practice regarding how it connects to their professional identity. The population studied was occupational therapy practitioners in their work settings. The main factors that were considered were level of connection to the profession, informal and formal education, and current use of evidence-based practice. Professional identity is defined as how a person sees themselves based on values, motives, experiences and beliefs related to their profession (Poole & Patterson, 2021). According to the Tornebohm Model, professional identity is broken down into four categories, which includes competence, conceptual …

Role Of Mindfulness-Based Interventions In Occupational Therapy With Young Adults With Mental Health Conditions Evoked By Social Media, Allison Haiby, Kennedy Reimann, Katie Quinley

Critically Appraised Topics

This critically appraised topic (CAT) paper focuses on the efficacy of mindfulness-based interventions in occupational therapy within a young adult college-aged population, specifically from the ages 18 to 29. The main factors considered in this paper are mental health in young adults, the role of mindfulness-based interventions and occupational therapy, and the implication of social media on occupation.

Increasing Autonomy In The Homeless Veteran Population Through Education-Based Occupational Therapy Intervention: A Critically Appraised Topic, Madeline Kuntz, Karli March, Cheyenne Thompson

Critically Appraised Topics

The focus for this critically appraised topic (CAT) is increasing the autonomy of homeless veterans through life-skills-based education programs. A review of existing literature found a gap of published research on this topic within occupational therapy and interdisciplinary research communities. There is a lack of experimentally designed research studies focusing on autonomy and community assistance programs utilizing life skills education training for or including the homeless veteran population. The level of evidence presented in the literature relating to this topic has been predominantly found to include non-experimental descriptive quantitative studies (Jones et al., 2021; Kline et al., 2021; Laan et …

Naloxone And Dexmedetomidine Reversal Of The Effects Of Methamphetamine And Fentanyl Co-Administration, Wesley R. Tackett

Theses, Dissertations and Capstones

Agitation is common amongst individuals who have taken methamphetamine (METH) when they arrive at the emergency room (ER). Fentanyl (FENT) and other opioids can mask this agitation which could then unexpectedly present after the reversal of these drugs by naloxone (NLX). Commonly used medications for agitation caused by METH include benzodiazepine sedatives (like alprazolam and similar drugs), but these drugs can produce dangerous sedation and inhibition of breathing when combined with opioids such as FENT. Therefore, the purpose of this MS thesis project was to use a rat model of METH-FENT overdose to test the ability of opioid antagonist NLX …

How To Introduce Your Colleagues To The Benefits Of Ai In The Clinical Setting, Connor Grant

URGENT Matters

No abstract provided.

The Healing Power Of Active Imagination On Posttraumatic Stress Disorder Symptoms And Wellbeing: A Mixed-Method Exploratory Study, Joshua Rutt, Jenny Wade

International Journal of Transpersonal Studies Advance Publication Archive

Despite many treatments for posttraumatic stress disorder (PTSD), recovery is often moderate at best. and symptoms often persist after treatment. This mixed-method study explored whether an active imagination protocol could serve as an effective low-cost, drug-free intervention for complex PTSD or persisting symptoms after a traumatic event. Seventeen participants were assessed using the Posttraumatic Diagnostic Scale (PDS), Multiscale Dissociation Inventory (MDI), and the Ryff Scales of Psychological Wellbeing (PWB) before and after a four-session, one-to-one active imagination intervention. On average, all quantitative scores significantly improved from baseline, and every subscale improved. For the sample average, PTSD symptoms decreased by 32%, …

Investigation Into Cardiac Myhc-Α 334-352-Specific Tcr Transgenic Mice Reveals A Role For Cytotoxic Cd4 T Cells In The Development Of Cardiac Autoimmunity, Meghna Sur, Mahima T. Rasquinha, Kiruthiga Mone, Chandirasegaran Massilamany, Ninaad Lasrado, Channabasavaiah B. Gurumurthy, Raymond A Sobel, Jay Reddy

Journal Articles: Genetics, Cell Biology & Anatomy

Myocarditis is one of the major causes of heart failure in children and young adults and can lead to dilated cardiomyopathy. Lymphocytic myocarditis could result from autoreactive CD4⁺ and CD8⁺ T cells, but defining antigen specificity in disease pathogenesis is challenging. To address this issue, we generated T cell receptor (TCR) transgenic (Tg) C57BL/6J mice specific to cardiac myosin heavy chain (Myhc)-α 334-352 and found that Myhc-α-specific TCRs were expressed in both CD4⁺ and CD8⁺ T cells. To investigate if the phenotype is more pronounced in a myocarditis-susceptible genetic background, we backcrossed with A/J mice. At …

Peak Teaching: Exploring And Fostering Sacred Experiences In University Classrooms, Charles Burack

International Journal of Transpersonal Studies Advance Publication Archive

Supporting the spiritual growth of college and university students with diverse backgrounds and orientations is both important and challenging. It is important not only because spirituality is a crucial dimension of human life but also because the majority of students at both private and public schools want their teachers to address spiritual issues in the classroom. A powerful way to address spirituality is to explore and foster sacred experiences in university classrooms. Sacred experiences include religious, spiritual, mystical, transcendent, numinous, and peak experiences as well as many other nonordinary experiences. The author offers guidance to educators on how to: 1) …

Nsu Health Professions Division 2023-2024 Course Catalog, Nova Southeastern University

HPD Course Catalogs

Nova Southeastern University Health Professions Division:

• Dr. Kiran C. Patel College of Osteopathic Medicine
• College of Pharmacy
• College of Optometry
• Dr. Pallavi Patel College of Health Care Sciences
• College of Dental Medicine
• Ron and Kathy Assaf College of Nursing
• Dr. Kiran C. Patel College of Allopathic Medicine

The Virtual Therapist: An Occupational Therapy Practitioner’S Guide To Telehealth Service Delivery In Pediatrics, Jossette Hannah M. Gianan

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to improve the telehealth competency and confidence of occupational therapy practitioners working in pediatrics through the use of a quick reference resource guide.

Methodology: The development of The Virtual Therapist: An Occupational Therapy Practitioner’s Guide to Telehealth Service Delivery in Pediatrics was guided by the concepts found in the Ecology of Human Performance model (Dunn, 2017). The concepts of person, context, and task were used in the overall creation of the guide, while the five intervention strategies outlined in the model were used in the creation of the intervention plan section. A …

The Comfort Of Being At Home: The Benefits Of Outpatient Rehabilitation In The Homes Of Rural Residents, Madison Jo Christian

Occupational Therapy Capstones

Title: The Comfort of Being at Home: The Benefits of Outpatient Rehabilitation in the Homes of Rural Residents

Background: Rural residents experience more disease, injury, and death than individuals living in metropolitan areas. Harsh weather conditions, distances to healthcare facilities, lack of public transportation options, and restrictions of health insurance coverage make accessing healthcare services difficult for these residents expediting worse health outcomes. One method to address the barriers rural residents face in accessing healthcare services, especially ongoing rehabilitation services, is to establish more accessible healthcare delivery methods in residents’ homes. Many rural residents will benefit from receiving ongoing rehabilitation …

International Consensus On Sleep Problems In Pediatric Palliative Care: Paving The Way, Anna Mercante, Judith Owens, Oliviero Bruni, Magda L. Nunes, Paul Gringras, Shirley Xin Li, Simonetta Papa, Ulrika Kreicbergs, Joanne Wolfe, Boris Zernikow, Ana Lacerda, Franca Benini, Pediatric Sleep And Palliative Care Group

Journal Articles: Munroe-Meyer Institute

OBJECTIVE: Sleep problems constitute a common and heterogeneous complaint in pediatric palliative care (PPC), where they often contribute to disease morbidity and cause additional distress to children and adolescents and their families already facing the burden of life-threatening and life-limiting conditions. Despite the significant impact of sleep problems, clinical evidence is lacking. The application of general pediatric sleep recommendations appears insufficient to address the unique challenges of the PPC dimension in terms of disease variability, duration, comorbidities, complexity of needs, and particular features of sleep problems related to hospice care. Therefore, we initiated an international project aimed at establishing a …

Incorporating Simulation Experiences Into The Nurse Aide Curriculum To Improve Clinical Judgment, Tonya A. May

Doctor of Nursing Practice Projects

This DNP Project was designed to strengthen clinical judgment skills in nurse aide students. Incorporating simulation-based learning opportunities into the nurse aide curriculum supports the development of clinical judgment skills. Four simulation scenarios were designed to focus on the student's ability to respond within the nurse aide’s scope of practice. Pre-test and post-test surveys were developed with a 5-point Likert scale (1 = strongly agree, 2 = agree, 3 = neither agree nor disagree, 4 = disagree, 5 – strongly disagree) to assess the student's perception of their ability to perform, notice, interpret, respond, and reflect on patient care. A …

From Biliary Dilatation To Meningitis: Finding Listeria In A Patient With Advanced Cholangiocarcinoma, Molly Jain Md, Mallika Gyawali Md, Sophia Lubrin Md

Internal Medicine Residency

This presentation won 1^st prize for the 2024 ACP Indiana conference in the oral clinical vignette. Case Presentation.

An Uncommon Culprit In Sma Syndrome: Navigating Through Duodenal Adenocarcinoma-Induced Obstruction, Deepak Benny Dr, Vikram Patil, Shrisagar R A

Radiology Teaching Files

Superior Mesenteric Artery (SMA) Syndrome is an infrequent vascular compression disorder, characterized predominantly by the extrinsic obstruction of the third part of the duodenum by the SMA, leading to a spectrum of gastrointestinal symptoms. While most commonly associated with rapid weight loss and anatomical variations, its occurrence in the context of adjacent malignancies remains exceedingly rare and clinically significant.

Here I detail a compelling case of a 49-year-old male, initially presenting with nonspecific symptoms of intermittent abdominal pain and vomiting. The diagnostic journey, propelled by computed tomography (CT) and subsequent investigations, unveiled an underlying duodenal adenocarcinoma exerting extrinsic pressure, precipitating …

Economic Review Of Point-Of-Care Eeg., Adam Green, M Elizabeth Wegman, John P Ney

Cooper Medical School of Rowan University Departmental Research

Aims: Point-of-care electroencephalogram (POC-EEG) is an acute care bedside screening tool for the identification of nonconvulsive seizures (NCS) and nonconvulsive status epilepticus (NCSE). The objective of this narrative review is to describe the economic themes related to POC-EEG in the United States (US).

Materials and methods: We examined peer-reviewed, published manuscripts on the economic findings of POC-EEG for bedside use in US hospitals, which included those found through targeted searches on PubMed and Google Scholar. Conference abstracts, gray literature offerings, frank advertisements, white papers, and studies conducted outside the US were excluded.

Results: Twelve manuscripts were identified and reviewed; results …

Six-Month Pain And Function Outcome Expectations Were Established For Total Knee Arthroplasty Using The Smallest Worthwhile Effect, Daniel L. Riddle, Nancy Henderson

Physical Therapy Publications

Introduction: Interpretations of patient-reported outcome measures following knee arthroplasty lack context and typically do not account for costs, risks and benefits compared to an alternative treatment. The primary purpose of our paper is to estimate expectations patients have for pain and function destination outcome, six-months following surgery relative to the outcome expected if knee arthroplasty was not done. Secondary purposes were to determine if statistically significant changes in the smallest worthwhile six-month outcome occurred following an interactive discussion and to assess the construct validity of the expected six-month outcome obtained at baseline.

Methods: This was a secondary analysis …

Socioeconomic Status And Health Disparities Drive Differences In Accelerometer-Derived Physical Activity In Fatty Liver Disease And Significant Fibrosis, Lucia Tabacu, Sajag Swami, Mark Ledbetter, Mohamad S. Siddiqui, Ekaterina Smirnova

Internal Medicine Publications

Background and aims: The cornerstone of clinical management of patients with nonalcoholic fatty liver disease (NAFLD) are lifestyle changes such as increasing physical activity (PA) aimed at improving cardiometabolic risk. To inform NAFLD prevention and treatment guidelines we aimed to: (i) quantify the role of PA on lowering the risk for NAFLD and fibrosis; (ii) characterize NAFLD and fibrosis association with PA in the context of socioeconomic environment.

Methods: A sample of 2648 participants from the NHANES 2003–2006 was selected to develop survey weighted multivariable logistic regression models for predicting NAFLD and significant fibrosis, diagnosed non-invasively via fatty …

Colic As Trauma Release? A Comparative Exploration Of Play Therapy In Children With And Without A History Of Colic, Nilüfer Devecigil, Jenny Wade

International Journal of Transpersonal Studies Advance Publication Archive

Colic, characterized by excessive, inconsolable crying in early infancy, has long puzzled researchers and clinicians. Traditional approaches have predominantly relied on medical models, yet they have failed to provide satisfactory explanations or effective treatments. This blinded comparative qualitative study took a novel approach by asking: What are the womb and birth experiences of colicky babies in relation to the prenatal relational trauma between mother and fetus or within the fetal environment? The sample comprised 23 mother-child dyads, 10 children with a history of colic and 13 without, whose histories and interactions unfolded through 10 videotaped sessions of Experiential Play Therapy. …

Raw Data For The Study Title As ‘The Role Of Rem Sleep In Consolidating Executive Function: A Prefrontal Cortex Perspective’, Muddsar Hameed, Syed Mughees Hussain Shah, Muhammad Ibrahim, Hamzah M. Alghzawi, Sana Shakeel, Qurat Ul Ain Haq, Zain Ali, Sheraz Khan Afridi, Habiba Ali

Nursing Faculty Research

No abstract provided.

Raw Data For The Study Title As ‘Examining The Impact Of Cognitive Control And Discrimination On Mental Health Outcomes’, Muddsar Hameed, Hamzah Alghzawi, Sherbano Hashmi, Muhammad Shahab Khalid, Zainab Salahuddin, Syeda Afraah Bukharee, Muniba Shafique, Meerab Riaz, Mobeen Arif, Anaya Zahra Rashid

Nursing Faculty Research

No abstract provided.

The Scoop, Vol. 10 Issue 10, January 2024, Health Sciences Library

Volume 10

Latest news and updates from the Health Sciences Library in our monthly newsletter for January 2024.

A Population-Based Study Of Children Suggests Blunted Morning Cortisol Rhythms Are Associated With Alterations Of The Systemic Inflammatory State, Runia Roy, Utkarsh J. Dang, Kim M. Huffman, Tchilabalo Alayi, Yetrib Hathout, Kanneboyina Nagaraju, Paul S. Visich, Eric P. Hoffman

Pharmacy Faculty Scholarship

Background: In children, digital media, lifestyle, and the COVID pandemic have impacted sunlight exposure, exercise, and diet patterns - cues that entrain the circadian clock. We hypothesized that low morning cortisol reflects a weak circadian clock, impacting the pro-inflammatory state. The primary objective was to test relationships between diurnal cortisol fluctuations and the inflammatory state in children as a means of providing indirect support for this hypothesis. Methods: The Cardiovascular Health Intervention Program (CHIP) was a population-based cross-sectional and longitudinal study of circadian health in public elementary school children in Southern Maine, USA (recruitment period 2012–2017). Participants were 689 students …

How Widely Are Near-Death Experiences Recognized In Indian Society And Health Care? A Preliminary Survey, Jimmy Mathew, Sreelakshmi Rajeev, Jerry Paul, Subramnia Iyer

International Journal of Transpersonal Studies Advance Publication Archive

Patients who have had near-death experiences are often profoundly changed by the event, and they and their families can find these phenomena bewildering or even distubing. Despite this, awareness of near-death experiences appears to be minimal among health care providers in India. This cross-sectional study was conducted on 100 individuals who attend patients at the Amrita Institute of Medical Sciences in Kochi, Kerala, India, and on one hundred physicians at the same institution. Acquaintance with the phenomenon of near-death experiences was found to be quite low among both samples—lower than rates seen in Western societies. Almost half of the physicians …