Medicine and Health Sciences Commons^™

A Case Of Syringocystadenocarcinoma Papilliferum: Not Your Usual Suspect., Alena Bashinskaya, Lucas Shapiro, Conner Thompson, Artis P. Truett, Patricia Moody

HPD Articles

Syringocystadenocarcinoma papilliferum (SCACP) is an exceptionally rare cutaneous adnexal tumor that is infrequently encountered by clinicians worldwide. The tumor typically appears in the older population, affecting patients in their fifth and sixth decades of life without male or female predominance. Patients frequently present with a variable-sized hyperpigmented ulcerative lesion containing an exudate that has a long-standing course of progression from its benign counterpart, Syringocystadenoma papilliferum (SCAP). Additionally, the clinical presentation and morphology of the neoplasm can be easily confused with a variety of other skin cancers, such as squamous cell carcinoma (SCC), basal cell carcinoma (BCC), cutaneous lymphoma, and cutaneous …

The Implications Of Pharmacogenomics In Oncology, Jean J. Latimer

HPD Articles

No abstract provided.

Post-Traumatic Stress Symptoms And Their Role In Intimate Relationships: Do Ptsd Symptoms Moderate The Relationship Between Conflict And Aggression In Military Servicepeople?, Hannah M. Breen

ETD Archive

Military servicepeople often find themselves facing symptoms of Post-Traumatic Stress Disorder (PTSD) following their service. The symptoms of PTSD can impact the functioning of servicepeople’s intimate relationships, particularly in the aspect of conflict and aggression. The present study aimed to assess the effect of a military-involved partner’s PTSD symptoms on the association between relationship conflict and aggression from the perspectives of both partners. Data were collected from 112 military-involved individuals (active-duty or veteran) and 16 couples (one military-involved partner and one civilian partner) who participated in an online survey which collected data on their romantic relationships. It was hypothesized that …

Associations Between Attachment Style, Emotion Regulation And Well-Being Among Informal Caregivers Of Person With Dementia: A Stress Process Perspective, Meghan V. Paulo

ETD Archive

The negative outcomes for a caregiver for a person with dementia (PWD), such as burden and depression, are well-studied and established. However, the individual differences that may buffer against negative outcomes are still to be explored. Attachment orientation and emotion regulatory abilities have been shown to influence health and well-being outcomes within this population. Secure attachment is considered a protective factor in the development of psychopathology and physical health outcomes. Emotion regulation is an important part of a caregiver’s daily functioning for managing challenging care tasks. With a theoretical model of caregiving as the foreground of this work, these variables …

The Overuse Of Advanced Technology And Its Impact On Earlier Signs Of Digital Dementia, Audriana T. Nguyen

ETD Archive

This research attempted to answer the question if the increased use of advanced technology can impact an individual’s cognitive abilities. Participants (N=73) were recruited from universities by flyers as well as social media platforms including Facebook, Instagram, Snapchat, and LinkedIn. Participants answered a survey pertaining to their social media use, attention difficulties, memory, and quality of sleep using the Likert Scale. The purpose of this research was to quantify if the duration of exposure to technology can be associated with earlier signs of “digital dementia.” While previous research suggest a correlation between technology and its impact on cognition, my data …

Animal-Assisted Therapy: Exploring Practitioners' Perspectives And Experiences, Brianne Markley

ETD Archive

To date, most animal-assisted therapy (AAT) research has examined potential outcomes for clients. Though client outcomes are important to study, only a portion of the intervention can be understood when only one piece of the process is examined. For AAT to become a more credible intervention, there needs to be a more holistic and thorough understanding of the practice. Because practitioners’ experiences in providing AAT have yet to be specifically examined, there is a need for this work at the foundational and exploratory level. Additionally, competency models in psychology training and training of other mental health providers identify many important …

The Lotus Project: A Resilience Program For Dominican University Of California Occupational Therapy Graduate Students, Melissa Morini, Naema Dahdoul, Ashley Moffett, Regine Erika Saldivar, Viviana Vazquez

Occupational Therapy | MSOT Capstone Projects

Occupational therapy graduate students and occupational therapy practitioners experience chronic stress, adversity, and are at risk for burnout (de Witt, Monareng, Abraham, Koor, & Saber, 2019). Building a resilience practice early in the OT career has the potential to assist students in overcoming adversity from chronic stressors that could lead to burnout. We developed the L(OT)US project, a resilience program for occupational therapy students at Dominican University of California that consisted of three components: indoor resilience rest and recovery space, outdoor resilience resources box, and social media resources. e gathered feedback from current occupational therapy students who participated in our …

Life After Brain Injury - Family Perspectives, Shaina Snyder, Everlee Anderson, Allison Wyek, Elijah Tolentino-Medios, Cathyisabella Kintanar

Occupational Therapy | MSOT Capstone Projects

Background: Children who are Traumatic Brain Injury (TBI) survivors experience changes to their occupational engagement and participation in family life. Families and children who are TBI survivors may experience long-term, chronic disabilities, yet these complex experiences are under researched and underserved.

Objective: This research focused on the following questions: What are the lived experiences of children who have survived brain injury and their families upon returning to their homes, schools and communities? What are the helpful and necessary supports and what are the barriers to engaging in meaningful occupations? How can in depth examination of these phenomena better …

Fatty Liver Disease, Ramzi Daki '23, Breena Bulthuis, Zander Davidson, Dammy Tabiti, Adelyn Kobayashi

Human Diseases Graphic Novels

No abstract provided.

Acquisition Of Psychomotor Skills In An Online Or Hybrid Classroom:A Systematic Review, Peyton Arneson, Braiden Burkes, Talia Cmaylo

DPT Capstones

Objective: During the COVID 19 pandemic, schools across the world have had to adapt their curricula to allow students to continue their education remotely or via hybrid classroom format. The effectiveness of online/hybrid teaching has been studied with respect to many academic skills. However, the effectiveness of this type of teaching on psychomotor skills has not yet been determined. The purpose of this systematic review was to compare healthcare students’ acquisition of psychomotor skills in an online format versus traditional classroom format.

Methods: Researchers reviewed over 100 articles using Cochrane Library, CINAHL, PubMed, and Google Scholar databases and search engines. …

Wearable Sensor Efficacy In Detecting Deviations From Normal Gait Patterns: Normative And Mock Pathologic Gait, Kacey Bisienere, Jessica Maddox, Cicely Fabiano

DPT Capstones

Purpose/hypothesis: The purpose of this study is to assess the efficacy of the Smart Wireless Motion Sensors (SWMS) in detecting deviations or abnormalities in gait between normative and traumatic brain injury (TBI) data.

Subjects: We recruited participants from the faculty and students in the University of Texas at El Paso (UTEP) Doctor of Physical Therapy (DPT) program. Inclusion criteria for participation in the study consisted of (a) current faculty and staff in UTEP’s DPT program, (b) 18 years old or older, (c) ambulatory, (d) no history of TBI or any other condition affecting gait and (e) English speaking. Participants were …

Dry Needling As An Alternative Physical Therapy Treatment For Patients With Cervicogenic Headaches: A Systematic Review, Justin Esparza, Bianca Magallanes, Alexis Mendez

DPT Capstones

Background: There has been an increase in prevalence in cervicogenic headaches (CGH) which is commonly accompanied by neck pain, decreased cervical range of motion (ROM), and other symptoms related to neck movement.

Purpose: The objective of this systematic review was to compare manipulation/mobilization versus dry needling (DN) to determine which treatment is most effective in improving pain intensity, ROM, and frequency in individuals with CGH.

Methods: Current literature was retrieved from a search using Pubmed and EBSCO (Medline) databases. The following keywords were used to guide searches: “cervicogenic” “headache” “neck pain” “dry needling” “manipulation” “mobilization” “manual therapy”. After filtering, 10 …

Effectiveness Of Telehealth Physical Therapy Compared To In-Person Physical Therapy On Pain And Disability In Patients With Non-Specific Chronic Low Back Pain: A Retrospective Case Series, Leslie Porras, Andres Fernandez, Sebastian Garcia, Troy Belcher

DPT Capstones

Background: Physical therapy is a successful treatment option for non-specific chronic low back pain (NCLBP). Telehealth physical therapy (TPT) is a beneficial treatment option for various musculoskeletal conditions, but its effectiveness in treating NCLBP remains unclear. The purpose of this study was to assess the effectiveness of TPT compared to in-person physical therapy (IPT) on pain and disability in patients with NCLBP.

Methods: Data were extracted from electronic medical records of adults with NCLBP who received care between June 1, 2020 and September 30, 2021. Patients included males or females who were 18 years or older, had NCLBP, and received …

Do Esports Gamers Differ From Non-Esports Gamers In Posture, Pain, And Range Of Motion?, Erick Sorto, Kendall Pieper, Ronald Ramon

DPT Capstones

Objective: The purpose of this research study is to compare posture, pain and range of motion (ROM) between young adult eSports gamers and non-esports gamers with similar sitting hours throughout an average week.

Methods: Subjects were recruited using social media and physical posts that included a screening survey. In total, 13 potential subjects were screened and 12 met the eligibility criteria. A total of four subjects were recruited to be assessed. Subjects were placed in either the eSports (N=2) or Control group (N=2) based on screening. Subjects were measured for ROM, posture, and pain characteristics. Independent sample t-tests and Pearson’s …

The Effects Of Therapeutic Horseback Riding On The Balance Of A Child With Autism Spectrum Disorder: A Case Study, Liliana De Castro

DPT Capstones

Objective: Therapeutic riding is an emerging tool used by rehabilitation professionals to treat individuals with disabilities. Although recent studies suggest important benefits for this population, the groups represented, and the outcomes studied, in existing literature are limited. Namely, current scholarship focuses on individuals with cerebral palsy, or measures therapeutic outcomes linked to cognitive function in individuals with autism spectrum disorder. The purpose of this case study is to highlight the gross motor benefits that this intervention provided for a child with autism spectrum disorder.

Methods: The subject was a 12-year-old boy who was diagnosed with high functioning autism spectrum disorder. …

The Impact Of The Covid-19 Pandemic And A Physical Therapy Program On Students’ Health Outcomes, Kristin Moreno, Caitlyn Ferguson, Vanessa Garcia

DPT Capstones

Purpose: The COVID-19 pandemic affected many aspects of everyday life including school, fitness regimens, and social interactions. The purpose of this study is to understand how COVID-19 affects the cardiovascular and mental health of Doctor of Physical Therapy (DPT) students as they progress through the program.

Materials and Methods: Data collection occurred in 16 DPT students over a total of 3 visits from 2020 – 2022. Outcome measures included VO2max, Venous Occlusion Plethysmography (VOP), Perceived Stress Scale (PSS) and International Physical Activity Questionnaire (IPAQ). A RM-ANOVA with pairwise comparisons was utilized. Significance was set prior at an α level of …

Comparison Of Aquatic And Land-Based Rehabilitation In Post-Stroke Patients For Balance And Gait: A Systematic Review, Guillermo Mota, Halil Rodriguez, Edgar Hinojosa, Rebeca Baeza

DPT Capstones

Introduction. Cerebral vascular accidents (CVA), or stroke, can lead to impairments in strength, range of motion (ROM), balance, cognition, sensory integrity, and motor function. These several impairments all contribute to a decline in dynamic and static balance among stroke patients. Traditional rehabilitation for stroke involves land-based therapy (LB) techniques addressing impairments within each individual patient. Aquatic therapy (AQ) has also been utilized for rehabilitation in stroke and has been found to be beneficial among stroke patients. The purpose of this Systematic Review (SR) is to compare the effect of AQ and LB therapies on balance and gait. The rehabilitation programs …

The Efficacy Of Mirror Therapy On Lower Extremity Function, Gait, And Balance In Hemiparetic Individuals Post-Stroke: A Systematic Review, Van Tran, Mauricio Calvo, Valerie Fairley

DPT Capstones

Objective: Common residual impairments of the lower extremity following a stroke include hemiparesis, inability or difficulty with walking, decreased walking speed, or decreased balance with ambulation. Mirror therapy is a recognized intervention for stroke rehabilitation that aims to facilitate functional motor recovery of a paretic limb. The purpose of this review was to evaluate the effectiveness of mirror therapy in combination with conventional stroke rehabilitation interventions on lower extremity function, gait and balance in hemiparetic individuals recovering from stroke.

Methods: A systematic search of the current literature was performed using MEDLINE, PEDro and PubMed to identify studies concerning mirror therapy …

Achieving Health Equity In Connecticut: An Examination Of The Role Of Local Health Departments, Jhinelle Dawson

Health Science Doctoral Thesis

Health equity refers to the opportunity for every person to be as healthy as possible. Unfortunately, people of color continue to face differences in health outcomes and are negatively impacted by health inequities. Local health departments (LHDs) are positioned to address health equity as these departments provide core services that improve community health. The Connecticut Department of Public Health created the Healthy Connecticut 2025 framework, which outlines strategies that address the social determinants of health (SDOH) that in turn influence health inequities. However, it is unclear what LHDs in Connecticut are doing to address the SDOH. Therefore, this study investigated …

Efficacy Of Coping Strategies On Emotional Regulation For Individuals With Childhood Trauma, Alyssa Szatmary

MOT Student Capstones

In childhood, individuals may be exposed to adverse childhood experiences (ACEs) and carry the weight of the trauma throughout the lifespan. Childhood trauma can have a negative impact on mental health, causing emotional dysregulation, and influencing perspective, actions, and social patterns. Individuals who have experienced childhood trauma may improve their quality of life by creating resilience, advocating a healthy lifestyle, and developing adaptive, coping strategies to cope with adverse, or major life events. In the Upper Cumberland of Tennessee, there are limited resources within the community that targets this population. This capstone project aims to assess the differences in emotional …

Will Increasing The Knowledge About Community Transition Programs For Adolescents And Young Adults With Intellectual Disabilities Enable Ot Practitioners To Integrate Transition Services Into Practice?, Emily Draughon

MOT Student Capstones

The transition from adolescence to adulthood for individuals with intellectual disabilities (ID) can be especially challenging due to intellectual and adaptive deficits. Without adequate support and guidance throughout this transition, these individuals are not able to maximize their independence and participation with essential occupations including post-secondary education, employment, and community participation. Occupational therapists (OT) use a holistic and client-centered approach and specialize in adapting the environment and/or the task to meet the specific needs of the person to promote independence and full participation in desired occupations. The current trend in transition programming displays an underutilization of OT support. Increasing OT …

Training Program For Occupational Therapists Working With Skilled Caregivers In Skilled Nursing Facilities, Lovegifty Dudero, Mai Huynh, Ridhee Patel

Occupational Therapy | MSOT Capstone Projects

Dementia impairs one’s ability to live independently and participate in everyday activities (CDC, 2019). Individuals with dementia (IwD) are often referred to skilled nursing facilities (SNFs) for around-the-clock care to receive support for their everyday challenges brought on by dementia symptoms. Although certified nursing assistants (CNAs) help IwD with everyday self-care tasks, they frequently lack specialized dementia care training. Consequently, CNAs experience low self-efficacy when providing care and managing challenging behaviors IwD may have. OTs have expertise and understanding regarding the stages of dementia and how the symptoms of dementia impact participation in daily occupations. OTs working in SNFs are …

Occupation-Based Cna Program To Build Caregiver Knowledge And Self-Efficacy In Dementia Care, Lucky Ung, Judy Chen, Michelle Hong

Occupational Therapy | MSOT Capstone Projects

Certified nursing assistants (CNAs) are primary caregivers to individuals with dementia (IwD) who reside in skilled nursing facilities (SNFs). CNAs are also expected to know how to provide person-centered and occupation-based care while managing challenging behaviors of IwD without formal training which become sources of strain and stress for CNAs and often leads to feelings of uncertainty and inadequacy (Pelissier et al., 2015). Further research shows that specialized dementia care training programs are beneficial to CNAs in acquiring the knowledge and skills required to provide high quality dementia care and that CNAs prefer the use of a multimodal education program …

Nicotinamide Riboside And Beta-Hydroxybutyrate Activate Parallel Pathways For C. Elegans Lifespan Extension, Mckenzie Peters

Undergraduate Honors Theses

Supplementation with nicotinamide riboside (NR), a form of vitamin B3 and a precursor of nicotinamide adenine dinucleotide (NAD⁺) extends lifespan in the nematode C. elegans and delays aging-related pathologies in mammals. During aging, levels of NAD⁺ decline causing metabolic dysfunction and oxidative damage. Studies in C. elegans found that when NR was administered during larval development it induced the mitochondrial unfolded protein response (UPR^mt), which is frequently associated with lifespan extension. Both calorie restriction (CR) and ketogenic diets (KD) have been shown to extend lifespan, in part through increasing NAD⁺ and through increasing levels …

Type 1 Diabetes In The Classroom, Ursula Herrell

Undergraduate Honors Theses

Type 1 diabetes [T1D] is an autoimmune disease that presents in a pathophysiological disorder as insulin deficiency. Managing this illness during childhood is a constant challenge of maintaining blood glucose levels within a healthy range, resulting in increased stress for children and caregivers. School attendance is one factor that may result in increased stress. Studies have highlighted the fact that teachers of students with T1D may receive little education regarding management of the disease and may be required to make accommodations which can result in confusion, miscommunication, and increased psychosocial stress. The goal of this research was to learn about …

Nutrition Needs Assessment For Women Of Childbearing Age With Polycystic Ovarian Syndrome, Callie Coleman, Whitney Bignell

Undergraduate Honors Theses

Polycystic Ovarian Syndrome (PCOS) is an endocrine disorder that affects women’s menstrual cycles, androgen (male hormones) levels, and cysts on the ovaries. This endocrine disorder has various symptoms, with insulin resistance as a hallmark symptom. Approximately 65-70% of women with PCOS have insulin resistance and hyperinsulinemia, whether or not they are overweight, obese, or lean (Marshall & Dunaif, 2012). Many women with PCOS struggle to lose weight because their excess weight is related to nutrition, lifestyle factors, and imbalanced hormones. Understanding PCOS as a metabolic disorder with nutritional implications led to investigating the potential benefit of having registered dietitian nutritionists …

Amyotrophic Lateral Sclerosis (Als) Health Charities Are Central To Als Care: Perspectives Of Canadians Affected By Als, Mira Ahmad, Shelagh K. Genuis, Westerly Luth, Tania M. Bubela, Wendy S. Johnston

Office of the Provost

Objective: Expert consensus guidelines recommend referral of people with amyotrophic lateral sclerosis (ALS) to ALS health charities for support. Limited research indicates that patients and families value interaction with these volunteer sector organizations. We investigated how patient support from Canadian ALS health charities (ALS Societies) is experienced by those affected by ALS, and whether patient-centered outcomes validate recommendations for referral.
Methods: Data were drawn from the ALS Talk Project, an asynchronous online focus group study. Patients and family caregivers were recruited from regions across Canada. Seven groups met online for 14 weeks between January and July 2020. Seventy-eight participants made …

School-Based Study To Assess The Nutritional Status (Bmi Based) Of Adolescents Of Gojra City Of District Toba Tek Singh, Punjab, Pakistan, Shagufta Perveen, Rozina Karmaliani, Rubina Barolia, Rozina Mistry

School of Nursing & Midwifery

Adolescence is the make-or-break stage of life. Major physical, mental, and psychological growth takes place at this age. Adequate and balanced nutrition is a vital requirement to support this phase. Adolescents living in developing and low-income countries are more likely to face nutritional challenges. Poor nutritional status during adolescence is an important determinant of health outcomes.
Objective: To analyze the nutritional status (BMI based) of school-going adolescents in Gojra city, Punjab, Pakistan.
Methods: A school-based cross-sectional survey was carried out covering 635 (6-8 grade) school-going adolescents (boys and girls) from public schools in Gojra city. Data were collected through anthropometric …

Factors Affecting The Success And Persistence Of Pre-Nursing Students, Leslie Ann Jennings

Nursing Dissertations - Archive

This article-based dissertation consists of two manuscripts related to factors affecting the success and persistence of pre-nursing students. The first manuscript was a matched cohort study that compared selected academic variables between two groups of pre-nursing students admitted to a pre-licensure baccalaureate nursing program via two different routes. The purpose of this study was to determine if there were any differences in academic performance between these two groups of students in the first semester of a formal nursing program. Analyses of the data revealed a difference in semester grade point average (GPA), but no significant differences in the RN Fundamentals …

Multidisciplinary Teamwork Perceptions When Mobilizing Ventilated Neurosurgery Patients, Adrianna Vinar

Nursing Dissertations - Archive

This two-manuscript dissertation focuses on mobilization in ventilated neurosurgery patients along with the nursing and multidisciplinary perceptions associated with this patient care task. The first manuscript consists of a published comprehensive literature review based on 20 published articles from the years 2010-2020. This review provides background information on the topic of mobility, nursing and provider perceptions, and teamwork for vulnerable critically ill populations including neurosurgery patients on mechanical ventilation. The evident gaps in knowledge based upon these findings and premise for the second article will also be discussed. The second manuscript submitted for publication focuses on a quasi-experimental pilot study …