Medicine and Health Sciences Commons^™

Does Cultural Immersion Around The World Create Stronger Students? A Study Of The Benefits Of Studying Abroad On Students’ Mental Health And Wellbeing., Hanna Lynn Strombom

Finance Undergraduate Honors Theses

Mental illnesses have been increasing throughout the population of the United States. College-aged students are being affected by mental illnesses at alarming rates. This is a pivotal age range for people as they transition towards more adult responsibilities. Universities provide its students a lot of opportunities to prepare them for the real-world. One of these opportunities that has become popular amongst students is studying abroad. This research focuses on the effects of study abroad on students’ mental health and wellbeing. 104 students from the summer 2022 CIMBA study abroad program participated in this study. This set of respondents encompassed ten …

Early Life Stress Predicts Future Conduct Disorder In Adolescents, Savannah Ellis

Biological Sciences Undergraduate Honors Theses

Early Life Stress (ELS) and adversity increase people’s risk for developing mental, social, or emotional dysregulation and disorders later in life. The objective of this study was to test whether ELS in adolescents could prospectively predict future conduct disorder. The study additionally tested potential neural mediators of the effect of ELS on future conduct disorder, and specifically targeted the structural connections from the anterior insula and medial prefrontal cortex to the Nucleus Accumbens (NAcc). Data for the project came from the Adolescent Brain Cognitive Development Study (ABCD study), which is a longitudinal multi-site consortium funded by the National Institutes of …

Smartphone-Based Fundus Imaging For Evaluation Of Retinopathy Of Prematurity In A Low-Income Country: A Pilot Study, Roha Ahmad Choudhary, Shiraz Hashmi, Haroon Tayyab

Department of Ophthalmology & Visual Sciences

Objectives: To evaluate the feasibility of a novel and simple smart phone-based Retinopathy of Prematurity (ROP) screening approach in a resource-constrained setting.
Methods: This cross-sectional validation study was conducted at the Department of Ophthalmology and Neonatal Intensive Care Unit (NICU) of The Aga Khan University Hospital, Pakistan, from January 2022 to April 2022. A total of 63 images of eyes with active ROP (stage-1, 2, 3, 4 and/or plus or pre-plus disease) were included in this study. The stage of ROP was documented by the principal investigator using an indirect ophthalmoscope and retinal images were obtained using this novel technique. …

Drug Metabolizing Enzymes And Transporters May Help Determine Effective Budesonide Dosing In Eoe, Laurie Mccann, Lisa Harvey, Norah Almahbub, Wendy Y. Wang, Erin C. Boone, Janelle R. Noel-Macdonnell, Rachel Chevalier

Posters

Background: Eosinophilic esophagitis (EoE) is a chronic inflammatory disorder diagnosed in children with painful or difficult swallowing, vomiting, or poor weight gain.  Current treatment models adopt a trial-and-error approach in regard EoE treatment, including restrictive elimination diets, proton pump inhibitors, and topical budesonide. This approach can delay effective treatment which increases risk of disease progression and increases medical costs to families for frequent clinic visits and endoscopy.   Objectives/Goal: The objective of this study is to determine the CYP3A5 genotype and expression of patients with eosinophilic esophagitis to discover which patients will respond to standard dosing of topical budesonide treatment (1, …

Immunophenotypic Expression Profile Of Multiple Myeloma Cases At A Tertiary Hospital In Nairobi Kenya, Isabella Mengich, Sheerien Rajput, Riyat Malkit, Zahir Moloo, Elizabeth Kagotho, El-Nasir Lalani, Anne Mwirigi

Pathology, East Africa

Introduction: Multiple myeloma (MM) is a plasma cell neoplasm that constitutes 10–15% of all hematopoietic neoplasms. Kenya is placed among the top five African countries for MM incidence and MM-related mortality. Prior studies have suggested that the aberrant expression of Cyclin D1, CD56, CD117 and Ki-67 on neoplastic plasma cells is useful in disease prognostication. The prevalence and significance of expression of these markers in a cohort of MM cases in Kenya has not been studied previously.

Methods: A retrospective cross-sectional study was carried out at the Aga Khan University Hospital, Nairobi. The study population included 83 MM …

Neonatal Reference Intervals For Thyroid Stimulating Hormone And Free Thyroxine Assayed On A Siemens Atellica® Im Analyzer: A Cross Sectional Study, Geoffrey Omuse, David Kawalya, Patrick Mugaine, Assumpta Chege, Daniel Maina

Pathology, East Africa

Background Deriving population specific reference intervals (RIs) or at the very least verifying any RI before adoption is good laboratory practice. Siemens has provided RIs for thyroid stimulating hormone (TSH) and free thyroxine (FT4) determined on their Atellica® IM analyzer for all age groups except the neonatal age group which provides a challenge for laboratories that intend to use it to screen for congenital hypothyroidism (CH) and other thyroid disorders in neonates. We set out to determine RIs for TSH and FT4 using data obtained from neonates undergoing routine screening for CH at the Aga Khan University Hospital, Nairobi, Kenya. …

Factors Associated With Depressive Symptoms In Patients With Benign Prostatic Enlargement, Husni Abdalla, Jasmit Shah, Tabitha A.N. Nyanja, Jacob Shabani

Family Medicine, East Africa

Background: Depression is a common condition that may lead to suicide at its worst. It is considered one of the primary causes of morbidity globally. Among the urological causes of depression is benign prostatic enlargement (BPE).

Aim: To determine the prevalence and factors associated with depressive symptoms among BPE patients.

Setting: This study was conducted in the Urology and Family Medicine Clinic at the Aga Khan University Hospital, Nairobi and Urology clinic at the Aga Khan Hospital Mombasa.

Methods: The study was a cross-sectional design recruiting 308 males above the age of 40. Patient Health Questionnaire-9 …

Changes In Electrocardiographic And Cardiac Implantable Electronic Device Parameters Following Transcatheter Aortic Valve Replacement, Elizabeth Seeley, Luai Madanat, Nishaki Mehta

Posters

Transcatheter aortic valve replacement (TAVR) is known to cause conduction abnormalities leading to the need for permanent pacemaker implantation. However, the impact of TAVR-related conduction abnormalities on cardiac implantable electronic device (CIED) parameters in patients with preexisting devices is not known. We sought to investigate and describe changes in EKG and CIED parameters following TAVR in patients with preexisting CIEDs.

Development And Evaluation Of A Peer Education-Based Ultrasound Curriculum With Emphasis On Clinical Reasoning, Nisha Patel, Arati Kelekar

Posters

Point-of-care ultrasonography (POCUS) is being increasingly incorporated in pre-clerkship physical diagnosis courses. However, the development of such a curriculum at many medical schools is limited by financial constraints, the availability of trained faculty, and the recent COVID-19 pandemic. Here, we describe an optional POCUS curriculum that circumvents these barriers while still providing basic image acquisition skills and pathophysiological correlations.

Assessment Of Radiographic Features In Predicting Complete Quadriceps And Complete Patellar Tendon Ruptures In The Pre-Operative Setting, Mitchell Pfennig, Matthew Astolfi, Christopher Vasileff, Betina Hinckel

Posters

Acute patellar tendon or quadriceps tendon rupture is a severely debilitating injury resulting in complete loss of the knee extensor mechanism. Early diagnosis and prompt surgical repair are preferential in order to achieve good functional outcomes. In the setting of trauma and knee pain, plain film radiographs of the knee are obtained to rule out fractures. Patellar and quadriceps tendon rupture is primarily a clinical diagnosis but can benefit from additional imaging to differentiate between a partial and complete tear when there is uncertainty. Our goal is to assess the reliability and reproducibility of radiographic features in a population with …

Surveillance Of Dual-Mobility Hip Systems: Damage Mode And Clinical Data Analysis, Camilla Cascardo, Conner D. Ahlgren, Michael J. Maxwell, Tyler Vovos, Mark Karadsheh, Drew Moore

Posters

Hip instability following total hip arthroplasty (THA) is a prominent indication for revision surgery. Dual mobility (DM) implants are designed to increase stability, and trending use makes characterizing in vivo damage and clinical failure modes important. This study expounds upon micro- and macroscopic damage mode findings of Lombardo et al., including novel screw ring damage using an updated retrieval registry.

Iatrogenic Nerve Injuries During Surgeries Of The Neck: A Systematic Review, Tajuldeen Al-Hasani, Jickssa Gemechu, Varna Taranikanti

Posters

Iatrogenic nerve injuries in the neck can present with a wide spectrum of symptoms ranging from mild pain, numbness, or weakness, to devastating consequences for patients such as permanent irreversible damage, disability, or even death. Surgical interventions in the neck region, especially those requiring radical dissections in the neck carry a significant risk of iatrogenic injury to several vital nerves passing through the neck such as vagus, phrenic, brachial plexus, cervical plexus, and ansa cervicalis.

The Routine Use And Cost Analysis Of Acid-Fast Bacilli And Fungal Cultures In Foot And Ankle Surgery: A Retrospective Study, Margaret Bohr, Robert Dean, Zein El-Zein, Megan Audet, Paul Fortin, Zachary Vaupel

Posters

Infection is a significant complication seen in orthopaedic surgery. In such cases, samples are sent to be cultured for aerobes, anaerobes, acid-fast bacilli (AFB) and fungi. AFB and fungi are generally slow-growing, difficult to culture, and rarely the pathogen, whereas aerobic and anaerobic cultures are routinely positive and guide antibiotic treatment. The goal of this study is to evaluate the value of routinely ordering AFB and fungal cultures in the setting of foot and ankle surgery.

An Erp Measure Of Non-Conscious Memory Reveals Dissociable Implicit Processes In Human Recognition Using An Open-Source Automated Analytic Pipeline, Richard J. Addante, Javier Lopez-Calderon, Nathaniel Allen, Carter Luck, Alana Muller, Lindsey Sirianni, Cory S. Inman, Daniel L. Drane

Psychology Faculty Publications

Non-conscious processing of human memory has traditionally been difficult to objectively measure and thus understand. A prior study on a group of hippocampal amnesia (N = 3) patients and healthy controls (N = 6) used a novel procedure for capturing neural correlates of implicit memory using event-related potentials (ERPs): old and new items were equated for varying levels of memory awareness, with ERP differences observed from 400 to 800 ms in bilateral parietal regions that were hippocampal-dependent. The current investigation sought to address the limitations of that study by increasing the sample of healthy subjects (N = 54), applying new …

Structured Exposure In An Unstructured Setting: Case Study Of Parental Exposure Intervention To Increase Parental Mastery Of Medical Care During Inpatient Hospitalization, Dana Albright, Kristin A. Kullgren, Melissa N. Andersen

Health Services and Informatics Research

Objective:

Method:

Creating An Occupational Therapy Based Preschool Curriculum, Taelor Gartman

Occupational Therapy Doctoral Capstones

This doctoral capstone project is geared toward creating and implementing an occupational therapy-based therapy program for the preschool population at Kids-A-Cat-A-Me daycare in Trumann, Arkansas. The goal of the project was to implement key principals from occupational therapy to children in early childhood development. Exposing the children to fine motor skills, gross motor skills, handwriting skills, and play skills on a daily basis allows them to practice and master age-appropriate skills. Exposure to the developmental skills aims to prevent maladaptive behaviors, while promoting growth and development.

Leaders Create Leaders: A Transformational Perspective, Kyra Wright

Occupational Therapy Doctoral Capstones

The doctoral capstone experience aims to assess and facilitate new hires' professional and clinical reasoning skills to ensure they provide high-quality care and succeed within the organization. Participants will understand transformational leadership theory and how it aligns with occupational therapy. Participants will understand how transformational leadership principles can be applied to leadership roles. Participants will be able to understand the implications of fostering transformational leadership within the workplace.

Health Management Program For Homeless Veterans, Rileigh Smith Daniels

Occupational Therapy Doctoral Capstones

In the United States, it's clear that homelessness within the veteran population is rampant, with programs only slowing the growing number, not decreasing it. The inclusion of health management skills within the homeless veteran community can help reduce homelessness and prolong life satisfaction within this population. Access to health care, nutrition management skills, and social promotion and maintenance can help decrease homelessness within the homeless veteran population by providing the health management skills needed to obtain occupational balance. By implementing occupational therapy’s role and scope within health management skills, the hope is that homelessness within the veteran community will decrease …

Leap 2.0: Theatre As A Therapeutic Modality For Adults With Special Needs, Sydnie Walker

Occupational Therapy Doctoral Capstones

The purpose of the multi-week theatre workshop is to help adults with special needs experience increased quality of life and daily functioning by facilitating the development of skills in social participation, leisure participation, and community engagement through the collaborative theatre process.

Developing Meaningful Leisure Activities For Residents In An Assisted-Living Facility, Mabry Watson

Occupational Therapy Doctoral Capstones

Ultimately, residents’ engagement in leisure activities within assisted living facilities are crucial to increase their overall quality of life, self-esteem, and longevity. The lack of activity coordinators not providing resident-centered activities promotes the need for meaningful leisure activity programs to decrease occupational deprivation. Occupational therapists’ primary obligation is to promote independence within assisted-living facilities and any client they are presented with. OTs determine what their clients identify as meaningful to them in their daily occupations. They have a unique perspective on health and wellness, allowing them to design programs that focus on the benefits of providing meaningful and productive occupations …

Suicide Prevention In The Adolescent And Young Adult Population, Marlee June Stepp

Occupational Therapy Doctoral Capstones

Suicide is a complex topic and requires a multi-discplinary approach. Various health professionals need to be involved in the training and care of suicide prevention. There is a lack of standardized approach in medical schools to properly train students in suicide prevention. Advocacy, awareness, and evidence-based training are needed.

Educating Healthcare Professionals On Burnout Risk Factors, Effects, & Interventions, Rian Thomas

Occupational Therapy Doctoral Capstones

Purpose: Address the occupational phenomena of burnout through the intervention of education by making aware the risk factors of obtaining it, its effects on an individual, and interventions that can combat it. Program Development: Utilized evidence based resources to create an educational module to present to the staff and healthcare workers of the site. The module included risk factors that increase the chances of obtaining burnout, the effects of burnout on an individual, and interventions that have been proven to have positive effects on combating burnout.

Improving Health Outcomes Of Families: An Agency-Wide Database To Support Parental Education, Savannah Williams

Occupational Therapy Doctoral Capstones

The purpose of the Doctoral Capstone Project was to increase access to parent and child education in order to improve the health outcomes of families in Arkansas. The agency-wide database is a program that provides access to educational and informative resources to be utilized when working with families. A quality improvement evaluation, paired with critical review of a SWOT analysis, was conducted to enhance understanding of the site’s current resources. Resources within the database were modified, acquired from outside sources, or created utilizing evidence to support content.

Nurturing Neonates: Navigating The Nicu, Paige Lunceford

Occupational Therapy Doctoral Capstones

Nurturing Neonates is a caregiver education program designed to provide occupation-based, health literate, and multi-modal education to caregivers of infants in the NICU. The program is designed to occur in conjunction with hospitals housing Level I-IV NICUs, serving as an extension of care to neonates through education of their caregivers to facilitate safe and developmentally-appropriate care following the transition to home.

Implications Of Pelvic Floor Health For Postpartum Women Within A Crossfit Setting, Chamy D. Keough

Occupational Therapy Doctoral Capstones

The purpose of the capstone was to gain valuable experience in an emerging practice area and create a comprehensive pelvic health program to increase social and emotional support perceived by new mothers, address new physical limitations experienced and advocate for new mothers within a CrossFit setting.

Developing Activities That Promote Social Participation For Dementia Residents Residing In Assisted Living Facilities, Rebecca Northcutt

Occupational Therapy Doctoral Capstones

The purpose of the Doctoral Capstone Project is to create and implement a social participation program of activities to address and enhance the health and wellness and social needs of the dementia residents residing in the Liberty Park assisted living facility.

Informed Women: Addressing The Education Needs Of Women In The Perinatal Period, Allison Claire Shirley House

Occupational Therapy Doctoral Capstones

Current educational materials utilized at White River Health are comprehensive, however could be overwhelming to women experiencing the stress that can be associated with the changes that follow birth and being a parent to a newborn. Women report that after receiving educational materials, they lack preparedness for the perinatal and do not feel competent in self or infant care. Following the review of current materials, it was determined that the use of web-based, virtual education in an easily accessible format and created to be health literate could improve the health of women and their children in the perinatal period. Further, …

Sensory Integration In The Classroom: Meeting Children’S Needs Through Educational Programming For Teachers, Hannah Irvin

Occupational Therapy Doctoral Capstones

The Doctoral Capstone promotes health and wellness for children by addressing their sensory needs and allowing them to fulfill their role as a student. The client-centered approach adds value to the profession by advocating for school-aged children to be able to meet their sensory needs and using occupational therapy expertise to deliver education on the importance of fulfilling sensory needs for children. Sensory integration in the classroom allows a child to meet their sensory needs and fulfill their role as a student in their natural environment, which is different from other professions.

Daughters Of Depression : A Critical-Hermeneutic Phenomenological Examination Of Adult Black Women’S Experiences With Strong Black Woman’S Role When Mothered By Women With Perceived Depression, Christin D. Haynes

Theses, Dissertations and Culminating Projects

Black American women are experiencing chronic depression at alarming rates. Major racial/sex disparities in disease prevalence indicates Black American women are at increased risk for depression onset due to exposure to poverty and traumatic life events. With the rise of single, female-headed households, children are at increased risk for exposure to maternal mental illness which is defined as an adverse childhood experience impacting their development through adulthood. Black American mothers have the additional burden of racially socializing all children to learn how to manage systematic racist structures embedded in American society, yet daughters require the additional socialization for gender biases. …

Tiny Tusks Internship: The Marketing Of Infant Formula, Valeria De La Torre

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Less than half of the world’s infants and young children are breastfed despite the major benefits and recommendations by WHO. Commercial milk formula has been advertised so intensely that it has produced many misleading marketing styles that lead parents to believe commercial milk formula has better benefits than breastmilk. The United States is one of the few countries that have yet to act on WHO’s International Code of Marketing for Breastmilk to decrease the aggressive marketing styles in place. By only placing pictures of happy babies on the formula cans, it leads parents to believe that their baby would be …