• Technology Implementation: How it Reduces the Transmission of HIV/AIDs in Low-income/Rural Communities

      Walker, Brittany (2021)
      Sexuality, race, age, education, and socioeconomic status are all actors in HIV transmission. In a sense, socioeconomic status encompasses all factors which directly affect the quality of life and privileges offered to people. The lack of resources in low-income communities is directly linked to risk behavior; people who lack resources are more likely to participate in drug use and high-risk sexual behaviors. Also, individuals who experience homelessness are more likely to engage in sexual behaviors in exchange for money, housing, and food are also at a higher risk of contracting/transmitting HIV; this is also the case for people who lack nutritional resources. Though it cannot be said that poverty causes HIV, poverty is highly correlated with HIV infection rates. Implementing technology utilization in clinics within impoverished communities can positively impact subjects at a higher risk of contracting and transmitting the disease. By combining technology and education, access to health care and other resources are accessible to at-risk subjects.
    • Teledermatology: Preventing and Diagnosing Skin Cancer in the Rural United States

      Benedit, Veronica; Aycock, Mallory (2021)
      In the United States, skin cancer is a prevalent and sometimes preventable form of cancer that causes a significant disease burden on both rural and urban communities. Studies have shown, however, that rural communities bear a unique burden in that rural residents are less likely to engage in primary prevention behaviors against skin cancer. Additionally, skin cancer incidence and mortality are higher among rural residents. Teledermatology can be used to address disparities in both skin cancer diagnosis and health education to improve dermatology outcomes in rural communities. Teledermatology is the use of technological advancements in both image acquisition and communication to improve access to dermatology care. This poster reviews teledermatology formats, barriers, and benefits to encourage integration of teledermatology modalities into regular physician assistant practice. Both family practice as well as dermatology physician assistants can utilize teledermatology to improve access to dermatology care, especially for patients living in rural areas.
    • The Bridge to Better Health

      Gould, Chelsea; Washington, Kayla; Thomas, Joy; Lepp, Erin; May, Stephanie (2021)
      Nutrition education is important for all individuals but most people do not have this knowledge. The lack of nutritional knowledge is a growing problem that contributes to the growth of obesity in Dekalb county. In Dekalb county, approximately 30% of adults and 13% of high school students are obese. Even more people in Dekalb county (73.4% of adults and 79% of youth) do not consume the recommended amount of fruits and vegetables per day(CDC, 2013). Objectives: Increasing knowledge of healthy foods Increasing understanding of nutritional value Ability to participate in healthier eating habits Increasing community support for a healthier well-being Identifying barriers to healthy eating Methods: Mercer University College of Health Professions, Department of Public Health, and the professional program in Physician Assistant Studies program partnered with the Bridge at Austin Community Center's leaders, Dr. Stephanie May and Ms. Bernita Reese. Interactive and educational sessions are held online using Zoom. They are open to both males and females of all ages in Dekalb county. Participants filled out a registration form which included information on their name, children�s names, phone number, address, email, race/ethnicity, ages of household members, and what they are looking to learn from the sessions. This intervention is still currently in progress. The goal of the intervention was to help improve health and wellness for participants.
    • The Efficacy Found within the Adlerian Theory

      Varner-Kirkland, Yvonne (2021)
      The purpose of this literature review poster is to present the significance of the Adlerian Theory and its effectiveness as a counseling tool. As a current graduate counseling student with exposure to a plethora of theories, Adlerian Theory closely resonates with me and my personal values. My theoretical orientation paper, written for my Counseling Theory course, demonstrates just how Adlerian Theory resonates with me. Research shows how Alfred Adler�s individual psychology, known as Adlerian Counseling, since its origin in 1912, has risen to be one of the most comprehensive humanistic counseling approaches. Adlerian Counseling is applied to various therapies, e.g. Adventure Therapy (AT), and Adlerian Theory allow for the integration of neuroscience principles into the counseling profession (Miller & Dillman Taylor, 2015). The review showed a limited number of studies on Adlerian Theory (AT) and Adlerian Play Therapy (AdPT); however, the evidence gathered from the literature review supported the efficacy of Adlerian Theory as evidenced by the use of Adlerian Individual Psychology (Adlerian Counseling), Adlerian Therapy (AT), and Adlerian Play Therapy (AdPT).
    • The Growing Attrition in African American Male College Students

      Kyle Smith
      The purpose of this research is to investigate the relevant issues of increased attrition, discuss the current exclusionary practices of stereotype threat and racial battle fatigue, and explore what interventions current universities and higher education faculty are using to correct the present campus diversity and inclusion issues that occur across predominantly white university campus communities and Black men.
    • The positive impacts on the adoption and advancement of patient portals within a healthcare facility.

      Kamra, Navneet; Baskaran, Vikraman (2021)
      The intention of this research study is to encourage clinical facilities that do not have a patient portal system, to encourage them to adapt one for their facility or to upgrade outdated patient portal when necessary. Patient portal systems, now more than ever, are a powerful tool for patients to be able to keep track of their health. Despite the many reasons to adopt a patient portal system, many practices are still reluctant to provide a patient portal system for their patients, in fear that they may be making the right investment or may be jeopardizing their provider-patient relationship. The question this research will answer is, Is patient turnout and satisfaction positively impacted based on the adoption of a patient portal within a healthcare facility? In order to answer this questions, It is important to research what patients want out of a patient portal and how patient portals can increase patient satisfaction. Ultimately patient satisfaction is correlated to an increased number of patients/new patients.An increased number of patients generally means a potential increase in revenue. To do this research Lifeline Primary Care Clinic was chosen which is a clinic that has switched through three patient portals over the years; e-clinicalworks, Healow app (after merging with eclinicalworks in 2014) and AthenaHealth. The clinic has also expanded into other locations as well. Thus making this clinic an ideal facility for the proposed research. Another factor of choosing this clinic was due to the vast data the clinic has produced that is relevant to this research and health IT overall. In order to start the research process, a literature review was conducted in regards to the patient portal, as well as how they were perceived by both patients and healthcare providers. Upon reviewing the relevant articles on the topic, a methodology was mapped out to be able to collect patient data from each portal implementation and transition to be able to detect whether or not each transition had increased number of current and new patients due to the potential decrease in phone times by the staff with the portals having appointment and messaging systems. The data from these findings would then be compiled in an excel spreadsheet to show upward or stagnant trends in a line graph. Along with this, survey questions were generated through surveymonkey.com to be able to assess patient satisfaction by the current and by past patient portals based on preferences. Another survey was also created for the medical staff as well, in order to see the staff�s perception on patient portals and if the patient portals have impacted their workload in a positive manner or not.
    • The Progression From My ePortfolio To My Writing Major

      Cantrell, April (2021)
      Developing an ePortfolio purposefully walks you through the process of understanding and conceptualizing your general education and major courses with your specific path followed to develop and explain your major. Simply knowing that I wanted to write or be a writer wasn't necessarily specific enough. Why did I want to be a writer? Did I have a purpose? The ePortifolio was a light to the path that helped me understand that I want to write to heal others as they read and to self-heal the writers emotional struggles. Narrowing the broad concept of a major in writing to the narrow concept of writing with the intention to heal others and myself through writing is the result of my ePortfolio.
    • The Use of Metformin in Breast Cancer Treatment in Non-Diabetic Women

      Weintraub, Taylor; Mattingly, Jill (2021)
      Breast cancer is the second leading cause of death of women in the United States, with approximately 245,000 new cases being diagnosed each year. The current primary treatment is lumpectomy or total mastectomy, radiation therapy, along with adjuvant hormone and chemotherapy as indicated for metastatic disease. While each of these invasive treatments are effective at killing cancer cells, they are extremely toxic to every cell in the patient�s body. Metformin, a biguanide, is the most commonly prescribed drug for diabetes mellitus type 2. It�s mechanism of action works by decreasing the amount of glucose synthesized in the liver and increasing insulin sensitivity in muscle cells. Studies have already shown that diabetic patients taking metformin have a decreased risk of developing breast cancer, in addition to a better prognosis in those diagnosed with breast cancer. However, there has been no conclusion about the benefit of metformin in non-diabetic patients with breast cancer. This review presentation describes the numerous proposed anti-tumor mechanisms of metformin, such as its ability to enhance the effects chemotherapy, and inhibit cancer cell growth before and after it has begun. Metformin is a well-tolerated, inexpensive and safe medication. If its effectiveness is proven as an adjuvant treatment, breast cancer patients could reach remission with less harmful radiation and chemotherapy.
    • Topical and Transdermal Iontophoretic Delivery of Methotrexate in Healthy and Psoriatic Human Skin

      Vora, Deepal; Somayaji, Mahadevabharath R.; German, Carrie; Banga, Ajay K. (2021)
      Psoriasis is a condition of the skin which involves scales, dry patches, and inflammation. Methotrexate (logP: -0.236, MW: 454.44 g/mol) is administered orally or intravenously to treat psoriasis. The first pass metabolism and systemic side effects associated can be avoided by transdermal delivery. We investigated the iontophoretic delivery of methotrexate using healthy and psoriatic human skin to understand the effect of skin�s disease condition on topical and transdermal delivery. In vitro permeation testing using vertical Franz diffusion cell were conducted. Cathodal iontophoresis (0.5 mA/sq.cm for 4 h) delivered a significantly higher total amount of methotrexate into the skin and receptor when compared to that delivered by passive diffusion and anodal iontophoresis. A current density of 0.2 mA/sq.cm using cathodal iontophoresis and 10mg/mL donor concentration was optimized to obtain the target delivery through healthy human skin. There was no significant difference in receptor delivery for psoriatic skin as compared to healthy skin, while significantly higher methotrexate delivery in skin was observed for psoriatic skin as compared to healthy skin. Thus, cathodal iontophoresis delivered a significantly higher total amount of methotrexate as compared to passive diffusion and anodal iontophoresis. Significantly higher delivery in skin and hence significantly higher total delivery was observed for psoriatic skin as compared to healthy skin.
    • Under The Law (The Invention of Race and Contemporary Life Experiences)

      Crews, Gregory (2021)
      Six Hours of Separation and a Lawless Legal Legacy: A Tale of Two Men and the Atlanta Police June 2020 “I’m terrified at the moral apathy – the death of the heart which is happening in my country. These people have deluded themselves for so long, that they really don’t think I’m human. I base this on their conduct, not on what they say, and this means that they have become, in themselves, moral monsters.” James Baldwin The Wendy’s on University Avenue in Atlanta is closed. There is a vehicle parked in the drive-through. It is around 11 p.m. on June 23, 2020. A man is asleep in the vehicle. He is black. The up-scale hotel six miles away in downtown Atlanta closes its doors at 2 a.m. in compliance with the CDC’s protocol for dealing with COVID. Five professional black men maintain security. It is June 24, 2020, around 4 a.m. Outside at the entrance a man is drunk and demands entry. The security staff asks if he is a guest. He answers in the negative. The staff asks if he is visiting a guest in the hotel. He answers in the negative. He is irate. He wants to enter the hotel. The security staff explains the COVID policy of the hotel. They do not allow him to enter. He threatens to “beat the asses” of the security staff. He tries unsuccessfully to push past hotel guests entering the hotel. He is white. The police are summoned. A policeman arrives at Wendy’s. He is white. A policeman arrives at the hotel. He is black. The Wendy’s policeman awakens the sleeping black man. The policeman asks him to move his car to a parking space and calls for back-up help. The man quietly moves his car. The black policeman approaches the white man and speaks kindly to him. Another white policeman arrives at the Wendy’s. The white policemen ask the man how much alcohol he has consumed. He explains that he has just come from his four-year-old daughter’s birthday party. The black policeman at the hotel manages to calm the aggressive white man. The white policemen at Wendy’s ask the black man to get out of his car. He does what they ask. They administer a sobriety test. The black policeman at the hotel does not administer a sobriety test. The man at Wendy’s tells the white policemen that he has friends nearby and will walk there. The black policeman at the hotel informs the security team that the man lives close to the hotel. The white policemen at Wendy’s tell the man he cannot walk to his friend’s house. They take out their handcuffs. The black policeman at the hotel helps the white man into his patrol car and drives him home. The man at Wendy’s panics and runs. The police claim he grabbed the taser from one of them and shot at them. They shoot him twice in the back. They handcuff him. He is bleeding. The black man dies while the white policeman stands on his back. On October 23, 1705 at a General Assembly in the city of Williamsburg, Virginia a law was passed that reads as follow: And if any slave resist his master, or owner, or other person, by his or her order, correcting such slave, and shall happen to be killed in such correction, it shall not be accounted felony; but the master, owner and every such other person so giving correction, shall be free and acquit of all punishment and accusation for the same, as if such accident has never happened: And also, if any negro, mulatto, or Indian, he or she so offering, shall, for every such offense, proved by the oath of the party, receive on his or her bare back, thirty lashes, well laid on; cognizable by a justice of the peace for that count wherein such offence shall be committed. What does it feel like to be a man of color in our current society? It feels like the first three minutes on a roller coaster. It begins when you hear that deafening click of the safety belt that locks you into that uncomfortable, dense seat, and the trembling motor starts to hum. At that moment you understand something is about to happen, and you are no longer in control. The machine slowly begins to move forward and then creeps up the steep hill very slowly until it reaches a serene place almost at the top where it pauses for a slight moment. You instantly catch a view of the breathtaking skyline. Then all of a sudden, your stomach feels like it’s in the back of your throat and your breath escapes you. You realize your only option is to hold on for dear life and or just enjoy the ride. I realize that my fascinating dark brown skin is that uncomfortable seat, and fear is the motor that begins to hum. The fear in question is the inability to trust the people designated to protect you. Who would ever think that falling asleep in the common area on a college campus, falling asleep in your car, barbecuing in the local park, or walking around in your front yard could cause someone to call -the police on you? Men of color have to always be aware of these potentialities. My first encounter with the men in blue happened on a warm autumn evening when I was in my early twenties. The sun had begun to go down, but it wasn’t yet dark enough for the street lights to come on. My sister and I lived in an apartment in Forestville, Maryland, located in Prince George’s (P.G.) county. P. G. County’s law enforcement had a reputation for being very aggressive in their interactions with people of color. Across the street from our apartment complex was a Seven Eleven convenience store. It was a hot afternoon. Hoping to cool off, I walked to the Seven Eleven to get myself a cherry slushy. I grooved to the music on the radio en route to the store. About a hundred meters from the Seven Eleven, I watched a police car abruptly enter the apartment complex. The police cruiser quickly approached me and stopped. Uninterested in what the officer was doing, I continued to pursue the slushy. The young officer aggressively jumped out of the vehicle with his hand on his weapon and began yelling at me. I looked around and felt a little confused about why this officer had yelled and walked towards me in such a confrontational manner. He asked me where I was going. I told him, and then asked him why he had approached me. He shouted out, “Shut the Fuck up! I’m asking the questions.” I asked him if he wanted to see my ID. I reached in my pocket, pulled out my ID, and gave it to him. I placed my military ID on top of my driver’s license to see what his reaction would be. He snatched the ID cards out of my hand and held both up so that he could see them better. I watched his entire demeanor toward me change. His harsh, cold face softened to a warm, devilish grin. He said, “You know, my brother is in the Marine Corps.” I looked at him sternly and said, “Don’t patronize me. Why did you stop me?” He claimed he had received a call, and I fit the description of the person from the call. I asked him what was the person’s description--a black man? “Not everything that is faced can be changed, but nothing can be changed until it is faced.” James Baldwin
    • Under the Law: The Invention of Race and Contemporary Lived Experiences

      Collins, Laura (2021)
      An initial exploration and analysis of colonial laws uncovered a pattern of diction and legal consequences used by the legislative authorities of colonial America to create divisions that still exist today. This research presents a selection of these laws and a sample of the ways they contribute to the auto ethnographies of twenty-first century Americans.
    • Understanding Teachers-Researcher Collaboration: Designing a Next Generation Science Standards (NGSS) Aligned Curriculum

      Jenkins, Tynetta; Hochuli, Caitlin; Sharma, Meenakshi (2021)
      National curriculum framework for science education (NRC, 2012) makes various recommendations for increasing collaborations among various stakeholders to facilitate the implementation of NGSS. This ongoing study presents a case that exemplifies such a collaboration between two certified teachers (co-authors) and a science education researcher (primary author). The partnership was initiated for designing a K-8 STEM curriculum focused on 3D learning (core ideas, science & engineering practices and crosscutting concepts). This is a qualitative study that uses data from regular curriculum development meetings that involve planning, design, and feedback regarding the STEM curriculum. Teachers and researcher constantly reflect on their role, contributions, and biases during these meetings and by keeping individual written reflective journals to deeply understand the nature of the existing collaboration. The goal of the study is to understand the strengths, dilemmas, and challenges of this collaboration. Most importantly as participants, we strive to understand how we develop a shared vision, how the researcher recognizes teacher voice and how teachers develop a deeper understanding of the NGSS in the process. Initial findings reveal that this partnership is a dynamic process that involves constant negotiations and compels us to revisit and rethink our current roles, values and priorities as we transition to being joint curriculum developers. We are examining changes in teachers� understanding of NGSS as an outcome of this partnership. Also, researcher�s recognition of the school contexts and students� needs as seen through the eyes of teachers will also be examined. Such collaborations are being highly advocated by the NRC (2012) committee. Our research finding can provide useful insights and strategies to build productive learning communities among teachers and researchers to support the goals of K-12 science education. National Research Council. (2012). A framework for K-12 science education: Practices, crosscutting concepts, and core ideas. National Academies Press.
    • Usability Study on MyChart Mobile Health Application

      Ahmed, Nasra (2021)
      With technology constantly growing it is important for the gap between patients and their healthcare providers to close. Mobile health applications have made it easier for patients to access their personal health information at the tip of their fingers where and when it is needed. It is important for patients to be able to access this information even when they are not present with their healthcare provider. By doing so, they patients are able to be engaged and make informed decisions about their health. There were many usability problems associated with MyChart that required a usability testing. Some of these problems were that poor navigation, too many steps, and undetected errors. The purpose of this project was to test the user interface of the MyChart mobile health application against its usability issues. Conducting a usability test gave me the opportunity to determine and identify some of the participants issues as it relates to the mobile health application. It was important to observe and conduct this study so that I can gather the results to determine the efficiency and effective on the mobile application with their personal experience. As a result of this project I was able to determine how certain usability issues made a difference in the users overall experience with the mobile health application. I was also able to use the 10 usability heuristics and evaluate them against the MyChart mobile health application.
    • Use of Progressive Neurodynamic Exercises in Conservative Treatment of Acute Lumbar Radiculopathy

      O'Neill, Kathleen; Christ, Tom; Collier, Beth (2021)
      Background: Radiculopathy occurs when there is compression of the nerve at the level of the spinal nerve root. The clinical presentation of radiculopathy depends on the level of spinal compression but involves corresponding diminished reflex, impaired dermatomal sensation, and myotomal weakness. Current research supports conservative physical therapy management of acute low back pain with a symptom modulation approach including manual therapy, directional preference exercises, or traction. The objective of this case report is to explore the effectiveness of incorporating progressive neurodynamic exercises into physical therapy treatment of acute lumbar radiculopathy. Case Description: A 26-year-old female patient presents to an outpatient physical therapy clinic with complaints of right lower extremity weakness, numbness, and pain. Myotomal, dermatomal, and reflex testing revealed signs and symptoms consistent with L5-S1 lumbar radiculopathy. The patient was conservatively treated with progressive neurodynamic exercises in addition to traction and other manual therapy techniques. Patient saw significant improvements in lower extremity neurodynamics, pain, and function following 14 sessions of interventions. Discussion: Further research involving larger, randomized control trials are needed to explore whether utilizing progressive neurodynamic exercises should be more regularly incorporated into existing guidelines for conservative management of acute lumbar radiculopathy.
    • Use of Serum Biomarkers in Helping Determine Need for CT in Adult Patients with Mild TBI

      Lisa Dickerson; Annalise Estrada
      This project evaluated and analyzed research articles about the use of blood-based biomarkers in the evaluation of mild TBI patients to help safely reduce the number of CTs perfomed on this patient population.
    • Utilization of the patient portal billing feature for patients to improve the quality of care in the facility.

      Mohamed, Ekran (2021)
      Intro: Creating and being able to provide a really good quality of care is not only important but being able to have a really good patient satisfaction at your facility is very important also . Being able to use a system we already have in place and by looking into the different features that aren't in use in the facility is important. E-clinical systems would be able to help out the facilityand be able to minimize the patients call volume about financial aspect because the patient portal billing feature will be able to allow patients to be able to view and or pay their bills online, being able to view patient statements immediately, and being able to update their insurance information as soon as they get new insurance coverage or if an insurance term be able to update their information online, and lastly will be able to allow the patients to communicate with the staff members by being able to send messages instead of calling for explanations. Obj:Improving patient care & quality Reducing the number of calls Allowing patients, the ability to view/pay bills online, seeing payment statements immediately improve the revenue cycle management Methods:Take advantage of the patient portal we use at work by being able to use the different financial features that are offered to be able to create a much better quality and much better satisfaction care for the patients that come to the facility. Also, by looking into the software system we use and being able to look at the type of call volume about financial questions we mostly get our facility and being able to talk with coworkers and other people who do use the different features at their workplace and be able to compare and ask open ended questions to be able to analyze and see how this would be able to affect my facility and how will the type of quality we provide be able to increase the patient satisfaction. Results: After analyzing the data from interviews and literature reviews being able to use the patient portal billing feature would be a huge impact in improving the quality of care in the facility by being able to improve on the revenue cycle by being able to allow patents the opportunity to be able to view their statements and bd able to update any insurance information. This will also help by reducing the number of calls that are related to billing.