• Assessment of Health and Digital Literacy Amongst First-Generation Somali Immigrants

      Awatef Ben Ramadan; Dina Schwam
      Assessment of Health and Digital Literacy Amongst First-Generation Somali Immigrants in Dekalb County
    • Assessment of Mercer University Students' perceptions and Attitudes about the University's Sudden transfer to the Total Online Learning Environment due to COVID-19 Pandemic

      Ramadan, Awatef A. Ben (2021)
      The study investigator constructed a survey tool to assess and evaluate the students' reactions to the sudden and massive transformation of the Mercer learning environment. Study Aims: To assess Atlanta College of Professional Advancement students' perceptions and attitudes about the sudden transfer to the total online learning environment due to the COVID-19 pandemic. The results of this study are expected to: � Collect relevant and robust evidence on the massive and sudden transformation's influence on our students. Therefore, we could help our leaders and policymakers plan, tweak, and issue effective and efficient evidence-based policies and interventions that suit our students' preferences and expectations now and help them prepare and control similar crises in the future. The students' opinions, attitudes, and perceptions are important for us to be sure that we are meeting their expectations, enabling them to attain their courses' learning objectives, and serving them smoothly and efficiently throughout this health crisis. Study design: A cross-sectional descriptive study targeted all undergraduate and graduate students of Atlanta College of Professional Advancement, used an online self-administered survey. Survey: It is a structured questionnaire with closed-ended questions. The study tool composed of 54 structured questions. Data Analysis: The survey link has been disseminated through mercer emails to the participants. The survey has published from March 24, 2021 to the present. In this poster, we present the results that we retrieved from the survey monkey's results link from March 24 to April 1, 2021.
    • Benefits of Telemedicine and Telehealth for Small Practices

      Kamra, Channu; Baskaran, Vikraman (2021)
      As the world has drastically changed due to the impacts of COVID-19, the healthcare industry is now adopting telemedicine a lot more. This heavy adoption rate has caused a lot of changes to how patient received their care. Smaller practices that once did not use telemedicine are now using it to keep their workers and patients safe. This research aims to understand the impacts these changes have on the patients and providers. Perspectives from both groups can yield results that allow telemedicine to grow more and create a more considerable impact on the healthcare industry. Before this can happen, telemedicine must prove to provide benefits to the groups being examined. This research looks to survey both the patients and the providers to see if telemedicine can benefit smaller practices. Data will also be collected to see the difference in costs between in-person and telemedicine visits. The practice where the research study will be taking place is called Lifeline Primary Care. Two different surveys will be used for this research. One survey will focus on the patients and gauging their interaction with the telemedicine visit. This survey will also grab some patient demographics to help understand any indirect costs associated with them. Information such as work, and distance traveled to receive care will be used to determine these indirect costs. The second survey will be provider-based and focus more on the questions that will show telemedicine's advantages and disadvantages. These surveys will be created on survey monkey and sent to patients via text or email, same for providers. Direct costs data will be collected from the providers for two months. These costs will help determine the cost-effectiveness of telemedicine. With all the information put together, a better case can be made for the future of telemedicine post-pandemic. Research articles mentioned in this proposal have run similar studies on telemedicine. So, the results should be similar to these studies. This research aims to see if telemedicine provides benefits to smaller practices today that are rapidly adopting it. These benefits could potentially allow for advancement or at least lead to improvements where telemedicine is currently lacking. It allows patients and providers to become more accustomed and make it part of their routine when visiting. Telemedicine has so much potential in providing quality care for patients in so many ways that understanding its benefits can help the healthcare industry go a long way.
    • Bringing history to life: Oral history research assignments as a high impact practice.

      Katherine Perrotta
      This research study highlights findings on whether the implementation of oral history research projects can serve as a high impact practice in college-level history courses.
    • Business as Usual: Reflections on Life as Mothers and Educators during a Pandemic

      Friedrich, Jami; Perrotta, Katherine; Evans, Amberley; Curl, Jennifer (2021)
      The COVID-19 pandemic marks a major turning point in contemporary history. Teachers and those in the education field face unique challenges regarding the balance of family and work obligations, coping with the stress of preventing infection, and helping students understand the multitude of social and political events that are occurring simultaneously with the pandemic. It is important to record our lived experiences to provide insight into how the COVID-19 pandemic has impacted the history of education in the United States. This poster presents the findings of self-study reflections of four women in four different stages of their personal life and careers in education. Our major findings show that each woman experienced various pressures concerning parenting, balancing family and professional obligations, and navigating the world of academia. We no longer feel like we can separate being a mother and an educator. Instead, we all feel the pressure to be both the best mother and best educator at all times simultaneously because whether in a pandemic or not, life must go on-business as usual. We hope that this research leads to future studies with regard to the impact and changes the COVID-19 pandemic will have on the teachers and teaching in K-16 settings.
    • Capstone ePortfolios and Synthetic Learning

      Winkler, Andrea (2021)
      ePortfolios are considered the eleventh high-impact practice by the AACU. Done well, they do not merely store artifacts that record a student’s progress. They actively encourage students to reflect on their work and to synthesize it. They focus attention on the process of learning, and make that learning visible to student, faculty, and others alike. The LBST 498 ePortfolio required students to explain their degree to the public in a succinct format. The process of selecting artifacts, explaining them, and using them to make meaning for themselves of their degree helped students actively to synthesize their experiences with the perspectives they had gained through their concentrations and core courses. By demonstrating recent ePortfolios, we intend to document the initial success of the ePortfolio program, and generate discussion about the role of reflection in increasing student success.
    • Catheter Directed Thrombolytics: Best Therapy for Pulmonary Emboli?

      Hill, Jonathan; Baeten, Robert (2021)
      Pulmonary emboli are blood clots in the pulmonary arterial vasculature that can lead to right ventricular strain, obstructive shock, and even death. Current treatment options for pulmonary emboli include anticoagulants, systemic thrombolytics, and/or surgical embolectomy. Although these therapies are usually effective, they are associated with side effects such as increased risk of bleeding, surgical site infections, and intracranial hemorrhages. Additionally, there are contraindications to these treatments that limit which patients are eligible. In the past 10 years, the use of catheter directed thrombolytics has emerged and appears to be a promising alternative to traditional therapies. This therapy has been shown to have similar efficacy to anticoagulation or systemic thrombolytics with a much lower risk of severe complications.
    • Chemotherapy Induced Cardiotoxicity

      Proto, Gabrielle Elizabeth; Salmon, Arlene (2021)
      Cancer affects approximately 38.4% of the population and is the second leading cause of death in America. Treatment for cancer has improved and the number of cancer survivors is expected to increase from about 11.7 million in 2007 to 18 million by 2020. However, chemotherapy and radiation therapies for cancer can have long lasting effects for patients. One notable side effect is cardiotoxicity, most commonly caused by anthracycline chemotherapeutic agents. There are several detection methods for anthracycline induced cardiotoxicity and treatment options to manage and prevent heart failure. The most promising diagnostic procedure has been tracking the decline of Left Ventricular Ejection Fraction (LVEF). The only approved treatment by the FDA is Dexrazoxane, though it is only approved for patients under 16. Adult patients are treated prophylactically with organic heart failure medications. Efficient detection and rapid treatment have become a high priority due to the increasing number of cancer survivors and therefore increased number of patients who will experience cardiotoxicity from their treatments.
    • Chiari Malformation Stage 1 in a Female High School Soccer and Wrestling Athlete

      Kathryn Curtin; Emily Gabriel; Amanda Windon; Bill Holcomb
      Case Study of a high school athlete presenting a neurological condition without a known etiology. A discussion course of action, rehabilitation, and education of healthcare professionals for early recognition.
    • Clinical Reasoning in the Management of a Patient with Low Back Pain in Multiple Classification Categories: A Case Report

      Orton, Nicholas; Moran, Kristen Doolittle; Lucado, Ann (2021)
      Low back pain is one of the most common reasons for individuals to seek physical therapy. While prevalent, low back pain can be difficult to classify and treat. Multiple evidence-based classification systems exist with varying approaches to treatment. Case Description: This case report explores the clinical reasoning in the treatment of a patient falling into multiple low back pain classification categories based on the impairment/functional-based classification system. The patient is an otherwise healthy female presenting to physical therapy with a chief complaint of an acute flare-up of persistent low back pain. The rationale behind the sequence in which classification categories were addressed, the decisions behind when to change categories based on emerging data, and the intervention strategies implemented to successfully manage this patient are illustrated. Outcomes: The patient was seen for a total of 13 visits over a span of two months. At discharge, the Revised Oswestry Disability Index for low back pain and the numeric pain rating scale demonstrated improvement with achievement of all patient goals, return of function, and ability to manage symptoms independently. Conclusion: Use of the impairment/functional-based classification system approach to low back pain management proved beneficial and effective. This classification-based approach may assist in clinical decision making when treating individuals with acute flare-ups of persistent low back pain.
    • Contraception in Adolescent Women: Helping Your Patient Choose and Use

      Cook, Ivy; Dickerson, Lisa (2021)
      There are numerous contraceptive methods on the market, yet rates of unplanned pregnancy continue to be problematic among adolescent female patients in the United States. This reality poses the question “What are we missing?” It is imperative that clinicians have a good understanding of the unique social, economic, physical, and psychologic factors that influence adolescent females’ contraceptive choices. This poster outlines some of those variables and influences, including attributes of contraceptive methods, economic considerations, cultural influences, relationship with both sexual partners and parents, sexual education, confidentiality concerns, and social media influences. It is important that providers are able to incorporate this knowledge into their conversations about reproductive health, so this poster also lists effective interview questions and strategies for discussing contraceptive options and expectations with adolescent patients.
    • Counseling Lebanese Americans: A Culturally Sensitive Approach

      Hafsa Ahmed; Colin Freeland; Sara Moe
      Cursory evidence shows that this population, Lebanese Americans, is inordinately impacted by elevated rates of affective and anxiety disorders, acculturative stress, intergenerational trauma, and a wide range of other psychosocial stressors.
    • COVID-19 Subunit Vaccine: A novel microparticulate microneedle vaccine using spike S1 protein

      Patil, Smital Rajan; Vijayanand, Sharon; Joshi, Devyani; Gomes, Keegan Braz; Menon, Ipshita, J; D'Souza, Martin J. (2021)
      COVID-19 has affected around 118 million people and caused more than 2 million deaths worldwide. Currently, the Food Drug Administration (FDA) authorized vaccines such as Pfizer for COVID-19 require cold chain storage, thus their availability in developing countries is challenging. Microparticles (MPs) are suitable delivery vehicles for vaccine antigens as they are better taken up by antigen-presenting cells, and they eliminate the need for cold chain storage. The spike S1 protein is a suitable antigen candidate due to its ability to produce a robust immune response. For this study, the spike protein was loaded into poly (lactic-co-glycolic acid) (PLGA) MPs and then incorporated into dissolving microneedles, a promising delivery system for large molecules such as proteins. The microparticles were characterized and assessed for innate and adaptive immune response in vitro. The vaccine particles induced a significantly higher nitrite production in mammalian cells compared to control groups. They also exhibited significantly higher expression of antigen-presenting molecules: major histocompatibility complex (MHC) I, CD80, MHC II, and CD40 on the surface of the dendritic cells. This formulated vaccine thus shows high immunogenicity in vitro and has the potential to produce a robust immune response in a murine model, conferring long-lasting protection against coronavirus. This has the potential to be a promising vaccine in the ongoing COVID-19 pandemic the world is facing currently.
    • Coworker Support Amplifies Reactions to the COVID-19 Pandemic for Working Parents

      Donnelly, Lilah; O'Brien, Kimberly; Shepard, Agnieszka (2021)
      The COVID-19 pandemic directly threatened our health and safety, while contradictory scientific and media reports generated uncertainty. Employees likely relied on their coworkers for emotional support and to make sense of the confusion. In this study, we evaluate the role of coworker support, which has been shown in the past to have either ameliorative (as a resource) or exacerbating (as social information) results. We use data, collected from a heterogeneous sample of working parents in May of 2020 (when most states were getting ready to lift their stay-at-home orders), to illustrate the path from resilient personal resources (measured as optimism, generalized self-efficacy, and internal locus of control) to fear of COVID-19 to workplace outcomes in a multiphasic study design. Employees with more optimism, generalized self-efficacy, and internal locus of control reported less fear of COVID-19, and in turn, less decrement to their workplace outcomes. This mediation is moderated by coworker support, such that the indirect effect is amplified by coworker support. This is consistent with previous research, which shows that coworker support can unintentionally corroborate and amplify employee stress perceptions. We therefore recommend that, when faced with significant adversity, organizations provide communication training oriented toward increasing positive coworker interactions and guiding social information.
    • Cultural Responsiveness in Counseling and Counselor Education

      McDonald, C. Peeper; Burch, Shakenya; Davis, Dazzmen (2021)
      Given the continued and steady growth of diversity within the United States population (Tran et al., 2016; Vespa et al., 2020) and the discourse around social injustice in all it's forms, it is more important than ever that the strengths-based approaches to counseling be infused with cultural responsiveness. As a result, cultural responsive approaches will be discussed as it relates to counseling and teaching to create social change. In this way, this presentation will not only educate the general public about how professional counselors and educators are utilizing best practices for serving traditionally minoritized and under-represented groups, it will illuminate advocacy action efforts perpetuated through cultural responsiveness.
    • Current Treatment for Hepatitis C Patients: A Review

      Purcell, Anna Lydia; Heard, Henry (2021)
      Hepatitis C is an RNA virus that affects millions in the United States and globally, but with recent pharmacological achievements, the cure rate of hepatitis C has increased greatly. Hepatitis C is transmitted by blood, with the main infections in the US being cause by IV drug use and blood transfusions prior to 1992. Hepatitis C has six genotypes, but the overwhelming majority of cases in America are genotypes 1, 2, and 3. Diagnosis of hepatitis C is difficult due to the lack of symptoms on presentation. Screening in high risk populations has shown to be efficacious in diagnosing the disease. Previous treatment norms consisted of interferon, but cure rates were very low. In 2011, direct-acting antivirals were introduced and revolutionized the treatment of hepatitis C. Response rates have increased exponentially to over 95%, and the medications are much more tolerable.
    • Development of Openness to Self-Healing Scale (OTS-HS)

      Caroline Fernandes
      Development of a holistic integration psychometric scale to measure openness to self-healing in counseling
    • Direct regulation of cerebral artery contractility by simvastatin and rosuvastatin

      Zerin, Farzana; Pandey, A.; Hasan, A.; Menon, S.; Hasan, R. (2021)
      Statins are amongst the most widely prescribed drugs in the world with a range of vascular effects that have been primarily attributed to the inhibition of cholesterol and mevalonate biosynthesis, and the inhibition of mevalonate-dependent Rho/ROCK signaling upon long-term treatment. However, no studies have investigated the direct effects of acute statin application on fresh isolated resistance cerebral arteries using therapeutic concentrations of statins. Here, we examined acute vascular effects of therapeutically relevant concentrations of statins on male and female Sprague Dawley rat cerebral arteries and underlying molecular mechanisms using pressurized arterial myography as well as Ca2+ fluorescence and diameter measurement. Our data showed that the application of 1nM rosuvastatin and simvastatin constricted cerebral arteries within 2-3 minutes of drug application. The removal of extracellular Ca2+ with EGTA or the application of nimodipine, a selective blocker of smooth muscle cell voltage-gated Ca2+ channel, CaV1.2, each abolished cerebral artery vasoconstriction by statins, indicating that the Ca2+ entry through CaV1.2 plays a critical role here. Since Ca2+ entry into smooth muscle cells induces Ca2+ release from intracellular Ca2+ stores such as sarcoplasmic reticulum and endoplasmic reticulum. Altogether, our data suggests that smooth muscle cell CaV1.2 opening and Ca2+ influx is the primary mechanism underlying statin-induced constriction of cerebral arteries.
    • Does the Use of Health Apps to Monitor Hypertension Improve the Knowledge, Attitudes, and Practices of African-Americans towards Hypertension Self- and Active-Management

      Lindsey, Jacquetta; Ramadan, Awatef A. Ben (2021)
      Showcase: Does the Use of Health Apps to Monitor Hypertension Improve the Knowledge, Attitudes, and Practices of African-Americans towards Hypertension Self- and Active-Management First Author: Jacquetta Lindsey Co-author: Awatef Ben Ramadan Background: Despite the many medical advancements available today, cardiovascular disease remains the leading cause of death in the African American community. Hypertension is considered the most modifiable cardiovascular disease, and African Americans are disproportionately affected by this disease � 43% compared to 28% of White Americans. Study Aim: To determine if the knowledge, attitudes, and practices (KAP) of African Americans towards hypertension self-management and active engagement in the healthcare process improved with the use of a mobile health application to monitor their condition. Methods: Study participants were recruited from community-based resources. Participants first completed a pre-survey to determine their baseline KAP. Next, they downloaded the AVAX Blood Pressure Diary to daily monitor their blood pressure. Lastly, participants completed the post-survey and system user satisfaction (SUS) survey on the blood pressure application. Results: Majority of the participants were women (70%) with 50% on medication for their hypertension. Most of the participants (87.5%) believed that their hypertension was better managed after using the health app. The average SUS score for the hypertension mobile health application was 89.75. Conclusion: It appears that the mobile health application assisted participants with monitoring their blood pressure daily and being aware of changes that needed to be made to improve their self-management.