Still Scholarworks (A.T. Still University)
Not a member yet
2228 research outputs found
Sort by
Treatment of Transposed Canines and First Premolars Using Miniscrew Anchorage
No full textTransposition of a canine and first premolar requires orthodontic treatment to correct the related esthetic and functional problems, which can be quite chal-lenging
Storytelling and Written Reflection: Tools to Foster Meaning and Connection in Graduate Medical Education Settings
No full textImplementation of Functional Cognition Screening Tool and Program Development in an Inpatient Rehabilitation Setting
Get PDFThis project aims to develop and educate occupational therapists on functional cognition screening tools and interventions in an inpatient setting. This program development is intended to improve occupational therapist evaluation processes at Banner Baywood Facility to include cognitive components and improve the interdisciplinary approach to treating cognitive deficits amongst other professionals, especially speech pathologists. The implementation of this program development provided the therapist with tools and resources vital for determining the disposition and level of independence for medication management/bill paying upon discharge. Therapists gained skill levels to implement appropriate functional cognition interventions, goals, and family training to guide the plan of care
Developing a Resource for Optimizing Occupational Engagement in Adults with Dementia
Get PDFDementia is an umbrella term for cognitive impairments in memory, language, executive function, which may affect behavior and personality. Globally, about 50 million people have dementia, and that number is expected to reach 150 million by the year 2050 (Fortinsky et al., 2020). Dementia is a progressive disease that affects an individual’s ability to perform their daily occupations. The progression of dementia stages can be classified as early/mild, middle/moderate, and late/severe. Alzheimer’s disease makes up 60-80% of all dementia cases, although there are various other types of dementia, including Frontotemporal dementia, Lewy Body dementia, Vascular dementia, and Parkinson’s disease dementia to name a few (Alzheimer’s Association, 2021a). The progression, severity, and symptoms of dementia may vary from person to person, though typically an individual can expect to live 8 to 12 years after their initial diagnosis (Zimmerman et al., 2013).
Family members and friends typically take on the caregiver role, although, as the care recipient\u27s needs increase, they may not know how to adequately care for their loved one or may not be well equipped to care for someone with dementia (Fortinsky et al., 2020; Gitlin et al., 2010; Rahja et al., 2020). As an individual with dementia experiences a progressive decline in health and function, caregivers are required to provide greater levels of care. Without the necessary support and resources, caregivers may experience higher levels of stress and caregiver burden; consequently, resulting in poor outcomes such as long-term care placement (Gitlin et al., 2010). Thus, it is important to support caregivers by providing the necessary education and resources to improve their ability to care for their loved ones with dementia. Because most individuals with dementia live in the community, promoting independence and engagement in 6 activities is especially important as it may promote aging in place and remaining in the community (Fortinsky et al., 2020; Gitlin et al., 2010; Rahja et al., 2020).
Occupational therapy (OT) can help promote independence and participation during occupations, throughout the disease process. Regardless of a person’s condition, client-centered care should be provided to improve engagement in activities and independence. Supporting caregivers by giving them resources to facilitate occupational engagement by modifying the environment, tasks, and communication will allow the person to continue participating in the meaningful activities and foster positive outcomes for the individual with dementia and their caregiver(s). Therefore, the current program at Oakwood Creative Care (OCC), was aimed to develop a resource to provide caregivers and community members with evidence-based recommendations on how to optimize occupational engagement in adults with dementia
The Relationship Between Head and Neck Lymphedema and Dysphagia for Individuals with Oropharyngeal Cancer: A Retrospective Study
Get PDFThe American Cancer Society (2022) estimates about 54,000 new cases of oropharyngeal cancer in 2022. Oropharyngeal cancer, a type of head and neck cancer (HNC), typically refers to cancer in the base of tongue, oropharynx, tonsils, or mouth. The American Cancer Society (as cited by Cohen et al., 2016) recommends that physicians assess HNC survivors for lymphedema and refer them to a lymphedema therapist if necessary. Lymphedema presents as soft-tissue swelling and localized accumulation of high-protein fluid that can cause an inflammatory response resulting in disfigurement, tissue fibrosis, functional limitation, pain, and infections (Gutiérrez et al., 2020). There are two types of head and neck lymphedema: external and internal. External lymphedema involves external structures, such as the skin and soft tissues of the face and neck. Internal lymphedema involves internal structures, such as the mucosa and underlying soft tissue of the upper aerodigestive tract, including the pharynx and larynx (Deng et al., 2012). Lymphedema is caused by the obstruction of lymphatic vessels from tumors, scars, or radiation, or caused by the removal of lymphatic structures from dissection (Jeans, Ward, et al., 2021). The purpose of this study was to research the relationship between secondary head and neck lymphedema and dysphagia for individuals with oropharyngeal cancer post radiation treatment. The objective was to determine if lymphedema therapy and speech therapy have an effect on dysphagia, diet level, lymphedema severity, percutaneous endoscopic gastrostomy (PEG) tube placement, and hospital admission
Characterizing athletic healthcare: A perspective on methodological challenges, lessons learned, and paths forward
No full textRecently, there has been an emphasis on collecting large datasets in the field of sports medicine. While there have been great advances in areas of sport performance and sport epidemiology, there have been fewer efforts dedicated to understanding the effectiveness and impact of athletic healthcare, including injury prevention programs and rehabilitation interventions provided at the point-of-care. In 2009, the Athletic Training Practice-Based Research Network (AT-PBRN) was launched to address this need, with the mission of improving the quality of care provided by athletic trainers. Unlike other research efforts in sports and medicine, such as sport epidemiology, there are fewer methodological best practices specifically related to clinical data in athletic healthcare. As a result, the AT-PBRN has encountered several methodological challenges during its tenure and has established guidelines based on various sources within the fields of sports and medicine to address these challenges. Therefore, the purpose of this perspective is to identify the challenges and describe strategies to address these challenges related to characterizing athletic healthcare using a large database. Specifically, challenges related to data entry (data quality and reliability) and data extraction and processing (data variability and missing data) will be discussed. Sharing challenges and perspectives on solutions for collecting and reporting on athletic healthcare data may facilitate a greater consistency in the approach used to collect, analyze, and report on clinical data in athletic healthcare, with the goal of improving patient outcomes and the quality of care provided by athletic trainers
A Bibliometric Analysis of Scholarly Activity of Authors of Research Articles Published in the Journal of Physician Assistant Education from 2011-2020
No full textAbstract
Introduction: The purpose of this study was to analyze bibliometric data and trends of author contributions to the Journal of Physician Assistant Education (JPAE) from 2011-2020.
Methods: Author data were collected from JPAE research articles published from 2011-2020. Publication history and h-index were obtained from Scopus. Data collected included first authors, last authors, and PA authors as well as trends in publications in JPAE . Descriptive statistics, ANOVA, and Wilcoxon rank-sum tests were completed.
Results: From 2011-2020, 200 research articles were published in JPAE; the volume was constant. Of 698 authors listed, 374 were physician assistants (PAs). Overall, contributing authors had a mean publication number of 19.6 (1-327) compared to 12.1 (1-163) for PAs. First and last PA authors had mean publication numbers of 13.2 and 16.1, respectively, and an average h-index of 3.2 and 4.4, respectively. The overall author h-index was 5.2. The mean number of publications for non-PA last authors was 32.9. Publication to h-index proportion was similar between PAs and other authors. The top 25 th percentile of PA authors published \u3e 9 indexed documents, 3 times the number published by those in the 1-75 th percentile.
Discussion: PA author articles in JPAE from 2011 to 2020 were fewer than those by non-PAs but were as likely to have a proportionate h-index. PAs listed as first and last author were highly published. Trends suggest that when PA first authors work with PA last authors, there may be a more egalitarian relationship, and mentorship patterns may also exist within these groups. Increasing publication numbers from 2011 to 2020 for PA first and last authors indicates increasing academic contribution
Clinical Efficacy of Biomimetic Bioactive Biomaterials for Dental Pulp Capping: A Systematic Review and Meta-Analysis
No full textRecently, biomimetic bioactive biomaterials have been introduced to the market for dental pulp capping. This systematic review and meta-analysis aimed to determine any variation between the effect of using TheraCal LC and other bioactive biomaterials for pulp capping is different, as measured by dentin increment and clinical success. The risk of bias was assessed using the Risk of Bias 2 and Newcastle–Ottawa tools for randomized clinical trials and observational studies. A search for relevant articles was performed on five databases. Additionally, the quality of the included studies was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria. A summary of individual studies and a meta-analysis were performed. The odds ratio of data from clinical success was combined using a random-effects meta-analysis. The meta-analysis results showed homogeneity between the studies (I2 = 0%). They revealed that the clinical success showed no differences between the patients who received TheraCal LC, light-cured calcium silicate-based biomimetic biomaterial, for dental pulp capping or the comparator biomaterials (p \u3e 0.5). However, the certainty of the evidence was low to moderate due to the risk of bias in the included studies
Biomimetic Whitening Effect of Polyphosphate-Bleaching Agents on Dental Enamel
No full textThis in vitro study investigated the extrinsic tooth-whitening effect of bleaching products containing polyphosphates on the dental enamel surface compared to 10% carbamide peroxide (CP). Eighty human molars were randomly allocated into four whitening-products groups. Group A (control) was treated with 10% CP (Opalescence). The other groups with non-CP over-the-counter (OTC) products were group B = polyphosphates (iWhiteWhitening-Kit); group C = polyphosphates+fluoride (iWhite-toothpaste); and group D = sodium bicarbonate (24K-Whitening-Pen). L*, a*, b* color-parameters were spectrophotometer-recorded at baseline (T0), one day (T1), and one month (T2) post-treatment. Changes in teeth color (ΔEab) were calculated. Data were analyzed using ANOVA and the Bonferroni test (α = 0.05). Groups A, B, and D showed significant differences in ΔL*&Δa* parameters at T1, but not in Δb* at T0. Group C showed no difference for ΔL*, Δa*, Δb* at T0 and T1. Group A showed differences for ΔL*, Δa*, Δb*, at T2, while groups B, C, and D had no difference in any parameters at T0. At T1, ΔEab values = A \u3e D\u3e B \u3e C (ΔEab = 13.4 \u3e 2.4 \u3e 2.1 \u3e 1.2). At T2, ΔEab values increased = A \u3e B \u3e C \u3e D (ΔEab = 12.2 \u3e 10.6 \u3e 9.2 \u3e 2.4). In conclusion, the 10% CP and Biomimetic polyphosphate extrinsic whitening kit demonstrated the highest color change, while simulated brushing with dark stain toothpaste and a whitening pen demonstrated the lowest color change at both measurement intervals
Surface treatments on repair bond strength of aged resin composites
No full textAims: The aim was to evaluate the effect of different surface treatments on the repair shear bond strength of aged resin composites. Materials and Methods: Forty cylindrical-shaped specimens were treated from each material: Tetric Evo Ceram, Neo Spectra, and Filtek Ultimate Universal Restorative and allocated into four groups according to the surface treatment planned to use: Group 1: diamond, Group 2: silica coating, Group 3: carbide burs, and Group 4: control group. Following the surface treatment, composites were repaired with flowable resins. The shear bond strength was tested using a universal testing machine at a crosshead speed of 0.5 mm/min. The fracture mode was assessed under 50× magnification. The data were analyzed statistically using a two-way analysis of variance (ANOVA) test followed by a one-way ANOVA test. Multiple comparison procedures were performed using Tukey\u27s test. The level of significance was set at P 0.05. Results: The lowest mean value of the shear bond strength was for the Filtek Ultimate Universal Restorative in the control group, whereas the highest mean value was in the silica group. Silica and carbide groups had significantly higher mean values of the shear bond strength than diamond and control groups in Tetric EvoCeram and Filtek Ultimate Universal Restorative. In contrast, in Neo Spectra St HV, the carbide group had a higher mean value but was not statistically significant. Conclusion: Combinations of mechanical and chemical retentive systems enhance the shear bond strength of the repair composite to the aged composite. Among the different surface treatments employed in this study, silica and carbide groups show higher repair bond strength of new composite to aged composite