American Medical Tourism: Regulating a Cure That Can Damage Consumer Health

-already submitted earlier in the semester

Pedagogy Is Research: Investigating The Teacher-Researcher Identity And Pedagogy of Teachers Who Completed an Action Research Project

This research study explored the development of a teacher-researcher identity and investigated the pedagogy of two teachers who completed an action research course. I sought to investigate the development of a teacher-researcher identity in connection to the utilization of critical responsiveness in order to address the stifling of teacher agency that has resulted from standardization and deprofessionalization of the teaching profession. Through braiding the theoretical frameworks of cultural-historical activity theory, pragmatism, and critical theory, I examined the development of a teacher-researcher identity and how it impacted the pedagogical judgments and decisions of teachers. This multiple case study required data collection that included interviews, observations, and documents to understand and interpret how action research impacted the teacher identity and pedagogy of the participants. Findings of this study indicated that teachers’ teacher-researcher identity was connected to their feelings about research as well as their perceptions of and interactions with their research community. In addition, this study demonstrated that teachers\u27 acceptance or refusal of pedagogical responsibility influenced how they implemented action research, their perceptions of the impact action research had on their teaching, and their ability to critically reflect on their teaching practice and research. This study told the story of a teacher who became a self-identified teacher-researcher through action research and improved her pedagogical critical responsiveness to her students through an acceptance of pedagogical responsibility. Simultaneously, another story was told, a story of a teacher who did not become a teacher-researcher and, as a result, rejected pedagogical responsibility as seen in a lack of critical responsiveness and critical self-reflection. Lastly, I utilized my experience conducting this study to advocate for the humanization of research and research communities

A study of student learning comparing hands-on with traditional mathematics instruction with 10th grade high school students

https://scholarworks.moreheadstate.edu/student_scholarship_posters/1098/thumbnail.jp

Galcanezumab as a Treatment For The Prevention of Migraines

Objective: To determine the effectiveness of subcutaneous galcanezumab as a preventative treatment for chronic migraines via a systematic review. Methods: JAMA and PubMed databases were searched using the terms galcanezumab and migraines in order to survey resulting patient clinical trials. Results: The 3 studies reviewed here all showed a statistically significant decrease in migraine headache days (MHDs) per month when using galcanezumab. Stauffer, et al. showed a mean decrease in MHDs of 4.7 and 4.6 for the 120mg and 240 mg doses of galcanezumab vs. 2.8 for placebo9 . Rosen, et al. showed a mean monthly 100% response rate on an average month in the 6-month double-blind phase was greater for galcanezumab 120mg (13.5%) and 240 mg (14.3%) groups vs. placebo (5.9%)7. Detke, et al. showed mean reduction in the number of monthly MHDs of 4.8 and 4.6 for the 120mg and 240mg doses of galcanezumab vs. a 2.7 reduction for placebo8. Conclusion: This systematic review did show significant evidence that supports the use of subcutaneous galcanezumab as a preventative treatment for those with chronic migraines. There was no difference between the effectiveness of the 120mg and 240mg galcanezumab doses. Although no major risks were identified, more clinical trials need to be done in order to further study galcanezumab as well as its possible long-term adverse effects

Physical Examination Findings in Patients with Protracted Concussion and the Impact of an Integrative Concussion Rehabilitation Protocol

Purpose: To describe physical examination (PE) findings of individuals with protracted concussion recovery and evaluate an integrated primitive reflex (PR) disinhibition, vision, and vestibular rehabilitation intervention. Method: Retrospective study of 82 patients with protracted concussion (60.98% female) who received ≥ 2 phases of treatment. Following a baseline PE, patients completed the Post-Concussion Symptom Survey (PCSS), Activities-Based Balance Confidence Questionnaire (ABC), Dizziness Handicap Index (DHI), and Acquired Traumatic Brain Injury (aTBI) Vision Questionnaire. A subset of patients (Group 1), completed a final PE and second questionnaire administration. Descriptive statistics characterized the sample. T-tests and Wilcoxon rank sum tests compared characteristics of Group 1 vs Group 2. Wilcoxon sign rank tests assessed changes in patient-reported outcomes. Results: Patients in Groups 1 (median age=23.5) and 2 (median age=17.5) were similar regarding demographic and PE findings. Statistically and clinically significant improvements were seen for Group 1: PCSS (-21 points, MCID 6.8), DHI (-27 points, MDC 17.8, MCID 19), ABC (+ 8.5 points, MDC 9)and aTBI Vision Questionnaire (-16.5 points). Conclusion: Patients with protracted concussion recovery can benefit from a multitude of interventions ranging from orthopedic to vision and vestibular interventions in order to address objective deficits and subjective complaints such as headache, dizziness, or blurry vision following a concussion. Patients who completed the full intervention demonstrated clinically significant improvements in function, including return to school/work and recreational activities. These data suggest there is a potential positive benefit to a structured, integrative concussion rehabilitation approach for individuals with protracted concussion recovery

Physical Examination Findings in Patients with Protracted Concussion and the Impact of an Integrative Concussion Rehabilitation Protocol

Purpose: To describe physical examination (PE) findings of individuals with protracted concussion recovery and evaluate an integrated primitive reflex (PR) disinhibition, vision, and vestibular rehabilitation intervention. Method: Retrospective study of 82 patients with protracted concussion (60.98% female) who received ≥ 2 phases of treatment. Following a baseline PE, patients completed the Post-Concussion Symptom Survey (PCSS), Activities-Based Balance Confidence Questionnaire (ABC), Dizziness Handicap Index (DHI), and Acquired Traumatic Brain Injury (aTBI) Vision Questionnaire. A subset of patients (Group 1), completed a final PE and second questionnaire administration. Descriptive statistics characterized the sample. T-tests and Wilcoxon rank sum tests compared characteristics of Group 1 vs Group 2. Wilcoxon sign rank tests assessed changes in patient-reported outcomes. Results: Patients in Groups 1 (median age=23.5) and 2 (median age=17.5) were similar regarding demographic and PE findings. Statistically and clinically significant improvements were seen for Group 1: PCSS (-21 points, MCID 6.8), DHI (-27 points, MDC 17.8, MCID 19), ABC (+ 8.5 points, MDC 9) and aTBI Vision Questionnaire (-16.5 points). Conclusion: Patients with protracted concussion recovery can benefit from a multitude of interventions ranging from orthopedic to vision and vestibular interventions in order to address objective deficits and subjective complaints such as headache, dizziness, or blurry vision following a concussion. Patients who completed the full intervention demonstrated clinically significant improvements in function, including return to school/work and recreational activities. These data suggest there is a potential positive benefit to a structured, integrative concussion rehabilitation approach for individuals with protracted concussion recovery

Rapid Implementation of Inpatient Telepalliative Medicine Consultations During COVID-19 Pandemic.

As coronavirus disease 2019 cases increase throughout the country and health care systems grapple with the need to decrease provider exposure and minimize personal protective equipment use while maintaining high-quality patient care, our specialty is called on to consider new methods of delivering inpatient palliative care (PC). Telepalliative medicine has been used to great effect in outpatient and home-based PC but has had fewer applications in the inpatient setting. As we plan for decreased provider availability because of quarantine and redeployment and seek to reach increasingly isolated hospitalized patients in the face of coronavirus disease 2019, the need for telepalliative medicine in the inpatient setting is now clear. We describe our rapid and ongoing implementation of telepalliative medicine consultation for our inpatient PC teams and discuss lessons learned and recommendations for programs considering similar care models