Barrett, The Honors College Thesis/Creative Project Collection

Statistics show that the termination rates for fetuses with Down syndrome are substantially higher compared to the general population. Perhaps pregnant women are led to believe that this is the best option for them. The information that leads them to this conclusion could be one of the leading factors for the high termination rates. In an attempt to understand the reasons behind the high termination rates the following question must be addressed: “What information is available to pregnant women that may influence their decision to terminate or not terminate fetuses with Trisomy 21?” In order to answer this question I completed a comprehensive literature review of the information available to pregnant women in the United States after they find out there fetus has Trisomy 21. The results showed that many sources publish information that is straightforward, factual, and attempts to make sure that pregnant women are fully informed on the reality of life with a child with Down syndrome. However, there are also many sources that publish information that is biased and attempts to influence a woman’s decision of whether to keep or abort her fetus with Trisomy 21. The results from this study suggest that the message conveyed from a given article relies heavily on who is doing the writing, the type of article it is, and were it is published. This provides women with a confusing array of different ideas, as opposed to offering them objective facts and consistent information. When a pregnant woman is told that her fetus is positive for the Trisomy 21 disorder and will be born with Down syndrome, it can be a very scary and emotional time. Women in this situation deserve easy access the correct information in order to help them make an informed decision based on their own choice and not the opinion of someone else.

Since the beginning of the COVID-19 pandemic, telemedicine usage in America has experienced extreme peaks as a method of maintaining social distancing for medical staff and patients. While there have been numerous significant positive effects from increasing this practice, there are also significant risks to be explored. Patients and physicians have been navigating new technology, new protocols, and new dynamics at a high rate. Doctors using telemedicine are required to rely more heavily on their judgment with less data than usual to support their hypotheses. This results in a wide variety of potential complications that can be detrimental to patients and physicians alike. Though negative outcomes are not nearly the majority, it is clear that for telemedicine to function at its fullest capacity, the limitations of its technology must be defined and communicated. A survey was distributed to physicians currently practicing telemedicine to understand more about the usage increase in telemedicine and the incidence rates of telemedicine-related complications. The results showed that although the impact of telemedicine has been largely positive, there certainly are risks that must be considered and prepared for. Thus, it is the responsibility of healthcare systems to ensure that their policies are current and appropriate in proportion to their usage of telemedicine to better protect and prepare patients and doctors for this new frontier of medicine.

Understanding and predicting health outcomes of adults by examining adverse childhood experiences (ACE) is one tool available to healthcare professionals. This tool originated from the 1988 ACE study, and because of its findings, it has been widely implemented and utilized. This literature review investigates how practical and applicable those findings are to validate its current widespread practice. It is concluded that the original study is not comprehensive enough to justify its use in a significant way; however, this review discusses how it can be built upon and modernized to capture more demographics, validate its results to apply to more populations, and become a better predictive model.

This thesis addresses the global and national health landscape of disparities to provide insight into the social factors such as education, socioeconomic status, and environment that impact marginalized groups. A positive correlation between race, residency, and lower socioeconomic status among global and national landscapes was made with oral health disparities demonstrating poorer health outcomes among these groups. Through a multistep approach this thesis aimed to provide solutions to contribute to the efforts of developing effective policies and interventions that aim to promote oral health equity.

Simplifying science means more than just making science understandable for people of lower chronological age, it also encompasses making science more accessible to people with a lower educational age. Through their “Embryo Tales,” Ask a Biologist discusses topics such as fetal alcohol syndrome, ectopic pregnancies, polio, etc. and the science behind them in an easy-to-understand manner. The Ask a Biologist materials are directed at a younger audience in terms of educational age compared to most textbooks and other sources, which allows them to communicate information to people who otherwise may not comprehend the science at hand. As Ask a Biologist states, their main goal is to “increase communication between scientists and the public” (Ask a biologist). They increase the cognition of the public by using a readability level checker to keep each sentence easy to understand, implementing well thought-out analogies throughout the article, incorporating helpful pictures, and including an engaging, related story at the beginning of each article. This thesis explains studies both for and agains those techniques aiming to make science-related topics more understandable. The thesis encompasses some of my own Embryo Tales with an analysis of them, highlights my role in shaping Embryo Tales into what they are today, and also details how I will apply what I learned to my career as a future physician.