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Full-Text Articles in Medicine and Health Sciences

Modeling Heart Failure Predictive Mortality In Skilled Nursing Facilities, Stephen Charles Biondi Apr 2020

Modeling Heart Failure Predictive Mortality In Skilled Nursing Facilities, Stephen Charles Biondi

Dissertations (2009 -)

Problem: Approximately 25% of skilled nursing facility (SNF) patients are diagnosed with heart failure (HF). The heart failure mortality trajectory is non-linear and there are no useable mortality models from clinical records for use by healthcare providers in the SNF setting. A mortality risk model for patients with HF is important so that palliative care interventions may be offered to improve patients’ quality of life during the end stages of dying. Assessment items captured routinely by the SNF Resident Assessment Instrument –Minimum Data Set 3.0 (RAI-MDS) instrument may be useful in identifying those patients whose declining condition warrants discussion ...


Oral Health And Quality Of Life: A Clinic-Based Sample, Kinan M. Al-Bitar Apr 2020

Oral Health And Quality Of Life: A Clinic-Based Sample, Kinan M. Al-Bitar

Master's Theses (2009 -)

Attachment loss due to periodontal diseases is associated with functional limitations as well as physical pain and psychological discomfort, which may lead to a reduced quality of life. This manuscript is intended to answer the question, if periodontal status has an effect on oral health related quality of life. Survey data were collected in an U.S. dental school clinical setting from n=97 adults (54% females, average age 51 years) in a cross- sectional study. Quality of life related to oral health was assessed with the Oral Health Impact Profile (OHIP-49). Additional measures using the DMFT index, periodontal status ...


Assessment Of 3d Facial Scan Integration In 3d Digital Workflow Using Radiographic Markers And Iterative Closest Point Algorithm, Mohamed Elshewy Apr 2020

Assessment Of 3d Facial Scan Integration In 3d Digital Workflow Using Radiographic Markers And Iterative Closest Point Algorithm, Mohamed Elshewy

Master's Theses (2009 -)

Introduction: Integration of 3 dimensional (3D) facial scanning into digital smile design workflows has been made available in multiple commercially available systems. Limited data exists on the accuracy of facial scans and accuracy of various methods of merging facial scans with cone beam computed tomography (CBCT) scans.Objective: The purpose of this prospective clinical study was to evaluate the accuracy of 2 methods used to integrate soft tissue facial scans with CBCT scans. It would allow proposal of a novel approach for integrating a 3D facial scan using facial radio-opaque markers in a 3D digital workflow.Material and methods: Fifteen ...


Peri-Implantitis Risk Prediction Using A Computer Based Periodontal Risk Calculator Tool: A Retrospective Study, Walaa Al Zaibak Apr 2020

Peri-Implantitis Risk Prediction Using A Computer Based Periodontal Risk Calculator Tool: A Retrospective Study, Walaa Al Zaibak

Master's Theses (2009 -)

Introduction: Although literature is abundant on the diagnosis and management of peri-implantitis after it has occurred, to our current knowledge there are no studies that have specifically looked into the relationship between peri-implantitis and the periodontal risk assessment tool used for natural dentitions.Material and Methods: In this retrospective study, the patient population included patients (>20 years of age) who had implants placed and restored at Marquette University School of Dentistry (MUSOD) from 2008 to 2016. Further, the restored implants in these patients must have been in function for at least one year and followed up in the school with ...


Outcomes Of Primary Endodontic Therapy In Medicaid Enrollees, Timothy Gainey Apr 2020

Outcomes Of Primary Endodontic Therapy In Medicaid Enrollees, Timothy Gainey

Master's Theses (2009 -)

The objective of this study was to determine factors affecting survival of teeth after nonsurgical root canal therapy (NSRCT) among enrollees of Wisconsin Medicaid during the years 2001-2009. Only permanent teeth with NSRCTs and that had permanent restorations within 60 days after treatment completion were included in the analysis. Patients with less than 60 days of insurance coverage after treatment completion were excluded. NSRCTs and untoward events (extraction) were identified based on Code on Dental Procedures and Nomenclature (CDT). Kaplan-Meier methods were used to plot the survival distribution for the overall cohort and subgroups by age, gender, race, tooth location ...


Influence Of Progressive Vs. Minimal Canal Preparations On The Fracture Resistance Of Mandibular Molars: A Finite Element Analysis, Michael Smoljan Apr 2020

Influence Of Progressive Vs. Minimal Canal Preparations On The Fracture Resistance Of Mandibular Molars: A Finite Element Analysis, Michael Smoljan

Master's Theses (2009 -)

INTRODUCTION: Several file systems have been recently introduced with the objective of preserving coronal dentin. There is limited research comparing the role of canal shaping on preservation of pericervical dentin and its role in fracture resistance. The aim of this study is to investigate the effect of minimal canal taper on residual tooth strength and stress distribution after root canal treatment. Methods: Two pre-accessed mandibular molar TruTeeth (Acadental Endo 3DP, Lenexa, KS) were subject to simulated endodontic treatment in this study. One tooth was instrumented with ProTaper Gold (Dentsply, Tulsa, OK) to F2 (25/0.08v progressive taper) in the ...


Impact Of Delayed Completion Of Previously Initiated Therapy And Provider Type On Outcomes Of Root Canal Treatment, Igor Sulim Apr 2020

Impact Of Delayed Completion Of Previously Initiated Therapy And Provider Type On Outcomes Of Root Canal Treatment, Igor Sulim

Master's Theses (2009 -)

Objective:if the provider type influences long-term outcomes in instances where NSRCT has been previously initiated. The primary purpose of this study was to determine if the period of time between previously initiated therapy and the completion of non-surgical root canal treatment (NSRCT) influences long-term outcomes. The secondary purpose of this study was to determineMaterials/Methods: Enrollment and claims data from Delta Dental of Wisconsin from2002-2014 was analyzed. Teeth that received NSRCT within 6 months after completionof pulpal debridement or pulpotomy procedures (identified by Codes of DentalProcedures and Nomenclature) and within a continuous insurance coverage period ...


Accuracy Of Merging Scans Of Definitive Fixed Prosthodontic Impressions To Obtain Single, Accurate Digitized Master Casts, Ossama Raffa Apr 2020

Accuracy Of Merging Scans Of Definitive Fixed Prosthodontic Impressions To Obtain Single, Accurate Digitized Master Casts, Ossama Raffa

Master's Theses (2009 -)

Introduction: Many impressions sent to commercial laboratory dental technicians may include marginal defects. In order to fabricate accurate restorations, digital technology may be used to merge digital files of defective impressions into a single Standard Tesselation Language (STL) file, free of errors. Material and Methods: Ivorine teeth on a dentoform were prepared to receive a posterior fixed dental prosthesis (FDP). A flawless impression was made in a sectional tray using polyvinyl siloxane (PVS) impression material. An extraoral scanner was used to digitize the impression; this was the reference cast. Wax was used to create defects on the buccal and lingual ...


Adapting Fit Indices For Bayesian Structural Equation Modeling: Comparison To Maximum Likelihood, Mauricio Garnier-Villarreal, Terrence D. Jorgensen Feb 2020

Adapting Fit Indices For Bayesian Structural Equation Modeling: Comparison To Maximum Likelihood, Mauricio Garnier-Villarreal, Terrence D. Jorgensen

College of Nursing Faculty Research and Publications

No abstract provided.


Social And Psychological Factors Associated With Health Care Transition For Young Adults Living With Sickle Cell Disease, Dora L. Clayton-Jones, Nadine Matthie, Marsha Treadwell, Joshua Field, Amy Mager, Rachel Sawdy, Safiya George Dalmida, Cynthia Leonard, Kathryn L. Koch, Kristin Haglund Dec 2019

Social And Psychological Factors Associated With Health Care Transition For Young Adults Living With Sickle Cell Disease, Dora L. Clayton-Jones, Nadine Matthie, Marsha Treadwell, Joshua Field, Amy Mager, Rachel Sawdy, Safiya George Dalmida, Cynthia Leonard, Kathryn L. Koch, Kristin Haglund

College of Nursing Faculty Research and Publications

Introduction: Due to advances in disease management, mortality rates in children with sickle cell disease (SCD) have decreased. However, mortality rates for young adults (YA) increased, and understanding of social and psychological factors is critical. The aim of this study was to explore factors associated with health care transition experiences for YA with SCD.

Method: This was a qualitative descriptive study. A 45-minute semistructured interview was conducted with 13 YA (M = 21.5 years, SD = 1.73).

Results: Results suggest that social and psychological factors and self-management experiences influence health care transition. Eight themes emerged: “need for accessible support”; “early ...


Matrix Metalloproteinases And Temporomandibular Joint Disorder: A Review Of The Literature, Logan Herm, Ardit Haxhia, Flavio Camejo, Lobat Tayebi, Luis Eduardo Almeida Oct 2019

Matrix Metalloproteinases And Temporomandibular Joint Disorder: A Review Of The Literature, Logan Herm, Ardit Haxhia, Flavio Camejo, Lobat Tayebi, Luis Eduardo Almeida

School of Dentistry Faculty Research and Publications

Temporomandibular disorders (TMD) are progressive degenerative disorders that affect the components of the temporomandibular joint (TMJ), characterized by pain and limitations in function. Matrix metalloproteinases (MMP) are enzymes involved in physiological breakdown of tissue that can have a pathological effect from an increase in activity during inflammation. A PubMed search of the current literature (within the past 10 years) was conducted to identify human studies involving matrix metalloproteinases activity in TMJ components of patients with TMD. Two separate searches results in 34 studies, six of which met inclusion criteria. Immunohistochemistry and gene analysis were used to evaluate MMP expression in ...


Individual Nurse Productivity In Preparing Patients For Discharge Is Associated With Patient Likelihood Of 30-Day Return To Hospital, Olga Yakusheva, Marianne E. Weiss, Kathleen L. Bobay, Linda L. Costa, Ronda G. Hughes, Morris Hamilton, James Bang, Peter I. Buerhaus Sep 2019

Individual Nurse Productivity In Preparing Patients For Discharge Is Associated With Patient Likelihood Of 30-Day Return To Hospital, Olga Yakusheva, Marianne E. Weiss, Kathleen L. Bobay, Linda L. Costa, Ronda G. Hughes, Morris Hamilton, James Bang, Peter I. Buerhaus

College of Nursing Faculty Research and Publications

Objective:

Applied to value-based health care, the economic term “individual productivity” refers to the quality of an outcome attributable through a care process to an individual clinician. This study aimed to (1) estimate and describe the discharge preparation productivities of individual acute care nurses and (2) examine the association between the discharge preparation productivity of the discharging nurse and the patient’s likelihood of a 30-day return to hospital [readmission and emergency department (ED) visits].

Research Design:

Secondary analysis of patient-nurse data from a cluster-randomized multisite study of patient discharge readiness and readmission. Patients reported discharge readiness scores; postdischarge outcomes ...


Effect Of Heat-Treatment Time On Bending Properties Of Cobolt-Chromium Orthodontic Wires, Melanie Hammerbeck Jul 2019

Effect Of Heat-Treatment Time On Bending Properties Of Cobolt-Chromium Orthodontic Wires, Melanie Hammerbeck

Master's Theses (2009 -)

Different protocols appear in the literature with respect to heat-treating cobalt-chromium orthodontic wires. The objective was to determine the effect of variable heat-treatment time and method on the bending properties of CoCr wires. Two tempers of CoCr ‘Elgiloy’ wires (Rocky Mountain Orthodontics), blue (B) and yellow (Y), were heat-treated for different durations. The groups (n=20/group/temper) included: 1) as-received (control); 2) brush-flame; 3) 480oC for 5sec; 4) 480oC for 10min; 5) 480oC for 2hr; and 6) 480oC for 5hr. Wire segments were tested by a three-point bend test. Stiffness/flexural modulus, percent recovery, and force values at select ...


The Influence Of Masculinity On Male Latino Adolescents’ Perceptions Regarding Dating Relationships And Dating Violence, Kristin Haglund, Ruth Ann Belknap, Lisa M. Edwards, Marcel Hernani Tassara, James C. Van Hoven, Aimee A. Woda Jul 2019

The Influence Of Masculinity On Male Latino Adolescents’ Perceptions Regarding Dating Relationships And Dating Violence, Kristin Haglund, Ruth Ann Belknap, Lisa M. Edwards, Marcel Hernani Tassara, James C. Van Hoven, Aimee A. Woda

College of Nursing Faculty Research and Publications

In the United States, teen dating violence (TDV) is a concern across ethnic groups. Attitudes and correlates of violence differ by gender, culture, and acculturation. This study used a qualitative interpretive approach. Data were obtained in focus groups with 23 Latino male adolescents. Themes reflected contexts of participants’ lives, and definitions and nature of dating relationships and TDV. Participants described the importance of respecting dating partners, the destructive effects of TDV, and the pressure to display masculinity that can lead some young men to perpetrate TDV. These results may advance culturally relevant interventions to promote healthy relationships and prevent dating ...


Variability In Catheter-Associated Asymptomatic Bacteriuria Rates Among Individual Nurses In Intensive Care Units: An Observational Cross-Sectional Study, Olga Yakusheva, Deena K. Costa, Kathleen L. Bobay, Jorge P. Parada, Marianne E. Weiss Jul 2019

Variability In Catheter-Associated Asymptomatic Bacteriuria Rates Among Individual Nurses In Intensive Care Units: An Observational Cross-Sectional Study, Olga Yakusheva, Deena K. Costa, Kathleen L. Bobay, Jorge P. Parada, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Catheter-associated asymptomatic bacteriuria (CAABU) is frequent in intensive care units (ICUs) and contributes to the routine use of antibiotics and to antibiotic-resistant infections. While nurses are responsible for the implementation of CAABU-prevention guidelines, variability in how individual nurses contribute to CAABU-free rates in ICUs has not been previously explored. This study’s objective was to examine the variability in CAABU-free outcomes of individual ICU nurses. This observational cross-sectional study used shift-level nurse-patient data from the electronic health records from two ICUs in a tertiary medical center in the US between July 2015 and June 2016. We included all adult (18 ...


Positions In The N‐Methyl‐D‐Aspartate Receptor Glun2c Subunit M3 And M4 Domains Regulate Alcohol Sensitivity And Receptor Kinetics, Man Wu, Priya Katti, Yulin Zhao, Robert W. Peoples Jun 2019

Positions In The N‐Methyl‐D‐Aspartate Receptor Glun2c Subunit M3 And M4 Domains Regulate Alcohol Sensitivity And Receptor Kinetics, Man Wu, Priya Katti, Yulin Zhao, Robert W. Peoples

Biomedical Sciences Faculty Research and Publications

Background

Alcohol alters synaptic transmission in the brain. The N‐methyl‐D‐aspartate (NMDA) receptor (NMDAR), a subtype of glutamate‐gated ion channel, is an important synaptic target of alcohol in the brain. We and others have previously identified 4 alcohol‐sensitive positions in the third and fourth membrane‐associated (M) domains, designated M31‐2and M41‐2, of the GluN1, GluN2A, and GluN2B NMDAR subunits. In the present study, we tested whether the corresponding positions in the GluN2C subunit also regulate alcohol sensitivity and ion channel gating.

Methods

We performed alanine‐ and tryptophan‐scanning mutagenesis in the ...


Testing Measurement Invariance With Ordinal Missing Data: A Comparison Of Estimators And Missing Data Techniques, Po-Yi Chen, Wei Wu, Mauricio Garnier-Villarreal, Benjamin Arthur Kite, Fan Jia May 2019

Testing Measurement Invariance With Ordinal Missing Data: A Comparison Of Estimators And Missing Data Techniques, Po-Yi Chen, Wei Wu, Mauricio Garnier-Villarreal, Benjamin Arthur Kite, Fan Jia

College of Nursing Faculty Research and Publications

Ordinal missing data are common in measurement equivalence/invariance (ME/I) testing studies. However, there is a lack of guidance on the appropriate method to deal with ordinal missing data in ME/I testing. Five methods may be used to deal with ordinal missing data in ME/I testing, including the continuous full information maximum likelihood estimation method (FIML), continuous robust FIML (rFIML), FIML with probit links (pFIML), FIML with logit links (lFIML), and mean and variance adjusted weight least squared estimation method combined with pairwise deletion (WLSMV_PD). The current study evaluates the relative performance of these methods in producing ...


Prevalence Of Molar-Incisor Hypomineralization In Milwaukee, Wisconsin, Usa: A Pilot Study, Megan Davenport, Andrew D. Welles, Matina V. Angelopoulou, Cesar D. Gonzalez, Christopher Okunseri, Lori Barbeau, Naveen K. Bansal, Rodney Vergotine, Brian D. Hodgson May 2019

Prevalence Of Molar-Incisor Hypomineralization In Milwaukee, Wisconsin, Usa: A Pilot Study, Megan Davenport, Andrew D. Welles, Matina V. Angelopoulou, Cesar D. Gonzalez, Christopher Okunseri, Lori Barbeau, Naveen K. Bansal, Rodney Vergotine, Brian D. Hodgson

School of Dentistry Faculty Research and Publications

Purpose: This pilot study investigated the prevalence of Molar-Incisor Hypomineralization (MIH) in third-grade school children in Milwaukee Wisconsin, USA.

Methods: A convenience sample of third-grade school children in the Milwaukee Public School System (MPS) participated in the study. Calibrated examiners trained on the European Academy of Paediatric Dentistry (EAPD) MIH recommendations examined the children between December 1, 2014 and June 30, 2015. Children were examined at their schools using a flashlight and mirror after receiving consent from parents/caregivers and assent from each child. Findings were recorded onto a standardized form by one of five trained examiners. Summary statistics were ...


The Effect Of A Portable Electrical Muscle Stimulation Device At Home On Muscle Strength And Activation Patterns In Locomotive Syndrome Patients: A Randomized Control Trial, Yuichi Nishikawa, Kohei Watanabe, Shuhei Kawade, Tetsuya Takahashi, Hiroaki Kimura, Hirofumi Maruyama, Allison S. Hyngstrom Apr 2019

The Effect Of A Portable Electrical Muscle Stimulation Device At Home On Muscle Strength And Activation Patterns In Locomotive Syndrome Patients: A Randomized Control Trial, Yuichi Nishikawa, Kohei Watanabe, Shuhei Kawade, Tetsuya Takahashi, Hiroaki Kimura, Hirofumi Maruyama, Allison S. Hyngstrom

Physical Therapy Faculty Research and Publications

The aim of the present study was to quantify the effect of electrical muscle stimulation (EMS) intervention using a portable device on muscle strength and activation patterns in locomotive syndrome. Nineteen women were randomly assigned to the intervention group (n = 10; age = 71–82 years) and control group (n = 9; age = 70–84 years). Participants in the intervention group used a portable EMS device to stimulate the bilateral quadriceps muscles for 8 weeks (23 min/5 days/week). To understand the effects of EMS, the following measurements were made at baseline, 8 weeks, and 12 weeks: locomotive syndrome assessment score ...


Measuring Polyvictimization Among Vulnerable Children: A Confirmatory Factor Analysis, Kelli J. Jones Apr 2019

Measuring Polyvictimization Among Vulnerable Children: A Confirmatory Factor Analysis, Kelli J. Jones

Dissertations (2009 -)

The purpose of this study was to test the pathways to polyvictimization model, a conceptual model developed by Dr. David Finkelhor, as an accurate measure of victimization among children in fragile families. Polyvictimization is the simultaneous, accumulative exposure to multiple forms of victimization. Finkelhor’s pathways to polyvictimization model consisted of four hypothesized pathways to becoming polyvictimized. The four pathways include a) residing in a dangerous community, b) living in a dangerous family, c) having a chaotic, multi-problem family environment, and d) the child has emotional or behavioral problems that increase risk behavior, engender antagonism, and compromise the capacity to ...


Injectable Gels With Potential Use In Endodontics, Maksim Montatskiy Apr 2019

Injectable Gels With Potential Use In Endodontics, Maksim Montatskiy

Master's Theses (2009 -)

Objective: To formulate a thermoreversible hydrogel using methyl-cellulose, carbon dots and inorganic salts to achieve physiologically compatible gelation temperature; to test cytotoxic effects of formulation against dental pulp stem cells.Materials/Methods: A 5% w/v methylcellulose (MC) solution was prepared and equal volumes of NaCl aqueous solution were added to make various sodium chloride salt concentrations and reach the final MC concentration of 2.5%. Samples were analyzed using a shear rheometer to monitor complex shear viscosity as a function of temperature to arrive at onset gelation temperature closest to targeted temperature. Carbon dots were synthesized by thermal method ...


The Design And Physical Properties Of An Optimized Chitosan Hydrogel For Potential Use In Endodontics, Hunter Housley Apr 2019

The Design And Physical Properties Of An Optimized Chitosan Hydrogel For Potential Use In Endodontics, Hunter Housley

Master's Theses (2009 -)

Introduction: The aim of this study was to synthesize an optimized chitosan/carbon dot hydrogel and measure its effects on the proliferation of dental pulp stem cells. Methods: 1.5% w/v chitosan hydrogel samples were fabricated with 300 mg/ml aqueous β-glycerol phosphate (β-GP) to create an optimized chitosan with a gelation onset temperature below 37°C. Spermidine-functionalized carbon dots (CDs) were added to test groups in concentrations of 25 µg/ml and 50 µg/ml. Complex shear viscosity of the prepared hydrogel samples was evaluated with a Kinexus pro+ shear rheometer (Malvern Panalytical). Samples were evaluated for cellular ...


The Influence Of Full Coverage Restorations On Pulp Vitality: A Ten-Year Retrospective Study, Abby Yavorek Apr 2019

The Influence Of Full Coverage Restorations On Pulp Vitality: A Ten-Year Retrospective Study, Abby Yavorek

Master's Theses (2009 -)

INTRODUCTION: The incidence of pulpal disease after delivery of a full-coverage crown has been previously described as between 2-19%. The objective of this study was to identify and analyze the factors that contribute to the incidence of NS-RCT after the delivery of single-unit full-coverage restorations. MATERIALS AND METHODS: Insurance claims from 88,409 crown placements in the Delta Dental of Wisconsin Insurance database were analyzed from the years 2008 to 2017. The Cox Regression model was used to analyze the effect of the predictor variables on the survival of the tooth. Untoward events were defined as NS-RCT, tooth extraction, retreatment ...


An In Vitro Study Of Surface Alterations To Peek And Titanium And Its Effect Upon Human Gingival Fibroblasts, Maryam Gheisarifar Apr 2019

An In Vitro Study Of Surface Alterations To Peek And Titanium And Its Effect Upon Human Gingival Fibroblasts, Maryam Gheisarifar

Master's Theses (2009 -)

Objective: Soft tissue attachment to different surfaces plays a pivotal role in long term success of dental implants. The aim of the current study was to evaluate viability and adhestion of human gingival fibroblasts (HGFs) upon specific surface modifications on different implant abutment materials. Material & Methods: A total of 150 specimens in 6 experimental groups were used: titanium alloy (Ti [smooth machined]), titanium laser-modified (TiL), PEEK (P [smooth machined]), PEEK laser-modified (PL), PEEK plasma treated (PP), PEEK laser and Plasma treated (PLP). The surface roughness (Sa), water contact angle (WCA), and X-ray photoelectron spectroscopy (XPS) were measured. Human gingival fibroblast (HGF) attachment and proliferation were observed 1, 3 and 7 days post cell seeding. Results: Sa values of the laser modified groups were significantly higher than the non-modified (smooth machined) groups (P<.001). WCA of all groups was greater than 40 degrees, except for the plasma treated groups. XPS analysis of both Ti and PEEK groups showed that this laser treatment did not alter chemical bonding. Scanning Electron Microscopy (SEM) revealed more functionally oriented HGF cells on the laser-grooved surfaces; however, the cells on the laser-modified PEEK groups were more stretched compared to the TiL group. On the first, third, and seventh day of proliferation, titanium groups showed no significant differences (P>.05). On the first and third day of proliferation, the plasma treated PEEK groups showed significantly greater proliferation than all experimental groups (P ...


Does Weight Status Impact Metabolic Health In Adolescents When Controlling For Physical Fitness?, Stacy Stolzman, Joseph Skelton, April L. Harkins, Marie K. Hoeger Bement Apr 2019

Does Weight Status Impact Metabolic Health In Adolescents When Controlling For Physical Fitness?, Stacy Stolzman, Joseph Skelton, April L. Harkins, Marie K. Hoeger Bement

Physical Therapy Faculty Research and Publications

Purpose:

To determines whether adolescents who are fit with overweight/obesity are similar in their metabolic profile to adolescents who are fit and normal weight.

Methods:

Adolescents participated in 3 sessions: (1) resting vitals and anthropometrics; (2) maximal aerobic treadmill test () to determine physical fitness; and (3) dual-energy x-ray absorptiometry and fasting laboratory draw for analysis of insulin, glucose, high-density lipoprotein, triglycerides, and C-reactive protein.

Results:

Of the 30 fit adolescents who are normal weight and 16 adolescents who are fit and overweight/obese (OW/OB), metabolic syndrome was apparent in 1 adolescent who are normal weight and 4 adolescents ...


Exploring The Trajectory And Prevention Of Alcohol Use Among Young People From The Perspective Of Professional Youth Workers, Kristin Haglund, Mark Hayter Apr 2019

Exploring The Trajectory And Prevention Of Alcohol Use Among Young People From The Perspective Of Professional Youth Workers, Kristin Haglund, Mark Hayter

College of Nursing Faculty Research and Publications

Excessive alcohol use is a significant health issue. Underage drinking is one expression of excessive alcohol use. Researchers have identified a trajectory of alcohol involvement. Gaps exist in understanding the influences that delay and promote the trajectory of alcohol use among young people. The purpose of this study was to explore the contexts and influences that limited and contributed to the trajectory of alcohol use among young people. A qualitative descriptive design was used. Eight youth workers from a city in Northern England participated in individual audio-recorded semi-structured interviews. Transcriptions were coded. Data were analyzed within, and across, codes to ...


Effects Of Implementing A Health Team Communication Redesign On Hospital Readmissions Within 30 Days, Kristi Opper, Joseph Beiler, Olga Yakusheva, Marianne E. Weiss Mar 2019

Effects Of Implementing A Health Team Communication Redesign On Hospital Readmissions Within 30 Days, Kristi Opper, Joseph Beiler, Olga Yakusheva, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Background and Rationale

Poor communication between health team members can interfere with timely, coordinated preparation for hospital discharge. Research on daily bedside interprofessional health team rounds and nursing bedside shift handoff reports provides evidence that these strategies can improve communication.

Aims

To improve health team communication and collaboration about hospital discharge; improve patient experience of discharge measured by patient‐reported quality of discharge teaching, readiness for discharge, and postdischarge coping difficulty; and reduce readmissions and emergency department (ED) visits postdischarge.

Methods

A two‐sample pre‐ and postintervention design provided baseline data for redesign of health team communication processes and comparison ...


Fatiguing Trunk Flexor Exercise Decreases Pain Sensitivity In Postpartum Women, Rita Deering, Tatyana Pashibin, Meredith Cruz, Sandra K. Hunter, Marie K. Hoeger Bement Mar 2019

Fatiguing Trunk Flexor Exercise Decreases Pain Sensitivity In Postpartum Women, Rita Deering, Tatyana Pashibin, Meredith Cruz, Sandra K. Hunter, Marie K. Hoeger Bement

Physical Therapy Faculty Research and Publications

Background: Low back pain (LBP) is common in the general population and among postpartum women. Abdominal muscle exercise is often used to treat LBP, but it is unknown if fatiguing abdominal muscle exercise can produce exercise-induced hypoalgesia (EIH).

Objectives: To assess pressure pain thresholds (PPTs) at rest and following fatiguing trunk flexor exercise (EIH) in (1) nulligravid and postpartum women to evaluate the impact of pregnancy and childbirth and (2) nulligravid women and men to examine sex differences.

Methods: Seventy healthy adults (31 postpartum women, 23 nulligravid women, 16 men) participated. Postpartum and nulligravid women were tested twice (16–18 ...


The Effectiveness Of Different Attachment Systems Maxillary And Mandibular Implant Overdentures, Gary L. Stafford Mar 2019

The Effectiveness Of Different Attachment Systems Maxillary And Mandibular Implant Overdentures, Gary L. Stafford

School of Dentistry Faculty Research and Publications

Data sources Cochrane Oral Health's Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, the US National Institutes of Health Ongoing Trials Register (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform.

Study selection Randomised controlled trials (RCTs), including cross-over trials on maxillary or mandibular implant overdentures with different attachment systems with at least one-year follow-up were considered. There were no restrictions on language or date of publication.

Data extraction and synthesis Data were abstracted by four reviewers with risk of bias being assessed using the Cochrane tool. Data were combined using a ...


Incremental Clinical Effectiveness And Cost Effectiveness Of Providing Supervised Physiotherapy In Addition To Usual Medical Care In Patients With Osteoarthritis Of The Hip Or Knee: 2-Year Results Of The Moa Randomised Controlled Trial, J. H. Abbott, R Wilson, Daniel Pinto, C. M. Chapple, A. A. Wright Mar 2019

Incremental Clinical Effectiveness And Cost Effectiveness Of Providing Supervised Physiotherapy In Addition To Usual Medical Care In Patients With Osteoarthritis Of The Hip Or Knee: 2-Year Results Of The Moa Randomised Controlled Trial, J. H. Abbott, R Wilson, Daniel Pinto, C. M. Chapple, A. A. Wright

Physical Therapy Faculty Research and Publications

Objective

To investigate the clinical- and cost-effectiveness at 2-year follow-up of providing individual, supervised exercise physiotherapy and/or manual physiotherapy in addition to usual medical care.

Method

People with hip or knee osteoarthritis meeting the American College of Rheumatology clinical diagnostic criteria were randomised (1:1, concealed, assessor-blinded) to four groups: usual medical care; supervised exercise physiotherapy; manual physiotherapy; or combined exercise and manual physiotherapy. Physiotherapy group participants were provided 10 50-min treatment sessions including booster sessions at 4 and 13 months, in addition to usual care. The primary outcome at 2-year follow-up was incremental cost-utility ratio (ICUR) of each ...