Medicine and Health Sciences Commons^™

Four Distinct Generations Of Workers Makes Leadership Challenging, Joyce K. Kutin

Joyce K Kutin RN, MSN, MOL

The Bureau of Labor Statistics for the year 2000 stated that Baby Boomers (age thirty-six through fifty-four) represented fifty percent of the United States labor force while Generation X (age twenty to thirty-five) represented some thirty-three percent, a significant decline in workforce. This demographic, time bomb indicates the urgency for many organizations in developed countries to prepare for and cope with the imminent retirement of their aging workforce.

Current Research Projects Of The Public Health Pbrn Program, Glen P. Mays

Glen Mays

The Robert Wood Johnson Foundation’s Public Health Practice-Based Research Networks Program supports research on the organization, financing, and delivery of public health services using the infrastructure of practice-based networks (PBRNs). A Public Health PBRN brings multiple public health agencies into collaboration with an academic research partner to design and conduct studies in real-world practice settings. The program supports research through several different mechanisms, including (1) large-scale Research Implementation Awards (RIAs) conducted by established networks; (2) Quick-Strike Research Fund (QSRF) awards that support short-term, time-sensitive studies on emerging issues; and (3) supplemental Research Acceleration and Capacity Expansion (RACE) awards designed to …

Body Mass Index Of Masters Basketball Players, Joe Walsh, Mike Climstein, Ian Timothy Heazlewood, Mark Debeliso, Kent Adams, Stephen Burke, Jyrki Kettunen

Joe Walsh

Abstract. Aim and Scope: Thousands of masters athletes participate quadrennially in the World Masters Games (WMG). However, this unique cohort remains under investigated. With a need for multifaceted solutions to the global obesity epidemic, investigating special populations such as those competing in sport at mature-older ages may further the understanding of the nexus between aging, physical activity and obesity. The aim of this cross-sectional comparative study was to investigate body mass index (BMI) within the WMG competitors in context with national populations and health guidelines. We hypothesized that the prevalence of obesity in the WMG cohort would be less than …

Driving Qi With Research: Findings From Public Health Pbrns, Glen Mays

Glen Mays

Public health agencies are increasingly experimenting with quality improvement (QI) strategies designed to enhance the effectiveness and efficiency of their efforts. Does QI work in public health, and if so for whom and under what circumstances? What QI strategies work best for which types of public health process failures, and at what cost? Research underway through the Public Health Practice-Based Research Networks (PBRN) Program is examining these types of questions to build an evidence base for public health QI.

Managing Patient Flow: Is High Hospital Occupancy A Root Cause Of Ambulance Diversion?, Paris B. Lovett

Paris B Lovett

Inefficient patient flow through an

emergency department (ED) causes

long wait times, reduced patient satisfaction,

and increased walkouts (that is,

leaving without being seen, or LWBS).

Ste Sidebar 1 on page 5 for a look at

related Joint Commission requirements.

Poor patient flow may also lead to ambulance diversion- a request by an attending physician for ambulances to transport patients to other hospitals (while continuing to accept walk-in patients). EDs may go on ambulance diversion when they reach a critical state in which the volume of patients exceeds its capacity to see and treat them.

Stuart E. Greene, M.B.A., Paris …

Development Lending To Municipalities By The World Bank Group, Asheesh Singh Bhalla

Asheesh Singh Bhalla

No abstract provided.

The Influence Of Self-Owned Home Blood Pressure Monitoring (Hbpm) On Primary Care Patients With Hypertension: A Qualitative Study, Adina Abdullah

Adina Abdullah

Background: Home blood pressure monitoring (HBPM) is gaining popularity among hypertensive patients. This study aimed to explore the influence of self-initiated HBPM on primary care patients with hypertension. Methods: Six in-depth interviews and two focus group discussions were conducted, taking into consideration the experiences of 24 primary care patients with hypertension. These patients had been using HBPM as part of their hypertension management. The overriding influences were grouped under themes which emerged from analyzing the data using the grounded theory approach. Results: There are both positive and negative influences of self-initiated HBPM. Patients used the readings of their HBPM to …

The Burden Of Moderate-To-Heavy Soil-Transmitted Helminth Infections Among Rural Malaysian Aborigines: An Urgent Need For An Integrated Control Programme, Init Ithoi

Init Ithoi

Background: Soil-transmitted helminth (STH) infections, among the most common neglected tropical diseases, continue to be a major threat to the health and socioeconomic wellbeing of infected people especially children in developing countries. Methods: A cross-sectional study among 254 aboriginal schoolchildren was conducted in order to determine the current prevalence and intensity of infections and to investigate the potential risk factors associated with moderate-to-heavy burden of STH infections among these children. Results: Overall, 93.7% of children were found to be infected with one or more STH species. The prevalence of trichuriasis, ascariasis and hookworm infections were 84.6%, 47.6% and 3.9%, respectively. …

Optimization Of The Expression Of Surface Antigen Sag1/2 Of Toxoplasma Gondii In The Yeast Pichia Pastoris, Init Ithoi

Init Ithoi

Surface antigens are the most abundant proteins found on the surface of the parasite Toxoplasma gondii. Surface antigen 1 (SAG1) and Surface antigen 2 (SAG2) remain the most important and extensively studied surface proteins. These antigens have been identified to play a role in host cell invasion, immune modulation, virulence attenuation. Recombinant SAG1/2 was cloned and expressed in yeast Pichia pastoris. We describe here optimization of critical parameters involved in high yield expression of the recombinant SAG1/2. Our results suggest that recombinant SAG1/2 were best expressed at 30 masculineC, pH 6 and 1% methanol as the carbon source by X33 …

Strategi Kebijakan Tekno Ekonomi Pengelolaan Gas Ikutan (Associated Gas), Dr. Zulkifli Rangkuti

Zulkifli Rangkuti

No abstract provided.

Overview Of The Public Health Pbrn Program, Glen Mays

Glen Mays

The Public Health Practice-Based Research Networks Program is a national program of the Robert Wood Johnson Foundation that supports the development of research networks for studying the comparative effectiveness, efficiency and equity of public health strategies deployed in real-world practice settings. A practice-based research network (PBRN) brings multiple public health agencies together with research partners to design and implement studies of population-based strategies that prevent disease and injury and promote health. Participating practitioners and researchers collaborate to identify pressing research questions of interest, design rigorous and relevant studies, execute research effectively, and translate findings rapidly into practice. As such, PBRNs …

Elsa-Brasil: Historico [In Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.

The Science Of Public Health Delivery: Evidence, Uncertainties & Research Needs, Glen Mays

Glen Mays

Policy initiatives to reform the nation's health system increasingly recognize the need to incorporate public health and prevention strategies. The nation's delivery system for public health, however, varies widely across states and communities in its structure, authority, and capabilities. This session examines research from the growing field of public health services and systems research to identify directions for improving public health delivery.

Estimating The Value Of Public Health Services & Systems: Evidence, Uncertainties, And Research Needs, Glen Mays

Glen Mays

The Affordable Care Act authorized the largest expansion in federal funding for public health services and delivery systems in decades. These provisions, designed to support programs and services that promote health and prevent disease and injury on a population-wide basis, remain controversial because of uncertainties regarding their effectiveness in improving health and constraining medical cost growth. This session examines a series of recent studies to shed light on the health and economic value of spending on public health.

Synergy Sted Multicolor 3d-Easysted Excel File, George Mcnamara

George McNamara

Excel 2007 file with calculations for multicolor 3D-EasySTED segmented waveplates (SWP) for fluorescence nanoscopy.

Additional explanation in my Introduction statement and in the Excel file. The Excel file uses an interpolation function available from XlXtrFun (http://www.xlxtrfun.com/XlXtrFun/XlXtrFun.htm). My thanks to Goetz Zinner, www.B-Halle.de, for communicating to me that a single 3D-EasySTED segmented waveplate can be used with multiple excitation and depletion wavelengths.

Please give Goetz Zinner full credit for recognizing that STED segmented waveplate can be manufactured to handle multiple excitation and depletion wavelengths. Different sets of wavelengths can be generated by choosing appropriate thickness quartz substrates for manufacturing the SWP. …

Gender Roles And Their Influence On Life Prospects For Women In Urban Karachi, Pakistan: A Qualitative Study, Tazeen S. Ali Dr, Raisa Gul Dr, [Ingrid Mogren Dr, Eva Johansson Dr, Gunilla Krantz Dr, Nargis Asad Dr

Tazeen S Ali Dr

Background: Pakistan is a patriarchal society where men are the primary authority figures and women are subordinate. This has serious implications on women’s and men’s life prospects. Objective: The aim was to explore current gender roles in urban Pakistan, how these are reproduced and maintained and influence men’s and women’s life circumstances. Design: Five focus group discussions were conducted, including 28 women representing employed, unemployed, educated and uneducated women from different socio-economic strata. Manifest and latent content analyses were applied. Findings: Two major themes emerged during analysis: ‘Reiteration of gender roles’ and ‘Agents of change’. The first theme included perceptions …

The Collage Of Functional Health Education For Effective Healthy Decisions And Health Promotion, Prof. Jerome Okonkwo Okafor

Prof. Jerome O Okafor

No abstract provided.

Scholarly Writing And Publication, Raymond Quirolgico

Raymond Quirolgico

No abstract provided.

Response To The Data Challenges Of The Affordable Care Act: Surveys Of Providers To Assess Access To Care For People With Disabilities And The Presence Of Accessible Exam Equipment, Nancy R. Mudrick, Mary Lou Breslin, June Isaacson Kailes

Nancy R. Mudrick

No abstract provided.

Disparities Research In Public Health Pbrns, Glen Mays

Glen Mays

Public health agencies are well positioned within the health system to play key roles in addressing oral health issues on a population-wide basis, However, current evidence reveals wide geographic variation in the delivery of public health interventions for oral health promotion. This session explores the factors contributing to this variation, and it highlights studies underway through the Public Health Practice-Based Research Networks (PBRNs) to produce more and better evidence about public health delivery and impact.

Nice But Needy: English Guidance On Managing Alcohol Dependence Is Not Backed Up By Government Alcohol Policy, Laura Williamson

Dr Laura Williamson

No abstract provided.

Fibrous Dysplasia Of Faciomaxillary Region Case Reports And Review Of Literature, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

This article discusses the author's experience in managing fibrous dysplasia of faciomaxillary region. Data was accumulated from 2005 – 2011. All these cases were managed by the author. Commonest bone involved by fibrous dysplasia was maxilla (Literature search did not reveal any female preponderance in monostotic fibrous dysplasia15)In the author's series all of them were females. All of them were monostotic fibrous dysplasia.

Human Platelet Lysate Permits Scale-Up Of Dental Pulp Stromal Cells For Clinical Applications, Govindasamy Vijayendran, Ronald Veronica Sainik, Abdullah Aimi Naim, Nathan Kavitha R. Ganesan, Aziz Zeti Adura Che Abdul, Abdullah Mariam, Zain Rosnah, Abu Kasim Noor Hayaty, Musa Sabri, Bhonde Ramesh R.

Sabri Musa

Background aims. Dental pulp stromal cells (DPSC) are considered to be a promising source of stem cells in the field of regenerative therapy. However, the usage of DPSC in transplantation requires large-scale expansion to cater for the need for clinical quantity without compromising current good manufacturing practice (cGMP). Existing protocols for cell culturing make use of fetal bovine serum (FBS) as a nutritional supplement. Unfortunately, FBS is an undesirable additive to cells because it carries the risk of transmitting viral and prion diseases. Therefore, the present study was undertaken to examine the efficacy of human platelet lysate (HPL) as a …

Histomorphometric Changes In Repaired Mouse Sciatic Nerves Are Unaffected By The Application Of A Scar-Reducing Agent, W.C. Ngeow, S. Atkins, C. R. Morgan, A. D. Metcalfe, F. M. Boissonade, A. R. Loescher, P. P. Robinson

Wei Cheong Ngeow

Microsurgical repair of transected peripheral nerves is compromised by the formation of scar tissue and the development of a neuroma, thereby limiting the success of regeneration. The aim of this study was to quantify histomorphometrically the structural changes in neural tissue that result from repair, and determine the effect of mannose-6-phosphate (M6P), a scar-reducing agent previously shown to enhance regeneration. In anaesthetised C57-black-6 mice, the left sciatic nerve was sectioned and repaired using four epineurial sutures. Either 100 mu L of 600 mM M6P (five animals) or 100 mu L of phosphate-buffered saline (placebo controls, five animals) was injected into …

Vigilância Em Doença Cerebrovascular [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.

Morphological Characteristics Of Developmental Stages Of Acanthamoeba And Naegleria Species Before And After Staining By Various Techniques, Init Ithoi

Init Ithoi

Seven stains were studied to determine the best color and contrast for staining the developmental stages of free living pathogenic Acanthamoeba and Naegleria species. The acid-fast bacilli stain (AFB) produced a blue color without contrast; trichrome-eosin and modified Field's showed various color contrasts; Giemsa, iron-hematoxylin, modified AFB and Gram produced only one color which distinguished the nucleus, nucleolus, cytoplasm, food- and water-vacuoles. The motile organs (acanthopodia, pseudopodia, lobopodia and flagella) were also clearly differentiated but produced a similar color as the cytoplasm. These motile organelles were first induced by incubating at 37 C for at least 15 minutes and then …

Performance Of Melamine Modified Urea-Formaldehyde Microcapsules In A Dental Host Material, Noor Hayaty Abu Kasim Abu Kasim N.H.

Noor Hayaty Abu Kasim Abu Kasim N.H.

Urea-formaldehyde (UF) microcapsules filled with dicyclopentadiene (DCPD) show potential for making self-healing dental restorative materials. To enhance the physical properties of the capsules, the urea was partially replaced with 0-5% melamine. The microcapsules were analyzed by different microscopic techniques. DSC was used to examine the capsule shell, and the core content was confirmed by (1)H NMR spectroscopy. Capsules in the range of 50-300 mu m were then embedded in a dental composite matrix consisting of bisphenol-A-glycidyl dimethacrylate (Bis-GMA) and triethylene-glycol dimethacrylate (TEGDMA). Flexural strength, microhardness, and nanoindentation hardness measurements were performed on the light-cured specimens. Optical microscopy (OM) examination showed …

Human Platelet Lysate Permits Scale-Up Of Dental Pulp Stromal Cells For Clinical Applications, Noor Hayaty Abu Kasim Abu Kasim N.H.

Noor Hayaty Abu Kasim Abu Kasim N.H.

Background aims. Dental pulp stromal cells (DPSC) are considered to be a promising source of stem cells in the field of regenerative therapy. However, the usage of DPSC in transplantation requires large-scale expansion to cater for the need for clinical quantity without compromising current good manufacturing practice (cGMP). Existing protocols for cell culturing make use of fetal bovine serum (FBS) as a nutritional supplement. Unfortunately, FBS is an undesirable additive to cells because it carries the risk of transmitting viral and prion diseases. Therefore, the present study was undertaken to examine the efficacy of human platelet lysate (HPL) as a …

Glomus Tumour: A Retrospective Review Of 15 Years. Experience In A Single Institution, Tunku Sara Ahmad

Tunku Sara Ahmad

Glomus tumours (GT), neoplasms of the glomus body comprise 4.5% of upper limb tumours. Seventy-five per cent of these occur in the hand, and most are subungual (50%). We performed a literature review and retrospective search of histopathologically confirmed GT seen from 1995 to 2009. Fifteen patients were identified, with an average age of 49.6 years. Eight were in the hand, 2 in the upper limb, 2 lower limb and 3 in the ear. Eighty-six per cent presented with pain and 50% underwent radiological investigation. Most diagnoses followed biopsy findings. Surgical excision resulted in a recurrence rate of 13%. The …

Patients’ Reports About Medical Doctors’ Inquiries On Their Mental Health: Do Generational Status, Ethnicity And Mental Health/Substance Use Disorders Matter?, Van M. Ta Park, P. Holck, T. Chen, N. Zane

Van M. Ta Park

Immigrants are less likely than others to use mental health (MH) services. Physicians' limited time often precludes inquiry about MH. This study investigated the influence of generational status, ethnicity, and mental/substance use disorders on physicians' inquiries about Asian American (AA) MH. Data from the National Latino and Asian American Study were analyzed (n=1,853). The outcome was past year physician's inquiry regarding MH. Results revealed that AA with U.S.-born parents had significantly greater odds compared to AA born outside the U.S. to report that their doctors inquired about their MH (OR=218, 95% CI: 1.28, 3.73). Past year mental/substance use disorder increased …