Medicine and Health Sciences Commons^™

Neuroanatomy Of The Subadult And Fetal Brain Of The Atlantic White-Sided Dolphin (Lagenorhynchus Acutus) From In Situ Magnetic Resonance Images, Eric W. Montie, Gerald E. Schneider, Darlene R. Ketten, Lori Marino, Katie E. Touhey, Mark E. Hahn

Veterinary Science and Medicine Collection

This article provides the first anatomically labeled, magnetic resonance imaging (MRI) -based atlas of the subadult and fetal Atlantic white-sided dolphin (Lagenorhynchus acutus) brain. It differs from previous MRI-based atlases of cetaceans in that it was created from images of fresh, postmortem brains in situ rather than extracted, formalin-fixed brains. The in situ images displayed the classic hallmarks of odontocete brains: fore-shortened orbital lobes and pronounced temporal width. Olfactory structures were absent and auditory regions (e.g., temporal lobes and inferior colliculi) were enlarged. In the subadult and fetal postmortem MRI scans, the hippocampus was identifiable, despite the relatively small size …

Addressing Potential Conflicts Of Interest Arising From The Multiple Roles Of Colorado’S Community Centered Boards, Maureen Booth Mrp, Ma, Eileen Griffin Jd

Disability & Aging

This document summarizes the information we gathered, our analysis of potential conflicts of interest, and recommendations for addressing opportunities for improvement. The information we gathered is based on document review, input from stakeholders, and a review of practices in four other states.

Influence Of Stroke Clinical Pathway On Documentation, Shannon Sternberg

All Theses

The purpose of this study was to determine whether the implementation of a stroke clinical pathway could improve compliance with documentation of specific quality measures for patients admitted with the diagnosis of acute ischemic stroke, hemorrhagic stroke, or transient ischemic attack. The study used the ten standardized performance measures for stroke identified by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and integrated documentation of those measures into a stroke clinical pathway consisting of physician order sets, an interdisciplinary plan of care, and a patient/family education flow sheet. The American Stroke Association's Get with the Guidelines - Stroke (GWTG-Stroke) …

Special Article: Physical Activity, Physical Fitness, And Cardiovascular Risk Factors In Childhood, Samuel S. Gidding

Department of Pediatrics Faculty Papers

In adults, physical activity and exercise training are associated with reduced cardiovascular morbidity and mortality, a reduced likelihood of developing adverse cardiovascular risk factors, and improved insulin sensitivity. In childhood, participation in appropriate physical activity may prevent the development of cardiovascular risk factors in the future and complement treatment of existing cardiovascular risk factors, including hypertension, dyslipidemia, and overweight. Exercise in children can also significantly improve insulin sensitivity independent of weight loss. These e fects are mediated in overweight children by increases in lean body mass relative to fat mass and associated improvements in inflammatory mediators, endothelial function, and the …

Bactericidal Activity Of Extended 9-Glycyl-Amido-Minocyclines, Chang-Po Chen, Allen R. Zeiger, Dr. Eric Wickstrom

Department of Biochemistry and Molecular Biology Faculty Papers

The need for self-protecting polymer or alloy implants resistant to a broad spectrum of bacterial challenges led us to investigate covalent bonding of minocycline (MIN), a tetracycline derivative, to polystyrene beads and to titanium alloy foils by oligoethylene glycol spacers. 9-Hydrazino-acetyl-amido-MIN, and simpler glycylcycline derivatives, retained minimum inhibitory concentration (MIC) against Staphylococcus aureus comparable to MIN. However, PEG-glycyl-amido-MIN showed very low activity. Hence, we coupled 9-hydrazino-acetyl-amido-MIN to the aldehyde termini of oligoethylene glycol spacers bonded to polystyrene and titanium alloy surfaces to form acid-releasable hydrazone linkages. 9-Hydrazino-acetyl-amido-MIN was released from the monolayers more rapidly at pH 5.0 than at pH …

A Study Of Disaster Preparedness Of Rural Hospitals In The United States, Barbara Cliff

Dissertations

This dissertation examines disaster preparedness in the U.S. and explores the relationships between risk perception, funding from the Health Resources and Services Administration (HRSA), and preparedness. Secondary data analysis was conducted using the National Study of Rural Hospitals from Johns Hopkins University. The study, based on a random sample of rural hospitals, consisted of a mail questionnaire and a follow-up phone interview with the hospital's Chief Executive Officer (n = 134).

A model of disaster preparedness was utilized to examine seven elements of preparedness. Risk perception was examined by seven risk threats, and HRSA funding was examined as a …

Treatment Of Co-Morbid Methamphetamine Substance Abuse And Borderline Personality Disorder Features Using Modified Dialectical Behavior Therapy, Jessica R. Schultz Fischer

Dissertations

The study investigated the effectiveness of a time-limited, skills-based treatment in a population of female substance abusers. This project implemented a pilot clinical trial to evaluate the effectiveness of a 12-session modified Dialectical Behavior Therapy (DBT) protocol among a small sample of women, with co-morbid borderline personality disorder features, receiving concurrent outpatient treatment for methamphetamine abuse. A non-concurrent multiple baseline design was used. In addition to on-going assessment conducted during baseline and weekly over the course of treatment, a comprehensive assessment battery was administered pre-, and post-treatment as well as at 1 and 3 months following treatment. Findings suggest that …

Perceived Organizational Support And Ethical Work Climates As Predictors Of Turnover Intention Of Licensed Nurses In Skilled Nursing Facilities, Anna A. Filipova

Dissertations

The purpose of this study was twofold: (1) to replicate Victor and Cullen's (1987; 1988) studies to confirm whether ethical climates (ECs) arise in skilled nursing facilities (SNFs), and whether organizations and groups within organizations have identifiable ECs; and (2) to test a model that examines the effects of ECs and perceived organizational support (POS) on licensed nurses' turnover intention (TOI) through job satisfaction (JS) and organizational commitment (OC).

A cross-sectional survey design was implemented. Three hundred and fifty nine freestanding SNFs were selected in a midwestern state. While a total of 110 facilities (31%) agreed to participate, responses were …

A Mixed Methods Analysis Of The Concept Of Female Sexual Health, Laura C. Ford

Dissertations

The theoretical concept of health includes the ability to function physiologically, perceive a state of wellness, participate in social relationships, and be disease-free. Currently, the medical field approaches sexuality from a disease prevention and treatment perspective. Female sexual health must be understood holistically (i.e., emotionally, sociologically, and physiologically) for healthcare providers to help their patients optimize their sexual health; however, little research has been conducted from a holistic perspective. This study's purpose was to begin an exploration of the meaning of female sexual health.

This study utilized focus groups and a survey to explore the concept female sexual health as …

Creating A Culture Of Safety: The Influence Of Medical Simulation On The Attitudes Of Surgical Team Members, Diane J. Jones

Dissertations

The objective of this study was to determine change in individual and aggregate attitudes of the members of two subspecialty surgery teams (cardiac and vascular) in six domains (teamwork climate, safety climate, job satisfaction, stress recognition, perception of management, and working conditions) following medical team simulation and debriefing exercises. The study was a pre-post partially randomized controlled, quasi-experimental study that took place in a 545-bed hospital with a high-volume cardiovascular surgery program. Participants included interdisciplinary team members caring for cardiac and vascular surgery patients.

Main outcome measures included change in responses to safety attitudes questionnaires (SAQs) administered before, 1 week …

Potential Study Of Using Earthworms As An Enhancement To Treat High Strength Wastewater, Nathasith Chiarawatchai, Chackrit Nuengjamnong, Pichaya Rachdawong, Ralf Otterpohl

The Thai Journal of Veterinary Medicine

The aim of this research was to preliminarily investigate the potential of earthworms to reduce clogging by introducing into the lab-scale wetland-like reactors receiving high strength wastewater, which were swine wastewater in Thailand, and domestic wastewater in Germany. The preliminary results indicated that every unit with earthworms had no sign of clogging regardless of the type of wastewater, whereas clogging was the case in the units without earthworms receiving swine wastewater. Both studies reflected similarity, which exhibited little treatment in every microcosm. It could be implied that earthworms could thrive within the wetland body due to the survival rate of …

Ophthalmology Snapshot, Nalinee Tuntivanich

The Thai Journal of Veterinary Medicine

No abstract provided.

Bullet-Induced Synovitis As A Cause Of Secondary Osteoarthritis Of The Hip Joint: A Case Report And Review Of Literature, A Rehman, Masood Umer, Yasir J Sepah, Muhammad A Wajid

Department of Surgery

Abstract

BACKGROUND:

With increasing prevalence of gunshot injuries we are seeing more patients with retained bullet fragments lodged in their bodies. Embedded lead bullets are usually considered inert after their kinetic energy has dissipated hence these are not removed routinely. However, exposure of any foreign body to synovial fluid may lead to rapid degradation and hence result in systemic absorption, causing local and systemic symptoms. We present the case of a thirty year old man who came to our out patient department with a history of progressive, severe hip pain ten years after a gun shot injury to his right …

Sustainability Of Western Kentucky University: An Examination Of Campus Environmental Policies, Performance And Potential For Change, Christian Ryan-Downing

Masters Theses & Specialist Projects

Institutions of higher learning are in a pivotal position to address the environmental problems that global society faces now, but response to this challenge requires transformation in priorities and practices. Recognizing the impacts that universities have on the environment and the social and economic costs associated with these impacts, institutions of higher learning are changing policies and management to become more sustainable. Sustainability is defined by the World Commission on Environment and Development as "development that meets the needs of the present without compromising the ability of future generations to meet their own needs" (1987). To evaluate the environmental impacts …

Auditory Hair Cell Regeneration And Gene Expression In Noise-Exposed Zebrafish (Danio Rerio), Julie Schuck

Masters Theses & Specialist Projects

Fishes are capable of regenerating sensory hair cells in the inner ear after exposure to excessive noise. However, a time course of auditory hair cell regeneration has not been characterized for zebrafish, nor has gene expression following noise exposure. To establish a time course of hair cell regeneration, adult zebrafish were exposed to a 100 Hz pure tone at 179 dB re 1 |u.Pa RMS for 36 hours, and then allowed to recover for 0 to 14 days before morphological analysis. Hair cell loss and recovery were determined using phalloidin and DAPI labeling to visualize hair cell bundles and nuclei, …

The Effects Of Human/Wildlife Conflict On The Potential For Community-Based Ecotourism In The Kasigau Region Of Southeast Kenya, Natalie Mountjoy

Masters Theses & Specialist Projects

Many believe community-based ecotourism (CBE) can assist in conservation efforts and community development; however, little research has been done to assess the potential of CBE in a specific region. As part of a large, long-term, international research project, I define three problematic areas that may impede successful CBE efforts in the Kasigau location of southeast Kenya: bushmeat utilization, community attitudes and wildlife abundance. Samples of meat purchased from butcheries and meat markets are identified to species using molecular analysis, community attitudes are ascertained via written social surveys and transect sampling methods are used to determine the relative abundance and diversity …

Low Back Pain Among College Athletes - A Survey Of Basketball Players, Swimmers, Track And Field Athletes And Nonathletic Controls, Nicholas Bacon

Masters Theses & Specialist Projects

Study Design. Cross-sectional survey among athletes competing at the collegiate level in basketball, swimming, and track and field, as well as a matched nonathletic control group. Objective. To compare the prevalence of low back pain between sports: basketball, swimming, and track and field, as well as nonathletic control group. Summary of Background Data. With conflicting reports, it is not clear whether athletes are at higher risk for low back pain when compared to nonathletic counterparts. Some literature has found that low back pain was less common in former elite athletes when compared to nonathletes; however, much of the literature supports …

An Examination Of The Role Of Anxiety And Obsessive-Compulsive Features In Muscle Dysmorphia Symptomatology, Christopher Chandler

Masters Theses & Specialist Projects

Although Muscle Dsymorphia (MD) has received more attention in recent years, it still lacks an official classification. The current study incorporates trait anxiety and obsessive-compulsive features into an etiological model of MD in the hopes of establishing them as reliable predictors of such MD symptomatology as drive for muscularity, social physique anxiety, and negative body attitude (self). This model was based upon previous research that has linked trait anxiety and obsessive-compulsive features to eating disorders (ED). In this model, it was predicted that trait anxiety and obsessive-compulsive features would predict overall MD symptomatology, drive for muscularity, social physique anxiety, and …

Outcome Of Triple Procedure In Older Children With Developmental Dysplasia Of Hip (Ddh), Masood Umer, Haq Nawaz, Pashtoon Murtaza Kasi, Mahmood Ahmed

Department of Surgery

Objective: To evaluate the radiographic and functional results of the triple procedure (open reduction, femoral shortening and Salter's Osteotomy) in the treatment of Developmental Dysplasia of the Hip (DDH) disease in older children. Methods: This case-series comprising 23 patients (29 hips) underwent the triple procedure of open reduction, femoral shortening and Salter osteotomy, at Aga Khan University Hospital between June 1995 and June 2005. Patients were classified pre-operatively according to the Tonnis class. Postoperative functional evaluation was performed using Modified MacKay's scoring system and radiographic assessment using Severin's scoring method. Results: The mean age of patients at presentation was 6.84 …

Aoa Symposium. Orthopaedists Partnering With Other Physicians To Provide Musculoskeletal Care., Alan Hilibrand, Kurt P Spindler, Scott D Boden

Rothman Institute Faculty Papers

No abstract provided.

Prognosis Of Hospitalized New-Onset Systolic Heart Failure In Indo-Asians--A Lethal Problem, Fahim H. Jafary, Mahesh Kumar, Irfan E. Chandna

Section of Cardiology

Background: Systolic heart failure (SHF), particularly when requiring hospital admission carries a poor prognosis. There is a paucity of data in Indo-Asians on outcomes of SHF, among whom the burden of cardiovascular disease is consistently rising. The purpose of this study was to determine the frequency and predictors of mortality and morbidity amongst patients admitted with new-onset SHF at a tertiary care hospital in Pakistan.

Methods and Results: Hospital charts of 196 patients with a diagnosis of new or recent onset (!3 months) SHF (ejection fraction [EF] !40%) were reviewed. Patients who died during the admission, those with life-limiting concomitant …

Age-Associated Hepatic Drug Transporter Expression And Its Implications For Pediatric Pharmacotherapyflexibility Affect Dna Topoisomerase I Function, Lisa Tang

Theses and Dissertations (ETD)

Members of the ATP-binding cassette (ABC) family of drug transporter proteins translocate various endogenous and exogenous substrates across intra- and extracellular membranes. Two specific ABC transporters, the multidrug resistance 1/P-glycoprotein (MDR1/P-gp) and the multidrug resistance protein 2 (MRP2), serve as major hepatic transporters that mediate the biliary excretion of various organic anions and cations along with glutathione-, glucuronate-, or sulfate-conjugates of several drug substrates. However, very little is known about the expression of these transporters in the early infant and childhood ages of human development. We, therefore, characterized the ontogeny of these transporters by measuring their gene and protein expression. …

Cardiopulmonary Predicators Of Dysfunctional Ventilator Weaning Response After Coronary Artery Bypass Graft, Annapoorna Mary

Theses and Dissertations (ETD)

Although the majority of coronary artery bypass graft (CABG) surgery patients are extubated within 6 to 8 hours following surgery, 20% to 40% of patients remain intubated 12 hours after surgery due to dysfunctional ventilator weaning response (DVWR). DVWR associated with increased morbidity and mortality (30% to 43%) following CABG surgery. Finding significant antecedence to predict DVWR could help to identify and prevent the complications from DVWR after CABG surgery. Literature review revealed that there is an association between cardiopulmonary indicators (CPI) and DVWR after CABG surgery. Cardiopulmonary indicators are the selected hemodynamic parameters that have an association with DVWR. …

Comparison Of Eight Prosthetic Aortic Valves In A Cadaver Model., Benjamin A. Youdelman, Hitoshi Hirose, Harsh Jain, J Yasha Kresh, John W.C. Entwistle, Andrew S. Wechsler

Department of Surgery Faculty Papers

OBJECTIVES: Proper valve selection is critical to ensure appropriate valve replacement for patients, because implantation of a small valve might place the patient at risk for persistent gradients. Labeled valve size is not the same as millimeter measure of prosthetic valve diameters or the annulus into which it will fit. Studies that use the labeled valve size in lieu of actual measured diameter in millimeters to compare different valves might be misleading. Using human cadaver hearts, we sized the aortic annulus with 8 commonly used prosthetic aortic valve sizers and compared the valves using geometric orifice area. This novel method …

National Athletic Trainers’ Association Position Statement: Management Of The Athlete With Type 1 Diabetes Mellitus, Carolyn C. Jimenez, Matthew H. Corcoran, James T. Crawley, W. Guyton Hornsby, Jr., Kimberly S. Peer, Rick D. Philbin, Michael C. Riddell

Sports Medicine Faculty Publications

No abstract provided.

Glucose-6-Phosphate Dehydrogenase (G6pd) Screening In Pakistani Neonates: To Be Or Not To Be, Bushra Moiz

Department of Pathology and Laboratory Medicine

No abstract provided.

Longitudinal Tracking Of Cytokines After Acute Exposure To Tuberculosis: Association Of Distinct Cytokine Patterns With Protection And Disease Development, Rabia Hussain, Najeeha Talat, Firdaus Shahid, Ghaffar Dawood

Department of Pathology and Laboratory Medicine

Household contacts (HCs) of patients with tuberculosis (TB) are at higher risk of infection as well as the development of active disease. Longitudinal tracking of antigen-specific cytokines after acute exposure may significantly advance our understanding of the dynamic changes in cytokine patterns associated with disease establishment. To achieve this objective, we carried out a prospective cohort study with healthy HCs after exposure to TB. The patterns of cytokines (gamma interferon [IFN-gamma] and interleukin 10 [IL-10]) in response to mycobacterial antigens (culture filtrate [CF] proteins) and nonspecific mitogens (phytohemagglutinin [PHA] and lipopolysaccharide [LPS]) were assessed at 0, 6, 12, and 24 …

Ecg Quiz, Chollada Buranakarl, Kris Angkanaporn, Monkon Trisiriroj

The Thai Journal of Veterinary Medicine

No abstract provided.

Ultrasound Diagnosis, Phiwipha Kamonrat

The Thai Journal of Veterinary Medicine

No abstract provided.

Evidence Of Melamine And Related Substances Contamination To Animal Feed In Thailand, Supol Luengyosluechakul

The Thai Journal of Veterinary Medicine

No abstract provided.