Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

145,693 Full-Text Articles 236,954 Authors 34,420,087 Downloads 395 Institutions

All Articles in Medicine and Health Sciences

Faceted Search

145,693 full-text articles. Page 4776 of 5038.

Asian Race/Ethnicity As A Risk Factor For Bile Duct Injury During Cholecystectomy., Stephanie R. Downing, Ghazala Datoo, Tolulope A. Oyetunji, Terrence Fullum, David C. Chang, Nita Ahuja 2010 Children's Mercy Hospital

Asian Race/Ethnicity As A Risk Factor For Bile Duct Injury During Cholecystectomy., Stephanie R. Downing, Ghazala Datoo, Tolulope A. Oyetunji, Terrence Fullum, David C. Chang, Nita Ahuja

Manuscripts, Articles, Book Chapters and Other Papers

Iatrogenic bile duct injury (BDI) is an uncommon but serious complication of cholecystectomy, with identified risk factors of acute cholecystitis, male sex, older age, and aberrant biliary anatomy. The Nationwide Inpatient Sample (1998-2006) was queried for cholecystectomy performed on hospital day 0 or 1. Bile duct injury repair procedure codes were used as a surrogate for BDI. We identified 377,424 patients who underwent cholecystectomy, with 1124 BDIs (0.3%). On multivariate logistic regression analysis, Asian race/ethnicity was a significant risk factor for BDI (odds ratio [OR], 2.26; 95% confidence interval [CI], 1.59-3.23; P < .001). This persisted for laparoscopic (OR, 2.62; 95% CI, 1.28-5.39; P = .009) and open (2.21; 1.59-3.07; P < .001) cholecystectomies. No other race/ethnicity was identified as a risk factor for BDI. We report a new finding that Asian race/ethnicity is a significant risk factor for BDI in laparoscopic and open cholecystectomies.


2009 Annual Report Of Child Deaths In Clark County, Nevada, Nevada Institute for Children’s Research and Policy 2010 University of Nevada, Las Vegas

2009 Annual Report Of Child Deaths In Clark County, Nevada, Nevada Institute For Children’S Research And Policy

Nevada Institute for Children's Research and Policy Reports

In an effort to identify risk factors and prevent future child deaths, in 1992 the State of Nevada joined many other states in mandating Child Death Review Teams. Since that time, both the law and the regional teams throughout Nevada have evolved to facilitate the growing need for collaborative efforts to identify interventions necessary to reduce the rate of child deaths in Nevada. While the primary legislative focus of Nevada Child Death Review Teams has been on addressing fatalities related to child maltreatment and/or involvement with the child welfare system, the teams have expanded their focus to address risk ...


Trends In Undergraduate Teaching Of Parasitology In Medical Schools Of Pakistan, Vikram Mehraj, Taimur Saleem, Saima Lalani, Nadia Sani, Imran Khan, Fatima Afridi, Hina Irfan, Mohammad Asim Beg 2010 Aga Khan University

Trends In Undergraduate Teaching Of Parasitology In Medical Schools Of Pakistan, Vikram Mehraj, Taimur Saleem, Saima Lalani, Nadia Sani, Imran Khan, Fatima Afridi, Hina Irfan, Mohammad Asim Beg

Department of Pathology and Laboratory Medicine

OBJECTIVE: Parasitic diseases are a major public health problem in the tropical and sub tropical countries including the subcontinent region. We aimed to assess methods of Parasitology education in medical schools of Karachi Pakistan.

METHODS: Ten medical schools in Karachi, Pakistan were sent a structured questionnaire collecting information on different aspects of Parasitology education. The collected data was analyzed using SPSS version 14.0.

RESULTS: The response rate of this study was 90%. Majority of the schools in Karachi, Pakistan (78%) taught Parasitology concurrently with Microbiology, Pathology, Pharmacology and Forensic medicine in third and fourth year of undergraduate training. More ...


Nonreciprocal And Reciprocal Dating Violence And Injury Occurrence Among Urban Youth, Monica Swahn, Meltem Alemdar, Daniel J. Whitaker 2010 Georgia State University

Nonreciprocal And Reciprocal Dating Violence And Injury Occurrence Among Urban Youth, Monica Swahn, Meltem Alemdar, Daniel J. Whitaker

Public Health Faculty Publications

Objective: Dating violence is a significant health problem among youth that leads to adverse health outcomes, including injuries. Reciprocal violence (perpetrated by both partners) is associated with increased injury in adults, but very little is known about the prevalence and context for reciprocal violence, as well as injury rates, among youth. We sought to determine the prevalence and scope of reciprocal dating violence and injury occurrence among urban youth in a high-risk community.

Methods: Analyses were based on data from the Youth Violence Survey, conducted in 2004, and administered to over 80% of public school students in grades 7, 9 ...


The Emory Center For Injury Control: Vision And Priorities For Reducing Violence And Injuries Through Interdisciplinary Collaborations, Debra Houry, Abigail Hankin, Monica H. Swahn 2010 Georgia State University

The Emory Center For Injury Control: Vision And Priorities For Reducing Violence And Injuries Through Interdisciplinary Collaborations, Debra Houry, Abigail Hankin, Monica H. Swahn

Public Health Faculty Publications

No abstract provided.


Children At Risk For Suicide Attempt And Attempt-Related Injuries: Findings From The 2007 Youth Risk Behavior Survey, Bethany A. West, Monica H. Swahn, Frances McCarty 2010 Georgia State University

Children At Risk For Suicide Attempt And Attempt-Related Injuries: Findings From The 2007 Youth Risk Behavior Survey, Bethany A. West, Monica H. Swahn, Frances Mccarty

Public Health Faculty Publications

Purpose: The current study examines the associations between a range of risk factors and reports of suicide attempts and attempts requiring medical care in a nationally representative study of high school students. The goal is to examine sex differences in the risk factors associated with suicide attempts and attempt-related injuries requiring treatment by a health-care provider.

Methods: We used data from the 2007 Youth Risk Behavior Survey for students in grades 9-12 to assess the prevalence and risk factors for suicidal behavior, as well as differences in these for boys and girls. Cross-sectional multivariate logistic regression analyses were computed to ...


Program Evaluation Of A Community-Based Door-Through-Door Medical Escort Service, Lauren A. Martin 2010 University of Massachusetts Boston

Program Evaluation Of A Community-Based Door-Through-Door Medical Escort Service, Lauren A. Martin

Gerontology Institute Publications

This report summarizes the program evaluation findings of a Boston-based organization’s Medical Escort program. This “door-through-door” service strives to provide medical transportation, physical assistance, and emotional support to elders on their way to the doctor’s office, during medical appointments and on the way back home again. By offering added assistance the program attempts to remove environmental barriers associated with access to health care. This evaluation combines previously collected program statistics with surveys (32) from program volunteers and phone interviews (78) with recipients.


Effect Of Physical Education Programmes On Health-Related Fitness Components Of Physically Challenged Pupils, Odiango Roselyn Ajwang, Wamukoya E.K., Wycliffe W. Njororai Simiyu 2010 University of Texas at Tyler

Effect Of Physical Education Programmes On Health-Related Fitness Components Of Physically Challenged Pupils, Odiango Roselyn Ajwang, Wamukoya E.K., Wycliffe W. Njororai Simiyu

Health and Kinesiology Faculty Publications and Presentations

Objectives: To evaluate the effect of Physical education (PE) programmes in the improvement of health related fitness variables. Methodology and Results: Health-related fitness levels of persons with physical disabilities who participated in an eight week physical education programme were measured using the project UNIQUE physical fitness test battery of Winnick and Short (1985). The study group comprised of 17 boys and 14 girls from classes five, six and seven. Pre-test and post test design was used in this study. A pretest was carried out two weeks after school opening, from a five week vacation from December to January of 2009 ...


Ultrasonic Attenuation Estimation Of The Pregnant Cervix: A Preliminary Report, Barbara L. McFarlin, Timothy A. Bigelow, Y. Laybed, William D. O'Brien Jr., Michael L. Oelze, J. S. Abramowicz 2010 University of Illinois at Chicago

Ultrasonic Attenuation Estimation Of The Pregnant Cervix: A Preliminary Report, Barbara L. Mcfarlin, Timothy A. Bigelow, Y. Laybed, William D. O'Brien Jr., Michael L. Oelze, J. S. Abramowicz

Electrical and Computer Engineering Publications

Estimates of ultrasonic attenuation (the loss of energy as an ultrasonic wave propagates through tissue) have been used to evaluate the structure and function of tissues in health and disease. The purpose of this research was to develop a method to estimate ultrasonic cervical attenuation during human pregnancy using a clinical ultrasound system. Forty women underwent a cervical scan once during pregnancy with the Zonare® z.one clinical ultrasound system using a 4–9-MHz endovaginal transducer. This ultrasound system provides access to radiofrequency (RF) image data for processing and analysis. In addition, a scan of a tissue-mimicking phantom with a ...


Failure Of Intimate Partner Violence Screening Among Patients With Substance Use Disorders, Esther K. Choo, Christina Nicolaidis, Robert H. Jenkinson, Jessi M. Cox, Kenneth J. McConnell 2010 Alpert Medical School of Brown University

Failure Of Intimate Partner Violence Screening Among Patients With Substance Use Disorders, Esther K. Choo, Christina Nicolaidis, Robert H. Jenkinson, Jessi M. Cox, Kenneth J. Mcconnell

Social Work Faculty Publications and Presentations

Objectives: This study examined the relationship between substance use disorder (SUD) and intimate partner violence screening (IPV) and management practices in the emergency department (ED). Methods: This was a retrospective cohort study of adult ED patients presenting to an urban, tertiary care teaching hospital over a 4-month period. An automated electronic data abstraction process identified consecutive patients and retrieved visit characteristics, including results of three violence screening questions, demographic data, triage acuity, time of visit, and ICD-9 diagnosis codes. Data on management were collected using a standardized abstraction tool by two reviewers masked to the study question. Multivariate logistic regression ...


Review Of Randomized Control Trials Assessing The Efficacy Of Noninvasive Ventilation (Niv) In Acute Hypoxemic Respiratory Failure (Ahrf) In Non-Copd And Non-Trauma Cases, Marja AlYami 2010 Boise State University

Review Of Randomized Control Trials Assessing The Efficacy Of Noninvasive Ventilation (Niv) In Acute Hypoxemic Respiratory Failure (Ahrf) In Non-Copd And Non-Trauma Cases, Marja Alyami

Boise State University Theses and Dissertations

Introduction: In the last two decades, there has been strong evidence supporting the use of noninvasive ventilation (NIV) in COPD cases. While there are advocates in favor of the use of NIV in patients presented with acute hypoxemic respiratory failure (AHRF) non-related to COPD nor chest trauma, efficacy of NIV in these cases is still heatedly debated in the medical research field.

Objective: To critically assess the existing scientific evidence regarding efficacy of NIV as an adjunct therapy, the endotracheal intubation rate, intensive care and hospital length of stay, fatal complications, and mortality rate in patients presented with AHRF in ...


Immune Recognition Of Self Nucleic Acids Driven By Endogenous Antimicrobial Peptides: Role In Autoimmunity, Dipyaman Ganguly 2010 University of Texas Graduate School of Biomedical Sciences at Houston

Immune Recognition Of Self Nucleic Acids Driven By Endogenous Antimicrobial Peptides: Role In Autoimmunity, Dipyaman Ganguly

UT GSBS Dissertations and Theses (Open Access)

Innate immune recognition of extracellular host-derived self-DNA and self-RNA is prevented by endosomal seclusion of the Toll-like receptors (TLRs) in the dendritic cells (DCs). However, in psoriasis plasmacytoid dendritic cells have been found to be able to sense self-DNA molecules in complex with the endogenous cationic antimicrobial peptide LL37, which are internalized into the endosomal compartments and thus can access TLR9. We investigated whether this endogenous peptide can also interact with extracellular self-RNA and lead to DC activation. We found that LL37 binds self-RNA as well as self-DNA going into an electrostatic interaction; forms micro-aggregates of nano-scale particles protected from ...


Chhs September Enewsletter, Dr. John Bonaguro, Dean, VaShon S. Wells, editor, WKU College of Health & Human Services 2010 College of Health & Human Services, WKU

Chhs September Enewsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.


Implementing The 2005 American Heart Association Guidelines, Including Use Of The Impedance Threshold Device, Improves Hospital Discharge Rate After In-Hospital Cardiac Arrest, K Thigpen, Scott Davis, Roberta Basol, Peggy Lange, Sandeep Jain, John Olsen, Bernard Erickson, Timothy Schuchard 2010 St. Cloud Hospital, CentraCare Health,

Implementing The 2005 American Heart Association Guidelines, Including Use Of The Impedance Threshold Device, Improves Hospital Discharge Rate After In-Hospital Cardiac Arrest, K Thigpen, Scott Davis, Roberta Basol, Peggy Lange, Sandeep Jain, John Olsen, Bernard Erickson, Timothy Schuchard

Articles

OBJECTIVE:

To determine the impact of the 2005 American Heart Association cardiopulmonary resuscitation (CPR) guidelines, including use of an impedance threshold device (ITD), on survival after in-hospital cardiac arrest.

METHODS:

Two community hospitals that tracked outcomes after in-hospital cardiac arrest pooled and compared their hospital discharge rate before and after implementing the 2005 American Heart Association CPR guidelines (including ITD) in standardized protocols. In CPR we used the proper ventilation rate, allowed full chest-wall recoil, conducted continuous CPR following intubation, and used an ITD. We compared historical control data from a 12-month period at St Cloud Hospital, St Cloud, Minnesota ...


Polymorphisms In The Macrophage Migration Inhibitory Factor Gene And Bone Loss In Postmenopausal Women, George A. Kuchel, Anne M. Kenny 2010 University of Connecticut School of Medicine and Dentistry

Polymorphisms In The Macrophage Migration Inhibitory Factor Gene And Bone Loss In Postmenopausal Women, George A. Kuchel, Anne M. Kenny

UCHC Articles - Research

Osteoporosis is a severe condition in postmenopausal women and a common cause of fracture. Osteoporosis is a complex disease with a strong genetic impact, but susceptibility is determined by many genes with modest effects and environmental factors. Only a handful of genes consistently associated with osteoporosis have been identified so far. Inflammation affects bone metabolism by interfering with the interplay between bone resorption and formation, and many inflammatory mediators are involved in natural bone remodeling. The cytokine macrophage migration inhibitory factor (MIF) has been shown to affect bone density in rodents, and polymorphisms in the human MIF promoter are associated ...


Specific, Reversible Cytostatic Protection Of Normal Cells Against Negative Effects Of Chemotherapy, Benjamin B. Mull 2010 University of Texas Graduate School of Biomedical Sciences at Houston

Specific, Reversible Cytostatic Protection Of Normal Cells Against Negative Effects Of Chemotherapy, Benjamin B. Mull

UT GSBS Dissertations and Theses (Open Access)

Chemotherapy is a common and effective method to treat many forms of cancer. However, treatment of cancer with chemotherapy has severe side effects which often limit the doses of therapy administered. Because some cancer chemotherapeutics target proliferating cells and tissues, all dividing cells, whether normal or tumor, are affected. Cell culture studies have demonstrated that UCN-01 is able to reversibly and selectively arrest normal dividing cells; tumor cells lines do not undergo this temporary arrest. Following UCN-01 treatment, normal cells displayed a 50-fold increase in IC50 for camptothecin; tumor cells showed no such increased tolerance.

We have examined the response ...


How Should Physicians Practically Approach Symptomatic And Asymptomatic Carotid Stenosis, Maria Khan, Ayeesha Kamran Kamal 2010 Aga Khan University

How Should Physicians Practically Approach Symptomatic And Asymptomatic Carotid Stenosis, Maria Khan, Ayeesha Kamran Kamal

Section of Neurology

No abstract provided.


Single Lung Ventilation In A Young Child For Repair Of Coarctation Of Aorta, Mohammad Hamid, Mansoor Ahmed Khan, Muneer Amanullah 2010 Aga Khan University

Single Lung Ventilation In A Young Child For Repair Of Coarctation Of Aorta, Mohammad Hamid, Mansoor Ahmed Khan, Muneer Amanullah

Department of Anaesthesia

Single lung ventilation in small children is extremely challenging. In this case, a paediatric bronchial blocker was successfully inserted in a 19-month-old child to provide single lung ventilation using a modified insertion technique. It provided excellent working conditions during thoracotomy and our method of insertion may help in reducing the cost.


Chhs August Enewsletter, Dr. John Bonaguro, Dean, VaShon S. Wells, editor 2010 College of Health & Human Services, WKU

Chhs August Enewsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor

College of Health & Human Services Publications

No abstract provided.


Counselor Preferences Of White University Students: Ethnicity And Other Important Characteristics, Yi-Ying Lin 2010 University of Tennessee - Knoxville

Counselor Preferences Of White University Students: Ethnicity And Other Important Characteristics, Yi-Ying Lin

Masters Theses

In the last several decades, multiculturalism has became the one of the most popular research topics in psychology and counseling, and the counselor preferences of ethnic minority clients has been well researched. However, in the history of research on counselor preferences, the needs and preferences of ethnic majority clients have been neglected. This study investigated the counselor preferences of White university students.

This study examined three primary research questions: whether counselor ethnicity influenced White university students’ initial counselor preferences, what were White university students’ preferences for various counselor characteristics, and whether White university students preferred specific counseling styles for different ...


Digital Commons powered by bepress