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Nursing Students Critical Thinking And Research Utilization, Salima Moez Meherali, Joanne Profetto-Mcgrath, Pauline Paul

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: In the nursing profession critical thinking (CT) has increasingly been the focus of investigation for the past several years. CT dispositions and skills are valuable in nursing practice. Nurses need complex thinking skills to effectively manage the fast-paced and constantly changing health care environments in which they work. CT is also vital in developing evidence-based nursing practice. Nurses who are disposed to think critically are more likely to critically interpret the available evidence, and able to make high quality judgments and draw valid inferences. Currently, no published studies could be located that specifically examined the relationship between Critical …

Epilepsy In Pakistan: National Guidelines For Clinicians (Part 2), Fowzia Siddiqi, Shaukat Ali, Mughis Sheerani, Tipu Sultan, Shahid Mustafa, Saleem Barech, Haris Majid, Sarwar Siddiqi, Abdul Malik, Mohsin Zaheer, Wasim Akhter, Rasheed Jooma

Pakistan Journal of Neurological Sciences (PJNS)

In 2013 an international taskforce of the ILAE shaped out a communal definition of Epilepsy.(2) This definition is useful for all or most practical purposes, thus more helpful in management. Epilepsy was defined as recurrent unprovoked seizures i.e 2 or more at least 24 hours apart. The revised practical definition implies that Epilepsy can be considered even after a single seizure in individuals who have other factors predictive of a second unprovoked seizure, a risk set at 60%. The factors include the diagnosis of an epilepsy syndrome, structural lesions like stroke, CNS infections, intraparenchymal contusions after trauma, as well as …

Vascular Cognitive Impairment In First Ever Ischemic Stroke Survivors, Sarfraz Ahmed Mahesar, Raheel Ahmed Channa, Alam Ibrahim Siddiqui

Pakistan Journal of Neurological Sciences (PJNS)

Stroke and transient ischemic attacks (TIA) are highly prevalent in Pakistan. Post stroke dementia (PSD) is one of the main causes of dependency in survivors and includes any dementia after a stroke, irrespective of its cause, which includes vascular, degenerative, or mixed. Many Independent survivors have residual physical or cognitive deficits, or behavioral changes which can affect family life and have professional consequences. Study design: Cross sectional study at Department of Neurology CMC Hospital Larkana from Aug-2014 to Jan-2015 to find out frequency of dementia in first ever ischemic stroke patients, its severity and outcome. Methods: Study approved from ethical …

Audit Of Endoscopic Third Ventriculostomy In The Treatment Of Obstructive Hydrocephalus, Hayat Mohammad Khan, Naeemul Haq, Muhammad Usman, Ramzan Hussain

Pakistan Journal of Neurological Sciences (PJNS)

To analyze various aspects of endoscopic third ventriculostomy in the treatment of obstructive hydrocephalus. Material and Methods: This descriptive study was conducted in the Department of Neurosurgery Lady Reading Hospital Peshawar from September 2010 to April 2011. All patients who underwent endoscopic third ventriculostomy were included in the study. Data was analyzed on SPSS version sixteen. Results: Total of 59 patients were included in the study. Thirty two patients were male and 27 were female. Most of the patients presented with headache, vomiting and loss of consciousness. The procedure was successful in 69 percent of cases. Common operative complication was …

Therapeutic Efficacy Of L-Ornithine L-Aspartate In Patients With Hepatic Encephalopathy, Fadieleh Aidrus, Salma Razzaque, Afshan Siddiqui, Ajeet Kumar, M. Ishaq Ghaur

Pakistan Journal of Neurological Sciences (PJNS)

To determine the efficacy of ornithine-aspartate in reducing blood ammonia levels and clinical improvement, as a part of treatment in hepatic encephalopathy. Material & method: A randomized placebo controlled trial was conducted in 2013 in Jinnah medical and dental college hospital Korangi Karachi. One hundred patients with hepatic encephalopathy due to underlying chronic liver disease were randomly assigned into two groups with 50 patients each. One group received three days of ornithine-aspartate infusions (trial-treatment group) and the other group received three days of infusion of placebo (placebo group). Serum ammonia was measured in both groups on day 1 and day …

Serum Calcium And Magnesium Abnormalities In Patients With Status Epilepticus: A Single Centre Tertiary Care Experience, Uzma Jamil, Mazhar Badshah, Ali Zohair Nomani, Muhammad Irshad, Jamal Janjua

Pakistan Journal of Neurological Sciences (PJNS)

Electrolyte imbalances frequently cause seizures, and these seizures may be the sole presenting symptom. Seizures are especially common in patients with sodium disorders, hypocalcemia, and hypomagnesemia. Successful management of patient seizures begins with the establishment of an accurate diagnosis of the underlying electrolyte disturbance, because rapid identification and correction of the disturbance is necessary to control seizures and prevent permanent brain damage. Objectives: To delineate the percentage of people with status epilepticus having calcium and magnesium deficiencies at admission. Methods: The study was carried out from April 2013 to October 2013 at Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan. …

Is Oral Lornoxicam Effective In The Treatment Of Acute Migraine Attacks? : A Randomized-Controlled Study, Murat Cabalar Cabalar, Selcuk Dincer, Suleyman Ozyalcin

Pakistan Journal of Neurological Sciences (PJNS)

The aim of this study was to assess the efficacy of lornoxicam (LNX) in the treatment of acute migraine attacks. Material and Methods: This prospective, randomized, double-blind, placebo-controlled trial was conducted administering either LNX or placebo to patients who were diagnosed with migraine without aura according to the International Headache Society (the year 2004) criteria between 2010 and 2012 Results: Of 44 patients with 120 migraine attacks, 38 were female and rest were males. Mean age was 37.75 ± 9.28 years. Patients recorded using LNX in 87 migraine attacks and placebo in 33 migraine attacks, respectively. Pain intensity scores of …

Efficacy Of Memantine In Treating Patients With Fibromyalgia, Sameen Khalid, Bashir A. Soomro, Zahida Mahmood

Pakistan Journal of Neurological Sciences (PJNS)

To evaluate the efficacy of Memantine as a therapeutic intervention for fibromyalgia. Methods: This clinical trial was conducted between October 2014 and December 2014. A total of 30 subjects with diagnosed fibromyalgia presenting to a private neurology clinic in Karachi, Pakistan were selected through purposive sampling technique. Adult patients belonging to both genders were included in the study. Patients were treated with incremental doses of Memantine. Data was analyzed using SPSS version 20 and associations were made using Chi square test with p-value of less than 0.05 taken as significant. Results: Out of 30 patients, 2 (6.7%) were males and …

Epilepsy In Pakistan: National Guidelines For Clinicians, Fowzia Siddiqui, Tipu Sultan, Shahid Mustafa, Sarwar Siddiqui, Shaukat Ali, Abdul Malik, Zafar Sajjad, Saleem Barech, Rasheed Jooma

Pakistan Journal of Neurological Sciences (PJNS)

Epilepsy is one of the most common chronic neurological disorders requiring prolonged treatments and drugs. According to The World Health Organization (WHO), epilepsy is one of those serious brain disorders that affect not only the individual but has a deep impact on the family and society in general. Approximately 50 million people are affected with epilepsy around the world36, though proper epidemiological studies do not exist for Pakistan it is estimated that the prevalence of epilepsy is 9.99/1000. Highest prevalence is seen in people younger than 30 years of age, i.e. about 2 million people and 1/10th of the world …

Name The Denture: Forensic Prosthodontics, Kusum Yadav, Manu Rathee, Mohaneesh Bhoria

Menoufia Medical Journal

No abstract provided.

Oral Manifestations In Acute Leukemia As The First Sign; The Interdisciplinary Approach Of Diagnosis And Treatment, Paunica Stana, Giurgiu Marina, Dumitriu Anca

Journal of Mind and Medical Sciences

Systemic diseases often present associated oral signs and symptoms, which can occur either from the beginning of the disease or during its evolution. In some cases the oral manifestations reveal an undetected and severe disease, like leukemia. According to the encountered oral signs and symptoms and their response to topical/ dental treatment, the dentist and physician should take into account specific additional tests, which could highlight a possible associated systemic disease.

The most frequent oral manifestations associated with leukemia are represented by paleness of oral mucosa/ local abnormal colour of the gum, gingival petechiae, ecchymosis, bleeding associating painless gingival hyperplasia, …

Solving The Mind-Body Problem Through Two Distinct Concepts: Internal-Mental Existence And Internal Mental Reality, Ion G. Motofei, David L. Rowland

Journal of Mind and Medical Sciences

In a previous published paper, we initiated in this journal discussion about new perspectives regarding the organization and functioning of the mind, as a premise for addressing the mind-body problem. In this article, we continue focussing discussion on two distinct but interrelated concepts, internal-mental existence/ entity and internal-mental reality.

These two psycho-physiological subunits of the mind interact each other in the form of an internal-mental interaction, having no sense if one is isolated/ studied separately from the other. In other words, the mind (as a dynamic psycho-physiological construction) has no sense in the absence of this internal mental interaction that …

Impact Of The Georgia Charitable Care Network On Cost Savings From Lowering Blood Pressure And Decreasing Emergency Department Use, Phaedra Corso, Rebecca Walcott, Justin Ingels

Journal of the Georgia Public Health Association

Background: The Georgia Charitable Care Network (GCCN) is a non-profit organization whose primary mission is to foster collaborative partnerships to deliver compassionate health care to low-income, uninsured individuals. Hypertension screening and management is a service provide by 90+ clinics in the GCCN statewide.

Methods: With data from N=1661 patients who were screened and treated for hypertension at n=12 clinics in 2013, the impact of hypertension management on blood pressure levels, the incidence of coronary heart disease (CHD) and stroke, and utilization of emergency departments (EDs) were examined. The resulting changes in healthcare utilization were converted to changes in healthcare costs …

Experiences With The Streptococcus Mutans In Lakota Sioux (Smiles) Study: Risk Factors For Caries In American Indian Children 0-3 Years, David R. Drake, Deborah Dawson, Katherine Kramer, Amy Schumacher, John Warren, Teresa Marshall, Delores Starr, Kathy Phipps

Journal of Health Disparities Research and Practice

Severe Early Childhood Caries (S-ECC) is a terribly aggressive and devastating disease that is all too common in lower socio-economic children, but none more so that what is encountered in American Indian Tribes. Nationwide, approximately 27% of 2-5 year olds have decay while 62% percent of American Indian/Alaska Native children in the same age group have a history of decay (IHS 2010, NHANES 1999-2002). We have conducted a study of children from birth to 36 months of age on Pine Reservation to gain a better understanding of the variables that come into play in the development of this disease, from …

Jeffhope News-Fall 2015

JeffHOPE News

Issue includes:

• HIV Rapid Testing
• Clinic at a Glance
• JeffHope Research Projects
• Questions and Answers with Dr. Dave Manoff and Dr. Tori Rose
• The Directors and Committee members reflect on their JeffHOPE experiences
• How would you describe JeffHOPE in one word?
• Alumni Corner

Fall 2015

Scientia

Prairie prep; Chicago Wildsounds listens for ecosystem health; Up, up and away; Fulbright Travelogue: Health care in Fortaleza, Brazil; New course explores the Pope's encyclical on the environment; A "scent-sational" career in the flavor and fragrance industry; Lab notes; Paying tribute

Efficiency Of Mitis Salivarius Bacitracin Agar Stored For 4 Weeks For Isolation Of Mutans Streptococci From Human Saliva, Bunjird Yapong, Sissada Tunnukit, Suwanna Jitpukdeebodintra

Chulalongkorn University Dental Journal

Objective The aim of this study was to compare the efficiency of Mitis salivarius bacitracin agar that were stored for 1,3 and 4 weeks Materials and methods The paraffin stimulated saliva samples were collected from 20 individuals. The samples were plated onto MSA and MSB media that were stored at 4°C for 1, 3 and 4 weeks by spread plate method. Results The viable count of mutans streptococci on Mitis salivarius bacitracin agar medium that were stored at 4°C for 1, 3 and 4 weeks were not significantly different. Mutans streptococci grown on these media displayed typical colony morphology and …

Effect Of The Enamel Conditioners On Initial Shear Bond Strength Of Resin-Modified Glass Ionomer Adhesive To Enamel, Nattaporn Laotaveerungrueng, Paiboon Techalertpaisarn

Chulalongkorn University Dental Journal

Objective To study the effect of different enamel conditioners on initial shear bond strength of resinmodified glass ionomer adhesive to enamel. Materials and methods Fifty five human premolars were divided into 5 groups (11 samples for each group). Group 1, 2, 3 and 4 (Experimental groups) were conditioned with no conditioner, 20% polyacrylic acid, 37% phosphoric acid and self-etching primer, respectively and the brackets bonded with resinmodified glass ionomer adhesive (Fuji ortho LC). Group 5 (Control group) was conditioned with 37% phosphoric acid and the brackets bonded with composite resin adhesive (Transbond XT). After light activation for 5 minutes, shear …

Challenges In Complete Denture Fabrication: Opinions And Experiences Of Postgraduate Students, Kultida Raksinkant, Napa Sukjai Suansuwan, Waranuch Pitiphat

Chulalongkorn University Dental Journal

Objectives Limited information is available on prosthodontic postgraduate studentsû views regarding complete denture education. This study aimed to investigate the opinions and experiences of Thai prosthodontic postgraduate students toward complete denture laboratory practice. Materials and methods A self-administered questionnaire was mailed to all dentists who currently enrolled in prosthodontic postgraduate programs in Thailand during the academic year 2012. The questionnaire consisted of close-and open-ended questions on opinions and experiences related to laboratory work in complete denture fabrication. Results The response rate was 95 percent. Majority indicated that, among all laboratory procedures, posterior teeth arrangement was the most difficult (82%), most …

Fluid Emerging From Etched And Unetched Dentin Surface Under Carious Lesions In Primary Mandibular Second Molars, Monsiri Nardkosa, Varisara Sirimaharaj, Sitthichai Wanachantararak

Chulalongkorn University Dental Journal

Background: Only a limited number of reports existed about fluid flow through dentin in primary teeth, none of them were studied in carious dentin in vivo. Objectives: To study the dentinal fluid flow on both etched and unetched dentin surfaces beneath carious lesions of vital primary mandibular and second molars by using impression and replica technique. Materials and Methods: Thirty primary lower second molars were included in this study. They were divided into 3 groups according to the depth of the carious lesions. The teeth were anesthetized with 3% plain mepivacaine. Caries was removed with standard procedure. A silicone impression …

A Comparison Of The Push-Out Bond Strength Between Dual Polymerized Core Build-Up Composite And Total-Etch Resin Luting Cement For Prefabricated Fiber Post, Maytinee Vivathanasittiphong, Napapa Aimjirakul, Teerachai Limlawan

Chulalongkorn University Dental Journal

Objectives: Compare the push-out bond strength of a dual-cured core build-up resin composite and dual-cured resin cement using total-etch adhesive for bonding fiber post to root canal dentin. Materials and Methods: Sixty extracted single-rooted human premolars were sectioned transversely in mesiodistal direction 2 mm coronal to cementoenamel junction, standard endodontically treated, post space prepared and randomly divided into two groups (n=30). Group 1 fiber posts were luted with a total-etch resin cement (Variolink® II) and group 2 were luted with a composite resin core build-up material (Luxacore® Z-Dual) using total-etch adhesive system. All roots were cut transversely into 3 sections …

Single Nucleotide Polymorphisms Associated With Angleûs Class I And Iii Occlusal Relationship In Thais With Thyrotoxic Hypokalemic Periodic Paralysis, Jaijam Suwanwela, Virunpat Nitipong, Naruborn Ongprakobkul

Chulalongkorn University Dental Journal

Objective To identify single nucleotide polymorphisms (SNPs) that associated with different occlusal relationship in a group of Thai population. Materials and Methods One hundred and sixty unrelated Thai subjects†who participated†in Ramathibodi GWAS study for thyrotoxic hypokalemic periodic paralysis (TTPP) (Jongjaroenprasert, 2012) were selected. The subjects that were 20 years old and above with at least a pair of untilted permanent first molars or canines were selected from these subjects. Seventeen subjects met these criteria in our study.† Angleûs/canine classification of subjects were observed† both intraorally and from diagnostic models. Eight hundred and sixty four† human active SNPs from 28 related …

Dental Extraction Is Probably Safe For Patients With Thrombocytopenia: The Standard Of Care Is A Guide For Clinical Decision Making Related To Platelet Transfusion., Phillip So

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Fillmore WJ, Leavitt BD, Arce K. Dental extraction in the thrombocytopenic patient is safe and complications are easily managed. J Oral Maxillofac Surg. 2013 Oct;71(10):1647-1652. doi:10.1016/j.joms.2013.05.011.

Attitudes Toward Death Anxiety And Dying Among Respiratory Therapy Students: A Pilot Study, Kevin Collins, S. Gregory Marshall, Philip Vaughan

Internet Journal of Allied Health Sciences and Practice

Objective: To evaluate relative and absolute reliability and repeatability in assessing median nerve mobility at the level of the wrist and distal upper arm of the right upper extremity during wrist extension. Methods: Six healthy participants participated in the study. Median nerve mobility was captured three times at both sites using Sonocyte Turbo by two sonologists for a total of 72 video clips (36 for each site and 18 by each sonologist). Longitudinal movement was measured using Motion Tracking Analysis Program (MTAP) by the two assessors who were rehabilitation medicine residents. After one month, the assessors remeasured the longitudinal excursion …

Challenges In Certification And Credentialing Of Pakistani Physicians In Middle East, Abdul Malik

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.

A Cost Analysis Of The 1-2-3 Pap Intervention, Kristina M. Rabarison, Rui Li, Connie L. Bish, Robin C. Vanderpool, Richard A. Crosby, Mehran S. Massoudi

Frontiers in Public Health Services and Systems Research

Background: Cervical cancer places a substantial economic burden on our healthcare system. The three-dose human papillomavirus (HPV) vaccine series is a cost-effective intervention to prevent HPV infection and resultant cervical cancer. Despite its efficacy, completion rates are low in young women aged 18 through 26 years. 1-2-3 Pap is a video intervention tested and proven to increase HPV vaccination completion rates.

Purpose: To provide the full scope of available evidence for 1-2-3 Pap, this study adds economic evidence to the intervention’s efficacy. This study tested the economies of scale hypothesis that the cost of 1-2-3 Pap intervention per number of …

Determination Of Dioctyl Phthalate (Dehp) Concentration In Polyvinyl Chloride (Pvc) Plastic Parts Of Toothbrushes, Ghazal Sadeghi, Elham Ghaderian, Anne O'Connor

The Downtown Review

Phthalates are chemicals that are widely used in daily products and polyvinyl chloride (PVC) plastics, mainly because of their ability to enhance flexibility and durability. The presence of phthalates in various products contributes to the substantial exposure that all consumers may experience. Continuity in phthalate exposure has several side effects, including endocrine disruption, neurological damage, asthma, hormonal imbalances, obesity, infertility, genital defects, and testicular cancer. The purpose of this research experiment was to determine the Dioctyl phthalate (DEHP) concentration of PVC plastic parts of toothbrushes. The method used to conduct the experiment was Gas Chromatography/Mass Spectrometry. The result showed that …

Refugee Health And The Kentucky Global Health Center, Rahel Bosson, Ruth M. Carrico

Journal of Refugee & Global Health

In this University of Louisville Grand Rounds lecture, Drs. Rahel Bosson and Ruth Carrico give an overview of the real struggle of the refugee population and provide an update of the current state of refugee health in Kentucky.

They also provide an overview of the Global Health Initiative at University of Louisville, which includes the follow programs: HIV/AIDs, Refugee Health and Immunization, Vaccine and International Travel and Global Health Research Support.

The talk concludes looking to the future with a comprehensive Global Health Center composed of improving refugee orientation and EMR, healthcare worker education, developing guidelines, and bettering our surveillance …

Gold Mining And Unequal Exchange In Western Amazonia: A Theoretical Photo Essay, Gordon L. Ulmer

disClosure: A Journal of Social Theory

I combine fieldwork photography and ethnographic documentation of gold mining in Madre de Dios, Peru, to examine the localized material, social, environmental, and health outcomes of the global gold boom. This 'theoretical photo essay’ examines how local and global forces coalesce around gold mining and influence peoples and environments in Western Amazonia. I use embodiment theory in anthropology, ecological economics, and theories of underdevelopment to understand local consequences of the global gold trade and to elucidate how opulence and the machinations of capital accumulation in economic centers of the world occur at the expense of human lives and environments in …

Accuracy Of Linear Measurements In Stitched Versus Non-Stitched Cone Beam Ct Images, Preeyaporn Srimawong, Anchali Krisanachinda, Jira Chindasombatjaroen

Chulalongkorn University Dental Journal

Objective To assess the accuracy of linear measurements from stitched and non-stitched cone beam computed tomography (CBCT) images in comparison to direct measurements. Materials and methods Ten dry human mandibles were marked with gutta-percha at reference points to obtain five vertical and five horizontal distances. CBCT using stitching and non-stitching programs were performed. All distances on CBCT images obtained using stitching and non-stitching programs were measured and compared with direct measurements. The intraclass correlation coefficients (ICCs) were calculated. Results The intraobserver ICCs of direct measurements were 0.998 to 1.000, and those of measurements on both non-stitched and stitched CBCT images …