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Accuracy And Consistency Of Radiographic Interpretation Among Clinical Instructors In Conjunction With A Training Program, Sharon K. Lanning, Al M. Best, Henry J. Temple, Philip S. Richards, Alllison Carey, Laurie K. Mccauley

Periodontics Publications

There are inaccuracies and inconsistencies of radiographic interpretation among clinical instructors. The purpose of this investigation was to determine if a training program could improve the accuracy and consistency of instructors’ ratings of bone loss. A total of thirty-five clinical instructors consisting of periodontal faculty (periodontists and general dentists), dental hygiene faculty, and periodontal graduate students viewed projected digitized radiographic images and quantified bone loss for twenty-five teeth into four descriptive categories. Ratings of bone loss were made immediately before (pretest) and after (post-test 1) initiation of the training program and then again three months later (post-test 2). Ratings were …

Menorah Review (No. 64, Winter/Spring, 2006)

Menorah Review

A Poem by Richard E. Sherwin -- An Exceptional Collection -- Author's Reflections -- Hebrew Literature: Translated and Discussed -- Jewish Humor and Jewish Faith -- Reading Writing -- The Uniqueness of American Judaism -- Noteworthy Books

Lactate Versus Non-Lactate Metabolic Acidosis: A Retrospective Outcome Evaluation Of Critically Ill Patients, Kyle J. Gunnerson, Melissa Saul, Shui He, John A. Kellum

Anesthesiology Publications

Introduction

Acid–base abnormalities are common in the intensive care unit (ICU). Differences in outcome exist between respiratory and metabolic acidosis in similar pH ranges. Some forms of metabolic acidosis (for example, lactate) seem to have worse outcomes than others (for example, chloride). The relative incidence of each type of disorder is unknown. We therefore designed this study to determine the nature and clinical significance of metabolic acidosis in critically ill patients.

Methods

An observational, cohort study of critically ill patients was performed in a tertiary care hospital. Critically ill patients were selected on the clinical suspicion of the presence of …

Comparison Of Severity Of Illness Scoring Systems For Patients With Nosocomial Bloodstream Infection Due To Pseudomonas Aeruginosa, Alexandre R. Marra, Gonzalo M. L. Bearman, Richard P. Wenzel, Michael B. Edmond

Internal Medicine Publications

Background

Several acute illness severity scores have been proposed for evaluating patients on admission to intensive care units but these have not been compared for patients with nosocomial bloodstream infection (nBSI). We compared three severity of illness scoring systems for predicting mortality in patients with nBSI due to Pseudomonas aeruginosa.

Methods

We performed a historical cohort study on 63 adults in intensive care units with P. aeruginosamonomicrobial nBSI.

Results

The Acute Physiology, Age, Chronic Health Evaluation II (APACHE II), Sequential Organ Failure Assessment (SOFA), and Simplified Acute Physiologic Score (SAPS II), were calculated daily from 2 days prior …

Acute Brochitis, Richard P. Wenzel, Alpha A. Fowler Iii

Internal Medicine Publications

A 40-year-old man with no underlying lung disease has a 7-day history of mild shortness of breath with exertion, as well as cough that is now productive of purulent sputum. He reports no paroxysms of cough and no contact with ill persons in his community. He does not appear to be in distress. His temperature is 37°C, his pulse 84 beats per minute, and his respiratory rate 17 breaths per minute. On auscultation of the lungs, no rales are heard; scattered wheezes are heard in the lung bases. How should he be evaluated and treated?

Summary and Recommendations

The patient …

Accuracy And Consistency Of Radiographic Interpretation Among Clinical Instructors Using Two Viewing Systems, Sharon K. Lanning, Al M. Best, Henry J. Temple, Philip S. Richards, Alllison Carey, Laurie K. Mccauley

Periodontics Publications

Accurate and consistent radiographic interpretation among clinical instructors is needed for assessment of teaching, student performance, and patient care. The purpose of this investigation was to determine if the method of radiographic viewing affects accuracy and consistency of instructors’ determinations of bone loss. Forty-one clinicians who provide instruction in a dental school clinical teaching program (including periodontists, general dentists, periodontal graduate students, and dental hygienists) quantified bone loss for up to twenty-five teeth into four descriptive categories using a view box for plain film viewing or a projection system for digitized image viewing. Ratings were compared to the correct category …

Deficiency Of Cartilage-Associated Protein In Recessive Lethal Osteogenesis Imperfecta, Aileen M. Barnes, Weizhong Chang, Roy Morello, Wayne A. Cabral, Maryann Weis, David R. Eyre, Sergey Leikin, Elena Makareeva, Natalia Kuznetsova, Thomas E. Uveges, Aarthi Ashok, Armando W. Flor, John J. Mulvihill, Patrick L. Wilson, Usha T. Sundaram, Brendan Lee, Joan C. Marini

VCU Health Publications

Classic osteogenesis imperfecta, an autosomal dominant disorder associated with osteoporosis and bone fragility, is caused by mutations in the genes for type I collagen. A recessive form of the disorder has long been suspected. Since the loss of cartilage-associated protein (CRTAP), which is required for post-translational prolyl 3-hydroxylation of collagen, causes severe osteoporosis in mice, we investigated whether CRTAP deficiency is associated with recessive osteogenesis imperfecta. Three of 10 children with lethal or severe osteogenesis imperfecta, who did not have a primary collagen defect yet had excess post-translational modification of collagen, were found to have a recessive condition resulting in …

Subpicosecond Time-Resolved Raman Studies Of Field-Induced Transient Transport In An Inxga1−Xas-Based P-I-N Semiconductor Nanostructure, K. T. Tsen, Juliann G. Kiang, D. K. Ferry, Hadis Morkoç

Physics Publications

Electron transient transport in an InxGa1−xAs-based (x=0.53) p-i-nnanostructure under the application of an electric field has been studied by time-resolvedRaman spectroscopy on a subpicosecond time scale and at T=300K. The experimental results reveal the time evolution of the electron distribution function and electron drift velocity with subpicosecond time resolution. These experimental results are compared with those of both InP-based and GaAs-based p-i-nnanostructures and provide a consistent understanding and better insight of electron transient transport phenomena in semiconductors.

The Shepherd’S Center Of Richmond: Opportunities For Meaning And Personal Growth Through Service, Linda Frank

Case Studies from Age in Action

Educational Objectives

1. To inform Virginians about The Shepherd’s Center of Richmond, a non-profit service organization by, with, and for older adults.

2. To demonstrate the impact of volunteer service as a means to finding a sense of meaning and purpose in later life.

Parish Nursing: A Vital Piece To The Puzzle Of Care For Older Adults, Donna B. Coffman

Case Studies from Age in Action

Educational Objectives

1. To generate awareness of the emerging practice of faith community/parish nursing and its implications for the overall improvement of health care.

2. To explore specific ways parish nursing can help meet the holistic health needs of older adults in local congregations

Elderfriends: Relieving Loneliness Among Elders, Kiersten Seeger Ware, Sarah Coble

Case Studies from Age in Action

Educational Objectives

1. To discuss social isolation among older adults.

2. To promote awareness of the ElderFriends program, an intervention newly established in greater Richmond

3. To seek friendly visitors for the ElderFriends program.

Brain Health: Mending The Mind After Age 50, Susan Hardwicke

Case Studies from Age in Action

Educational Objectives

1. Increase understanding of brain function and its potential to improve with age.

2. Describe an application of neuroscience, cognitive training, and nutrition for solving a problem associated with aging.

3. Evaluate neural plasticity with aging.

Barriers For Latino Immigrants Seeking Health Care Services, Jennier Ng'andu

2006 Latino Health Summit

At the time of the presentation Ms. Ng'andu was Health Policy Analyst, National Council of La Raza.

This presentation was part of a larger track "Immigrants, Refugees, Asylees and the Undocumented: Understanding Laws that Impact their Health and Well-Being"

From the brochure:

Participants will gain a better understanding of the various status types (e.g., immigrants, refugees) of Latinos residing in the United States and learn how these status types impact individual legal rights. Specific areas to be addressed include employment, bad debt and collections, domestic violence, human trafficking, access to culturally and linguistically appropriate health care services, and access to …

Brochure And Schedule Of Events, Latino Health Summit, Virginia Commonwealth University

2006 Latino Health Summit

Brochure and Schedule of Events, including abstracts for the Latino Health Summit, November 16-17, 2006

Subpicosecond Time-Resolved Raman Studies Of Lo Phonons In Gan: Dependence On Photoexcited Carrier Density, K. T. Tsen, Juliann G. Kiang, D. K. Ferry, Hadis Morkoç

Electrical and Computer Engineering Publications

Subpicosecond time-resolved Raman spectroscopy has been used to measure the lifetime of the LO phonon mode in GaN for photoexcited electron-hole pair density ranging from1016to2×1019cm−3 . The lifetime has been found to decrease from 2.5ps , at low density, to0.35ps , at the highest density. The experimental findings should help resolve the recent controversy over the lifetime of LO phonon mode in GaN.

Nectin-2-Mediated Entry Of A Syncytial Strain Of Herpes Simplex Virus Via Ph-Independent Fusion With The Plasma Membrane Of Chinese Hamster Ovary Cells, Mark G. Delboy, Jennifer L. Patterson, Aimee M. Hollander, Anthony V. Nicola

Microbiology and Immunology Publications

Background

Herpes simplex virus (HSV) can utilize multiple pathways to enter host cells. The factors that determine which route is taken are not clear. Chinese hamster ovary (CHO) cells that express glycoprotein D (gD)-binding receptors are model cells that support a pH-dependent, endocytic entry pathway for all HSV strains tested to date. Fusion-from-without (FFWO) is the induction of target cell fusion by addition of intact virions to cell monolayers in the absence of viral protein expression. The receptor requirements for HSV-induced FFWO are not known. We used the syncytial HSV-1 strain ANG path as a tool to evaluate the complex …

Surgical Infection Society Guidelines For Vaccination After Traumatic Injury, Thomas R. Howdieshell, Daithi Heffernan, Joseph T. Dipiro

Publications from the Office of the Dean

Background: Recommendations for vaccination of injured patients against infection are evolving. Newly-recognized infections, safety considerations, changing epidemiology, and redefinition of patient groups at risk are factors that may influence vaccine development priorities and recommendations for immunization. However, recommendations must often be formulated based on incomplete data, forcing reliance on expert opinion to address some crucial questions. These guidelines provide evidence-based recommendations for the prevention or treatment of infectious morbidity and mortality after traumatic injury, such as soft tissue wounds, human or animal bites, or after splenectomy.

Methods: A panel of experts conducted a thorough review of published literature, …

Medulloblastoma Outcome Is Adversely Associated With Overexpression Of Eef1d, Rpl30, And Rps20 On The Long Arm Of Chromosome 8, Massimiliano De Bortoli, Robert C. Castellino, Xin-Yan Lu, Jeffrey Deyo, Lisa Marie Sturla, Adekunle M. Adesnia, Laszlo Perlaky, Scott L. Pomeroy, Ching C. Lau, Tsv-Kwong Man, Pulivarthi H. Rao, John Y.H. Kim

Radiation Oncology Publications

Background Medulloblastoma is the most common malignant brain tumor of childhood. Improvements in clinical outcome require a better understanding of the genetic alterations to identify clinically significant biological factors and to stratify patients accordingly. In the present study, we applied cytogenetic characterization to guide the identification of biologically significant genes from gene expression microarray profiles of medulloblastoma.

Methods We analyzed 71 primary medulloblastomas for chromosomal copy number aberrations (CNAs) using comparative genomic hybridization (CGH). Among 64 tumors that we previously analyzed by gene expression microarrays, 27 were included in our CGH series. We analyzed clinical outcome with respect to CNAs …

Virginia Commonwealth University Fall Commencement Program [2006], Virginia Commonwealth University

VCU Commencement Programs

No abstract provided.

Internet Safety: Positioning Vcu As A National Leader In Internet Safety, The Grace E. Harris Leadership Institute At Virginia Commonwealth University, Christopher Brooks, Anne Buckley, Kim Isringhausen, Charles Klink, Jeffrey Legg, Shannon Mitchell, Deborah Slayden, Kiersten Ware

The Grace E. Harris Leadership Institute Publications

While a multitude of information from a host of sources exists on how to keep children safe on the Internet, there is not a unified effort to combine it all and get it to the right people. This is not a plan to teach college students about Internet safety. This is a proposal to begin much earlier, targeting middle-school aged children and their parents, many of whom have no idea of the dangers – and opportunities – that exist in cyberspace.

Virginia Commonwealth University Bulletin All Courses [2006], Virginia Commonwealth University

VCU Bulletins

Listing of undergraduate, professional, and graduate courses for 2006-2007.

Organic Anion And Cation Transporter Expression And Function During Embryonic Kidney Development And In Organ Culture Model Systems, Douglas H. Sweet, Satish A. Eraly, Kevin T. Bush, Sanjay K. Nigam

Pharmaceutics Publications

Background

Organic anion and cation transporters (OATs, OCTs and OCTNs) mediate the proximal tubular secretion of numerous clinically important compounds, including various commonly prescribed pharmaceuticals. Here, we examine the ontogeny of these transporters in rat embryonic kidney in detail, both in vivo and in two in vitro organ culture models of kidney development, whole embryonic kidney (WEK) culture and culture of induced metanephric mesenchyme (MM).

Methods

We used QPCR to determine expression levels of transporter genes in rat embryonic kidneys on each day of gestation from ed13 to ed18, in induced and un-induced MM, and on each day of one …

The Impact Of An Hematocrit Of 20% During Normothermic Cardiopulmonary Bypass For Elective Low Risk Coronary Artery Bypass Graft Surgery On Oxygen Delivery And Clinical Outcome – A Randomized Controlled Study [Isrctn35655335], Christian Von Heymann, Michael Sander, Achim Foer, Anja Heinemann, Bruce Spiess, Jan Braun, Michael Krämer, Joachim Grosse, Pascal Dohmen, Simon Dushe, Jürgen Halle, Wolfgang F. Konertz, Klaus-Dieter Warnecke, Claudia Spies

Anesthesiology Publications

Introduction

Cardiopulmonary bypass (CPB) induces hemodilutional anemia, which frequently requires the transfusion of blood products. The objective of this study was to evaluate oxygen delivery and consumption and clinical outcome in low risk patients who were allocated to an hematocrit (Hct) of 20% versus 25% during normothermic CPB for elective coronary artery bypass graft (CABG) surgery.

Methods

This study was a prospective, randomized and controlled trial. Patients were subjected to normothermic CPB (35 to 36°C) and were observed until discharge from the intensive care unit (ICU). Outcome measures were calculated whole body oxygen delivery, oxygen consumption and clinical outcome. A …

Recovering A "Lost" Story Using Oral History: The United States Supreme Court's Historic Green V. New Kent County, Virginia, Decision, Jody L. Allen, Brian J. Daugherity

History Publications

In 1965, New Kent County, located just east of Richmond, Virginia, became the setting for the one of the most important school desegregation cases since Brown v. Board of Education. Ten years after the U.S. Supreme Court declared "separate but equal" unconstitutional, both public schools in New Kent, the George W. Watkins School for blacks and the New Kent School for whites, remained segregated. In 1965, however, local blacks and the Virginia State NAACP initiated a legal challenge to segregated schools, hoping to initiate desegregation where the process had yet to begin and to accelerate the process in areas …

Virginia Commonwealth University Graduate Bulletin [2006], Virginia Commonwealth University

VCU Bulletins

Graduate and professional programs bulletin for Virginia Commonwealth University for the academic year 2006-2007. It includes information on academic regulations, degree requirements, course offerings, faculty, academic calendar, and tuition and expenses for graduate programs.

Virginia Commonwealth University Undergraduate Bulletin [2006], Virginia Commonwealth University

VCU Bulletins

Undergraduate bulletin for Virginia Commonwealth University for the academic year 2006-2007. It includes information on academic regulations, degree requirements, course offerings, faculty, academic calendar, and tuition and expenses for undergraduate programs.

The X-Ray (2006)

The X-Ray (MCV, 1913-2010)

The yearbook of the Medical College of Virginia.

Project Merci (Medical Emergency Response Care Initiative), Grace E. Harris Leadership Institute, Virginia Commonwealth University, Alison Baski, Brian Cassel, Zachary Goodell, Janet Hutchinson, Mary Nugent, Annie Publow, Jacqueline Smith-Mason, Robert Taylor

L. Douglas Wilder School of Government and Public Affairs Publications

This project proposed a program intended to foster a greater sense of community, shared responsibility, and mutual aid within Virginia Commonwealth University. The group members saw an opportunity to develop the expectation that students, faculty and staff will come to one another’s aid, and to provide the tools necessary to help ensure our mutual safety and health. The medical emergencies as an initial project were selected, focusing their research on the current status of CPR and first-aid training and the placement of automated external defibrillators (AEDs) at VCU.

Virginia Dental Journal (Vol. 83, No. 4, 2006)

Virginia Dental Journal

No abstract provided.

Virginia Commonwealth University Commencement Program [2006], Virginia Commonwealth University

VCU Commencement Programs

No abstract provided.