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The Relationship Of Anti-Mullerian Hormone Levels And Urine Cortisol In Women With Chronic Abdominal Pain, Theresa Hardy, Donna O. Mccarthy, Nicolaas Fourie, Wendy Henderson

College of Nursing Faculty Research and Publications

Context: Persistent and intense stress leads to chronic activation of the hypothalamic-pituitary-adrenal (HPA) axis, placing an individual at increased risk for the development of disease. HPA activity inhibits ovarian functioning, and may contribute to female infertility.

Objective: The objective of the study was to explore the association of HPA activity with ovarian functioning in female participants with and without chronic abdominal pain (CAP).

Design/setting/and subjects: A secondary data analysis was performed using data from female participants in a natural history protocol at the National Institutes of Health. A total of 36 females (19–39 years, mean 27.11) were included in the …

Attachment And Pornography Use: The Influence Of Romantic Attachment Styles, Intimacy, And Pornography Use On Marital Satisfaction, Saudia Twine

Doctoral Dissertations and Projects

The current study sought to answer the following research questions: First, what is the relationship between attachment, intimacy, pornography use, and marital satisfaction? Second, in what ways does intimacy influence marital satisfaction among pornography users with insecure attachment? Finally, is pornography used to regulate attachment emotions among pornography users with insecure attachment? The study revealed that Pornography Use caused an interaction in the relationship between Intimacy and Marital Satisfaction for those higher in Attachment Avoidance. Pornography Use accounted for 3% unique variance on Marital Satisfaction after controlling for Intimacy and Attachment Avoidance. Results also revealed Intimacy had a direct effect …

How Educator Attitudes, Knowledge, And Practice Impact The Academic Achievement Of Students Who Have Epilepsy: A Phenomenological Investigation Of Canadian Secondary School Teachers, Tawnya Fanjoy

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to discover how teacher attitude, knowledge, and practice with epilepsy impact the academic achievement of students who have epilepsy. This study assumed that middle school teachers perceive students diagnosed with epilepsy as lower academic achievers when compared to students who do not have epilepsy. The stigma associated with labels, such as epileptic, can negatively impact the academic performance of children with this disorder. For this study, stigma was generally defined as the negative perceptions about epilepsy held by middle school teachers. The participants included six middle school teachers from the Anglophone West School …

Integrating The Psychological Audit Of Interpersonal Relationships Into Short-Term Pastoral Marital Counseling – Help Or Hindrance?, Floyd Marsh

Doctoral Dissertations and Projects

This research project was undertaken to determine if integrating the Psychological Audit of Interpersonal Relationships (PAIR) test into a short-term pastoral marital counseling model would help or hinder the busy multi-tasking pastor in economizing his time and improving his effectiveness while counseling couples presenting with mild to moderate dissatisfaction. The PAIR test is a relationship compatibility inventory, used by psychologists, physicians, professional counselors, and licensed clinical social workers, which assesses 20 separate dimensions of interest, personality, behavior, attitudes, and values. The research findings of this study strongly suggest that the PAIR test, when integrated into the counseling plan, will help …

Trends In Management Of Neck Of Femur Fracture, Tashfeen Ahmad, Umair Ashraf, Omar Irfan, Zehra Abdul Muhammad

Department of Surgery Docs

Abstract

OBJECTIVE:

To identify trends related to surgical procedure for the management of neck of femur fracture to see how the choice is changing over time in relation to different age groups.

METHODS:

The retrospective audit was conducted at Aga Khan University Hospital, Karachi, and comprised data of all patients who presented with neck of femur fracture from 1995 to 2014. Patients with open fractures and those having external fixators were excluded. Data was retrieved from the hospital database, and analysed using SPSS 17.

RESULTS:

Records of 1039 patients were reviewed. The proportion of patients in the 70+ years age …

Around Campus

DePaul Magazine

Colloquium Celeberates the Continued Relevance of Ida B. Wells-Barnett; Ugandan Activist Highlights Organizations Helping Firls and Women; Inspiration and Research Highlight College of Business Events; Commencement Weekend 2015 Brings the DePaul Community Together; Soccer Player Jake Douglas Reflects on Saving the Life of a Cancer Patients; Trip to France Builds Camaraderie among Men's Basketball Teammates; Fargas Nominated for NCAA Woman of the Year Award; Women's Basketball No. 3 in the Nation in Team GPA; DePaul Leads BIG EAST in Team Academic Excellence; Jenkins Strikes Gold in South Korea; One Theatre World 2015 Conference Spurs Creativity; Expert Decodes Cuneiform Tablets Donated …

Class Notes

DePaul Magazine

Class notes for fall 2015, including a short article of Professor Emeritus Alexander Davis celebrating his 100th birthday, alumni event recaps, and DePaul Pride and photos.

A Commitment To Health Care

DePaul Magazine

Trish Brown Cordes’ (LAS MS ’83) gift to DePaul reflects a major concern she felt during her 43-year career in health care helping patients and families navigate illness and cultural barriers. The Trish Brown Cordes Endowed Scholarship will provide recognition and financial assistance to students in the School of Nursing, dedicated to those who have demonstrated a commitment to work with the Hispanic community.

Necessity Of Analytics In Today’S Healthcare Revenue Cycle, Kristen N. Thomas

Applied Research Projects

Because of the recently growing pressures to improve quality and reduce costs, healthcare organizations are rapidly adopting IT in order to improve their operations and clinical care. As a result, an accumulation of vast amounts of data are becoming available for use. It is important for healthcare to use this data. Strome (2010) states that healthcare analytics is the application of statistical tools and techniques to healthcare-related data in order to study past situations (i.e., operational performance or clinical outcomes) to improve the quality and efficiency of clinical and business processes and performance. With the introduction of healthcare analytical tools, …

The Personal Health Record (Phr): The Effects On Patient Healthcare Outcomes?, Bonita R. Payne

Applied Research Projects

Electronic transmission of data is on the rise, due to the Affordable Care Act and provisions to make healthcare information more accessible, complete, and transparent. The Personal Health Record (PHR) application is a tool used to provide assistance to the goal of patient-centered and patient-centric care. Its purpose is to encourage consumers to become more participatory and informed in their healthcare treatment and healthcare needs. Since its inception, it has been questionable as to whether consumers and providers are seeing any improvements in the services provided or the care rendered. Since, the development and implementation of PHR applications, there has …

Hipaa Violations On Social Media, Tamesha Helen Parris

Applied Research Projects

With the rise of social media networks such as Facebook and Twitter, healthcare professionals and students pursing healthcare careers communicate, collaborate, and network on an array of websites and apps. With the use of social media, the users can reach a large audience in a matter of seconds, with this ease; users can transmit information and has presented challenges in the form of unauthorized disclosure of patient’s health information on social media sites. The purpose of this study is to see if the number of HIPAA violations increased due to the use of social media and what steps are healthcare …

Video Visits: A Closer Look At Patient Satisfaction And Quality Of Virtual Medical Care, Saddia Cheema

Applied Research Projects

Electronic medical services via video visits has revolutionized the delivery of medical care by Physicians and medical staff alike. Its steady evolution and progression towards the future of healthcare has provided insight on how to better serve patients and community members seeking care. This study will explore patient satisfaction and the quality of virtual medical care services provided by Physicians thru video visits as well as the impact of minimizing the spread of communicable diseases. Statistical data was gathered from a major U.S. healthcare company evaluating survey responses as well as feedback provided by member experience who visited with their …

Health Literacy Improves Health Care Quality, Rebecca Cook

Applied Research Projects

A lack of knowledge about health literacy is a cause for quality healthcare concern as the world advances in health information technology. Many patients struggle to understand and navigate their health and well-being as a result of lack of understanding of the treatment plan due to low literacy skills. Several federal policy initiatives promote health literacy as the responsibility of the healthcare organization. Improving health outcomes through health literacy should be a commitment of healthcare organization through providing clear communication, simplified forms, assistance, and even follow-up calls. Three major initiatives will combat health literacy to include the Affordable Care Act; …

Maintaining The Master Patient Index: The Impact Of Patient Registration Processes On Data Integrity, Matthew Biddle

Applied Research Projects

The master patient index is one of the most important components within a healthcare system. It ensures that an individual patient is given a unique identifier that is used across the various separate clinical, financial and administrative systems and ensures that all information about that patient is organized and complete. Ensuring the MPI is accurate is critical since errors can have significant costs- both financially and in terms of patient outcomes. Patient registrars are the first line of defense when it comes to correctly identifying incoming patients and is where many errors in the MPI occur. Errors can be simple …

What Can Pakistan Do To Address Maternal And Child Health Over The Next Decade?, Zulfiqar Ahmed Bhutta, Assad Hafeez

Department of Paediatrics and Child Health

Pakistan faces huge challenges in meeting its international obligations and agreed Millennium Development Goal targets for reducing maternal and child mortality. While there have been reductions in maternal and under-5 child mortality, overall rates are barely above secular trends and neonatal mortality has not reduced much. Progress in addressing basic determinants, such as poverty, undernutrition, safe water, and sound sanitary conditions as well as female education, is unsatisfactory and, not surprisingly, population growth hampers economic growth and development across the country. The devolution of health to the provinces has created challenges as well as opportunities for action. This paper presents …

Do Delays In Surgery Affect Outcomes In Patients With Inter-Trochanteric Fractures?, Adil Aijaz Shah, Santosh Kumar, Amarah Shakoor, Rizwan Haroon Rashid, Shahryar Noordin

Department of Surgery Docs

Abstract

OBJECTIVE:

To study the differences in outcomes of early versus delayed surgery in patients with intertrochanteric fractures.

METHODS:

The retrospective chart review was conducted at Aga Khan University Hospital, Karachi, and comprised data of patients who underwent surgery for intertrochanteric hip fractures from 2005 to 2010. A gap of >48hours between the event and the surgery was considered a delayed procedure and its impact on outcome was assessed.

RESULTS:

Of the 190 patients, 138(72.6%) were in the early group and 52(27.3%) in the delayed group. The most common cause for delay of surgery was electrolyte imbalance in 14(27%) patients. …

Effect Of Clark’S Twin-Block Appliance (Ctb) And Non-Extraction Fixed Mechano-Therapy On The Pharyngeal Dimensions Of Growing Children, Batool A. Haider, Attiya Shaikh, Mubassar Fida

Department of Surgery Docs

Abstract

INTRODUCTION:

Narrow airway dimensions due to mandibular deficiency can predispose an individual to severe respiratory distress. Hence, treatment with mandibular advancement devices at an early age might help improving the pharyngeal passage and reduce the risk of respiratory difficulties. Therefore, the aim of the current study was to evaluate the mean changes in the pharyngeal dimensions of children with mandibular deficiency treated with Clark's twin-block appliance (CTB) followed by fixed orthodontic treatment.

METHODS:

Orthodontic records of 42 children with mandibular deficiency were selected. Records comprised three lateral cephalograms taken at the start of CTB treatment, after CTB removal and …

Pycnodysostosis With Special Emphasis On Dentofacial Characteristics, Aisha Khoja, Mubassar Fida, Attiya Shaikh

Department of Surgery Docs

Abstract

Pycnodysostosis is an autosomal recessive disorder that manifests as osteosclerosis of the skeleton due to the defective osteoclasts mediated bone turnover. The diagnosis of this disorder is established on the basis of its characteristic features and must be differentially diagnosed with other bone disorders. Dental surgeons should be aware of the limitations and possible adverse oral complications such as osteomyelitis of bone in these patients. This will guide them in planning realistic treatment goals. This paper reports the clinical and radiographic features of pycnodysostosis with the great emphasis on its dentofacial characteristics. The aim of this case report is …

Characterization Of L-Type Calcium Channel Activity In Atrioventricular Nodal Myocytes From Rats With Streptozotocin-Induced Diabetes Mellitus, Kathryn H. Yuill, Lina T. Al Kury, Frank Christopher Howarth

All Works

© 2015 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of the American Physiological Society and The Physiological Society. Cardiovascular complications are common in patients with Diabetes mellitus (DM). In addition to changes in cardiac muscle inotropy, electrical abnormalities are also commonly observed in these patients. We have previously shown that spontaneous cellular electrical activity is altered in atrioventricular nodal (AVN) myocytes, isolated from the streptozotocin (STZ) rat model of type-1 DM. In this study, utilizing the same model, we have characterized the changes in L-type calcium channel activity in single AVN myocytes. Ionic currents were recorded …

Rrh Library Newsletter, November 2015, Libraries At Rochester Regional Health

Rochester Regional Health authored publications and proceedings

Newsletter sections include: Patient Experience & Improved Outcomes; Library Liaison Survey; ClinicalKey® Visit; ICD-10; Used Book Sale

Single Stage Bilateral Total Hip Replacement: Is It An Option Or A Risk?, S. A. Quadri, Rizwan Haroon Rashid, Akbar Jaleel Zubairi, Masood Umer, Pervaiz Hashmi

Department of Surgery Docs

Abstract

OBJECTIVE:

To evaluate safety and feasibility of two-stage total hip arthroplasty and to compare it with single-stage procedure.

METHODS:

The retrospective study was conducted at The Aga Khan University Hospital and comprised all cases of total hip replacements between January 2001 and December 2014 that were retrieved from the database using International Classification of Diseases (9th Revision) coding. A standardised questionnaire was completed, including patient demographics, primary diagnosis, peri and postoperative morbidity and mortality. Differences among patients\' data were analysed using chi square test for dichotomous variables and student t-test for continuous variables.

RESULTS:

Of the 48 cases, 34(71%) …

Prophylaxis Against Heterotopic Ossification After Elbow And Acetabular Fractures — Do We Really Need It, Rizwan Haroon Rashid, Irfan Qadir, Waseem Ahmed, Masood Umer

Department of Surgery Docs

Abstract

OBJECTIVE:

To compare the efficacy and safety of prophylactic modalities for heterotopic ossification prevention after elbow and acetabular surgeries.

METHODS:

The retrospective chart review was conducted at the Aga Khan University Hospital and comprised record of patients who underwent open reduction and internal fixation for elbow and acetabular fractures between 2010 and 2013. Data was classified into three groups: Group A patients had received single dose of radiotherapy; Group B patients had received indomethacin, and Group C patients had not received any prophylaxis. Outcome variables included time-to-fracture healing, heterotopic ossification, non-union and wound infection.

RESULTS:

Of the 104patients 70(67.3%) …

Osats For Total Knee Replacement: Assessment Of Surgical Competence In The Operating Room, Shahryar Noordin, Salim Allana

Department of Surgery Docs

No abstract provided.

Effect Of Continuous Passive Motion On Knee Flexion Range Of Motion After Total Knee Arthroplasty, Naveed Baloch, Akbar Jaleel Zubairi, Rizwan Haroon Rashid, Pervaiz Hashmi, Riaz Hussain Lakdawala

Department of Surgery Docs

Abstract

OBJECTIVE:

To compare mean knee flexion in patients on continuous passive motion and those without it after total knee arthroplasty.

METHODS:

The randomised controlled study was conducted at Aga Khan University Hospital, from July 2013 to June 2014, and comprised patients who underwent total knee arthroplasty. Patients were randomly assigned to either group, with Group A receiving standardised physiotherapy from 1st postoperative day, and Group B receiving physiotherapy and one hour of continuous passive motion twice a day from 1st postoperative day until discharge. Outcome assessment was done on the day of discharge.

RESULTS:

Of the 76 patients, there …

Clinic Based Biopsy Vs. Theatre Biopsy Of Bone And Soft Tissue Extremity Tumours: Comparable Diagnostic Modalities, Waseem Ahmed, Masood Umer, Yasir Mohib, Rizwan Haroon Rashid

Department of Surgery Docs

Abstract

OBJECTIVE:

To compare the diagnostic accuracy of clinic-based biopsy versus theatre biopsy against final histopathology in patients presenting with extremity tumours.

METHODS:

The retrospective study was conducted at Aga Khan University Hospital, Karachi, and comprised record of patients who underwent biopsy procedure of extremity tumours from January 2008 to December 2011. Data regarding socio-demographic status, disease-related and procedure-related variables were collected from the files. Histopathology report of biopsy was compared with the final histopathology after definite procedure of the tumour for concordance.

RESULTS:

Of the 87 patients whose records were reviewed, 42(48%) had undergone biopsy in theatre and 45(52%) …

Does Tranexamic Acid Reduce Blood Transfusion Following Surgery For Inter-Trochanteric Fracture? A Randomized Control Trial, Yasir Mohib, Rizwan Haroon Rashid, Moiz Ali, Akbar Jaleel Zubairi, Masood Umer

Department of Surgery Docs

Abstract

OBJECTIVE:

To compare the frequency of blood transfusion after surgery for fixation of inter-trochanteric fractures in patients given tranexamic acid versus placebo.

METHODS:

The randomised control trial was conducted at the Aga khan university hospital from May 1 to October 31, 2014, and comprised patients diagnosed with Inter-trochanteric fracture based on X-ray imaging. The patients were randomised into two equal groups based on a computer-generated random number table. The Intervention group received two doses of 10mg/kg body weight of tranexamic acid just before surgery and three hours later intravenously. The Control group received two doses of 10mg/kg body weight …

Bomb Blast Injuries: Tertiary Care Hospital In-Patient Experience Over The Last 20 Years, Naveed A. Pasha, Raja Samir Khan, Shahryar Noordin

Department of Surgery Docs

Abstract

OBJECTIVE:

To examine the distribution and nature of limb injuries in young bomb blast victimsand their management in a tertiary healthcare setting.

METHODS:

The retrospective study was conducted at the Aga Khan University Hospital, Karachi and data was searched using the University Medical Record Database with International Classification of Diseases-Ninth Revision-Clinical Modification codes for injuries and terrorism between 1990 and 2012. Data regarding injuries, including admission time, hospital stay duration, interventions and mortality, was collected and classified as per the New Injury Severity Score.

RESULTS:

There were 22 patients in the study; 19(86.3%) males and 3(13.7%) females. The mean …

Becoming An Ally: Multi-Family Group Therapy Pilot With Low-Income Families, Julie Virginia Estrella

Loma Linda University Electronic Theses, Dissertations & Projects

The increasing demand for couple and family therapists (CFT) in integrated health care settings requires CFTs to learn to effectively serve low-income families. Resilience literature suggests that building families’ resilience and social support directly impacts a family’s chances for socioeconomic mobility. Multi-family group therapy (MFGT) offers an effective vehicle for increasing resilience and social support. This dissertation examines the link between family resilience and poverty and presents an ecological, solution-focused, family resilience lens applied through a pilot MFGT program, Bouncing Forward Family (BFF) Groups, for low-income families. This dissertation includes two publishable papers, and the first focuses on the BFF …

A Comparison Of Linear And Logarithmic Auditory Tones In Pulse Oximeters, Zoe Brown, Judy Edworthy, J. Robert Sneyd, Joseph Schlesinger

School of Psychology

This study compared the ability of forty anaesthetists to judge absolute levels of oxygen saturation, direction of change, and size of change in saturation using auditory pitch and pitch difference in two laboratory-based studies that compared a linear pitch scale with a logarithmic scale. In the former the differences in saturation become perceptually closer as the oxygenation level becomes higher whereas in the latter the pitch differences are perceptually equivalent across the whole range of values. The results show that anaesthetist participants produce significantly more accurate judgements of both absolute oxygenation values and size of oxygenation level difference when a …

Economic Drivers Of Contemporary Smallholder Agriculture In A Transitional Economy: A Case Study Of Hu Village From Southwest China, Z Hu, S Rahman

School of Geography, Earth and Environmental Sciences

Based on an in-depth case study of a rural community, this paper documents the contemporary state of Chinese smallholder agriculture and the changes that it has been experiencing in the context of dramatic socio-economic transition through the lens of three main economic drivers: livelihood diversification, market conditions and government interventions. Results reveal that the change in Chinese smallholder agriculture has been complex and multidimensional. All three factors exert profound influence and shape the current state of Chinese agriculture. Massive rural-urban migration has resulted in labour shortages, which in turn have led to a reduction in agricultural diversity and land use …