Digital Commons Network^™

Clinical Images - An Incidental Ekg, Ellen A. Thompson, Md, Mark A. Studeny, Md

Marshall Journal of Medicine

A routine employment stress test reveals Brugada syndrome, a rare abnormality.

Velamentous Cord: A Dangerous Case Complicated By A Rural Population, Adam Franks, Md, Carolyn Curtis, Md, Shawndra Barker, Md

Marshall Journal of Medicine

A velamentous cord insertion occurs when the umbilical cord’s Wharton jelly fails to reach the placenta, due to early placental atrophy around the insertion site, leaving a segment of unprotected vessels running through the thin membranes of the amniotic sac. This area of weakness exposes a threat to the well-being of the fetus through acute hemorrhage and both acute and chronic restriction of nutrition. With advances in technology, resolution capabilities of ultrasounds allow for antenatal diagnosis, when previously this was impossible. With this knowledge, considerations for screening and management of this pathology are essential when dealing with a rural population …

Pregnancy Induced Microangiopathy, Hellp Or Ttp!, Ahmed Amro, Md, Alaa Gabi, Md, Zeid J. Khitan, Md

Marshall Journal of Medicine

Introduction: Thrombotic thrombocytopenic purpura (TTP) in pregnancy is rare and can be fatal if misdiagnosed.Typically patients present with microangiopathic hemolytic anemia, thrombocytopenia, Altered mental status, fever, and renal abnormalities

Case Description:

We are presenting a case of 26 year old pregnant female presented with elevated BP. She had scattered Bruises in her legs, thighs and arms along with +2 bilateral pitting leg edema. Initial and subsequent laboratory studies showed features of microangiopathic hemolytic anemia (MAHA), which brought up the suspicion of HELLP (hemolysis, elevated liver enzymes, low platelets )syndrome initially. Labor was induced after transfusion of 2 units of PRBCs …

Alkali Therapy In Lactic Acidosis, Zeid J. Khitan, Md, Deepak Malhotra, Md, Dominic S. Raj, Md, Antonios H. Tzamaloukas, Md, Joseph I. Shapiro, Md

Marshall Journal of Medicine

This report attempts to frame the debate about clinical administration of sodium bicarbonate in the setting of lactic acidosis in terms of simple questions. Specifically, we address why we develop lactic acidosis in some circumstances, how acute lactic acidosis impairs cardiovascular function and why sodium bicarbonate may have deleterious effects which limit its utility. We also attempt to explore treatment alternatives to sodium bicarbonate.

The Challenges Of Exploring The Impact Of Genogram Construction On An Appalachian Family's Health Consciousness, Dilip Nair, Md, Indira Bhavsar, Nafeeza Hussain

Marshall Journal of Medicine

Abstract

Purpose

Appalachians exhibit high rates of chronic disease-related behaviors which might improve with heightened health consciousness. Knowing one's family history can be an important health maintenance tool. Appalachians' health attitudes are shaped in large, closely knit extended families in which matriarchs play central roles. We sought assistance from West Virginian grandmothers in a family medicine practice in engaging their extended families with their genogram to assess the impact on family members' level of health consciousness.

Methods

The family physician identified West Virginian grandmothers in his practice. We sent each of them invitations to participate, along with their extended family, …

Topical Administration Of Psychotropic Medications In Pluronic Lecithin Organogel To Treat Patients With Dementia: A Retrospective Observational Study, Cornelius W. Thomas, Md, Suzanne Holroyd, Md. Chair, Department Of Psychiatry

Marshall Journal of Medicine

OBJECTIVE: Treatment of mood and behavioral symptoms in geriatric patients with advanced dementia may be impeded by poor compliance with oral medications. Pluronic lecithin organogel (PLO) is a compounding substrate that can be used for the topical administration of psychotropic medications.

METHODS: Charts of patients treated with psychotropic medications compounded with PLO cream were reviewed for treatment outcomes. All patients were treated by a nursing home outreach service.

RESULTS: Records from twenty-four patients, mean age 86.8 + 5.9, were reviewed. Common psychiatric symptoms included agitation, aggressive behavior, and depression. Medications most commonly administered as a PLO cream included quetiapine and …

A Case Control Study Of Nutrient Intake Deficiencies In Patients Taking Warfarin, Philip Riley Iv, Kim Lucas Day, Md, George M. Yousef, Md, Sirisha Devabhaktuni, Md, Ashley N. Gaing, Lynne J. Goebel, Md

Marshall Journal of Medicine

Introduction

We previously published the case of a woman taking warfarin who was found to have scurvy, a disease caused by a deficiency of vitamin C. This led us to hypothesize that patients taking warfarin who consume a diet limited in vitamin K rich foods may be at risk for other nutrient deficiencies. To test our hypothesis, we studied dietary nutrient intake in patients taking warfarin compared to patients with heart disease not taking warfarin.

Methods

The warfarin (n=59) and control groups (n=24) comprised convenience samples of patients with heart disease over age 60 years. Patients completed a three-day food …

Cross-Sectional Survey Of Relevant Literatures As To The Current Proposed Disease Mechanisms And Treatments Of Amyotrophic Lateral Sclerosis (Als), Zachary Sanford

Marshall Journal of Medicine

Amyotrophic Lateral Sclerosis (ALS), more commonly referred to as Lou Gehrig’s disease, is a progressively degenerative neuromuscular disorder affecting both the upper and lower motor neurons and preferentially affecting males in their forties to seventies. Although the pathology of ALS has been clearly elucidated elsewhere, the precise mechanisms by which the disease progresses and the means by which it is acquired are still poorly understood areas of medicine. Current genomic and proteomic studies in human and animal models have yielded exciting and promising new findings that may help elucidate this pathology. It is the purpose of this review article to …

Interrater Variability In Identifying Ventilator Associated Pneumonia Using Six Different Definitions, Ahmad Nusair, Md, Balwinder Singh, Md, Ms., Shifang Ding, Md, Phd., Ognjen Gajic, Md, Guangxi Li, Md

Marshall Journal of Medicine

Objective

There is no widely accepted standard definition for Ventilator Associated Pneumonia (VAP). The reliability of the current definitions in use remains controversial. Our objective was to assess the reliability of six commonly used VAP definitions: The Loose, The Rigorous, The Modified Clinical Pulmonary Infection Score (CPIS), The Canadian Critical Care Trials Group (CCCTG), The International Sepsis Forum Consensus (ISFC) and The Center for Disease Control and Prevention (CDC).

Design

We examined the electronic health records of all the consecutively admitted adult patients at our institution who received invasive mechanical ventilation (IMV) for ≥ 48 hours, from January 2006 through …

Challenge 2: Community Resilience In Dania Beach, Samantha Danchuk

Coastal Resilience Workshop

Representatives from Broward County Government and the U.S. Geological Survey provided a multidisciplinary audience with four challenge questions. Following a Sea Level Rise Expedition on October 26, 2015, natural and social scientists and managers from the local area participated in the scenario-based workshop at the Broward County Governmental Center. Attendees tackled issues related to the recurring flooding caused by sea level rise and issues surrounding a scenario that included an increasing frequency of severe storms associated with climate change. Challenge questions helped the researchers to discuss natural and nature-based approaches capable of improving the quality and resilience of economic, ecologic, …

Social Vulnerability And Community Disaster Resilience In The Southeast United States, Chris T. Emrich

Coastal Resilience Workshop

No abstract provided.

Looking Back: Publication Of A Seminal Book In Basque Studies Amerikanuak: Basques In The New World

BOGA: Basque Studies Consortium Journal

Amerikanuak was first published in 1975 and it marked a pioneering study of one of the American West's most important ethnic minorities, providing an engaging, comprehensive survey of Basque migration and settlement in the Americas. Its value endures as an essential introduction to the history of the Basque people and their five centuries of involvement in the New World. The surviving author, and dean of Basque Studies, William A. Douglass (Professor emeritus of the University of Nevada, Reno) agreed to an interview as we look back on the continuing influence of this seminal book in Basque Studies.

No Country For Old Men?: The Non-Preclusive Effect Of The Age Discrimination In Employment Act On § 1983 Age Discrimination Claims, Lauren Tauro

St. John's Law Review

(Excerpt)

This Note argues that the ADEA should not be interpreted to preclude § 1983 constitutional claims for age discrimination in employment. Part I of this Note discusses the history and development of the statutory schemes that provide protection for employees against age discrimination in the workplace: § 1983 of the Civil Rights Act and the ADEA. Part II reviews relevant case law explaining the arguments for and against § 1983 preclusion to illustrate the interaction between § 1983 and the ADEA. Finally, Part III provides an equitable approach for courts to use to analyze § 1983 claims for age …

The Shortcomings Of New York's Long-Arm Statute: Defamation In The Age Of Technology, Robert D. Nussbaum

St. John's Law Review

(Excerpt)

This Note suggests that the New York legislature amend New York's long-arm statute so that it no longer excludes the tort of defamation as a basis for long-arm jurisdiction. Part I provides a brief background and history of jurisdiction and longarm statutes in general. It also focuses on New York's statute more specifically. Part II focuses on the arguments for excluding acts of defamation from long-arm jurisdiction and compares New York's statute to those of other states. Finally, Part III examines the different policy reasons for changing the statute and argues that such a change will not offend Due …

Crimes Involving Moral Turpitude: In Search Of A Moral Approach To Immoral Crimes, Patrick J. Campbell

St. John's Law Review

(Excerpt)

This Note seeks to demonstrate that the term "moral turpitude" is sufficiently ambiguous to warrant judicial deference to the Attorney General's opinion in Silva-Trevino. Part I explains the origins of "crimes involving moral turpitude" as grounds for removal and inadmissibility, and how courts have historically defined which crimes fit within this category. Even though courts do not dispute the general definition of moral turpitude, this Note explains how legislation that centers on subjective issues like morality is inherently ambiguous. Part II explains the shortfalls of the approach derived from case law prior to Silva-Trevino, largely because of …

Fragmenting The Community: Immigration Enforcement And The Unintended Consequences Of Local Police Non-Cooperation Policies, Natashia Tidwell

St. John's Law Review

(Excerpt)

Part I traces the historical roots of the relationship between local police and federal immigration authorities, beginning with the changes in enforcement strategy precipitated by the September 11, 2001 attacks and leading up to the launch of S-Comm. The federal government's increased reliance on local police to supplement its internal enforcement efforts has raised several Tenth Amendment concerns as the states struggle to define the proper scope of their "inherent authority" to act in immigration matters, with officials in some so-called sanctuary cities insisting that their inherent authority to enforce federal immigration law is commensurate with the sovereign right …

Challenge 1: Roles Of Universities In Resilience Planning And Emergency Response/Preparation, Miguel Ascarrunz

Coastal Resilience Workshop

Representatives from Broward County Government and the U.S. Geological Survey provided a multidisciplinary audience with four challenge questions. Following a Sea Level Rise Expedition on October 26, 2015, natural and social scientists and managers from the local area participated in the scenario-based workshop at the Broward County Governmental Center. Attendees tackled issues related to the recurring flooding caused by sea level rise and issues surrounding a scenario that included an increasing frequency of severe storms associated with climate change. Challenge questions helped the researchers to discuss natural and nature-based approaches capable of improving the quality and resilience of economic, ecologic, …

Kick-Off Presentation: Climate Resiliency Challenges And Planning In Broward County, Jennifer L. Jurado

Coastal Resilience Workshop

No abstract provided.

Distribution And Habitat Analysis For Freshwater Turtles Of River Indus And Some Of Its Tributaries In Khyber Pakhtunkhwa And Punjab, Pakistan, Malik Ghulam Sarwar, Fakhar -I- Abbas, Inayat Ali Shahjehan

Journal of Bioresource Management

This study was conducted to investigate the relative abundance and habitat analysis of freshwater turtles of Pakistan. Eighty two individuals of seven species of turtles at sixteen different sites in River Indus and some of its tributaries in Khyber Pakhtunkhwa (KP) and Punjab were recorded; these include both soft and hard shell freshwater turtles. The species documented were, Kachuga smithii, Kachuga tecta, Geoclemys hamiltonii, Aspideretes gangeticus, Aspideretes hurrum, Chitra indica and Lissemys punctata. The L. punctata was the most common, with relative frequency (RF) of 24.4%, followed by A. gangeticus (18.3%), A. hurum (17.1%), C. indica (17.1%), K. smithii (12.2%), …

A Study Of Dna Protective Ability Of Peels Of Different Citrus Species, Nehrish Nisar, Kainaat William, Azra Khanum

Journal of Bioresource Management

The aim of the present study was to assess the DNA protection ability, free radicals scavenging activity, and phytochemical constituents of peel extracts of various species of citrus. Results showed the presence of carbohydrates, amino acids, glycosides, tannins, steroids and alkaloids. DNA protection assay showed maximum protection with methanolic extracts of peels of C. limon, C. reticulata, C. aurantium and C. sinensis as compared to C. limetta which showed less protection. DPPH assay used to assess the antioxidants showed the highest activity in the methanolic extract of peels of C. reticulata and C. aurantium with 75% and 86% respectively at …

Naphthalene Acetic Acid And Benzylaminopurine Enhance Growth And Improve Quality Of Organic Spinach In Kitchen Gardens, Duad Ahmed Awan, Faheem Ahmad, Sharmin Ashraf

Journal of Bioresource Management

The present study was conducted at the Kitchen Gardening Training Centre, Faisalabad, Pakistan to evaluate the effect of the plant growth regulators Naphthalene Acetic Acid (NAA) and Benzylaminopurine (BAP), on the growth and yield of organic spinach (Spinacia oleracea L.) in kitchen gardening. Different combinations and concentrations of NAA and BAP were tested to evaluate different vegetative parameters. The data were recorded at 40 and 60 days after sowing (DAS). Maximum plant height at 40 DAS was recorded for the combined effect of NAA and BAP at a concentration of 1000 μM (each), while BAP alone at 100 μM concentration …

Susceptibility Of Nppa And Il6 With Type 2 Diabetes And Hypertension In Punjab, Pakistan, Andleeb Batool, Riffat Iqbal, Maryam Mukhtar, Hong Xue

Journal of Bioresource Management

Type 2 Diabetes (T2D) and Hypertension are the major health issues affecting quality of life of young ages throughout the world, especially the third world countries facing more complications with diabetes due to poor disease management. The present study was conducted to explore the association of genetic polymorphism with T2D and hypertension in the Punjabi population. The case control study was conducted comprising of 288 patients (118 male, 170 female) and 170 controls (104 male, 66 female). The selected genes along SNPs were NPPA (rs5064 G>A, rs5063 C>T) and IL6 (rs1800796 C>G). DNA was amplified by Nested …

Performance Of Exotic Tulip Cultivars Under Agro-Climatic Conditions Of Peshawar, Muhammad Ali, Abdul Mateen Khattak, Kalim Ullah, Muhammad Ibrahim

Journal of Bioresource Management

The performance of ten exotic tulip cultivars under agro-climatic conditions of Peshawar was studied at Ornamental Nursery, Department of Horticulture, The University of Agriculture Peshawar, Pakistan during the year 2013-14. The experiment was laid out in Randomized Complete Block (RCB) Design with three replications. Ten cultivars of tulips viz., Bastogne, Don Quichotte, China Town, White Dream, Red Riding Hood, Mascotte, Orange Angelique, Strong Gold, Rajka and Romantic Sunset were tested for their performance. Significant differences (P≤0.05) were observed among the cultivars regarding various parameters. The cultivar “Don Quichotte” produced the maximum number of leaves per plant (8.1), bulbs per plant …

Transgenic Soybean Plants Expressing Asoybean Homolog Of Glycine-Rich Protein 7 (Grp7) And Exhibiting Improved Innate Immunity, James R. Alfano, Anna Joe, Thomas E. Clemente, Zhengqing Fu, Ming Guo, Byeong-Ryool Jeong, Thomas Elthon

Department of Plant Pathology: Faculty Publications

This disclosure provides for transgenic Soybean plants expressing a soybean homolog of glycine-rich protein 7 (GRP7) and exhibiting improved innate immunity and meth ods of making Such plants.

Inform, Expand, And Focus: Using The Concept Of Pre-Research In Information Literacy Instruction, Natalie Bishop, Laurie Baumgardner

Dover Library Faculty Professional Development Activities

Pre-Research is an early stage research strategy that allows students the opportunity to inform, expand, and focus their knowledge about a chosen topic. We utilize Credo Reference as a way to ease students into the research process, introducing them to keyword development, concept mapping, and source evaluation.

Spatial Associations Between Contaminated Land And Socio Demographics In Ghana, Russell Dowling, Bret Ericson, Jack Caravanos, Patrick Grigsby, Yaw Amoyaw-Osei

Publications and Research

Associations between contaminated land and socio demographics are well documented in high-income countries. In low- and middle-income countries, however, little is known about the extent of contaminated land and possible demographic correlations. This is an important yet sparsely researched topic with potentially significant public health implications as exposure to pollution remains a leading source of morbidity and mortality in low-income countries. In this study, we review the associations between several socio demographic factors (population, population density, unemployment, education, and literacy) and contaminated sites in Ghana. Within this context, both correlation and association intend to show the relationship between two variables, …

Guide To The Sokol Blosser Winery Collection, Linfield College Archives

Linfield Archives Finding Aids

The Sokol Blosser Winery was established more than 40 years ago as one of the earliest wineries in the Dundee Hills. Founders Susan Sokol Blosser and Bill Blosser first produced wine in the late 1970s. Susan Sokol Blosser became the president of the winery in 1991 and was among the pioneers in sustainable winemaking practices and also helped found the ¡Salud! health care program. The collection contains business and vineyard records as well as historical winery and family records.

More Than Just Counting Pills, Marisa Pasquale

University of Mississippi News

Pharmacists provide vital link in health care system

Ua12/2/1 College Heights Herald, Vol. 91, No. 18, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news.

• Henderson, Andrew. Former Employee Faces Fraud Allegations – Adam Rider
• Henderson, Andrew. Event Sparks Conversation on Homelessness – Demonstrations, Protests
• Mayo, Marcel. Vice President of Student Affairs Set to Retire – Howard Bailey
• Sullivan, Tommy. HCIC Building Dedicated in Official Ceremony – Honors College & International Center
• Pettway, Shantel-Ann. Alumni Association Executive Director Retiring – Richard DuBose
• Editorial Cartoon – Bowling Green Daily News & Homeless
• Hardin, Scout. How to Declutter Your Closet
• Homelessness Issue Can’t Be Solved Without Action
• Chism, Kalee. Workshop Series to Support Student Involvement – …

The Cauldron, 2015, Issue 09, Elissa L. Tennant, Abraham Kurp, Abby Burton, Morgan Elswick

The Cauldron Archives

Boo! It's The Cauldron's Halloween issue. We take the reader inside a first-person journey into a haunted house and showcase CSU students' Halloween costumes and CAB's Day of the Dead event. Spooky Sports reports on CSU basketball's Hallo-Hoops event and A&E features Halloween movie picks and Halloween events around Cleveland. Finally, the OP section examined why it's ok to stay in on Halloween and why the holiday may not be as innocent as we think.