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Efficacy Of Intravenous Ondansetron In Relieving Nausea/Vomiting And Pruritus Post Epidural Administered Opioids In The Obstetric Patient, Benjamin Stephen Butler

Doctoral Projects

One prominent side effect in the use of a neuraxial anesthesia is pruritus, with an incidence in the obstetric patient of 60-100% (Kumar & Singh, 2013). Another side effect of an epidural placement is nausea and vomiting. Nausea and vomiting occurs frequently during the progress of labor and is difficult to determine an incidence that is related to epidural opioid administration (Chestnut, Wong, Tsen, Ngan Kee, Beilin, & Mhyre, 2014). A review of literature was performed and established evidence that ondansetron is effective in reducing incidence of pruritus in intrathecal administered opioids for cesarean sections in the obstetric patient. No …

The Biodiversity Of Gastrointestinal Nematodes In South African Wildlife, Chalis J. Bird

Theses, Dissertations, and Projects

In this study, I investigated the diversity of parasites found in cheetah and wild ungulates in South Africa in collaboration with the Samara Private Game Reserve in Graaff Reinet, South Africa. Scat samples were collected over a period of two months, from September November, 2014, and DNA was extracted on the preserve for gastrointestinal nematode analysis. Wildlife was tracked using radio telemetry, tracks, and sign, while habitat and host distribution were documented. The aim was to determine the community composition of gastrointestinal nematodes in the wildlife hosts through molecular identification and to examine the role of host habitat preference, geographical …

Functional 3-D Cellulose And Nitrocellulose Paper-Based, Microfluidic Device Utilizing Elisa Technology For The Detection/Distinction Between Hemorrhagic And Ischemic Strokes, Alicia Leanne Holler

Master's Theses

The purpose of this thesis project is to demonstrate and evaluate an enzyme-linked immunosorbent assay (ELISA) on a paper microfluidic device platform. The integration of ELISA technology onto paper microfluidic chips allows for a quantitative detection of stroke biomarkers, such as glial fibrillary acidic protein (GFAP). Dye experiments were performed to confirm fluid connectivity throughout the 3D chips. Several chip and housing designs were fabricated to determine an optimal design for the microfluidic device. Once this design was finalized, development time testing was performed. The results confirmed that the paper microfluidic device could successfully route fluid throughout its channels at …

Compounding Fire Disturbance History Encourages Coast Redwood (Sequoia Sempervirens) Regeneration And Community Dominance, Matthew R. Brousil

Master's Theses

Disturbance is fundamental to forest ecosystem function and overall health, but climate change is likely to increase both disturbance frequency and intensity in the future. Forests subject to increasingly frequent and intense disturbances are more likely to experience compounding disturbance effects. Compounding disturbances may exert unpredicted, non-additive stresses on ecosystems, leading to novel conditions that may exceed the capacity for local species to survive and regenerate. I further hypothesize that compounding disturbances could create conditions misaligned with species’ adaptations by altering physical and chemical growing conditions in forest soils, affecting forest composition, structure, and, subsequently, function for many years following …

Opioid Use In The Cesarean Section Patient With The Preoperative Administration Of Intravenous Acetaminophen, Dana Edwards Bernardo

Doctoral Projects

Cesarean sections are one of the most common surgical procedures and there are no current guidelines for the management of postoperative pain control (Darvish, Ardestani, Shali, & Tajik, 2013). Unresolved pain in this population can lead to long lasting problems, such as chronic pain and depression (Booth, Harris, Eisenach, & Pan, 2015). The goal of multimodal therapy with IV acetaminophen for CS mothers was to ensure a rapid and safe recovery process with reduced adverse complications and shortened hospital length of stay. The independent t-test was used to compare the mean time for length of stay, first request of pain …

Stem Cell Derived Cosmetic Products: An Overview, Muthukumar Amirthalingam, Raviraja N. Seetharam

Manipal Journal of Medical Sciences

In the modern society we live in, people prefer to look well-groomed and presentable. Although, this is completely based on the individual taste and personality, the beauty products help this cause in a great way and enhance the external appearance. There are many natural and synthetic cosmetic ingredients in beauty products, providing the aesthetic effect to the person. As the society and science advances, the search for newer cosmetic ingredients, which offer renewed hope to the growing beauty industry and consumers. Conditioned media has emerged as one of the disruptive innovations of recent times in cosmetic ingredients, which may provide …

Promethazine Induced Acute Dystonia: A Case Report, Jyothi C H, Rudraiah H. Gm, Vidya H K, Shashikala G

Manipal Journal of Medical Sciences

Promethazine is a first generation antihistaminic belonging to phenothiazine family. Because of its strong anticholinergic property, it is used for the treatment of drug-induced dystonia, which is characterized by sustained or repetitive involuntary muscle contractions associated with twisting or repetitive movements with abnormal postures. Promethazine, which is used to treat dystonia, can itself rarely cause dystonia as an adverse effect. Here, we present a rare case of promethazine induced acute dystonia

Looking Forward To More And Better Midwifery In Asia In 2017, Rafat Jan, Edwin Van Teijlingen

Journal of Asian Midwives (JAM)

No abstract provided.

Functional Gastrointestinal Disorders Or Irritable Bowel Syndrome, George Kurian

Manipal Journal of Medical Sciences

No abstract provided.

Medical Education: Can We Dare To Change?, Yeshwanth Rao

Manipal Journal of Medical Sciences

No abstract provided.

Methylxanthine Induced Cardiotoxicity And Its Mechanisms: An Experimental Study, Md Shamsuzzaman, Gulati Kavita, Ray Arunabha

Manipal Journal of Medical Sciences

Background: Methylxanthines like theophylline are re-emerging as effective adjuncts in the treatment of obstructive airway disease and several newer mechanisms have been proposed. In view of its effectiveness, pharmacoeconomic viability, and easy availability, it could rationalize the drug treatment in bronchial asthma and chronic obstructive pulmonary disorders (COPD) – but its narrow therapeutic index and resultant safety concerns need to be aggressively addressed, particularly in developing countries. Cardiotoxicity and neurotoxicity are amongst the most noted adverse effects associated with its clinical use. The present study evaluated the possible mechanisms involved in aminophylline (water-soluble ethylene diamine salt of theophylline) on potential …

A Prospective Observational Study Ofthe Disease Profile Ofthe Muslim Patients Attending The Outpatient Department Of Internal Medicine During The Ramadan Fasting Season, Sadananda B. Naik, Krishna Mohan Prabhu, Harish P. Nayak

Manipal Journal of Medical Sciences

Background: Ramadan is the fasting month of the Muslim calendar. There is a paucity of data on the prevalence of morbidity among those who visit the outpatient department of the hospital while observing the Ramadan fasting. Materials and Methods: The clinical profile of 61 Muslim patients who visited the outpatient department of the internal medicine of the specialty hospital during the holy Ramadan fasting season at Moodabidri, South India was collected. The diagnosis of all the medical conditions were classified according to the International Classification of Disease (ICD-10) coding system and the demographic profile and clinical data were analyzed. Analysis …

Standardized Viva-Voce Examination: Year 1 Medical Degree Programme In An Integrated Undergraduate Medical Curriculum In A Malaysian University, Urban John Arnold D’Souza, Ahmad Faris Abdullah, Zainal Arifin Mustapha

Manipal Journal of Medical Sciences

Background: Viva voce examinations play an important evaluation process in the medical degree course in most of the Universities around the World. They mainly assess the cognitive domain and if well structured, become an important process of evaluation. Traditionally, a conventional non-structured oral examination was a practice and still remains as an evaluation process in a few countries. Over the years, different medical schools have evolved on such examinations and have come out with structured, standardized viva voce examinations. The research studies on such examinations have positive impact. Among the faculty of Medicine, an integrated curriculum is in practice and …

Evaluation Of The Effects Of The Antiretroviral Drug Regimen (Stavudine +Lamivudine + Nevirapine) On Cd4 Count, Body Weight And Hb% Of The Hiv Patients – A Retrospective Study, Reshma S R, Navin A P, Narendranath S, Dinakar K R, Keerthi Sagar J, Somashekar H S, Vaneet Aggarwal

Manipal Journal of Medical Sciences

Human immunodeficiency virus infection (HIV) has become a manageable disease due to antiretroviral therapy. Although many treatment schedules are effective in controlling the viral load, maintaining it for a long period is difficult due to many factors such as adverse effects, long-term toxicity, and dosing schedules, all of them may result in poor patient compliance, treatment failure and drug resistance. The evaluation of these treatment schedules in terms of their efficacy, duration, and acceptance is an important aspect for treating doctors, patients, and policy makers. Therefore, our objective is to evaluate stavudine, lamivudine, and nevirapine regimen in the management of …

Usefulness Of Geographic Information Systems (Gis) In Mental Health Research, Ramya Walsan, Nagesh Pai, Kerry Dawes

Manipal Journal of Medical Sciences

Role of environment on mental health cannot be ignored. Computer based mapping technology called Geographical Information Systems (GIS) has presented mental health researchers with many new possibilities to explore these relationships. The main aim of this literature review is to identify the emerging applications of GIS in mental health research. The use of GIS in mental health has faltered compared to other health care sectors and has started gaining momentum only in the recent years. There is great scope for GIS to be applied in mental health epidemiology, evaluating inequalities in health care access, determining spatial variation in service utilisation …

Mckee Minute Holiday 2016, Southern Adventist University

McKee Minute – McKee Library This Month

The Holiday 2016 McKee Minute announces Deyse Braco-Rivera as the new director of the library. Recommendations include the books Christmas Cooking Around the World by Susan Gold Purdy and Snacking Habits for Healthy Living by Jean Storlie, the films Little Women and The First Silent Night, and the periodicals Prevention and Southern Living.

Partial Amino Acid Sequence Of Lipid Transfer Protein From Fennel (Foeniculum Vulgare) Seeds, Hasan Al-Shiyab, Caroline Aziz

Student Scholar Symposium Abstracts and Posters

Fennel (Foeniculum vulgare) is a biennial Egyptian medicinal plant with an aromatic odor that belongs to the family Apiaceae (Umbelliferae). Fennel seeds are commonly used in traditional medicine, as they are known to have anti-inflammatory, anti-fungal and anti-cancerous activities. The major constituents of the fennel plant are sugars, minerals, essential fatty acids, proteins and fibers. Although, there are numerous studies on the medicinal properties of essential oils of the fennel seeds, but there is limited data reported on the proteins and peptides. The aims of this project are to fully characterize the primary structure of proteins and to determine their …

Characterizing Sleeping Habits And Disturbances Among Saudi Adults, Mohamad A. Al-Tannir, Samer Y. Kobrosly, Ahmad H. Al-Badr, Nourhan A. Salloum, Youssef M. Altannir, Husam M. Sakkijha

Saudi Medical Journal

Objectives To characterize sleeping habits, assess sleep disturbance prevalence, and identify associated factors among Saudi adults. Methods A total of 1720 adults were approached for this observational cross-sectional study between October 2014 and March 2015. The study took place in Riyadh, the capital of Saudi Arabia. We used a questionnaire to describe sleeping characteristics in relation to existing chronic diseases, smoking status, obesity, daily performance and sociodemographic variables. Results The response rate was 79.6% (1369 participants), 61.6% have or may have sleeping disturbances of which 18.6% claimed either slowed or stopped breathing during sleep. Women reported a higher prevalence of …

Roles Of Nucleolin: Focus On Cancer And Anti-Cancer Therapy, Zhuo Chen, Xinhua Xu

Saudi Medical Journal

Nucleolin, a multifunctional protein distributed in the nucleolus, participates in many modulations including rDNA transcription, RNA metabolism, and ribosome assembly. Nucleolin is also found in the cytoplasm and on the cell membrane, and surface nucleolin can bind to various ligands to affect many physiological functions. The expression and localization of nucleolin is often abnormal in cancers, as the differential distribution of nucleolin in cancer can influence the carcinogenesis, proliferation, survival, and metastasis of cancer cells, leading to the cancer progression. Thus, nucleolin may be a novel and promising target for anti-cancer treatment. Here, we describe how nucleolin act functions in …

A Stepwise Introduction Of A Successful Antimicrobial Stewardship Program: Experience From A Tertiary Care University Hospital In Western, Saudi Arabia, Maha M. Alawi, Bayan M. Darwesh

Saudi Medical Journal

Objectives To analyze and evaluate the safety and cost-effectiveness of a gradually-implemented antimicrobial stewardship programs (ASP) in a tertiary care center. Methods Prospective data were collected from an ASP that was gradually introduced between April 2012 and December 2013 in 6 hospital departments, over successive periods of 3 months each. A multidisciplinary team supervised antibiotic use and regulated pharmacy dispensations of a list of restricted antimicrobials (RAs). Indicators were prospectively monitored and included hospital mortality as the safety indicator; incidence of multi-drug resistance (MDR) infections as the effectiveness indicator, RA cost savings as the cost-effectiveness indicator and RA consumption indicated …

Urogenital Myiasis Caused By Psychoda Albipennis, Mehmet G. Culha, Kamuran Turker, Sule Ozsoy, Ege C. Serefoglu

Saudi Medical Journal

Myiasis is a parasitic infestation of vertebrate animals caused by the eggs and larvae of flies within the Diptera species. Psychoda albipennis is a rare cause of urogenital myiasis in humans. We present the case of a 42-year-old male diagnosed with urogenital myiasis caused by Psychoda albipennis .

New Rituals For Old: Change And Competition In Samoa, Cluny Macpherson, La‘Avasa Macpherson

Pacific Studies

In precontact Samoa, extended families, āiga, and villages, nu‘u, demonstrated their social and political cohesion in periodic, competitive displays of conspicuous consumption, hospitality, and in warfare. Demonstrations of economic capacity and military superiority increased their sociopolitical capital and established, or maintained, their claims to social and political power. These competitive rituals were central features of precontact social organization: the fa‘asamoa.

Effect Of Listening To Music During Warmup On Wingate Anaerobic Test Performance, Russell P. Fox

Masters Theses

The primary purpose of this study was to determine whether or not different music conditions would affect performance on the Wingate anaerobic test. We also sought to explore the effect of music on psychological variables such as, rating of perceived exertion (RPE).

16 subject (8 males, 8 females) listened to either pre-selected music, self-selected music or white noise during a 10-minute warmup, cycling at 50 Rev.min-1 for 10 minutes with a light resistance of one kilogram. Once the warmup was completed they performed a Wingate Anaerobic test against a resistance of 7.5% of their body mass in kilograms.

There were …

Journal Of Food Law & Policy - Fall 2016, Journal Editors

Journal of Food Law & Policy

No abstract provided.

Tennessee Colleges Of Applied Technology, A Primer, Tennessee. Comptroller Of The Treasury.

Office of Research and Education Accountability

No abstract provided.

Results Of The 2016 Immunization Status Survey Of 24 Month Old Children In Tennessee, Tennessee. Department Of Health.

Immunization Rates

No abstract provided.

Forensics And Fallibility: Comparing The Views Of Lawyers And Jurors, Brandon L. Garrett, Gregory Mitchell

West Virginia Law Review

No abstract provided.

The Effects Of Time Of Day And Circadian Rhythm On Performance During Variable Levels Of Cognitive Workload, Kathryn A. Feltman

Theses and Dissertations

The present study examined the effects of time of day of testing on a simulated aviation task. The tasks required the participants to engage in multitasking while electroencephalogram (EEG) data was collected to objectively measure participants’ workload. Task demands were altered throughout the testing period to expose participants to both high and low workload conditions. Additionally, individual differences in circadian rhythm were explored by assessing participants’ circadian typology. No significant differences in performance were found resulting from time of day differences. However, performance and EEG differences were found based on phase of testing and workload manipulations. Subjective workload measures were …

Regional Airline Pilot Commute: How Commuting By Air Affects Pilots' Satisfaction With Life, Andrew David Kleinfehn

Theses and Dissertations

At a time of increased use and competitiveness amongst U.S. regional airlines, and the growing pilot shortage, regional air carriers and pilots alike lack proper understanding how pilot commutes by airplane affect satisfaction with life. There are numerous studies on how commuting by vehicle, bicycle, mass transit system, or walking (traditional commute) to and from work affects one’s satisfaction with life. There are no identified studies which investigate regional airline pilots’ commute by airplane and its affect on satisfaction with life. The purpose of this study was to gain knowledge on regional airline pilot commutes, how commuting affects regional pilots’ …

Measuring The Financial Shocks Of Natural Disasters: A Panel Study Of U.S. States, Qing Miao, Yilin Hou, Michael Abrigo

Center for Policy Research

This paper employs panel vector autoregression to examine the dynamic fiscal response to disaster shocks. With 50-state, 1970-2013 panel data of state government finance and disaster damage, we estimate disaster impacts on revenue, expenditure, debt issuance, and intergovernmental transfers. We find that following a disaster, states increase program expenditure, but receive more federal transfers. Disasters have limited impact on total tax revenues but amplify fluctuations in sales, income, and property tax revenues. Our findings suggest that disaster-induced additional spending is largely financed through federal transfers, which include not only disaster relief funds but also non-disaster-related public welfare aids.