Digital Commons Network^™

Lactate Dehydrogenase And Β-Glucuronidase As Salivary Biochemical Markers Of Periodontitis Among Smokers And Non-Smokers, Syed A. Ali, Ravi L. Telgi, Amit Tantry, Irfan Q., Abdul Aleem

Sultan Qaboos University Medical Journal

Objectives: This study aimed to establish lactate dehydrogenase (LDH) and β-glucuronidase as salivary biomarkers of periodontitis among smokers and non-smokers. Methods: This cross-sectional case-control study was conducted at the Aligarh Muslim University, Aligarh, India, between January and June 2017. A total of 200 participants were divided into four groups based on their periodontal and smoking statuses. Unstimulated mixed saliva samples were collected to estimate LDH and β-glucuronidase levels. In addition, total protein was estimated using Lowry’s method. Results: There was a significant increase in enzyme activity in the periodontitis groups compared to the non-periodontitis groups (P <0.001). However, significantly lower enzyme activity was observed among smokers, irrespective of periodontal status (P <0.001). Nevertheless, a receiver operating characteristic curve analysis indicated the diagnostic potential of both enzymes to be fair-to-excellent. Conclusion: Although smoking was found to significantly alter enzyme activity, LDH and β-glucuronidase were reliable salivary biomarkers of periodontitis among both smokers and non-smokers.

Prevalence Of Infectious Organisms Observed In Cervical Smears Between 1997–2014 At Mubarak Al-Kabeer Hospital, Kuwait, Rana Al-Awadhi, Azza Al-Shaheen, Ahlam George, Sara S., Prem Sharma, Kusum Kapila

Sultan Qaboos University Medical Journal

Objectives: This study aimed to examine gynaecological infectious agents observed in conventional and modified Papanicolaou cervical smears (CS) at a tertiary care hospital in Kuwait. Methods: This retrospective study analysed 121,443 satisfactory CS samples collected between 1997–2014 at the Mubarak Al-Kabeer Hospital, Kuwait. Conventional CS samples were obtained between 1997–2005, while modified CS were obtained between 2006–2014 following the introduction of ThinPrep® testing (Hologic Corp., Bedford, Massachusetts, USA). All samples were initially screened by cytoscreeners before being analysed by cytopathologists to determine the presence of specific infectious agents. Results: Overall, 8,836 (7.28%) of the cervical samples had infectious agents; of …

Obstetric And Neonatal Outcomes Of Pregnant Indian Pilgrims: A Three-Year Experience At The Indian Hajj Medical Mission, Shazia Khan, Inam D. Khan

Sultan Qaboos University Medical Journal

Objectives: The Hajj, an annual mass gathering of Muslim pilgrims, is known for its high morbidity and mortality rates. However, pregnant women sometimes participate in this pilgrimage, despite guidelines that discourage such an undertaking due to potential fetomaternal complications. This study aimed to evaluate fetomaternal outcomes among pregnant Indian Hajj pilgrims. Methods: This prospective cross-sectional study was conducted at two Indian Hajj Medical Mission (IHMM)-affiliated secondary care hospitals in Saudi Arabia during the Hajj periods of August–October 2015 and 2016 and July–September 2017. All female Indian pilgrims of reproductive age who underwent pregnancy screening at secondary care IHMM hospitals during …

Current Venous Thromboembolism Prevention Practices Following Endovascular Electrophysiological Procedures In The Uk: A Retrospective Study, Christopher Saunderson, Sally Hickman, Elaine Tayebjee, Muzahir

Sultan Qaboos University Medical Journal

Objectives: This study aimed to evaluate the incidence of venous thromboembolism (VTE) cases at the Leeds General Infirmary, Leeds, UK, as well as to survey current VTE practices and preventative strategies at other UK-based electrophysiology (EP) centres. Methods: This retrospective study involved all patients who underwent EP studies at Leeds General Infirmary from January 2014 to December 2016. In addition, a telephone survey was conducted of 35 other UK-based EP centres. Results: Of 1,020 patients who underwent EP studies at Leeds General Infirmary, 0.3% developed a post-procedural VTE. In addition, 28 other EP centres were surveyed (response rate: 80%), of …

Offshore Wind Support, Robbin Ray

UNH Today Archive

No abstract provided.

The Catalytic Mechanism Of Electron-Bifurcating Electron Transfer Flavoproteins (Etfs) Involves An Intermediary Complex With Nad+, Gerrit J. Schut, Nishya Mohamed-Raseek, Monika Tokmina-Lukaszewska, David W. Mulder, Diep M. N. Nguyen, Gina L. Lipscomb, John Patrick Hoben, Angela Patterson, Carolyn E. Lubner, Paul W. King, John W. Peters, Brian Bothner, Anne-Frances Miller, Michael W. W. Adams

Chemistry Faculty Publications

Electron bifurcation plays a key role in anaerobic energy metabolism, but it is a relatively new discovery, and only limited mechanistic information is available on the diverse enzymes that employ it. Herein, we focused on the bifurcating electron transfer flavoprotein (ETF) from the hyperthermophilic archaeon Pyrobaculum aerophilum. The EtfABCX enzyme complex couples NADH oxidation to the endergonic reduction of ferredoxin and exergonic reduction of menaquinone. We developed a model for the enzyme structure by using nondenaturing MS, cross-linking, and homology modeling in which EtfA, -B, and -C each contained FAD, whereas EtfX contained two [4Fe-4S] clusters. On the basis …

Prescription Pattern And Costs Of Angiotensin Ii Receptor Blockers In Hypertensive Outpatients, Nurmainah Nurmainah, Nur Anisyah

Pharmacology and Clinical Pharmacy Research

Angiotensin II receptor blockers (ARBs) have been widely prescribed for primary hypertension. Nevertheless, the cost of ARBs are relatively expensive. The objective of this study was to describe prescribing pattern and the cost of ARBs in hypertensive outpatients. This study used descriptive observational method based on cross-sectional study. Data source was hypertensive outpatients medical records and prescriptions at Pemangkat General Hospital, West Kalimantan, Indonesia, during 2014-2015. The most frequently prescribed anti-hypertensive medication in 1,506 patients were ARBs. There was an increasing trend in the use of ARBs during 2014-2015 (31-38%). The most frequently prescribed ARBs were 8 mg and 18 …

Parent And Household Influences On Calcium Intake Among Early Adolescents, Jinan Banna, Jessica O'Driscoll, Carol J. Boushey, Garry Auld, Beth Olson, Mary Cluskey, Miriam Edlefsen Ballejos, Christine Bruhn, Scottie Misner, Marla Reicks, Siew Sun Wong, Sahar Zaghloul

Nutrition, Dietetics, and Food Sciences Faculty Publications

Background: Calcium intake during early adolescence falls short of requirements for maximum bone accretion. Parents and the home food environment potentially influence children’s calcium intakes. This study aimed to quantify parental psychosocial factors (PSF) predicting calcium intakes of Asian, Hispanic, and non-Hispanic white (NHW) early adolescent children from a parental perspective.

Methods: This was a cross-sectional study involving the administration of a validated calcium-specific food frequency questionnaire to a convenience sample of children aged 10–13 years and the primary individual responsible for food acquisition in the child’s household. Based on Social Cognitive Theory, parental factors potentially associated with children’s calcium …

Child Obesity And The Interaction Of Family And Neighborhood Socioeconomic Context, Ashley W. Kranjac, Justin T. Denney, Rachel T. Kimbro, Brady S. Moffett, Keila N. Lopez

Sociology Faculty Articles and Research

The literature on neighborhoods and child obesity links contextual conditions to risk, assuming that if place matters, it matters in a similar way for everyone in those places. We explore the extent to which distinctive neighborhood types give rise to social patterning that produces variation in the odds of child obesity. We leverage geocoded electronic medical records for a diverse sample of over 135,000 children aged 2 to 12 and latent profile modeling to characterize places into distinctive neighborhood contexts. Multilevel models with cross-level interactions between neighborhood type and family socioeconomic standing (SES) reveal that children with different SES, but …

Evaluating The Impact Of Local Vegetable Messaging On Elementary School Students’ Vegetable Choice And Nutrition Behaviors, Jesse Chiero

Doctoral Dissertations

Farm to school (FtS) initiatives within a school setting may include purchase of local foods, nutrition education, and school gardening. Previous FtS research has indicated a positive impact on child nutrition behaviors and body weight but less is known about how and what aspects of local foods within school meals impact child nutrition behaviors. The specific aims of this project were to: 1) Determine which benefit(s) of eating local vegetables are most salient to 3^rd-5^th grade students for a local vegetable message campaign intervention and compare if message preferences varied by age, gender and school district, and …

2008 - Managing An Uncertain Future - Climate Change Adaptation Strategies For California's Water

Miscellaneous Documents and Reports

This report recommends a number of adaptation strategies for California and local water managers to improve their capacity to handle change. Many of the strategies will also help adapt California's water resources to accommodate non-climate demands including a growing population, ecosystem restoration and greater flood protection. Several of the recommendations in this report are ready for immediate adoption, while others need additional public deliberation and development. Some can be implemented using existing resources and authority, while the majority will require new resources, sustained financial investment and significant collaborative effort.

Should Cannabis As Medicine Be Specifically Regulated?, Gunawan Widjaja

Pharmacology and Clinical Pharmacy Research

In 2017, a patient case in Sangau, West Kalimantan, involving a women with syringomyelia
has drawn public attention. The case ended with the arrest of her husband who cultivated Cannabis to treat her disease. Currently, Indonesian regulation classifies Cannabis as the first group of narcotics which are prohibited to be used as medicine. This research aimed to ellaborate whether Cannabis as medicine should be specifically regulated. Data source was national and international regulation on narcotics and scientific evidence regarding medical benefit of Cannabis The data was obtained from literature search with following keywords; regulation of Cannabis, medical use of Cannabis, …

Diabetes And Stroke: More Than Just Accelerated Atherosclerosis?, Arunodaya R. Gujjar

Sultan Qaboos University Medical Journal

No abstract provided.

Spectrum Of Cerebral Venous Thrombosis In Oman, Darshan Lal, Arunodaya R. Gujjar, Nandagopal Obaidi, Ammar, Sunil Kumar, Mortada El-Tigani, Faizal Al-Azri, Abdullah R. Al-Asmi

Sultan Qaboos University Medical Journal

Objectives: Cerebral venous thrombosis (CVT) can have varied and life-threatening manifestations. This study aimed to examine the spectrum of its clinical presentations and outcomes in a tertiary hospital in Oman. Methods: This retrospective study was conducted at the Sultan Qaboos University Hospital, Muscat, Oman, between January 2009 and December 2017. The medical records of all patients with CVT were reviewed to determine demographic characteristics, clinical features and patient outcomes. Results: A total of 30 patients had CVT. The mean age was 36.8 ± 11 years and the male-to-female ratio was 2:3. Common manifestations included headache (83%), altered sensorium (50%), seizures …

Evaluation Of Antibiotic Use Among Sepsis Patients In An Intensive Care Unit: A Cross-Sectional Study At A Referral Hospital In Indonesia, Ratna S. Dewi, Maksum Radji, Rizka

Sultan Qaboos University Medical Journal

Objectives: This study aimed to evaluate the appropriateness of antibiotic use and factors associated with outcomes among sepsis patients in an ntensive care unit (ICU). Methods: This cross-sectional study was carried out from February to May 2017 and included all adult patients with sepsis or septic shock admitted to the ICU of Dharmais Cancer Hospital, Jakarta, Indonesia. Data were collected from the patients’ medical records. Results: A total of 60 patients with sepsis or septic shock were admitted to the ICU during the study period. The most common source of infection was hospital-acquired pneumonia (61.7%) and the majority had two …

A Triad Of Temporomandibular Joint Ankylosis, Mandibular Retrognathia And Severe Obstructive Sleep Apnoea: Case Report, Issa K. Al-Nuumani, Abdulaziz Bakathir, Ahmed Al-Abri, Mohammed, Hussein Al-Kindi, Intisar Al-Macki, Zainab Al-Balushi

Sultan Qaboos University Medical Journal

The surgical management of paediatric patients with temporomandibular joint (TMJ) ankylosis, mandibular retrognathia and obstructive sleep apnoea (OSA) is challenging. We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with complaints of limited mouth opening, loud snoring and excessive daytime sleepiness. He was diagnosed with TMJ ankylosis, mandibular retrognathia and severe OSA. The patient initially underwent mandibular distraction and, subsequently, release of the TMJ ankylosis and rib graft reconstruction. The overall patient outcome was successful, with improvement in OSA-related symptoms, good facial symmetry and adequate mouth opening.

Two Different Causes Of Paediatric Hypercalcaemia, Stepan Kutilek, Ivana Plasilova, Viktor

Sultan Qaboos University Medical Journal

Paediatric hypercalcaemia is a rare condition which can be easily overlooked or misdiagnosed. We report two paediatric patients who presented to the Department of Paediatrics, Pardubice Hospital, Pardubice, Czech Republic, in 2009 and 2010, respectively. Each patient was diagnosed with hypercalcaemia due to a different cause. The first case involved a seven-month-old infant who presented with failure to thrive, vomiting and psychomotor retardation. Fluorescent in situ hybridisation revealed Williams-Beuren syndrome. The second patient was a 16-year-old girl with abdominal pain and renal colic due to hypercalcaemia-induced urolithiasis. High parathyroid hormone serum levels suggested primary hyperparathyroidism. An adenoma of the left …

Salivary Α-Amylase Of Stem Borer Hosts Determines Host Recognition And Acceptance For Oviposition By Cotesia Spp. (Hymenoptera, Braconidae), Gladys B. Bichang'a, Jean Luc Da Lage, Kevin Sambai, Simon Mule, Bruno Le Ru, Laure Kaiser, Gerald Juma, Esther N. Maina, Paul André Calatayud

All Peer-Reviewed Publications

Foraging insect parasitoids use specific chemical cues to discriminate between host and non-host species. Several compounds have been identified in "host location and acceptance." However, nothing is known about the molecular variations in these compounds that could account for host-range differences between parasitoid species. In a previous study, it was shown that during the host-finding process, contact between the braconid Cotesia flavipes and its host is crucial, and that α-amylase of oral secretions from the host plays a key role for host acceptance and oviposition by the parasitoid. The present study sought to establish whether the variations in this enzyme …

Rheumatoid Meningitis Sine Arthritis., Cathy Lee-Ching, Lawrence C. Kenyon, Matthew Berk, Chantel Park

Department of Medicine Faculty Papers

Rheumatoid meningitis is a rare and very serious extra-articular manifestation of rheumatoid arthritis. We present a case of a 7()year-old female with no history of arthritis who developed stroke-like symptoms, seizures, psychosis and compulsive behavior. Serial brain magnetic resonance images (MRI) over four months demonstrated progressive interhemispheric meningeal thickening. She had mild lymphocytic pleocytosis on the cerebrospinal fluid analysis and serum anti-cyclic citrullinated peptide antibodies resulted positive in high titers. She underwent a brain biopsy showing necrotizing granulomas consistent with rheumatoid meningitis. Her symptoms resolved with treatment with glucocorticoids and cyclophosphamide. She has not been diagnosed with rheumatoid arthritis even …

Outcomes And Experiences Of An Rn To Bsn Online Cohort: An Academic-Practice Partnership, Donna Copenhaver Dr., Marilyn Dubree Msn, Rn, Chris Wilson Msn, Rn-Bc, Martha Buckner Phd, Cathy R. Taylor Drph, Kathy Jordan Msn, Rn

International Journal of Health Sciences Education

Abstract

This article describes the result of an academic-practice partnership between a School of Nursing (SON) and a University Medical Center (UMC) for the purpose of promoting BSN education in response to the Institute of Medicine’s recommendation that 80% of RNs hold a baccalaureate degree or higher by 2020. The mutually beneficial partnership worked together to offer a pilot online RN-BSN nursing program, increase the number of BSNs in the workforce, and to collect information from RN-BSN students returning to school about their challenges, recommendations for future programs, and why they were interested in returning to school. The BSN graduates …

As A Pediatrician, I Don’T Know The Second, Third, Or Fourth Thing To Do: A Qualitative Study Of Pediatric Residents’ Training And Experiences In Behavioral Health, Rachel Petts Phd, Jeffrey D. Shahidullah Phd, Paul W. Kettlewell Phd, Kathryn A. Dehart Md, Kris Rooney Md, Ilene G. Ladd Ms, Tyler Bogaczyk Bs, Sharon L. Larson Phd

International Journal of Health Sciences Education

Despite a mandated 1-month rotation in developmental-behavioral pediatrics (DBP), pediatric residents report inadequate training in behavioral health care. As a first step in much needed curriculum development in this area, this study sought to assess learner experiences regarding the management of behavioral health problems during residency. Four focus groups were conducted for residents in years 1-3 of training in 2 residency programs in a northeastern state. Transcripts were analyzed and coded by researchers through qualitative classical content analysis. The exploratory analysis revealed 9 key themes: time requirements, rapport building, resources and referrals for behavioral health, psychiatric medications, diagnosis vs. treatment, …

Patient Deception In Health Care: Physical Therapy Education, Beliefs, And Attitudes, Drew A. Curtis, Han-Hung Huang, Kendra L. Nicks

International Journal of Health Sciences Education

A good professional-patient relationship is important to clinical practice, which may be compromised by deception. Deception research in physical therapy is scant. The current study investigated how the topic of patient deception is addressed in Doctor of Physical Therapy (DPT) educational curriculum, explore DPT students’ beliefs about deception and attitudes toward patient deception, and examine the effects of a pedagogical intervention on DPT students’ beliefs about deception and attitudes toward patient deception. The first objective was pursued by a descriptive survey sent to 217 DPT programs in the US. The second and third objectives were achieved by one-group pretest-posttest design …

The Effect Of Competency-Based Education On Medical And Nursing Students' Academic Performance, Technical Skill Development, And Overall Satisfaction And Preparedness For Future Practice: An Integrative Literature Review, Haris Saud, Ruth Chen

International Journal of Health Sciences Education

Purpose: This article provides an integrative review of competency-based education (CBE) in medical and nursing programs and examines the effect of CBE on students’ academic performance, technical skill development, and overall satisfaction and preparedness for future practice.

Background: In recent decades, CBE has increasingly been discussed in medical and nursing education programs. The impact of the CBE curriculum on learning outcomes including academic performance, technical skill development, overall satisfaction, and preparedness for future practice has not been fully elucidated.

Method: A review of the literature was conducted, and multiple databases were searched for studies that analyzed the impact of CBE …

Attitudes To Interprofessional Education Among Health Science Students Engaging In A Multidisciplinary Workshop Series, Emer M. Guinan, Emer M. Barrett, Freda Neill, Tamasine Grimes, Derek Sullivan, Maria O'Sullivan, Aileen Patterson, Tadhg Stapleton, Irene Walsh, John J. Walsh, Kevin C. Conlon

International Journal of Health Sciences Education

Introduction: Interprofessional education (IPE) provides an opportunity for students from single-professions to interact with other disciplines. Student attitude to IPE can impact engagement and change in attitude may provide an indicator of the impact of IPE. This study examines pre-workshop attitudes to IPE and change in attitude following a series of three IPE workshops.

Methods: Preworkshop attitudes were examined using the Readiness for Interprofessional Learning Scale (RIPLS) and the Interprofessional Education Perception Scale (IEPS). The IEPS was repeated at the start of Workshop 1 and at the end of Workshop 3. Data were analyzed using linear regression analysis and linear …

Information Bias, Sarah Zion

Culture, Society, and Praxis

Becoming a well-informed reader of the media was looked at by finding four different articles about a current event from a media bias chart. The sources were deemed reputable by four different characteristics: information about the authors, interviews from a variety of people, actual experts, and fair evidence. The Parkland shooting was the current event and the four news articles were from The Wall Street Journal, The Washington Times, The Federalist, and Fox News.

An Evaluation Of The Impact Of Medication On Behavioral Intervention Effectiveness For Adults With Traumatic Brain Injury, Sulay Martinez

Capstone Projects

A systematic search of the literature was conducted to identify articles implementing both pharmacological and behavioral interventions with subjects with traumatic brain injury (TBI). Limitations of pharmacological interventions were evaluated and compared to the implications for behavioral interventions for adults with TBI. Results of this study indicate further research is necessary to adequately evaluate the effects of medication on behavioral intervention effectiveness for adults with TBI.

Design And Development Of An Mph Program For Online Delivery, Steven R. Hawks, Julie A. Gast

Journal on Empowering Teaching Excellence

The Master of Public Health (MPH) degree is growing in popularity and is now delivered fully online by a large number of highly respected, fully accredited universities. This paper offers an overview of program design and development strategies that promote successful online delivery of MPH programs. Design and development challenges are discussed in terms of new accreditation standards, student demand, faculty development, user needs, course content, and plan of study. The development of an online MPH program at Utah State University with a concentration in health education and promotion is used to highlight and consider various aspects of this important …

About This Issue, Kim Hales

Journal on Empowering Teaching Excellence

The Fall 2018 issue of the Journal on Empowering Teaching Excellence focuses on the development of teaching and learning communities. Topics include peer feedback, cultural responsiveness, bringing research into the classroom, and training faculty through mentorship and online certification programs. The issue finishes off with a review of the design and development of an online Master's of Public Health degree.

Full Issue: Journal On Empowering Teaching Excellence, Volume 2, Issue 2, Fall 2018

Journal on Empowering Teaching Excellence

The full Spring 2018 issue (Volume 2, Issue 2) of the Journal on Empowering Teaching Excellence, Fall 2018

06.26.2018 Board Of Medical Investigators State Of New Mexico Meeting Minutes, Anthony Cervantes

Office of the Medical Investigator Notices and Agendas

No abstract provided.