Digital Commons Network^™

Outbreak Of Ebola Virus Disease, Alexandra Dimit, Tiffany Kneuss, Joelle Farano, Haley Armstrong, Jodi Otte, Andrew M. Roecker

Pharmacy and Wellness Review

Ebola virus disease (EVD) has existed as a major health concern with devastating and, many times, fatal symptoms. The recent outbreaks of EVD in West Africa and the Democratic Republic of the Congo (DRC) have incited international concern. In this article, the implications of EVD will be discussed including the etiology, transmission, signs and symptoms, diagnosis and treatment of the disease. In addition to this discussion, the manner in which major health care organizations, including the World Health Organization (WHO), are dealing with treating infected patients and containing spread of the disease will be covered.

Cannabinoids For The Treatment Of Chronic Headaches, Kevin Krivanek, Lucy K. Wagala, Brian Heilbronner, Kimberly Loughlin, David Kinder

Pharmacy and Wellness Review

Species of the Cannabis plant genus were among the earliest medicinal plants cultivated by man, with historical accounts of their medicinal uses dating back before the Common Era. Despite its current legal status, Cannabis has garnered nationwide attention as a therapeutic agent for various disease states, including chronic headaches, due to its medical indications as an antispastic, analgesic, antiemetic, neuroprotective and anti-inflammatory agent. Since headaches have a high prevalence in the American population and greatly impair simple daily aspects of living, chronic headaches have become a particular point of interest in regard to the therapeutic potential of Cannabis. Clinical trials …

Marijuana And Its Cardiovascular Implications, Albert Bui, Daniel Powell, Victoria Cho, Kelsey Lindsley, Lindsey Peters

Pharmacy and Wellness Review

As marijuana becomes legalized for medical use, it is important for prescribers and pharmacists to be knowledgeable about the important aspects of marijuana such as mechanism of action, indications and abuse potential. Although marijuana's medicinal benefits are frequently reported, the risks, namely cardiovascular risks, associated with its utilization are often overlooked. Use of marijuana has been reported to increase the risk of myocardial infarction, tachycardia and hypotension, among others. Health care providers must determine if marijuana's benefits outweigh such risks when marijuana therapy is an option. It is also important for pharmacists to understand how to successfully counsel patients using …

Fda Approves New Inhaled Insulin: Afrezza® (Technosphere® Insulin), Benjamin Finley, Christina Ciccone, Kimberly Loughlin, Michelle Musser

Pharmacy and Wellness Review

Diabetes is an endocrine disease caused by deficiency or malfunction of insulin that results in high blood glucose levels and places patients at higher risk for a number of complications. This chronic disease is difficult to manage and affects millions of people in the United States, costing the health care system billions of dollars a year. Of a variety of antidiabetic agents used to control blood glucose, insulin is perhaps the most effective, but until recently it was only available in injectable form. As of June 27, 2014, a new inhaled insulin called Afrezza® (Technosphere® insulin) was approved by the …

Fentanyl: Abuse Potential And Prevention Strategies Tor Pharmacists, Margaret Rowland, Amanda Hoersten, Sarah Webb, H. Paige Stewart, Lindsey Hallman, Michael Milks

Pharmacy and Wellness Review

The abuse of fentanyl is becoming more prevalent, with patients devising new methods of extraction in order to abuse it. Fentanyl patches were originally intended for the opioid tolerant patients still requiring pain relief, but illicit use and drug diversion of this medication continues to grow at an alarming rate. Several cases of abuse have been documented in which patients were chewing patches for oral absorption, distilling the drug into liquid form for injection, or rectally inserting the patches. To discourage and prevent abuse, a keenly aware pharmacist can provide patients with important counseling points on proper use, disposal and …

Management Of Breakthrough Pain In Cancer Patients: Traditional And Novel Approaches, Courtney Porter, Nathaniel Hedrick, Katherine Salay, Lacey Shumate, Caitlin Swann, Kelly Reilly Kroustos

Pharmacy and Wellness Review

Approximately 80 percent of career patients experience breakthrough pain (BTP) characterized by acute onset, short duration, and moderate-to-severe intensity. Treatment of BTP using current available medications is often insufficient, leading to the development of various novel approaches that focus on rapid onset of action and short duration of action. Most of these products are still in clinical trials, and future studies are needed to compare the novel approaches to currently available treatments. Non-medication related issues, which arise from a lack of communication and understanding between the patient, physician and pharmacist, are also barriers to adequate BTP management. By educating patients …

Prevention Of Cytomegalovirus Lntection In Pregnant Mothers And Neonates, Aisha Oliver, Taylor Gauthier, Breanne Rizzo, Alison Huet, Natalie Dipietro

Pharmacy and Wellness Review

Congenital cytomegalovirus (CMV) is the most common virus spread in utero from mother to fetus, leading to more long-term problems and childhood deaths than other conditions such as Down syndrome, fetal alcohol syndrome, pediatric HIV/AIDS, or neural tube defects. The majority of congenital CMV infections are primary infections in which the mother acquires the infection during pregnancy. Current treatment options for CMV infection are available, but there is limited data on safety and effectiveness in pregnant mothers and neonates. Prevention by screening for CMV is associated with a high cost, and vaccines are currently unavailable. Studies show that education and …

Polycystic Ovarian Syndrome And Hyperinsulinemia: Overview And Treatment, Amanda M. Meyer, Lauren D. Bajbus, Sarah E. Drake, Kristen M. Quertinmont, Ashley Overy, Anne Gentry

Pharmacy and Wellness Review

Polycystic ovary syndrome is a prevalent issue in women's health that is associated with hyperinsulinemia and insulin resistance and can lead to long-term health problems. The most highly recommended treatments are diet and lifestyle changes. If these changes alone are not enough, pharmacologic treatments may be employed which include metformin, spironolactone or thiazolidinediones, although more research is needed to fully realize their role. The role of the pharmacist in this disease state includes counseling patients on healthy lifestyle changes, consulting with the physician about prescribing the best medication for each patient, and monitoring therapy adherence in the patient.

Role Of Non-Nutritive Sweeteners In Obesity And Diabetes, Erica Schoenberger, Ellen Hazelet, Kaitlin Sanders, Lindsey Hallman, David Bright, Amy Stockert

Pharmacy and Wellness Review

Artificial sweeteners have become a central component of the Western diet in order to facilitate weight loss and enhance glucose control. Despite their popularity, evidence supporting the benefits of artificial sweeteners remains contradictory; different trials have shown weight loss, weight gain or no change with artificial sweetener consumption. Multiple trials have correlated artificial sweetener usage, in the form of diet soda, with an increased risk of obesity, diabetes and/or metabolic syndrome. Hypotheses speculate that individuals who consume larger loads of artificial sweeteners may be more likely to make unhealthy lifestyle choices, putting them at an increased risk for the development …

Management Of Hypertensive Emergencies In Pediatrics, Jennifer L. Bauer, Jamie L. Amero, Amanda C. Mcdavid, Ryan A. Fischer, Alison L. Huet, Karen L. Kier

Pharmacy and Wellness Review

As hypertension becomes more prevalent in the pediatric population, clinicians are more likely to encounter hypertensive emergencies in children, which require pharmacists and physicians to be educated on the therapeutic options for these emergencies. However, the strict governmental requirements on the testing of these drugs in pediatric patients have limited the amount of available evidence on which to base clinical decisions. This review will highlight the available evidence and preferred treatment options for the management of pediatric hypertensive emergencies.

Genetic Variations In A Cytochrome P450 Enzyme And The Effects On Clopidogrel Bioactivation And Metabolism, Maryanne Ventura, Lauren Desko, Kimberly Gathers, Ashley Overy, David Kisor

Pharmacy and Wellness Review

Clopidogrel, the top prescribed antiplatelet medication for individuals who have experienced a myocardial infarction or cerebral vascular accident or who have peripheral arterial disease, is administered orally as a prodrug. It relies on hepatic metabolism through cytochrome P450 enzymes for conversion to its active form. Current research shows that allelic variation m the gene coding for CYP2C19 is the main factor contributing to the variability of response associated with clopidogrel treatment. Through the promotion of genetic testing for variability in the CYP2C19 gene and competently interpreting test results, pharmacists have the opportunity to use these findings to significantly impact clopidogrel …

Recent Advances Spark Significant Guideline Change: Antiretroviral Therapy (Art) At High Cd4+ Counts In The Treatment Naïve Patient, Joshua Ilenin, Kelly Fargo, Lisa Berni, Kristen Thatcher, Caitlin Swann, Andrew Roecker

Pharmacy and Wellness Review

Human immunodeficiency virus (HIV) targets CD4+ lymphocytes, a critical component to proper functioning of the human immune system. HIV is a significant public health concern, having resulted in over 27 million deaths since its discovery. Currently, several different treatment options exist, with combination antiretroviral therapy (ART) at the forefront. Despite the success of ART therapy, there are number of problems, including poor patient compliance. Due to this, the appropriate time to initiate therapy in the treatment naïve patient is under continuous scrutiny. Recently, several trials have demonstrated evidence suggesting that initiating ART at high CD4+ counts in the treatment naïve …

The Haunting Of Medical Literature, Brieann Miller, Tana Peterman

Pharmacy and Wellness Review

Ghostwriting, or using the names of academic researchers to validate studies commissioned by pharmaceutical companies, has become a growing concern within medical literature. Omission from authorship of the names of individuals making considerable contributions to a paper is one of the most significant aspects of ghostwriting. Policy prohibiting medical ghostwriting is lacking, and it is nearly impossible to prevent the practice without strict and thorough guidelines. More strict guidelines banning ghostwriting, denying government funds to organizations without such policies, and development of databases to track offending authors and organizations could decrease the impact of ghostwriting in medical literature.

The Legacy Of Lynching: On Representation, Remembrance, And Reconciliation, Jackie Chesser

Liberal Arts Capstones

The Equal Justice Initiative’s National Memorial of Peace and Justice is a memorial rooted in recognizing and naming the victims of lynching and racial terror. This memorial is a safe space for people to connect with history and learn about the injustices faced by their ancestors, and, conversely, the injustices wrought upon others by their ancestors. This memorial doesn’t stop at recognizing the victims, it also explains the effects of racial terror beyond lynching, including the Jim Crow Era and mass incarceration.

The National Memorial of Peace and Justice is also focused on extending its impact though its Memorial Monument …

Cervical Cancer Prevention And Control In Haitian Women Living In South Florida And The Central Plateau Of Haiti, Rhoda K. Moise

Open Access Dissertations

The cervical cancer burden in Haiti is among the highest in the world, despite being a largely preventable disease through primary (i.e., vaccination against Human papillomavirus (HPV), the principal cause of cervical cancer), and secondary (i.e., routine cervical cancer screening) prevention strategies. Haitian women likely face multiple barriers to disease prevention though knowledge of these barriers remains limited, particularly from a multilevel, transnational orientation. This dissertation aims to fill this gap. Guided by the PEN-3 model and the tenets of Community Engaged Research, the three associated papers rely on mixed methodologies to articulate the complex interplay between socio-cultural, environmental, political, …

A Risk Analysis Of Microplastic Consumption In Filter Feeders, Sheri Rahman

HCNSO Student Capstones

Microplastics (plastic particles < 5 mm) pose a serious threat to marine organisms, as researchers have documented such particles in the gut contents of numerous species. In particular, filter feeders are at risk of consuming microplastics because they may accidentally consume the particulates when feeding or they may prey on species that have already consumed them. The goals of this research were to evaluate the risks that different filter feeders face in regards to microplastic consumption through the analysis of the calculated Microplastic Consumption Rates for numerous species of filter feeders. Factors that could potentially affect this risk were also considered, including ocean basin, environment type, salinity, life stage, IUCN status, and filtration technique. Initial analysis showed that body size greatly impacted a species’ risk of microplastic consumption and further tests were completed to evaluate overall microplastic contamination for each species. Microplastic consumption and microplastic contamination values were evaluated and analyzed to determine which filter feeding species were most at risk of experiencing ecological effects from microplastic pollution. From a resource management perspective, this research highlights the filter feeding species most at risk, contributing to the development of more effective plastic waste management policies.

Osteopathy Comes To Kansas City: The National School And Infirmary, Robyn Oro

Notes from the Archives

No abstract provided.

Griffith, Kirsten, Beth Gibson

Querying the Past: LGBTQ Maine Oral History Project Collection

Kirsten Griffith is a thirty-six year old woman living in Portland Maine. In this interview, she discusses her life from her early childhood up to the present day. Kirsten is part of the LGBTQ community and identifies as a femme lesbian. She is active in Portland Maine’s LGBTQ community and works with Pride Portland, the Equality Community Center and Maine Trans-net. Kirsten is a full-time student at Mount Holyoke and is the primary caregiver of her younger brother. Kirsten discusses living in California, learning about her sexuality, and her involvement in community projects through this interview.

Citation

Please cite as: …

Showing Appreciation For Governors State Employees, Office Of Marketing And Communications

Newsroom

Major milestones were celebrated at Governors State University’s (GSU) Employee Appreciation Event, which honored the service of staff and faculty.

Board Of Trustees Meeting Minutes 2019-12-06, Bowling Green State University

Board of Trustees Meeting Minutes

The official meeting minutes of Bowling Green State University's Board of Trustees.

Pursuing The Anchor Mission In A Fragmented Suburban Setting, Karl Guenther, Todd Swanstrom, Thomas George

Political Science Faculty Works

Increasingly, suburban universities find themselves in communities facing challenges that inner cities have had to deal with for decades, including concentrated poverty, housing vacancy, and underperforming school districts. While the problems are similar, the institutional context is different. Compared to central cities, suburban municipal governments generally lack the resources necessary to sustain robust community economic development initiatives. Further, suburbs often lack the rich landscape of nonprofit organizations that were built up over many decades in central cities. This article reflects on the experience of the University of Missouri‐St. Louis as a case study of a suburban anchor institution. This experience …

Vocal Health Preservation For Teachers Of Music: A Literature Review, Lyndsay Byers, Lisa Vinney Phd Ccc-Slp, Kimberly Adelman Ms Ccc-Slp

Graduate Independent Studies - Communication Sciences and Disorders

This literature review explores research findings regarding risk factors of voice disorders for teachers of music. It summarizes current research regarding personal, environmental, and occupational practices teachers of music can implement to help preserve their voices. This document also reviews literature findings regarding when, where, and how music teachers can seek assistance for voice symptoms.

The Anchor, Volume 133.04: December 6, 2019, Hope College

The Anchor: 2019

The Anchor began in 1887 and was first issued weekly in 1914. Covering national and campus news alike, Hope College’s student-run newspaper has grown over the years to encompass over two-dozen editors, reporters, and staff. For much of The Anchor's history, the latest issue was distributed across campus each Wednesday throughout the academic school year (with few exceptions). In recent years The Anchor moved to monthly print issues and a more frequently updated website. The Anchor is now published in print twice per academic semester. Occasionally, the volume and/or issue numbering is irregular.

Lvhn Weekly-Hazleton, Lehigh Valley Health Network

LVHN Weekly-Hazleton

No abstract provided.

Lvhn Weekly, Lehigh Valley Health Network

LVHN Weekly

No abstract provided.

Lvhn Weekly-Pocono, Lehigh Valley Health Network

LVHN Weekly-Pocono

No abstract provided.

Introduction To Critical Thinking And Clinical Judgement Nur 205x, Joanna Burkhardt

Library Impact Statements

No abstract provided.

Johnson Study Suggests Family Interference Can Be Hazard In High-Risk Industries, Ohio University College Of Arts & Sciences

All Forum Articles

No abstract provided.

Table Of Contents

Saint Louis University Journal of Health Law & Policy

No abstract provided.

The Bison, December 6, 2019

The Bison Newspapers

No abstract provided.