Digital Commons Network^™

Effect Of An Electronic Order Set On Newborn Hepatitis B Immunization Rates, Daniel Pedersen, Angelina Rodriguez, Olu Oyesanmi, Heather Schramm, Michael King

HCA Healthcare Journal of Medicine

Objective

Hepatitis B is an infectious deoxyribonucleic acid virus which can cause significant morbidity and mortality. There is no current definitive treatment, however in the United States immunization is widely available. A paper published by the Advisory Committee on Immunization Practices/Centers for Disease Control (ACIP/CDC) in 2018 made updated recommendations regarding vaccination practices in the United States. The most notable change made was that all healthy newborns weighing ≥2000 g with a negative hepatitis B-status mother should receive hepatitis B immunization within 24 hours of birth. This quality improvement project studied the effect of the electronic medical record newborn admission …

Case Of Enterococcus Cecorum Human Bacteremia, United States, Alexander D. Lake, Ryan Fields, Francia Guerrero, Yousef Almuzaini, Koravangala Sundaresh, Joseph Staffetti

HCA Healthcare Journal of Medicine

Enterococcus cecorum rarely serves as a human pathogen, and only 6 cases of this microbe inoculating humans have been documented. We present an elderly female with a marked vascular history presenting with epigastric pain and diarrhea, followed by shaking chills. Laboratory findings revealed leukocytosis, with imaging showing diffuse colonic thickening. She had a bout of bloody diarrhea, raising the likelihood of ischemic colitis with her vascular history. To our surprise, both sets of blood cultures drawn on admission grew Enterococcus cecorum. This case is unique as it is the first documented case of E. cecorum human infection in the …

High-Speed Rail Safety Analysis Based On Dual-Weighted Complex Network, Liu Lv

Dissertations

This study uses a complex network model to analyze the causes of accidents in high-speed railway operations. By identifying the key factors that led to high-speed railway accidents, hidden safety hazards were discovered. This will help improve the operational safety of the U.S. high-speed rail line under construction.

The analysis uses the regional high-speed railway network in Guangzhou, China as a case study, including the railway (including high-speed railway) accidents that occurred in the company's jurisdiction from 2013 to 2017. With comparative analysis between general railways and high-speed railways, the changes of high-speed railway safety factors are explored. Data analysis …

Countering Internet Packet Classifiers To Improve User Online Privacy, Sina Fathi-Kazerooni

Dissertations

Internet traffic classification or packet classification is the act of classifying packets using the extracted statistical data from the transmitted packets on a computer network. Internet traffic classification is an essential tool for Internet service providers to manage network traffic, provide users with the intended quality of service (QoS), and perform surveillance. QoS measures prioritize a network's traffic type over other traffic based on preset criteria; for instance, it gives higher priority or bandwidth to video traffic over website browsing traffic. Internet packet classification methods are also used for automated intrusion detection. They analyze incoming traffic patterns and identify malicious …

Impact Of The Covid-19 Pandemic On Mental Health And Well-Being Of Communities: An Exploratory Qualitative Study Protocol, Anam Shahil Feroz, Naureen Akber Ali, Noshaba Akber Ali, Ridah Feroz, Salima Nazim Meghani, Sarah Saleem

Community Health Sciences

Introduction: The COVID-19 pandemic has certainly resulted in an increased level of anxiety and fear in communities in terms of disease management and infection spread. Due to fear and social stigma linked with COVID-19, many individuals in the community hide their disease and do not access healthcare facilities in a timely manner. In addition, with the widespread use of social media, rumours, myths and inaccurate information about the virus are spreading rapidly, leading to intensified irritability, fearfulness, insomnia, oppositional behaviours and somatic complaints. Considering the relevance of all these factors, we aim to explore the perceptions and attitudes of community …

Transcriptional Host–Pathogen Responses Of Pseudogymnoascus Destructans And Three Species Of Bats With White-Nose Syndrome, Christina M. Davy, Michael E. Donaldson, Hana Bandouchova, Ana M. Breit, Nicole A.S. Dorville, Yvonne A. Dzal, Veronika Kovacova, Emma L. Kunkel, Natália Martínková, Kaleigh J.O. Norquay, James E. Paterson, Jan Zukal, Jiri Pikula, Craig K.R. Willis, Christopher J. Kyle

KIP Articles

No abstract provided.

Molecular Studies On The Interactions Between Biomphalaria Snails And Schistosoma Mansoni, Lijun Lu

Biology ETDs

Biomphalaria snails serve as vectors for Schistosoma mansoni, a trematode causing human schistosomiasis. Control of Schistosoma mansoni involves chemotherapy of affected people, but new control methods built on improved understanding of schistosome-snail interactions are needed. My dissertation applies molecular and bioinformatics approaches to understand such interactions. Chapter 1 shows that significant differences exist among Biomphalaria species in Africa with respect to their ability to support schistosome development. Chapters 2 and 3 reveal the transcriptional responses of Biomphalaria glabrata susceptible (SUS) or resistant (RES) to Schistosoma mansoni. Chapter 2 identifies a new family of snail immune factors, the AIG …

Purpuric Lesion In A Patient With Leprosy: Was It A Lucio’S Phenomenon Or An Epiphenomenon?, Sri Linuwih Menaldi, Melani Marissa, Inadia Putri Chairista, Henry W. Lim, Rahadi Rihatmadja

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Lucio’s phenomenon (LP) is a severe necrotizing cutaneous reaction that occurs in patients with Lucio’s leprosy. The exact pathomechanism is not fully understood, but typically abundant acid-fast bacilli in the walls of blood vessels point to direct perturbation of blood supply to the epidermis. We report a case of LP where epidermal necrosis occurred in the absence of vascular invasion by mycobacteria, raising the question whether this was an epiphenomenon or a true LP.

Case Illustration: A 34-year-old male was referred for an episodic swelling of his hands and feet that persisted for two years. There were …

To Mask Or Not To Mask During An Infectious Outbreak - Perspective, Thanigasalam Thevi

Manipal Journal of Medical Sciences

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Let Nutrition Be Your Vaccine Amid Covid-19- A Narrative Review, Vidya Rajesh

Manipal Journal of Medical Sciences

There has been a growing body of evidence highlighting the radical effect of nutrition on the immune system and disease susceptibility. The current COVID-19 crisis awakens an urgent calling for optimum nutrition which boosts immunity and prevents diseases, just like a vaccine. Though there have been several national guidelines regarding diet during COVID-19, there has been sparse research and literature available in this field. This review aims to summarise the existing evidence on various aspects of nutrition and immunity pertaining to the COVID-19 crisis. Literature and search strategy included PubMed and Google Scholar for articles on various aspects of nutrition …

The Legacy Of Racism And Covid-19, Adedayo Okanlawon

MEDI 9331 Scholarly Activities Clinical Years

This perspective piece discusses the interplay between Covid-19, the legacy of racism in America, and their synergistic effects on the black community. Personal racially charged experiences in conjunction with notable stories of injustice in medicine are used to set the stage. The pandemic's disparate impact on black communities are then discussed with suggestion on how to mitigate these issues.

Epidemiology Study Of Dengue Virus In Surabaya, Bogor, And Bangkalan, Indonesia 2008-2018, Soegeng Soegijanto, Teguh Hari Sucipto, Kris Cahyo Mulyatno, Siti Churrotin

Folia Medica Indonesiana

Dengue virus (DENV) is mosquito-borne viral diseases, transmitted by the vector mosquitoes such as Aedes sp. Infection with four serotypes of DENV-1 to 4. Indonesia, dengue haemorrhagic fever (DHF) was first recognized in 1968 in the cities of Jakarta and Surabaya. In 2007, we started DENV surveillance in Surabaya supported by the joined program of the Japan Initiative for Global Research Network on Infectious Disease (J-GRID) established the Indonesia-Kobe University Collaborative Research Center for Emerging and Reemerging Infectious Diseases (CRC-ERID). The results of serotype and genotype, in Surabaya and Bangkalan are similar with previous result in Indonesia, but especially in …

Using Pcr For Detection Of Borrelia Sp. In Ticks And Ruminants In Egyptian Desert, Sayed Abdel-Baky, Nesreen Allam, Yasser Kamel, Amani Hafez

Mansoura Veterinary Medical Journal

Objective: To investigate the prevalence ofBorrelia burgdorferi infection in ticks and ruminant hosts. Design: Cross sectional study. Animals: 739 Ixodes ticks, 110 camels, 120 sheep and 40 cattle. Procedures: All collected samples were tested by using nested PCR technique (nPCR) using OspA and flaB gene as the targets. Results: Out of 739 adult Ixodes ticks, 111 (15%) were infected, the highest rate was in A. variegatum (43.24%) followed by A. lepidum (30.63%) and B. annulatus (26.13%). Shalatten was the most infected locality (18.52%) followed by Dakhla Oasis and Bir El-Abid in ratio 18.52% and 16.05%, respectively. Camel was the most …

Note: Foundational But Not Fundamental: No Right To The Environment, Robert Torres

Duke Environmental Law & Policy Forum

The world is on fire, and despite a general consensus among scientists that climate change is an imminent threat, recent decades have been devoid of legislatures capable of enacting meaningful legislation. The flames rage on as our President, an outspoken denier of climate change, adds fuel to the fire by stripping whatever attempts had been previously made to mitigate the effects of climate change. Forced to live in what seems a forsaken world, nineteen youths, a nonprofit organization, and a scientist on behalf of all future generations brought suit against the United States government, seeking more robust environmental protections. In …

Combating Covid-19 Infodemic In Nigerian Rural Communities: The Imperatives Of Traditional Communication Systems, Joseph M. Lucas, Tordue Simon Targema, Abubakar Jibril, Elkanah Obadiah Sambo, Bako Ali Istifanus

ASEAN Journal of Community Engagement

Since the outbreak of COVID-19 in December 2019, substantial attention has been devoted to combating the infodemic that has come to characterize it with the potential to prevent its effective containment. This is undoubtedly a very difficult task, especially in Nigerian rural communities that are characterized by severe lack of the requisite facilities to access information on modern media platforms, compounded by high illiteracy and poverty rates. This study presents a case for the utilization of people-oriented, traditional communication systems in combatting the infodemic at the grassroots level. It contends that, given the peculiarities of the country’s rural settlements, traditional …

Community Engagement In Covid-19 Responses: Evidence From Qualitative Interface With Community Opinion Leaders In Enugu, Nigeria, Prince Agwu, Chinweoke Methodius Ugwu, Chidera Florence Eke

ASEAN Journal of Community Engagement

Successful stories of community engagement existed during the Ebola disease outbreak in Liberia, indicating that a combination of government and community efforts are needed in addressing pandemics or epidemics. However, for communities to rise to the challenge of containing and combatting the spread of any disease, they must be communicated most effectively and supported by the government. Therefore, our study investigates how applicable successful community engagement has been in the charge against the Coronavirus disease 2019 (COVID-19) in Nigeria. Through telephone interviews, we sourced data from 12 community opinion leaders in Enugu State, Nigeria. After conducting a thematic analysis of …

Cadres’ Role In Posyandu Revitalization As Stunting Early Detection In Babakan Madang Sub-District, Bogor District, Nurul Dina Rahmawati, Ratu Ayu Dewi Sartika

ASEAN Journal of Community Engagement

Stunting, the inability to reach one's full potential, still remains common in Indonesia. As a result of stunting’s intergenerational consequences, many strategies have been conducted by both government and non-government organizations to tackle this issue, including nutrition-specific and sensitive interventions, with Integrated Health Service Post (Posyandu) revitalization as one of the key measures to provide valid, reliable, and up-to-date data to establish the early detection and management of stunting. Unfortunately, this role is sub-optimally performed due to the limited competence of the health volunteers (cadres) that correlates with the suppressed parents’ motivation to visit a Posyandu. Moreover, their …

Training Program To Support Posbindu Cadre Knowledge And Community Health Centre Staff In The Geriatric Nutrition Service, Fatmah Fatmah

ASEAN Journal of Community Engagement

The geriatric minimal service standard (SPM) coverage in Depok has steadily decreased from 37.53% in 2013 to 11.8% in 2018. One factor affecting the problem is a lack of patient participation and the inability of posbindu (integrated service post for older people) cadres to perform their tasks. To increase the coverage of older people visiting posbindu, it is necessary to raise the knowledge and skill levels of posbindu cadres and community health centre staff in Depok. The skills include performing nutritional status assessment (NSA) and screening, early detection of dementia, independence assessment, and elderly nutrition counselling. This is a …

Capparis Decidua Edgew (Forssk.) Stem Extract Alleviates The Water Stress Perturbations In Wheat (Triticum Aestivum L.) At Early Growth Stage, Muhammad Nawaz, Qasim Ali, Muhammad Azeem, Fehmina Asghar, Hasnain Ishaq, Naeem Iqbal, Sajid -Ur-Rahman

Journal of Bioresource Management

Water shortage is one of the major limiting factors of crop productivity worldwide. This study was planned to explore the impact of Capparis decidua stem extract on wheat varieties (FSD-2008, 12066 and 13348) under water stress condition. Water deficit condition negatively impacted the seedling germination, growth, photosynthetic pigments and ions uptake capacity. Water limited condition significantly (p≤0.05) increased time to attain 50% germination, lipid peroxidation, H₂O₂ and enhanced the antioxidant mechanism to overcome the oxidative stress. Different concentrations of C. decidua extract i.e. Not Soaking (NS), 10%, 20%, 30% and 40% were used for seed …

Cutaneous Candidiasis Mimicking Inverse Psoriasis Lesion In A Type 2 Diabetes Mellitus Patient, Steven Philip Surya, Kardiana Purnama Dewi, Regina Regina

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Type 2 diabetes mellitus (T2DM) condition could affect the skin. The disease is among the greatest risk factors of skin infection such as cutaneous candidiasis and is also associated with autoimmune skin diseases such as psoriasis, which lesion morphologies and predilection areas are quite similar. These similarities are a source of confusion to clinicians.

Case illustration: We present a 60-year-old female patient with uncontrolled T2DM and multiple erythematous plaques in the form of shiny lesions at the intertriginous area that developed 1 week prior to her hyperglycemic state. The lesions had recurred at the same site for …

Prevalence And Factors Associated With Superficial Tumors And Tumors-Like Swelling In Cattle And Buffalo In Egypt, Ahmed Khalil, Mohamed Zeineldin, Aziza Amin, Seham Shehata, Sabry El-Khodery, Atef Abd Al Galil

Mansoura Veterinary Medical Journal

Objective:To investigate the prevalence and factors associated with superficial tumors in Egyptian water buffalo and cattle and to present their clinical and Immunohistochemical features. Animals:A total of 1253 animals were studied(866-cross breed cattle and 387-native buffalo). Eighty-one cases(64-cattle and 17-buffalo) were suffered from tumor like swelling. The Clinical and microscopical, histopathological and IHC of the tumor were assessed. Additionally, different surgical interferences and anesthesia were applied for their excision. Results:Based on clinical, histopathological and IHC examination, neoplasia were diagnosed in 75 animals(92.59%). Generally, the prevalence rate of tumor was higher in Cattle than buffalo(78.66% vs 21.33%). Animals aged Conclusion and …

Reversal Reaction With Nodules Clinical Manifestations That Initially Diagnosed As Erythema Nodosum Leprosum In Borderline Lepromatous Leprosy, Laila Tsaqilah, Pati Aji Achdiat, Hendra Gunawan

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: The reversal leprosy reaction generally manifest as larger, swollen, red and shiny the pre-existing skin lesions which are accompanied with pain. This reaction can be manifest as infiltration and nodules which resembles the features of erythema nodosum leprosum (ENL) leprosy reaction.

Case Illustration: We present a case of 26-year-old woman with erythematous nodules on almost all the body since two weeks ago. She had pre-existing erythema plaque on the right elbow became more erythematous and arouse with partially felt pain, fever, and malaise. Nodule lesions in BL leprosy with reaction need to be distinguished between ENL and …

Red Scare Or Red Herring: How The “China Initiative” Strategy For Non-Traditional Collectors Is Stifling Innovation In The United States, Bianca Tillman

Seattle Journal of Technology, Environmental, & Innovation Law

In 2018, the U.S. Department of Justice launched the “China Initiative” in response to the growing economic and national security threat posed by China. The China Initiative is a sweeping federal plan designed, in part, to protect the United States’ status as a leader in global innovation and scientific discourse. The U.S. is justified in its concern over China’s unfair practices to achieve military, technological, and economic prominence. While U.S. and Chinese intelligence agencies have spied on each other for decades, China has increased both the scope and the sophistication of its efforts to steal secrets from the U.S. in …

“Why Can Other People Live Normally While I Cannot?”: An Application Of Telecounseling Due To Covid-19, Kusumasari Kartika Hima Darmayanti, Efan Yudha Winata, Erlina Anggraini

Makara Human Behavior Studies in Asia

In Nusa Tenggara Barat province, on May 04, 2020, there were 275 cases out of 11,587 total cases in Indonesia. COVID19 not only has an impact on physical health issues, but it also impacts on psychological issues. One of the psychological issues is how society experiences negative emotion (e.g., depression) during the spread of COVID-19. This study aimed to explore the telecounseling process on the individual who had experienced negative emotion especially in the case of depressive disorder in the COVID-19 Nusa Tenggara Barat province. This study used a single-case research design approach, and the collected data were analyzed qualitatively. …

The Influence Of Anti-Hiv-1 Specific Igy In Inhibiting Hiv-1 Infection In Binding Phase With Syncytium Examination Of Cd4 Receptor Density Using The Flowcytometry Method, Wiwiek Indriyani Maskoep, Nasronudin Nasronudin, Siti Khairunisa, Sri Agus Sudjarwo

Folia Medica Indonesiana

HIV/ AIDS infections have increased and spread very quickly in the world, including in Indonesia. The absence of an effective vaccine and the fact that antiretroviral drugs can only suppress the progression of infection but cannot eradicate it lead to the efforts to find materials containing immunoglobulins that can replace the immune system which greatly declines in HIV/ AIDS patients. The successful use of specific IgY in other studies opens up opportunities for the use of anti-HIV-1 specific IgY as passive immunotherapy. This type of research is true experimental research design with post-test only control group design. IgY was obtained …

Potential Of Jamu In Nanotechnology Perspective As An Alternative Treatment For Covid-19, Dhadhang Wahyu Kurniawan, Azis Ikhsanudin

Pharmaceutical Sciences and Research

The world seems to be recovering at this time, especially because of the 2019 global coronavirus disease pandemic (COVID-19) caused by the Coronavirus 2 virus (SARS-CoV-2). This virus is similar to other β-coronaviruses through several steps to enter and bind angiotensin-converting enzyme 2 (ACE2) as the main receptor. This binding, particularly in the respiratory epithelium and alveoli of the lungs, affects harmony in human host cells. No specific vaccines and antivirals are available to date as drug investigations are still ongoing. However, many Indonesians consume herbal medicine, especially 'empon-empon' containing the Zingiberaceae family, to protect their health from COVID-19. So …

Role Of Statins In Covid-19, Bharti Chogtu

Manipal Journal of Medical Sciences

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Metastatic Genital Crohn’S Disease: Visceral Devil In The Details- A Case Report, Soumya Kanti Datta

Manipal Journal of Medical Sciences

Crohn’s disease (CD) is a chronic inflammatory bowel disease (IBD) commonly associated with extraintestinal manifestations such as arthritis, uveitis, deep venous thrombosis and erythema nodosum. Asymmetrical labial swelling and edema are the most common presentations of genital CD in females. Vulval CD can appear before or after gastrointestinal (GI) CD or it may occur simultaneously with an independent course of disease and response to treatment. Here we discuss an atypical case of metastatic vulvar CD presenting as perineal and perianal ulcers and erosions successfully treated with oral doxycycline and topical corticosteroids hence making it an exciting new treatment avenue to …

Anthropometry As Indicator Of The Family Economic Condition, Lely Wahyuniar, Bambang Sutrisna, Abas B. Djauhari, Ratna Djuwita

Media Kesehatan Masyarakat Indonesia

The prevalence of Indonesian population experiencing hunger reaches 20.1%.
Anthropometry is considered capable to measure socio-economic conditions
because it is directly related to the financial purchasing power of food that affects
intake patterns. The aim of this study is to test the reliability of the family
anthropometry using Height for Age Z Score (HAZ) index and Body Mass Index Z
Score (BMIZ) as indicator of the family economic condition. This cross-sectional
study design located in Astanajapura (Rural) and Kesambi (Urban) Subdistrict,
Cirebon, West Java. The stratification sampling method was held to obtain
samples from all main family members of the …

Spasial Analysis Of Pulmonary Tuberculosis Transmission Based On Social, Economic, Cultural Interactions In The Slum Areas The City Of Makassar, Andi Rizki Amelia, Haeruddin, Andi Surahman Batara, Idhar Darlis

Media Kesehatan Masyarakat Indonesia

The highest number of Tuberculosis (TB) cases was in Southeast Asia with a percentage of 45%, followed by Africa 25%, West Pacific 17%, Middle East 7%, Europe 3% and American Countries 3%, while for the 5th rank, the highest Tuberculosis sufferers (56% world TB cases) are India, Indonesia, China, the Philippines and Pakistan. The purpose of this study was to observe the spread of
pulmonary tuberculosis through spatial analysis by observing the aspects of social, economic and cultural interactions in the slum areas of Makassar City. Currently, the analysis of the distribution of tuberculosis cases in Makassar City is
still …