Digital Commons Network^™

Predictors Of High Hiv+ Prevalence In Mozambique: A Complex Samples Logistic Regression Modeling And Spatial Mapping Approaches, Jerry John Nutor, Precious Adade Duodu, Pascal Agbadi, Henry Ofori Duah, Kelechi Elizabeth Oladimeji, Kaboni W. Gondwe

College of Nursing Faculty Research and Publications

Introduction The burden of HIV infection in southern Africa is a public health concern with an increasing number of new infections. This study sought to investigate the predictors of HIV prevalence in Mozambique through a complex samples logistic regression and spatial mapping approach using nationally representative data. Methods We conducted a secondary data analysis using the 2015 Mozambique Demographic and Health Survey and AIDS Indicator Survey. The analysis performed in four stages while incorporating population survey sampling weights did the following: i) created a complex sample plan file in SPSS, ii) performed the weighted estimate of HIV prevalence, iii) performed …

The Neglect Of Persons With Severe Brain Injury To The United States: An International Human Rights Analysis, Tamar Ezer, Megan S. Wright, Joseph J. Wright

Articles

Brain injury contributes more to death and disability globally than any other traumatic incident. While the past decade has seen significant medical advances, laws and policies remain stumbling blocks to treatment and care. The quality of life of persons with severe brain injury often declines with unnecessary institutionalization and inadequate access to rehabilitation and assistive technologies. This raises a host of rights violations that are hidden, given that persons with severe brain injury are generally invisible and marginalized. This article highlights the current neglect and experiences of persons with severe brain injury in the United States, analyzing the rights to …

Perspectives Of Patients On Outpatient Parenteral Antimicrobial Therapy: Experiences And Adherence, Yasir Hamad, Sai Dodda, Allison Frank, Joe Beggs, Christopher Sleckman, Glen Kleinschmidt, Michael A. Lane, Yvonne Burnett

Open Access Publications

Background: Nonadherence to medication is a burden to the US health care system and is associated with poor clinical outcomes. Data on outpatient parenteral antimicrobial therapy (OPAT) treatment plan adherence are lacking. The purpose of this study is to determine the rate of nonadherence and factors associated with it.

Methods: We surveyed patients discharged from a tertiary hospital on OPAT between February and August 2019 about their baseline characteristics, OPAT regimen, adherence, and experience with OPAT.

Results: Sixty-five patients responded to the survey. The median age was 62 years, and 56% were male. The rate of reported nonadherence to intravenous …

Immunoglobulin G4-Related Spinal Pachymeningitis, Mousa N. Alrashdi

Saudi Medical Journal

Immunoglobulin G4-related disease (IgG4-RD) is rare disease entity and has recently been recognized as an inflammatory disorder with the tendency to affect multiple organs. Pachymeningitis of spine caused by IgG4-related disease is extremely rare. Neck pain and spinal cord compression symptoms consist of usual presentation of IgG4-related spinal pachymeningitis; however, polyarthritis is an unusual presentation of this disease, and it was reported in only one case that mimicked psoriatic arthritis. In this report, we describe a case of IgG4-related spinal pachymeningitis in a middle-age male who presented initially with neck pain and rheumatoid arthritis-like symptoms and later on developed both …

Antibiotic Prescription Practices In Primary Care In Low- And Middle-Income Countries: A Systematic Review And Meta-Analysis, Giorgia Sulis, Pierrick Adam, Vaidehi Nafade, Genevieve Gore, Benjamin Daniels, Amrita Daftary, Jishnu Das, Sumanth Gandra, Madhukar Pai

Open Access Publications

BACKGROUND: The widespread use of antibiotics plays a major role in the development and spread of antimicrobial resistance. However, important knowledge gaps still exist regarding the extent of their use in low- and middle-income countries (LMICs), particularly at the primary care level. We performed a systematic review and meta-analysis of studies conducted in primary care in LMICs to estimate the prevalence of antibiotic prescriptions as well as the proportion of such prescriptions that are inappropriate.

METHODS AND FINDINGS: We searched PubMed, Embase, Global Health, and CENTRAL for articles published between 1 January 2010 and 4 April 2019 without language restrictions. …

Imagining Global Health With Justice: Transformative Ideas For Health And Wellbeing While Leaving No One Behind, Lawrence O. Gostin, Eric A. Friedman

Georgetown Law Faculty Publications and Other Works

The disproportionate impact of COVID-19 on communities of color in the United States and immense vulnerabilities in lower-income countries has revealed a global health reality that is often overshadowed by decades of progress in overall global health, with new lows in child and maternal deaths every year, more people with HIV receiving access to lifesaving anti-retroviral therapy, and rising life expectancies. That reality is one of vast national and global inequalities, with the lived experiences of members of marginalized populations far removed from laudatory health headlines.

Here, we propose an ambitious agenda to bridge the gap between progress in global …

Knowledge, Attitude And Perception Survey Of Doctors Regarding Antibiotic Use And Resistance In Karachi, Pakistan, Hassan Ahmed, Sameer Bhimani, Iffat Khanum, Ammara Khan, Akash Khetpal, Mohammad Abubakar Abbas, Faizan Godil, Ansab Godil, Inam Ul-Haq Muhammad Makhdoom

Department of Medicine

Objective: To establish a better understanding of physicians' knowledge and beliefs, and to compare distinctions in knowledge, attitude and perception of junior and senior doctors regarding rational use of antibiotics.
Methods: The cross-sectional study was conducted at a tertiary care hospital in Karachi, from June 1 to July 31, 2016, and comprised senior and junior doctors. A 26-item questionnaire divided in three sections was used to test knowledge, attitude and perception of the subjects regarding rational use of antibiotics. Data was analysed using SPSS 23.
Results: Of the 200 subjects, 132(66%) were senior doctors; 68(34%) were junior; …

Inferring Research Fields In Administrative Records Using Text Data, Ekaterina Levitskaya

Dissertations, Theses, and Capstone Projects

The UMETRICS database (Universities: Measuring the Effects of Research on Innovation, Competitiveness, and Science) contains rich information on grants from sponsored federal and non-federal research for 32 universities over a 15-year period. It is hosted at IRIS (Institute for Research on Innovation and Science, University of Michigan) and serves as a rich source of university administrative data; however, it does not contain information on research fields. Categorizing grants data by research field can help to measure results of investment in research and science and provide evidence for the data-driven policy-making; yet administrative data often lacks this type of categorization. In …

Fecal Lactoferrin As A Parameter In Determining Invasive Causes Of Acute Diarrhea, Abeer E. S. Hamed, Gehan F. Oreby, Mohamed F. Alsoda, Sahar H. Quashwa

Journal of Medicine in Scientific Research

Introduction Diarrhea may be acute, which subsides by 7–14 days and is related to infections (bacterial or viral) or reaction to medications, or chronic, which lasts more than 2 weeks and is mainly caused by inflammatory bowel disease, functional bowel disorder, food allergies, or parasitic infestations. The infective etiologies may be noninvasive or invasive pathogens that have the capacity to invade intestinal mucosa and stimulate local inflammatory response [by activated neutrophils that secrete lactoferrin (LF)] and sometimes cause ulceration, hemorrhage, and systemic inflammatory response. Stool culture is the standard method for the diagnosis of invasive diarrhea; however, it is laborious …

Mechanical Thrombectomy In The Era Of The Covid-19 Pandemic: Emergency Preparedness For Neuroscience Teams: A Guidance Statement From The Society Of Vascular And Interventional Neurology, Italo Linfante

All Publications

No abstract provided.

Molecular Analysis Of Rifampicin Resistance Conferring Mutations In Mycobacterium Tuberculosis, Fairuz H.Abdullah Tawgozy, Bushra K. Qarasnji

Baghdad Science Journal

Mycobacterium tuberculosis resistance to rifampicin is mainly mediated through mutations in the rpoB gene. The effects of rpoB mutations are relieved by secondary mutations in rpoA or rpoC genes. This study aims to identify mutations in rpoB, rpoA, and rpoC genes of Mycobacterium tuberculosis isolates and clarify their contribution to rifampicin resistance. Seventy isolates were identified by acid-fast bacilli smear, Genexpert assay, and growth on Lowenstein Jensen medium. Drug susceptibility, testing was performed by the proportional method. DNA extraction, PCR, and sequencing were accomplished for the entire rpoA, rpoB, and rpoC genes. Twenty-three isolates (32.85%) showed resistance to rifampicin by …

Characterization Of Mannitol Fermenter And Salt Tolerant Staphylococci From Breast Tumor Biopsies Of Iraqi Women, Mohammed Jasim Najem, Inam Jasim Lafta

Baghdad Science Journal

The emergence of staphylococci, either coagulase negative (CNS) or coagulase positive (CPS), as important human pathogens has implied that reliable methods for their identification are of large significance in understanding the diseases caused by them. The identification and characterization of staphylococci from biopsies taken from human breast tumors is reported here. Out of 32 tissue biopsies, a total of 12 suspected staphylococci grew on mannitol salt agar (MSA) medium, including 7 fermenters and 5 non-fermenter staphylococci based on traditional laboratory methods. Polymerase chain reaction (PCR) successfully identified seven isolates at the genus level as methicillin resistant Staphylococcus spp. by targeting …

Pilgrimage Circuit Of Osun Osogbo Sacred Grove And Shrine, Osun State, Nigeria, Emeka E. Okonkwo, Afamefuna P. Eyisi

International Journal of Religious Tourism and Pilgrimage

One religious tourism destination site of note in Southwestern Nigeria is the Osun Osogbo Sacred Grove and Shrine, located along the banks of the Osun River in the city of Oshogbo, Osun State, Nigeria. The sacred grove and shrine was inscribed as a UNESCO World Heritage site in 2005. This paper examines the routes and trails people take to get to Osun Osogbo Sacred Grove and Shrine with a view to evaluating access to the destination site as well as the factors impacting on the sacred grove. The study uses ethnographic methods to elicit information from respondents and data collected …

Mechanical Characterization Of Animal Derived Starting Materials For Tissue Engineering, Bin Zhang

Dissertations

Animal derived starting materials are well established in the production of Tissue Engineered Medical Devices. Porcine specifically can be found in products ranging in application from hernia repair to breast reconstruction. Although this material has been largely accepted in the Tissue Engineering industry, little is known of its material properties and mechanical characteristics. A review of the scientific literature describes limited mechanical measures only on uncontrolled research grade material. The objective of this work is to mechanically characterize porcine starting material used in the medical device industry. Porcine skin is provided by Midwest Research Swine, LLC (MRS) an established supplier …

2020-05-31_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

Medical School Watercooler Newsletter - May 31, 2020, Lindsey Lyle

Watercooler Newsletter

This is the May 31, 2020 edition of the Frederick P. Whiddon College of Medicine's Newsletter - Watercooler.

Contents Include:

Macaluso's research aims to prevent cat scratch disease and other illnesses

Richards performs surgeries, provides medical education in Ecuador

Hermance joins USA department of microbiology and immunology

Improving Latent Tuberculosis Infection (Ltbi) Screening And Treatment In A School-Based Setting, Andrea Bell

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: San Diego County’s tuberculosis (TB) incidence rate is nearly double than the national rate. In 2019, there have been 5 cases of active TB in the county’s public high schools, which have demonstrated the need for prevention interventions in this setting.

Objectives: This evidence-based project is aimed to increase awareness, screening and treatment of latent TB infection (LTBI) in the school setting.

Methods: A TB risk assessment form and consent was sent in the registration packets. A one-time TB educational presentation was given to high school freshman students with a pretest and posttest. For students at-risk, a confidential …

As The Covid-19 Pandemic Drags On, Where Have All The Stemis Gone?, Waqas Ullah, Yasar Sattar, Rehan Saeed, Asrar Ahmad, Margot I. Boigon, Donald C. Haas, M. Chadi Alraies

Abington Jefferson Health Papers

In the midst of current pandemic individuals with all sorts of medical ailments are afraid to venture into health-care settings and risk contracting Coronavirus disease 2019 (COVID-19). Irrespective of the inherent thromboembolic risks associated with COVID-19, this puts patients at high risk of cardiac complications

Using Short Chain Fatty Acids To Inactivate Pseudomonas Aeruginosa Biofilms, Stephen Lee

Dissertations and Theses

Abstract

Using Short Chain Fatty Acids to Disinfect Pseudomonas Aeruginosa Biofilms

by

Stephen Lee

Background

The study of bacteria typically focuses on the planktonic or free-living single-cell state that is purely cultured in a laboratory for subsequent growth with appropriate media. Although this traditional way of growing bacteria has been paramount to the understanding of bacterial behavior, physiology, and pathogenesis, bacteria rarely exist as pure cultures of planktonic growth forms in the natural habitat. Bacterial contamination of environmental surfaces, in the form of biofilms, is a prime public health problem and causes numerous infections within the general public. Biofilms are …

Developing An Online Health Community For Autoimmune Disease Patients Through Self-Managed Diet, Rachel Greene

Critical and Creative Thinking Capstones Collection

Part I, Autoimmune Disease Management and the Need for Intervention, discusses current and standard Autoimmune Disease- (AI/AID) management and the shortcomings within. Typical AID-management led by healthcare professionals lacks a holistic, symptom-based approach, thus further contributing to the daily chronic pain of the afflicted. This analysis indicates the need to connect those suffering with AID’s to scientific research that has determined strict dieting can significantly reduce symptoms associated with AID’s. Part II, Synthesizing A Model For Online Health Community Engagement, examines the website prototype of Greenebean, which is an online community developed via user-centric design, in a theoretical, physical, and …

Correlation Of Knowledge And Beliefs To Adherence With Antibiotic Use In Adult Patients At A Private Hospital In Sidoarjo, Muhammad Hasan Wattiheluw, Fauna Herawati, Setiasih Setiasih, Rika Yulia

Kesmas

Infectious diseases are one of the top ten causes of death in the world. Antibiotic therapy is administered for infectious diseases, but if bacteria are exposed to antibiotics continuously, then the bacteria are able to adapt to the medication, thereby resulting in antibiotic resistance. This condition results in an increase in mortality, long hospitalization period, and increased cost of antibiotic therapy and health services. Adherence to using antibiotics may be influenced by knowledge and beliefs about them. This study aimed to understand correlation between knowledge and belief with adherence to antibiotic use at a private hospital in Sidoarjo. This cross-sectional …

2020-05-30_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

Covid-19 Pandemic And Law No. 6 Year 2018 Regarding Health Quarantine, Gunawan Widjaja

Journal of Indonesian Health Policy and Administration

By late March, to anticipate the spreading of COVID-19 pandemic, the President of the Republic of Indonesia has issued several regulations. The Author has examined that the main laws that were used as the based for the issuance of those regulations are Law No.6 Year 2018 regarding Health Quarantine (the Health Quarantine Law). Therefore in order to handle COVID-19 pandemic, an understanding of the Law become a must. The aim of this research is to elaborate and explain the Health Quarantine Law to reduce the COVID-19 pandemic. This research is normative legal research. The research used secondary data, which consisted …

Local Initiatives In Preventing Coronavirus Based On Health Policy Perceptive, Dumilah Ayuningtyas, Misnaniarti Misnaniarti, Siti Khodijah Parinduri, Fitria Aryani Susanti, Ni Nyoman Dwi Sutrisnawati,

Journal of Indonesian Health Policy and Administration

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Access To Lifesaving Medical Resources For African Countries: Covid-19 Testing And Response, Ethics, And Politics, Matthew M. Kavanagh, Ngozi A. Erondu, Oyewale Tomori, Victor J. Dzau, Emelda A. Okiro, Allan Maleche, Ifeyinwa C. Aniebo, Umunya Rugege, Charles B. Holmes, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

Coronavirus disease 2019 (COVID-19) has revealed how strikingly unprepared the world is for a pandemic and how easily viruses spread in our interconnected world. A governance crisis is unfolding alongside the pandemic as health officials around the world compete for access to scarce medical supplies. As governments of African countries, and those in low-income and middle-income countries around the world, seek to avoid potentially catastrophic epidemics and learn from what has worked in other countries, testing and other medical resources are of concern. With accelerating spread, funding is urgently needed. Yet even where there is enough money, many African health …

Cigarette Smoking And Smokeless Tobacco Use Among Male South Asian Migrants In The United Arab Emirates: A Cross-Sectional Study, Raghib Ali, Tom Loney, Mohammed Al-Houqani, Iain Blair, Faisal Aziz, Salma Al Dhaheri, Iffat El Barazi, Elpidoforos S. Soteriades, Syed M. Shah

Department of Family Medicine

Background: Few data were available on smoking and smokeless tobacco use in South Asian migrants in the United Arab Emirates (UAE). This study aimed to identify the prevalence and correlates of cigarette smoking and smokeless tobacco use in male South Asian migrants in the UAE.
Methods: We used a cross-sectional study to recruit a random representative sample of male South Asian migrants, including Indian (n = 433), Pakistani (n = 383) and Bangladeshi (n = 559) nationalities. We used multivariable logistic regression analysis to identify significant correlates of cigarettes smoking and smokeless tobacco use.
Results: 1375 South Asian migrant adult …

Climate Resilience For A Neighborhood Without Privilege: East Boston, Peter Niels Heller

Masters Theses

This architecture thesis is about climate change and unprivileged populations – sea-level rise in particular, and the neighborhood of East Boston. Across recorded human history, the burdens of climate stress have fallen disproportionately on marginal populations, and today is no different. We don’t have to travel to a South Pacific island to see the risk posed by sea-level rise – that risk can be found right here along the New England coastline. Neighborhoods with a minimum of privilege face challenges to their existence – and those residents want to stay in their homes and preserve their communities just like anybody …

Impact Analysis Of The Large-Scale Social Restrictions (Psbb) Policy Implementation In Jakart, Hikmahwati Hikmahwati, Ekasafitri A.S Sangadji, Raden Roro Mega Utami

Journal of Indonesian Health Policy and Administration

Jakarta is the province with the highest population density in Indonesia and is also one of the main international gateways to enter Indonesia. These conditions cause a high risk of transmission COVID-19 in Jakarta. One of the government's decisions was applying the Large Scale Social Restrictions (PSBB) policy in Jakarta. This study is a documentation study with Sabatier and Mazmanian's top-down approach that aims to analyze the extent impact of policy implementation, in terms of the policy objectives and community compliance. Compliance analysis uses the results of the Covid-19 Outbreak Survey and Google mobility index. The result shows the compliance …

The Effectiveness Of Covid-19 Countermeasure Policy Implementation In Seven Asean Countries, Wahyu Sulistiadi, Sri Rahayu

Journal of Indonesian Health Policy and Administration

COVID-19, which has spread to almost all countries in the world, force country's leaders to issue COVID-19 countermeasures policy that is the most effective and suitable for their country. The various ways to implement the policy depend on the COVID-19 impact that arises in the country. This study describes the implications of national policies related to COVID-19 case fatality rates up to 29 April 2020 in 7 ASEAN countries. We use analytical descriptive method on COVID-19 data that has been published in online media. The achievement on the implementation of national policy in overcoming COVID-19 in some countries provide new …

‘‘Please Can We Talk About Politics Or Something Controversial, Instead Of My Stomach?’: A Communication Study Of Food Discourse And Identity Construction., Rhonda J. Stewart

Dublin Gastronomy Symposium

The study of food, an integral component of culture, provides insights into our beliefs, customs, and daily life. When our lives revolve around the importance of food, how do we make sense of an interruption in that system? People with food allergies discover ways to make sense of their food allergies and learn how to communicate their stigmatized allergies to others. The reactions of non-allergic people to those with dietary restrictions have implications for allergy sufferers as well. Interviews revealed the taint perceived by food allergy sufferers and the sensemaking process they implemented to confront the taint through three distinct …