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Kujdesi Infermieror Dhe Roli I Fizioterapisë Tek Pacientët Me Paralizë Cerebrale, Zenie Sylejmani

Theses and Dissertations

Paraliza cerebrale (paraliza e trurit), e definuar si çrregullim i sistemit muskuloskeletal, është një problem më të cilin po luftojnë mbi 17 milionë njerëz në botë. Ky çrregullim zhvillohet për shkak të një dëmtimi të trurit që mund të ndodhë gjatë shtatëzanisë, lindjes ose periudhës neonatale e shoqëruar me problemetjera shëndetësore, në të folur, shikim dhe dëgjim, kjo mund të çojë në vështirësi në të mbajturit mend.

Ky punim është realizuar me qëllim të zgjerimit të njohurive të infermierëve të ardhshëm në fushën e neurologjisë, respektivisht kujdesit infermieror dhe rolin e fizioterapisë te pacientët me paralizëcerebrale si dhe të shpjegohen …

Kujdesi Infermieror Te Pacientët Me Insuficiencë Akute Të Zemrës, Vlorentina Tahiri

Theses and Dissertations

Hyrje

Insuficienca akute e zemrës(Acute Heart Failure-AHF) është një “epidemi” e ditëve moderne. IAZ përcaktohet gjerësisht si një shfaqje e shpejtë e shenjave dhe simptomave të reja ose përkeqësuese. Shpesh është një gjendje potencialisht e rrezikshme për jetën, që kërkon shtrimin në spital dhe trajtimin urgjent dhe ka për qëllim kryesisht menaxhimin e mbingarkesës së lëngjeve dhe kompromisin hemodinamik.

Qëllimi i punimit:Ështëvlerësimi i kujdesit infermieror te pacientët me insuficiencë akute të zemrës.

Metodologjia:Për të realizuar këtë punim është përdorur metodologjiae rishikimit të literaturës. Informacionet e paraqitura janë siguruar nga literaturë e shumtëqë ka të bëjë me infermierinë, kryesisht …

Kujdesi Infermieror Te Pacientët Diabetikë Ambulantor Insulino-Vartës, Valza Gashi

Theses and Dissertations

Numri i të diagnostifikuarve me diabet është çdo ditë në rritje e sipër. Kjo sëmundje prek të gjitha moshat nga të gjitha vendet, përfshirë edhe vendet më të zhvilluara. Sëmundja e diabetit duke filluar nga diagnostifikimi, trajtimi e deri te menaxhimi i sëmundjes kërkon një kujdes të shtuar si nga stafi shëndetësor ashtu edhe nga pacienti. Kujdesi infermieror përbën një rol kyç në menaxhimin e sëmundjes së diabetit dhe edukimin e pacientit lidhur me të. Qëllimi i këtij punimi është të bëhet hulumtimi i nivelit të kujdesit infermieror të dhënë te pacientët diabetikë ambulantor insulino-vartës, ndërsa subjekti i këtij punimi …

Sëmundja Pulmonare Obstruktive Kronike(Spok) Si Problematikë Kirurgjike. Roli I Infermieres Në Kujdesin Postoperator, Selva Rama

Theses and Dissertations

Sëmundja pulmonare obstruktive kronike (SPOK/COPD) është një sëmundje mjaft e përhapur që karakterizohet nga kufizimi i rrjedhës së ajrit në mushkëri që nuk është plotësisht i kthyeshëm. Shkaku kryesor në vendet e zhvilluara është ekspozimi ndaj tymit të duhanit. Simptomat e karakterizuara mirë si dispnea dhe lodhja kanë një ndikim negativ në kualitetin e jetës së pacientëve (QoL) dhe kufizojnë aktivitetin fizik në jetën e përditshme. Ndikimi i simptomave të COPD shpesh nënvlerësohet. Sëmundja kronike obstruktive e mushkërive shoqërohet me morbiditet dhe mortalitet të madh po ashtu siç janë: sëmundjet kardiovaskulare, diabeti i tipit 2, astma. Ndërprerja e pirjes së …

Investigation Of Equine In Vivo And In Vitro Derived Metabolites Of The Selective Androgen Receptor Modulator (Sarm) Acp-105 For Improved Doping Control, Malin Nilsson Broberg, Heather Knych, Ulf Bondesson, Curt Pettersson, Scott Stanley, Mario Thevis, Mikael Hedeland

Maxwell H. Gluck Equine Research Center Faculty Publications

Selective Androgen Receptor Modulators (SARMs) have anabolic properties but less adverse effects than anabolic androgenic steroids. They are prohibited in both equine and human sports and there have been several cases of SARMs findings reported over the last few years. The aim of this study was to investigate the metabolite profile of the SARM ACP-105 (2-chloro-4-[(3-endo)-3-hydroxy-3-methyl-8-azabicyclo[3.2.1]oct-8-yl]-3-methylbenzonitrile) in order to find analytical targets for doping control. Oral administration of ACP-105 was performed in horses, where blood and urine samples were collected over a time period of 96 h. The in vivo samples were compared with five in vitro incubation models encompassing …

Creatine Supplementation In Children And Adolescents, Andrew R. Jagim, Chad M. Kerksick

Faculty Scholarship

Creatine is a popular ergogenic aid among athletic populations with consistent evidence indicating that creatine supplementation also continues to be commonly used among adolescent populations. In addition, the evidence base supporting the therapeutic benefits of creatine supplementation for a plethora of clinical applications in both adults and children continues to grow. Among pediatric populations, a strong rationale exists for creatine to afford therapeutic benefits pertaining to multiple neuromuscular and metabolic disorders, with preliminary evidence for other subsets of clinical populations as well. Despite the strong evidence supporting the efficacy and safety of creatine supplementation among adult populations, less is known …

The Impact Of Covid-19 Stay-At-Home Orders On Health Behaviors In Adults, Emily W. Flanagan, Robbie A. Beyl, S. Nicole Fearnbach, Abby D. Altazan, Corby K. Martin, Leanne M. Redman

Clinical Research Faculty Publications

Objective: Stay-at-home orders in response to the coronavirus disease 2019 (COVID-19) pandemic have forced abrupt changes to daily routines. This study assessed lifestyle changes across different BMI classifications in response to the global pandemic. Methods: The online survey targeting adults was distributed in April 2020 and collected information on dietary behaviors, physical activity, and mental health. All questions were presented as “before” and “since” the COVID-19 pandemic. Results: In total, 7,753 participants were included; 32.2% of the sample were individuals with normal weight, 32.1% had overweight, and 34.0% had obesity. During the pandemic, overall scores for healthy eating increased (P < 0.001), owing to less eating out and increased cooking (P < 0.001). Sedentary leisure behaviors increased, while time spent in physical activity (absolute time and intensity adjusted) declined (P < 0.001). Anxiety scores increased 8.78 ± 0.21 during the pandemic, and the magnitude of increase was significantly greater in people with obesity (P ≤ 0.01). Weight gain was reported in 27.5% of the total sample compared with 33.4% in participants with obesity. Conclusions: The COVID-19 pandemic has produced significant health effects, well beyond the virus itself. Government mandates together with fear of contracting the virus have significantly impacted lifestyle behaviors alongside declines in mental health. These deleterious impacts have disproportionally affected individuals with obesity.

Positional Differences In Pre-Season Scrimmage Performance Of Division I Collegiate Football Players, Kate S. Early, Nathan P. Lemoine, Annie Simoneaux, Shelly Mullenix, Jack Marucci, Michael J. Maclellan, Neil M. Johannsen

Clinical Research Faculty Publications

This study aimed to describe the physical demands of American football players using novel performance analysis techniques. Heart rate (HR) and accelerometer-based activity levels were observed across two pre-season scrimmages in 23 Division I collegiate football players (age: 19 ± 1 y, height: 1.90 ± 0.06 m, weight: 116.2 ± 19.4 kg). Data were analyzed using a MATLAB program and inter-rater reproducibility assessed using inter-class correlations (ICC). Players were analyzed by side (offense/defense) and position (skill/non-skill). Performance variables assessed in bursts of activity included burst duration, HRmean and HRmax (bpm), and mean activity (vector magnitude units [vmu]). Exercise intensity was …

Digital Anthropometry For Body Circumference Measurements: Toward The Development Of Universal Three-Dimensional Optical System Analysis Software, Sima Sobhiyeh, Samantha Kennedy, Alexander Dunkel, Marcelline E. Dechenaud, Jerome A. Weston, John Shepherd, Peter Wolenski, Steven B. Heymsfield

Faculty Publications

Background/Objective: Digital anthropometric (DA) assessments are increasingly being administered with three-dimensional (3D) optical devices in clinical settings that manage patients with obesity and related metabolic disorders. However, anatomic measurement sites are not standardized across manufacturers, precluding use of published reference values and pooling of data across research centers. Subjects/Methods: This study aimed to develop universal 3D analysis software by applying novel programming strategies capable of producing device-independent DA estimates that agree with conventional anthropometric (CA) measurements made at well-defined anatomic sites. A series of technical issues related to proprietary methods of 3D geometrical reconstruction and image analysis were addressed in …

Prevalence, Risk And Protective Indicators Of Common Mental Disorders Among Young People Living With Hiv Compared To Their Uninfected Peers From The Kenyan Coast: A Cross-Sectional Study, Moses K. Nyongesa, Paul Mwangi, Michael Kinuthia, Amin S. Hassan, Hans M. Koot, Pim Cuijpers, Charles R. J. C. Newton, Amina Abubakar

Institute for Human Development, East Africa

Background: In sub-Saharan Africa, common mental disorders (CMDs) like depression and anxiety are under investigated amongst young people living with HIV (YLWH). To address the gap, in Kenya we: a) determined the prevalence of CMDs among YLWH compared to their uninfected peers; b) investigated HIV status as an independent predictor of CMDs in young people; c) investigated CMDs risk and protective indicators with more focus on YLWH.

Methods: Between November 2018 and September 2019, 819 young people aged 18–24 years (407 HIV-infected) were recruited from two Counties on the Kenyan coast. Locally adapted pre-existing mental health measures, Patient Health Questionnaire …

Capsule Carbohydrate Structure Determines Virulence In Acinetobacter Baumannii, Yuli Talyansky, Travis B. Nielsen, Jun Yan, Ulrike Carlino-Macdonald, Gisela Di Venanzio, Somnath Chakravorty, Amber Ulhaq, Mario F. Feldman, Thomas A. Russo, Evgeny Vinogradov, Brian Luna, Meredith S. Wright, Mark D. Adams, Brad Spellberg

Open Access Publications

Acinetobacter baumannii is a highly antibiotic-resistant bacterial pathogen for which novel therapeutic approaches are needed. Unfortunately, the drivers of virulence in A. baumannii remain uncertain. By comparing genomes among a panel of A. baumannii strains we identified a specific gene variation in the capsule locus that correlated with altered virulence. While less virulent strains possessed the intact gene gtr6, a hypervirulent clinical isolate contained a spontaneous transposon insertion in the same gene, resulting in the loss of a branchpoint in capsular carbohydrate structure. By constructing isogenic gtr6 mutants, we confirmed that gtr6-disrupted strains were protected from phagocytosis in vitro and …

Andrews University Awarded $2.25m Grant, Isabella Koh

Lake Union Herald

No abstract provided.

Irrigation Management In Potato (Solanum Tuberosum L.) Production: A Review, Koffi Djaman, Suat Irkmak, Komlan Koudahe, Samuel Allen

Department of Mechanical and Materials Engineering: Faculty Publications

Limited water resources coupled with the increase of the human population calls for more efficient use of water in irrigated agriculture. Potato (Solanum tuberosum L.) is one of the most widely grown crops worldwide and is very sensitive to water stress due to its shallow rooting system. With the dilemma of potato sensitivity to drought and limited available water resources restricting crop production, researchers and crop growers have been investigating different approaches for optimizing potato yield and improving crop water use efficiency under different irrigation methods. While potato response to water is affected by other management practices such as fertilizer …

Impact Of Medical Nutrition Therapy On Blood Pressure, Connor Mcelwee, Jessica Vitale, Cynthia Cheng, Md, Phd

Phase 1

Introduction:

We are studying how Jefferson’s Medical Nutrition Therapy (MNT) program has impacted biometric variables in program participants. These variables include body weight, HgA1C, lipids, and blood pressure (BP). My poster will focus on the impact of Jefferson’s MNT on blood pressure. My hypothesis is that participation in MNT will result in reduced blood pressure.

Methods:

The target population is patients who have participated in Jefferson’s MNT program. Study exclusion criteria included history of gastric bypass surgery, medical conditions or medication usage that might impact weight loss and other dependent variables. Data was abstracted from patients’ medical records, as …

Effectiveness Of A Primary Care Nutrition Education/Vlcd Diet Program, Jessica Vitale, Ayesha Baig, Steven Chang, Hannah Kostan, Connor Mcelwee, Ketav Patel, Cindy Cheng

Phase 1

Introduction: Jefferson currently has a Medical Nutrition Therapy (MNT) program via an educational component delivered via Zoom to assist patients with managing their diet, exercise, medication changes and understanding the physiology of their conditions. We aim to study the effectiveness of the MNT program, along with the impact of duration of program participation, on weight loss, blood pressure, glucose and total cholesterol. In addition, I am focusing on triglycerides, HDL and LDL. We hypothesize that patients in our MNT program will have lower weight, blood pressure, blood glucose and total cholesterol, with a further positive effect of longer participation …

The Effect Of Medical Nutrition Therapy On Weight Loss, Ayesha Baig, Hannah Kostan, Cynthia Cheng

Phase 1

Introduction: In this retrospective study, we evaluated the effects of Jefferson’s medical nutrition therapy (MNT) program on weight loss. We anticipate that participation in the MNT program will lead to an improvement in weight and metabolic syndrome parameters.

Methods: We selected a convenience sample of 10 participants with BMI > 25 for this pilot retrospective chart review. Subjects were screened for various exclusion criteria such as past bariatric surgery, heart failure, malignancy, renal dialysis, and uncontrolled conditions such as hypothyroidism, anemia, or B12 deficiency. Weight measurements were collected from EPIC records starting from baseline, defined as 3 months prior to initiation …

Application Of The Breakthrough Research Social And Behavior Change Costing Guidelines To The Rise Ii Project In Niger, Nicole M. Bellows, Lori Bollinger, Rudolph Chandler

Poverty, Gender, and Youth

Breakthrough RESEARCH drafted its Guidelines for Costing Social and Behavior Change Health Interventions, in consultation with affiliate Breakthrough ACTION and other programmers, to promote quality social and behavior change program costing studies for a range of uses including budgeting, planning, economic evaluation, and advocacy. In March 2020, Breakthrough RESEARCH began applying the Guidelines to the Resilience in the Sahel (RISE) II program in Niger for a cost-effectiveness analysis through 2022. This report shares findings from application of the Breakthrough Costing Guidelines and provides an example and guidance for social and behavior change researchers and implementers on how these guidelines can …

Artificial Nightlight Alters The Predator–Prey Dynamics Of An Apex Carnivore, Jesse R. Barber

Biology Faculty Publications and Presentations

Artificial nightlight is increasingly recognized as an important environmental disturbance that influences the habitats and fitness of numerous species. However, its effects on wide‐ranging vertebrates and their interactions remain unclear. Light pollution has the potential to amplify land‐use change, and as such, answering the question of how this sensory stimulant affects behavior and habitat use of species valued for their ecological roles and economic impacts is critical for conservation and land‐use planning. Here, we combined satellite‐derived estimates of light pollution, with GPS‐data from cougars Puma concolor (n = 56), mule deer Odocoileus hemionus (n = 263) and locations of cougar‐killed …

Nebline, February 2021

NEBLINE Newsletter Archive from Nebraska Extension in Lancaster County

Staying active in winter

Nebraska Extension’s Physical Activity Resources

At-Home Workout: No Equipment Needed

Recipe of the Month

2021 Flower All-America Selections Winners

Garden Guide Things to Do This Month

ProHort Lawn & Landscape Update

Know Your Bugs Before You Treat: Bed vs. Bat

More Than Counting: Incorporating Math Into Daily Interactions With Preschoolers

Pesticide Applicator Trainings

Total Coliform Bacteria in Drinking Water

HEART OF 4-H Volunteer Award, Laura Cook

Meet 2020–2021 4-H Teen Council

4-H Club Gives Youth With Special Needs Opportunity to Show Lambs

Pick-A-Pig Club Accepting New Members

Companion Animal Webinar Series

4-H Rabbit Show, March 20 …

Think Twice Before Prescribing Antibiotics For That Swollen Knee: The Influence Of Antibiotics On The Diagnosis Of Periprosthetic Joint Infection., Graham S Goh, Javad Parvizi Md

Rothman Institute Papers

Periprosthetic joint infection (PJI) is a rare but devastating complication after total joint arthroplasty. An estimated 7-12% of patients have negative cultures despite clear clinical evidence of infection. One oft-cited reason for this occurrence is the administration of antibiotics in the weeks prior to obtaining cultures. This article reviews the influence of antibiotics on the diagnosis of PJI. Specifically, we examine the effect of prophylactic and therapeutic antibiotic administration on the diagnostic accuracy of microbiological cultures as well as serum and synovial biomarkers. We also explore the potential of molecular techniques in overcoming these limitations in patients who have received …

Disparities In Tuberculosis Rates In New England: 2011, 2014-2018, Etienne Bobe Leta

Muskie School Capstones and Dissertations

Purpose. The purpose of this study was to assess whether decreases in tuberculosis (TB) incidence have been followed by reductions in TB disparities in New England during 2011 and from 2014 to 2018.

Background. Tuberculosis is a potentially serious infectious disease which, without treatment, can be fatal. In the United States, 8,920 new cases were temporarily reported in 2019, showing a decrease of 1.1% from 2018. Similarly, TB incidence declined to 2.7 cases per 100,000 persons, accounting for 1.6% decrease from 2018 (CDC, 2020). Although this improvement, disparities in rates of tuberculosis disease between Whites and minority groups continue to …

Afrotropical Sand Fly-Host Plant Relationships In A Leishmaniasis Endemic Area, Kenya, Iman B. Hassaballa, Catherine L. Sole, Xavier Cheseto, Baldwyn Torto, David P. Tchouassi

All Peer-Reviewed Publications

The bioecology of phlebotomine sand flies is intimately linked to the utilization of environmental resources including plant feeding. However, plant feeding behavior of sand flies remains largely understudied for Afrotropical species. Here, using a combination of bio-chemical, molecular, and chemical approaches, we decipher specific plant-feeding associa-tions in field-collected sand flies from a dry ecology endemic for leishmaniasis in Kenya. Cold-anthrone test indicative of recent plant feeding showed that fructose positivity rates were similar in both sand fly sexes and between those sampled indoors and outdoors. Analysis of derived sequences of the ribulose-1,5-bisphosphate carboxylase large subunit gene (rbcL) from fructose-positive specimens …

Lianas Explore The Forest Canopy More Effectively Than Trees Under Drier Conditions, Jose A. Medina-Vega, Frans Bongers, Stefan A. Schnitzer, Frank J. Sterck

Biological Sciences Faculty Research and Publications

1. Lianas rely on trees for support and access to high-light positions in the forest canopy, but the implications for how lianas explore the canopy compared to trees remain understudied. We present an in situ forest canopy study to test the hypotheses that: (1) lianas favour leaf display over stem investment compared to trees and (2) lianas have greater potential to colonize non-shaded, high-light areas effectively than trees.
2. We compared branches of 16 liana species with those of 16 sympatric tree species in the canopy of two lowland tropical forests with contrasting rainfall regimes in Panama using 40–50 m tall canopy …

Essential Tremor: A Review, Grant S. Taylor

Honors Projects

Essential tremor (ET) is one of the most prevalent movement disorders globally: approximately 1% of the population is affected (Haubenberger & Hallet, 2018). In the past, ET has been grossly oversimplified clinically and pathologically and only through recent study has the complexity of the disease process and presentation been made apparent. Despite the recent advances in research regarding ET, the general public is still largely unfamiliar with the various aspects of the disease (Cristal et al., 2018). Perhaps even more surprising is the similar lack of knowledge that ET patients have regarding their own disease (Cristal et al., 2018). Recent …

Newsletter Catholic Deaf Of Detroit, February 2021

Newsletter Catholic Deaf of Detroit

A newsletter published for Deaf Catholics in Detroit, MI

Newsletter Catholic Deaf of Detroit Finding Aid

Can Public Online Databases Serve As A Source Of Phenotypic Information For Cannabis Genetic Association Studies?, Matthew L. Aardema, Rob Desalle

Department of Biology Faculty Scholarship and Creative Works

The use of Cannabis is gaining greater social acceptance for its beneficial medicinal and recreational uses. With this acceptance has come new opportunities for crop management, selective breeding, and the potential for targeted genetic manipulation. However, as an agricultural product Cannabis lags far behind other domesticated plants in knowledge of the genes and genetic variation that influence plant traits of interest such as growth form and chemical composition. Despite this lack of information, there are substantial publicly available resources that document phenotypic traits believed to be associated with particular Cannabis varieties. Such databases could be a valuable resource for developing …

Macrophage-Derived Thrombospondin 1 Promotes Obesity-Associated Non-Alcoholic Fatty Liver Disease, Taesik Gwag, Raja Gopal Reddy Mooli, Dong Li, Sangderk Lee, Eun Young Lee, Shuxia Wang

Pharmacology and Nutritional Sciences Faculty Publications

Background

Thrombospondin 1 (TSP1) is a multifunctional matricellular protein. We previously showed that TSP1 has an important role in obesity-associated metabolic complications, including inflammation, insulin resistance, cardiovascular, and renal disease. However, its contribution to obesity-associated non-alcoholic fatty liver disease/non-alcoholic steatohepatitis (NAFLD or NASH) remains largely unknown; thus, we aimed to determine its role.

Methods

High-fat diet or AMLN (amylin liver NASH) diet-induced obese and insulin-resistant NAFLD/NASH mouse models were utilised, in addition to tissue-specific Tsp1-knockout mice, to determine the contribution of different cellular sources of obesity-induced TSP1 to NAFLD/NASH development.

Results

Liver TSP1 levels were increased in experimental obese …

Difficulties And Expectations Of Foreign Nursing Students In The Clinic, Serap Parlar Kiliç, Gülendam Karadağ, Nermin Kiliç, Cihat Demirel

Journal of Comparative & International Higher Education

No abstract provided.

Mckee Minute February 2021, Southern Adventist University

McKee Minute – McKee Library This Month

The February 2021 McKee Minute features information on Winter 2021 services and Campus Research Day. Recommendations are included on the topic of anti-racism and streaming films on literature and poetry. The database Manuscript Women's Letters and Diaries is reviewed.

Assessing Mealtime Macronutrient Content: Patient Perceptions Versus Expert Analyses Via A Novel Phone App, Melanie B. Gillingham, Zoey Li, Roy W. Beck, Peter Calhoun, Jessica R. Castle, Mark Clements, Eyal Dassau, Francis J. Doyle, Robin L. Gal, Peter Jacobs, Susana R. Patton, Michael R. Rickels, Michael Riddell, Corby K. Martin

Clinical Research Faculty Publications

Background: People with type 1 diabetes estimate meal carbohydrate content to accurately dose insulin, yet, protein and fat content of meals also influences postprandial glycemia. We examined accuracy of macronutrient content estimation via a novel phone app. Participant estimates were compared with expert nutrition analyses performed via the Remote Food Photography Method (RFPM). Methods: Data were collected through a novel phone app. Participants were asked to take photos of meals/snacks on the day of and day after scheduled exercise, enter carbohydrate estimates, and categorize meals as low, typical, or high protein and fat. Glycemia was measured via continuous glucose monitoring. …