Digital Commons Network^™

Optimization Of The After Visit Summary For Patients Discharged In The Pediatric Setting, Avery J. Allen Md, Kristen M. Prendergast Md

USF-LVHN SELECT

No abstract provided.

Building Services Engineering March/April 2024

Building Services Engineering

No abstract provided.

Acceptance Of Bite Presentations And Feeding Behaviors Of 8 To 12-Month-Old Infants: A Reflection Of Typical Feeding Development, Amy Delaney, Ericka Diestler, Parama Sridevi, Arafat Mahmood, Sheikh Iqbal Ahamed

Speech Pathology and Audiology Faculty Research and Publications

Purpose

The lack of age-appropriate expectations for feeding acceptance patterns in early childhood is a barrier to early and accurate identification of pediatric feeding disorder (PFD). The objective of the study was to describe the process by which typically developing children 8–12 months of age accept or refuse bite presentations and their corresponding feeding behaviors, aiming to establish age-appropriate normative data for feeding acceptance.

Method

Using cross-sectional methodology, we studied the proportion of bite presentations accepted, the type of feeding behaviors-passive, disruptive, expulsion, feeding concerns- observed at presentation and acceptance or refusal, and the duration between presentation to acceptance or …

The Impact Of On Shift Evidence Based Medicine Activity On Patient Care, Jeffrey B. Brown Md, Jacob Albers Md, Ajay Varadhan, Estelle Cervantes Md, Kashyap Kaul Do, Shreyas Kudrimoti Md, Phillip Sgobba Md, William Spinosi Do, Joseph B. Zackary Md, Bryan G. Kane Md

USF-LVHN SELECT

No abstract provided.

Repeat Bounce Backs To The Ed; Demographics And Services Utilized, Elizabeth Von Haunalter Md, Kathleen E. Kane Md

USF-LVHN SELECT

No abstract provided.

Association Between Inpatient Procedures And All-Cause Mortality, Zeegan George Md, Yarema Bezchlibnyk, Ali Yazdanyar Do, Phd

USF-LVHN SELECT

No abstract provided.

Needs Assessment For Breast Health Education At Lvhn: A Qualitative Survey Of Primary Care And Obgyn Clinicians, Taylor Guth Md, Beth Careyva M.D.

USF-LVHN SELECT

No abstract provided.

Documentation Decision Support To Improve Critical Care Smart Form Completion, Daniel J Strebig Md, David M. Richardson Md

USF-LVHN SELECT

No abstract provided.

March 2024 News, Office Of Sustainability

Office of Sustainability Newsletter

No abstract provided.

Single-Step Collagen-Elastin Dermal Matrix With Split-Thickness Skin Grafting For Keloid Burn Scars: A Case Series, Meredith Elman, Pablo Aguayo

Presentations

Introduction Keloids may pose significant difficulty to affected patients: they can be painful, itchy, impact mobility if they cross joints, and most disruptively, can be physically disfiguring and cause emotional distress. While multiple treatments exist, none reliably provide scar resolution, and up to 100% of keloids return after surgical excision. MatriDerm is a dermal replacement scaffold that has shown previous efficacy in management of a variety of acute and chronic wounds in adults, including burns. In this two patient case series, we aim to demonstrate the efficacy of single-step application of MatriDerm dermal substitute with split-thickness skin grafting in the …

Voices From Grenada: An Impact Evaluation Of A Community-Academic Partnership., Sade Richardson

Doctor of Social Work Capstone Projects

The purpose of this study was to evaluate the impact of the community-academic partnership between the University of Michigan School of Public Health Office of Public Health Practice and the Grenadian community. Five key informant interviews were conducted to analyze the partnership from the perspectives of the community partners in Grenada to understand the strengths, challenges, and existing opportunities, specifically within the context of a global collaboration.

The findings highlighted the benefits of community-based collaboration, considerations for partnership design, and opportunities for education, practice, policy, research, and leadership. The organizations spoke highly of the partnership, underscoring their desire for expanded …

Using Imaging Modalities To Predict Nanoparticle Distribution And Treatment Efficacy In Solid Tumors: The Growing Role Of Ultrasound, Michaela B. Cooley, Dana Wegierak, Agata A. Exner

Faculty Scholarship

Nanomedicine in oncology has not had the success in clinical impact that was anticipated in the early stages of the field's development. Ideally, nanomedicines selectively accumulate in tumor tissue and reduce systemic side effects compared to traditional chemotherapeutics. However, this has been more successful in preclinical animal models than in humans. The causes of this failure to translate may be related to the intra- and inter-patient heterogeneity of the tumor microenvironment. Predicting whether a patient will respond positively to treatment prior to its initiation, through evaluation of characteristics like nanoparticle extravasation and retention potential in the tumor, may be a …

Financial-Legal Navigation Reduces Financial Toxicity Of Pediatric, Adolescent, And Young Adult Cancers, Jean Edward, Kimberly D. Northrip, Mary Kay Rayens, Andrea Welker, Rachel O'Farrel, Jennifer Knuf, Haafsah Fariduddin, Julia Costich, John A. D'Orazio

Markey Cancer Center Faculty Publications

Background: Pediatric, adolescent, and young adult patients with cancer and their caregivers are at high risk of financial toxicity, and few evidence-based oncology financial and legal navigation programs exist to address it. We tested the feasibility, acceptability, and preliminary effectiveness of Financial and Insurance Navigation Assistance, a novel interdisciplinary financial and legal naviga- tion intervention for pediatric, adolescent and young adult patients and their caregivers.

Methods: We used a single-arm feasibility and acceptability trial design in a pediatric hematology and oncology clinic and collected preintervention and postintervention surveys to assess changes in financial toxicity (3 domains: psychological response/ Comprehensive Score …

Staphylococcus Aureus Oleate Hydratase Produces Ligands That Activate Host Ppara, Christopher D. Radka, Matthew W. Frank, Tyler S. Simmons, Cydney N. Johnson, Jason W. Rosch, Charles O. Rock

Markey Cancer Center Faculty Publications

Commensal gut bacteria use oleate hydratase to release a spectrum of hydroxylated fatty acids using host-derived unsaturated fatty acids. These compounds are thought to attenuate the immune response, but the underlying signaling mechanism(s) remain to be established. The pathogen Staphylococcus aureus also expresses an oleate hydratase and 10- hydroxyoctadecanoic acid (h18:0) is the most abundant oleate hydratase metabolite found at Staphylococcal skin infection sites. Here, we show h18:0 stimulates the transcription of a set of lipid metabolism genes associated with the activation of peroxisome proliferator activated receptor (PPAR) in the RAW 264.7 macrophage cell line and mouse primary bone marrow-derived …

Advocating For Adoptions In Al Hol: How Intercountry Adoptions Could Ensure The Safety Of A Generation Of Lost Children, Jill Boggs

Vanderbilt Journal of Transnational Law

No abstract provided.

Prioritizing Control Of Lesser Celandine (Ficaria Verna) In Deciduous Forests In Indianapolis, In, Kevin Tungesvick, Spencer A. Goehl, Donald R. Miller

Cities and the Environment (CATE)

Lesser celandine (Ficaria verna) is an aggressive ephemeral perennial native to Europe and western Asia that invades floodplains and mesic forests. It has been recorded to escape from cultivation throughout the eastern deciduous forest and has become abundant in many riparian areas in the Mid Atlantic, Great Lakes, and Ohio Valley. It emerges earlier than most native vernal flora and forms a dense mat that replaces the less aggressive native spring ephemeral community. Control efforts on floodplains are often unsuccessful due to floodwater transport of upstream propagules. Eco Logic LLC, a local ecological restoration firm, worked with Indy …

A Comparison Of Western And Eastern Soft Systems Approaches, John L. Anaya, John L. Anaya, John L. Anaya

Master's Theses

Soft System Approaches have been developed worldwide to help problem-solvers and decision-makers develop solutions to complex problems, such as aerospace systems. Soft System Approaches were designed to help lower the disorder of developing a complex system by increasing understanding of a situation. Four Soft System Approaches were investigated, two from the West and two from the East. Within the context of the paper, the West refers to thought patterns associated with thinkers and scientists in Europe and North America, and the East refers to those from and around China. The two from the West are Peter Checkland’s Soft Systems Methodology …

Cancer-Associated Fibroblast-Derived Acetate Promotes Pancreatic Cancer Development By Altering Polyamine Metabolism Via The Acss2–Sp1–Sat1 Axis, Divya Murthy, Kuldeep S. Attri, Surendra K. Shukla, Ravi Thakur, Nina V. Chaika, Chunbo He, Dezhen Wang, Kanupriya Jha, Aneesha Dasgupta, Ryan J. King, Scott E. Mulder, Joshua Souchek, Teklab Gebregiworgis, Vikant Rai, Rohit Patel, Tuo Hu, Sandeep Rana, Sai Sundeep Kollala, Camila Pacheco, Paul M. Grandgenett, Fang Yu, Vikas Kumar, Audrey J. Lazenby, Adrian R. Black, Susanna Ulhannan, Ajay Jain, Barish H. Edil, David L. Klinkebiel, Robert Powers, Amarnath Natarajan, Michael A. Hollingsworth, Kamiya Mehla2,, Quan Ly, Sarika Chaudhary, Rosa F. Hwang, Kathryn E. Wellen, Pankaj K. Singh

Robert Powers Publications

The ability of tumour cells to thrive in harsh microenvironments depends on the utilization of nutrients available in the milieu. Here we show that pancreatic cancer-associated fibroblasts (CAFs) regulate tumour cell metabolism through the secretion of acetate, which can be blocked by silencing ATP citrate lyase (ACLY) in CAFs. We further show that acetyl-CoA synthetase short-chain family member 2 (ACSS2) channels the exogenous acetate to regulate the dynamic cancer epigenome and transcriptome, thereby facilitating cancer cell survival in an acidic microenvironment. Comparative H3K27ac ChIP–seq and RNA–seq analyses revealed alterations in polyamine homeostasis through regulation of SAT1 gene expression and enrichment …

A Framework For Eradicating Women Discrimination In Architectural Design Firms In Egypt And Gcc Countries, Ayman Ahmed Ezzat Othman, Rodayna Ehab Hegazy

Architectural Engineering

Purpose – This research aims to develop and validate a framework for eradicating women’s discrimination in architectural design firms (ADFs) in Egypt and propose strategies for prospective adoption in the Gulf Cooperation Council (GCC) countries to increase the transformational impact of women on the architectural and urban developments of the Gulf region.

Design/methodology/approach – Acombined qualitative and quantitative research approach was designed to accomplish four objectives. Firstly, to investigate the nature of business in ADFs, women’s discrimination and policies for gender equity (PGE) in architecture. Secondly, to analyse three case studies to validate the identified causes and impacts of women’s …

The Contribution Of Smart Parks To Achieving The Resilience Of Cities, Mohamed E. Elattar

Architectural Engineering

No abstract provided.

Immunomodulatory Effects Of Baff And April Cytokines In Post-Pulmonary Infection Lung Cancer: Implications For Drug Resistance And Progression, Wael Alturaiki

Saudi Medical Journal

Lung cancer is a complicated and challenging disease and is one of the most common causes of cancer-related mortality worldwide. Within the lung microenvironment, specific cytokines, including the B cell activation factor (BAFF) and the A proliferation-inducing ligand (APRIL), are produce by various cells, notably airway epithelial cells, in response allergic inflammation or pulmonary infection. These cytokines play a critical role in maintaining local immune responses and fostering the survival of immune cells. The BAFF and APRIL system have been connected in a range of malignancies and have shown their potential in inducing drug resistance and promoting cancer progression. This …

Role Of Sfgsi, Microbial Culture And Qsofa As Predictive Factors In Determining The Survival Rate In Fournier Gangrene Patient, Syah M. Warli, Karimul A. Pakpahan, Ramlan Nasution, Dhirajaya D. Kadar, Kharisma P. Adhyatma

Saudi Medical Journal

Objectives: To examine the simplified Fournier Gangrene Severe Index Score (SFGSI) and the number of species in culture findings for predicting death in Fournier Gangrene (FG) patients in terms of their predictive power. Methods: From January 2017 to July 2022, the medical records of individuals undergoing emergency surgery for FG were obtained. A total of 80 patients were examined for clinical data such as age, gender, laboratory parameters, etiology, isolated bacteria, and mortality rate. Results: We identified a statistically significant mean difference between SFGSI ( p <0.0001) and quickSOFA (qSOFA) scores ( p =0.002) in determining the survival rate of FG patients. The sensitivity and specificity of the SFGSI score in predicting mortality were 90.1% and 88.3% respectively, whereas the sensitivity and specificity of the qSOFA score were 88.2% and 86.2%. E. Coli comprised 56.2% of the bacteria, followed by S. Haemolyticus , S. Aureus , P. Aeruginosa , and K. Pneumoniae . On the basis of bacterial culture results, P. Aeruginosa had the highest fatality rate (100%) followed by S. Aureus (75%), S. Haemolyticus (30%), and E. Coli (20%), in that order. Conclusion: The survival rate of FG patients can be predicted using the sensitivity and specificity of the SFGSI and qSOFA scores together. P. Aeruginosa- infected patients have the greatest mortality rate (100%) compared to the other groups.

Human Papillomavirus Prevalence And Dynamics: Insights From A 5-Year Population-Based Study In Jeddah, Kingdom Of Saudi Arabia, Khalid H. Sait, Nisreen M. Anfinan, Hesham K. Sait, Hussain A. Basalamah

Saudi Medical Journal

Objectives: To estimate the prevalence and dynamics of human papillomavirus (HPV) infection, over a 5-year period, among Saudi women. Methods: A 2-phase, population-based study combining cross-sectional and cohort designs was carried out with 5360 ever-married women aged 30–65 from Jeddah, Saudi Arabia, between 2013 and 2018. Participants were enrolled in a designated screening program and screened using the hybrid capture 2 HPV test. Women testing positive for HPV were followed up after one year to estimate the HPV clearance rate, while those testing negative had a follow-up after 5 years to assess new HPV infections. Factors associated with HPV positivity …

Outcomes Of Etonogestrel Subdermal Contraceptive Implants: A Single Center Cross-Sectional Study, Taghreed M. Shams, Hashem H. Alhashemi, Albaraa A. Fallatah, Asma M. Alkhalid, Fai M. Alhazmi, Rani N. Radey, Asalah F. Hamad, Hatoon T. Beyari, Shahad S. Alharazi

Saudi Medical Journal

Objectives: To examine the prevalence of menstrual irregularities, side effects, and discontinuation rates of etonogestrel subdermal implants (ESI) in women attending King Abdulaziz Medical City, Jeddah, Saudi Arabia. Methods: This cross-sectional was carried out based on electronic medical records and a phone-based questionnaire administered to women who underwent ESI insertion in a single tertiary care hospital in Jeddah, Saudi Arabia, between 2019 and 2022. The primary objective was the prevalence of menstrual abnormalities. The secondary study objective included the discontinuation rate, reasons for discontinuation, and ESI side effects. Results: In total, 345 women with ESI were included in this study. …

Papillary Thyroid Microcarcinoma With And Without Nodal Metastasis: A Comparative Analysis, Saleh Alqaryan, Hisham Almousa, Raed Almutairi, Ahmed Altuwaijri, Aseel Doubi, Zuhour Alqahtani, Mohammad Almayouf, Majed Albarrak, Mohammed Alessa, Saleh Aldhahri, Khalid Alqahtani

Saudi Medical Journal

Objectives: To assess the demographics and clinical factors of papillary thyroid microcarcinoma (PTMC) patients in Saudi Arabia and compared and analyzed the differences between the patients with and without lymph node metastasis (LNM). Papillary thyroid microcarcinoma (PTMC) is a common thyroid cancer and is not usually detectable clinically but found incidentally after pathologic evaluation of thyroid tissue following surgery for benign thyroid disorders. However, these tumors have a significant risk of LNM. Methods: All PTMC patients who underwent surgery at King Abdulaziz University Hospital, King Fahad Medical City, and King Abdulaziz Medical City from 2012 to 2022 were included. The …

Factors Related To Stunting In Children Under 2 Years Old In The Papua, Indonesia: Does The Type Of Residence Matter?, Hadi Ashar, Agung Dwi Laksono, Sri Supadmi, Hastin Dyah Kusumawardani, Diah Yunitawati, Sidiq Purwoko, Marizka Khairunnisa

Saudi Medical Journal

Objectives: To analyze factors related to stunting in Papua region. Methods: Secondary data from the 2021 Indonesian National Nutrition Status Survey were used in this study. Samples of 2,937 Papuan children under the age of two were gathered for the study. This study analyzed independent variables (type of residence, mother’s age, marriage, mother’s education, employment, wealth, child’s age, gender, and early breastfeeding initiation (EBFI) with stunting. The relationship was analyzed using logistic regression tests. Results: Stunting is more common among children in Papua’s rural areas than in urban (AOR 1.168, 95% CI, 1.128-1.209). Stunting is more common in children who …

Hematological Malignancies: Prevalence And Hematological Characteristics In A Single Center In Southern Saudi Arabia, Adil M. Alshahrani, Omayma S Bakheet, Mohammed H. Makkawi, Sultan Z. Alasmari

Saudi Medical Journal

Objectives: To determine the prevalence of leukemia in the Aseer region of Saudi Arabia and the importance of hematological, biochemical and coagulation profiles for leukemic patients in the context of disease management. Methods: This retrospective study comprised 210 patients between 2012 and 2022 who had been diagnosed with leukemia at different ages. The multiple unpaired t-test was used to compare leukemic patients with control samples, which consisted of healthy individuals, and p <0.05 was taken as significant. The data was compiled from Aseer Central Hospital in the Aseer region and collected through peripheral blood smear and bone marrow biopsy (2012-2017) or by flow cytometry (2018-2022), according to the hospital information system and registry data. Results: Of the total 210 leukemic patients (61.4% males and 38.6% females), 104 cases (2012-2017) were diagnosed based on peripheral blood smear and bone marrow biopsy, and 106 cases (2018-2022) based on flow cytometry. Fifteen subtypes of leukemia were identified, with chronic myeloid leukemia being the most common (34.2%), followed by acute myeloid leukemia (17.6%), chronic lymphoblastic leukemia (11.9%), and B-cell acute lymphoid leukemia (9.5%). Other rare cases were also found. Conclusion: Of the 210 leukemia cases diagnosed in the Aseer region between 2012-2022, the most common subtype was chronic myeloid leukemia, followed by acute myeloid leukemia. In all leukemia subtypes, distinctive significant changes were observed in hematological parameters, biochemical parameters, and coagulation profiles.

Determining The Predictors Associated With The Difficulty Of Adaptation To Ageing Of Hospitalized Older Adults. Difficulty Of Older Adult To Aging, Canan D. Barutcu, Hale T. Damar

Saudi Medical Journal

Objectives: To determine the predictors associated with the difficulty of adaptation to ageing of hospitalized older adults. Methods: This descriptive cross-sectional study was carried out in a university hospital between October 2019 and March 2020. The sample consisted of 247 older adults. Research data were collected using a Visual Analogue Scale (VAS), the Falls Efficacy Scale (FES) International, Hospital Anxiety and Depression Scale, and Assessment Scale of Adaptation Difficulty for the Elderly (ASADE). Results: The average age of the patients was 73.90 ± 7.38 years, 22.3% of the patients had a fall history in the last year, and 74.5% had …

Does Watching Tv Or Videos During The Day Affect Nighttime Urination?

Saudi Medical Journal

No abstract provided.

Who Awards Countries For Progress In Eliminating Industrially Produced Trans Fats For First Time

Saudi Medical Journal

No abstract provided.