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Full-Text Articles in Entire DC Network

Common Consumer Residual Insecticides Lack Efficacy Against Insecticide-Susceptible And Resistant Populations Of The German Cockroach (Blattodea: Ectobiidae), Johnalyn Gordon, Marla J. Eva, Sudip Gaire, Arthur G. Appel, Zachary C. Devries Oct 2024

Common Consumer Residual Insecticides Lack Efficacy Against Insecticide-Susceptible And Resistant Populations Of The German Cockroach (Blattodea: Ectobiidae), Johnalyn Gordon, Marla J. Eva, Sudip Gaire, Arthur G. Appel, Zachary C. Devries

UK CARES Faculty Publications

The German cockroach, Blattella germanica (L.) (Blattodea: Ectobiidae), is a ubiquitous pest in affordable housing. They represent a major threat to human health due to their contribution of asthma-exacerbating allergens and the potential to transfer pathogenic microorganisms indoors. Despite well-documented pyre- throid resistance, pyrethroid-based broadcast residual insecticide products are often used by residents to con- trol cockroaches in their homes. Additionally, there is little empirical independent testing of these products. Thus, it remains unclear how effective these commonly used do-it-yourself products are at controlling German cockroaches. This study represents a comprehensive examination of the efficacy of these products with direct, …


Comprehensive Analysis Of Adverse Events Following Covid-19 Vaccination: Insights From Diverse Data Sources, Yiming Li Oct 2024

Comprehensive Analysis Of Adverse Events Following Covid-19 Vaccination: Insights From Diverse Data Sources, Yiming Li

Dissertations and Theses (Open Access)

This dissertation investigates adverse events (AEs) associated with COVID-19 vaccinations through a multi-faceted approach involving structured and unstructured data. The study is organized into three specific aims, each contributing to a comprehensive understanding of vaccine safety. Aim 1 focuses on the temporal and spatial analysis of AEs reported in the Vaccine Adverse Event Reporting System (VAERS). We performed a detailed temporal analysis to detect patterns over time, revealing a significant increase in reported AEs shortly after the vaccine rollout. Spatial analysis highlighted regional variations in AE reporting, with higher frequencies observed in middle and north regions of the United States …


Obo Foundry Food Ontology Interconnectivity, Damion Dooley, Liliana Andres-Hernandez, Georgeta Bordea, Leigh Carmody, Duccio Cavalieri, Lauren Chan, Pol Castellano-Escuder, Carl Lachat, Fleur Mougin, Francesco Vitali, Chen Yang, Magalie Weber, Hande Kucuk Mcginty, Matthew Lange Oct 2024

Obo Foundry Food Ontology Interconnectivity, Damion Dooley, Liliana Andres-Hernandez, Georgeta Bordea, Leigh Carmody, Duccio Cavalieri, Lauren Chan, Pol Castellano-Escuder, Carl Lachat, Fleur Mougin, Francesco Vitali, Chen Yang, Magalie Weber, Hande Kucuk Mcginty, Matthew Lange

Faculty Research 2024

No abstract provided.


Nsu Kpcom Link - Fall 2024 - Volume 3.3, Nova Southeastern University Oct 2024

Nsu Kpcom Link - Fall 2024 - Volume 3.3, Nova Southeastern University

NSU Florida Link Newsletter

No abstract provided.


Como Las Guardianas De Semillas En La Región De Arica Y Parinacota Están Recuperando El Derecho De La Soberanía Alimentaria, Emilia Bois Oct 2024

Como Las Guardianas De Semillas En La Región De Arica Y Parinacota Están Recuperando El Derecho De La Soberanía Alimentaria, Emilia Bois

Chile: Cultural Identity, Social Justice, and Community Development

Both small farmers and industrial farmers provide us with our food, and we depend on them to feed us. As citizens, we should have the right to feed ourselves in a nutritious, sustainable, and culturally appropriate manner. This right is the right to food sovereignty, and we lost it when the government encouraged farmers to seek economic success rather than the health and well-being of all. In order not to depend on the government for nutritious, sustainable, and culturally appropriate food, we need to find other ways to be self-sufficient in our food supply. The agricultural practice of seed saving …


Nourishtank: Participant Experiences And Feedback, Palak Gupta, Heidi Leblanc, Lea Palmer Oct 2024

Nourishtank: Participant Experiences And Feedback, Palak Gupta, Heidi Leblanc, Lea Palmer

Outcomes and Impact Quarterly

NourishTank is a shark-style competition that empowers students to develop innovative, sustainable solutions for combating hunger and ensuring food security. Following the inaugural NourishTank event, participants provided valuable feedback, including an enhanced understanding of hunger issues, improved hard and soft skills, and expressed interest in volunteering. Feedback emphasized academic and personal network channels for awareness and suggestions for improvement related to program refinement and expansion of outreach efforts.


Library News October 2024, Research Medical Library Oct 2024

The Use Of Acupuncture To Manage Dry Mouth Post-Radiotherapy In Head And Neck Cancer Patients, Yen Ming Lin, Claire Forbes-Haley Oct 2024

The Use Of Acupuncture To Manage Dry Mouth Post-Radiotherapy In Head And Neck Cancer Patients, Yen Ming Lin, Claire Forbes-Haley

Peninsula Dental School

At University Hospitals Plymouth NHS Trust (UK), patients with xerostomiaafter head and neck radiotherapy for whom local measures have not beensuccessful are referred to the acupuncture clinic. This has been offered for thelast ten years and preliminary data has shown that it can provide symptomaticrelief to patients. This article documents a service evaluation of 45 patientswho attended the acupuncture clinic from August 2020 to August 2021.Treatment was carried out at three points in each ear as well as a point on thedistal radial aspect of each index finger. Each session lasted for 30 minutesand sessions were carried out weekly for …


Otterbein Towers Fall 2024, Otterbein University Oct 2024

Otterbein Towers Fall 2024, Otterbein University

Towers Magazine

Historic Milestones in Changes to Board of Trustees; Educating Students for Democracy; Belonging is This Program's Purpose; 100 Years of BAE at Otterbein University; Coalition for the Common Good: Graduate Early Admission Pathways; The Rike Center Turns 50; Philanthropy; Alumni Matters; and Class Notes.


Occupational Therapy In Psychiatry: A Safe, Affordable Approach For Better Care, Isabelle G. Cassada Oct 2024

Occupational Therapy In Psychiatry: A Safe, Affordable Approach For Better Care, Isabelle G. Cassada

Honors Theses

Occupational therapy (OT) is a therapeutic practice designed to enhance independence in individuals’ activities of daily living (ADL) across all age groups. While widely recognized for its role in physical rehabilitation, it is less commonly applied in mental health care. This underutilization can be attributed to a significant gap in the literature regarding the effectiveness of OT in improving occupational function (OF) for individuals experiencing the negative effects of mental illnesses. Notably, OT in mental health care is not a new concept and dates to before World War I (WWI). This thesis conducts a literature review of fifty-one sources to …


Veggierx, A Healing Produce Prescription Yielding Positive Health Outcome Data, M. Bojrab-Wray, Michelle Drouin, L. Knoop, Lauren Reining, Dana Albright, K. Wehrle Oct 2024

Veggierx, A Healing Produce Prescription Yielding Positive Health Outcome Data, M. Bojrab-Wray, Michelle Drouin, L. Knoop, Lauren Reining, Dana Albright, K. Wehrle

Health Services and Informatics Research

Learning Outcome

Upon completion of reviewing the abstract content, attendees will be able to evaluate VeggieRx’s benefits, understand data analysis methods, and recognize best-practices for utilizing electronic health data in program assessment.

Background

Produce prescription programs are becoming popular across the U.S., as health care providers and dietitians work together to provide healthy food, resources, and education to individuals with chronic diseases, such as diabetes, heart disease, and at-risk pregnant mothers. Since 2021, our USDA GusNIP-funded program has provided these services to food insecure patients with these conditions. As this program exists within a health care system, we have unique …


Redbird Impact, Vol. 7, No. 2 (Fall 2024), Center For Civic Engagement Oct 2024

Redbird Impact, Vol. 7, No. 2 (Fall 2024), Center For Civic Engagement

Redbird Impact

No abstract provided.


On The Pathogenesis Of Obesity: Causal Models And Missing Pieces Of The Puzzle, Faidon Magkos, Thorkild I.A. Sørensen, David Raubenheimer, Nikhil V. Dhurandhar, Ruth J.F. Loos, Anja Bosy-Westphal, Christoffer Clemmensen, Mads F. Hjorth, David B. Allison, Gary Taubes, Eric Ravussin, Mark I. Friedman, Kevin D. Hall, David S. Ludwig, John R. Speakman, Arne Astrup Oct 2024

On The Pathogenesis Of Obesity: Causal Models And Missing Pieces Of The Puzzle, Faidon Magkos, Thorkild I.A. Sørensen, David Raubenheimer, Nikhil V. Dhurandhar, Ruth J.F. Loos, Anja Bosy-Westphal, Christoffer Clemmensen, Mads F. Hjorth, David B. Allison, Gary Taubes, Eric Ravussin, Mark I. Friedman, Kevin D. Hall, David S. Ludwig, John R. Speakman, Arne Astrup

Clinical Research Faculty Publications

Application of the physical laws of energy and mass conservation at the whole-body level is not necessarily informative about causal mechanisms of weight gain and the development of obesity. The energy balance model (EBM) and the carbohydrate–insulin model (CIM) are two plausible theories, among several others, attempting to explain why obesity develops within an overall common physiological framework of regulation of human energy metabolism. These models have been used to explain the pathogenesis of obesity in individuals as well as the dramatic increases in the prevalence of obesity worldwide over the past half century. Here, we summarize outcomes of a …


Four-Year Follow-Up Of Weight Loss Maintenance Using Electronic Medical Record Data: The Propel Trial, Peter T. Katzmarzyk, Emily F. Mire, Ronald Horswell, San T. Chu, Dachuan Zhang, Corby K. Martin, Robert L. Newton, John W. Apolzan, Eboni G. Price-Haywood, Dan Fort, Thomas W. Carton, Kara D. Denstel Oct 2024

Four-Year Follow-Up Of Weight Loss Maintenance Using Electronic Medical Record Data: The Propel Trial, Peter T. Katzmarzyk, Emily F. Mire, Ronald Horswell, San T. Chu, Dachuan Zhang, Corby K. Martin, Robert L. Newton, John W. Apolzan, Eboni G. Price-Haywood, Dan Fort, Thomas W. Carton, Kara D. Denstel

Clinical Research Faculty Publications

Rationale: Short-term weight loss is possible in a variety of settings. However, long-term, free-living weight loss maintenance following structured weight loss interventions remains elusive. Objective: The purpose was to study body weight trajectories over 2 years of intensive lifestyle intervention (ILI) and up to 4 years of follow-up versus usual care (UC). Methods: Data were obtained from electronic medical records (EMRs) from participating clinics. Baseline (Day 0) was established as the EMR data point closest but prior to the baseline date of the trial. The sample included 111 ILI and 196 UC patients. The primary statistical analysis focused on differentiating …


Precision Interventions Targeting The Maternal Metabolic Milieu For Healthy Pregnancies In Obesity, Alexandra M. Niclou, Hannah E. Cabre, Emily W. Flanagan, Leanne M. Redman Oct 2024

Precision Interventions Targeting The Maternal Metabolic Milieu For Healthy Pregnancies In Obesity, Alexandra M. Niclou, Hannah E. Cabre, Emily W. Flanagan, Leanne M. Redman

Clinical Research Faculty Publications

Purpose of Review: Entering pregnancy with obesity increases the risk of adverse health outcomes for parent and child. As such, research interventions are largely focused on limiting excess gestational weight gain during pregnancy, especially in those with obesity. Yet, while many lifestyle interventions are successful in reducing GWG, few affect pregnancy outcomes. Here we review work targeting the metabolic milieu instead of focusing solely on weight. Recent Findings: Work done in non-pregnant populations suggests that specifically targeting glucose, triglyceride, and leptin levels or inflammatory makers improves the metabolic milieu and overall health. We posit that precision interventions that include strategies …


Exercise In The Management Of Polycystic Ovary Syndrome: A Position Statement From Exercise And Sports Science Australia, Angelo Sabag, Rhiannon K. Patten, Alba Moreno-Asso, Giorgia E. Colombo, Xela Dafauce Bouzo, Lisa J. Moran, Cheryce Harrison, Maryam Kazemi, Aya Mousa, Chau Tien Tay, Angelica Lindén Hirschberg, Leanne M. Redman, Helena J. Teede Oct 2024

Exercise In The Management Of Polycystic Ovary Syndrome: A Position Statement From Exercise And Sports Science Australia, Angelo Sabag, Rhiannon K. Patten, Alba Moreno-Asso, Giorgia E. Colombo, Xela Dafauce Bouzo, Lisa J. Moran, Cheryce Harrison, Maryam Kazemi, Aya Mousa, Chau Tien Tay, Angelica Lindén Hirschberg, Leanne M. Redman, Helena J. Teede

Clinical Research Faculty Publications

Polycystic ovary syndrome (PCOS) is the most prevalent endocrine condition amongst females of reproductive age, leading to lifelong cardiometabolic, reproductive, psychological, and dermatologic symptoms as well as a reduced quality of life. Lifestyle interventions, which can include structured exercise programmes delivered by appropriately trained exercise professionals such as clinical exercise physiologists, are considered first-line strategies in PCOS management due to their therapeutic effects on various health outcomes and quality of life. This position statement builds on the 2023 International Evidence-based Guideline for the Assessment and Management of PCOS and describes the role of the exercise professional in the context of …


From Pre-Clinical Efficacy To Promising Clinical Trials That Delay Type 1 Diabetes, J. Jason Collier, Daniel S. Hsia, Susan J. Burke Oct 2024

From Pre-Clinical Efficacy To Promising Clinical Trials That Delay Type 1 Diabetes, J. Jason Collier, Daniel S. Hsia, Susan J. Burke

Division of Basic Science Faculty Publications

Recent advancements in immunology and islet biology have unveiled remarkable prospects for the postponement of Type 1 diabetes (T1D) through the strategic modulation of the immune system. In this Perspective, we discuss the pharmaceutical strides achieved, traversing from pre-clinical validation to the execution of impactful clinical trials. We begin with the initial investigations involving cyclosporine and glucocorticoids in rodent models, such as the non-obese diabetic (NOD) mouse, which guided early clinical trials. We then discuss the pre-clinical studies using suitable mouse models that eventually led to contemporary clinical trials targeting immune cell functionality and cytokine signaling pathways. Collectively, these discoveries …


Health Literacy Directed Weight Loss Intervention In Primary Care Clinics, Terry Davis, Connie Arnold, Dachuan Zhang, Corby K. Martin, Robert L. Newton, Candice Myers, Kara D. Denstel, Emily F. Mire, Christoph Höchsmann, John Apolzan, Peter T. Katzmarzyk Oct 2024

Health Literacy Directed Weight Loss Intervention In Primary Care Clinics, Terry Davis, Connie Arnold, Dachuan Zhang, Corby K. Martin, Robert L. Newton, Candice Myers, Kara D. Denstel, Emily F. Mire, Christoph Höchsmann, John Apolzan, Peter T. Katzmarzyk

Clinical Research Faculty Publications

BACKGROUND: Low income and low health literacy are associated with poorer health knowledge, health behaviors and poor health outcomes. The effectiveness of health literacy-directed weight loss treatment interventions in primary care clinics is lacking. OBJECTIVE: The aim of this study was to conduct a pragmatic cluster-randomized trial (PROmoting Successful Weight Loss in Primary CarE in Louisiana ([PROPEL]) to test the effectiveness of a 24-month, patient-centered, literacy-directed obesity treatment program delivered within primary care in an underserved population. This study reports the association between health literacy and program effectiveness, examining potential correlates of weight loss related to patient adherence to the …


Louisiana Agriculture Magazine, Fall 2024 Oct 2024

Louisiana Agriculture Magazine, Fall 2024

Louisiana Agriculture

Questions drive the science behind the LSU AgCenter. Researcher Erin Oberhaus wanted to find data to help educate Louisiana horse owners about the use of an important medication, and a water quality specialist wondered if noneconomic bodies of water, which include agricultural ponds, might help people generate electricity. The research projects that grew from their questions are detailed in this issue of Louisiana Agriculture.

Also in this issue, scientists share the results from important soybean studies, and the AgCenter farm to school team shares success stories from school gardens across the state.

Research is at the core of the LSU …


Navigating Educational Transformation: Understanding Learning Styles’ Preferences Of Egyptian Students In The Post-Pandemic Era, Wesam Khairy Morsi Oct 2024

Navigating Educational Transformation: Understanding Learning Styles’ Preferences Of Egyptian Students In The Post-Pandemic Era, Wesam Khairy Morsi

English Language and Literature

This study investigated the Learning style preferences of Egyptian EFL learners post COVID-19. It aims to examine differences emerging in multimodal and bimodal learning preferences based on demographic variables of age and gender and consider the cultural educational context in Egypt during and post the pandemic era. Utilizing the VARK Model, Mayor’s Multimodal Learning Theory, and the Connectivism Learning Theory a survey comprising 19 questions was disseminated to 211 Egyptian EFL students from various age groups. Findings reveal a predominant preference for multimodal learning, particularly visual and read/write styles, with significant variations between genders. Female learners exhibited a stronger inclination …


Living The Good Life In The Anthropocene, Karrigan Bork, Karen Bradshaw, Rebecca Bratspies, Cinnamon Carlarne, Bruce Carpenter, Robin Kundis Craig, Sarah Fox, Josh Galperin, Francis Hicks, Keith Hirokawa, Kevin Lynch, Ruhan S. Nagra, Michele Okoh, Jessica Owley, Amber Polk, Melissa Powers, Shannon Roesler, J.B. Ruhl, Danielle Stokes, Anastasia Telesetsky Oct 2024

Living The Good Life In The Anthropocene, Karrigan Bork, Karen Bradshaw, Rebecca Bratspies, Cinnamon Carlarne, Bruce Carpenter, Robin Kundis Craig, Sarah Fox, Josh Galperin, Francis Hicks, Keith Hirokawa, Kevin Lynch, Ruhan S. Nagra, Michele Okoh, Jessica Owley, Amber Polk, Melissa Powers, Shannon Roesler, J.B. Ruhl, Danielle Stokes, Anastasia Telesetsky

Articles

The Stockholm Resilience Centre has concluded that the number of "planetary boundaries" we are crossing has increased from three in 2009, when the Centre's researchers first introduced the concept, to six in 2023. Crossing these boundaries means humans are changing basic attributes of planetary systems to the point of risking the future of civilization. And the distinction between "safe" and "just" planetary boundaries raises questions regarding how to conceptualize the "good life." In this latest in a biannual series of essays, members of the Environmental Law Collaborative explore conceptions of the "good" as well as the various elements necessary to …


Automatic Multi-Contrast 2d Paraspinal Muscle Segmentation For Assessment Of Sarcopenia And Fatty Infiltration, Juan Pablo Esparza Oct 2024

Automatic Multi-Contrast 2d Paraspinal Muscle Segmentation For Assessment Of Sarcopenia And Fatty Infiltration, Juan Pablo Esparza

Electronic Theses and Dissertations Archive

Cirrhosis is the final stage of liver disease requiring liver transplantation as treatment. In the past, models based on clinical laboratory values would determine the eligibility of liver transplant candidates. However, several patients can still suffer from liver transplantation complications leading to death. Sarcopenia, the loss of muscle mass, and frailty, the loss of muscle function, are common cirrhosis complications, but recently muscle area estimated at the third lumbar level has been studied as a prognostic to predict liver transplant mortality. Muscle fatty infiltration has been hypothesized to be a descriptor of muscle quality. However, a major bottleneck for implementing …


Lifestyle Impacts On Youth And Young Adults With Type 2 Diabetes, Katherine Lyons, Lucille Marsalek, Kate Sung, Michele Shaw Oct 2024

Lifestyle Impacts On Youth And Young Adults With Type 2 Diabetes, Katherine Lyons, Lucille Marsalek, Kate Sung, Michele Shaw

NURS 404/406 Research & Info Management

PICOT Question: Does exercise and nutrition impact health outcomes among young adults with type 2 diabetes?


The Impact Of Caffeine On Health, Elianna Borjas, Mackenzie Wrynn, Rosa Madden, Michele Shaw Oct 2024

The Impact Of Caffeine On Health, Elianna Borjas, Mackenzie Wrynn, Rosa Madden, Michele Shaw

NURS 404/406 Research & Info Management

PEO Question: What are the health effects of frequent caffeine consumption for adults?


Assessing The Impact Of Mindfulness-Based Stress Reduction (Mbsr) On Emergency Nurses' Absenteeism And Receptive Awareness Of And Attention To What Is Taking Place In The Present, Rachael Moore Drake Oct 2024

Assessing The Impact Of Mindfulness-Based Stress Reduction (Mbsr) On Emergency Nurses' Absenteeism And Receptive Awareness Of And Attention To What Is Taking Place In The Present, Rachael Moore Drake

Doctor of Nursing Practice Scholarly Projects

Problem: The changing terrain of modern healthcare has made emergency nurses' well-being a top priority. Within the small community hospital where this project was conducted, the issue of employee work-related stress was identified through managers' feedback and employee surveys. Purpose: Leaders employ a comprehensive mindfulness program based on assessed employee needs to understand the practical interventions to address work-related stress. This project implemented mindfulness-based stress reduction (MSBR) interventions and assessed emergency nurses' absenteeism and receptive awareness of and attention to what is taking place in the present. Method: The project utilized the Mindful Attention Awareness Scale (MAAS) to assess emergency …


Implementation Of Eat Sleep Console For Neonatal Abstinence Syndrome: A Quality Improvement Project, Harley Addison Kennington Oct 2024

Implementation Of Eat Sleep Console For Neonatal Abstinence Syndrome: A Quality Improvement Project, Harley Addison Kennington

Doctor of Nursing Practice Scholarly Projects

Problem Statement: A level III NICU and mother-baby unit within an inpatient hospital in the Southeast United States transitioned from the Finnegan Neonatal Abstinence Scale (FNASS) to the Eat, Sleep, Console (ESC) for treating Neonatal Abstinence Syndrome (NAS). Prior to ESC implementation, there was limited nursing education of ESC practice guidelines or consideration for proper implementation protocol. Purpose: The purpose of this evidence-based quality improvement project was to reintroduce nursing staff to the ESC NAS Care Tool and ESC charting guidelines within the NICU and mother-baby units. Methods: This project followed the PDSA process – Plan, Do, Study, Act, underscored …


Depression In Individuals With Chronic Liver Disease: Improving Screening In The Outpatient Setting, Kayla Corine Wright Oct 2024

Depression In Individuals With Chronic Liver Disease: Improving Screening In The Outpatient Setting, Kayla Corine Wright

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Individuals with chronic conditions such as chronic liver disease experience higher rates of depression, often underdiagnosed and placing high risk demographics in jeopardy of adverse outcomes, including worsening prognosis, decreased quality of life, and increased symptomatology.

Purpose: Evidence advocates for routine depression screening within high-risk patient populations. This paper outlines the implementation of a quality improvement initiative aimed at enhancing depression screening at a selected outpatient liver clinic within an extensive hospital system by implementing the PHQ-9 questionnaire during patient clinic visits, where no standardized screening protocol was previously in place.

Methods: The Plan-Do-Study-Act cycle guided the implementation …


Addressing Risk For Poor Health Outcomes By Establishing A Culturally Appropriate Community Nutrition Education Event, Tamara Bow Oct 2024

Addressing Risk For Poor Health Outcomes By Establishing A Culturally Appropriate Community Nutrition Education Event, Tamara Bow

Doctor of Nursing Practice Projects

Problem Description

Poverty, decreased health literacy, and lack of community educational opportunities result in nutritional deficits. Students in the Umatilla School District and the surrounding community lack knowledge of the components of a nutritious diet. If not addressed, students and families are at risk of poor health outcomes.

Setting

The city of Umatilla has a population of 7,363, and the mean household income is $51,790 (United States Census Bureau, 2022). In the 2021-2022 school year, Umatilla School District 6R had 54% Ever English Learners, which included students who speak a language other than English at home (Oregon Department of Education, …


Exploring The Contribution Of Cancer Palliative Care Development Toward Alleviating The Human Crisis Of Suffering In Low- And Middle-Income Countries: A Framework Synthesis Protocol, Shrikant Atreya, Arathi Rao, Vijay Shree Dhyani, Mebin Mathew Oct 2024

Exploring The Contribution Of Cancer Palliative Care Development Toward Alleviating The Human Crisis Of Suffering In Low- And Middle-Income Countries: A Framework Synthesis Protocol, Shrikant Atreya, Arathi Rao, Vijay Shree Dhyani, Mebin Mathew

Open Access archive

Objectives. Inadequate access to cancer care, high mortality, and out-of-pocket expenditure contribute to health-related suffering in low- and middle-income countries, making palliative care a relevant option. How palliative care development has alleviated suffering is not systematically studied, necessitating this review’s conduct. The objective of this systematic review with a framework synthesis approach is to identify and map the dimensions and indicators of cancer palliative care development and the components of integration between cancer and palliative care in LMICs. Methods. Uni- and multi-disciplinary databases like Cochrane, MEDLINE (PubMed), EMBASE, CINAHL Complete, and PsycINFO will be systematically searched for eligible studies exploring …


Role Of Absolute Versus Relative Voice Rest In Post-Operative Management Of Benign Vocal Fold Lesions, Mihika Sinha, Suresh Pillai, Shama Shetty, Usha Devadas Oct 2024

Role Of Absolute Versus Relative Voice Rest In Post-Operative Management Of Benign Vocal Fold Lesions, Mihika Sinha, Suresh Pillai, Shama Shetty, Usha Devadas

Open Access archive

Objective Most otolaryngologists advocate absolute voice rest after laryngeal surgery, which proves difficult for patients, so we decided to evaluate the role of absolute voice rest versus relative voice rest in the post-operative management of benign lesions. Methods Forty patients were recruited and divided in two groups: absolute voice rest and relative voice rest. Pre- and post-operative voice analysis (fundamental frequency, jitter, shimmer, voice handicap index, voice-related quality-of-life scale scores and compliance) were noted at one week and one month. Results Voice analysis parameters including jitter (p = 0.035), shimmer (p = 0.020), voice handicap index (p < 0.001) and compliance (p < 0.001) were better in the relative voice-rest group. Frequency, number of voice breaks and voice-related quality of life showed no statistically significant results. Conclusion There was no significant benefit of absolute voice rest on post-operative outcomes as determined by acoustic variables. Compliance and quality-of-life scores were low in the strict voice-rest group. Therefore, we should reconsider post-surgical voice-rest protocol.