Digital Commons Network^™

Reflections From The Road: Vincentian Hospitality Principles In Healthcare Education For The Indigent, John M. Conry

Journal of Vincentian Social Action

Hospitality and health care are clearly connected, both etymologically and practically. Health care has traditionally been delivered in hospitals. Vincent de Paul and Louise de Marillac developed the concept and practice of Vincentian health care, demonstrating a preferential option for the poor. It is important that those who work in healthcare understand and remain committed to Vincentian and hospitality based health care, particularly for the indigent and marginalized. The need for Vincentian and hospitality-based health care remains relevant and necessary in contemporary society, as there remains health inequity, particularly for the poor.

Training Impact On Novice And Experienced Research Coordinators, Linda S. Behar-Horenstein, Jonell Efantis Potter Ph.D., Alena Prikhidko Phd, Candidate, Stephanie Swords Ma, Ccrp, Stephen Sonstein Phd, H Robert Kolb Rn Bs Ccrc

The Qualitative Report

Competency-based training and professional development is critical to the clinical research enterprise. Understanding research coordinators’ perspectives is important for establishing a common core curriculum. The purpose of this study was to describe participants’ perspectives regarding the impact of online and classroom training sessions. 27 participants among three institutions, completed a two-day classroom training session. 10 novice and seven experienced research coordinators participated in focus group interviews. Grounded theory revealed similarities in novice and experienced coordinator themes including Identifying Preferences for Instruction and Changing Self Perceptions. Differences, seen in experienced participants, focused on personal change, in the theme of Re-Assessing Skills. …

5th National Headache Update, Abdul Malik

Pakistan Journal of Neurological Sciences (PJNS)

Headache is one of the most common disorders worldwide. On the World Health Organization's ranking of causes of disability, this would bring headache disorders into the 10 most disabling conditions for both genders, and into the five most disabling for women. The prevalence of headache disorders in Pakistan is high, and would be at least on par with that reported in other parts of the world, although a recent epidemiological survey suggests that the prevalence of migraines could be as high as 22%, almost twice that noted in the international literature. Over the years, the Pakistan Headache Society (PHS) has …

Privacy Risks And Security Threats In Mhealth Apps, Brinda Hansraj Sampat, Bala Prabhakar

Journal of International Technology and Information Management

mHealth (Mobile Health) applications (apps) have transformed the doctor-patient relationship. They help users with varied functionalities such as monitoring their health, understanding specific health conditions, consulting doctors online and achieving fitness goals. Whilst these apps provide an option of equitable and convenient access to healthcare, a lot of personal and sensitive data about users is collected, stored and shared to achieve these functionalities. Little is known about the privacy and security concerns these apps address. Based on literature review, this paper identifies the privacy risks and security features for evaluating thirty apps in the Medical category across two app distribution …

Dementia Survey Among Attendees Of A Dementia Awareness Event In Karachi, Pakistan, Qurat Ul Ain Khan, Yusra Hanif Khan, Mohammad Zaman Khan, Shireen Najam

Pakistan Journal of Neurological Sciences (PJNS)

There is little information available about peoples'knowledgeregarding symptoms of dementia, dementia diagnosis, and care arrangementsfor dementia patients in Pakistan. Aims: We aimed to find out if patients with dementia and their caregivers were aware of diagnosis, the most common and most distressing symptoms, and care arrangement for these patients.

Lefort 1 Access For Juvenile Nasopharyngeal Angiofibroma Treated Without Angiographic Embolization., Shaheen Ahmed, Muhammad Imran, Atiq Ahmed Khan, Anwar Ali, Syed Ijlal Ahmed, Asim Rehmani, Muhammad Faaiq Ali

Pakistan Journal of Neurological Sciences (PJNS)

To assess and analyze the clinical presentation of Juvenile nasopharyngeal angiofibroma and analyze the complications associated with JNA resection without pre surgical embolization using LeFort 1.

A Case Report On An Ectopic Accessory Parotid Fistula In An Adult: A Dilemma Of Acquired Or Congenital Origin With Delayed Manifestation, Produl Hazarika, Seema Elina Punnoose, Rajeev Chaturvedi, Suneet Kaur Hora

Manipal Journal of Medical Sciences

To our knowledge, this is the second known reported case of ectopic accessory parotid gland fistula in an adult in literature. Congenital parotid duct fistula itself is a rare entity, but even rarer is the occurrence of the fistula in an otherwise healthy adult. A sequential pictorial account has depicted the surgical excision of the fistula in its entirety and histopathology confirmed the parotid fistula. Two months post procedure, the patient continues to be symptom free. We used search engines such as PubMed, Medline, Google Scholar, and Wiley Online library to search published literature

Evaluation Of Antifungal Activity Of Different Homoeopathic Mother Tinctures Against Candida Albicans, Suneel Prajapati, Mahima Sharma, Pankaj Gupta, Manoj Kumar, Binit Dwivedi, Bhopal Arya

Indian Journal of Research in Homoeopathy

Objective: The aim of this study is to evaluate the antifungal activity of different homoeopathic mother tinctures against the growth of Candida albicans. Materials and Methods: Homoeopathic mother tinctures (ф) Syzygium jambolanum, Ficus religiosa, Ocimum sanctum, Allium cepa, Thuja occidentalis, Holarrhena antidysenterica and Eucalyptus globulus were evaluated for their antifungal activity against the growth of human pathogenic fungi C. albicans using paper disc agar diffusion method as per guidelines of clinical and laboratory standard (M44-A) with slight modification. The diameters of zone (mm) of inhibition were measured, and the obtained results were compared with that of the vehicle control. Ketoconazole …

Maintaining Public Health Insurance Benefits: How Primary Care Clinics Help Keep Low-Income Patients Insured, Rose L. Harding, Jennifer D. Hall, Jennifer Devoe, Heather Angier, Rachel Gold, Christine Nelson, Sonja Likumahuwa-Ackman, John Heintzman, Aleksandra Sumic, Deborah J. Cohen

Patient Experience Journal

Low-income families struggle to obtain and maintain public health insurance. We identified strategies used by Community Health Centers (CHCs) to assist patients with insurance applications, and assessed patients’ receptivity to these efforts. Observational cross-case comparative study with four CHCs in Oregon. We observed insurance assistance processes, and interviewed 26 clinic staff and 18 patients/family members. Qualitative data were analyzed using a grounded theory approach. Patients’ understanding of eligibility status, reapplication schedules, and how to apply, were major barriers to insurance enrollment. Clinic staff addressed these barriers by reminding patients when applications were due, assisting with applications as needed, and tracking …

Hospice Utilization Of Medicare Beneficiaries In Hawai‘I Compared To Other States, Deborah Taira, Merle Kataoka-Yahiro, Angela Sy

Asian/Pacific Island Nursing Journal

The objective is to examine hospice utilization among Medicare beneficiaries in Hawai‘i compared to other states. Data were from the 2014 Medicare Hospice Utilization and Payment Public Use File, which included information on 4,025 hospice providers, more than 1.3 million hospice beneficiaries, and over $15 billion in Medicare payments. Multivariable linear regression models were estimated to compare hospice utilization in Hawai‘i to that of other states. Control variables included age, gender, and type of Medicare coverage. Medicare beneficiaries using hospice in Hawai‘i differed significantly from beneficiaries in other states in several ways. Hawai‘i beneficiaries were more likely to be Asian …

Adversity And Academic Performance Among Adolescent Youth: A Community-Based Participatory Research Study, Sukhdip Purewal Boparai, Tiffani Marie, Eduardo Aguayo, Jordan Brooks, Estefany Juarez, Sheana Soriano, Alasia Waters, Jaquez Donaldson, Joseph Reagans, Gracee Anguiano, Allison Ipsen

Journal of Adolescent and Family Health

Researchers and youth stakeholders devised a survey on 27 adversities based on youth expertise, clinical practice, and adversity literature. The aim of the study was to understand the prevalence of individual and cumulative adversities, and association of adversities to age, gender, race/ethnicity and academic performance among a community sample of urban high school students. All participants experienced two or more adversities and experienced greater overall adversity than youth in population-based studies. Youth-proposed stressors were among the most prevalent, and females, older youth, and African American youth reported disproportionately greater number of adversities. Specific types of adversities were endorsed differentially based …

Zenker’S Diverticulum And Squamous Esophageal Cancer: A Case Report, Ion Dina, Octav Ginghina, Corina D. Toderescu, Cristian Bălălău, Bianca Galateanu, Carolina Negrei, Claudia Iacobescu

Journal of Mind and Medical Sciences

Zenker’s diverticulum represents a rare esophageal lesion developed especially in the elderly population due to herniation of esophageal mucosa above the cricopharyngeus muscle. The condition leads to food retention, regurgitation, aspiration, and dysphagia in affected patients. Progressive dysphagia also characterizes malignant diseases of the esophagus like squamous esophageal carcinoma that typically appears in male patients in the seventh decade of life, with a history of cigarette smoking and alcohol abuse. We report a case of a male patient who presented with dysphagia for both solids and liquids along with significant weight loss, and who was diagnosed with medium esophageal cancer …

Prevalence Of Enamel Hypoplasia And Enamel Hypocalcification In A Group Of Egyptian Children, Karimane Osman, Eman El-Masry, Magda El-Malt

Al-Azhar Journal of Dentistry

Purpose. This study was designed to determine the prevalence of developmental enamel defects in a group of Egyptian children and to determine the most common causes of these developmental enamel defects. Subjects and Methods: A total of 1500 children (4-14 years old, 700 boys and 800 girls) were randomly selected from the health insurance public daycare centers. For each child a clinical examination was performed according to the 2013 WHO dental caries criteria and the modified DDE index (FDI, 1982). Children were divided into three groups, according to the type of dentition asfollows, group (A) included “692” children and representing …

Podoplanin Protein Expression In Some Benign And Malignant Variants Of Ameloblastoma (An Immunohistochemical Study), Doaa Habba, Eman Abo Hager, Adel Shouman

Al-Azhar Journal of Dentistry

Aim: The aim of this study was to evaluate immunohistochemical expression of podoplanin among some benign and malignant variants of ameloblastoma. Material and methods: Thirty seven benign ameloblastoma (AB) tumors werecollected, (six cases of follicular AB, three cases of acanthomatous AB, four cases of granular AB, three cases of basal cell AB and seven cases of plexiform pattern AB), three cases of desmoplastic AB, four cases of peripheral AB and seven cases of unicystic AB (three cases of luminal, two cases of intraluminal and two cases of mural) and eighteen malignant variants of ameloblastoma tumors were collected as paraffin embedded …

Effects Of Vitamin D On Growth Inhibition Of Head And Neck Squamous Cell Carcinoma. (In Vitro Study), Heba Hussein

Al-Azhar Journal of Dentistry

Objective: To assess the anti-cancer capacity of vitamin D in head and neck squamous cell carcinoma cell line. Materials and Methods: vitamin D cytotoxic effect and cell apoptosis effect were evaluated using Prestoblue cell viability assay and Flow Cytometry. Results: Vitamin D was found to inhibit the cell growth in a dose-dependent manner in head and neck squamous cell carcinoma JHU-29 cell line at three days’ treatment. However, it was not found to cause significant apoptosis at one day treatment. Conclusion: vitamin D inhibits the growth of head and neck squamous cell carcinoma in a dose-dependent manner.

Evaluation Of The Treatment Outcomes For Class Ii Malocclusion By Using Powerscope Appliance, Mennatallah Shendy, Samir Ibrahim, Ahmed Salama

Al-Azhar Journal of Dentistry

Objective: This study was designed to evaluate the treatment outcomes for ClassII malocclusion by using PowerScope Appliance. Patients, materials and methods:A sample of 10 patients with an age range from 14 to 18 years, suffering from skeletalClass 2 and Angle Class II division 1 malocclusion. All patients didn’t undergo anyorthodontic treatment previously and were free of systemic diseases that affect craniofacialgrowth. Pre and post‑treatment lateral cephalograms were obtained, cephalometricanalysis was performed. Class I relation were obtained in with a substantialimprovement in facial profile, skeletal jaw relationship, and overall esthetic appearanceof the patient. A significant forward displacement of the mandible was …

Fracture Resistance And Retention Of Metal-Free Inlay Retained Fixed Partial Dentures, Roqaia Al Assar, Mohammed Al Yasky, Mona Mandour, Rania Amin

Al-Azhar Journal of Dentistry

Statement of the problem: Conservative esthetic restorative dentistry has become an essential component in modern clinical practice. However, the inlay retained fixed partial dentures (IRFPDs) have a higher risk of fracture and dislodgement due to minimal preparations. Purpose: to compare fracture resistance and retention of Lithium disilicate (IPS e.max) and Polyetheretherketone (BioHPP) IRFPDs fabricated with heat-press technique and CAD/CAM system. Materials and Methods: Forty models, each including extracted mandibular 2nd premolar and 2nd molar embedded in an epoxyresin block with 10 mm intra-abutment distance representing missing mandibular 1st molar were constructed. The premolar and molar of each model received standardized …

Corticotomy For Correction Of Skeletal Anterior Open Bite Using Miniplates As Skeletal Anchorage (A Clinical And Cone Beam Comparative Study), Maha Mohamed, Ahmed Salama, Tarek Marei, Hatem Alahmady, Farouk Hussain

Al-Azhar Journal of Dentistry

Objective: This study was designed to evaluate the effect of corticotomy and miniplates’ usage as skeletal anchorage for maxillary molars’ intrusion during correction of skeletal anterior open bite (SAOB). Patients, materials and methods:A sample of 22 patients with an age range from 14 to 22 years, suffering from skeletal anterior open bite with increased posterior maxillary vertical height. The participants were randomly divided into two groups according to the corticotomy approach. Group I: both buccal and palatal corticotomies were performed. Group II: only buccal corticotomy was performed. Buccal miniplates and palatal mini-screws were used as skeletal anchorage for maxillary molars’ …

In Vitro Study Compared The Shear Bond Strength Of Hema-Free And Hema-Containing Bonding Agents To Different Dentin Surface Treatments, Nady Mohammed, Wakwak Ma, Hamed Al-Kady

Al-Azhar Journal of Dentistry

This research was designed to investigate the effect of two dentin surface treatments on the shear bond strength of HEMA-free and HEMA containing bonding agent. A total of 90 freshly extracted, sound human molars, free from caries, extracted for pathological reasons was used in this study. The molars were randomly divided into two main equal groups (45 teeth each) according to the type of adhesive system; Group (A1) used HEMA-free adhesive (G-bond). Group (A2) used HEMA containing adhesive (One-up Bond F Plus). Each group was further subdivided into 3 equal subgroups(15teeth each) according to the type of dentin surface treatments …

Assessment Of The Smile Characteristics In Different Dentoalveolar Malocclusion Cases, Mohsena Abdarazik, Samir Ibrahim, Tarek Marei

Al-Azhar Journal of Dentistry

Objectives: This study was designed to assess the smile characteristics in different dentoalveolar malocclusion cases, by standardized photographic analysis. Subjects and methods: A sample of 132 subjects with age range from 18 to 24 years. The study groups were designed according to Angles Classification in to 4 groups. Standardized extraoral photographs at rest position, social smile, maximum smile and profile were taken for each subject. Smile analysis was done by identifying certain measurements digitally via software. Results: The upper and lower lip length showed significant change. The mouth width increased during smiling significantly. The smile area showed no significant different …

A Comparative Study Between The Combined Effect Of Frankincense And Myrrh Versus The Effect Of Triamcinolone Acetonide On Healing Of Induced Labial Mucosal Ulcer In Albino Rats, Abeer Wahba, Mona Farid, Heba Adawy

Al-Azhar Journal of Dentistry

Aim: The aim of the present study was to evaluate the combined effect of frankincense and myrrh versus the effect of triamcinolone acetonide (TA) on healing of induced labial mucosal ulcer in albino rats histologically and mmunohistochemically.Materials and Methods: Seventy five adult male albino rats (weighting 200-250) were used in the study and exposed to induced ulcers in the labial mucosa. The rats were divided into four groups, positive control group, group I, and three experimental groups. Negative control group: group II: (received no treatment). Group III: ulcers were treated with triamcinolone acetonide three times daily. Group IV: ulcers were …

Two-Body Wear And Surface Roughness Of Three Different Ceramic Systems And Their Enamel Antagonist: An In Vitro Study, Suad Hassan, Nevin Gad

Al-Azhar Journal of Dentistry

Statement of the problem: Ceramics and glass-ceramics are materials of choice for dental crowns due to their attractive hardness, biocompatibility, etc. However, a major problem with their usage is the observed high wear of either the opposing dental enamel or both the enamel and ceramic itself. Objective: The present study aimed at ranking and comparing the wear performance of three different ceramic systems (monolithic zirconia, lithium disilicate glass ceramic and feldspathic porcelain) and their effect on the wear and surface roughness of their antagonist enamel. Materials andmethods: Five cylindrical discs (n=5) were constructed from each of: BruxZir zirconia,IPS e.max CAD …

A Comparative Study Of The Antibacterial Efficacy Of Two Natural Irrigating Solutions With Two Different Root Canal Sealers On E-Feacalis, Noha Nour El Deen, Wael Kamel, Mohamed Sherief, Mohammed Rokaya

Al-Azhar Journal of Dentistry

This study aimed to: evaluate the antibacterial efficacy of two natural irrigating solutions(Green Tea, and Propolis) with two different root canal sealers (AH Plus sealer,and Total Fill BC Sealer) against E. faecalis. Methods: One hundred single rootedteeth were selected. All root canals were prepared manually to #50 file. Finally theteeth were sterilized by gamma rays. Each root canal was inoculated with 0.5 ml of E.faecalis. Specimens were divided randomly into two main groups (50 specimens each)according to the irrigating solution; A1 (Green Tea), and A2 (Propolis). Each maingroup was divided into two subgroups with (25 specimens each) according to the …

Subcutaneous Implantation Of The Light-Activated Pit And Fissure Resin-Based Sealant Prototypes Las-Clear And Las-Opaque Resulted In A Mild Transient Tissue Reaction, Pasutha Thunyakitpisal, Nonglax Thunyakitpisal, Dyna Jeanne D. Godoy, Onusa Saravari, Dujreutai Pongkao Kashima, Benchaphorn Limcharoen, Wijit Banlunara

The Thai Journal of Veterinary Medicine

The objective of this study was to evaluate the biocompatibility of the light-activated pit and fissure resin-based dental sealant prototypes, LAS-clear and LAS-opaque, after subcutaneous implantation in rats for 7, 30, and 60 days. The commercial light-activated resin-based sealants, Delton-clear (DC), Helioseal clear (HC), Helioseal opaque (HO), and Clinpro Sealant (CL) served as control. Twenty-four 8-week-old male Sprague-Dawley rats were used in this study. Two rows of three 5 mm subcutaneous incisions were created on the back of each rat parallel to the midline. The materials were randomly implanted and the incisions were closed using sutures. The implants were left …

Subjective Well-Being And Hiv Prevention: A Cross-Country Descriptive Study Using Multiple Indicator Cluster Survey Data, Janine Foggia, Anne Sebert Kuhlmann

Journal of Refugee & Global Health

Subjective well-being (SWB) is positively associated with improved health outcomes and, in particular, preventative behaviors. Yet, the relationship between SWB and HIV prevention is not well understood, especially in the context of developing countries. Furthermore, young females experience a high burden of HIV as well as sociodemographic factors which influence SWB. Therefore, this descriptive study sought to describe the global landscape of three constructs of SWB - happiness, life satisfaction, and life perception - and the following HIV prevention variables: comprehensive HIV knowledge, HIV testing, and condom use among young adult females aged 15-24 years. Descriptive statistics of Multiple Indicator …

Health Profiles Of Newly Arriving Refugees In Kentucky, 2016: Data From The University Of Louisville Global Health Program, Ruth M. Carrico, Timothy L. Wiemken, Rahel Bosson, William A. Mattingly, Rebecca Ford, Sarah Van Heiden, Stanley Kotey, Julio A. Ramirez

Journal of Refugee & Global Health

Objectives: Refugees resettling in the United States bring with them a number of health conditions, the majority chronic. These health conditions may impact their ability to be successful with disease self-management and employment, and acculturate and thrive in their new communities. Knowledge of health conditions present in individual refugee populations can be of benefit to healthcare providers in the community and public health. The objective of this manuscript is to describe the state of health among refugees newly arriving in the US and resettling in Kentucky during 2016.

Methods: Using data from the domestic health screens, immunization clinics, and the …

Refugee-Centered Medical Home:A New Approach To Care At The University Of Louisville Global Health Center, Rahel Bosson, Ruth M. Carrico, Anupama Raghuram, Paula Peyrani, William A. Mattingly, Rebecca Ford, Stephen P. Furmanek, Julio A. Ramirez

Journal of Refugee & Global Health

Refugees arrive to the United States with a full spectrum of health conditions, many of which involve intense case management requiring significant financial investments and use of healthcare resources. Kentucky receives more than 3,000 new refugees each year and ranked 10th in the nation for numbers of new arrivals resettled during 2015. These refugees arrive from diverse countries representing different cultures and speaking different languages. In addition, they arrive with diverse health conditions and medical needs. The aims of this paper are to share experiences from the University of Louisville Global Health Center regarding conceptualization, implementation and evaluation of a …

Improving Access And Utilization Of Data To Support Research And Programs Intended To Eliminate Disparities And Promote Health Equity, Rosaly Correa-De-Araujo

Journal of Health Disparities Research and Practice

Numerous Federal initiatives are addressing health and health care disparities. The ultimate goal is to achieve “a nation free of disparities in health and health care.” Social determinants of health remain mostly responsible for health/health care disparities among population groups within and between countries. In the United States, there is little evidence that disparities associated with such determinants are decreasing, with only 10% of those associated with race/ethnicity and income having demonstrated improvement in recent years. A variety of data sources are available from the Federal and private sectors to support research on disparities, but no single national survey seems …

Bridging The Gap: An Integrated Approach To Facilitating Foundational Learning Of Neuroanatomy And Neurophysiology In Graduate-Level Speech-Language Pathology Coursework, Lisa A. Vinney, Jennine M.T. Harvey

Teaching and Learning in Communication Sciences & Disorders

The current study examined whether the integration of foundational neuroanatomy and neurophysiology content, across a pair of medically-based, disorder-specific courses (motor speech disorders and aphasia), promoted students’ abilities to describe common neurological constructs and apply them to clinical cases. Specifically, student responses to case questions were rubric-scored following their completion of five neuroanatomy and neurophysiology online modules independently and after in-class instructional augmentation of each module’s content. Students’ own perceptions of this integrated curriculum were also surveyed and coded into themes. Rubric scores, evaluating content knowledge of the brainstem, spinal cord, and the neuron, significantly improved from post-module to after …

Exposure To Secondhand Smoke And The Development Of Childhood Caries: Nhanes (2011-2012), Deborah Mattheus Phd, Msn, Pnp, Krupa Gandhi Mph, Eunjung Lim Phd, Maureen Shannon Cnm, Fnp, Phd

Journal of Health Disparities Research and Practice

Dental caries continue to plague young children worldwide with numerous adverse effects including pain, poor growth and development, decreased quality of life as well as the potential for the development of life threatening secondary infections. Factors associated with the development of childhood caries are complex as they relate to social, economic and/or cultural behaviors. Recent evidence has linked secondhand smoke to the development of childhood dental caries. The purpose of the study is to re-examine the association between the frequency and extent of exposure to secondhand smoke with the development of childhood caries in the United States. Cross-sectional data of …