Medicine and Health Sciences Commons^™

Joseph Demarco '22: Reflections On The Fall 2020 Semester, Joseph Demarco

Law School Personal Reflections on COVID-19

No abstract provided.

Improving Data For Decision-Making: A Toolkit For Cervical Cancer Prevention And Control Programmes, Elkanah Omenge, Edwin Were, Oliver Rode, Kapten Muthoka, Michael Byczkowski, Heike Sartor, Davy Vanden Broeck, Dietmar Schmidt, Miriam Reuschenbach, Magnus Von Knebel Doeberitz

Obstetrics and Gynaecology, East Africa

Background: Screening of unvaccinated women remains essential to mitigate the high morbidity/mortality of cervical cancer. Here, we compared visual inspection with acetic acid (VIA), recommended by WHO as the most cost-effective screening approach in LMICs, with HPV-based screening, and usage of p16INK4a/Ki-67 dual stain cytology.

Methods: We prospectively enrolled women participating in a VIA-based cervical cancer screening program in two peri-urban health centers of Kenya. Consenting women had a VIA examination preceded by collection of a liquid-based cytology sample from the cervix stored in PreservCyt medium (Hologic®). Analysis of all samples included a hrHPV DNA test and evaluation of a …

Validation And Application Of A Novel Target-Based Whole-Cell Screen To Identify Antifungal Compounds, Christian Alexander Dejarnette

Theses and Dissertations (ETD)

Traditional approaches to drug discovery are inefficient and have several key limitations that constrain our capacity to rapidly identify and develop novel experimental therapeutics. To address this, we have devised a second-generation target-based whole-cell screening assay based on the principles of competitive fitness, which can rapidly identify target-specific and physiologically-active compounds. Briefly, strains expressing high, intermediate, and low levels of a preselected target protein were constructed, tagged with spectrally distinct fluorescent proteins (FPs), and mixed together. The pooled strains were then grown in the presence of various small molecules, and the relative growth of each strain within the mixed culture …

Covid-19 And The Case For Global Development, Johan A. Oldekop, Rory Horner, David Hulme, Roshan Adhikari, Bina Agarwal, Matthew Alford, Oliver Bakewell, Nicola Banks, Stephanie Barrientos, Tanja Bastia, Anthony J. Bebbington, Upasak Das, Ralitza Dimova, Richard Duncombe, Charis Enns, David Fielding, Christopher Foster, Timothy Foster, Tomas Frederiksen, Ping Gao, Tom Gillespie, Richard Heeks, Sam Hickey, Martin Hess, Nicholas Jepson, Ambarish Karamchedu, Uma Kothari, Aarti Krishnan, Tom Lavers, Aminu Mamman, Diana Mitlin, Negar Monazam Tabrizi

Geography

COVID-19 accentuates the case for a global, rather than an international, development paradigm. The novel disease is a prime example of a development challenge for all countries, through the failure of public health as a global public good. The COVID-19 pandemic has highlighted the falsity of any assumption that the global North has all the expertise and solutions to tackle global challenges, and has further highlighted the need for multi-directional learning and transformation in all countries towards a more sustainable and equitable world. We illustrate our argument for a global development paradigm by examining the implications of the COVID-19 pandemic …

Reorganising For Covid-19 Pandemic: A Review Of Structural Modifications By The Department Of Internal Medicine In Low To Middle-Income Countries, Shakeel Ur Rehman, Muhammad Arslan Ahmed, Ghufran Adnan, Maria Ali Khan

Department of Medicine

Scientists classified the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as a novel coronavirus on January 7, 2020. The World Health Organization (WHO) acknowledged the SARS-CoV-2 outburst a public health emergency of international concern on January 30, 2020. Since its origin, this virus has disrupted the best healthcare systems, economies, and strained financial resources; and for underdeveloped countries' healthcare systems, the virus has become a crisis. To tackle the potential hazards from this virus, our Department restructured the services that not only helped us to cope with the pandemic, but also provided an example to copy for other contemporary institutes. …

Oral Conditions In Hepatitis C Virus‐Infected Egyptian Patients: A Case‐Control Study, Asmaa Ras, Eman Khalil

Dentistry

Introduction: One of the serious public health problems nowadays is the hepatitis C virus (HCV) infection. Hepatitis C virus infection morbidity is associated with a diversity of extrahepatic disorders counting the oral cavity. Some of the oral manifestations are oral diseases like lichen planus and xerostomia and side effects of the virus therapy. The aim of this study was to evaluate and compare the oral health status, of patients with and without virus C in a sample of the Egyptian population.
Methods: Data were collected from the Gastroenterology department at Benha University. The study was designed as a case-control study; …

Tobacco Smoke Carcinogens Induce Dna Repair Machinery Function Loss: Protection By Carbon Nanotubes, Anukriti Dhasmana, Anupam Dhasmana, Hobani Yahya H, Abdullah Farasani, Mahmoud Habibullah, Freah L. Alshammary, Saif Khan, Shafiul Haque, Mohtashim Lohani

School of Medicine Publications

Purpose: DNA damage is a continuous process occurring within the cells caused by intrinsic and extrinsic factors, but it gets repaired regularly. If the DNA repair process is faulty, the incidences of damages/mutations can accumulate in cells resulting in cell transformation. It is hypothesized that the negative variations in DNA repair pathways in even at one point viz. genetic, translational or posttranslational stage may fairly be crucial for the beginning and development of carcinogenesis. Therefore, we investigated the potential of tobacco specific nitrosamines (TSNs) related carcinogens to interact with the enzymes involved in DNA repair mechanisms in the current study. …

Gastrointestinal Symptoms In Patients With Covid-19, Mohammed Abbas, Rafik Elbeblawy, Islam Gadelmoula, Suvarna Rekha, Bettina Sinanova, Jose Bordon

The University of Louisville Journal of Respiratory Infections

Introduction: Though coronavirus disease 2019 (COVID-19) is predominantly a respiratory illness, a growing number of studies reported gastrointestinal (GI) symptoms among these patients. We examined the incidence of GI symptoms in patients with COVID-19 and GI symptoms as the initial presentation of the disease.

Methods: We examined peer-reviewed studies in English of patients with COVID-19 that reported GI symptoms. We searched PubMed and Google Scholar for articles published up to June 30, 2020, by using the keywords ``COVID-19,'' ``Coronavirus,'' ``severe acute respiratory syndrome coronavirus 2,'', ``SARS-CoV-2,'' ``gastrointestinal tract,'' ``gastrointestinal diseases,'' and ``gastrointestinal symptoms and signs.'' Studies with fewer than 30 …

The Library Is Open --And Some Tips For Using, Peter Gavin Ferriby

University Briefings & Virtual Events

The Library staff is so glad to have everyone back—let’s stay strong and finish the semester!

Plasma Proteins That May Cause Parkinson’S Disease And Multiple Sclerosis: A Mendelian Randomization Study, Brigid A. Staley

Dissertations and Theses

Multiple sclerosis (MS) and Parkinson’s disease (PD) are progressively disabling neurologic disorders that profoundly affect quality of life and shorten life expectancy. There is no cure for either disease, and current treatments only alleviate symptoms and may cause serious side effects. The causes of MS and PD are not well understood. Previous epidemiologic studies have documented numerous environmental risk factors for both diseases. However, these studies are inherently prone to bias from confounding which may generate spurious results. The lack of unbiased evidence on environmental causes of MS and PD has been a critical barrier to fully understanding their pathophysiology. …

Isolated Central Nervous System Metastasis From Neuroendocrine Carcinoma Of The Cervix Without Pulmonary Metastasis, Fabiola Valenzuela, Sohum Desai

School of Medicine Publications

Neuroendocrine carcinoma of the cervix (NECC) accounts for 2% of all cervical cancers. Brain metastasis is rare, with few cases described in the literature, and is usually associated with preceding pulmonary metastasis. We describe an additional case of isolated brain metastasis without pulmonary metastasis from NECC and reflect on unique management.

A 37-year-old woman with a history of NECC presented with severe headache post-total hysterectomy with pelvic lymph node dissection. The computed tomography (CT) scan demonstrated obstructive hydrocephalus with several intra-axial lesions located in the pineal region, left cerebellar hemisphere, and left frontal operculum. A right frontal ventriculostomy was initially …

Endoscopic Removal Of Fractured 3d-Printed Nasopharyngeal Swabs From The Olfactory Cleft During Covid-19, Matthew Miller, Kristy Carlson, Jayme Dowdall, Christie Barnes, Sam Pate

Graduate Medical Education Research Journal

The severe acute respiratory syndrome SARS-CoV-2 pandemic has posed significant challenges to hospital and public health systems in the United States. In response to a shortage in nasopharyngeal swabs, our institution developed, tested, and deployed 3D-printed swabs to obtain a specimen for testing. A patient was tested in preparation for a scheduled Esophagogastrodeuodenoscopy. During the procedure the swab broke and a portion remained in the superior meatus and olfactory cleft. This case study describes the process of locating and removing the broken sections of the 3D-printed swab. In response to this incident, 3D-printing teams test swabs for sample collection and …

New Onset Murmur Or Hamman’S Sign: Mid-Systolic Click In A Suspected Case Of Connective Tissue Disorder, Amanda Dave, Jodi Cantrell

Graduate Medical Education Research Journal

We present the case of a 15 y/o previously healthy male who presented to CHMC from an OSH with a 3 day history of shortness of breath, audible clicking noise, and chest discomfort after playing at the batting cages 4 days prior. No history of trauma. He was transferred to CHMC for further evaluation after identification of a pneumothorax on chest CT performed at OSH.

With respect to family history, the patient is one of 8 children. Of note, per discussion with family, his older siblings are all tall and have some connective tissue anomalies. Two siblings were noted to …

Laryngeal Histoplasmosis In Patients With Crohn’S Disease Undergoing Treatment With Humira (Adalimumab): A Case Series, Jenna Berg, Jonathan Blecha, Chris Bingcang, Justin Oltman, Jayme Dowdall, Subodh M. Lele

Graduate Medical Education Research Journal

The FDA has advocated for increasing awareness of histoplasmosis for patients undergoing TNF blockers as delay in diagnosis can lead to a poor outcome.¹ Laryngeal histoplasmosis is a rare entity that should be part of the differential diagnosis in patients receiving immune suppression for Crohn’s disease. Patients with laryngeal histoplasmosis often report hoarseness, mucosal ulcerations, dysphagia, and odynophagia. We present a series of two cases of laryngeal histoplasmosis in patients with Crohn’s. These cases illustrate the high index of suspicion required to make the diagnosis of laryngeal histoplasmosis, especially in the Midwestern United States. Diagnosis is made quickly and …

Ua12/2/1 College Heights Herald, Vol. 96, No. 6, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news. This issue contains articles:

• Reynolds, Easton. 8 Juveniles Responsible for Recurring Water Throwing Harassment
• Thornton, Maggie. Marching at a Distance – Marching Band
• Reynolds, Easton. Local Small Businesses Work to Recover from Pandemic Losses
• Hendricks, Allie & Preston Romanov. Art for All – SoKY Marketplace
• Cox, Alex. Editorial Cartoon re: Breonna Taylor
• Bunton, Gabrielle. I Choose Black Women Every Time
• Nash, Slim. Commissioner Candidate Slim Nash: Your Right to Vote is Special
• Hargrove, Matthew. Hilltoppers Look to Bounce Back Against Middle Tennessee State University – Football
• Kieser, Nick. Budget …

Cytokine-Targeted Therapeutics For Kshv-Associated Disease, Nedaa Alomari, Jennifer Totonchy

Pharmacy Faculty Articles and Research

Kaposi’s sarcoma-associated herpesvirus (KSHV) also known as human herpesvirus 8 (HHV-8), is linked to several human malignancies including Kaposi sarcoma (KS), primary effusion lymphoma (PEL), multicentric Castleman’s disease (MCD) and recently KSHV inflammatory cytokine syndrome (KICS). As with other diseases that have a significant inflammatory component, current therapy for KSHV-associated disease is associated with significant off-target effects. However, recent advances in our understanding of the pathogenesis of KSHV have produced new insight into the use of cytokines as potential therapeutic targets. Better understanding of the role of cytokines during KSHV infection and tumorigenesis may lead to new preventive or therapeutic …

My Covid-19 Experience And Social-Distance Graduation, Hailey Gabettie

Community Reflections

This global pandemic was quickly changing the way we live our lives. One of my most memorable moments through this pandemic was my high school graduation.

The World Pressed A Pause On Life, Cassandra Anonymous

Community Reflections

Class assignment HI 102 Western Civilization: Since 1500.

For many weeks I looked at the disadvantages that COVID-19 brought, and then I started seeing personal positives.

My Baseball Season That Was Canceled, Ryan Wicker

Community Reflections

My experience posted describes my experience from my baseball season that was canceled because of COVID-19.

Living Our Lives With Uncertainty, Jenna Seggio

Community Reflections

This is a look into how my life was during the Covid-19 pandemic. I think it is crazy how I am living through history and I want future generations to know how my life was during this pandemic. I hope that when people read my contribution to remember Covid-19 that they get a feel for how everyone had to live through 2020. I am grateful for all of the health care workers and for everyone doing their part and wearing their masks and social distancing.

The World Came To A Screeching Halt, Anonymous

Community Reflections

March 12th, that is the first day I realized Covid’s severity. NBA player Rudy Gobert tests positive for Covid and the entire NBA season was paused. At this point I’m thinking, if someone as big and famous as Gobert contracted the virus then anyone can get it.

A Break From The Outside World, Anonymous

Community Reflections

I took quarantine as a break from the outside world and used it as a time to work on my mental health. I looked at it as a time to self-reflect and learned to take things day by day.

Expect The Unexpected, Anonymous

Community Reflections

The content shows how Covid affected me and my family and what I want future generations to know.

A Monster No One Had Conquered Before, Anonymous

Community Reflections

My experience of the Covid-19 pandemic starting in March 2020 and going through September 2020. It has been a struggle living through this pandemic, but my hope and faith in God has kept me going and will continue to sustain me until we reach the end.

A Rollercoaster Of Emotions, Anonymous

Community Reflections

COVID-19 has been a surreal experience but one that has made me stronger. I am proud of myself and the people in our country who quarantined so that we could save lives.

A Whole New Lifestyle, Anonymous

Community Reflections

I never thought I would ever have to be told to “social distance” from people I call my best friends.

When Is This Going To Be Over?, Anonymous

Community Reflections

Assignment for the class Western Civilization.

For future generations, living life during this pandemic was having a perpetual thought of “when is this going to be over?” To look at life beforehand and not take anything for granted and live in the moment because one may never know when something drastic like a virus can change life in a blink of an eye.

Time To Reflect On What Really Matters, Brandon Sweeney

Community Reflections

While the world took a loss from this virus it gave me time to reflect on what really matters. I am grateful for all the blessings in my life. Every day I will not take for granted because you never know what can happen in the next.

Class assignment, Professor Marino, HI-102, Western Civilization.

Long Months Of Loneliness And Mental Instability, Anonymous

Community Reflections

I went from hanging out with my friends every day to being completely isolated. Watching my family struggle more and more with finances because my father was out of work was devastating. I ended up meeting with a therapist over zoom to find some positivity and hope in my life. After a few sessions I started becoming more hopeful.

Primary Source Reflection 1: Covid-19 Pandemic Personal Experience, James Sullivan

Community Reflections

Class assignment for HI-102C, Western Civilization Since 1500, Professor Kelly Marino.

My paper reflects on my time during the COVID-19 pandemic. I told my personal experiences and moments that I have been through. From March to September. I also related how the COVID-19 pandemic relates to The Bubonic Plague.