Medicine and Health Sciences Commons^™

Perbedaan Pengaruh Media Edukasi Terhadap Kepatuhan Orang Tua Anak Cerebral Palsy Untuk Melaksanakan Home Program, Khabib Abdullah, Ichsanul Amalia, Aji Sukma Wijaya

Jurnal Fisioterapi Terapan Indonesia or Indonesian Journal of Applied Physiotherapy

Cerebral palsy (CP) is a condition of movement and function disorders in children that requires continuous physiotherapy. One factor in the successful development of children with CP is the existence of a home program/independent therapy carried out by parents at home. In providing the home program, physiotherapists at YPCP Surabaya gave leaflets to parents. However, this was less effective because it was easily damaged, so the home program media was replaced with video. The effectiveness of both in increasing parental compliance in carrying out the home program every day is not yet known. Objective: to find out the difference in …

Effects Of A 10-Week Footstrike Transition Programme On Tibial Stress Fracture Probability; A Randomized Controlled Intervention Using Finite Element And Probabilistic Modelling., Jonathan Sinclair, Paul J. Taylor

Baltic Journal of Health and Physical Activity

Introduction: The aim of this study was to undertake a randomized control trial examining the effects of a 10-week footstrike transition program on tibial stress fracture risk compared to control. Material and methods: Twenty habitual rearfoot strike runners were randomly assigned to either footstrike or control groups. The footstrike group undertook a graduated 10-week program which allowed them to convert their habitual rearfoot strike pattern, whereas the control group maintained their normal training regime without any alterations to their strike pattern. Running biomechanics were collected using an eight-camera motion capture system, and ground reaction forces using a force plate. Tibial …

Evaluation Of Elevation Parameter Determination By Global Navigation Satellite Systems’ Sports Receivers: A Preliminary Study, Tomasz Szot, Marcin Sontowski

Baltic Journal of Health and Physical Activity

Introduction: Sports Global Navigation Satellite Systems’ receivers have been providing athletes, coaches, and scientists with valuable information on movement for over two decades. As these receivers are specific measuring instruments, there is a need to determine their accuracy. This paper presents a relatively simple methodology for assessing sports receivers of this type regarding their elevation determination. Material and methods: The methodology was based on the Digital Terrain Model of Poland, a discrete representation of the topographic elevation of the land surface. Three wearable devices from different years of manufacture were selected for the preliminary study by calculating the Root Mean …

The Evolution Of Body Posture In The Sagittal Plane In The Sensitive Growth Period Of Children And Adolescents Undergoing Individual Scoliosis Therapy: A Pilot Study, Barbara Rosołek, Katarzyna Smółka, Diana Celebańska, Monika Szarajew, Anna Zwierzchowska

Baltic Journal of Health and Physical Activity

Introduction: The shape of the spine in the sagittal plane undergoes evolution, which occurs specifically in children and adolescents with idiopathic scoliosis (IS). The aim of the study was to verify the variability of body features and indicators in relation to the features and parameters of body posture in children and adolescents with IS. Materials and Methods: 61 measurements of children and adolescents (three age groups) with IS were collected. Body height, body weight, waist circumference, hip circumference, scoliosis major curve angle, thoracic kyphosis angle, lumbar lordosis angle, spine length, and pelvic tilt were measured. BMI and WHtR were calculated. …

Identifying Overdose Risk Factors For People Hospitalized With Injection Drug Use-Associated Infections In Maine, Melanie Mait, Kim Murray, Tania D. Strout, Kinna Thakarar

Journal of Maine Medical Center

Introduction: The overdose crisis continues to be a significant problem, particularly in rural states such as Maine. The objectives of this study were to: 1) describe demographic and health characteristics and 2) identify overdose risk factors among people in Maine hospitalized with injection drug use (IDU)-associated infections.

Methods: We performed descriptive analysis of demographics, health characteristics, and injection practices, stratified by lifetime history of overdose. We conducted an exploratory logistic regression analysis, controlling for gender, homelessness, having experienced an emergency department (ED) visit in the past 3-months, and endorsement of injecting alone in the past 30 days to examine …

Let’S Go! 2022-2023 Educational Programs: Developing A Standardized Obesity Medicine Curriculum Through A Realist Evaluation, Isaac Stickney, Peter Amann, Victoria Rogers, Austin Steward, Kayla Bronzo, Alec Luro, Robert Bing-You

Journal of Maine Medical Center

Problem: Obesity is linked to more than 200 chronic conditions, lower quality of life, and worse outcomes for patients. Let’s Go! is a community engagement initiative that works with communities to create environments that support healthy behaviors that impact obesity. Let’s Go! provides educational programming for all medical learners and providers throughout Maine and Carroll County, New Hampshire. The goal of Let’s Go! is to address the health outcomes of obesity and the stigma associated with it, including its impact on patients’ mental health and clinicians’ unconscious biases.

Approach: We used a realist evaluation, a framework in which the social …

Intravenous Iron In Patients Hospitalized With Bacterial Infections: Utilization And Outcomes, Nicolette Centanni, Jennifer Hammond, Joshua Carver, Wendy Craig, Stephanie Nichols

Journal of Maine Medical Center

Introduction: Given the uncertainties with IV iron therapy and potential risk of infection, there may be hesitation to treat hospitalized patients with bacterial infections with this preparation even if clinically indicated. The aim of this study was to examine patterns of prescribing IV iron in hospitalized patients being treated for a bacterial infection and associated clinical outcomes in those with severe infections.

Methods: This retrospective chart review evaluated adult patients who received both IV iron sucrose and antibiotics during the same admission at Maine Medical Center during 2019. Data collected included iron studies and IV iron prescribing practices. Clinical outcomes …

Evolution Of Global Anatomy Research Through Covid-19: A Post-Pandemic Evaluation, Harsh Chheda, Santanu De

FDLA Journal

The Coronavirus Infectious Disease 2019 (COVID-19) struck the world with a deep impact on many countries' healthcare systems. More specifically, anatomical research experienced a drastic setback due to the limitations and restrictions placed upon them by the medical community. This study aims to review how COVID-19 guidelines presented conflict regarding the retrieval and use of cadavers, as well as how anatomy research was modified on a global scale owing to the pandemic. The COVID-19 outbreak called for several changes upon each significant anatomical research technique, ranging from cadaver dissection to diagnostic imaging. Given the remarkable shift in medical research guidelines …

The Future Of Nursing Leadership: Incorporating E-Learned Artificial Intelligence (Ai) Pathways With A Precautionary Focus On Patient-Centered-Care, Jamie Anne Marcus Dr., Bonnette Villalba Webb

FDLA Journal

Artificial Intelligence (AI) is a data-driven mathematical process that incorporates machine-based-logic, usually in the form of algorithms. Education, training, and competencies are now conducted through virtual reality, robotics, simulation, and technology learning-based-platforms by healthcare organizations. This represents a significant change in the future of nursing practice. The adaptability of technology-based-learning platforms can impact the quality and efficiency of learning for some of the workforce population. Nurses' perception of technology and AI-driven nursing practice may vary based on generational orientation and can be a potential barrier to learning, practicing, and adaptability of this framework. The forging of well-trained resilient nurse leaders …

Global Implications Of Covid-19 On Education And Research In Healthcare And Stem: Analysis Of Case Studies, Yumna Indorewala, Santanu De

FDLA Journal

The zoonotic novel coronavirus, SARS-CoV-2 posed major threats to the world’s economy, social development, and public health. Education and research in STEM and healthcare were no exceptions to the global implications of the Coronavirus Infectious Disease 2019 (COVID-19) pandemic. Social distancing guidelines were initially recommended to refrain from in-person operations for preventing the transmission of the virus. As academic organizations implemented multifarious methods to effectively transition to remote/online or hybrid educational formats, COVID-19 necessitated designing, adopting, as well as evaluating the efficacy of new instructional approaches, especially for disciplines that require active, experiential learning such as healthcare and STEM. These …

Modificaciones Realizadas En Cirugías Y En Cuidados De Pacientes En Ecuador, Addison Wolfe

NEXUS: The Liberty Journal of Interdisciplinary Studies

No abstract provided.

Exploring The Genetics Of Myotonic Dystrophy Type 1 And Its Ethical Implications, Caleb Smith

NEXUS: The Liberty Journal of Interdisciplinary Studies

No abstract provided.

Unlikely Cohabitants: A Collision Tumor Of Metastatic Small Cell Lung Carcinoma And Adrenal Adenoma, Michael Demeritt, Savanna Atwal, Stefan Johnson, Kevin Lightner, Joel Thompson

Advances in Clinical Medical Research and Healthcare Delivery

This case report is the second known publication of a very specific collision tumor, where small cell lung cancer metastasized to an adrenal adenoma. The focus is primarily on multimodal radiologic findings of the developing neoplasm, including CT, MRI, and FDG PET/CT. These findings are compared with established diagnostic criteria for adrenal adenomas and metastases, as identified by the literature and content expert review. Epidemiological data regarding collision tumors is discussed, as well as proposed treatment strategies. Similar topics are elucidated for small cell lung carcinoma. Reporting of this collision tumor adds to the relatively thin body of knowledge of …

Musings On Ai Hallucinations And Reading Your References, Richard Alweis

Advances in Clinical Medical Research and Healthcare Delivery

The Editor-in-Chief discusses impressions on the journal's first known AI hallucination reference.

Letter To The Editor: Cheaters Never Prosper...Or Do They?, Samantha M. Lavertue, Richard Terry

Advances in Clinical Medical Research and Healthcare Delivery

The following article is a perspectives piece regarding the newly discovered USMLE cheating rings taking place in Nepal, India, Pakistan, Jordan, and Japan. As this situation escalates, we call for action to find a solution to a widespread problem: eliminate the need for cheating by making licensure exams pass/fail. Score frenzy is out of control, and it has created a problem for graduate medical education as it applies to both applicants and programs. Here we address this problem and provide a solution that encourages readers to consider how we can create a system of resident selection that focuses not on …

Abdominal Aortic Aneurysm Screening And Surveillance – Can We Do Better? A Qi Project, Hassan Saeed, Hania Liaqat, Vidisha Master, Binita Neupane

Advances in Clinical Medical Research and Healthcare Delivery

Abstract

Background:

Abdominal aortic aneurysm (AAA) has a global prevalence of about 5% and its first presentation can be acute and fatal. USPSTF recommends one time screening for men aged 65 to 75 years who have ever smoked. We designed a study to evaluate the effect of resident education on AAA screening ordered in our outpatient primary care clinic.

Methods:

All men aged 65 to 75 years of age attending appointments in the resident run clinic were included in the study. Pre-intervention data was collected retrospectively for 5 weeks which included patient demographics and the rates of appropriate AAA screening …

A Rare Case Of Shock In A Patient With Non-Severe Range Babesiosis, Ayushi Lalwani, Robert Libera, Christopher Reggio

Advances in Clinical Medical Research and Healthcare Delivery

Babesiosis is a tickborne illness caused by microscopic parasites that infect red blood cells. Infections present on a spectrum from asymptomatic to severe, life-threatening presentations. However, life-threatening disease is more typically seen in patients who are asplenic, immunocompromised, or with hepatic/renal disease. We present an unusual case of babesiosis where an immunocompetent patient with age as the only risk factor, became extremely ill with relatively low parasite burden and no co-infection with other tickborne illnesses. A 73-year-old man with essential hypertension and remote prior Lyme disease infection presented to the hospital in late Spring due to acute mental status change …

Bifidobacterium Bacteremia Following Gastrointestinal (Gi) Procedures: A Case Report Of An Unusual Infection And Review Of The Literature, Sheza Malik, Hajra Khan, Ali S. Mohamed, Gaby Razzouk

Advances in Clinical Medical Research and Healthcare Delivery

Abstract

Bifidobacterium is a rare cause of bacteremia that mostly affects extremes of ages with the majority of cases seen in premature infants. This report details a case of bacteremia caused by Bifidobacterium in a 75-year-old male patient. Our patient was admitted after a mechanical fall resulting in subdural and subarachnoid hemorrhage. His hospital course was complicated by swallowing problems and ultimately needed the placement of a gastrojejunal (GJ) tube for nutrition. He subsequently developed Bifidobacterium bacteremia. It was presumed that the GJ tube was the cause of bacterial translocation into the bloodstream due to invasion of the mucosal barrier. …

Efficacy And Safety Of Bempedoic Acid As A Treatment Option For Hyperlipidemia: A Systematic Review, Muhammad Hammad Sharif, Abdullah A. Orakzai, Madeeha Khaleeque, Syeda Sarah Raza, Osama Sherjeel Khan, Muhammad Hassan Jan, Atif Ahmed, Muhammad Arsalan

Advances in Clinical Medical Research and Healthcare Delivery

Introduction:

Bempedoic acid (BA) is an inhibitor of ATP-citrate lyase (ACL) and is used in the treatment of hyperlipidemia by inhibiting cholesterol synthesis. Randomized clinical trials (RCTs) have shown the efficacy of BA in lowering LDL-C levels and it is currently approved as a treatment option for patients with hyperlipidemia to achieve target LDL-C levels. We conducted a systematic review to further elucidate the efficacy and safety profile of BA in patients with hyperlipidemia.

Methods:

We searched the electronic database Medline, Embase, and Cochrane Library for RCTs between 2013 and 2023. We used keywords (“Bempedoic Acid”) AND (“Hypercholesterolemia”) AND (“Lipid …

Amiodarone-Induced Lung Toxicity: An Underrecognized And Fatal Presentation, Andrew Takla, Fahad Eid, Hina Ukrani, Moghniuddin Mohamed, Elizabeth Lee

Advances in Clinical Medical Research and Healthcare Delivery

Amiodarone, a widely utilized antiarrhythmic drug, poses a significant risk of amiodarone-induced lung toxicity (ALT) in up to 10% of patients and can be fatal. This report presents the diagnostic challenges associated with ALT, given its non-specific clinical and radiological presentation. Clinicians should maintain a high index of suspicion for potential ALT, especially in patients with progressive respiratory failure despite optimization of other potential causes such as CHF. The mainstay of treatment is discontinuing amiodarone and initiating steroids. However, outcomes can remain unpredictable, emphasizing the need for heightened awareness and regular monitoring of patients on amiodarone therapy.

Why Do Osteopathic Medical Students Take The Usmle Step 1?, Constantino G. Lambroussis, John Weston, Richard R. Terry, Jennifer Spencer

Advances in Clinical Medical Research and Healthcare Delivery

In 2022, 4722 osteopathic medical students chose to take the United States Medical Licensing Examination Step 1 (USMLE Step 1) in addition to the Comprehensive Osteopathic Medical Licensing Examination Level 1 (COMLEX Level 1). Both of these examinations are currently pass/fail assessments to demonstrate clinical knowledge competency. Osteopathic medical students are only required to take the COMLEX series of examinations for graduation from an osteopathic medical school while allopathic medical students are only required to take the USMLE Step series of examinations instead. Correlation between these examinations exists, and information from multiple entities has been for the COMLEX and the …

Anomalous Presentation And Endoscopic Findings Of Acute Esophageal Necrosis: A Case Report, Ahmed Shehadah, Abdullah A. Orakzai, Sheza Malik, Alshaima Yousef, Ali Jaan, Patrick Okolo

Advances in Clinical Medical Research and Healthcare Delivery

Introduction:

Acute esophageal necrosis (AEN), is a rare disorder with an estimated incidence of 0.01-0.28%. It typically affects the distal third of the esophagus. Approximately 90% of patients with acute esophageal necrosis present with upper gastrointestinal (GI) bleeding, primarily due to ischemic insult or severe hemodynamic compromise. In this report, we describe a case in which the patient presented with odynophagia and dysphagia, but without upper GI bleeding. The patient exhibited pan mucosal involvement of the esophagus, which extended to the gastric antrum.

Case: A 55-year-old man with a history of type 2 diabetes mellitus and substance abuse presented with …

The Perceptions Of Different Disciplines On Early Childhood Interprofessional Teams Involving Occupational Therapy Services, Jessica Martinez-Peraza, Natalie Milliken, Bonnie Riley

Student Journal of Occupational Therapy

This phenomenological study was conducted to explore how professionals identify the roles of occupational therapy practitioners and other pediatric professionals on early childhood interprofessional teams. The use of surveys and interviews revealed three themes: 1) the role of occupational therapy encompasses more than what is perceived to be their role, 2) collaboration must be initiated, as it can be influenced by the setting, and 3) different professionals have the shared goal of promoting child health outcomes, but conflict can arise during collaboration. It was recognized that early childhood professionals would like to collaborate more with each member on the interprofessional …

Quality Nursing Education Research In The Eyes Of Assistant Professor Christine Ou And Associate Professor Patrick Lavoie | Regards De La Professeure Adjointe Christine Ou Et Du Professeur Agrégé Patrick Lavoie Sur La Recherche En Formation Infirmière De Qualité, Jacinthe Pepin, Susan M. Duncan

Quality Advancement in Nursing Education - Avancées en formation infirmière

No abstract provided.

"We Have Bills To Pay Too": The Juggling Act Of Working While Attending A School Of Nursing, Jennifer Lamswood, Peggy Hancock, Gina Randell, Daphne Kennedy, Darin W. Brooks, Pamela Moores

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Nursing students often engage in paid employment. There is a lack of Canadian research exploring the incidence and effects of working on nursing students.

Objectives: We explored the factors involved in nursing students participating in paid employment while attending school; the incidence of students who work during the semester; the characteristics of students’ work patterns (nature of the job, hours of work, rate of pay, why they work, other sources of income); and student perceptions of how work impacts their academic/professional development and personal lives.

Design: This exploratory descriptive study used the Paid Work Questionnaire.

Setting: The study was …

Canadian Post-Licensure Education For Primary Care Nurses Addressing The Patient’S Medical Home Model And Canadian Competencies For Registered Nurses In Primary Care: An Environmental Scan, Julia Lukewich, Marie-Eve Poitras, Crystal Vaughan, Dana Ryan, Mireille Guérin, Donna Bulman, Treena Klassen, Robin Devey-Burry, Monica Mcgraw, Deanne Curnew, Sheila Epp

Quality Advancement in Nursing Education - Avancées en formation infirmière

Purpose: Nurses constitute the largest non-medical primary care workforce in Canada and play an integral role in promoting health equity and improving access, continuity of care, patient satisfaction, and clinical outcomes. In 2019, the Canadian Family Practice Nurses Association (CFPNA) published Canadian competencies unique to registered nurses (RNs) in primary care. However, primary care–focused content has not been well integrated into Canadian nursing curriculum, and additional education is required to enable nurses to enact these competencies in practice. To address this gap, the purpose of this paper was to identify post-licensure education programs available to nurses in primary care across …

The Perceptions And Experiences Of Nursing Students On Medical Assistance In Dying (Maid), Jennifer Isaac, Cydnee Seneviratne, Shelley Raffin Bouchal, Shane Sinclair

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: The recent legalization, in Canada, of medical assistance in dying (MAiD) places additional responsibility on undergraduate nursing educators to prepare their students for such encounters. Undergraduate students lack familiarity with death and dying, most of which takes place outside the home in health care institutions. How well these future providers identify and communicate with and care for these patients depends on their educational preparation. Educators, along with nursing regulatory bodies, require more research to prepare curriculum and policies, respectively.

Purpose: This study aimed to gain a better understanding of the experiences and perceptions of nursing students on MAiD, their …

Ressources Nécessaires À La Relation Infirmière-Personne Au Cours De La Formation Initiale En Sciences Infirmières : Revue Narrative Structurée, Clémence Coupat, Emilie Allard, Martin Charette

Quality Advancement in Nursing Education - Avancées en formation infirmière

Raison d’être : La relation infirmière¹-personne est au cœur de la discipline, de la pratique et de la formation infirmières. Plusieurs écrits en abordent des aspects, mais aucun ne porte sur le développement de cette relation dans sa globalité au cours de la formation initiale des personnes étudiantes en sciences infirmières, invisibilisant ainsi sa complexité. Guidée par l’approche par compétences décrite par Tardif (2006), cette revue narrative structurée vise à identifier des ressources acquises en formation initiale en sciences infirmières pour développer et entretenir la relation infirmière-personne.

Méthode : Avec l’aide d’une bibliothécaire spécialisée en sciences de la …

Reconcili-Action Begins With Education: Graduate Nursing Students’ Perspectives Of An Experiential Exercise About The History Of Indigenous Peoples In Canada, Renée K. Boily, Karamveer Kaur, Clayton F. Sandy, Donna E. Martin

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: In 2015, the Truth and Reconciliation Commission of Canada called for nursing schools to require all students to complete a course about the history and legacy of the residential school systems and the ongoing impacts of colonialism on survivors and their families. To address this call, we reviewed the graduate nursing curriculum at a Western Canadian university and noted the need to facilitate graduate nursing students’ understanding of the history of Indigenous Peoples in Canada. As future advanced practice nurses, graduate nursing students play a pivotal role in reconciliation and improving the health of Indigenous Peoples by working collaboratively …

La Simulation Pour L’Apprentissage De L’Annonce De Mauvaises Nouvelles Par Les Professionnels De La Santé : Une Revue Rapide Des Écrits, Amélie J. Tremblay, Tanya Mailhot, Claudie Roussy, Patrick Lavoie

Quality Advancement in Nursing Education - Avancées en formation infirmière

Contexte : L’annonce de mauvaises nouvelles est une activité courante dans la pratique de plusieurs professionnels de la santé. Même si peu d’activités de formation leur sont offertes afin de développer leurs compétences communicationnelles à ce sujet, la simulation reste une alternative privilégiée. Le but de cette revue rapide était de décrire les caractéristiques d’activités de simulation offertes aux professionnels de la santé pour apprendre l’annonce de mauvaises nouvelles.

Méthode : Une revue rapide des écrits a été réalisée à partir des bases de données MEDLINE et CINAHL. Les caractéristiques des études et des activités de simulation, ainsi que …