Medicine and Health Sciences Commons^™

Prevalence Of Well Water Contaminants In Georgia From 2010-2022, Angelique B. Willis, Suhasini Ramisetty-Mikler, Christine E. Stauber, Uttam Kumar Saha

Journal of the Georgia Public Health Association

Background: Safe, reliable, and clean drinking water sources are a basic necessity. More than 1.7 million individuals rely on private wells for drinking water in Georgia and are confronted with water quality challenges stemming from chemical contamination as private wells are not under mandated regulations as public water supplies. In Georgia, previous studies suggested that the variation of soil and rock in a physiographic province (region) plays an essential role in the quality of private well water. There is a need to understand the distribution of these chemical contaminants above the federal Maximum Contaminant Level (MCL) and how different geologies …

A Virtual Wellness Program To Enhance Well-Being For Pediatric Oncology Staff During The Covid-19 Pandemic, Karen Moody, Maria Swartz, Zachary Gresham, Martha Askins, Laura Cahalan, Pavilia Francis, Christine Geistkemper, Amy Heaton, Ruitao Lin, Melissa Melo, Alakh Rajan, Madeline Smith, Priti Tewari, Keyana R. Williams, Cheng-Han Yang, Rhonda Robert

Advances in Cancer Education and Quality Improvement

In response to the COVID-19 global health crisis and mandated social isolation, Pediatric leadership at MD Anderson Children’s Cancer Hospital was concerned for the psychological impact on its workforce and encouraged wellness programming. A grassroots wellness taskforce was assembled for the Division of Pediatrics. The task force’s primary mission was to promote the well-being of clinicians and non-clinical staff members through a broadly accessible, sustainable, and effective virtual wellness program. Guided by the Stanford Model for Professional Fulfillment, a virtual program entitled, “Weekly Wellness Webex” for Pediatrics staff was launched. Weekly Wellness Webex is a 1-hour live-streamed program with varied …

Reducing The Percentage Of Intubation Time On Continuous Infusion Midazolam, Arsemen Brown, Emily Highsmith, Michelle Horng

Advances in Cancer Education and Quality Improvement

This quality improvement study was conducted at a comprehensive cancer care center with the aim to decrease the percentage of on continuous infusion (CI) midazolam by 30% by May 5, 2023. The pre-intervention and post-intervention data collection phases occurred from January 1, 2022, to October 31, 2022, and March 7, 2023, to May 5, 2023, respectively. Sedation was assessed utilizing the Richmond Agitation and Sedation Scale (RASS), and delirium was assessed utilizing the Intensive Care Delirium Screening Checklist (ICDSC). A sedation pathway and associated educational materials were developed by a multidisciplinary team and frontline staff. Interventions in the sedation pathway …

Impact Of A Goal Of Care Communication Training Program For Oncology Clinical Staff, Gary Martinez

Advances in Cancer Education and Quality Improvement

Abstract

Goals of care (GoC) refers to medical care decisions made by patients and families that are consistent with their personal values and preference choices. However, the oncology health care system does not always align with the patient’s GoC values and preferences. Clinical experts suggest formalized GoC education to improve this practice gap. Accordingly, MD Anderson Cancer Center implemented GoC training for front-line clinical staff using the evidence-based COMFORT Model to enhance the participants’ ability to have connected GoC conversations and enhance their comfort levels in responding to patients’ emotions. Our institution’s GoC education team compared the pretest and posttest …

Persistent Improvement In Opioid Perceptions And Prescribing For Cancer Surgery: 5-Year Follow-Up, Brittany C. Fields, Timothy E. Newhook, Heather A. Lillemoe, Jessica E. Maxwell, Jose M. Soliz, Keyuri U. Popat, Christina L. Roland, Jean-Nicolas Vauthey, Matthew H. G. Katz, Ching-Wei D. Tzeng

Advances in Cancer Education and Quality Improvement

Background and Objectives

We previously reported that implementation of a department-wide opioid education program led to post-education improvements in opioid perceptions and prescription recommendations, with one-month and one-year retention. With ongoing programmatic and quality improvement efforts, we sought to re-evaluate the retention of these improvements five years after initial efforts.

Methods

Attending surgeons, clinical fellows, and advanced practice providers were surveyed five years after implementation of a comprehensive, departmental opioid reduction framework in August 2018. This framework initially consisted of dedicated opioid education sessions and retrospective assessment of prescribing practices, and subsequently expanded over time to include prospective quality improvement …

Sensitive Practice For Supporting Survivors Of Sexual Violence In Oncology, Kevin R. Clark

Advances in Cancer Education and Quality Improvement

Sexual violence is a pervasive problem that has profound implications for survivors' physical and mental health. In oncology care, routine medical procedures can inadvertently trigger distress and retraumatization in survivors. This brief report outlines the principles of sensitive practice and their application in oncology care to support survivors of sexual violence. By showing respect, taking time, building rapport, sharing information, sharing control, respecting boundaries, promoting mutual learning, understanding nonlinear healing, and demonstrating an understanding of sexual violence, health care providers can create a safe and supportive environment. Implementing these principles reduces the risk of retraumatization and improves patient outcomes. Health …

F-Test And One-Way Anova For Medical Images Diagnosis, Jamal Kamil K. Abbas, Ali Abdulkadhum Ruhaima

Al-Nisour Journal for Medical Sciences

A new technique for impulse noise discrimination of medical MRI images is presented. Statistical F-distribution supported by Monte Carlo simulation for prediction of impulse noise location on distorted images is used. The selective noisy pixels are detected as noisy using the One-Way ANOVA hypothesis method. The statistical prediction method is applied to the test images to predict the noise location. The distorted portions in the images predicted by this structure are improved by using a proper nonlinear filter. The nonlinear median filter is showing a suitable way the replacement of degraded pixels. The filter is not applied to the not-detected …

Comparative Study Between Laparoscopic And Non-Laparoscopic Surgeries On Blood Sugar Levels Intraoperative, Mohammed Abdul Hameed Younis

Al-Nisour Journal for Medical Sciences

Main object: This study aimed to assess the impact of laparoscopic and non-laparoscopic procedures on the blood glucose levels of patients at Baghdad Hospital and Al-imam ALI Hospital in Baghdad, Iraq.

Methodology: The study was conducted from 16 November 2023 to 2 March 2024. A total of 50 patients, aged between 15 and 58 years, were included in this study. There were 25 males and 25 females, all with an American Society of Anesthesiologists (ASA) physical status of either I or II. The patients were divided into two groups based on the type of operation they underwent, with each group …

Histological Changes Of Mesenteric Lymph Nodes Affected By Cadmium Chloride In Male Albino Rat: Experimental Study, Umalbaneen Hilal Hadi, Safa J. Al-Yassir, Warkaa M. Ali Alwattar

Al-Nisour Journal for Medical Sciences

Background: Cadmium (Cd) is a toxic heavy metal can be found in many sources, including cigarette smoke, e-cigarettes, batteries, contaminated water, plant-based foods, air, fertilizers, plastic toys, ceramics, soil and paints. the exposure to environmental factors may affect different body systems including lymphatic system.

Objectives: to investigate the effect of ingested cadmium chloride on mesenteric lymph nodes in rat.

Materials and Methods: twenty adult male albino rats were used in this study, which divided equally into two groups, on group served as control group administrated of tap water while the second group used as experimental group exposed to daily …

Relationship Between Renal And Liver Function With Diabetic Retinopathy In Patients With Type 2 Diabetes Mellitus In Iraq, Muataz Mohammed Al-Taee

Al-Nisour Journal for Medical Sciences

It is guessed that this study would take a gander at the connection among liver and kidney function and the predominance and severity of diabetic retinopathy (DR) in Iraqi people with type 2 diabetes mellitus (T2DM). three hundred T2DM patients that were browsed Iraqi tertiary thought offices partook in a cross-sectional survey. Segmental, clinical, and biochemical information were gathered, including liver function tests (e.g., alanine aminotransferase [ALT], aspartate aminotransferase [AST], and gamma-glutamyl transferase [GGT]) and renal function tests (e.g., serum creatinine, evaluated glomerular filtration rate [eGFR], and albuminuria). Fundoscopic assessment of DR was directed to recognize proliferative diabetic retinopathy (PDR), …

Automated Retinal Vessel Analysis: A Novel Model For Blood Vessel Detection, Segmentation, And Clinical Characteristic Quantification, Aws A. Abdulsahib, Moamin A. Mahmoud, Sally A. Al-Hasnawi, Ahmed Zeyad Almhanna, Jamal Kamil K. Abbas

Al-Nisour Journal for Medical Sciences

This research enlightens into a fully automated model for segmenting blood vessels and extracting clinical features from retinal fundus images, which is vital for diagnosing ophthalmologic and cardiovascular diseases. The model utilises contrast enhancement, noise reduction, edge detection, and a method for reconnecting blood vessel branches. It extracts properties like tortuosity, girth, and length of blood vessels. The model's performance surpasses existing approaches, achieving high accuracy, sensitivity, specificity, and positive and negative prediction values on DRIVE and HRF datasets. This innovation offers the potential to reduce specialists' workload, enhance diagnostic accuracy, and streamline the analysis of complex fundus images, ultimately …

Shohani Save Guard (Ssg): Dietary Supplement To Support Drug Addiction Treatment, Mohammed Mahdi Salman Ghadban, Taghreed Khudhur Mohammed

Al-Nisour Journal for Medical Sciences

Shohani Save Guard (SSG) is a scientifically formulated dietary supplement designed to aid in the recovery from drug addiction, particularly methamphetamine addiction. This study explores the biochemical and biological mechanisms through which SSG's natural ingredients, including KSM-66, Panax Ginseng, Bacopa Monnieri, Green Tea, Curcumin, and other essential vitamins and minerals, work synergistically to promote recovery. The paper also reviews recent studies supporting the efficacy of these ingredients and highlights their roles in reducing addiction symptoms and improving overall health.

Evaluating Chemical Security And Safety Levels In Tanning Factories At The General Company For Textile And Leather Industries/Leather Factory In Iraq, Fatima Khudhur Mohammed, Taghreed Khudhur Mohammed, Salwa Hameed Naser Al-Rubae’I

Al-Nisour Journal for Medical Sciences

Most of the chemicals produced and used today are beneficial, but some also have the potential to damage human health and the environment. To achieve the goal of allowing the use of chemicals for companies and factories, safety and security tools were used in the laboratories, and workers were trained on the dangers of chemicals. We studied worker exposure to hazardous chemicals and determined the prevalence of occupational skin diseases. As well as examining the availability of personal protective equipment. A questionnaire was used to determine the chemicals used, the ages of the employees, their educational level, and the extent …

The Digital Dilemma: How Social Media Is Affecting Our Emotional Well-Being, Jasim Aymen Khaleefah, Ban Yousif Yaaqoob

Al-Nisour Journal for Medical Sciences

Internet and Social media have become an essential part of our daily routine, allowing us to connect and be close with others, share information, and engage in various activities. Nevertheless, the extensive use of social media has raised many questions about its influence on our health and emotional well-being. The purpose of this review is to provide an in-depth analysis of the literature on how social media distresses our emotional well-being. Current review was conducted by investigating existing literature, the works was obtained through searches on academic databases, including PubMed, PsycINFO, and Google Scholar. The literature found that social networking …

Comparative Study On Nephrin, Transforming Growth Factor-Β And Some Biochemical Markers For Predicting Type 2 Diabetic Nephropathy, Alyaa Kadhim Hliel, Huda Farhan Ahmed, Hiba Abdul-Hussein

Al-Nisour Journal for Medical Sciences

Background: Diabetic Nephropathy (DN), is a microvascular complication of the diabetes mellitus type 1 or 2 and the major reason of end-stage kidney disease, which is distinguished by an increase in urine albumin excretion (microalbuminuria) and/or a decreased glomerular filtration rate (GFR) or both. Microalbuminuria has limited diagnostic role in early-stage diabetic nephropathy, because renal damage usually occurs before proteinuria. Therefore, more sensitive and specific biomarkers are needed for early detection of Diabetic Nephropathy.

Materials and Methods: A case-control study involved 180 participants aged 40-≥70 years, 60 individuals were healthy, and 120 had type 2 DM. The participants were divided …

Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris

Adultspan Journal

This perspective article explores the integration of positive psychology interventions (PPIs) and spirituality in therapy to foster meaning and well-being in older adults. It highlights exercises such as the positive introduction, positive legacy, character strengths, mindfulness, mindful-based yoga, and a manifestation prayer journaling. The interventions presented are tools to support older adults that may experience depression, difficult life transitions, and the search for renewed meaning. Therapists who integrate PPIs and spirituality into therapy can promote a holistic, non-pathological approach to treatment.

Synthesis, Structural Characterization, And In-Vitro Cytotoxicity Of Zinc-Levofloxacin Ligand, Khalid Ibrahim Adwan, Falah M. K. Al-Rekabi

Al-Nisour Journal for Medical Sciences

Background: This study aimed to modify levofloxacin and evaluate its cytotoxicity as well as the synthesis, characterization and physical evaluation of mixed ligand zinc complex with the third generation quinolones’ representative, levofloxacin. Levofloxacin coupled to zinc through one pyridone and one carboxylate oxygen as well as with two nitrogen atoms from the heteroligand, as demonstrated by the complexation of zinc (II) metal ion with the deprotonated ligand and heteroligand. The identification of the complex structure was carried out using Fourier Transform Infrared Spectroscopy, Hydrogen-Nuclear Magnetic Resonance, melting point, and UV–visible spectrophotometry.

Results: Binding of the zinc on the two donor …

Human Monkeypox Virus; New Possible Viral Pandemic, Lamiaa Mohammed, Alyaa Jabbar Qasim, Ayat Majeed Zeadan

Al-Nisour Journal for Medical Sciences

The unexpected monkeypox outbreak and global increase have drawn attention due to the ongoing COVID-19 pandemic. With 3340 confirmed cases worldwide as of June 22, 2022, this is the biggest and most pervasive monkeypox outbreak outside of Africa. In addition to vertical transmission from mother to child, MPXV can spread from person to person through direct contact with infectious skin or mucosal skin lesions, respiratory droplets, or indirect contact with contaminated objects or materials. Additionally, it is most likely sexually transmitted through vaginal fluid or semen, and community transmission is a possibility. MPXV, an envelope, linear, double-stranded DNA virus that …

A Retrospective Study Of Childhood Meningitis And Its Risk Factors In Diyala Province, Zainab Mohamed Mahmmod

Al-Nisour Journal for Medical Sciences

Background: Viral agents are the primary cause of meningitis, a worldwide public health concern that primarily affects newborns and children. It is self-limiting and goes away in 7-10 days. With 85% of cases, enterovirus is the most prevalent etiologic agent. Summer is the peak season, and warm weather facilitates its spread. Most cases of meningitis occur in people under 30.

Aim: This study intends to assess the risk factor of meningitis in different age groups in Diyala Hospital (the Governorate of Diyala - Iraq) and identify the relation of demographical characteristics with the risk factor.

Methods: A …

Small Steps For A Big Change: A Longitudinal Project To Enhance Well-Being Of Internal Medicine Residents, Vandana Nagpal, Benjamin Tanenbaum, Christine Runyan

Journal of Wellness

Introduction: Residency training is demanding and often leads to burnout. In 2017, Internal Medicine (IM) residents at our institution reported a poor collective residency experience. In response, we launched a longitudinal wellness program in 2018, featuring multi-pronged interventions to improve residents' well-being. The program, still active today, has undergone iterative modifications with ongoing input from residents.

Approach: The resident-led Wellness Committee was established in 2018, and the following no to low-cost initiatives were implemented sequentially: quarterly group sessions with an institutional health psychologist, bi-annual self-checks, peer buddy support for incoming first-year residents, weekly 5-minute reflection sessions, and volunteer dog visits. …

Recent Trends In Medical Education To Sustain An Effective Practice - A Systematic Review, Sharon Pricilla Jeevan Kumar Leela Ms., Amtuz Zehra Dr, Ayesha Siddiqhha Mukthar Ms

International Journal of Health and Allied Sciences

Learning processes in medical practices in medicinal schools put more emphasis on the hard sciences than they do on developing soft skills like empathy and communication. For this reason, the medical humanities emerged to provide a "different" take on the creative process. Medical ethics, the doctor-patient relationship, clinical research, mental illness, and professionalism are just a few of the topics that have been utilized to discuss in medical school. A strong connection between classroom learning and clinical experience is crucial for medical school graduates. Students graduating from a medical program are expected to have experience with patient care, clinical procedures, …

Valproic Acid Loaded Niosomal In Situ Gel: A Novel Approach For Epilepsy Treatment, Rutuja Bastapure, Akshay Gawali, Gopal Lohiya, Kranti Satpute, Mahesh Birajdar, Sameep Sonvane

International Journal of Health and Allied Sciences

Valproic acid is an antiepileptic medication that is primarily used to treat epilepsy and bipolar disorder. This investigation was designed with three objectives in mind. First, improve the solubility and bioavailability of the BCS class II medicine valproic acid; second, make it easy to give the drug to an epileptic patient during an episode; and third, lower the dosage for long-term treatment. Niosomal formulations were optimized using various Tween and Span range ratios. The formulations were made using the ether injection method. The formulation's morphological characterization, entrapment efficiency, viscosity, and particle size were evaluated. Valproic acid niosomes prepared with Tween …

Development And Assessment Of Liposomal Nasal Spray For The Treatment Epilepsy, Sayali Dongare, Sushmaji Sontakke, Gopal Lohiya, Shoeb Syed, Rohit Sarda

International Journal of Health and Allied Sciences

Abstract:

Background: Levetiracetam is a pyrrolidine class antiepileptic drug mainly used to treat epilepsy and seizures.

Objective: The purpose of this research was to synthesize a liposomal nasal spray incorporating levetiracetam for nose to brain delivery in epilepsy.

Materials and methods: The preparation method employed thin film hydration to prepare liposomes loaded with levetiracetam with lecithin and tween 80 at different concentrations. The liposome formed were characterized in terms of particle size and entrapment efficiency. Finally, the prepared liposomes were converted into nasal spray and characterized for drug content, pH, viscosity, in vitro release profile, clarity, Ex-vivo permeation study. …

Exploring The Vitamin D Receptor Gene Polymorphisms: Implications For Disease Susceptibility, Thrupthi Rai, Sushma M, Jadeppa G, Suma M N, Swetha Nk

International Journal of Health and Allied Sciences

The Vitamin D endocrine system, comprising of Vitamin D, its receptor (VDR), and metabolic enzymes, coordinates essential physiological functions influencing skeletal metabolism, immune response, and various diseases including osteoarthritis, cancer, and obesity. Understanding the impact of genetic variations, particularly the VDR gene, on disease susceptibility is crucial. This paper provides a comprehensive overview of Vitamin D metabolism, deciphering how the VDR gene works and understanding how different versions of the gene impact complex diseases. It provides a brief overview of the association between VDR gene polymorphisms in inflammatory disease, hypertension, osteoporosis, hyperparathyroidism, coronary artery disease, asthma, cancer, and infectious diseases. …

Making Training Stick: Transferring Learning Back To The Job, Amanda Woods Herron, Phoebe Hessen, Katelyn J. Cavanaugh, Wykesha C. Hayes, Victor Hassid, Courtney L. Holladay

Advances in Cancer Education and Quality Improvement

Communication remains a central priority in healthcare, making it a key component of many training efforts. The positive impacts of communication training in healthcare settings have been well-established; however, the linkage of communication training to key organizational outcomes (e.g., engagement, performance, retention) remains underexplored. The present study investigated a training program targeting interpersonal communication within a large academic oncology center. We drew from Cognitive Load Theory and Social Cognitive Theory to evaluate the impact of the training on participant learning (retention and utilization), transfer (communication, decision-making, performance), and results-level outcomes (engagement and turnover). The program centered around a personality framework …

Use Of Objective Tools For Early Detection Of Parkinson’S Symptoms, Brett Weinstein, Alex Rothstein, Danny Chan, Andreana Zazzarino, Brianna Singh, Meredith Fagan, Dominique Torres, Charles Siguenza, Rosemary Gallagher

International Journal of Exercise Science: Conference Proceedings

Parkinson’s disease (PD) is characterized by asymmetrical motor symptoms that are difficult to detect early, thus the need for more sensitive tools. People with early PD (PwPD) participate in high level physical activity, are susceptible to injury, and in need of exercise professionals (EP). However, assessment tools used by EPs for healthy populations may be underutilized in PD. We suggest these tools can quantify early lower extremity (LE) motor impairments otherwise not found during the Five Times Sit to Stand test (FTSTS), commonly used to assess LE strength and function in the rehabilitation setting. PURPOSE: Examine LE asymmetry, force and …

Validity And Reliability Of The Wattbike For The Wingate Anaerobic Test, Bernie F. Acevedo, Alex Rothstein, Michele Aquino, Christian Maia, Robert M. Otto, John Petrizzo, John Wygand, Amerigo Rossi, John Handrakis

International Journal of Exercise Science: Conference Proceedings

The Wingate Anaerobic Test (WAnT) is widely recognized for assessing anaerobic power and capacity. While the Lode cycle ergometer has been validated for the WAnT, the Wattbike's validity and reliability require further investigation. PURPOSE: To evaluate the validity and reliability of the Wattbike for conducting the WAnT by comparing its performance metrics in the "30-second test" setting to the WAnT on the Lode cycle ergometer. METHODS: 11 participants (male = 7, female = 4; age: Mean = 23 yrs 2.9 yrs; height: Mean = 171.5 cm 8.7 cm; weight: Mean = 76.8 kg 13.9 kg) ± ± ± Familiarization trials …

Fall Incidences, Risk Factors, And Health Effects Among Early- And Middle-Aged Elderly People In Rural Areas Of Border Provinces In Southern Thailand, Phnom Sukchan, Tapanan Prateepko, Arinda Ma-A-Lee, Kruawan Hounkong, Penporn Sujiwattanarat, Gornganok Piboonpol

Journal of Health Research

Background: Elderly individuals with physical and psychological challenges face a high risk of falls. This study aimed to assess the incidence, health effects of, and risk factors for falls among those aged 60-79 years old in Thailand's three southern border provinces.

Methods: A community cross-sectional study was conducted between October 2021 and September 2022. Questionnaires were administered though verbal face-to-face conversations. Descriptive statistics, the Chi-square test, Fisher’s exact test, and logistic regression were used.

Results: A total of 419 elderly participants were recruited, while 374 participated in the study. The incidence of falls was 37.4% with an average of 1.7 …

Diagnostic Imaging Of A Large Pancreatic Pseudocyst With Infection Over Time In A Dog, Chanyoung Ryu, Wooseok Jin, Sang-Kwon Lee, Daji Noh, Sooyoung Choi, Kija Lee

The Thai Journal of Veterinary Medicine

A 5-year-old Pompitz presented with anorexia and vomiting. Radiographs showed a half-moon-shaped mass in the left cranial abdomen. A large cyst was identified near the left pancreas on ultrasound. Computed tomography revealed a fluid-attenuating mass with rim enhancement in the pancreas. Laboratory tests identified Staphylococcus warneri in the cystic lesion, and pancreatic pseudocyst with infection was suspected. The fluid accumulation and clinical signs recurred over several months. Pre-operative magnetic resonance imaging showed a hyperintense cystic lesion with a duct-like structure and hyperintense line between the cyst and the gastric wall on T2-weighted images as well as signal change of the …

Preliminary Study: Minimizing The Gap Between Pre-And Post-Spaceflight, Caleb E. Scheideger, Louis A. Diberardino

Aurora

Long-duration space missions pose significant challenges to astronaut health, primarily due to the detrimental effects of microgravity on musculoskeletal and cardiovascular systems. This research proposal aims to address the critical gap between pre- and post-spaceflight physiological conditions, focusing on the marked decline in muscle mass, bone density, and cardiovascular function. Existing countermeasures, such as resistive exercise, are insufficient to prevent muscle atrophy and bone demineralization, highlighting the need for novel solutions. Neuromuscular Electrical Stimulation (NMES) emerges as a promising intervention, capable of eliciting muscle contractions to maintain function and mitigate atrophy. By integrating NMES into existing exercise regimens, we hypothesize …