Medicine and Health Sciences Commons^™

Circle Of Security Parenting; A Qualitative Investigation Into The Perceived Long-Term Impact On Parenting In Plymouth, United Kingdom, Rebecca Cartwright

The Plymouth Student Scientist

Parenting is a unique experience for every family and improving this experience for both the child and the parent has long-term benefits for giving the child the best opportunities for the future. Attachment has been noted as a factor which improves a child's development and other areas of their life with a lasting effect into adulthood. An example of interventions used to improve parent-child relationships are parenting courses. Circle of Security Parenting is an 8-week parenting course designed to support attachment by encouraging a group of between four and six parents to reflect on their own childhood and subsequently their …

Fda Approval Of Zuranolone: A Breakthrough Treatment For Postpartum Depression, Connor Dains, Makayla Eversole, Kiley Devoll, Daniella Egbujor, Marisa Petrunich, Madilyn Paphanchith, Joshua Honaker, Samantha Mccord, Manoranjan D'Souza

Pharmacy and Wellness Review

Postpartum depression (PPD) is a serious medical condition that increases the risk of postpartum mortality and affects the ability of a postpartum individual to take care of their newborn. Until 2023, intravenously-administered brexanolone was the only Food and Drug Administration (FDA)-approved medication for PPD. Brexanolone’s route of administration poses significant barriers to accessibility and convenience. Other treatment options, such as psychotherapy and antidepressants, often require long-term commitment and may not provide rapid relief for severe symptoms. In August 2023, the FDA approved zuranolone as an oral medication for PPD, which enhances treatment accessibility and offers patients a more flexible, outpatient …

Addressing Over-The-Counter Proton Pump Inhibitor Overuse: Strategies For Pharmacists To Enhance Patient Care, Brenna Hissong, Giang Nguyen, Alexander Defranco, Layla Dials, Jordyn Linfield, Haley Brown, Joshua Honaker, Samantha Mccord, Alaina Kortokrax

Pharmacy and Wellness Review

Proton pump inhibitors (PPIs) are among the most commonly prescribed and widely used medications for the treatment of gastrointestinal (GI) disorders. PPIs irreversibly inhibit the H+/K+-ATPase enzyme, effectively reducing gastric acid secretion and providing sustained relief for acid-related conditions. With the approval of over-the-counter (OTC) PPIs, the number of individuals taking these medications for prolonged periods of time without routine monitoring for the appropriateness of therapy has increased. The overuse of OTC PPIs can be attributed to a number of factors, including ease of access, perceived safety, inadequate understanding of OTC PPI treatment intervals, and a lack of awareness regarding …

Fda Approves Neffy®- First Nasal Spray For Anaphylaxis, Abigail Carter, Penlope Mazivanhanga, Haylee Whyde, Rileigh Rahrig, Ashley Jacob, Anna Spalvieri, Joshua Honaker, Samantha Mccord, Andrew Roecker

Pharmacy and Wellness Review

Between 1.6 and 5.1% of the United States population have experienced anaphylaxis, a severe allergic reaction.1 Anaphylaxis occurs when someone is exposed to an allergen, most commonly foods, medications, and insect venom. Epinephrine is the first-line agent for anaphylaxis treatment, and it is critical to administer this medication immediately after the onset of anaphylactic symptoms to prevent worsening that could lead to death. Epinephrine, more commonly known as EpiPen® or Auvi-Q®, has historically only been available as an intramuscular (IM) injection. Many people are afraid, anxious, or uneducated on how to properly give someone an IM injection, causing anaphylaxis treatment …

Fda Greenlights Early-Stage Trial For Investigational Long Covid Treatment: Phase Ii Evaluation Pending, Arin Wade, Maria Nguyen, Allie Honigford, Kennedy Kosikowski, Minhwan Yang, Rebecca Willier, Joshua Honaker, Samantha Mccord, Theresa Hempleman

Pharmacy and Wellness Review

Long coronavirus disease (COVID) is a condition that affects millions of individuals worldwide. Long COVID manifests as persistent symptoms following acute COVID-19. These symptoms can include, but are not limited to, fatigue, cognitive dysfunction, and chronic inflammation often lasting for months and significantly impairing patients' quality of life. As the number of Long COVID cases continues to rise and major global health organizations begin to standardize Long COVID’s mechanisms and diagnosis, there is an increasing demand for effective treatments that can address its complex nature. While some therapies, such as metformin and hyperbaric oxygen therapy (HBOT) have shown promise in …

Epidemiology Of Older Patients Presenting To Irish Emergency Departments: A Subgroup Analysis Of The Egers Dataset, Sean Croughan, Arina Kruis Dr, Kelly Ann Catherine Janssens Dr, Pro Mukerjee Dr, Denys Shchetkovskyy Dr, Áine Mitchell Dr, Mehmet Akif Karamercan Dr, Zerrin Defne Dundar Dr, Anna Slagman Dr, Effie Polyzogopoulou Dr, Sandor Somodi Dr, Andrea Fabbri Dr, Lars Peter Bjornsen Dr, Wilma Beetge, Said Laribi, Rebecca Ann Sealy, Visnja Nesek Adam, Comfort Adedokun Dr, Lucy Gibbons, Pamela O’Brien, Jessica Lynch Dr, Laura Kenny, Conor Deasy Dr, John Ryan Dr, David Menzies Dr, John Cronin Dr, Vijay Narayanan Dr, Nurali Noorani Dr, Waslet Bakhshi Dr, Ahmed Al Rasheed Ahmed Dr, Rosa Mcnamara Dr

Journal of Geriatric Emergency Medicine

Introduction

Within Emergency Medicine, older adults represent a distinct population with unique needs and challenges. There is a scarcity of epidemiologic data on the requirements of Ireland’s older population for, and their utilisation of, emergency care networks. We sought to assess this deficit utilising data from the recently published European Geriatric Emergency Departments Registry Study (EGERS) dataset.

Methodology

A prospective, cohort study of older adult patients (≥65) presenting to Irish Emergency Departments over a 7-day period. The dataset was originally collected as part of the EGERS study. The Irish subpopulation was extracted, analysed in further detail, and compared to the …

An Investigation Into The Current Knowledge And Consumption Frequencies Of Probiotic Products Amongst Uk-Based Athletes, Ella J. Myers

The Plymouth Student Scientist

Growing evidence supports the role of probiotics as modulators of the gut microbiome and subsequent beneficial effects on health, adaptations to exercise, and performance amongst athletes. Despite this, limited literature exists concerning athletes’ current understanding or consumption habits of such products. Therefore, the present study aimed to investigate the knowledge and consumption frequencies of probiotic products amongst UK-based recreational and competitive athletes using a three-part online questionnaire. A scoring system based on the number of correct responses to questions regarding probiotics was employed to assess athlete knowledge. Subsequent questions allowed for the collection of data regarding respondents’ current consumption habits …

The Weight Of Words: An Investigation On The Impact Of Stereotypical Body Language On Body Dissatisfaction, Hannah M. Brown

The Plymouth Student Scientist

Body image research is extensive, producing various tools to assess body dissatisfaction and related factors. Despite this, eating disorder rates remain high. This study investigates the relationship between self-schemas, the lexical frameworks of body-related words, and their impact on body shape dissatisfaction. Sociocultural pressures to conform to beauty standards make body image talk ubiquitous and influential. Previous studies primarily used explicit measures, like self-reports, which are subject to biases, whereas implicit measures reveal underlying cognitive mechanisms. This study employed the Stunkard Figure Scale to measure body dissatisfaction and the Body Appreciation Scale 2 to assess body appreciation, examining cognitive biases …

Family Care And Health Behavior: A Sociocultural Perspective On Ebola Virus Disease Transmission In Sierra Leone, Abubakarr Jalloh

Journal of Social, Behavioral, and Health Sciences

The 2013–2016 Ebola virus disease (EVD) outbreak in West Africa was the largest and deadliest in the four-decade history of the disease. This study examined the sociocultural context of EVD transmission during the outbreak, with a particular focus on a high-risk behavior—caring for sick relatives. Guided by a sociocultural perspective on health, it specifically explored the role of family-based caregiving practices in the transmission of EVD during an outbreak. Utilizing a qualitative collective case study, I interviewed three Ebola survivors in Makeni, Sierra Leone. Content analysis resulted in two themes: (1) family care and perceived EVD transmission and (2) how …

Dental Hygiene Program Feasibility In Kailua Kona, Hawaii, William Li, Lindsay Gietzen

Pacific Journal of Health

Establishing a dental hygiene program in Kailua Kona, Hawaii, could address critical gaps in local healthcare but requires careful consideration of its feasibility given the significant costs involved. This literature review assesses existing studies to understand the potential for success, focusing on effective recruitment and retention strategies that have been implemented in other rural and underserved regions. Findings reveal that communities worldwide face similar challenges in attracting healthcare providers to remote areas, with successful programs often integrating mandatory externships to encourage healthcare workers to experience and engage with underserved communities. Given Hawaii’s diverse ethnic makeup, insights from cross-cultural and global …

Learning To Be An Autistic Therapist: Personal Steps Towards An Autism-Affirming Psychotherapy, Sasha D. Strong

Ought: The Journal of Autistic Culture

How can Autistic therapists understand and support themselves, and how can this help them support their clients? In this paper, I recount my personal journey of healing and growth as an Autistic psychotherapist, 16 months after self-identification. Here is an overview of conceptual frameworks from #actuallyautistic authors, critical theory, queer theory, and social justice that I have found helpful. I also share some of the therapeutic and wellness approaches that have been important to me, including mindfulness and bodyfulness. Organic knowing has been pivotal for me in discerning between masking and aliveness, and regaining a choice around masking behaviors. This …

A Symphony Of Distractions, Alisha M. White

Ought: The Journal of Autistic Culture

No abstract provided.

Quality Improvement In Healthcare: A Practical Guide For Providers (Part 5), Jeremy Ellis Md

Transformative Medicine

No abstract provided.

Glp-1 Agonists For Weight Loss And Beyond, Connor Quinter, Hanh Motilall, Kelley Maberry

Transformative Medicine

Glucagon-like peptide-1 (GLP-1) agonists are medications that were originally approved for type 2 diabetes to help improve glycemic control in conjunction with exercise and dieting. One of the beneficial effects of this medication class is weight loss, and recently the FDA has approved a select few for this indication of weight loss. With these medications becoming increasingly more popular, it is imperative that both providers and patients understand the differences in terms of efficacy for these medications and the potential adverse events to make the best decision about initiating therapy. This article summarizes the FDA indications for all the GLP-1 …

Decoding 2:1 Atrioventricular Block, Jaswanth Jasti Md, Muhammad Asad Hanif Md, Muhammad Mohsin Zafar Md

Transformative Medicine

No abstract provided.

Initiation Of A Skills-Based "Boot Camp" Orientation For Incoming Ob/Gyn Resident Physicians, Nathanael N. Hoskins, Morgan Scheffler, Tammy Trace, Holly Metzgar

Transformative Medicine

Background: Residency orientations are often focused on administrative obligations and less often focused on program-specific skills training. Introduction of these skills during the orientation period has been shown to improve resident confidence and proficiency. The purpose of this quality improvement project is to propose the introduction of a skills-focused portion of orientation in a condensed “boot camp” fashion to improve the transition to residency from medical school.

Methods: The skills-based orientation curriculum was developed by reviewing the Accreditation Council for Graduate Medical Education (ACGME) milestones and prior literature on the topic. The simulations were planned using resident and faculty collaboration. …

Postoperative Conundrum: Horner Syndrome Secondary To Anterior Cervical Discectomy And Fusion Procedure, Nicholas Mynarski, Sabrina M. Johnson, Aanchal Sawhney, Christine Giesa Do, Rachel Odeyemi Do

Transformative Medicine

IntroductionHorner syndrome is a rare complication following anterior cervical discectomy and fusion (ACDF) surgeries, with an incidence rate of

Case DescriptionWe report a case of a 45-year-old female with a history of non-Hodgkin's lymphoma and chronic obstructive pulmonary disease who developed Horner syndrome post-ACDF. Initially admitted for suspected cholecystitis found on imaging following a fall, the patient's clinical course was complicated by worsening cervical and lumbar pain. This prompted MRI evaluation revealing cervical stenosis at C5-C6 and ACDF was performed without intraoperative complications. However, on postoperative day three, the patient developed left eye ptosis and miosis, consistent with …

Uncontrolled Hypertension Or A Bad Medication Interaction? The Importance Of Reviewing Over-The-Counter Medications During Medication Reconciliation, Shefali Amin Do, Caitlyn R. Moss Md

Transformative Medicine

Introduction: In the management of chronic conditions, review of the complete medication list for potential drug-drug interactions is crucial. This case involves a patient taking activated charcoal for unclear reasons, leading to misdiagnosed uncontrolled hypertension.

Case Description: We present the case of an elderly male with uncontrolled hypertension who had been placed on multiple chronic antihypertensives for years. On further review, he was found to be taking activated charcoal twice daily thereby inactivating his five oral antihypertensive medications and making his blood pressure difficult to control. Discontinuation of the activated charcoal led to significant improvement in his blood …

Relationship Of Amphetamines In Reducing Substance Abuse Risks Among Adhd Patients, Ashley Deng, Eduardo Espiridion Md

Transformative Medicine

Introduction: Attention-deficit-hyperactivity disorder (ADHD) affects a substantial portion of the global population, influencing cognitive and behavioral function. Current treatments often involve stimulant medications like amphetamines, which are controlled substances due to their addiction potential. Non-stimulant options, such as atomoxetine, are typically considered secondary therapies. This study examines the relationship between ADHD medication use and the subsequent development of psychoactive, stimulant, and cocaine-related substance use disorders. Methods: Using the TriNetX database, we conducted a retrospective cohort study to compare ADHD patients prescribed amphetamines to those receiving atomoxetine or no medication. Propensity score matching was employed to control for confounding variables, followed …

Administering Tolfenamic Acid To Gilts And Sows Before Artificial Insemination Did Not Improve Litter Size But Tended To Reduce Post-Service Serum Prostaglandin F2Α Levels, Pachara Pearodwong, Nithitad Jiebna, Padet Tummaruk

The Thai Journal of Veterinary Medicine

This study examined the impact of intramuscular administration of tolfenamic acid 10 min before artificial insemination (AI) on serum PGF2α levels and reproductive performance in gilts and sows. In Experiment I, 20 gilts were divided into two groups: control (n = 10) and treatment (n = 10). Serum samples were collected 30 min before and after insemination to measure PGF2α levels. In Experiment II, 175 gilts and sows were divided into control (25 gilts and 56 sows) and treatment (16 gilts and 78 sows) groups. In both experiments, the treatment group received an intramuscular injection of 2 mg/kg tolfenamic acid …

Community, State And Professionalism: Negotiating The Experience Of Community Health Workers In The Provision Of Maternal And Child Health Services In Tanzania, Chakupewa Joseph Mpambije

Journal of Humanities and Social Sciences

Research on community health workers (CHWs) has been on the increase in the past decades in Tanzania, focusing on the provision of maternal and child health (MCH) services. While performing their tasks, CHWs work within three constructs: the community, the state, and their professionalism. However, as CHWs work within these constructs, there exists scanty literature which discourses their experiences within the realm of the community, the state and their professionalism. This review aimed to articulate how these constructs facilitate or inhibit CHWs’ performance in improving MCH services. It employed a scoping review method in which peer-reviewed articles and grey literature …

Distinct Effects Of Extra- And Intracellular Trehalose Supplementation In Freezing Medium On The Post-Thaw Developmental Capacity Of Feline Oocytes, Saengtawan Arayatham, Wirakan Kallayanathum, Panuwat Padungros, Theerawat Tharasanit

The Thai Journal of Veterinary Medicine

Oocyte cryopreservation is a crucial technique for preserving the genetic material of female cats, yet maintaining post-thaw oocyte developmental competence remains a significant challenge. This study investigated the impact of intra- and extracellular trehalose on the developmental competence of feline oocytes following cryopreservation. In Experiment 1, immature feline oocytes were matured in vitro (IVM) with varying concentrations (0, 1.5, and 3 mM) of intracellular trehalose hexaacetate (Tre-(OAc)6). The matured oocytes were then cryopreserved and thawed prior to in vitro fertilization and embryo culture. Experiment 2 examined the effects of extracellular trehalose supplementation at concentrations of 0, 0.125, 0.25, and 0.5 …

Medication-Induced Esophageal Injury In Cats And Dogs: A Comprehensive Review, Naowarat Suthamnatpong, Aranya Ponpornpisit

The Thai Journal of Veterinary Medicine

Medication-induced esophageal injury (MIEI) is a significant concern in veterinary medicine, affecting the health and well-being of animals undergoing various pharmaceutical treatments. If not addressed promptly, MIEI can lead to severe complications such as esophagitis, esophageal stricture, perforation, and even mortality. This review aims to provide a comprehensive examination of MIEI in veterinary medicine, covering essential aspects such as the basic structure of the esophagus, the epidemiology and etiology of MIEI, and the factors influencing susceptibility. The mechanisms of injury are discussed in detail, focusing on direct mechanical injuries, chemical injuries from medication components, and systemic effects. The review also …

Interaction Of Cumulus-Oocyte Complex (Coc) Number, Oocyte Quality, And Blastocyst Numbers By Repeated Ovum Pick-Up (Opu) In In Vitro Embryo Production, Sakine Ülküm Çizmeci, Dursun Ali Dinc, Mustafa Numan Bucak, Ömer Faruk Yesilkaya, Muhammed Furkan Ciftci, Mehmet Buğra Kivrak, Ayşe Sari, Hasan Ali Cay, Maide Golbasi, Mustafa Bodu

The Thai Journal of Veterinary Medicine

Ovum pick-up (OPU) is a repeatable technique that is used for the retrieval of large numbers of immature oocytes from the antral follicles of live animals. The aim of the present study was to determine the effect of repeated OPU application on cumulus-oocyte complex (COC) number, oocyte quality, and blastocyst rates. The animal material for the study consisted of 10 Holstein heifers. Heifers selected as donors were administered OPU a total of 9 times on random days of the cycle at 1-week intervals. All antral follicles with a diameter of 2-8 mm were aspirated during the OPU procedure. In vitro …

Clinical Consideration In Total Intravenous Anesthesia Using Xylazine And Propofol In Calves, Keita Tokimitsu, Momoko Yachida, Wataru Miki, Tadashi Kuramoto, Nanako Mochizuki, Sakura Yoshida, Tadahiro Goto, Yasuhiro Morita

The Thai Journal of Veterinary Medicine

Surgery must often be performed in fields where only simple equipment and facilities are available for cattle practice, and anesthesia with minimal procedures should be improved for sufficient surgery in the field and on farms. The study aimed to investigate total intravenous anesthesia (TIVA) using xylazine and propofol to improve the anesthesia protocol for field surgeries in calves on farms. Fourteen calves undergoing laparotomy (every seven cases of herniorrhaphy for umbilical hernia repair and cryptorchidectomy) were assigned to this experiment and randomly divided into two groups using TIVA: continuous intravenous infusion with only xylazine (XY, 0.24-0.26 mg/kg/h), and xylazine and …

Clinical Features And Imaging Characteristics Of Penile Hematoma Mimicking Priapism In A Dog, Yujeong Shin, Dongseok Kim, Daji Noh, Min Jang, Young-Sam Kwon, Sang-Kwon Lee, Kija Lee

The Thai Journal of Veterinary Medicine

A 2-year-old, castrated male Jindo dog presented with 6 days of penile swelling and protrusion, suggesting priapism. Blood gas was analyzed by aspirating the corpus cavernosum to differentiate the type. However, the results were ambiguous. Ultrasound and computed tomography revealed a well-encapsulated mass ventral to the urethra. Magnetic resonance imaging showed a mass (T2-hyperintense, T1-hypointense, with no contrast enhancement) located ventral to the urethra. Cytology revealed only red blood cells, confirming a hematoma. Penile hematoma mimicking priapism was diagnosed. After 11 weeks of glucocorticoid administration, the hematoma and the protruded penis resolved. This case suggests that penile hematoma can be …

Prevalence Of Coronavirus And Rotavirus In Dairy Calves In North-Central Of Algeria, Dadda Anes, Mohamed Cherif Abdellah, Khelef Djamel

The Thai Journal of Veterinary Medicine

Coronavirus and Rotavirus have been reported as the two main pathogens implicated in neonatal gastroenteritis in calves. The aim of this study is to provide descriptive and analytical epidemiological data and to evaluate the influence of infection with these two viruses on the onset of diarrhea in calves less than 60 days old. In our study, we included 35 dairy cattle farms in the north-central part of Algeria from January 2019 to December 2021. We analyzed 152 samples using the Copro-ELISA test, which revealed a prevalence of 10.53% and 9.87% for Rotavirus and Coronavirus, respectively. The analysis of the results …

Evaluation Of The Presence Of Sarcocystis Spp. In Dogs Raised In Alpaca Farm Enterprises In Cajamarca, Peru, Milena Ydrogo, María Cabrera, Jennifer L. Cuzcano-Anarcaya, Luis A. Vargas-Rocha, Teófilo Torrel

The Thai Journal of Veterinary Medicine

The apicomplexans of the genus Sarcocystis are parasites that infect various animal species, including humans. Both dogs and other carnivores can act as definitive hosts of this protozoan. The present study aimed to determine the frequency of Sarcocystis spp. in domestic dogs raised in three alpaca breeding areas in Cajamarca. Random fecal samples were collected from 102 dogs of different ages and both sexes in three locations related to alpaca breeding: Atahualpa Jerusalén Agricultural Workers Cooperative - Cajamarca (N = 35), SAIS Huacraruco - San Juan (N = 33), and Alpacas Project - Foncreagro - Sorochuco (N = 34). The …

Extension Agents’ Perceptions Of Community Readiness For Farm Stress And Suicide Prevention Efforts, Paula Yuma, Melissa Pearman Fenton, Lorann Stallones, Morgan Valley

Transforming Communities

The aim of the present study is to describe how Extension Agents in rural Colorado perceive their communities’ readiness to engage with farm stress and suicide prevention services and resources. Interviews were conducted with Extension Agents from five Colorado counties experiencing high suicide rates. Interview questions were based on a Community Readiness for Community Change framework, and inductive analysis was used to generate themes from the data. Results demonstrate that while prevention efforts are underway, community awareness remains low. In addition to structural barriers associated with rurality (e.g., lack of mental health providers), stigma remains a significant barrier to help-seeking. …

The Four Domains Model Of Artificial Intelligence In Surgical Education: Adapting Applications To Trainee Level, Anant R. Tewari, Jasraj Raghuwanshi, Lawal A. Labaran, Xudong Li

Journal of Innovation in Health Sciences Education

Since the inception of modern medicine, surgical trainees have benefitted from coaching and feedback from senior surgeons. In the high-demand operating room environment, granular feedback is often limited by time constraints. Artificial intelligence (AI) represents a novel frontier in surgical education in that it may be able to provide reliable, objective, and comprehensive feedback in an automated manner. While prior studies have given broad overviews of AI in surgical training, there has been no study to our knowledge that has codified the myriad applications and offered guidance for which applications best suit trainees at various levels of surgical education. We …