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Yale Medicine Thesis Digital Library

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Defining Psychological Resilience And Determining Long-Term Mental And Physical Health Outcomes In Male And Female West Point Graduates, Melissa Thomas Jan 2020

Defining Psychological Resilience And Determining Long-Term Mental And Physical Health Outcomes In Male And Female West Point Graduates, Melissa Thomas

Yale Medicine Thesis Digital Library

We examined what defines psychological resilience in graduates of the United States Military Academy at West Point, a special population that was selected and trained to adapt and excel in the face of risk factors that can adversely affect mental and physical health. We also assessed self-reported mental and physical health in this population and compared these data to other veteran and civilian populations to lay the groundwork for further investigations into the relationship of resilience to health outcomes. The aims of this study were to: 1) employ a novel approach to operationalizing psychological resilience, defined as adapting well and …


Coronary Revascularization Options For Females: A Meta-Analysis Of Randomized Controlled Trials, Tayyab Hussain Shah Jan 2020

Coronary Revascularization Options For Females: A Meta-Analysis Of Randomized Controlled Trials, Tayyab Hussain Shah

Yale Medicine Thesis Digital Library

The totality of evidence for revascularization decisions between coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) for the treatment of multivessel coronary artery disease comes from predominantly male patients. Although societal guidelines do not provide sex specific recommendations, growing evidence suggests that revascularization outcomes may not be consistent between sexes. This study evaluates outcomes of CABG versus PCI in female patients with multivessel disease (MVD) and/or left main disease (LMD). We conducted a systematic search to identify randomized controlled trials (RCTs) comparing the long-term outcomes after PCI versus CABG in MVD and/or LMD. We extracted female specific data …


Community Based Epidemiological Study Of Chagas Disease In Rural Peru, Paul Walker Jan 2008

Community Based Epidemiological Study Of Chagas Disease In Rural Peru, Paul Walker

Yale Medicine Thesis Digital Library

The purpose of this study was to evaluate the epidemiology of Trypanosoma cruzi infection, to valuate the TESA blot, and to characterize cardiac findings of patients with Chagas disease in a rural setting near Arequipa, Peru. The study site was the town of Quequeña, Peru with a population of 774 with 236 inhabitants under the age of 18 according to the 2005 census conducted by Peru. A fumigation/insect collection campaign was done in December of 2006 to quantify household infestation levels, document housing characteristics, and GPS household locations. Of the 602 people surveyed to be living in Quequeña, blood samples …