Medicine and Health Sciences Commons^™

Ocurrencia De Isospora Belli, Cryptosporidium Spp Y Cyclospora Cayetanenesis En Pacientes Urbanos Evaluados Por Síntomas Gastrointestinales Con O Sin Imnunosupresión [Occurrence Of Isospora Belli, Cryptosporidium Spp. , And Cyclospora Cayetanensis In Urban Patients Evaluated For Gastrointestinal Symptoms With Or Without Immunosuppression], Nathalie Chacon, Raquel Salinas, Emily Kuo, Carmen E. Durán, Wilfredo Márquez, Rosa Contreras

Physician Assistant Studies Faculty Publications

Este estudio de corte transversal, estimó la ocurrencia de infecciones por coccidias intestinales (CI) en pacientes urbanos procedentes de Caracas-Venezuela. Se analizaron, 1 831 referencias de pacientes externos de ambos sexos y con edad promedio ± desviación estándar de 28,8 ± 22,93 años. En la Sección de Geohelmintiasis del Instituto de Medicina Tropical (SGH-IMT), se evaluaron 4 650 muestras de heces seriadas, por examen directo, formol tritón éter y Baermann, pertenecientes a 1 550 pacientes. Adicionalmente, la prueba de Ziehl-Neelsen modificada, se aplicó a las muestras fecales de 150 pacientes, por solicitud del médico tratante o sugerencia de SGH-IMT. La …

Psychological Well-Being And Socio-Economic Hardship Among Aids Orphans And Other Vulnerable Children In Guinea, Wim Delva, An Vercoutere, Catherine Loua, Cathérine Loua, Jonas Lamah, Stijn Vansteelandt, Petra De Koker, Patricia Claeys, Marleen Temmerman, Lieven Annemans

Obstetrics and Gynaecology, East Africa

Over the past decade, the effects of AIDS-related parental death on children's socio-economic, educational and psychological well-being have become apparent. Most studies, however, have compared the plight of so-called AIDS orphans with non-orphaned children only. Consequently, such study designs are unable to establish if the AIDS-related cause of death of the parents confers effects additional to those of parent-bereavement. We therefore conducted a cross-sectional survey to assess the psychological well-being and socio-economic hardship among 140 non-orphaned children, 133 children orphaned by causes other than AIDS (O) and 124 children orphaned by AIDS (O-A) in Conakry, N'Zerekore and the villages around …

Comparison Of The Differential Roles Of Sphingosine Kinase (Sk) Isoenzymes In Tumor Cells And Characterization Of Sk-Isoenzyme Selective Inhibitors, Peng Gao

MUSC Theses and Dissertations

Sphingosine kinases (SK) are promising therapeutic targets for cancer because they regulate the balance between pro-apoptotic ceramides and mitogenic sphingosine-1 phosphate (S1P); however, the functions of the two isoenzymes (SK1 and Sk2) in tumor cells are not well defined, and the systemically comparison of the anti-cancer effects from SK isoform selective inhibitors is elusive. Therefore, firstly, RNA interference was used to assess the individual roles of SK1 and SK2 in tumor cell sphingolipid metabolism, proliferation and migration/invasion. Treatment of A498, Caki-1 or MDA-MB-231 cells with siRNA specific for SK1 and SK2 effectively suppressed the expression of the target mRNA and …

End-Of-Life Issues In The Acute And Critically Ill Patient, Eric A. Savory, Catherine A. Marco

Emergency Medicine Faculty Publications

The challenges of end-of-life care require emergency physicians to utilize a multifaceted and dynamic skill set. Such skills include medical therapies to relieve pain and other symptoms near the end-of-life. Physicians must also demonstrate aptitude in comfort care, communication, cultural competency, and ethical principles. It is imperative that emergency physicians demonstrate a fundamental understanding of end-of-life issues in order to employ the versatile, multidisciplinary approach required to provide the highest quality end-of-life care for patients and their families.

Pharmaceutical Direct-To-Consumer Advertising And Print Media, Vanessa Khim

Graphic Communication

The purpose of this study was to determine which type of pharmaceutical direct-to-consumer (DTC) advertising would be the best marketing strategy for pharmaceutical companies to use. The main argument was that one-to-one marketing in the forms of print media and the Internet was the best strategy over mass media marketing in the forms of television and radio.

The study researched various literary sources on the different marketing strategies which facilitated in examining the positive and negative aspects of each. One hundred surveys were distributed to medical personnel and pharmaceutical prescription consumers in both the Bay Area and San Luis Obispo …

Growing Ambulatory Care Nurse Leaders In A Multigenerational Workforce, Beth Swan, Phd, Crnp, Faan

College of Nursing Faculty Papers & Presentations

Executive Summary:

Ambulatory care faces challenges in sustaining a nursing workforce in the future as newly licensed nurses are heavily recruited to inpatient settings and retirements will impact ambulatory care sooner than other areas.

Building a diverse team by recruiting nurses of different ages (generations) and skills may result in a more successful and robust organization.

Knowledge about generational characteristics and preferences will aid nurse leaders and recruiters in attracting high-quality, talented nurses.

Nurses of Generations X and Y can increase their likelihood of success in ambulatory care by better understanding intergenerational issues.

Selected Barriers And Incentives For Participation In A University Wellness Program, Trever J. Ball

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Evidence supporting the benefits of worksite health promotion (WHP) programs is extensive. Research shows these programs can improve the health of participants, lower health care costs, and improve the bottom line of employers. Although the evidence of these benefits is vast, reported participation in WHP is not optimal. Little published data exists on employees' perceived incentives and barriers for participation in WHP.

The purpose of this study was to determine perceived barriers and incentives for participation in an existing WHP program at a large land-grant university. Opinions of eligible WHP participants were collected using a web-based questionnaire (n = …

The Effectiveness Of A Specialized Upper Body Stretching Protocol On Ncaa Division I Athletes, Brandon M. Howard

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Previous studies with college athletes determined that the shoulder girdle plays a vital role in a variety of athletic activities. The previous research showed that a decrease in shoulder range of motion (ROM) was associated with a higher risk injury. Decreased shoulder ROM was shown to be a primary reason that many athletes were unable to perform many overhead lifting variations within their strength and conditioning programs.

The purpose of this research was to evaluate a group of athletes by means of a postural assessment using the overhead squat test. This study consisted of a pretest-post test control group design. …

Effects On Resilience Of Women Family Caregivers Of Adults With Serious Mental Illness: The Role Of Positive Cognitions, Jaclene A. Zauszniewski, Abir K. Bekhet, M. Jane Suresky

College of Nursing Faculty Research and Publications

This study examined the effects of risk and protective factors on resilience in 60 women family members of adults with serious mental illness. Both the risk factors constituting caregiver burden (strain, stigma, client dependence, and family disruption) and protective factors, including eight positive cognitions were found to predict two indicators of resilience: resourcefulness and sense of coherence. The effects of caregiver burden on resourcefulness and sense of coherence were mediated by positive cognitions, lending support to resilience theory and suggesting the need to develop interventions to encourage positive thinking among women caregivers of adults with mental illness.

Is Parenting Style Related To Overweight In Mexican Or Mexican-American Preschoolers?, Darlene Mcpherson-Ventura Phd

Dissertations

The prevalence of childhood overweight (OW) continues to rise and children from low-income, Mexican or Mexican-American families are disproportionately affected. The preschool years have been identified as a critical period for excessive weight gain and during this time children respond to parental cues as they form their early eating habits. Certain parenting styles have been associated with improved health outcomes in children. The purpose of this study was to evaluate the relationship of parenting styles and feeding practices to the Mexican or Mexican-American preschool child's risk of overweight. Interdependence Theory was used to inform this study to understand the interaction …

The Roles Of Physical Therapists In Wound Management: Part Iv, Luther C. Kloth

Physical Therapy Faculty Research and Publications

Physical therapists are important members of the comprehensive wound management team. In addition to being able to provide standard wound care, they are well prepared to treat wounds with a variety of biophysical agents that introduce electromagnetic, acoustic, and mechanical energies that enhance healing. Physical therapists also address restoration of function that is frequently compromised in patients who suffer from chronically and acutely wounded tissues.

Increasing Access To Prenatal Care: The Impact Of Access Barriers And Proposed Strategies To Overcome Them, Courtney Thomas

XULAneXUS

For a country with such a technologically advanced health care system, the United States has an alarming infant mortality rate. The disparities in birth outcomes for low-income black women compared to white women of the same socioeconomic status are even more disturbing. Prenatal care is considered to be an effective method of reducing poor birth outcomes like preterm birth and low birth weight, but access to prenatal care continues to be an issue. There are several known barriers to care, including demographic, financial, structural, and personal barriers, that pregnant women must overcome to receive adequate prenatal care. With increased access …

A Toddler's Development: Analyzing "One Who Walks Unsteadily", Valerie Sharie Davis

XULAneXUS

On April 19, 2009, for exactly two hours, I observed a twenty-four month old toddler at her home, with parents' consent, to fulfill an assignment for a Normal Language Development course. The assignment was to observe a child ranging between the infancy stages to three years old. After observing the child, students were instructed to complete a language analysis sample on every word or phrase that the child produced. This sample was conducted by writing down what the child said and comparing it to what linguistic and motor development researchers expected from a child at the approximate age level observed. …

Common Genetic Variation And The Control Of Hiv-1 In Humans, Jacques Fellay, Dongliang Ge, Kevin V. Shianna, Sara Colombo, Bruno Ledergerber, Elizabeth T. Cirulli, Thomas J. Urban, Kunlin Zhang, Curtis Gumbs, Jason P. Smith, Antonella Castagna, Alessandro Cozzi-Lepri, Andrea De Luca, Philippa Easterbrook, Huldrych F. Gunthard, Simon Mallal, Cristina Mussini, Judith Dalmau, Javier Martinez-Picado, Jose M. Miro, Niels Obel, Steven M. Wolinsky, Jeremy J. Martinson, Roger Detels, Joseph Margolick, Lisa Jacobson, Patrick Descombes, Stylianos E. Antonarakis, Jacques S. Beckmann, Stephen J. O'Brien, Norman L. Letvin, Andrew J. Mcmichael, Barton F. Haynes, Mary Carrington, Sheng Feng, Amalio Telenti, David B. Goldstein, Niaid Center For Hiv/Aids Vaccine Immunology (Chavi)

Biology Faculty Articles

To extend the understanding of host genetic determinants of HIV-1 control, we performed a genome-wide association study in a cohort of 2,554 infected Caucasian subjects. The study was powered to detect common genetic variants explaining down to 1.3% of the variability in viral load at set point. We provide overwhelming confirmation of three associations previously reported in a genome-wide study and show further independent effects of both common and rare variants in the Major Histocompatibility Complex region (MHC). We also examined the polymorphisms reported in previous candidate gene studies and fail to support a role for any variant outside of …

The Development Of An Advanced Filial Therapy Model, Amy Cathleen Wickstrom

Loma Linda University Electronic Theses, Dissertations & Projects

This study sought to develop an advanced filial therapy model by examining the experiences of seven parents who participated in a preliminary advanced filial therapy intervention. These parents had previously completed a 10-week basic filial therapy model called Child Parent Relationship Therapy. A phenomenological qualitative design was employed, wherein data was obtained from parent playtime notes, researcher field notes, group process transcriptions, and focus groups. Parent experiences of the intervention were examined from a systems-relational lens, and four categories emerged, which include relational epiphanies, enhanced understanding of the playtimes, model format, and skill development. Additionally, a variety of themes were …

Use Of Emoticons For Assessing Emotion And Mood States In Web-Based Interventions, Jennifer Chua So

Loma Linda University Electronic Theses, Dissertations & Projects

In the rapidly growing field of online psychotherapeutic interventions, an increasing number of clinicians are seeking to extend therapeutic interventions into cyberspace. However, because communication with clients in this medium is often devoid of auditory and visual feedback, these clinicians are not able to rely on their clinical observations. It then becomes incumbent to develop a psychometrically and theoretically sound means of assessing emotion and mood states that can be easily utilized in this forum. Utilizing cross-culturally and empirically supported models of emotion structure shown to be influential in the self-report data, the Positive Affect and Negative Affect factors, this …

A Comprehensive Program Description And Recommendations For The Del Rosa Youth Program, Martin C. Hodnett

Loma Linda University Electronic Theses, Dissertations & Projects

Amid budget cuts, economic recession, and difficulties many Americans face, more families are looking for ways to access needed services and goods from nongovernmental sources. Churches and faith based organizations, such as the Del Rosa Seventh-day Adventist (SDA) Church, have been bridging the gap for families seeking assistance, particularly in the area of youth services. The Del Rosa Youth Program, an outreach program sponsored by Del Rosa SDA Church, provides mentoring and religious programming for at-risk youth. In an effort to assist them in becoming more competitive for funding, the current project has reviewed the relevant literature and provided recommendations …

Predicting Systemic Confidence, Stephanie Inez Falke

Loma Linda University Electronic Theses, Dissertations & Projects

Using a mixed method approach, this study explored which educational factors predicted systemic confidence in master’s level marital and family therapy (MFT) students, and whether or not the impact of these factors was influenced by student beliefs and their perception of their supervisor’s beliefs about the value of systemic practice. One hundred and twenty graduate students in Commission on Accreditation for Marriage and Family Therapy Education-accredited (COAMFT) programs completed an online survey that assessed their training experiences, beliefs about systemic practice and perceptions of confidence. Quantitative findings revealed that students who reported greater research expectations in their program, obtained more …

Pulmonary Vasoconstrictor Reactivity Following Intermittent Hypoxia, Jessica Snow

Biomedical Sciences ETDs

Sleep apnea (SA) affects as many as 20% of the adult population in the United States. It elicits intermittent hypoxia (IH) and causes pulmonary hypertension (PH), however the mechanisms of this PH have not been well studied. IH has been shown to cause polycythemia, pulmonary vascular remodeling and increases in vasoconstrictor reactivity. CO2 supplementation may be protective in the development of PH, therefore we assessed effects of IH with and without CO2 supplementation on indices of PH and pulmonary vasoconstrictor reactivity. IH with CO2 supplementation resulted in eucapnic IH (E-IH) and the lack of polycythemia or vascular remodeling. However, E-IH …

Decreased Functional Connectivity With Aging And Disease Duration In Schizophrenia, Christopher Abbott

Biomedical Sciences ETDs

Objective: Progressive brain changes late in the disease course of schizophrenia may be detected with functional connectivity. This study compared functional connectivity between patients with schizophrenia late in the disease course with matched healthy controls.

Method: Subjects included 18 patients with schizophrenia with minimum 15 years disease duration and 28 matched healthy controls from the MIND Clinical Imaging Consortium database. The functional magnetic resonance imaging paradigm was the auditory oddball task. We used independent components analysis to identify temporally cohesive but spatially distributed neural networks. We selected the executive control and default mode networks for additional analysis. The temporal course …

Adult Neural Stem/Progenitor Cells In Response To Their Microenvironment: Proliferation, Differentiation, And Migration, Basam Z. Barkho

Biomedical Sciences ETDs

The plasticity of adult neural stem/progenitor cells allows a differential response to a variety of environmental cues. Over the past decade, significant research efforts have been devoted into understanding the regulation of neural stem/progenitor cells due to their promising potential for cell replacement therapies in adult neurological diseases. It has been demonstrated that after brain injury both endogenous and grafted neural stem/progenitor cells have the ability to proliferate to expand their number, migrate long distances to the lesioned site and differentiate into new specific neurons to replace the ones that have been lost. All these procedure are regulated by extrinsic …

Molecular Dynamics Of Adenovirus Type 3 And 7 Infections In Military And Civilian Populations In The United States, Laura M. Dickson

Biomedical Sciences ETDs

Human adenoviruses (HAdV) are major causative agents of acute respiratory disease (ARD) worldwide. Military recruits and children are two of the populations most susceptible to HAdV infection in the United States. Infections by species B serotypes, including HAdV-3 and HAdV-7, are often associated with some of the most severe clinical manifestations of respiratory disease. In 1996, the production of the HAdV vaccine that was administered to US military recruits was discontinued. Since then, HAdV-associated ARD has reemerged in military training facilities nationwide compromising readiness and deployability of troops and causing significant financial burden to the Department of Defense (DoD). The …

Mental Health Provision To Hispanics In Idaho: Findings From A Provider Survey, Nicole Stickney

Boise State University Theses and Dissertations

Currently, Idaho’s mental health resources for Hispanics are not designed to meet their mental health needs. According to Jose Valle, the Chief of Children’s Mental Health at the Idaho Department of Health and Welfare Region III, there are no available data regarding prevalence rates for mental disorders among Hispanics in Idaho (personal communication, September 18, 2007), and little is known about what interventions work best among Hispanics (Gonzalez, 2006). As a first step in addressing the mental health needs of Hispanics in Idaho, information on the capacity of local providers to deliver culturally appropriate care is needed. The Idaho Partnership …

The Acute Effects Of Whole Body Vibration On Isometric Mid-Thigh Pull Performance, W. Guy Hornsby, Mark A. South, Ashley Kavanaugh, Andrew S. Layne, G. Gregory Haff, William A. Sands, Marco Cardinale, Michael W. Ramsey, Michael H. Stone

ETSU Faculty Works

Acute exposure to vibration has been suggested to produce transient increases in muscular strength (1,2,8), vertical jump displacement (4,8), and power output (2,6,7) recorded while performing various tasks. It has been hypothesized that the reported acute vibration induced increases in performance occur as a result of alterations in neuromuscular stimulation (1,3,4). Specifically, most studies have ascribed the observed improvements to the likeliness of Whole Body Vibration (WBV) in producing a “tonic vibration reflex” (TVR) in which the primary nerve endings of the Ia afferents of the muscle spindle are activated. This is thought to result in the excitation of the …

Can We Get Nurses To Stay? A Qualitative Study To Evaluate The Effectiveness Of A Formal Mentoring Program In An Acute Care Health System, Eileen M. Willits

Dissertations

This qualitative phenomenological case study was designed to investigate the affect that a formal mentoring program had on job satisfaction including a nurse's intent to stay with their current employer and their intent to stay in the nursing profession. The research was intended to determine whether mentoring programs could be used to help avoid the affect of the upcoming predicted nursing shortage in the acute care hospital.

The findings were based on the results of a sample of twelve nurses who had voluntarily signed up to take part in a formal mentoring program sponsored by the staff development department of …

Direct Healthcare Costs Of Hip, Vertebral, And Non-Hip, Non-Vertebral Fractures., Nianwen Shi, Kathleen Foley, Gregory Lenhart, Enkhe Badamgarav

College of Population Health Faculty Papers

Limited data exist regarding the cost of non-hip, non-vertebral (NHNV) fractures. Although NHNV fractures may be less expensive than hip and vertebral fractures, they have a higher incidence rate. The objective of this study was to quantify first-year healthcare costs of hip, vertebral, and NHNV fractures. This was a claims-based retrospective analysis using a case-control design among patients with commercial insurance and Medicare employer-based supplemental coverage. Patients were > or =50 years old with a closed hip, vertebral, or NHNV fracture between 7/1/2001 and 12/31/2004, and continuous enrollment 6 months prior to and 12 months after the index fracture. Adjusted mean …

Clean Water For Developing Countries, Hilary Wighton

Social Sciences

No abstract provided.

Influences On Job Retention Among Homeless Persons With Substance Abuse Or Psychiatric Disabilities, Russell K. Schutt, Norman C. Hursh

The Journal of Sociology & Social Welfare

Job retention is an important psychosocial rehabilitation goal, but one that is not often achieved. We investigate facilitators of and barriers to employment retention among homeless individuals with psychiatric and substance abuse diagnoses who were re-interviewed eight or more years after participating in a traditional vocational rehabilitation program. Most program graduates who maintained employment had secured social support from a variety of sources; personal motivation was also a critical element in job retention and compensated in some cases for an absence of social support. Both the availability of social support contacts and personal motivation influenced likelihood of maintaining sobriety. Physical …

Connecting Youth And Communities: Customized Career Planning For Youth With Psychiatric Disabilities, Kim Brown

The Journal of Sociology & Social Welfare

Young people with psychiatric disabilities are significantly overrepresented in the juvenile justice system, tend to be employed sporadically if at all, and frequently have negative connections within and to their communities. Recent research conducted in Montana with youth who have developmental and/or physical disabilities demonstrates the effectiveness of using a customized career planning model to increase linkages to resources and access to community- based employment. Side benefits include improved self-esteem and positive community connections. The customization model holds promise as a way to reduce the risk factors young people with psychiatric disabilitiesf ace and increase the resiliency factors that can …

Paroxysmal Atrial Fibrillation Presenting As Anterior Wall Stemi In An Elderly Woman, Muhammad Asim Shabbir, Muhammad Hamza Saad Shaukat, Lance Sullenberge, Mikhail Torosof

Section of Internal Medicine

A 77-year-old woman without traditional risk factors for coronary artery disease (CAD) underwent coronary CT-angiography for evaluation of palpitations after negative Holter monitoring and non-diagnostic ECG exercise stress test. Coronary artery calcium score was reported zero; 1 day later, she was admitted with anterior-wall ST elevation myocardial infarction. Acute left anterior descending artery thrombus was treated with mechanical thrombectomy and Percutaneous Coronary Intervention (PCI). Interestingly, the coronary arteries were angiographically normal. During hospitalisation, paroxysmal atrial fibrillation was noted followed by initiation of anticoagulation. Echocardiogram did not show thrombus or atrial shunt. Cardioversion with Sotalol was successful. Myocardial infraction was most …