Medicine and Health Sciences Commons^™

Outcomes Associated With A Unlv Outdoor Adventures' Women's Wilderness Canoe Trip, Joanna Leigh Libby

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to examine the outcomes associated with a short term women's canoe trip. Short debriefings, field observations and in-depth interviews were used to capture women's experiences and the processes that take place to achieve these experiences.

Eight females from the University of Nevada, Las Vegas participated in a three day canoeing trip led by the University's outdoor program. Their ages range from 18 to 40 and are all affiliated with the University of Nevada, Las Vegas in some way.

Results from the participant's interviews highlighted four major themes. These themes are the disengagement from traditional …

Development Of A Functional Mri Olfactory Protocol, Jeremy Mangum

UNLV Theses, Dissertations, Professional Papers, and Capstones

Many people can spend a few days with an acute form of sinusitis, a stuffy nose, or sinus congestion that inhibits their ability to smell, but there are fourteen million Americans over the age of fifty that suffer from some form of chronic olfactory dysfunction. Some neurological disorders such as Parkinson's disease and Alzheimer's disease have demonstrated that olfactory dysfunction is a frequent and early sign. While these diseases have no known cure, there are medicines that exist to slow the progression of such debilitating illnesses. By identifying such diseases in their early stages, we can improve the quality of …

Carolus Linnaeus (Carl Von Linné), 1707-1778: The Swede Who Named Almost Everything, Charles T. Ambrose

Microbiology, Immunology, and Molecular Genetics Faculty Publications

No abstract provided.

Ewing's Sarcoma/Pnet Of Kidney In 13-Year-Old Girl, Quratulain Badar, Nasir Ali, Nadeem Abbasi, Shamvil Ashraf, Farrok Karsan, Raheel Hashmi

Department of Radiology

Ewing's sarcoma is the second most common primary tumour of bone in childhood. Less frequently it occurs in soft tissues. Ewing's sarcoma/primitive neuroectodermal tumour (ES/PNET) is an extra ordinarily rare primary tumour in the kidney. Only very few cases of primary renal Ewing's sarcoma have been reported in the literature to date. We present a case of primary right renal Ewing's sarcoma in a 13-year-old girl who was diagnosed as a case of stage IV ES/PNET of kidney with metastases to lung and liver. Right nephrectomy was done followed by adjuvant radiotherapy and chemotherapy with complete response to local and …

Anticipated Effects Of The U.S. Mexico City Policy On The Attainability Of The Millennium Development Goals And Future Development Efforts In Sub-Saharan Africa, Katherine Clare Alexander

Anthós

In the low-income countries of sub-Saharan Africa, the performance of pyramidal reproductive health and family planning services with public outreach initiatives has not met the expectations or the needs of the communities they serve. Insufficient case management, limited management capacity and referral and communication failures are challenges faced on the delivery level, while on the policy level these health clinics face insufficient coordination among organizations and weak links between programs (Schneider, 2006). The Mexico City Policy, first introduced by President Reagan in 1984, only exacerbated these challenges for organizations that offer comprehensive contraception and family planning programs by denying any …

Stuck Together: Searching For A Model Of Peritoneal Adhesions Using The August Rat, James W. Bathe

Honors Theses

Fibrous adhesions, a by-product of the healing process, often appear post-surgically as a result of peritonitis related to the surgery. These adhesions can be either primarily "scar tissue" or excess "healthy tissue," and are the leading cause of intestinal obstruction in modern medicine. Shockingly, adhesions occur in up to 96% of patients undergoing intra-abdominal surgery. Adhesions can lead to multiple complications other than obstructions such as inadvertent enterotomy at the time of adhesiolysis, chronic pain, and female infertility. Additional complications arise from the adhesions preventing the free movement of organs and causing strangulations. The causes of the peritonitis, and therefore …

Prosthesis-Patient Mismatch After Transcatheter Aortic Valve Implantation With The Medtronic-Corevalve Bioprosthesis, Hasan Jilaihawi, Derek Chin, Tomasz Spyt, Jeilan Mohamed, Mariuca Vasa-Nicotera, Johan Bence, Elaine Logtens, Jan Kovac

Internal Medicine, East Africa

Aims: Prosthesis-patient mismatch (P-PM) is an important determinant of morbidity and mortality following open aortic valve replacement. The aims of this study were to report its incidence and determinants following transcatheter aortic valve implantation (TAVI) with the Corevalve bioprosthesis, which have—thus far—not been described.

Methods and results: Patients with severe calcific aortic stenosis received TAVI with the Corevalve bioprosthesis via transfemoral route. Following TAVI, moderate P-PM was defined as indexed aortic valve effective orifice area (AVAi) ≤0.85 cm2/m2 and severe P-PM as AVAi ≤0.65 cm2/m2. Clinical, echocardiographic, and procedural factors relating to P-PM were studied. Optimal device position was defined …

Too Much Free Time: Coos County Youth Who Are Least Involved In Out-Of-School Activities Are Most Likely To Use Drugs And Alcohol, Erin H. Sharp

Carsey Publications

Carsey Institute researchers are seeing links between the self-reported substance use and involvement in out-of-school activities. As part of a ten-year tracking survey of high school students in Coos County, New Hampshire, this brief finds that those most involved with constructive activities report the least amount of substance abuse.

Help In A Haystack: Youth Substance Abuse And Mental Health Services In The North Country, Meghan L. Mills

Carsey Publications

A new brief from Nordblom Fellow Meghan Mills at the Carsey Institute finds that youth in New Hampshire's North Country have challenges in accessing support for substance abuse and mental health issues. Mills also finds that the providers face unique challenges, from getting referrals to hiring professionals, all while working without a functional network.

Student Perceptions Of Digital Textbooks In A College Nursing Program, Alan D. Eno

College of Journalism and Mass Communications: Theses

The purpose of this research was to study the use of digital textbooks in a small liberal arts college. The research was a mixed methods descriptive study using a pre and post survey to determine student perceptions of the technology. Findings indicated that students needed training in the installation and use of digital textbooks. Findings also indicated the need for further research into what students understand about using digital textbooks. Recommendations are for the college to institute training sessions to teach students how to use the digital textbooks.

Prescriptions For Excellence In Health Care Spring 2010 Dowload Full Pdf

Prescriptions for Excellence in Health Care Newsletter Supplement

No abstract provided.

Non-Invasive Prenatal Determination Of Fetal Rhd Genotyping From Maternal Plasma: A Preliminary Study In Pakistan, Nuruddin Badruddin Mohammed, Fatima Kakal, Mehreen Somani, Wajiha Zafar

Department of Obstetrics & Gynaecology

Objectives: To determine the accuracy of the non-invasive pre-natal real-time polymerase chain reaction based fetal RhD genotyping from maternal plasma.

Study Design: Cross-sectional study.

Place And Duration Of Study: Juma Health Sciences Research Laboratory, The Aga Khan University Hospital, Karachi, from July to December 2008.

Methodology: Cell-free plasma DNA from 21 D-negative women with D-positive spouse between 20-39 weeks of gestation was tested for the presence of exon 5 region of RhD gene using real-time polymerase chain reaction. b-globin was employed as the house-keeping gene. Sensitivity and specificity of the real-time PCR-based non-invasive fetal RhD genotyping was obtained by calculating …

Presenting Signs And Symptoms Of Ovarian Cancer At A Tertiary Care Hospital, Ambareen Khan, Khusro Sultana

Department of Obstetrics & Gynaecology

Objective: To identify early warning signs and symptoms of ovarian cancer to create awareness for early diagnosis and management of the disease.
Methods: This study was conducted at the department of Gynaecology and Obstetrics, Liaquat National Hospital, Karachi from 2003 to 2007, having 75 patients. The information collected included age, education, and self perceived state of socio-economic class, presenting clinical signs and symptoms, basic and specific laboratory investigations. The disease was staged from I to IV upon surgical staging and the type of cancer was determined by histopathological examination.
Results: Mean age of the patients was 51 +/- 12.3 years. …

Cognitive And Psychiatric Predictors To Psychosis In Velocardiofacial Syndrome: A 3-Year Follow-Up Study, Kevin M. Antshel, Robert J. Shprintzen, Wanda Fremont, Anne Marie Higgins, Stephen V. Faraone, Wendy R. Kates

Communication Disorders Faculty Publications

Objective: To predict prodromal psychosis in adolescents with velocardiofacial syndrome (VCFS). Method: 70 youth with VCFS, 27 siblings of youth with VCFS and 25 community controls were followed from childhood (Mean age = 11.8 years) into mid-adolescence (mean age 15.0 years). Psychological tests measuring intelligence, academic achievement, learning/memory, attention and executive functioning as well as measures of parent and clinician ratings of child psychiatric functioning were completed at both time point. Results: Major depressive disorder, oppositional defiant disorder, and generalized anxiety disorder diagnoses increased in the VCFS sample. With very low false positive rates, the best predictor of adolescent prodromal …

Is Early Correction Of Congenital Ventricular Septal Defect A Better Option In A Developing Country, Awais Ashfaq, Hassaan Ashraf Zia, Muhammad Muneer Amanullah

Section of Cardiothoracic Surgery

OBJECTIVE: To assess and evaluate the effectiveness of early ventricular septal defect (VSD) repair in a developing country by comparing the outcomes in two age groups.

METHODS: A total of 39 patients underwent VSD repair at a tertiary care hospital in Karachi over a period of 2.5 years. Patients were divided into Group 1 (years) and Group 2 (2-18 yrs). Perioperative and postoperative variables were reviewed retrospectively for each patient and compared with the development of complications and the effect on postoperative recovery times. The data was analyzed using Mann Whitney test for continuous variables and Fischer's exact test for …

Potential Benefits And Perceived Need For Health Promoting Hospitals In Pakistan: A Healthcare Stakeholder's Perspective, Asif Raza Khowaja, Rozina Mistry, Ajmal Agha, Rozina Karmaliani

Community Health Sciences

OBJECTIVES: To explore perceptions of healthcare stakeholders' about health promoting hospitals, potential benefits and need in Pakistan.METHODOLOGY: A qualitative exploratory study was conducted between July-August 2007. The data was collected through key-informant (KI) interviews and focus group discussions (FGD) with purposively selected hospital administrators, healthcare providers, health policy makers, and UN-donor agency representatives. The thematic analysis was done using QSR NVivo 2.0; and nodes representing themes were generated.RESULTS: The study participants perceived health promotion, a concept synonymous to health education. Those participants with public health background were better able to relate their perceptions to a more holistic view of health …

Upaya Perlindungan Anak Melalui Pelatihan Keluarga Miskin Dengan Anak Yang Tereksploitasi Secara Ekonomi Maupun Anak Yang Beresiko Untuk Tereksploitasi Secara Ekonomi, Isbandi Rukminto Adi, Ety Rahayu, Sari Viciawati

Jurnal Ilmu Kesejahteraan Sosial

This article describes the effort in protecting children in need of special protection, especially to the family who have children in risk of being economically exploitated or children who have been economically exploitated by their parents. The problems of these children occur because they cannot access the basic services for them. This happened not only because the limited services from the government, but this could also happened because of the family life-style or the process of child rearing undertaken by their parents. Therefore this article describes the efforts in improving the resiliciency of poor family with children in the risk …

Kajian Pengembangan Indikator Prilaku Hidup Bersih Dan Sehat Untuk Meningkatkan Sekolah Sehat, Wisni Bantarti

Jurnal Ilmu Kesejahteraan Sosial

No abstract provided.

Pemahaman Gender Mainstreaming Pada Perempuan Kader Partai Dan Ibu Nyai Pesantren Di Wilayah Banten, Bunda Sri Sugiri

Jurnal Ilmu Kesejahteraan Sosial

No abstract provided.

Metabolic Consequences Of Antiepileptic Drugs, Scott Mintzer

Department of Neurology Faculty Papers

Purpose of Review: Chemical properties of the widely used older generation antiepileptic drugs (AEDs) suggest that they might be responsible for a number of medical comorbidities. Recent Findings: AEDs which induce the cytochrome P450 system adversely affect bone, lipid, and gonadal steroid metabolism. Specifically, phenytoin causes loss of bone mass in women, and both phenytoin and carbamazepine produce increases in serum lipids and C-reactive protein, as well as decreases in bioactive testosterone in men. Patients treated with inducing AEDs are at increased risk of fracture. Some contradictory data raise the question of whether bone mass is truly related to enzyme …

Valproate Semisodium Er For Migraine And Cluster Headache Prophylaxis., Brigitte V. Lovell, Michael J. Marmura

Department of Neurology Faculty Papers

IMPORTANCE OF THE FIELD: Migraine and cluster headache (CH) are disabling syndromes that often require prophylactic treatment. Valproate semisodium ER (VPS ER) is FDA-approved for the treatment of epilepsy, acute mania in bipolar disorder and migraine prophylaxis.

AREAS COVERED IN THIS REVIEW: We reviewed literature regarding VPS ER pharmacokinetics and its use in migraine and CH prophylaxis.

WHAT THE READER WILL GAIN: VPS ER is well studied and effective in the preventive treatment of migraine and CH. This article reviews the evidence for its use, describes how to administer and dose this medication, and reviews important safety precautions.

TAKE HOME …

Trends And Correlates Of Breast Cancer Screening Among Florida Women: Analysis Of 2001 And 2008 Brfss Data, Alicestine Ashford, Gebre-Egziabher Kiros, Ivette A. López

Florida Public Health Review

This study examined trends and correlates of breast cancer screening among women aged ≥40 years old by race/ethnicity using the 2001 and 2008 Florida Behavioral Risk Factor Surveillance System (BRFSS). Breast cancer screening was measured using both mammography and clinical breast examination (CBE). The total sample size was 10,386, with 4,938 women in the 2001 BRFSS and 5,448 in 2008. Significant disparities in breast cancer screening by race/ethnicity were found both in 2001 and 2008, with Hispanics having the lowest screening participation, compared to non-Hispanic whites and non-Hispanic Blacks. In 2008, non-Hispanic Black women had the highest percentage of timely …

Book Review: Lntroduction To Splinting: A Clinical Reasoning And Problem Solving Approach, Third Edition, Susan P. Denham

Internet Journal of Allied Health Sciences and Practice

No abstract provided.

Dialectical Behavior Therapy In State Hospitals: Does It Work And What Moderates The Outcomes?, Amanda L. Collins

Department of Psychology: Dissertations, Theses, and Student Research

Dialectical Behavior Therapy (DBT) demonstrates effectiveness in the treatment of individuals diagnosed with Borderline Personality Disorder in an outpatient setting. DBT has also been adapted for inpatient settings and demonstrates effectiveness with this population. To date no published literature examines the effectiveness of the standard outpatient model implemented in an inpatient setting. Furthermore, the literature examining inpatient DBT is done on treatment units where DBT is the sole treatment modality. There is no published literature regarding the use of DBT in conjunction with another treatment program. Therefore, this study examines the effectiveness of the standard outpatient DBT model implemented in …

The Instructional And Emotional Quality Of Parent–Child Book Reading And Early Head Start Children’S Learning Outcomes, Keely D. Cline

Department of Psychology: Dissertations, Theses, and Student Research

The primary objective of this study was to understand how two dimensions of parent-child book-reading quality – instructional and emotional –interact and relate to learning in a sample of linguistically and culturally diverse, low-income children. Participants included 81 parents and their children who took part in home-based Early Head Start programs in rural counties in the Midwest. Correlation and multiple regression analyses were used to test two hypotheses: (1) the instructional and emotional qualities of parent behavior during shared book reading interact and relate to infants’ and toddlers’ cognitive scores (as measured by the Bayley Scales of Infant Development Second …

The Effect Of Quality Of Movement On The Single Hop Test In Soccer Players Aged 15-16 Years, James R. Roush, Katherine Dovico, Sheryl Fairchild, Kimberly Mcgriff, R. Curtis Bay

Internet Journal of Allied Health Sciences and Practice

Sports injuries are one of the most common injuries in modern society. The anterior cruciate ligament (ACL) is commonly injured in sports. Soccer is one of many sports where an ACL injury is likely to occur, due to inherent jumping and pivoting during participation. Abnormal movement patterns have been suggested as a risk factor for knee injuries, which lead to the development of the step-down test. The Single Leg Hop for Distance test is used to assess functional performance in individuals with an ACL injury or reconstruction. The purpose of the current study was to determine if there are differences …

Candida Albicans Adhesion And Biofilm Formation On Phosphated And Non-Phosphate Containing Poly(Methylmethacrylate) Polymers, Kathryn Elizabeth Ryan

Master's Theses (2009 -)

Denture-induced stomatitis is prevalent among prosthesis users, particularly the elderly and institutionalized where it has been estimated to be present in over 60-65% of denture wearers. Treatment of this clinical condition is problematic due to incomplete disinfection of the acrylic surface and rapid microbial re-colonization. Moreover, ingestion or aspiration of pathogens in denture plaque exposes the elderly and immunocompromised to unexpected infections.

Acrylic polymers have generally been used to replace missing teeth and periodontal tissues in edentulous or partially dentate patients. Currently, edentulous adults in the US population are common, with complete edentulism greater than 41% among Americans aged 65 …

Light-Activation Influence On The Thermal Analysis Of A Resin-Modified Glass-Ionomer, Raksha Srinivas

Master's Theses (2009 -)

The acid-base and light polymerization reactions in resin modified glass ionomers (RMGI) have been shown to compete and possibly inhibit one another during early RMGI development. Earlier beginning times of light polymerization initiation may limit the acid-base reaction and if time allowed for the acid-base components to react is increased, the extent of light cure reaction may be lesser. The thermal behavior of a commercially available RMGI was investigated in relation to a light initiation regimen using a differential scanning calorimeter (DSC). The relationship between delay in light initiation or no light initiation and the resultant set matrix of the …

Application Of Mechanical Vibration To Modulate Orthodontic Tooth Movement (Otm) In Mice, Andrew Rummel

Master's Theses (2009 -)

Purpose: The purpose of this study was to use micro CT to evaluate the effect of mechanical vibration on orthodontic tooth movement (OTM) in mice. Materials and Methods: Thirty-six mice (C57BL/6, 20 weeks old, male) were randomly divided into four groups: spring/vibration (SV), spring only (S), vibration only (V), control (C). A nickel-titanium (NiTi) spring was fabricated and inserted bilaterally between the maxillary 1st molars, delivering an initial force of 20 grams. From day 0, mechanical vibration (4Hz frequency, 20micron displacement, 5 min per session duration) was applied to the left maxillary 1st molar every three days for 3 weeks …

Incidence Of Removable Partial Denture Types In Eastern Wisconsin, Deo K. Pun

Master's Theses (2009 -)

Aim: This study was designed to investigate patterns of tooth loss in patients receiving removable partial dentures.

Materials and Method: A point and shoot digital camera was used to collect 1502 digital images of cases at 5 dental laboratories in the eastern portion of the state of Wisconsin. Any case presenting to one the dental laboratories requesting a RPD was included. Two photographs were taken of each case. The first photograph was taken immediately upon arrival to the lab while the second photograph was taken immediately prior its first departure. A calibrated investigator analyzed all the photographs for Kennedy classification, …