Medicine and Health Sciences Commons^™

Exploring The Experiences Of Resilience In Muslim Afghan Refugee Children, Zeenatkhanu Kanji, Brenda L. Cameron

School of Nursing & Midwifery, East Africa

The aim of this study was to explore the experiences of Muslim Afghan refugee children living in Canada. War has an impact on a child's life, including education and protection by the family and community. The actual course of events of war can never be told completely due to the occurrence of simultaneous adversities. Hermeneutic photography was used to understand the experiences of Afghan children. Data were collected through photo conversations. Building and sustaining resilience was a theme that emerged from the data analysis. The findings of the study provide a useful guide for education, practice, and policy development to …

Leiomyosarcoma Arising In The Pancreatic Duct: A Case Report And Review Of The Current Literature, Nicole D. Riddle, Brian C. Quigley, Irwin Browarsky, Marilyn M. Bui

Pathology and Cell Biology Faculty Publications

Context. Leiomyosarcomas are rare malignant smooth muscle tumors that may arise in any organ or tissue that contains smooth muscle, commonly within the gastrointestinal tract. They are most often found in the stomach, large and small intestines, and retroperitoneum. Primary pancreatic leiomyosarcoma is extremely rare, and to the best of our knowledge only 30 cases have been reported in the world literature since 1951. Our case represents the first to have a clear origin from the main pancreatic duct. Case Report. This case was diagnosed in a large, tertiary care center in Tampa, Florida. Pertinent information was obtained …

Rumen Microbial Population Dynamics During Adaptation To A High-Grain Diet, Samodha C. Fernando, H. T. Purvis Ii, F. Z. Najar, L. O. Sukharnikov, C. R. Krehbiel, T. G. Nagaraja, B. A. Roe, Udaya Desilva

Samodha C. Fernando Publications

High-grain adaptation programs are widely used with feedlot cattle to balance enhanced growth performance against the risk of acidosis. This adaptation to a high-grain diet from a high-forage diet is known to change the rumen microbial population structure and help establish a stable microbial population within the rumen. Therefore, to evaluate bacterial population dynamics during adaptation to a high-grain diet, 4 ruminally cannulated beef steers were adapted to a high-grain diet using a step-up diet regimen containing grain and hay at ratios of 20:80, 40:60, 60:40, and 80:20. The rumen bacterial populations were evaluated at each stage of the step-up …

Impact Of Nutrition Education On Dietary Habits Of Female High School Students, Rae L. Schmidt

Master's Theses and Doctoral Dissertations

The objective of this study was to explore the impact of nutrition education on the nutritional intake of female high school students. Two groups of females from Saline High School (Saline, Michigan) participated in the study. Age, height, weight, and activity level were obtained from each student in the control group (N=5) and the experimental group (N=17). Participants also completed a demographic survey and a 3-day food diary (two weekdays and one weekend day). No significant differences were found between the groups in age, weight, height, or Body Mass Index (BMI). Diet analysis of the three-day food diaries showed significant …

Special Issues In Transcultural, Transracial, And Gay And Lesbian Parenting And Adoption, Frank E. Vandervort, Robert B. Sanoshy

Book Chapters

The adoption of children whose natural parents are unable to or incapable of caring for them by adults who are able to provide for them has existed throughout human history in one form or another (In re Smith Estate 1955; Miller et al. 2007). Before the mid-1800s, however, there was no formal mechanism for a person interested in adopting a child in the United States to do so (Bartholet 1999). In 1851, the Massachusetts legislature enacted the Massachusetts Adoption of Children Act (General Court of Massachusetts 1851). Though enacted more than 150 years ago, the act's basic structure is clearly …

Recurrent Urinary Tract Infections In Females, Raheela Mohsin Rizvi, Khurram Mutahir Siddiqui

Department of Obstetrics & Gynaecology

Uncomplicated Urinary tract infections are common in adult women across the entire age spectrum, with mean annual incidence of 15% and 10% in those aged 15-39 and 40-79 years, respectively. Urinary tract infection (UTI), with its diverse clinical syndromes and affected host groups, remains one of the most common but widejly misunderstood and challenging infectious diseases encountered in clinical practice. Recurrent urinary tract infections (UTIs) present a significant problem for women and a challenge for the doctors who care for them. The diagnosis of uncomplicated UTI can be achieved best by a thorough assessment of patient symptoms with or without …

Childhood Home Injuries: A Nursing Student Approach To Preventing Childhood Home Injuries, Jinging Sparrow, Katherine Carman, Katelyn Kerr, Renee Farmer

OUR Journal: ODU Undergraduate Research Journal

Unintentional injuries are the leading cause of death for children under 14 years of age. Of the unintentional injuries, a significant portion occurs within the home setting. Creating a safe home environment for children has become a focus in current efforts for health promotion and injury prevention. Our objective is to enhance caregivers’ knowledge of home safety thus decreasing the incidence of childhood unintentional injuries. To this end, a series of educational workshops were conducted on poisoning, choking, furniture tip-over, scalds and burns. The material was presented via PowerPoint, videos, posters, handouts, demonstrations and return demonstrations. Verbal pre-and post tests …

2010 Apothecary, Southwestern Oklahoma State University

Apothecary

This publication is dedicated to the Southwestern College of Pharmacy faculty, staff, alumni, and students. We congratulate this year's graduating seniors and wish you success in your professional careers.

The 2010 Apothecary Staff would first like to thank those that provided us with their generous financial contributions to make this issue possible. Thank you for your continued support, we all greatly appreciate it.

Effect Of Dai Training On Maternal And Neonatal Care: An Operations Research Study, Peter C. Miller, Gul Rashida, Abdul Wajid, Zeba Tasneem, Lubna Mahmood, Minhaj Ul Haque

Reproductive Health

This study examines the use of training traditional birth attendants, or "dais" as they are known in Pakistan, to reduce maternal mortality. By training dais to adopt safer routine delivery, newborn care practices, and recognize and refer in case of emergencies, dais can improve maternal and neonatal health. While one group of women met with specially trained dais who received Safe Motherhood Applied Research Training (SMART), a control group met with dais who offered health services only. The objectives of this evaluation were to determine whether dais substantially improved their performance after attending the "SMART dai" training course, to determine …

Increasing Complete Immunization In Rural Uttar Pradesh: Implications For Behavior Change Communication, Population Council

Reproductive Health

The Population Council conducted a formative study in rural Uttar Pradesh, India to determine the current rate of compliance for recommended schedules of child immunization, identify the barriers and factors facilitating the uptake of full immunization, and identify behavior change communication (BCC) initiatives that could accelerate adoption of this practice. This policy brief identifies a number of barriers to immunization: low risk perception, lack of faith in vaccines, lack of knowledge about vaccines, fear of side effects, lack of family support, and lack of knowledge about location and type of services available. The brief also identifies several facilitating factors and …

Increasing Institutional Delivery And Access To Emergency Obstetric Care Services In Rural Uttar Pradesh: Implications For Behavior Change Communication, Population Council

Reproductive Health

The Population Council conducted a formative in rural Uttar Pradesh (UP), India to determine the impact of the Janani Suraksha Yojana (JSY) scheme on the current status of institutional delivery in the region, to understand the facilitating factors and barriers in delivering in a health facility, and to identify programmatic and behavior change communication (BCC) initiatives that could accelerate the adoption of institutional delivery. JSY was launched as an intervention to address the barriers to institutional delivery, through the introduction of community-based women volunteers. The study shows that with the introduction of the JSY the rate of institutional delivery jumped …

Referral Mechanism Improves Uptake Of Art Services For Hiv+ Fp Clients, Population Council

Reproductive Health

An operations research intervention by the Population Council in Kenya aimed to design a referral framework for linking HIV‐positive family planning (FP) clients to treatment and care in selected health facilities. The project also assessed the acceptability and effectiveness in increasing the number of eligible HIV‐positive FP clients receiving HIV care and treatment services. This summary details the effort to improve the linkage between FP services and comprehensive care centers that led to a dramatic increase in the proportions of HIV-positive clients in FP clinics who go on to receive HIV/AIDS treatment and care services at the same facility. Recommendations …

Biological Impact Of Geometric Uncertainties: What Margin Is Needed For Intra-Hepatic Tumors?, Hsiang-Chi Kuo, Wen-Shan Liu, Andrew Wu, Dennis Mah, Keh-Shih Chuang, Linda Hong, Ravi Yaparpalvi, Chandan Guha, Shalom Kalnicki

Department of Radiologic Sciences Faculty Papers

BACKGROUND: To evaluate and compare the biological impact on different proposed margin recipes for the same geometric uncertainties for intra-hepatic tumors with different tumor cell types or clinical stages. METHOD: Three different margin recipes based on tumor motion were applied to sixteen IMRT plans with a total of twenty two intra-hepatic tumors. One recipe used the full amplitude of motion measured from patients to generate margins. A second used 70% of the full amplitude of motion, while the third had no margin for motion. The biological effects of geometric uncertainty in these three situations were evaluated with Equivalent Uniform Doses …

Maternal And Neonatal Health Services In Sudan: Results Of A Situation Analysis, Nahla G. Abdel-Tawab, Maha El-Rabbat

Reproductive Health

This project brief is based on the results of a situation analysis (SA) study that was done collaboratively by the Population Council and Sudan Ministry of Health (MOH) with funds from UNFPA, UNICEF, and Packard Foundation. The analysis showed an uneven distribution of reproductive health (RH) staff across Sudan, and nurses and nurse midwives are the key in RH services. There was also limited access to family planning services. Antenatal care was limited, and pregnant women in the study seldom received counseling on birth spacing or birth preparedness. Birth attendants also lacked adequate knowledge and skills. Emergency obstetric care was …

Mental Health And Substance Abuse Issues Among Native Americans Living On A Remote Reservation: Results From A Community Survey, Theodore W. Mcdonald, Mary E. Pritchard

Public and Population Health Faculty Publications and Presentations

The purpose of the study was to document the perceived and actual mental health and substance abuse issues of residents living on a remote reservation in the Northwestern United States. Surveys were completed by 138 Native Americans, who reported on mental health status and problems, perceptions of personal and community health issues on the reservation, and patterns of substance use and abuse (e.g., how often respondents use alcohol, what drugs present the most serious problems on the reservation). The respondents perceived their own mental health to be quite good. However, they reported that several mental health problems were prevalent in …

The Effects Of Whole Body Vibration On Bone Mineral Density For A Person With A Spinal Cord Injury: A Case Study, Ronald Davis, Charlotte Sanborn, David Nichols, David M. Bazett-Jones, Eric Dugan

Kinesiology Faculty Publications and Presentations

Bone mineral density (BMD) loss is a medical concern for individuals with spinal cord injury (SCI). Concerns related to osteoporosis have lead researchers to use various interventions to address BMD loss within this population. Whole body vibration (WBV) has been reported to improve BMD for postmenopausal women and suggested for SCI. The purpose of this case study was to identify the effects of WBV on BMD for an individual with SCI. There were three progressive phases (standing only, partial standing, and combined stand with vibration), each lasting 10 weeks. Using the least significant change calculation, significant positive changes in BMD …

Rural Idaho Family Physicians’ Scope Of Practice, Ed Baker, David Schmitz, Ted Epperly, Ayaka Nukui, Carissa Moffat Miller

Public and Population Health Faculty Publications and Presentations

Context: Scope of practice is an important factor in both training and recruiting rural family physicians.

Purpose: To assess rural Idaho family physicians’ scope of practice and to examine variations in scope of practice across variables such as gender, age and employment status.

Methods: A survey instrument was developed based on a literature review and was validated by physician educators, practicing family physicians and executives at the state hospital association. This survey was mailed to rural family physicians practicing in Idaho counties with populations of less than 50,000. Descriptive, bivariate and multivariate analyses were employed to describe and compare scope …

Does Self Esteem Moderate The Relation Between Gender And Weight Preoccupation In Undergraduates?, Mary E. Pritchard

Psychological Sciences Faculty Publications and Presentations

Previous research has established gender differences in self esteem as well as weight preoccupation. In addition self esteem is known to relate to weight preoccupation. However, no studies have examined whether self esteem moderates the relation between gender and weight preoccupation. Five hundred sixty seven undergraduates completed surveys assessing self esteem and weight preoccupation. Results showed significant gender differences in self esteem and weight preoccupation. In addition, the interaction between self esteem and gender had a small but significant effect on weight preoccupation. Counselors should be aware of this when designing programs to treat weight preoccupation in conjunction with low …

Neurologic Localizations, John C. Pearson, Mark M. Rich, Dean Parmelee

Medical Education Faculty Publications

This module uses two clinical scenarios (brainstem infarct; multiple extra-dural abscesses) to help students learn how to apply basic neuroscience content knowledge to lesion localization. The module begins with students arriving having read necessary advanced-preparation readings. Students then take a readiness assurance test, a measure of how well students have mastered fundamental content knowledge, such as the structure and function of neural pathways and cranial nerves. A series of group application exercises (GAEs) then requires students to apply this knowledge to solve clinical problems in neurology, namely, lesion localizations. In these exercises, teams are required to submit written answers that …

Hospital Evacuations: Historical Precedence And Modern Preparedness, Nicholas Squillace

Master of Public Health Program Student Publications

Objectives: The purpose of this research was to identify common problems encountered during hospital evacuations and how those problems are or should be addressed when creating a hospital evacuation plan.

Methods: Articles relating to hospital evacuations were retrieved from PubMed and CINAHL in addition to government websites and the Joint Commission on Accreditation of Healthcare Organizations. The articles collected were limited to within the last 20 years, from 1990 to 2010. Hospital plans were collected from search engines including Google and Yahoo. Moreover, a plan was obtained from a Dayton area hospital.

Results: Numerous instances of hospital evacuations that were …

The Relationship Between Body Image And Body Mass Index In Attendees At A Health Fair, Millie S. Olds

Master of Public Health Program Student Publications

The purpose of this study was to examine the relationship between body image and body mass index (BMI) in attendees at a health fair. BMI and body image was also compared between races, ages and genders. It was hypothesized that there would be discrepancies between perceived body image and weight status, as measured by BMI. Sixty-two participants at a health fair in Cincinnati completed a survey about perceived body image and had their height and weight measured and BMI calculated later. Results suggested a positive relationship between BMI and body image. Participants with a higher BMI identified themselves with a …

Unmet Medical Need Of Underserved Population In A Safety-Net Organization, Leslie Clem

Master of Public Health Program Student Publications

Background: Safety net providers serve a large proportion of America’s uninsured and low income population. The purpose of this study is to determine if differences in unmet medical needs exist between the provisional and clinic populations, age groups, and sex and race categories. This research study provides information about the population that receives services from Good Neighbor House, a non-profit social service organization in Dayton, Ohio.

Methods: GNH created a survey to assess the unmet medical need of their clients. The instrument contains questions about routine medical care, unmet medical care in the last 12 months, medical bills, and demographic …

Facilitating Factors And Barriers To Bmi Screening In Schools, Ann M. Stalter, Rosemary V. Chaudry, Barbara J. Polivka

Nursing Faculty Publications

The National Association of School Nurses advocates for body mass index (BMI) screening. Little research describes school nurse practice of BMI screening. In this descriptive study, 25 Ohio school nurses participated in three focus groups. An adapted Healthy People 2010 Determinants of Health Model guided the research questions. School nurses engaged in multiphasic data collection which was contingent on physical environment, workload, and referrals. Lack of system policy was key barrier in terms of data collection, referral, and follow-up. A key facilitating factor was physical education teachers in terms of reinforcing health. School size and privacy were components of school …

Validation Of The Internalized Sexual Prejudice Scale, Gary J. Burkholder, Rodney Lemery

Walden Faculty and Staff Publications

A deconstruction of the existing concept of internalized homophobia demonstrated the need for a new understanding of this experience and a different means of operationalizing the construct in men who have sex with men. This study introduces a new unified theory of sexual prejudice and a valid and reliable new psychometric tool to assess the concept of internalized sexual prejudice (ISP). A sample of 125 men who visited websites popular among men who have sex with men (MSM) were recruited to complete a survey that assessed ISP. Instrument development procedures, including factor, reliability, and validity analyses were conducted to refine …

Analogical Reasoning: A Process For Fostering Learning Transfer From The Classroom To Clinical Practice, Timothy E. Speicher

All PTHMS Faculty Publications

Context: One of the most common instructional methods utilized in allied health and medical education to promote learning transfer is examination of a single patient case. However, in non-healthcare settings this practice has shown to be less effective in promoting learning than examination of multiple cases with cueing. Objectives: To examine the extent of learning transfer of cued versus non-cued pre-professional healthcare undergraduates engaged in a case-based analogical reasoning exercise and to determine what factors may explain variance in transfer outcomes. Additionally, the outcomes of this study will provide the athletic training educator and ATEP administrators' rationale and methods for …

Physician Assistant Fort Lauderdale 2010, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Otterfit News February 2010, Department Of Health And Sport Sciences

Health and Sport Sciences Newsletter

Health, Wellness, & Programming Information for OtterFit participants

Hss Departmental Developments Winter 2010, Department Of Health And Sport Sciences

Health and Sport Sciences Newsletter

• Nutrition Counseling Sessions
• HSS Annual Recognition Night
• OtterFit
• Updates from the Majors

5¢-O-B,G-Methylenetriphosphate Derivatives Of Nucleoside, Yousef Ahmadibeni, Chandravanu Dash, S. F. J. Le Grice, Keykavous Parang

Pharmacy Faculty Articles and Research

The solid-phase synthesis of 5¢-O-b,g-methylenetriphosphates of nucleosides 1–5 is described, where a 4-acetoxy-3-arylbenzyloxy group was used as a linker.

Practice Patterns For Antibiotic De-Escalation In Culture-Negative Healthcare-Associated Pneumonia, M. Schlueter, C. James, A. Dominguez, Laura V. Tsu, G. Seymann

Pharmacy Faculty Articles and Research

Background Published guidelines for the treatment of healthcare-associated pneumonia (HCAP) recommend initial broad-spectrum antibiotics with appropriate de-escalation based on culture results. Guideline recommendations are based on data from intubated patients, in whom cultures are easily obtained. The approach to antibiotic de-escalation for culture-negative patients has not been addressed. Consequently, there are no published reports that describe the current standard of practice. Patients and methods All patients admitted to a university hospital with a diagnosis of HCAP, as defined by use of a pneumonia orderset, were identified retrospectively over a 2-year period. Antibiotics prescribed on admission, during hospital stay, and on …