Medicine and Health Sciences Commons^™

Results Of The "Active By Choice Today" (Act) Randomized Trial For Increasing Physical Activity In Low-Income And Minority Adolescents, Dawn K. Wilson, M. Lee Van Horn, Heather Kitzman-Ulrich, Ruth P. Saunders, Russell R. Pate, Hannah G. Lawman, Brent Hutto, Sarah Griffin, Nicole Zarrett, Cheryl L. Addy, Leslie Mansard, Gary Mixon, Porschia V. Brown

Faculty Publications

Objective - This study reports the results of the "Active by Choice Today" (ACT) trial for increasing moderate-to-vigorous physical activity (MVPA) in low-income and minority adolescents.

Design - The ACT program was a randomized controlled school-based trial testing the efficacy of a motivational plus behavioral skills intervention on increasing MVPA in underserved adolescents. Twenty-four middle schools were matched on school size, percentage minorities, percentage free or reduced lunch, and urban or rural setting before randomization. A total of 1,563 6th grade students (mean age, 11.3 years, 73% African American, 71% free or reduced lunch, 55% female) participated in either a …

Multiple Protein Kinases Determine The Phosphorylated State Of The Small Heat Shock Protein, Hsp27, In Sh-Sy5y Neuroblastoma Cells, Linda A. Dokas, Amy M. Malone, Frederick E. Williams, Surya M. Nauli, William S. Messer Jr.

Pharmacy Faculty Articles and Research

In SH-SY5Y human neuroblastoma cells, the cholinergic agonist, carbachol, stimulates phosphorylation of the small heat shock protein 27 (HSP27). Carbachol increases phosphorylation of both Ser-82 and Ser-78 while the phorbol ester, phorbol-12, 13-dibutyrate (PDB) affects only Ser-82. Muscarinic receptor activation by carbachol was confirmed by sensitivity of Ser-82 phosphorylation to hyoscyamine with no effect of nicotine or bradykinin. This response to carbachol is partially reduced by inhibition of protein kinase C (PKC) with GF 109203X and p38 mitogen-activated protein kinase (MAPK) with SB 203580. In contrast, phosphorylation produced by PDB is completely reversed by GF 109203X or CID 755673, an …

Anesthetic Implications Of Robotic Gynecologic Surgery, J. Thomas Mclarney, Gregory L. Rose

Anesthesiology Faculty Publications

Surgery using robotic techniques is becoming more and more common. One of the specialties at the fore-front of robotic surgery has been gynecology, much like it was at the fore-front a generation ago in bringing laparoscopy into the operating room. New considerations have been noted and new techniques have been learned on both sides of the drape in order to ensure a successful outcome for the patient undergoing robotic gynecologic surgery. The purpose of this article is to bring, to light the concerns facing the anesthesiologist in regards to robotic procedures. We discuss the problems facing anesthesiologists, when a patient …

School Of Nursing Newsletter July 2011, Southern Adventist University School Of Nursing

Southern Nursing - School of Nursing Newsletter

The July 2011 issue of the newsletter features articles on the grand opening of Florida Hospital Hall, a visit from Japanese nursing students, mission trips, the nursing honor society, and new nursing faculty.

Objective Vs. Subjective Hearing Screening Measures In Schools, Brittany S. Brown

Doctoral Dissertations

The primary aim of this study was to demonstrate the need for objective hearing screening procedures within traditional school based hearing screenings through literature review. It is believed that objective hearing screenings would provide a better, less-invasive way to screen hearing with minimal participation required from the children, and less interpretation needed from the examiner. A review of the literature suggested that ideal screening measures would include otoacoustic emissions (OAEs) and tympanometry. Currently, the gold standard for school hearing screenings, as described by the American Speech Language Hearing Association (ASHA) (1997), centers on behavioral responses observed by the examiner during …

Loss Of Expression Of Neutrophil Proteinase-3: A Factor Contributing To Thrombotic Risk In Paroxysmal Nocturnal Hemoglobinuria, Anna M. Jankowska, Hadrian Szpurka, Mark Calabro, Sanjay Mohan, Andrew E. Schade, Michael Clemente, Roy L. Silverstein, Jaroslaw P. Maciejewski

Biological Sciences Faculty Publications

Background: A deficiency of specific glycosylphosphatidyl inositol-anchored proteins in paroxysmal nocturnal hemoglobinuria may be responsible for most of the clinical features of this disease, but some functional consequences may be indirect. For example, the absence of certain glycosylphosphatidyl inositol-anchored proteins in paroxysmal nocturnal hemoglobinuria cells may influence expression of other membrane proteins. Membrane-bound proteinase 3 co-localizes with glycosylphosphatidyl inositol-linked neutrophil antigen 2a, which is absent in patients with paroxysmal nocturnal hemoglobinuria. Design and Methods: We compared expression of proteinase 3 and neutrophil antigen 2a by flow cytometry and western blotting in normal and paroxysmal nocturnal hemoglobinuria cells and measured cytoplasmic …

Otterfit News June 2011, Department Of Health And Sport Sciences

Health and Sport Sciences Newsletter

Health, Wellness, & Programming Information for OtterFit participants

The Missing Men: High Risk And Low Use Of Health Care In Men Of Mexican Origin, Jennifer Salinas, Joseph B. Mccormick, Anne R. Rentfro, Craig Hanis, Monir Hossain, M Hossein Rahbar, Susan P. Fisher-Hoch

Health & Biomedical Sciences Faculty Publications

Objective

We sought to determine gender- and age-specific prevalence of chronic diseases in an urban Mexican American border community.

Methods

The Cameron County Hispanic Cohort (CCHC n=2000) was selected using a multi-staged cluster design. Sociodemographic, anthropometric measures and blood samples were collected on each participant.

Results

More women were obese (55.1%) than men (44.8%). Men had significantly higher rates of diabetes (20.4% for men vs 15.8% for women: p

Conclusions

Mexican American males in the US/Mexico border region have a high prevalence of obesity in younger men and higher overall rates of diabetes, including undiagnosed diabetes, and significantly higher serum …

Preventable Lifestyle Risk Factors For Non-Communicable Diseases In The Pakistan Adolescents Schools Study 1 (Pass-1)., Ali Khan Khuwaja, Saleem Khawaja, Komal Motwani, Adeel Khoja, Iqbal Azam Syed, Zafar Fatmi, Badar Sabir Ali, Muhammad Masood Kadir

Department of Medicine

Objectives: The rising burden of preventable risk factors for non-communicable diseases (NCDs) among adolescents is a major public health challenge worldwide. We identified the preventable risk factors for NCDs in adolescents.

Methods: In a school-based study, pre-tested structured questionnaires were completed by 414 adolescents (14 to 17 years) at six schools in three cities in Pakistan. The chi-squared test and adjusted odds ratio (aOR) with 95% confidence interval (CI) were calculated in a multinomial logistic regression analysis.

Results: Over 80% of the adolescents had unhealthy diets, and 54% were physically inactive. Most adolescents were exposed to passive smoking, and 14% …

Using Modeling And Simulation To Improve Oral Health Services Delivery In Hampton Roads, Virginia, Mohammad J. Alzahrani

Health Services Research Dissertations

The purpose of this study is to examine the system performance in delivering oral health services in a public health district based on the Conceptual Framework to Measure Performance of the Public Health System (PHS). Using modeling and simulation, a predictive model based on the conceptual framework dimensions: mission, structural capacity, processes, and outcomes was developed to predict the performance of public health district in delivering oral health services.

This is a retrospective longitudinal study. The main objective of this study is to use a modeling and simulation approach to predict the performance of public health district dental clinic in …

Conditions For Empathy In Medicine: A Grounded Theory Study, Hannah Barnhill Bayne

Counseling & Human Services Theses & Dissertations

Previous research in the medical setting has credited empathy with improving treatment outcomes and patient satisfaction, though operational definitions of the concept are widely varied and indicate inconsistencies in conceptualization and subsequent assessment. The purpose of this grounded theory study was to examine the role of empathy in the medical setting. A model of conditions for empathy in medicine was developed through in-depth interviews with 21 healthcare professionals, utilizing their professional experiences and perspectives to structure the multi-level model. The seven levels of the model indicate the layers of complexity inherent in facilitating optimal empathy in medicine and add to …

Cyberknife Radiation Modeling: Effects Of Relaxed Translational And Rotational Constraints On Healthy Tissue Irradiation, Sudha Bhavaroop Potineni

Electrical & Computer Engineering Theses & Dissertations

The Cyberknife system is a robotic radio surgery instrument that is used to treat cancers in different parts of the human body. Because of its accuracy and precision, it has become one of the best radio surgery systems in the world. However, even with Cyberknife the treatment time for one session takes from 30 minutes up to 120 minutes depending on the size, shape, and position of the tumor in the human body. In this research, a solution is presented to aid in reducing this long treatment time. An algorithm is developed which simulates the amount of the healthy tissue …

Prevalencia Del Virus De La Diarrea Viral Bovina Y De Animales Portadores Del Virus En Bovinos En La Provincia De Espinar, Cusco., Cesar Cardenas A., Hermelinda G. Rivera, Mariluz Araínga, Mercy Ramirez V., Jimmy De Paz M.

Journal Articles: Pharmacology & Experimental Neuroscience

The prevalence of bovine viral diarrhea virus (BVDV) in 406 cattle was evaluated of both sexes and older than 6 months. Animals belonged to 114 small farmers from three rural communities of the province of Espinar, Cusco, Peru. Blood samples were collected according to three age groups Ɩ-12, 13-23, >24 months old). Serum samples were tested for antibodies against BVDV using the viral neutralization test. The 56.2 ± 4.8% 鴤/406) of samples had antibodies against BVDV. Persistently infected animals were not detected. Antibodies were present in the three age groups, but the highest prevalence ࿡.4%) was detected in animals older …

A System Dynamics Model Of Pharmaceutical Opioids: Medical Use, Diversion, And Nonmedical Use, Teresa Schmidt, Wayne Wakeland, J. David Haddox

Complex Systems Faculty Publications and Presentations

A dramatic rise in the nonmedical of pharmaceutical opioids has presented the United States with a substantial public health problem. Nonmedical use of prescription pain relievers has become increasingly prevalent in the US over the last two decades, and diversion of medicines obtained by prescription is assumed to be a major source of supply for nonmedical opioid use. Policymakers striving to protect population health by ameliorating the adverse outcomes of nonmedical use of opioid analgesics could benefit from a systems-level model which reflects the complexity of the system and incorporates the full range of available data. To address this need, …

A Comparison Of Computer-Assisted Instruction And Traditional Classroom Lecture To Introduce The Occupational Adaptation Theory, Angie Tatiana Galvis, Jimmy H. Ishee, Sally Schultz

Internet Journal of Allied Health Sciences and Practice

The purpose of this study was to compare the effectiveness of computer-assisted instruction (CAI) and traditional classroom lecture (TCL). A randomized two-group pretest/posttest quasi-experimental design was used. Thirty first year students in a Master of Occupational Therapy program located in the southwestern United States were recruited. All participants were female, with a mean age of 25.8 years. Three percent of the participants rated themselves as novice concerning computer skills, 67% average computer skills, and 30% excellent computer skills. Two methods were compared for teaching the basic concepts of the Occupational Adaptation theory: lecture method in which the teacher follows a …

Entry-Level Evidenced-Based Practice Training In Physiotherapy Students: Does It Change Knowledge, Attitudes, And Behaviours? A Longitudinal Study, Katherine Long, Maureen Mcevoy, Lucy Lewis, Louise Wiles, Marie Williams, Tim Olds

Internet Journal of Allied Health Sciences and Practice

Evidence-based practice (EBP) is an integral part of health professionals’ training. However, there is little research concerning learning outcomes in the allied health student population. This study explored changes in self-reported EBP knowledge, attitudes, and behaviours, and actual EBP knowledge of entry-level physiotherapy students following exposure to formal EBP training. Methods: Entry-level Bachelors and Masters physiotherapy students were surveyed before and after completing EBP training courses. Two validated and reliable surveys, the Evidence-Based Practice Profile Questionnaire (EBP2) and the Knowledge of Research Evidence Competencies (K-REC) survey were used. The EBP2 included self-reported domains: relevance, sympathy, terminology (knowledge), practice, and confidence. …

An Analysis Of The Readability Of Educational Materials On The Consumer Webpage Of A Health Professional Organization: Considerations For Practice, Naudia Falconer, E. Anne Reicherter, Barbara Billek-Sawhney, Steven Chesbro

Internet Journal of Allied Health Sciences and Practice

The readability level of many patient education materials is too high for patients to comprehend, placing the patient’s health at risk. Since health professionals often recommend Internet-based patient education resources, they must ensure that the readability of information provided to consumers is at an appropriate level. Purpose: The purpose of this study was to determine the readability of educational brochures found on the American Physical Therapy Association (APTA) consumer website. Methods: Fourteen educational brochures on the APTA website in March 2008 were analyzed using the following assessments: Flesch-Kincaid Grade Level, Flesch Reading Ease, Fry Readability Formula, Simple Measure of Gobbledygook …

The Development Of A Computer-Assisted Learning Module In Physical Therapy Neurologic Education: A Mixed Methods Case, Diana Veneri

Internet Journal of Allied Health Sciences and Practice

Computer-assisted learning (CAL) interventions have been used in contemporary allied health and medical education to supplement classroom instruction. Emphasis has shifted from tutorial activities to creating interventions that address higher level critical thinking skills. Purpose: The purpose of this mixed methods study was to investigate student perceptions of their critical thinking skills and overall impression of a CAL intervention. Methods: Videotape of patient treatment activities were embedded into a Microsoft PowerPoint™ presentation to guide students through the processes of evaluation and treatment to create a CAL module. Physical therapy students from two neighboring universities volunteered to participate. Students were randomly …

The Relationship Between The Mallampati Scoring System, The Berlin Questionnaire, And Epworth Sleepiness Scale, Joshua F. Gonzales, S. Gregory Marshall, Chris J. Russian

Internet Journal of Allied Health Sciences and Practice

The purpose of this study is to determine if there is a relationship between a person’s Mallampati score and their scores on the Berlin Questionnaire and Epworth Sleepiness Scale. The Berlin Questionnaire and Epworth Sleepiness Scale are currently used as prescreening tools for persons who may suffer from sleep disorders. The Berlin Questionnaire is used to identify persons at risk for sleep apnea syndrome and the Epworth Sleepiness Scale is used to determine the level of a person’s daytime sleepiness. The Mallampati Scoring System is an assessment of the anatomy of the oral cavity to predict the ease of intubation. …

Interviewing Older People; Relationships In Qualitative Research, Linda Robertson, Beatrica Hale

Internet Journal of Allied Health Sciences and Practice

Health practitioners who have already undertaken a considerable amount of interviewing would consider themselves as experienced interviewers, but there are questions and issues arising from research interviews which are different from assessment and interventionist interviews. The purpose of this study was to explore the role of the health professional researcher in qualitative research with older people and to make recommendations for preparatory interviewing in methodology courses. Method: A descriptive approach was used and semi-structured interviews with a sample size of eleven New Zealand health professionals/researchers. Results: A significant theme emerging was relationships. This was further divided into three categories: establishing …

Review Of: Life Care Planning & Case Management Handbook, 3rd Edition, Dothel W. Edwards

Internet Journal of Allied Health Sciences and Practice

No abstract provided.

Demographic Factors Associated To Survival Of Hiv/Aids Patients In Southernmost Province Of Thailand, B Chaimay, S Woradet, K. Sukkasem

Chulalongkorn Medical Journal

Introduction : HIV/AIDS is a serious public health problem that has globally caused severe illnesses and deaths within the past two decades. However, a little is known about the impact on demographic factors which is changed over time. Objective : To investigate the demographic factors associated to survival of HIV/AIDS patients. Setting : Provincial and community hospitals. Research design : A prospective, hospital-based cohort study. Patients : HIV/AIDS patients registered in both provincial and community hospitals between January 1992 and April 2010. Methods : In total, 1,575 patients with HIV/AIDS infection were observed and followed-up in one regional and other …

Pharmacy Newsletter : July 2011, Pharmacy Department

Department of Pharmacy Archives

Content:

• E-Call logging system at Drug and Poison Information Centre
• Computerised Physician Order Entery System (CPOE) featured with more robust allergies information
• Initiation of Point of Care Clinical Pharmacy in Paeds Oncology
• Sulfa Allergy: Myths and Realities
• Drug Safety Updates

Juvenile Dermatomyositis, Sidra Ishaque, Shakeel Ahmed, Rehan Ali, Khurram Minhas

Section of Internal Medicine

Juvenile dermatomyositis (JDM) is an important subtype of dermatomyositis characterized by inflammation of muscle, skin and gastrointestinal tract. A 14-year-old girl, with a history of fever, joint pain, easy fatigability and a rash since the age of 3 years is described. Physical examination, laboratory evaluation, electromyography (EMG) and muscle biopsy were suggestive of a chronic inflammatory process involving the muscles, most likely dermatomyositis. The report highlights the importance of a muscle biopsy as the gold standard for diagnosing dermatomyositis.

Multistate Mark-Recapture Analysis Reveals No Effect Of Blood Sampling On Survival And Recapture Of Eastern Kingbirds (Tyrannus Tyrannus), Lucas J. Redmond, Michael T. Murphy

Biology Faculty Publications and Presentations

The experimentally supported and prevailing opinion is that blood sampling has few to no long-term effects on survival of birds when conducted properly, and blood sampling has become a vital addition to the toolbox of many ornithologists. However, many of the studies that concluded that blood sampling had negligible effects on birds used approaches that did not account for temporary emigration and probability of capture. To date, the only study to have done so found that blood sampling had a strong negative effect on survival. We conducted a mark–recapture analysis of 8 years of banding and bleeding data on Eastern …

Societal Expectations And The Profession's Responsibility To Reform The Dental Workforce To Ensure Access To Care For Children, David A. Nash

Oral Health Science Faculty Publications

Societal expectations raise the issue of the nature of a profession and a profession's relationship with society. Influential policy leaders want reform of the oral health workforce and delivery system in such a manner as to ensure that improvements are made for accessing care, particularly for vulnerable and disadvantaged populations, especially children. This essay is based on a presentation to the House of Delegates of the California Dental Association on Nov.13, 2009.

Reactive Oxygen Species-Induced Release Of Signalling Factors In Irradiated Cells Triggers Membrane Signalling And Calcium Influx In Bystander Cells., Fiona Lyng, Orla L. Howe, Brendan Mcclean

Articles

Purpose: The aim of this study was to elucidate the sequence of very early bystander signalling events and to determine the role of the different signaling molecules in both the production of the bystander signal and the response to this signal.

Materials and Methods: Human keratinocytes (HaCaT cell line) were irradiated (0.005, 0.05 and 0.5 Gy) using a cobalt 60 teletherapy unit, the medium was harvested one hour post irradiation and transferred to recipient HaCaT cells. Membrane permeability and levels of calcium, reactive oxygen species and nitric oxide were measured in the recipient cells immediately after the addition of irradiated …

Oncolog, Volume 56, Number 07, July 2011, Kate Newberry, Joe Munch

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• A New Era in Treating Patients Who Have Multiple Myeloma: During the past decade, several novel treatments have extended the median survival time for patients with multiple myeloma from less than 3 years to more than 7 years, and researchers are working to further improve treatment
• Landmark Trial Shows Potential of Low-Dose Computed Tomography for Lung Cancer Screening
• HOUSE CALL: Eating Healthier May Reduce Cancer Risk: Healthy eating habits may also increase energy and heart health
• IN BRIEF: Inotuzumab Ozogamicin Shows Promise for Acute Lymphoblastic Leukemia Treatment

Digest Of The Philadelphia College Of Osteopathic Medicine (Fall 2011), Philadelphia College Of Osteopathic Medicine

Digest

The Fall 2011 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• Opening Remarks
• PCOM Updates
• Mindfulness: Helping Patients Reduce Stress, Accept Life’s Challenges
• International Practice Rights for Osteopathic Physicians: Room for Global Growth
• Class Notes
• In Memoriam
• My Turn Essay

Perceptions Of Coordination Of Care Between Hospice And Skilled Nursing Facility Care Providers, Kim Martz, Abigail Gerding

Nursing Faculty Publications and Presentations

The number of older Americans who are finding Nursing Homes (NH) or Skilled Nursing Facilities (SNF) as their final place of care is increasing each year, especially the fastest growing segment of the national population who are 85 years and older ¹. Although the majority of older adults would prefer to die in their homes, the frailty and complexities of advanced age are leading many to the nursing home setting ^{2, 3}. In 2020, it is reported that 40% of deaths of older adults will occur in the nursing home setting ^{4, 5}. Many studies have shown …