Medicine and Health Sciences Commons^™

Road Construction As A Facilitator For Dengue Fever Transmission, Kate Billups

Environmental Studies Senior Seminar Projects

Although I plan to focus on the impact of road construction in tropical and subtropical regions on the spread and contraction of dengue fever, I hope to use this focus as a model that could help to create policies that would mitigate other diseases spread through insect contact. In places that road and railway construction have already become a part of the permanent foundation, medical infrastructure should be put into place to ensure that populations at increased risk to contract dengue fever have access to medical care to diminish rates of dengue hemorrhagic fever.

Paper prepared for the Environmental Studies …

Thickened Ascending Aortic Wall Mimicking Intramural Hematoma., Kentaro Yamane, Hitoshi Hirose, Benjamin A. Youdelman, James Diehl

Department of Surgery Faculty Papers

A 45-year-old Hispanic woman presented with a 3-day history of ‘‘burning’’ chest pain. A computed tomo- graphic angiogram of the chest revealed the ascending aorta had a maximum diameter of 40 mm with marked thickening of the aortic wall (Figure 1), which we con- cluded was an intramural hematoma. On entering the pericardium, a milky-white plaque-like area on the ascending aorta was encountered (Figure 2). The ascending aorta was firm to palpation. Intraoperative transesophageal echocardiography and epiaortic ultra- sound showed a hyperechoic aortic wall with no find- ings compatible with aortic dissection. The ascending aorta had an irregular surface contour, …

Faktor Faktor Yang Mempengaruhi Upaya Penanganan Pra Bencana Kebakaran Di Tingkat Komunitas : Studi Kasus Pada Masyarakat Rw 02, Kelurahan Karang Anyar, Kecamatan Sawah Besar, Jakarta Pusat, Steven Steven

Jurnal Ilmu Kesejahteraan Sosial

No abstract provided.

Peningkatan Pengetahuan Pengasuhan Orangtua Untuk Mewujudkan Kesejahteraan Anak Usia 5 Dan 6 Tahun : Action Research Pada Komunitas Ibu-Ibu Semai Benih Bangsa (Sbb) Tapos, Depok, Annisah Annisah

Jurnal Ilmu Kesejahteraan Sosial

This research discusses about the lack of knowledge in the SBB Tapos parenting and its association with child welfare. This study explains not only how these problems occurred, but also the potential of what society has to address the problem, and how to overcome them. Overcoming ofproblems conducted with the participation of target communities in a program of action in the form of social action. This research is an applied research that is processed in a qualitative way so that describes each stage of parenting knowledge improvement that has been done. The results of this study show a change in …

Targeting Apoptosis For Optical Imaging Of Infection, Mathew L Thakur, Kaijun Zhang, Bishnuhari Paudyal, Devadhas Devakumar, Maria Y Covarrubias, Changpo Cheng, Brian D Gray, Eric Wickstrom, Koon Y Pak

Department of Radiology Faculty Papers

PURPOSE: Infection is ubiquitous and a major cause of morbidity and mortality. The most reliable method for localizing infection requires radiolabeling autologous white blood cells ex vivo. A compound that can be injected directly into a patient and can selectively image infectious foci will eliminate the drawbacks. The resolution of infection is associated with neutrophil apoptosis and necrosis presenting phosphatidylserine (PS) on the neutrophil outer leaflet. Targeting PS with intravenous administration of a PS-specific, near-infrared (NIR) fluorophore will permit localization of infectious foci by optical imaging.

METHODS: Bacterial infection and sterile inflammation were induced in separate groups (n = 5) …

A Comparison Of Torsional Stress Properties Of Three Different Nickel-Titanium Files With Similar Cross-Sectional Design, Reid Wycoff

Master's Theses (2009 -)

The purpose of this study was to compare the in vitro torsional stress characteristics of Twisted Files (SybronEndo, Orange, CA) with two milled files of similar cross section, EndoSequence (Brasseler USA, Savannah, GA) and ProFile Vortex (DENTSPLY Tulsa Dental, Tulsa, OK).

Files of size 25/.06 and 30/.06 from the three file types were compared (n=20/group). Torsional stress resistance was evaluated by measuring the torque in gram-centimeters (g-cm) and angle of rotation (degrees) required for instrument separation with use of a torsiometer instrument. The fractured files were examined using SEM to look at deformation and fracture surface characteristics. The data was …

Comparison Of The Efficacy Of Various Ibuprofen And Acetaminophen Regimens On The Treatment Of Post-Endodontic Pain, Erik Deyoung

Master's Theses (2009 -)

The purpose of this study was to determine the efficacy of taking ibuprofen and acetaminophen at the same time versus alternating the same medications in patients with a diagnosis of symptomatic irreversible pulpitis.

Materials and Methods: Ten patients who presented for root canal therapy with a diagnosis of symptomatic irreversible pulpitis were included in this study. The patients were randomly assigned to 2 groups. Following root canal therapy, the patients in group A were instructed to take ibuprofen 600 mg and acetaminophen 1000 mg every six hours. Patients in group B were instructed to take ibuprofen 600 mg, wait three …

The Effect Of Water Storage On Bending Properties Of Esthetic, Fiber-Reinforced Composite Orthodontic Wires, Ju-Han Chang

Master's Theses (2009 -)

Introduction: The translucent optical property of fiber-reinforced composite wires meets the esthetic demand of orthodontic patients; however, studies need to be conducted to determine if they also have the desired mechanical properties for active orthodontic treatment. The goal of this research was to study the effect of water storage on the mechanical properties of fiber-reinforced composite archwires and compare it to conventional nickel-titanium (NiTi) and stainless steel (SS), and beta-titanium (TMA) archwires. Materials and Methods: Align A, B, C and TorQ A, B from BioMers Products, 0.014", 0.016", 0.018", 0.019" x 0.025" Nitinol Classic (3M Unitek), 0.016" SS, and 0.019 …

Postoperative Pain After The Use Of A Dexamethasone Rinse As An Irrigant Prior To Obturation, Sushant Mahajan

Master's Theses (2009 -)

Purpose: This randomized, single-blind pilot study was to determine the effect of dexamethasone on post-operative pain when used as an intracanal rinse prior to obturation.

Materials and Methods: Ten adult volunteers were enrolled. They presented to the Marquette University School of Dentistry for endodontic treatment and experienced pain from irreversible pulpitis. The patients were randomly assigned to either the control group that received standard of care treatment or the experimental group that received the rinse with 4 mg/mL dexamethasone solution prior to obturation. Before and after treatment, the patients recorded their pain level on the numeric rating scale (NRS). Recordings …

Sdot Faculty And Resident Training Study, Kevin Weaver Do, Kathleen E. Kane Md, Gavin Barr Jr. Md, Allison Raines Do, Nicole L. Bendock Do, Brian M. Berry Do, Gregory Smeriglio Jr, Do, Bruce C. Stouch Phd, Dawn M. Yenser, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Intra- And Inter-Examiner Reliability And Inter-Method Comparison In Physical Anthropometry And Photogrammetry, Nikolay Mollov

Master's Theses (2009 -)

Objective: Orthodontic treatment can often effect changes in the facial complex. In order to assess what those changes are, precise and reliable methods for measuring facial structures need to be used. While the techniques used for measuring have become increasingly more sophisticated they have also become more expensive and cumbersome for daily use. This study investigated the reliability of two methods, physical anthropometry and photogrammetry, that were inexpensive and relatively easy to set up.

Materials and Methods: Ten examiners measured a sample comprised of 20 dental students (10 male, 10 female) twice over three weeks. Eighteen measurements were acquired directly …

The Effect Of Extracorporeal Shock Wave (Esw) On Cementoblasts In Vitro, Joshua Barta

Master's Theses (2009 -)

Root resorption is an adverse consequence of orthodontic treatment, and currently no effective treatment method exists. Extracorporeal shock wave (ESW) has been applied to enhance angiogenesis, growth and healing of bone, but the effects of ESW on root resorption have not been studied. Cementoblasts are the cells responsible for forming and repairing cementum covering the dental root, and ESW may enhance this reparative process. The purpose of this study was to investigate the effects of ESW on cementoblasts to determine if ESW could potentially be used to treat root resorption. OCCM.30 cementoblasts were prepared in suspension at a density of …

Preoperative Cardiac Evaluation In Proximal Femur Fractures And Its Effects On The Surgical Outcome, Kashif Abbas, Masood Umer, Raza A Zaidi

Department of Surgery Docs

OBJECTIVE:

The aim of the current study was to evaluate the impact of cardiac risk stratification and preoperative cardiac evaluation on final outcomes in patients with acute proximal femur fractures.

METHODS:

This retrospective review included one hundred and three patients who underwent a preoperative cardiac evaluation prior to proximal femur fracture operation between 2004 and 2007 at a tertiary care hospital. Patients were divided into two groups. Group A included 76 patients who were tested with ECG only and Group B included 27 patients with additional clearance. All of these files were reviewed according to a set pro forma. Statistical …

Factors That Influence Nonadherence Outpatient Medical Follow-Up By African Americans With Hiv/Aids At An Outpatient Infectious Disease Clinic, Cynthia Burrell Banks

Health Services Research Dissertations

Human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) does not discriminate among different races, ethnicities or genders; however, African Americans carry a larger burden related to the HIV epidemic than others (CDC, 2010c; Cunningham, Sanchez, Heller & Sohler, 2007; Mugavero, et al., 2009). Persons living with HIV/AIDS (PLWHA) who do not adhere to their medical regimen, including failure to maintain contact with their health care provider for health care monitoring, tend to have poorer health outcomes from the disease as compared to HIV/AIDS patients who adhere to their medical regimen (Cunningham et al., 2006; Lima et al., 2009). African Americans represent …

Acquisition Of Initial Mental Graphemic Representations By Children At Risk For Literacy Development, Kenn Apel, Shurita Thomas-Tate, Elizabeth B. Wilson-Fowler, Danielle Brimo

Faculty Publications

We examined the acquisition of initial mental graphemic representations (MGRs) by 46 kindergarten children (mean age = 5 years, 9 months) at risk for literacy development because of low socioeconomic status. Using a storybook context, we exposed children to novel nonwords that varied in their phonotactic and orthotactic probabilities and then assessed the children's development of initial MGRs through spelling and reading recognition tasks. The children developed some initial MGRs but less than past reports of children from middle socioeconomic backgrounds. Children with more advanced word recognition abilities developed more initial MGRs than their peers with less advanced word recognition …

Safety And Adherence To Intermittent Pre-Exposure Prophylaxis (Prep) For Hiv-1 In African Men Who Have Sex With Men And Female Sex Workers, Gaudensia Mutua, Eduard J. Sanders, Peter Mwangi Mugo, Omu Anzala, Jessica E. Haberer, David R. Bangsberg, Burc Barin, James F. Rooney, David Mark, Paramesh Chetty, Patricia Fast, Frances H. Priddy

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Little is known about safety of and adherence to intermittent HIV PrEP regimens, which may be more feasible than daily dosing in some settings. We present safety and adherence data from the first trial of an intermittent PrEP regimen among Kenyan men who have sex with men (MSM) and female sex workers (FSW).

Methods/Principal Findings: MSM and FSW were randomized to daily oral FTC/TDF or placebo, or intermittent (Monday, Friday and within 2 hours after sex, not to exceed one dose per day) oral FTC/TDF or placebo in a 2:1:2:1 ratio; volunteers were followed monthly for 4 months. Adherence …

Social, Structural And Behavioral Determinants Of Overall Health Status In A Cohort Of Homeless And Unstably Housed Hiv-Infected Men, Elise D. Riley, Torsten B. Neilands, Kelly Moore, Jennifer Cohen, David Bangsberg, Diane Havler

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Previous studies indicate multiple influences on the overall health of HIV-infected persons; however, few assess and rank longitudinal changes in social and structural barriers that are disproportionately found in impoverished populations. We empirically ranked factors that longitudinally impact the overall health status of HIV-infected homeless and unstably housed men.

Methods and Findings: Between 2002 and 2008, a cohort of 288 HIV+ homeless and unstably housed men was recruited and followed over time. The population was 60% non-Caucasian and the median age was 41 years; 67% of study participants reported recent drug use and 20% reported recent homelessness. At baseline, …

Balloon-Occluded Retrograde Transvenous Obliteration For The Treatment Of Gastric Varices., Alia S Dadabhai, Jonathan M Fenkel, Daniel B Brown, Loren Laine

Division of Gastroenterology and Hepatology Faculty Papers

Clinical Perspectives in Hepatology aims to engage two experts with opinions supporting differing perspectives on the management of a case. Typically, the case represents an area of debate or evolving practice in clinical hepatology.

The patient presented below gives us the opportunity to discuss balloon-occluded retrograde transvenous obliteration (BRTO) for treatment of gastric varices. Although described since the mid-1990s and accepted as effective therapy, particularly in Japan, BRTO is used sporadically in the United States and Europe. In fact, it is not mentioned in the U.S. (AASLD) or European (EASL/Baveno V) guidelines. Hopefully, increased awareness of and expertise in this …

I'M Ok, You're Not: Assessing Variable Influence On Perceptions Of The Mentally Ill Among College Students, Phillip Wagner

Masters Theses

Due to the alarming level of stigma associated with individuals with a mental illness, this present study seeks to understand the variables that influence perceptions of the mentally ill. The research questions for this study are as follows: RQ1: What are the latitudes of acceptance, rejection and non-commitment that college students identify in their perceptions of the mental health community?, RQ2: Does gender influence college student perceptions of the mentally ill?, and RQ3: Does the level of religious involvement that college students identify correlate to their perceptions of the mentally ill? The 257 participants completed an online survey that assessed …

Response Of A Single 'Mega Intramuscular Dose' Of Vitamin D On Serum 25ohd And Parathyroid Hormone Levels, Aysha Habib, Dileep K Rohra, Shakil A Saghir, Shamsa K Udani, Richard Wood, Abdul Jabbar

Department of Pathology and Laboratory Medicine

Objective: To determine the changes produced in serum 25OHD and iPTH levels after 600,000 IU of injection cholecalciferol in volunteers. Study Design: Interventional study. Place and Duration of Study: Section of Chemical Pathology, Department of Pathology and Microbiology, the Aga Khan University Hospital, Karachi, from June 2009 - June 2010. Methodology: Volunteers of either gender aged 18-40 years with known 25OHD, calcium (Ca), creatinine (Cr) and phosphorous (P) levels were included in the study. Subjects on therapy like vitamin D and calcium supplements, corticosteroids or anti-epileptic medicines, primary hyperparathyroidism and hypercalcaemia, with co-morbidity like renal failure, liver disease and history …

2012 Spring Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2012 Fall Newsletter of the Department of Nursing at Morehead State University.

Microaesthetics Of The Smile: Extraction Vs. Non-Extraction, Sanam Tauheed, Attiya Shaikh, Mubassar Fida

Section of Dental-Oral Maxillofacial Surgery

OBJECTIVE: To compare microaesthetics in pre- and post-orthodontic cases, treated with non-extraction and extraction treatment and assessed whether the achieved microaesthetic parameters are comparable to the proposed norms.

STUDY DESIGN: Quasi-experimental study.

PLACE AND DURATION OF STUDY: Orthodontic Clinic, the Aga Khan University Hospital, Karachi, from January 2005 to December 2009.

METHODOLOGY: Orthodontic records of 31 cases treated with non-extraction therapy and 26 cases treated with extraction of upper first premolars were selected. Patients were of Pakistani origin, aged between 12 to 30 years. Microaesthetics was assessed by measuring maxillary central incisor crown width-height ratio, connectors between the maxillary anterior …

Clustering Of Unhealthy Behaviors In The Aerobics Center Longitudinal Study, Mariane Héroux, Ian Janssen, Duck-Chul Lee, Xuemei Sui, James R. Hébert, Steven N. Blair

Faculty Publications

Background

Objectives

Methods

Longitudinal Changes In Body Composition Associated With Healthy Ageing: Men, Aged 20-96 Years, Andrew S. Jackson, Ian Janssen, Xuemei Sui, Timothy S. Church, Steven N. Blair

Faculty Publications

Obesity and sarcopenia are health problems associated with ageing. The present study modelled the longitudinal changes in body composition of healthy men, aged from 20 to 96 years, and evaluated the fidelity of BMI to identify age-dependent changes in fat mass and fat-free mass. The data from 7265 men with multiple body composition determinations (total observations 38,328) were used to model the age-related changes in body mass, fat mass, fat-free mass, BMI and percentage of body fat. Changes in fat mass and fat-free mass were used to evaluate the fidelity of BMI and to detect body composition changes with ageing. …

Essential Role Of Caveolin-3 In Adiponectin Signalsome Formation And Adiponectin Cardioprotection., Yajing Wang, Xiaoliang Wang, Jean-François Jasmin, Wayne Bond Lau, Rong Li, Yuexin Yuan, Wei Yi, Kurt Chuprun, Michael P. Lisanti, Walter J Koch, Erhe Gao, Xin-Liang Ma

Department of Emergency Medicine Faculty Papers

OBJECTIVE: Adiponectin (APN) system malfunction is causatively related to increased cardiovascular morbidity/mortality in diabetic patients. The aim of the current study was to investigate molecular mechanisms responsible for APN transmembrane signaling and cardioprotection.

METHODS AND RESULTS: Compared with wild-type mice, caveolin-3 knockout (Cav-3KO) mice exhibited modestly increased myocardial ischemia/reperfusion injury (increased infarct size, apoptosis, and poorer cardiac function recovery; P

CONCLUSIONS: Taken together, these results demonstrated for the first time that Cav-3 plays an essential role in APN transmembrane signaling and APN anti-ischemic/cardioprotective actions.

Exploring The Sibling Relationship Through Art Therapy: A Case Study, Laura Michalski

EVMS School of Health Professions Theses & Dissertations

The sibling relationship is said to be the longest relationship most individuals will share; therefore, it is surprising to see that most sibling research has been conducted within the confines of family studies with few studies focusing solely on the children’s bond with each another. Because the majority of the United States’ population has at least one sibling, this is a topic that calls for further research. Studies have shown that the quality of a relationship between siblings has the ability to influence individual growth, the sibling bond, social skills, self-esteem, depression, and aggression. However, when observing or conducting interventions …

The Use Of Art Therapy To Examine Self-Concept With A Breast Cancer Survivor, Melanie Gaskin

EVMS School of Health Professions Theses & Dissertations

Negative self-concept is one of the psychological effects for women diagnosed with breast cancer. Treatment modalities for improving self-concept and other psychological effects of breast cancer have focused on using psycho-educational and support groups. Art therapy may be an alternate treatment modality for examining and improving self-concept. This qualitative case report utilized an eight-week art therapy intervention, using Cognitive-Behavioral and Phenomenological art therapy approaches to improve the self-concept of a female breast cancer survivor. Results yielded overlapping themes from the content analysis of images produced and written data. The four themes that emerged were spirituality, social support, positivity, and creating …

Electrocardiographic Abnormalities Among Mexican Americans: Correlations With Diabetes, Obesity, And The Metabolic Syndrome, Saulette R. Queen, Beverly Smulevitz, Anne R. Rentfro, Kristina Vatcheva, David D. Mcpherson, Susan P. Fisher-Hoch, Joseph B. Mccormick, Susan T. Laing

School of Mathematical & Statistical Sciences Faculty Publications

Background: Resting ischemic electrocardiographic abnormalities have been associated with cardiovascular mortality. Simple markers of abnormal autonomic tone have also been associated with diabetes, obesity, and the metabolic syndrome in some populations. Data on these electrocardiographic abnormalities and correlations with coronary risk factors are lacking among Mexican Americans wherein these conditions are prevalent.

Objective: This study aimed to evaluate the prevalent resting electrocardiographic abnormalities among community-dwelling Mexican Americans, and correlate these findings with coronary risk factors, particularly diabetes, obesity, and the metabolic syndrome.

Methods: Study subjects (n=1280) were drawn from the Cameron County Hispanic Cohort comprised of community-dwelling Mexican Americans living …

A Review Of The Molecular And Genetic Foundations Of Ankylosing Spondylitis, Emily Dowlearn

Senior Honors Theses

Ankylosing Spondylitis (AS) is an autoimmune disease that occurs in an adult-onset or juvenile-onset form. The symptoms, severity, and prevalence of this disease vary according to sex, age, and race. AS has been strongly associated with the gene that codes for protein HLA-B27, a protein that misfolds in AS and causes stress on the Endoplasmic Reticulum (ER). The ER then sets off a chain of events leading to the observed AS symptoms. Other mutant genes such as Interleukin 23R (IL23R) and ER Amino Peptidase 1 (ERAP1) have been associated with AS, though not as prominent as HLA-B27. AS is thought …

Cosmetic Neurology: Enhancement Of The Mind And Attention Deficit Hyperactive Disorder Medication Abuse Among College Students, Mary M. Huff

Senior Honors Theses

Cosmetic neurology is becoming increasingly popular, and it is not just sleep deprived, over worked college students who are interested. People are beginning to seek off-label prescriptions for medications that are typically used to treat disorders such as attention deficit hyperactive disorder (ADHD) or narcolepsy, while researchers are trying to create drugs used solely for mind enhancement purposes. Along with these drugs come many legal and ethical quandaries relating to the regulation of current use as well as the what ifs of future possibilities. A survey was conducted among college students regarding the diagnosis of ADHD, the abuse of ADHD …