Medicine and Health Sciences Commons^™

Post-Acute Care Payment Reform Demonstration: Final Report Volume 2 Of 4, Barbara Gage, Melissa Morley, Laura Smith, Melvin Ingber, Anne Deutsch, Tracy Kline, Jill Dever, Judith Abbate, Richard Miller, Brieanne Lyda-Mcdonald, Cynthia Kelleher, Danielle Garfinkel, Joshua Manning, Christopher M. Murtaugh, Margaret Stineman, Trudy Mallinson

Clinical Research and Leadership Faculty Publications

This is the Final Report for the Post-Acute Care Payment Reform Demonstration (PAC-PRD), authorized by section 5008 of the Deficit Reduction Act of 2005, Public Law 109-171. The report has 12 sections, which are divided into four volumes: Volume 1: Executive Summary. Volume 2: Sections 1-4 (Section 1: Introduction; Section 2: Underlying Issues of the PAC-PRD Initiating Legislation; Section 3: Developing Standardized Measurement Approaches: The Continuity Assessment Record and Evaluation (CARE); Section 4: Demonstration Methods and Data Collection) Volume 3: Sections 5-6 (Section 5: Framework for Analysis; Section 6: Factors Associated with Hospital Discharge Destination) Volume 4: Sections 7-12; References …

Supraspinal Fatigue Impedes Recovery From A Low-Intensity Sustained Contraction In Old Adults, Tejin Yoon, Bonnie Schlinder-Delap, Manda L. Keller, Sandra K. Hunter

Exercise Science Faculty Research and Publications

This study determined the contribution of supraspinal fatigue and contractile properties to the age difference in neuromuscular fatigue during and recovery from a low-intensity sustained contraction. Cortical stimulation was used to evoke measures of voluntary activation and muscle relaxation during and after a contraction sustained at 20% of maximal voluntary contraction (MVC) until task failure with elbow flexor muscles in 14 young adults (20.9 ± 3.6 yr, 7 men) and 14 old adults (71.6 ± 5.4 yr, 7 men). Old adults exhibited a longer time to task failure than the young adults (23.8 ± 9.0 vs. 11.5 ± 3.9 min, …

Drug Treatment Program Ownership, Medicaid Acceptance, And Service Provision., Duane C. Mcbride, J. Chriqui, Y. Terry-Mcelrath, M Mulatu

Faculty Publications

The Institute of Medicine noted that effective substance abuse treatment (SAT) programs integrate individual therapeutic approaches with transitional/ancillary services. In addition, research suggests that type of ownership impacts SAT services offered and that Medicaid plays a key role in SAT access. Data from the National Survey of Substance Abuse Treatment Services for the years 2000 and 2002–2006 were used to examine relationships among SAT program Medicaid acceptance, program ownership, and transitional/ancillary service accessibility. Multivariate logistic regression models controlling for state- and program-level contextual factors were used to analyze the data. Nonprofit SAT programs were significantly more likely to offer transitional/ancillary …

Nutritional Status In Patients With Hepatitis C, Faisal Wasim Ismail, Rustam A. Khan, Lubna Kamani, Ashfaq A. Wadalawala, Hasnain Ali Shah, Saeed Hamid, Wasim Jafri

Section of Gastroenterology

Objective: To assess the nutritional status via the SGA (subjective global assessment) screening tool of patients at all stages of hepatitis C virus (HCV) liver disease.
Study design: Descriptive study.
Place and duration of study: Out-patient Clinics of the Aga Khan University Hospital, Karachi, conducted from October 2009 to January 2011.
Methodology: Patients with hepatitis C virus infection and their HCV-negative attendants were enrolled from the outpatient clinics, and categorized into 4 groups of 100 patients each: healthy controls (HC), those with chronic hepatitis C infection (CHC), compensated cirrhotics (CC) and decompensated cirrhotics (DC). The validated subjective global assessment (SGA) …

Latest Update On The Clinical Features And Management Of Merkel Cell Carcinoma, Ahmed Nadeem Abbasi, Sumaiya Zahid

Department of Radiation Oncology

Merkel cell carcinoma (MCC), is a rare, highly malignant skin tumour, with a poor prognosis. Though the aetiology of MCC is not known, but there are several features that it shares with melanoma. These include the natural history, clinical features and behaviour, e.g. an early spread to nodal sites, high local recurrence rate and early metastasis. Incidence of MCC is seen to be increased in immunosuppressed transplant patients, in patients with rheumatoid arthritis and in B cell malignancies, with a strong male predominance. Despite the ongoing research and advancement, MCC yet poses a challenge to the clinicians because of its …

Invited Commentary On: Orthotopic Heart Transplantation In Patients With Metabolic Risk Factors, Nicholas C. Cavarocchi, Paul Mather

Department of Surgery Faculty Papers

This is invited commentary to the following article:

Kilic, A., Conte, J. V., Shah, A. S., & Yuh, D. D. (2012). Orthotopic heart transplantation in patients with metabolic risk factors. Annals of Thoracic Surgery, 93(3), 718-724.

Gender Identity, Ethnic Identity, And Smoking Among First Nations Adolescents, Lorraine Greaves, Joy Johnson, Annie Qu, Chizimuzo T.C. Okoli, Natalie Hemsing, Lucy Barney

Nursing Faculty Publications

Smoking rates among Aboriginal adolescents are the highest of any population group in British Columbia, Canada. Recent studies suggest that substance use is affected by gender and ethnic identity among youth. The purpose of our study was to explore the association of gender and ethnic identity with smoking behaviour among First Nations adolescents. This study is based on a convenience sample (i.e., an on-hand, readily available sample) of 124 youth (123 First Nations and 1 Métis) recruited at youth drop-in centres, health fairs, and cultural activities. We obtained information on demographics, smoking history, Bem Sex Role Inventory (BSRI), composite measure …

Can Community Based Interventions Control Hypertension In Developing Countries? What Is The Evidence From Pakistan?, Farzin Majeed, Ayeesha Kamran Kamal

Section of Neurology

No abstract provided.

Compatibility Between Calpurnia Aurea Leaf Extract, Attraction Aggregation, And Attachment Pheromone And Entomopathogenic Fungus Metarhizium Anisopliae On Viability, Growth, And Virulence Of The Pathogen, Paulin Nana, Nguya K. Maniania, Rosebella O. Maranga, Hamadi I. Boga, Helen L. Kutima, Jacobus N. Eloff

All Peer-Reviewed Publications

Metarhizium anisopliae sensu stricto (ss) (Metsch.) Sorok. isolate ICIPE 07 is being developed as biopesticide for the control of ticks. In addition, leaf extracts of Calpurnia aurea Benth, and the attraction aggregation and attachment pheromone (AAAP) are being used as ticks' attractant. The three agents are being considered for use in combination in an autodissemination approach, whereby ticks that are attracted to semiochemicals are infected with the inoculum. Experiments were therefore conducted to evaluate in vitro the compatibility between C. aurea, AAAP, and the M. anisopliae on vegetative growth, conidial production, and spore viability. Calpurnia aurea leaf extract was compatible …

Integrating An Automated Diabetes Management System Into The Family Management Of Children With Type 1 Diabetes: Results From A 12-Month Randomized Controlled Technology Trial., Tammy Toscos Phd, Stephen W Ponder, Barbara J Anderson, Mayer B Davidson, Martin L Lee, Elaine Montemayor-Gonzalez, Patricia Reyes, Eric Link, Kevin L Mcmahon

Health Services and Informatics Research

OBJECTIVE: The study objective was to evaluate how the use of a pervasive blood glucose monitoring (BGM) technology relates to glycemic control, report of self-care behavior, and emotional response to BGM of children with type 1 diabetes and their parents.

RESEARCH DESIGN AND METHODS: Forty-eight children aged less than 12 years (mean 8.8 years) with type 1 diabetes were randomly assigned to one of two study groups, a control group (conventional care without technology) or an experimental group (conventional care with technology), and followed for 12 months. Families in the experimental group were given the Automated Diabetes Management System (ADMS), …

Can Community Based Interventions Control Hypertension In Developing Countries? What Is The Evidence From Pakistan?, Farzin Majeed, Ayeesha Kamran Kamal

Department of Medicine

No abstract provided.

Cannabinoid Receptor Involvement In Stress-Induced Cocaine Reinstatement: Potential Interaction With Noradrenergic Pathways, Linda K. Vaughn, John R. Mantsch, Oliver Vranjkovic, G. Stroh, M. Lacourt, M. Kreutter, Cecilia J. Hillard

Biomedical Sciences Faculty Research and Publications

This study examined the role of endocannabinoid signaling in stress-induced reinstatement of cocaine seeking and explored the interaction between noradrenergic and endocannabinergic systems in the process. A well-validated preclinical model for human relapse, the rodent conditioned place preference assay, was used. Cocaine-induced place preference was established in C57BL/6 mice using injections of 15 mg/kg cocaine. Following extinction of preference for the cocaine-paired environment, reinstatement of place preference was determined following 6 min of swim stress or cocaine injection (15 mg/kg, i.p.). The role of endocannabinoid signaling was studied using the cannabinoid antagonist AM-251 (3 mg/kg, i.p.). Another cohort of mice …

The Daily Metric Board: A Lean Approach To Performance Improvement., Hope Johnson Msn, Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Pre-Op, Intra-Op And Post-Op Brief., Lisa Farthing Msn, Rn, Cnor, Michelle Reigard Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Old Remedies For Epilepsy: Avicenna's Medicine., A A Asadi-Pooya, A R Nikseresht, E Yaghoubi

Department of Neurology Faculty Papers

BACKGROUND: The history of epilepsy and its treatments dates back to at least 4 millennia. Avicenna, c. 980 AD in Bukhara, Khorasan-1037 in Hamedan was a Persian-speaking Iranian physician, who has many recommendations and suggested various therapies for epilepsy in his book, The Canon of Medicine.

METHODS: We first reviewed the most important ancient treatments for epilepsy mentioned by Avicenna and considered those as the key words for our next step. Then, we made a literature search (medline and scopus) with those key words to find out new scientific findings in modern medicine about the Avicenna's suggestions.

RESULTS: Among the …

Causes Of Relinquishing The Dogs Adopted From Animal Shelters In Taiwan, Ying-Bin Fuh, Meng-Chih Tung, Kwong-Chung Tung, Jeng-Tung Chiang, Chang-Young Fei

The Thai Journal of Veterinary Medicine

This study investigated the causes of relinquishing the dogs adopted from animal shelters. The subjects were the adopters of public animal shelters in Taiwan in 2003~2005. Random sampling was conducted upon 10% of the population. This study collected data by telephone survey, and 1,185 calls were made, with 626 valid samples. According to this investigation, when being adopted, most of the animals were below one year old (71.7%; 449/626); among 626 dogs investigated, 229 were relinquished (36.6%; 229/626). They were mostly relinquished within half year after the adoption (45.4%; 104/229). The main cause of abandonment is “behavior” (31.9%; 73/229); “barking” …

Efficacy Of Different Vaccination Programs Against Thai Qx-Like Infectious Bronchitis Virus, Jiroj Sasipreeyajan, Tawatchai Pohuang, Nida Sirikobkul

The Thai Journal of Veterinary Medicine

The present study was designed to evaluate the protection induced by different vaccination programs against Thai QX-like infectious bronchitis virus (IBV). The chickens were divided into 5 groups, 16 chickens in each. Groups 1-4 were vaccinated with different regimes of vaccination program against IBV. Groups 5 did not receive IBV vaccine and served as a positive control group. At 1 day old, the chickens in groups 2 and 3 were vaccinated with QX vaccine whereas the chickens in group 4 were vaccinated with H120 vaccine. At 14 days old, revaccination was performed in group 2 with QX vaccine whereas groups …

Growth And Survival Of Brown Shrimp (Farfantepenaeus Aztecus) In A Closed Recirculation Seawater System At Different Salinities, Roberto Pérez-Castañeda, Jesús Genaro Sánchez-Martínez, Gabriel Aguirre-Guzmán

The Thai Journal of Veterinary Medicine

Growth and survival of juvenile brown shrimp (Farfantepenaeus aztecus) in a closed recirculation seawater system at two salinities (33 and 38‰) were evaluated during 4 weeks in experimental tanks. Although the specific growth rate (SGR) was slightly higher at the treatment of 38‰ than at 33‰, no significant differences were detected for the different time intervals analyzed; however, the growth in terms of both body weight and total length was significantly faster at 38‰. In this regard, the increase in weight and total length obtained at 38‰ were 0.33 g/week and 2.15 mm/week, respectively, whereas at 33‰ were 0.21 g/week …

Policy Analysis Of Impaired Driving Laws In Nebraska, Jim P. Stimpson, Kelly Shaw-Sutherland

Reports: Center for Health Policy

In Nebraska, motor vehicle crashes are the leading cause of injury death, and the second leading cause of injury-related hospitalization. More than a fourth of all motor vehicle deaths in Nebraska involved at least one alcohol-impaired driver. This brief provides a description of Nebraska alcohol-related statutes and regulations as of January 2011, and impaired driving policy recommendations based on the Nebraska Strategic Highway Safety Plan and recommendations of the Centers for Disease Control and Prevention.

Analysis Of National Health Policies Directed At Immigrants In The United States, Jim P. Stimpson

Reports: Center for Health Policy

This brief describes national policy efforts from 1986 to 2010 affecting access to health care for immigrants. An understanding of the policy actions that have affected immigrants’ access to health care will provide context for future policy discussions.

Lessons Learned: Listening To The Interns, Jeanne Luke Msn, Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Identifying Delirium: The Right Tool For The Job., Michaelen Panzarella Msn, Rn, Ccrn

Patient Care Services / Nursing

No abstract provided.

Top Researcher: ‘Genuine Optimism’ About Treatments For Huntington's Disease, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.

Host Susceptibility To Tuberculosis: Insights From A Longitudinal Study Of Gene Expression In Diabetes, Hui-Qi Qu, Anne R. Rentfro, Yang Lu, Saraswathy Nair, Craig Hanis, Joseph B. Mccormick, Susan P. Fisher-Hoch

Health & Biomedical Sciences Faculty Publications

Tuberculosis (TB) remains a major global disease, and diabetes which is documented to increase susceptibility to TB threefold, is also becoming pandemic. This susceptibility has been attracting extensive research interest. The increased risk of TB in diabetes may serve as a unique model to understand host susceptibility to specific pathogens in humans. To examine this rationale, we investigated expression of reported TB candidate genes in a longitudinal diabetes study. Two genes HK2 and CD28 emerged as potential culprits in diabetes-increased TB susceptibility.

Estimating Medical Cost Offsets Attributable To Public Health Spending, Glen P. Mays

Health Management and Policy Presentations

Uncertainty about the magnitude and timing of economic returns associated with spending on public health services has contributed to policy debates about the optimal role of the federal government in financing these services.

Evaluation Of Lay Support In Pregnant Women With Social Risk (Elsips): A Randomised Controlled Trial, Sara Kenyon, Kate Jolly, Karla Hemming, Lucy Annang Ingram Phd, Nicola Gale, Sophie-Anna Dann, Jacky Chambers, Christine Macarthur

Faculty Publications

BACKGROUND: Maternal, neonatal and child health outcomes are worse in families from black and ethnic minority groups and disadvantaged backgrounds. There is little evidence on whether lay support improves maternal and infant outcomes among women with complex social needs within a disadvantaged multi-ethnic population in the United Kingdom (UK). METHOD/DESIGN: The aim of this study is to evaluate a lay Pregnancy Outreach Worker (POW) service for nulliparous women identified as having social risk within a maternity service that is systematically assessing social risks alongside the usual obstetric and medical risks. The study design is a randomised controlled trial (RCT) in …

Establishing A Center Of Excellence For Security Science And Engineering, Ke-Xun Sun

NSTec UNLV Symposium

Outline

• Introduction
• Progress report
• NNSA proposal to establishCenter of Excellence for Security Science and Engineering
• Perspective on UNLV-NSTec collaboration

Radiography And Image Processing, Stephen E. Mitchell

NSTec UNLV Symposium

Outline

• Introduction
• What? Why? Etc.
• Pulsed Power
• Diode Physics
• Radiography ABC’s
• Challenges

Vitamin D And Brain Imaging In The Elderly: Should We Expect Some Lesions Specifically Related To Hypovitaminosis D?, Cédric Annweiler, Manuel Montero-Odasso, Susan W Muir, Olivier Beauchet

Physical Therapy Publications

Hypovitaminosis D is associated with cognitive decline in the elderly, but the issue of causality remains unresolved. Definitive evidence would include the visualization of brain lesions resulting from hypovitaminosis D. The aim of the present article is to determine, through a literature review, the location and nature of possible brain disorders in hypovitaminosis D. We found limited brain-imaging data, which reported ischemic infarcts and white matter hyperintensities in hypovitaminosis D, though did not provide their specific location or report any focal atrophy. Based on the finding of executive dysfunctions (i.e., mental shifting and information updating impairments) in the presence of …

Use Of Parthenolide Derivatives As Antileukemic And Cytotoxic Agents, Peter A. Crooks, Craig T. Jordan, Xiaochen Wei

Pharmaceutical Sciences Faculty Patents

To view this abstract, please download this patent.