Medicine and Health Sciences Commons^™

Health Behaviour Changes After Diagnosis Of Chronic Illness Among Canadians Aged 50 Or Older, Jason T. Newsom, Nathalie Huguet, Pamela L. Ramage-Morin, Michael Joseph Mccarthy, Julie Bernier, Mark S. Kaplan, Bentson H. Mcfarland

Community Health Faculty Publications and Presentations

Changes in health behaviors (smoking, physical activity, alcohol consumption, and fruit and vegetable consumption) after diagnosis of chronic health conditions (heart disease, cancer, stroke, respiratory disease, and diabetes) were examined among Canadians aged 50 or older. Results from 12 years of longitudinal data from the Canadian National Population Health Survey indicated relatively modest changes in behavior. Although significant decreases in smoking were observed among all groups except those with respiratory disease, at least 75% of smokers did not quit. No significant changes emerged in the percentage meeting physical activity recommendations, except those with diabetes, or in excessive alcohol consumption, except …

The Seven Rs Of Supporting Opinion And Avoiding Plagiarism, Joy Don Baker

Nursing Faculty Publications & Presentations - Archive

Occasionally, plagiarism may occur because an individual simply does not understand the error made. However, perioperative nursing professionals need to take a stand that lack of knowledge is not acceptable and that it is imperative to attend to the six Rs. This is analogous to an RN who is scrubbed in being told, “Your glove is contaminated.” There should be no question in anyone's mind that the glove will be changed. Taking and using someone else's words or ideas is a breach of trust and authenticity to others and should not be considered a choice. Plagiarism is an act of …

Breast Cancer Vaccine: Are We There Yet?, Lipika Chablani

Pharmacy Faculty/Staff Publications

In lieu of an abstract, here is the article's first paragraph:

Breast cancer is the most fatal form of cancer for female population worldwide. National Cancer Institute (NCI) estimates 226,870 females and 2,190 males to be diagnosed with breast cancer in the United States by the end of 2012. The estimated death toll for this year includes 39,510 females and 410 males, as reported by NCI. Statistics state that 1 in every 8 females will be diagnosed with breast cancer during her lifetime. These alarming numbers have provoked a large number of scientists to contribute towards the fight against breast …

Public Health Nurse Decisions Regarding At-Risk Postpartum Case Closure, Denise K. Thompson Phd

Dissertations

During the late 19th century, public health nursing emerged in the United States as an autonomous nursing specialty providing maternal-child health (MCH) home visitation services. Present day MCH public health nurses (PHNs), guided by their predecessors, focus on health promotion and disease prevention in at-risk maternal-child populations. Health policies, funding streams, and local public health nursing protocols are examples of extrinsic factors that may affect length of home visitation services for at-risk women and their children. The purpose of this study was to better understand the factors related to variations in PHN decisions to terminate home visitation services for at-risk …

Longitudinal Documentation Of Serum Cartilage Oligomeric Matrix Protein And Patient-Reported Outcomes In Collegiate Soccer Athletes Over The Course Of An Athletic Season, Johanna M. Hoch, Carl G. Mattacola, Heather M. Bush, Jennifer M. Medina Mckeon, Timothy E. Hewett, Christian Lattermann

Physical Therapy Faculty Publications

BACKGROUND: Serum cartilage oligomeric matrix protein (sCOMP) is a biomarker for cartilage degradation. Patient-reported outcomes (PRO) are used to document postinjury recovery and may be used to prospectively identify changes in the course of a season. It is unknown what effect intense, continuous physical activity has on sCOMP levels and PRO values in athletes over the duration of a soccer season.

HYPOTHESIS/PURPOSE: The purpose of this study was to longitudinally document sCOMP levels and to determine whether changes in PROs occur in collegiate soccer athletes during a season. The hypotheses tested were that sCOMP levels and PRO scores would remain …

Takotsubo Cardiomyopathy And Catatonia: An Acute Stress Connection?, Lex Denysenko, Md, Rachel Shmuts, Do, Adam Trenton, Do, Ethan J. Halpern, Md, Madeleine Becker, Md

Department of Psychiatry and Human Behavior Faculty Papers

BACKGROUND

•Takotsubo cardiomyopathy (TCM):

•transient left ventricular dysfunction

•ECG changes and symptoms mimicking acute MI

•often precipitated by emotional stressor

•Catatonia is a psychomotor syndrome most commonly seen in mood disorders

•This is the first known reported case of TCM co-occurring with catatonia in the setting of acute psychological trauma and bereavement

A Four Factor Model Of Systems-Based Practices In Psychiatry., Jules M. Ranz, Michael Weinberg, Melissa R. Arbuckle, Joanna Fried, Anthony Carino, Hunter L. Mcquistion, Glen Davis, Donovan Wong, Sosunmolu O. Shoyinka, Benjamin Brody, Kamala D. Sethi, Anna Skiandos, Wesley Sowers, David Stern, Anne Sullivan, Michael J. Vergare

Department of Psychiatry and Human Behavior Faculty Papers

No abstract provided.

Psychological Rehabilitation Of Cognitive Function In Stroke Patients, S. Taveemanoon

Chulalongkorn Medical Journal

Cognitive rehabilitation is a treatment to assist patients who have sustained cognitive, emotional and behavioral impairment. The process is aimed to help the cognitive impaired individuals to progress to the most possible independent level of function. Regardless of specific treatment used, the patients are likely need to have comprehensive neuropsychological assessment performed. This will help them to understand the strengths and weakness of the patient and this becomes the starting point for designing a program to fit in for the patients. The treatment typically involves four therapeutic modalities, namely; reality orientation therapy, cognitive stimulus therapy, compensation methods and psychotherapy.

Preventive One Million Steps : Walk For Health, S Urith, W Jiamjarasrangsi, V. Lohsoonthorn

Chulalongkorn Medical Journal

Background : Employees are important forces in driving the organization. Their proper physical and mental health is thus imperative for effectively pushing the organization toward success. Objective : To enhance health promoting behavior by using easily accommodated activity into individuals’ daily and working life. Setting : Department of Preventive and Social Medicine, Faculty of Medicine Chulalongkorn University Research Design : A single group with pre- and post-test design pilot study. Material and Methods : Participants are employees of the Department. The intervention was an activity to promote individual’s walks of one-million steps within one hundred days (or ten thousand steps …

Health Literacy, Cognitive Impairment, And Medication Adherence In Veterans With Heart Failure, Lee Ann Hawkins Phd

Dissertations

Background: Heart failure (HF) affects 5.8 million people in the United States, costly in terms of patient mortality and morbidity as well as healthcare dollars. One important manifestation of poor HF outcomes is the excessive admission-readmission cycle. Non-adherence to medication is responsible for the majority of HF readmissions. Identification and intervention for key factors contributing to poor medication adherence is critical to improving outcomes. Two such factors prevalent in persons with HF are cognitive impairment (CI) and poor health literacy (HL). There is a paucity of tested interventions designed to improve medication adherence by addressing underlying CI or HL. A …

Multifactorial Patterns Of Gene Expression In Colonic Epithelial Cells Predict Disease Phenotypes In Experimental Colitis, Aubrey Leigh Frantz, Maria E. C. Bruno, Eric William Rogier, Halide Tuna, Donald A. Cohen, Subbarao Bondada, Ralph Lakshman Chelvarajan, J. Anthony Brandon, C. Darrell Jennings, Charlotte S. Kaetzel

Microbiology, Immunology, and Molecular Genetics Faculty Publications

Background— The pathogenesis of inflammatory bowel disease (IBD) is complex and the need to identify molecular biomarkers is critical. Epithelial cells play a central role in maintaining intestinal homeostasis. We previously identified five “signature” biomarkers in colonic epithelial cells (CEC) that are predictive of disease phenotype in Crohn's disease. Here we investigate the ability of CEC biomarkers to define the mechanism and severity of intestinal inflammation.

Methods— We analyzed the expression of RelA, A20, pIgR, tumor necrosis factor (TNF), and macrophage inflammatory protein (MIP)-2 in CEC of mice with dextran sodium sulfate (DSS) acute colitis or T-cell-mediated chronic colitis. …

Expanding Delivery System Research In Public Health Settings: Lessons From Practice-Based Research Networks, Glen P. Mays, Rachel A. Hogg

Health and Clinical Sciences Faculty Publications

BACKGROUND: Delivery system research to identify how best to organize, finance, and implement health improvement strategies has focused heavily on clinical practice settings, with relatively little attention paid to public health settings-where research is made more difficult by wide heterogeneity in settings and limited sources of existing data and measures. This study examines the approaches used by public health practice-based research networks (PBRNs) to expand delivery system research and evidence-based practice in public health settings.

METHODS: Practice-based research networks employ quasi-experimental research designs, natural experiments, and mixed-method analytic techniques to evaluate how community partnerships, economic shocks, and policy changes impact …

The Influence Of Bmi Levels On Phases Of The Menstrual Cycle And Presumed Ovulation, Mary Grace Lasquety, Dana Rodriguez, Richard J. Fehring

College of Nursing Faculty Research and Publications

Obesity and high body mass index (BMI) are known to be risks for anovulation and infertility. Little is known about how BMI levels affect parameters of the menstrual cycle. The purpose of this study was to determine the influence of BMI on parameters of the menstrual cycle and the likelihood for ovulation. The participants in this study were 244 women between the ages of twenty and fifty-four (mean thirty years) who charted from one to thirty-six menstrual cycles (mean seven cycles) for a total of 2,035 cycles. Urinary luteinizing hormone (LH) threshold tests were used to estimate the day of …

Reciprocal Inhibition Post-Stroke Is Related To Reflex Excitability And Movement Ability, Neha Bhagchandani, Sheila M. Schindler-Ivens

Physical Therapy Faculty Research and Publications

Objective Decreased reciprocal inhibition (RI) of motor neurons may contribute to spasticity after stroke. However, decreased RI is not a uniform observation among stroke survivors, suggesting that this spinal circuit may be influenced by other stroke-related characteristics. The purpose of this study was to measure RI post-stroke and to examine the relationship between RI and other features of stroke. Methods RI was examined in 15 stroke survivors (PAR) and 10 control subjects by quantifying the effect of peroneal nerve stimulation on soleus H-reflex amplitude. The relationship between RI and age, time post-stroke, lesion side, walking velocity, Fugl-Meyer, Ashworth, and Achilles …

Influence Of Knee Flexion Angle And Age On Triceps Surae Muscle Fatigue During Heel Raises, Kim Hébert-Losier, Anthony G. Schneiders, José A. García, S. John Sullivan, Guy G. Simoneau

Physical Therapy Faculty Research and Publications

Hébert-Losier, K, Schneiders, AG, García, JA, Sullivan, SJ, and Simoneau, GG. Influence of knee flexion angle and age on triceps surae muscle fatigue during heel raises. J Strength Cond Res 26(11): 3134–3147, 2012—The triceps surae (TS) muscle-tendon unit is 1 of the most commonly injured in elite and recreational athletes, with a high prevalence in middle-aged adults. The performance of maximal numbers of unilateral heel raises is used to assess, train, and rehabilitate TS endurance and conventionally prescribed in 0° knee flexion (KF) for the gastrocnemius and 45° for the soleus (SOL). However, the extent of muscle selectivity conferred through …

Neural Underpinnings Of Prosody In Autism, Inge-Marie Eigsti, Jillian Schuh, Einar Mencl, Robert T. Schultz, Rhea Paul

Communication Disorders Faculty Publications

This study examines the processing of prosodic cues to linguistic structure and to affect, drawing on fMRI and behavioral data from 16 high-functioning adolescents with autism spectrum disorders (ASD) and 11 typically developing controls. Stimuli were carefully matched on pitch, intensity, and duration, while varying systematically in conditions of affective prosody (angry versus neutral speech) and grammatical prosody (questions versus statement). To avoid conscious attention to prosody, which normalizes responses in young people with ASD, the implicit comprehension task directed attention to semantic aspects of the stimuli. Results showed that when perceiving prosodic cues, both affective and grammatical, activation of …

Dysregulation Of Mir-31 And Mir-21 Induced By Zinc Deficiency Promotes Esophageal Cancer, Hansjuerg Alder, Cristian Taccioli, Hongping Chen, Yubao Jiang, Karl Smalley, Paolo Fadda, Hatice G. Ozer, Kay Huebner, John Farber, Carlo M. Croce, Louise Fong

Department of Pharmacology and Experimental Therapeutics Faculty Papers

Presented at: Hallmarks and Cancer Conference, October 29-31 in San Francisco.

And AICR Annual Meeting, November 1-2, 2012.

Dietary zinc (Zn) deficiency (ZD) in rats induces an inflammatory gene signature that fuels esophageal squamous cell cancer (ESCC). Using nanoStringTM technology, we show that the inflammation is accompanied by altered expression of specific microRNAs in esophagus, as well as skin, lung, pancreas, liver, prostate, and PBMC, predictive of disease development. Particularly, the ZD esophagus has a microRNA signature resembling human ESCC/tongue SCC miRNAomes with overexpression of miR-31 and miR-21 and downregulation of their respective tumor suppressor targets PPP2R2A and …

Max Dose Opioids: How High Can You Go?, John B. Bossaer, Sarah T. Melton

ETSU Faculty Works

Learning Objectives:

• Describe the rationale for the belief that opioids have no maximum dose
• Describe the data supporting the rationale that high doses of opioids increase toxicity
• Describe the data supporting the rationale that high doses of opioids do not improve outcomes
• Identify potential safety concerns with patients taking high doses of opioids

Respiratory Symptoms And Illnesses Among Brick Kiln Workers: A Cross Sectional Study From Rural Districts Of Pakistan, Shiraz Shaikh, Asaad Ahmed Nafees, Vikash Khetpal, Abid Ali Jamali, Abdul Manan Arain, Akram Yousuf

Community Health Sciences

Background: Occupational risk factors are one of the major causes of respiratory illnesses and symptoms, and account for 13% of chronic obstructive pulmonary disease and 11% of asthma worldwide. Majority of brick kilns in Pakistan use wood and coal for baking the bricks which makes the brick kiln workers susceptible to high exposure of air pollution. This study was designed to describe frequency of chronic respiratory symptoms and illnesses and study the association between these symptoms and different types of work.
Methods: This was a questionnaire based cross sectional survey conducted among the brick kiln workers in Larkana and Dadu …

Anabolic And Androgenic Effects Of Certain Atriplex Species Grown In Egypt, Dina M. El-Kersh, Fatma S. El-Sakhawy, Dina R. Abou-Hussein, Amany A. Sleem

Pharmacy

20-Hydroxyecdysone (20-HE) was detected by TLC in the ethyl acetate fraction of two Atriplex species grown in Egypt: A. lindleyi subsp. inflata and A. leucoclada. EIA quantification of 20-HE proved its presence in a concentration of 9.15 and 7.3 μg/g dried aerial parts in each of the two species, respectively. Significant anabolic and androgenic activities were demonstrated for 20-HE comparing to testosterone; the study also revealed that the total alcohol extract and the ethyl acetate fraction of A. lindleyi subsp. inflata exhibited greater activities than their analogues in A. leucoclada. Column chromatographic fractionation of the ethyl acetate fraction of the …

คำขอบคุณ, N/A

Chulalongkorn Medical Journal

No abstract provided.

ดรรชนีผู้แต่งจุฬาลงกรณ์เวชสาร 2012, N/A

Chulalongkorn Medical Journal

No abstract provided.

Sexual And Reproductive Health Care Access And Utilization By Mexican Immigrant Women In New York City – A Descriptive Study, Gabriela Betancourt

Center for Latin American, Caribbean, and Latino Studies

Introduction: This study examines reproductive health care access and utilization by Mexicans in New York City.

Methods: This report uses data collected by Planned Parenthood of New York City (PPNYC) as part of a larger sexual and reproductive health (SRH) needs assessment. We analyzed various demographic factors and barriers to describe SRH access and utilization of services among Mexican immigrant women residing in New York City (NYC). We purposely sampled 151 adult women seeking assistance from the Mexican Consulate of New York City and other community-based organizations (CBOs). Women choosing to participate were administered an anonymous survey. Data collected included …

การเปลี่ยนผ่านทางระบาดวิทยา(Epidemiologic Transition), วิฑูรย์ โล่ห์สุนทร

Chulalongkorn Medical Journal

No abstract provided.

Peer Support For Type 2 Diabetes Self-Management, W. Jiamjarasrangsi

Chulalongkorn Medical Journal

Self-management support is considered to be the main-stay of chronic disease management, particularly type 2 diabetes. However, as the disease prevalence is rapidly increase, existing healthcare systems are not able to adequately provide self-management support for all patients. Utilizing peer support system in diabetes self-management support has high potential to fill this gap. Furthermore, peer support also has some advantages over professional-led self management support. This report describes topic relating to utilization of peer for self-management support including (a) background, (b) evidence about self management support and peer support, (c) role of peer in self management support, (d) models of …

Colorectal Cancer Tumoral And Nodal Staging : Comparison Between Ct Findings And Pathological Findings, J Busaman, B Chaopathomkul, N Wisedopas, L. Vajragupta

Chulalongkorn Medical Journal

Background and Rationale : Colorectal cancer is a common malignancy of the gastrointestinal tract. In Thailand, colorectal cancer is the third most common cancer in males and fifth most common in females. Incidence rate of colorectal cancer has been rising in Thailand. Pathologic staging is the gold standard for colorectal cancer. However, it is followed by post-operative procedure. Computed tomography (CT) is noninvasive and preoperative assessment. Preoperative CT is useful for planning therapy by which local extension of the tumor into the adjacent organs or distant metastases are demonstrated. Differentiation between T2 and T3 colon cancer is important for consideration …

Development Of Disease-Specific Health-Related Quality Of Life Questionnaire For Thai Adolescents With Systemic Lupus Erythematosus (Sle), A Pattaragarn, S. Eiam-Ong

Chulalongkorn Medical Journal

Introduction : Most instruments used for QOL evaluation are not developed specifically for SLE; hence, they present limited features when overall aspects of pediatric SLE and the responses to clinical changes are considered. Objective : To develop a quality of life questionnaire for adolescent with lupus (QoLMEAL). A disease-specific QOL questionnaire appropriate for evaluation of Thai adolescents diagnosed with SLE. Settings : University Hospitals in Bangkok. Research design : Multi-center descriptive study. Patients Thai adolescents aged 10 - 18 years old with SLE. Methods : The items were generated after an extensive review of the existing childhood and adolescent SLE, …

Endovascular Treatment In Hemodialysis-Related Central Venous Obstruction: Angiographic Findings, Both Before And After Treatment, Outcome And Complications, M Jongjaroonrangsun, P. Kranokpiraksa, J. Tantivatana

Chulalongkorn Medical Journal

Problem/background : The incidence of patients with end-stage renal disease (ESRD) has been increasing and the complications related to hemodialysis vascular access is the cause of prolonged hospitalization. The most common complication after vascular access is venous thrombosis. There are two effectively interventional treatment procedures of central venous obstruction; (1) Percutaneous transluminal angioplasty (PTA) and (2) endovascular stent placement. Objective : This research was performed to describe angiographic imaging of hemodialysis-related central venous obstruction, both before and after endovascular treatment and the outcomes and complications of endovascular treatment in patients with hemodialysis-related central venous obstruction. Design : Descriptive study. Setting …

The Thai Violence Risk Scale (Tvrs) Persons With Schizophrenia: Development And Initial Validation, U Nakcharoen, J Yunibhand, W. Chaiyawat

Chulalongkorn Medical Journal

Introductions : Persons with schizophrenia have a clear association with increased violence in community than the general population. At present, there has not been any scale developed to estimate risk of violence, particularly in persons with schizophrenia. Objectives : To develop a clinically useful for evaluation violence risk among persons with schizophrenia, and to carry out an initial validation of the scale. Setting : Out patient department of a psychiatric hospital Research design : Instrument development Sample : Persons with schizophrenia who had committed violence (n = 300) Methods : A 29-item Thai Violence Risk Scale (TVRS) was constructed on …

Factors Associated With Quality Of Life Of Breast Cancer Patients, S Thanasilp, M. Wongpromchai

Chulalongkorn Medical Journal

Background : To improve the quality of life (QOL) of breast cancer patients is an important issue for nursing staff. Therefore, understanding the associated factors with QOL is a crucial knowledge for developing nursing intervention. Objective : To examine the associated factors with QOL and the effected factors on the QOL of breast cancer patients. Design : A cross-sectional descriptive design. Patients : One hundred and fifty female patients with breast cancer receiving chemotherapy. Material and Method : The participants were asked to respond to a set of seven questionnaires: The Personal Data Form, Piper Fatigue Scale, Pain Scale, Depression …