Medicine and Health Sciences Commons^™

Equivalence Of Students' Scores On Timed And Untimed Anatomy Practical Examinations., Guiyan Zhang, Bruce Fenderson, Richard R Schmidt, J J. Veloski

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Untimed examinations are popular with students because there is a perception that first impressions may be incorrect, and that difficult questions require more time for reflection. In this report, we tested the hypothesis that timed anatomy practical examinations are inherently more difficult than untimed examinations. Students in the Doctor of Physical Therapy program at Thomas Jefferson University were assessed on their understanding of anatomic relationships using multiple-choice questions. For the class of 2012 (n = 46), students were allowed to circulate freely among 40 testing stations during the 40-minute testing session. For the class of 2013 (n = 46), students …

Understanding The Pincer - The Importance Of Reference Plane Orientation On Acetabular Rim Evaluation, Anil K. Gupta, Nozomu Inoue, Michael D. Hellman, Joshua D. Harris, Frank M. Mccormick, Shane Nho

Rothman Institute Papers

Objectives: Femoroacetabular impingement (FAI) is a common cause of young adult hip pain. FAI can result from an acetabular-sided bony lesion, or “pincer” lesion. A pincer lesion is defined as an area of linear contact between the acetabular rim and the femoral head-neck junction due to general or focal acetabular overcoverage. Three dimensional (3D) analysis of the acetabular rim morphology is essential to understand etiology and aciculate diagnosis of the of the pincer type FAI. A few studies have measured 3D geometry of the acetabular rim; in which the acetabular rim is described as a deviation from a reference plane. …

Aseptically Processed And Chemically Sterilized Btb Allografts For Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Study., Peter A Indelicato, Michael G Ciccotti, Joel Boyd, Laurence D Higgins, Benjamin S Shaffer, C Thomas Vangsness

Department of Orthopaedic Surgery Faculty Papers

PURPOSE: To compare the clinical outcomes of bone-patellar tendon-bone (BTB) allografts processed via a novel sterilization system with the traditional aseptically processed BTB allografts for anterior cruciate ligament (ACL) reconstruction.

METHODS: A total of 67 patients undergoing ACL reconstruction at 6 independent investigation sites were randomized into one of two intervention groups, BioCleanse-sterilized or aseptic BTB allografts. Inclusion criteria included an acute, isolated, unilateral ACL tear, and exclusion criteria included prior ACL injury, multi-ligament reconstruction, and signs of degenerative joint disease. Post-op examiners and patients were blinded to graft type. Patients were evaluated at 6, 12, and 24 months. Clinical …

Bone Cell Function: A Review, Hoai Nam Nguyen, Naruepon Kampa

The Thai Journal of Veterinary Medicine

Bone is dynamic tissue which is continuously formed and absorbed by its own cells in response to stimuli such as hormones, mechanical loading and growth factors. Understanding the function of bone cells is important, not only in orthopedic field but also in research study involving bone. Bone cells work in harmony to maintain a balance between bone formation and resorption, ultimately to control bone structure and function. Osteoblasts are cells, which contribute to deposition of organic components of bone extracellular matrix. They control recruitment, differentiation and maturation of osteoclasts that participate in resorption activity. In addition, osteoclasts associated with bone …

Effects Of Environmental Factors, Ages And Breeds On Semen Characteristics In Thai Indigenous Chickens: A One-Year Study, Pornjit Sonseeda, Thevin Vongpralub, Banyat Laopaiboon

The Thai Journal of Veterinary Medicine

Several reports on the semen characteristics of domestic fowl have indicated that environmental factors, breed and age significantly affect semen quality. There is, however, a paucity of data on effects of environmental factor, breed and age on semen characteristic in Thai indigenous chickens. The aims of the present study were to investigate the effects of annual ambient temperature and humidity, local breeds (i.e. Lueng hang kaow, Pradoo hang dam and Chee), and ages (10 and 18 months) on sperm production and semen quality among Thai native cocks. Thirty-six Thai native cocks were housed under natural environmental conditions, and semen was …

Development Of Enzyme-Linked Immunosorbent Assay To Detect Antibodies Against Chicken Infectious Anemia Virus, Niwat Chansiripornchai, Sangkae Pongthanes, Piyarat Chansiripornchai, Wisanu Wanasawaeng

The Thai Journal of Veterinary Medicine

standardized and robust indirect enzyme-linked immunosorbent assay (ELISA) to detect antibodies against chicken infectious anemia virus (CIAV) was developed. Thai CIAV was isolated and used for the entirety of this study. For virus cultivation, a cell density of MDCC-MSB1 cells at 3 x 106 cells/ml and a fetal bovine serum concentration at 10 percent were the most appropriate for Thai CIAV. Then, crude virus of CIAV was prepared using ultracentrifugation technique. To develop the ELISA test, optimal dilution of goat anti-chicken IgG was 1 : 200 and antigen concentration in the ELISA was 1.00 μg/ml, as determined by checkerboard titration. …

Surgical Removal Of Urethral And Bladder Stones In Female Asian Elephant (Elephas Maximus) By Episiotomy And Urethrotomy, Nikorn Thongtip, Benjapol Lorsanyaluck, Manakorn Sukmak, Sirinart Chaichanathong, Naris Thengchaisri, Pornchai Sunyathitiseree, Worawidh Wajjwalku

The Thai Journal of Veterinary Medicine

A 45-year-old female Asian elephant (Elephas maximus) was presented with urinary incontinence and solid masses at the perineal area. Vaginoscopy revealed stricture of the vaginal vestibule. Trans skin and rectal ultrasonography demonstrated presence of hyperechogenic uroliths. Episiotomy and urethrotomy were performed after standing sedation with xylazine and perineal infiltration with lidocaine. Total of 8 kg urethral calculi were retrieved manually. Calcium carbonate was identified as the main component of the stones. Due to acute urinary obstruction after the operation, an episiotomy was left open allowing urine to pass through the incision. Following urine scalding, necrotic tissues were detected along the …

Endoscopic Evaluation Of Gastric Mucosa To Determine Safety Of Three Chondroprotective Drugs In Healthy Dogs, Korakot Nganvongpanit, Kittipong Kungprathum, Terdsak Yano, Kumpanart Soontornvipart

The Thai Journal of Veterinary Medicine

This randomized, double-blind, placebo-controlled study investigated the effects of glucosamine/chondroitin sulfate, chondroitin sulfate, and diacerein on the gastric mucosa of dogs, and on clinical signs of vomiting and diarrhea. Twenty-one healthy adult dogs were included in the study, and were randomly assigned to seven treatment groups, 3 dogs per group. The effect of those medicines on the gastric mucosa was evaluated by endoscopy on day 3 and day 14, and compared with pre-treatment. Clinical signs, including vomiting and diarrhea, were recorded every day during the study period. The results showed a non-significant effect of glucosamine/chondroitin sulfate, chondroitin sulfate, and diacerein …

Ecg Quiz, Chollada Buranakarl, Suwanakiet Sawangkoon, Anusak Kijtawornrat, Thanusorn Phakhawambodee

The Thai Journal of Veterinary Medicine

No abstract provided.

Ophthalmology Snapshot, Nalinee Tuntivanich

The Thai Journal of Veterinary Medicine

No abstract provided.

What Is Your Diagnosis, Pranee Tuntivanich, Suwicha Chuthatep1

The Thai Journal of Veterinary Medicine

No abstract provided.

Overcoming Shortage Of Pharmacists To Provide Pharmaceutical Services In Public Health Centers In Indonesia, Yuyun Yuniar, Max Joseph Herman

Kesmas

Indonesia masih menghadapi keterbatasan jumlah apoteker di puskesmas, sehingga pihak pemerintah daerah dan puskesmas harus berupaya mengatasi permasalahan tersebut. Penelitian ini bertujuan untuk menggambarkan ketersediaan dan distribusi tenaga pelayanan kefarmasian di puskesmas serta permasalahan dan alternatif pemecahannya. Data diambil dari hasil Riset Fasilitas Kesehatan (Rifaskes) tahun 2011I. Data kuantitatif tentang tenaga pelayanan kefarmasian di puskesmas dianalisis secara deskriptif berdasarkan regional. Data kualitatif sebagai pendukung diperoleh melalui wawancara mendalam dengan bagian kepegawaian dinas kesehatan dan apoteker empat puskesmas di Kota Bogor dan Bekasi, 3 kemudian dianalisis dengan metode analisis tema. Hasil analisis menunjukkan bahwa Sulawesi memiliki persentase puskesmas dengan tenaga apoteker …

Deficiencies: Mental Disability And The Imagination In Scott's Waverley Novels, Colin Carman

Studies in Scottish Literature

Argues that Walter Scott's novels, especially Waverley and The Heart of Midlothian, represent a shift in Anglo-scottish attitudes towards the mentally ill, and that mental disability, operating in Scott's novels under the guises of idiocy and insanity, was integral to Scott’s articulations of the romantic imagination.

Circulating Micrornas In Alzheimer's Disease: The Search For Novel Biomarkers, Véronique Dorval, Peter T. Nelson, Sébastien S. Hébert

Sanders-Brown Center on Aging Faculty Publications

Alzheimer's disease (AD) is the most common neurodegenerative disease in the elderly. While advancements have been made in understanding the genetic and molecular basis of AD, the clinical diagnosis of AD remains difficult, and post-mortem confirmation is often required. Furthermore, the onset of neurodegeneration precedes clinical symptoms by approximately a decade. Consequently, there is a crucial need for an early and accurate diagnosis of AD, which can potentially lead to strategies that can slow down or stop the progression of neurodegeneration and dementia. Recent advances in the non-coding RNA field have shown that microRNAs (miRNAs) can function as powerful biomarkers …

Shared Learning In An Interconnected World: Innovations To Advance Global Health Equity, Agnes Binagwaho, Cameron T. Nutt, Vincent Mutabazi, Corine Karema

Dartmouth Scholarship

The notion of "reverse innovation"--that some insights from low-income countries might offer transferable lessons for wealthier contexts--is increasingly common in the global health and business strategy literature. Yet the perspectives of researchers and policymakers in settings where these innovations are developed have been largely absent from the discussion to date. In this Commentary, we present examples of programmatic, technological, and research-based innovations from Rwanda, and offer reflections on how the global health community might leverage innovative partnerships for shared learning and improved health outcomes in all countries.

First Steps Phase Ii Initiative: Improving Developmental, Autism, And Lead Screening For Children, Kimberley S. Fox Mpa, Carolyn E. Gray Mph, Martha Elbaum Williamson Mpa

Population Health & Health Policy

First STEPS (Strengthening Together Early Preventive Services) is a learning initiative supported by Maine's CHIPRA quality demonstration grant to support measure-driven practice improvement in pediatric and family practices across the state on improving developmental, autism, and lead screening for children. This report, authored by research staff at the USM Muskie School, evaluates the impact of Phase II of Maine's First STEPS initiative, which was implemented from May to December 2012 and included 12 practices serving more than 20,000 children on MaineCare (Maine's Medicaid system). The authors assess changes in developmental, autism, and lead screening rates and evidence-based office processes in …

The Use Of Interpreters To Improve The Quality And Safety Of Healthcare Through Better Communication In Obstetrical Patients: Effect On Primary Cesarean Delivery Rate, Stephen A. Pearlman, Md

Master of Science in Healthcare Quality and Safety Capstone Presentations

Patients with limited English proficiency have poorer healthcare outcomes. An assessment of the cultural and linguistic competency of Christiana Care Health Systems revealed that our language services were not sufficiently robust and this was affecting care. Therefore, the purpose of this quality improvement study was to improve healthcare outcomes, specifically the rate of primary cesarean delivery, through improved language assistance, to patients with limited English proficiency presenting to labor and delivery. The methods employed included use of the TeamSTEPPS program to educate the staff on how to improve safety for patients with limited English proficiency, adding a live Spanish interpreter …

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• Infrastructural Characteristics Of LHDs

Health Policy & Management News, Georgia Southern University

Health Policy & Community Health: News & Publications (2011-2018)

• Infrastructural Characteristics of LHDs

Picturing Life, Molly Bathje

The Open Journal of Occupational Therapy

The cover art of the summer 2013 issue of The Open Journal of Occupational Therapy provided by Jonathan Darnall reflects his unique life perspective, current roles, and values. An exploration of Jon’s life experience reveals how creative arts, including photography, have positively influenced his life and inform OT practitioners about the benefits of photography as an intervention and an occupation.

Enhancing Client-Centeredness In Parkinson's Disease Care: Attending To The Psychosocial Implications Of Lived Experience, Jeffrey D. Holmes, Sara Lutz, Mike Ravenek, Debbie L. Rudman, Andrew M. Johnson

The Open Journal of Occupational Therapy

Evidence-based practice requires that clinicians interpret the best research evidence in the context of their clinical experience, while at the same time considering client knowledge and experiences. Although clinicians are becoming increasingly skilled at the evaluation of research evidence, the evidence-based practice process often neglects client values and self-identified health issues. Ignoring these key aspects of client-centered practice may lead to interventions that fail to target the implications of a client’s disease that are important to occupational participation and quality of life (QOL). A focus on client-centeredness is particularly important in progressive neurodegenerative disorders, such as Parkinson’s disease, where there …

Use Of Participant-Generated Photography In A Research Contribution Course, Maryellen Thompson

The Open Journal of Occupational Therapy

This paper describes the use of small, qualitative studies focused on interviews done with participant-generated photographs as an effective and efficient way of teaching research to entry-level masters students. A comparison of using time-use diaries vs. participant-generated photography is presented to explicate the research process and demonstrate the advantages of using photography, including ease of data collection and data sharing. Over a three-year period of using participant-generated photographs as a guide for semi-structured interviews, students have consistently expressed enjoyment of the research process and increased empathy with their research participants.

Therapists As Educators: The Importance Of Client Education In Occupational Therapy, Kate E. Decleene, Angelia J. Ridgway, Julie Bednarski, Lori Breeden, Gina Gabriele Mosier, Deborah Sachs, Donna Stephenson

The Open Journal of Occupational Therapy

Client education is a major component of everyday health care practice. Entry-level occupational therapy (OT) accreditation standards require educators to teach students how to demonstrate the ability to educate clients, family, caregivers, and significant others to facilitate their skills related to personal occupations. Although these standards are a necessity, entry-level programs are not required to teach students the teaching methodologies that support human learning. However, the educational standards do require students to apply the principles of teaching and learning processes. This project explored the evidence in teaching and learning strategies and how these were introduced to OT students during their …

Children With Developmental Disabilities And Their Motivation To Play, Lindsey Askins, Brittany Diasio, Dagmara Szewerniak, Susan M. Cahill

The Open Journal of Occupational Therapy

The purpose of this qualitative study was to examine how and when children with developmental disabilities aged nine to 12 years spontaneously demonstrated play behaviors indicative of intrinsic motivation. Data was collected from six child participants and four parent participants through the use of the Pediatric Volitional Questionnaire (PVQ) and semi-structured photo-elicitation interviews. Overall, the children who participated in this study sought out play experiences with which they were familiar in their natural environments. Specifically, they sought out experiences that afforded them the opportunity to exercise control over their environment and create a sense of predictability. Each of the children …

Stakeholder Recommendations To Refine The Fitness-To-Drive Screening Measure, Sherrilene Classen, Sandra M. Winter, Craig A. Velozo, Elizabeth M. Hannold, Jason Rogers

The Open Journal of Occupational Therapy

In developing the web-based Fitness-to-Drive Screening Measure (FTDS) and keyform (results output) for use to identify at-risk older drivers, we examined the needs, perspectives, and suggestions of three stakeholders groups: occupational therapy practitioners, certified driver rehabilitation specialists (CDRSs), and family members/caregivers. We conducted three focus groups, which were moderated, recorded, transcribed, and analyzed using directed content analysis. Respondents in two focus groups also rated FTDS aspects (e.g., ease of use, format, and relevance), using a visual analog scale (VAS, 0-10 scale with 10 being excellent). All three stakeholder groups contributed to the development of the web-based FTDS. Results from occupational …

Indicators Of Simulated Driving Skills In Adolescents With Autism Spectrum Disorder, Sherrilene Classen, Miriam Monahan, Stephanie Hernandez

The Open Journal of Occupational Therapy

Adolescents are at high risk for motor vehicle crashes (MVCs). Teens with autism spectrum disorder (ASD) may have an even greater risk for MVCs due to impaired visual, cognitive, and motor skills critical for driving. This prospective two group study demonstrated the demographic, clinical, and simulated driving skill differences of seven adolescents with ASD (mean age = 15.14, SD ±1.22) compared to 22 healthy controls (HC) (mean age = 14.32, SD ±.72) through a comprehensive driving evaluation (CDE) conducted by an occupational therapist certified driving rehabilitation specialist (OT-CDRS). Adolescents with ASD performed poorer on right eye …

Trading In Our Paradigm Shifts For A Staircase, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Female Literacy: Effects On Women And Children’S Health In Sub-Saharan Africa, Kelsey Perry, Stephanie Fugal

Journal of Undergraduate Research

Many NGOs and government agencies around the world are working tirelessly to eradicate poverty, sickness, and illiteracy from developing countries. Recent research has indicated that implementing female literacy programs could help solve both the problems of poor health outcomes and illiteracy.

Geographic Analysis Of Street Alcohol Advertising And Vending In Russian Cities, Scott Fleming, Dr. Gordon B. Lindsay

Journal of Undergraduate Research

The devastating effects of alcohol in the Russian federation have been well studied and are now widely accepted as being one of the leading causes of the nation’s mortality rate. An important study for The Russian Federation would be to quantify the density of alcohol street sales and street based alcohol advertising. This aspect of the alcoholic problem in Russia has been grossly overlooked. Quantifying the street price of cheep alcohol drinks relative to other beverages would also be useful for Russian public health affairs. This pilot study sought to gather such information.

Assessing The Extent To Which Family Health History (Fhh) Education Has An Impact On Perception Of Chronic Disease Risk Among Hispanic Immigrants In The State Of Utah, Cynthia Penaflor, Dr. Michael Barnes

Journal of Undergraduate Research

Family health history (FHH) is recognized as an important risk factor for chronic disease. Researchers have demonstrated that individuals who have family members with a particular chronic disease are at greater risk of developing the disease themselves compared to the general population. The extent to which people view FHH as a risk factor has implications for whether or not FHH data is collected by individuals and utilized for disease prevention. While research has recently been conducted among Caucasian audiences throughout Utah, little is known about the impact of FHH on immigrants or others who lack community connections to traditional health …