Medicine and Health Sciences Commons^™

Alternative Ear-Canal Measures Related To Absorbance, S. T. Neely, S. Stenfelt, Kim S. Schairer

ETSU Faculty Works

Abstract:

Several alternative ear-canal measures are similar to absorbance in their requirement for prior determination of a Thévenin-equivalent sound…

Power And Explosiveness: First Step(S), Michael H. Stone, Kimitake Sato

ETSU Faculty Works

Power (along with Impulse) is arguably the most import characteristic for an athlete to develop. Power (particularly peak power) has strong relationships with sports performance such as lifting, throwing, sprinting, jumping and agility. Development of power is best accomplished by a progressive sequence that is characterized by successive phases that increased work capacity, muscle cross-section area, maximum strength and task specific power. Furthermore, evidence indicates that for power development, weaker athletes benefit as much or more from the development of strength through basic strength training than from power training.

Intrinsic Religiosity And Adolescent Depression And Anxiety: The Mediating Role Of Components Of Self-Regulation, Brent Charles Black

Theses and Dissertations

This study examined the possible mediating role of the emotional, behavioral, and cognitive components of self-regulation as they relate to adolescent intrinsic religiosity and the internalizing problems of teen depression and anxiety. The sample included 459 adolescent respondents from one wave of the Flourishing Families Project, an ongoing longitudinal study. Through the use of Structural Equation Modeling, results showed that cognitive self-regulation partially mediated the relationship between intrinsic religiosity and adolescent depression. Additionally, emotional self-regulation, but not behavioral self-regulation was found to be negatively linked with both depression and anxiety. These findings provide clinicians with greater direction when working with …

Analysis Of Synephrine Content In Bitter Orange (Citrus Aurantium L.) Dietary Supplements, Martha L. Newell

Theses and Dissertations

Many Americans are either currently taking, or have recently taken, non-prescription dietary supplements. These supplements claim to help prevent or relieve any number of ailments, but are not regulated by any governing body. One common use of dietary supplements is to aid in weight loss. Synephrine, the most abundant active component in bitter orange (Citrus aurantium L.) extracts, became a regular ingredient in weight loss supplements after the 2004 ephedra ban. The initial goal of this research was to use reverse phase high performance liquid chromatography (HPLC) to determine the synephrine content of five dietary supplements and compare …

Is Laparoscopy A Risk Factor For Bile Duct Injury During Cholecystectomy?, Terrence M. Fullum, Stephanie R. Downing, Gezzer Ortega, David C. Chang, Tolulope A. Oyetunji, Kendra Van Kirk, Daniel D. Tran, Ian Woods, Edward E. Cornwell, Patricia L. Turner

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND AND OBJECTIVES: Previously, risk factors for bile duct injury have been identified as acute cholecystitis, male gender, older age, aberrant biliary anatomy, and laparoscopic cholecystectomy.

METHODS: A retrospective analysis of the Nationwide Inpatient Sample from 1998 to 2006 was performed with an inclusion criterion of cholecystectomy performed on hospital day 0 or 1. Patient- and hospital-level factors potentially associated with bile duct injury were examined by logistic regression.

RESULTS: A total of 377,424 cholecystectomy patients were identified. There were 1124 bile duct injuries (0.30%), with 177 (0.06%) in the laparoscopic cholecystectomy group and 947 (1.46%) in the open cholecystectomy …

A Type 2 Diabetes Prevention Website For African Americans, Caucasians, And Mexican Americans: Formative Evaluation, Belinda M. Reininger, Laura Person Mecca, Kendra Stine, Kevan Schultz, Luke Ling, David Halpern

Health & Human Performance Faculty Publications

Background: The majority of Americans now access the Internet, thereby expanding prospects for Web-based health-related education and intervention. However, there remains a digital divide among those with lower income and education, and among Spanish-speaking populations in the United States. Additional concerns are the low eHealth literacy rate among these populations and their interest in Internet-delivered interventions with these components. Given these factors, combined with the prevalence of type 2 diabetes among low socioeconomic status and Spanish-speaking Americans, strides need to be taken to reach these populations with online tools for diabetes prevention and management that are at once accessible and …

Effectiveness Of Pentavalent And Monovalent Rotavirus Vaccines In Concurrent Use Among Us Children <5 Years Of Age, 2009-2011, Daniel C. Payne, Julie A. Boom, Mary Allen Staat, Kathryn M. Edwards, Peter G. Szilagyi, Eileen J. Klein, Rangaraj Selvarangan, Parvin H. Azimi, Christopher J. Harrison, Mary Moffatt, Samantha H. Johnston, Leila C. Sahni, Carol J, Baker, Marcia A. Rench, Stephanie Donauer, Monica Mcneal, James Chappell, Geoffrey A. Weinberg, Azadeh Tasslimi, Jacqueline E. Tate, Mary Wikswo, Aaron T. Curns, Iddrisu Sulemana, Slavica Mijatovic-Rustempasic, Mathew D. Esona, Michael D. Bowen, Jon R. Gentsch, Umesh D. Parashar

Manuscripts, Articles, Book Chapters and Other Papers

Background We assessed vaccine effectiveness (VE) for RotaTeq (RV5; 3 doses) and Rotarix (RV1; 2 doses) at reducing rotavirus acute gastroenteritis (AGE) inpatient and emergency department (ED) visits in US children.

Methods We enrolled children vaccine, age, ethnicity, genotype, and clinical setting.

Results RV5-specific analyses included 359 rotavirus cases and 1811 rotavirus-negative AGE controls. RV1-specific analyses included 60 rotavirus cases and 155 rotavirus-negative AGE controls. RV5 and RV1 were 84% (95% confidence interval [CI], 78%-88%) and 70% (95% CI, 39%-86%) effective, respectively, against rotavirus-associated ED visits and hospitalizations combined. By clinical setting, RV5 VE against ED and inpatient rotavirus-associated visits …

Direct Identification Of Breast Cancer Pathologies Using Blind Separation Of Label-Free Localized Reflectance Measurements, Alma Eguizabal, Ashley M. Laughney, Pilar Beatriz García-Allende, Venkataramanan Krishnaswamy, Wendy A. Wells, Keith D. Paulsen, Brian W. Pogue, Jose M. Lopez-Higuera, Olga M. Conde

Dartmouth Scholarship

Breast tumors are blindly identified using Principal (PCA) and Independent Component Analysis (ICA) of localized reflectance measurements. No assumption of a pa rticular theoretical model for the reflectance needs to be made, while the re sulting features are proven to have discriminative power of breast pathologies. Normal, benign and malignant breast tissue types in lumpect omy specimens were imaged ex vivo and a surgeon-guided calibration of the system is proposed to overcome the limitations of the blind analysis. A simple, fast and linear classifier has been proposed where no training information is required for the diagnosis. A set of 29 …

Factors Contributing To Successful Employment Outcomes For Hispanic Women Who Are Deaf: Utilization Of Chi-Squared Automatic Interaction Detector And Logistic Regression Analysis, Amber M. Feist

Theses and Dissertations - UTB/UTPA

Hispanic women who are deaf constitute a heterogeneous group of individuals with varying vocational needs. To understand the unique needs of this population, it is important to analyze how consumer characteristics, presence of public supports, and type of services provided influence employment outcomes for Hispanic women who are deaf. The purpose of this study was to examine predictive factors of consumer characteristics, public supports, and patterns of service delivery related to employment among Hispanic women who are deaf utilizing the Rehabilitation Services Administration (RSA) case service report (RSA-911) for fiscal year 2009 (FY 2009). Exhaustive chi-squared automatic interaction detector (CHAID) …

The Effect Of The Probiotic Pediococcus Acidilactici On The Gut Microbiota Ecology Of Rainbow Trout (Oncorhynchus Mykiss Walbaum) Analysed Using Dgge, Alice Anderson

The Plymouth Student Scientist

The microbiota of the gastrointestinal tract heavily influences the health, growth and survival of fish. Probiotics have proved effective in improving fish productivity in aquaculture. Research suggests that probiotics, supplemented in the feed, may elicit these benefits by altering the ecology of the gastrointestinal microbiota. The probiotic Pediococcus acidilactici has been successfully used for terrestrial animals and humans but its use in aquatic organisms has been less researched. In the present study, rainbow trout Oncorhynchus mykiss (Walbaum) were fed a diet that contained Ped. Acidilactici, or a control diet. Analysis of the posterior digesta bacteria, using a non-culture dependant technique, …

Osmotic Regulation Of The Amphipod Gammarus Chevreuxi (Sexton, 1912), Sam Houston

The Plymouth Student Scientist

This study investigated osmotic regulation in the amphipod, Gammarus chevreuxi, and is the first publication of this organism’s osmotic regulatory curves. Unlike most estuarine amphipods studied to date which are hyperosmotic regulators, G. chevreuxi is a hyper-hyposmotic regulator. The hyperosmotic gradient maintained by G. chevreuxi in dilute media is very low (~120mmol.L-1), which has been interpreted as evidence of freshwater ancestry among the Crustacea. Salinity acclimation did not appear to affect heart rate or pleopod beat frequency. The gill cells responsible for ion uptake appeared to be smaller in high salinities or distorted. The apical membrane in concentrated media shows …

Using A Mobile Web Application For A Full Day Conference To Enhance Learner Participation And Content Discussion, Mark A. Butsavage Msn, Rn, Ccrn

Department of Education

No abstract provided.

Standardized Patient Hybrid Simulation And The Non-Licensed Clinical Staff Curriculum: The Learning Comes Alive!, Patricia Karo Msed, Bsn, Rn-Bc

Department of Education

No abstract provided.

Adults With Greater Weight Satisfaction Report More Positive Health Behaviors And Have Better Health Status Regardless Of Bmi, Christine E. Blake Ph.D., Rd, James R. Hébert Scd, Duck Chul Lee, Swann A. Adams, Susan E. Steck Phd, Mph, Rd, Xuemei Sui M.D., M.P.H., Ph.D., Jennifer L. Kuk, Meghan Baruth, Steven N. Blair

Faculty Publications

Background. Prior studies suggest that weight satisfaction may preclude changes in behavior that lead to healthier weight among individuals who are overweight or obese. Objective. To gain a better understanding of complex relationships between weight satisfaction, weight-related health behaviors, and health outcomes. Design. Cross-sectional analysis of data from the Aerobics Center Longitudinal Study (ACLS). Participants. Large mixed-gender cohort of primarily white, middle-to-upper socioeconomic status (SES) adults with baseline examination between 1987 and 2002 (n = 19,003). Main Outcome Variables. Weight satisfaction, weight-related health behaviors, chronic health conditions, and clinical health indicators. Statistical Analyses Performed. Chi-square test, t-tests, and linear and …

Education And Referral Criteria: Impact On Oncology Referrals To Palliative Care., Barbara Reville, Joanne Reifsnyder, Deborah B Mcguire, Karen Kaiser, Abbie Santana

Department of Family & Community Medicine Faculty Papers

OBJECTIVE: To describe a quality improvement project involving education and referral criteria to influence oncology provider referrals to a palliative care service.

METHODS: A single group post-test only quasi-experimental design was used to evaluate palliative care service (PCS) referrals following an intervention consisting of a didactic presentation, education outreach visits (EOV) to key providers, and referral criteria. Data on patient demographics, cancer types, consult volume, reasons for referral, pre-consult length of stay, overall hospital stay, and discharge disposition were collected pre-intervention, then post-intervention for 7.5 months and compared.

SETTING AND SAMPLE: Attending oncologists, nurse practitioner, and house staff from the …

A Community-Based Wellness Program To Reduce Depression In African Americans: Results From A Pilot Intervention, Christina Nicolaidis, Corliss Mckeever, Sandra Meucci

School of Social Work Faculty Publications and Presentations

Background

African-Americans are less likely than non-Hispanic Whites to find antidepressants acceptable or seek care for depression.

Objective

To develop and pilot-test a culturally-tailored, community-based, psycho-educational wellness and exercise promotion program to reduce depressive symptoms in African-Americans.

Methods

Participants were African-Americans with moderate depressive symptoms, who were interested in exercise, but were not exercising regularly. They attended a 6-week psycho-educational group program during which they set personal activity goals and learned depression self-management skills. We conducted pre- and post-intervention surveys and post-intervention feedback sessions.

Results

21 African-Americans participated in the intervention. The program had excellent attendance and satisfaction. We found …

Is There Agreement Between Self-Reported And Scale Measurements Of Height And Weight?, Christopher T. Wagner, Brittney M. Lamb, Jared L. Graham, Paul A. Salamh, Cheryl Hill, Morey J. Kolber

Internet Journal of Allied Health Sciences and Practice

Background: The assessment of height and weight (body mass) are common components of the medical examination, often requisite subject characteristics collected for research, and frequently used in the writing of life and medical insurance policies. These measurements may be gathered by actual measurement procedures or through patient self-report. Purpose: The purposes of this study were to 1) determine if significant differences exist between self-reported and measured height and body mass, 2) determine the influence of gender on differences between self-reported and actual measurements, and 3) determine the range of differences (levels of agreement) that may exist between self-reported and actual …

Analysis Of Community-Based Accumulation Of Home Medications (Caches) Found At Death Scenes In Davidson County, Tennessee, Carrie E. Plummer

Theses and Dissertations (ETD)

Introduction: Stockpiling of unused medications by community-dwelling individuals results in Community-based ACcumulation of Home mEdicationS (CACHES). CACHES place the individual, health care and justice system, and ecosystem at risk for adverse outcomes including: a) diversion of prescription medications by friends and family, b) pediatric poisonings, c) adverse drug events, d) increased criminal justice system costs related to prescription drug abuse, e) increased health care costs, and f) pollution of local water supplies via improper medication disposal. This study explores the relationship among individual risk factors (gender, race, age, comorbid conditions), geographical location, health care risk factors (number of prescribers and …

The Protumorigenic Role Of Caspase-8 In Neuroblastoma, Devin Drew Twitchell

Theses and Dissertations (ETD)

Neuroblastoma (NB), the most common extracranial solid tumor in children, accounts for 15% of cancer-related deaths in pediatric patients. Caspase-8 (casp8), a proapoptotic protein, is silenced in approximately, 50-70% of neuroblastoma patient samples. Loss of casp8 has been suggested to increase NB metastasis and correlated, in some studies, with advanced-stage NB. Furthermore, decreased casp8 expression may facilitate neuroblastoma tumorigenesis by protecting cells from cell death mediated by either integrins or chemotherapeutics. Paradoxically, casp8 expression is maintained in 30-50% of NB patient samples giving rise to the possibility that casp8 may provide selective advantages for NB tumorigenesis. Caspase-8 is shown to …

Hiv-1 Autologous Antibody Neutralization Associates With Mother To Child Transmission, Elly Baan, Anthony De Ronde, Martijn Stax, Rogier W. Sanders, Stanley Luchters, Joseph Vyankandondera, Joep M. Lange, Georgios Pollakis, William A. Paxton

Population Health, East Africa

The HIV-1 characteristics associated with mother to child transmission (MTCT) are still poorly understood and if known would indicate where intervention strategies should be targeted. In contrast to horizontally infected individuals, exposed infants possess inherited antibodies (Abs) from their mother with the potential to protect against infection. We investigated the HIV-1 gp160 envelope proteins from seven transmitting mothers (TM) whose children were infected either during gestation or soon after delivery and from four non-transmitting mothers (NTM) with similar viral loads and CD4 counts. Using pseudo-typed viruses we tested gp160 envelope glycoproteins for TZM-bl infectivity, CD4 and CCR5 interactions, DC-SIGN capture …

Erosive Arthritis And Hepatic Granuloma Formation Induced By Peptidoglycan Polysaccharide In Rats Is Aggravated By Prasugrel Treatment., Analia E Garcia, Mario C Rico, Elisabetta Liverani, Raul A Dela Cadena, Paul F. Bray, Satya P Kunapuli

Cardeza Foundation for Hematologic Research

Administration of the thienopyridine P2Y12 receptor antagonist, clopidogrel, increased the erosive arthritis induced by peptidoglycan polysaccharide (PG-PS) in rats or by injection of the arthritogenic K/BxN serum in mice. To determine if the detrimental effects are caused exclusively by clopidogrel, we evaluated prasugrel, a third-generation thienopyridine pro-drug, that contrary to clopidogrel is mostly metabolized into its active metabolite in the intestine. Prasugrel effects were examined on the PG-PS-induced arthritis rat model. Erosive arthritis was induced in Lewis rats followed by treatment with prasugrel for 21 days. Prasugrel treated arthritic animals showed a significant increase in the inflammatory response, compared with …

Allied Health Professionals As Consultants: An Exploratory Study In An Australian Context, Delene Amsters, Mellisa Kendall, Sarita Schuurs, Melissa Lindeman, Pim Kuipers

Internet Journal of Allied Health Sciences and Practice

Allied health professionals (AHPs) acting as consultants to other professionals and workers is an important emerging issue. It has received little research attention, despite this role being central to many AHP job descriptions, particularly senior positions. This exploratory qualitative study, conducted with AHPs and other key informants, examined consultancy in metropolitan, rural and remote settings in Australia. Thirty-nine professionals were interviewed in individual and focus group settings, using semi-structured questions. Analysis of data revealed roles, definitions and processes of consultancy, the influence of the context in which it occurs, and the multi-layered outcomes of consultancy. This led to the drafting …

Randomized Comparison Of Two Internet-Supported Fertility Awareness Based Methods Of Family Planning, Richard J. Fehring, Mary Schneider, Kathleen Raviele, Dana Rodriguez, Jessica E. Pruszynski

College of Nursing Faculty Research and Publications

Background

The aim was to compare the efficacy and acceptability of two Internet-supported fertility-awareness-based methods of family planning.

Study design

Six hundred and sixty-seven women and their male partners were randomized into either an electronic hormonal fertility monitor (EHFM) group or a cervical mucus monitoring (CMM) group. Both groups utilized a Web site with instructions, charts and support. Acceptability was assessed online at 1, 3 and 6 months. Pregnancy rates were determined by survival analysis.

Results

The EHFM participants (N= 197) had a total pregnancy rate of 7 per 100 users over 12 months of use compared with …

Benign Granulomatous Polyp Obstructing The Bronchus., Saulat H. Fatimi, Ali Khawaja, Ranish Deedar-Ali-Khawaja, Mehar Hoda, Salima Ahmed Bhimani

Department of Surgery Docs

Abstract

Inflammatory endobronchial polyps are rarely encountered. We report a case of a 14 years old girl with a benign granulomatous polyp originating in the bronchus. Computed tomography scan showed an intraluminal soft tissue opacity while fiberoptic bronchoscopy revealed a large soft tissue mass completely occluding the left lower lobe. Rigid bronchoscopy under general anaesthesia identified a fleshy mass in the left main stem bronchus which was excised via bronchoscopy. The histopathology showed benign polyp with non-specific inflammation. The patient's symptoms improved subsequently and no recurrence was reported till two years of follow-up

Treatment Of Psychiatric Inpatients With Relationship Dysfunction Using A Short Term Cognitive Interpersonal Intervention: A Pilot Study, Tamra Rasberry

Doctoral Dissertations and Projects

Relationship conflict for the psychiatric patient can have significant detrimental effects. There are specific types of interactions that can increase conflict and predict the potential for relapse; these have been identified by research and designated as components of Expressed Emotion (EE). Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT) have been very effective when targeting specific psychiatric diagnoses, but less effective when addressing relationship conflict. The majority of studies addressing relationship conflict have taken place in an outpatient, long-term setting. There is limited research that utilizes an inpatient short-term intensive therapy with relationship conflict as its sole focus, targeting areas …

2013-2014 Lsu Health Sciences Center In New Orleans Catalog/Bulletin, Office Of The Registrar

Catalogs and Bulletins

No abstract provided.

The Epidemiology Of Human Herpesvirus-8: Transmission Of Infection To Children In Zambian Households, Kay L. Crabtree

School of Biological Sciences: Dissertations, Theses, and Student Research

Human Herpes virus-8 (HHV-8) is the known etiologic agent for several malignant pathologies, including Kaposi’s sarcoma (KS), the most common tumor in children in sub-Saharan Africa. Saliva is implicated as the culprit of transmission; however there is a paucity of information regarding transmission to young children. In this study, we investigated the hypothesis that household behaviors exposing the susceptible child to saliva increase the risk of transmission of HHV-8 to that child.

To test our hypothesis a large prospective cohort study in Lusaka, Zambia, enrolling 464 young children and their households, was followed for 48 months. Socio-demographics, health histories, feeding …

The Identification And Classification Of Flow Disruptions In The Operating Room During Laparoscopic Cholecystectomy And Open Hernia Repair Procedures, Sacha N. Duff

Doctoral Dissertations and Master's Theses

The operating room is one of the most complex work environments in healthcare; it is estimated that at least 7% of adverse events due to medical error occur in the operating room. Flow disruptions are events that cause a "break" in the primary surgical task, or the loss of any team member's situational awareness. An empirical link between flow disruptions and surgical errors in the OR has been established; therefore, identifying and classifying the specific flow disruptions present during different types of procedures should facilitate the development of evidence-based interventions. The goal of this study was to identify and classify …

Human Milk Cortisol Is Associated With Infant Temperament, Katherine R. Grey, Elyssia Poggi Davis, Curt A. Sandman, Laura M. Glynn

Psychology Faculty Articles and Research

The implications of the biologically active elements in milk for the mammalian infant are largely unknown. Animal models demonstrate that transmission of glucocorticoids through milk influences behavior and modifies brain development in offspring. The aim of this study was to determine the relation between human milk cortisol levels and temperament of the breastfed infant. Fifty-two mother and infant pairs participated when the infants were three-months old. Milk cortisol levels were assessed and each mother completed the Infant Behavior Questionnaire (IBQ), a widely used parent-report measure of infant temperament. Analyses revealed a positive association between milk cortisol and the negative affectivity …

Abdominal Tuberculosis With Massive Jejunal Haemorrhage, Abdul Rehman Alvi, Tanveer Ui Haq, Amyn Pardhan

Department of Surgery Docs

ABSTRACT Jejunum is a rare site of involvement in intestinal tuberculosis (TB) and massive lower gastrointestinal haemorrhage is an even rare reported condition. The authors report a 15-year-old female student, who presented with fever, anaemia, hypoalbunemia and developed massive lower gastrointestinal haemorrhage during hospital stay. The diagnosis of abdominal TB was established on tissue biopsy; tissue culture was positive for Mycobacterium TB. Optimal outcome was achieved with aggressive resuscitation, repeated mesenteric angio-embolization and anti-tuberculosis chemotherapy