Medicine and Health Sciences Commons^™

The Effects Of Yoga Participation On Symptoms Associated With Menopause: A Mixed Methods Study, Brandi Crowe

All Dissertations

During midlife, it is expected that women will progress towards the biological state of menopause; the permanent condition of infertility due to alterations or diminution of reproductive hormones. Typically lasting 5-10 years, the menopausal transition is associated with symptoms including hot flashes, night sweats, interrupted sleep, anxiety, forgetfulness, and inconsistent mood. As these symptoms often hinder a women's successful functioning in everyday life, hormone therapy is commonly prescribed as a means for diminishing symptoms. However, many women are seeking alternative/complementary treatments that can assist in managing menopausal symptoms due to the detrimental health-risks associated with the use of conventional therapies. …

Development Of A Control Banding Method For Selecting Respiratory Protection Against Bioaerosols, Jacques Lavoie, Eve Neesham-Grenon, Maximilien Debia, Yves Cloutier, Geneviève Marchand

Rapports de recherche scientifique

La sélection d’un appareil de protection respiratoire contre les bioaérosols peut s’avérer une tâche complexe compte tenu de l’absence de valeurs limites d’exposition et de données toxicologiques, ainsi que des limites des techniques d’échantillonnage actuelles et de la grande diversité des bioaérosols. Dans ces circonstances, une méthode qualitative d’évaluation et de gestion du risque fournit une alternative aux méthodes quantitatives utilisées en hygiène du travail. Ce rapport propose un modèle de gestion graduée du risque pour le choix de la protection respiratoire contre les bioaérosols infectieux et non infectieux applicable à l’ensemble des milieux de travail et s’adressant aux hygiénistes …

Understanding And Managing End Of Life Symptoms: A Teaching Guide For The Primary Caregiver, Christine Miraglia

Nursing Masters

Abstract The goal of hospice is to support patients and the family or friend who has taken on the role of the caregiver. The majority of care provided in the home to the ill patient is provided by informal caregivers with limited experience. Emotional and physical strain can cause caregiver breakdown even to the most capable caregiver. Caregivers become over whelmed and panic when they are expected to monitor, interpret, and make decisions, in providing direct care. There are tremendous expectations of the caregiver in the home setting. The home healthcare hospice nurse should provide teaching materials and information to …

Management Of Acute Gi Bleeding In Patients Who Refuse Blood Or Blood Products, Eliza K. Weis

Nursing Masters

Background and Significance: The Gastroenterology consult service evaluates patients who are admitted to the hospital with gastrointestinal (GI) tract bleeding. Prompt endoscopic evaluation is the mainstay for the diagnosis and treatment of clinically significant GI tract bleeding and occurs in concert with the initiation of supportive measures, including replacement of lost blood, correction of coagulopathy, treatment of hemorrhagic shock, and stimulation of erythropoiesis. There have been several case reports of patients who exsanguinated from acute GI tract bleeding due to refusal of blood or blood products on religious grounds. Management of such patients presents many treatment and ethical challenges. The …

Preoperative Spinal Tumor Embolization: An Institutional Experience With Onyx., George M. Ghobrial, Md, Nohra El-Chalouhi, Md, James Harrop, Md, Richard Dalyai, Md, Stavropoula Tjoumakaris, Md, L Fernando Gonzalez, Md, David Hasan, Md, Robert Rosenwasser, Md, Pascal Jabbour, Md

Department of Neurosurgery Faculty Papers

BACKGROUND: Preoperative embolization has the potential to decrease intraoperative blood loss and facilitate spinal cord decompression and tumor resection.

OBJECTIVE: We report our institutional experience with the embolization of hypervascular extradural spinal tumors with Onyx as well as earlier embolic agents in a series of 28 patients.

METHODS: A retrospective case review was conducted on patients undergoing preoperative transarterial embolization of a spinal tumor between 1995 and 2012 at our institution.

RESULTS: Twenty-eight patients met the inclusion criteria, with a mean age of 60.6 years. Twenty-eight patients had metastatic tumors. In 14 (50%) patients the metastases were from renal cell …

Review Of Cerebral Aneurysm Formation, Growth, And Rupture., Nohra Chalouhi, Md, Brian L Hoh, David Hasan

Department of Neurosurgery Faculty Papers

No abstract provided.

Effects Of High Fidelity Simulation On Knowledge Acquisition, Self-Confidence, And Satisfaction With Baccalaureate Nursing Students Using The Solomon-Four Research Design, Rachel M. Hall

Electronic Theses and Dissertations

High Fidelity Simulation is a teaching strategy that is becoming well-entrenched in the world of nursing education and is rapidly expanding due to the challenges and demands of the health care environment. The problem addressed in this study is the conflicting research results regarding the effectiveness of HFS for students’ knowledge acquisition after participating in simulation exercises. Specifically this researcher determined the effects of a formatted simulation scenario on knowledge acquisition among nursing students and the students’ satisfaction and selfconfidence with the simulation learning activity. Kolb’s Experiential Learning Theory (1984) provided the framework for this study.

This study used a …

Pathogenicity And Transmission Of Thai Hpai-H5n1 In Japanese Quails, Thawat Lekdumrongsak, Wijit Banlunara, Rachod Tantilertcharoen, Nutthawan Nonthabenjawan, Komkiew Pinpimai, Jiroj Sasipreeyajan, Alongkorn Amonsin

The Thai Journal of Veterinary Medicine

Pathogenicity and transmission of Highly Pathogenic Avian Influenza subtype H5N1 viruses (HPAI-H5N1) depend on the strains and infection doses of the viruses. In this study, experimental infection was performed to determine pathogenicity and transmission of the Thai HPAI-H5N1 in Japanese quails. One hundred and seven quails were divided into 4 groups, experimental groups 1-3 (n = 32 per group) and negative control group (n = 11). At the age of 9 weeks, 16 quails each from groups 1-3 were inoculated with 107, 105 and 103 EID50 of Thai HPAI-H5N1, A/chicken/Thailand/CUK2/04(CU-K2) virus. Twenty-four hours later, 16 quails were added as contact …

Clastogenic And Anticlastogenic Potential Of Neem Flower Extract Evaluated By Rat Liver Micronucleus Assay, Piengchai Kupradinun, Yaninee Jarratwisarutporn, Rawiwan Wongpoomchai, Hathaitip Sritanaudomchai, Mati Rienkitjakarn

The Thai Journal of Veterinary Medicine

Clastogenic and anticlastogenic effects of neem flower (Azadirachta indica A. Juss) extract were determined using a rat liver micronucleus assay. Methanol extracts of neem flowers (MENF) in 15% Tween 80 at 100 and 500 mg/kg body weight were orally given to male Sprague Dawley rats daily for 6 weeks (2 weeks prior to and 4 weeks during repeated administration of diethylnitrosamine (DEN). All rats were anesthetized and their livers were collected. Hepatocytes were isolated from the livers using a collagenase solution without performing liver perfusion, then stained with 4’, 6-diamidino-2-phenylindole dihydrochloride (DAPI). Incidence of the micronucleated hepatocytes was evaluated by …

Screening For Tuberculosis In Pregnancy: Do We Need More Than A Symptom Screen? Experience From Western Kenya, R J. Kosgei, D Szkwarko, S Callens, P Gichangi, Marleen Temmerman, A-B Kihara, J J. Sitienei, E J. Cheserem, P M. Ndavi, A J. Reid, E J. Carter

Obstetrics and Gynaecology, East Africa

Objectives: 1) To explore the utility of tuberculosis (TB) symptom screening for symptoms of ⩾2 weeks’ duration in a routine setting, and 2) to compare differences in TB diagnosis between human immunodeficiency virus (HIV) infected and non-HIV-infected pregnant women in western Kenya.

Design: Comparative cross-sectional study among pregnant women with known HIV status screened for TB from 2010 to 2012, in Eldoret, western Kenya.

Results: Of 2983 participants, respectively 34 (1%), 1488 (50.5%) and 1461 (49.5%) had unknown, positive and negative HIV status. The median age was respectively 30 years (interquartile range [IQR] 26–35) and 26 years (IQR 24–31) in …

Conscientious Objection To Provision Of Legal Abortion Care, Brooke R. Johnson Jr, Eszter Kismödi, Monica V. Dragoman, Marleen Temmerman

Obstetrics and Gynaecology, East Africa

Despite advances in scientific evidence, technologies, and human rights rationale for providing safe abortion, a broad range of cultural, regulatory, and health system barriers that deter access to abortion continues to exist in many countries. When conscientious objection to provision of abortion becomes one of these barriers, it can create risks to women’s health and the enjoyment of their human rights. To eliminate this barrier, states should implement regulations for healthcare providers on how to invoke conscientious objection without jeopardizing women’s access to safe, legal abortion services, especially with regard to timely referral for care and in emergency cases when …

The Impact Of Companion Animals On Social Capital And Community Violence: Setting Research, Policy And Program Agendas, Phil Arkow

The Journal of Sociology & Social Welfare

The term social capital has been used to describe the networks and other forces that build social cohesion, personal investment, reciprocity, civic engagement, and interpersonal trust among residents in a community. With the exception of three Australian reports describing positive associations between companion animal ownership and social capital, the literature has neglected to include the presence or absence of companion animal residents of communities as factors that could potentially affect social capital and serve as protective factors for community well-being. Companion animals are present in significantly large numbers in most communities, where they have considerable economic impact and provide emotional …

Effects Of Companion Animal Ownership Among Canadian Street-Involved Youth: A Qualitative Analysis, Michelle Lem, Jason B. Coe, Derek B. Haley, Elizabeth Stone, William O'Grady

The Journal of Sociology & Social Welfare

In Canada, approximately 150,000 youth are homeless on any given night, and many have companion animals. Through a series of semi-structured interviews, this qualitative study explored the issues and effects of companion animal ownership among street-involved youth from the perspective of the youth themselves. "Pet before self" was the substantive theme, with first level sub-themes of "physical" and "emotional" effects. Previously unidentified findings include benefits of having a companion animal, such as creating structure and routine and decreasing use of drugs. Loss of the companion animal was a negative effect. Youth consistently reported making choices to stay with their animal …

Attachment, Social Support, And Perceived Mental Health Of Adult Dog Walkers: What Does Age Have To Do With It?, F. Ellen Netting, Cindy C. Wilson, Jeffrey L. Goodie, Mark B. Stephens, Christopher G. Byers, Cara H. Olsen

The Journal of Sociology & Social Welfare

In part of a larger pilot study of dog walking as a physical activity intervention we assessed levels of attachment, social supports, and perceived mental health of 75 dog owners, identified through a tertiary- care veterinary hospital. Owners completed the Medical Outcomes Study (MOS) Social Support Survey, mental health component of the Short-Form-12 (SF-12) Health Survey, and the Lexington Attachment to Pets Scale (LAPS). Of particular interest was that younger owners had stronger attachments to their dogs (r = -.488;p <.001) and less social support (r = .269;p =.021). Our study suggests the importance of companion animals for social support, particularly for those without close friends/relatives. For younger owners, our study reveals vulnerabilities in support networks that may warrant referrals to human helping professionals. We suggest the use of Carstensen's Socioemotional Selectivity Theory as an interpretive framework to underscore the importance of including companion animals as part of the human social convoy, especially in terms of providing affectionate and interactional social support.

Staff Views On The Involvement Of Animals In Care Home Life: An Exploratory Study, Jane Fossey, Vanessa Lawrence

The Journal of Sociology & Social Welfare

This qualitative study examined the views of one hundred and eight care staff working in fifteen care homes in the United Kingdom about the involvement Of animals in the care practices of the home. The perceived benefits and difficulties ofdelivering person-centered and psychosocial care, including the involvement of animals were explored. The findings describe the main themes related to animal involvement elicited from staff. These include the benefits to residents' well-being and the varying challenges that visiting and residential animals pose. The implicationsfor practice are discussed and the need for clearer information for care home teams is identified.

Health Service Utilization And Stigma Among Hiv-Positive Men-Who-Have-Sex-With Men (Msm) In Rural Appalachia, Roger L. Blackwell Jr

Electronic Theses and Dissertations

ABSTRACT

Health Service Utilization and Stigma among

HIV-Positive Men-Who-Have-Sex-With-Men (MSM) in Rural Appalachia

by

Roger Lee Blackwell

The world has now entered the third decade of the AIDS epidemic. Men-who-have-sex-with-men continue to be disproportionately affected by HIV/AIDS. The United States still struggles in its response to this ongoing crisis in many areas: disease prevention, treatment, and HIV related stigma, prejudice and discrimination. Much of the information reported on MSM living with HIV has come from urban population centers, but only a few studies have focused on HIV positive MSM living in rural areas. Therefore, the overall aim of this dissertation …

Becoming The Best Mom Or The Best Doctor? Gender Inequality And Medical Students’ Specialty Choice, Casey L. Lawson

Electronic Theses and Dissertations

In anticipation of an expected national shortage of primary care physicians, 24 medical students from the East Tennessee State University Quillen College of Medicine were selected through a snowball sample and participated in in-depth interviews. A major aim of the study was to explore the social and economic factors influencing students’ specialty choice and career interests. Students’ perceptions of “rural” environments, student debt, professional obligations, specialties, and preceptorship experiences were analyzed. Students’ gender heavily influenced their feelings about choosing a medical specialty, as did their stereotypes of physicians in particular medical fields. The thesis concludes with recommendations for challenging negative …

Transfusion Medicine Illustrated: Transfusion Interference By Cold Agglutinins., Melissa R. George, Jay Herman

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

No abstract provided.

Sexual Pleasure And Enhancement: Implications For College Sexuality Education, Jessica Maureen Harris

Graduate Theses and Dissertations

The purpose of this study was to determine what sexual activities and behaviors college students are participating in, including the use of sexual enhancement products during both partnered and solo sexual activities. Pleasure and sexual satisfaction remain largely absent from today's sexuality education curricula, resulting in most young adults not being aware of the importance of "sexual pleasure, including autoeroticism, as a source of physical, psychological, intellectual and spiritual well-being" (WAS, 1994).This study looked at college students and their the use of sexual enhancement products during partnered and solo sexual activities, in order to provide a set of baseline measures …

Understanding Faculty And Non-Traditional Student Perceptions Of Self-Directed Learning In A Practical Nursing Program, Carmen Marie Rogers

Graduate Theses and Dissertations

This study was designed to identify and investigate nursing faculty and student perspectives of self-directed learning in a practical nursing program. It also explored the degree to which student's perceptions of self-directed learning exhibited factors consistent with that of critical thinking. This study is important because self-directed learning and its critical thinking elements are essential in providing safe, competent, effective, and efficient nursing care within practice and education. Using an explanatory case study design the practice of self-directed learning within a practical nursing program was examined through the use of: classroom observations, interviews with nursing faculty, nursing students, and document …

A Comparison Of Nebulized Vitamin B12 Versus Oral Vitamin B12 Supplementation, Terry L. Williams Jr.

Graduate Theses and Dissertations

Vitamin B12 is important for various processes in the human body including DNA synthesis, red blood cell production, energy production, fatty acid synthesis, and for the conversion of homocysteine into methionine. Vitamin B12 deficiency is becoming more prevalent. The purpose of this study was to evaluate if a different route of administration, i.e. nebulization, was a viable option for increasing serum levels of vitamin B12 in both exercisers and non-exercisers. The increasing number of people that are vitamin B12 deficient is due to several factors including medication use, elective gastric bypass surgery, and an increasing elderly population. There are currently …

The Impact Of Cognitive Behavior Techniques On The Vocational Identity Of Persons With Disabilities Receiving Ssi/Ssdi Benefits, James Joseph Quinn

Graduate Theses and Dissertations

This study examines the effects of Cognitive Behavior Therapy (CBT) on the vocational identity, self-efficacy, and vocational satisfaction of persons with disabilities receiving SSI/SSDI. This study was carefully planned to help persons with disabilities obtain employment. A review of the relevant literature was used to determine the need for the study and to support the study. Forty participants, all were enrolled into a vocational rehabilitation program were selected for the study. Threats to internal and external validity were taken into consideration and controlled for. They received CBT as a treatment intervention to change their beliefs and irrational thoughts about the …

Examining The Predictors Of Fbs Football Revenue, Hayden Redd

Graduate Theses and Dissertations

College football, specifically the Football Bowl Subdivision, is an ever growing industry. As revenues continue to rise, it is important to be able to predict these revenues. A series of correlations and least square analysis were run on data from 2007-2011 to test their significance to football revenue. The analysis found strong correlations between all-time wins and all-time bowl appearances, average attendance, and historical grade. Strong correlations are seen between all-time bowl appearances and average attendance, historical grade, and recent grade. Strong correlations are seen between wins from 2007-2011 and recent grade. Strong correlations are seen between average attendance and …

Phenotypic, Physiological And Growth Interactions Among Salmonella Serovars, Juliany Rivera Calo

Graduate Theses and Dissertations

This thesis consists of four research parts: a literature review that covers Salmonella spp., one of the more prominent foodborne pathogens that represents a major risk to humans (chapter 1). Understanding the growth of Salmonella serovars and strains is an important basis for more in depth research. In this case we studied a) the aerobic and anaerobic growth responses of multiple strains from six different serovars, b) how the spent media from different serovars, more importantly S. Heidelberg, affect the growth of S. Typhimurium, and c) determined whether or not two different serovars undergo competitive interactions when they were …

In Vitro Analysis Of Short Chain Fatty Acids And Human Fecal Microbiota Stimulated By Pectin Sources, Byungjick Min

Graduate Theses and Dissertations

As interest increases for colonic health, various studies have been conducted to investigate functional ingredients for host health and prevention of chronic disease in humans such as colon cancer and Type 2 diabetes. In particular dietary fiber has been reported to have beneficial effects on colonic health. More recently, dietary fiber has been categorized based on its characteristics and numerous studies have been conducted to determine correlations with chronic diseases. Pectin is a naturally occurring biopolymer that has been used in various applications for purposes of pharmaceutical and biotechnology. Pectin is a soluble dietary fiber and can be entirely fermented …

An In Vitro Comparative Study Of Aflatoxin B1 Adsorption By Thai Clay And Commercial Toxin Binders, Bundit Tengjaroenkul, Urai Tengjaroenkul, Natapol Pumipuntu3, Komkrich Pimpukdee, Sawitree Wongtangtintan, Piyawat Saipan

The Thai Journal of Veterinary Medicine

Twenty samples of Thai clay from fourteen provinces and seven commercial toxin binders were investigated for their adsorption capacity of aflatoxin B1 (AFB1) in vitro. Each sample of 5 mg/l AFB1 solution was shaken at 250C for 24 hours and supernatants of centrifuged samples were analyzed for concentrations of AFB1 using a UV spectrophotometer. Adsorption capacity was calculated and applied to isothermic equations. The results indicated that Thai clays was capable of sequestering AFB1 from aqueous solution differently and Thai clay from Lopburi and Lamphun provinces had the highest adsorption capacity, similar to commercial binders. S-shaped isothermic curves were observed …

Enhancing Specific Antibodies Using A Developed Sub-Unit Pcv2b Vaccination In A Pcv2-Affacted Herd, Suphattra Jittimanee, Suparlark Nuntawan Na Ayudhya, Roongtham Kedkovid, Komkrich Teankum, Sanipa Suradhat, Roongroje Thanawongnuwech

The Thai Journal of Veterinary Medicine

Porcine circovirus type 2 (PCV2) causes multisystemic diseases called porcine circovirus associated disease (PCVAD) in pigs leading to a significant economic loss in the swine industry. The objective of this study was to determine the efficacy of a developed sub-unit PCV2b vaccine using a recombinant truncated capsid protein expressed in Escherichia coli in PCVAD-affected pig farms. Five-week-old conventional pigs were allocated into 2 groups: vaccinated (n = 55) and control (n = 55) groups placed in the same building. The vaccinated pigs were given two shots of a developed vaccine with 2-week interval on day 0 and 14. Serum samples …

Ophthalmology Snapshot, Nalinee Tuntivanich

The Thai Journal of Veterinary Medicine

No abstract provided.

What Is Your Diagnosis, Pranee Tuntivanich, Suwicha Chuthatep, Rampaipat Tungjitpeanpong

The Thai Journal of Veterinary Medicine

No abstract provided.

Consensus Interferon Plus Ribavirin For Hepatitis C Genotype 3 Patients Previously Treated With Pegylated Interferon Plus Ribavirin, Zaigham Abbas, Ghiasun Nabi Tayyab, Mustafa Qureshi, Mohammad Sadik Memon, Amna Subhan, Tanzila Shakir, Wasim Jafri, Saeed Hamid

Section of Gastroenterology

Background

Not enough data are available about the effectiveness of consensus interferon (CIFN) among HCV genotype 3 patients who failed to respond to pegylated interferon and ribavirin.

Objectives

We aimed to assess the efficacy and safety of CIFN and ribavirin in non-responders and relapsers to pegylated interferon with ribavirin therapy.

Patients and Methods

This open-label investigator-initiated study included 44 patients who received CIFN 15 µg /day plus ribavirin 800-1200 mg daily. In patients with an early virological response (EVR), the dose of CIFN was reduced to 15 µg thrice a week for further 36 weeks. Patients with delayed virological response …