Medicine and Health Sciences Commons^™

Oncolog, Volume 58, Number 11-12, November - December 2013, Amelia Scholtz, Bryan Tutt, Luanne Jorewicz, K Stuyck

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• Paget Disease of the Breast: A Rare, Often Misdiagnosed Malignancy: A small, scaling rash around the nipple may not be just another case of eczema or dermatitis. Paget disease of the breast, a rare malignancy, is often mistaken for a benign dermatological condition. But Paget disease typically indicates underlying ductal carcinoma in situ or invasive breast cancer
• New Partial-Breast Radiation Therapy Regimen Uses Protons: Whole-or partial-breast radiation therapy can reduce a patient's chance of brest cancer recurrence after lumpectomy, but this benefit must be weighed against the risk of damage to healthy tissue
• Managing Dental Complications in Patients with Head …

Executive Summary: Randomized Comparison Of Two Internet-Supported Methods Of Natural Family Planning, Richard J. Fehring, Mary Schneider

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Only 0.2% of US women use modern methods of natural family planning, i.e., the basal body temperature and the cervical mucus methods of natural family planning (NFP). The reason that such few women use NFP methods is because they are often ineffective, they are difficult to use, there is lack of access to properly trained NFP teachers, a lack of motivation to use a behavioral method, and health professionals are reluctant to prescribe NFP methods. One way to potentially increase the use of NFP methods is to provide easy access to an effective but simplified NFP method that uses a …

Influence Of Motivation On The Efficacy Of Natural Family Planning, Richard J. Fehring, Mary Schneider, Mary Lee Barron, Jessica E. Pruszynski

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Purpose: Mutual motivation is recognized as essential for effective behavioral methods of family planning. Few studies have studied this factor in family planning efficacy. The purpose of this study was to determine the influence of mutual motivation on unintended pregnancy rates of couples who used natural family planning (NFP) methods to avoid pregnancy.

Study Design and Methods: Using an online taught NFP method, 358women and ( their male partners) indicated “how much” and “how hard” they wished to avoid pregnancy on a scale of 0-10 before each menstrual cycle charted over 12 month of use. This motivation scale is used …

Effects Of Acculturation On Mammography Utilization Among Korean American Women, Jungeun K. Kim Phd

Dissertations

The purpose of this study was to examine the relationship between acculturation and mammography utilization among Korean American (KA) women. The specific aims of this study were to determine the differences in demographic characteristics, perceived health beliefs, self-efficacy, and knowledge of breast cancer, and mammogram history among the four cultural groups (American identity, Bicultural, Korean identity, and Marginality) of KA women, and to examine the effects of the level of acculturation on the likelihood of getting a mammogram. Breast cancer remains the most commonly diagnosed cancer among KA women. However, KA women consistently have lower screening rates for breast cancer. …

Simulating Health Policy Interventions To Reduce Nonmedical Use Of Pharmaceutical Opioids, Alexandra E. Nielsen, Wayne W. Wakeland, Teresa Schmidt

Complex Systems Faculty Publications and Presentations

A system dynamics simulation model helps explain historical trends in the United States regarding the nonmedical use of pharmaceutical opioids and its associated adverse outcomes. Drawing data from the National Survey of Drug Use and Health and guided by a panel of experts, model parameters were calibrated to replicate opioid use data from 1995-2005, and various policy interventions were simulated between 2006 and 2011. The simulation reproduces historical trends in nonmedical opioid use. Differential equations represent each of the three major components: 1) Peer initiation is modeled as the infection of a susceptible population by peers, which functions as a …

Oncology Section Task Force On Breast Cancer Outcomes: Scapular Assessment, Mary Insana Fisher, Pamela K. Levangie

Physical Therapy Faculty Publications

Background: Functional deficits and changes in scapular mechanics following breast cancer (BC) treatments have been documented. Scapular assessment is important when examining the shoulder in survivors of breast cancer to document the need for or effectiveness of physical therapy intervention. The Oncology Section Task Force on Breast Cancer Outcomes sought to identify scapular examination tools that can be recommended for routine use in individuals treated for BC.

Methods: A systematic review of the literature on scapular measures was conducted. Relevant studies were examined for psychometric properties and clinical usefulness. Each method was given a recommendation score based on the Breast …

A Box Of Paradoxes: The Fascinating World Of Viruses, Boriana Marintcheva

Bridgewater Review

No abstract provided.

New Instruments To Evaluate Geriatric Nurse Practitioners Incorporation Of Spiritual Care Into Practice, Barbara Vincensi

Faculty Presentations

No abstract provided.

Premedical Programs Newsletter, November 2013, University Of Dayton

Pre-Health Resource Center Campus Communications

Newsletter for students, staff, and faculty in the premedical and predental programs.

Decreased Pulmonary Function Measured In Children Exposed To High Environmental Relative Moldiness Index Homes, Stephen J. Vesper, Larry Wymer, Suzanne Kennedy, Linda Faye Grimsley

Faculty and Staff Publications

Background: Exposures to water-damaged homes/buildings has been linked to deficits in respiratory health. However, accurately quantifying this linkage has been difficult because of the methods used to assess water damage and respiratory health.

Purpose: The goal of this analysis was to determine the correlation between the water-damage, as defined by the Environmental Relative Moldiness Index (ERMI) value in an asthmatic child’s home, and the child’s pulmonary function measured by spirometry, “forced expiratory volume in one second, percent predicted” or FEV1%.

Methods: This analysis utilized data obtained from the “Heads-off Environmental Asthma in Louisiana” (HEAL) study. The children (n= 109), 6 …

Comparison Of Electrogustometrically Determined Taste Threshold And Phenylthiocarbamide Sensitivity Between Non-Diabetic Subjects With First Degree Relatives With Type 2 Diabetes And Non-Diabetic Subjects Without Type 2 Diabetic First Degree Relatives, Matthew E. Joseph Do

PCOM Biomedical Studies Student Scholarship

Diabetes is a systemic degenerative disease, having adverse effects on many different organ systems. Nerve conduction specifically related to taste is one of the affected functions and can lead to altered taste perceptions and taste thresholds. Electrogustometry was used in this study to evaluate taste thresholds, and taste sensitivity was tested using phenylthiocarbamide-impregnated testing strips. Healthy non-diabetic subjects were divided into two experimental groups: One with a first degree relative with Type 2 diabetes and the other matched controls having no family history of Type 2 diabetes. The hypotheses: 1). There is a significant difference in taste threshold values and …

Staying Connected: Increases Scholarly Productivity Through Peer Mentorship, Melinda Hermanns

Nursing Faculty Publications and Presentations

A presentation for the Sigma Theta Tau International 41st Biennial Convention in Indianapolis, Indiana, in November, 2013.

Engaging Robotic Care Teams Across The Perioperative Continuum, Stephanie E. Nelson Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Reduced White Matter Integrity In Sibling Pairs Discordant For Bipolar Disorder, Emma Sprooten, Margaret S. Brumbaugh, Emma E. Knowles, D Reese Mckay, John Lewis, Jennifer Barrett, Stefanie Landau, Lindsay Cyr, Peter Kochunov, Anderson M. Winkler

School of Medicine Publications

Objective

Several lines of evidence indicate that white matter integrity is compromised in bipolar disorder, but the nature, extent, and biological causes remain elusive. To determine the extent to which white matter deficits in bipolar disorder are familial, the authors investigated white matter integrity in a large sample of bipolar patients, unaffected siblings, and healthy comparison subjects.

Method

The authors collected diffusion imaging data for 64 adult bipolar patients, 60 unaffected siblings (including 54 discordant sibling pairs), and 46 demographically matched comparison subjects. Fractional anisotropy was compared between the groups using voxel-wise tract-based spatial statistics and by extracting mean fractional …

A Measure Of Nephrology Nurse Perceptions Toward Advance Care Planning: Validation Of The Nephrn Perceptions Toward Advance Care Planning Instrument, Mary S. Haras

Theses and Dissertations

This dissertation is a report of a three-phase quantitative research study that included the development and testing of an instrument to examine the perceptions of nephrology nurses toward advance care planning for persons with chronic kidney disease. Phase 1 began with the identification of the dimensions of advance care planning and creation of an item pool for the instrument. The instrument was distributed to five content experts for evaluation and comments of inclusiveness to measure perceptions toward advance care planning. In Phase 2 the item pool was pilot tested in a convenience sample of 50 nephrology nurses. Exploratory factor analysis …

Incidence And Outcome Of Small For Gestational Age Fetuses: An Experience From A Secondary Care Hospital, Riffat Bano, Nousheen Asim, Ammara Mushtaq, Mehreen Adhi, Noureen Afzal

Department of Obstetrics & Gynaecology

The objective of the study was to determine the frequency and outcome of Small for Gestational Age (SGA) foetuses, and its association with the mode of delivery, foetal birthweight, maternal age and gestational age. It was a hospital-based descriptive study, conducted at Aga Khan Hospital for Women, Karachi, from January 2009 to December 2010. Mode of deliveries, foetal birthweight, maternal age and gestational age of SGA foetuses were recorded and analszed. Of a total of 6024 deliveries during the study period, 722(11.98%) had SGA foetuses. Maternal age in such cased ranged between 20-40 years in 588(81.44%), while 406(56.23%) of these …

Salmonella Cholecystitis: Atypical Presentation Of A Typical Condition, Rehan Ali, Shakeel Ahmed, Maqbool Qadir, Huba Atiq, Muhammad Hamid

Department of Emergency Medicine

Salmonella cholecystitis is a rare but important complication of Salmonella typhi infection. We are reporting an 11 years old female child who presented with complaints of high-grade fever, jaundice and right sided abdominal pain (Charcot's triad). Her examination showed tender hepatomegaly. Initial blood results revealed high white cell counts with left shift, deranged liver function tests. Abdominal ultrasonography revealed distended gallbladder with minimal layer of sludge seen within its lumen along with streak of pericholecystic fluid. Blood culture grew Salmonella typhi. She was successfully treated with intravenous ceftriaxone.

Soothing The Threatened Brain: Leveraging Contact Comfort With Emotionally Focused Therapy, Susan M. Johnson, Melissa Burgess Moser, Lane Beckes, Andra Smith, Rebecca Halchuk, Karen Hasselmo, Paul S. Greenman, Zul Merali, James A. Coan

Brain and Mind Institute

Social relationships are tightly linked to health and well-being. Recent work suggests that social relationships can even serve vital emotion regulation functions by minimizing threat-related neural activity. But relationship distress remains a significant public health problem in North America and elsewhere. A promising approach to helping couples both resolve relationship distress and nurture effective interpersonal functioning is Emotionally Focused Therapy for couples (EFT), a manualized, empirically supported therapy that is strongly focused on repairing adult attachment bonds. We sought to examine a neural index of social emotion regulation as a potential mediator of the effects of EFT. Specifically, we examined …

Interdisciplinary Approach To Dizziness: Roles Of Audiology And Physical Therapy, Faith W. Akin, Courtney D. Hall, Kristal M. Riska

ETSU Faculty Works

Dizziness is one of the most common reasons patients seek medical care, and because there are many causes of dizziness, management of these patients requires an interdisciplinary approach. Peripheral vestibular dysfunction is the most common cause of dizziness/vertigo diagnosed in specialty clinics. The purpose of this article is to present an interdisciplinary approach to the management of patients with vestibular dysfunction with a focus on the unique and overlapping contributions of audiology and physical therapy to vestibular assessment and rehabilitation.

Social Supports For Methamphetamine Users Treated As In- Patients At Thanyarak Institute, N Denduangboripant, R. Kalayasiri

Chulalongkorn Medical Journal

Background : The wide spread of methamphetamine or ya-ba causes problems with increasing number of methamphetamine users every year. Most methamphetamine users usually have family and social problems. Objectives : To study social supports and associated factors of methamphetamine users who are receiving treatments as in-patients. Setting : Thanyarak Institute. Design : A cross - sectional descriptive study. Materials and Method : Data were collected from 249 in-patients of the residential treatment at Thanyarak Institute in March 2012. The research instruments consisted of the demographic questionnaire, The Personal Resource Questionnaire: PRQ Part 2. Data were analyzed by using descriptive statistics …

Effect Of Therapeutic Arts In The Elderly With Mild To Moderate Depression, N Intamuen, S. Suppapitiporn

Chulalongkorn Medical Journal

Background : Depression is a common health problem among the elderly. If it is untreated, depression could cause long-term adverse effects on lives of individuals and families. If further assistance is provided, it will be beneficial to the elderly, wherein psychotherapy is a choice. As art therapy is a form of psychotherapy, art is a therapy tool for rehabilitation to improve emotion and mind, and to relieve the anxiety and sadness, and it is a choice for reducing depression among the elderly. Objective : To compare levels of depression among the elderly with non severe depression in the experimental group …

Does Skin Pigmentation Effect Readings Of Cerebral Oximeter Devices While On Cardiopulmonary Support?, Christine Feldmeier, Md, Harrsion Pitcher, Md, Qiong Yang, Md, Nicholas C. Cavarocchi, Md, Hitoshi Hirose, Md, Phd

Department of Surgery Faculty Papers

Introduction:

Cerebral oximetry is utilized as a non-invasive method to ensure adequate cerebral perfusion. In a review of our clinical experience, it was noted that there were consistent inaccurate values from normal utilizing relative (INVOS, Covidien, Mansfield, MA) cerebral oximetry as opposed to absolute (FORESIGHT, CAS medical, Branford, CT) cerebral oximetry in darker skin patients.

Presented 24th Annual ELSO Conference. Philadelphia, PA. Sep 19-21, 2013.

Public Health Considerations Of Launching Nuclear Waste To The Sun, Murray R. Berkowitz

PCOM Scholarly Works

The article discusses the public health aspects of disposing of radioactive nuclear waste by launching it to the sun. Disposing of radioactive nuclear waste by launching it to the sun remove the threats of exposure from leakage of a storage facility. The high temperatures will incinerate and consume all matter prior to its reaching the sun's corona.

Pharmacy Law Brief: Pharmacy Law Exam For Licensure, Joseph L. Fink Iii

Pharmacy Practice and Science Faculty Publications

No abstract provided.

Understanding The Process By Which A Healthy Population Seeks Nutrition And Exercise Information, Sally Hillis

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Faced with an overwhelming amount of available sources and different perspectives, researchers in the field of Nutrition and Health Sciences continually strive to identify key factors that shape a healthy lifestyle. Employing a qualitative methods design, this pilot study research project utilized a constructivist grounded theory approach to develop a model explaining the process by which healthy individuals acquire nutrition and exercise information. This model rests on the philosophical views and actions of participants in seeking meaningful and reliable sources guiding their decision-making strategies and offers a more complete understanding of this process. Implications of this research would be to …

The Predictive Validity Of Selection For Entry Into Postgraduate Training In General Practice: Evidence From Three Longitudinal Studies, Fiona Patterson, Filip Lievens, Maire Kerrin, Neil Munro, Bill Irish

Research Collection Lee Kong Chian School Of Business

Background: The selection methodology for UK general practice is designed to accommodate several thousand applicants per year and targets six core attributes identified in a multi-method job-analysis study. Aim: To evaluate the predictive validity of selection methods for entry into postgraduate training, comprising a clinical problem-solving test, a situational judgement test, and a selection centre. Design and setting: A three-part longitudinal predictive validity study of selection into training for UK general practice. Method: In sample 1, participants were junior doctors applying for training in general practice (n = 6824). In sample 2, participants were GP registrars 1 year into training …

Primary Aldosteronism At Prapokklao Hospital, P Takkavatakarn, W. Polamaung

Chulalongkorn Medical Journal

Background : Primary aldosteronism (PA) is a cause of secondary hypertension which characterized by hypertension, increased plasma aldosterone concentration (PAC), and suppressed plasma renin activity (PRA). Objective : To study the prevalence of primary aldosteronism and clinical clue for diagnosis of PA. Setting : Prapokklao Hospital, Chanthaburi Province. Materials and Methods : All patients whose diagnoses of primary aldosteronism from October 2006 - March 2012 were reviewed. Results : The prevalence of PA at Prapokklao Hospital was 0.15% (20 cases of PA) of HT. 70% of cases were female. The age at the diagnosis of HT ranged from 32.58 to …

Incidental Findings Of Lumbar Spine Mri At Bangkok Metropolitan Administration General Hospital, P. O’Charoen

Chulalongkorn Medical Journal

Background : Low back pain is one of the most common symptoms. Magnetic resonance imaging (MRI) is the most sensitive and useful investigation in detecting and delineating spinal disease. An incidental lesion is an asymptomatic lesion found while examining a patient for an unrelated reason. Objective : To determine frequency and majority of incidental findings in patients undergoing MRI of lumbar spine. Method : Five hundred and ninety-seven lumbar spine MRIs in 24 months were reviewed. Results : Incidental findings were found in forty-seven cases (7.8%). There were perineural (Tarlov) cysts 17 cases (36.2%), vertebral hemangiomas 14 cases (29.8%), renal …

Association Between Depression On Diet And Glycemic Control In Type 2 Diabetic Patients, J Wirunrat, S. Pongthananikorn

Chulalongkorn Medical Journal

Background : Diabetes mellitus is a chronic disease with high and rising prevalence worldwide. Diabetic patients have to control their levels of blood sugar to avoid complications. Diet control is one of the important factors that condition blood sugar level. Several studies showed that the prevalence of depression was high in chronic patients including diabetes, and depression affects the self-care behaviors. Objective : To examine for the association between depression and diet control cooperation as well as glycemic control in patients with type 2 diabetes. Design : This research is a cross-sectional study. Setting : Diabetes Clinic, Outpatient Department, Phuthasothon …

Spinal Load On Daily Living Activities, C. Chalermpanpipat

Chulalongkorn Medical Journal

Many researches have been carried out for many years, try to explain spinal load on daily living activities. From the idea that most of the back pain patients may have intervertebral disc pathologies such as disc degenerated disease, disc herniation, etc. At the present time, there are limit amounts of reliable informations about load on spinal column because the accurate data must be from in vivo study due to the important role of spinal muscles force that act on spinal column during daily living activities. So, the ethical problem must be another issue for these kinds of study.The data that …