Medicine and Health Sciences Commons^™

Estimation Of Cardiac Output And Pulmonary Vascular Resistance By Contrast Echocardiography Transit Time Measurement: A Prospective Pilot Study, Brian G. Choi, Reza Sanai, Benjamin Yang, Heather A. Young, Ramesh Mazhari, Jonathan Reiner, Jannet Lewis

Medicine Faculty Publications

Background

Studies with other imaging modalities have demonstrated a relationship between contrast transit and cardiac output (CO) and pulmonary vascular resistance (PVR). We tested the hypothesis that the transit time during contrast echocardiography could accurately estimate both CO and PVR compared to right heart catheterization (RHC).

Methods

27 patients scheduled for RHC had 2D-echocardiogram immediately prior to RHC. 3 ml of DEFINITY contrast followed by a 10 ml saline flush was injected, and a multi-cycle echo clip was acquired from the beginning of injection to opacification of the left ventricle. 2D-echo based calculations of CO and PVR along with the …

Penyakit Tropik Dan Infeksi Pada Abad 21: Apakah Masih Relevan?, Suhendro Suwarto

Jurnal Penyakit Dalam Indonesia

Empat puluh lima tahun lebih telah berlalu dari masa ketika seorang ahli bedah ternama, William H Stewart, menyatakan penemuan antibiotik dan vaksin merupakan bukti kemenangan dunia kedokteran terhadap ancaman penyakit infeksi. Lebih lanjut, saat itu beliau menyarankan perhatian dunia kedokteran harus kemudian diarahkan pada penanganan ancaman penyakit kronik

Nilai Diagnostik Rerata Tekanan Darah Pre Dan Post Hemodialisis Pada Pasien Yang Menjalani Hemodialisis Kronik, Ferry Tigor P. Purba, Parlindungan Siregar, Ginova Nainggolan, Hamzah Shatri

Jurnal Penyakit Dalam Indonesia

Pendahuluan. Penyebab utama morbiditas dan mortalitas pada pasien PGK (penyakit ginjal kronik) yang menjalani HD (hemodialisis) kronik adalah penyakit kardiovaskuler. Faktor utama penyebab kejadian kardiovaskuler pada pasien PGK yang menjalani HD adalah hipertensi. Diagnosis hipertensi pada pasien PGK yang menjalani HD tidaklah mudah. Hal ini dikarenakan adanya efek retensi cairan, office hypertension, dan proses ultrafiltrasi setelah HD. Baku emas diagnosis hipertensi pada pasien HD adalah pemeriksaan tekanan darah interdialitik dengan menggunakan alat ambulatory blood pressure monitoring (ABPM). Namun alat ini memiliki banyak kendala dalam pemeriksaannya. Studi sebelumnya yang meneliti tekanan darah pre dan post dialisis dibandingkan dengan tekanan darah …

Hipoalbuminemia Pada Pasien Usia Lanjut Dengan Pneumonia Komunitas: Prevalensi Dan Pengaruhnya Terhadap Kesintasan, Wawan Kurniawan, C. Martin Rumende, Kuntjoro Harimurti

Jurnal Penyakit Dalam Indonesia

Pendahuluan. Hipoalbuminemia merupakan salah satu penanda risiko mortalitas, tetapi belum banyak yang mempertimbangkan faktor waktu (seberapa cepat terjadinya mortalitas). Penelitian ini mengevaluasi pengaruh hipoalbuminemia terhadap kecepatan terjadinya mortalitas pada pasien usia lanjut dengan pneumonia komunitas. Penelitian ini bertujuan untuk mengetahui prevalensi hipoalbuminemia dan pengaruhnya terhadap kesintasan pasien usia lanjut yang dirawat dengan pneumonia komunitas.

Metode. Penelitian dengan disain kohort retrospektif dilakukan terhadap 142 pasien usia lanjut dengan pneumonia komunitas yang dirawat di RSCM pada kurun waktu Januari-Oktober 2010. Data klinis dan laboratoris diambil dalam 24 jam pertama kedatangan (data sekunder) dan kemudian diikuti dalam 30 hari untuk melihat …

Peranan Gejala Klinis Dan Pemeriksaan Darah Tepi Dalam Diagnosis Dini Influenza Pada Pasien Dengan Gejala Influenza Like Illness, Adityo Susilo, Suhendro Suwarto, Iris Rengganis, Kuntjoro Harimurti

Jurnal Penyakit Dalam Indonesia

Pendahuluan. Influenza merupakan penyakit infeksi yang disebabkan oleh virus influenza. Pada manusia, influenza sering menimbulkan penyakit pernapasan akut dengan manifestasi klinis berupa influenza like illness. Penegakkan diagnosis influenza seringkali sulit oleh karena manifestasi klinis yang tidak khas. Demam disebut sebagai gejala klinis terpenting dan limfopenia didapatkan sebagai suatu temuan laboratoris yang konsisten. Usaha untuk mengetahui proporsi dan mengelaborasi gejala klinis dan pemeriksaan darah tepi sederhana diperkirakan dapat meningkatkan probabilitas diagnosis influenza. Tujuan. Mengetahui proporsi influenza serta mengevaluasi peranan gejala klinis dan pemeriksaan laboratorium sederhana pada pasien penyakit pernapasan akut dengan influenza like illness sehingga dapat digunakan sebagai faktor prediktif …

Perbedaan Hasil Pemeriksaan Bioelectric Impedance Analysis Antara Status Nutrisi Baik Dan Malnutrisi Pada Penderita Penyakit Gastrointestinal Dan Hati Yang Dirawat Inap Di Rscm Tahun 2013, Taufiq Taufiq, Ari Fahrial Syam, C Rinaldi Lesmana, Suhendro Suwarto

Jurnal Penyakit Dalam Indonesia

Pendahuluan. Bioelectric Impedance Analysis (BIA) mulai banyak digunakan dalam mengevaluasi status nutrisi. Belum ada data penelitian nutrisi di Indonesia yang menggunakan BIA. Penelitian ini dilakukan untuk mengetahui perbedaan rerata hasil pemeriksaan BIA antara status nutrisi baik dan malnutrisi pada penderita penyakit gastrointestinal dan hati yang dirawat inap.

Metode. Penelitian potong lintang retrospektif terhadap penderita yang dirawat inap di ruang perawatan interna RSCM periode 1 Juni-31 Desember 2013, untuk mengetahui perbedaan rerata hasil pemeriksaan BIA penderita status nutrisi baik dan malnutrisi pada penyakit gastrointestinal dan hati yang dirawat inap.

Hasil. Dari 28 penderita dengan status nutrisi baik, 71,57% …

Skor Malnutrisi-Inflamasi, C-Reactive Protein Dan Soluble Tumor Necrosis Factor Receptor-1 Pada Pasien Hemodialisis Yang Mengalami Aterosklerosis, J. Sarwono, Suhardjono Suhardjono, Parlindungan Siregar, Suhendro Suwarto

Jurnal Penyakit Dalam Indonesia

Pendahuluan. Hemodialisis (HD) berkaitan erat dengan proses inflamasi yang persisten, inflamasi ini berhubungan dengan terjadinya kontak darah dengan membran dialisis, cairan dialisat, akses vaskuler dan infeksi. Peningkatan sitokin pro-inflamasi berperan penting terhadap terjadinya aterosklerosis selain faktor tradisional Framingham. Inflamasi juga berakibat anoreksia dan kondisi hiperkatabolik yang menyebabkan malnutrisi. Keadaan ini disebut sebagai Sindrom Malnutrisi-Inflamasi-Aterosklerosis. Karakteristik HD di Indonesia berbeda dengan negara maju, perbedaan tersebut terkait penggunaan dialyzer pakai ulang dan tipe low-flux, belum menggunakan dialisat ultrapure dan dosis HD yang tidak adekuat. Penelitian ini bertujuan untuk mengetahui apakah terdapat beda rerata antara jumlah Skor-MI, hsCRP dan sTNFR-1 pada pasien …

Perbedaan Ph Lambung Pada Pasien Dispepsia Dengan Atau Tanpa Diabetes Melitus Tipe 2, Ilum Anam, Ari Fahrial Syam, Dante Saksono, Murdani Abdullah

Jurnal Penyakit Dalam Indonesia

Pendahuluan. Sindroma dispepsia sering dialami oleh penderita DM. Asam lambung salah satu faktor agresif terjadinya sindroma dispepsia dan tukak lambung. Penelitian ini bertujuan untuk mencari perbedaan pH lambung pada pasien dispepsia DM dengan yang bukan DM dan untuk mengetahui apakah ada korelasi antara pH lambung dengan proteinuria dan HbA1c.

Metode. Pasien terdiri dari 30 kelompok DM dan 30 kelompok bukan DM. Masing-masing kelompok dihitung pH lambung basal. pH lambung basal diukur dgn memasukkan elektroda kateter kedalam lambung selama 30 menit kemudian di rekam dgn alat pH Metri merek Digitrapper pH-Z. Beratnya komplikasi DM diukur dengan mikroalbuminuria, sedangkan kendali …

Pseudoakalasia Sebagai Manifestasi Awal Karsinoma Sel Skuamosa Kepala Leher, Imelda Maria Loho, Ahmad Syibli, Achmad Fauzi

Jurnal Penyakit Dalam Indonesia

Pada kasus-kasus yang langka, sekelompok gejala yang menyerupai akalasia dapat muncul sebagai akibat dari suatu penyebab ekstra esofageal dan disebut sebagai pseudoakalasia. Membedakan akalasia dengan pseudoakalasia merupakan sesuatu yang tidak mudah karena pemeriksaan klinis, radiologis, dan manometris, dapat memberikan hasil yang serupa. Berikut ini kami laporkan sebuah kasus pseudoakalasia yang mucul sebagai manifestasi awal karsinoma sel skuamosa kepala leher.

Kardiomiopati Pada Penderita Infeksi Hiv, Arif Sejati, Ika Prasetya Wijaya

Jurnal Penyakit Dalam Indonesia

Jantung adalah salah satu organ yang dapat menjadi sumber morbiditas dan mortalitas pada penderita Human Immunodeficiency Virus (HIV)/ Acquired Immunodeificiency Syndrome (AIDS) namun jarang mendapat perhatian khusus. Sebelum era penggunaan highly active antiretroviral therapy (HAART) kelainan jantung khususnya kardiomiopati cukup sering ditemukan. Kardiomiopati didefinisikan sebagai kelompok penyakit heterogen yang dihubungkan dengan disfungsi mekanik dan/atau elektrik yang biasanya (namun tidak selalu) didapatkan hipertrofi atau dilatasi ventrikel yang abnormal dan disebabkan oleh beragam penyebab, kebanyakan genetik. Kardiomiopati pada pasien dengan HIV dapat digolongkan ke dalam kardiomiopati dilatasi yang didapat. Kardiomiopati pada penderita HIV/AIDS disebabkan oleh berbagai faktor: virus HIV, miokarditis, obat-obatan, dan …

Full Issue, Volume 2, Number 3, Donna J. Peterson

Journal of Human Sciences and Extension

No abstract provided.

New Posters Added To The Jefferson Digital Commons, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

15 new posters have been deposited in the Jefferson Digital Commons

Screen Time Overtime: Should A “Screen Time Diet” Be Part Of Healthy Everyday Activities And Routines For Families And Their Young Children?, Sarah Jamieson, Ots, Mary Muhlenhaupt, Otd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

Introduction:

Though television is still the primary form of media for children, almost one-third of TV programming is accessed through smart phones, tablets, and computers (Strasburger et al., 2013).

•Families do not adhere to AAP’s guidelines (Brown, 2011)

•Research suggests detrimental effect on young children

OT’s are an integral resource to help families design healthy recreational “screen time diets.”

Annual Report Of The National Coordinating Center For Public Health Services & Systems Research, Year Four, Glen P. Mays, F. Douglas Scutchfield, Anna Goodman Hoover

UKCPHSSR Research Briefs and Reports

The National Coordinating Center for Public Health Services and Systems Research (PHSSR), together with the Public Health Practice-Based Research Networks (PBRN) Program, works to expand the production and application of evidence on how best to organize, finance and deliver public health strategies that improve population health. The Center designs and conducts research studies, provides technical assistance and direction for other researchers across the U.S., develops methodological advances in measurement and analysis, and accelerates the translation and dissemination of research findings for policy and practice stakeholders.

Today - October 31, 2014, Loma Linda University Health

TODAY

Inside this issue:

-- School of Medicine alumni share their stories of being on the front lines of the war against Ebola
-- Heart surgeon Ellsworth Wareham celebrates his 100th birthday with nearly 200 friends and colleagues
-- Paralympics bronze medalist shares personal journey at PossAbilities luncheon
-- Loma Linda University Health recognized for transplantation and organ donation
-- Shark survivor Mike Coots fights to save sharks and help amputees
-- Innovation seminar speaker explains novel approach of spiral thinking
-- 'A Walk to Remember' draws grieving families
-- Loma Linda University Health works to create strong healthcare leaders in …

Cross-Disciplinary Sciences At Gettysburg College: Second Annual Poster Presentation, X-Sig

Student Publications

This booklet includes Biology student presentations by: Taylor Bury, Abigail Dworkin-Brodsky, Mary Pearce, Jasper Leavitt, Morgan Panzer, Ellen Petley, Kalli Qutub, Taylor Randell, Samantha Eck, Lana McDowell, Jenn Soroka, Celina Harris, Natalie Tanke, Alexandra Turano, and Caroline Garliss.

This booklet includes Biochemistry & Molecular Biology student presentations by: Matthew Dunworth, Andrew Sydenstricker, Brianne Tomko, Albert Vill, Warren Campbell, David Van Doren, Kevin Mrugalski, Stacey Heaver, Alecia Achimovich, and Katherine Boas.

This booklet includes Chemistry student presentations by: Kristen Baker, Laura Lee, Kathryn Fodale, Daniel Ruff, Michael Counihan, Ida DiMucci, Joshua Sgroi, Celina Harris, and Natalie Tanke.

This booklet include Health …

Determining The Feasibility Of Milk Vending Machines To Improve Calcium Intake Among College Students, Laura E. Monnat, Angela M. Rose, Julie A. Kennel, Christopher H. Holloman, Gail L. Kaye, Carolyn W. Gunther

Journal of Human Sciences and Extension

Calcium intake declines from late adolescence to young adulthood, in part, due to decreases in accessibility to milk and dairy products. While milk vending has shown demonstrated success in secondary schools, no studies have examined whether milk vending improves calcium intake among college students. We hypothesized that milk and calcium intake would be higher among college students given access to milk vending in their dormitory (milk vending consumers) compared to those lacking access in their dormitory (non-milk vending consumers). Milk vending machines were installed in two dormitories, and two dormitories having non-milk beverage vending served as comparison sites. Students completed …

Assessing Family Level Behaviors For Obesity Prevention: Development And Preliminary Validation Of The Family Stage Of Change Tool, Katherine B. Gunter, Patrick Abi Nader, Brendan D. Klein, Deborah H. John

Journal of Human Sciences and Extension

We applied the Transtheoretical Model (TTM) to develop the Family Stage of Change (FSOC) screening tool. Our goal was to provide practitioners an instrument that measures families’ readiness to change obesity preventing behaviors, in order to optimize family-focused obesity-prevention intervention strategies. We evaluated instrument validity by comparing responses on the FSOC to related items on a validated family behavioral and environmental assessment (Family Nutrition and Physical Activity Assessment; FNPA) shown to predict child BMI. Study participants included parents and caregivers (N = 146) of children ages 2-14 years recruited through preschool, elementary, and middle school listservs. Descriptive analyses were conducted …

Local Population Characteristics And Hemoglobin A1c Testing Rates Among Diabetic Medicare Beneficiaries, Laura C. Yasaitis, Thomas Bubolz, Jonathan S. Skinner, Amitabh Chandra

Dartmouth Scholarship

Background: Proposed payment reforms in the US healthcare system would hold providers accountable for the care delivered to an assigned patient population. Annual hemoglobin A1c (HbA1c) tests are recommended for all diabetics, but some patient populations may face barriers to high quality healthcare that are beyond providers' control. The magnitude of fine-grained variations in care for diabetic Medicare beneficiaries, and their associations with local population characteristics, are unknown.

Methods: HbA1c tests were recorded for 480,745 diabetic Medicare beneficiaries. Spatial analysis was used to create ZIP code-level estimated testing rates. Associations of testing rates with local population characteristics that are outside …

Medicaid Pays For That? An Exploratory, Mixed-Methods Analysis Of Florida Home Birth, Nicole K. Demetriou

USF Tampa Graduate Theses and Dissertations

The overwhelming social norm for pregnant women in the U.S. is to receive prenatal care from an obstetrician and to give birth in a hospital setting. However, the incidence of midwifery care and out-of-hospital birth is increasing, particularly among White, non-Hispanic women. Florida has been considered a "model" state for home birth midwifery given legislative support that mandates coverage of all types of midwifery (e.g., Certified Professional Midwives and Certified Nurse-Midwives) care in all birth settings (e.g., hospital, home, birth center) and by all forms of insurance (e.g., commercial and Medicaid). Medicaid is the payer source for nearly half of …

Applicator Exposure To Glycol Derivatives And Total Volatile Organic Compounds During The Application Of Spray Polyurethane Foam Insulation, Michael Brian Kaniuga

USF Tampa Graduate Theses and Dissertations

There is currently high demand for new building materials which are considered "environmentally friendly" or "green" for both new construction and renovations. Spray polyurethane foam (SPUF) insulation has gained significant acceptance by both consumers and the construction industry due to its high R-value, which results into significant energy savings among other things. Despite its acceptance by consumers and the construction industry, consideration must be given to potential chemical exposures to applicators installing these products.

This study sought to determine, through quantitative experimentation, if there was a release of glycol derivatives including, diethylene glycol (DEG), ethylene glycol (EG), and propylene glycol …

Mouse Hepatitis Virus Infection Upregulates Genes Involved In Innate Immune Responses., Dhriti Chatterjee, Sankar Addya, Reas S Khan, Lawrence C. Kenyon, Alexander Choe, Randall J Cohrs, Kenneth S Shindler, Jayasri Das Sarma

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Neurotropic recombinant strain of Mouse Hepatitis Virus, RSA59, induces meningo-encephalitis, myelitis and demyelination following intracranial inoculation. RSA59 induced neuropathology is partially caused by activation of CNS resident microglia, as demonstrated by changes in cellular morphology and increased expression of a microglia/macrophage specific calcium ion binding factor, Iba1. Affymetrix Microarray analysis for mRNA expression data reveals expression of inflammatory mediators that are known to be released by activated microglia. Microglia-specific cell surface molecules, including CD11b, CD74, CD52 and CD68, are significantly upregulated in contrast to CD4, CD8 and CD19. Protein analysis of spinal cord extracts taken from mice 6 days post-inoculation, …

The Santa Clara, 2014-10-30, Santa Clara University

The Santa Clara

No abstract provided.

Research, Quality Improvement, And Evidence-Based Practice, Brian Stello Md

Department of Family Medicine

No abstract provided.

Promotora-Led Diabetes Self-Care Education Lowers Depression Scores And Increases Patient Self-Efficacy, Robert Motley Md, Nyann Biery Ms, Hannah D. Paxton Rn, Mph, Cathy A. Coyne Phd, Mph, Sherrine Eid Mph

Department of Family Medicine

No abstract provided.

Telomeric Orfs (Tlos) In Candida Spp. Encode Mediator Subunits That Regulate Distinct Virulence Traits, John Haran, Hannah Boyle, Karsten Hokamp, Tim Yeomans, Zhongle Liu, Michael Church, Alastair B. Fleming, Matthew Z. Anderson, Judith Berman, Lawrence C. Meyers, Derek J. Sullivan, Gary P. Morgan

Dartmouth Scholarship

The TLO genes are a family of telomere-associated ORFs in the fungal pathogens Candida albicans and C. dubliniensis that encode a subunit of the Mediator complex with homology to Med2. The more virulent pathogen C. albicans has 15 copies of the gene whereas the less pathogenic species C. dubliniensis has only two (CdTLO1 and CdTLO2). In this study we used C. dubliniensis as a model to investigate the role of TLO genes in regulating virulence and also to determine whether TLO paralogs have evolved to regulate distinct functions. A C. dubliniensis tlo1Δ/tlo2Δ mutant is unable …

Another Major Supplement, Creatine, Proven Ineffective In The Fight Against Huntington's Disease, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.

Integrated Diabetes Oncology Care, Janelle M. Sharma Dnp, Crnp, Gregory R. Harper Md, Phd, Cara Habeck Rn, Cde, Cathy A. Coyne Phd, Mph, Roya Hamadani Mph, Hope Kincaid Mph, Cph, Ada M. Rivera Ba, Gretchen A. Perilli Md, Nicole R. Sully Do

Patient Care Services / Nursing

No abstract provided.

Utilization Of Ed For Pediatric Fevers, Krista L. Bilger Bsn, Rn, Kathy Baker Mph, Rn

Patient Care Services / Nursing

No abstract provided.

Fever Management In The Acutely Iii Hospitalized Patient, Vanessa Edgar Bsn, Rn, Elena Brinker Rn, Tiffany Lopez Bsn, Rn, Cmsrn

Patient Care Services / Nursing

No abstract provided.