Medicine and Health Sciences Commons^™

Evaluating The Effects Of Grasp Patterns And Grip Strength On Handwriting Skills, Jennifer Bebey, Ots, Kelsey Engelstad, Ots, Audrey Zapletal, Ms, Otr/L

Department of Occupational Therapy Posters and Presentations

Background Information

• Handwriting is a critical and complex skill that school aged children acquire over time.
• When a child demonstrates handwriting difficulties, he or she may have challenges with:

Completing written school assignments in a timely fashion,

Taking notes,

Finishing homework,

Completing exams, especially short answer.

• 80% to 85% of occupational therapy referrals in schools are due to atypical grasp pattern, fine motor and handwriting concerns that affect a child’s educational performance.

Jefferson Digital Commons Quarterly Report: Jan-Mar 2014, Daniel G. Kipnis, Msi, Kelsey Duinkerken, Msi

Jefferson Digital Commons Reports

The Jefferson Digital Commons has 184 new deposits this quarter. Ending this quarter brings the total number of assets to 8,811 and a total of 1,765,509 downloads.

The most downloaded asset this quarter was: Multi-nutrient supplement improves hormone ratio associated with cancer risk. with 86 downloads registered from Jan 6, 2014 to April 1st.

In this Issue:

• Reminders
• Assorted Highlights
• New Methods for providing feedback
• Exploring the JDC Visually
• New from the Archives
• What People are Saying
• Announcements

Entire inventory of newly added assets spreadsheet located at bottom of page.

The Effect Of Breathable Under Pads To Decrease Hospital Acquired Pressure Ulcers: A Nurse Resident Project, Sara Meshino, Bsn, Rn, Bridget Trefz, Bsn, Rn

Department of Nursing papers and presentations

PURPOSE

To reduce the rate of hospital acquired pressure ulcers (HAPU), in June 2013, a large urban academic medical center switched from non-breathable to breathable under pads for incontinent patients lying on either a standard bed (low risk patients) or low-air-loss mattress (high risk patients). Standard pressure ulcer prevention measures were maintained. Staff on two oncology units sought to determine the effectiveness of breathable vs. non-breathable under pads in reducing the rate of HAPU and UAPU.

Mir-17/20 Sensitization Of Breast Cancer Cells To Chemotherapy-Induced Apoptosis Requires Akt1., Zuoren Yu, Zengguang Xu, Gabriele Disante, Jennifer Wright, Min Wang, Yuan Li, Qian Zhao, Tao Ren, Xiaoming Ju, Ellen Gutman, Guangxue Wang, Sankar Addya, Tieyan Li, Zhendong Xiang, Chenguang Wang, Xiongfei Yang, Xiaolai Yang, Richard Pestell

Department of Cancer Biology Faculty Papers

The serine threonine kinase Akt1 has been implicated in the control of cellular metabolism, survival and growth. Herein, disruption of the ubiquitously expressed member of the Akt family of genes, Akt1, in the mouse, demonstrates a requirement for Akt1 in miRNA-mediated cellular apoptosis. The miR-17/20 cluster is known to inhibit breast cancer cellular proliferation through G1/S cell cycle arrest via binding to the cyclin D1 3'UTR. Here we show that miR-17/20 overexpression sensitizes cells to apoptosis induced by either Doxorubicin or UV irradiation in MCF-7 cells via Akt1. miR-17/20 mediates apoptosis via increased p53 expression which promotes Akt degradation. Akt1-/- …

Ethical Decision-Making Aid For Patients With Diminished Capacity, Nicholas J. Kockler, John Tuohey, Marian O. Hodges

Articles, Abstracts, and Reports

Many patients, especially the elderly and those with mental illness, have diminished or no capacity to participate in decision-making. Consider, for example, the patient who influenced by her paranoid schizophrenia refuses to allow her aortic stenosis to be managed by catheritization with valvuloplasty even though her prognosis is excellent if she does so and poor if she does not. Another example is the patient without any next of kin who has dementia, diabetes, and osteomyelitis with gangrene who needs an amputation of his foot and rehabilitation but who refuses. A last example is the medically fragile young adult with severe …

Grandparents As Parents: Investigating The Health And Well-Being Of Trauma-Exposed Families, Ginny Sprang, Moon Choi, Jessica Eslinger, Adrienne Whitt-Woosley, Rachel Looff

Center on Trauma and Children Reports

An excerpt from the introduction:

Over the past two decades, the number of grandparents serving as primary caregivers for their grandchildren has steadily increased. Nationally, 42% of all grandparents living with grandchildren function as the primary caregivers (U.S. Census, 2006).

In the southern region of the country, this phenomenon is particularly salient, and expected to continue, with estimates that range from 7% to 15% higher than in 2000 (U.S. Census, 2004). Kentucky is no exception, with 67,394 children living with their grandparents, 58.8% of those grandchildren fall under the responsibility of their grandparents (American Community Survey, 2005). In fact, Region …

Comparative Analysis Of Gingival Tissue Antigen Presentation Pathways In Ageing And Periodontitis, Octavio A. Gonzalez, Michael John Novak, Sreenatha S. Kirakodu, Luis Orraca, Kuey-Chu Chen, Arnold J. Stromberg, Janis Gonzalez-Martinez, Jeffrey L. Ebersole

Center for Oral Health Research Faculty Publications

AIM: Gingival tissues of periodontitis lesions contribute to local elevations in mediators, including both specific T cell and antibody immune responses to oral bacterial antigens. Thus, antigen processing and presentation activities must exist in these tissues to link antigen-presenting cells with adaptive immunity. We hypothesized that alterations in the transcriptome of antigen processing and presentation genes occur in ageing gingival tissues and that periodontitis enhances these differences reflecting tissues less capable of immune resistance to oral pathogens.

MATERIALS AND METHODS: Rhesus monkeys (n = 34) from 3 to 23 years of age were examined. A buccal gingival sample from healthy …

Lifetime Prevalence Of Emotional/Psychological Abuse Among Qualified Female Healthcare Providers., Azmat Jehan Khan, Rozina Karmaliani Professor, Tazeen Saeed Ali, Nargis Asad, Farhana Madhani

School of Nursing & Midwifery

The purpose of this study was to determine the lifetime prevalence of emotional/psychological abuse among married female healthcare providers in tertiary care hospitals in Karachi, Pakistan. A descriptive cross-sectional study was conducted in a sample of 350 married female nurses and doctors, recruited from three tertiary healthcare hospitals (one public and two private). This study used the self-administered modified truncated WHO multi-country questionnaire. Descriptive and univariate analysis was performed. Of the total sample of 350 female married healthcare providers, 97.7% (n = 342) were reported with one or more forms of domestic violence at some point in their married life, …

University Of New England’S College Of Osteopathic Medicine 2014 Peter Morgane Research Fellowship Recipients, University Of New England College Of Osteopathic Medicine

Peter Morgane Research Fellowships

2014 recipients of the University of New England College of Osteopathic Medicine's Peter Morgane Research Fellowship.

Evidence-Based Health Literacy Training Program For Occupational Therapy Professionals : Program Development And Evaluation, Cheryl Miller-Scott

Occupational Therapy Program Student Theses, Dissertations and Capstones

This capstone project is a training program development and evaluation project. The purpose of the project was to develop, pilot, and evaluate an

evidence-based health literacy training program for occupational therapy professionals. Occupational therapy strives to be a science-driven profession, which provides client-centered care. Health literacy is a client-centered factor for which occupational therapy professionals require additional training to best serve their clients in all settings and across the lifespan. A review of health literacy literature was used in this project to develop the training program and offers a science-driven approach to this client-centered factor for occupational therapists to better …

Latinos' Health Perceptions: A Cross-Cultural Analyisis, Elizabeth Pappenfus

Undergraduate Research Symposium 2014

The purpose of my study is to examine how Latinos’ cultural health beliefs impact their illness behaviors in a rural setting in comparison to White individuals. Illness behavior is defined as the manner in which a person monitors their body, interprets their symptoms, and their reactions to those symptoms. Although Latino immigrants suffer from higher rates of treatable diseases, they are largely underutilizing the healthcare system in the U.S. The Andersen model of healthcare utilization is the most commonly used model for predicting utilization based on the person's environment (i.e. healthcare system) and personal characteristics (i.e. personal need, available resources, …

Anger Problems And Posttraumatic Stress Disorder In Male And Female National Guard And Reserve Service Members, Miranda E. Worthen, S D. Rathod, G. Cohen, L. Sampson, R. Ursano, R. Gifford, C. Fullerton, S. Galea, J. Ahern

Faculty Publications

Anger is a common problem among veterans and has been associated with posttraumatic stress disorder (PTSD). This study aimed to improve understanding of how anger and PTSD co-occur by examining gender differences and differences by whether the triggering traumatic event is deployment-related vs. civilian-related in current service members. A representative cohort of Reserve and National Guard service personnel (n = 1293) were interviewed to assess for deployment- or civilian-related traumas, PTSD, and anger. The prevalence of self-reported anger problems was estimated among male (n = 1036) and female (n = 257) service members. Log Poisson regression models with robust standard …

Gsbs News, Spring 2014, Graduate School Of Biomedical Sciences, University Of Texas Health Science Center At Houston/M.D. Anderson Cancer Center

GSBS News

Cover image by artist Syd Moen; Benefactor News: Smithville fundraiser supports GSBS fellow; New endowment to support MD/PhD Program; Coming full circle: developing and promoting a Core Curriculum; Celebrating 50 Years of Excellence: GSBS Alumni All-Stars shine at Super Panel and 2013 Reunion; Faculty Membership Report; Faculty News: Dr. Vicki Knutson retires; GSBS Outreach Council hosts community Science Night; Student News; 2013-2014 Student Awards; Alumni News; Message to Alumni

The Effect Of Hearing Aid Program On The Perceived Sound Quality Of Music, Kalyn Kennedy Bradford

Doctoral Dissertations

Hearing loss affects many aspects of people's lives, including both communication and their ability to enjoy music. Currently, however, there is very little research on patient perception of music through hearing aids; therefore, the purpose of this study was to determine if there was a difference in the perceived listener satisfaction for music between a standard music program and the commonly used option for programming hearing aids (i.e., an automatic program). Data was collected using fifteen participants with symmetrical mild to moderately-severe sensorineural hearing loss with normal to near normal low frequency hearing. Participants were asked to listen to a …

Disabled: Watching Stories Of The Malagasy Deaf, Nadeen Hamza

Independent Study Project (ISP) Collection

Dislabeled: Mislabeled and Disabled - two words that Malagasy Deaf individuals have used in this project to describe themselves and the struggles of their community. This project explores dynamics between the mainstream Malagasy society and the marginalized Deaf community as well as the dynamics within the Deaf community of Antsirabe. I argue that mainstream stereotypes of the Deaf are manifested in the ways these individuals see themselves as well as the opportunities that society offers them. I also argue that individuals who have high proficiency in Malagasy Sign Language have wider access to public services as well as a higher …

Grappling With Gatekeepers: Addressing Gender Hindrances To Mhealth, Jack O’Rourke

Independent Study Project (ISP) Collection

This study was conducted in order to understand the social and economic problems associated with Ugandan women’s usage of mobile phones and the ways in which different mHealth groups are approaching these problems. Seeing how these different groups approach this issue added new information and analysis to a relatively unexplored topic

The qualitative methodology undertaken was two pronged. First, single sex focus groups in rural Mukono District were assembled. Men, women without phones and women and with phones were all talked to in Luganda with the use of a translator. In addition to these focus groups in rural Mukono District, …

Queering Health Education: Health Education Initiatives Within Sexual And Gender Minority Communities In The Kathmandu Valley, Zoe Huston

Independent Study Project (ISP) Collection

This independent study project seeks to investigate healthcare and health education initiatives in Nepal’s sexual and gender minority communities. While many human rights activist groups are working for LGBTQI equality, strong social stigmas and controversy within the queer community make access to adequate reproductive healthcare information and services very difficult. Through interviews and fieldwork, this research investigates the main actors in LGBTQI healthcare initiatives, healthcare debates within the queer community, and how reproductive healthcare initiatives from the LGBTQI community fit into the larger picture of sexual health education in Nepal. Research for this project was conducted through structured and semi-structured …

El Embarazo Adolescente Y La Educación Municipal Una Investigación De Las Experiencias Educativas Y Las Perspectivas Personales De Las Estudiantes Embarazadas O Que Son Madres O Padres En Valparaíso, Chile, Katharine Rowe

Independent Study Project (ISP) Collection

This investigation examines the topic of teenage pregnancy in the context of public educational institutions in Valparaíso, Chile through the personal experiences and perspectives of adolescents who were pregnant or parents during their time in high school. This investigation is based in the theories of cultural capital, which describes how relations of social power and socioeconomic status impact an individual’s social advantages, and social imaginaries, which describe how symbolic representations are socially constructed to reflect a hierarchy of social power. Through this theoretical framework, the investigation seeks to understand the experiences of these students in their networks of familial, social, …

Hss Departmental Developments Spring 2014, Department Of Health And Sport Sciences

Health and Sport Sciences Newsletter

• 1st Annual HSS Showcase Night
• Sport Management 5 K for Canine Cancer
• Noteworthy
• Updates from the Majors

Association Of Airborne Aspergillus With Asthma Exacerbation In Southern Pakistan., Ali Bin Sarwar Zubairi, Iqbal Azam Syed, Safia Awan, Afia Zafar, Asifali Imam

Department of Medicine

Background: Exposure to airborne fungi has been related with exacerbation of asthma in adults and children leading to increased outpatient, emergency room visits, and hospitalizations. Hypersensitivity to these airborne fungi may be an important initial predisposing factor in the development and exacerbation of asthma.

Objective: This study was conducted to determine an association between fungal types and spore concentrations with the risk of asthma exacerbation in adults.

Methods: This cross-sectional study was conducted from May 2008 to August 2009 at the Aga Khan University Hospital Karachi, Pakistan. All adult (age≥16 years) patients presenting to the hospital with acute asthma exacerbation …

The Clinical Trial Design, Haider A. Naqvi

Department of Psychiatry

No abstract provided.

Physical Activity Informational Websites: Accuracy, Language Ease, And Fear Appeal, Samantha Rose Paige

Open Access Theses

Introduction. Health information is one of the most common searches on the Internet. Literature supports that, in general, health information readily available to Internet consumers is not accurate, lacks plain language for ease of understanding, and does not incorporate behavior-change theoretical frameworks. The purpose of this study was to evaluate each of these components. Method. Three keywords, "physical activity," "exercise," and "fitness," were entered into four popular search engines: Google, Bing, and Yahoo. The first 5 result pages were considered, totaling a sample of 493 websites. After exclusionary criteria, 102 websites were reviewed and analyzed with guidance from ACSM recommendations, …

Brain Blast 2014 Poster, Annie Leslie

Brain Blast

Announcement poster for UNE's Brain Blast 2014, a pechakucha-style brain health and safety awareness and learning event.

Hallervorden Spatz Disease – A Rare Clinicoradiological Diagnosis, Anam Abrar, Arsalan Ahmad, Ejaz A Khan

Pakistan Journal of Neurological Sciences (PJNS)

Hallervorden Spatz disease, also known as pantothenate kinase associated neuro-degeneration, is a rare, progressive neurological disorder usually seen in first decade of life. It is associated with extrapyramidal effects, dysarthria and dementia. Hallervorden Spatz Disease is also associated with psychiatric symptoms, depression and behavioral changes. Affected patients are disabled predominantly by dystonia. MRI, in later stage of the disease, shows “eye of the tiger’ appearance which is fairly diagnostic of Hallervorden Spatz Disease. Response to drugs is often poor and of limited value to these patients. This report highlights a classical case of Hallervorden Spatz disease that presented as an …

False-Negative Studies May Systematically Contaminate The Literature On The Effects Of Inducers In Neuropsychopharmacology. Part I: Focus On Epilepsy, Jose De Leon

Psychiatry Faculty Publications

No abstract provided.

Fundus Autofluorescence Imaging: Fundamentals And Clinical Relevance., Yasir J. Sepah, Abeer Akhtar, Mohammad Ali Sadiq, Yamama Hafeez, Humzah Nasir, Brian Perez, Narissa Mawji, Diana J. Dean, Daniel Ferraz, Quan Dong Nguyen

Journal Articles: Ophthalmology

Fundus autofluorescence (FAF), a relatively new imaging modality, focuses on the fluorescent properties of pigments in the retina to generate images that help us view various disease processes from a different perspective. It aids us in the understanding of the pathophysiology of different retinal disorders. Recently, FAF imaging is being used commonly to help us in the diagnosis, prognosis as well as in determining the treatment response of various retinal disorders. It generates an image based on the distribution pattern of a fluorescent pigment called lipofuscin. Knowing the distribution pattern of lipofuscin in the normal retina is key to understanding …

Efficacy And Safety Of Sitagliptin For The Treatment Of New-Onset Diabetes After Renal Transplantation., Brian P. Boerner, Clifford D. Miles, Vijay Shivaswamy

Journal Articles: Diabetes, Endocrinology & Metabolism

New-onset diabetes after transplantation (NODAT) is a common comorbidity after renal transplantation. Though metformin is the first-line agent for the treatment of type 2 diabetes, in renal transplant recipients, metformin is frequently avoided due to concerns about renal dysfunction and risk for lactic acidosis. Therefore, alternative first-line agents for the treatment of NODAT in renal transplant recipients are needed. Sitagliptin, a dipeptidyl-peptidase-4 (DPP-4) inhibitor, has a low incidence of hypoglycemia, is weight neutral, and, in a small study, did not affect immunosuppressant levels. However, long-term sitagliptin use for the treatment of NODAT in kidney transplant recipients has not been studied. …

Citizenship Documentation Requirement For Medical Eligibility: Effects On Oregon Children, Brigit A. Hatch, Jennifer E. Devoe, Jodi A. Lapidus, Matthew J. Carlson, Bill J. Wright

Sociology Faculty Publications and Presentations

BACKGROUND AND OBJECTIVES: The Deficit Reduction Act (DRA) of 2005 mandated Medicaid beneficiaries to document citizenship. Using a prospective cohort (n=104,375), we aimed to (1) determine characteristics of affected children, (2) describe effects on health insurance coverage and access to needed health care, and (3) model the causal relationship between this new policy, known determinants of health care access, and receipt of needed health care.

METHODS: We identified a stratified random sample of children shortly after the DRA was implemented and used state records and surveys to compare three groups: children denied Medicaid for inability to document citizenship, children denied …

Community Peer-Led Exercise Groups: Reasons For Success, Linda Robertson, Beatrice Hale, Debra Waters, Leigh Hale, Alexa Andrew

Internet Journal of Allied Health Sciences and Practice

Purpose: This paper considers reasons for the successful maintenance of community based, falls-prevention programs. While the physical achievement of such programs has been demonstrated through randomized trials, other features influential in ongoing membership have received less attention. This study examined the sustainability of a specific model of a community-based program in a New Zealand city: SAYGO, the strength and balance classes for older adults lead by older volunteer leaders recruited from local communities. Method: A qualitative, descriptive approach was used and first-hand knowledge of the experiences of those involved in the groups gathered. Data collection methods included individual interviews of …

Narco-Trauma: The Phenomenology Of The Mexican Drug War Among Binational Students At The Border, Kathleen A. O'Connor

Nursing Faculty Publications

In this article, I present research conducted among 242 university students living in the binational metropolitan area encompassing El Paso, Texas, and Ciudad Juárez, Mexico, that has been affected by drug violence. The particular focus is on narratives of social suffering and lived experience in the context of drug violence.