Medicine and Health Sciences Commons^™

Examining Factors Used By Students To Select A Major In Communication Sciences And Disorders, Mackenzie Mccartney

Master's Theses or Doctor of Nursing Practice

There is a shortage of practicing speech-language pathologists (SLP) and this is not improving. Within the profession, this shortage is felt mostly in a public school. This study explored factors used by graduate students to decide about their profession and applying the knowledge of these factors to the recruitment process. Specifically, this study looked at the following questions: 1. What are the current factors that influence the selection of communication sciences and disorders as a major? 2. Was there a particular person influencing the decision to major in communication sciences and disorders? 3. What prompted students to enter into their …

Minutes Of 05/01/2015 Hsc Board Of Directors Mtg, Patrice Martin

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Notice Of 05/01/2015 Hsc Board Of Directors Mtg, Patrice Martin

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Tetralogy Of Fallot With Absent Pulmonary Valve Syndrome; Appropriate Surgical Strategies, Fatima Shahid, Maria Tariq Siddiqui, Muneer M Amanullah

Department of Surgery Docs

Abstract

OBJECTIVE:

To evaluate patients presenting with Tetralogy of Fallot with absent pulmonary valve syndrome to a tertiary care hospital and their surgical management.

METHODS:

The retrospective study was conducted at Congenital Cardiac Services, Aga Khan University Hospital, Karachi, Pakistan, and comprised data of Tetralogy of Fallot patients between April 2007 and June 2012. Data was analysed together with follow-up echocardiography. Variables assessed included demographics, imaging, operative technique, complications, post-operative recovery and follow-up echocardiography. SPSS 17 was used for statistical analysis.

RESULTS:

Of the 204 patients, 6 (3%) had undergone surgical correction for Tetralogy of Fallot with absent pulmonary valve …

Transport Of Bovine Milk Exosomes By Human Colon Carcinoma Caco-2 Cells And Rat Small Intestinal Iec-6 Cells, Tovah Wolf

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

We have reported that microRNAs (miRNAs, miRs) in bovine milk regulate human genes. In milk, many miRNAs are encapsulated in exosomes, thereby conferring protection against degradation and a pathway for intestinal transport of miRNAs. We hypothesized that the uptake of bovine exosomes in human intestinal colon carcinoma Caco-2 cells and rat primary small intestinal IEC-6 cells is mediated by endocytosis. Transport studies were carried out using fluorophore-labeled exosomes purified from bovine milk. The transport of bovine exosomes exhibited saturation kinetics at 37°C (K_m= 55.5±48.6 µg/200 µL, V_max= 0.083±0.057 ng exosomal protein x 81,750 cells⁻¹ x …

Accuracy Of Transcutaneous Bilirubinometry Compare To Serum Microbilirubin Measurement In Naresuan University Hospital, Jiranun Weerakul, Chompunoot Boonsopa, Kanrawee Sungprem

Chulalongkorn Medical Journal

Background : Hyperbilirubinemia is a common problem in the neonatal period. The gold standard for the diagnosis of hyperbilirubinemia is not only time consuming but also a painful intervention to the infant. Objective : To determine the accuracy of trancutaneous biliribinometer and to determine an hour-specific nomogram. Material and Method : Transcutaneous bilirubin was performed on 195 healthy term neonates of gestational age greater than 37 weeks and birth weight greater than 2,500 grams using a transcutaneous bilirubinometer (Minolta, JM-103). The values of bilirubin obtained by 2 different methods were compared: transcutaneous bilirubinometer and direct spectrophotometry, at Naresuan University Hospital. …

Discrimination Between House Dust Mite Dermatophagoides Pteronyssinus And D. Farinae By Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (Pcr-Rflp), Ammorn Insung, Suneerat Ruangsomboon, Atchara Phumee, Apinya Samosorn, Padet Siriyasatien

Chulalongkorn Medical Journal

Problem/Background : House dust mites, Dermatophagoides pteronyssinus and D. farinae are the most common among all mite species distributed worldwide. They are also the most common sources of allergens causing asthma and other allergic diseases. Epidemiological studies of these house dust mites are based on morphological identification. This procedure faces some difficulties, including requirements of expertise to identify the mites and inability to discriminate immature stages. Therefore, we applied the molecular method for discriminating between the two most common house dust mites, D. pteronyssinus and D. farinae. Objective : To demonstrate the usage of the cytochrome oxidase I (COI) gene …

Osteoid Osteoma Of Acetabulum A Rare Presentation, Irfan Ashraf, Sidra Kanwal,, Pervaiz Hashmi

Department of Surgery Docs

Abstract

The case of a relatively frequent benign osteoblastic tumour, osteoid osteoma at an atypical site is presented. It was in a 20 year old man who attended the outpatient department of Aga Khan University Hospital, Karachi with pain in left groin since last 6 months which often occurred at night and was relieved by taking NSAIDs. X-ray failed to reveal the cause. CT scan showed central radiolucent nidus with surrounding sclerosis suggestive of osteoid osteoma in the left acetabulum. Acetabulum is a rare site for osteoid osteoma, the usual sites are diaphysis of long bones. Hence, the diagnosis is …

A Comparison Of The Upper Limb Lift Test Between Women With Breast Cancer And Healthy Control Subjects, Mary Insana Fisher, Lucinda Pfalzer, Ellen W. Levy, Shana Harrington, Lynn H. Gerber, Nicole L. Stout

Physical Therapy Faculty Publications

Presentation at the World Confederation for Physical Therapy Congress, held May 1-4, 2015, in Singapore.

Background: Objective measures of upper limb (UL) function specific to breast cancer survivors (BC) are limited. Motion, strength, and muscular endurance are measurable components of UL function. A clinical test that quantifies these components is needed.

Purpose: This study compares the Upper Limb Lift Test (ULLT) between women with BC and healthy control subjects (HC) at baseline, 1-3 months, and 12+ months post-operatively enrolled in a prospective surveillance trial with early intervention. A secondary purpose was to validate the ULLT by comparing findings to self-reported …

Use Of The Mini-Bestest In Individuals With Peripheral Neuropathy: Does It Correlate With Falls And Sensory Loss?, Kasey Birchfield, Jennifer Lamoreau, Courtney Beinlich, Alyssa Reiter, Molly Scholl

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Peripheral neuropathy (PN) is a neurological disorder that involves damage or disease of the peripheral nervous system associated with numbness, pain, weakness, and impaired balance. Individuals with PN often experience a distal to proximal progression of motor and sensory deficits such as loss of proprioception, muscle weakness, and loss of ankle reflexes. Since lower extremity proprioception plays a primary role in postural control, individuals with PN demonstrate difficulty maintaining balance, especially under conditions in which vision or vestibular input are also compromised. Clinically, the sensory deficits associated with PN are assessed using Semmes-Weinstein monofilaments and vibration testing. Additionally, the Mini-BESTest …

A Novel Rapid Step Test Differentiates Between Older Adults Who Are Fallers And Non-Fallers, Harold L. Merriman, Kurt Jackson, Michael Breneman, Amy Collins, Tiffany Mceldowney, Ashton Swinford

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Each year one in three adults > 65 years old falls which results in significant morbidity, mortality and health care costs. Commonly used balance tests such as the Balance Evaluation Systems Test, Berg Balance Scale and Tinetti produce numerical results that have been correlated with a fall history. However, these tests can be complicated, time consuming, require a large amount of space, may require special tools for assessment and exhibit a ceiling effect. Additionally, dynamic balance recovery strategies such as rapid stepping movements may not be fully assessed by some of these other traditional tests.

Assessment Of Tracheostomy Care Practices In A Simulated Setting, Thomas Bolsega

HIM 1990-2015

Background: Although a tracheostomy is a common procedure for patients who require prolonged mechanical ventilation, little evidence exists as to the best practices for performing tracheostomy care to maintain the airway and promote skin integrity. Therefore, variability is likely, which may negatively impact patient outcomes. This study described tracheostomy care practices of registered nurses (RNs) and respiratory therapists (RTs) who regularly perform tracheostomy care in critical care settings. Methodology: The descriptive study was conducted following informed consent. RNs (n=15) and RTs (n=5) were asked to perform tracheostomy care on a simulated mannequin patient. An array of supplies (both required and …

Effects Of Ghrko Visceral Fat Transplant On Insulin Signaling, Mohammed Bennis

HIM 1990-2015

Insulin sensitivity has been positively correlated with a healthy and extended lifespan, while insulin resistance, decreased insulin sensitivity, has been linked to aging and is the main indicative of type 2 diabetes. Growth Hormone Receptor/ Binding Protein Knockout mice (GHRKO), although obese, are characterized by high insulin sensitivity and a prolonged lifespan. Due to the absence of growth hormone receptors (GHR), growth hormone (GH) is unable to activate its downstream pathway. Interestingly, the secretory activity of visceral fat in GHRKO mice is altered stimulating insulin sensitivity. In this study, we transplanted normal (N) mice with GHRKO visceral fat pads to …

An Examination Of Relative Age Effects Among Junior Elite Wrestlers, Jayla Kelly

HIM 1990-2015

The purpose of this examination was to evaluate relative age effects among junior elite wrestlers across gender, weight class, and competitive rule sets. Using biographical data, this thesis explores trends representing an oversampling of athletes born earlier in the year, accompanied by potential effects for success in sport and an impact on retention rates. Currently, the use of chronological age is the most common form of classifying sports participants, though this type of classification may have potentially negative long- and short-term implications. Thus, the results may provide an evaluation of weight categorization as a less discriminatory competitive format in junior …

Subcutaneous Injection Techniques Of Anticoagulant Therapies, Leah Morissette

HIM 1990-2015

Subcutaneous anticoagulant medications like Heparin and Low-Molecular Weight Heparin are injections that readily cause bruising, pain, induration, and hematoma formation at the injection site. It is known that these adverse reactions can be correlated to the technique used to administer these medications; however, there is no established technique that reduces bruising, pain, induration, and hematoma formation at the site. Currently, the only protocol for subcutaneous Heparin and Low-Molecular Weight Heparin is that it is to be administered subcutaneously in the abdomen and when using a prefilled syringe, the air bubble should not be removed. The purpose of this study was …

Psychosocial Indicators Of Injury Concealment Among Young Male Athletes, Guillermo Alfonso

HIM 1990-2015

The intent of this thesis is to explore the reasons why young athletes may conceal their sports injuries. In recent years, there has been much discussion about the long-term health implications that former athletes are dealing with as they live life after sports. Sports injuries including concussions, knee damage, and spinal injuries are all issues that could affect an athlete’s quality of life far beyond their playing days. It is well known around the athletic and medical communities that many athletes withhold information about their injury symptoms just to get back on to the field. Most worrisome about this fact, …

Effectiveness Of Cardiac Rehabilitation: Secondary Prevention Increases Functional Capacity In Myocardial Infarction Patients, Kristin Badillo

HIM 1990-2015

The purpose of this study was to discern the effectiveness of Cardiac Rehabilitation/ Secondary Prevention Programs (CR/ SPP’s) by evaluating increased functional capacity in the form of MET (metabolic equivalent) scores post-myocardial infarction (MI) or heart attack. The Duke Activity Status Index (DASI) survey is administered as part of the Standard Operating Procedure (SOP) for participation in the Secondary Prevention Program. Criterion for the research included patients 65 and older, with a history of one myocardial infarction, and had completed all 36 sessions of CR. The scores from 11 SPP surveys were analyzed and compared in three time increments from …

Acculturation Factors Associated With The Prevalence Of Obesity In Immigrant Children And Adolescents, Suzeline Desir

HIM 1990-2015

Childhood obesity (CO) is a significant public health issue in the United States, including the immigrant populations. Obese children and adolescents are at increased risk for multiple preventable comorbidities that affect their physical health and psychological well-being. The perception exists that the immigrant child population may possess protection against CO, but this group also experienced an increased prevalence of CO. Acculturation, or the adaptation to American culture and lifestyles, has been shown to be associated with the increased obesity rate among immigrant children and adolescents. Understanding the association between acculturation factors and CO is necessary to effectively combat obesity among …

Implementing The Speakall! Ipad App And Intervention Protocol With A Child With Autism: A Pilot Study, Olivia Downs

HIM 1990-2015

The ability to communicate is essential for children with developing language systems, and ultimately to being successful academically and eventually vocationally. In a world where communication is vital, children with autism spectrum disorder (ASD) are at a disadvantage and require additional options to express themselves; augmentative and alternative communication (AAC) technologies have presented promising options for helping these children communicate. One technology option that has proven to be of particular interest to families of children with ASD involves the use AAC iPad apps. Research has been conducted in AAC, ASD, and music, but there is limited research to date, which …

Total Body Water And Its Relationship To Functional Performance In Individuals With Diagnosed Osteoarthritis, Sara Hanson

HIM 1990-2015

This study examines a possible relationship between Total Body Water (TBW) levels, osteoarthritic pain and functional performance in a sample of untrained adults. Participants complete a Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaire, TBW is measured using single-frequency bioelectrical impedance (SF-BIA) and strength, balance and physical function are measured by the completion of 7 standardized functional tests. Participants in this study will include adult men and women, age 35 years and older, who have been previously diagnosed with Osteoarthritis (OA) in the hip or knee, or who score 35 or higher on the WOMAC. This study aims to …

Biomarkers In Athletes: A Meta-Analysis In Female Soccer And Field Hockey Players, Sophie Howard

HIM 1990-2015

The purpose of this study was to examine the prevalence and potential abnormalities of biomarkers in female soccer and field hockey players by conducting a meta-analysis of previous studies. In this study, previous research on certain biomarkers (Creatine kinase, lactic acid, iron, hemoglobin, white blood cells, and cortisol) in collegiate, elite and national level female soccer and field hockey players was collected and evaluated. Studies on baseline measurements for these biomarkers in female soccer and field hockey athletes were collected and their group means were considered. These values were collectively put into individual forest plots, one for each biomarker, and …

The Relationship Between Patient Education And Adherence To Antibiotic Regimens: Exploring Profiles Of Adherent Groups, Morgan Mcsweeney

HIM 1990-2015

Objective: Currently, there does not exist a cohesive and predictive set of criteria that can be used to identify patients that are at risk of being non-adherent to antibiotic regimens. In this study, we sought to answer the question of whether patients’ knowledge of the scientific background of antibiotic resistance is related to their likelihood to adhere to antibiotic regimens. Additionally, we explored other facets of the profiles of adherent and non-adherent subjects. Methods: All responses were collected via questionnaire. Subjects were split into two groups (adherent and non-adherent) based upon four patient-behavior questions. These two groups of subjects were …

Effects Of Caffeinated Energy Drink And Alcohol Usage On Perceived Stress And Burnout In Undergraduate Students, Arjun Patel

HIM 1990-2015

Caffeinated energy beverages (CEDs) are a growing supplement being consumed by a large number of young adults aged 18 to 24 years of age. As these CEDs contain nutritional supplements, they are not classified the same way other beverages such as sodas are and they can thus bypass regulation by the Food and Drug Administration. Without regulation by this governing body, it is important to understand how these supplements may be affecting their target population. In this study, students from a large university were recruited in order to determine patterns of CED usage as well as how CED usage may …

Analysis Of The Pathomechanism Of Migraines With A Focus On Current Treatment Plans And The Role Of The Neuropeptide Cgrp, Marvi Qureshi

HIM 1990-2015

Migraines are a type of headache that specifically act on only one side of the head, although about 30% of patients with migraine may experience a bilateral headache. Migraine is a brain disorders that typically involve issues of the typical sensory processing that takes place in the brainstem. Possible causation has been linked to issues in blood vessels, blood flow, and oxygen levels in the brain. Migraine can be described in three phases, and common throughout the three phases is the importance of the neuropeptide CGRP and its role in migraine pathogenesis. CGRP increases in plasma have been linked to …

Alzheimer's Disease: From Clinical Tragedy To Reason For Hope, Kenneth Adams

Bridgewater Review

No abstract provided.

Adolescent Girls, Human Rights And The Expanding Climate Emergency, Holly G. Atkinson, Judith Bruce

Publications and Research

Many adolescent girls—the poorest girls in the poorest communities—already live in an “emergency.” Humanitarian crises only amplify the call on their coping and caring capacities, while exacerbating their vulnerabilities. The frequency and intensity of emergencies, including natural disasters, conflicts, and infectious disease outbreaks such as Ebola, appear to be growing.¹ These emergencies threaten entire communities and whole countries, often with global implications. Many become virtually permanent. The authors urge key actors responding to both the threats and opportunities that climate change poses to understand adolescent girls as exceptionally at risk on the one hand, and as exceptionally resilient and …

Serum Sodium Levels And Associated Mortality Rates And Length Of Stay In Surgical Icu Patients, Morgan A. Homoky

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Dysnatremia in the intensive care unit (ICU) is a common problem among ICU patients and has been associated with an increase in mortality rates (Sakr et al., 2013). Dysnatremia upon admission to the ICU, in comparison with ICU acquired dysnatremia, has also been linked with higher mortality rates (Sakr et al., 2013). In this quality improvement project, a retrospective medical record review was used to evaluate cohorts of normonatremic and dysnatremic patients upon admission to the surgical ICU and compare their length of stay and mortality rate. The study setting was in an intensive care unit within an urban hospital …

Assessing Quality Of Life, Psychological Well-Being And Depression In Hispanic American Women: Does Cultural Competence Matter?, Elizabeth T. Alvarez

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Thesis Title: Assessing Quality of Life, Psychological Well-Being and Depression in Hispanic American Women: Does Cultural Competence Matter? ABSTRACT BACKGROUND: Hispanic people are at an elevated risk of developing depression as compared to any other racial and ethnic groups in the United States. Hispanic women, in particular, experience depression at roughly twice the rate of Hispanic men. The projected growth of the Hispanic population coupled with the high prevalence of depression among Hispanic women will exacerbate this already serious public health conundrum if targeted and culturally competent interventions are not tailored to better tackle this illness. OBJECTIVE: The purpose of …

A Descriptive Study Examining Medical Records Of Late-Preterm Infants Readmitted To The Hospital Within 30 Days Of Birth Hospitalization Discharge, Devon G. Hill-Larson

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This descriptive study evaluates the most common factors for readmission of late-preterm infants. It is hoped that this important information will allow a hospital in Northwest Arkansas to better identify late-preterm infants at risk for readmission to the hospital within 30 days of their birth hospitalization. Identification of at risk infants will allow for specialized care and education. Common factors that result in readmission of preterm infants include jaundice, feeding difficulties, temperature instability, infection, hypoglycemia, and respiratory problems. Education of healthcare professionals and parents of the vulnerability of late-preterm infants, who are often overlooked since they are usually of the …

Identification Of Transcription Factors Gzf3, Rfx1, Orf19.3928 As Being Implicated In Candida-Bacterial Interactions., Joni Watson

Undergraduate Honors Theses

Candida albicans is an opportunistic pathogen that is present in the normal flora in a majority of individuals. One key factor in C. albicans virulence is the ability to change its morphology from yeast to an elongated or hyphal form. The regulation of this morphogenesis relies in part upon quorum sensing (QS) molecules. C. albicans often exists as part of a mixed culture alongside other microbes and is influenced by their presence as well as the presence of QS molecules that they produce. In this study, a library of diploid homozygous transcriptional regulator knockout (TRKO) mutants were screened to identify …