Medicine and Health Sciences Commons^™

Assessment Of Shoulder Active Range Of Motion In Prone Versus Supine: A Reliability And Concurrent Validity Study, James Furness, Scott Johnstone, Wayne Hing, Allan D. Abbott, Michael Climstein

Wayne Hing

BACKGROUND: As swimming and surfing are prone dominant sports, it would be more sport specific to assess shoulder active range of motion in this position. OBJECTIVES: To determine the reliability of the inclinometer and HALO© for assessing shoulder active range of motion in supine and prone and the concurrent validity of the HALO©. Concurrent validity is based on the comparison of the HALO© and inclinometer. To determine if active range of motion (AROM) differences exists between prone and supine when assessing shoulder internal (IR) and external rotation (ER). DESIGN: The design included clinical measurement, reliability and validity. METHODS: Thirty shoulders …

Trunk Mobility In The Sagittal And Horizontal Planes: Clinical Methods To Quantify Movement In An Elite Male Surfing Population, James Furness, Mike Climstein, Jeremy Sheppard, Allan Abbott, Wayne Hing

Wayne Hing

Background High numbers of acute shoulder and chronic lumbar injuries have been identified in a surfing population. A simple screening tool could be used to determine whether thoracic spine dysfunction is a possible contributor to shoulder or lumbar injuries. Importantly, thoracic mobility in the sagittal and horizontal planes are key requirements in the sport of surfing; however to date the normal values of these movements have not yet been quantified in a surfing population. Objectives To develop a reliable method to quantify thoracic mobility in the sagittal plane; to assess the reliability of a thoracic rotation method, and quantify thoracic …

Using Surveymonkey® To Teach Safe Social Media Strategies To Medical Students In, Katrina Bramstedt, Ben Ierna, Victoria Woodcroft-Brown

Katrina A. Bramstedt

Social media is a valuable tool in the practice of medicine, but it can also be an area of ‘treacherous waters’ for medical students. Those in their upper years of study are off-site and scattered broadly, undertaking clinical rotations; thus, in-house (university lecture) sessions are impractical. Nonetheless, during these clinical years students are generally high users of social media technology, putting them at risk of harm if they lack appropriate ethical awareness. We created a compulsory session in social media ethics (Doctoring and Social Media) offered in two online modes (narrated PowerPoint file or YouTube video) to fourth- and fifth-year …

Load Carriage: An Integrated Risk Management Approach, Rob Orr, Rodney Pope

Rodney P Pope

Military load carriage (LC) gives rise to substantial risks to soldier health, tactical performance, and mission success. The aim of this article was to extract and synthesize the key findings of a series of LC research reports previously published by the authors. Five reviews and 6 studies were included, with key findings extracted and synthesized in tabulated and critical narrative form. The weight of a soldier's load is a source of risk for soldier's injuries and tactical task performance. The resulting level of risk is influenced by risk modifiers (like speed of march, terrain grade, and task type and duration) …

Optimizing The Physical Training Of Mililtary Trainees, Rob Orr, Rodney Pope

Rodney P Pope

Initial military training is designed to prepare new trainees for the requirements of military service.

Erbeta Regulation Of Nf-Kb Activation In Prostate Cancer Is Mediated By Hif-1, Paul Mak, Jiarong Li, Sanjoy Samanta, Arthur M. Mercurio

Arthur M. Mercurio

We examined the regulation of NF-kappaB in prostate cancer by estrogen receptor beta (ERbeta) based on the inverse correlation between p65 and ERbeta expression that exists in prostate carcinomas and reports that ERbeta can inhibit NF-kappaB activation, although the mechanism is not known. We demonstrate that ERbeta functions as a gate-keeper for NF-kappaB p65 signaling by repressing its expression and nuclear translocation. ERbeta regulation of NF-kappaB signaling is mediated by HIF-1. Loss of ERbeta or hypoxia stabilizes HIF-1alpha, which we found to be a direct driver of IKKbeta transcription through a hypoxia response element present in the promoter of the …

Differing Cognitive Strategies Between Evidence-Based Medicine And Evidence-Based Practice, James P. Meza Md, Phd

Clinical Research in Practice: The Journal of Team Hippocrates

Clinical care requires both evidence-based medicine (abstract, not applied, knowledge) and evidence-based practice (derived from knowledge of a specific patient's concerns). Clinical Research in Practice encourages an apprenticeship model that embraces both.

Physician Executive Leadership: Student-Led Curriculum To Fill Gaps In Traditional Medical Education, Anuj Shah, Ronuk Modi, Jessica Downing, Angela Ugorets, Kathryn Linder, Michael Jacobs, Graham Hale, Jeffrey Fitch, Nicholas Kurtzman, Paul Rosen, Md

Physician Executive Leadership

Students at Sidney Kimmel Medical College (SKMC) have identified a gap in the traditional medical curriculum surrounding topics such as telehealth, the patient experience, health policy, medical malpractice, and health care entrepreneurship and innovation, and in response have initiated a student-centered, student-led, student-driven program called Physician Executive Leadership (PEL). PEL provides students with a variety of avenues to engage with these topics, such as lectures from leaders in each of these fields, easy access to weekly news articles on current events in health care, targeted review sessions on the US health care system, and the opportunity to voice and develop …

Chronic Ethanol Exposure Enhances The Aggressiveness Of Breast Cancer: The Role Of P38Γ, Mei Xu, Siying Wang, Zhenhua Ren, Jacqueline A. Frank, Xiuwei H. Yang, Zhuo Zhang, Zun-Ji Ke, Xianglin Shi, Jia Luo

Pharmacology and Nutritional Sciences Faculty Publications

Both epidemiological and experimental studies suggest that ethanol may enhance aggressiveness of breast cancer. We have previously demonstrated that short term exposure to ethanol (12–48 hours) increased migration/invasion in breast cancer cells overexpressing ErbB2, but not in breast cancer cells with low expression of ErbB2, such as MCF7, BT20 and T47D breast cancer cells. In this study, we showed that chronic ethanol exposure transformed breast cancer cells that were not responsive to short term ethanol treatment to a more aggressive phenotype. Chronic ethanol exposure (10 days - 2 months) at 100 (22 mM) or 200 mg/dl (44 mM) caused the …

What's Happening: December 7, 2015, Maine Medical Center

What's Happening

No abstract provided.

Family Science Student Organization Members Named Winners In The 2015 Family Life Education Month Contest, College Of Education And Human Development

Family and Consumer Sciences News

The National Council on Family Relations named Family Science Student Organization (FSSO) members Latrice Hendricks and Blair Kelly winners of the 2015 Family Life Education Month Contest in the “Fact Sheet” category.

Mediating Teachers As Learners: Conversations From Shared Experience, Paul Watkins

Administrative Issues Journal

Race to the Top mandates, much like other comprehensive reforms before, focuses on teacher quality and student outcomes. Measuring teacher quality, under Race to the Top reforms, remains a subject of uncertainty, particularly measuring for improvement. This article argues that a central purpose of classroom evaluation is to provide supportive, targeted feedback by differentiating teachers as learners. Drago-Severson and Mezirow offer a framework for adult learning that overlays this theoretical analysis. The three cases explored for this article demonstrate levels of adult learning among teachers, directing the novice to addressing the fully formed transformational learner. The cases promote professional learning …

Effect Of Diabetes Self-Management Education On Glycemic Control, Compared To Usual Care In Type 2 Diabetic Patients At The Family Medicine Clinic, Aga Khan University Hospital Nairobi, Catherine Wanjiku Gathu

Theses & Dissertations

Background: Globally, the magnitude of disease burden associated with diabetes is high. Poor glycemic control contributes greatly to this burden, especially in the occurrence of related complications. The value of Diabetes Self-Management Education (DSME) is evident in literature, and has been recommended as a way of optimizing glycemic and metabolic control and averting early onset of diabetes complications. Usual care involves spontaneous sharing of information during medical consultations without planned structure or defined time frame. In the African setting, the effect of DSME, and how it compares to usual care, is yet to be fully explored.

Objective: To compare the …

Ada News - 12/07/2015, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Week Of December 7, 2015, New York Medical College

InTouch

• NYMC Honored at WCA Annual Fall Leadership Dinner
• NYMC Hosts Music and Medicine
• HSL Hosts Shakespeare and the Four Humors Presentation
• Meet the Doctor Lecture Series Addresses Concussions in Youth Sports
• New York Blood Center Recognizes NYMC
• StuHE Hosts Public Health Career Mentor Session

Metabolic Patterns In Cancer Cells And Tumor Micro-Environment In Diffuse Large B¬Cell Lymphoma: Tumor–Stromal Metabolic Coupling, Mahasweta Gooptu, Md, Alina E. Dulau Florea, Md, Benjamin E. Leiby, Phd, Barbara Pro, Md, John David Sprandio, Jr. Md, Diana Whitaker-Menezes, Phd, Paolo Cotzia, Md, Guldeep Uppal, Md, Jaime Caro, Md, Jerald Z. Gong, Md, Ubaldo E. Martinez-Outshoorn, Md

Department of Medical Oncology Posters

It has previously been suggested that the tumor microenvironment in diffuse large B-cell lymphoma (DLBCL) has prognostic significance. Furthermore, gene expression profiling in DLBCL patients has identified separate subsets with glycolytic and mitochondrial (oxidative phosphorylative) metabolic signatures.

Glycolytic metabolism forms the basis for FDG PET scans, widely used in staging and response assessment in DLBCL. While many assume that the tumor as a whole is primarily glycolytic, the metabolic patterns of cancer cells (C) and surrounding cancer-associated stromal cells (CAS) remain relatively unknown. We investigated the in situ metabolic patterns of C and CAS cells as well as tumor-associated macrophages …

"A Family Doctor Can Do That!" Is There A Role For A Formalized Referral Network For Office Procedures In Family Practices Of Newfoundland And Labrador?, Annabeth J. Loveys

Electronic Thesis and Dissertation Repository

Office procedures are an important part of the comprehensive care package provided by family physicians. Every family physician cannot feasibly perform every office procedure. A cadre of family physicians drawing upon each other’s procedural skills has the potential to improve patient care and enhance physician satisfaction. A mixed methods approach was used to explore potential clinical and educational roles of a formalized referral networkfor office procedures in Newfoundland and Labrador, Canada. In a quantitative study, using a self-administered survey, family physicians identified that while there are procedures being performed in family practice, there is a discrepancy between the demand for, …

Pathophysiologic Mechanisms Of Immune-Mediated Drug Hypersensitivity Reactions To Sulfonamides, Elham A. Sultan

Electronic Thesis and Dissertation Repository

As sulfonamide hypersensitivity reactions are serious clinical problem, it is necessary to determine which patients tolerate therapy and which patients are at risk. Although the exact pathogenesis of these reactions remains unclear, the imbalance in the production and detoxification of reactive sulfamethoxazole (SMX) metabolites appears to be important in the propagation of these reactions. It is known that these reactive metabolites can cause lymphocytes toxicity and produce reactive oxygen species (ROS) which can damage proteins, lipids, and DNA. The hypothesis of this research is that there are differences in cytotoxicity and expression of oxidative stress to reactive SMX metabolites in …

Vanishing Retinal Arterial Aneurysms With Anti-Tubercular Treatment In A Patient Presenting With Idiopathic Retinal Vasculitis, Aneurysms, And Neuroretinitis., Ramandeep Singh, Kusum Sharma, Aniruddha Agarwal, Mohit Dogra, Vishali Gupta, Aman Sharma, Mangat R. Dogra

Journal Articles: Ophthalmology

BACKGROUND: Idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) syndrome presents with characteristic clinical manifestations such as aneurysms at arteriolar bifurcations and optic nerve and retinal vascular inflammation. Regression of such features on treatment with anti-tubercular therapy (ATT) combined with corticosteroids has not been reported in literature.

FINDINGS: A 30-year-old female with sudden painless decreased vision in the left eye was referred with a diagnosis of presumed tuberculous retinal vasculitis and a positive tuberculin skin test. Based on the clinical and angiographic features of the right eye, a diagnosis of IRVAN syndrome was made. In the left eye, the patient had …

Medical School Watercooler Newsletter - December 6, 2015, Lindsey Lyle

Watercooler Newsletter

This is the December 6, 2015 edition of the Frederick P. Whiddon College of Medicine's Newsletter - Watercooler.

Contents Include:

USA Physicians Group to Host Quarterly Customer Service Celebrations

Pediatrics Hosting Grand Rounds Next Week

Dr. William Gerthoffer Presents at Research Meetings

Students, Faculty Present Research Projects at 9th Annual COM Research Forum

Retrospective Study To Evaluate Nausea, Vomiting, And Hypersensitivity Reactions In Patients Receiving Folfox For Colorectal Cancer At An Infusion Center Not Routinely Administering Prophylactic Dexamethasone, Marissa Csovelak Pharmd, Melissa Kratz Rn, Msn, Aocn, Janine Barnaby Rph, Bcop

Department of Pharmacy

No abstract provided.

Association Of Neck Circumference With Obesity In Female College Students, Dimitrios Papandreou, Zujaja Tul Noor, Maitha Rashed, Hadeel Al Jaberi

All Works

BACKGROUND: Obesity levels have been dramatically increased in the United Arab Emirates over the last few years. High levels of body Mass Index, waist circumference, and percent of total body fat as a measure of obesity have found to be related to cardiovascular risk factors and other diseases. Neck circumference is a new tool that has been linked to obesity. However, no studies in UAE have been conducted yet. AIM: The purpose of this study was to measure the obesity levels in a college population and to correlate them with NC and other anthropometrical indexes. METHODS AND SUBJECTS: Two hundred …

The Relationship Of Grade Span In 9th Grade To Math Achievement In High School, John West, Mary Lou Miller, Jim Myers, Timothy Norton

Administrative Issues Journal

Purpose, Scope, and Method of Study: The purpose of this study was to determine if a correlation exists between grade span for ninth grade and gains in math achievement test scores in 10th grade and 12th grade. A quantitative, longitudinal, correlational research design was employed to investigate the research questions. The population was high school students in the United States from public and private schools who were in the ninth grade for the first time during the 1989-1990 school year. The data collection instrument was the National Educational Longitudinal Study of 1988 (NELS:88). Further sampling and data analysis was conducted …

Impact Of Reduced Patient To Pharmacist Ratio And Enhanced Pharmacist Teaching On Hcahps Scores And Readmission Rates On A Medical-Surgical Unit, Elie Jabbour, Matthew Fair, Lauren Geerlof, Jennie Leatherman

Department of Education

No abstract provided.

Functional Integrity Of Resting-State Networks Predicts Seizure Outcome After Anterior Temporal Lobectomy, Gaelle Doucet, Xiaosong He, Michael R. Sperling, Ashwini Sharan Md, Joseph I. Tracy

Department of Neurosurgery Posters

Rationale

Predicting seizure outcome (SO) after anterior temporal lobectomy (ATL) is a major clinical goal. With clear evidence that even focal epilepsies disrupt large scale brain networks, resting-state functional connectivity (FC) methods have been increasingly used on a pre-surgical basis to characterize the impact of seizures on brain activity. In this project, we sought to determine whether the functional integrity of resting-state networks (RSNs) prior to surgery can discriminate between patients who obtain good versus poor seizure control after ATL.

Women In Business: Influences On The Undergraduate Major Choices, Victoria Geyfman, Christina M. Force, Laura M. Davis

Administrative Issues Journal

This study employs a survey of undergraduate business school freshmen to examine factors that influence their decision to study business and whether these factors differ by gender. Specifically, the study examines internal factors, such as students’ perceived aptitudes and interests in the subject; external factors, such as compensation and job availability; and social/interpersonal influences, such as input of teachers, school counselors, parents, and friends. This paper follows up on the authors’ earlier work, which found that despite an increase in the number of male students enrolled in business programs across the nation during the period between 2003 and 2011, female …

Effects Of Acceptance Of Disability On Death Or Dialysis In Chronic Kidney Disease Patients: A 3-Year Prospective Cohort Study, Hsin-Hung Chiang, Hanoch Livneh, How-Ran Guo, Mei-Ling Yen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Acceptance of disability (AOD) is a useful construct that assesses the ability of a patient to psychologically cope with chronic diseases, but its effect on long-term outcomes of patients with chronic kidney disease (CKD) remains unclear. This study aimed to evaluate the relation between AOD level and clinical outcomes in a cohort of CKD patients in Taiwan.

Methods: 262 CKD patients without dialysis at a hospital in Taiwan were consecutively recruited, from 2010 to 2011, and followed up for 3 years. At enrollment, demographic and clinical data were obtained, including baseline level measurement of AOD, using the …

Daptomycin Non-Susceptible Mrsa Bacteremia: A Case Report, Jaclyn Cusumano, Pharmd, Anna Marie Morlino, Pharmd, Andrew Moyer, Pharmd

College of Pharmacy Posters

Background

Staphylococcus aureus^{1, 2, 3}

• One of the most common pathogens causing community-acquired and nosocomial infections
• Has rapidly developed resistance to many antibiotics:

Daptomycin ²

• Bactericidal cyclic lipopeptide antibiotic
• Possesses negative charge which attracts calcium to form cationic complex
• Interacts with negatively charged phospholipid heads on bacterial cell membranes, leading to membrane depolarization and cell death

Daptomycin non-susceptible (DNS) S. aureus ^{2, 4, 5}

• Extremely rare - About 60 clinical cases reported
• Defined by an MIC greater than 1 mcg/mL
• Potential mechanisms include:

– Changes in cell membrane and cell wall structure alter daptomycin’s permeability²

• Overexpression and dysregulation …

Prevalance Of Waterpipe Tobacco Smoking Among University Student Athletes In The United States, Liza Raymond, Cheryl Riley-Doucet

DNP Forum

Purpose: The purpose of this study was to determine the 30-day, previous year, and lifetime usage of waterpipe tobacco use among athletes within a Midwestern university. The prevalence of waterpipe smoking suggests that this form of tobacco use is becoming an epidemic in the United States.

Data Sources: This study used a convenience sample of 59 college students who were English-speaking and 18 years or older. These students were enrolled in the Winter 2013 semester athletic program. The athletes completed a survey that was previously used and created by Brian Primack and reprinted with the author's written consent. The following …

The Epigenetics Of Post-Traumatic Stress Disorder In Women And Ptsd In Women Veterans: Implications For Health Policy, Cheryl R. Brubaker Msn, Sdnp, Fnp-Bc, Judith Milner Psyd

DNP Forum

Women have long served in the military during war whether recognized or unrecognized, whether praised or unpraised, whether there by choice or not there by choice. Men and women both feel the wounds of war. So many times those wounds are very hard to ignore, and often those wounds are not so visible yet take their toll. Post-traumatic stress disorder (PTSD) is commonly associated with combat, with war, and with being a veteran (Fischer, 2014). Our understanding of women formally deployed as soldiers into combat and the consequences for these women is less well defined. Through a meta-synthesis of published …