Medicine and Health Sciences Commons^™

Attitudes Of Paramedic Students Towards Specific Medical Conditions: A Four-Year Study, Brett A. Williams, Malcolm J. Boyle, Stuart Howard

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine the attitude of first year students entering a paramedic course over 4 consecutive yearly intakes toward patients with intellectual disability, substance abuse, attempted suicide, and acute mental illness. Method: The students’ attitude towards four medical conditions commonly encountered in the out-of-hospital setting was assessed using the Medical Condition Regard Scale (MCRS). The MCRS score ranges from 11 to 66. Results: 230 students in Victoria, Australia, participated in the study; 66% were female, and 76% of all students < 21 years of age. Students showed the most negative attitudes towards substance abuse, mean 35(SD+6.6), and the most positive attitude toward intellectual disability, mean 38.2(SD+6.3). Students in 2008 cohort displayed significantly higher regard for all medical conditions (pConclusions: The study findings suggest that these students in Victoria, Australia, entering an undergraduate paramedic or paramedic/nursing course have a relatively poor attitude towards the four reviewed medical conditions, particularly substance abuse.

Implementation Of An Exercise Program In Breast Cancer Rehabilitation To Improve Shoulder Outcomes: A Pilot Study, Dragana Ceprnja, Katherine Maka

Internet Journal of Allied Health Sciences and Practice

Purpose: To examine the effects of a group exercise program on shoulder pain, disability, range of motion, and strength. Method: This was an observational study of twenty-six patients who had undergone breast cancer surgery and were receiving physiotherapy intervention. The intervention was a supervised 8-week exercise group program. The primary outcome measure was shoulder pain and disability index (SPADI). Secondary outcome measures were shoulder range of motion of flexion and abduction and strength of shoulder flexion and abduction. Results: The average age of patients referred to the group was 56-years (range of 29 to 71 years). The average time …

Pharmacy Newsletter : April 2015, Pharmacy Department

Department of Pharmacy Archives

Content:

• Medication Safety Alert
• FDA Drug Safety Podcast of the Year 2014
• Operational Quality and Patient Safety Indicators – 2014
• Pharmacy Staff Appreciation Evening

Hoarding And Emotional Reactivity: The Link Between Negative Emotional Reactions And Hoarding Symptomatology, A. M. Shaw, K. R. Timpano, G. Steketee, D. F. Tolin, Randy O. Frost

Psychology: Faculty Publications

Hoarding disorder (HD) is characterized by difficulty discarding, clutter, and frequently excessive acquiring. Theories have pointed to intense negative emotional reactions (e.g., sadness) as one factor that may play a critical role in HD's etiology. Preliminary work with an analogue sample indicated that more intense negative emotions following emotional films were linked with greater hoarding symptoms. Symptom provocation imaging studies with HD patients have also found evidence for excessive activation in brain regions implicated in processing emotions. The current study utilized a sample with self-reported serious hoarding difficulties to examine how hoarding symptoms related to both general and hoarding-related emotional …

Prescription Drug Monitoring Program Utilization In Kentucky Community Pharmacies, Sarah E. Wixson, Karen Blumenschein, Amie J. Goodin, Jeffery Talbert, Patricia R. Freeman

Pharmacy Practice and Science Faculty Publications

OBJECTIVE: Identify characteristics of Kentucky community pharmacists and community pharmacists' practice environment associated with utilization of the Kentucky All Schedule Prescription Electronic Reporting Program (KASPER).

METHODS: Surveys were mailed to all 1,018 Kentucky pharmacists with a KASPER account and an additional 1,000 licensed pharmacists without an account. Bivariate analyses examined the association between KASPER utilization and practice type (independent or chain) and practice location (rural or urban). A multivariate Poisson regression model with robust error variance estimated risk ratios (RR) of KASPER utilization by characteristics of pharmacists' practice environment.

RESULTS: Responses were received from 563 pharmacists (response …

Characteristics Of An Appropriate Instructor-Student Relationship In Allied Health, Julie K. Morbach

Department of Educational Administration: Dissertations, Theses, and Student Research

In most allied health educational programs, the instructors are individuals who are experts in their field, but do not have a certificate in teaching. Furthermore, these individuals may feel a sense of loneliness when transitioning from working in a department with co-workers to being the sole instructor of a discipline-specific program. Because of this sense of isolation and the amount of time spent with the same students, instructors may begin to perceive students more as friends and confidants. The purpose of this phenomenological study was to explore the perceptions of educators regarding the instructor-student relationship in allied health programs in …

Understanding Representations Of Impulsivity In Dimensional Models Of Personality Pathology, Sarah Ann Griffin

Open Access Theses

Impulsivity is an individual difference that impacts many aspects of an individual's functioning; however, there as of yet has been no consensus on a single definition of impulsivity across the various fields that study it and its related outcomes. In fact, research at this point predominantly supports the idea that "impulsivity" is actually a multi-faceted construct comprised of multiple lower-order traits, but there is little agreement on what those lower-order facets should be. The purpose of the present study was to investigate the conceptualization of complex trait impulsivity within two new omnibus measures of maladaptive personality in terms of both …

Physical Actvity In Pregnant Rat Dams Reduces Mammary Tumor Formation In Offspring, Leon Clah

Open Access Theses

Breast cancer is the most frequently diagnosed cancer and a leading cause of cancer death among women. Lifestyle factors such as physical activity and diet play a role in attenuating the incidence of breast cancer. Current research is beginning to show that exercise during pregnancy can convey long term health benefits to offspring. In light of these studies, the goal of this project was to determine if maternal physical activity during pregnancy could lead to reduced mammary tumor development in female offspring. Towards this goal, female Sprague Dawley rats were divided into two groups, sedentary and exercise, with the exercise …

Effects Of Moderate-Level Sound Exposure On Behavioral Thresholds In Chinchillas, Maria Sandra Carbajal De Nava

Open Access Theses

Normal audiometric thresholds following noise exposure have generally been considered as an indication of a recovered cochlea and intact peripheral auditory system, yet recent animal work has challenged this classic assumption. Moderately noise-exposed animals have been shown to have permanent loss of synapses on inner hair cells (IHCs) and permanent damage to auditory nerve fibers (ANFs), specifically the low-spontaneous rate fibers (low-SR), despite normal electrophysiological thresholds. Loss of cochlear synapses, known as cochlear synaptopathy, disrupts auditory-nerve signaling, which may result in perceptual speech deficits in noise despite normal audiometric thresholds. Perceptual deficit studies in humans have shown evidence consistent with …

Fuel Choice, Acute Respiratory Infection And Child Growth In Uganda, Onyekachi U. Aghasili

Open Access Theses

This thesis seeks to explain the relationship between a household's choice of fuel and the health and nutrition outcomes of children below the age of 5 in Uganda. The first objective is to examine the association between the choice of fuel and the incidence of acute respiratory infection (ARI). The second objective is to measure the relationship between choice of fuel, ARI and nutrition outcomes of children. ^ I use data from the 2006 and 2011 Uganda Demographic and Health Surveys (UDHS). The total number of observations is 4,463. Data indicate that 94% of rural households in the DHS sample …

Baylisascaris Spp. In Non-Raccoon Procyonid Hosts And Assessment Of Potential Risk Of Human Exposure, Max Carlin Parkanzky

Open Access Theses

Baylisascaris procyonis (Bp) is a large roundworm of the common raccoon (Procyon lotor) which serves as the definitive host. Bp is an important cause of clinical larva migrans, including severe neurological disease, across numerous taxa including humans. Other procyonids, as well as occasionally dogs, can act as definitive hosts for this or other Baylisascaris spp. Many of these animals are becoming more common as household pets, posing a risk to people who come in contact with these animals. We have investigated whether patent Baylisascaris spp. infection exists in captive non-raccoon procyonids and if humans who contact these animals …

Information Seeking And Concern For Mental Well-Being, Cynthia K. Lindley

Open Access Theses

Mental health concerns among college students are quite prevalent, but the help-seeking practices of this population are hindered by a variety of barriers. Help-seeking for mental health concerns in its earliest (and most common) form is ultimately information-seeking, which has been identified as a process with specific predictors that has the potential to lend structure to the myriad help-seeking barriers and facilitators. In an effort to apply and extend the Theory of Motivated Information Management (TMIM; Afifi & Weiner, 2004), the current study asked college students experiencing concerns for their mental well-being to report details of their circumstances. The results …

Attitudes Toward A Cancer Coalition: Implications For Coalition Health Communication, Chervin Lam Shih Kian

Open Access Theses

A cancer coalition is a communication hub for cancer patients that may help address cancer by promoting health and mitigating health issues. Attitudes toward a cancer coalition may be important in determining whether or not patients participate or utilize a coalition. However, little is known about the attitudes of cancer patients toward a cancer coalition, its services, and toward participation. This study addresses this gap by investigating these attitudes. The results encourage the development of a cancer coalition in states that do not yet have a coalition. Effective coalition health communication was found to be a pivotal service that cancer …

Associations Between Tooth Loss And Ischemic Heart Disease And Stroke In A National Cohort, Tiina Jaagosild

Open Access Theses

The association between oral health and cardiovascular disease (CVD) has been under vigorous investigation during the last decades. Consensus documents have stated the independent relationship between periodontal disease and subsequent tooth loss and CVD. Associations between tooth loss and chronic coronary heart disease (CHD), myocardial infarction (MI), and stroke have not been evaluated separately in a single nationwide cohort. This cross-sectional study used self-reported data from the Behavioral Risk Factor Surveillance System 2012 and was conducted to evaluate the association between the number of teeth lost due to caries or periodontal disease and the prevalence of CVD. The final cohort …

A Novel In Vivo Tumor Oxygen Profiling Assay: Combining Functional And Molecular Imaging With Multivariate Mathematical Modeling, Chung-Wein Lee

Open Access Dissertations

Purpose: The objective of this study is to develop and test a novel high spatio-temporal in vivo assay to quantify tumor oxygenation and hypoxia. The assay implements a biophysical model of oxygen transport to fuse parameters acquired from in vivo functional and molecular imaging modalities. ^ Introduction: Tumor hypoxia plays an important role in carcinogenesis. It triggers pathological angiogenesis to supply more oxygen to the tumor cells and promotes cancer cell metastasis. Preclinical and clinical evidence show that anti-angiogenic treatment is capable of normalizing the tumor vasculature both structurally and functionally. The resulting normalized vasculature provides a more efficient and …

The Pathological Role Of Acrolein In Experimental Autoimmune Encephalomyelitis And Multiple Sclerosis, Melissa A. Tully

Open Access Dissertations

Multiple sclerosis (MS) is an autoimmune demyelinating neuropathy that affects nearly 2.5 million people worldwide. Despite substantial efforts, few treatments are currently available largely due to limited knowledge of pathogenic mechanisms underlying the disease. The immune-inflammatory nature of the pathology has prompted investigation of the role of oxidative stress in disease development and progression; however targeting reactive oxygen species for neutralization has had marginal success therapeutically, suggesting that an alternate oxidative stress-related target would prove beneficial. Recently, our lab has implicated acrolein, a highly reactive aldehyde that is both a byproduct and catalyst of lipid peroxidation, as a potential therapeutic …

Beta-Lactam Antimicrobial Dosing Optimization In Obese Patients Compared To Non-Obese Patients Using Population Pharmacokinetic/Pharmacodynamic Approach, Eun Kyoung Chung

Open Access Dissertations

Obesity is a significant global health problem and has been associated with altered pharmacokinetics and pharmacodynamics of many drugs. However, little is known regarding the effect of obesity on the pharmacokinetics and pharmacodynamics of many broad-spectrum, beta-lactam antibiotics such as piperacillin/tazobactam, meropenem, and cefepime. The objective of this study is to evaluate the population pharmacokinetics and pharmacodynamics of piperacillin/tazobactam, meropenem, and cefepime in hospitalized obese patients in order to determine dosing regimens that provide similar exposures between obese and non-obese patients. ^ For piperacillin/tazobactam, a retrospective analysis was conducted using prospectively collected serum concentration-time data from two previous studies (Study …

Image Enhancement Of Cancerous Tissue In Mammography Images, Richard Thomas Richardson

CCAC Theses and Dissertations

This research presents a framework for enhancing and analyzing time-sequenced mammographic images for detection of cancerous tissue, specifically designed to assist radiologists and physicians with the detection of breast cancer. By using computer aided diagnosis (CAD) systems as a tool to help in the detection of breast cancer in computed tomography (CT) mammography images, previous CT mammography images will enhance the interpretation of the next series of images. The first stage of this dissertation applies image subtraction to images from the same patient over time. Image types are defined as temporal subtraction, dual-energy subtraction, and Digital Database for Screening Mammography …

Apparent Role For Borrelia Burgdorferi Luxs During Mammalian Infection, William K. Arnold, Christina R. Savage, Alyssa D. Antonicello, Brian Stevenson

Microbiology, Immunology, and Molecular Genetics Faculty Publications

The Lyme disease spirochete, Borrelia burgdorferi, controls protein expression patterns during its tick-mammal infection cycle. Earlier studies demonstrated that B. burgdorferi synthesizes 4,5-dihydroxy-2,3-pentanedione (autoinducer-2 [AI-2]) and responds to AI-2 by measurably changing production of several infection-associated proteins. luxS mutants, which are unable to produce AI-2, exhibit altered production of several proteins. B. burgdorferi cannot utilize the other product of LuxS, homocysteine, indicating that phenotypes of luxS mutants are not due to the absence of that molecule. Although a previous study found that a luxS mutant was capable of infecting mice, a critical caveat to those results is that bacterial …

The Stethoscoop, April 2015, Mennonite College Of Nursing

The Stethoscoop

The Stethoscoop is the newsletter for Mennonite College of Nursing students.

Oncolog, Volume 60, Number 04, April 2015, Jill Delsigne, Joe Munch, Bryan Tutt, Sarah Bronson

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

• Multidisciplinary Globe-Sparing Treatment for Lacrimal Gland Carcinoma Preserves Vision and Minimizes Morbidity: Until recently, the treatment of lacrimal gland carcinoma almost always required removal of the eye. But for some patients with these tumors, globe-sparing surgery followed by radiation therapy can preserve vision and decrease ocular morbidity and facial disfigurement.
• Novel Trial Design Streamlines Development of Breast Cancer Therapies: Developing a cancer-fighting drug can take around a billion dollars and a dozen or more years. Even then, fail in clinical trials. To identify effective cancer therapies more quickly and efficiently, researchers have tuned to an innovative clinical model in which …

Innovating At Jefferson: Developing The Patient-Centered Medical Home (Pcmh) Cost Tool, Robert D. Lieberthal, Phd

College of Population Health Lectures, Presentations, Workshops

Presented at Jefferson School of Population Health Faculty Research Seminar.

Objectives:

Describe the cost-collection tool we created for the PCMH Model

Propose improvements to our tool in order to enhance the response rate

Determine our next steps in terms of research and innovation for PCMH at Jefferson

21 slides

Pharmdigest Volume 1, Issue 2, Philadelphia College Of Osteopathic Medicine, School Of Pharmacy

PharmDigest

This issue of the Pharmacy Student Council newsletter includes the following articles:

• PCOM PGY1 at Gwinnett Medical
• Getting the Residency
• Counsel On!
• The Daily Dose: Leadership
• AMCP visits the West Coast
• Introducing the New Council

The Impact Of State Certification Of Community Health Workers On Team Climate Among Registered Nurses In The United States, Mark Siemon, Geoff Shuster, Blake Boursaw

Nursing Faculty Publications and Presentations

A number of states have adopted certification programs for community health workers (CHWs) to improve recognition of CHWs as members of health care teams, increase oversight, and to provide sustainable funding. There has been little research into the impact of state CHW certification on the diffusion and adoption of CHWs into existing health care systems. This study examined the impact of state CHW certification on the perceptions of team climate among registered nurses (RNs) who work with CHWs in states with and without CHW certification programs. The study recruited RNs using a purposeful sampling method and used an online survey, …

Vestibular Dysfunction, Altered Macular Structure And Trait Localization In A/J Inbred Mice, Sarath Vijayakumar, Teresa E. Lever, Jessica Pierce, Xing Zhao, David Bergstrom, Yunxia Wang Lundberg, Timothy A. Jones, Sherri M. Jones

Department of Special Education and Communication Disorders: Faculty Publications

A/J mice develop progressive hearing loss that begins before one month of age and is attributed to cochlear hair cell degeneration. Screening tests indicated this strain also develops early onset vestibular dysfunction and has otoconial deficits. The purpose of this study was to characterize the vestibular dysfunction and macular structural pathology over the lifespan of A/J mice. Vestibular function was measured using linear vestibular evoked potentials (VsEPs). Macular structural pathology was evaluated using light microscopy, SEM, TEM, confocal microscopy and Western blotting. Individually, vestibular functional deficits in mice ranged from mild to profound. On average, A/J mice had significantly reduced …

Does American Society Blame Fast Food Too Much For Obesity?, Gabriella Barrios

Nebraska College Preparatory Academy: Senior Capstone Projects

Obesity is a growing epidemic that could become the leading cause of death in American society. Society sees it and does nothing about it. I found that American society blames fast food too much for obesity, that we are doing nothing about it, and the restaurants are reacting by making changes.

Should People Be More Educated On Type 1 Diabetes?, Adrianna Braggs

Nebraska College Preparatory Academy: Senior Capstone Projects

Many people know about so many diseases that are happening in the world today yet Type 1 Diabetes remains a mystery. Type I Diabetes (TD1) is an autoimmune disease in which a person’s pancreas stops producing insulin, a hormone that enables people to get enough energy from food. Research on this topic is important because many children and young adults are diagnosed with the disease yet the education is lacking.

Drug Testing Government Assistance Recipients, Justin Galles

Nebraska College Preparatory Academy: Senior Capstone Projects

Eligibility for government assistance is based on income levels and is generally given to single parents and lower income families. Government assistance programs like welfare, SNAP (food stamps), and unemployment all help support people who have less income than what is necessary to support themselves and or their families. Programs like welfare and unemployment give checks that can be cashed and used at the discretion of the recipient. Who is to say recipients aren’t spending tax payer dollars on illegal drugs? People aren’t going to admit to government officials that they use illegal drugs so to be sure that they …

Drug Policy In Sports, Autumn Wimbush

Nebraska College Preparatory Academy: Senior Capstone Projects

I always wanted to look at how drugs impacted high school athletes and how many of them actually start using drugs. With the research I found, I hoped to analyze why athletes aren’t gettng tested and why associations aren’t trying to test them. With my research I found that most leagues and associaNons don’t take the right precautions to testing their athletes. High school athletes feel pressured to do better because of scholarships and competitions. The pressure causes many athletes to start using performance-­‐enhancing drugs and several leagues are still trying to figure out how to end the epidemic.

Use Of Functional Manual Therapy And A Strengthening Program In The Treatment Of A 41-Year-Old Female With Low Back And Sciatica Pain: A Case Report, Justin Jones

All Capstone Projects

Background and Purpose: Although low back pain is a common diagnosis treated in physical therapy clinics, there is disagreement in the literature as to the preferred interventions for this patient population. The purpose of this case report is to describe the outcome of a patient with acute onset of low back and sciatica pain with a treatment directed towards Functional Manual Therapy and a strengthening program based on initial examination findings.

Case Description: The patient was a 41 year-old female secretary with four day history of low back and sciatica pain that initiated after straining during a bowel movement. The …