Medicine and Health Sciences Commons^™

Retrograde Pedal Access For Revascularization Of Infrapopliteal Arterial Occlusive Disease In Critical Limb Ischemia (Cli) Patients As A Primary Approach., Ahmed Amro, Alaa Gabi, Shahed Elhamdani, Haytham Aljoudi, Mehiar El-Hamdani

Marshall Journal of Medicine

Introduction:

We are presenting three cases (out of similar several cases) where tibio-pedal approach was performed as an initial primary approach for limb salvage in patients with CLI secondary to Infra-popliteal (IP) disease. We consider this approach to be a necessary evolution in endovascular intervention.

Discussion:

Retrograde pedal access is safe, feasible with high technical success rate and a relatively low procedural complication rate, with low 30 days mortality and low rate of major adverse cardiac events. Freedom from major adverse limb events and limb salvage are both high at 1 year follow up. It allows quick therapy and short …

An Atypical Cause Of Atypical Hemolytic Uremic Syndrome, Abhinav Sharma, Carolina De Elia, Eric Arguelles, Christine L. Gilkerson

Marshall Journal of Medicine

Atypical hemolytic syndrome is an extremely rare, life threatening, progressive disease. Approximately one to two cases per million are seen annually in the US (3,4). It is known to be associated with variety of conditions including infections, drugs, autoimmune conditions, vaccination, malignancy, organ transplantation, pregnancy, and metabolic conditions (11,13).We hereby describe a case of atypical hemolytic uremic syndrome associated with CABG surgery. A 58 year old female presented to the emergency department (ED) with three days of worsening shortness of breath and cold like symptoms including nausea, vomiting and rhinorrhea. Twenty six days prior to presentation she had undergone Coronary …

Spinal Cord Injury And Autonomic Dysreflexia- A Case Report, Apurva Bhatt, Brit Moore, Talal Asif, Kristy E. Steigerwalt, Rebecca R. Pauly

Marshall Journal of Medicine

Autonomic dysreflexia (AD) is a life threatening condition affecting patients with spinal cord lesions T6 level and above. A 51 year old male with a history of paraplegia due to a C6 spinal cord injury (30 years prior) presented with recurrent debilitating episodic diaphoresis, hypertension, low body temperature, and bradycardia. Previous hospitalizations presumed sepsis from UTI to be the etiology, however on further evaluation his symptoms were consistent with undiagnosed AD. This article describes a unique case presentation and reviews AD in depth, including the etiology, pathophysiology and management.

Splenic Infarction: An Uncommon Presentation Of Acute Infectious Mononucleosis, Madhulika Urella, Roma Srivastava, Waseem Ahmed, Yehuda Lebowicz

Marshall Journal of Medicine

Splenic infarction is a relatively uncommon diagnosis. It occurs when the splenic artery or one of its sub-branches is occluded with an infected or bland embolus or clot. Splenic infarction may be caused by atrial fibrillation, bacterial endocarditis, sickle cell disease, antiphospholipid syndrome, and trauma whereas an infectious etiology is uncommon. It is considered a rare presentation of acute infectious mononucleosis. Currently, its pathogenesis is still unclear. We describe a 24-year-old African American female who was admitted for evaluation of left-sided chest pain. Chest imaging, abdominal ultrasound, and initial laboratory data were normal, followed by a negative hypercoagulability panel. Signs …

Contribution Of Medical Education To Rural Health, Roger Y. Wong

Marshall Journal of Medicine

Rural health is an important priority in many jurisdictions as an example of social accountability. The choice to practice in a rural community can be influenced by personal factors, educational factors, and systemic factors. Medical education makes significant contribution to rural health by proactively and positively modifying the educational factors. The experience of the Faculty of Medicine at the University of British Columbia, Canada is used to illustrate how this can be accomplished. A multi-component approach that is tailored to address the personal and systemic determinants of rural practice must also be developed to maximize the positive impact of medical …

Academic Medicine Responds To The Opioid Crisis, John Prescott

Marshall Journal of Medicine

Opioid dependence has devastated communities across the nation particularly in rural states and academic medicine has responded in a variety of ways. Through its tripartite mission of education, research, and clinical care, creative solutions are being implanted. Medical schools and teaching hospitals are partnering with public health and law enforcement agencies, as well as local healthcare providers to address the clinical, social, and rehabilitative challenges. Academic medicine continues to adapt to the needs of the nation and teach, train, and prepare the next generation of physicians to be at their best when things are at their worst.

The Time For Multidisciplinary Research Is Now, Jerome A. Gilbert

Marshall Journal of Medicine

No abstract provided.

Earth Suit, Bowhee Gwak, Young Park

Clinical Research in Practice: The Journal of Team Hippocrates

The authors reflect on an experience learning at the feet of a spirited patient.

What's Happening: October 24, 2016, Maine Medical Center

What's Happening

No abstract provided.

Multiple-Modality Exercise And Mind-Motor Training To Improve Cardiovascular Health And Fitness In Older Adults At Risk For Cognitive Impairment: A Randomized Controlled Trial, Narlon Cassio Boa Sorte Silva, Micheal A. Gregory, Dawn P. Gill, Robert Petrella

Lifestyle Research Team

Background:The effects of multiple-modality exercise on arterial stiffening and cardiovascular fitness has not been fully explored. Objectives: To explore the influence of a 24-week multiple-modality exercise program associated with a mind-motor training in cardiovascular health and fitness in community-dwelling older adults, compared to multiple-modality exercise (M2) alone.

Methods: Participants (n=127, aged 67.5 [7.3] years, 71% females) were randomized to either M4 or M2 groups. Both groups received multiple-modality exercise intervention (60 min/day, 3 days/week for 24-weeks); however, the M4 group underwent additional 15 min of mind-motor training, whereas the M2 group received 15 min of balance training. Participants …

Health & Kinesiology News, Georgia Southern University

Health Sciences & Kinesiology: News & Publications (2015-2023)

• Georgia Southern M.S. Degrees Ranked Nationally

Making Metrics Matter From The Start, Susan Sell, Julie Kaszuba Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Exploring Married Iranian Women’S Perception Of The Meaning Of Sexual Marital Activity: A Qualitative Study, Sedigheh Pakseresht, Fatemeh Jafarzadeh-Kenarsari, Zahra Atrkar Roushan

The Qualitative Report

Sexual relationship is not limited to a merely biological process; it is an experience that is formed in a joint intrapersonal, interpersonal and cultural context. This study aimed to explore married Iranian women’s interpretation of sexual activity. The researchers conducted this qualitative study on 65 eligible married women aged 16-60 years attending prenatal care, family planning, and gynecology clinics in an educational hospital during 2012-2013. We collected data through 9 focus group discussions. We also used purposive sampling method with maximum variation for selecting study Participants. All interviews were continued until data saturation was achieved. Researchers used a conventional content …

Medical School Watercooler Newsletter - October 23, 2016, Lindsey Lyle

Watercooler Newsletter

This is the October 23, 2016 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• USA Health to Offer Free Skin Cancer Screenings
• Symposium on Environment and Humanitarian Care November 4-6
• USA Health Honors Employees at Jags Game
• November Med School Café- Untold Stories of the ER

Airborne Infectious Agents And Other Pollutants In Automobiles For Domestic Use: Potential Health Impacts And Approaches To Risk Mitigation, Syed A. Sattar, Kathryn E. Wright, Bahram Zargar, Joseph R. Rubino, M. Khalid Ijaz

Publications and Research

Theworld total of passenger cars is expected to go fromthe current one billion to >2.5 billion by 2050. Cars for domestic use account for ∼74% of the world’s yearly production ofmotorized vehicles. In North America, ∼80% of the commuters use their own car with another 5.6% travelling as passengers.With the current life-expectancy of 78.6 years, the average North American spends 4.3 years driving a car! This equates to driving 101 minutes/day with a lifetime driving distance of nearly 1.3 million km inside the confined and often shared space of the car with exposure to a mix of potentially harmful pathogens, …

Direct Current-Induced Calcium Trafficking In Different Neuronal Preparations, Andrzej Wieraszko, Zaghloul Ahmed

Publications and Research

The influence of direct current (DC) stimulation on radioactive calcium trafficking in sciatic nerve in vivo and in vitro, spinal cord, and synaptosomes was investigated. The exposure to DC enhanced calcium redistribution in all of these preparations. The effect was dependent on the strength of the stimulation and extended beyond the phase of exposure to DC. The DC-induced increase in calcium sequestration by synaptosomes was significantly reduced by cobalt and rupture of synaptosomes by osmotic shock. Although both anodal and cathodal currents were effective, the experiments with two electrodes of different areas revealed that cathodal stimulation exerted stronger effect. The …

Making Scholarly Activity Available To The Masses: The Scaffolding Of Scholarship Throughout The Undergraduate Curriculum, Michael Savarese, Trent R. Brown, Carolyn Culbertson, Anna Carlin

Florida Statewide Symposium: Best Practices in Undergraduate Research

Florida Gulf Coast University’s Quality Enhancement Plan (QEP) focuses on improving student critical thinking, information literacy, and written communication. Rather than developing these skills through traditional methods (e.g., through senior-level, independent research), these learning outcomes are practiced through scholarly experiences. Traditional undergraduate scholarship manifests itself through terminal, senior capstone or research experiences. These, because of the economy of scale, typically reach a minority of students, often just honors students or those approached by faculty mentors. At FGCU, however, scholarly experiences are a part of the curriculum throughout the program of study, and scaffolded to build greater depth and sophistication. Presented …

Human Anatomy & Physiology Society ( Haps ) Southern Regional Meeting 2016, Cheryl Purvis

Faculty Proceedings, Presentations, Speeches and Lectures

No abstract provided.

Sociodemographic Factors Associated With Igg And Igm Seroprevalence For Human Cytomegalovirus Infection In Adult Populations Of Pakistan: A Seroprevalence Survey, Saira Ibrahim, Anwar Ali Siddiqui, Amna Siddiqui, Waquaruddin Ahmed, Paul A. H. Moss, El Nasir Lalani

Department of Biological & Biomedical Sciences

Background: The seroprevalence of human cytomegalovirus (HCMV) infection ranges from 30 to 90 % in developed countries. Reliable estimates of HCMV seroprevalence are not available for Pakistan. This study determined the seroprevalence and sociodemographic factors associated with HCMV infection in adult populations of Karachi, Pakistan.
Methods: A seroprevalence survey was conducted on 1000 adults, including residents of two semi-urban communities, and visitors to a government and a private hospital. Questionnaire-based interviews were conducted. Sera were analysed for HCMV-specific IgG and IgM. Chi-square or Fisher’s exact test was used for comparing sociodemographic variables against seropositivity of HCMV-IgG or IgM. Multiple logistic …

Commentary: The Worst 4-Letter Word In Healthcare, Peter G. Holub

Internet Journal of Allied Health Sciences and Practice

“Wait” is a four-letter word to patients who are rarely patient when it comes to waiting. What can caregivers do to help patients cope with waiting while their entire lives are put on hold?

Academic And Psychosocial Outcomes Of A Physical Activity Program With Fourth Graders: Variations Among Schools In Six Urban School Districts, Cheryl L. Somers, Erin E. Centeio, Noel Kulik, Alex Garn, Jeffry Martin, Bo Shen, Mariane Fahlman, Nathan A. Mccaughtry

Kinesiology, Health and Sport Studies

The purpose was to examine academic achievement, school attachment, and peer acceptance before and after a comprehensive school-based physical activity program (CSPAP) with 378 children in 12 fourth-grade classrooms across six schools in primarily low-socioeconomic status (SES) districts of a large Midwestern metropolitan area. Both personal and normative rate of academic achievement improvement metrics were used. Overall, all students showed personal math and reading growth. However, effects varied by types of achievement indicator and comparison group, revealing noteworthy school-level demographic and implementation characteristics that are inextricably intertwined with program effectiveness and student growth. Implications, especially for minimizing generalizations, are significant.

Health & Kinesiology News, Georgia Southern University

Health Sciences & Kinesiology: News & Publications (2015-2023)

• Students Participate in Greenfest

Miles, Marshall (Fa 990), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archives Collection 990. Project titled: "Early Traditional Use of Yellow Root in Monroe County" written by Marshall Miles for a folk studies class at Western Kentucky University. The paper examines the medicinal uses of yellow root or golden seal in Monroe County, Kentucky.

Castillo, Jesse (Fa 983), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archives Project 983. Project titled: “Folklore Collection.” Includes survey sheets with brief descriptions of folk remedies, sayings, and ghost stories from Warren County, Kentucky, Pennsylvania and Texas.

Spears, Sandra (Fa 999), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archives Project 999. Project titled: “Folk Medicine in Allen County.” Includes survey sheets with brief descriptions of folk remedies and beliefs in Allen County, Kentucky. Sheets include a brief description, informant’s name, and the motif index number.

Pratiques Des Grandes Organisations Au Québec En Regard De La Coordination Du Retour Au Travail, Marie-José Durand, Marie-France Coutu, Iuliana Nastasia, Michael Bernier

Rapports de recherche scientifique

Chaque année, un nombre considérable de travailleurs doit s’absenter du travail en raison de problèmes de santé physique ou mentale. Parmi ceux-ci, un certain nombre éprouvera de la difficulté à réintégrer le travail et devra s’absenter de façon prolongée. Ces difficultés sont dénommées « incapacité au travail ». Étant donné l’ampleur des coûts humains et financiers qu’occasionnent ces problèmes de santé, plusieurs stratégies ont été proposées dans le but de faciliter le retour au travail. Ainsi, plusieurs études ont démontré que la présence d’un coordonnateur de retour au travail (CoRAT) permettait de réduire les incapacités prolongées et les coûts associés. …

Racial And Ethnic Differences In Low-Risk Cesarean Deliveries In Florida, Yuri Combo Vanda Sebastiao

USF Tampa Graduate Theses and Dissertations

Background and Significance: Cesarean delivery rates increased by more than 50% between 1996 and 2011 in the United States. The large increase in rates for the procedure was generally not associated with significant improvements in obstetric outcomes, raising concern about quality and prompting recommendations for prevention. Primary cesareans provide the best opportunity to reduce overall cesarean rates, and the group of first-time mothers considered low-risk for cesarean (known as nulliparous, term, singleton, vertex, NTSV) constitutes the focus of prevention efforts. Studies increasingly report racial and ethnic differences in NTSV cesareans, which remain after controlling for health factors. However, the reasons …

Electronic Cigarettes In The Indoor Environment, Cheri Marcham

Publications

"E-cigarettes should be considered a source of volatile organic compounds (VOCs) and particulates in the indoor environment that have not been thoroughly characterized or evaluated for safety."--NIOSH

Cleveland Clinic Summer Scholars Program, Monica Singh

Trick to the Treat of Internships and Research

No abstract provided.

Research/Internship In Optometry, Alisha Trivedi

Trick to the Treat of Internships and Research

This is an enriching experience for undergraduate students, giving them a clinical and hands on experience in the field of Optometry. Students will have the opportunity to participate in research, see participants, shadow optometrists, engage in new studies, and possibly present their research at the end of their second semester. Students will work under a health professional at HPD and first observe their work along with the work of the interns before them to get familiar with the position. They will typically see participants for research about 2-3 times a week, and work on their term paper outside of that.