Medicine and Health Sciences Commons^™

The Effectiveness Of Compression Gloves For Reducing Hand Edema, Colleen Pastunink, Ryan Steele

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Sally is a 72-year-old Caucasian female. She is 8 weeks post left Cerebral Vascular Accident (CVA) which resulted in left hemiparesis and expressive aphasia. She has now been discharged to home and is to attend outpatient therapy twice per week for 12 weeks. Prior to her stroke, Sally was independent in all self-care activities and was very socially active in her community. During an initial occupational therapy evaluation, therapists report that Sally is independent in all transfers and ambulates with the use of a quad cane. Circumferential measurements were taken during evaluation of the right upper extremity secondary to the …

Efficacy Of Eye Patching In Post-Stroke Patients, Ann Marta, Elizabeth Kos

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

The question is in regards to occupational therapy in an acute care setting. The treatment team is considering eye patching as a treatment for post stroke victims suffering from visual field deficits. They are interested in how eye patching can improve the effectiveness and use of the affected visual field. The team is also interested in having better long term outcomes for their patients.

Evaluation Of The Effects Of Passion Fruit Peel Flour (Passiflora Edulis Fo. Flavicarpa) On Metabolic Changes In Hiv Patients With Lipodystrophy Syndrome Secondary To Antiretroviral Therapy, Simone Marques, Rosana Libonati, Armando Sabaa-Srur, Rensheng Luo, Pushkar Shejwalkar, Kenji Hara, Thomas Dobbs, Robert Smith, Robert Smith

Chemistry & Biochemistry Faculty Works

No abstract provided.

Neonatal Pain Management: Still In Search For The Holy Grail., Karel Allegaert, John N. Van Den Anker

Pediatrics Faculty Publications

Inadequate pain management but also inappropriate use of analgesics in early infancy has negative effects on neurodevelopmental outcome. As a consequence, neonatal pain management is still in search for the Holy Grail. At best, effective pain management is based on prevention, assessment, and treatment followed by a re-assessment of the pain to determine if additional treatment is still necessary. Unfortunately, epidemiological observations suggest that neonates are undergoing painful procedures very frequently, unveiling the need for effective preventive, non-pharmacological strategies. In addition, assessment is still based on validated, multimodal, but subjective pain assessment tools. Finally, in neonatal intensive care units, there …

Separate F-Type Plasmids Have Shaped The Evolution Of The H30 Subclone Of Escherichia Coli Sequence Type 131., Timothy J Johnson, Jessica L Danzeisen, Bonnie Youmans, Kyle Case, Katharine Llop, Jeannette Munoz-Aguayo, Cristian Flores-Figueroa, Maliha Aziz, Nicole Stoesser, Evgeni Sokurenko, Lance B. Price, James R Johnson

Environmental and Occupational Health Faculty Publications

The extraintestinal pathogenic Escherichia coli (ExPEC) H30 subclone of sequence type 131 (ST131-H30) has emerged abruptly as a dominant lineage of ExPEC responsible for human disease. The ST131-H30 lineage has been well described phylogenetically, yet its plasmid complement is not fully understood. Here, single-molecule, real-time sequencing was used to generate the complete plasmid sequences of ST131-H30 isolates and those belonging to other ST131 clades. Comparative analyses revealed separate F-type plasmids that have shaped the evolution of the main fluoroquinolone-resistant ST131-H30 clades. Specifically, an F1:A2:B20 plasmid is strongly associated with the H …

Accuracy Of Commercial Fitness Trackers During High-Intensity Functional Training, Paige Wessel

Masters Theses & Specialist Projects

Commercially available fitness trackers have been found to accurately measure steps and caloric expenditure during walking and running activities. Circuit-style, highintensity functional training (HIFT) has become increasingly popular because it is inexpensive and effective in improving muscular strength and cardiovascular fitness. PURPOSE: To evaluate the accuracy of five accelerometers (ActiGraph GT3X, Nike Fuelband, Fitbit One, Fitbit Charge HR, and Jawbone UP Move) in estimating energy expenditure while performing an acute bout of HIFT. METHODS: Participants (n = 47) underwent baseline testing and at least 48 hours later, each participant completed the main test: a 15-minute workout consisting of 12 repetitions …

Renin-Angiotensin System Gene Expression And Neurodegenerative Diseases., Benjamin Goldstein, Robert Charles Speth, Malav Suchin Trivedi

Faculty Articles

HYPOTHESIS: Single nucleotide polymorphisms and altered gene expression of components of the renin-angiotensin system (RAS) are associated with neurodegenerative diseases.

INTRODUCTION: Drugs that interact with the RAS have been shown to affect the course of neurodegenerative disease, suggesting that abnormalities in the RAS may contribute to neurodegenerative disease.

MATERIALS AND METHODS: A meta-analysis of genome-wide association studies and gene expression data for 14 RAS-related proteins was carried out for five neurodegenerative diseases: Alzheimer's disease, Parkinson's disease, narcolepsy, amyotrophic lateral sclerosis and multiple sclerosis.

RESULTS: No single nucleotide polymorphisms in any of the 14 RAS-related protein genes were significantly associated with …

Ua61/1 Faculty Handbook, Wku School Of Nursing

WKU Administration Documents

Faculty handbook created by and for the WKU School of Nursing faculty.

A Review Of The Relation Between Dissociation, Memory, Executive Functioning And Social Cognition In Military Members And Civilians With Neuropsychiatric Conditions, Margaret C. Mckinnon, Jenna E. Boyd, Paul A. Frewen, Ulrich F. Lanius, Rakesh Jetly, Don Richardson, Ruth A. Lanius

MacDonald Franklin OSI Research Centre

Dissociative experiences, involving altered states of consciousness, have long been understood as a consequence or response to traumatic experiences, where a reduced level of consciousness may aid in survival during and after a traumatic event. Indeed, the dissociative subtype of post-traumatic stress disorder (PTSD-DS) was added recently to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Dissociative symptoms are present across a host of neuropsychiatric conditions, including PTSD, psychotic spectrum illnesses, anxiety and mood disorders. Transdiagnostically, the presence of dissociative symptoms is associated with a greater illness burden and reduced treatment outcomes. Critically, dissociative symptoms are related …

Three-Year Trajectories Of Global Perceived Quality Of Life For Youth With Chronic Health Conditions, Janette Mcdougall, David J. Dewit, Megan Nichols, Linda Miller, F. Virginia Wright

Occupational Therapy Publications

Purpose Objectives of this longitudinal study were to examine 3-year trajectories of global perceived quality of life (QOL) for youth with chronic health conditions, as obtained from youth and parent reports, and to identify personal and environmental factors associated with the trajectory groups for each perspective.

Methods Youth with various chronic conditions aged 11–17 years and one of their parents were recruited from eight children’s treatment centers. Latent class growth analysis was used to investigate perceived QOL trajectories (separately for youth and parent perspectives) over a 3-year period (four data collection time points spaced 12 months apart). Multinomial logistic regression …

Effects Of Acute And Chronic Interval Sprint Exercise Performed On A Manually Propelled Treadmill On Upper Limb Vascular Mechanics In Healthy Young Men, T. Dylan Olver, Steph M. Reid, Alan R. Smith, Mair Zamir, Peter W.R. Lemon, M. Harold Laughlin, J. Kevin Shoemaker

Bone and Joint Institute

© 2016 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of the American Physiological Society and The Physiological Society. Interval sprint exercise performed on a manually propelled treadmill, where the hands grip the handle bars, engages lower and upper limb skeletal muscle, but little is known regarding the effects of this exercise modality on the upper limb vasculature. We tested the hypotheses that an acute bout of sprint exercise and 6 weeks of training induces brachial artery (BA) and forearm vascular remodeling, favoring a more compliant system. Before and following a single bout of exercise as well …

Cerebral Functional Connectivity Periodically (De)Synchronizes With Anatomical Constraints., Raphaël Liégeois, Erik Ziegler, Christophe Phillips, Pierre Geurts, Francisco Gómez, Mohamed Ali Bahri, B T Thomas Yeo, Andrea Soddu, Audrey Vanhaudenhuyse, Steven Laureys, Rodolphe Sepulchre

Brain and Mind Institute Researchers' Publications

This paper studies the link between resting-state functional connectivity (FC), measured by the correlations of fMRI BOLD time courses, and structural connectivity (SC), estimated through fiber tractography. Instead of a static analysis based on the correlation between SC and FC averaged over the entire fMRI time series, we propose a dynamic analysis, based on the time evolution of the correlation between SC and a suitably windowed FC. Assessing the statistical significance of the time series against random phase permutations, our data show a pronounced peak of significance for time window widths around 20-30 TR (40-60 s). Using the appropriate window …

Variability Of Behavioral Chronotypes Of 16 Mammalian Species Under Controlled Conditions, Roberto Refinetti

Psychological Sciences Faculty Publications and Presentations

Human chronotypes (differences in preference for early or late rising each day) have been extensively studied in recent years, but no attempt has been made to compare human chronotypes with the chronotypes of other animal species. We evaluated behavioral chronotypes in 16 mammalian species along a body size gradient of five orders of magnitude (from mice to cattle). Individuals of all species were studied under a 12L:12D photoperiod in a thermoneutral environment with food and water available at all times. Rhythms of locomotor activity were analyzed for onset time, acrophase, and robustness. Neither of these rhythmic parameters was significantly related …

Joint Survival Analysis Of Time To Drug Change And A Terminal Event With Application To Drug Failure Analysis Using Transplant Registry Data, Elizabeth Renouf, Charmaine Dean, David Bellhouse, Vivian Mcalister

Data and Test Instruments

Statistical approaches for drug effectiveness studies after liver transplant have used a survival model with changes in treatment as a time-dependent covariate. However, the approach requires that changes in the time-dependent covariate be unrelated to survival outcome. Usually this is not the case, as one drug may be discontinued and an alternative chosen due to the declining health status of the patient. Other approaches examine only subjects who remain on the same drug over a time window, which discards valuable data and may lead to biased effects since this excludes data related to early deaths and to individuals who perform …

Santa Clara Magazine, Volume 57 Number 3, Summer 2016, Santa Clara University

Santa Clara Magazine

26 - CAN’T THREAD A MOVING NEEDLE To tackle sexual assault on college campuses, a playwriting project comes to the screen. By Danae Stahlnecker ’15.

28 - MISSION CRITICAL When three students fell ill from meningitis-causing bacteria—which can be fatal—it meant the clock was ticking. And to get through this, it would take everybody’s help. By Harold Gutmann.

36 - “WHERE ARE THEY TAKING US?” A journal from the front lines of the Syrian refugee crisis in Greece. By Colleen Sinsky ’10.

40 - NO STRANGERS HERE Refugees, home, and work by Ameera Naguib ’16 from Jordan to Silicon Valley. …

Himmelfarb Library Liaison Letter - July 2016, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Liaison Letters

No abstract provided.

The Positive Psychology Of Maritime Health, Joanne Mcveigh, Malcolm Mclachlan, Bill Kavanagh

Articles

The remote, isolated, confined, and safety-critical environment of seafaring exposes seafarers to a very specific assortment of stressors. Research suggests that seafarers as a professional group are amongst those at high risk for stress and associated mental health conditions. This article explores positive psychology as an approach to supporting wellbeing at sea. Positive psychology may support health, positive attitudes and productive work behaviour; however it cannot and should not be employed as a means of inoculating seafarers against the negative consequences of fundamentally unreasonable work practices. Rather, positive psychology can help seafarers thrive in an overall context that recognises and …

G Protein-Coupled Receptor Kinases: Crucial Regulators Of Blood Pressure, J. Yang, V. Villar, Ines Armando, Pedro A. Jose, C. Zeng

Medicine Faculty Publications

No abstract provided.

Development Of The Motivation Assessment For Team Readiness, Integration, And Collaboration (Matricx) Self-Scored Report Form: A Qualitative Study On Translating Measurement Findings For Team Development, John Liu Jr.

Doctor of Occupational Therapy Capstone Projects

The Motivation Assessment for Team Readiness, Integration, and Collaboration (MATRICx) has been shown to provide information on intrapersonal readiness to collaborate within a team. This study aims to understand and develop an innovative approach to presenting a self-scoring format for the MATRICx and to determine how results of the assessment tool could be interpreted to understand individual motivation in collaborative healthcare and biomedical teams. The MATRICx Report Form is a self-scoring version of the MATRICx that can help users interpret their own motivational profile. A qualitative study was conducted to examine user’s experience with the report form, ways of interpreting …

Adgrl3 (Lphn3) Variants Are Associated With A Refined Phenotype Of Adhd In The Mta Study, Maria T. Acosta, James Swanson, Annamarie Stehli, Brooke Molina, The Mta Team

Neurology Faculty Publications

Background

ADHD is the most common neuropsychiatric condition affecting individuals of all ages. Long-term outcomes of affected individuals and association with severe comorbidities as SUD or conduct disorders are the main concern. Genetic associations have been extensively described. Multiple studies show that intronic variants harbored in the ADGRL3 (LPHN3) gene are associated with ADHD, especially associated with poor outcomes.

Methods

In this study, we evaluated this association in the Multimodal Treatment Study of children with ADHD (MTA), initiated as a 14-month randomized clinical trial of 579 children diagnosed with DSM-IV ADHD-Combined Type (ADHD-C), that transitioned to a 16-year prospective observational …

Risk Factors Leading To Increased Recidivism Rates Among Adolescents Admitted To An Acute Care Child And Adolescent Psychiatric Hospital, Logan Mccarthy, Jonathan Cayce, Lisa Pullen

Doctoral Projects

The purpose of this study is to identify risk factors that may increase recidivism among adolescents admitted to an acute child and adolescent psychiatric hospital. A chart review was performed on 98 adolescent clients admitted to an acute psychiatric hospital, in order to gather data on the potential risk factors of gender, length of stay, diagnoses, living situation, history of a suicide attempt, history of self-harming behavior, history of trauma and abuse, reason for admission, history of previous admissions, presence of outpatient services, and family mental health history. Clients readmitted to the hospital within a 12 month time frame were …

United States Health Care Reform Progress To Date And Next Steps, Barack H. Obama

United States Public Health Resources

IMPORTANCE The Affordable Care Act is the most important health care legislation enacted in the United States since the creation of Medicare and Medicaid in 1965. The law implemented comprehensive reforms designed to improve the accessibility, affordability, and quality of health care.

OBJECTIVES To review the factors influencing the decision to pursue health reform, summarize evidence on the effects of the law to date, recommend actions that could improve the health care system, and identify general lessons for public policy from the Affordable Care Act.

EVIDENCE Analysis of publicly available data, data obtained from government agencies, and published research findings. …

The Carefirst Patient-Centered Medical Home Program: Cost And Utilization Effects In Its First Three Years, Alison Cuellar, Lorens A. Helmchen, Gilbert Gimm, Jay Want, Sriteja Burla, Bradley Kells, Iwona Kicinger, Len M. Nichols

Health Policy and Management Faculty Publications

Background

Enhanced primary care models have diffused slowly and shown uneven results. Because their structural features are costly and challenging for small practices to implement, they offer modest rewards for improved performance, and improvement takes time.

Objective

To test whether a patient-centered medical home (PCMH) model that significantly rewarded cost savings and accommodated small primary care practices was associated with lower spending, fewer hospital admissions, and fewer emergency room visits.

Design

We compared medical care expenditures and utilization among adults who participated in the PCMH program to adults who did not participate. We computed difference-in-difference estimates using two-part multivariate generalized …

Estimating Indoor Pm2.5 And Co Concentrations In Households In Southern Nepal: The Nepal Cookstove Intervention Trials, C. Chen, S. Zeger, P. Breysse, J. Katz, W. Checkley, F. Curriero, James Tielsch

Global Health Faculty Publications

High concentrations of household air pollution (HAP) due to biomass fuel usage with unvented, insufficient combustion devices are thought to be an important health risk factor in South Asia population. To better characterize the indoor concentrations of particulate matter (PM2.5) and carbon monoxide (CO), and to understand their impact on health in rural southern Nepal, this study analyzed daily monitoring data collected with DataRAM pDR-1000 and LASCAR CO data logger in 2980 households using traditional biomass cookstove indoor through the Nepal Cookstove Intervention Trial–Phase I between March 2010 and October 2011. Daily average PM2.5 and CO concentrations collected in area …

Toward An International Constitution Of Patient Rights, Alison Poklaski

Indiana Journal of Global Legal Studies

In the past decade, medical tourism-the travel of patients across borders to receive medical treatment-has undergone unprecedented growth, fueled by the globalization of health care and related industries. While medical tourism can benefit patients through increased access to treatment and cost-savings, medical travel also raises concerns about ensuring quality of care and legal redress in medical malpractice. Moreover, existing regulations fail to address these unprecedented issues. The multilateral adoption of an International Constitution of Patient Rights (ICPR) is necessary in order to more effectively preserve medical tourism's benefits and guard against its risks.

Epidemiology And Outcomes Of Out-Of-Hospital Cardiac Arrest In A Developing Country-A Multicenter Cohort Study., Minaz Mawani, Muhammad Masood Kadir, Iqbal Azam Syed, Amber Mehmood, Bryan Mcnally, Kent Stevens,, R. Nuruddin, Mohammad Ishaq, J. Razzak

Section of Cardiology

Background

Out-of-hospital cardiac arrest (OHCA) is one of the leading causes of death and disability worldwide. Overall survival after an OHCA has been reported to be poor and limited studies have been conducted in developing countries. We aimed to investigate the rates of survival from OHCA and explore components of the chain of survival in a developing country.

Methods

We conducted a multicenter prospective cohort study in the emergency departments (ED) of five major public and private sector hospitals of Karachi, Pakistan from January 2013 to April 2013. Twenty-four hour data collection was performed by trained data collectors, using a …

‘Essential But Not Always Available When Needed’ – An Interview Study Of Physicians’ Experiences And Views Regarding Use Of Obstetric Ultrasound In Tanzania, Annika Åhman, Hussein Kidanto, Matilda Ngarina, Kristina Edvardsson, Rhonda Small, Ingrid Mogren

Faculty of Health Sciences, East Africa

Background The value of obstetric ultrasound in high-income countries has been extensively explored but evidence is still lacking regarding the role of obstetric ultrasound in low-income countries.

Objective We aimed to explore experiences and views among physicians working in obstetric care in Tanzania, on the role of obstetric ultrasound in relation to clinical management.

Design A qualitative study design was applied. Data were collected in 2015, through 16 individual interviews with physicians practicing in obstetric care at hospitals in an urban setting in Tanzania. Data were analyzed using qualitative content analysis.

Results Use of obstetric ultrasound in the management of …

Jefferson Digital Commons Quarterly Report: April-June 2016, Daniel G. Kipnis, Msi, Kelsey Duinkerken, Msi, James Copeland, Libt

Jefferson Digital Commons Reports

This quarterly report includes:

• TJU Archives & Special Collections Adds Content to the DPLA
• JDC Feature write-up in The Bulletin and JCIPE Newsletter
• New Dashboard with amazing metrics
• 8th Annual Faculty Day presentations
• Surgery Residents Research Day presentations
• Commencements videos
• CREATE Day Occupational therapy presentations
• Quality and Safety posters and much more
• What People are saying about the JDC

State Of The Art Review: Promoting Dog Walking For Healthy Lifestyles, Hayley Christian, Adrian Bauman, Jacqueline Epping, Glenn N. Levine, Gavin Mccormack, Ryan E. Rhodes, Elizabeth Richards, Melanie Rock, Carri Westgarth

School of Nursing Faculty Publications

Regular physical activity is associated with numerous health benefits, including the prevention of many chronic diseases and conditions or a reduction in their adverse effects. Intervention studies suggest that promoting dog walking among dog owners who do not routinely walk their dogs may be an effective strategy for increasing and maintaining regular physical activity. Strategies that emphasize the value of dog walking for both dogs and people, promote the context-dependent repetition of dog walking, enhance the social-interaction benefits, encourage family dog walking and ensure availability of public space for dog walking may encourage increased dog walking. Research also supports organizing …

Message, M S. Valiathan Dr

Manipal Journal of Nursing and Health Sciences

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