Medicine and Health Sciences Commons^™

Role Of Prophylactic Magnesium Supplementation In Prevention Of Postoperative Atrial Fibrillation In Patients Undergoing Coronary Artery Bypass Grafting: A Meta-Analysis Of 23 Randomized Controlled Trials, Jalaj Garg Md, Rahul Chaudhary Md, Parasuram Krishnamoorthy Md, Neeraj Shah Md, Babak Bozorgnia Md

Department of Medicine

Background

Several randomized clinical trials have evaluated the efficacy of prophylactic magnesium (Mg) supplementation in prevention of post-operative atrial fibrillation (POAF) in patients undergoing cardiac artery bypass grafting (CABG). We aim to determine the role of prophylactic Mg in 3 settings (intraoperative, postoperative, intraoperative + postoperative) in prevention of POAF.

Methods

A systemic literature search was performed (until October 20, 2015) using PubMed, EMBASE, Web of Science, and Cochrane Central Register of Controlled Trials to identify trials evaluating Mg supplementation post CABG. Primary outcome of our study was reduction in the POAF. For each study, the incidence of atrial fibrillation …

A Case Report Of Ruxolitinib Induced Hypocalcemia: A Stochastic Or Deterministic Effect?, Arsha Sreedhar Md, Ranjit R. Nair Md, Gretchen A. Perilli Md

Department of Medicine

Ruxolitinib is a novel selective JAK 1/2 inhibitor approved for the treatment of myelofibrosis (MF) and polycythemia vera (PCV). Hypocalcemia associated with ruxolitinib has not been reported in early trials or in literature.

A 65 year female with history of CKD stage 3, PCV since 1989, papillary thyroid carcinoma, total thyroidectomy and hypoparathyroidism since 1996 presented with complaints of severe myalgia, fatigue, paresthesia and critical hypocalcemia. Her corrected S. Ca 5.8 mg /dl (8.9-10.1 mg/dL) and Ionised Ca 2.9 mg/dl (4.5 - 5.4 mg/dL). Other labs showed stable creatinine 1.5 mg/dL, intact PTH 29 pg/ml(14-72pg/ml) and 25,OH vitamin D level …

A Causal-Comparative Inquiry Into The Significance Of Implementing A Flipped Classroom Strategy In Nursing Education, Rhonda Faretta

Doctoral Dissertations and Projects

The purpose of this causal-comparative design study was to examine the application of the theory of Vygotsky’s social constructivism (1978) and McMillan and Chavis’s (1986) definition of sense of classroom community in the context of a flipped classroom. The researcher aimed to determine if a pathophysiology course taught with the flipped classroom method would result in a statistically-significant difference in nursing students’ academic performance and sense of classroom community when compared to a pathophysiology course taught with the lecture classroom method. Two questions were addressed during this study: (a) Is there a statistically-significant difference in nursing students’ academic performance (as …

New Journals For Publishing Medical Case Reports, Katherine G. Akers Phd

Library Scholarly Publications

Because they do not rank highly in the hierarchy of evidence and are not frequently cited, case reports describing the clinical circumstances of single patients are seldom published by medical journals. However, many clinicians argue that case reports have significant educational value, advance medical knowledge, and complement evidence-based medicine. Over the last several years, a vast number (~160) of new peer-reviewed journals have emerged that focus on publishing case reports. These journals are typically open access and have relatively high acceptance rates. However, approximately half of the publishers of case reports journals engage in questionable or "predatory" publishing practices. Authors …

Pharmdigest Volume 2, Issue 3, Philadelphia College Of Osteopathic Medicine, School Of Pharmacy

PharmDigest

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

• A Year in Review
• Impacting Patient Care
• Getting Your Voice Heard
• 10 Reasons to Counsel
• The Daily Dose: Residency
• AMCP Out West
• Dinner with a Pharmacist
• Introducing... [2016-2017 Pharmacy Student Council]

Evaluation Of Polymorphic Locus Sequence Typing For Candida Glabrata Epidemiology., Santosh Katiyar, Eric Shiffrin, Md, Celeste Shelton, Kelley Healey, John-Paul Vermitsky, Tom Edlind

Department of Medicine Faculty Papers

The opportunistic yeastCandida glabratais increasingly refractory to antifungal treatment or prophylaxis and relatedly is increasingly implicated in health care-associated infections. To elucidate the epidemiology of these infections, strain typing is required. Sequence-based typing provides multiple advantages over length-based methods, such as pulsed-field gel electrophoresis (PFGE); however, conventional multilocus sequence typing (targeting 6 conserved loci) and whole-genome sequencing are impractical for routine use. A commercial sequence-based typing service forC. glabratathat targets polymorphic tandem repeat-containing loci has recently been developed. These CgMT-J and CgMT-M services were evaluated with 56 epidemiologically unrelated isolates, 4 to 7 fluconazole-susceptible or fluconazole-resistant isolates from each of …

The Relationship Between Counselors' Multicultural Counseling Competence And Poverty Beliefs, Madeline Elizabeth Clark

Counseling & Human Services Theses & Dissertations

The relationship between increased levels of poverty and decreased levels of psychological wellbeing and overall wellness is well documented. Although poverty clearly impacts mental health and wellness, little research in counseling has been conducted exploring the poverty attitudes of counselors. This study explored the relationship between professional counselors’ multicultural counseling competence (MCC), poverty beliefs, and select demographic factors (i.e. counseling specialty, gender, age, ethnocultural identity, poverty counseling experience, and personal poverty experience). Data were collected using survey-based methods from professional counselors of all specialties. Results of a hierarchical linear regression indicate that increased MCC, adjusted for select demographic factors, is …

Comparison Of Interactive Voice Response (Ivr) With Paper Administration Of Instruments To Assess Functional Status, Sexual Function, And Quality Of Life In Elderly Men, Rc Rosen, Aj Stephens-Shields, Gr Cunningham, D Cifelli, D Cella, Jt Farrar, E Barrett-Connor, Ce Lewis, M Pahor, X Hou, Pj Snyder

Faculty, Staff and Students Publications

PURPOSE: Patient-reported outcome (PRO) measures are essential for assessing subjective patient experiences. Interactive voice response (IVR) data collection provides advantages for clinical trial design by standardizing and centralizing the assessment. Prior to adoption of IVR as a mode of PRO administration in the Testosterone Trials (TTrials), we compared IVR to paper versions of the instruments to be used. METHODS: IVR versions of the FACIT-Fatigue scale and Psychosexual Daily Questionnaire, Question 4, were developed. In one pilot study, IVR versions of these scales were compared to paper versions in 25 men = 65 years at each of two clinical sites. In …

Nursing’S Role In Physician Aid In Dying: Assisting Suicide Or Providing Death With Dignity, Elizabeth Miklos

Honors Projects

No abstract provided.

Bilateral Ovarian Dermoid Cysts’ Treatment, Hilary Skalski

Honors Projects

Ovarian dermoid cysts are the most common neoplasm found in the ovary. They are also the most commonly removed ovarian neoplasm. Still, most reported cases of ovarian dermoid cysts are unilateral, so there is little research on bilateral ovarian dermoids. Nevertheless, bilateral treatment options should be explored, due to an increased likelihood of obtaining complications from a treatment or lack thereof. A meta-analysis on ovarian dermoid literature from 1991 to 2015 was performed to compile a treatment and prognosis for bilateral dermoids. The results found that a bilateral laparoscopic cystectomy was the optimal treatment method when treatment was desired. There …

Neonatal Mortality In Ghana, Clorissa M. Diedrich

Honors Projects

No abstract provided.

Communication Process Improvement Among Bedside Nursing Staff On A Skilled Nursing Rehabilitation Unit, Lauren Dice Smith

Doctoral Projects

Communication in healthcare is pivotal for transferring patient clinical information. Communication is important between and within disciplines and throughout the continuum of care. Poor communication has been found to be the third leading root cause of sentinel events (event which may cause death, permanent harm, or severe temporary harm) within hospitals behind human factors and leadership. Standardization of nursing handoffs using the Situation Background Assessment Recommendation (SBAR) model and conducting the handoff at the patient’s bedside have produced positive outcomes including improving patient safety, improving nursing and patient satisfaction, and increasing time efficiency for nurses. The PICO question for this …

User Acceptance Of Neurology Telemedicine Technology In The Emergency Department, Teresa W. Mcneil

Applied Research Projects

There is currently a significant shortage of trained neurologists in the country. In addition to the shortfall of neurologists, there is an increasing need for this specialty due to an aging population, increase in the incident of neurologic diseases and an increasing demand for healthcare (Freeman, 2013). The development of tele neurology technology has been shown to help address these problems. As with any new technology there are multiple barriers to overcome, one of those being user acceptance of the technology. A survey of users of the telemedicine product VGo was conducted at Hunt Regional Medical Center to access the …

Factors Contributing To The "Dominican Paradox" Of Maternal Mortality, Cherissa Garcia

Master of Public Health Program Student Publications

Despite having one of the highest rates of institutionalized birth in the region, Dominican maternal mortality rates are higher than the regional average. This phenomenon is referred to as the “Dominican Paradox.” The purpose of this paper is to identify factors beyond the established healthcare system that may contribute to the “Dominican Paradox.” Literature about the “Dominican Paradox” often attempts to explain the paradox in terms of the current healthcare system alone. Over reliance on the healthcare system has likely contributed to the “Dominican Paradox.” Most of prevalent causes of maternal mortality in the Dominican Republic are strongly linked to …

Spine Biomechanics Associated With The Shortened, Modern One-Plane Golf Swing, R. Barry Dale, Jason Brumitt

Faculty Publications - College of Physical Therapy

The purpose of this study was to compare kinetic, kinematic, and performance variables associated with full and shortened modern backswings in a skilled group of modern swing (one-plane) golfers. Shortening the modern golf backswing is proposed to reduce vertebral spine stress, but supporting evidence is lacking and performance implications are unknown. Thirteen male golfers performed ten swings of each swing type using their own 7-iron club. Biomechanical-dependent variables included the X-Factor kinematic data and spine kinetics. Performance-related dependent variables included club head velocity (CHV), shot distance, and accuracy (distance from the target line). Data were analysed with repeated measures …

Around Campus

DePaul Magazine

Center for Community Health Equity Launches; Sustainability the Focus of the 2015 Vincent de Paul Lecture; The Women's Center Celebrates 20 Years with Feminist Editor; Craft of Composing Panel Addresses the Vocation of Writing; Third Annual Horror of the Humanities Unmasks the Monstrosities of Daily Life; DePaul Basketball Enjoys Game-Changing Groundbreaking Day; Bruno Marks 30th Season Coaching the Game He Lovers; Late-Season Rally Propels Men's Soccer to Postseason; Women's Soccer Qualifies for Sixth BIG EAST Tournament; Wyatt Excels On and Off the Field; Preseason Honors the BIG EAST; Polish Scholar Reflects on Solidarity Movement and Catholicism; The Sentencing Project Director …

Phantom Limb Pain, Stephanie J. Stockburger, Mandakini Sadhir, Hatim A. Omar

Pediatrics Faculty Publications

Phantom limb pain is pain that is perceived in a part of the body which is no longer present. It is estimated that 80 percent of amputees experience phantom limb pain. Although the term is “phantom limb pain” the feeling is often more of a burning, twisting, itching, or pressure sensation than pain. The exact mechanism of phantom limb pain is unknown although proposed mechanisms include pain origination from either the central nervous system or the peripheral nervous system. Since the exact mechanism of phantom limb pain is unknown, treating this pain may be difficult. Treatments include pharmacological and nonpharmacological. …

Prediction Of Fluoroquinolone Resistance In Gram-Negative Bacteria Causing Bloodstream Infections, Seejil Dan, Ansal Shah, Julie Ann Justo, P Brandon Bookstaver, Joseph Kohn, Helmut Albrecht, Majdi N. Al-Hasan

Faculty Publications

Increasing rates of fluoroquinolone resistance (FQ-R) have limited empirical treatment options for Gram-negative infections, particularly in patients with severe beta-lactam allergy. This case-control study aims to develop a clinical risk score to predict the probability of FQ-R in Gram-negative bloodstream isolates. Adult patients with Gram-negative bloodstream infections (BSI) hospitalized at Palmetto Health System in Columbia, South Carolina, from 2010 to 2013 were identified. Multivariate logistic regression was used to identify independent risk factors for FQ-R. Point allocation in the fluoroquinolone resistance score (FQRS) was based on regression coefficients. Model discrimination was assessed by the area under receiver operating characteristic curve …

Hemodynamic Changes In Cortical Sensorimotor Systems Following Hand And Orofacial Motor Tasks And Pulsed Cutaneous Stimulation, Austin Oder Rosner

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The integrity of the cerebral cortex can be assessed by measuring its responsiveness to repetitive sensory stimulation and voluntary motor activity. This neurophysiologic feature is called neural adaptation, and is thought to enhance learning and detection of environmental stimuli. The adaptation of hemodynamic responses to motor and sensory experiences in hand and face are of particular interest—as these are structures used in human communication—and proper delivery of oxy-hemoglobin to primary motor (M1) and somatosensory (S1) cortices is essential for functional cortical activation.

The objective of this study was to examine the hemodynamic differences between hand and face cortical representations during …

Micronutrient Foliar Analysis And Supplementation In Nutrient Management For High Yield Maize (Zea Mays L.), Zachary P. Stewart

Department of Agronomy and Horticulture: Dissertations, Theses, and Student Research

Micronutrient supplementation in maize production is of growing interest to producers and agronomists as means to further increase yield as other crop needs are increasingly met. Plant tissue and soil sampling for micronutrient concentrations have been used to determine likely responses to micronutrient supplementation. Nebraska soils are generally micronutrient sufficient and usually do not have soil or plant tissue micronutrient concentrations below critical levels, however, during precise periods where specific micronutrients are in greatest need due to physiological demands, there may be opportunity for micronutrient supplementation to increase grain yield. The compiled chapters indicate that in most scenarios in Nebraska, …

Research: South Dakota State University, Spring 2016, Christie Delfanian, Emily Weber

State of Discovery South Dakota State University's Research Magazine

CONTENTS:

Genome Researcher investigate impact of L1 jumping genes [Page] 2
CRP funds important resource for hunters [Page] 3
Nurse-researchers help health-care facilities develop, improve tobacco-free policies [Page] 3
MS: Exercise scientist improves movement, quality of life for MS patients [Page] 5
Plant scientists defend South Dakota crops against diseases [Plant] 7
Investigating influenza D virus earns doctoral student scholarship [Page] 9
Steel shavings trap phosphorous, protecting water quality [Page] 10

Fallopian Tube Cyst: A Rare Complication Of Tubal Sterilization, Sana Zahiruddin, Momna Khan, Maria Iftikhar

Department of Obstetrics & Gynaecology

Tubal sterilization is one of the most commonly employed permanent method of contraception, although it is considered very safe, rarely a cyst may develop in the fallopian tube after sterilization which may undergo torsion resulting in patient presenting with acute abdomen. We are presenting a case of a middle aged women presenting to emergency room with severe lower abdominal pain, she had past history of tubal ligation done 12 years back. Pelvic ultrasound showed right sided ovarian cyst, emergency laparotomy was performed for suspected torsion of ovarian cyst, which revealed normal ovary, however a right sided fallopian tube cyst was …

Monitoring Pharmacy Student Adherence To World Health Organization Hand Hygiene Indications Using Radio Frequency Identification, Andrew S. Decker, Gabriela Cipriano, Gill Tsouri, Jill Lavigne

Pharmacy Faculty/Staff Publications

Objective. To assess and improve student adherence to hand hygiene indications using radio frequency identification (RFID) enabled hand hygiene stations and performance report cards.

Design. Students volunteered to wear RFID-enabled hospital employee nametags to monitor their adherence to hand-hygiene indications. After training in World Health Organization (WHO) hand hygiene methods and indications, student were instructed to treat the classroom as a patient care area. Report cards illustrating individual performance were distributed via e-mail to students at the middle and end of each 5-day observation period. Students were eligible for individual and team prizes consisting of Starbucks gift cards in $5 …

Premedical Programs Newsletter, April 2016, University Of Dayton

Pre-Health Resource Center Campus Communications

Newsletter for students, staff, and faculty in the premedical and predental programs.

Predictors Of Coronary Artery Disease In Patients With Polycythemia Vera And Essential Thrombocytosis: Results From The National Inpatient Sample 2009-10., Parasuram Krishnamoorthy Md, Varun Mittal, Jalaj Garg Md, Neeraj Shah Md, Nainesh C. Patel Md

Department of Medicine

Background: Myelproliferative disorders (MPDs) including Polycythemia Vera (PCV) and Essential thrombocytosis (ET) are associated with increase in arterial and venous thromboembolic events. Chronic endothelial damage, hyperviscosity and platelet activation are possible mechanistic factors resulting in accelerated atherogenesis and coronary artery disease (CAD). However the differences in prevalence of CAD and traditional risk factors (TRFs) between PCV and ET are unknown. Hence, we aimed to determine the prevalence and predictors of CAD in PCV and ET patients using a national registry.

Methods: All patients ≥18 years diagnosed with PCV and ET were identified in the Nationwide Inpatient Sample (NIS) 2009-2010 …

Procedure Documentation And Checklists In The Palm Of Your Hand, Kris Rooney Md, Richard J. Mazzaccaro Md, Liborio Larussa Md, Katherine Adams Pc

Department of Pediatrics

No abstract provided.

The Relationship Between Landing Error Scoring System-Real Time And Dorsiflexion Range Of Motion In Recreational Athletes, Hannah M. Twiddy

Human Movement Studies & Special Education Theses & Dissertations

Participation in physical activity is important for overall health; however, lower extremity injuries are a major risk associated with physical activity. Injuries can lead to time away from physical activity and be associated with negative health consequences. The most common injuries are traumatic injuries to the knee and ankle; which may be related to poor landing mechanics and decreased range of motion. Previous research utilizing motion analysis systems have determined people with greater dorsiflexion range of motion (DROM) demonstrated smaller ground reaction forces and greater knee and hip flexion displacement while landing; indicating a softer landing strategy. The ability to …

The Effects Of Instrument Handle Design On Forearm Muscle Activity During Scaling By Dental Hygienists, Jessica Rae Suedbeck

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine the effects of 4 different commercially available instrument handle designs (A. 16 grams and 12.7 mm diameter; B. 23 grams and 11.1 mm diameter; C. 21 grams and 7.9 mm diameter; D. 18 grams and 6.35 mm diameter) on the muscle activity of four forearm muscles during a simulated scaling experience. Methods: A convenience sample of 27 dental hygienists used a Columbia 13/14 curet with four different instrument handles to scale artificial calculus. While scaling, each participant’s muscle activity was measured using surface electromyography (sEMG). Participants completed an end user opinion …

The Effect Of A Multifaceted Reminder Intervention On Nursing Documentation Completeness, Meredith A. White

Evidence-Based Practice Project Reports

Nationwide, nurses must withstand growing patient assignments and increased workloads. The consistency between nursing documentation and technical nursing interventions performed indicates that registered nurses provide much more care than they record. This incongruence has the potential to impact patient safety, but also has significant financial implications, since reimbursement is linked to documented services. The purpose of this EBP project was to implement a multifaceted reminder intervention (including a 10-minute PowerPoint and visual reminder) in an IMCU setting to assist the nursing staff (n = 38) in completing the HAPU documentation components. John Kotter’s Eight-Stage Process and the Iowa Model of …

Nsu Sharks Rx-Spring, 2016, College Of Pharmacy

NSU Sharks Rx

Volume 2, Number 1