Medicine and Health Sciences Commons^™

Perceptions And Experiences Of Perinatal Mental Disorders In Rural, Predominantly Ethnic Minority Communities In Northern Vietnam, Daniel Abrams, Liem T. Nguyen, Jill Murphy, Younji Lee, Nhu K. Tran, David Wiljer

Dartmouth Scholarship

Background: Preliminary research has suggested that perinatal mental disorders (PMDs), including post-partum depression, are prevalent in Vietnam. However the extent to which these disorders are recognized at the community level remains largely undocumented in the literature. PMDs have also never been investigated within Vietnam’s significant ethnic minority populations, who are known to bear a greater burden of maternal and infant health challenges than the ethnic majority. Objective: To investigate knowledge and perceptions of PMDs and their treatments at the community level in a rural, predominantly ethnic minority region of northern Vietnam.

Herpes Simplex Virus And Interferon Signaling Induce Novel Autophagic Clusters In Sensory Neurons, Sarah Katzenell, David A. Leib

Dartmouth Scholarship

Herpes simplex virus 1 (HSV-1) establishes lifelong infection in the neurons of trigeminal ganglia (TG), cycling between productive infection and latency. Neuronal antiviral responses are driven by type I interferon (IFN) and are crucial to controlling HSV-1 virulence. Autophagy also plays a role in this neuronal antiviral response, but the mechanism remains obscure. In this study, HSV-1 infection of murine TG neurons triggered unusual clusters of autophagosomes, predominantly in neurons lacking detectable HSV-1 antigen. Treatment of neurons with IFN-β induced a similar response, and cluster formation by infection or IFN treatment was dependent upon an intact IFN-signaling pathway. The autophagic …

Male, Female, Other: Transgender And The Impact In Primary Care, Laura Markwick

Nursing Faculty/Staff Publications

Transgender includes patients at various stages of their journey. It is important that providers care for transgender patients with a culturally sensitive approach, awareness, and competent skill. There are new terms to learn. There may be mental health issues or substance use issues. Hormone therapy can have an impact on a person’s health. As a primary care provider, it is important to be alert to these potential issues, addressing the patient’s individual needs. In this study we discuss the transgender patient and outline basic care and issues that can arise in a primary care setting.

Physical Activity And Fto Genotype By Physical Activity Interactive Influences On Obesity, Joon Young Kim, Jacob T. Demenna, Sobha Puppala, Geetha Chittoor, Jennifer Schneider, Ravindranath Duggirala, Lawrence J. Mandarino, Gabriel Q. Shaibi, Dawn K. Coletta

School of Medicine Publications

Background: Although the effect of the fat mass and obesity-associated (FTO) gene on adiposity is well established, there is a lack of evidence whether physical activity (PA) modifies the effect of FTO variants on obesity in Latino populations. Therefore, the purpose of this study was to examine PA influences and interactive effects between FTO variants and PA on measures of adiposity in Latinos.

Results: After controlling for age and sex, participants who did not engage in regular PA exhibited higher BMI, fat mass, HC, and WC with statistical significance (P < 0.001). Although significant associations between the three FTO genotypes and adiposity measures were found, none of the FTO genotype by PA interaction assessments revealed nominally significant associations. However, several of such interactive influences exhibited considerable trend towards association.

Conclusions: These data suggest that adiposity measures are associated with …

Why Smart Watches Shouldn't Just Become A Trend: Using Smart Watches In The Treatment Of Diabetes, Caelan Rapp

Missouri S&T’s Peer to Peer

As mobile technologies have advanced, the idea of using them in health care applications has expanded greatly. In a 2011 paper by Boulos et al, the impact of mobile technology such as smartphones in health care was examined. Numerous benefits of the implementations were noted, such as how smartphones are able to provide a connection between both doctors and patients due to the network access capabilities of the device. Additionally, using the existing monitoring and sensor technologies on a smartphone can eliminate the need for other external devices, thus reducing the maintenance required by the patient. All in all, keeping …

The Public Health Information Technology Maturity Index: An Approach To Evaluating The Adoption And Use Of Public Health Information Technology, Kenyon Crowley, Robert S. Gold, Sruthi Bandi, Ritu Agarwal

Frontiers in Public Health Services and Systems Research

Background: Public health information technology (PHIT) has the potential to improve the effective and efficient use of information in achieving public health objectives. Information technology maturity models have been extensively used in other domains to guide information technology assessment and planning, but an information technology maturity model tailored for public health departments has heretofore been unavailable.

Purpose: The purpose of this study was to develop a Public Health Information Technology Maturity Index.

Methods: An extensive literature review and content analysis was conducted of information system adoption, use, and maturity in general and in the public health systems and services research …

Enhanced Knee Joint Function Due To Accelerated Rehabilitation Exercise After Anterior Cruciate Ligament Reconstruction Surgery In Korean Male High School Soccer Players., Myungchun Lee, Dong Jun Sung, Joohyung Lee, Inyoung Oh, Sojung Kim, Seungho Kim, Jooyoung Kim

College of Science & Mathematics Departmental Research

This study was conducted on Korean male high school soccer players who underwent anterior cruciate ligament reconstruction (ACLR) to identify the effects of an accelerated rehabilitation exercise (ARE) program on knee joint isometric strength, thigh circumference, Lysholm score, and active balance agility. We assigned eight test participants each to a physical therapy group (PTG) and an accelerated rehabilitation exercise group (AREG), and compared differences between the groups. Both the PTG and AREG showed significant increases in 30° away and 60° toward isometric strength after treatment. In addition, significant differences were observed in these strength tests between the two groups. Both …

Development Of A Spirometry T-Score In The General Population, Sei Won Lee, Hyun Kuk Kim, Seunghee Baek, Ji-Ye Jung, Young Sam Kim, Jae Seung Lee, Sang-Do Lee, David M. Mannino, Yeon-Mok Oh

Preventive Medicine and Environmental Health Faculty Publications

Background and objective: Spirometry values may be expressed as T-scores in standard deviation units relative to a reference in a young, normal population as an analogy to the T-score for bone mineral density. This study was performed to develop the spirometry T-score.

Methods: T-scores were calculated from lambda-mu-sigma-derived Z-scores using a young, normal age reference. Three outcomes of all-cause death, respiratory death, and COPD death were evaluated in 9,101 US subjects followed for 10 years; an outcome of COPD-related health care utilization (COPD utilization) was evaluated in 1,894 Korean subjects followed for 4 years.

Results: The …

Exploring The Prevalence Of Horizontal Violence In Nursing Between Magnet And Non-Magnet Hospitals, Cathleen Janzekovich

Seton Hall University Dissertations and Theses (ETDs)

Exploring the Prevalence of Horizontal Violence in Nursing Between Magnet and non-Magnet Hospitals

Cathleen Janzekovich

Seton Hall University

Dr. Genevieve Pinto-Zipp

Abstract

Statement of the Problem: The nurses work environment influences patient, nurse and organizations outcomes. The majority of the literature confirms that Magnet hospitals produce environments resulting in positive outcomes, however, the prevalence of horizontal violence (HV) within Magnet and non-Magnet hospitals is not clearly understood. To understand the frequency of HV within these two environments would provide nurse leaders insight into the bedside nurses work environment resulting in data that could improve the bedside RNs work environment and …

Effects Of Chemotherapy-Induced-Peripheral-Neuropathy On Spatiotemporal Gait Parameters And Fall Risk In Cancer Patients After The Completion Of Chemotherapy Drug Treatment, Timothy F. Marshall

Seton Hall University Dissertations and Theses (ETDs)

Background: Cancer patients undergoing chemotherapy often experience chemotherapy-induced-peripheral-neuropathy, which reportedly causes gait disturbances that may increase their risk for falls. Falls are a significant event because they have been linked to serious injuries and disabilities, loss of independence, and increased mortality rates. Purpose: The purpose of this study was to assess whether chemotherapy-induced peripheral neuropathy is associated with spatiotemporal gait adaptations in posttreatment adult cancer survivors when compared to healthy, disease-free, age and morphologically matched controls. Methods: In a quasi-experimental design, 16 subjects participated in the present study. There were 8 CIPN subjects between the ages of 50–70 years of …

Practice Matters: Prevention And Care Of Individuals With Type 2 Diabetes, Lizbeth P. Sturgeon Phd, Tonya M. Bragg-Underwood Dnp, Maire Blankenship Dnp

International Journal of Faith Community Nursing

A Faith Community Nurse (FCN) is tasked with promoting health within a faith-based community. As with any nursing role, the FCN must keep abreast of current issues and be aware of informational resources to keep his/her practice relevant. The area of focus in this issue is type 2 diabetes. During 2014, the global prevalence of diabetes among adults was estimated at 9%. There are numerous risk factors for type 2 diabetes including both modifiable and non-modifiable. The diagnosis of diabetes can be made based on plasma glucose or Hemoglobin A1C (A1C) criteria.Prediabetes and type 2 diabetes affect many people globally. …

Health Coaching In Faith-Based Community Diabetes Education, Janet L. Meyer, Beverley E. Holland

International Journal of Faith Community Nursing

Abstract

A significant health burden exists related to type 2 diabetes. Evidence-based solutions through research are needed to improve diabetes outcomes. Faith community diabetes education can be utilized to provide the knowledge needed to manage the disease. The purpose of the current study was to determine if a faith-based community diabetes education program including health coaching can increase self-efficacy in people with type 2 diabetes.

This pilot study used a pre-test/post-test format for data collection. Following diabetes education for all participants, half of the group received health coaching and the other half no further intervention. A survey consisting of two …

Implementing Faith Community Nursing Interventions To Promote Healthy Behaviors In Adults, Donna M. Callaghan

International Journal of Faith Community Nursing

Purpose: To report the implementation of faith community nursing interventions to promote healthy behaviors in adults. Callaghan (2015) reported the development of this intervention, which was based on previous studies that support the importance of spiritual growth on the initiative and responsibility for self-care across the life span (Callaghan, 2003, 2005, 2006). The intervention also included strategies to increase self-efficacy of healthy behaviors. The results of three separate implementations of the health promotion intervention are presented in this report.

Procedures: Three health promotion programs were implemented over a five year period (2010 – 2015). These programs were offered for the …

Fcni News March 2016, Beverly Siegrist

International Journal of Faith Community Nursing

No abstract provided.

Elucidation Of The Anatomy Of A Satiety Network: Focus On Connectivity Of The Parabrachial Nucleus In The Adult Rat, Györgyi Zséli, Barbara Vida, Anais Martinez, Ronald Lechan, Arshad Khan, Csaba Fekete

Selected Works Temporary Series

We hypothesized that brain regions showing neuronal activation after refeeding comprise major nodes in a satiety network, and tested this hypothesis with two sets of experiments. Detailed c-Fos mapping comparing fasted and refed rats was performed to identify candidate nodes of the satiety network. In addition to well-known feeding-related brain regions such as the arcuate, dorsomedial, and paraventricular hypothalamic nuclei, lateral hypothalamic area, parabrachial nucleus (PB), nucleus of the solitary tract and central amygdalar nucleus, other referring activated regions were also identified, such as the parastrial and parasubthalamic nuclei. To begin to understand the connectivity of the satiety network, the …

What's Happening: February 22, 2016, Maine Medical Center

What's Happening

No abstract provided.

Chiropractors’ Perception Of Occupational Stress And Its Influencing Factors: A Qualitative Study Using Responses To Open-Ended Questions, Shawn Williams

Publications and Research

Background: Job stress and emotional exhaustion have been shown to have a negative impact on the helping professional. The development and causal relations of job stress and emotional exhaustion are rather unclear in the chiropractic profession. The objective of this study is to understand the main sources of occupational stress and emotional exhaustion among doctors of chiropractic.

Methods: Analysis of the written responses to web-based open-ended questionnaire was performed using an interpretive research methodology. Additionally, cross tabulation and Chi square statistical tests were conducted to match and couple the demographic data with the categorical themes.

Results: Fourteen professional stress categories …

Validating The Children’S Depression Inventory In The Context Of Rwanda, Agnes Binagwaho, Mary C. Smith Fawzi, Mawuena Agbonyitor, Sabin Nsanzimana, Corine Karema, Eric Remera, Vincent Mutabazi, Cyprien Shyirambere, Patrick Cyamatare, Cameron Nutt, Claire Wagner, Jeanine Condo, Nancy Misago, Yvonne Kayiteshonga

Dartmouth Scholarship

Background:

Depression is often co-morbid with chronic conditions, and when combined with HIV it can increase progression and reduce survival. A brief and accurate screening tool for depression among children living with HIV is necessary to increase access to mental health care and improve HIV-related outcomes in the long-term.

Methods:

A validation study was conducted, comparing the Children’s Depression Inventory (CDI) with a structured clinical assessment as the gold standard among children living with HIV ages 7-14 years in Rwanda. The response rate was 87 % and the analysis was performed among 100 study participants.

Results:

Twenty-five percent of children …

The Economic Burden Attributable To A Child’S Inpatient Admission For Diarrheal Disease In Rwanda, Fidele Ngabo, Mercy Mvundura, Lauren Gazley, Maurice Gatera, Celse Rugambwa, Eugene Kayonga, Yvette Tuyishme, Jeanne Niyibaho, Jason M. Mwenda, Philippe Donnen, Philippe Lepage, Agnes Binagwaho, Deborah Atherly

Dartmouth Scholarship

Backround:

Diarrhea is one of the leading causes of childhood morbidity and mortality. Hospitalization for diarrhea can pose a significant burden to health systems and households. The objective of this study was to estimate the economic burden attributable to hospitalization for diarrhea among children less than five years old in Rwanda. These data can be used by decision-makers to assess the impact of interventions that reduce diarrhea morbidity, including rotavirus vaccine introduction.

Methods:

This was a prospective costing study where medical records and hospital bills for children admitted with diarrhea at three hospitals were collected to estimate resource use and …

Elucidation Of The Anatomy Of A Satiety Network: Focus On Connectivity Of The Parabrachial Nucleus In The Adult Rat, Zséli, Barbara Vida, Anais Martinez, Ronald Lechan, Arshad Khan, Csaba Fekete

Departmental Papers (Biology)

We hypothesized that brain regions showing neuronal activation after refeeding comprise major nodes in a satiety network, and tested this hypothesis with two sets of experiments. Detailed c-Fos mapping comparing fasted and refed rats was performed to identify candidate nodes of the satiety network. In addition to well-known feeding-related brain regions such as the arcuate, dorsomedial, and paraventricular hypothalamic nuclei, lateral hypothalamic area, parabrachial nucleus (PB), nucleus of the solitary tract and central amygdalar nucleus, other referring activated regions were also identified, such as the parastrial and parasubthalamic nuclei. To begin to understand the connectivity of the satiety network, the …

The Acceptability And Visual Impact Of 0.01% Atropine In A Caucasian Population, James Loughman, Daniel Ian Flitcroft

Articles

Myopia is a condition of enormous public health concern, affecting up to 2.5 billion people worldwide. The most effective treatment to prevent myopia progression is atropine but at the cost of accommodative paresis and mydriasis, necessitating the use of bifocal glasses. Low-dose atropine (0.01%) has been found to be almost as effective with significantly reduced side effects. Since there are well-recognised differences in the effect of atropine between heavily pigmented Asian eyes and Caucasian eyes, this study aimed to determine the acceptability and tolerability of 0.01% atropine (by measuring visual performance and quality of life) as a treatment for myopia …

Colorectal Cancer Prevention: Perspectives Of Key Players From Social Networks In A Low-Income Rural Us Region, Nancy E. Schoenberg, Kathryn Eddens, Adam Jonas, Claire Snell-Rood, Christina R. Studts, Benjamin Broder-Oldach, Mira L. Katz

Behavioral Science Faculty Publications

Social networks influence health behavior and health status. Within social networks, “key players” often influence those around them, particularly in traditionally underserved areas like the Appalachian region in the USA. From a total sample of 787 Appalachian residents, we identified and interviewed 10 key players in complex networks, asking them what comprises a key player, their role in their network and community, and ideas to overcome and increase colorectal cancer (CRC) screening. Key players emphasized their communication skills, resourcefulness, and special occupational and educational status in the community. Barriers to CRC screening included negative perceptions of the colonoscopy screening procedure, …

Week Of February 22, 2016, New York Medical College

InTouch

• NYMC Celebrates Grand Opening of the Dr. Edward F. and Mrs. Anna M. Asprinio Fitness Center
• Twentieth Annual Medical Student Research Forum Showcases Abundance of Investigative Works
• Mary M. Petzke, Ph.D., is Named Director of Medical Student Research
• NYMC Promotes Brain Health Awareness

Inferring Causal Molecular Networks: Empirical Assessment Through A Community-Based Effort, Steven M. Hill, Laura M. Heiser, Thomas Cokelaer, Michael Unger, Nicole K. Nesser, Daniel E. Carlin, Yang Zhang, Artem Sokolov, Evan O. Paull, Dong-Chul Kim

Computer Science Faculty Publications

It remains unclear whether causal, rather than merely correlational, relationships in molecular networks can be inferred in complex biological settings. Here we describe the HPN-DREAM network inference challenge, which focused on learning causal influences in signaling networks. We used phosphoprotein data from cancer cell lines as well as in silico data from a nonlinear dynamical model. Using the phosphoprotein data, we scored more than 2,000 networks submitted by challenge participants. The networks spanned 32 biological contexts and were scored in terms of causal validity with respect to unseen interventional data. A number of approaches were effective, and incorporating known biology …

Local Health Departments’ Level Of Engagement In Population Mental Health Promotion, Jonathan Purtle, Ann C. Klassen, Jennifer Kolker, Rachel M. Peters, James W. Buehler

Frontiers in Public Health Services and Systems Research

Background: Mental health conditions are highly prevalent in the U.S. and are associated with physical health problems. Federal initiatives recognize mental health as a public health priority, and local health departments (LHDs) have been identified as partners to promote population mental health. Little is known, however, about the extent to which LHDs address mental health or how LHD officials perceive mental health as a public health concern.

Purpose: To describe the cumulative level of LHDs’ engagement in activities to address population mental health and explore how LHD officials perceive their roles in promoting it.

Methods: Module 2 of the 2013 …

An Exploration Of Core Values And Values Congruence In Local Public Health, Ross Graham, Christopher Mackie, Shannon L. Sibbald

Frontiers in Public Health Services and Systems Research

Background: Understanding and aligning staff core values with organizational values has been shown to contribute to positive work attitudes and increased organizational performance in the private sector. Little is known about the role of values in local public health.

Purpose: To identify public health staff core values, and to improve the alignment between staff values and organizational values (known as values congruence).

Methods: A Tribal Leadership exercise was used as part of a multi-stage strategic planning process at Canada’s largest autonomous local public health agency.

Results: Five sessions were held with 146 public health staff; 156 different values were reported. …

Evidence For The Role Of Resource-Sharing Networks In Coalition Development, Margaret Mcgladrey, Angela Carman Drph

Frontiers in Public Health Services and Systems Research

Background: Accreditation bodies and sponsors of community health projects increasingly require the use of health coalitions in community health planning efforts to ensure buy-in, leverage resources, and distribute health information. Despite a substantive body of research documenting the characteristics of successful health coalitions, little is known about how team dynamics in these coalitions evolve.

Purpose: The goal of this study was to employ social network analysis techniques to evaluate whether coalitions’ relative stages in Tuckman’s stages of team development model were associated with specific patterns of advice-, information-, and resource-sharing among the eight coalitions participating in a region-wide …

Local Health Department Clinical Service Delivery Along The Urban/Rural Continuum, Kate E. Beatty, Nathan Hale, Michael Meit, Paula Masters, Amal Khoury

Frontiers in Public Health Services and Systems Research

Background: Engagement in the core public health functions and ten essential services remains the standard for measuring local health department (LHD) performance; their role as providers of clinical services remains uncertain, particularly in rural and underserved communities.

Purpose: To examine the role of LHDs as clinical service providers and how this role varies among rural and nonrural communities.

Methods: The 2013 National Association of County and City Health Officials (NACCHO) Profile was used to examine the geographic distribution of clinical service provision among LHDs. LHDs were coded as urban, large rural, or small rural based on Rural/Urban Commuting …

A “Health In All Policies” Evolution In New York City’S Planyc, Stephanie Noble, Kimberley R. Isett

Frontiers in Public Health Services and Systems Research

Background: Health in All Policies (HiAP) is a framework requiring that the promotion of health be embedded in all substantive policy areas to have a comprehensive approach to the health and well-being of local citizens.

Purpose: To determine the extent to which the Bloomberg Administration in New York City used an HiAP approach to promote attention to health outcomes in peer agencies (outside the Department of Health and Mental Hygiene) within the city bureaucracy.

Methods: Document analysis was completed on a hallmark sustainability plan in New York City, called PlaNYC: the 2007 PlaNYC report, 2011 PlaNYC update, …

Medical School Watercooler Newsletter - February 21, 2016, Lindsey Lyle

Watercooler Newsletter

This is the February 21, 2016 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• COM Dean, VP Medical Affairs Candidates to Present Next Week
• March 3 DSS to Feature Dr. David P. AuCoin
• Summer Research Proposal Deadline Approaching
• USA Gold Humanism Honor Society Members Participate in Solidarity Week