Medicine and Health Sciences Commons^™

Exploring Incivility Among Nursing And Health Science Students: A Descriptive Study, Diane Louise Smith

Student Theses, Dissertations and Capstones

Incivility has infiltrated our institutions of higher learning as well as the world of nursing. All too familiar in nursing is the phrase “eating their young,” which aptly describes how nurses treat other nurses, even though they should be nurturing and caring professionals.

The investigator explored nursing and health science students’ perceptions of student and faculty uncivil behaviors within the academic environment, seeking the levels and frequency of the problem. Bandura’s social learning theory presents a sound theoretical framework for this dissertation. The research methodology consisted of a quantitative descriptive approach. The Incivility in Higher Education-Revised (IHE-R) Survey was used …

Effects Of Functional Electrical Stimulation Cycling Versus Cycling Only On Walking Performance And Quality Of Life In Individuals With Multiple Sclerosis: A Randomized, Clinical Pilot Study, Lori Hochman

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: Functional Electrical Stimulation (FES) stimulates peripheral nerves via electrical current to evoke muscle contractions and when combined with lower extremity cycling (LE), creates patterned leg movements. Previous studies demonstrated FES cycling is safe and effective in the spinal cord injury and stroke populations with improvements seen in walking speed, muscle mass, and bone density. Few studies have applied FES cycling to a neurodegenerative disorder, such as multiple sclerosis (MS). The aim of this study is to assess the effect of an 8-week training program using FES cycling, compared to Cycling Only, in people with MS (PWMS). Methods: Using a …

Cardiorespiratory Fitness Is Inversely Associated With Clustering Of Metabolic Syndrome Risk Factors: The Ball State Adult Fitness Program Longitudinal Lifestyle Study, Elizabeth Kelley, Mary T. Imboden, Matthew P. Harber, Holmes Finch, Leonard A. Kaminsky, Mitchell H. Whaley

Faculty Publications - Department of Kinesiology

Objective: The focus of this study was the association between the metabolic syndrome (MetSyn) and cardiorespiratory fitness (CRF) defined as maximal oxygen uptake (VO2max). Although previous research has shown a relationship between MetSyn and CRF, most studies are based on less objective measures of CRF and different cardiometabolic risk factor thresholds from earlier guidelines.

Evaluation Of Myplate Recommendations And Dietary Habits Of Eiu Rotc Cadets: A Mixed Methods Approach, Lilibeth Nevarez

Masters Theses

The purpose of this study was to determine if MyPlate recommendation knowledge, dietary habits, and eating for performance influence the daily consumption among Eastern Illinois University ROTC Cadets. The sample population included EIU ROTC cadets (n=19), between the ages of 18 to 28 years old. A mixed-method approach, using a questionnaire along with focus groups interviews of six to ten cadets from all class levels, was used to obtain data. Results indicated that the highest mean score was 18.9 for MyPlate recommendation knowledge. In addition, five themes were analyzed: Inconsistency of dietary intake, High cost of eating healthy, Post workout …

Definition, Assessment And Treatment Of Visual Dependence, Shu-Chun Lee

Rehabilitation Practice and Science

Effective orientation and balance are based on the integration of visual, vestibular, and proprioceptive sensory inputs. Vision plays a significant role in spatial orientation and posture maintenance; however, a static tilted frame or dynamic rotating visual disturbance can affect orientation and balance. Visual dependence (VD) is a term used to describe people who overly rely on visual information. Individuals with VD have difficulty in resolving situations wherein visual information is complex or inaccurate. They show greater postural instability and complain of incidences of dizziness and vertigo in sensory conflicting conditions, such as walking along the pavement or the aisle of …

Viscosity Of Commercial Thickeners At A Honey- Or Nectar-Like Consistency And Their Changes Over Time, Wei-Chun Che, Meng-I Kuo, Tsan-Hon Liou, Yuan-Ching Tsai

Rehabilitation Practice and Science

Background: Patients with dysphagia often have difficulties in swallowing liquids. Using thickened liquids is a compensatory strategy frequently recommended by speech－language pathologists to reduce the risk of aspiration in patients with dysphagia . However, the thickening effects might vary with time and different thickening products. Furthermore, the desired viscosity might not be attained. This study investigated the viscosity of water that was thickened to a nectar- or honey-like consistency by using five thickening products marketed in Taiwan. The viscosity of the samples at different time periods was compared. The results were also compared with the guidelines of the National Dysphagia …

Prediction Of Peak Oxygen Consumption In Patients With Cardiac Disease Using A 3 Minutes' Step Test Combined With Heart Rate Variability., Chia-Hao Liu, Shu-Chun Huang, Jong-Shyan Wang

Rehabilitation Practice and Science

Background: Peak oxygen consumption (Peak VO_2) is a recognized indicator of overall functions of the cardiac-vascular system, and the cardiopulmonary exercise test (CPET) is considered the golden standard for determining peak VO_2. However, there are limitations to performing CPET, including high cost, long testing time, staff risks and participant’s discomfort during the test. In contrast, Submaximal exercise testing can be an alternative for assessing cardiovascular fitness with minimal risk and lower cost. The step test, one of the submaximal exercise tests, was the first to be described as a method for assessing exercise capacity in the early 20th century. Various …

A Pilot Study Of Concomitant Injection Of Botulinum Toxin Type A In Detrusor And External Sphincter For Treatment Of Neurogenic Bladder Dysfunction In Six Patients With Spinal Cord Injury, Chiung-Wei Chen, Sung-Lang Chen, Yu-Hui Huang

Rehabilitation Practice and Science

Objective: This study examines clinical voiding records and urodynamic data to evaluate the therapeutic effects of concomitant botulinum toxin injections to the detrusor and external sphincter for the management of neurogenic bladder dysfunction in patients of spinal cord injury (SCI).Method: SCI patients with neurogenic bladder dysfunction who have both detrusor overactivity and detrusor external sphincter dyssynergia were recruited from a medical center in Central Taiwan. Six patients received concomitant injections of botulinum toxin to the detrusor and external sphincter. Their voiding records and urodynamic studies were compared between pre-treatment and one month post-treatment. Results: A total of 6 patients were …

Plantar Pressure Distribution In Patients With Flexible Flatfoot: Measured By Platform System And In-Shoe System, Alice Chu Wen Tang, Ho Mu Wu, Chih-Kuang Chen, Simon Fuk Tan Tang

Rehabilitation Practice and Science

Flatfoot is characterized with insufficiency of the medial longitudinal arch and flexible flatfoot is the most predominant type which leads to numerous clinical problems. This study aimed at investigating the plantar pressure distribution in flexible flatfoot patients with platform system and in-shoe system. Nineteen flexible flatfoot patients and fifteen normal subjects were recruited. Foot Function Index (FFI) was used for subjective symptoms report, and higher scores indicated worse clinical condition. Plantar pressure were assessed with Emed-X system and Pedar in-shoe system. Student independent-t test was used for statistical analysis, and statistical significance was set at p＜0.05. The results showed that …

Vocational Assessment Following Work-Related Injury In A Worker: A Casereport, Fang-Ling Chien, Chia-Ling Lee, Shih-Ching Peng, Hui-Chuan Lin

Rehabilitation Practice and Science

Work-related injuries can prevent workers from returning to their original jobs because of physical and psychological barriers. To reduce the social burden of these injuries and promote independence, re-employment of workers affected by work-related injuries is an important task. Vocational assessments help explore each worker's abilities and transferable skills, and thus help workers achieve self-understanding, develop suitable occupational goals, and adjust their work content. This paper describes the manner by which vocational assessment helped a worker who was injured due to a traffic accident of work by helping the worker understand her career potential, interests, transferable skills, and physiological condition, …

Medical School Watercooler Newsletter - December 31, 2017, Lindsey Lyle

Watercooler Newsletter

This is the December 31, 2017 edition of the Frederick P. Whiddon College of Medicine's Newsletter - Watercooler.

Contents Include:

USA Health Represented in 40 Under 40

11th Annual COM Research Forum Winners Announced

January Med School Café - Five Healthy Ways to Start Off the New Year

USA Gastroenterology Receives $100,000 Donation

USA Welcomes Brooke A. Jackson, PA-C

USA Welcomes Dr. Bassam Rimawi

Incremental Dialysis For Preserving Residual Kidney Function—Does One Size Fit All When Initiating Dialysis?, A. T. Mathew, Y. Obi, C. M. Rhee, J. A. Chou, K. Kalantar-Zadeh

Journal Articles

© 2018 Wiley Periodicals, Inc. While many patients have substantial residual kidney function (RKF) when initiating hemodialysis (HD), most patients with end stage renal disease in the United States are initiated on 3-times per week conventional HD regimen, with little regard to RKF or patient preference. RKF is associated with many benefits including survival, volume control, solute clearance, and reduced inflammation. Several strategies have been recommended to preserve RKF after HD initiation, including an incremental approach to HD initiation. Incremental HD prescriptions are personalized to achieve adequate volume control and solute clearance with consideration to a patient's endogenous renal function. …

Validity Of Simple Risk Index And Evaluation Of Methods Andmanagement Of Acute Coronary Events To Predict Mortality Inacute Coronary Syndrome Patients In Intensive Coronary Careunit Cipto Mangunkusumo Hospital, Rahmah Safitri Meutia, Sally Aman Nasution, Lukman H. Makmun

Jurnal Penyakit Dalam Indonesia

Introduction. Risk stratification is an important part in the management of patients with an Acute Coronary Syndrome (ACS) to avoid overtreatment or undertreatment. Although Simple Risk Index (SRI) and Evaluation of Methods and Management of Acute Coronary Events (EMMACE) have been validated in other countries, no study of its applicability has been performed in Indonesia with different patients’ characteristics. This study aims to obtain the calibration and discrimination performance of SRI and EMMACE to predict 30 days mortality in ACS patients in ICCU of Cipto Mangunkusumo Hospital. Methods. A retrospective cohort study with consecutive sampling was conducted in ACS patients …

Vaksinasi Pada Lansia, Iris Rengganis

Jurnal Penyakit Dalam Indonesia

No abstract provided.

Antiphospholipid Antibody Profile In Hiv/Aids Patients, Inolyn Pandjaitan, Nanang Sukmana, Shufrie Effendy

Jurnal Penyakit Dalam Indonesia

Introduction. Through the process of molecular mimicry, human immunodeficiency virus (HIV) infection can increase the concentration of antiphospholipid antibody (APA) which has possible association with thrombosis. The molecular mimicry in this HIV/AIDS patients is influenced by several factors, such as immunocompromised condition, the use of antitretroviral (ARV) therapy, hepatitis B and C coinfection, use of other drugs, and history of intravenous drug user (IDU). We conducted this study to determine the profile and prevalence of antiphospholipid antibody in patients with HIV/ AIDS in Dr. Cipto Mangunkusumo General Hospital. Further, we explored the relationship between APA in HIV/AIDS patients with the …

The Relationship Between Age And Activity Of Daily Living Withthe Fall Risk Of Patients In Geriatric Outpatient Installation, Agustin Junior Nanda Deniro, Nuniek Nugraheni Sulistiawati, Novira Widajanti

Jurnal Penyakit Dalam Indonesia

Introduction. Fall is one of the physical problems that happened quite frequently and resulted in morbidity and mortality of old people. There are several factors related to fall risk, among others are age and independence in activity of daily living. Methods. This research is an observational analytical study with cross sectional approach, by collecting free variable data (age and activity of daily living) through interview and Barthel index score, dependent variable (fall risk) by direct observation using Timed Up and Go test that analyzed by Rank Spearman correlation test. The number of samples with incidental sampling technique was 55 patients …

Predictor Factors Affecting Seroconversion Post-Influenzavaccination In The Elderly, Saskia Aziza Nursyirwan, Sukamto Koesnoe, Edy Rizal Wahyudi

Jurnal Penyakit Dalam Indonesia

Introduction. The influenza vaccine as the most effective method for preventing influenza virus infection currently has lower efficacy in the elderly than younger adults due to change of immune response as well as other risk factors. This study aims to identify predictor factors affecting seroconversion post-influenza vaccination in elderly. Methods. retrospective cohort study in the elderly population in East Jakarta Posyandu who got the influenza vaccine. A total of 277 subjects with antibody titre pre and one month post-vaccination influenza were examined. Risk factors such as age, gender, exercise status, smoking status, type 2 diabetes, pulmonary, and cardiovascular disease, nutritional …

Diagnosis And Treatment Of Pneumocystis Carinii Pneumonia (Pcp)/Pneumocystis Jirovecii Pneumonia In Hiv Patient: A Case Report, Dewi Rizki Agustina, Christy Efiyanti, Evy Yunihastuti

Jurnal Penyakit Dalam Indonesia

Pneumocystis carinii pneumonia (PCP) or pneumocystis jirovecii pneumonia is an opportunistic infection that can occur in immunocompromised patients. In patients with HIV, PCP is the most common opportunistic infection especially in patients with CD4 cell counts less than 200 cell /ul. To diagnose a PCP is very difficult because symptoms, blood tests, and thoracic radiography are not pathognomonic for PCP. However, untreated PCP is almost always fatal. Trimethroprimsulfamethoxazole (TMX-SMX) orally or intravenously for 21 days is the drug of choice for managing PCP with or without HIV. This article discusses a case with patients with symptoms of dyspneu, unproductive cough, …

Cardiotoxicity Complication Of Radiotherapy, Beta Agustia Wisman, Sally Aman Nasution, Marulam M. Panggabean

Jurnal Penyakit Dalam Indonesia

Radiation is an important modality in the management of malignancy. Some cases of malignancy requiring radiotherapy in the chest include breast cancer, Hodgkin's lymphoma, or lung cancer.Cardiotoxicity due to radiotherapy can occur within 3 to 29 years after radiotherapy, mostly in the second or third decade after therapy. Some cardiovascular complications resulting from radiotherapy may affect pericardial, myocardial, vascular, heart valves and conduction disturbances. Symptomatic cardiotoxicity may occurs 10% in patients undergoing radiotherapy in the chest area. It is important for clinicians to understand the cardiotoxicity of radiotherapy for educational purposes, therapeutic and dosing considerations, treatment monitoring and early detection. …

Kontribusi Status Gizi Dan Kemampuan Motorik Terhadap Kesegaran Jasmani Siswa Sekolah Dasar, Sepriadi Sepriadi

Jurnal Keolahragaan

Penelitian ini didasarkan karena masih rendahnya kesegaran jasmani siswa Sekolah Dasar. Hal ini disebabkan berbagai faktor diantaranya gizi dan motorik. Penelitian ini bertujuan mengetahui: (1) kontribusi status gizi terhadap kesegaran jasmani Siswa Sekolah Dasar. (2) kontribusi kemampuan motorik terhadap kesegaran jasmani Siswa Sekolah Dasar, dan (3) kontribusi status gizi dan kemampuan motorik terhadap kesegaran jasmani Siswa Sekolah Dasar. Jenis penelitian adalah rancangan penelitian observasional dengan pendekatan korelasional. Populasi penelitian ini adalah seluruh siswa Sekolah Dasar Negeri 06 Pulai Anak Air Kota Bukittingi. Teknik pemgambilan sampel dalam penelitian ini digunakan teknik purposive sampling. Instrument yang digunakan adalah Tes Kesegaran Jasmani Indonesia …

The Patterns Of Primary Cotrimoxazole Prophylaxis In Adult Hivpatients In Hiv Integrated Clinic Cipto Mangunkusumo Hospitaljakarta In 2004-2013, Ken Ayu Mastini, Zubair Djoerban, Evy Yunihastuti

Jurnal Penyakit Dalam Indonesia

Introduction. Low rate use of cotrimoxazole which is a standard of primary prevention against toxoplasmosis infection and Pneumocystis jirovecii pneumonia (PCP) in patients with CD4 <200 cell>/mm3 was found. This study aims to describe prescription pattern of cotrimoxazole primary prophylaxis in adult HIV patients in RSCM. Methods. A cohort retrospective study was conducted in HIV Integrated Clinic Cipto Mangunkusumo Hospital patients from 2004 to 2013. Individuals were eligible for this study if they were ≥18 years old and had indication of primary cotrimoxazole prophylaxis. Variable analyzed in this study were initiation, discontinuation, dosage, duration, duration percentage, and adverse events of primary …

Research News. Grants, 2017. Volume 2, University Of Mississippi. School Of Pharmacy, Soumyajit Majumdar

Grants (2015-)

Grants and contracts awarded during July-December 2017

Association Between Disease Activity And Depression Inrheumatoid Arthritis Patients, E Mudjaddid, Myra Puspitasari, Bambang Setyohadi

Jurnal Penyakit Dalam Indonesia

Introduction. Rheumatoid Arthritis (RA) is a chronic, systemic disease that cause synovialinflammation and progressive destruction to cartilages and deformities. Prevalence of depressionin RA patients is 20 to 30%. Disease activity is considered to have association with depression. This study aims to identify the prevalence of depression in RA patients and the associationbetween disease activity index and depression in RA patients. Methods. A cross-sectional study of 145 RA patients that fulfilled the inclusion criteria was conducted in Rheumatology Outpatient Clinic at Cipto Mangunkusumo Hospital Jakarta from January to March 2017.Evaluation of Disease Activity Score - 28 (DAS 28) and Back Depression …

Speech Functions And Acoustic Analysis In Children With Cerebral Palsy Having Different Communication Levels, Yi-Ching Huang, Chia-Ling Chen, Chia-Ying Chung, Katie Pei-Hsuan Wu, Huei-Mei Liu, Hsieh-Ching Chen

Rehabilitation Practice and Science

Children with cerebral palsy (CP) often exhibit problems with language, speech, and communication. The aim of this study was to examine speech functions and perform an acoustic analysis of speech in children with CP having different levels of proficiency in communication. This study recruited 24 children with CP (17 boys, 7 girls; mean age: 8 years and 4 months, age range: 6-12 years). Children with CP were classified into two groups based on the Communication Function Classification System (CFCS): the mild group (levels I and II) and the severe group (levels III and IV). Children with CP underwent clinical assessments …

Is Ultrasound Reliable For The Diagnosis Of Knee Medial Collateral Ligament Injury?, Chun-Li Liao, Chih-Wei Yu, Yu-Hsuan Cheng, Tyng-Guey Wang

Rehabilitation Practice and Science

Objective: To compare the diagnostic accuracy of ultrasound with that of magnetic resonance imaging (MRI) for injuries of the medial collateral ligament (MCL) of the knee. Materials and Methods: Fifty-one consecutive patients from September 1, 2014 to January 31, 2016 were included. Ultrasound of the knee MCL was performed by physiatrists, and the images were re-read by an experienced sonographer (also a physiatrist). MRI (magnetic resonance imaging) scans of the knee MCL were examined by radiologists and the reports were compared with the findings of the ultrasound. The knee MCL was determined to be injured or intact, and the correlation …

Comparison Of Conventional Elastic Bandages And Novel Hand Gloves By Measuring Changes In Stroke Patients' Hand Temperature During Passive Upper Limb Exercises, Mei-Yi Lee, Chan-Yu Taso, Ka-Hei Lao, Shu-Shi Chen

Rehabilitation Practice and Science

Elastic bandages are often used to secure stroke patients' affected upper limbs to exercise equipment during physical rehabilitation. However, the application of elastic bandages can cause soft tissue injuries in patients' extremities. Therefore, our research team developed novel medical hand gloves, called ＂Yole Hands,＂ to safely secure stroke patients' affected hands to exercise equipment. This study compared conventional elastic bandages with Yole Hands by measuring changes in stroke patients' hand temperature during passive upper limb exercises. This study recruited 18 stroke patients aged 63.1 ± 13.4 years from a rehabilitation clinic. A thermograph (midi LOGGER GL220, Graphtec) was used to …

A Correlation Study Between Activity Items Of Touch Screen System For Upper Extremity Training And Functional Performance In Upper Limb Among Patients With Stroke, Shu-Yu Yang, Pei-Chi Hsiao, Yu-Sheng Yang, Chi-Min Yang, Jyh-Jong Chang, Ying-Chun Chou

Rehabilitation Practice and Science

Because of progress made in human-machine interfaces, touchscreens increasingly play a key role in daily living. A task-oriented concept combined with a computerized touchscreen training system was developed and used to facilitate upper limb rehabilitation after stroke. However, the reliability and validity of the activity items within the system required further verification. Therefore, the aims of this study were 1) to examine the reliability of scores for the activity items when patients with stroke used this device and 2) to verify criterion-related validity by analyzing the relationship between scores from this device and other standard upper limb functional assessments. Thirty …

Effect Of Lower Extremity Resistance Training On Balance Ability In Hemiparetic Patients, Huang-Chun Liu, Chia-Pei Chen, Dersheng Han

Rehabilitation Practice and Science

Background and Purpose: Balance ability is one of the important influencing factors of the quality of life of hemiplegic patients. It is to prevent falls and maintain self-care and independent walking ability. Lower extremity resistance training can effectively improve muscle strength, muscle power, and balance. However, studies focused on balance and muscle power are scarce. Therefore, this study was aimed at investigating the effects of resistance training interventions on the balance ability of hemiplegic patients. Methods: In this study, 35 hemiplegic patients participated, with a mean age of 54.3 ± 17.9 years. The participants received resistance training for 18 weeks, …

Intergenerational Financial Exchange And Cognitive Well-Being Among Older Adults In China, Ping Xu

Graduate Doctoral Dissertations

Although cognitive loss is part of normal aging, it has unfavorable consequences for older individuals, their family, as well as society. The prevalence of mild cognition impairment is expected to go up in China. How to maintain normal cognition for a longer period of time and to delay impair process is an emerging concern for older Chinese adults. Unlike Western countries, China lacks of formal support system. Intergenerational support between older parents and adult children is a predominant resource when they are in need. This study examines how intergenerational financial exchanges between older parents and their adult children is related …

Depression: The Often Overlooked Sequela Of Head Trauma, Samuel D. Hodge Jr., Jack E. Hubbard

Cleveland State Law Review

Depression is a common sequela of head trauma. Approximately half of all individuals with a cranial injury will experience depression within the first year, regardless of the severity of the injury. The ailment is characterized clinically as a mood disorder, often associated with intense feelings of sadness. However, depression is more complex than mood disorders, as many mental and bodily complaints—such as insomnia, fatigue, anxiety, appetite changes, aches and pains, and lack of interest in previously enjoyable activities—are associated with depression. These intense feelings, particularly when combined with despair and hopelessness, can lead to suicide, a dreaded potential complication of …