Medicine and Health Sciences Commons^™

The Have And Have Nots: An Ever-Present Digital Divide, Erin E. Centeio

Kinesiology, Health and Sport Studies

This article brings attention to the digital divide that still exists between those who have access to the most recent technologies and those who do not. It describes how teachers can be more aware of this challenge before incorporating the use of technology into physical education and health classrooms.

Developing A 670k Genotyping Array To Tag ~2m Snps Across 24 Horse Breeds, Robert J. Schaefer, Mikkel Schubert, Ernest F. Bailey, Danika L. Bannasch, Eric Barrey, Gila Kahila Bar-Gal, Gottfried Brem, Samantha A. Brooks, Ottmar Distl, Ruedi Fries, Carrie J. Finno, Vinzenz Gerber, Bianca Haase, Vidhya Jagannathan, Ted Kalbfleisch, Tosso Leeb, Gabriella Lindgren, Maria Susana Lopes, Núria Mach, Artur Da Câmara Machado, James N. Macleod, Annette Mccoy, Julia Metzger, Cecilia Penedo, Sagi Polani, Stefan Rieder, Imke Tammen, Jens Tetens, Georg Thaller, Andrea Verini-Supplizi

Gluck Equine Research Center Faculty Publications

Background: To date, genome-scale analyses in the domestic horse have been limited by suboptimal single nucleotide polymorphism (SNP) density and uneven genomic coverage of the current SNP genotyping arrays. The recent availability of whole genome sequences has created the opportunity to develop a next generation, high-density equine SNP array.

Results: Using whole genome sequence from 153 individuals representing 24 distinct breeds collated by the equine genomics community, we cataloged over 23 million de novo discovered genetic variants. Leveraging genotype data from individuals with both whole genome sequence, and genotypes from lower-density, legacy SNP arrays, a subset of ~5 million high-quality, …

Group A Strep (Gas), Kimberly Hyatt

Nursing Student Class Projects (Formerly MSN)

Abstract

Group A Streptococcal (GAS) bacteria is a common but potent pathogen. GAS is the most common cause of pharyngitis in the world and can be easily treated with the right antibiotic. Left untreated or undertreated, however, GAS is the ninth leading cause of infectious disease mortality, worldwide. Lethality from a GAS infection is 10-30%. The virulence factors of GAS are responsible for the short and long term havoc it wreaks on an individual, and the incredible disease burden of 18.1 million severe cases of GAS, annually, around the globe. In the U.S., each year, GAS pharyngitis, alone, costs $500 …

Local Anesthesia Toxicity, Nicole Mccleery

Nursing Student Class Projects (Formerly MSN)

Local anesthesia (LA) provides a way to relieve temporary pain in a small part of the body and has been used for over 100 years (Fencl, 2015). LA also prevents the passage of surgical stimuli into the central nervous system (CNS) making a surgical procedure less painful for the patient (Noble, 2015). According to Noble, “altering the passage of stimuli from smaller diameter neurons in a confined area with lower drug dosages is called LA, such as the injection of LA around a surgical incision” (Noble, 2015, p.325). LA can be used in a variety of settings, such as in …

Sepsis To Septic Shock, Seth Whitlow

Nursing Student Class Projects (Formerly MSN)

Abstract

The diagnosis of sepsis has long been part of medicine, however ambiguous definitions, treatment modalities, and research criteria have not provided a unified understanding of the disease. In 2016, international healthcare practitioners convened a panel of experts and developed criteria that defined sepsis as ‘life-threatening organ dysfunction caused by dysregulated host response to infection’. The pathogenesis of sepsis and septic shock is complex and make understanding physiological host response to infection difficult. Evidence shows that with each passing hour patient mortality is increased when treatment is withheld. Sepsis has proven an elusive diagnosis where one size does not fit …

Ards Pathophysiology, Kyle Kocher

Nursing Student Class Projects (Formerly MSN)

Acute respiratory distress syndrome (ARDS) is a very prevalent disease process in intensive care units around the world. It is estimated that the incidence of ARDS is 75 cases per 100,000 people in the United States (Balaan, Bihler, & Yadam, 2016). It is described as a refractory hypoxemia with pulmonary edema from a noncardiogenic cause (Balaan et al., 2016). The definition of acute respiratory distress syndrome itself has been debated and changed many times throughout the years. The most recently adopted definition of ARDS is the Berlin definition which uses several components to describe the disease. These components included timing …

Prostate Cancer In African American Men, Chinwe Egwudo

Nursing Student Class Projects (Formerly MSN)

Prostate cancer, a malignancy with racial disparity, affects African American men more than Caucasians or any other race.

Impact Of Aspirin And Clopidogrel Hyporesponsiveness In Patients Treated With Drug-Eluting Stents: 2-Year Results Of A Prospective, Multicenter Registry Study., Thomas D. Stuckey Md, Ajay J. Kirtane Md, Bruce R. Brodie Md, Bernhard Witzenbichler Md, Claire Litherland Ms, Giora Weisz Md, Michael J. Rinaldi Md, Franz-Josef Neumann Md, D Christopher Metzger Md, Timothy D. Henry Md, David A. Cox Md, Peter L. Duffy Md, Ernest L. Mazzaferri Md, Paul A. Gurbel Md, Roxana Mehran Md, Philippe Généreux Md, Ori Ben-Yehuda Md, Charles A. Simonton Md, Gregg W. Stone Md

Department of Medicine

OBJECTIVES: In this analysis of 2-year outcomes in the ADAPT-DES (Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents) study, the authors sought to examine the independent associations between platelet reactivity to both aspirin and clopidogrel and subsequent outcomes.

BACKGROUND: The relationship between platelet reactivity and long-term adverse events following implantation of drug-eluting stents (DES) has been incompletely characterized.

METHODS: The ADAPT-DES study was a multicenter registry of patients undergoing routine platelet function testing following percutaneous coronary intervention with DES. The primary study endpoint was definite or probable stent thrombosis (ST); other endpoints were all-cause mortality, myocardial infarction, and clinically relevant …

Health & Kinesiology News, Georgia Southern University

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

• Free concussion screenings for athletes of all ages

July 2017, Randy Curry, Cindy Brooks

RURAL ROCKS

Rural Rocks, the Rural Health Network newsletter by the SWOSU College of Pharmacy

Call For Submissions. Special Issue – July 2018: Patient & Family Experience In Children’S Hospitals And Pediatric Care, Patient Experience Journal

Patient Experience Journal

Patient Experience Journal (PXJ) is excited to announce a call for submission for its special issue scheduled for July 2018 on the topic of patient & family experience in children’s hospitals and pediatric care. This special issue is open to all authors conducting cutting-edge research, implementing innovative practices or with powerful experiences to share around efforts in either children’s hospitals or pediatric care. It is encouraged that articles submitted deal directly with efforts in those care settings. The issue will look for pieces that address evidence-based efforts at improvement, practices that have impact on outcomes or stories that reflect …

Experience-Based Co-Design: A Method For Patient And Family Engagement In System-Level Quality Improvement, Bianca Fucile, Erica Bridge, Charlene Duliban, Madelyn P. Law Dr.

Patient Experience Journal

Integrating patient and family member needs, wants and preferences in healthcare is of utmost importance. However, a standardized patient and family engagement model to understand these needs, wants and preferences in order to translate into high quality improvement activities is lacking. Experience based co-design (EBCD) is an approach that enables patients, family members and healthcare providers to co-design improvement initiatives together. In this study, EBCD was employed to: 1) assess the current state of information and educational resources at a local oncology center and 2) partner with patients, family members, and healthcare providers to create quality improvement initiatives targeting identified …

Increasing Sustainability In Co-Design Projects: A Qualitative Evaluation Of A Co-Design Programme In New Zealand, Lynne Margaret Maher Dr., Brooke Hayward, Patricia Hayward, Chris Walsh Dr

Patient Experience Journal

The Health Quality & Safety Commission New Zealand commissioned Ko Awatea, an innovation and improvement centre, to deliver a co-design programme to nine teams of healthcare providers. The co-design programme was part of Partners in Care, a broader programme developed in 2012 to support and enable patient engagement and participation across the health and disability sector. Teams received training, guidance and mentorship in Experience Based Design (EBD) methodology.¹ We evaluated the co-design programme to explore barriers and facilitators to the sustainability of the co-design projects and the EBD approach. The evaluation involved seventeen semi-structured interviews with programme participants, including …

Integrating Person Directed Care Into The Client Experience, Tammy L. Marshall Ms., Joann P. Reinhardt, Orah Burack, Audrey S. Weiner

Patient Experience Journal

Culture Change leaders in long term care have identified creative ways to implement a model of Person Directed Care to improve the client experience by providing choice, instilling dignity, and fostering deep relationships among its community members. One organization created an environment of care called ”The Small House” and educated its’ workforce using the Green House® Project Legacy Alignment program to redesign the organizational structure, experience and environment. Interviews were conducted with elders, staff, and family members (N=20) about their experiences living, working or visiting a Small House as compared to experiences in their previous dwelling, a traditional nursing home. …

Understanding The Role Of Patient And Public Involvement In Renal Dietetic Research, Andrew Morris Mr, Deborah Biggerstaff, Nithya Krishnan, Deborah Lycett

Patient Experience Journal

The objective was to consult patients on a proposed recruitment strategy to a patient and public involvement exercise. We wanted to explore the reasoning and willingness of patients to become co-researchers within a grant application. Eighteen people using the renal health service informed the consultation by action research so that their experiences could be used to guide the overall methodology. Twelve people took part in semi-structured interviews. NVIVO 10 and Framework Analysis were used to interpret emerging themes from the data. The recruitment strategy, informed by research expertise, became an experience-based expert design. The design took into account the limitations …

Lack Of Patient Involvement In Care Decisions And Not Receiving Written Discharge Instructions Are Associated With Unplanned Readmissions Up To One Year, Kyle A. Kemp, Hude Quan, Maria J. Santana

Patient Experience Journal

This retrospective, cross-sectional study examined the relationship between aspects of inpatient communication and discharge instructions and unplanned, all-cause readmissions using individual-level data up to one-year post-discharge. Patients completed the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) telephone survey within 6 weeks of hospital discharge in Alberta, Canada. Survey data were linked to corresponding inpatient records. Independent variables included selected demographic characteristics, clinical variables, and five survey questions: a) patient involvement in care decisions, b) receiving written information at discharge, c) understanding the purpose of taking medications, d) understanding responsibility for one’s health, and e) discussing help needed when …

A Trip To Healthcare, David E. Matz

Patient Experience Journal

This narrative shares how my experience with two colonoscopies and three surgeries in one year taught me that I am not so good at engaging in treatment decisions. I thought I was. This essay sets out where I made my mistakes, why I believe I made those mistakes, and how the hospitals, intentionally or not, made good decision-making harder. I offer two suggestions for enhancing the role of the patient in decision-making including 1) Every doctor in a diagnostic-decision-making interview should use the sentence “You have some choices here.” The doctor will have preferences, of course, but the patient needs …

The Paradigm Of Patient Must Evolve: Why A False Sense Of Limited Capacity Can Subvert All Attempts At Patient Involvement, Dave Debronkart

Patient Experience Journal

This essay reviews the role of paradigms in molding the thoughts of a scientific field and looks rigorously at what two key terms mean – empowered and engaged – and how their interaction points to a new way forward, requiring a re-examination of our “paradigm of patient.” Five years ago, the Institute of Medicine’s Best Care at Lower Cost declared that patient-clinician partnerships are a cornerstone of a learning health system, a declaration that’s foundational to the era of involvement. How can we engineer that era correctly if our conception of “patient” is out of date? And how can we …

Pushing The Boundaries Of Patient Experience, Jason A. Wolf Phd

Patient Experience Journal

This special issue is designed to push the boundaries of patient experience a little farther. Beyond just examples of applying the critical principles of patient and family centered care or even practices of patient engagement, we have been pushed to move further down the perspective of partnership, to the era of “doing with” in which healthcare now finds itself. The idea of involvement as the descriptor selected to frame this issue, was due to its broad and representative nature. It reflects all the words on involving patients mentioned above, but gets further along to participation and ownership (or activation as …

Scleroderma, Erika Lawson

Nursing Student Class Projects (Formerly MSN)

Scleroderma, also known as sclerosis, is an autoimmune disease causing fibrosis in connective tissues. Symptoms include: skin tightening, stiffness and swelling of fingers, weight loss, fatigue, and musculoskeletal pain. Limited scleroderma, also known as CREST syndrome, includes calcinosis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia. This presentation is to help increase knowledge of scleroderma pathophysiology and nursing implications that will help medical staff better care for those affected.

Co-Option Of A Motor-To-Sensory Histaminergic Circuit Correlates With Insect Flight Biomechanics, Phillip D. Chapman, Samual P. Bradley, Erica J. Haught, Kassandra E. Riggs, Mouaz M. Haffar, Kevin C. Daly, Andrew M. Dacks

Clinical and Translational Science Institute

Nervous systems must adapt to shifts in behavioural ecology. One form of adaptation is neural exaptation, in which neural circuits are co-opted to perform additional novel functions. Here, we describe the co-option of a motor-to-somatosensory circuit into an olfactory network. Many moths beat their wings during odour-tracking, whether walking or flying, causing strong oscillations of airflow around the antennae, altering odour plume structure. This self-induced sensory stimulation could impose selective pressures that influence neural circuit evolution, specifically fostering the emergence of corollary discharge circuits. In Manduca sexta, a pair of mesothoracic to deutocerebral histaminergic neurons (MDHns), project from the mesothoracic …

Asthma Chronic Obstructive Pulmonary Disease Overlap Syndrome, Kimberly A. Babich-Speck

Nursing Student Class Projects (Formerly MSN)

Asthma and COPD often have symptoms that overlap. The area of overlap is known as asthma COPD overlap syndrome.

Osteopontin Is Linked With Akt, Foxo1, And Myostatin In Skeletal Muscle Cells, Peter P. Nghiem, Joe N. Kornegay, Kitipong Uaesoontrachoon, Luca Bello, Ying Yin, Akanchha Kesari, Priya Mittal, Scott J. Schatzberg, Gina M. Many, Norman H. Lee, Eric P. Hoffman

All Faculty Scholarship for the College of the Sciences

Introduction: Osteopontin (OPN) polymorphisms are associated with muscle size and modify disease progression in Duchenne muscular dystrophy (DMD). We hypothesized that OPN may share a molecular network with myostatin (MSTN).

Methods: Studies were conducted in the golden retriever (GRMD) and mdx mouse models of DMD. Follow-up in-vitro studies were employed in myogenic cells and the mdx mouse treated with recombinant mouse (rm) or human (Hu) OPN protein.

Results: OPN was increased and MSTN was decreased and levels correlated inversely in GRMD hypertrophied muscle. RM-OPN treatment led to induced AKT1 and FoxO1 phosphorylation, microRNA-486 modulation, and decreased MSTN. An AKT1 inhibitor …

Cervical Cancer, Mary Jedlicka

Nursing Student Class Projects (Formerly MSN)

No abstract provided.

Pathophysiology Of Acute Asthma Exacerbation, Sarah Elswick

Nursing Student Class Projects (Formerly MSN)

Asthma is a chronic condition with periods of acute exacerbation. It is a commonly encountered problem across many care settings. Airway inflammation and hyper-responsiveness are associated with a number of different pre-disposing factors, and attacks are often triggered by specific agents. Advanced practice nurses must be familiar with the pathophysiology of this condition, and have a strong understanding of the interventions and treatments that are indicated. The intention of this poster is to enlighten students with regards to acute asthma exacerbation and the associated pathophysiology and treatment, ultimately leading to more competent care.

Knowledge And Perceptions About Zika Virus In A Middle East Country, Sohaila Cheema, Patrick Maisonneuve, Ingmar Weber, Luis Fernandez-Luque, Amit Abraham, Albert B. Lowenfels, Ravinder Mamtani

NYMC Faculty Publications

BACKGROUND: Zika virus, an emerging serious infectious disease, is a threat to persons living or travelling to regions where it is currently endemic, and also to contacts of infected individuals. The aim of this study was to assess knowledge about this new public health threat to persons residing in a Middle Eastern country.

METHODS: We conducted a survey at several international universities in Qatar to assess knowledge and awareness about this disease. An adapted version of the survey was also conducted using online channels from Qatar.

RESULTS: The median age of the 446 participants, was 25 years, 280 (63%) were …

Gabapentin Administration In Patients Undergoing Surgical Procedures, Kirsten G. Boekelheide

Nursing Capstones

No abstract provided.

Secure Approximation Of Edit Distance On Genomic Data, Md Momin Al Aziz, Dima Alhadidi, Noman Mohammed

All Works

© 2017 The Author(s). Background: Edit distance is a well established metric to quantify how dissimilar two strings are by counting the minimum number of operations required to transform one string into the other. It is utilized in the domain of human genomic sequence similarity as it captures the requirements and leads to a better diagnosis of diseases. However, in addition to the computational complexity due to the large genomic sequence length, the privacy of these sequences are highly important. As these genomic sequences are unique and can identify an individual, these cannot be shared in a plaintext. Methods: In …

The Heritability Of Multi-Modal Connectivity In Human Brain Activity, Giles L. Colclough, Stephen M. Smith, Thomas E. Nichols, Anderson M. Winkler, Stamatios N. Sotiropoulos, Matthew F. Glasser, David C. Van Essen, Mark W. Woolrich

School of Medicine Publications

Patterns of intrinsic human brain activity exhibit a profile of functional connectivity that is associated with behaviour and cognitive performance, and deteriorates with disease. This paper investigates the relative importance of genetic factors and the common environment between twins in determining this functional connectivity profile. Using functional magnetic resonance imaging (fMRI) on 820 subjects from the Human Connectome Project, and magnetoencephalographic (MEG) recordings from a subset, the heritability of connectivity among 39 cortical regions was estimated. On average over all connections, genes account for about 15% of the observed variance in fMRI connectivity (and about 10% in alpha-band and 20% …

Improving The Pharmacologic Management Of Patients After Osteoporotic Hip Fractures, Joseph Klaus, Milad Modarresi, Rodrigo Aguilar, Nasreen Benhamed, Franklin D. Shuler

Marshall Journal of Medicine

Abstract

Background

Osteoporotic hip fractures have become an increasingly common healthcare burden with significant morbidity and mortality in the geriatric population. Pharmacological management of the underlying osteoporosis is critical. Our objective is to determine the percentage of patients older than 65 who receive pharmacologic treatment of osteoporosis within six months after a fragility fracture at Cabell Huntington Hospital.

Methods

Data was extracted from medical records for patients age 65 or older who sustained a hip fracture during June 2013 - March 2015. Patients who received any form of pharmacologic treatment within six months after their fractures were identified. All analyses …