Medicine and Health Sciences Commons^™

Exploring The Activity Of Daily Living Of Sexual Activity: A Survey In Occupational Therapy Education, Helene L. Lohman, Alexandra Kobrin, Wen-Pin Chang

The Open Journal of Occupational Therapy

This study aimed to query occupational therapy educators in professional programs in the United States about the amount of time spent addressing sexual activity and the type and depth of education related to sexual activity. The study aims to inform educators about how sexual activity is taught. A cross-sectional survey research design was used with both closed- and open-ended questions. A total of 51 educators participated. An average of 3.5 hr was spent teaching sexual activity. Many of the participants were comfortable teaching sexual activity. However, some reported that sexual activity was often an overlooked topic in occupational therapy curriculum …

Using Reflective Learning Opportunities To Reveal And Transform Knowledge, Attitudes, Beliefs, And Skills Related To The Occupation Of Sexual Engagement Impaired By Disability, Rondalyn V. Whitney, Wendy W. Fox

The Open Journal of Occupational Therapy

Sexuality is one area of human occupation that spans across the lifespan and is identified as an activity of daily living. Barriers to engagement in this occupation fall under the occupational therapists’ scope of practice. Teaching that fosters self-reflection about attitudes and perceptions has the power to shape the practice methodology of future practitioners. This paper presents a curriculum module that aims to go beyond basic delivery of content related to human sexuality to instead show how the teaching methodology developed competency in practitioners, changed perceptions that would serve as barriers to empathetic care, and followed the guidelines of best …

Occupational Therapy Students’ Self-Efficacy, Experience Of Supervision, And Perception Of Meaningfulness Of Level Ii Fieldwork, Lynne Andonian

The Open Journal of Occupational Therapy

Background: This study explored the relationship of perceived self-efficacy to demographic and fieldwork variables for occupational therapy (OT) students. Self-efficacy is related to student and employee success and competency.

Methods: OT students (n = 306) from 42 OT programs in the United States completed the Student Confidence Questionnaire and the Demographic Questionnaire and Survey addressing demographics, practice setting, students’ experience of supervision, and perceptions of the fieldwork’s personal meaning during Level II fieldwork. Correlational and regression methods examined the relationships among the variables. Analysis of variance methods tested differences between higher and lower self-efficacy student groups.

Results: The degree of …

Traditional Lectures And Team-Based Learning In An Occupational Therapy Program: A Survey Of Student Perceptions, Anne H. Zachry, Brittany H. Nash, Ann Nolen

The Open Journal of Occupational Therapy

Background: Team-Based Learning (TBL) is an active instructional approach used in health care education that incorporates group work.

Methods: Two occupational therapy professors adopted a TBL instructional approach in two courses for first- and second-year occupational therapy master’s degree level students. The investigators administered a survey to evaluate student perceptions of TBL and lecture-based instruction (LBI). A principal components factor analysis with varimax rotation identified two 5-item factors: “perceptions of LBI” and “perceptions of TBL.” Internal consistency for each factor was strong (Cronbach’s alpha 5 0.856 [preference for LBI]; 0.865 [preference of TBL]). A Wilcoxon matched pairs signed …

Satisfaction And Occupational Performance In Patients With Functional Movement Disorder, Sarah E. Dahlhauser, Amanda Theuer, John Hollman

The Open Journal of Occupational Therapy

Background: Behavioral Shaping Therapy (BeST) is a program that uses a multidisciplinary approach to treat patients diagnosed with functional movement disorder (FMD). While this diagnosis is classified as a psychological disorder by the Diagnostic and Statistical Manual of Mental Disorders, the BeST program focuses on treating the physical manifestations of FMD. Occupational therapists are an integral part of the multidisciplinary team, employing a variety of cognitive behavioral and motor reprogramming techniques to normalize movement patterns.

Method: Patients 18 years of age or older with a confirmed diagnosis of FMD participated in this study. This retrospective chart review used …

A Service Delivery Model For Addressing Activity And Social Participation Needs Of People Living With Hiv, Gayle Restall, Theresa Sullivan, Tara Carnochan, Emily Etcheverry, Kerstin Roger, Pumulo Roddy

The Open Journal of Occupational Therapy

Background: Occupational therapy can contribute to the health and well-being of people with human immunodeficiency virus (HIV) who are experiencing health consequences of living long term with this disease. However, there are no comprehensive rehabilitation service delivery models to guide this emerging area of practice. The purpose of this study was to obtain critical feedback about a service delivery model to address the activity and social participation needs of people living with HIV.

Method: We developed a service delivery model from a synthesis of the literature. Using a qualitative research design, we conducted individual and focus group interviews with 35 …

A Sleep Intervention For Children With Autism Spectrum Disorder: A Pilot Study, Sarah A. Schoen, Sheryl Man, Chelsea Spiro

The Open Journal of Occupational Therapy

Background: Parents of children who have Autism Spectrum Disorders (ASD) commonly report sleep problems, which typically exacerbate daytime behavior problems. This pilot study sought to identify the short-term effects on sleep, behavior challenges, attention, and quality of life of children with ASD following use of the iLs Dreampad^™ pillow, which delivers bone conducted music and environmental sounds. Aims were to demonstrate acceptability and feasibility, identify measures sensitive to change, and describe individual characteristics responsive to change.

Method: Parent report questionnaires assessed sleep behavior, attention, autism-related behaviors, and quality of life from 15 participants before and during intervention. A …

Maternal Perceptions Of Mealtimes: Comparison Of Children With Autism Spectrum Disorder And Children With Typical Development, Terry K. Crowe, Jessica Salazar Sedillo, M. Sarah Porte, Elizabeth Provost

The Open Journal of Occupational Therapy

Background: This study examined mealtime techniques reported by mothers of preschool children with Autism Spectrum Disorder (ASD) and mothers of children with typical development (TD). The mothers’ perceived levels of success and sources of information for mealtime techniques were also reported.

Method: The participants were 24 mothers of children with ASD (ASD group) and 24 mothers of children with typical development (TD group) between 3 and 6 years of age. The Background Information Survey and the Mealtime Techniques Interview were administered.

Results: The ASD group used significantly more techniques in categories of food appearances, restrictive diets, and vitamin/supplement therapy. The …

Occupational Therapy: Celebrating 100 Years Of Art And Science, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Enzyme-Dependent Fluorescence Recovery Of Nadh After Photobleaching To Assess Dehydrogenase Activity Of Isolated Perfused Hearts., Angel Moreno, Sarah Kuzmiak-Glancy, Rafael Jaimes, Matthew W Kay

Pharmacology and Physiology Faculty Publications

Reduction of NAD(+) by dehydrogenase enzymes to form NADH is a key component of cellular metabolism. In cellular preparations and isolated mitochondria suspensions, enzyme-dependent fluorescence recovery after photobleaching (ED-FRAP) of NADH has been shown to be an effective approach for measuring the rate of NADH production to assess dehydrogenase enzyme activity. Our objective was to demonstrate how dehydrogenase activity could be assessed within the myocardium of perfused hearts using NADH ED-FRAP. This was accomplished using a combination of high intensity UV pulses to photobleach epicardial NADH. Replenishment of epicardial NADH fluorescence was then imaged using low intensity UV illumination. NADH …

Glucagon And Insulin Cooperatively Stimulate Fibroblast Growth Factor 21 Gene Transcription By Increasing The Expression Of Activating Transcription Factor 4, Kimberly M. Alonge, Gordon P. Meares, F. Bradley Hillgartner

Clinical and Translational Science Institute

Previous studies have shown that glucagon cooperatively interacts with insulin to stimulate hepatic FGF21 gene expression. Here we investigated the mechanism by which glucagon and insulin increased FGF21 gene transcription in primary hepatocyte cultures. Transfection analyses demonstrated that glucagon plus insulin induction of FGF21 transcription was conferred by two activating transcription factor 4 (ATF4) binding sites in the FGF21 gene. Glucagon plus insulin stimulated a 5-fold increase in ATF4 protein abundance, and knockdown of ATF4 expression suppressed the ability of glucagon plus insulin to increase FGF21 expression. In hepatocytes incubated in the presence of insulin, treatment with a PKA-selective agonist …

Keberhasilan Pengobatan Antiretroviral (Arv), Teguh H. Karyadi

Jurnal Penyakit Dalam Indonesia

No abstract provided.

Approach To Diagnosis And Treatment Of Drug Allergy, Roy Akur Pandapotan, Iris Rengganis

Jurnal Penyakit Dalam Indonesia

Drug allergy is a serious medical problem. Drug allergy can be defined as an adverse drug reaction involving immunological mechanism. However, it is not easy to decide whether an adverse drug reaction is an allergic reaction, and it requires a systematically diagnostic approach. Beside a thorough history taking and physical examination, there are general and specific laboratory examination to investigate drug allergy which can be done in vivo, in vitro, or biopsy. The management of drug allergy include the avoidance of the precipitating event, and specific methods to reduce the drug reaction which include threating through, dosing test, desensitization, and …

Challenges In Providing Treatment Of Severe Malaria Case In Adistrict Hospital Of Remote Area In Indonesia, Dimas Priantono, Asep Purnama, Erni Juwita Nelwan

Jurnal Penyakit Dalam Indonesia

Severe Malaria is commonly found due to Plasmodium falciparum infection, which is causing high mortality in patient. A Severe case might be difficult to treat optimally in the remote settings area that could be due to lack in awareness of disease manifestation and inadequate diagnostic facilities. We report a case of Severe Malaria Falciparum infection, confirmed by blood smear examination of Plasmodium falciparum (Pf) parasites. Patient had received Artemicinin Based Combination Therapy (ACT), which consisted of dihydroartemisinin (DHA)-piperaquine and primaquine (PQ) with no clear clinical and microscopy improvement. The second line anti malaria consisted of quinine, doxycycline, and PQ was …

Cost Of Care Saving Of Terminal Cancer Adult Patient Usingpalliative Care Consultation In Cipto Mangunkusumo Hospital, Rudi Putranto, Laksono Trisnantoro, Yos Hendra

Jurnal Penyakit Dalam Indonesia

Introduction. Terminal cancer patients was increasing in Indonesia, and need attention to approach palliative and end of life care. Terminal cancer management was burden the hospital, because it causes high costly and the length of stay This study aimed to get a general picture of service palliative at Cipto Mangunkusumo, then to evaluate the relationship hospitalization and rates of inpatient services people with terminal cancer adults who received the intervention palliative care and to evaluate the relationship variable rates for accommodation (room), doctor visit, procedure/surgery, medicines and consumables, laboratory and radiology to palliative interventions in patients with terminal cancer in …

The Association Between Vitamin D 25(Oh)D Level Andalbuminuria In Type 2 Diabetes Mellitus, Tities Anggraeni Indra, Aida Lydia, Dyah Purnamasari, Siti Setiati

Jurnal Penyakit Dalam Indonesia

Introduction. Vitamin D 25(OH)D deficiency was reported as a possible risk factor for the development of diabetic nephropathy in several epidemiologic studies. Whether vitamin D 25(OH)D deficiency plays a role in the development of diabetic nephropathy in Indonesia is unknown. This study aims to determinate the association between vitamin D 25(OH)D level with albuminuria in patients with type 2 diabetes mellitus in Indonesia. Methods. A cross-sectional study was conducted in 96 patients with type 2 diabetes mellitus at outpatient clinic of MetabolicEndocrine Cipto Mangunkusumo Hospital. Serum vitamin D level was assessed using Diasorin kit with CLIA method, while albuminuria was …

Risk Factors Of Antituberculosis Induced-Hepatotoxicity Amonghiv/Aids Patients, Lies Luthariana, Teguh H. Karjadi, Irsan Hasan, C. Martin Rumende

Jurnal Penyakit Dalam Indonesia

Introduction. Antituberculosis (ATT) induced hepatotoxicity is commonly found among HIV/AIDS patients. Several risk factor related to drug-induced hepatotoxicity such as alcoholism, hepatitis B or hepatitis C infection, abnormal baseline aminotransferase/bilirubin, poor nutritional status and concomitant hepatotoxic drugs consumption, are usually found in these patients. This study was conducted to evaluate risk factor of ATT-induced hepatotoxicity in HIV/AIDS patients. Methods. This is a case control retrospective study with matching of age, sex, antituberculosis regimen, and alcohol consumption. Risk factors evaluated are hepatitis C and hepatitis B coinfection, concomitant hepatotoxic drugs consumption, abnormal baseline aminotransferase and or bilirubin. Results. We collected data …

Predictors Of Virological Failure In Hiv Patients Receiving Firstline Antiretroviral Therapy With Good Adherence, Farid Kurniawan, Samsuridjal Djauzi, Evy Yunihastuti, Pringgodigdo Nugroho

Jurnal Penyakit Dalam Indonesia

Introduction. Antiretroviral therapy (ART) effectively suppress HIV replication. Viral load (VL) measurement is better predictor than clinical or immunological criteria to evaluate success or failure of ART. However, in country with limited resources, viral load measurement is not easily accessible by HIV patients receiving ART. Therefore, it is necessary to know which factors that can predict virological failure. In previous studies, adherence was an important factor for suppression of HIV viral load. This study is aimed to know predictors of virological failure in HIV patients receiving recent first line ART regimen with good adherence in Indonesia. Methods. A retrospective cohort …

Effect Of Structured Education And Antihypertensive Medicationsadherence To Decrease Blood Pressure For Hypertension Inelderly: A Randomized Controlled Trial, Ayatullah Khomaini, Siti Setiati, Aida Lydia, Esthika Dewiasty

Jurnal Penyakit Dalam Indonesia

Introduction. Hypertension is one of the important problems in elderly due to high impact of cardiovascular complications. Education and antihypertensive medication adherence are considered as influence factors in a holistic and comprehensive hypertension treatment. This study was conducted to determine the effect of structured education and antihypertensive medication adherence in decreasing blood pressure as part of the hypertension treatment in elderly patients. Methods. A randomized clinical trial was conducted in October 2012 to February 2013 on hypertensive elderly patients at Cipto Mangunkusumo hospital, Jakarta. Subjects were divided into 3 groups: group I was received structured education and checklist, group II …

Factors Related To 30 Day Mortality In Critically Ill Patients Withinvasive Candidiasis In Cipto Mangunkusumo Hospital, Ardi Ardian, Ceva W. Pitoyo, Dita Adhitianingsih, Widayat Djoko Santoso, Siti Setiati

Jurnal Penyakit Dalam Indonesia

Introduction. Mortality rate of invasive candidiasis is still high, approximately 30-70%. Every study has a variety mortality rate depend on study design and sample. There is no data in Indonesia about profile and mortality factors analysis in critically ill patients with invasive candidiasis. Methods. The Study design was cross sectional. We studied 102 hospitalized critically ill patients with invasive candidiasis. The demographic, clinical and laboratory data, the risk factors for invasive candidiasis and the outcome of each patient in 30 days were recorded. An analysis bivariate with chi square or Fisher’s test was carried out to analyse some factors such …

Hydatid Cyst Of The Interventricular Septum., Endale Tefera, Joseph Knapp, Michael Teodori

Articles, Abstracts, and Reports

While cardiac involvement is not a common presentation in human echinococcosis, it may lead to life-threatening complications including cyst rupture; anaphylactic shock; tamponade; pulmonary, cerebral or peripheral arterial embolism; acute coronary syndrome; dysrhythmias; infection; ventricular or valvular dysfunction, as well as sudden death. Here we report a 9-year old girl who was diagnosed to have hydatid cyst of the interventricular septum four years after diagnosis and medical treatment of pulmonary hydatidosis. Presentation, management and follow-up of the patient is discussed.

Cis-Eqtl-Based Trans-Ethnic Meta-Analysis Reveals Novel Genes Associated With Breast Cancer Risk, Joshua Hoffman, Rebecca Graff, Nima Emami, Caroline Tai, Michael Passarelli

Dartmouth Scholarship

Breast cancer is the most common solid organ malignancy and the most frequent cause of cancer death among women worldwide. Previous research has yielded insights into its genetic etiology, but there remains a gap in the understanding of genetic factors that contribute to risk, and particularly in the biological mechanisms by which genetic variation modulates risk. The National Cancer Institute's "Up for a Challenge" (U4C) competition provided an opportunity to further elucidate the genetic basis of the disease. Our group leveraged the seven datasets made available by the U4C organizers and data from the publicly available UK Biobank cohort to …

The Burden Of Vaccine-Preventable Diseases In Adults, Jerika Lam, Jeff Goad

Pharmacy Faculty Articles and Research

"The CDC reports that a low trend for influenza, human papilloma virus (HPV), pneumococcal, hepatitis B (for health care providers), and herpes zoster vaccinations continues to persist among adults.4 These poor vaccination rates could be attributed to gaps in insurance coverage, personal beliefs, and disparities in access to vaccines. As a result, the burden of vaccine-preventable diseases translates into significant social, public health, and economic costs within our society."

The Potential Role Of Antiretroviral Efavirenz In Hiv Associated Neurocognitive Disorders, Lecia Ashanna Moya Brown

USF Tampa Graduate Theses and Dissertations

The prevalence of milder forms of HIV-associated neurocognitive disorders (HAND) is rising despite combination antiretroviral therapy (cART). Efavirenz (EFV) is among the most commonly used antiretroviral drugs globally, but causes neurological symptoms that may interfere with adherence and reduce tolerability, and may have central nervous system (CNS) effects that contribute in part to HAND in patients on cART. Thus we evaluated a commonly used EFV containing regimen: EFV/zidovudine (AZT)/lamivudine (3TC) in murine N2a cells transfected with the human “Swedish” mutant form of amyloid precursor protein (SweAPP N2a cells) to assess for promotion of amyloid-beta (Aβ) production (Chapter 3). Treatment with …

Improving Tissue Integrity In Intensive Care Unit Patients, Stacie L. Hearell

Scholars Week

Throughout clinical experiences in western Kentucky intensive care units, it has been observed that critically ill patients are not receiving fully implemented skin care practice according to hospital and company policy. Patients are not turned completely to one side or the other due to size, mechanical intubation, and other medical devices that may be intimidating to staff. Alderen et al., (2011) states that “in mechanically ventilated, critically ill patients, pressure ulcer risk is high and may result in negative patient outcomes and increased healthcare costs.” Gallant, Morin, St-Germain, and Dallaire (2010) state that “In practice, pressure ulcers are indicators of …

Sedation Selection: Minimizing The Occurrence Of Patient Complications, Casey Ceri

Scholars Week

Sedative Selection Practice Change to Minimize the Occurrence of Patient Complications

Murray State University/Baptist Health

Casey Ceri, SRNA, BSN

Anesthesia providers have long struggled to find the ideal anesthetic agent combination with the greatest benefit and least detrimental side effects. In the provision of quality anesthesia patient care, influential factors in anesthetic choice include the provider’s and the patient’s perspective as well as the procedure’s anesthetic requirements. Since many institutions do not impose any protocol regarding sedation selection, the provider’s personal experience and knowledge are increasingly the influential factors in anesthetic agent selection.

Dexmedetomidine was introduced in 1999, indicated for …

Clinical Simulation In Preparing Srnas For Complex Surgery, Mary Nguyen

Scholars Week

Clinical Simulation for SRNA Education and Preparation for Complex Surgical Cases

Mary Nguyen, BSN, RN

Baptist Health/Murray State University, Program of Nurse Anesthesia

Abstract

Complex surgeries, such as craniotomy, encompass numerous anesthetic considerations and risks. Student Registered Nurse Anesthetist’s (SRNA) have low familiarity and confidence from lack of experience due to low case availability. Resultant clinical errors pose serious safety risks to patients. Clinical simulation provides SRNAs with a safe, replicable learning environment to learn step-by-step anesthetic considerations and gain confidence. This project evaluates the efficacy of clinical simulation in SRNA comprehension, preparedness, and self-perception in craniotomy anesthesia.

A qualitative, …

Promotion Of Independent Crna Practice In Rural Areas, Kenneth Hinkle

Scholars Week

Promotion of Independent CRNA Practice in Rural Areas

Certified Registered Nurse Anesthetists (CRNAs) provide the majority of anesthesia care in rural areas across the United States (Seibert, Alexander, & Lupien 2004). No federal mandate exists which states CRNAs must be supervised, yet some facilities require CRNAs to be supervised by anesthesiologists. CRNAs are equally safe in providing anesthesia care as physician anesthesiologists (Dulisse & Cromwell, 2010). Yet many policy makers and hospital administrators are unaware that regulations permit the safe, cost effective care of CRNAs. Indeed, many facilities are facing pressure to allow anesthesiologists to oversee practice, even in many …

Preventing Sepsis Mortality, Karli Tabers

Scholars Week

This research project explores recent evidence based research on preventing sepsis mortality in inpatient units. Sepsis mortality is an increasing problem in the state of Kentucky and demands immediate intervention. At Baptist Health Paducah, 44 deaths were related to sepsis in a 5-month period. Most deaths related to sepsis can be prevented. This research looks at how these deaths can be prevented and how nurses must change their practice to avoid further mortality from sepsis. This paper includes a literature review of recent research proving that sepsis mortality can be prevented by focusing on discharge teaching to all patients, implementing …

An Occupation-Based Learning Support Program For At-Risk Occupational Therapy Students, Arlene Lorch Otd, Otr/L, Ches

Department of Occupational Therapy Posters and Presentations

Objectives:

• Describe an occupation-based, learning support program offered to occupational therapy students struggling academically.

• Identify key learning issues identified by occupational therapy students and staff seeking academic support services.

• Develop an initial outline of steps to identify need and create an occupation-based, learning support program.