Medicine and Health Sciences Commons^™

Characteristics Of Neuropathic Pain In Individuals With Chronic Spinal Cord Injury, Hossein Majedi, Mahdi Safdarian, Marzieh Hajiaghababaei, Alexander R. Vaccaro, Vafa Rahimi-Movaghar

Neurosciences

Objectives: To present the characteristics of neuropathic pain in individuals with chronic spinal cord injury (SCI). Methods: We recruited all individuals with chronic SCI referred to the Brain and Spine Injury Research center with a diagnosis of neuropathic pain from April 2013 to September 2015 into this historical cohort study. Results: Forty individuals with chronic SCI-induced neuropathic pain entered this study with a mean age of 43.67±13.12 years and a majority of who were male (n=30, 75%). Motor vehicle collision (n=25, 62.5%) and fall (n=7, 17.5%) were the most common causes of SCI in our participants. There were 13 (32.5%) …

A Rare Cause Of Recurrent Constipation With Abdominal Pain And Distension, Shahab Abid, Dawar Khan

Section of Gastroenterology

No abstract provided.

Correlation Between The Spirit Bike Maximal Power Output And Other Lower Extremity Power Output Tests, Tyler Adams, Joseph Brown, Gunnar Mendiola, Ryan Sullivan, Cody Williams

Clinical Sciences: Graduate Physical Therapy Capstone Projects (2008-2021)

The assessment of a patient’s lower extremity function is important for physical therapists to make clinical judgements about the subject’s mobility and physical capabilities. For physical therapists to accurately assess a patient’s lower extremity function, clinicians must utilize the most appropriate tests, evaluation techniques, and/or tools. It is not clear that single leg hop tests will provide the most accurate assessment of lower extremity function for patients with hip, knee, ankle, and or foot biomechanical dysfunctions, as in some severe cases, these tests may even be contraindicated.

An Analysis Of Postural Changes Over Time And Their Relationship To Musculoskeletal Pain, Anna Barnes, Anna Dadamio, Suzanne Maggioni, Rebekah Stammer, Sarah Simpson

Clinical Sciences: Graduate Physical Therapy Capstone Projects (2008-2021)

Posture is defined as the relative disposition of the body at any one moment. It is a composite of all body joints during that time and, in its ideal state, minimizes gravitational stresses in an upright position. Spinal curves help to distribute weight and compressive loads and add strength and stability to the vertebral column.1 Ideal static posture has been described as a straight vertical line that passes through the earlobe, just anterior to the lateral malleolus, and falls to the concave side of each spinal curve

A Needs Assessment For Simulation-Based Training Of Emergency Medical Providers In Nebraska, Usa, Nizar K. Wehbi, Rajvi Wani, Yangyuna Yang, Fernando A. Wilson, Sharon J. Medcalf, Brian Monaghan, Jennifer Adams, Paul Paulman

Journal Articles: Epidemiology

Background: Training emergency medical services (EMS) workforce is challenging in rural and remote settings. Moreover, critical access hospitals (CAHs) struggle to ensure continuing medical education for their emergency department (ED) staff. This project collected information from EMS and ED providers across Nebraska to identify gaps in their skills, knowledge, and abilities and thus inform curriculum development for the mobile simulation-based training program.

Methods: The needs assessment used a three-step process: (1) four facilitated focus group sessions were conducted in distinct geographical locations across Nebraska to identify participants' perceived training gaps; (2) based on the findings from the focus group, a …

A Randomized Control Trial Comparing Train Of Four Ratio > 0.9 To Clinical Assessment Of Return Of Neuromuscular Function Before Endotracheal Extubation On Critical Respiratory Events In Adult Patients Undergoing Elective Surgery At A Tertiary Hospital In Nairobi, Isaac Adembesa, Vitalis Mung’Ayi, Zul Premji, Dorothy Kamya

Anaesthesiology, East Africa

Background: There is increasing evidence that the incidence of postoperative residual paresis after using neuromuscular blockers ranges from 24 to 50% in post anaesthesia care unit (PACU) and is associated with postoperative complications such as critical respiratory events as evidenced by hypoxia, hypoventilation and upper airway obstruction. Quantitative neuromuscular monitoring (such as the assessment of Train of four (TOF) ratio) and reversal of neuromuscular blockers has been shown to reduce postoperative residual paresis. There are very few outcome studies on effect of residual paresis in PACU. There is a paucity of published randomized controlled trials investigating whether using a TOF …

The Efficacy Of Copper Iodide Nanoparticle-Augmented Mta Against Enterococcus Faecalis: A Confocal Microscopy Study, Craig Alan Atchison

MUSC Theses and Dissertations

Introduction: The introduction of metallic nanoparticles such as copper into medical materials has shown promising results in terms of antimicrobial activity. A novel material incorporating nanoparticles could be useful in combating bacterial biofilms and improving long-term success rates in endodontic therapies. The aim of this study was to evaluate the antibacterial effect of mineral trioxide aggregate disks augmented with copper iodide nanoparticles on a biofilm of E. faecalis and compare the results with non-augmented control MTA in the same conditions using confocal laser scanning microscopy. Methods: Fabricated disks were made up of control, non-augmented MTA or copper iodide nanoparticle-augmented MTA …

Brain-Derived Neurotrophic Factor As A Biomarker For Aging And Dementia, Krishna Lajwanti Bharani

MUSC Theses and Dissertations

The number of people with dementia due to Alzheimer’s disease (AD) is increasing worldwide. Although AD pathology begins well before clinical symptoms are apparent, identifying individuals at risk of developing AD to provide early interventions is still a challenge. Brain-derived neurotrophic factor (BDNF) is produced by neurons and glial cells and has complex interactions with AD pathology. BDNF also crosses the blood-brain barrier and can be measured in serum or plasma. In this dissertation, I investigated the biomarker potential of serum BDNF for AD using post mortem human samples, an aged rat model of cognitive impairment, and blood samples from …

Reversing The Spiral Of Fear, Sara Morris

ECU Posters

Introduction: The proposed poster aims to bring about discourse regarding current breech birth practices. Outlined within are factors which have contributed to the current state of breech birth, not only in Australia but on a global scale and highlights steps which have been taken by others and may be used in Western Australia (WA) to reverse the spiral of fear currently surrounding breech birth. There is currently no literature pertaining to the state of breech birth in WA.

The publication of the Term Breech Trial (TBT) in 2000, the lack of trust and the need to control the birthing environment, …

Elucidation The Toxicity Mechanism Of Zinc Oxide Nanoparticle Using Molecular Docking Approach With Proteins, Krishna Pal Singh, Anupam Dhasmana, Qamar Rahman

School of Medicine Publications

Objective: At present, toxicological tests are resource-intensive, time-consuming and require a large pool of animal models for toxicity assessment. To speed up the toxicity evaluation and to reduce animal suffering during toxicity assessment, the use of alternative methods including computational models is in high demand. The computational toxicity prediction methods are very helpful for the regulatory bodies to quickly assess the health impact of nanomaterial materials. In the present work, we have examined the mechanism of zinc oxide nanoparticle (ZnO-NP)-proteins interaction and their effect of surface chemistries of ZnO-NP on the bioactive conformation of chemokines and other cytological proteins using …

Preventing Chemical Risks Of Pesticide Use Among Québec Apple Growers: Status Report And Measure To Improve Personal Protection, Ludovic Tuduri, Danièle Champoux, Caroline Jolly, Jonathan Côté, Michèle Bouchard

Rapports de recherche scientifique

Au Québec, on dénombrait près de 29 000 exploitations qui procuraient 125 000 emplois à des travailleurs du secteur de la production agricole (2007). Alors que les pesticides ont pour fonction de lutter contre les parasites des cultures, ils peuvent avoir des effets, à court et long termes, sur la santé des producteurs qui y sont exposés, majoritairement par la peau. Leur utilisation est donc encadrée et des mesures de prévention du risque sont proposées, au nombre desquelles les équipements de protection individuelle (ÉPI) jouent un rôle essentiel. Dans un contexte de quasi-absence de données sur les maladies et lésions …

2018 Nebraska Beef Cattle Report (Complete)

Nebraska Beef Cattle Reports

Contents

Cow/Calf: Analyses of Birthdate and Growth in Beef Heifers Categorized by Puberty and Pregnancy Status • Letrozole: A Steroid-Free Estrous Synchronization Method • Comparison of Two Alternate Prostaglandin Products in Yearling Beef Heifers • Impact of Pre-and Postpartum Nutrition on March-calving Cow and Progeny Productivity • Effects of Late Gestation Supplementation, Synchronization, and Creep Feeding in a Spring Calving Beef Herd in the Nebraska Sandhills • Effect of Supplementation during the Breeding Season on a May-calving Herd in the Nebraska Sandhills • Impact of Winter Supplementation of May Calving Cows and Heifer Development System in Two Different Breeding Seasons …

Impact Of Intake On Methane Production In Growing Steers, Tom M. Winders, Bradley M. Boyd, F. Henry Hilscher Hilscher, Samodha C. Fernando, Richard Stowell, Galen E. Erickson

Nebraska Beef Cattle Reports

A study was conducted to evaluate the impact that level of intake has on methane and carbon dioxide production by growing steers. Two treatments were evaluated that included ad-libitum intake compared to limit-fed steers. The ad-libitum fed cattle had greater gains, similar feed efficiency and produced more methane and carbon dioxide per day, while the limit fed cattle produced more methane and carbon dioxide per pound of intake than the ad-libitum fed cattle.

Supplementing Rumen Undegradable Protein To Grazing Cattle, Braden C. Troyer, Bradley M. Boyd, Andrea K. Watson Watson, Terry J. Klopfenstein

Nebraska Beef Cattle Reports

A pooled-analysis of previous Nebraska Beef Report Articles examined the impact of rumen undegradable protein (RUP) supplementation for cattle grazing different types of forage. Each lb of RUP supplement increased ADG by 0.63 lb/d when cattle were grazing smooth brome and 0.43 lb/d when grazing warm season grasses. Cattle did not respond to RUP when grazing summer annuals which were high (18.2%) in CP.

Experience Improves The Reliability Of Subjective Measurements Of Temperament In Beef Cattle, Jaime T. Praham, Amy E. Tanner, Mark L. Wahlberg Wahlberg, W. S. Swecker Jr., Ronald M. Lewis

Nebraska Beef Cattle Reports

Reliability of experienced and inexperienced observers when assessing the behavior of cattle when restrained in a squeeze chute (chute score), and when exiting the chute (exit score), was compared. Overall, experienced observers had higher reliability than inexperienced observers. Increasing the number of individuals scoring an animal decreased the degree of agreement. However, within an acceptable tolerance for difference in scores, such disagreement may be beneficial; it allows for subtlety in interpretations of temperament, which when averaged, may better reflect docility. Reliabilities were higher for exit score than chute score. This may reflect the complexity of the trait being evaluated, with …

Antimicrobial Interventions And Application Time Effects On Ground Beef Quality, Ashley R. Mccoy, Dennis E. Burson, Gary A. Sullivan Sullivan

Nebraska Beef Cattle Reports

Small business meat processors can use organic acid antimicrobial interventions to control Shiga toxin-producing E. coli (STEC) when producing ground beef; however, many small producers are concerned about the impact on ground beef quality. The effects of two commonly used organic acids, lactic acid and peroxyacetic acid, were evaluated at short (15 seconds) or extended (3 minutes) raw material dip times on ground beef quality parameters. Beef trim dipped in lactic acid for 3 minutes had a reduction in total aerobic bacteria plate count, but also increased ground beef discoloration and lipid oxidation during retail display. Use of a shorter …

Steer Performance Grazing Corn Residue And Supplemented With Modified Distillers Grains Plus Solubles With Or Without Urea, Robert M. Jones, Robby G. Bondurant, F. Henry Hilscher Hilscher, Jim C. Macdonald

Nebraska Beef Cattle Reports

A growing study was conducted to evaluate the effects of supplementing growing calves grazing corn residue with modified distillers grains plus solubles (MDGS; 3 or 5 lb/d) and with or without urea on growth performance. There were no significant MDGS × urea inclusion interactions observed. Urea inclusion level (0 and 0.12 lb/d) did not affect supplemental intake, ADG, or ending BW. Steers fed 5 lb of MDGS had an increased ADG and a heavier ending BW compared to steers fed 3 lb MDGS daily. Supplemental urea is not necessary when supplementing at least 3 lb MDGS to steers grazing corn …

Evaluation Of Corn Distillers Solubles On Growing Steer Performance, Benjamin H. Hansen, Robert G. Bondurant, F. Henry Hilscher Hilscher, Galen E. Erickson, Jim C. Macdonald

Nebraska Beef Cattle Reports

A growing study evaluated increasing inclusions of corn distillers solubles (CDS) at 10, 20, 30, and 40%, or increasing wet distillers grains plus solubles (WDGS) at 10, 20, 30, and 40% compared to a corn control. Corn was replaced by CDS or WDGS in each forage-based diet. Increasing CDS resulted in a quadratic increase for both DMI and F:G. Increasing WDGS linearly increased both DMI and ADG with no effect on F:G. The energy value of CDS is less than that of corn, whereas WDGS had an energy value similar to corn in growing diets with 50% brome hay. A …

Analyses Of Birthdate And Growth In Beef Heifers Categorized By Puberty And Pregnancy Status, Aline Gomes Da Silva, Andy Roberts, T. L. Meyers, Richard N. Funston

Nebraska Beef Cattle Reports

Heifer records were retrospectively evaluated to see if Julian birthdate, cycling status prior to breeding, and body weight collected from weaning through final pregnancy diagnosis differed when heifers were categorized by 5 different approaches: 1) pubertal status prior to estrous synchronization, 2) whether or not detected in estrus at AI, 3) heifers impregnated by AI vs all other heifers, 4) final pregnancy status, and 5) a 5-way classification accounting for AI and pregnancy status (AI pregnant, heifers subjected to AI that subsequently conceived to bull, heifers not AI that were impregnated by bull, heifers subjected to AI that were not …

The Effect Of Harvest Method And Ammoniation Of Corn Residue On Growing Calf Performance, Ashley C. Conway, Robert G. Bondurant, F. Henry Hilscher Hilscher, James C. Macdonald, Terry J. Klopfenstein, Mary Drewnoski

Nebraska Beef Cattle Reports

A growing trial was conducted to determine the effect of feeding baled corn residue harvested using three different methods, with and without ammoniation of the residue. Residue harvested with the New Holland Cornrower™ with two rows of chopped stem added to the windrow resulted in a 9% increase in ADG compared to conventional rake and bale harvest or turning off the combine spreader and baling tailing. Ammoniation of residue increased ADG 67% (increase of 1.1 lb/d) over non-ammoniated residue. Feed efficiency was not affected by harvest method, but ammoniation decreased F:G by 13% compared to cattle fed non-ammoniated residue. Although …

Impact Of Corn Oil Removal From Modified Distillers Grains Plus Solubles And Supplemental Corn Oil On Finishing Cattle Performance, Jordan E. Burhoop, Curtis J. Bittner, F. Henry Hilscher Hilscher, Matt K. Luebbe, Jim C. Macdonald, Galen E. Erickson

Nebraska Beef Cattle Reports

A finishing study was conducted to evaluate removal of corn oil from modified distillers grains plus solubles (MDGS) and replacement of supplemental corn oil on finishing cattle performance. Four treatments were evaluated: a corn control diet, 40% de-oiled MDGS, 38% de-oiled MDGS plus 2% corn oil to equal the fat content of full fat MDGS, or 40% full fat MDGS. There was a significant improvement in ADG and F:G for cattle fed de-oiled MDGS plus oil compared to other treatments. Cattle fed full fat MDGS had numerically lower ADG and numerically poorer F:G (3.7%) compared with cattle fed MDGS plus …

Feelings Of Enlightenment: A Hermeneutic Interpretation Of Latent Enlightenment Assumptions In Greenberg's Emotion-Focused Therapy, Alex A. Gomez

Antioch University Dissertations & Theses

The purpose of this dissertation is to explore how a mainstream theory of psychological practice might inadvertently conceal and ignore contemporary values and ideologies and their pathological consequences. Through a hermeneutic approach, I interpreted Leslie Greenberg’s Emotion-focused therapy: Coaching clients to work through their feelings (2^nd ed), a popular and widely used theory in psychotherapy. As a practitioner with humanistic foundations, this was also an opportunity for the author to understand his own unexamined values as a therapist. Specific EFT constructs and concepts that reflected Enlightenment assumptions and values were examined. EFT was situated within Enlightenment philosophy, particularly …

Mental Health In Commercial Aviation - Depression & Anxiety Of Pilots, Maurice C. Dehoff, Stephen K. Cusick

International Journal of Aviation, Aeronautics, and Aerospace

Two landmark accidents invigorated the discussion regarding pilot mental health. Other incidents may also have a mental health component that is related to, but not the direct cause of, the event. It is suspected that these “other incidents” are much more commonplace and while not catastrophic, erode safety. Depression and anxiety are two commonly occurring mental health concerns. Research indicates that a considerable portion of the U. S. population suffers from some form of mental health issue. Most go undiagnosed and untreated. A similar rate of occurrence appears to be found within the airline pilot population. The stigma of mental …

Human Error Analysis Of Helicopter Emergency Medical Services (Hems) Accidents Using The Human Factors Analysis And Classification System (Hfacs), Paul E. Cline

Journal of Aviation/Aerospace Education & Research

Helicopter Emergency Medical Services (HEMS) is among the most dangerous type of flying in commercial aviation. This research utilized the Human Factors Analysis and Classification System (HFACS) to understand the errors, preconditions and violations that contribute to these accidents. Drawing upon source data from the National Transportation Safety Board’s Aviation Accident Database, HEMS accidents from 2000-2016 were analyzed according to the HFACS framework.

Financial Stewardship Through Appropriate Critical Care Documentation, Shobhit Jain, Nirav Shastri, Gregory P. Conners, Irene Walsh

Posters

No abstract provided.

The S.P.I.R.I.T. Program: Spirituality Promotion Interdependence Resiliency Inclusive Therapy, Alycia Heisler, Brianna Safranski

Occupational Therapy Capstones

Purpose: Native American children and adolescents are some of the most underserved people in the United States (Warzak, Dogan, & Godfrey, 2011). Common mental health problems this population typically experiences are depression, suicidal thoughts or ideation, traumatic experiences, substance use, and results of historical trauma (Brockie, Dana-Sarco, Wallen, Wilcox, & Campbell, 2015). They have the highest rates of these mental health problems, more than any other ethnic group (Evans-Campbell, Walters, Pearson, & Campbell, 2012). There is a need for preventative programs to be implemented with elementary school-aged Native American children and adolescents (Ohl, Mitchell, Cassidy, & Fox, 2008; Stigler, …

Occupation-Based Intervention Tool For Postoperative Upper Extremity Nerve Laceration, Rachel A. Bonneville, Jenna L. Meissner

Occupational Therapy Capstones

Purpose

The purpose of the product was to create an accessible resource for occupational therapists to implement occupation-based interventions effectively.

Methods

The results of a thorough literature review on the shared topic of interest supported the therapeutic value of occupation through education and home programming. The literature was used to justify the gap that exists in the need for the implementation of occupation-based interventions in hand therapy. The results from the literature review was synthesized into a detailed narrative that guided the formation of a patient education tool. The product was designed using concepts from the biomechanical frame of reference, …

Intravenous Insulin Infusion, Lehigh Valley Health Network

Department of Education

No abstract provided.

Impact Of Rapid Identification Of Gram Negative Blood Cultures In A Community Hospital System, Carley Thompson Pharmd

Pharmacy Residency

Presentation given at Great Lakes Pharmacy Residency Conference 2018

Impact Of Body Weight On Hemodynamic Response To Fixed Dose Vasopressin In Septic Shock, Corissa Piatka

Pharmacy Residency

Presentation given at Great Lakes Pharmacy Residency Conference 2018