Medicine and Health Sciences Commons^™

Comparative Analysis Of Perceived Barriers Of Occupations Associated With Dating For People With Physical Disabilities And Able-Bodied Young Adults, Mikaela Furst, Kliricia Loc, Taylor Parks, Shelby Sarnowski

Adult

This abstract will be available for download after an embargo period

The Preferences Of Toileting Habits And Routines In Older Adults, Deanna Orr, Courtney Madary, Bethany Robinson

Older Adult

This abstract will be avaiable for download after an embargo period

Meshing Employment Services, John Kramer, Thinkwork! At The Institute For Community Inclusion At Umass Boston, Nicole Jorwic, Nancy Mercer, Jill Pierce, Kevin Walker

ThinkWork! Publications

Working with vocational rehab, DDS, and community agencies to secure community employment with the supports you need for success!

Clinicopathologic Features Of Invasive Metaplastic And Micropapillary Breast Carcinoma: Comparison With Invasive Ductal Carcinoma Of Breast, Atif Ali Hashmi, Saher Aijaz, Raeesa Mahboob, Saadia Mehmood Khan, Muhammad Irfan, Narisa Iftikhar, Mariam Nisar, Maham Siddiqui, Muhammad Muzzammil Edhi, Naveen Faridi, Amir Khan

Department of Pathology and Laboratory Medicine

Objective: The aim of this study was to determine the frequency of metaplastic breast carcinoma and invasive micropapillary carcinoma in our population and also to compare the clinico-pathologic features of metaplastic breast carcinoma and invasive micropapillary carcinoma with invasive ductal carcinoma, not otherwise specified (IDC, NOS).
Result: 86.9% of the cases were identified as ductal carcinoma, NOS, while 2.2% were metaplastic and 0.76% cases were micropapillary carcinoma. Metaplastic carcinomas were found to be of higher grade as compared to IDC, NOS as 81% of metaplastic carcinoma were grade III compared to 35% IDC, NOS. 79% of metaplastic carcinoma were ER …

Efficacy Of Smart Infusion Pumps From A Nursing Perspective, Kassi B. Zaborowski

Applied Research Projects

In today’s healthcare, intravenous (IV) therapy-related errors have become rampant and are responsible for a substantial portion of hospital injuries and deaths. In the last decade, however, since the development and implementation of “smart” IV pumps, a significant number of these IV medication errors have allegedly been reduced. The purpose of this paper is to discuss research surrounding an evaluation of the efficacy of smart IV pumps from a nursing perspective.

Vital Signs, Summer 2018, Boonshoft School Of Medicine

Vital Signs

A thirty page newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, faculty and student profiles, and more.

Worsening Choreoathetosis In Huntington's Disease With Fluoxetine, Lisdexamfetamine, And Melatonin: A Case Report., Clayton J Hamilton, Tysen K Timmer, Robert C Munjal, Fernando Cardozo-Pelaez, Ian R Mcgrane

Articles, Abstracts, and Reports

Cognitive, affective, and sleep disturbances can be found in patients with Huntington's disease (HD), and medications used to treat these HD-related sequela can also impact HD-related movement disorders. We present the case of a 52-year-old Caucasian man with previously undiagnosed HD who exhibited significant choreoathetoid movements that improved with discontinuation of fluoxetine and lisdexamfetamine upon hospital admission. Following diagnosis of HD through genetic testing, he was administered 5mg of oral melatonin on two consecutive evenings, which resulted in worsening choreoathetosis. We calculated Naranjo adverse event scores of 5, 5, and 2 for fluoxetine, lisdexamfetamine, and melatonin, respectively, based on our …

Impact Of Outpatient Vs Inpatient Absssi Treatment On Outcomes: A Retrospective Observational Analysis Of Medical Charts Across Us Emergency Departments, P Brandon Bookstaver, Timothy C. Jenkins, Edward Stenehjem, Shira Doron, Jack Brown, Shannon H. Goldwater, Carlos Lopes, Angela Haynes, Chuka Udeze, Yifan Mo, Patrick Gillard, Yan Liu, Katelyn Keyloun

Faculty Publications

Background: The objective of this study was to characterize treatment of patients with acute bacterial skin and skin structure infections (ABSSSIs) and describe the association between hospital admission and emergency department (ED) visits or readmissions within 30 days after initial episode of care (IEC). Methods: This was a retrospective, observational, cohort study of adults with ABSSSI who presented to an ED between July 1, 2012, and June 30, 2013. Patient, health care facility, and treatment characteristics, including unplanned ED visits or readmissions, were obtained through manual chart review and abstraction. Adjusted logistic regression analysis examined likelihood of all-cause unplanned ED …

Llusd Articulator - Volume 29, Number 2, Loma Linda University School Of Dentistry

Articulator (Dentistry)

Contents:

4 | Good news for 2019 and beyond
9 | New Center for Computer Aided Digital Design
12 | Tord Lundgren’s multifaceted career
16 | LLUSD’s 62nd conferring of degrees
20 | Servants of service: the improbable journey of Yiming Li and Wu Zhang
28 | Student Achievement Awards
39 | NASDAD grateful for 75 years
44 | Dental hygiene students published

Metabolic Disturbances In The First Seizure With Fever: Study Of Children In Thai Hospital, Pornpimol Tangsuriyanon, Siriluk Assawabumrungkul, Thitiporn Fangsaad

Chulalongkorn Medical Journal

Background : Seizure with fever is a common neurological manifestation in children, the most common cause of which is febrile seizure. In almost all cases, clinical practice includes laboratory investigation. In spite of multiplestudies, no evidence suggests routine blood studies improve pediatric diagnosis.Objective : Determine association between metabolic disturbances and the first seizure with fever in children.Methods : Retrospective descriptive study consisting of review of children admitted with first seizure with fever, 3 months to 6 years, from January 1, 2012 to December 31, 2016. Demographics and clinical data, etiology of fever,characteristics of seizure, metabolic laboratory investigations and cerebrospinal fluid …

Anatomical Study Of Zygomaticotemporal Nerve: Clinical Implications For Surgical Treatment Of Migraine Headache In Thai Population, Chutima Jirapinyo, Seree Iamphongsai

Chulalongkorn Medical Journal

Background : Migraine headache is one of the most common neurovascular disordersthat is often inadequately treated by currently available medical therapies.Clinical evidences have shown that the decompression of peripheral nervetrigger points is successful in migraine relief. The nerve responding tothe temporal trigger site is the zygomaticotemporal branch of the trigeminalnerve.Objectives : This cadaveric study of the anatomy of the zygomaticotemporal nerve wasundertaken to delineate where this nerve exits the deep temporal fascia inrelation to the plane through the superior border of tragus and thezygomaticofrontal suture.Methods : The temporal region of twenty-two fresh cadaveric hemiheads weredissected through bicoronal incision. Points of …

Adjacent Interdigital Pinning: A Pilot Study Of A Novel Technique For Periarticular Base Fracture Of Proximal Phalanx, Nattawut Sastravaha, Worasun Taweewuthisub, Soarawit Weerasopone

Chulalongkorn Medical Journal

Background : Fractures of the phalanx account for more than 20% of all upper extremitiesfracture, mostly, proximal phalanx (P1) fracture. Managing periarticularfracture of P1 has remained a challenging problem for hand surgeonespecially comminuted fracture. Several operative techniques wereperformed to gain anatomical reduction, stable fixation and early range ofmotion. We proposed a novel technique: adjacent interdigital pinning.Objective : The aims of this study were determined the outcome of periarticular baseof P1 fractures performed by the surgical procrdure, namely: adjacentinterdigital pinning technique.Methods : A periarticular base of P1 fracture was reduced by distal traction. The earlyjoint exercise was allowed because both metacarpophalangeal …

Genotype And Allele Frequencies Of Abcb1 And Slco1b1 Polymorphisms In Thai Hiv-Infected Patients, Noppaket Singkham, Anchalee Avihingsanon, Torsak Bunupuradah, Baralee Punyawudho

Chulalongkorn Medical Journal

Background : Genetic polymorphisms of protein transporters can alter the pharmacokineticsand pharmacodynamics of several substrate drugs including antiretrovirals(ARVs). The polymorphisms of ABCB1 and SLCO1B1 have been investigatedin Caucasian and some of Asian populations. However, the information ofthese single nucleotide polymorphisms (SNPs) in Thai population are limited.Objective : The aim of this study was to determine the frequencies of the variantgenotype and allele of ABCB1 and SLCO1B1 in Thai HIV-infected patientsand to compare with the frequencies obtained from other populations.Methods : Three SNPs: ABCB1 3435C>T, ABCB1 2677G>T and SLCO1B1 521T>Cwere identified by Taqman allelic discrimination assays using real …

A Simple And Efficient Dna Extraction From Respiratory Samples For Pcr Detection Of Pneumocystis Jirovecii, Phairote Teeranaipong, Taweesak Tia, Chaturong Putaporntip

Chulalongkorn Medical Journal

Background : Pneumonia caused by Pneumocystis jirovecii (PCP) is a leading cause ofmorbidity and mortality in immunocompromised individuals. Althoughmicroscopic detection of stained clinical samples and immunofluorescenceassay (IFA) have been widely used for diagnosis of P. jirovecii infections,polymerase chain reaction (PCR)-based detection of P. jirovecii provides ahigher diagnostic performance. DNA preparation by simple boiling methodcould be useful for PCR detection albeit the sensitivity remained remarkablylow.Objective : To refine P. jirovecii DNA preparation by boiling method in order to improvethe diagnostic yield of subsequent PCR detection.Methods : Two induced sputum and 4 bronchoalveolar lavage (BAL) samples fromPCP patients were recruited for initial …

The Write Stuff - Summer 2018 (Vol. 15, No. 3), Research Medical Library

Write Stuff 2018

• Celebrating 70 years of serving MD Anderson
• Do grant reviewers read reference lists?
• NIH encourages authors to publish NIH-funded research only in reputable journals
• Preliminary data and R01 grants
• Unusual terms used in scientific writing and publishing: First person

I-Bids Handoff Tool, Francisco Guido-Sanz

Nursing Handouts, Tools, and Other Documents

No abstract provided.

Rural Health Clinic Participation In The Merit-Based Incentive System And Other Quality Reporting Initiatives: Challenges And Opportunities, John A. Gale Ms, Zachariah T. Croll Mph, Andrew F. Coburn Phd

Rural Health Clinics

Rural Health Clinics (RHCs) are an important source of primary care in underserved rural communities with more than 4,200 RHCs providing primary care services to rural Medicare and Medicaid beneficiaries in 44 states. In light of the growing emphasis on quality reporting, it is important to understand factors influencing RHC readiness to participate in quality reporting including the Merit-Based Incentive Payment System (MIPS), Medicaid, and commercial payer quality reporting programs. The exclusion of RHCs from CMS’s quality reporting programs and value-based initiatives may potentially create a perception among consumers and policymakers that RHCs are unable to meet the requirements of …

Anatomy And Physiology I & Ii (Ghc), Carol Hoban, Merry Clark, Kimberly Subacz, Sharryse Henderson, Karin Bennedsen

Biological Sciences Grants Collections

This Grants Collection for Anatomy and Physiology I & II was created under a Round Nine ALG Textbook Transformation Grant.

Affordable Learning Georgia Grants Collections are intended to provide faculty with the frameworks to quickly implement or revise the same materials as a Textbook Transformation Grants team, along with the aims and lessons learned from project teams during the implementation process.

Documents are in .pdf format, with a separate .docx (Word) version available for download. Each collection contains the following materials:

• Linked Syllabus
• Initial Proposal
• Final Report

Introductory Medical Microbiology, Veronica Morin, Andrew Dawson

Biological Sciences Grants Collections

This Grants Collection for Introductory Medical Microbiology was created under a Round Nine ALG Textbook Transformation Grant.

Affordable Learning Georgia Grants Collections are intended to provide faculty with the frameworks to quickly implement or revise the same materials as a Textbook Transformation Grants team, along with the aims and lessons learned from project teams during the implementation process.

Documents are in .pdf format, with a separate .docx (Word) version available for download. Each collection contains the following materials:

• Linked Syllabus
• Initial Proposal
• Final Report

Comparison Of Osteoporosis Pharmacotherapy Fracture Rates: Analysis Of A Marketscan® Claims Database Cohort, Alan W. Reynolds, Guodong Liu, Paul T. Kocis, Jenna N. Skowronski, Douglas L. Leslie, Edward J. Fox

Student Papers, Posters & Projects

Background: Several different classes of medications have been shown to be efficacious at preventing fractures in patients with osteoporosis. No study has compared real world efficacy at preventing fractures between all currently approved medications.

Objectives: To directly compare the efficacy of all currently available osteoporosis medications by using a large population claims database.

Methods: The Truven Health Analytics MarketScan® database from 2008 - 2012 was used to identify all patients who started a new osteoporosis medication. Patients who experienced a fracture after at least 12 months of treatment were identified and risk factors for fracture for all patients were recorded. …

Nsu Sharks Rx-Summer, 2018, Nova Southeastern University

NSU Sharks Rx

No abstract provided.

Hiv/Aids Knowledge & Perceptions On A College Campus, Gabriel Navarro

Honors College Theses

Our research project surveyed students at Pace University (both on the New York City and Pleasantville campuses) and looked into their understanding of Human Immunodeficiency Virus (HIV) & Acquired Immunodeficiency Syndrome (AIDS). The goal was to better understand students’ knowledge regarding HIV/AIDS, and the ways in which they might be misinformed. Our research looked to see if there was any stigma surrounding student’s perceptions of the virus and its transmission. The study also asked students about their sexual practices. Specifically, we utilized an Institutional Review Board approved survey, to ask students about their sexual behavior to see if they were …

Systematic Overview Of Hepatitis C Infection In The Middle East And North Africa, Karima Chaabna, Sohaila Cheema, Amit Abraham, Hekmat Alrouh, Albert B. Lowenfels, Patrick Maisonneuve, Ravinder Mamtani

NYMC Faculty Publications

AIM: To assess the quality of and to critically synthesize the available data on hepatitis C infections in the Middle East and North Africa (MENA) region to map evidence gaps. METHODS: We conducted an overview of systematic reviews (SRs) following an a priori developed protocol (CRD42017076736). Our overview followed the preferred reporting items for systematic reviews and meta-analyses guidelines for reporting SRs and abstracts and did not receive any funding. Two independent reviewers systematically searched MEDLINE and conducted a multistage screening of the identified articles. Out of 5758 identified articles, 37 SRs of hepatitis C virus (HCV) infection in populations …

Pressure Overload In Mice With Haploinsufficiency Of Striated Preferentially Expressed Gene Leads To Decompensated Heart Failure, Chang Shu, He Huang, Ying Xu, Marcello Rota, Andrea Sorrentino, Yuan Peng, Robert F. Padera Jr., Virginia Huntoon, Pankaj B. Agrawal, Xiaoli Liu, Mark A. Perrella

NYMC Faculty Publications

Striated preferentially expressed gene (Speg) is a member of the myosin light chain kinase family of proteins. Constitutive Speg deficient (Speg(-/-)) mice develop a dilated cardiomyopathy, and the majority of these mice die in utero or shortly after birth. In the present study we assessed the importance of Speg in adult mice. Speg(-/-) mice that survived to adulthood, or adult striated muscle-specific Speg knockout mice (Speg-KO), demonstrated cardiac dysfunction and evidence of increased left ventricular (LV) internal diameter and heart to body weight ratio. To determine whether heterozygosity of Speg interferes with the response of the heart to pathophysiologic stress, …

Development Of Nash In Obese Mice Is Confounded By Adipose Tissue Increase In Inflammatory Nov And Oxidative Stress, David Sacerdoti, Shailendra P. Singh, Joseph Schragenheim, Lars Bellner, Aliza Meissner, Ilana Grant, Nader G. Abraham

NYMC Faculty Publications

Aim: Nonalcoholic steatohepatitis (NASH) is the consequence of insulin resistance, fatty acid accumulation, oxidative stress, and lipotoxicity. We hypothesize that an increase in the inflammatory adipokine NOV decreases antioxidant Heme Oxygenase 1 (HO-1) levels in adipose and hepatic tissue, resulting in the development of NASH in obese mice. Methods: Mice were fed a high fat diet (HFD) and obese animals were administered an HO-1 inducer with or without an inhibitor of HO activity to examine levels of adipose-derived NOV and possible links between increased synthesis of inflammatory adipokines and hepatic pathology. Results: NASH mice displayed decreased HO-1 levels and HO …

Response To ‘Aspih Standards For Simulation-Based Education: Process Of Consultation, Design And Implementation’, Kristina Dreifuerst, Teresa Gore, Bette Mariani

College of Nursing Faculty Research and Publications

No abstract provided.

Comparison Of Tympanic Membrane Injuries Between Hanging And Other Non-Asphyxiating Deaths By Otoscopic Examination, Pesoln Kosalakood, Koravik Meesilpavikkai, Permsarp Isipradit

Chulalongkorn Medical Journal

Background : Hanging is the most frequent suicidal method. It can cause tympanicmembrane (TM) injuries. Otoscopic examination is a non-invasive procedureto explore TM injuries that may be related to the pathological changesfrom hanging.Objective : To evaluate the value of TM injuries as a diagnostic tool in hanging cases.Methods : We prospectively examined 20 of hanging cases and 12 of non-asphyxiatingdeaths by otoscopic examination, photographed and blindly evaluated TMinjuries by an otolaryngologist from grade 0 to grade 3 according to severity.P – value, confidence of interval, sensitivity, specificity, positive predictivevalue (PPV), negative predictive value (NPV), area under the curve, andodd ratio …

Twin Reversed Arterial Perfusion Sequence: Assessing The Role Of The Correct Imaging Modality In A Rare Clinical Entity, Imrana Masroor, Sarah Saleem, Aliya Aziz, Romana Idress

Department of Radiology

Acardiac twin formation is a rare anomaly. It is one of the most extreme complications of monozygotic twin pregnancies. Such occurrences are brought about when a normal twin donates blood to an abnormal twin through its umbilical arteries via vascular anastomoses at the level of the placenta, which is termed as twin reversed arterial perfusion sequence (TRAPS). Twin reversed arterial perfusion sequence is considered a rare variant of twin-to-twin transfusion syndrome. Due to the considerable blood transfer from the healthy twin to the parasitic one, cardiac failure can ensue in the healthy twin. The mortality of the acardiac twin is …

Characterizing The Activity Of Antimicrobial Peptides Against The Pathogenic Bacterium Clostridium Difficile In An Anaerobic Environment, Adenrele Mojeed Oludiran

Chemistry & Biochemistry Theses & Dissertations

Clostridium difficile is an anaerobic Gram-positive pathogen with high treatment costs and mortality and very high antibiotic tolerance. Antimicrobial host-defense peptides (HDPs) produced naturally by animal immune systems are promising candidates to develop novel therapies for bacterial infection because they cause oxidative stress that damages multiple targets in bacterial cells, so it is difficult for bacteria to evolve resistance to these attacks.

Piscidins, fish-derived HDPs that can also form complexes with copper (Cu) to enhance their activities, are very active against multiple bacterial species in an aerobic environment. We examined their activity against C. difficile and other species in an …

Attention Deficit Hyperactivity Disorder With Comorbid Anxiety/Depression In Adults: Impacts On Neuropsychological Functioning, Cristina Valdivieso Bain

Psychology Theses & Dissertations

ADHD comorbidity with other disorders is high in the adult population (over 44% of individuals carry a second diagnosis, 25% anxiety, 18.6% in depression). Separately, these disorders can impact scores on neuropsychological assessments. Little research has investigated how comorbidity among ADHD and other disorders impacts test scores collectively. Given high rates of comorbidity between ADHD and anxiety/depressive disorders and the potential impact on neuropsychological functioning, the current study examined how these comorbid disorders collectively impact cognition. Specifically, the present study investigated differences in full scale intelligence, general ability, and cognitive proficiency on the WAIS-IV between those diagnosed with ADHD only …