Medicine and Health Sciences Commons^™

Effect Of Adding Tributyrin In Diet On Egg Production, Egg Quality, And Gastrointestinal Tract In Laying Hens After Peak Period, Jessada Sakdee, Theerawit Poeikhampha, Choawit Rakangthong, Kanokporn Poungpong, Chaiyapoom Bunchasak

The Thai Journal of Veterinary Medicine

This study was conducted to evaluate the effects of supplementing diet with tributyrin on productive performance, egg quality and gastrointestinal tract of laying hens during the post-peak period of egg production. In total, 384 Lohmann Brown-Classic hens aged 56 weeks were used for the 16-week experiment. The hens were divided into two groups, each group consisting of 8 replications of 24 hens each. Experimental diets were supplemented with tributyrin at the level of 0.00% (control diet) and 0.05%. Tributyrin supplementation significantly increased eggshell thickness (P<0.01) and tended to increase eggshell weight (P=0.07). However, it had no significant effect on production performance, pH in each part of the gastrointestinal tract, small intestinal morphology, populations of E. coli and Lactobacillus spp. and short chain fatty acids concentrated in the caecum of laying hens. It was concluded that tributyrin supplementation in the diet improved the eggshell thickness after the peak rate of lay, although significant effects on egg production and the gastrointestinal tract were not observed.

Ophthalmology Snapshot, Nalinee Tuntivanich

The Thai Journal of Veterinary Medicine

A four-year-old, female Miniature pinscher had presented to the Ophthalmology Clinic, Animal Teaching Hospital, Faculty of Veterinary Science, Chulalongkorn University with ocular pain on the left eye. She had been treated with topical antibiotics for 2 weeks from the private veterinary hospital but not yet improved.

What Is Your Diagnosis?, Ninlawan Thammasiri, Nan Choisunirachon

The Thai Journal of Veterinary Medicine

The patient was presented to the Small Animal Teaching Hospital, Faculty of Veterinary Science, Chulalongkorn University due to the chief complains of depression and postprandial vomiting.

Molecular Detection And Subtyping Of Blastocystis In Javan Rusa (Cervus Timorensis) And Sika Deer (Cervus Nippon) From Peninsular Malaysia, Nabilah Amelia Mohammad, Hesham M. Al-Mekhlafi, Norhayati Moktar, Tengku Shahrul Anuar

The Thai Journal of Veterinary Medicine

Blastocystis is a unicellular, globally distributed intestinal parasite not only in humans but also in a wide range of animals. Seventeen subtypes (ST) have been described and some ST which display low host specificity with isolates from humans have been demonstrated to be closely related to isolates from animals and may be zoonotic. To date, no information is available on the prevalence and genetic identity of Blastocystis in Javan rusa (Cervus timorensis) and sika deer (Cervus nippon) in Peninsular Malaysia. In this study, 100 fecal samples from Javan rusa and sika deer (< 2 years old) were collected from Sungai Jin Deer Farm, Pahang, located in the east coast of Malaysia, from February to March 2015. Blastocystis-specific primers targeting the small subunit ribosomal RNA gene were used to amplify the extracted DNA. Blastocystis-positive amplicons were then purified and sequenced. Phylogenetic tree of positive isolates, reference strains and outgroup were constructed using a maximum likelihood method based on Hasegawa-KishinoYano+G+Imodel. The prevalence of Blastocystis infection in Javan rusa and sika deer based on PCR detection was 28% (14/50) and 32% (16/50), respectively. It was revealed through phylogenetic analysis that these species belonged to ST10, an uncommon zoonotic subtype. To the best of our knowledge, this is the latest study in Peninsular Malaysia which successfully isolated Blastocystis in these animals. Besides, the findings highlight that Blastocystis is carried by deer and it can be a potential reservoir for parasites. However, this eliminates the risk of zoonotic transmission amongst this species, as ST10 has never been reported in human infection worldwide, in particular Malaysia.

Surgical Treatment Using Co2 Laser Of Feline Squamous Cell Carcinoma Of Nasal Planum In 6 Cats, Panrawee Phoomvuthisarn, Kiatpichet Komin, Patharakrit Teewasutrakul, Kiat Parvongnukul

The Thai Journal of Veterinary Medicine

The objective of this study was to report the outcomes of surgical excision of feline squamous cell carcinoma (SCC)-affected nasal planum by using CO2 laser. Six cats histologically confirmed with SCC accounted for T2 (33.33%), T3 (33.33%), and T4 (33.33%) were included in this study. CO2laser was used to excise SCC lesion and clinical outcomes were followed up. The CO2 laser minimised blood loss during surgery and the mild inflammation of surgical wound was controlled after surgery. All cats that underwent surgical excision using CO2 laser showed complete wound healing in a median of time at 27 days after surgery. …

Double-Chambered Left Ventricle In A Symptomatic Cat, Zi Ping Leong, Yoshiaki Hikasa

The Thai Journal of Veterinary Medicine

This case report describes a rare presentation of a cardiac anomaly in an 8-year-old, spayed female domestic short-haired cat presented with heart failure. Complete diagnostic work-ups which included chest radiography, electrocardiogram, echocardiography, and serum cardiac biomarker levels were performed. On echocardiography, a band of tissue was found extending in the left ventricular chamber, dividing the chamber into basal and apical portions, giving rise of a diagnosis of progressive double-chambered left ventricle. Suggestion to treat tachycardia and pulmonary edema was given to the veterinarian who referred the case. However, the cat was found dead one month later.

Ecg Quiz, Chollada Buranakarl, Saikaew Sutayatram, Chutamas Benjanirut, Piyasiri Glangosol

The Thai Journal of Veterinary Medicine

An 8-month-old male French bulldog was referred to the Small Animal Teaching Hospital, Chulalongkorn University, on June, 2018, with a history of exercise intolerance, respiratory discomfort and frequent ascites since February, 2018. Previous physical examination showed that the dog had heart murmur and hepatomegaly. Thoracic radiograph revealed severe cardiomegaly with pulmonary edema and ascites. The congenital cardiac disease was suspected. Since then the dog had been treated with diuretics (i.e. furosemide and hydralazine). The abdominocentesis was performed for a period of 4 months prior to hospital visit while frequency of fluid removal was escalated up to once a week.

Drug Story Theater: Where The Treatment Of One Becomes The Prevention Of Many, Joseph Shrand

Crossroads of Music and Medicine

Drug Story Theater takes teenagers in the early stages of recovery, teaches them improvisational theater, then uses psychodrama to help them create their own scripted shows about the seduction of, addiction to and recovery from drugs and alcohol. They perform these shows for middle schools and high schools so the treatment of one becomes the prevention of many. In between each scene, the cast members come out of character and use power-point presentations to teach the audience about the neuroscience of the adolescent brain. Through the DST program, teens in recovery experience the rewards of positive feedback, personal value, getting …

Music Therapy For Infants With Neonatal Abstinence Syndrome, Jasmine Edwards, Susan Bakouros

Crossroads of Music and Medicine

Over a quarter of a million infants each year are born with neonatal abstinence syndrome (NAS). There is a trend for treatment of NAS to move away from pharmaceutical to non-pharmaceutical interventions to manage symptoms. This paper describes the treatment model called Rhythm, Breath, Lullaby: First Sounds (RBL).

Musician As Physician: Interwoven Artistry For Complex, Cancer Pain Management, Douglas E. Brandoff

Crossroads of Music and Medicine

The author, who is both a classical musician and a physician, reflects on how to interweave the skills he has from experience in both realms to become a more "complete" palliative care physician when working with patients.

The Disappearing Murmur: Systolic Anterior Motion Of The Mitral Valve Leaflet In A Non-Hypertrophic Cardiomyopathy Patient, Syed Rafay Ali Sabzwari, James R. Kimber, Hiwot Ayele, Nimra Khan, Tarick Sheikh, Ghulam Akbar Md, Bruce Feldman Do

Department of Medicine

Systolic anterior motion (SAM) of the mitral valve is a well-known phenomenon associated with left ventricular outflow tract obstruction and hemodynamic compromise. This finding may occur in patients with or without hypertrophic cardiomyopathy. In this report, a patient with no prior medical history presented to the hospital with left-sided chest pain and high-risk echocardiogram (ECG) findings. Left heart catheterization with coronary angiography was negative for coronary artery disease. His initial examination was significant for a systolic murmur due to the underlying SAM, as demonstrated by transthoracic echocardiogram. During his hospitalization, he developed acute heart failure syndrome as a result of …

Examining The Effect Of Parental Attachment, Emotional Maturity, Spiritual Maturity, And View Of Suffering On Sense Of Coherence, Alyssa M. Gavulic

Doctoral Dissertations and Projects

Suffering and loss are inevitable parts of the human experience. Nonetheless, the ability to find meaning in various forms of suffering has been shown to impact individual responses to diverse experiences of pain, distress, and loss. Despite the ubiquitous nature of human suffering, perceptions of the cause, purpose, impact, and outcome of experiences of suffering can vary greatly among individuals. Consequently, this inquiry-oriented, descriptive dissertation research examines how emotional maturity, spiritual maturity, and views of suffering mediate the relationship between parental attachment and sense of coherence. This study employs a correlational research design that examines the scores on a variety …

Environmental Enteropathy In Undernourished Pakistani Children: Clinical And Histomorphometric Analyses, Sana Syed, Sunil Yeruva, Jeremy Herrmann, Anne Sailer, Kamran Sadiq, Najeeha Talat Iqbal, Furqan Kabir, Kumail Ahmed, Shahida Qureshi, Syed Asad Ali

Department of Paediatrics and Child Health

Despite nutrition interventions, stunting thought to be secondary to underlying environmental enteropathy (EE) remains pervasive among infants residing in resource-poor countries and remains poorly characterized. From a birth cohort of 380 children, 65 malnourished infants received 12 weeks of nutritional supplementation with ready-to-use therapeutic food (RUTF). Eleven children with insufficient response to RUTF underwent upper endoscopy with duodenal biopsies, which were compared with U.S., age-matched specimens for healthy, celiac disease, non-celiac villous atrophy, non-celiac intraepithelial lymphocytosis, and graft-versus-host disease patients. Of the 11 children biopsied, EE was found in 10 (91%) with one subject with celiac disease. Morphometry demonstrated decreased …

Frequency Of Alk Rearrangement By Fish Testing And Its Correlation With Alk-Ihc In Adenocarcinoma Of Primary Lung Origin, Samar Moattar, Namrah Anwar, Tariq Moatter, Shahid Pervez

Department of Pathology and Laboratory Medicine

Anaplastic lymphoma kinase (ALK) gene can be oncogenic either by forming fusion with other genes, amplification of the gene or by having mutations. ALK rearrangement can either be detected by standard “fluorescence in situ hybridization (FISH)” or “immunohistochemistry (IHC)”. Objective of this study was to record the prevalence of ALK rearrangement in adenocarcinoma of Primary Lung origin and compare it with ALK-IHC staining. Data of 64 patients of lung adenocarcinoma from 2015-2017 was analyzed. All of the FFPE biopsies were tested for EGFR (qPCR) followed by ALK rearrangement (by FISH and IHC) on EGFR negative samples. Out of 64 samples, …

Preseason Functional Test Scores Are Associated With Future Sports Injury In Female Collegiate Athletes, Jason Brumitt, Bryan C. Heiderscheit, Robert C. Manske, Paul E. Niemuth, Alma Mattocks, Mitchell J. Rauh

Faculty Publications - College of Physical Therapy

Brumitt, J, Heiderscheit, B, Manske, R, Niemuth, PE, Mattocks, A, and Rauh, MJ. Preseason functional test scores are associated with future sports injury in female collegiate athletes. J Strength Cond Res 32(6): 1692–1701, 2018—Recent prospective cohort studies have reported preseason functional performance test (FPT) measures and associations with future risk of injury; however, the findings associated with these studies have been equivocal. The purpose of this study was to determine the ability of a battery of FPTs as a preseason screening tool to identify female Division III (D III) collegiate athletes who may be at risk for a noncontact time-loss …

Myelin As An Inflammatory Mediator: Myelin Interactions With Complement, Macrophages, And Microglia In Spinal Cord Injury, Timothy J. Kopper, John C. Gensel

Spinal Cord and Brain Injury Research Center Faculty Publications

Spinal cord injury (SCI) triggers chronic intraspinal inflammation consisting of activated resident and infiltrating immune cells (especially microglia/macrophages). The environmental factors contributing to this protracted inflammation are not well understood; however, myelin lipid debris is a hallmark of SCI. Myelin is also a potent macrophage stimulus and target of complement‐mediated clearance and inflammation. The downstream effects of these neuroimmune interactions have the potential to contribute to ongoing pathology or facilitate repair. This depends in large part on whether myelin drives pathological or reparative macrophage activation states, commonly referred to as M1 (proinflammatory) or M2 (alternatively) macrophages, respectively. Here we review …

Phenotypical Characterization Of Human Rhinovirus Infections In Severely Premature Children, Geovanny F. Perez, Bassem Kurdi, Rosemary Megalaa, Krishna Pancham, Shehlanoor Huseni, Natalia Isaza, Carlos E. Rodriguez-Martinez, Dinesh Pillai, Gustavo Nino

Pediatrics Faculty Publications

Background: Human Rhinovirus (HRV) has been identified as the most common cause of acute respiratory infections and hospitalizations in premature children. It is unclear if premature children are more susceptible to HRV due to their decreased pulmonary reserve or because they have enhanced lower airway reactivity to HRV.

Methods: We conducted a retrospective analysis of the clinical respiratory presentation of all PCR-confirmed HRV infections in full-term and premature children aged ≤ 3 years in our institution. Standardized respiratory distress scores were developed to examine lower airway obstruction (i.e., wheezing, hyperinflation, and sub-costal retractions) along with markers of decreased pulmonary reserve …

Letter To The Editor: Digital Dementia-Is Smart Technology Making Us Dumb?, Sanaa Moledina, Adeel Khoja

Section of Internal Medicine

No abstract provided.

Arthropod Evs Mediate Dengue Virus Transmission Through Interaction With A Tetraspanin Domain Containing Glycoprotein Tsp29fb, Ashish Vora, Wenshuo Zhou, Berlin Londono-Renteria, Michael Woodson, Michael B. Sherman, Tonya M. Collpitts, Girish Neelakanta, Hameeda Sultana

Biological Sciences Faculty Publications

Dengue virus (DENV) is a mosquito-borne flavivirus that causes dengue fever in humans, worldwide. Using in vitro cell lines derived from Aedes albopictus and Aedes aegypti, the primary vectors of DENV, we report that DENV2/DENV3-infected cells secrete extracellular vesicles (EVs), including exosomes, containing infectious viral RNA and proteins. A full-length DENV2 genome, detected in arthropod EVs, was infectious to naïve mosquito and mammalian cells, including human-skin keratinocytes and blood endothelial cells. Cryo-electron microscopy showed mosquito EVs with a size range from 30 to 250 nm. Treatments with RNase A, Triton X-100, and 4G2 antibody-bead binding assays showed that infectious …

Women And Maternal Health Care Providers’ Perceptions, Beliefs And Attitudes Towards Use Of Epidural Analgesia For Labour Pain Relief, Stella Njenga

Master of Medicine in Obstetrics and Gynecology

Background: Epidural analgesia (EA) is considered the gold standard for relief of labour pains due to its effectiveness, safety and flexibility of use. There is a disparity of utilization between high and low & middle income countries with lack of knowledge and resources implicated. Aga Khan University Hospital Nairobi is a well-resourced facility with a well-established EA service. This study explores the perceptions, beliefs and attitudes of women seen at the facility towards EA and how these affect their decision to use the method. It also explores health care providers’ views on the method and how they influence the women’s …

Injuries In The Chinese Arena Football League: American Versus Chinese Players., Tianwu Chen, Austin Wetzler, Scott Singer, Michael Feldman, David Rubenstein, Gunnar Gillespie, Shiyi Chen, Merrick Wetzler

Rothman Institute Papers

Background: Arena football is an indoor version of American football played in indoor arenas on a smaller field with 8 players per team. Only 1 study has evaluated injury rates in arena football, and no study had compared 2 distinct cohorts of players.

Purpose/Hypothesis: The purpose of this study was to evaluate and compare injury rates in American versus Chinese athletes in the Chinese Arena Football League. Our hypothesis was that the rate of significant injuries (≥7 days of time lost from play) would be statistically significantly higher in Chinese athletes.

Study Design: Cohort study; Level of evidence, 2.

Methods: …

Incidence, Risk Factors, And Prediction Of Gastrointestinal And Intracranial Bleeding In A Cohort Of Older Veterans Prescribed Oral Anticoagulants, Angela Laurio

Dissertations and Theses

ABSTRACT

Incidence, Risk Factors, and Prediction of Gastrointestinal and

Intracranial Bleeding in a Cohort of Older Veterans Prescribed Oral Anticoagulants

by

Angela L. Laurio

Advisor: Marianne (Mimi) C. Fahs, PhD, MPH

Objectives:

The objectives of this dissertation were to: (1) describe and compare the incidence and odds of gastrointestinal and intracranial bleeding in veterans age 50 to 89 who were prescribed warfarin, direct oral anticoagulants, or no oral anticoagulants; (2) identify risk factors for gastrointestinal and intracranial bleeding among older veterans prescribed oral anticoagulants, and to calculate the relative risk of bleeding over time through time-to-event analysis; and (3) develop …

Asian Midwifery In 2018, Rafat Jan, Edwin Van Teijlingen

Journal of Asian Midwives (JAM)

No abstract provided.

Lessons Learned From Delayed Diagnosis In Acute Intermittent Porphyria, Farn-Hsuan Tseng, Gordon F. Wadge, Stratton A. Reichen, Caley Mcintyre

Manipal Journal of Medical Sciences

A 56-year-old, previously healthy woman with a family history of acute intermittent porphyria (AIP) presenting with altered mental status, severe abdominal pain and falls; who later developed seizures and new delusions involving missing organs. Due to the nonspecific clinical presentation of AIP and low availability of diagnostic tools, the diagnosis was delayed resulting in treatment delay. This case report hopes to raise AIP awareness among clinicians, so better care can be delivered

Perceived Maternal Parenting Self-Efficacy And Parent Coping Among Mothers Of Preterm Infants – A Crosssectional Survey, Priya Paul, Maria Pais, Shobha Kamath, Muralidhar V. Pai, Leslie Lewis, Ramesh Bhat

Manipal Journal of Medical Sciences

Background: Parenting is a process of being a parent to one’s offspring. This process enables the couple to plan for a child, give birth to it and care for it throughout. Before the arrival of her new born, the mother should get prepared to parent her new born as her pregnancy advances. Aims and Objectives: To determine the perceived maternal parenting self-efficacy and coping of mothers of preterm infants admitted in NICU and postnatal wards in tertiary care hospitals. Material and Methods: A cross-sectional descriptive survey was conducted using the Perceived Maternal Parenting Self-Efficacy (PMP S-E) tool, which was developed …

Discovery Of Human Blood Groups In India, Sanmukh R. Joshi

Manipal Journal of Medical Sciences

Over 300 blood group antigens have been discovered in different parts of the world and most them are classified into 35 systems. India has contributed a few rare blood groups including the Bombay phenotype, Indian blood group antigens like In(a), In5 and I-i- phenotype. Besides, there are a few other rare blood groups, though not discovered in India, were encountered here including a host of the weaker variants of A, B and H antigens, the ultra-rare Mg antigen of the MNS blood groups, phenotypes like D- -, Rh-null, I-int, In(b-), Colton-null and r(y)

An Audit Of Blood Collection Process At A Blood Donation Centre Of A Tertiary Care Hospital In North India, Anju Dubey, Atul Sonkar

Manipal Journal of Medical Sciences

The process of blood collection should be carried out by trained health care personnel so as to reduce the adverse effects on donors and improve the quality of blood components. This is also important in preventing laboratory errors and injury to the health care personnel. This study was carried out to observe nonconformities in the process of whole blood, apheresis and blood sample collection at our centre, so as to improvise the practices. The data was collected on 5000 whole blood donations, 100 apheresis procedures and 500 blood samplings for screening prior to apheresis. It was analyzed for the frequency …

Comparison Of Level Of Stress Among Medical Students Of Private And Government Medical College In Pakistan, Muneeba Faisal, Mohammad Ali Khalid, Muhammad Bin Khalid

Manipal Journal of Medical Sciences

Background: The medical profession is considered one of the most stressful professions owing to its never ending pressures, critical decisions and hectic working hours. Medical education is no exception either and published medical literature documents a considerable amount of stress in medical students across the globe. Furthermore, researches also claim that medical students experience more stress than non-medical students and the sources of stress stem from all the three spheres of life, i.e., academic, financial and social. Subjects and Methods: It is a descriptive cross-sectional study which was conducted at Rawalpindi Medical University and Foundation University Medical College. 300 medical …

Fibrous Pseudotumor Of Tunica Albuginea Testis Mimicking Testicular Neoplasm In A Young Man, Nazim Syed Muhammad, Ayesha Nusrat, Zehra Kazmi

Section of Urology

ntrascrotal lesions are common findings with a majority occurring in paratesticular tissue. Fibrous pseudotumors are rare, benign lesions of the testicular tunics and present with mass lesion(s) in the scrotum. Preoperative clinical and radiological diagnosis is challenging. We report a case of a 34-year-old man who presented with a 3-year history of left testicular swelling and was advised left radical orchidectomy by another surgeon. Physical examination revealed a firm, nontender mass attached to the lower pole of the testis. Testicular tumor markers were all negative, and ultrasound scan showed a relatively hypoechoic lesion closely associated with the left testis and …

Effect Of Putative Mitokatp Channel Blocker On Lipopolysaccharide-Induced Effects In Human Umbilical Vein Endothelial Cells, Indranie Ramsaroop

PCOM Biomedical Studies Student Scholarship

Heart failure and high mortality rates are associated with severe sepsis. Recently, focus has been on mitochondrial ultrastructural changes and function due to sepsis and sepsis-related pathologies. Chopra et al. (2011) has provided data showing the involvement of the mitochondrial-mediated intrinsic apoptosis cascade in regulating adult rat ventricular myocyte (ARVM) dysfunction in sepsis. Experimental endotoxemia has shown mitochondrial membrane potential collapse, membrane permeability changes and release of cytochrome C to be indicators of mitochondrial dysfunction. Outer mitochondrial membrane (OMM) permeability is controlled by Bax translocation, resulting Voltage Dependent Anion Channels (VDACs) pores in the OMM and activation of mitoKATP channels …