Medicine and Health Sciences Commons^™

ความชุกและปัจจัยที่สัมพันธ์กับภาวะเท้าแบนในนักศึกษาชั้นปีที่ 3 คณะแพทยศาสตร์ มหาวิทยาลัยเชียงใหม่, วรวิทย์ ตันทโอภาส, จิดาภา จิตชาญวิชัย, ธัช หลายศิริเรืองไร, ณัฐพงษ์ เจนใจ, ธันยธรณ์ จุลภาคี, นิพนธ์ ธีรอำพน, ธนวัฒน์ วะสีนนท์, รจนา เผือกจันทึก, กาญจนา หาญศิริวัฒนกิจ, ไพวรรณ สุดวรรค์

Chulalongkorn Medical Journal

เหตุผลของการทำวิจัย : ภาวะเท้าแบน (flatfoot หรือ pes planus) เป็นภาวะผิดปกติของอุ้งเท้าชนิดหนึ่งที่ควรได้รับการตรวจคัดกรอง และการทราบปัจจัยที่สัมพันธ์กับภาวะนี้อาจนำไปสู่การป้องกันวัตถุประสงค์ : เพื่อศึกษาความชุกของภาวะเท้าแบนในนักศึกษาแพทยศาสตร์ ชั้นปีที่ 3มหาวิทยาลัยเชียงใหม่ และศึกษาความสัมพันธ์ของภาวะเท้าแบนกับปัจจัยต่าง ๆ อันได้แก่ เพศ ความถนัดของเท้า น้ำหนักตัว ส่วนสูงสถานะทางน้ำหนัก และระดับการออกกำลังกายวิธีการทำวิจัย : เป็นการศึกษาภาคตัดขวางโดยวีธีการทำสำมะโน กลุ่มตัวอย่างคืออาสาสมัคร 200 รายจากประชากร 240 ราย ช่วงอายุ 19 - 22 ปี ศึกษาโดยสร้างแบบสอบถามใน google forms เป็นเครื่องมือในการเก็บข้อมูลปัจจัยที่เกี่ยวข้อง ได้แก่ เพศ ความถนัดของเท้า น้ำหนักตัว ส่วนสูง และระดับการออกกำลังกาย คำนวณค่าดัชนีมวลกายเพื่อจัดระดับสถานะทางน้ำหนัก และใช้เครื่องมือ Harris mat imprint พิมพ์รูปฝ่าเท้าและนำไปคำนวณค่า Chippaux-Smirak index (CSI) เพื่อใช้ประเมินภาวะเท้าแบน จากนั้นใช้สถิติเชิงพรรณนาหาค่าความชุกภาวะเท้าแบน และcorrelation coefficients วิเคราะห์หาค่าความสัมพันธ์ภาวะเท้าแบนกับปัจจัย ได้แก่ เพศ น้ำหนักตัว ความถนัดของเท้า ส่วนสูง สถานะทางน้ำหนัก และระดับการออกกำลังกายกับภาวะเท้าแบนผลการศึกษา : พบภาวะเท้าแบน 124 ราย คิดเป็นร้อยละ 62.0 พบความสัมพันธ์อย่างมีนัยสำคัญทางสถิติ ระหว่างความรุนแรงของภาวะเท้าแบนกับน้ำหนักตัวดัชนีมวลกาย สถานะทางน้ำหนัก (r = 0.247 P <0.001, r = 0.287P < 0.001 และ r = 0.239 P = 0.001 ตามลำดับ) และการมีภาวะเท้าแบนกับดัชนีมวลกาย (r = 0.925 Eta) ไม่พบความสัมพันธ์ระหว่างเท้าข้างที่แบนกับความถนัดของเท้าสรุป : ความชุกของภาวะเท้าแบนในนักศึกษาครั้งนี้มีมากกว่าร้อยละ 50 โดยพบภาวะเท้าแบนสัมพันธ์ระหว่างกับ น้ำหนักตัว ดัชนีมวลกาย สถานะทางน้ำหนัก การศึกษานี้มีประโยชน์ในด้านการป้องกันและส่งเสริมการดูแลสุขภาพเท้าที่ดีต่อไป.

Normative Percent Differences Between Inter-Day And Inter-Limb Upper Extremity Volume In Healthy Adult Females, Lauren Canady, Emily Henry, Mollie Mccormick, Gabrielle Whisler

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Current diagnostic thresholds vary, but a 5% volume difference between limbs is generally accepted to diagnose lymphedema. Newer research among women with breast cancer-related lymphedema established a 3% threshold for diagnosis of preclinical lymphedema. Understanding normal limb volume fluctuations and side to side differences is important to determine whether this 3% cut point for diagnosis of subclinical lymphedema should be made compared to same or contralateral limbs.

The Effects Of An 8 Vs. 16 Week Yoga Practice On Balance, Strength, Flexibility, And Mindfulness In Children Ages 4-10 Years: A Pilot Study, Betsy Donahoe-Fillmore, Samantha Brown, Katherine Chu, Kelly Clancy, Jordan Mcmillan, Lesley Park, Kari Shank, Safiyeh Shalash

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Yoga has been shown to have positive benefits in: Improving cardiovascular, neuromuscular, musculoskeletal, and pulmonary function in ages 0-21 years and improving mindfulness to manage pain and anxiety in adults. There is limited evidence regarding the use of yoga to improve balance, strength, flexibility, and mindfulness in children ages 4-10 years.

Using The Classification And Regression Tree Analysis In Determining The Relationship Between Functional Movement Assessment, Clinical Measures, And Injury In Nba Players, Philip A. Anloague, Matt Gundlach, Andrew Hackney, Jacob Hoying, Meg Saunders

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Musculoskeletal pathology has been linked to games missed in the NBA due to player injury. Sports medicine professionals utilize functional assessments and clinical measures in order to minimize injury risk and maximize performance. The investigation of interactions among non-linear factors may help further the understanding of the interdependence of various measures and missed games due to injury.

Role Of Smarce1 And Bhlhe40 In Breast Cancer Metastasis, Aarti Sethuraman

Theses and Dissertations (ETD)

No abstract provided.

Sensorimotor Modulations By Cognitive Processes During Accurate Speech Discrimination: An Eeg Investigation Of Dorsal Stream Processing, David E. Jenson

Theses and Dissertations (ETD)

Internal models mediate the transmission of information between anterior and posterior regions of the dorsal stream in support of speech perception, though it remains unclear how this mechanism responds to cognitive processes in service of task demands. The purpose of the current study was to identify the influences of attention and working memory on sensorimotor activity across the dorsal stream during speech discrimination, with set size and signal clarity employed to modulate stimulus predictability and the time course of increased task demands, respectively. Independent Component Analysis of 64–channel EEG data identified bilateral sensorimotor mu and auditory alpha components from a …

Targeting Cancer Stem Cells In Recurrent Lung Cancer., Karen T. Udoh

College of Arts & Sciences Senior Theses

Lung cancer is the leading cause of cancer mortality in the United States. The development of drug resistance with cisplatin or platinum/taxane combination chemotherapies has led patients to suffer from recurrent lung cancer. These chemotherapy treatments target cancer cells but leave behind cancer stem cells (CSCs). CSCs are stem-like tumor cells that have the potential to differentiate and proliferate. This allows the cancer to relapse even after initial elimination of the tumor. Investigations were performed on a secondary metabolite from the Myrothecium fungus family called Verrucarin J (VJ) to see its effects in lung cancer cell lines. VJ significantly inhibits …

Strain Differences In Susceptibility To Cisplatin-Induced Renal Fibrosis, Gabrielle B. Oropilla

College of Arts & Sciences Senior Theses

Cisplatin is a potent chemotherapeutic; the dose-limiting side effect of this drug is nephrotoxicity, causing acute kidney injury (AKI) in 30% of adult patients. Patients with cisplatin-induced AKI are more likely to develop end stage renal diseases, particularly chronic kidney disease (CKD), which is marked by the development of fibrosis. Currently, there are no therapeutic interventions for cisplatin-induced kidney injury, which may be due to limitations in the mouse model used to study this type of injury. We have previously developed a repeated dosing regimen of cisplatin (mice treated with 7 mg/kg once a week for 4 weeks, mice sacrificed …

Nursing Faculty And Care Of The Dying, Jessi Balagtas

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: There is a demand for effective and efficient palliative and end of life nursing care that will meet the needs of the aging Baby Boomer generation. Though advancement has been made, palliative and end of life care for the seriously ill adult is still lacking. That deficiency can be traced to deficiency in nursing education. Further still, nursing faculty attitudes, knowledge and self-efficacy in palliative care may present a barrier for adequate palliative care nursing curriculum.

Objective: Explore the current knowledge, attitudes and self-efficacy of nursing faculty regarding care for seriously ill adults.

Methods and Design: A quantitative, descriptive …

In-Vitro Simulation Of Acute Ischemic Stroke, Paolo Garcia

Biomedical Engineering Undergraduate Honors Theses

Acute ischemic stroke (AIS) is a condition that involves the occlusion of a blood vessel within the brain, effectively preventing the passage of oxygen and nutrients. AIS is highly prevalent in the United States, where nearly 795,000 strokes happen per year and 87% of those are ischemic. From a medical standpoint, the obstructing clot can be removed with the use of a stroke retrieval device. However, a need arises for testing the aforementioned devices on a patient’s specific vascular geometries in order to increase the likelihood of a successful procedure. Outlined is a process for developing a physical simulation of …

Associations Between Physical Activity, Health-Related Quality Of Life, Regimen Adherence, And Glycemic Control In Jordanian Adolescents With Type 1 Diabetes, Yousef Aljawarneh

Dissertations and Theses (Open Access)

Background: Adolescents with Type 1 Diabetes (T1D) display a greater than two-fold higher risk of developing microvascular and macrovascular complications compared with the non-diabetic population and the risk increases markedly as glycated hemoglobin (HbA1c) increases. The majority of the findings on the associated factors with improved glycemic control are geared toward Western population with a clear lack of studies on Middle Eastern populations.

Purpose: This study aimed to examine the effect of Physical Activity (PA), Health-Related Quality of Life (HRQoL), and regimen adherence on glycemic control in Jordanian adolescents with T1D.

Methods: The study utilized a cross-sectional design. Jordanian adolescents …

Factors Influencing Physical Activity Among Immigrants From South India: A Qualitative Descriptive Study, Jaya Abraham

Dissertations and Theses (Open Access)

Background: In the United States (U.S), the percentage of diabetes and coronary artery diseases is higher among Asian Indian immigrants compared to other ethnic groups. Although research has been useful in describing patterns of physical activity among South Asian groups, very little is known about the factors influencing physical activity among Asian South Indian (ASI) immigrants. There is very limited research performed on the individual, social, cultural and environmental factors influencing physical activity among ASI immigrants.

Purpose: The study purpose was to explore the factors influencing physical activity with the following primary and secondary aims: The primary aim …

Relationships Of Moral Distress Among Interprofessional Icu Teams, Heather Vincent

Dissertations and Theses (Open Access)

Background: Moral distress is the psychological response to knowing the right action required by a healthcare professional but being unable to act upon the right course of action due to internal, external, and institutional constraints.

Purpose: The study investigated: 1. the level of moral distress among interprofessional healthcare providers working in four ICUs of a single academic hospital as measured by the 21-item Moral Distress Scale-Revised (MDS-R), 2. the differences in moral distress among interprofessional healthcare providers based on demographic characteristics and rankings of clinical scenario on the MDS-R.

Method: Descriptive, cross-sectional design using survey methodology.

Outcomes: Significant differences in …

Bridging The Gap Between Food Insecurity And Subsequent Child Body Mass: Mediating Effects Of Dietary Quality And Feeding Styles In Low-Income Hispanic Preschoolers, Nipa Kamdar

Dissertations and Theses (Open Access)

Background: Low-income Hispanic preschoolers face disproportionately high prevalence of food insecurity (FI) and obesity. Consumption of low-cost, energy-dense foods to compensate for FI leads to excess body-mass. FI parents may adopt feeding styles that contribute to decline in children’s dietary quality. Feeding style describes the amount of demandingness (i.e., control of children’s eating) and responsiveness (i.e., warmth used to express demandingness). FI may indirectly contribute to obesity through dietary quality and feeding style.

Purpose: This study investigated: 1. if dietary quality mediated the relationship between food security status (FSS) at Time 1 (T1) and child body-mass at Time 2 (T2), …

In Vitro Aortic Arch Flow Model For Vector Flow Imaging Testing, Jackson Mosley

Biomedical Engineering Undergraduate Honors Theses

Pediatric stenosis is the narrowing of the aorta at the aortic valve, above the aortic valve, or below the aortic valve. Typically, this disease’s severity is diagnosed by conventional Doppler ultrasound methods, or echocardiography. Conventional Doppler can sometimes overestimate the pressure gradient over the area of stenosis, diagnosing some cases of PAS to be more severe than they actually are. This causes earlier intervention than is desired in children. A new US modality, Vector Flow Imaging (VFI), is an angle-independent US imaging method that can potentially more accurately quantify peak blood flow velocities and pressure gradients across stenotic sections of …

Comparison Of Varying Tissue Freezing Methods On Murine Colonic Tissue, James Hughes

Biomedical Engineering Undergraduate Honors Theses

Histology often requires a tissue specimen to be embedded so that it may be sectioned, stained, and mounted on a microscope slide for viewing. One common method of tissue embedding for rapid histology is freezing, since freezing allows tissue to be stored without the need for fixing. Frozen tissue is often embedded in a medium such as Optimal Cutting Temperature (OCT) compound so that it can be sectioned using a cryostat. However, factors such as ice-crystal formation during the freezing process can cause damage to the tissue. As such, the protocol used to freeze the tissue can affect the quality …

The Influence Of Carbon Composite And Plastic Ankle Foot Orthoses On Balance And Gait In Individuals With Multiple Sclerosis: A Pilot Study, Hana Goubeaux, Carmen Macy, Tabatha Trauner, Kurt Jackson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Multiple sclerosis (MS) can cause lower extremity weakness which may impair balance and gait. Ankle-foot orthoses (AFOs) are frequently prescribed to reduce the effects of these impairments. Despite numerous recent advances in the design and materials used for AFOs, there is a lack of evidence to guide clinicians in effective AFO prescription. The purpose of this research was to compare the effects of an anterior shell carbon AFO with a traditional plastic AFO on measures of balance and gait performance.

Test-Retest Reliability Of The Repetitive Step Test In Community Dwelling Older Adults, Harold L. Merriman, Kurt Jackson, Blake Erwin, Adam Hutchison, Mike Loew, Patricia Schutter, Emily Snyder

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Each year one in every three adults over the age of 65 experience a fall resulting in serious injury and in some instances death. In this population, falling injuries are the leading cause of death and are associated with the greatest number of nonfatal injuries and trauma hospital admissions. Since balance and muscle performance decreases as one ages, it is vitally important to assess these factors as part of a comprehensive strategy to monitor and predict fall risk. Previous data analysis of the Repetitive Step Test (RST) has shown that there is a significant performance difference between non-fallers and recurrent …

Development And Validation Of A 28-Gene Hypoxia-Related Prognostic Signature For Localized Prostate Cancer., Lingjian Yang, Darren Roberts, Mandeep Takhar, Nicholas Erho, Becky A.S. Bibby, Niluja Thiruthaneeswaran, Vinayak Bhandari, Wei-Chen Cheng, Syed Haider, Amy M.B. Mccorry, Darragh Mcart, Suneil Jain, Mohammed Alshalalfa, Ashley Ross, Edward Schaffer, Robert Den, R. Jeffrey Karnes, Eric Klein, Peter J. Hoskin, Stephen J. Freedland, Alastair D. Lamb, David E. Neal, Francesca M. Buffa, Robert G. Bristow, Paul C. Boutros, Elai Davicioni, Ananya Choudhury, Catharine M.L. West

Department of Radiation Oncology Faculty Papers

BACKGROUND: Hypoxia is associated with a poor prognosis in prostate cancer. This work aimed to derive and validate a hypoxia-related mRNA signature for localized prostate cancer.

METHOD: Hypoxia genes were identified in vitro via RNA-sequencing and combined with in vivo gene co-expression analysis to generate a signature. The signature was independently validated in eleven prostate cancer cohorts and a bladder cancer phase III randomized trial of radiotherapy alone or with carbogen and nicotinamide (CON).

RESULTS: A 28-gene signature was derived. Patients with high signature scores had poorer biochemical recurrence free survivals in six of eight independent cohorts of prostatectomy-treated patients …

The Relationship Between Prior Experiences In Mathematics And Pharmacy School Success, Kelly M. Conn, Christine R. Birnie, David Mccaffrey, Jack Brown

Pharmacy Faculty/Staff Publications

Objective. To assess students’ pre-pharmacy math experiences, confidence in math ability, and relationship between experiences, confidence, and grades in math-based pharmacy courses.

Methods. A cross-sectional survey of first year to third year pharmacy students was conducted. Students reported type of pre-pharmacy math courses taken, when they were taken [high school (HS) vs. college] and year of HS and college graduation. Students rated their confidence in math ability using the previously validated 11-item Fogerty Math Confidence Scale (Cronbach alpha=0.92). Math grade point average (GPA), Pharmacy College Admission Test quantitative (PCAT quant) scores, and grades (calculations and kinetics) were obtained from transcripts …

Enhanced Production Of Pro-Il-1Βeta Contributes To Immunopathology During The Coinfection Of Influenza A Virus And Streptococcus Pneumoniae, Angeline E. Rodriguez

Graduate Theses/Dissertations

Viral bacterial coinfections are known to cause severe pneumonia, especially in the elderly and in pediatric patients. Antibiotics like β-Lactams kill the bacteria but fail to improve symptoms suggesting a faulty immune system may play an important role in the disease. Interleukin-1β (IL-1β) is an important immune signaling cytokine responsible for inflammation. It exists as an inactive precursor that can be activated by caspase-1 containing inflammasomes (multi-protein complex). Influenza A virus (IAV) and Streptococcus pneumoniae (S. pneumoniae) activate the inflammasome through the NOD-like receptor protein NLRP3 and/or AIM2. Previous reports in mice indicate that IL-1β levels are dramatically …

Controlling The Uncontrollable: Understanding The Relationships Between Psychological Distress, Physical Impairment, And Acceptance Among Women With Gynecological Cancer, Kirby L. Williams

Graduate Theses/Dissertations

As women age, the risk for being diagnosed with any gynecological cancer increases. Despite outnumbering the number of breast cancer diagnoses in a given year, there are significantly fewer studies addressing gynecological cancers. Treatment for gynecological cancers can be incredibly debilitating, both physically and psychologically. Although previous studies have evaluated and shown a relationship between physical impairment and perceived control on psychological distress in cancer patients during treatment, none have evaluated the influence of willingness and acceptance. The present study sought to expand this theory by assessing 25 gynecological cancer participants via self-report measures. Utilizing structural equation modelling, a moderated …

Prostate Cancer Screening Trends After United States Preventative Services Task Force Guidelines In An Underserved Population, Neel Patel, Jonathan B. Bloom, Joel Hillelsohn, Sean Fullerton, Denton Allman, Majid Eshghi, John L. Phillips

NYMC Faculty Publications

Purpose: Prostate cancer screening is a controversial topic. We examined trends in Prostate Specific Antigen (PSA) testing in an underserved population before and after the United States Preventative Services Task Force (USPSTF) recommendation against screening. Methods: Data were collected on all PSA and cholesterol screening tests from 2008 to 2014. We examined the trend of these tests and prostate biopsies while comparing this data to lipid panel data to adjust for changes in patient population. Results: A decrease in PSA screening was observed from 2010 through 2014, with the greatest decline in 2012. The age group most affected was patients …

Ischemic Conditioning Increases Strength And Volitional Activation Of Paretic Muscle In Chronic Stroke: A Pilot Study, Allison S. Hyngstrom, Spencer A. Murphy, Jennifer Nguyen, Brian D. Schmit, Francesco Negro, David D. Gutterman, Matthew J. Durand

Physical Therapy Faculty Research and Publications

Ischemic conditioning (IC) on the arm or leg has emerged as an intervention to improve strength and performance in healthy populations, but the effects on neurological populations are unknown. The purpose of this study was to quantify the effects of a single session of IC on knee extensor strength and muscle activation in chronic stroke survivors. Maximal knee extensor torque measurements and surface EMG were quantified in 10 chronic stroke survivors (>1 yr poststroke) with hemiparesis before and after a single session of IC or sham on the paretic leg. IC consisted of 5 min of compression with a …

Systemic Blood Pressure Trends And Antihypertensive Utilization Following Continuous-Flow Left Ventricular Assist Device Implantation: An Analysis Of The Interagency Registry For Mechanically Assisted Circulatory Support, Adham Elmously, Andreas R. De Biasi, Donald A. Risucci, Berhane Worku, Evelyn M. Horn, Arash Salemi

NYMC Faculty Publications

Background: Elevated systemic blood pressure (SBP) has been linked to complications in Continuous-flow left ventricular assist devices (CF-LVADs), including stroke and pump thrombosis. We queried Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) to describe the response of SBP to CF-LVAD implantation and to delineate contemporary trends in antihypertensive (AH) utilization for patients with these pumps. Methods: We identified all CF-LVAD implantations in patients older than 18 years from 2006-2014, excluding those whose durations were less than 30 days. Pre-implant patient demographics and characteristics were obtained for each record. SBPs [i.e., mean arterial pressures (MAPs)], AH-use data, and vital status …

A Case Of Flash Pulmonary Edema Caused By Iliac Artery Stenosis, Grace Chong Do, Joseph Moran Do, Fnu Vikram Md, Benjamin Sanchez Md

Department of Medicine

No abstract provided.

Optimization Of The Resident Didactic Curriculum - High Yield, High Reward!, Abigail Klitsch Do, Kris Rooney Md

Department of Pediatrics

No abstract provided.

The Influence Of Social Determinants Of Health On High School Students’ Health Literacy, Rebecca Welch

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The broad topic of health literacy has been assessed in a variety of studies. The most extensive research has been completed on how a lack of health literacy contributes to specific disease progressions. However, there is a deficit of research on how general health literacy contributes to overall individual health in high school students. The purpose of this study was to evaluate the health literacy scores of Northwest Arkansas high school students and examine the impact that age, gender, and ethnicity have on their health literacy. Health literacy was assessed using the Health Literacy Questionnaire (HLQ). A cross-sectional research design …

Attitudes Of Middle School Children Towards Mental Health Programs, Catherine Taylor

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Despite years of school mental health services, today’s youth remain in need of mental health resources. While schools provide a variety of services to help reduce mental health disparities, there is limited information concerning the success of services offered. The purpose of this study was to examine the attitudes of middle school children towards mental health programs offered at the selected study site. The design utilized was a cross sectional design using a convenience sample of middle school children in Northwest Arkansas. The results indicated that middle school children need a unique variety of programs offered to support their …

Causes Of Late Preterm Infant Hospital Readmission Rates In Relation To Feeding, Kaitlyn Reid

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Background:

In the U.S., late preterm (LP) births, which occur at 34^0/7-36^6/7 weeks gestation, make up the largest and fastest-growing group of preterm births. Although there is a trend of increased rates of LP infant readmissions compared to term infant readmissions, the relationship between LP infant morbidities and method of feeding has not been extensively studied.

Objective:

The purposes of this study were to 1) identify the primary causes of LP infant hospital readmissions and, 2) correlate the primary causes of LP infant hospital readmissions with the method of feeding.

Methods:

The design of this nonexperimental …