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Articles 8521 - 8550 of 15442
Full-Text Articles in Medicine and Health Sciences
Serum Anti-Flagellin And Anti-Lipopolysaccharide Immunoglobulins As Predictors Of Linear Growth Faltering In Pakistani Infants At Risk For Environmental Enteric Dysfunction, Sana Syed, Najeeha Talat Iqbal, Kamran Sadiq, Jennie Z. Ma, Tauseef Akhund, Shahida Qureshi, Kerri Gosselin, Andrew Gewirtz, Christopher P. Duggan, Syed Asad Ali
Serum Anti-Flagellin And Anti-Lipopolysaccharide Immunoglobulins As Predictors Of Linear Growth Faltering In Pakistani Infants At Risk For Environmental Enteric Dysfunction, Sana Syed, Najeeha Talat Iqbal, Kamran Sadiq, Jennie Z. Ma, Tauseef Akhund, Shahida Qureshi, Kerri Gosselin, Andrew Gewirtz, Christopher P. Duggan, Syed Asad Ali
Department of Paediatrics and Child Health
Background: Environmental Enteric Dysfunction (EED) in children from low-income countries has been linked to linear growth declines. There is a critical need to identify sensitive and early EED biomarkers.
Objective: Determine whether levels of antibodies against bacterial components flagellin (flic) and lipopolysaccharide (LPS) predict poor growth.
Design/Methods: In a prospective birth cohort of 380 children in rural Pakistan blood and stool samples were obtained at ages 6 and 9 months. Linear mixed effects models were used to examine longitudinal associations between quartiles of anti-flic and anti-LPS antibodies and changes in LAZ, WAZ and WLZ scores. Spearman's correlations were measured between …
Public Health And Pharmacy Solutions For Opiod Use Disorder Php 336, Joanna Burkhardt
Public Health And Pharmacy Solutions For Opiod Use Disorder Php 336, Joanna Burkhardt
Library Impact Statements
No abstract provided.
Ada News - 03/05/2018, American Dental Association, Publishing Division
Ada News - 03/05/2018, American Dental Association, Publishing Division
ADA News
Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.
Topical Digitoxigenin For Wound Healing: A Feasibility Study, Xinchi Feng, Cuifen Wang, Yunhui Xu, Joel Turley, Zijian Xie, Sandrine Pierre, Jinsong Hao
Topical Digitoxigenin For Wound Healing: A Feasibility Study, Xinchi Feng, Cuifen Wang, Yunhui Xu, Joel Turley, Zijian Xie, Sandrine Pierre, Jinsong Hao
Pharmaceutical Science and Research
(1) Background: Cardiotonic steroids have been found to stimulate collagen synthesis and might be potential wound healing therapeutics. The objective of this study was to evaluate the feasibility of digitoxigenin and its topical formulation for wound healing; (2) Methods: In the in vitro study, the human dermal fibroblast cells were treated with digitoxigenin and collagen synthesis was assessed. In the in vivo study, digitoxigenin was applied to excisional full-thickness wounds in rats immediately after wounding and remained for three days, and wound open was evaluated over 10 days. A digitoxigenin formulation for topical administration was prepared, and the in vitro …
Prevalence, Incidence, And Clearance Of Anal High-Risk Human Papillomavirus Infection Among Hiv-Infected Men In The Sun Study, Pragna Patel, Tim Bush, Erna Milunka Kojic, Lois Conley, Elizabeth R Unger, Teresa M Darragh, Keith Henry, John Hammer, Gerome Escota, Joel M Palefsky, John T Brooks
Prevalence, Incidence, And Clearance Of Anal High-Risk Human Papillomavirus Infection Among Hiv-Infected Men In The Sun Study, Pragna Patel, Tim Bush, Erna Milunka Kojic, Lois Conley, Elizabeth R Unger, Teresa M Darragh, Keith Henry, John Hammer, Gerome Escota, Joel M Palefsky, John T Brooks
2010-2019 OA Pubs
BACKGROUND: The natural history of anal human papilloma virus (HPV) infection among human immunodeficiency virus (HIV)-infected men is unknown.
METHODS: Annually, from 2004 to 2012, we examined baseline prevalence, incidence, and clearance of anal HPV infection at 48 months, and associated factors among HIV-infected men.
RESULTS: We examined 403 men who have sex with men (MSM) and 96 men who have sex with women (MSW) (median age 42 years for both, 78% versus 81% prescribed cART, median CD4+ T-lymphocyte cell count 454 versus 379 cells/mm3, and 74% versus 75% had undetectable viral load, respectively). Type 16 prevalence among MSM and …
Smith, Beulah Ethel (Morgan), 1894-1987 (Mss 631), Manuscripts & Folklife Archives
Smith, Beulah Ethel (Morgan), 1894-1987 (Mss 631), Manuscripts & Folklife Archives
Manuscript Collection Finding Aids
Finding aid only for Manuscripts Collection 631. Correspondence and papers of Beulah (Morgan) Smith, Bowling Green, Kentucky, documenting her family, genealogy, and activities in clubs and the community, especially her leadership of the Bowling Green-Warren County Tuberculosis Association, her involvement with the Daughters of the American Revolution and the National Society Southern Dames of America, and the Kentucky Mothers Association of the American Mothers Committee, Inc., which selected her as Kentucky Mother of the Year in 1963. Includes a proposal to locate a tuberculosis sanatorium in Warren County (Click on "Additional Files" below for scan).
Recombinant Promoter (Muascsv8cp) Driven Totiviral Killer Protein 4 (Kp4) Imparts Resistance Against Fungal Pathogens In Transgenic Tobacco, Debasish Deb, Ankita Shrestha, Indu B. Maiti, Nrisingha Dey
Recombinant Promoter (Muascsv8cp) Driven Totiviral Killer Protein 4 (Kp4) Imparts Resistance Against Fungal Pathogens In Transgenic Tobacco, Debasish Deb, Ankita Shrestha, Indu B. Maiti, Nrisingha Dey
Kentucky Tobacco Research and Development Center Faculty Publications
Development of disease-resistant plant varieties achieved by engineering anti-microbial transgenes under the control of strong promoters can suffice the inhibition of pathogen growth and simultaneously ensure enhanced crop production. For evaluating the prospect of such strong promoters, we comprehensively characterized the full-length transcript promoter of Cassava Vein Mosaic Virus (CsVMV; -565 to +166) and identified CsVMV8 (-215 to +166) as the highest expressing fragment in both transient and transgenic assays. Further, we designed a new chimeric promoter ‘MUASCsV8CP’ through inter-molecular hybridization among the upstream activation sequence (UAS) of Mirabilis Mosaic Virus (MMV; -297 to -38) and CsVMV8, as the core …
A 40-Day Journey To Better Health: Utilizing The Danielfast To Improve Health Outcomes In Urban Church-Based Settings., Nicole Vaughn, Darryl Brown, Beatriz O Reyes, Crystal Wyatt, Kimberly T Arnold, Elizabeth Dalianis, Paula J Kalksma, Caryn Roth, Jason Langheier, Maria Pajil-Battle, Meg Grant
A 40-Day Journey To Better Health: Utilizing The Danielfast To Improve Health Outcomes In Urban Church-Based Settings., Nicole Vaughn, Darryl Brown, Beatriz O Reyes, Crystal Wyatt, Kimberly T Arnold, Elizabeth Dalianis, Paula J Kalksma, Caryn Roth, Jason Langheier, Maria Pajil-Battle, Meg Grant
College of Science & Mathematics Departmental Research
Background: As the costs associated with obesity increase, it is vital to evaluate the effectiveness of chronic disease prevention among underserved groups, particularly in urban settings. This research study evaluated Philadelphia area Keystone First members and church participants enrolled in a group health education program to determine the impact of the Daniel Fast on physical health and the adoption of healthy behaviors. Methods: Participants attended six-weekly health education sessions in two participating churches, and were provided with a digital healthy eating platform. Results: There was a statistically significant decrease from baseline to post assessment for weight, waist circumference and cholesterol. …
What's Happening: March 5, 2018, Maine Medical Center
What's Happening: March 5, 2018, Maine Medical Center
What's Happening
No abstract provided.
Enucleated Cells Reveal Differential Roles Of The Nucleus In Cell Migration, Polarity, And Mechanotransduction, Gunes Uzer
Mechanical and Biomedical Engineering Faculty Publications and Presentations
The nucleus has long been postulated to play a critical physical role during cell polarization and migration, but that role has not been defined or rigorously tested. Here, we enucleated cells to test the physical necessity of the nucleus during cell polarization and directed migration. Using enucleated mammalian cells (cytoplasts), we found that polarity establishment and cell migration in one dimension (1D) and two dimensions (2D) occur without the nucleus. Cytoplasts directionally migrate toward soluble (chemotaxis) and surface-bound (haptotaxis) extracellular cues and migrate collectively in scratch-wound assays. Consistent with previous studies, migration in 3D environments was dependent on the nucleus. …
Stage One Hypertension Pharmacology Initiation For Young Adults, Nicholas Woods
Stage One Hypertension Pharmacology Initiation For Young Adults, Nicholas Woods
Nursing Capstones
No abstract provided.
The Adipokine C1q Tnf Related Protein 3 (Ctrp3) Is Elevated In The Breast Milk Of Obese Mothers, Megan R. Kwon, Eileen M. Cress, W. Andrew Clark, Arsham Alamian, Yongke Lu, Jonathan M. Peterson
The Adipokine C1q Tnf Related Protein 3 (Ctrp3) Is Elevated In The Breast Milk Of Obese Mothers, Megan R. Kwon, Eileen M. Cress, W. Andrew Clark, Arsham Alamian, Yongke Lu, Jonathan M. Peterson
ETSU Faculty Works
Background C1q TNF related protein 3 (CTRP3) is a relatively novel hormonal factor primarily derived from adipose tissue and has anti-diabetic properties. To determine if CTRP3 could play a role in early childhood development, the purpose of this study was to establish the presence of CTRP3 in breast milk (BM) and to determine whether CTRP3 levels were correlated with pregravid obesity status of the mother. Methods Breast milk was collected from breast-feeding mothers who had a pregravid body mass index (BMI) classification of normal weight (BMI 18–25 kg/m2, n = 23) or obese (BMI > 30 kg/m2, n = 14). Immunoprecipitation …
Protection Effect Of Exogenous Fibroblast Growth Factor 21 On The Kidney Injury In Vascular Calcification Rats, Yu-Chen Shi, Wei-Wei Lu, Yue-Long Hou, Kun Fu, Feng Gan, Shu-Juan Cheng, Shao-Ping Wang, Yong-Fen Qi, Jing-Hua Liu
Protection Effect Of Exogenous Fibroblast Growth Factor 21 On The Kidney Injury In Vascular Calcification Rats, Yu-Chen Shi, Wei-Wei Lu, Yue-Long Hou, Kun Fu, Feng Gan, Shu-Juan Cheng, Shao-Ping Wang, Yong-Fen Qi, Jing-Hua Liu
Pharmacology and Nutritional Sciences Faculty Publications
Background: Chronic kidney disease (CKD) is closely related to the cardiovascular events in vascular calcification (VC). However, little has known about the characteristics of kidney injury caused by VC. Fibroblast growth factor 21 (FGF21) is an endocrine factor, which takes part in various metabolic actions with the potential to alleviate metabolic disorder diseases. Even FGF21 has been regarded as a biomarker in CKD, the role of FGF21 in CKD remains unclear. Therefore, in this study, we evaluate the FGF21 on the kidney injury in VC rats.
Methods: The male Sprague-Dawley rats were divided into three groups: (1) control group, (2) …
Mobilization Of Hematopoietic Stem Cells As A Result Of Innate Immunity-Mediated Sterile Inflammation In The Bone Marrow Microenvironment—The Involvement Of Extracellular Nucleotides And Purinergic Signaling, Mariusz Z. Ratajczak, Mateusz Adamiak, Monika Plonka, Ahmed Abdel-Latif, Janina Ratajczak
Mobilization Of Hematopoietic Stem Cells As A Result Of Innate Immunity-Mediated Sterile Inflammation In The Bone Marrow Microenvironment—The Involvement Of Extracellular Nucleotides And Purinergic Signaling, Mariusz Z. Ratajczak, Mateusz Adamiak, Monika Plonka, Ahmed Abdel-Latif, Janina Ratajczak
Internal Medicine Faculty Publications
Hematopoietic stem/progenitor cells (HSPCs) circulate in peripheral blood (PB) under normal conditions and their number increases in response to stress, inflammation, tissue/organ injury, and may increase up to 100-fold after administration of mobilization-inducing drugs. Mounting evidence suggests that mobilizing agent-induced mobilization of HSPCs from bone marrow into PB is a result of innate immunity-mediated sterile inflammation in the bone marrow (BM) microenvironment. A critical initiating role in this process is played by tissue/organ injury-mediated or pharmacologically induced release from bone marrow-residing granulocytes and monocytes of (i) danger-associated molecular patterns (DAMPs), (ii) reactive oxygen species (ROS), and (iii) proteolytic and lipolytic …
The Effects Of Diabetes On Total Knee Arthroplasty Outcomes, Sada Aschnewitz
The Effects Of Diabetes On Total Knee Arthroplasty Outcomes, Sada Aschnewitz
Nursing Capstones
No abstract provided.
Editorial: Harm And Benefit Of Plant And Fungal Secondary Metabolites In Food Animal Production, Michael D. Flythe
Editorial: Harm And Benefit Of Plant And Fungal Secondary Metabolites In Food Animal Production, Michael D. Flythe
Animal and Food Sciences Faculty Publications
No abstract provided.
Week Of March 5, 2018, New York Medical College
Week Of March 5, 2018, New York Medical College
InTouch
- Resident Research Day Highlights Scholarly Efforts of Residents
- Medical Students Receive State-of-the-Art Emergency Ultrasound Training
Effectiveness Of Biocide Substitution And Management Plan Implementation For The Control Of, Adelmarie Bones
Effectiveness Of Biocide Substitution And Management Plan Implementation For The Control Of, Adelmarie Bones
USF Tampa Graduate Theses and Dissertations
After the notorious outbreak and discovery of Legionella bacteria in 1976, the waterborne pathogen was added to the list of disease-causing agents associated with the built environment. Legionella pneumophila was discovered when it was identified as the agent that caused 34 deaths and an outbreak of pneumonia-like symptoms in several attendees of the 1976 American Legion Convention held in Philadelphia (OSHA, 2017).
Recently published data from the year 2015 reported more than 6,000 Legionnaires’ cases identified in the United States (CDC, 2016). This is a concerning number given that one in every ten infected persons will die of the disease. …
Tnfα Induces Ca2+ Influx To Accelerate Extrinsic Apoptosis In Hepatocellular Carcinoma Cells, Jianjun Zhu, Mingpeng Jin, Jiaojiao Wang, Hui Zhang, Yousheng Wu, Deyang Li, Xiaoying Ji, Hushan Yang, Chun Yin, Tingting Ren, Jinliang Xing
Tnfα Induces Ca2+ Influx To Accelerate Extrinsic Apoptosis In Hepatocellular Carcinoma Cells, Jianjun Zhu, Mingpeng Jin, Jiaojiao Wang, Hui Zhang, Yousheng Wu, Deyang Li, Xiaoying Ji, Hushan Yang, Chun Yin, Tingting Ren, Jinliang Xing
Department of Medical Oncology Faculty Papers
BACKGROUND: Tumor necrosis factor-α has been proven an effective anticancer agent in preclinical studies. However, the translation of TNFα from research to clinic has been blocked by significant systemic toxicity and limited efficacy at maximal tolerated dose, which need urgently to be solved.
METHODS: The level of cytosolic Ca
RESULTS: Here, we demonstrated that TNFα induced extracellular Ca
CONCLUSIONS: Our study provides the evidence supporting a novel mechanism by which TNFα induces extracellular Ca
Medical School Watercooler Newsletter - March 4, 2018, Lindsey Lyle
Medical School Watercooler Newsletter - March 4, 2018, Lindsey Lyle
Watercooler Newsletter
This is the March 4, 2018 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.
Contents Include:
- USA Department of Pathology Hosts Dedication Ceremony
- Making an Impact 7,899 Miles Away
- Pediatrics Hosting Grand Rounds March 16
- USA Welcomes Dr. Amanpreet Bath
The Role Of Stress In The Pathogenesis And Maintenance Of Obsessive-Compulsive Disorder, Thomas G. Adams, Benjamin Kelmendi, C. Alex Brake, Patricia Gruner, Christal L. Badour, Christopher Pittenger
The Role Of Stress In The Pathogenesis And Maintenance Of Obsessive-Compulsive Disorder, Thomas G. Adams, Benjamin Kelmendi, C. Alex Brake, Patricia Gruner, Christal L. Badour, Christopher Pittenger
Psychology Faculty Publications
Individuals with obsessive-compulsive disorder often identify psychosocial stress as a factor that exacerbates their symptoms, and many trace the onset of symptoms to a stressful period of life or a discrete traumatic incident. However, the pathophysiological relationship between stress and obsessive-compulsive disorder remains poorly characterized: it is unclear whether trauma or stress is an independent cause of obsessive-compulsive disorder symptoms, a triggering factor that interacts with a preexisting diathesis, or simply a nonspecific factor that can exacerbate obsessive-compulsive disorder along with other aspects of psychiatric symptomatology. Nonetheless, preclinical research has demonstrated that stress has conspicuous effects on corticostriatal and limbic …
Rotavirus Vaccine Response Correlates With The Infant Gut Microbiota Composition In Pakistan, Vanessa Harris, Syed Asad Ali, Susana Fuentes, Abdul Momin Kazi, Jacqueline Tate, Umesh Parashar, W. Joost Wiersinga, Carlo Giaquinto, Carolina De Weerth, Willem M. De Vos
Rotavirus Vaccine Response Correlates With The Infant Gut Microbiota Composition In Pakistan, Vanessa Harris, Syed Asad Ali, Susana Fuentes, Abdul Momin Kazi, Jacqueline Tate, Umesh Parashar, W. Joost Wiersinga, Carlo Giaquinto, Carolina De Weerth, Willem M. De Vos
Department of Paediatrics and Child Health
Rotavirus (RV) is the leading cause of diarrhea-related death in children worldwide and ninety-five percent of rotavirus deaths occur in Africa and Asia. Rotavirus vaccines (RVV) can dramatically reduce RV deaths, but have low efficacy in low-income settings where they are most needed. The intestinal microbiome may contribute to this decreased RVV efficacy. This pilot study hypothesizes that infants' intestinal microbiota composition correlates with RVV immune responses and that RVV responders have different gut microbiota as compared to non-responders. We conducted a nested, matched case-control study comparing the pre-vaccination intestinal microbiota composition between 10 6-week old Pakistani RVV-responders, 10 6-week …
Peculiarities Of Food Allergy In Children With Atopic Dermatitis, K. Sh. Nazarov, R.T Masharipova
Peculiarities Of Food Allergy In Children With Atopic Dermatitis, K. Sh. Nazarov, R.T Masharipova
Central Asian Problems of Modern Science and Education
The results of the evaluation of the frequency and risk factors of developing food allergies, particularly its etiological structure and immunological characteristics in children of HELL, which has several pharmacologically stable chronic diseases are presented in the article. Food allergy was detected in 65% of children. Etiological structure of food sensitiveness has its own characteristics in accordance with the nosology of the disease. Children with atypical signs of disease show a combination of pathogenic mechanisms of development of food allergy
Impact Of New Thiourea Derivatives On Lipid Peroxidation Adjuvant Arthritis In White Rats, K. Sh. Shukurlaev
Impact Of New Thiourea Derivatives On Lipid Peroxidation Adjuvant Arthritis In White Rats, K. Sh. Shukurlaev
Central Asian Problems of Modern Science and Education
New derivative thiourea and thiocarbamate on oxidation peroxide lipids at adjuvant arthritis at white rat in a clouse. In structure the influence new derivative thiocarbamate and thiourea on peroxide oxidation lipids is investigated at adjuvant arthritis at white rat. Preparation BIK-15 reduce of intensity peroxide lipids and raise of activity enzymes antioxidant of system (SOD, KT) and in this respect they surpass butadione and indometacin
14th Annual Parkview Research Symposium, Michael J. Mirro, Neil Sharma, Tammy Toscos, Roy Robertson Md, Micah Smith Md, Jason Voorhies Md
14th Annual Parkview Research Symposium, Michael J. Mirro, Neil Sharma, Tammy Toscos, Roy Robertson Md, Micah Smith Md, Jason Voorhies Md
Presentations and Events
14th Annual Parkview Research Symposium: Innovative Interventions in Healthcare
Objectives
* Discuss latest innovative interventions in informatics, oncology, cardiology, orthopedids and neurosurgery.
* Develop a strategy for efficient diagnosis and treatment planning using the latest innovative techniques and research findings in informatics, oncology, cardiology, orthopedics and neurosurgery.
Association Of Obesity And Thyroid Cancer At A Tertiary Care Hospital In Pakistan, Adnan Ali, Yumna Mirza, Urooj Faizan, Nida Zahid, Muhammad S. Awan
Association Of Obesity And Thyroid Cancer At A Tertiary Care Hospital In Pakistan, Adnan Ali, Yumna Mirza, Urooj Faizan, Nida Zahid, Muhammad S. Awan
Section of General Surgery
Objective: Thyroid cancer (TC) is one of the most common endocrine malignancies with a rapidly increasing worldwide presence. In Pakistan, it is more prevalent in females than males and has an incidence rate of 2.1%. Obesity and excess body mass index (BMI) has been linked to several cancers and is thought to be a risk factor for TC. We aim to investigate the incidence of TC in our population and understand it's correlation with obesity.
Subjects: The study was a retrospective case series conducted in the years 2000 to 2014, at the Aga Khan University Hospital (AKUH), Karachi, Pakistan where …
Proprotein Convertase Subtilsin-Kexin Type 9 Inhibitor Use For The Treatment Of Hyperlipidemia, Jodi L. Sherve
Proprotein Convertase Subtilsin-Kexin Type 9 Inhibitor Use For The Treatment Of Hyperlipidemia, Jodi L. Sherve
Nursing Capstones
No abstract provided.
The Role Of Ehealth In Disasters: A Strategy For Education, Training And Integration In Disaster Medicine, Anthony C. Norris, Jose J. Gonzalez, David T. Parry, Richard E. Scott, Julie Dugdale, Deepak Khazanchi
The Role Of Ehealth In Disasters: A Strategy For Education, Training And Integration In Disaster Medicine, Anthony C. Norris, Jose J. Gonzalez, David T. Parry, Richard E. Scott, Julie Dugdale, Deepak Khazanchi
Information Systems and Quantitative Analysis Faculty Publications
This paper describes the origins and progress of an international project to advance disaster eHealth (DEH) – the application of eHealth technologies to enhance the delivery of healthcare in disasters. The study to date has focused on two major themes; the role of DEH in facilitating inter-agency communication in disaster situations, and the fundamental need to promote awareness of DEH in the education of disaster managers and health professionals. The paper deals mainly with on-going research on the second of these themes, surveying the current provision of disaster medicine education, the design considerations for a DEH programme for health professionals, …
Studies Of Amino Acid Mutations In Drug Resistance Of The Smo Protein, Eunice Wintona
Studies Of Amino Acid Mutations In Drug Resistance Of The Smo Protein, Eunice Wintona
UNO Student Research and Creative Activity Fair
Smoothened receptor (SMO) is a protein that in humans, is encoded by the SMO gene. A systemic mutation in its binding pocket helps predict the sensitivity of mutant proteins to different drugs. Known as a GPCR-like receptor, it is a component of the hedgehog signaling pathway; a pathway involved in body patterning and the regulation of adult stem cells. An uncontrolled or inappropriate activation of the Hedgehog pathway drives tumor progression in cancers and a number of birth defects. To achieve these goals, the molecular modeling software MOE was used to build small molecules and drug molecules like Vismodegib and …
Addressing Hydrocephaly In Viet Nam: A Plausible Prevention And Intervention Medical Support Program Proposal, Chelle Mcintyre-Brewer
Addressing Hydrocephaly In Viet Nam: A Plausible Prevention And Intervention Medical Support Program Proposal, Chelle Mcintyre-Brewer
UNO Student Research and Creative Activity Fair
Families affected by hydrocephalus in Viet Nam have few options for sustainable treatment for a myriad of reasons, primarily centering on barriers to care prevalent to minority, underserved, and economically disadvantaged populations. High morbidity and abandonment rates often result from these circumstances. An interdisciplinary examination of the factors contributing to causal concerns reveals unique cultural considerations, language and literacy barriers, ethnic and geographic differences, as well as economic and governmental issues greatly impacting patient outcome for this condition. The author contends that a program that addresses sociological concerns, along with the medical treatment of the patient, proffers the opportunity for …