Medicine and Health Sciences Commons^™

Evaluation Of A Standardized Feedback Form And Process To Improve Communication And Effective Solution Implementation During Student-Faculty Clerkship Liaison Meetings, Christina Georgeades Ms4, Amy B. Smith Phd

USF-LVHN SELECT

No abstract provided.

An Analysis Of Concussion Management Within The Lehigh Valley Health Network Emergency And Pediatric Departments: Needs Assessment And Provider Based Educational Handout, John J. Petosa Jr

USF-LVHN SELECT

No abstract provided.

Outcomes In Enhanced Recovery After Surgery In Gynecologic Oncology – Doing Our Part To Reduce Postoperative Opioid Use, Thomas P. Cacciola Md, Joshua Cohen, Martin A. Martino Md

USF-LVHN SELECT

No abstract provided.

Information Seeking Behavior Among Family Medicine Providers At Lehigh Valley Health Network, Matthew Molnar, Robert D. Barraco Md, Mph, S Reynolds, R Chan, Jordan Davies, Robert Postlethwaite, Monica Stewart, Nicholas Werbeckes, Rahul Mhaskar Md, Bryan G. Kane Md

USF-LVHN SELECT

No abstract provided.

Assessing Appropriateness Of Magnetic Resonance Imaging For Headaches Within The Lehigh Valley Health Network, Manveer Dilts-Garcha Ma Bsc

USF-LVHN SELECT

No abstract provided.

Increasing The Use Of Pediatric Developmental Screening Assessments At The Neighborhood Health Center Of Lehigh Valley, Camille Imbo Ms4

USF-LVHN SELECT

No abstract provided.

Addressing The Healthcare Needs Of The Lehigh Valley Homeless Population In The Emergency Department, Kareem S. Elsayed Ms, Marna R. Greenberg Do, Mph, Facep

USF-LVHN SELECT

No abstract provided.

Evaluation Of Two Cryopreservation Protocols On Cauda Epididymal Spermatozoa Characteristics In Domestic Cats, Kanokwan Thammapradit, Suppawiwat Ponglowhapan

The Thai Journal of Veterinary Medicine

Various protocols of feline spermatozoa cryopreservation have been reported and used in clinical practice. To compare the quality of post-thawed epididymal spermatozoa subjected to two different sperm freezing protocols, sperm samples were collected from domestic cats (n=7) after castration and divided into 2 aliquots as for Protocol 1 (P1) or Protocol 2 (P2). In P1, after centrifugation, sperm pellets were extended with Tris-based egg yolk extender (TEY) containing 3% glycerol and held for 60 min (5°C) prior to the second dilution (1:1) with 7% glycerol and 1% Equex STM Paste. The straws were frozen by lowering the goblets in three …

Prevalence Of Feline Immunodeficiency Virus & Feline Leukemia Virus In Clinically Healthy Cats In Khon Kaen Province, Kawintra Aiyaranoi, Nichapart Boonchalaew, Natcha Chawnan, Sukdiphat Chotiku, Jaruwan Kampa

The Thai Journal of Veterinary Medicine

FIV and FeLV infections are mostly studied among clinically sick cats; therefore, results may deviate from the true prevalence in a whole population. By using a commercially available kit, the infections were observed in 216 clinically health client-owned cats in Khon Kaen province, Thailand. A cross-sectioned study was undertaken to estimate the presence of FIV and FeLV infections in the cats which underwent health checkup from October 2016 to January 2017. The prevalence of FIV-antibody positive and FeLV-antigenic cats were 6.1% and 3.1%, respectively, and co-infection was not identified. The updated information provides necessary guidelines for veterinarians to provide preventive …

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

The Thai Journal of Veterinary Medicine

No abstract provided.

Detection Of Prrsv Circulation Using Oral Fluid Samples For Nursery Management In Endemically Prrsv-Infected Farms, Yonlayong Woonwong, Roongtham Kedkovid, Jirapat Arunorat, Chaitawat Sirisereewan, Teerawut Nedumpun, Korakrit Poonsuk, Yaowalak Panyasing, Pariwat Poolperm, Alongkot Boonsoongnern, Roongroje Thanawongnuwech

The Thai Journal of Veterinary Medicine

Porcine reproductive and respiratory syndrome (PRRS) has become a major swine disease worldwide. Relevant management strategies and diagnostic assays are of importance for PRRS virus (PRRSV) control. The objective of this study was to determine the use of oral fluids for PRRSV monitoring in endemically PRRSV-infected herds. PRRSV RNA and PRRSV-specific antibodies were monitored using oral fluid samples and serum samples in two conventional swine farms in Thailand (‘Farm A’, a one-site conventional system farm, and ‘Farm B’, a one-site P0-P1 segregation system farm) during farrowing to nursery periods. Both PRRSV RNA and PRRSV antibodies were detected from 3 to …

Effect Of Gender And Jumping Exercise On Leukocyte Number, Dopamine And Prolactin Levels In Horses, Anna Assenza, Francesca Arfuso, Francesco Fazio, Claudia Giannetto, Maria Rizzo, Alessandro Zumbo, Giuseppe Piccione

The Thai Journal of Veterinary Medicine

Physical exercise is one of the most physiologically stressful stimuli which cause animal to experience reversible alterations in various homeostatic variables. The aim of this study was to evaluate the effect of gender and jumping exercise on leukocyte, dopamine and prolactin values and the correlation among these parameters in 20 clinically healthy and regularly trained horses. The horses took part in a three-day jumping competition. Blood sampling was performed before the first day of competition (T0), within 10 minutes from the end of each race (J1, J2, J3) and 24 h after the end of J3 race (T24) in order …

The Impact Of Antibiotic Stewardship Education On Parental Care Satisfaction And Follow-Up, Paige Ferguson

DNP Projects

Parental satisfaction with antibiotic stewardship has been investigated extensively in pediatric inpatient settings; however, there has been relatively little research in pediatric outpatient settings. In 2014 upper respiratory infections were the most common infections seen among the general population with children having an average of 3 to 8 viral respiratory illnesses per year and receiving 34.6% of all antibiotic prescriptions. Escalating antibiotic resistance and increased emphasis on patient/parental satisfaction necessitates the exploration of a method to improve antibiotic stewardship while maintaining parental satisfaction. The purpose of this project was to assess parental satisfaction with care and follow-up visits after antibiotic …

Effects Of Index Client And Geo-Targeting On Hiv Case Identification: An Observational Study, E. Oladele, William Menson, O-O Badejo, E. Onwasigwe, I. Iyamu, A. Olarinoye, C. Agbakwuru, T. Bruno, H. Khamofu, Ee Ezeanolue

School of Public Health Faculty Research

Background Despite huge investments in HIV prevention, treatment, and care in sub-Saharan Africa, fewer than one in 10 individuals knows their HIV status, and 40% of individuals living with HIV are not cognisant of their positive status. Efforts to improve and strengthen HIV service delivery, particularly in HIV testing, are necessary to increase efficiency in HIV case finding and optimise service delivery. Standard approaches to HIV testing have not been effective in addressing this gap. Our objective was to evaluate a targeted approach for HIV case identification in a PEPFAR-supported HIV programme in Nigeria. Methods Between October, 2016, and June, …

Surgeon Volume, David L. Howard, Andrea Mcglynn, Joy A. Greer

Research Briefs

No abstract provided.

Occupational Noise Dose Reduction Via Behavior Modification Using In-Ear Dosimetry Among Usaf Personnel Exposed To Continuous Impulse Noise, Jesse A. Trawick

Theses and Dissertations

The purpose of this research was to investigate the use of in-ear noise dosimetry and worker feedback to reduce noise exposures among combat arms instructors and heavy equipment operators in the Air Force. Specifically, this thesis sought to determine how effectively hearing protection devices (HPDs) are being utilized currently, and whether providing at-ear noise exposure data to workers results in reduced noise exposures or changes in worker attitude. These questions were addressed by performing a six-month field study using dosimeters to record worker noise exposures under HPDs. Subjects served as their own control, receiving feedback in only the latter half …

Polymorphisms Within Ryr3 Gene Are Associated With Risk And Age At Onset Of Hypertension, Diabetes, And Alzheimer’S Disease, Shaoqing Gong, Brenda Bin Su, Hugo Tovar, Chunxiang Mao, Valeria Gonzalez, Ying Liu, Yongke Lu, Ke-Sheng Wang, Chun Xu

Health & Biomedical Sciences Faculty Publications

Background: Hypertension affects 33% of Americans while type 2 diabetes and Alzheimer's disease (AD) affect 10% of Americans, respectively. Ryanodine receptor 3 gene (RYR3) codes for the RYR which functions to release stored endoplasmic reticulum calcium ions (Ca2+) to increase intracellular Ca2+ concentration. Increasing studies demonstrate that altered levels of intracellular Ca2+ affect cardiac contraction, insulin secretion, and neurodegeneration. In this study, we investigated associations of the RYR3 genetic variants with hypertension, AD, and diabetes.

Methods: Family data sets were used to explore association of RYR3 polymorphisms with risk and age at onset (AAO) of hypertension, diabetes, and AD.

Results: …

Delayed Hepatic Rupture Post Ultrasound-Guided Percutaneous Liver Biopsy: A Case Report., Jia-Yan Huang, Qiang Lu, Ji-Bin Liu

Department of Radiology Faculty Papers

RATIONALE: Hemorrhage, one of complications after liver biopsy, is often identified immediately after the procedure while delayed liver rupture is relatively rare.

PATIENT CONCERNS: A 45-year-old woman was diagnosed with undetermined liver cirrhosis and abnormal liver function. To determine the etiology and severity of liver cirrhosis, ultrasound-guided liver biopsy was arranged. The patients did not complain any pain during the procedure. Ultrasound examination on postoperative day1 (POD 1) and MRI on POD 3 showed no evidence of hematoma and ascites. On POD 7, however, the patient was taken to the hospital with a sudden onset of pain in the right …

Migraine And Vascular Disease Biomarkers: A Population-Based Case-Control Study., Gretchen E. Tietjen, Jagdish Khubchandani, Nabeel Herial, Inge H. Palm-Meinders, Hille Koppen, Gisela M. Terwindt, Mark A. Van Buchem, Lenore J. Launer, Michel D. Ferrari, Mark C. Kruit

Department of Neurosurgery Faculty Papers

Background The underpinnings of the migraine-stroke association remain uncertain, but endothelial activation is a potential mechanism. We evaluated the association of migraine and vascular disease biomarkers in a community-based population. Methods Participants (300 women, 117 men) were recruited as a part of the Dutch CAMERA 1 (Cerebral Abnormalities in Migraine, an Epidemiologic Risk Analysis) study. Participants were aged 30-60 (mean 48) years, 155 migraine had with aura (MA), 128 migraine without aura (MO), and 134 were controls with no severe headaches. Plasma concentrations of fibrinogen, Factor II, D-dimer, high sensitivity C-reactive protein (hs-CRP), and von Willebrand factor antigen were compared …

Physical Activity And Annual Medical Outlay In U.S. Colorectal, Breast And Prostate Cancer Survivors, Alice F. Yan, Yang Wang, Alexander V. Ng

Exercise Science Faculty Research and Publications

Multiple chronic conditions in cancer survivors are highly prevalent and may increase health care costs for both patients and the health care system. Studies of cancer survivors reveal positive effects of physical activity (PA) on reducing risk of cancer recurrence, other chronic conditions, and secondary cancer. Few nationally representative studies have examined how physical activity levels have affected survivors' annual economic burden in the United States.

Leisure-time physical activity data from the National Health Interview Survey was linked to health care expenditure data from the Medical Expenditure Panel Survey data (2008–2012). We calculated per-person annual total medical expenditures for identified …

Are Prophylactic Intravenous Antibiotics Required In Routine Shoulder Arthroscopic Surgery? A Systematic Review Of The Literature, Njalalle Baraza, Jordan Leith

General Surgery, East Africa

Purpose: The purpose of this study was to find out from the literature the difference in infection rates between patients who did and patients who did not receive prophylactic antibiotics in arthroscopic shoulder surgery.

Methods: We conducted a comprehensive search of the literature using Medline Ovid for prospective studies that looked at infection as the primary outcome following shoulder arthroscopy. The articles were then assessed for study design, outcome, and relevance to the specific question as part of the critical appraisal.

Results: Eight partially relevant articles were obtained from the search, but there were no prospective studies comparing infection in …

Mechanisms For The Increased Fatigability Of The Lower Limb In People With Type 2 Diabetes, Jonathon Senefeld, Steven B. Magill, April L. Harkins, Alison R. Harmer, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Fatiguing exercise is the basis of exercise training and a cornerstone of management of type 2 diabetes mellitus (T2D), however, little is known about the fatigability of limb muscles and the involved mechanisms in people with T2D. The purpose was to compare fatigability of knee extensor muscles between people with T2D and controls without diabetes and determine the neural and muscular mechanisms for a dynamic fatiguing task. Seventeen people with T2D (10 men, 7 women: 59.6{plus minus}9.0 years) and 21 age-, BMI- and physical activity-matched controls (11 men, 10 women: 59.5{plus minus}9.6 years) performed 120 high-velocity concentric contractions (1 contraction/3 …

Six-Minute Walk Test Performance In Persons With Multiple Sclerosis While Using Passive Or Powered Ankle-Foot Orthoses, Morgan K. Boes, Rachel E. Bollaert, Richard M. Kesler, Yvonne C. Learmonth, Mazharul Islam, Matthew N. Petrucci, Robert W. Motl, Elizabeth T. Hsiao-Wecksler

Exercise Science Faculty Research and Publications

Objective

To determine whether a powered ankle-foot orthosis (AFO) that provides dorsiflexor and plantar flexor assistance at the ankle can improve walking endurance of persons with multiple sclerosis (MS).

Design

Short-term intervention.

Setting

University research laboratory.

Participants

Participants (N=16) with a neurologist-confirmed diagnosis of MS and daily use of a prescribed custom unilateral passive AFO.

Interventions

Three 6-minute walk tests (6MWTs), 1 per footwear condition: shoes (no AFO), prescribed passive AFO, and portable powered AFO (PPAFO). Assistive devices were worn on the impaired limb.

Main Outcome Measures

Distance walked and metabolic cost of transport were recorded during each 6MWT and …

Treatment Options For Primary Cns Lymphoma, Abid Laghari, Syed Ijlal Ahmed, Adnan Jabbar, Muhammad Shahzad Shamim

Section of Haematology/Oncology

Primary CNS lymphoma (PCNSL) is a rare and aggressive brain tumour that is uniformly fatal. The rarity of the disease and the poor response to treatment makes it difficult to reach a consensus with regards to treatment options. In this review, the authors have discussed different treatment modalities used in the management of PCNSL including chemotherapy, surgery and radiation, as well as the results of recent clinical trials on treatment options for PCNSL.

Clinical Audit To Assess Delays In Chemotherapy Administration At Daycare Oncology Center At A Tertiary Care Hospital In Karachi, Pakistan, Arifa Aziz, Zarka Samoon, Mohammad Khurshid, Afsheen Feroz, Nadia Ayoub, Safia Awan, Madhia Beg

Section of Haematology/Oncology

Aim: There were delays reported by patients in chemotherapy administration in daycare oncology. Therefore, we decided to audit all processes which are involved in chemotherapy administration. The objective was to improve our service by decreasing the time between admission and initiation of chemotherapy and identify the reasons for delays.

Materials and Methods: The audit was conducted in three parts. In Review I, audit tool was developed and information documented of 109 patients receiving chemotherapy at daycare center from April 14 to May 13, 2015. Five processes were assessed out of which delay in initial assessment by the nurse was the …

Early Detection With Pulse Oximetry Of Hypoxemic Neonatal Conditions. Development Of The Ix Clinical Consensus Statement Of The Ibero-American Society Of Neonatology (Siben), Augusto Sola, Sergio G. Golombek

NYMC Faculty Publications

No abstract provided.

Myocarditis Due To Systemic Lupus Erythematosus Associated With Cardiogenic Shock, Sohaib Tariq, Anjali Garg, Alan Gass, Wilbert S. Aronow

NYMC Faculty Publications

No abstract provided.

Utilization, Receptivity And Reactivity To Interactive Voice Response Daily Monitoring In Risky Drinking Smokers Who Are Motivated To Quit, Amy M. Cohn, Hoda Elmasry, Sarah J. Ehlke

Psychology Faculty Publications

INTRODUCTION Interactive Voice Response (IVR) technology has become an increasingly popular and valid method for collecting Ecological Momentary Assessment (EMA) data on a variety of health-risk behaviors, including daily alcohol use and cigarette smoking, and for stimulating behavior change. However, very little research has evaluated the parameters of IVR compliance and reactivity in respondents who may have greater problem severity than samples previously examined in published IVR studies. This study examined the prevalence and correlates of use, receptivity and reactivity to IVR monitoring in 77 untreated risky drinking smokers who were motivated to quit within the next 6 months.

METHODS …

Law Library Blog (March 2018): Legal Beagle's Blog Archive, Roger Williams University School Of Law

Law Library Newsletters/Blog

No abstract provided.

A Tale Of Two Countries: Progress Towards Unaids 90‐90‐90 Targets In Botswana And Australia, Tafireyi Marukutira, Mark Stoove, Shahin Lockman, Lisa A. Mills, Tendani Gaolathe, Refeletswe Lebelonyane, Joseph N. Jarvis, Sherrie L. Kelly, David P. Wilson, Stanley Luchters

Population Health, East Africa

UNAIDS 90‐90‐90 targets and Fast‐Track commitments are presented as precursors to ending the AIDS epidemic by 2030, through effecting a 90% reduction in new HIV infections and AIDS‐related deaths from 2010 levels (HIV epidemic control). Botswana, a low to middle‐income country with the third‐highest HIV prevalence, and Australia, a low‐prevalence high‐income country with an epidemic concentrated among men who have sex with men (MSM), have made significant strides towards achieving the UNAIDS 90‐90‐90 targets. These two countries provide lessons for different epidemic settings. This paper discusses the lessons that can be drawn from Botswana and Australia with respect to their …