Medicine and Health Sciences Commons^™

Validity And Reliability Of The Authentic Happiness Scale, Esat Sanli, Seher Balci Celik, Cem Gencoglu

Khazar Journal of Humanities and Social Sciences

Studies on the concept of happiness have led to questions about whether all symptoms of happiness correspond to a real and healthy emotional state. Therefore, in this research, a scale was developed to examine the concept of “authentic happiness” coined by Seligman. Firstly, literature that explains authentic happiness and defines its relationship to other psychological concepts was reviewed, and then a theoretical framework was developed based on this information and the psychometric characteristics of the scale were introduced. The results of the confirmatory factor analysis revealed that the fit indices were compatible with two-dimensional structure. These two dimensions have been …

Developing A Business Case For The Care Coordination And Transition Management Model: Needs, Methods, And Measures, Sheila Haas, Beth A. Swan, Rachel Start, Regina Conway-Phillips, Laura A. De La Pena, Diane Storer Brown

Nursing: School of Nursing Faculty Publications and Other Works

In this descriptive qualitative study, nurse and healthcare leaders' experiences, perceptions of care coordination and transition management (CCTM®), and insights as to how to foster adoption of the CCTM RN role in nursing education, practice across the continuum, and policy were explored. Twenty-five barriers to recognition and adoption of CCTM RN practice across the continuum were identified and categorized. Implications of these findings, recommendations for adoption of CCTM RN practice across the care continuum, and strategies for reimbursement policies are discussed.

Optimizing Strategies For Care Coordination And Transition Management: Recommendations For Nursing Education, Beth Ann Swan, Regina Conway-Phillips, Sheila Haas, Laura A. De La Pena

Nursing: School of Nursing Faculty Publications and Other Works

The purpose of this descriptive qualitative study was to explore nurse and healthcare leaders' experiences and perceptions of care coordination and transition management (CCTM®). Four barriers emerged that added insight into the lack of adopting and integrating CCTM knowledge, skills, and attitudes in nursing education in the following categories: curriculum redesign, silos of care settings and care providers, knowledge gap, and faculty development/resistance. Recommendations and implications for education, for both nursing students and practicing nurses, are described.

What Is The Availability Of Iodised Salt In Supermarkets On The Island Of Ireland?, Mark Shaw, Anne P. Nugent, Breige A. Mcnulty, Janette Walton, Michaela Mchugh, Ashley Kane, Aoibhin Moore Heslin, Eoin James Morrissey, Karen Mullan, Jayne V. Woodside

Dept. of Biological Sciences Preprints

Iodine deficiency remains a global nutritional public health challenge, with evidence suggesting borderline adequate or even deficient status for UK and Irish subpopulations such as schoolgirls and pregnant women. The solution, according to the WHO, is salt iodisation, but it is not known how widely available iodised salt is in supermarkets. Iodised salt availability was determined by a shelf survey of 89 supermarket stores on the island of Ireland (n = 30 in Northern Ireland and n = 59 in the Republic of Ireland) from September 2018 to January 2019, to take into account factors such as store type, …

Variability And Stability Of Gait In Stoke Survivors, Jemima Kennedy, Hala Osman

Undergraduate Research Posters 2019

Individuals who have survived a stroke have unstable gait due to poor balance control which jeopardizes the safety of that individual. We analyzed the stability and variability of gait before and after exercise- interventions for individuals who have survived stroke to determine the effect of these interventions on the individual as well as any correlation between measured and perceived stability. 9 randomly assigned participants participated in three exercise interventions: (a) clinical physical therapy, (b) reactive slipping, and (c) video gaming. Kinematics of the participant were obtained using motion analysis and a treadmill equipped with force plates. There was an overall …

Children's Mercy Annual Report 2019, Children's Mercy Hospital

Children's Mercy Annual Reports

Annual report for The Children's Mercy Hospital in Kansas City MO, a pediatric medical center.

For All Children Everywhere: Community Benefit Report 2018, Children's Mercy Hospital

Community Benefits

Fiscal year report on the community benefit provided by Children's Mercy Kansas City to the communities in the Kansas City region.

Reverse Genetics Systems As Tools To Overcome The Genetic Diversity Of Lassa Virus, Brett Beitzel, Christine E. Hulseberg, Gustavo Palacios

United States Army: Publications

Lassa virus is endemic in a large area of sub-Saharan Africa, and exhibits a large amount of genetic diversity. Of the four currently recognized lineages, lineages I–III circulate in Nigeria, and lineage IV circulates in Sierra Leone, Guinea, and Liberia. However, several newly detected lineages have been proposed. LASV genetic diversity may result in differences in pathogenicity or response to medical countermeasures, necessitating the testing of multiple lineages during the development of countermeasures and diagnostics. Logistical and biosafety concerns can make it difficult to obtain representative collections of divergent LASV clades for comparison studies. For example, lack of a cold …

Unmet Expectations In Healthcare Settings: Experiences Of Transgender And Gender Diverse Adults In The Central Great Plains, Heather Meyer

Trans Collaborations Academic Papers

Transgender and gender diverse (TGD) individuals face a long-term, multi-faceted process if they choose to begin a gender affirmation journey. Decisions to go on hormone therapy and/or have a surgical procedure necessitate the TGD individual to set up an appointment with a healthcare provider. However, when TGD patients interact with healthcare practitioners, problems can arise. This article documents and categorizes the types of unmet expectations that are common in the TGD patient-healthcare provider social dynamic in the Central Great Plains of the United States. Utilizing a community-based participatory research model, qualitative in-depth interviews were conducted with 27 TGD individuals about …

The Association Of Perfluoroalkyl Substance Exposure And Lung Function In The U.S. Population, Brenna C. Heinle

Master of Public Health Program Student Publications

Background/Aim: Perfluoroalkyl substances (PFASs) are chemical compounds used in consumer products and are linked with increase in cholesterol, thyroid disease, and pregnancy-induced hypertension. However, their association with lung function is not completely understood.

Methods: Cross sectional 2011-12 U.S. population data from the National Health and Nutrition Examination Survey (NHANES) was used (N=1,450, aged 12 to 79 years, 52% men). Serum concentration of four PFASs, perfluorononanoic acid (PFNA), perfluorooctanoic acid (PFOA), perfluorooctane sulfonic acid (PFOS), and perfluorohexane sulfonic acid (PFHxS) were assessed using mass spectrometry and were categorized into tertiles. Lung function was measured by spirometry as forced vital capacity (FVC), …

Using Dna To Identify The Source Of Invasive Mongooses, Herpestes Auropunctatus (Carnivora: Herpestidae) Captured On Kaua‘I, Hawaiian Islands, Darren J. Wostenberg, Matthew W. Hopken, Aaron B. Shiels, Antoinette J. Piaggio

United States Department of Agriculture Wildlife Services: Staff Publications

Two small Indian mongooses (Herpestes auropunctatus) were live-captured in 2012 at separate locations on the Hawaiian Island of Kaua'i, which was previously considered to be free of this invasive species. Genotypes from these two individuals were compared to genotypes of H. auropunctatus from the islands of Hawai'i (n =39), O'ahu (n =91), Maui (n = 39), and Moloka'i (n = 19) to determine the island of origin of the Kaua'i individuals. Genotypes were generated from each individual using five microsatellite loci. Genetic clustering was estimated by Bayesian inference of spatial clustering of individuals and …

Reducing Prairie Dog Populations And Damage By Castration Of Dominant Males, Gary W. Witmer

United States Department of Agriculture Wildlife Services: Staff Publications

Black-tailed prairie dogs (Cynomys ludovicianus) occur widely across the prairie states of North America. They compete with livestock for forage, transmit plague, and damage lawns, landscaping, and property. Interest in non-lethal methods, such as immunocontraception, is growing; however, reductions in the population due to contraception may be offset by increases in survival because adults and yearlings are not subject to the energetic demands of reproduction, and lower densities may increase the amount of resources available to growing offspring. Surgical sterilization provides a means for modeling these effects. Thus, we castrated males prior to the 1998 breeding season to simulate the …

Cannabis Use And Association With Pain, Anxiety, And Depression Among Emergency Department Patients, John Detherage

Scholarship in Medicine - All Papers

Introduction:

Cannabis use is increasing nationwide. Many states have legalized medical and recreational use of cannabis. This study was undertaken to identify any association between cannabis use and chronic pain among ED patients.

Methods:

This was a prospective survey study of Emergency Department (ED) patients at Miami Valley Hospital, a level 1 trauma center in Dayton, Ohio conducted during June – August 2018. The survey included data regarding the frequency of cannabis use, chronic pain, and current mental illness.

Results:

Three hundred and sixty patients participated in this study. The majority of respondents were white (55%) or African American (42%). …

Diagnosis And Management Of Impacted Maxillary Canines, Yu-Cheng Hsu, Chia-Tze Kao, Chih-Chen Chou, Wen-Ken Tai, Po-Yu Yang

Taiwanese Journal of Orthodontics

Maxillary canines play an important role in facial esthetics, since the canine eminence can support the alar and the upper lip. Impacted maxillary canines is a common problem which requires multidisciplinary diagnosis and treatment in dental clinic. The aim of this review is to integrate the studies that include clinical diagnosis and guidelines for management of canine impaction.

Accuracy Of Different Sequencing In Bimaxillary Orthognathic Surgery: A Systematic Review And Meta-Analysis, Thatchawee Borikanphanitphaisan, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

Introduction: Compared to the classic maxilla-first sequence in bimaxillary orthognathic surgery, inverted mandible-sequence has been encouraged for potentially higher accuracy. However, evidence regarding this topic is lacking. Methods: A systematic review of the literature on different sequencing of bimaxillary surgery was conducted, gathering from following databases: Cochrane, Pubmed, Scopus, Medline (Ovid), Web of Science, ScienceDirect. Articles mentioning “sequencing”, “mandible-first”, “orthognathic surgery” of at least case-report level of evidence were included without restriction. Relevant articles were included for quality assessment and extracted data for indications of mandible-first sequence from all studies. Meta-analysis of surgical accuracy at upper central incisors in horizontal …

Use The Lip Bumper Appliance To Control The Lower Lip Biting Habit, Chun-Yu Chen, Chia-Tze Kao, Yu-Tin Wu, Chih-Chen Chou, Jui-Hsien Yang

Taiwanese Journal of Orthodontics

This is a 9 years old boy in mixed dentition stage, with Angle Class I malocclusion, anterior teeth crowding and proclined upper incisors. He was diagnosed with lower lip biting habit. The treatment plan was delivered with two stages treatment, stage 1 was to correct the lip biting habit by using the lip bumper. After four-month observation and lip training, the habit was corrected and the irregularity of lower dentition was decreased. Continued with stage 2 treatment, patient had upper and lower 2x4 fixed appliances to align and level the anterior teeth. The result showed the previous proclined upper incisors …

Orthodontic Correction Of Bimaxillary Protrusion With Mini-Screws In Class Ii Hyperdivergent Patient, Shih-Ying Lin, Kai-Wen Yu, Tai-Ting Lai, Chung-Ji Liu, Li-Fang Hsu

Taiwanese Journal of Orthodontics

To achieve a harmonious profile with pleasant smile arc in Class II hyperdivergent adult cases has been a clinical challenge. Adequate retraction and intrusion of maxillary dentition as well as vertical control are the key factors to improve the smiling appearance and the facial profile. A 19-year-old female initially presented with lip protrusion, convex profile, retrusive chin, and a Class II malocclusion. The cephalometric analysis showed a Class II skeletal pattern (ANB = 9°) with high mandibular plane angle (SN-MP = 38°). The treatment plan included extraction of four first premolars for anterior teeth retraction as well as installation of …

A Comparison Of Two Tad Techniques (Miniscrews Versus Miniplates) For Treating Class Iii Malocclusion And The Associated Skeletal And Dental Effects, James Chen, Jesus I. Patino, Jenny Zwei-Chieng Chang, Chung-Chenjane Jane Yao, Ib Leth Nielsen

Taiwanese Journal of Orthodontics

The aim of this study was to compare two different techniques for distalizing the mandibular dentition in patients with Class III malocclusion using either miniscrews or miniplates. We evaluated the skeletal and dento-alveolar changes associated with each method. The study also aimed at identifying cephalometric characteristics in the subjects associated with the most predictable, successful outcome of treatment. Patients and Methods: Our sample consisted of 20 adult subjects (10 females and 10 males) that met the inclusion criteria. We examined pre and post treatment headfilms and analyzed the dental and skeletal changes using a computer program that provided the data …

Unusual Skeletal Growth Of An Adult Patient With Acromegaly: A 12 Year Follow-Up After Orthognathic Surgery, Szu-Ching Lee, Shou-Hsin Kuang, Yu-Shu Yen, Shen-Chieh Lina, Tzu-Ying Wu

Taiwanese Journal of Orthodontics

Acromegaly is an uncommon endocrinological disorder, which is rarely seen in patients presenting for orthodontic treatment. Herein, we report a patient who underwent orthognathic surgery and was diagnosed with acromegaly during the retention phase. During disease progression and treatment, gradual changes in the mandible and facial soft tissue were detected. General information and management of acromegaly are reviewed, and the role of orthodontists in the treatment of patients with acromegaly is discussed.

Management Of A Patient With Euryprosopic Face And Upper Central Diastema, Chung-Teng Chang, Yi-Min Liu, Yuen-Yung Tsang, Huei-Mei Tsai

Taiwanese Journal of Orthodontics

An adult female has upper central diastema complicated with a complete deep bite and spacing in lower dentition. The broad face and ovoid shaped dental arch form require special attention as an intrinsic transverse dimensional skeletal malocclusion. The treatment modality therefore should be totally different from other deep bite cases with crowding or tapered dental arch. The space retention after active treatment is of prime important. Root divergence of upper incisors and bodily protraction movement of lower posterior teeth were the main concerns during treatment. Fixed lingual retainer and long term follow up are essential for stable outcome.

Virginia Dental Journal (Vol. 96, No. 4, 2019)

Virginia Dental Journal

No abstract provided.

The Home Health Aide Experience: Opportunities For Occupational Therapy, Julia Mindlina

Occupational Therapy Doctorate Capstone Projects

Introduction: Home health aides undergo significantly increased physical stress in their work with minimal support which may contribute to decreased satisfaction with a home health aide position (Czuba et al., 2012). Providing frequent assistance with hands-on self-care tasks and transfers has been correlated with an increased occurrence of physical injury (National Institute for Occupational Safety and Health, 2010). Occupational therapists have specialized skills in task-adaptation, environmental modification, and proper body mechanics that can assist home health aides in maximizing their client’s function and decreasing risk of injury such as back strain. However, little is known about how home health aides …

Annotation Of Gene Product Function From High-Throughput Studies Using The Gene Ontology., Helen Attrill, Pascale Gaudet, Rachael P Huntley, Ruth C Lovering, Stacia R Engel, Sylvain Poux, Kimberly M Van Auken, George Georghiou, Marcus C Chibucos, Tanya Z Berardini, Valerie Wood, Harold J. Drabkin, Petra Fey, Penelope Garmiri, Midori A Harris, Tony Sawford, Leonore Reiser, Rebecca Tauber, Sabrina Toro, Gene Ontology Consortium

Faculty Research 2019

High-throughput studies constitute an essential and valued source of information for researchers. However, high-throughput experimental workflows are often complex, with multiple data sets that may contain large numbers of false positives. The representation of high-throughput data in the Gene Ontology (GO) therefore presents a challenging annotation problem, when the overarching goal of GO curation is to provide the most precise view of a gene's role in biology. To address this, representatives from annotation teams within the GO Consortium reviewed high-throughput data annotation practices. We present an annotation framework for high-throughput studies that will facilitate good standards in GO curation and, …

An Integrative Systems Approach Identifies Novel Candidates In Marfan Syndrome-Related Pathophysiology., Raghu Bhushan, Lukas Altinbas, Marten Jäger, Marcin Zaradzki, Daniel Lehmann, Bernd Timmermann, Nicholas P Clayton, Yunxiang Zhu, Klaus Kallenbach, Georgios Kararigas, Peter N Robinson

Faculty Research 2019

Marfan syndrome (MFS) is an autosomal dominant genetic disorder caused by mutations in the FBN1 gene. Although many peripheral tissues are affected, aortic complications, such as dilation, dissection and rupture, are the leading causes of MFS-related mortality. Aberrant TGF-beta signalling plays a major role in the pathophysiology of MFS. However, the contributing mechanisms are still poorly understood. Here, we aimed at identifying novel aorta-specific pathways involved in the pathophysiology of MFS. For this purpose, we employed the Fbn1 under-expressing mgR/mgR mouse model of MFS. We performed RNA-sequencing of aortic tissues of 9-week-old mgR/mgR mice compared with wild-type (WT) mice. With …

Representing Glycophenotypes: Semantic Unification Of Glycobiology Resources For Disease Discovery., Jean-Philippe F Gourdine, Matthew H Brush, Nicole A Vasilevsky, Kent Shefchek, Sebastian Köhler, Nicolas Matentzoglu, Monica C Munoz-Torres, Julie A Mcmurry, Xingmin Aaron Zhang, Peter N Robinson, Melissa A Haendel

Faculty Research 2019

While abnormalities related to carbohydrates (glycans) are frequent for patients with rare and undiagnosed diseases as well as in many common diseases, these glycan-related phenotypes (glycophenotypes) are not well represented in knowledge bases (KBs). If glycan-related diseases were more robustly represented and curated with glycophenotypes, these could be used for molecular phenotyping to help to realize the goals of precision medicine. Diagnosis of rare diseases by computational cross-species comparison of genotype-phenotype data has been facilitated by leveraging ontological representations of clinical phenotypes, using Human Phenotype Ontology (HPO), and model organism ontologies such as Mammalian Phenotype Ontology (MP) in the context …

Providing Occupational Therapy To Those Who Are Homeless: A Beneficial Support, Francesca Petracco

Petersheim Academic Exposition

No abstract provided.

Realmente Tenemos La Capacidad: Engaging Youth To Explore Health In The Dominican Republic Through Photovoice, Catalina Tang Yan, Arelis Moore De Peralta, Edmond P. Bowers, Linda Sprague Martinez

Publications

Youth are often at risk for physical and psychosocial illnesses, and yet their input is rarely included in health assessments and interventions. Two U.S.-based universities partnered with community stakeholders and youth in Las Malvinas II, Dominican Republic to explore factors that promote and/or hinder the health of youth in Las Malvinas II. Youth (n=8) conducted a photovoice, and identified six key health priorities: (1) good nutrition, (2) depression and poverty, (3) violence, (4) sports and neighborhood association, (5) education, and (6) sanitation and community infrastructure. Findings revealed youth’s exploration of complex multi-level determinants of health. This study suggests youth have …

Is This Rash Measles?, Sandy Hoar Dmsc(C), Pa-C

Medicine Faculty Posters and Presentations

Is This Rash Measles?

Sandy Hoar, DSMc(c), LSHTM, PA-C

[email protected]

A patient presents to a Maryland clinic complaining of a dry red, bleeding, crusting, painful, non-itchy rash which started on her right forearm, 3-1/2 days ago. It spread to the trunk, face and thighs. The patient is complaining of fatigue, bilateral eye and mastoid pain, frontal headache, sore scalp, and bone pain. She reported no exposure, or travel but does have contact with children. She had childhood measles and chickenpox. The patient had tried oral tetracycline. The patient had discrete, mostly papular lesions on the upper arms, trunk, face/neck, and …

Himmelfarb Library Annual Report 2019, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Annual Report

No abstract provided.

The 20-M Shuttle Run: Assessment And Interpretation Of Data In Relation To Youth Aerobic Fitness And Health, Grant R. Tomkinson, Justin J. Lang, Joel Blanchard, Luc A. Léger, Mark S. Tremblay

Education, Health & Behavior Studies Faculty Publications

Cardiorespiratory fitness (CRF) is a good summative measure of the body’s ability to perform continuous, rhythmic, dynamic, large-muscle group physical activity, and exercise. In children, CRF is meaningfully associated with health, independent of physical activity levels, and it is an important determinant of sports and athletic performance. Although gas-analyzed peak oxygen uptake is the criterion physiological measure of children’s CRF, it is not practical for population-based testing. Field testing offers a simple, cheap, practical alternative to gas analysis. The 20-m shuttle run test (20mSRT)—a progressive aerobic exercise test involving continuous running between 2 lines 20 m apart in time to …