Medicine and Health Sciences Commons^™

Health On The Move: Health-Seeking Behavior Of Changpa Nomads In Ladakh, India, Maya Lubeck-Schricker

Independent Study Project (ISP) Collection

The goal of this study is to understand the health-seeking behavior of Changpa nomads in the Changthang region of Ladakh, India including what health issues these communities face, what they do when they fall sick, any preventative health behavior they implement, as well as the health infrastructure available to them. Very little literature exists on the health seeking-behavior of people in South Asia in general, much less among nondominant lifestyles such as that of nomadic or semi-nomadic people. As such, this research hopes to move towards closing that knowledge gap by conducting and analyzing 26 in depth semi-structured interviews and …

Where Do We Go From Here?: Two Key Informants' Perspectives On How To Address Conscientious Objection In Top Provision In South Africa, Talia Parker

Independent Study Project (ISP) Collection

This perspectives research endeavor examines the barriers to TOP access that arise from conscientious objection through the conflicting network of rights and legislation in South Africa. While previous research has evidenced the demonstrable barriers to accessing TOP care in South Africa, this project aims to push the existing literature and the field as a whole one step further to interrogate how to move forward within the realities of conscientious objection.

To do so, I conducted interviews with key informants in the field of reproductive healthcare provision, research, and activism in Cape Town on their perspectives about the practice of conscientious …

Z4, A Slow Puncture: An Autoethnographic Exploration Of Language, Embodiment, And Meaning-Making, Charlotte Rose Samuels

Independent Study Project (ISP) Collection

In my ISP, I explored language as it relates to the ways in which people living in Cato Manor make sense of HIV/AIDS in their community. With 7.1-7.2 million people living with HIV (PLWHIV) in South Africa, individuals across the country are either infected or affected by illness. KwaZulu-Natal (KZN), the province with the highest rate of HIV, is also the province that was surveyed with the disproportionately highest internal stigma rates for PLWHIV. High prevalence of HIV, particularly in KZN, calls for a constant contextualization of life in the presence of illness.

Throughout the world, metaphor and symbolism is …

Characterizing Systems Of Reporting And Mitigating Anthrax Outbreaks Near Mto Wa Mbu, Monduli District, Tanzania, Megan Levy

Independent Study Project (ISP) Collection

Northern Tanzania has experienced several anthrax outbreaks in the recent past. In Monduli district, an outbreak in 2016 prompted an organization of district officials to create an updated outbreak response action plan. The pastoralist community is often affected by these outbreaks due to their frequent direct contact with cattle and herds’ proximity to wild species potentially affected by the disease. This characterization of the existing systems of reporting and mitigating anthrax outbreaks was accomplished through structured interviews with ward and village officers, local veterinarians, and members of the pastoralist community in Monduli district near Mto wa Mbu. The purpose of …

“Oh Lord, Save Us From Such Monsters:” Maternal Impression And Monstrous Births In The Eighteenth-Century Netherlands, Sara Hollar

Independent Study Project (ISP) Collection

This historical survey focuses on the memoirs of Catharina Schrader, a Frisian midwife in the eighteenth century, as a lens into beliefs about maternal impression and monstrous births during the early modern period. The then popular theory of maternal impression, where pregnant women could impact their gestating fetus’s appearance or characteristics through their behavior, thoughts, and feelings, was used to explain many instances of monstrous births. Monstrosity, now understood as congenital defects or disabilities, was seen as a result and marker of pregnant women’s moral failings. Using examples of monstrous births from Schrader’s memoirs, I analyze the threat of maternal …

Cancer Management In Kenya - Awareness And The Struggles Patients Face To Access Treatment, Care & Support, Ashley Nmoh

Independent Study Project (ISP) Collection

The amount of cancer cases in Africa, and Kenya specifically, are rising at an alarming rate. This study was conducted to determine the challenges that patients with cancer in Kenya face to access treatment, care and support. Thirty-nine cancer patients were interviewed and thirty cancer patients filled out a questionnaire about their experiences of having cancer in Kenya. In addition, twenty key informants were interviewed including doctors, caregivers, cancer NGO executives, a researcher, a psychologist, a National Health Insurance Fund official and a director from the Ministry of Health. A breast cancer awareness survey was also administered to fifty-nine women …

Motorbike-Related Injuries & Safety Practices Among Motorbike Riders In Kisumu, Western Kenya In 2019, Rowan Poehler

Independent Study Project (ISP) Collection

Road traffic injuries are a growing public health problem throughout the world. Kenya has is known for having unsafe roads with an estimated 13,463 road traffic fatalities in 2016 and 24% of road traffic fatalities coming from 2-and 3-wheeled vehicles (WHO, 2018). This study sought to analyze road safety measures and road traffic injuries amongst motorbike taxi drivers in Kisumu, Kenya. A qualitative survey was administered to 152 motorbike taxi drivers in Kisumu over a two-week period in April 2019. The results were then analyzed. Results showed that 70% of drivers owned a helmet for themselves and 48.3% of drivers …

Home And Healing In The In-Between: Migrant And Refugee Mental Health In Tunisia, Donia Torabian

Independent Study Project (ISP) Collection

This research is a study of migrant conceptions of home and healing in Tunisia. It seeks to understand the ways in which migration, trauma, and healing interact as lived experiences for people who migrate for various reasons to Tunisia. Using past research from Terre d’Asile and Médecins du Monde, the research seeks to understand the main risk and protective factors of migrant mental health. The research is a qualitative study of the ways in which migrants identify with having experienced trauma and the healing practices they may have brought to or learned in Tunisia. It also hopes to build connections …

Nationalizing Services For The Trans-National: How Sub-Saharan Migrants Navigate Healthcare Access In Tunisia, Batoul Hasan

Independent Study Project (ISP) Collection

The right to human health and the resources that empower this state is an entitlement recognized under international law. With the circumstances surrounding their journeys, migrants face increased risks and vulnerabilities that necessitate social protections. Nations of reception, due to exclusionary policies or lack of capacity, may fail to guarantee these protections. This study investigates how this phenomenon unfolds in Tunisia, a middle-income nation undergoing a host of political and economic changes, but one that’s nonetheless become an alluring destination for migrants, specifically those from sub-Saharan African nations. The analysis proceeds from an assessment of the public health situation in …

The Association Of Patient Navigator Program Features And Hospital Strategies With Processes And Outcome Metrics In Acute Myocardial Infarction And Heart Failure, Nm Albert, Tyler J Gluckman, Rl Mcnamara, Gc Fonarow, A Malik, Rg Brindis, D Lu, S Negi, S Rogers, J Mobayed

Articles, Abstracts, and Reports

No abstract provided.

Hss Advocate Departmental Spring 2019, Department Of Health And Sport Sciences

Health and Sport Sciences Newsletter

• Dr. Kim Fischer-Master Teacher of the Year
• Charity 5k Run/Walk to support funding for the Jean A. Rocks Mizia Endowed Scholarship
• Cook-off at The Promise House
• Otterbein Master of Science in Allied Health is ranked as a Top 20 Master’s in Health Science 2019
• ROTC Scholarships

Kontribusi Pengasuh Di Panti Asuhan Muslimin Dalam Pemenuhandimensi Emosional Warmth Berdasarkan Kerangka Perlindungandan Kesejahteraan Sosial Anak, Fatiyah Rahmadiana, Dwi Amalia Chandra Sekar

Jurnal Ilmu Kesejahteraan Sosial

This study aims to provide an overview of the caregiver's contribution in fulfilling child welfare in orphanages as a substitute for parents who are needed to fulfill children's development needs. This study uses the UNICEF Child Welfare and Protection Framework, namely Parenting Capacity and limits the discussion on one of the indicators, namely Emotional Warmth. This study uses a qualitative approach with a type of descriptive research. Data collection methods used are literature studies, observations and in-depth interviews. The results of this study illustrate the efforts of caregivers in fulfilling emotional warmth by showing their affection first getting closer to …

Sex Specific Outcomes Of An Ed Stopping Elderly Accidents, Deaths, And Injuries (Ed-Steadi) Program, Marna R. Greenberg Do, Mph, Facep, Jeanne L. Jacoby Md, Robert D. Barraco Md, Mph, Victoria Goodheart Do, Alexander Youngdahl Do, Ryan Day Md, Danielle Collins Md, Lauren Crowley Ba, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Nursing Clinical Calculations Adoption, Michelle Boyce, Sue West, Rebecca Maddox, Katie Bridges

Nursing and Health Sciences Grants Collections

This grant reports collection for Clinical Calculations is the result of a Round 12 ALG Transformation Grant.

Role Of Surgery In Spinal Metastases, Altaf Ali Laghari, Humza Faisal Siddiqui, Muhammad Shahzad Shamim

Section of Cardiology

Spinal metastases constitute two-third of all cases of bone metastases. Surgical intervention in these tumours has been recommended in highly selective cases, for confirming diagnosis, stabilizing the spine, and decompressing nerves or spinal cord for alleviation of pain and preservation of function.In this article,the authors have reviewed available evidence on role of surgery in spinal metastases and have presented results of selected papers on this vast topic.

The Importance Of Goal Setting: Why Every Pharmacist Should Make Goal Setting A Habit, Albert Bach, Laressa Bethishou

Pharmacy Faculty Articles and Research

"But how many of us actually practice what we preach? We have pledged to apply our knowledge, experience, and skills to the best of our ability to assure optimal outcomes for our patients. As the pharmacy profession evolves, and as we train future generations of pharmacists, we have increased opportunities to expand our role and impact as a pharmacist. Goal setting is an important and valuable tool to support us in our personal and professional growth."

Defining The Hemodynamic Response Of Hypertensive And Normotensive Subjects Through Serial Timed Blood Pressure Readings In The Clinic, Hunaina Shahab, Hamza Sohail Khan, Aysha Almas, Sohail Abrar Khan, Azmina Artani, Aamir Hameed

Section of Cardiology

Background: Every third patient in the clinic is misdiagnosed due to white-coat phenomenon, necessitating needless and costly treatment. We aimed to study the hemodynamic response of the physician's visit on hypertensive and normotensive patients by investigating the trend of blood pressure (BP) before, during and 15 min after the physician-patient encounter.
Methods: A descriptive, cross-sectional study was conducted over a period of 8 months in the cardiology clinics at the Aga Khan University Hospital, Karachi. Both hypertensive and normotensive patients, aged ≥18 years, were recruited. Pregnant females or those with a history of volume loss were excluded. BP readings were …

Transposon Mutagenesis In Mycobacterium Avium Subspecies Paratuberculosis, John P. Bannantine, Denise K. Zinniel, Raul G. Barletta

School of Veterinary and Biomedical Sciences: Faculty Publications

While transposon mutagenesis has been developed for Mycobacterium avium subspecies paratuberculosis (Map), relatively few laboratories have adopted this important genetic tool to examine gene function and essentiality. Here we describe the construction of a Map transposon library using the Himar1 mariner transposon, but concepts can also be applied to the Tn5367 transposon, which has also been used by our group. Delivery of the transposon is by a temperature-sensitive phagemid, ϕMycoMarT7, and plating transductants requires patience and specialized media due to length of incubation required to observe colonies. Several transposon mutants obtained from these libraries have been tested in vaccine and …

Mind Over (What Doesn’T) Matter: De-Stigmatizing Mental Health From Senegalese Women’S Perspectives, Jenna Marks

Independent Study Project (ISP) Collection

As a matrilocal and collectivist society, Dakar is an urban space where the woman is at the center. With this in mind, it is possible to understand all the pressures women in urban Senegalese society face. Women are the center of the household, thus being responsible for the family, finances, and the social aspect of welcoming visitors. In addition to these factors, women in Senegal also deal with community expectations and responsibilities since there is larger emphasis on the community, rather than the nuclear family in Senegalese society. This paper examines how these two aspects of Senegalese society (matrilocality and …

Rationale And Methods For A Multicenter Clinical Trial Assessing Exercise And Intensive Vascular Risk Reduction In Preventing Dementia (Rrad Study), Amanda N. Szabo-Reed, Eric Vidoni, Ellen F. Binder, Jeffrey Burns, C. Munro Cullum, William P. Gahan, Aditi Gupta, Linda S. Hynan, Diana R. Kerwin, Heidi Rossetti, Ann M. Stowe, Wanpen Vongpatanasin, David C. Zhu, Rong Zhang, Jeffrey N. Keller

Neurology Faculty Publications

Alzheimer's Disease (AD) is an age-related disease with modifiable risk factors such as hypertension, hypercholesterolemia, obesity, and physical inactivity influencing the onset and progression. There is however, no direct evidence that reducing these risk factors prevents or slows AD. The Risk Reduction for Alzheimer's Disease (rrAD) trial is designed to study the independent and combined effects of intensive pharmacological control of blood pressure and cholesterol and exercise training on neurocognitive function. Six hundred and forty cognitively normal older adults age 60 to 85 years with hypertension and increased risk for dementia will be enrolled. Participants are randomized into one of …

The Scoop, Vol. 6 Issue 1, April 2019, Health Sciences Library

Volume 6

Latest news and events from the Health Sciences Library in our monthly newsletter for April 2019.

A Baker's Dozen Of Top Antimicrobial Stewardship Intervention Publications In 2017, Daniel B. Chastain, David B. Cluck, Kayla R. Stover, Katherine T. Lusardi, Ashley Marx, Sarah Green, Carmen Faulkner-Fennell, Michelle Turner, Elias B. Chahine, P Brandon Bookstaver, Christopher M. Bland

Faculty Publications

With an increasing number of antimicrobial stewardship-related articles published each year, attempting to stay current is challenging. The Southeastern Research Group Endeavor (SERGE-45) identified antimicrobial stewardship-related peer-reviewed literature that detailed an "actionable" intervention for 2017. The top 13 publications were selected using a modified Delphi technique. These manuscripts were reviewed to highlight the "actionable" intervention used by antimicrobial stewardship programs to provide key stewardship literature for training and teaching and identify potential intervention opportunities within their institutions.

Mri Of Cranial Nerve Enhancement: King Chulalongkorn Memorial Hospital (Kcmh) Case Series, Supak Chutiphaijit, Sasitorn Petcharunpaisan

Chulalongkorn Medical Journal

Abnormal enhancement of cranial nerves (CNs) can be observed in a variety of disease. We present eightcases of cranial nerve (CN) enhancement, including inflammatory process, hematologic malignancy, perineural spreading of extracranial tumor, cerebrospinal fluid seeding of high grade primary brain tumor, demyelination and post radiation change. Based on our case series, the findings cover board differential diagnoses. The use of contrast enhanced 3-dimensional (3D) T1-weighted image (T1WI) magnetic resonance imaging (MRI) and reasonable MRI sequences can increase conspicuity of the finding. Furthermore, incorporating underlying disease, clinical duration, and associated intracranial / extracranial findings may help narrow the probable etiologies.

May Measurement Month 2017: An Analysis Of The Blood Pressure Screening Campaign Results In Pakistan-South Asia, Mohammad Ishaq, Feroz Memon, Thomas Beaney, Xin Xia, Elsa Kobeissi, Neil R. Poulter

Section of Cardiology

Elevated blood pressure (BP) is a growing burden worldwide, leading to over 10 million deaths each year. May Measurement Month (MMM) is a global initiative aimed at raising awareness of high BP and to act as a temporary solution to the lack of screening programs worldwide. Hypertension is a global health concern for developing countries. In Pakistan, apart from few population-based studies which evaluated the prevalence of hypertension, there is no current nationally representative study (the latest nationwide survey was conducted more than two decades ago). Pakistan Hypertension League, in accordance with the International Society of Hypertension directive under the …

Cime Newsletter : March - April 2019, Cime

Centre for Innovation in Medical Education (CIME) Archives

-Tools in Critical Care Nursing
-SIMWARS
-Marching in step: Boot Camp for the New Private Wing
-Protecting our most vulnerable Pneumonia
-Clinical Simulation Educators Programme: Championing the Cause
-Artificial Intelligence?
-Be Prepared: Mass Casualty Incidents can happen at any time.

Pharmacy Newsletter : April 2019, Pharmacy Department

Department of Pharmacy Archives

Content:

• New Dosing Recommendations for Safe Use of Colistin
• Fournier’s Gangrene reported with SGLT2 Inhibitors for Diabetes
• Drug Use : The Three Dosage form of Fosfomycin
• Losartan, An Effective Alternative Approach in Managing Marfan Syndrome
• Pediatric Dose Calculation when no Pediatric Dose Available?

The Use Of Folic Acid In Dengue: Has It Any Value?, Asif Ali Shah, Ahsan Ali Syed, Saad Bin Zafar, Safia Awan

Section of Internal Medicine

Folic acid is used in dengue patients. Our study aims to compare the duration of recovery of thrombocytopenia in patients with dengue infection who received folic acid and those who did not. We retrospectively reviewed the medical records of adult patients admitted over six years with a diagnosis of dengue. Of 2216 patients, 1464 fulfilled the inclusion criteria. Group A were those patients who received folic acid and group B were those who did not. A total of 1322 (90.3%) patients received folic acid. The mean time period required for platelets to double the nadir was 1.7 (±2.2) days in …

Children's Health - Building Healthier Futures, Loma Linda University Health

Scope

Table of Contents

Features
18 | Don Hogue following the plan
20 | 5 Questions with Jennifer McDonald
22 | Children's Health, legacy and future
26 | Finding peace after the pain
28 | Expanding care to regional communities
30 | Helping abused children in the Inland Empire
32 | Students mentoring community children
34 | Helping to navigate care

Departments
4 | From the President - A special kind of care
6 | Tributes - Remembering lives of service
12 | Updates - Clinical and campus news
36 | Recognitions - Industry awards
38 | Gallery - Homecoming
40 …

Shu Mph News, Vol. 1, Spring 2019, Sacred Heart University

News, Magazines and Reports

Updates from the Sacred Heart University Masters in Public Health Program.

What To Expect When You Are Not Expecting: The Biological, Psychological, And Cultural Setbacks Following Infertility, Lauren Butler 19

Honor Scholar Theses

No abstract provided.