Cinema: Efficient And Privacy-Preserving Online Medical Primary Diagnosis With Skyline Query, Jianfeng Hua, Hui Zhu, Fengwei Wang, Ximeng Liu, Rongxing Lu, Hao Li, Yeping Zhang

Research Collection School Of Computing and Information Systems

Online medical primary diagnosis system, which can provide convenient medical decision support through applying mobile communication and data analysis technology, has been considered as a promising approach to improve the quality of healthcare service. However, it still faces many severe challenges on the privacy of users' health information and the accuracy of diagnosis result, which deter the wide adoption of online medical primary diagnosis system. In this paper, we propose an efficient and privacy-preserving online medical primary diagnosis (CINEMA) framework. Within CINEMA framework, users can access online medical primary diagnosing service accurately without divulging their medical data. Specifically, based on …

Abstracts From The 25th Annual Health Care Systems Research Network Conference, April 8–10, 2019, Portland, Oregon

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN) is made up of nonprofit health systems with embedded research departments whose scientists are dedicated to public domain research. The network’s annual conference serves as a forum for research teams to disseminate study findings, stimulate new collaborations, and share insights about conducting research in real-world care settings. Abstracts accepted for presentation at HCSRN 2019 are published in this supplement of Journal of Patient-Centered Research and Reviews, the official scientific journal of the conference.

Factors Associated With Rapid Repeat Pregnancy Among Women In A Healthy Start Program In Kent County, Michigan, Sarah Jane Schmidt

Masters Theses

Strong Beginnings (SB) is a federal Healthy Start Program aiming to improve the health and well-being of black and Hispanic families by promoting racial equity and eliminating racial disparities in birth outcomes, including rapid repeat pregnancy (secondary pregnancy within 18 months of index birth). To better prevent the occurrence of rapid repeat pregnancy (RRP), this study explores individual, social, and environmental factors associated with RRP. De-identified data for this study included information from SB, the Maternal Infant Health Program, Medicaid claims, and birth certificates. The sample includes women enrolled in SB with an index birth between 2013 and 2015. Chi-square …

Social Class Inequalities In Tooth-Brushing Time: The Role Of Material, Behavioral, Psychosocial, And Workplace Environmental Factors Among The South Korean Population, Herry Novrinda, Dong-Hun Han, Peter Andreas

Makara Journal of Health Research

Background: Inequality in health should be prevented. The aims of this study were to assess inequalities prevalent in tooth-brushing after lunch (TAL) and in tooth-brushing before sleep (TBS) among Koreans using the NMSC indicator and to assess the role of material, health behavioral, psychosocial, and workplace environmental (WPE) determinants in associating the indicator with tooth brushing activities. Methods: The data were from the 4^th KNHANES with 6,710 workers and entrepreneurs from 19 to 54 year old, who were grouped into 12 social class positions. TAL and TBS were the outcomes. Data analysis was performed using a logistic …

Assessment Of Peripartum Psychological Disturbances In Relation To Modes Of Delivery, Ali S. Radeef, Muna Kh Al-Kubaisi, Akbar B. John, Nur Khairulnisa Ai

Makara Journal of Health Research

Background: Anxiety disorders are common during peripartum period. This study aimed to identify which mode of delivery was more prone to develop psychological disturbances. Methods: This prospective cohort study conducted among 541 pregnant women presented for spontaneous labour, induction or elective caesarean section in a Malaysian hospital. The severity of depression, anxiety and stress symptoms are assessed by using self-rated depression anxiety and stress scales in four different occasions; pre-labour/operation, 24 hours postnatal, 2 weeks, and at 6 weeks. Results: In the prenatal period, there was no statistically significant difference in the mean score of depression between …

Quality Of Life Of Primary Brain Tumor Patients Before And 3 Months After Discharge From A Hospital In Bandung, Indonesia, Amelia Ganefianty, I Made Kariasa, Susan Mcallister, Ismail Fahmi, Kalih Sarjono, Ahmad Faried, Agung B. Sutiono, Sarah Derrett

Makara Journal of Health Research

Background: The quality of life of patients with primary brain tumor in Indonesia is poorly understood. Therefore, this study aimed to investigate the health‐related quality of life of patients admitted to the Neurosurgery Department of Dr. Hasan Sadikin Hospital, Bandung, Indonesia, up to 3 months after discharge. Methods: Baseline data were collected from patients aged ≥18 years who were admitted to the hospital between October 9, 2015, and February 17, 2016. In‐person interviews were then conducted 1–2 days pre‐discharge (n = 65) and follow-up telephone interviews were made 1, 2, and 3 months post-discharge (n = 58, 55, …

Associations Of Dietary Diversity Score, Obesity, And High-Sensitivity C-Reactive Protein With Hba1c, Irmayanti Irmayanti, Arta Farmawati, Martalena Br Purba

Makara Journal of Health Research

Background: Associations of dietary diversity score (DDS), obesity and high-sensitivity C-reactive protein (hs-CRP) with glucose metabolism have been reported. Furthermore, DDS may not be associated with healthy weight. However, studies on these topics are limited in general Indonesia population. Methods: A total of 3,825 Indonesia Family Life Survey 2014/2015 participants aged 20-59 years old were included in this study. DDS was measured qualitatively in five food groups: carbohydrates, proteins, dairy products, vegetables, and fruits. Obesity was defined by Body Mass Index (BMI) classification for Indonesians. Blood analyses were performed in dried blood spot specimens. hs-CRP were analyzed using enzyme-linked immunosorbent …

In Vitro Evaluation Of The Effect Of Pluchea Indica Extracts In Promoting Glucose Consumption Activity On A Liver Cell Line, Wastuti H. Suriyah, Solachuddin J A Ichwan, Abdul R. Kasmuri, Muhammad Taher

Makara Journal of Health Research

Background: Type 2 diabetes mellitus is a chronic metabolic disorder that is associated with mortality and morbidity. Recently, several plant-based agents have been used in the management of diabetes. Pluchea indica has been traditionally consumed as a medicinal plant in Southeast Asia, and its leaves have demonstrated induction of hypoglycemic effect in normal rats. This in vitro study aimed to evaluate the potency of P. indica extracts in stimulating glucose consumption in human liver CCL-13 cell line model. Methods: P. indica leaves were dried and extracted using a series of organic solvents and water. The effect of the extracts on …

Intratumor Heterogeneity In Epithelial Cancer: Assessment In Cell Line Models And Circulating Tumor Cells, Wimba W. Dinutanayo, Ingeborg T. Keilholz, Diana Braunholz

Makara Journal of Health Research

Background: CTCs are present only in small numbers in patients' blood. This study aimed to establish a protocol for enumeration and phenotypic characterization of circulating tumor cells (CTCs) by ImageStreamX MK II (AMNIS) imaging flow cytometry and to characterize the expression of epithelial, mesenchymal, and stem cell markers in CTCs. Methods: The study used the FaDu cell line at different passages, cisplatin-resistant (FaDu CDDP-R), and irradiation-resistant (FaDu IR-R) subclones, as well as blood samples from head and neck squamous cell carcinoma (HNSCC) and colorectal cancer (CRC) patients for CTC detection (n = 5). Cells were fixed using 4% paraformaldehyde and …

Histological Changes To The Rat Mandibular Condyle In Response To Long-Term Exposure To An Extremely Low Frequency Magnetic Field, Ibrahim H. Tacir, Sabiha Z. Ulku, Muzaffer A. Ketani, Mehmet Z. Akdag

Makara Journal of Health Research

Background: The need for electrical power continues to increase along with the rapidly growing economies of industrialized countries. However, the effects of electrical fields (EFs) on human health remain unclear. Hence, the aim of the present study is to evaluate the histological effects of an extremely low frequency magnetic field (ELF-MF) on the rat mandibular condyle. Methods: Twenty female Sprague–Dawley rats were randomly allocated to one of two groups (n = 10): an untreated control group and an ELF-MF group exposed to a 1.5-mT ELF-MF for 4 h per day for 6 months. After exposure, the left mandibular …

Effect Of Body Weight Changes On Hypertension In Indonesian Adults (A 14-Year Follow Up), Yeni Mahwati

Makara Journal of Health Research

Background: Obesity is one of the major risk factors of hypertension. There is no large cohort study designed to investigate the quantitative asso­ciation between body weight changes and the risk of hypertension in Indonesia. The aim of this study was to determine the impact of longitudinal BMI changes on hypertension in Indonesian adults. Methods: Body Mass Index (BMI) was computed by dividing weight (kg) by height squared (m2). Based on the BMI at baseline, the participants formed four weight-change groups: normal weight-maintainers, weight-gainers, weight-losers and overweight or obese-maintainers. The effect of age on the relationship between body weight changes and …

Feeding And Oral Hygiene Habits Of Preschool Children In Pakistan And Their Caregivers' Attitudes, Faiza Awais, Kiran Naheed, Hazik B. Shahzad, Ayyaz A. Khan

Makara Journal of Health Research

Background: Early childhood caries remains a problem in both developed and developing countries. Several maternal determinants are involved in early caries development. This study aimed to identify feeding and oral hygiene practices associated with childhood caries in Lahore, Pakistan. Methods: A questionnaire-based survey was conducted in paediatric outpatient department of Sheikh Zaid Hospital, from January to March 2016. A total of 435 children aged 12–15 months were enrolled in the study. Results: Children who were fed milk with added sugar, were 30% more likely to have decayed teeth than those fed without sugar. Children who received on …

Periodontitis And The Elderly: An Overview Of The Disease And Its Impact On An Aging Population, Nicole Grace Weissenfluh

Senior Honors Theses

Periodontitis affects millions of Americans each year, and is especially prevalent among the elderly. Since periodontitis is a chronic, progressive condition, uninterrupted disease progression leads to irreversible oral damage; therefore, periodontitis often reduces the oral health-related quality of life. Furthermore, research strongly suggests a correlation between periodontitis and other systemic diseases (e.g., cardiovascular disease and diabetes mellitus), highlighting the importance of understanding, treating, and preventing periodontitis. This thesis explores the pathology and etiology of periodontitis, with special focus given to the prevalence and impact of the disease in the elderly population. Additionally, the connection between periodontitis and other systemic diseases …

College Student Perceptions Of Varying Disability Types: Does Contact Experience Matter?, Gianna Anderson

Senior Honors Theses

Studies exploring prejudices between groups have suggested that contact is related to attitudes. This relationship has been studied in the context of attitudes toward people with disabilities and has yielded inconsistent results. Other variables, such as gender, type of relationship, and the type of disability, have been studied in conjunction with and distinct from the contact variable. The present study, conducted among college students, investigated if the contact experience or the exposure to a specific type of disability in a vignette individually were associated with the attitude variable of social distance, as well as if there was an interaction between …

Developmental Language Disorders And Reticence In Childhood, Aimee Diehl

Theses and Dissertations

Children with developmental language disorder (DLD) struggle in a variety of social contexts. These children display different forms of social withdrawal, the most prevalent being shyness which is behaviorally manifested as reticence. The goal of the current study was to further explore the relationship between DLD and reticence in children using a revised set of items from the Teacher Behavior Rating Scale (TBRS). A total of 220 children participated in the study. A univariate analysis of variance (ANOVA) was used to determine if there were significant differences related to group, age, and gender on reticence. Findings revealed a significant difference …

Regulation Of Vaccinia Virus Replication: A Story Of Viral Mimicry And A Novel Antagonistic Relationship Between Vaccinia Kinase And Pseudokinase, Annabel T. Olson

School of Biological Sciences: Dissertations, Theses, and Student Research

Poxviruses employ sophisticated signaling pathways that thwart cellular defense mechanisms and simultaneously ensure viral factors are modulated properly. Yet, our understanding of these complex signaling networks are incomplete. For example, the vaccinia B1 kinase plays a vital role in inactivating the cellular antiviral factor BAF, and is suggested to orchestrate other pathways. B1 is highly conserved among poxviruses and exhibits a remarkable degree of similarity to VRKs, a family of cellular kinases, suggesting that the viral enzyme has evolved to mimic VRK activity. Indeed, B1 and VRKs have been demonstrated to target a shared substrate, the DNA binding protein BAF, …

The Bulletin: Sidney Kimmel Medical College At Thomas Jefferson University, Volume 68, Issue 1, Spring 2019

The Bulletin (formerly the Jefferson Medical College Alumni Bulletin)

This issue includes:

• Dean's Column - Reflecting on a Decade
• On Campus
• A Message from Elizabeth A. Dale - Jefferson Giving Day
• Discovery - Network Effects
• Alumni Profile - Robert Schless, MD 1916
• Faculty Profile - Cuckoo Choudhary, MD
• Class Notes
• Class Agent
• Bookshelf
• In Memoriam
• By the Numbers - Match Day 2019

Twenty-Seventh Annual Scientific Congress

Journal of the Hong Kong College of Cardiology

No abstract provided.

Survival And Treatment Outcomes Of Metaplastic Breast Carcinoma: Single Tertiary Care Center Experience In Pakistan, Zarka Samoon, Madiha Beg, Romana Idress, Adnan Jabbar

Department of Radiation Oncology

Background: Metaplastic breast carcinoma (MBC) is a rare disease with incidence of less than 1%. MBC present with a larger tumor size, less number of nodes involved, mostly undifferentiated triple negative tumors. We aimed to determine progression-free and overall survival and reported hospital-based incidence of MBC.
Material and Methods: A retrospective closed Cohort study elicited data of 42 patients with MBC from January 2008 to December 2013; followed till August 2016. Kaplan-Meier method was applied to compute overall and progression-free survival analysis. Cox Proportional hazard ratios were computed to assess associations between survival and independent variables.
Results: Hospital-based incidence of …

Does Weight Status Impact Metabolic Health In Adolescents When Controlling For Physical Fitness?, Stacy Stolzman, Joseph Skelton, April L. Harkins, Marie K. Hoeger Bement

Physical Therapy Faculty Research and Publications

Purpose:

To determines whether adolescents who are fit with overweight/obesity are similar in their metabolic profile to adolescents who are fit and normal weight.

Methods:

Adolescents participated in 3 sessions: (1) resting vitals and anthropometrics; (2) maximal aerobic treadmill test () to determine physical fitness; and (3) dual-energy x-ray absorptiometry and fasting laboratory draw for analysis of insulin, glucose, high-density lipoprotein, triglycerides, and C-reactive protein.

Results:

Of the 30 fit adolescents who are normal weight and 16 adolescents who are fit and overweight/obese (OW/OB), metabolic syndrome was apparent in 1 adolescent who are normal weight and 4 adolescents who are …

Oscillations In Neural Drive And Age-Related Reductions In Force Steadiness With A Cognitive Challenge, Hugo M. Pereira, Bonnie A. Schlinder-Delap Mrs., Kevin G. Keenan, Francesco Negro, Dario Farina, Allison S. Hyngstrom, Kristy A. Nielson, Sandra K. Hunter

Exercise Science Faculty Research and Publications

A cognitive challenge when imposed during a low-force isometric contraction will exacerbate sex- and age-related decreases in force steadiness, but the mechanism is not known. We determined the role of oscillations in the common synaptic input to motor units on force steadiness during a muscle contraction with a concurrent cognitive challenge. Forty-nine young adults (19–30 yr; 25 women, 24 men) and 36 old adults (60–85 yr; 19 women, 17 men) performed a cognitive challenge (counting backward by 13) during an isometric elbow flexion task at 5% of maximal voluntary contraction. Single-motor units were decomposed from high-density surface EMG recordings. For …

In Situ Pediatric Mock Codes: The First Five Minutes, Josephine N. Ruiz

Doctoral Projects

The purpose of this quality improvement project was to use in situ simulation-based mock codes to evaluate the effectiveness of participants’ actions and perceived confidence, and to potentially reinforce and improve knowledge retention, skill acquisition, and confidence levels of nursing staff with regards to pediatric emergencies. Simulated drills were evaluated with a tool focused on high-performance teams and team dynamics as outlined by American Heart Association Pediatric Advanced Life Support 2016. Twenty-four simulated drills were conducted from January to February 2019. Each hour-long session was composed of pre-briefing, simulated drill or scenario, and debriefing and took place in empty patient …

Caregiver Outcomes Of A Dementia Care Program, Leslie Chang Evertson

Doctoral Projects

The University of California, Los Angeles Alzheimer’s and Dementia Care (ADC) program enrolls people with dementia (PWD) and their family caregivers as dyads to work with nurse practitioner dementia care specialists to provide coordinated dementia care. At one year, despite disease progression, the PWDs’ behavioral and depressive symptoms improved. In addition, at one-year, caregiver depression, distress related to behavioral symptoms, and caregiver strain also improved. Not all dyads enrolled in the ADC program appear to experience benefit. Although strain and distress remained stable or decreased for the majority of caregivers, a portion reported an increase in both. Semi-structured interviewed were …

Outcomes Of Communication, Workflow Efficiency, & Patient Care Quality Resulting From A Hands-Free, Wireless Communication Device, Hyacinth Flores Carreon

Doctoral Projects

Purpose: Failures in communication have long been identified as one of the root causes of preventable medical errors. The purpose of this quality improvement project was to assess staff perceptions on the outcomes of communication, workflow efficiency, and patient care quality after the implementation of a hands-free, wireless communication device in a federal acute care setting.

Methodology: Replicating the quantitative component of a 2012 study by De Grood et al., a 10-item survey using a 5-point Likert scale was administered within a 4-week period to healthcare team members from two inpatient units composed of monitor technicians, nurses, nursing assistants, and …

An Investigation Of Social Communication Behaviors In Children With Siblings Who Have Asd, Nicole Vonada

Senior Theses

Autism spectrum disorder (ASD) is distinguished by deficits in social communication and the presence of restricted, repetitive, and stereotypic behavior. Research into familial patterns of ASD has indicated there is a behavioral phenotype in relatives, including siblings, that is milder but qualitatively similar to behaviors within ASD. This broader ASD phenotype (BAP) is characterized by sub-clinical impairments in cognition, language, and social communication, but more research is required to understand the developmental trajectory of these high-risk siblings (ASIBs). Thus, this study utilizes the Brief Observation of Social Communication Change (BOSCC), a behavioral coding assessment intended to track subtle change in …

Inspire : Vol 2, Issue 4, Department Of Medicine

INSPIRE – Department of Medicine Archives

Content

• Message From The Chair
• The Story of a Stroke Champion; Professor Ayeesha Kamran Kamal
• Department of Medicine Appreciation Evening
• Conquering Hepatitis via Micro-elimination (CHIME) Grant
• Department of Medicine
• Pilot Project;
• Electronic Attendance for Grand Rounds & Meetings
• Potential to sync with One45
• Say Good-Bye to Manual Attendance Sheets
• Department of Medicine at National and International Forums Featured Faculty Profile Dr. Syed Ahsan; “ Humility and patience are the hallmarks of a good leader.”
• What Are Academics Around the World Reading This Month?

From The American People: An Autoethnographic Exploration Of South African Ngos' Perceptions Of Pepfar, Antonia Asher

Independent Study Project (ISP) Collection

The aim of this research was to understand what the ideal partnership would be between United States (US) governmental aid agencies and South African non-governmental organizations (NGOs), specifically concerning HIV/AIDS programs funded by the US President’s Emergency Plan for AIDS Relief (PEPFAR), from the perspective of NGOs. PEPFAR is the largest relief fund for a single disease; thus, I additionally sought to deeply reflect upon myself as a US citizen in South Africa, a country that has received trillions of dollars from taxpayers such as myself.

To accomplish this, I interviewed NGO staff about the nature of current partnerships, outcomes …

Vaccine Hesitancy In The United States And Switzerland, Anna E. Lunderberg

Independent Study Project (ISP) Collection

Vaccine hesitancy (VH), or the reluctance or refusal to participate in vaccination programs, is a complex phenomenon with far-reaching impacts on society. VH can impact vaccine uptake and facilitate subsequent outbreaks, as seen with the case of measles. Perceptions of vaccination are similar in the United States and Switzerland, and misinformation in each country contributed to VH through impaired parental risk-benefit analysis; parental analysis and subsequent VH is associated with both anti-vaccination messages gaining prominence and a decrease in the public perception of the health risk from vaccine-preventable diseases (VPDs). There are many proposed strategies for addressing VH on both …

Quality Over Quantity: A Comparative Analysis Of The Quality Measures And Performance Between Switzerland And The United States, Lexi Farina

Independent Study Project (ISP) Collection

Even in the best health systems, poor quality of care continues to cause harm to patients and prevent them from receiving the best treatment possible. Thus, it is important to record and report quality of care measures because they can help inform policy changes and improve performance. In this paper, a comparative analysis between the United States and Switzerland is conducted to understand the process for defining and assessing quality indicators in each country as well as compare their quality of care performance results. The methods for this study include a literature review of relevant background information relating to quality …

Understanding Sexual Pleasure And Health: A Study Of Urban Middle-Class Women’S Narratives In New Delhi, India, Solana Chertow

Independent Study Project (ISP) Collection

The following study seeks to explore how urban-middle class women in Delhi understand, value, and access sexual pleasure. Simultaneously, it looks to understand the relationship between ideas of agency, power, and pleasure. This project was prompted by the lack of colloquial conversation happening on these subjects both globally, and in the communities familiar to the researcher. Although sex and pleasure, in both theory and practice, are extremely prominent in the lives of people around the world, discussion remains stigmatized. With these constraints in mind, this study investigates how a certain population of women became knowledgeable, and are still learning about …