Medicine and Health Sciences Commons^™

Growing Healthy Together: Protocol For A Randomized Clinical Trial Using Parent Mentors For Early Childhood Obesity Intervention In A Latino Community, Byron A. Foster, Kelsey Weinstein, Jackilen Shannon

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Latino children in the US experience high rates of obesity, increasing their risk of subsequent diabetes. There are few clinical trials among low-income, Latino families to test interventions that account for and address their unique situation.

Methods/design: This trial, conducted in a Head Start (early childhood education) setting, randomly assigns children 2–5 years of age who have obesity by CDC (Centers for Disease Control and Prevention) guidelines (at least 95th percentile body mass index) and their parents to one of three conditions: (1) control, (2) parent mentor with an experimental curriculum, or (3) parent mentor with a …

Advance Directives: Assessing Effectiveness At A Health System, Rose Allen, Tanya Cohn, Christine Edozie, Susan Howard, Patricia Mccrink

All Publications

No abstract provided.

Enhancing Natural Killer And Cd8 + T Cell-Mediated Anticancer Cytotoxicity And Proliferation Of Cd8 + T Cells With Hla-E Monospecific Monoclonal Antibodies, Mepur H. Ravindranath, Edward J. Filippone, Asokan Devarajan, Shahab Asgharzadeh

Department of Medicine Faculty Papers

Cytotoxic NK/CD8+ T cells interact with MHC-I ligands on tumor cells through either activating or inhibiting receptors. One of the inhibitory receptors is CD94/NKG2A. The NK/CD8+ T cell cytotoxic capability is lost when tumor-associated human leukocyte antigen, HLA-E, binds the CD94/NKG2A receptor, resulting in tumor progression and reduced survival. Failure of cancer patients to respond to natural killer (NK) cell therapies could be due to HLA-E overexpression in tumor tissues. Preventing the inhibitory receptor-ligand interaction by either receptor- or ligand-specific monoclonal antibodies (mAbs) is an innovative passive immunotherapeutic strategy for cancer. Since receptors and ligands can be monomeric or homo- …

More On Waiting For Test Results: When A Doctor Is The Patient, Herbert L Fred

The Texas Heart Institute Journal

No abstract provided.

Effectiveness Of Artificial Neochordae Implantation In Tricuspid Valve Repair, Salih Salihi, H Tarik Kiziltan, Ahmad Huraibat, Askin Ali Korkmaz, Ibrahim Kara, Mustafa Guden

The Texas Heart Institute Journal

Various techniques for treating tricuspid regurgitation have been described; however, because of scarce data about the long-term outcomes of different repairs, the optimal technique has not been established. We evaluated the effectiveness and durability of artificial neochordae implantation in the treatment of tricuspid regurgitation. From 2009 through 2014, 507 patients underwent tricuspid valve repair at our institution. Of those, 48 patients implanted with artificial neochordae were included in our study. The median age of the participants was 62 years (range, 4-77 yr) and 50% were women. Thirty patients (63%) were in New York Heart Association functional class III, and 11 …

Unconventional 2:1 Ventricular Pacing In A Neonate With Congenital Heart Block And Biventricular Noncompaction, Andrew E Schneider, Philip L Wackel

The Texas Heart Institute Journal

Congenital complete heart block with concomitant biventricular noncompaction cardiomyopathy has been reported once previously. Although not universal, when restrictive physiology is present, impaired diastolic filling may pose a distinct challenge to pacing during the neonatal period. We present the case of a neonate with congenital complete heart block and biventricular noncompaction that resulted in severe diastolic dysfunction and atrioventricular dyssynchrony. We intentionally used 2:1 ventricular pacing to provide atrioventricular synchrony with every paced beat, and this resulted in hemodynamic and clinical improvement. This unconventional pacing technique may be beneficial in other neonates who have complete heart block and diastolic dysfunction.

Effect Of Percutaneous Suction Thromboembolectomy On Improved Right Ventricular Function, Akbarshakh Akhmerov, Heidi Reich, James Mirocha, Danny Ramzy

The Texas Heart Institute Journal

Venous thromboembolism is a leading cause of cardiovascular death. Historically, surgical intervention has been associated with high morbidity rates. Pharmacologic therapy alone can be inadequate for patients with substantial hemodynamic compromise, so minimally invasive procedures are being developed to reduce clot burden. We describe our initial experience with using the AngioVac system to remove thromboemboli percutaneously. We reviewed all suction thromboembolectomy procedures performed at our institution from March 2013 through August 2015. The main indications for the procedure were failed catheter-directed therapy, contraindication to thrombolysis, bleeding-related complications, and clot-in-transit phenomena. We collected details on patient characteristics, procedural indications, thrombus location, …

An Unusual Case Of Takotsubo Cardiomyopathy In Pheochromocytoma, Paolo Angelini

The Texas Heart Institute Journal

No abstract provided.

Do Psychopathic Birds Of A Feather Flock Together? Psychopathic Personality Traits And Romantic Preferences, Ashley L Watts, Jessica C Rohr, Katherine L Mccauley, Sarah Francis Smith, Kristin Landfield Howe, Scott O Lilienfeld

Staff and Researcher Publications

Objective: The goal of the present studies was to investigate whether people are especially attracted to psychopathic traits, and whether there are individual differences in such attraction.

Method: Female undergraduates (N = 270; Mage = 19; 57% White, 20% Asian, 8% Black) and female and male community members (N = 426; Mage = 37; 56% female; 81% Caucasian, 10% African American, 4% Asian) reported on their own personality and constructed their ideal mate for a dating, short-term, and long-term relationship from a list of 70 characteristics drawn from well-validated criteria for psychopathic personality and diagnostic criteria for DSM-5 personality disorders …

Theorizing Indigenous Student Resistance, Radical Resurgence, And Reclaiming Spiritual Teachings About Tma’Áakni (Respect), Michelle M. Jacob, Kelly L. Gonzales, Chris Finley, Stephany Runninghawk Johnson

OHSU-PSU School of Public Health Faculty Publications and Presentations

Indigenous dispossession and environmental devastation are intertwined outcomes of settler colonialism’s cycle of violence. However, indigenous people continue to draw from cultural and spiritual teachings to resist such forms of violence, and engage in what Leanne Simpson calls “radical resurgence.” Our paper analyzes the Yakama elders’ teachings about Tma’áakni (Respect), to examine principles and forms of indigenous resistance and resurgence, demonstrated by indigenous students in support of the NoDAPL(No Dakota Access PipeLine) movement. Elders’ teachings, which are rooted in spiritual traditions held by indigenous peoples since time immemorial, are useful for understanding and articulating the importance of the contemporary indigenous …

Overcoming Barriers To Adopting And Implementing Pharmacotherapy: The Medication Research Partnership, Raina Croff, Kim Hoffman, Kelly Alanis-Hirsch, Jay Ford, Dennis Mccarty, Laura Schmidt

OHSU-PSU School of Public Health Faculty Publications and Presentations

Pharmacotherapy includes a growing number of clinically effective medications for substance use disorder, yet there are significant barriers to its adoption and implementation in routine clinical practice. The Medication Research Partnership (MRP) was a successful effort to promote adoption of pharmacotherapy for opioid and alcohol use disorders in nine substance abuse treatment centers and a commercial health plan. This qualitative analysis of interviews (n = 39) conducted with change leaders at baseline and at the end/beginning of 6-month change cycles explains how treatment centers overcame obstacles to the adoption, implementation, and sustainability of pharmacotherapy. Results show that barriers to …

Maximum Iv Tpa Dose For Obese Patients Is Associated With Greater Likelihood Of Hemorrhagic Conversion And Worse Functional Outcome At Discharge, Amy Starosciak, Felipe De Los Rios La Rosa

All Publications

No abstract provided.

Medical School Watercooler Newsletter - March 31, 2019, Lindsey Lyle

Watercooler Newsletter

This is the March 31, 2019 edition of the Frederick P. Whiddon College of Medicine's Newsletter - Watercooler.

Contents Include:

Dr. Richard Honkanen appointed chair of biochemistry and molecular biology

USA Health nurse practitioner enters Duke-Johnson & Johnson Leadership Program

Profilaksis Pasca Pajanan Terhadap Hepatitis B, Hepatitisc, Dan Human Immunodeficiency Virus Pada Petugaskesehatan, Alvina Widhani

Jurnal Penyakit Dalam Indonesia

No abstract provided.

Validation Of Ariscat Model Score To Predict Postoperativepulmonary Complications In Tertiary Referral Hospital Inindonesia, Muhammad Alkaff, Ceva Wicaksono Pitoyo, Aldy Heriwardito, Sukamto Koesnoe

Jurnal Penyakit Dalam Indonesia

Introduction. There are several prediction model score instruments that can help to assess pulmonary preoperative evaluation and it is believed that ARISCAT model score is very simple to do and have good performance, but not widely used. This score has not been yet validated in Indonesia. This study aimed to assess the performance of discrimination and calibration of ARISCAT score in predicting postoperative pulmonary complication who underwent surgery in a tertiary referral hospital in Indonesia. Methods. A retrospective cohort study was conducted to assess the external validation of ARISCAT scores in the Indonesian population. This study involved patients underwent surgery …

A Case Series Hemichorea-Hemiballism Syndrome Related Tononketotic Hyperglycemia: A Challenge To Diagnostic Process, Laksmi Sasiarini, Rahmad Budianto, Ricky C. Tarigan

Jurnal Penyakit Dalam Indonesia

Diabetes mellitus is quite familiar to health-care personnel but occasionally presents with unusual manifestations. One of them is hemichorea-hemiballismus syndrome, a spectrum of involuntary, continuous non-patterned movement involving one side of the body which is related to nonketotic hyperglycemia in uncontrolled diabetes. Here we present two cases of nonketotic hyperglycemic diabetic patients who presented with the hemichorea-hemiballismus syndrome. First – a 57 years old woman was presented with involuntary, arrhythmic, and repetitive movement on the right arm and leg, accompanied by twitching on the right face for two weeks. She had an uncontrolled history of diabetes mellitus. The second- a …

Invasive Candidiasis Prevalence Among Patients In Intensivecare Unit, Hasan Sadikin Hospital, Hafizh Ridwan Maulana, Uun Sumardi, Raspati C. Koesoemadinata

Jurnal Penyakit Dalam Indonesia

Introduction. Intensive care unit (ICU) patients have a high risk of invasive candidiasis (IC), which increase mortality and prolong length of stay in hospitals, resulting greater costs. This study aimed to determine the prevalence of IC and associated risk factors in ICU patients. Methods. A cross-sectional study was conducted including medical records of patients treated in ICU Hasan Sadikin Hospital Bandung admitted in June 2016-June 2017 whose blood sample were sent for culture. The prevalence of IC and corresponding 95% confidence interval (95% CI) was determined. A case-control study was done comparing the characteristics of patients with positive culture for …

Profil Of Implementation Of Post Exposure Prophylaxis Of Hepatitis B, Hepatitis C And Human Immunodeficiency Virus To Health Care Worker In Cipto Mangunkusomo Hospital 2014-2016, Dewi Mira Ratih, Evy Yunihastuti, Regina Lestari, Andri Andri Sulaiman, Ikhwan Rinaldi

Jurnal Penyakit Dalam Indonesia

Introduction. Health care workers (HCW) have a high risk of infectious substance exposure. Hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) are some diseases transmitted by body fluid or body tissue. Cipto Mangunkusumo Hospital Jakarta has been implementing post-exposure prophylaxis (PEP)s towards HIV, hepatitis B, and hepatitis C. This study aimed to identify the implementation of post-exposure prophylaxis of HIV, Hepatitis B, and Hepatitis C among HCW in Cipto Mangunkusumo Hospital Jakarta. Methods. A cross-sectional study was conducted to exposed workers in Cipto Mangunkusumo Hospital Jakarta between 2014-2016 who had been recorded by report. Demographic data were collected through …

The Effect Of Green Tea Extract Supplementation On Plasmamalondialdehyde (Mda) In Human With Sub-Maximal Physicalactivity, Double-Blind And Placebo-Controlled Trials, Putu Moda Arsana, Laksmi Sasiarini, Bayu Eka Nugraha

Jurnal Penyakit Dalam Indonesia

Introduction. Green Tea extract has been proven in vitro to have the ability as an antioxidant. Submaximal physical activity causes an increase in free radicals. The increase of MDA can detect the increase of free radicals. This study aimed to determine the effects of green tea extract supplementation against free radicals in submaximal physical activity by measuring plasma MDA. Methods. This double-blind controlled trial study was performed in 20 students of faculty of sports science with submaximal physical activity in the form of 1,500 meters running in 12 minutes using a treadmill. Subjects were divided into two groups: green tea …

Correlation Between The Severity Of Coronary Heart Disease Andqt Dispersion In Patients With Obstructive Sleep Apnea, Rasmijon Rasmijon, Muhammad Yamin, Syahrial M. Hutauruk, Cleopas Martin Rumende

Jurnal Penyakit Dalam Indonesia

Introduction. Coronary heart disease (CHD) and obstructive sleep apnea (OSA) are common and complex clinical problems. Both have a high risk of sudden cardiac death (SCD). QT dispersion (QTd) in electrogram is a measure of heterogeneity of myocardial repolarization that can predict the occurrence of ventricular arrhythmias that cause SCD QTd is a predictor of ventricular arrhythmias and sudden cardiac death. So far, there is no publication about the severity relationship CHD with QTd in OSA patients in Indonesia. Methods. A cross-sectional study was conducted on twenty-nine CHD patients accompanied OSA in 2015 who had undergone coronary angiography and polysomnography …

Clinical Profile Of Cirrhotic Patient With Esophageal Varices Whoundergone Band Ligation In Cipto Mangunkusumo Hospital, Kemal Fariz Kalista, Cosmas Rinaldi Adithya Lesmana, Andri Sanityoso Sulaiman, Rino Alvani Gani, Irsan Hasan

Jurnal Penyakit Dalam Indonesia

Introduction. Liver cirrhosis (LC) is the end stage of chronic liver disease. One of the main complication caused by LC is esophageal varices (EV). Bleeding due to EV rupture is the main cause of mortality in patient with LC. EV band ligation can be used for primary or secondary prophylaxis to prevent bleeding. The purpose of this study was to know the clinical profile of LC patient with EV who underwent band ligation and who not underwent band ligation. Methods. A cross-sectional study was conducted in LC patients who underwent esophagogastroduodenoscopy (EGD) in Procedure Room Division of Hepatobiliary, Departement of …

A Framework To Reveal Clandestine Organ Trafficking In The Dark Web And Beyond, Michael P. Heinl, Bo Yu, Duminda Wijesekera

Journal of Digital Forensics, Security and Law

Due to the scarcity of transplantable organs, patients have to wait on long lists for many years to get a matching kidney. This scarcity has created an illicit market place for wealthy recipients to avoid long waiting times. Brokers arrange such organ transplants and collect most of the payment that is sometimes channeled to fund other illicit activities. In order to collect and disburse payments, they often resort to money laundering-like schemes of money transfers. As the low-cost Internet arrives in some of the affected countries, social media and the dark web are used to illegally trade human organs. This …

Immunotherapy For Food Allergy: Myth Or Reality?, Gatot Soegiarto

Jurnal Penyakit Dalam Indonesia

Allergic reaction to food can have serious consequences. The only treatment option is strict allergen avoidance, but accidental ingestions happen frequently and can lead to severe and potentially life-threatening allergic reactions. Food allergy is one of the most common causes of anaphylactic reactions. Therefore self-injectable epinephrine should always be at hand in case of accidental exposure. Many food allergies may resolve over time, but most patients with persistent food allergies live with fear of anaphylactic reactions. Within the last several years, the usefulness of immunotherapy for food allergies has been investigated. Several food immunotherapies are being developed; which include oral, …

Using The Qsat To Generate Multi-Source Feedback On An In-Situ Pediatric Simulation Case, Michael C. Nguyen Md, Nicole Elliott Do, Michael R. Jong Md, Msc, Suzanne S. Puentes Bsn, Ccrn, Rn, Diane Begany Md, Matthew D. Cook Do, Louis Morolla Do, Zachary Matuzsan Do, Jennifer E. Macfarlan Mph, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Opinions Of Academic Em Society Members On The New Acgme Common Program Requirements, Shawn M. Quinn Do, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep, Terrence E. Goyke, Steven Bird Md, Megan Schagrin Mba, Gavin C. Barr Jr. Md

Department of Emergency Medicine

No abstract provided.

Emergency Department Skull Trephination For Management Of Acute Epidural Hematoma, Julie A. Fritzges Do

Department of Emergency Medicine

No abstract provided.

Prevalence Of Zoonotic Parasites In Stray Dogs In Rural Communities, Tanzania, Winifrida Kidima

Tanzania Journal of Science

The aim of this study was to identify and establish the baseline information on the prevalence of zoonotic parasites in stray dogs in Tanzania. A cross sectional study was conducted in Katavi, Arusha and Rukwa Regions in Tanzania. Intestinal parasites were analyzed from faecal samples collected from 364 dogs using modified sedimentation technique. Sixty-sixpercentage (66%) of the faecal samples were positive for gastrointestinal parasites while 7% had mixed infections, 27% were negative for the parasites. Higher proportions of the faecal samples were positive for gastrointestinal parasites in Arusha and Rukwa compared to Katavi (p< 0.0001). The prevalence of Ancylostomacaninum(49%) was higher compared to that of other parasites (p <0.0001). Prevalence of A. lumbricoideswas significantly higher compared to that of E. granulosusand S. stercoralis(p = 0.0046). There was a positive association between parasite positivity rates and collecting dog’s faecal samples near domestic animals (p < 0.00001). Parasite diversity was higher in stray dogs from Katavi and Arusha (p > 0.05). There was no association between …

Determination Of Radiation Doses To Patients Undergoing Fluoroscopically Guided Orthopaedic Procedures At Muhimbili Orthopaedic Institute In Tanzania, Jacob Busumabu, Ismael N. Makundi, Justin E. Ngaile

Tanzania Journal of Science

The aim of the present study was to determine the magnitude of radiation doses delivered to patients undergoing Fluoroscopically Guided Orthopaedic Procedures (FGOP’s) in Tanzania. The air Kerma Area Product (KAP), fluoroscopy time, organ dose and effective dose to patients undergoing FGOP’s were obtained from Muhimbili Orthopaedic Institute. A total of 72 adult patients from selected three FGOPs namely Lumbar Spine (LS), Dynamic Hip Screw (DHS) and Thoracic Spine (TS) procedures were investigated using C-arm fluoroscopy machine. The knowledge of patient demographic data, radiographic data, KAP and Monte Carlo-based PCXMC software were used to obtain the magnitude of organ doses …

Iii C Nursing And Psychology Presentation 1: Triad Of Anxiety: A Qualitative Analysis Of Anxiety In Collegiate Athletes In Nursing Programs, Morgan Vanderschauf

Life of the Scholar Multidisciplinary Conference

Anxiety and implications of anxiety were studied in nursing student-athletes. This qualitative research looked at perceptions of nursing student-athletes’ anxiety and feelings of perfectionism. Three main research questions were investigated: What impact does anxiety have on a nursing student-athletes? How does perfectionism affect a nursing-student athlete's anxiety? How can coaches and professors aid in the reduction of the nursing student-athlete's anxiety? Interviews were recorded, transcribed, and coded. Resulting phenomena led to the concept of the Triad of Anxiety. It was found that nursing student-athletes experienced perceived threats, negative internal experiences, and used coping phenomena to avoid or control their internal …

Ii C Science Presentation 4: Impetigo, Sarah Warren

Life of the Scholar Multidisciplinary Conference

This presentation is going to bring awareness to a very common disease among younger populations. Impetigo is one of the most common skin conditions that can occur in children and athletes. The research conducted looks at the etiology, signs and symptoms, complications that can arise, and the several different treatment options that are out there for it. Included within this presentation is a first-hand experience from later in 2018 as well as a case study and a comprehensive, systematic review.