Medicine and Health Sciences Commons^™

Continuous Epidural Hydromorphone Infusion For Post-Cesarean Delivery Analgesia In A Patient On Methadone Maintenance Therapy: A Case Report., Mellany A Stanislaus, Joseph L Reno, Robert H Small, Julie H Coffman, Mona Prasad, Avery M Meyer, Kristen M Carpenter, John C Coffman

Women’s Health Articles

The prevalence of opioid use disorder (OUD) in the United States has more than quadrupled over the past two decades. This patient population presents a number of challenges to clinicians, including difficult pain management after surgical procedures due to the development of opioid tolerance. Significantly greater opioid consumption and pain scores after cesarean delivery have been reported in patients with OUD compared to other obstetric patients. A multi-modal analgesic regimen is generally recommended, but there are few well-established pain management strategies after cesarean delivery specific to patients with OUD. We present the case of a patient with OUD maintained on …

Integrating The Functional Movement Screen ® Into Strength And Conditioning Programs, Quincy Johnson, Chantel C. Coleman, Timothy Baghurst

Topics in Exercise Science and Kinesiology

• The purpose of this article is to provide an overview of the Functional Movement Screen (FMS®) and how it can be integrated into strength and conditioning programs of all levels.
• We utilized current literature and previous FMS ® field experience to develop and recommend approaches for implementing FMS® protocols into strength and conditioning programs.
• Description of FMS® Movements: The FMS® is a comprehensive biomechanical efficiency screen which is comprised of seven movements that have been deemed fundamental to athletic performance (7). Those movements include the; deep squat, hurdle step, in-line lunge, shoulder mobility, active straight-leg raise, trunk stability push-up, and …

Transitioning From Episodic To Sustained Care In Humanitarian Service, W Howard Mcalister Od, Ma, Mph, Jeffrey L. Weaver Od, Ms, Timothy A. Wingert Od, Kristen Kramlich Od

Optometric Clinical Practice

Background: Humanitarian missions serve populations needing care and usually provide short term interventions. Traditionally, care provided through humanitarian agencies like VOSH International has been episodic, consisting of a short-term mission placing a team in country for several days. There have been discussions that episodic care is a short term measure which impedes the systematic development of a long term solution to providing the necessary health care. The move toward sustained care is a step in the direction of improving the public health in developing countries.

Method: A survey instrument was mailed to the 26 VOSH chapters in the United States …

A Vision- And Life-Threatening Case Of Peripheral Ulcerative Keratitis, Len V. Koh Od, Megan E. Mcchesney Md, Chad E. Gosnell Od, Ryan N. Ngo Od

Optometric Clinical Practice

Background: Peripheral ulcerative keratitis (PUK) is a rare but severe ocular manifestation most commonly associated with rheumatoid arthritis amongst other autoimmune diseases. Quick diagnosis and co-management with corneal specialist and rheumatologist are crucial to preserve vision and life. A rare case of PUK associated with rheumatoid arthritis (RA) is presented with updates on current understanding and co-management of this condition.

Case Report: A 76 year-old Caucasian male presented to the eye clinic on a Friday as a new patient, with a chief complaint of a red right eye started two weeks ago and was treated with erythromycin ointment, but it …

Silent Sinus Syndrome: An Uncommon Cause Of Diplopia, Tyler V. Mullen Od, Ruth Hyatt Od, Faao, Diplomate, Darcy Eberle Od

Optometric Clinical Practice

Background: Silent sinus syndrome is a rare condition with multiple ophthalmic findings of significance. Chronic, subclinical maxillary sinus inflammation alters the pressure gradient, leading to eventual maxillary sinus collapse, orbital floor depression, enophthalmos, and diplopia.

Case Report: Functional endoscopic sinus surgery may be indicated to correct diplopia and/or cosmesis.

Conclusion: Patients unbothered by facial asymmetry may be managed with prism in eyeglasses.

Case Series: Discordance Between Visible Retinal Nerve Fiber Layer Defects And Spectral Domain Optical Coherence Tomographic Analysis In Patients With Glaucoma, Joseph Sowka Od, Leticia Rousso Od

Optometric Clinical Practice

Background: Spectral domain optical coherence tomography (SD-OCT) has become a common modality in glaucoma diagnosis. Ease of use, comfort, and a comparative normative database makes this technology very popular with patients and practitioners. However, despite the sophistication of this technology, it may miss pathologic abnormalities of the retinal nerve fiber layer (RNFL) or be misinterpreted by practitioners based upon comparisons to a normative database.

Purpose: To illustrate discordance between clinical examination and SD-OCT analysis in patients with glaucoma.

Case Reports: Examples of three patients with glaucoma who had photographically and ophthalmoscopically visible RNFL defects who had SD-OCT analyses that fell …

Optometry's Contribution, Paul B. Freeman Od

Optometric Clinical Practice

Letter from the Editor-in-Chief

Incentive Sensitization For Exercise Reinforcement To Increase Exercise Behaviors, Kyle D. Flack, Harry M. Hays, Jack Moreland

Dietetics and Human Nutrition Faculty Publications

Individuals can be sensitized to the reinforcing effects of exercise, although it is unknown if this process increases habitual exercise behavior. Sedentary men and women (body mass index: 25–35 kg/m², N = 52) participated in a 12-week aerobic exercise intervention. Exercise reinforcement was determined by how much work was performed for exercise relative to a sedentary alternative in a progressive ratio schedule task. Habitual physical activity was assessed via accelerometry. Post-intervention increases in exercise reinforcement predicted increases in physical activity bouts among those who expended over 2000 kcal per week in exercise and who compensated for less than …

2020-04-27_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

2020-04-27_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …

Senior Night, Aleyah Rastetter

Reflections, Poetry, Photos, and other Writings

This is a letter regarding the loss of my senior year of high school.

Wai Puna: An Indigenous Model Of Māori Water Safety And Health In Aotearoa, New Zealand, Chanel Phillips Ph.D.

International Journal of Aquatic Research and Education

Māori (the indigenous peoples of Aotearoa, New Zealand) are intimately connected to wai (i.e., water) yet are overrepresented in New Zealand’s drowning statistics each year. On average Māori account for 20-24% of all preventable and non-preventable drowning fatalities, despite comprising only 15 percent of New Zealand’s population. Drowning remains a significant issue posing a threat to whānau (i.e., families) through premature death being imminent and whakapapa (i.e., genealogy) being interrupted. There is limited research that has examined Māori and indigenous understandings of water safety within the literature and limited studies that have investigated the issue of Māori drowning from a …

2020-04-27_Michiganoverview_Covidcounts, Michigan Department Of Health & Human Services

Michigan COVID-19 Confirmed Cases by Date of Onset Data

Data was captured from the Cumulative Data link of Michigan's Coronavirus webpage, under the url https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_99207---,00.html.

The website contained the table Count of Confirmed COVID-19 Cases by Date of Onset , sorted by Michigan Preparedness Region. It also contained 18 charts, including the count of confirmed Covid-19 cases by date of onset in the state overall as well as in each preparedness region,and the normalized rate of Covid-19 cases per 1,000,000 residents in both the state and in each preparedness region.

It's In The Bag: Tidal Volumes In Adult And Pediatric Bag Valve Masks, Benjamin Dafilou, Daniel Schwester, Nathan Ruhl, Andreia Marques-Baptista

College of Science & Mathematics Departmental Research

Introduction: A bag valve mask (BVM) is a life saving device used by all levels of health care professionals during resuscitative care. We focus most of our time optimizing the patient's position, firmly securing the mask, and frequency of ventilations. However, despite our best efforts to control these factors, we may still be precipitating harm to the patient. Multiple studies have shown the tidal volumes typically delivered by the adult BVM are often higher than recommended for lung-protective ventilation protocols. In this study we measure and compare the ventilation parameters delivered by the adult and pediatric BVM ventilators. Methods: A …

Ua3/10/2 Cares Act For Students, Wku President's Office - Caboni

WKU Administration Documents

Email from WKU president Timothy Caboni to faculty & staff regarding the Coronavirus Aid Relief & Economic Security Act for students.

2020-04-27_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

The webpage was obtained from Michigan's Coronavirus Cumulative Data page, under the link Data About Places. Data is self-reported by hospitals daily to the EM Resource System per MDHHS Director Robert Gordon's Emergency Order.

Contains the tables Statewide Available Bed Tracking for COVID-19, COVID-19 Metrics, Statewide Available PPE Tracking for COVID-19 (Statewide Available PPE and Bed Tracking), as well as the tables PPE Days On Hand and Patient Census.

2020-04-27_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., with COVID-19 results included as of 10 a.m.

Note on cumulative counts: This report is provisional and subject to change. As public health investigations of individual cases continue, there will be corrections to the status and details of referred cases that result in changes to this report.
Note on the deaths: Deaths must be reported by health care providers, medical examiners/coroners, and recorded by local health departments …

Food Insecurity Resources At The University Of Mississippi, Summer Jefferson, Anne Cafer, Georgianna Mann

APCRL Policy Briefs

Food security is defined by the United States Department of Agriculture as, "access by all people at all times to enough food for an active, healthy lifestyle." Estimates of food insecurity on college campuses range from 19-46%, but 20-25% of students who are not classified as food insecure still report anxiety about food shortage. The purpose of this policy brief is to contextualize the results from research on the campus awareness of the Ole Miss Food Bank and the nutritional analysis of the Food Bank's offerings.

2020-04-27 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Lori D. Sloane, Todd Quinn, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Ariel Hurwitz, Lynnmarie Jarratt, Jenny Situ, Alexandra Yingling, Elly Munde, Cristian Bologa, Kristine Tollestrup, Orrin Myers, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM daily cases. McKinley surpasses Bernalillo cases. NM personal stories. Pushes for earlier reopening: Grants, Roosevelt, Lea, Albuquerque. Bus route reopening. Unpaid substitute teachers. Union nurse protest. Georgia reopening. CVS Walgreens LabCorp testing. WHO endorses federal plan. Australians embrace tracing. Brazil overwhelmed. Kawasaki disease elevated. Contamination simulations. Rice cooker mask steaming. Novel eye mask. 3 million worldwide cases. Contact tracing pitfalls. Malaria inverse relationship. Wastewater surveillance. Homeless testing. Predicting death rates. Urban informal settlements. Global health guide. Improving quarantine adherence. Practice guidelines: multiple myeloma, pediatric management, pediatric dialysis, PPE in oro/nasopharyngeal conditions. Recombinant ACE2 blocks virus. Viral life …

Sars-Cov-2 Infection In A Patient On Chronic Hydroxychloroquine Therapy: Implications For Prophylaxis, Khalid M. Dousa, Sharad S. Malavade, Jennifer Furin, Barbara Gripshover, Marjorie Hatszegi, Leila Hojat, Elie Saade, Robert A. Salata

Faculty Scholarship

People exposed to COVID-19 have a risk of developing disease, and health care workers are at risk at a time when they are badly needed during a health care crisis. Hydroxychloroquine and chloroquine have been used as treatment and are being considered as prophylaxis. Our patient developed COVID-19 while on hydroxychloroquine and although more work is needed, this calls into question the role of these medications as preventive therapy.

Infectious Diseases Society Of America Guidelines On The Treatment And Management Of Patients With Covid-19, Amy Hirsch, Yngve Falck-Ytter

Faculty Scholarship

Background: There are many pharmacologic therapies that are being used or considered for treatment of COVID-19. There is a need for frequently updated practice guidelines on their use, based on critical evaluation of rapidly emerging literature. Objective: Develop evidence-based rapid guidelines intended to support patients, clinicians and other health-care professionals in their decisions about treatment and management of patients with COVID-19. Methods: IDSA formed a multidisciplinary guideline panel of infectious disease clinicians, pharmacists, and methodologists with varied areas of expertise. Process followed a rapid recommendation checklist. The panel prioritized questions and outcomes. Then a systematic review of the peer-reviewed and …

Data Analysis Of A National Health And Nutrition Examination Survey (Nhanes) To Identify The Relationship Between Obesity And Cancer, Reyhaneh A. Yazdi, Ramona Stone

Public Health Sciences Student Work

Introduction: Obesity and cancer independently are two important causes of death in the USA. A growing number of studies shows that these two chronic illnesses are related.

Objective: To examine the relationship of cancer and obesity using BMI and Waist Circumference (WC) as indicators using the National Health and Nutrition Examination Survey (NHANES) dataset.

Method: NHANES (2013-2014) dataset was used to obtain information on BMI, Waist Circumference (WC), and cancer (presence or absence) among the participants. The prevalence of obesity and cancer was tested with Pearson λ^2 test and the relationship of these two with education (5 levels) was examined …

Marijuana And Depression, Pratik Sharma, Ramona Stone

Public Health Sciences Student Work

Purpose: As the country struggles to address an epidemic of alcohol and E-cigarette, a wide-ranging category of natural substance “marijuana” have provoked a new sense of public urgency over the past decade. Notwithstanding the federal ban, selling and use of non-medical marijuana continues to escalate due to state legalization process. The purpose of this cross-sectional study is to determine the relationship between marijuana use and depression.

Methods: The 2013-2014 National Health and Nutrition Examination Survey (CDC) data was used to test the association between marijuana use and depression. This nationally representative weighted sample included N=62,769 adults ages 14 years or …

Enhancing African Student Well-Being And Success, Jeff Gillingham, Heather Edelblute, Zeinab Baba

Public Health Sciences Student Work

Purpose: African Immigrant students contribute to the diversity of West Chester University (WCU); however, little is known about how to promote their well-being, retention, and success. This is due to African immigrants often being grouped with African American students in academic research, masking any differences between these two groups. Immigrant students may face unique challenges and stressors associated with adapting to life in the US which can affect their health and academic success. For this reason, we assess sources of stress and social support needs for African immigrant students at WCU.

Methods: This study uses a qualitative design that relies …

The Effects Of Lower Body Positive Pressure Treadmill Running On Acute Femoral Cartilage Deformation, Megan Graff, Kenneth P. Clark, John J. Smith, Nicole M. Cattano

Sports Medicine Student Work

Purpose: Examine and compare the acute response of femoral cartilage in healthy individuals after running at full bodyweight (BW) (100%) and 80% BW on a lower body positive pressure treadmill. Methods: Crossover study consisted of 20 total healthy participants (10 males, 10 females). Femoral cartilage width was assessed using ultrasonography before and after the assigned running conditions. The control condition consisted of running at 6mph for 30 minutes at 100% BW, while the experimental condition consisted of running at 6mph for 30 minutes at 80% BW. Each participant ran both BW conditions, exactly one week apart. The order of conditions …

Evaluating The Outcomes Of A Health Career Summer Academy For Underserved Youth, Alyssa M. Smith, Daniel J. Baer

Sports Medicine Student Work

Purpose: The Health Career Summer Academy (HCSA) is a one-week program that introduces students from underserved populations to various health careers and areas of study in health sciences. The purpose of this study was to determine whether this week-long summer academy increased characteristics of positive youth development, promoted transferrable skills, and increased interest in college and/or health sciences careers. Methods: In 2017 and 2018, seventy-three participants (mean age = 13.6) from the greater Philadelphia area completed anonymous online surveys on the first day and final day of HCSA programs at West Chester University, Arcadia University, and Rosemont College. Surveys included …

Myocardial Work Index: A Novel Method For Assessment Of Myocardial Function In South Asian Recreational Athletes, Shantanu Sengupta, Renuka Jain, Nitin Burkule, Susan Olet, Bijoy K. Khandheria

Journal of Patient-Centered Research and Reviews

Purpose: We used a novel noninvasive method based on speckle-tracking echocardiography to evaluate myocardial performance in South Asian recreational athletes who completed a half marathon.

Methods: Transthoracic echocardiography was performed on 24 recreational athletes 48 hours before they took part in a half marathon (premarathon), within 2 hours of half marathon completion (postmarathon), and 72 hours after completion. Clinical, laboratory, and echocardiographic variables were collected. Speckle-tracking echocardiography was performed in all subjects to characterize myocardial mechanics.

Results: Mean age of participants was 41.8 ± 7.4 years, and 23 (95.8%) were male. No subject had a prior history of coronary artery …

Demographics Of Opioid Prescriptions, Isaac Linton, Simon Condliffe

Economics & Finance Student Work

The author ran Linear Probability Model and Logistic Model regressions on data from the 2017 Medical Expenditures Panel Survey to determine demographics of opioid prescriptions. The dependent variable was opioid prescription received (Y/N) and independent variables included age, education level, relative income, race, insurance status, etc. Results of the regressions showed that people with public or private insurance are more likely to be prescribed an opioid, that the problem mainly affects white people, and that as educational attainment increases, likelihood of opioid prescription decreases.

Iron Deficiency Anemia: An Unexpected Cause Of An Acute Occipital Lobe Stroke In An Otherwise Healthy Young Woman, Qian Zhang, Khine S. Shan, Conor O'Sullivan, Travis C. Nace

Abington Jefferson Health Papers

A 29-year-old caucasian woman who presented to the hospital with an acute onset of right eye visual disturbance and headache was found to have an acute left occipital lobe infarction. Past medical history was significant for iron deficiency anemia (IDA) secondary to menorrhagia. Her initial hemoglobin level was 7.8 G/DL, and her symptoms improved after iron and blood transfusions. Hypercoagulable studies were completed in the outpatient setting, and the results were unremarkable. Her acute stroke was most likely related to IDA as she had low cardiovascular risk factors along with a negative complete stroke workup.

Living Sweet: A Multi-Functional Mobile-Phone Application Strategy For Adults With Uncontrolled Type 2 Diabetes Mellitus, Chantel K. Anderson

Evidence-Based Practice Project Reports

Type 2 Diabetes Mellitus (T2DM), one of the most common chronic diseases, is increasing worldwide, and once diagnosed, lifetime self-management is critical to maintain glycemic control (Vermeire et al., 2005; American Diabetes Association (ADA), 2018). Management of T2DM has been acknowledged as challenging due to the need for strict lifestyle adaptations. From a public health perspective, uncontrolled diabetes leads to increased healthcare costs, secondary complications, and ultimately severe disabilities (ADA, 2018). The purpose of this evidencebased practice (EBP) project was to evaluate the effectiveness of a diabetes-specific mobile health application (MHA) on glycated-hemoglobin (HbA1C), self-care perception (SCP), and self-care behaviors …