Medicine and Health Sciences Commons^™

Interval Training Using The Lactate Retention Method: A Pilot Study, Tyler M. Dundore

Masters Theses

Interval training (IT) is used to improve aerobic capacity and increase tolerance to lactate. Few studies to date have focused on trapping lactate in the muscles during recovery periods of IT, a method called “lactate retention”, or LR. PURPOSE: To determine if LR can produce greater improvements in lactate threshold (LT) and a faster rate of change in blood lactate concentration ([rΔBL]) compared to IT with active recovery (AR). METHODS: Ten cross-trained subjects (age 23.3 ± 4.7 years) participated; each came to the lab twice per week for the duration of the study. Visit 1 included an LT test to …

Spatial Patterns In Socio-Economic Factors And Rapid Repeat Pregnancies In Kalamazoo County, Mi, Dennis Donkor

Masters Theses

Rapid repeat pregnancy (RRP) refers to a pregnancy that occurs less than 24 months after a live birth. In the United States, several studies have focused on factors that influence women to rapidly repeat pregnancies at the national and state level. As a result, this study explores spatial patterns in RRP in Kalamazoo County at the block group local level using birth records of moms in the county from 2008 to 2014. The study further investigates individual and neighborhood factors influencing RRP. Results from the hotspot (Getis Ord G*) revealed that block groups in eastside Kalamazoo township are significant hotspots …

Over-Medicalization And Criminalization Of Birth In The United States: Exploring The Outcomes, Meg Wallace 20

Honor Scholar Theses

This paper will examine the effects that over-medicalization and criminalization have had on the state of giving birth in the United States. It will attempt to offer insight on why the United States ranks near the bottom of countries that are considered “developed” in maternal mortality rates and infant mortality rates, despite spending the highest percentage of gross national product on health care. The paper will analyze: the history behind the medicalization of birth in the United States, different methods of over-medicalization, the impacts of unnecessary medical interventions, different incentives driving medicalization, the history of criminalization of pregnant women, the …

Exploring An Instrumented Balance Assessment In Athletes With Acute Mild Traumatic Brain Injury Compared To Healthy Athletes And Non-Athletes, Bryana Popa

University Honors Theses

Balance deficits are common following mild Traumatic Brain Injury (mTBI) and can persist beyond the standard recovery period. Advances in wearable technologies, such as inertial measurement units (IMUs), have increased utilization of instrumented balance assessments. There are limited studies providing normative ranges for the Balance Error Scoring System (mBESS) to characterize abnormalities in people with mTBI. This thesis provides balance ranges for athletes with acute mTBI and normative control populations completing the mBESS. Testing occurred at the university athletic facility or the Balance Disorders Laboratory at Oregon Health & Science University (OHSU) and the Veterans Affairs Portland Health Care System …

The Impacts Of Loyola Marymount’S Summer Arts Workshop From The Perspective Of The Adult Facilitators, Alexandria C. Loiseau

LMU Theses and Dissertations

This study looks at the Summer Arts Workshop (SAW) and its impacts on the adult facilitators that are involved in the workshop’s programming and implementation. The study seeks to gain an understanding of how the workshop could be improved in order to strengthen the workshop so that its adolescent participants could continue to benefit from attending it. The research question is: What are the impacts of a therapeutically informed summer arts workshop/camp with adolescents according to participants? Strengths? Space for improvements? This study is a qualitative approach utilizing a semi-structured interview. The analysis of the data from the four interviews …

Impact Of The Covid-19 Outbreak On Long-Term Care In The United States, Courtney H. Van Houtven, Nathan A. Boucher, Walter D. Dawson

Institute on Aging Publications

The United States (US) currently has the most confirmed cases of COVID-19 of any country. Yet, adequate testing for the virus remains a major issue. Approximately 51.6 million Americans are over the age of 65 and 56 percent of adults over 65 are living with two or more chronic conditions (23 percent have 3 or more). Given the higher risk of death and complications associated with advanced age and underlying health conditions, COVID-19 has had an immense impact upon LTC in the United States. Yet, the level and intensity of impact has been sporadic in application. This is due in …

A Survey Of Feature Extraction And Fusion Of Deep Learning For Detection Of Abnormalities In Video Endoscopy Of Gastrointestinal-Tract, Hussam Ali, Muhammad Sharif, Mussarat Yasmin, Mubashir Husain Rehmani, Farhan Riaz

Publications

A standard screening procedure involves video endoscopy of the Gastrointestinal tract. It is a less invasive method which is practiced for early diagnosis of gastric diseases. Manual inspection of a large number of gastric frames is an exhaustive, time-consuming task, and requires expertise. Conversely, several computer-aided diagnosis systems have been proposed by researchers to cope with the dilemma of manual inspection of the massive volume of frames. This article gives an overview of different available alternatives for automated inspection, detection, and classification of various GI abnormalities. Also, this work elaborates techniques associated with content-based image retrieval and automated systems for …

Efficacy Of The Combination Of Pinaverium Bromide 100mg Plus Simethicone 300mg In Abdominal Pain And Bloating In Irritable Bowel Syndrome: A Randomized, Placebo-Controlled Trial, Max J. Schmulson, Jazmin Chiu-Ugalde, Adolfo Saez-Rios, Aurelio Lopez-Colombo, Gualberto J. Mateos-Perez, Jose Mario Remes-Troche, Sergio Sobrino-Cossio, Julio C. Soto-Perez, Jose L. Tamayo De La Cuesta, Oscar T. Teramoto-Matsubara, Juan Carlos Lopez Alvarenga

School of Medicine Publications

Goals: We aimed to evaluate the efficacy and safety of PB+S (pinaverium bromide 100 mg plus simethicone 300 mg) in patients with irritable bowel syndrome (IBS).

Background: IBS is a multifactorial disorder; thus, combination therapy with different mechanisms of action is expected to be useful. PB+S has shown effectiveness in an open-label clinical study in IBS. However, there are no placebo-controlled trials.

Materials and Methods: IBS-Rome III patients with abdominal pain/discomfort for at least 2 days within the week prior to baseline assessment were included in this 12-week, randomized, doubleblind, placebo-controlled study of PB+S versus placebo, bid. The primary …

Mobile Personal Healthcare System For Non-Invasive, Pervasive And Continuous Blood Pressure Monitoring: A Feasibility Study, Luis J. Mena, Vanessa G. Felix, Rodolfo Ostos, Armando J. Gonzalez, Rafael Martinez-Pelaez, Jesus D. Melgarejo, Gladys E. Maestre

School of Medicine Publications

Background: Smartphone-based blood pressure (BP) monitor using photoplethysmogram (PPG) technology has emerged as a promising approach to empower users with self-monitoring for effective diagnosis and control ofhypertension (HT).

Objective: This study aimed to develop a mobile personal healthcare system for non-invasive, pervasive, and continuous estimation of BP level and variability to be user-friendly to elderly.

Methods: The proposed approach was integrated by a self-designed cuffless, calibration-free, wireless and wearable PPG-only sensor, and a native purposely-designed smartphone application using multilayer perceptron machine learning techniques from raw signals. We performed a pilot study with three elder adults (mean age 61.3 ± 1.5 …

White Matter Structure And Myelin-Related Gene Expression Alterations With Experience In Adult Rats, Cassandra Sampaio-Baptista, Astrid Vallès, Alexandre A. Khrapitchev, Guus Akkermans, Anderson M. Winkler, Sean Foxley, Nicola R. Sibson, Mark Roberts, Karla Miller, Matthew E. Diamond

School of Medicine Publications

White matter (WM) plasticity during adulthood is a recently described phenomenon by which experience can shape brain structure. It has been observed in humans using diffusion tensor imaging (DTI) and myelination has been suggested as a possible mechanism. Here, we set out to identify molecular and cellular changes associated with WM plasticity measured by DTI. We combined DTI, immunohistochemistry and mRNA expression analysis and examined the effects of somatosensory experience in adult rats. First, we observed experience-induced DTI differences in WM and in grey matter structure. C-Fos mRNA expression, a marker of cortical activity, in the barrel cortex correlated with …

Spring 2020, Joëlle Walls

The Investigator Research Magazine

Dear readers,

We are proud to present the spring issue of The Investigator, giving you an inside look into the varied research and scholarly activities taking place at Kennesaw State.

In a new interview, President Pamela Whitten discusses KSU's growing research reputation and lessons learned from her own experiences as a researcher and mentor. Similarly, our cover story follows three First-Year Scholars as they explore the possibilities of research in Martin Hudson's lab through a new Office of Undergraduate Research initiative.

This publication would not have been possible without the contributions of the editorial team, including undergraduates Kaelyn Ireland, Geena …

Alumni Journal - Volume 91, Number 1, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Editorials
2 | Guest Editorial: Warren R. Peters '69
4 | From the President
6 | From the Deam

News
7 | This and That
10 | School of Medicine News
12 | Students
13 | Wedding Announcements
14 | Alumni News
15 | AIMS Report

APC 2020
16 | APC 2020 in Review: Featuring photos, alumni honorees, and more

Features
27 | Interview Feature: Columbus D. Batiste '98 shares his thoughts on healthy living
30 | Department Reports: Dermatology and Cardiothoracic Surgery: Harry Doa Jr., MD, and Anees J. Razzouk '82 report on their respective departments
and distinguished faculty …

N Y State Dent J April 2020

The New York State Dental Journal

The New York State Dental Journal (NYSDJ) is produced by the New York State Dental Association (NYSDA) six times a year, in January, March, April, July, September and November. Each issue features clinical and scientific articles written by researchers and practitioners from around the globe and is subject to review by a panel of specialists convened by the Editor.

Issues include cover and feature articles alongside regular columns with regional news impacting the New York membership including editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Impact Of Recurrent Miscarriage On Future Maternal Behaviors And Pregnancy Outcomes In The United Arab Emirates: The Mutaba’Ah Study, Nasloon Ali

Institute of Public Health Dissertations

Previous research has shown that recurrent miscarriage is associated with unsuccessful outcomes in future pregnancies. There is limited research on its impact on obstetric outcomes and behaviors during subsequent pregnancies, especially in the region. This dissertation aims to identify the behaviors of women during their index pregnancies and outcomes during delivery with regards to a history of recurrent miscarriage as well as the chronology of the recurrent miscarriage. This dissertation is an interim analysis of a prospective cohort study on 10,000 pregnant women who joined the Mutaba’ah Study cohort between May 2017 and April 2019. Participants were recruited during antenatal …

Obesity Is Associated With Depression In Malaysian Schoolchildren: A Cross-Sectional Study, Mohd Said Nurumal, Rohulizzat Zainal Abidin, Wisam Nabeel Ibrahim, Muhammad Lokman Md Isa, Muhammad Kamil Che Hasan

Makara Journal of Health Research

Background: Overweight and obesity, which may lead to depression, have become prevalent among children worldwide. Hence, this study aimed to measure obesity and depression among schoolchildren in Kuantan.

Methods: This cross-sectional study was conducted in three different primary schools in Kuantan by purposive sampling. With consent from their parents/guardians, participants were given a self-administered questionnaire. Demographics and anthropometric measurement data were self-reported on the basis of the school records. Furthermore, body mass index was calculated. Data were analyzed using SPSS version 20.0, and chi-square and correlation tests were conducted for the variables.

Results: Among the 300 schoolchildren …

Caregiver Burden From Caring For Dependent Elderly In Yangon, The Republic Of The Union Of Myanmar, May Zun Naing, Sein Yaw May, Min Htike Aung

Makara Journal of Health Research

Background: Elderly population and well-being of those are emerging as major challenges for families and communities. This study aimed to identify caregiving burden among caregivers who care for dependent elderly.

Methods: A cross sectional descriptive study was conducted in Tharkayta Township, Yangon, Myanmar. Total 200 caregivers were selected applying multi-stage sampling method and structured questionnaires were used to collect data. Dependent score of elderly was assessed by using Barthel Index of activities of daily living (ADL) and assessment of caregiver burden through Zarit Burden Interview.

Results: The results showed that over one fifth of caregivers 21.5% had …

Oral Health Related Quality Of Life In Stroke Survivors At Community-Based Rehabilitation Centre: A Pilot Study, In Meei Tew, Chui Ling Goo, Shahida Mohd Said, Hafizul Izwan Zahari, Noor Amalina Ali, Fatin Athirah Masawi, Aznida Firzah Abdul Aziz, Tuti Ningseh Mohd Dom

Makara Journal of Health Research

Background: Despite being a common problem, long-term disability following stroke often improves after survivors receive regular rehabilitative therapy. This study aimed to assess the oral health-related quality of life (OHRQoL) of stroke survivors who had access to a community-based rehabilitation centre after hospital discharge.

Methods: Dentate post-stroke patients receiving regular rehabilitative care with slight to moderate dependency (Barthel Index >70) and without severe cognitive impairment were involved in this study. The OHRQoL parameters were measured using the Oral Health Impact Profile-14 (OHIP-14) and EuroQol five dimensions (EQ-5D-5L) questionnaires.

Results: Thirty one patients were recruited in this study. …

The Impact Of Dental Caries On Oral Health Related Quality Of Life Amongst Adult Population In Lahore, Pakistan, Hazik Bin Shahzad, Faiza Awais, Um-E-Rubab Shirazi, Hanna Abdul Majeed, Aqeela Rafique, Maliha Shahbaz

Makara Journal of Health Research

Background: Dental caries in adults is a public health problem. A comprehensive assessment of the association between caries and Oral Health Related Quality of Life (OHRQoL) measures is essential for understanding how it impacts the daily life of people and for assessing their oral health needs.

Methods: The survey was conducted at Rashid Latif Dental Hospital, from March-June 2019. A total of 373 adults aged 18-80 years were randomly enrolled in the study. Dental caries was the main exposure, measured clinically. The OHRQoL was measured through Oral Impacts on Daily performance (OIDP) questionnaire. Caries was dichotomized and the relationship to …

Influence Of Religion On Healthcare Professionals’ Beliefs Toward Teenage Sexual Practices In Malaysia, Siti Hazariah Abdul Hamid, Debbie Fallon, Peter Callery

Makara Journal of Health Research

Background: Teenagers are influenced by their surroundings, and this may also include their sexual behavior or societal responses to this type of behavior. It is important to understand the complexity of religious mandates and sociocultural disapproval of premarital sex from the perspectives of healthcare professionals.

Methods: This qualitative study aimed to explore the influence of religion on healthcare professional’s beliefs toward providing sexual and reproductive health information and treatment. An interview topic guide was used in the in-depth interview of 32 healthcare professionals in several health clinics in Malaysia. The data were transcribed and entered into the NVivo …

Meaning Of Life Among Elderly Individuals With Chronic Diseases Living With Family: A Qualitative Study, Bahtiar Bahtiar, Junaiti Sahar, Wiwin Wiarsih

Makara Journal of Health Research

Background: Many elderly individuals receive lifelong treatment caused by chronic diseases with symptoms that affecting them physically, psychologically, socially, and spiritually. Spirituality plays an essential role in health conditions and social relationships given that it provides meaning to the elderly individuals life by allowing them to see the wisdom of life events experienced. This research aimed to explore the meaning of life among elderly individuals with chronic diseases.

Methods: This research applied descriptive phenomenology using Colaizzi’s method of thematic analysis among 13 elderly patients with chronic diseases.

Results: Elderly individuals with chronic diseases found meaning through the …

Trace Elements In Maternal Serum And Their Relationships With Preterm Birth And Fetal Growth Restriction, Rima Irwinda, Ali Sungkar, Raymond Surya, Valerie Tiempo Guinto

Makara Journal of Health Research

Background: Preterm birth (PTB) and fetal growth restriction (FGR) contribute to high hospital costs. An imbalance in the concentration of the four trace elements (i.e., copper, zinc, iron, and calcium) was shown to be associated with complications during pregnancy. This study aimed to analyze the role of these trace elements in the occurrence of PTB and FGR.

Methods: A search was conducted in PubMed, Cochrane Library, and Ovid. The articles were filtered based on the inclusion and exclusion criteria, and further screening was based on the association of articles with the clinical question. The risk of bias in …

Cervical Cancer Vaccination Awareness And Acceptance Among The Females Of Punjab, Pakistan, Sadia Minhas, Aneequa Sajjad, Muhammad Kashif, Zobaria Rehman, Muhammad Idrees, Farheen Ansari

Makara Journal of Health Research

Background: In developing countries like Pakistan, it is essential for health care professionals to have comprehensive knowledge regarding cervical cancer.

Methods: A cross-sectional self-administered paper-based questionnaire was administered to patients from 2016 to 2018. This study included 200 females who attended the gynecological OPD of Lady Willingdon Hospital Lahore, Punjab. We evaluated cervical cancer knowledge, screening, prevention, and acceptance towards the vaccination. Data entry and analysis were performed using SPSS version 20.

Results: The perception and knowledge related to cervical cancer (28%), screening (3%), prevention (3%), and vaccination (1%) among the females were poor, but a positive …

Oral Care Practices Of Adults In Turkey, Merve Koseoglu, Ozge Bal, Hatice Bilge Turkan, Beyza Cetin, Muhammed Nuri Tascioglu, Nurullah Aydin, Ozgur Sancar, Selma Altindis

Makara Journal of Health Research

Background: Information on oral health practices can play a key role in improving a community’s oral health status. The aim of this study was to determine oral healthcare practices of Turkish individuals.

Methods: A questionnaire was randomly given to 351 individuals, all of them older than 18 years. This cross-sectional study data were analyzed using descriptive statistical methods and chi-square test. Statistical significance was evaluated at p < 0.05.

Results: According this study, 62.1% of individuals visited the dentist only when they needed to. Furthermore, 58% of individuals brushed their teeth twice a day; 12.5% of them used miswak; …

Development And Management Of Canine Adverse Food Reactions And Its Connections To The Grain-Free Dog Food Movement, Savannah Dunn

Senior Honors Theses

Canine Adverse Food Reactions include immunologically-mediated food allergies as well as non-immunological food intolerances. Although popular belief holds grains are responsible for AFR, the majority are aggravated by the common protein sources found in commercial dog foods. Elimination diets, a time-intensive method in which suspected allergens are removed from the dog’s diet, are the most effective form of diagnosis, though alternative techniques including patch testing and serum antibody tests have been explored. Presently, avoidance of allergens is the recommended management approach. The erroneous association of grains with AFR has led to the rise of grain-free dog food. However, these nontraditional …

An Investigation Into Differences In The Infant Intestinal Microbiome Based On Method Of Delivery, Savannah Whitney

Senior Honors Theses

The infant intestinal microbiome is greatly influenced by method of delivery in relation to bacterial composition, diversity, and richness. The intestinal tracts of cesarean delivered infants are more likely to be colonized with skin microbiota like Clostridium, Staphylococcus, Streptococcus, and Corynebacterium, and have less bacterial diversity and richness than their vaginally delivered counterparts, who are more likely to be colonized with Bacteroides, Bifidobacterium, and Lactobacillus, which are common vaginal bacteria. These microbial differences make cesarean delivered infants more likely to develop allergies, asthma, eczema, gastrointestinal conditions, obesity, and diabetes, among other diseases. Though vaginal seeding has been proposed …

Assessment Of Working Relationships Between Athletic Training Program Faculty And Clinical Preceptors, Kathleen Williams

All Theses And Dissertations

Athletic training degree programs require both clinical and classroom educational content. The educational content of the 2020 Standards, adopted in 2018 by athletic training’s accrediting body, included a requirement for additional skills and a minimum level degree. However, clinical preceptors educated prior to 2018 working in athletic training programs are often not proficient or trained in the new techniques. The change in athletic training educational knowledge has led to a theory–practice gap between athletic training faculty and clinical preceptors working in the field. Athletic training faculty and clinical preceptors need good communication and interpersonal working relationships to bridge the gap …

Disseminated Carcinomatosis Of Bone Marrow In An African Man With Metastatic Descending Colon Carcinoma, Harrison Chuwa, Nadeem Kassam, Casmir Wambura, Omar Sherman, Salim Surani

Internal Medicine, East Africa

Colorectal cancer (CRC) is ranked third worldwide and seventh in Tanzania. The liver and lungs are the most commonly involved sites. Disseminated carcinomatosis of the bone marrow (DCBM) from colorectal carcinoma is rare and typically indicates widespread disease and poor prognosis. We report a case of a 40-year-old African male, who presented to us with abdominal distension, weight loss, fever and change in bowel habit over the past month. He underwent colonoscopy which revealed a necrotic mass in the descending colon. Biopsies were taken, and histopathology confirmed the presence of poorly differentiated mucin-producing adenocarcinoma. The patient suffered a colonic perforation …

On The Estimation Of The Incidence And Prevalence In Two-Phase Longitudinal Sampling Design, Prithish Banerjee, Samiran Ghosh

Faculty, Staff and Student Publications

Two-phase sampling design is a common practice in many medical studies. Generally, the first-phase classification is fallible but relatively cheap, while the accurate second phase state-of-the-art medical diagnosis is complex and rather expensive to perform. When constructed efficiently it offers great potential for higher true case detection as well as for higher precision at a limited cost. In this article, we consider epidemiological studies with two-phase sampling design. However, instead of a single two-phase study, we consider a scenario where a series of two-phase studies are done in a longitudinal fashion on a cohort of interest. Another major design issue …

Review Of Cerebral Palsy: The Various Intervention Techniques, Taylor Jo Schultz

Honors Thesis

Cerebral palsy (CP) is a neurodevelopmental disorder that results from a disruption in the development in the infantile or fetal brain. It affects over 17 million people worldwide. The goal of this review paper is to provide an in-depth literature review behind the causes, diagnosis, associated disorders of CP as well as the treatment interventions that would lead to a comprehensive treatment plan for CP patients. There are many possible causes of CP, contrary to the popular belief that CP is only caused by hypoxia or ischemia at birth. Diagnosis requires determining the motor function, part(s) of the body affected, …

The Relationship Between The Cervical Microbiome And Cervical Cancer Risk In Sub-Saharan Africa, Cameron G. Klein

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

Despite ongoing efforts, sub-Saharan Africa faces a higher cervical cancer burden than anywhere else in the world. Besides HPV infection, definitive factors of cervical cancer are still unclear. Dysbiosis of the cervicovaginal microbiota, particularly involving sexually transmitted infections, is associated with increased cervical cancer risk. Notably, HIV infection, which is prevalent in sub-Saharan Africa, greatly increases risk of cervicovaginal dysbiosis and cervical cancer. To better understand and address cervical cancer in sub-Saharan Africa, a better understanding of the regional cervicovaginal microbiome is required. In this study, I establish the relationship between cervical cancer, HPV, HIV, cervicovaginal infections, and the cervicovaginal …