Medicine and Health Sciences Commons^™

The Hsp90 Inhibitor, Auy-922, Ameliorates The Development Of Nitrogen Mustard-Induced Pulmonary Fibrosis And Lung Dysfunction In Mice, Pavel Solopov, Ruben M.L. Colunga Biancatelli, Margarita Marinova, Christiana Dimitropoulou, John D. Catravas

Bioelectrics Publications

Increased levels of heat shock protein 90 (HSP90) have been recently implicated in the pathogenesis of pulmonary fibrosis and the use of HSP90 inhibitors constitutes a potential therapeutic approach. Similarly, acute exposure to nitrogen mustard (NM) is related to the development of chronic lung injury driven by TNF-α, TGF-β, ERK and HSP90. Thus, we developed a murine model of NM-induced pulmonary fibrosis by instilling C57BI/6J mice with 0.625 mg/kg mechlorethamine hydrochloride. After 24 h, mice began receiving AUY-922, a second generation HSP90 inhibitor, at 1 mg/kg 2 times per week or 2 mg/kg 3 times per week, for either 10 …

Electrochemical Detection Of Neurotransmitters, Saikat Banerjee, Stephanie Mccracken, Md Faruk Hossain, Gymama Slaughter

Bioelectrics Publications

Neurotransmitters are important chemical messengers in the nervous system that play a crucial role in physiological and physical health. Abnormal levels of neurotransmitters have been correlated with physical, psychotic, and neurodegenerative diseases such as Alzheimer's, Parkinson's, dementia, addiction, depression, and schizophrenia. Although multiple neurotechnological approaches have been reported in the literature, the detection and monitoring of neurotransmitters in the brain remains a challenge and continues to garner significant attention. Neurotechnology that provides high-throughput, as well as fast and specific quantification of target analytes in the brain, without negatively impacting the implanted region is highly desired for the monitoring of the …

Thermal Analysis Of Infrared Irradiation-Assisted Nanosecond-Pulsed Tumor Ablation, James Hornef, Chelsea M. Edelblute, Karl H. Schoenbach, Richard Heller, Siqi Guo, Chunqi Jiang

Bioelectrics Publications

Nanosecond Pulsed Electric Fields (nsPEF) have the potential to treat a variety of cancer types including melanoma, pancreatic and lung squamous cancers. Recent studies show that nsPEF-based cancer therapy may be improved further with the assistance of moderate heating of the target. A feedbacklooped heating system, utilizing a 980-nm fiber optic laser, was integrated into nsPEF electrodes for tumor ablation. The laser beam profile was determined to be Gaussian using a knife-edge technique. Thermal properties of the biological target were evaluated based on the treatment area, penetration depth and thermal distribution due to laser irradiation with or without nsPEF. Synergistic …

Hsp90 Inhibitors For Ipf/Covid-19, Ruben Manuel Luciano Colunga Biancatelli, Pavel A. Solopov, John Catravas

Bioelectrics Publications

Heat shock protein 90 (HSP90) is an important chaperone that assists the late stage folding of several proteins involved in cell survival in response to environmental stressors. The inhibition of HSP90 is followed by a complex modulation of the proteome and the kinome, that has proved beneficial in cancer and various neurodegenerative diseases. Additionally, accumulating literature suggests that HSP90 may be a key target during the development of pulmonary fibrosis and that its inhibition could serve as a new and exciting therapeutic approach. We have summarized the current evidence about HSP90’s role in Idiopathic Pulmonary Fibrosis (IPF), the results from …

Malignant Insulinoma With Multiple Liver Metastases And Hypercalcitoninemia In A Patient With Type 2 Diabetes Mellitus Presenting As Recurrent Episodes Of Diaphoresis Due To Severe Hypoglycemia, Marco Ciacciarelli, Gianluca Caruso, Marco Rengo, Piero Maceroni, Carmen Misurale, Eleonora D'Armiento, Cristina Napoli, Alberto Lombardini, Umberto Ceratti, Ruben Manuel Luciano Colunga Biancatelli, Leonardo Calvosa, Romina Milanese, Sonia Ferri, Teresa Massaro, Andrea Larusso, Veronica Sorrentino, Vincenzo Petrozza

Bioelectrics Publications

Insulinoma is an insulin-producing pancreatic neuroendocrine tumor that can be malignant in about 10% of cases. Locoregional invasion, lymph node metastases, or remote metastases are the main criteria of malignant insulinoma. Its incidence in patients with pre-existing diabetes mellitus (DM) is exceptionally rare. In this report, we describe a 66-year-old man with long-standing type 2 DM who presented with recurrent episodes of diaphoresis due to severe hypoglycemia despite the withdrawal of insulin therapy, hypercalcitoninemia, and biochemical and radiological findings suggestive of metastatic malignant insulinoma. Unfortunately, after few days of diazoxide treatment, edema, hypotension, oliguria, and water retention were observed, patient’s …

Rawah, Rawah, Brandi Kilmer

TSOS Interview Gallery

No abstract provided.

Addressing The Covid-19 Nutrition Crisis In Vulnerable Communities: Applying A Primary Care Perspective, Madeline Mae A. Ong, Ronnah Marie Ong, Gladys Kaye Reyes, Lourdes S. Tanchanco

Ateneo School of Medicine and Public Health Publications

The coronavirus disease (COVID-19) pandemic and subsequent public health interventions have disrupted food systems all over the world. In the Philippines, where stringent lockdown rules have been implemented, households living in poverty have had to rely largely on food aid in the form of food packs distributed by local governments and private donors. An evaluation of the commonly distributed food items reveals a diet that addresses acute hunger but does not contain sufficient nutrients to promote and maintain health. Such a diet puts low-income households at a greater risk of acute and chronic disease. The negative health impact of commonly …

Physician Empathy In Public And Private Internal Medicine Residency Training Programs In Pasig City, Rafael Carlos C. Aniceto, Dave Ryan A. Dela Cruz, Mary Stephanie M. Dofitas, Kenneth Brian M. Fernando, Melody Hope L. Lee Yu, Joseph Anthony Lachica

Ateneo School of Medicine and Public Health Publications

Research Question:
What are the levels of patient-perceived and self-assessed physician empathy among internal medicine (IM) residents in two tertiary hospitals in Pasig City? Is there a significant difference in patient-perceived and self-assessed physician empathy levels between public and private tertiary hospitals?

Background:
Empathy is important because it has been speculated to have a positive effect on patient outcomes; it is a skill that can be learned and developed.

Objectives:
This study obtained quantitative measurements of patient-perceived and self-assessed physician empathy. Empathy levels between public and private tertiary hospitals were compared.

General Study Design:
This study utilized a quantitative cross-sectional …

Factors Affecting Vaccine Hesitancy Among Families With Children 2 Years Old And Younger In Two Urban Communities In Manila, Philippines, Julius Migriño Jr, Billy Gayados, Karen Rachel Joyc Birol, Lorelie De Jesus, Christopher Willis Lopez, Winona Colleen Mercado, Jan-Mark Caezar Tolosa, Joeylyn Torreda, Glaze Tulagan

Ateneo School of Medicine and Public Health Publications

Objective: The study aimed to determine the factors that influence vaccine hesitancy among parents and caregivers of children 2 years old and younger in selected urban communities in Manila, Philippines.

Methodology: The study used a cross-sectional study design with a modified questionnaire adapted from the SAGE Working Group on Vaccine Hesitancy. Self-administered surveys were conducted in two highly urbanized barangays (smallest administrative divisions) in Manila, Philippines.

Results: The survey was completed by 110 respondents, comprised mostly of 20–39-year-old mothers. Most respondents (95.5%) believed that vaccines are protective however vaccine hesitancy rates among the respondents reached 36.4%.
Respondents who believed in …

Anaphylaxis Diagnosis And Management In The Emergency Department Of A Tertiary Hospital In The Philippines, Michelle Joy De Vera, Iris Conela Tagaro

Ateneo School of Medicine and Public Health Publications

Background:
In the Emergency Department (ED), diagnosis and management of anaphylaxis are challenging with at least 50% of anaphylaxis episodes misdiagnosed when the diagnostic criteria of current guidelines are not used.

Objective:
Objective of our study was to assess anaphylaxis diagnosis and management in patients presenting to the ED.

Methods:
Retrospective chart review conducted on patients presenting to The Medical City Hospital ED, the Philippines from 2013–2015 was done. Cases were identified based on International Statistical Classification of Diseases, 10th revision coding for either anaphylaxis or other allergic related diagnosis. Cases fitting the definition of anaphylaxis as identified by the …

Direct Oral Anticoagulant Failure In Stroke/Transient Ischaemic Attack: Neurologic And Pharmacokinetic Considerations, David Z. Rose, W. Scott Burgin

Neurology Faculty Publications

No abstract provided.

Untreated Stroke As Collateral Damage Of Covid-19: “Time Is Brain” Versus “Stay At Home, David Z. Rose, W. Scott Burgin, Swetha Renati

Neurology Faculty Publications

For decades, neurologists have been advocating that anyone with acute focal deficits report immediately to the closest hospital’s emergency room. Major advancements in the hyperacute diagnosis and treatment of stroke have justified our call-to-action slogan of “Time is Brain”—faster therapy leads to superior outcomes. However, this mantra has been recently usurped by the catchphrase “Stay at Home” during the coronavirus disease 2019 (COVID-19) pandemic. Fewer patients are presenting to hospitals with acute stroke; our census is down. Presumably the etiology of this phenomenon is either strict “social distancing” that some people may misperceive to exclude even emergent situations, or fears …

Sports Performance Measures In Youth Wheelchair Basketball Athletes, Kathryn Rodebaugh

Summer Community of Scholars Posters (RCEU and HCR Combined Programs)

No abstract provided.

2020-2021 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2020-2021 Undergraduate Student Handbook of the Department of Nursing at Morehead State University.

Patient Satisfaction With Nurse Versus Non-Nurse Post-Discharge Outreach, Iyore Adonri

West Chester University Doctoral Projects

In today’s current healthcare environment, there has been an extensive focus on patient satisfaction, and healthcare leaders struggle with the options of utilizing a registered nurse or a non-nurse when making outreach follow-up calls to recently discharged patients. Healthcare leaders find that designing, implementing and managing an efficient telephone outreach program can be challenging, however, this has become a necessary aspect of the patient continuum of care plan. Studies demonstrate that patient follow-up post-discharge increases patient satisfaction and their compliance with post-discharge instructions, thereby reducing readmission rates and emergency room visits (Meek, Williams, & Unterschuetz (2018). This quality improvement project …

2019 Kentucky Board Of Nursing Workforce Update, Sydney P. Thompson, Frances J. Feltner, Melissa A. Slone

Center of Excellence in Rural Health Infographics

No abstract provided.

Kentucky’S Primary Care Workforce: Current Status And Output Of New Trainees January 2020 Update, Kevin A. Pearce, Sydney P. Thompson, Frances J. Feltner

Center of Excellence in Rural Health Workforce Reports

Primary care is the backbone of American healthcare. Primary care (PC) physicians are especially cost-effective in preventing and managing illness and disability, and prolonging years of quality life. They also contribute significantly to the economy of their communities. Primary care shortages across the Commonwealth are severe. Kentucky ranks 43^rd in the USA for its number of PC physicians per 100,000 people. The Commonwealth would have to add 246 primary care physicians annually to reach the US median by the end of 2029. Kentucky produces and retains only about 55 new PC physicians per year, recruiting 55 to 60 more …

Early Acid/Base And Electrolyte Changes In Permanent Middle Cerebral Artery Occlusion: Aged Male And Female Rats, Sarah R. Martha, Lisa A. Collier, Stephanie M. Davis, Sarah J. Goodwin, David Powell, Doug Lukins, Justin F. Fraser, Keith R. Pennypacker

Neurosurgery Faculty Publications

BACKGROUND: Early changes in acid/base and electrolyte concentrations could provide insights into the development of neuropathology at the onset of stroke. We evaluated associations between acid/base and electrolyte concentrations, and outcomes in permanent middle cerebral artery occlusion (pMCAO) model.

METHODS: 18-month-old male and female Sprague-Dawley rats underwent pMCAO. Pre-, post- (7 min after occlusion), and at 72 hr of pMCAO venous blood samples provided pH, carbon dioxide, oxygen, glucose, hematocrit, hemoglobin, and electrolyte values of ionized calcium, potassium, and sodium. Multiple linear regression determined predictors of infarct and edema volumes from these values, Kaplan-Meier curve analyzed morality between males and …

Integrating Lecture And Laboratory In Anatomy And Physiology: Student Perceptions And Performance, Jessica L. Peacock, Kathleen Fitzpatrick, Kevin E. Finn

Health Sciences Faculty Publications

The authors determined whether positive perceptions of integrating lecture and lab in Anatomy and Physiology courses persisted from 2015-2018. Students (843) and instructors (56) completed the Student Assessment of Their Learning Gains survey; perceptions were positive and consistent between both groups. Participant narratives identified the ability to immediately apply theoretical knowledge in lab as an important positive attribute in improving student learning. The authors also determined whether student performance rates, including unsatisfactory grades (C-, D, F, W), improved during integrated years. Results showed that unsatisfactory grades fell in the integrated years, while results for quiz and exam grades, compared between …

Identifying Metabolites As Markers Of Fatigue In Athletes, Christopher D. George

Honors Theses

Fatigue in athletes caused by inadequate rest and other stressors can be severely detrimental to their health, and yet there is no reliable way to measure and track fatigue. Many classical measures of fatigue like body mass and resting heart rate are not reliable ways to track the physical fatigue of an athlete because they can change with many factors. In addition, it is not known how academic stress on top of physical stress affects fatigue. Metabolomics is a relatively new area of study and tracking metabolites offers the possibility to produce biomarkers to assess fatigue. This study collected saliva …

Politiques Pronatalistes Au Vietnam : Le Fardeau De La Colonisation Française, Tessa D. Schrupp

Honors Theses

French Colonialism shaped Vietnam in profound and enduring ways. In particular, policies of the colonial government influenced the landscape of maternity and altered cultural perceptions of what it means to be a mother. Pronatalism, the promotion of female fecundity, was a central tenet of the “mission civilisatrice” promulgated by French medical professionals and government officials alike. This project seeks to examine the myriad reasons for the idealization of motherhood, the diverse responses of Vietnamese people to intervention, and the way colonial policies continue to affect modern day reproduction.

Association Between Homophobia And Perceived Discrimination In Health Care Services Among Lesbians In Chengdu, China, Linghong Liao

Chulalongkorn University Theses and Dissertations (Chula ETD)

The lesbians and its unique subculture have always been excluded by the heterosexual society. In Chinese society, they are an invisible and neglected minority group. Internalized homophobia is common where they tend to reject themselves and afraid that the people will discriminate them because they are lesbians. This situation might occur in health care service which could lead into lower healthcare utilization by the lesbians. This study aimed to assess whether the internalized homophobia has an association with the perceived discrimination while receiving health care service among lesbians in China. A cross-sectional online survey was conducted in Chengdu, China from …

Chemosensitizing Effect Of Streptomyces Crude Extract On Cisplatin-Induced Apoptosis In Human Lung Cancer H460 Cells, Theint Myat Noe Paing

Chulalongkorn University Theses and Dissertations (Chula ETD)

Although cisplatin has been considered as a first-line chemotherapeutic drug for the treatment strategy of lung cancer, its curative efficacy is limited by the occurrence of drug resistance and adverse effects. The application of non-toxic natural products for sensitization of cancer cells to conventional drugs is a recent novel strategy for cancer management to tackle these problems. This study aims to investigate effective chemosensitizer produced by Streptomyces sp. on the growth inhibition of human H460 lung cancer cells. Herein, three of eight strains isolated from peat swamp forest, Yala Province, Thailand which showed good purity analyzed by 16S rRNA sequencing …

Effect Of Different Surface Treatments On The Shear Bond Strength Between Lithium Disilicate Glass-Ceramic And Resin Cement, Siripan Simasetha

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: The study aimed to evaluate the shear bond strength (SBS) of lithium disilicate glass-ceramic and resin cement using different surface treatments. Methods: Lithium disilicate blocks (Vintage LD Press ®) were prepared, etched with 4.5 % hydrofluoric acid, and randomly divided into seven groups (n=10), depending on the surface treatments: 1) no surface treatment (control), 2) Silane Primer (KS), 3) Signum® Ceramic Bond I (SGI), 4) Signum® Ceramic Bond II (SGI/SGII), 5) experimental silane (EXP), 6) experimental-silane/Signum® Ceramic Bond II (EXP/SGII), and 7) Experimental/Adper™ Scotchbond Multi-purpose Adhesive (EXP/ADP). The specimens were cemented to resin composite blocks with resin cement and …

Assessing Embalmer Exposure To Bioaerosols And The Associated Health Risk, Geneviève Marchand, Loïc Wingert, Stéphane Hallé, Maximilien Debia

Rapports de recherche scientifique

Plusieurs manipulations réalisées sur les corps des défunts par les thanatopracteurs produisent des bioaérosols qui peuvent contenir des agents pathogènes infectieux. La ventilation générale est souvent le seul moyen utilisé dans les laboratoires de thanatopraxie pour maîtriser les bioaérosols. Toutefois, il n’y a pas de recommandations précises pour sa mise en application. De plus, peu d'études abordent les expositions professionnelles aux bioaérosols dans le domaine de la thanatopraxie tant quantitativement (niveau d’exposition) que qualitativement (identification et classification selon les groupes de risque). L’objectif de cette étude était d’évaluer l’exposition des thanatopracteurs aux bioaérosols afin d’apprécier les risques potentiels sur leur …

Effet De L’Expertise Et Du Sexe Sur Les Contraintes À L’Épaule En Manutention, Etienne Goubault, Romain Martinez, Najoua Assila, Jennifer Dowling-Medley, Élodie Monga-Dubreuil, Sophie-Anne Scherrer, André Plamondon, Mickaël Begon

Rapports de recherche scientifique

L’atteinte de troubles musculosquelettiques (TMS) parmi les travailleurs et travailleuses au Québec était récemment estimée à 732 000 cas (Stock et al., 2014). Ces TMS sont associés aux activités professionnelles impliquant des efforts physiques prolongés, intenses et/ou répétitifs, telles que des tâches d’assemblage, de manutention, d’aide à la personne ou encore de maintien de posture prolongée sur un poste de travail. Les membres supérieurs, qui représentaient 30,1 % des cas de TMS déclarés et acceptés au Québec de 1998 à 2007 (Michel et al., 2010), sont les plus touchés après le dos. Plus particulièrement, l’épaule figure comme l’articulation …

Solvants Verts : Fondements, Santé, Sécurité, Environnement Et Substitution, Denis Bégin, Caroline Couture, Michel Gérin, Maximilien Debia

Rapports de recherche scientifique

L’utilisation de solvants dans de nombreuses applications (dégraissage, nettoyage, décapage, imprimerie, peintures, adhésifs, fabrication de produits pharmaceutiques) constitue une préoccupation majeure. En effet, un grand nombre d’entre eux sont associés à des effets nocifs, tant sur la santé et la sécurité des travailleurs (brûlure, cancer, dermatite, encéphalopathie, fœtotoxicité, polynévrite) que sur l’environnement et la santé de la population générale (précurseurs de smog, pollution des eaux, couche d’ozone). Par ailleurs, de plus en plus d’entreprises veulent prendre le virage vert, c.-à-d. faire en sorte que leurs activités et leurs produits s’inscrivent dans la démarche du développement durable. C’est dans ce contexte …

Webexpo : Vers Une Meilleure Interprétation Des Mesures D'Exposition Professionnelle Aux Substances Chimiques Sur Les Lieux De Travail, Jérôme Lavoué, Lawrence Joseph, Tracy L. Kirkham, France Labrèche, Gautier Mater, Frédéric Clerc

Rapports de recherche scientifique

Une grande partie de l'activité des hygiénistes du travail consiste à mesurer les niveaux d'exposition professionnelle des travailleurs. La plupart des rapports d'évaluation de l'exposition font état d'une importante variabilité spatiale et temporelle quant à l'intensité de l'exposition, laquelle fluctue souvent du simple au décuple en dépit de conditions apparemment similaires. Il en résulte depuis toujours un défi de taille en ce qui concerne l'interprétation des niveaux mesurés par rapport aux valeurs limites d’exposition professionnelle (VLEP). Il existe désormais un cadre consensuel – issu d'une élaboration progressive au cours des deux dernières décennies – concernant l'analyse des niveaux d’exposition par …

Webexpo: Towards A Better Interpretation Of Measurements Of Occupational Exposure To Chemicals In The Workplace, Jérôme Lavoué, Lawrence Joseph, Tracy L. Kirkham, France Labrèche, Gautier Mater, Frédéric Clerc

Rapports de recherche scientifique

Une grande partie de l'activité des hygiénistes du travail consiste à mesurer les niveaux d'exposition professionnelle des travailleurs. La plupart des rapports d'évaluation de l'exposition font état d'une importante variabilité spatiale et temporelle quant à l'intensité de l'exposition, laquelle fluctue souvent du simple au décuple en dépit de conditions apparemment similaires. Il en résulte depuis toujours un défi de taille en ce qui concerne l'interprétation des niveaux mesurés par rapport aux valeurs limites d’exposition professionnelle (VLEP). Il existe désormais un cadre consensuel – issu d'une élaboration progressive au cours des deux dernières décennies – concernant l'analyse des niveaux d’exposition par …

Stimuli-Responsive Gelators From Carbamoyl Sugar Derivatives And Their Responses To Metal Ions And Tetrabutylammonium Salts, Dan Wang, Anji Chen, Joedian Morris, Guijun Wang

Chemistry & Biochemistry Faculty Publications

Carbohydrate-based low molecular weight gelators (LMWGs) are interesting compounds with a variety of applications. In this research, a library of nineteen carbamate derivatives of N-acetyl-D-glucosamine were synthesized and characterized, and several derivatives were found to be effective LMWGs. They formed gels in pump oils as well as mixtures of water with ethanol or water with DMSO. The structures of the carbamoyl chains played an important role in the gelation properties, short chain aliphatic derivatives and phenyl carbamates formed gels in more solvents than certain aromatic and dimeric carbamates. The phenyl carbamate gelator was also selected for the encapsulation of …