Medicine and Health Sciences Commons^™

A Case Of Sjogren’S Syndrome With Leucocytoclastic Vasculitis With Hypokalemic Periodic Paralysis, Dr. Pranay Penmetsa, Dr. Subramanian R

Digital Journal of Clinical Medicine

No abstract provided.

“Hunting” A Case Of External Ophthalmoplegia: Tolosa-Hunt Syndrome, Dr Vaishnavi S.G, Dr Shasthara P

Digital Journal of Clinical Medicine

No abstract provided.

A Case Of Tenofovir Induced Osteopenia, Dr Kruthi M, Dr Rajendra Prasad S

Digital Journal of Clinical Medicine

No abstract provided.

Disparities In Health Behavior Risks Among Employed And Disparities In Health Behavior Risks Among Employed And Unemployed Black And White Older Adults, M. Courtney Hughes, Tamara A. Baker, Hansol Kim

Faculty Articles, Papers, and Other Scholarship

Objective: Examine health behavior risk rates and disparities in health behavior risks related to race and employment among older adults.

Methods: A cross-sectional analysis of a representative sample of noninstitutionalized adults aged 65 and older (150,669 in 2015 and 168,011 in 2016) from the Behavioral Risk Factor Surveillance System. Self-reported health behavior risks were measured as well as multiple logistic regression analyses assessing the independent effects of demographic variables on health behavior risks.

Results: Employed older adults have greater health behavior risks than unemployed older adults. Black employed older adults have greater health behavior risks than Black unemployed older adults …

Outnumbered Azerbaijani Women In Managerial Jobs: Secondary Data And Interpretive Phenomenological Analysis, Gunel Karimova

Khazar Journal of Humanities and Social Sciences

The purpose of the present study is to examine the existing position of Azerbaijani women regarding managerial jobs in the spheres of education and public sector, as well as individual experiences and perspectives of a group of Azerbaijani women related to this. Drawing upon secondary data analysis and interpretive phenomenological analysis (IPA), the research seeks to explore how Azerbaijani women are positioned statistically with regards to managerial jobs in the spheres of education and public sector, how a group of Azerbaijani women in the fields of education and public sector reflect on their individual case and relevant trends in the …

A Whole-School Approach To Promoting Staff Wellbeing, Leanne Lester, Carmel Cefai, Valeria Cavioni, Amy Barnes, Donna Cross Professor

Australian Journal of Teacher Education

A caring school community can enhance whole-school wellbeing including the wellbeing of school staff, which directly impacts on student academic, social and emotional wellbeing. This study firstly examines the validity and reliability of a proposed whole-school staff wellbeing evaluation tool which uses a set of whole-school wellbeing indicators to identify strengths and areas for improvement within the school environment which may be impacting on staff wellbeing. Secondly, the association between factors found within the whole-school staff wellbeing tool with staff self-reported mental health are examined, and finally, the influence of person characteristics and role of factors on perceived whole-school staff …

Lightweight Sharable And Traceable Secure Mobile Health System, Yang Yang, Ximeng Liu, Robert H. Deng, Yingjiu Li

Research Collection School Of Computing and Information Systems

Mobile health (mHealth) has emerged as a new patient centric model which allows real-time collection of patient data via wearable sensors, aggregation and encryption of these data at mobile devices, and then uploading the encrypted data to the cloud for storage and access by healthcare staff and researchers. However, efficient and scalable sharing of encrypted data has been a very challenging problem. In this paper, we propose a Lightweight Sharable and Traceable (LiST) secure mobile health system in which patient data are encrypted end-to-end from a patient’s mobile device to data users. LiST enables efficient keyword search and finegrained access …

Metrics For Identifying Food Security Status, Nicholas Ogot

All Peer-Reviewed Publications

This chapter introduces food security as “a state when at all the time, all people can access adequate, safe and efficient nutritive food that meet their dietary needs and food preferences for a healthy and active healthy life.” While metrics refer to the measure of quantitative elements assessed in a research, a wide variety of data content obtained from the field is guided by a process of numerous methods that aim at efficiency. Food security metrics focus basically on the four domains of food security: availability, accessibility, utilization, and stability. The need for new metrics is essential for improving the …

A Rare Case Of Bleeding Epiphrenic Esophageal Diverticulum From Arteriovenous Malformations., Franklin L. Thelmo, Harvey Guttmann, Waqas Ullah, Ahmad Arslan, Eugen Brailoiu

Abington Jefferson Health Papers

Epiphrenic esophageal diverticula (EED) is a rare condition that usually presents with dysphagia in patients with a known motility disorder. In this article, we present a unique case of EED presenting with hemoptysis with clinical workup negative for any pulmonary pathology. Esophagogastroduodenoscopy revealed arteriovenous malformations within the EED successfully managed with argon plasma coagulation (APC), leading to a resolution of the patient's symptoms.

Proprotein Convertase Subtilisin/Kexin Type-9 (Pcsk-9) Inhibitors Induced Liver Injury - A Retrospective Analysis., Yousuf Zafar, Yasar Sattar, Waqas Ullah, Sohaib Roomi, Mamoon-Ur- Rashid, Muhammad Shayan Khan, Laura Schmidt

Abington Jefferson Health Papers

Background: Proprotein convertase subtilisin/Kexin type 9 (PCSK-9) inhibitors induced liver dysfunction in patients with or without previous liver injury, and this is not well discussed in the previous literature.

Methods: A total sample of 202 patients were retrospectively reviewed at the University of Missouri, Kansas City, from the year 2015 to 2018 based on predefined selection criteria. Inclusion criteria involved patients with dyslipidemia, with or without PCSK-9 inhibitors, liver function tests and lipid profile at baseline and at a mean of 6-month follow-up. The variables, including age, gender, and confounding factors like other medications (statin, oral antidiabetic, and antihypertensive) induced, …

Spinal Motor Neuron Excitability And Balance Control Changes Following Downslope Walking, Nikki Aitcheson-Huehn

Theses and Dissertations (Comprehensive)

Downslope walking (DSW) has been proposed as a rehabilitation tool for people with Multiple Sclerosis (PwMS) although there are mixed findings in young adults (YA) regarding the balance control changes, despite both populations experiencing depressed spinal motor neuron (MN) pool excitability. Our aim was to determine whether YAs could demonstrate improved balance control in conjunction with SOL H reflex depression (estimate of spinal MN excitability) following DSW. We also aimed to determine whether reciprocal inhibition was a potential mechanism for H reflex depression via conditioned SOL H reflexes. Thirty young adults (23±1.4y, 6 males) were assigned to 30-minutes of DSW …

Exploring Young Acb Women’S Experiences Of Navigating Sexual Health In The Greater Toronto Area., Natasha Afua Darko

Theses and Dissertations (Comprehensive)

This thesis explores the experiences of young African, Caribbean, and Black (ACB) women in the Greater Toronto Area (GTA) regarding how they navigate sexual health. Young ACB women face challenges that put them at increased risk for HIV and other sexually transmitted infections. Despite this, few studies have focused on the social contexts that affect sexual health for ACB women in Canada. This Community Based Participatory Research ( CBPR) study (N = 24) utilized focus groups to examine young ACB women's experiences navigating sexual health. In the following thesis document, I present two manuscripts where I share a) a reflection …

A Qualitative Investigation Into The Influence Of A Mental Health Physical Activity Intervention On University Students, Heather M. Tunks

Theses and Dissertations (Comprehensive)

Objective

Among the university student population, mental illnesses are highly prevalent. Adults aged 20-30 years have the highest rates of mood and anxiety disorders than any other age group, with approximately 12.0% diagnosed with an anxiety disorder and 7.0 to 9.0% experiencing clinical depression (Nunes et al., 2014; Pedrelli, Nyer, Yeung, Zulauf, & Wilens, 2015). Reducing or preventing the effects of mental illness among this population may have lifelong implications including improvements in coping and management of mental illness throughout the lifespan(Jaworska, DeSomma, Fonseka, Heck, & MacQueen, 2016). This research examines the lived experiences of volunteers and participants in a …

“This Is My Little World…”: Navigating The Group Exercise Experience Of Stay-Fit Members, Olivia Jones

Theses and Dissertations (Comprehensive)

Objective

Cancer is the leading cause of death in Canada, with one in two Canadians expected to develop cancer over their lifetime (Canadian Cancer Society, 2019). Exercise is reportedly a safe therapy to help ease the common side effects of cancer and its treatments (Schmitz et al., 2010). Past research has shown the benefits of group exercise while in treatment for cancer, but there is a dearth of research regarding the impact of long-term group exercise programming for cancer survivors. This phenomenological study explored the lived experiences of group exercise participation for individuals who previously had cancer and were enrolled …

The Influence Of Classroom Physical Activity Breaks At Different Times Of Day On On-Task Behaviour And Physical Activity Levels In Primary School Children, Abigail A. Broad

Theses and Dissertations (Comprehensive)

Classroom physical activity breaks (CAB) are beneficial for increasing children’s physical activity (PA) levels as well as the amount of time spent being on-task within the classroom. This study examined the effect of CAB at different times within the school day on on-task behaviour and PA levels in primary school (grade 1-3) children. Thirty-five children participated in CAB in four different conditions (within-subject): morning (AM), afternoon (PM), both the morning and afternoon (BOTH), and no CAB (CTRL). PA levels were monitored via activPAL accelerometers for 24 h starting at the beginning of the school day. On-task behaviour was observed for …

Well-Being, Discrimination, And Self-Management Among Racialized Lgbq+ Newcomers Living In Waterloo Region, Ontario, Emily Cox

Theses and Dissertations (Comprehensive)

Racism and homo/biphobia may negatively impact the well-being of racialized LGBTQ+ newcomers. While current research focuses predominantly on negative aspects of well-being (e.g., distress, exclusion), research on resilience and positive aspects of well-being (e.g., positive affect) is limited. Although self-management strategies (i.e., activities and attitudes to improve one’s well-being) could be a key factor in promoting well-being, previous research has not addressed how racialized LGBTQ+ newcomers use self-management strategies. Further, there is limited research about the role service providers (e.g., settlement services, mental and physical health services) play in supporting these strategies. In this study, eight racialized LGBQ+ newcomers and …

Positive Wellbeing Among University Students From Diverse Communities: A Place-Based Approach, Kevin Bonnell

Theses and Dissertations (Comprehensive)

Universities in Canada and across the globe are experiencing a significant diversification of their student population. However, there is a great need to understand how campus spaces can better support the wellbeing of diverse students, where supports have traditionally been built to support a privileged and homogenous group of students. The study builds on a multi-disciplinary theoretical framework (wellbeing, intersectionality, microaggressions, and the Psycho-environmental Potential Model) to explore a) the positive wellbeing of diverse students (i.e., racialized; lesbian, gay, bisexual, transgender and queer, and/or living with any type of mental health issue or physical disability) and b) how the physical …

Fall Reading Week: Exploring The Effects On Student Well-Being, Roobina Medhizadah

Theses and Dissertations (Comprehensive)

Mental health is a concerning issue in post-secondary institutions across Ontario. Post-secondary students are challenged with many stressors such as time management and living independently for the first time (Wagner & Rhee, 2013). In an attempt to help students, maintain or improve their mental health, universities across Ontario have implemented fall reading week, a mid-semester break (Poole et al., 2017). Previous studies (Cramer & Pschibul, 2017; Poole et al., 2017) provided mixed results in whether fall reading week positively influences student mental health and well-being. To date, few studies have explored the influence of fall reading week on student health …

Pennsylvania’S Covid-19 Response Vs. Homeland Security Frameworks And Research: Masking The Whole Community, Alexander Siedschlag

Publications

This essay offers an intermediate discussion of select policy, strategic, operational, and tactical issues that demonstrate where and how the Commonwealth of Pennsylvania’s novel coronavirus response on the one hand, and homeland security frameworks and research on the other, converge or—more often so—diverge, and how to narrow this gap. Although typically framed as a pandemic owned by the public health sector, the COVID-19 response falls directly within the homeland security mission space, whose core missions include “Ensuring Resilience to Disasters.” In some respects, Pennsylvania’s response exemplifies best practices suggested by research. In other dimensions, it is neither in line with …

Treating Substance Use Disorders Through An Attachment Lens: A Case Example, Kathleen Locker

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Substance use treatment addresses addiction behaviors, increasing coping skills, and sobriety but current modalities do not address the insecure attachment styles that may contribute to substance use for many individuals. Insecure attachment styles seemingly have a bidirectional relationship with substance use and are therefore are likely an important aspect of treatment. This case example focuses on an attachment therapist’s work with a young man with a substance use disorder and attachment insecurity. Attachment theory interventions are proposed to address potential contributors of continued substance use. This paper proposes that using attachment theory in combination with existing treatment modalities for substance …

Diabetes Risk Status And Physical Activity In Pregnant Women: U.S. Brfss 2011, 2013, 2015, 2017, Bethany Rand

UNF Graduate Theses and Dissertations

Objective: We sought to examine differences in aerobic activity (AA) and muscle-strengthening activity (MSA) by diabetes risk status (DRS) among pregnant women in the United States.

Background: Pregnant women without complications are advised to engage in physical activity (PA) to mitigate adverse outcomes. Differences may exist among pregnant women of diverging diabetes status in meeting national PA recommendations.

Methods: The sample (n=9,597) included pregnant women ages 18-44, who participated in 2011, 2013, 2015, and 2017 Behavioral Risk Factor Surveillance System. Levels of DRS were: no diabetes (ND), high risk for diabetes (HRD) due to self-reported gestational diabetes or …

Covid-19: A Simple Curve Approximation Tool, Jane Courtney

Articles

In the current COVID-19 pandemic, much focus is put on ‘flattening the curve’. This ‘curve’ refers to the cases versus time graph, which shows the rise of a disease to its peak before descending. The aim in a pandemic is to flatten this curve by reducing the peak and spreading out the timeline. However, the models used to predict this curve are often not clearly outlined, no model parameters are given, and models are not tested against real data. This lack of detail makes it difficult to recreate the curve from these models. What is much needed is a simple …

Herpes Simplex Virus 1 Targets Irf7 Via Icp0 To Limit Type I Ifn Induction, David Shahnazaryan, Rana Khalil, Claire Wynne, Caroline A Jefferies, Joan Ní Gabhann-Dromgoole, Conor C Murphy

Articles

Herpes simplex keratitis (HSK), caused by herpes simplex virus type 1 (HSV‑1) infection, is the commonest cause of infectious blindness in the developed world. Following infection the virus is initially suspended in the tear film, where it encounters a multi‑pronged immune response comprising enzymes, complement, immunoglobulins and crucially, a range of anti‑viral and pro‑inflammatory cytokines. However, given that HSV‑1 can overcome innate immune responses to establish lifelong latency throughout a susceptible individual’s lifetime, there is significant interest in understanding the mechanisms employed by HSV‑1 to downregulate the anti‑viral type I interferon (IFN) mediated immune responses. This study aimed to investigate …

Projections Of Excess Mortality Related To Diurnal Temperature Range Under Climate Change Scenarios: A Multi-Country Modelling Study, Whanhee Lee, Yoonhee Kim Yoonhee Kim, Francesco Sera, Antonio Gasparrini, Rokjin Park Rokjin Park, Hayon Michelle Choi, Kristi Prifti, Michelle L. Bell, Rosana Abrutzky Rosana Abrutzky, Yuming Guo Yuming Guo, Shilu Tong Shilu Tong, Micheline De Sousa Zanotti Stagliorio Coelho, Paulo Hilario Nascimento Saldiva, Eric Lavigne, Hans Orru, Ene Indermitte, Jouni J K Jaakkola, Niilo R I Ryti, Mathilde Pascal Mathilde Pascal, Patrick J. Goodman, Ariana Zeka, Masahiro Hashizume Masahiro Hashizume, Yasushi Honda, Magali Hurtado Diaz, Julio César Cruz Julio César Cruz, Ala Overcenco, Baltazar Nunes, Joana Madureira, Noah Scovronick, Fiorella Acquaotta, Aurelio Tobias, Ana Maria Vicedo-Cabrera Ana Maria Vicedo-Cabrera, Martina S. Ragettli, Yue-Liang Leon Guo, Bing-Yu Chen, Shanshan Li, Ben Armstrong, Antonella Zanobetti, Joel Schwartz, Ho Kim

Articles

Various retrospective studies have reported on the increase of mortality risk due to higher diurnal temperature range (DTR). This study projects the effect of DTR on future mortality across 445 communities in 20 countries and regions.

Maternal Mortality Among African American Women In The State Of Georgia, Causes, Policy, And Ethical Considerations, Zahra Shahin, Isabella M. Hardwick, Nancy Jeffery, Jalisa Jordan, William Mase

Health Policy & Community Health: Faculty Publications

Background

The U.S. is currently one of thirteen countries where maternal mortality rates (MMR) is worse now than it was fifteen years ago. Reducing maternal mortality is one of the significant challenges facing the health system in the United States, especially in the State of Georgia, which has one of the highest MMR in the nation. The purpose of this review is to explore the causes, policy, and ethical contextual factors contributing to increased maternal mortality rates among African American women in the State of Georgia. Also, identifying and addressing weaknesses and gaps that exist in the healthcare system and …

Improving Patient Satisfaction With The Virtual Handoff Process Through The Utilization Of Educational Pamphlets In The Emergency Department, Lynda Michelle Heintz

Doctoral Dissertations and Projects

Boarding patients in the emergency room while waiting to transfer the patient to the proper unit can be harmful to clinical care and have significant financial opportunity costs. At one local hospital it was found that on average patients were being boarded in the emergency room (ED) for approximately 85 minutes waiting to be transferred. Several barriers that caused this delay were found including, delay in room cleaning, nurse staff shortage, and inability to give report to the nurse receiving the patient. In an attempt to combat this delay which may be caused by a difficulty in giving patient report, …

A Transcendental Phenomenological Study Of Student Nurses With Learning Disabilities In The Clinical Learning Environment, Lorna Jean Woodhall

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to record the lived experiences of nursing students with learning disabilities while in the clinical learning environment. Dewey’s theory of education and Knowles’ theory of adult learning were used to ground this study. Their theories provided a foundation to understand how the learning process is affected in nursing students with learning disabilities in the clinical learning environment. The study answered the following research questions: (a) What are the lived experiences of student nurses with learning disabilities in the clinical learning setting? (b) How are nursing students impacted by their learning disability during …

Circuit Development In The Master Clock Network Of Mammals, Vania Carmonia-Alcocer, Kayla Rohr, Deborah A.M. Joye, Jennifer A. Evans

Biomedical Sciences Faculty Research and Publications

Daily rhythms are generated by the circadian timekeeping system, which is orchestrated by the master circadian clock in the suprachiasmatic nucleus (SCN) of mammals. Circadian timekeeping is endogenous and does not require exposure to external cues during development. Nevertheless, the circadian system is not fully formed at birth in many mammalian species and it is important to understand how SCN development can affect the function of the circadian system in adulthood. The purpose of the current review is to discuss the ontogeny of cellular and circuit function in the SCN, with a focus on work performed in model rodent species …

The Prevalence Of Overweight And Obesity In Irish Children Between 1990 And 2019, Aisling O'Donnell, Maria Buffini, Laura Kehoe, Ann Nugent, John Kearney, Janette Walton, Albert Flynn, Breige Mcnulty

Articles

Objective: The present study aimed to examine the temporal prevalence of overweight and obesity in Irish children through different methodologies and evaluate the change in rates between 1990 and 2019.

Cost-Effectiveness Of A Mobile Health-Supported Lifestyle Intervention For Pregnant Women With An Elevated Body Mass Index, Elizabeth O'Sullivan, Salwa Rokicki, Maria Kennelly, Kate Ainscough, Fionnuala M. Mcauliffe

Articles

Objective To assess the cost-effectiveness of a mobile health-supported lifestyle intervention compared with usual care.

Methods We conducted a cost-effectiveness analysis from the perspective of the publicly-funded health care system. We estimated costs associated with the intervention and health care utilisation from first antenatal care appointment through delivery. We used bootstrap methods to quantify the uncertainty around cost‐effectiveness estimates. Health outcomes assessed in this analysis were gestational weight gain (GWG; kg), incidence of excessive GWG, quality-adjusted life years (QALYs), and incidence of large-for-gestational-age (LGA). Incremental cost-effectiveness ratios (ICERs) were calculated as cost per QALY gained, cost per kg of GWG …