Medicine and Health Sciences Commons^™

Application Of Lsvt-Big Protocol Intervention In 74-Year-Old Female With Parkinson’S Disease: A Case Report, Abigail Stroup

Physical Therapy Scholarly Projects

Background and Purpose. Parkinson’s disease (PD) is a chronic, progressive neurodegenerative condition affecting 60,000 Americans each year.1 This case study evaluates the effectiveness of physical therapy, including the LSVT-BIG protocol, for an individual with Parkinson’s.

Case Description. The patient was a 74-year-old female diagnosed with PD who received outpatient physical therapy services four times per week for four weeks.

Intervention. The therapeutic interventions provided included dynamic, large amplitude exercises per the LSVT-BIG protocol as well as gait, stair, and bed mobility training.

Outcomes. Outcome measures included the Lower Extremity Functional Scale (LEFS), Timed “Up & Go” (TUG), Five-Times-Sit-to-Stand …

A Novel And Clinically Useful Dynamic Conformal Arc (Dca)-Based Vmat Planning Technique For Lung Sbrt, Damodar Pokhrel, Justin Visak, Lana Sanford

Radiation Medicine Faculty Publications

PURPOSE: Volumetric modulated arc therapy (VMAT) is gaining popularity for stereotactic treatment of lung lesions for medically inoperable patients. Due to multiple beamlets in delivery of highly modulated VMAT plans, there are dose delivery uncertainties associated with small-field dosimetry error and interplay effects with small lesions. We describe and compare a clinically useful dynamic conformal arc (DCA)-based VMAT (d-VMAT) technique for lung SBRT using flattening filter free (FFF) beams to minimize these effects.

MATERIALS AND METHODS: Ten solitary early-stage I-II non-small-cell lung cancer (NSCLC) patients were treated with a single dose of 30 Gy using 3-6 non-coplanar VMAT arcs (clinical …

Perianal Basal Cell Carcinoma: A Common Cancer In An Uncommon Location., Ed Hagen, Nathan Hite, John A Griffin, Rodney Kratz

Articles, Abstracts, and Reports

This is a case of a perianal basal cell carcinoma, a common skin cancer in an unusual location. Our patient is a 67-year-old male with a perianal lesion. He first noticed this painless lesion 5 years prior to presentation and was having fecal incontinence and weight loss. He had a fully encompassing ulcerated lesion involving the entirety of the anal margin. We performed a biopsy that returned on pathology as a basal cell carcinoma. Due to the size of the lesion and his current nutritional status, it was determined to be unresectable. We were able to provide him with a …

Characterization Of Patients With Axial Spondyloarthritis By Enthesitis Presence: Data From The Corrona Psoriatic Arthritis/Spondyloarthritis Registry., Philip Mease, Mei Liu, Sabrina Rebello, Winnie Hua, Robert R Mclean, Esther Yi, Yujin Park, Alexis Ogdie

Articles, Abstracts, and Reports

OBJECTIVE: To compare the characteristics of patients with axial spondyloarthritis (axSpA) who had enthesitis versus those without enthesitis.

METHODS: This study included adult patients with axSpA enrolled in the Corrona Psoriatic Arthritis/Spondyloarthritis Registry (March 2013 to August 2018). Enthesitis was assessed at enrollment via the Spondyloarthritis Research Consortium of Canada Enthesitis Index. Characteristics were compared between patients with and without enthesitis using t tests or Wilcoxon rank-sum tests for continuous variables and χ

RESULTS: Of 477 patients with axSpA, 121 (25.4%) had enthesitis (mean, 3.9 sites) at enrollment. Higher proportions of patients with enthesitis were female and had nonradiographic axSpA …

Does Early Physical Therapy Intervention Reduce Opioid Burden And Improve Functionality In The Management Of Chronic Lower Back Pain?, Shedrick Martin, Kimberly Tallian, Victoria T Nguyen, Jason Van Dyke, Harminder Sikand

Articles, Abstracts, and Reports

Introduction: Chronic lower back pain is a leading cause of disability in US adults. Opioid use continues to be controversial despite the Centers for Disease Control and Prevention guidance on chronic pain management to use nonpharmacologic and nonopioid pharmacologic interventions. The objectives of the study were to assess the impact of early physical therapy (PT) intervention on improving functionality and reducing opioid burden in patients with chronic lower back pain.

Methods: A single-center, retrospective chart review of patients receiving ≥6 PT visits and treated with either opioids first (OF) or PT first (PTF) therapy for chronic lower back pain were …

Getting Accepted – Successful Writing For Scientific Publication: A Research Primer For Low- And Middle-Income Countries, Erin L. Simon, Maxwell Osei-Ampofo, Benjamin Wachira, James Kwan

Emergency Medicine, East Africa

Clear and precise writing is a vital skill for healthcare providers and those involved in global emergency care research. It allows one to publish in scientific literature and present oral and written summaries of their work. However, writing skills for publishing are rarely part of the curriculum in the healthcare education system. This review gives you a step-by-step guide on how to successfully write for scientific publication following the IMRaD principle (Introduction, Methods, Results, and Discussion) with every part supporting the key message. There are specific benefits of writing for publication that justify the extra work involved. Any lessons learned …

2020-07-01_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.

This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of care (POC) tests, look for current infection. Serology (antibody) tests are used to look for the possibility of previous infection.
Source: Michigan Disease Surveillance System (MDSS) and Vital Records

The website contained the tables …

Kujdesi Infermieror Tek Pacientët Me Infeksione Të Traktit Urinar, Fatmire Tahiri

Theses and Dissertations

Hyrje: Infeksionet e traktit urinar janë procese inflamatore të lokalizuara në cilëndo qoftë pjesë të traktit urinar dhe janë shenjë e kolonizimit të baktereve. Këto infkesione zënë vendin e dytë për nga shpeshtësia në raport me infeksionet e sistemeve të tjera të organizmit. Ato arrijnë në më shumë se shtatë milionë vizita mjekësore dhe rëndojnë më shumë se një milionë pranime spitalore vjetore në SHBA.

Qëllimi: Punimi im ka si objektiv studimin dhe shpejgimin e kujdesit infermieror te pacientet me infeksione në traktin urinar. Qëllimi i punimit të kësaj teme është zgjerimi i njohurive lidhur me infeksionet e …

Kujdesi Infermieror Te Adoleshentët Me Depresion, Fortesa Morina

Theses and Dissertations

Arsyeja pse kam zgjedhur këtë temë për ta shtjelluar është fakti se ka shumë njerëz të preken nga kjo sëmundje.

E rëndësishme është që gjatë studimit të kësaj sëmundje ne mësojmë më shumë informata rreth depresionit.Në këtë punim kemi treguar se si duhet të kujdesemi për pacientët me depresion, çfarë është depresioni,llojet e tij,si fitohet,cilët janë shkaktarët,depresioni tek adoleshentët,shkaktarët dhe kujdesi infermieror ,informimi i pacientëve.

Qëllimi ynë si infermier është të iu sigurojmë pacientëve që në rastin tonë janë adoleshentët ,që të ndihen sa më mirë,sa më komod dhe të sigurtë.

Infermieri duhet të jetë gjithmonë në gjendje gadishmërie për …

Kujdesi Infermieror Tek Pacientet Me Pneumoni, Gentiana Dauti

Theses and Dissertations

Hyrja Pneumoni në mjeksi është inflamacion i parenkimës mushkërore e shprehur në gjuhën popullore, ndezje e mushkërive.Pneumonia është një infeksion në njëren apo të dy mushkëritë. Mund të shkaktohet nga bakteret, viruset ose kërpudhat. (https://sq.wikipedia.org/wiki/Pneumonia)

Qëllimi Qëllimi kryesorë i këtij studimi është që ta kuptojmë se cilët janë faktorët që ndikojnë në shfaqjen e sëmundjes së pneumonisë, cilat mosha janë më të prekura nga kjo sëmundje, cila gjini atakohet më shumë si dhe këshillimi infermierorë rreth parandalimit të pneumonisë. Metodat Metodologjia është pothuajse pjesa më e rëndësishme e këtij punimit, ky studim përdor një përzierje të metodave të mbledhjes së …

Imazheria Diagnostike Ne Diagnostifikimin Dhe Evalumin Terapeutik Të Multipleks Sklerozes, Blerta Brahimaj

Theses and Dissertations

Multiple Skleroza është sëmundje e rëndë e njeriut, në sistemin nervor, e cila parqitet me ankesa dhe dhimbje të ndryshme, të cilat vijnë kohë pas kohe.Ankesat tipike të kësaj sëmundje janë ligështimi (dopësimi) në duar apo këmbël, ndjenja e të qënit pirë;dridhjet ; artikulim i paqartë dhe pengesa në shikim. Multiple Skleroza është e pashërueshme. Me medikamnete të ndryshme provohet dopësimi i sistemit të imunitetit.

Roli I Infermierit Tek Pacientët Me Kemioterapi (Karcinoma E Gjirit), Bleona Bajraktari

Theses and Dissertations

Hyrje: Në këtë temë kam zgjedhur të trajtoj rolin e infermierit tek pacientët me karcinomë të gjirit. Personeli infermieror,në aktivitetin për të kryer kujdesin infermieror,aplikon tërë kapacitetin profesional e shpirtëror për parandalimin e kurimin e sëmundjeve,për tu shërbyer atyre që kanë nevojë për ndihmë jo vetëm mjekësore por edhe shpirtërore,psikologjike e morale. Sa më të pergaditur profesionalisht të jenë infermierët,aq më i kualifikuar e rezultativ është shërbimi dhe aq më të mëdha janë përfitimet mjekësore,shpirtërore e morale për të sëmurin. Të dhënat e përgjithshme:Kanceri i gjirit është tumor malinjë më i shpeshtë te gratë. Kanceri i gjirit rritet ngadalë duke …

Niveli I Njohurive Dhe Praktikat E Femrave Të Moshës Fertile Për Mjetet E Kontracepcionit Në Komunën E Gjilanit, Elza Zejnullahu

Theses and Dissertations

Hyrje: Kontracepcioni është një metodë e veçantë e kontrollit të lindjes, pra është metodë e parandalimit të një shtatëzanie të paplanifikuar, përfshirë edhe efektshmërin e disa metodave kontraceptive për mbrojtjen kundër infeksioneve dhe sëmundjeve seksuale të transmetueshme. Qëllimi i këtij hulumtimi është të gjejmë nivelin e njohurive dhe praktikat e femrave fertile për mjetet kontraceptive në Komunën e Gjilanit.

Metodologjia: Studimi është i tipit prospektiv ku një pjesë e studimit është realizuar në Spitalin Regjional të Gjilanit përkatësisht në repartin e Gjinekologjisë dhe Akusherisë dhe pjesa tjetër e studimit është realizuar duke anketuar familjarët dhe shoqërinë e gjinisë …

Roli I Infermierës Te Pacientët Pas Apendektomisë, Elvira Dernari

Theses and Dissertations

Realizimi i punimit është bërë me qëllim të zgjerimit të njohurive për kujdesin dhe rolin e infermierëve ndaj pacientëve pas apendektomisë.

Janë paraqitur kujdesi infermieror, studime dhe të dhëna në periudhën Shkurt-Tetorë të vitit 2019 në Qendrën Klinike Universitare të Kosovës në Prishtinë.

Punimi është bërë në Kolegjin UBT, Programi Infermieri si dhe në bashkëpunim me QKUK-Prishtinë, reparti Kirurgji Abdominale.

Mentori i temës është: Dr.Salih Krasniqi

Punimi përfshin: 45 faqe, 3 tabela, 3 grafikone dhe 8 fotografi.

Kujdesi Infermieror Tek Pacientët Me Infeksione Respiratore, Egzona Jashari

Theses and Dissertations

Në këtë punim do t’i trajtojmë disa infeksione të sistemit respiratore. Objektivi i përgjithshëm i temës së diplomës është të ofrojmë njohuri për infeksionet respiratore që të ngrihet vetëdijsimi i popullatës për infeksione respiratore që dita e ditës po bëhet një problem për shëndetin dhe mirëqenien e individëve. Njohja e infeksioneve respiratore është shumë e rëndsishme në parandalimin dhe trajtimin e infeksioneve respiratore si: njohja e simptomave, njohja e shkaktarëve si dhe për faktorët specifik që paraqiten tek infeksionet respiratore. Objektivi specifik është të krijojmë njohuri rreth mënyrës së trajtimit dhe diagnostikimit të këtyre infeksioneve dhe masat të cilat duhet …

Racial And Ethnic Disparities In Covid-19: Evidence From Six Large Cities, Joseph Benitez, Charles J. Courtemanche, Aaron Yelowitz

Institute for the Study of Free Enterprise Working Papers

As of June 2020, the coronavirus pandemic has led to more than 2.3 million confirmed infections and 121 thousand fatalities in the United States, with starkly different incidence by race and ethnicity. Our study examines racial and ethnic disparities in confirmed COVID-19 cases across six diverse cities – Atlanta, Baltimore, Chicago, New York City, San Diego, and St. Louis – at the ZIP code level (covering 436 “neighborhoods” with a population of 17.7 million). Our analysis links these outcomes to six separate data sources to control for demographics; housing; socioeconomic status; occupation; transportation modes; health care access; long-run opportunity, as …

Pasteurization Of Human Donor Milk, Laura Brewer

Nursing Student Class Projects (Formerly MSN)

Appropriate and adequate nutrition is critical to reduce the risk of mortality in the preterm infant (Parker, 2019). Mother’s own milk (MOM) is the best source of nutrition and reduces the risk of common neonatal complications, including necrotizing enterocolitis (NEC), infections resulting in late-onset sepsis, and retinopathy of prematurity (Li et al., 2017). When MOM is unavailable to the neonate, the World Health Organization and the American Academy of Pediatrics both recommend that human donor milk is the next best option (Peila et al., 2016). Donor milk can be obtained from a human milk bank and is considered safe for …

Chronic Thromboembolic Pulmonary Hypertension, Alyssa Curry

Nursing Student Class Projects (Formerly MSN)

Chronic pulmonary hypertension (CTEPH) is a rare and underdiagnosed complication of unresolved acute pulmonary embolism (PE). A chronic fibrotic thrombus replaces the unresolved emboli in the pulmonary vascular bed causing pre-capillary pulmonary hypertension (Mahmud et al., 2018). Symptoms rang from mild nonspecific such as exercise intolerance and dyspnea. As the disease progresses, symptoms present similarly to right ventricular heart failure (Gopalan et al., 2016). Although the pathophysiology and etiology of CTEPH is still not fully understood, risk factors include increased size of the PE, right ventricular strain, chronic inflammation, and defects in fibrinolysis among others (Fernandes et al., 2016). Treatment …

A Comparison Between Rectal Dose In Prostate Radiotherapy Patients Treated With Spaceoar Hydrogel Present Versus Patients Treated Without Spaceoar Hydrogel., David Desano

Masters Projects

Introduction: External beam radiation therapy is a common treatment option for prostate cancer patients with localized disease. Radiation-induced side effects associated with the rectum can impact a patient’s ability to complete treatment or affect the quality of life years after radiation treatment. Spaceoar hydrogel has been developed to reduce radiation dose to nearby pelvis structures, and therefore decreasing potential side effects.

Methods: A total of 20 patients who received definitive radiation therapy to the prostate and seminal vesicles were selected and placed into 2 groups (10 spaceoar, 10 non-spaceoar). The individuals’ age ranged from 60 to 79 years old with …

Under Pressure, Audrey Tyler Rn, Madasyn Harwick Rn, Karen Crago Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Compliance With I/O Documentation In Chf Patients, Hayden Ginsberg Adn, Rn, Samantha Nolen Bsn, Rn, Lynsey Quinn Bsn. Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Intra-Abdominal Pressure Measurement, Leslie Cainas Rn, Gabrielle Ciccolini Rn, Mckenna Hunt Rn, Caralyn Mahon Rn, Olivia Maseloff Rn, Erin Rooney Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Magnitude Of Screening For Gestational Diabetes Mellitus In An Urban Setting In Tanzania; A Cross-Sectional Analytic Study, Akampa Mukuve, Mariam Noorani, Ibrahim Sendagire, Miriam Mgonja

Faculty of Health Sciences, East Africa

Background

Medical screening detects risk factors for disease or presence of disease in otherwise well persons in order to intervene early and reduce morbidity and mortality. During antenatal care (ANC) it is important to detect conditions that complicate pregnancy, like gestational diabetes mellitus (GDM). Despite international and local guidelines recommending screening for GDM during ANC, there is evidence to suggest that the practice was not being carried out adequately. A major challenge may be lack of consensus on uniform GDM screening and diagnostic guidelines internationally and locally.

The primary objective was to determine the magnitude of screening for GDM among …

Delivering Water, Sanitation And Hygiene Interventions To Women And Children In Conflict Settings: A Systematic Review, Daina Als, Sarah Meteke, Marianne Stefopulos, Michelle F. Gaffey, Mahdis Kamali, Mariella Munyuzangabo, Shailja Shah, Reena P. Jain, Amruta Radhakrishnan, Fahad J. Siddiqui, Anushka Ataullahjan, Zulfiqar Ahmed Bhutta

Woman and Child Health

Background: Access to safe water and sanitation facilities and the adoption of effective hygiene practices are fundamental to reducing maternal and child morbidity and mortality globally. In armed conflict settings, inadequate water, sanitation and hygiene (WASH) infrastructure poses major health risks for women and children. This review aimed to synthesise the existing information on WASH interventions being delivered to women and children in conflict settings in low-income and middle-income countries (LMICs) and to identify the personnel, sites and platforms being used to deliver such interventions.
Methods: We conducted a systematic search for publications indexed in four databases, and grey literature …

Delivery Of Sexual And Reproductive Health Interventions In Conflict Settings: A Systematic Review, Mariella Munyuzangabo, Dina Sami Khalifa, Michelle F. Gaffey, Mahdis Kamali, Fahad J. Siddiqui, Sarah Metek, Shailja Shah, Reena P. Jain, Daina Als, Amruta Radhakrishnan, Anushka Ataullahjan, Zulfiqar Ahmed Bhutta

Woman and Child Health

Background: It is essential to provide comprehensive sexual and reproductive health (SRH) interventions to women affected by armed conflict, but there is a lack of evidence on effective approaches to delivering such interventions in conflict settings. This review synthesised the available literature on SRH intervention delivery in conflict settings to inform potential priorities for further research and additional guidance development.
Methods: We searched MEDLINE, Embase, CINAHL and PsycINFO databases using terms related to conflict, women and children, and SRH. We searched websites of 10 humanitarian organisations for relevant grey literature. Publications reporting on conflict-affected populations in low-income and middle-income countries …

Dean's Update, Summer 2020, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

Taking Time To Enjoy Some Coffee! Adding Mindfulness To The Curriculum, Audrey C. Tolouian

Nursing Faculty Publications

No abstract provided.

The Effects Of Two Modes Of High-Intensity Intermittent Exercise On Postprandial Metabolism, David J. Buckley

Electronic Theses and Dissertations

The purpose of this study was to see if exercise in the form of Tabata or Sprinting would lower postprandial lipemia and glycemia. Tabata was composed of body-weight exercises. Both Tabata and Sprinting consisted of 5 rounds with each round lasting 4 minutes and included movements performed for 20 seconds followed by 10sec of rest. Following the completion of each round, participants received a 60 second break. Both exercise sessions were isocaloric and lasted 25min. Thirty minutes following exercise, participants were given a 75g-oral glucose solution and a high-fat meal two hours following exercise. The postprandial assessment lasted 6 hours. …

Covid-19 Diagnostic Process In Mainland China: The Math Beyond Pneumonia, Feng Wu, Weishan Huang

Faculty Publications

No abstract provided.

Primary Caregiver’S Knowledge And Attitude On The Care Of Cardio Vascular Accident (Cva) Patients, Vishnu Sharma Mr, Rajesh K. Sharma, Dipti Y. Sorte, Sanchita Pugazhendi Dr

Manipal Journal of Nursing and Health Sciences

Introduction: In the world, the primary neurological problem is Cardio Vascular Accident (CVA) and 3rd prominent reason of death worldwide. CVA is a significant primary cause of early mortality and disability in India. When a patient is discharged from the hospital, he/she returns home with physical, mental and behavioral consequences that affect the patient’s functional capacity, autonomy, and independence that makes them dependent on others. The primary caregiver is the member who takes the responsibility of care, and play a vital role in the care of CVA patients. Objectives: The objectives of the present study were to assess the knowledge …