Medicine and Health Sciences Commons^™

Guillain-Barré Syndrome In A Patient With Sickle Cell Anemia, Kunjan Udani, Pooja Patel, Dveet Patel, Hajra Awwab, Nino Balanchivadze

HCA Healthcare Journal of Medicine

A 24-year-old African American male with a history of sickle cell anemia (Hb S/S) presented to an outside hospital with acute colitis, acute renal failure and sickle cell crisis and was treated with supportive measures. On day 3 of hospitalization, he developed bilateral ascending paralysis with sacral numbness. Magnetic resonance imaging (MRI) demonstrated epidural lipomatosis, which was attributed as the cause of his paralysis. He was transferred to our facility for neurosurgery evaluation. Based on the physical examination, Guillain-Barré Syndrome (GBS) was suspected. This conclusion lead to a lumbar puncture with cerebrospinal fluid (CSF) analysis that confirmed the diagnosis. He …

Covid-19: The Vaccine Race Continues, L. Hayley Burgess, Carley Castelein, Andrew Rubio, Mandelin K. Cooper

HCA Healthcare Journal of Medicine

Over a year has passed since the discovery of SARS-CoV-2 and the subsequent COVID-19 pandemic. As mitigation efforts continue, COVID-19 has claimed over half a million lives in the United States and 3.1 million lives globally. The development and availability of vaccines delivering immunity to prevent COVID-19 offers hope to end the pandemic.

Emergency use authorizations from the Food and Drug Administration have been issued in the United States for three vaccines, one each from Pfizer-BioNTech, Moderna and Janssen/J&J. Pfizer-BioNTech and Moderna are both mRNA vaccines with efficacy of 95% and 94.1% respectively, while the vector-based vaccine from Janssen/J&J has …

A Call To Action: Preventing Opioid And Substance Abuse In South Florida Youth, Julie A. Jacko, Katherine P. Cohen, Cathaerina Appadoo, Arkene S. Levy, Timothy F. Page, Michael J. Parker, Solina Pierre-Gilles, Francois Sainfort

HCA Healthcare Journal of Medicine

The opioid crisis poses a substantial threat to youth throughout the nation. This crisis has been exacerbated by the COVID-19 pandemic, reversing some of the positive national trends in the fight against the opioid epidemic. Some risk factors for youth opioid use have been identified nationally. The South Florida tri-county region of Miami-Dade, Broward and Palm Beach is a culturally distinct region which may not follow national trends and likely has unique risk and protective factors. To address the concerning spike in youth opioid use in South Florida, a community coalition was formed to identify factors unique to South Florida …

Impact Of Covid-19 Confinement On Physical Activity And Dietary Habits In Physical Therapy Students And Professionals In Lebanon: A Cross-Sectional Study, Rami A. Abbas, Sarah Al Omari, Ayman El Khatib

BAU Journal - Health and Wellbeing

COVID-19 pandemic caused radical changes to the daily living activities of Lebanese population since it led the government to adopt restrictive measures and force obligatory confinement. This study aimed to identify the dietary, using Prevention with Mediterranean Diet (PREDIMED), and physical activity, using International Physical Activity Questionnaire- short form (IPAQ-SF), among physical therapy students and professionals residing in Lebanon before and during the COVID-19 confinement period. A cross-sectional descriptive study based on self-administered questionnaires was carried out from late January to the beginning of February, which coincides with the third home confinement period. Surveys were disseminated through multiple social media …

Food Safety Recommendations During The Era Of Covid-19 Pandemic, Nada El Darra

BAU Journal - Health and Wellbeing

The coronavirus disease COVID-19 is a respiratory illness declared on March 11, 2020 as a pandemic by the World Health Organization due to its rapid spread among countries since it is very contagious. Data on COVID-19 has shown that there is no evidence that the virus is transmitted by food. To reduce the risk of COVID-19 infection, it is imperative to follow a list of recommendations. It is essential within food establishments to emphasize on food safety systems implementations, including pre-requisites programmes such as good hygienic practices, good manufacturing practices, pest control, cleaning and sanitation as well as implementing Hazard …

The Role Of Smart Architectural Elements In Reducing The Pandemic Effect In Residential Compounds, Christina Najem, Marwan Halabi, Hiba Mohsen, Maged Youssef

BAU Journal - Health and Wellbeing

Pandemic is an episode of an illness that happens over a wide geographic zone, (for example, different nations or countries) and regularly influences a huge extent of the population, which is in our case a virus called COVID-19. The problem or the gap lies in the houses and type of residents we have now, that aren’t adaptable and flexible enough to survive a pandemic while focusing on social distancing, safe living, and many other decisions, all the while keeping the human interaction alive. Therefore, the main aim of this research is to propose guidelines on how new smart architectural elements …

Criminal Liability Of Covid-19 Carriers (Lebanon), Tarteel Turki Darwish

BAU Journal - Health and Wellbeing

Since the spread of COVID-19, all governments tried to cape with this international pandemic which was classified by the World Health Organization (WHO) on March, 11 as a pandemic. Lebanese ministry of health, recommended in a statement issued on 21.03.2020 the date of the beginning of COVID-19 spread, that all of individuals with a confirmed or probable COVID-19 be quarantined at home and those who don’t follow the preventive precautions will be legally punished. On 04.03.2020 the Lebanese ministry of health issued an announcement no. 42 about “defining COVID-19 cases which are classified as transmitted and infectious diseases cases which …

Hand Sanitizers Use During Covid-19 Pandemic: Knowledge, Preference, And Adherence Of A Sample Of The Lebanese Population., May Saab, Souraya Domiati

BAU Journal - Health and Wellbeing

Purpose: Preventive measure has been a gold stone in reducing the spread of Coronavirus disease of 2019. These measures include quarantine, social distancing, face mask use, and most importantly hand hygiene. Consequently, alcohol-based hand sanitizers have been used abundantly. The current study aimed to assess the knowledge, preference, and practice toward hand sanitizers of the Lebanese community, during the pandemic period.

Method: A cross-sectional questionnaire-based study was carried out from mid of May to mid of June 2020. Adult Lebanese residents from the 5 main Lebanese districts were invited to participate in the study. The questionnaire included demographic data, 5 …

Is Daycare A Safe Place For Kids During Covid-19 Pandemic? Opinion Of The Lebanese Middle To Low Economic Status Mothers, Souraya Domiati, Abir Wehbeh

BAU Journal - Health and Wellbeing

Purpose: COVID-19 pandemic has negatively impacted the whole society including mothers who struggled between paid work, housework, and full-time childcare. Daycare used to relieve part of this burden. Accordingly, the current study aimed to assess the mothers’ acceptability of sending their children to daycare and the factors that influenced the decision.

Subject and Method: A cross-sectional questionnaire-based study was carried out through phone calls in November 2020. Lebanese mothers of children from 0 to 3 years were invited to participate in the study. The questionnaire included demographic data, perception of the ways of COVID-19 transmission, Snyder’s Hope Scale, and acceptability …

Covid-19: What About Dentists?, Hania Alameddine, Julien Issa, Nayer Aboelsaad

BAU Journal - Health and Wellbeing

Coronavirus (COVID-19) has been associated with person-to-person transmission. This includes droplets inhalation, exposure to saliva, and contact with the oral or nasal mucosa. The World Health Organization (WHO) made it public that the novel coronavirus initiated an international public health emergency. COVID-19 cases are rising up until this day, as of End-April 2021, around 141 million confirmed cases and 3 million deaths were reported worldwide. Due to the characteristics of dental clinics, dental health care personnel are at a higher risk of getting exposed to the COVID-19 infection. Thus, there is an urgent need to improve the current implemented recommendations …

Knowledge And Perceptions Towards Novel Coronavirus (Covid-19) Among Lebanese Healthcare Workers, Faten Zein, Ali Samaha, Mohammad Itani, Mirna Fawaz

BAU Journal - Health and Wellbeing

During the first week of March, the surge of coronavirus disease 2019 (COVID-19) cases reached over 100 countries with more than 100,000 cases. Healthcare authorities have already initiated awareness and preparedness activities beyond borders. A poor understanding of the disease among healthcare workers (HCWs) may result in delayed treatment and the rapid spread of infection. This study aimed to investigate the knowledge and perceptions of HCWs about COVID-19. A cross-sectional, web-based study was conducted among HCWs about COVID19, where a 23-item survey instrument was developed and distributed randomly to HCWs using google forms and email portals. The majority of the …

Medical Education During Covid-19 Pandemic: The Experience Of Faculty Of Medicine, Beirut Arab University (Bau): Challenges, Successes And Lessons Learned, Naglaa Mashaal, Hala Ahmadieh

BAU Journal - Health and Wellbeing

Background: The novel Coronavirus pandemic (COVID-19) has significantly disrupted and challenged medical education at the undergraduate and postgraduate levels. In this article, the experience at Beirut Arab University Faculty of Medicine (BAUFM), during the COVID-19 pandemic, is being shared with its challenges, successes and lessons learned. The program of BAUFM is divided into three phases: Pre-Clerkship (Semesters 1 to 6), Clerkship (Semesters 7 to 10), and Pre-internship (Semesters 11 and 12), it extends over six years duration, followed by one year of Internship. The curriculum is developed to be outcomes-based, and is composed from Phases and Modules. …

Comparative Study Of The Effect Of Three Different Irrigating Techniques On Debris And Smear Layer Distribution In Root Canals (An In Vitro Study), Maysoun Mohamad Ahmad, Mohamed Atef Ibrahim, Amr Abdallah

BAU Journal - Health and Wellbeing

The aim of this study was to compare, in vitro, the cleaning efficacy of three different irrigation techniques: syringe irrigation (Navitip) using NaOCl, sonic irrigation system (EndoActivator), and passive ultrasonic irrigation system (PUI) on debris and smear layer distribution in the root canal at three different levels. Materials and Methods: Sixty freshly extracted single-rooted human mandibular premolars were decoronated to a standardized length of twenty millimeters. Specimens were shaped to IRace 25 size and irrigated with 3 mL 2.5% NaOCl between instrumentation. Teeth were divided randomly into three equal groups: Group I (n=20): Irrigation manually with a syringe (Navitip) (n=20), …

Exploring Customer Relationship Management In Two Private Hospitals In Kuwait, Yassmin Diab

BAU Journal - Health and Wellbeing

The private hospital industry in Kuwait is an important contributor in the economy of the country. There has been a major increase in the number of private hospitals and clinics in the past four years, and more hospitals are launching new services in the private healthcare sector. In order to succeed in this sector, it is important for an organization to focus on Customer Relationship Management (CRM) for thriving in the competitive market. A customer relationship management strategy is believed to give a competitive edge to hospitals, as customers nowadays make their decisions based on the type and strength of …

Knowledge, Attitude And Practice Of Hepatitis B Virus Infection Among Dentists, Darine Al Bakri, Mohammad Itani, Mirna Fawaz

BAU Journal - Health and Wellbeing

Dentists are at high risk for contracting Hepatitis B virus (HBV), which leads to severe liver disease. Proper infection control measures are supposed to be in place to avoid transmission, especially with the exposure to blood that dentists are at risk of. A cross-sectional study with quantitative method using a valid research questionnaire. A convenience sample of 101 dentists from around Lebanon participated in the study. The results showed that 83% of the participating dentists were vaccinated yet only 21% received the required dose for prevention against HBV. The dentists had moderate to high knowledge of HBV infection control measures, …

Effect Of Sorafenib On Human Colon Cancer Cells, Marwa Al Hassan, Farah Reda, Ali Baltaji, Julnar Usta, Jamilah Borjac

BAU Journal - Health and Wellbeing

ABSTRACT: Sorafenib, a kinase inhibitor, is among the approved drugs for the treatment of radioactive iodine resistant thyroid carcinoma, primary kidney and liver cancers. Reported targets of Sorafenib include VEGFR, Raf family, and PDGFR belonging to the general class of tyrosine kinases. Blocking growth signals in kidney and breast cancers underlie one of the mechanisms of Sorafenib antitumor effects’ leading to cell death. We hereby examine the effect of Sorafenib on human colon carcinoma cell-line HCT116. We also investigate the possible role of p53 in mediating this effect using mutant HCT116 p53-/- cells. Cultured wild and mutant cells are treated …

Identifying Factors That Influence Conflict Management Styles Of Lebanese Nursing Students’ With Their Clinical Educators, Maha Jalal Dankar, Wafaa Bousily

BAU Journal - Health and Wellbeing

Conflicts in nursing career between students’ and clinical educators result certainly in negative outcomes for the students’ as stress and low assertiveness level, but can be successfully managed. The conflict management styles of the students’ should be well known in detail in order to attain positive outcomes. The present study aims to identify factors that influence conflict management styles of Lebanese nursing students’ with their clinical educators. This study was conducted at different universities and institutions, using a descriptive correlational design. A random sample of 360 nursing students’ was used. Data was collected using one tool consisting of two parts: …

Genus Micromeria: A Review Article, Mohamad Hamwi, Maha Aboul Ela Prof., Abdalla El-Lakany

BAU Journal - Health and Wellbeing

Micromeria (Family Lamiaceae) is widespread across Europe, Asia, Africa and North America, with a center of diversity in the Mediterranean region and the Canary Islands. More than 78 species of Micromeria have been known, famous examples is: M. fruticose.Genus Micromeria comprises plants of different chemical nature. Based on previous studies, Micromeria species is considered as a rich source of essential oils, mainly; monoterpene hydrocarbons, oxygenated monoterpenes, sesquiterpenes hydrocarbons, and oxygenated sesquiterpenes. About ten species of Micromeria have been identified to grow widely in Lebanon, of which Micromeria fruticosa is the most common and abundant. Several pharmacological activities were …

Factors Affecting Pregnancy Outcome In Refugee Mothers In Lebanon, Hesham Elshal, Mohammad Chour, Sirine Abdel Halim, Sadika Kharpoutli, Hind Raad, Sami Abou Alfa, Rida Maaliki, Zeina Makki

BAU Journal - Health and Wellbeing

In recent years, Lebanon has been a destination for less privileged refugees who seek better living conditions and shelter from regional wars, conflicts and instabilities. Recently, it is estimated that more than 20% of residents in Lebanon are Syrian refugees who live under questionable conditions regarding quality of life. Pregnant women, among their population, are considered more vulnerable to the effect of such living conditions. This study aimed at assessment of pregnancy outcome (birth weight, infant complications…) in a sample of women in refugees areas who have recently given birth and relate this outcome to multiple factors including socioeconomic status …

Knowledge And Beliefs Of Adolescents About Acne: Baseline And Post-Intervention Assessments Using An Interactive Educational Tool, Mohammed Mehanna, May Saab

BAU Journal - Health and Wellbeing

Acne vulgaris is a common inflammatory skin condition affecting teenagers around the globe. Lack of knowledge and false beliefs about acne are factors contributing to non-adherence to acne treatment that would result in treatment failure. Since acne is a highly prevalent skin condition in Lebanon, educating Lebanese adolescents about acne is vital to achieve a better treatment outcome. The aim of the present study is to assess the baseline knowledge of a sample of Lebanese adolescents using a self-administered questionnaire, and increase the level through an educational intervention (interactive audio-visual presentation). The knowledge score was assessed before and after the …

Prevalence Of Varicose Veins Among Nurses Working In Different Hospital Departments: A Cross Sectional Study, Maya Maziad, Hiba Deek

BAU Journal - Health and Wellbeing

Varicose veins are common among people working in professions requiring long standing hours like nursing. The aim of this study was to determine the prevalence of varicose veins among nurses working in different hospital units and identify the protective and risk factors to varicose vein development. A Cross-sectional design with self-reported questionnaires was implemented; 110 nurses at Rafik Hariri University Hospital and Osseiran Hospital working at units assumed to have the longest standing hours such as Emergency Department, operating rooms and medical and surgical units participated in the study. The participants were surveyed on sociodemographic characteristics, clinical history and current …

Adherence To Mediterranean Diet Among Adolescents Attending Public Schools In North Lebanon, Rosy Mitri, Fouad Ziade

BAU Journal - Health and Wellbeing

The Mediterranean diet (MD) is a model of a healthy diet and healthy lifestyle. Adherence to the MD has been correlated with a reduction in many metabolic disorders including cancers. The factors associated with adolescents’ adherence to the MD in North Lebanon using the KIDMED index have never been explored. The objective of this study was to examine the factors associated with the Mediterranean diet (MD) adherence among a sample of Lebanese adolescents. A cross-sectional survey was conducted in the city of Tripoli, North Lebanon. A total of 298 students, aged 11-18 years, were randomly selected from public schools in …

Diet Significantly Influences The Immunopathology And Severity Of Kidney Injury In Male C57bl/6j Mice In A Model Dependent Manner, John E. Brus, Daniel L. Quan, Kristin J. Wiley, Brittney Browning, Hannah Ter Haar, Riley Lutz, Jeffrey F. Houghton, Joseph Gigliotti

College of Osteopathic Medicine Undergraduate Publications

Diet is a leading causative risk factor for morbidity and mortality worldwide, yet it is rarely considered in the design of preclinical animal studies. Several of the nutritional inadequacies reported in Americans have been shown to be detrimental to kidney health; however, the mechanisms responsible are unclear and have been largely attributed to the development of diabetes or hypertension. Here, we set out to determine whether diet influences the susceptibility to kidney injury in male C57Bl/6 mice. Mice were fed a standard chow diet, a commercially available “Western” diet (WD), or a novel Americanized diet (AD) for 12 weeks prior …

Mitigating Isolation Of People Aging With Hiv During The Covid-19 Pandemic, Brandon Brown, Jeff Taylor, Celia B. Fisher

Covid-19 Digital Research

Before COVID-19, the HIV/AIDS pandemic had arguably been the worst public health crisis in the United States. Although an HIV diagnosis was previously regarded as a death sentence, the development of combination therapy in the 1990s transformed HIV into a largely manageable chronic condition.

2021-04-30_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

Forward Together Update [Second Shot Reminder & Encourages Vaccination], April 30, 2021, University Of Northern Iowa

UNI Response to COVID-19

Reminds those who got the two-dose Pfirzer-BioNtech vaccine to get their second shot at the next vaccine clinic. Encourages those who haven't yet been vaccinated to get the vaccine for their safety and the safety of others.

Improving Data Access And Use For Hiv Biomedical Prevention Interventions, Project Soar

HIV and AIDS

Over the past decade, biomedical prevention interventions—including voluntary medical male circumcision (VMMC) and oral pre-exposure prophylaxis (PrEP)—have resulted in substantial gains in controlling the global HIV epidemic. Despite the inclusion of these highly effective interventions in multinational strategies and global prevention toolkits, their effective implementation rests upon context-specific, data-driven delivery to priority populations and geographies. Project SOAR has contributed to the evidence base by increasing access to and use of data through user-friendly interfaces and dissemination strategies, advancing VMMC and PrEP as vital prevention interventions in the global discourse. SOAR’s biomedical prevention portfolio has supported data-driven planning, implementation, and monitoring …

2021-04-30_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

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

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

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

Epigenome-Wide Association Study Of Kidney Function Identifies Trans-Ethnic And Ethnic-Specific Loci, Charles E. Breeze, Anna Batorsky, Mi Kyeong Lee, Mindy D. Szeto, Xiaoguang Xu, Daniel L. Mccartney, Rong Jiang, Amit Patki, Holly J. Kramer, James M. Eales, Laura Raffield, Leslie Lange, Ethan Lange, Peter Durda, Yongmei Liu, Russ P. Tracy, David Van Den Berg, Nhlbi Trans-Omics For Precision Medicine (Topmed) Consortium, Topmed Mesa Multi-Omics Working Group, Kathryn L. Evans, William E. Kraus, Donna K. Arnett

Epidemiology and Environmental Health Faculty Publications

BACKGROUND: DNA methylation (DNAm) is associated with gene regulation and estimated glomerular filtration rate (eGFR), a measure of kidney function. Decreased eGFR is more common among US Hispanics and African Americans. The causes for this are poorly understood. We aimed to identify trans-ethnic and ethnic-specific differentially methylated positions (DMPs) associated with eGFR using an agnostic, genome-wide approach.

METHODS: The study included up to 5428 participants from multi-ethnic studies for discovery and 8109 participants for replication. We tested the associations between whole blood DNAm and eGFR using beta values from Illumina 450K or EPIC arrays. Ethnicity-stratified analyses were performed using linear …

2021-04-30_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.

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