Medicine and Health Sciences Commons^™

Multiple-Micronutrient Supplementation In Pregnant Adolescents In Low- And Middle-Income Countries: A Systematic Review And A Meta-Analysis Of Individual Participant Data, Emily C. Keats, Nadia Akseer, Pravheen Thurairajah, Simon Cousens, Zulfiqar Ahmed Bhutta, Global Young Women’S Nutrition Investigators’ Group

Woman and Child Health

Context: Approximately 7.3 million births occur annually among adolescents in low- and middle-income countries. Pregnant adolescents constitute a nutritionally vulnerable group that could benefit from intervention to mitigate the mortality and adverse birth outcomes associated with adolescent pregnancy.
Objective: The aim of this systematic review and meta-analysis was to assess the following: (1) the effect of multiple-micronutrient (MMN) supplementation vs iron and folic acid (IFA) supplementation among adolescents on maternal morbidity, birth outcomes, and mortality outcomes, (2) the effects of MMN supplementation in adolescents compared with the effects in adult women, and (3) the effect modification, if any, of MMN …

Perceptions Of Covid-19 In College Students: Effect On Emotional Well-Being, Mikayla N. Murphy

Honors College Theses

This study explores the connection between emotional well-being of college students and the COVID-19 pandemic. Many physical distancing practices have negatively affected emotional well-being, such as increased time alone and screen time. A purposive sample of convenience was utilized to collect information on the emotional well-being of a selected group of students at two time points: January through March 2020 and January/February 2021. Students from the Honors College were selected as the study population. The survey questions were administered electronically through Qualtrics software, Version: February 2021. Of the 101 survey responses obtained between January 27 and February 22, 2021, 89 …

Obesity Bias: Bachelor Of Science Nursing Student Perceptions, Ashlyn Nicole Beasley

Honors College Theses

The National Institutes of Health identifies that one in three adults is obese. Obesity is defined as a body mass index (BMI) of 30 and above. Patients with obesity may deny themselves healthcare due to the mistreatment and mistrust they may develop within the healthcare system. If the prejudice against obese patients is addressed, it could prevent future issues for patients and healthcare providers. Not only can bias against obese patients lead to injury, but it can also lead worsening conditions. When a patient perceives the stigma of a weight bias from a caregiver, it can cause them to withdraw …

Développement D'Une Méthode De Mesure De L'Exposition Sonore Effective Intraauriculaire Pour Une Utilisation En Milieu De Travail, Hugues Nélisse, Fabien Bonnet, Marcos Nogarolli, Jérémie Voix

Rapports de recherche scientifique

De nombreux travailleurs sont exposés quotidiennement à des niveaux de bruit susceptibles d'endommager leur audition. De ce fait, la mesure de l'exposition sonore est essentielle afin d'identifier et d’évaluer des solutions correctives pour protéger adéquatement les travailleurs. Cependant, les méthodes et les technologies de mesure actuelles ne permettent généralement pas de déterminer avec précision l'exposition au bruit subie par un individu sur son lieu de travail. La dosimétrie intraauriculaire est une solution prometteuse pour pallier un certain nombre de problèmes liés aux méthodes de mesure conventionnelles, mais cette méthodologie est fragilisée de trois façons : 1) l'exposition sonore mesurée dans …

Traitement De L’Épicondylose Latérale Chronique Du Coude : Essai Clinique Randomisé À Simple Insu Évaluant L’Efficacité De La Fenestration Écho-Guidée Et Celle De La Chirurgie Par Approche Ouverte, Nathalie J. Bureau, Patrice Tétreault, François Desmeules, Guy Cloutier, Manon Choinière

Rapports de recherche scientifique

L’épicondylose latérale du coude, communément appelée « épicondylite » ou tennis elbow, est un syndrome douloureux et incapacitant. L’épicondylose est particulièrement fréquente dans la population en âge de travailler et touche autant les hommes que les femmes. Dans certains secteurs d’emploi, l’épicondylose peut affecter un travailleur sur cinq.

Cette pathologie est favorisée par une surutilisation du poignet et de l’avant-bras. Malgré les avancées de la médecine moderne, le traitement de l’épicondylose du coude demeure bien souvent un défi thérapeutique. Plusieurs types de traitement sont proposés. Aucun consensus ni modèle de prise en charge standardisé n’existe. Les coûts directs de …

Double Trouble, Elisa Giusto Do

Department of Family Medicine

No abstract provided.

Implementation Of A Perioperative Pathway For Individuals With Or At High Risk For Obstructive Sleep Apnea, Kimberly Claude

Doctor of Nursing Practice Scholarly Projects

Background At the Veterans Affairs Boston, pre-operative screening for obstructive sleep apnea using the STOP-Bang questionnaire and referral to pulmonary service for those who fail screening is not reliably completed. For patients identified as having OSA or at high risk for OSA, advice on how to reduce postoperative risk may not be adequately communicated through the perioperative process. The project aim is to construct and implement a perioperative pathway to ensure surgical patients with OSA or suspected OSA receive evidence-based care throughout the perioperative period.

Methods The intervention for this quality improvement project was an evidence-based perioperative pathway which includes …

An Assessment Of The Impact Of Flow Disruptions On Mental Workload And Performance Of Surgeons During Percutaneous Nephrolithotomy, Sana Hussain, Syed Muhammad Nazim, Basit Salam, Nida Zahid, Hammad Ather

Section of Urology

Objective: The aim of this study was to assess the impact of intraoperative disruptions on surgeons’ workload and performance during percutaneous nephrolithotomy (PCNL).
Materials and methods: A structured and standardized tool was used to identify disruptions and interferences that occurred during 33 PCNL procedures. The surgical steps during PCNL were divided into four phases: ureteric catheter placement (phase I), puncture and tract dilation (phase II), intra-calyceal navigation and stone fragmentation (phase III), and tube placement (phase IV). Surgeons’ workload was evaluated using a validated tool: Surgery Task Load Index (SURG-TLX), and correlated with the mean observed intraoperative disruptions. All operating …

Implementation Strategies To Improve Statin Utilization In Individuals With Hypercholesterolemia: A Systematic Review And Meta-Analysis, Laney K Jones, Stephanie Tilberry, Christina Gregor, Lauren H Yaeger, Yirui Hu, Amy C Sturm, Terry L Seaton, Thomas J Waltz, Alanna K Rahm, Anne Goldberg, Ross C Brownson, Samuel S Gidding, Marc S Williams, Michael R Gionfriddo

2020-Current year OA Pubs

BACKGROUND: Numerous implementation strategies to improve utilization of statins in patients with hypercholesterolemia have been utilized, with varying degrees of success. The aim of this systematic review is to determine the state of evidence of implementation strategies on the uptake of statins.

METHODS AND RESULTS: This systematic review identified and categorized implementation strategies, according to the Expert Recommendations for Implementing Change (ERIC) compilation, used in studies to improve statin use. We searched Ovid MEDLINE, Embase, Scopus, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Clinicaltrials.gov from inception to October 2018. All included studies were reported in …

The Prevalence Of Hyperpalatable Baby Foods And Exposure During Infancy: A Preliminary Investigation., Kai Ling Kong, Tera L. Fazzino, Kaitlyn M. Rohde, Katherine S. Morris

Manuscripts, Articles, Book Chapters and Other Papers

Objective: To characterize the prevalence of hyperpalatable foods (HPF) among baby foods in the U.S. and examine the prevalence of HPF exposure and consumption from both baby food and adult food sources among infants aged 9-15 months.

Methods: A U.S. baby food database as well as baby foods from three 24-h dietary recalls of 147 infants were used to identify baby foods as HPF per previous publication. HPF exposure was defined as intake of any HPF during the 3-day measurement period. To determine the extent of HFP consumption, % kilocalorie (kcal) intake from HPF was characterized.

Results: Only 12% of …

Analysis Of Falls Efficacy Scale And Vulnerable Elders Survey As Predictors Of Falls., Marna R. Greenberg Do, Mph, Facep, Jeanne L. Jacoby Md, Robert D. Barraco Md, Mph, Ali Yazdanyar Do, Phd, Mmm, Ryan M Surmaitis Do, Alexander Youngdahl Do, Richard Chow Do, Sofia Murillo, Allen Zeng, Bryan G. Kane Md

Department of Emergency Medicine

Introduction Falls are the leading cause of injury-related death among older adults according to the Centers for Disease Control and Prevention (CDC). The Falls Efficacy Scale (FES) and Vulnerable Elder Survey (VES-13) are validated screening tools used to assess concern of falling, health deterioration and functional decline. We set out to determine if the FES or VES-13 could serve as a predictor of falls among older adults in the Emergency Department (ED) setting. Methods This prospective pilot cohort study was conducted at a Level 1 Trauma Center. ED patients aged ≥65 were eligible for the study if they had a …

Covid-19 Newsletter (Vol. 67), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

Impact Of The Covid-19 Pandemic On Chhs Students, Macey Seal

Honors Theses

The 2020 COVID-19 pandemic has impacted students in various ways. Students around the world / in the U.S have been impacted in financial, emotional, mental, and physical ways as COVID-19 continues to change the way the world is navigated. The purpose of this thesis is to explore the feelings and vulnerabilities of students at the College of Health and Human Services (CHHS) building during the 2020 Pandemic. In order to succeed in school, students need to feel financially stable, physically stable and mentally stable. While many students have struggled with this balance in the past, the effect of COVID-19 has …

Impact Of The Covid-19 Pandemic On Chhs Students, Linnea Wood

Honors Theses

The 2020 COVID-19 pandemic has impacted students in various ways. Students around the world / in the U.S have been impacted in financial, emotional, mental, and physical ways as COVID-19 continues to change the way the world is navigated. The purpose of this thesis is to explore the feelings and vulnerabilities of students at the College of Health and Human Services (CHHS) building during the 2020 Pandemic. In order to succeed in school, students need to feel financially stable, physically stable and mentally stable. While many students have struggled with this balance in the past, the effect of COVID-19 has …

Determining Bone Turnover Status In Patients With Chronic Liver Disease, Tayyaba Bukhari, Lena Jafri, Hafsa Majid, Aysha Habib Khan, Imran Siddiqui

Department of Pathology and Laboratory Medicine

Introduction: Hepatic osteodystrophy is an osteoporotic bone disease that occurs in chronic liver disease patients. The global prevalence of osteoporosis in patients with chronic liver disease is 30% to 40%. The pathogenesis of hepatic bone disease is not clear, but it occurs due to unstable bone remodeling with increased bone resorption and decreases bone formation. There has been an interest in determining the clinical utility of bone turnover markers (BTMs) in the assessment of osteoporosis in chronic liver patients.
Methods: This was a cross-sectional study conducted in patients with chronic liver disease at the section of chemical pathology, department of …

Diagnostic Accuracy Of The Forns Score For Liver Cirrhosis In Patients With Chronic Viral Hepatitis, Tayyaba Bukhari, Lena Jafri, Hafsa Majid, Sibtain Ahmed, Aysha Habib Khan, Shahab Abid, Aniqa Raza, Imran Siddiqui

Department of Pathology and Laboratory Medicine

Introduction: Liver cirrhosis is an irreversible and end-stage disease. It results from chronic liver damage characterized by the replacement of normal liver tissue by fibrosis, leading to the progressive loss of liver function. Making an early diagnosis of cirrhosis is important for patients with chronic hepatitis because early antiviral therapy can prevent the progression of cirrhosis and even induce regression. There have been efforts to develop surrogate markers for liver cirrhosis as the biopsy is invasive, costly, and difficult to standardize.
Methods: This was a cross-sectional study conducted at the Section of Chemical Pathology, the Department of Pathology and Laboratory …

Spatial-Temporal Relationship Between Population Mobility And Covid-19 Outbreaks In South Carolina: Time Series Forecasting Analysis, Chengbo Zeng, Jiajia Zhang Ph.D., Zhenlong Li Ph.D., Xiaowen Sun, Bankole Olatosi Ph.D., Sharon Weissman, Xiaoming Li Ph.D.

Faculty Publications

Background: Population mobility is closely associated with COVID-19 transmission, and it could be used as a proximal indicator to predict future outbreaks, which could inform proactive nonpharmaceutical interventions for disease control. South Carolina is one of the US states that reopened early, following which it experienced a sharp increase in COVID-19 cases.

Objective: The aims of this study are to examine the spatial-temporal relationship between population mobility and COVID-19 outbreaks and use population mobility data to predict daily new cases at both the state and county level in South Carolina.

Methods: This longitudinal study used disease surveillance …

Human Ace2‑Functionalized Gold “Virus‑Trap” Nanostructures For Accurate Capture Of Sars‑Cov‑2 And Single‑Virus Sers Detection, Yong Yang, Yusi Peng, Chenglong Lin, Li Long, Jingying Hu, Jun He, Hui Zeng, Zhengren Huang, Zhi-Yuan Li, Masaki Tanemura, Jianlin Shi, John R. Lombardi, Xiaoying Luo

Publications and Research

The current COVID-19 pandemic urges the extremely sensitive and prompt detection of SARS-CoV-2 virus. Here, we present a Human Angiotensin-converting-enzyme 2 (ACE2)-functionalized gold “virus traps” nanostructure as an extremely sensitive SERS biosensor, to selectively capture and rapidly detect S-protein expressed coronavirus, such as the current SARS-CoV-2 in the contaminated water, down to the single-virus level. Such a SERS sensor features extraordinary 106- fold virus enrichment originating from high-affinity of ACE2 with S protein as well as “virus-traps” composed of oblique gold nanoneedles, and 109- fold enhancement of Raman signals originating from multicomponent SERS effects. Furthermore, the identification standard of virus …

In Situ Simulation To Promote Residents As Resuscitation Leaders., Andrew Kalnow, Alex Davis, Zach Hampton, Brad D Gable

Medical Education Articles

Objectives  Our study sought to assess whether perceptions of residents as resuscitation team leaders could be improved by using emergency department (ED) in situ simulations involving ED staff. Secondarily, we monitored changes indicated in overall resuscitation team dynamics. Methods We conducted a prospective experimental study over the 2018-2019 academic year. Data were collected at a community-based ED with an emergency medicine residency program. Prior to starting the education, all ED staff including residents, attending physicians nurses and techs completed a survey of their perceptions of team performance and leadership during medical resuscitations. Throughout the year, residents and ED staff members …

Efficacy Of Weight Reduction On Pediatric Nonalcoholic Fatty Liver Disease: Opportunities To Improve Treatment Outcomes Through Pharmacotherapy., Chance S. Friesen, Chelsea Hosey-Cojocari, Sherwin S. Chan, Iván L. Csanaky, Jonathan B. Wagner, Brooke Sweeney, Alec Friesen, Jason D. Fraser, Valentina Shakhnovich

Manuscripts, Articles, Book Chapters and Other Papers

Obesity is the single greatest risk factor for nonalcoholic fatty liver disease (NAFLD). Without intervention, most pediatric patients with NAFLD continue to gain excessive weight, making early, effective weight loss intervention key for disease treatment and prevention of NAFLD progression. Unfortunately, outside of a closely monitored research setting, which is not representative of the real world, lifestyle modification success for weight loss in children is low. Bariatric surgery, though effective, is invasive and can worsen NAFLD postoperatively. Thus, there is an evolving and underutilized role for pharmacotherapy in children, both for weight reduction and NAFLD management. In this perspective article, …

The Use Of Dmaic To Improve Quality Vaccination Recommendations In Chain Community Pharmacies, Urvi Patel

Applied Research Projects

Community pharmacies provide the convenience and ease of administrating vaccinations outside traditional settings. Vaccinations are health initiatives that protect communities and improve health outcomes in all populations. Despite their accessibility and supporting clinical data, various influential factors contribute to the current suboptimal rates of vaccine administration. Given the common barriers to vaccine administration, this research narrows down to address a specific barrier and attempts to implement a method that focuses on improving vaccine rates in community pharmacies. This research is a case study that utilizes the DMAIC model of lean six sigma and aims to use this quality improvement process …

Implications Of The Quantum Dna Model For Information Sciences, F. Matthew Mihelic

Faculty Publications

The DNA molecule can be modeled as a quantum logic processor, and this model has been supported by pilot research that experimentally demonstrated non-local communication between cells in separated cell cultures. This modeling and pilot research have important implications for information sciences, providing a potential architecture for quantum computing that operates at room temperature and is scalable to millions of qubits, and including the potential for an entanglement communication system based upon the quantum DNA architecture. Such a system could be used to provide non-local quantum key distribution that could not be blocked by any shielding or water depth, would …

Magnetic Vector Potential Manipulation Of Majorana Fermions In Dna Quantum Logic, F. Matthew Mihelic

Faculty Publications

In the quantum logic of the DNA molecule, electrons are held and conducted coherently as spinless Cooper pairs and are shielded from electromagnetic energy by a Faraday cage effect of the double lipid bilayer of the nuclear membrane. The magnetic vector potential generated by cellular depolarization can synchronize logical activity in portions of the DNA molecule by affecting spin directions of appropriately oriented spinless electrons via the Aharonov-Bohm effect, but is not blocked by that Faraday cage effect. Within the logically and thermodynamically reversible chiral enantiomeric symmetry of the deoxyribose moieties the decoherent transition of Cooper pair to Dirac pair …

Exploring The Interaction Of Amphiphilic Mycobacterial Lipoarabinomannan With Lipoproteins: Implications For Blood-Based Diagnosis, Shailja Jakhar

Biomedical Sciences ETDs

Currently, over one-third of the global population is infected with tuberculosis (TB), one of the world’s most deadly infectious diseases. The current gold standard for TB diagnosis is microbiological culture, which can take up to 6-8 weeks, which is not conducive to timely treatment. There are no reliable diagnostics for TB. Disease manifestation and outcome of diagnostic tests for TB are influenced by co-morbidities such as HIV co-infection, further complicating diagnostics development. Thus, there is a need for reliable diagnostics for TB. This is especially true in pediatric populations where the differential disease presentation further complicates outcomes.

This dissertation describes …

Analysis Of Bmi, Skinfold Measurements, And Exercise Heart Rate Against Average Steps Of Gratiot Co. Youth From 2011-2015, Ewa Makowka, Jasmin Martinez, Robyn Anderson

Liberty University Research Week

Graduate

Applied

Virtual Reality In Nursing Simulations: A Systematic Review, Anna Haynes, Mary Highton, Martha Baker

Liberty University Research Week

Graduate

LUO Remote

Textual or Investigative

Social And Behavioral Risk Factors Of Sexually Transmitted Infections In Community College And University Female Students, Olufunmilayo Abidemi Babarinde, Ewa Makowka, Oswald Attin

Liberty University Research Week

Graduate

Applied

Medically Unnecessary Female Genital Alteration: Implications For Health Care Workers, Lora Mullen, Rachel Joseph

Liberty University Research Week

Graduate

LUO Remote

Textual or Investigative

Pediatric Concussion Management In The School Setting, Renee Mann, Rachel Joseph

Liberty University Research Week

Graduate

Textual or Investigative

A Review Of The Socio-Ecological Determinants Of Maternal Mortality Among African American Women, Lili Morgan, Michelle Salinas, Katherine Riley, Michala Geraty, Baraka Muvuka

Liberty University Research Week

Undergraduate

Textual or Investigative