Medicine and Health Sciences Commons^™

Action Leveraging Evidence To Reduce Perinatal Mortality And Morbidity (Alert): Study Protocol For A Stepped-Wedge Cluster-Randomised Trial In Benin, Malawi, Tanzania And Uganda, Joseph Akuze, Kristi Sidney Annerstedt, Lenka Benova, Effie Chipeta, Jean-Paul Dossou, Mechthild M. Gross, Hussein Kidanto, Bruno Marchal, Helle Mölsted Alvesson, Andrea B. Pembe

Obstetrics and Gynaecology, East Africa

Background: Insufficient reductions in maternal and neonatal deaths and stillbirths in the past decade are a deterrence to achieving the Sustainable Development Goal 3. The majority of deaths occur during the intrapartum and immediate postnatal period. Overcoming the knowledge-do-gap to ensure implementation of known evidence-based interventions during this period has the potential to avert at least 2.5 million deaths in mothers and their offspring annually. This paper describes a study protocol for implementing and evaluating a multi-faceted health care system intervention to strengthen the implementation of evidence-based interventions and responsive care during this crucial period.

Methods: This is a cluster …

Successful Treatment Of Demodicosis Due To Demodex Cati In A Cat Using Spot – On Formulation Of Fluralaner, Piyarat Chansiripornchai, Niwat Chansiripornchai

The Thai Journal of Veterinary Medicine

This case report describes the successful use of fluralaner in treating demodicosis caused by Demodex cati in a cat. A 4.2 kg 10 – year – old spayed female Siamese short – haired cat was presented with a 5 – month history of severe dermatitis. The cat had been treated at previous animal hospitals with a variety of drugs such as antimicrobials, glucocorticoids and ectoparasiticides on separate occasions but the clinical signs remained severe. Microscopic examination of skin samples revealed the presence of D. cati. The cat was treated with a single dose of spot – on formulation of fluralaner …

Calcinosis Circumscripta Associated With Surgical Site Of The Right Femur In A Belgian Sheepdog: Imaging Diagnosis And Surgical Treatment, Naparee Srisowanna, Kanittha Darawiroj, Somporn Techangamsuwan, Nan Choisunirachon

The Thai Journal of Veterinary Medicine

A nine-month, intact male, Belgian Sheepdog was presented to the hospital due to a history of rapidly progressive growth of a solitary calcified mass at the right hip area. The dog has a history of an internal implant fixation for the right femoral fracture at 5 months ago. Physical examination revealed a dome shape, hard consistency, non-movable, painless, subcutaneous mass with size 5x6 cm. Radiography and ultrasonography showed a well-circumscribed, calcified soft tissue mass at craniolateral aspect of the right proximal femur without cortical bone reaction. Computed tomography (CT) scan was not performed in this case because metal fixation was …

Diagnosis Of Toothpick-Induced Chronic Intramuscular Abscess Using Fistulography In A Dog, Pei-Chun Hsieh, Kuan-Sheng Chen, Wei-Ming Lee, Wei-Yau Shia

The Thai Journal of Veterinary Medicine

A ten-year-old, 16.7 kg mixed-breed dog presented with chronic lameness and delayed healing of discharging wounds in the right pelvic limb following a puncture injury for approximately 6 months. Debridement surgery had been performed, but the tissue infection was persistent. Plain radiographic examination showed neither increased soft tissue opacity nor foreign body (FB) existence near the discharging wound of the right pelvic limb. After the second debridement surgery, closed drainage tubes were placed, and susceptible antibiotic therapy was prescribed in an attempt to control the persistent infection, but the fluid draining from the wound was still purulent. Therefore, fistulography was …

In Response: Neuraxial And Peripheral Misconnection Events Leading To Wrong-Route Medication Errors, Eugene R. Viscusi, Vincent Hugo, Klaus Hoerauf, Frederick S Southwick

Department of Anesthesiology Faculty Papers

No abstract provided.

Nmr Spectroscopy-Based Metabolomics Of Platelets To Analyze Brain Tumors, Shivanand Pudakalakatti, Alessandra Audia, Anirudh Mukhopadhyay, José S Enriquez, Dontrey Bourgeois, Nabihah Tayob, Niki M Zacharias, Steven W Millward, Daniel Carson, Mary C Farach-Carson, Frederick F Lang, Amy B Heimberger, Krishna P Bhat, Pratip K Bhattacharya

Faculty, Staff and Student Publications

"Tumor-educated platelets" have recently generated substantial interest for the diagnosis of cancer. We hypothesized that tumor educated platelets from patients with brain tumors will reflect altered metabolism compared to platelets from healthy volunteers. Here, in a pilot study, we have employed nuclear magnetic resonance (NMR) spectroscopy in platelets from brain tumor patients to demonstrate altered metabolism compared to the platelets obtained from healthy volunteers.

Stress Among Ncaa Division Ii Head Coaches, Dee Gerlach

Graduate Theses and Dissertations

The purpose of this quantitative study was to identify factors that create stress among head coaches at the National Association Athletic Association Division II level. Data was collected through a demographic questionnaire and the Coaching Issues Survey (CIS), a tool used to measure specific factors that may create stress among coaches. The factors of the CIS include four subscales: Athlete-Concerns, Time-Role, Program-Success, and Win-Loss. Participants (N=416) consisted of head coaches representing the following sports: baseball, men’s basketball, women’s basketball, men’s golf, women’s golf, men’s and women’s golf, softball, women’s tennis, and men’s and women’s tennis. The independent variables for this …

Effect Of Ketogenic Diet On Quality Of Life In Adults With Chronic Disease: A Systematic Review Of Randomized Controlled Trials, Myriam Abboud, Fatme Alanouti, Evridiki Georgaki, Dimitrios Papandreou

All Works

Background: Chronic diseases adversely affect quality of life (QOL). The ketogenic diet (KD) may improve the QOL. Objective: The aim of this systematic review was to summarize the available evidence of randomized controlled trials (RCTs) to establish the effect of KD on the QOL in adults with chronic diseases. Methods: Reporting followed PRISMA guidelines. We included randomized controlled trials (RCTs) conducted on adults with chronic disease including an intervention group that received KD and a control group, and where QOL was reported as outcome. We searched PubMed, APA PsycInfo, EMBASE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), …

Inspire : Vol 4, Issue 12, Department Of Medicine

INSPIRE – Department of Medicine Archives

Content

• Message from the Chair
• Medicine at National and International Forums
• AACE Middle East Conference
• In-depth- featuring Assistant Professor Yawer Saeed
• Featured Faculty- Dr Syed Furrukh Omair “…if you want to be a learner, keep your head and heart clean and clear. Be receptive and positive in life…”
• Faculty’s –Favorite poem
• What are Academics Around the World Reading This Month?
• Publications

The Influence Of Intranasal Peste Des Petits Ruminants Vaccine Application Methods On The Induction Of Immune Responses In Goats: Clinicopathological And Immunohistochemical Findings, Chukwunonso Kenechukwu Ezeasor, Shodeinde Vincent Shoyinka, Benjamin Obukowho E Mikpe, Ikechukwu John Udeani, Nick Nwankpa, Charles Sanne Bodjo, Mohd Yusoff Sabri

The Thai Journal of Veterinary Medicine

Intranasal administration of peste des petits ruminants (PPR) vaccine may induce mucosal and systemic immune responses in goats but little is known about the influence of the vaccine application methods. This study reports the influence of two different intranasal vaccine application methods on the immune responses in goats following intranasal PPR vaccination. Twenty, male west African dwarf goats were divided into 4 groups (n=5). Groups A and B were vaccinated intranasally (IN) with live attenuated PPR vaccine (Nigeria 75/1) by either nasal dropper (Group A) or nasal spray (Group B) methods and compared with the subcutaneous route of vaccination (Group …

Diagnostic Utility Of Basal Serum T4 And Tsh Concentrations In Dogs With Hypothyroidism Confirmed By Tsh Stimulation Test, Minkeun Shin, Dohee Lee, Taesik Yun, Yoonhoi Koo, Byeong-Teck Kang, Mhan-Pyo Yang, Hakhyun Kim

The Thai Journal of Veterinary Medicine

The objective of this study was to evaluate the diagnostic performance of a basal serum thyroxine (T4) and thyrotropin (TSH) combination test for the diagnosis of canine hypothyroidism in clinical practice. It was hypothesized that the usefulness of basal T4 and TSH combination test in dogs with suspected non-thyroidal illness syndrome would be different with that in previous studies. The data of this study were searched for dogs who underwent both TSH stimulation test and basal serum T4 and TSH combination test. Forty-four cases were classified into either of three groups (hypothyroid, intermediate, or euthyroid) according to the results of …

The Alterations Of Fecal Microbiota In Dogs With Acute Diarrhea, Thailand, Jeerawat Soonthornsit, Natharin Ngamwongsatit, Panpanga Sangsuriya, Nlin Arya

The Thai Journal of Veterinary Medicine

Acute diarrhea is a common clinical sign in dogs which the pathogenesis has associated with altered gut microbiome compositions and influenced by diet, environment, and medication. However, the impact of gut microbiome on dog health has still not been well elucidated in Thailand. This study aims to investigate the alterations of the fecal microbiome in dogs with diarrhea (<3 days) compared to healthy dogs. Fresh feces were collected once from each dog, and DNA extraction was performed following the QIAamp DNA stool mini kit protocol. The 16s rRNA gene, then, amplified and analyzed by the next-generation DNA sequencing technology. The results showed a significant reduction of the evenness and Shannon index in dogs with the diarrhea group. The most dominant phylum in healthy dogs, Firmicutes, was markedly declined. Additionally, significant decreases in bacterial abundances were observed in twelve genera. To the best of our knowledge, seven of them were first described in their alterations including Clostridium sensu stricto 1, Lachnospiraceae NKA4136 group, Erysipelatoclostridium, Tyzzerella 3, Alloprevotella and Slackia. Therefore, these findings disclose the new possible biomarkers for intestinal diseases and the effect of ordinary diets on the fecal microbiome in dog health, Thailand.

Comparison Of The Effects Of Different Thawing Methods On Post-Thaw Sperm Characteristics Of Buffalo Bull Semen, Eser Akal, Murat Selçuk, Burcu Esi̇n, Melih Akar, Cumali Kaya

The Thai Journal of Veterinary Medicine

Application proper procedures for thawing of cryopreserved sperm are required for successful artificial insemination. The study was aimed to compare the effects of watery and dry thawing systems on motility, acrosome integrity, plasma membrane integrity, morphologic and kinematic characteristics of buffalo bull spermatozoa. Anatolian Buffalo bull spermatozoa, cryopreserved in volumes of 0.25 mL straws, were thawed by using 1) watery thawing system; a total of 10 straws were thawed in a water bath at 37 °C for 30 sec and 2) dry thawing system; a total of 10 straws were thawed in a dry thawing device at 37 °C for …

Evaluation Of The Hematological And Serum Protein Profiles Of Blood Parasite Coinfection In Naturally Infected Dogs, Sariya Asawakarn, Sirakarnt Dhitavat, Piyanan Taweethavonsawat

The Thai Journal of Veterinary Medicine

Canine vector-borne diseases (CVBDs) are prevalent worldwide, including Thailand. Vectors can transmit more than one pathogen, and coinfections between blood parasites and/or filariae have been reported. Pathogenesis may affect the health status of infected dogs. Hematological, blood chemistry, and serum protein profile abnormalities can be used to screen for underlining causes of CVBDs. The aim of this study is to analyze the hematological and serum protein profiles as well as CRP in CVBD coinfection cases. In this study, 22 blood parasite coinfection cases are examined and classified into two groups: blood parasite coinfection (group 1: n = 16) and blood …

A Seroepidemiological Investigation On Major Viral And Bacterial Pathogens In Small-Scale Chicken Flocks In The Mekong Delta Region Of Vietnam, Nguyen Thi Bich Van, Nguyen Van Cuong, Nguyen Thi Nhung, Nguyen Thi Phuong Yen, Le Vy, Bach Tuan Kiet, Nguyen Van Hoang, Vo Be Hien, Ho Thi Viet Thu, Niwat Chansiripornchai, Guy E. Thwaites, Marc Choisy, Juan Carrique-Mas

The Thai Journal of Veterinary Medicine

Small-scale commercial chicken farming represents an important source of income to rural households in the Mekong Delta region of Vietnam. A wide range of vaccines are currently administered to flocks, but is not based on empirical knowledge on pathogen circulation. We collected serum samples and vaccination data from a random sample of 267 small-scale native chicken flocks in Dong Thap to determine serological profiles by ELISA against 8 pathogens: Avian Influenza (AI), Chicken Anaemia virus (CAV), Infectious Bursal Disease (IBD) virus, Infectious Bronchitis virus (IBV), Newcastle Disease virus (NDV), O. rhinotracheale (ORT), P. multocida (PM) and M. gallisepticum (MG). The …

Bacterial Counts And Prevalence Of Salmonella And Extended-Spectrum Β-Lactamase Producing Bacteria In Prawn And Shrimp Imported Into Japan, Yukio Morita, Su Myo Thwe, Satoshi Morita, Sumalee Boonmar

The Thai Journal of Veterinary Medicine

The prevalence of Non-typhoidal Salmonella (NTS) and extended-spectrum β-lactamase (ESBL) producing bacteria was assessed in samples of imported prawn and shrimp obtained from retail markets in Japan. The overall prevalence of NTS and ESBL producing bacteria was 4%, and 14%, respectively. We identified 4 NTS isolates, including S. enterica subspecies salamae, and 3 serovars of S. enterica subspecies enterica, including Weltevreden, Abony, and Stanley. ESBL producing bacteria were isolated from 14 of 100 samples, thirteen of which harbored Stenotrophomonas maltophilia and that harbored Chryseobacterium indologenes. Among the S. maltophilia-positive samples, six had been imported from India, five samples came from …

Estimation Of Percentage Of Morbidity And Mortality Due To Avian Influenza (H9) At Commercial Poultry Layer Farms Of Lahore, Afeefa Shafiq, Aisha Arshad, Zafar-Ul-Ahsan Qurashi, Zain Khalid, Noor Ul Huda, Muhammad Noman, Muhammad Ilyas, Hamad Bin Rashid, Asim Khalid Mehmood, Saima Hasan, Quratul Ain, Sobia Amir, Sheraz Shahid, Shakera Sadiq, Mamoona Chaudhry

The Thai Journal of Veterinary Medicine

The current study was aimed at the estimation of the percentage of morbidity, mortality and potential risk factors associated with the avian influenza virus (AIV) H9 at commercial layer farms of District Lahore, Pakistan. Samples collected included blood samples and tracheal/oropharyngeal swabs from sick birds and tissue samples (trachea & lungs) of dead birds. Sera were tested by Hemagglutination Inhibition Test (HI) using the positive control antigen of H9. Tracheal/oropharyngeal swabs and tissue samples were processed by real-time RT-PCR (rRT-PCR). Out of 50 layer farms, 16 farms were positive for antibody titer against the AIV H9. Out of a total …

Effects Of Senktide On Kisspeptin/Neurokinin B/Dynorphin Peptide Mrna Expression And Luteinizing Hormone Secretion In Fasted Female Goats: A Pilot Study, Pongpak Intaravichai, Somchai Sajapitak, Sittipoj Krasaesub, Tatchapon Mongkonwattanaporn, Theera Rukkwamsuk

The Thai Journal of Veterinary Medicine

This pilot study aimed to examine KNDy peptide mRNA (Kiss1/Tac3/Pdyn) expression and to determine the effects of peripheral neurokinin 3 receptor agonist (senktide) administration on the ARC Kiss1 mRNA expression and LH secretion that was affected by fasting condition in intact female goats during the luteal phase of the estrus cycle. During the mid to late luteal phase of the estrus cycle, the goats were randomly divided into three groups; the fed group (n = 2), which was fed ad libitum throughout the experimental period, the fasted group (n = 2) and the fasted + senktide group (n = 2) …

Surgical Correction Of Bilateral Soft Palate Hypoplasia Using Soft Palate Hinged-Flap And Bilateral Buccal Mucosal Rotation Flaps In A Dog, Wongsuda Yala, Chaiyasit Suksawakhon, Wanchart Yippaditr, Julaluk Kruafu

The Thai Journal of Veterinary Medicine

A 3-month-old 13 kg intact female American pit bull dog was presented with a history of chronic sneezing, nasal discharge, oronasal reflux, and aspiration with food and water. Oral examination under general anesthesia revealed a shortened soft palate extended caudally from the hard palate. As a result, bilateral soft palate hypoplasia was diagnosed. The dog was operated upon by using soft palate hinged-flap combined with bilateral buccal mucosal rotation flaps techniques. Ten days after surgery, the dog was eating well and the nasal discharge was resolved. Oral examination showed that the new soft palate had healed well. A follow-up after …

Looking Upstream: Promoting Health Equity In Philadelphia Through Novel Partnership Strategies, Adrea Cope, David B. Nash, Sandra E Brooks, David Platt

College of Population Health Faculty Papers

No abstract provided.

Commentary: Zoom Into The Coronary Anastomosis During Coronavirus Disease 2019 (Covid-19), Danial Ahmad, Vakhtang Tchantchaleishvili

Division of Cardiology Faculty Papers

No abstract provided.

Impact Of Local Covid-19 Policies On The Homeless Population: Case Study In Two Montana Counties, Franchesca D. Talbot

Capstone Experience: Master of Public Health

COVID-19 has had a significant impact on people experiencing homelessness in Montana. In each Montana County, local policies in addition to individual shelter policies determine the requirements for homeless shelters in relation to capacity, distancing, and other public health measures designed to prevent the spread of COVID-19. The policies often differ from county to county, which often lead to different outcomes across the state. This case study analyzed data from multiple sources on the number of COVID-19 cases and deaths among the homeless populations in Missoula and Lewis and Clark Counties in Montana and linked them to the effectiveness of …

Cadmium And Chromium Evaluation Of Offutt Air Force Base Aircraft Maintenance Bay, Nickolas Lamal

Capstone Experience: Master of Public Health

The 55th Aircraft Maintenance Squadron is based out of Offutt Air Force Base (AFB). The organization has requested testing of Air Ground Equipment (AGE) maintenance operations for heavy metals, specifically cadmium and chromium while evaluating one break area for the harmful compounds. It is hypothesized that heavy metals may be in excessive limits and could potentially harm staff and their families as take-home toxins. If left uninvestigated and evaluated, excessive exposure to heavy metals could cause injury or illness within the unit’s ranks, decreasing unit effectiveness and efficiency. Sampling methods include preliminary assessments of break area and adjacent glass bead …

Predictors Of Poor Glycemic Control In Diabetic Clients With Mental Health Illness, Community Alliance, Omaha, Nebraska, Rachelle Flick

Capstone Experience: Master of Public Health

People with severe mental illness tend to die 10-25 years earlier than the general population (WHO). Main contributors to these premature deaths include comorbidities such as hypertension, cardiovascular disease, and diabetes. Diabetes prevalence in mentally ill people is 2 times higher than the general population (WHO). The World Health Organization is taking action to improve the health of people with severe mental illness. These efforts include creating protocols of prevention, identification, assessment, and treatment for mentally ill people, as well as improving access to general health services through the integration of physical and mental health services. Community Alliance, located in …

A Literature Review Of Paid Sick Leave And Disparate Populations In The United States During The Covid Pandemic, Jessica Davies

Capstone Experience: Master of Public Health

The COVID pandemic is providing many public health and health policy learning opportunities to identify disparities among women, minorities, and underserved/distressed populations and inform subsequent policy-level strategies. It is recommended people stay home when they are sick; yet, not all people have access to paid sick leave. Individuals are left with the unfortunate decision to lose pay or go to work when they are ill. This is disconcerting in any given year with the annual flu illness and other communicable diseases; however, especially concerning during the COVID pandemic given the high virus transmissibility. Paid sick leave is not universally accessible …

Developing And Piloting An E-Learning Module On Respiratory Protection, Emily Girard

Capstone Experience: Master of Public Health

Respiratory diseases are one of the most common causes of occupational illnesses in the United States. Many occupations use personal protective equipment (PPE) in the form of respirators to protect against respiratory hazards when other control methods are not effective. However, some workers may not have had adequate training on their use. An e-learning module was developed to provide information about respirators and their use in agriculture. The interactions of matching, sorting, and review questions require the user to be an active participant with the goal of reinforcing the information. It was hypothesized the average summative assessment score would increase …

Evaluating Nebraska Ems Providers' Ability And Willingness To Respond To Bioterrorism Emergencies, Ryan Houser

Capstone Experience: Master of Public Health

Previous studies have found that public health systems within the United States are inadequately prepared for an act of biological terrorism. This study utilized an Internet-based survey to assess the level of preparedness and willingness to respond to a bioterrorism attack, and identify factors that predict preparedness and willingness among Nebraska Emergency Medical Service providers, who are key to resilience in the face of an attack. The survey was available for one month in 2021 during which 190 EMS providers responded to the survey. The subjects included Registered Nurses, doctors, EMTs, and paramedics. Only 10% of the respondents are both …

Gender Disparity In Obesity And Lifestyle Characteristics Among Adults In Mississippi, Jalysa M. Edwards

Capstone Experience: Master of Public Health

Obesity is a primary public health concern and is associated with several chronic health diseases that can have dire consequences. According to the World Health Organization (WHO), there were about 1.9 billion overweight adults aged 18 years and above and at least 650 million adults were obese worldwide in 2016. Adults living in Mississippi are of particular concern, due to the high obesity rate which has continued to increase over the past 25 years. Mississippi’s obesity rate is 37.3%, which is one of the highest rates of adult obesity in the United. While obesity increases the risk of disease outcomes, …

Occupational Injuries Associated With Workplace Violence In An Academic Medical Center, Rebecca J. Bonacci

Capstone Experience: Master of Public Health

Violence is a major source of workplace injury in the medical profession. Peer reviewed literature is lacking for workers that have injuries through violence from clients who have intellectual disabilities. Literature for hospital security is also lacking. In this study of workplace violence, we compared injuries among the occupational groups at an academic medical center from 2017-2020. We hypothesized that violence will be similar across the years. Occupational injury and illness data was obtained from an academic medical center. The number of violence cases was divided by the total number of injury cases and reported as a percentage. We found …

Factors Contributing To Trust Of Occupational Healthcare Services In Meatpacking Plants, Gabriella Ochoa

Capstone Experience: Master of Public Health

Meatpacking refers to the slaughtering of livestock and processing and packaging it into meat and other byproducts. Meatpacking is a large industry employing thousands of workers from various racial and socioeconomic backgrounds in Nebraska. These workers have experienced disparities in accessing occupational health services such as language barriers, fear of job loss, or deportation due to immigration status if these services were used. The purpose of this study was to investigate how trust in occupational health services varied among employees at a meatpacking plant in Nebraska by demographic characteristics, particularly by ethnicity, gender, and English language proficiency.