Medicine and Health Sciences Commons^™

Assessments Of Biochemical, Immunological And Hematological Parameters In Iraqi Pediatrics Sle Patient’S Compared To Healthy Controls, Mohammed Abed Jawad Kadhum, Usama S. Al-Timari, Izzat Abdulsatar Al-Rayahi

Al-Nisour Journal for Medical Sciences

Background: Systemic lupus erythematosus was defined as an autoimmune chronic systemic rheumatic disease. Pediatric systemic lupus erythematosus (pSLE) is a rare condition, representing approximately 10% of SLE cases. Aims: Interleukins play an important role in the susceptibility to the disease. So, this study focused on some Interleukins and Complements to identify pSLE. Material and Methods: this study was carried out in Baghdad teaching Hospital, Welfare Teaching Hospital Children and Teaching Laboratories in Medical City and included thirty Iraqi patients diagnosed as pSLE and thirty healthy control. The patients group divided into two subgroups according to the SLEDAI (description of the …

Himmelfarb Library Liaison Letter - March 2021, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Liaison Letters

No abstract provided.

Risk Indicators Of Food Insecurity In The Cf Population, Semret Seyoum, Marsha Regenstein, Lea Nolan

Health Policy and Management Issue Briefs

No abstract provided.

An Analysis Of Suicide Risk Factors Among Farmers In The Midwestern United States, Andrea Bjornestad, Courtney Cuthbertson, Jessie Hendricks

Counseling and Human Development Faculty Publications

Research on the complex relationships of variables contributing to farmer suicide is limited. The purpose of the study was to examine factors associated with suicide risk through the use of standardized instruments measuring psychological (depression, anxiety), social (social support), and contextual factors. A questionnaire was completed by 600 farmers in the Midwestern United States. A multiple linear regression model was used to analyze associations with suicide risk (SBQ-R), including depression (PHQ-9), anxiety (GAD-7), Brief COPE subscales (BC), social support (MSPSS), and select demographic and farming characteristics. The only variable that emerged as having a significant relationship with the natural log-transformed …

Association Of Supine Hypertension In Patients With Parkinson’S Disease, Anam Anis, Iqra Athar, Mazhar Badshah

Pakistan Journal of Neurological Sciences (PJNS)

Parkinson’s disease is a neurodegenerative disease affecting older age populations. There is variable evidence of its relationship with hypertension. To date most of the studies have targeted orthostatic hypotension, however, rare data regarding supine hypertension has been witnessed so far. This study aimed at determining the association of supine hypertension with Parkinson’s disease.

Gutka Associated Optic Neuropathy, Dureshahwar Kanwar, Mohammad Wasay

Pakistan Journal of Neurological Sciences (PJNS)

Optic neuropathy may be multi factorial in origin. It’s association with gutka use in South East Asia is most likely under diagnosed and often overlooked, considering it is a diagnosis of exclusion. The Optic nerve toxicity is well known occurring due to medications, metals, organic solvents, methanol, and carbon dioxide.1 Over recent years the effect of smokeless tobacco has been highlighted as one of the common causes of toxic optic neuropathy (TON), as visual impairment is already a colossal global health issue. Nonetheless,as high as 80 percent of the total burden of cases of blindness globally are due to causes …

Declining Intensive Care Unit Mortality Of Covid-19: A Multi-Center Study, Sohaib Roomi, Syed Omar Shah, Waqas Ullah, Shan Abedin, Karyn L. Butler, Chiers, Kelly, Benjamin A. Kohl, Erika J. Yoo, Matthew Vibbert, Jack Jallo

Department of Surgery Faculty Papers

Background: Coronavirus disease 2019 (COVID-19) mortality has waned significantly over time; however, factors contributing towards this reduction largely remain unidentified. The purpose of this study was to evaluate the trend in mortality at our large tertiary academic health system and factors contributing to this trend. Methods: This is a retrospective cohort study of intensive care unit (ICU) patients diagnosed with COVID-19 between March and August 2020 admitted across 14 hospitals in the Philadelphia area. Collected data included demographics, comorbidities, admission risk of mortality score, laboratory values, medical interventions, survival outcomes, hospital and ICU length of stay (LOS) and discharge disposition. …

First Things First: Assessing Needs, Comfort, And Role Clarity For Physical Activity Promotion, Laura E. Balis, Thomas E. Strayer Iii, Samantha M. Harden

Journal of Human Sciences and Extension

Extension has recently begun delivering physical activity programs, but delivering evidence-based interventions is a challenge. To increase adoption of evidence-based interventions, a better understanding of agents’ perceptions and needs is necessary. The purpose of this research was to conduct a readiness assessment to identify organizational factors and agent perceptions that speed or impede uptake of evidence-based physical activity programs. Data were gathered from agents through a sequential mixed-methods design informed by the RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework. A survey assessed current work status, demographic variables, physical activity levels, and time spent on programming tasks. Semi-structured focus group questions …

Identifying The 10 Most-Pressing Issues Facing Local Food Systems In The Southern Region, Quisto Settle, Carley C. Morrison, Liz Felter, Jennifer Taylor

Journal of Human Sciences and Extension

This study was conducted to develop a list of the most-pressing issues facing local food systems in the Southern Region. A Delphi study that surveyed key informants across the Southern Region of the U.S. was used to develop the list. In the first round, informants were asked to list the three most-pressing issues. In the second round, they ranked all of the issues, which was used to create the top 10 issues: profitability, support for local food systems, education of the public, farming practices/knowledge, marketing and promotion, accessibility and affordability, lack of farms and farmers, regulations and certifications, infrastructure, and …

Evaluation Of A Health Education Intervention For Rural Preschool And Kindergarten Children In The Southeastern United States: A Cluster Randomized Trial, Holli H. Seitz, Julie C. Parker, Heather L. Hanna, Ginger C. Hooge

Journal of Human Sciences and Extension

This research employed a matched-pairs randomized field experiment design to evaluate a classroom-based health education intervention for pre-Kindergarten and Kindergarten children in a rural region of the southeastern United States. Schools were matched on demographic characteristics, then one school from each pair was randomly assigned to the treatment group and one to the delayed treatment group. The intervention included a field trip experience and an integrated curriculum designed to increase knowledge about nutrition, physical activity, and sleep. Staff conducted individual assessments of changes in knowledge with a random sample of children from each classroom (252 children from treatment classrooms; 251 …

Full Issue, Volume 9, Number 1, Donna J. Peterson, Kathleen Kelsey

Journal of Human Sciences and Extension

No abstract provided.

The Injustice Of Unfit Clinical Practice Guidelines In Low-Resource Realities, Nanna Maaløe, Anna Marie Rønne Ørtved, Jane Brandt Sørensen, Brenda Sequeira Dmello, Thomas Van Den Akker, Monica Lauridsen Kujabi, Hussein Kidanto, Tarek Mequid, Christian Bygbjerg, Jos Van Roosmalen, Dan Wolf Meyrowitsch, Natasha Housseine

Faculty of Health Sciences, East Africa

To end the international crisis of preventable deaths in low-income and middle-income countries, evidence-informed and cost-efficient health care is urgently needed, and contextualised clinical practice guidelines are pivotal. However, as exposed by indirect consequences of poorly adapted COVID-19 guidelines, fundamental gaps continue to be reported between international recommendations and realistic best practice. To address this long-standing injustice of leaving health providers without useful guidance, we draw on examples from maternal health and the COVID-19 pandemic. We propose a framework for how global guideline developers can more effectively stratify recommendations for low-resource settings and account for predictable contextual barriers of implementation …

Does Covid-19 Contribute To Development Of Neurological Disease?, Arehally M. Mahalakshmi, Bipul Ray, Sunanda Tuladhar, Abid Bhat, Shasthara Paneyala, Duraisamy Patteswari, Meena Kishore Sakharkar, Hamdan Hamdan, David M. Ojcius, Srinivasa Rao Bolla, Musthafa Mohamed Essa, Saravana Babu Chidambaram, M. Walid Qoronfleh

All Dugoni School of Dentistry Faculty Articles

Background: Although coronavirus disease 2019 (COVID-19) has been associated primarily with pneumonia, recent data show that the causative agent of COVID-19, the coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can infect a large number of vital organs beyond the lungs, such as the heart, kidneys, and the brain. Thus, there is evidence showing possible retrograde transmission of the virus from the olfactory epithelium to regions of the brain stem. Methods: This is a literature review article. The research design method is an evidence-based rapid review. The present discourse aim is first to scrutinize and assess the available literature on …

Ubrogepant To Treat Acute Migraine In Adults, Amber N. Edinoff, C. Austin Casey, Marc A. Colon, Alexa R. Zaheri, Courtney M. Gregoire, Margaret M. Bourg, Alan David Kaye, Jessica S. Kaye, Adam M. Kaye, Rachel J. Kaye, Sridhar R. Tirumala, Omar Viswanath, Ivan Urits

School of Pharmacy Faculty Articles

Migraine is a neurobiological headache disorder that affects around 16% of adults in the United States. Medical treatment of mild to moderate migraines include non-prescription non-steroidal anti-inflammatory drugs, acetaminophen, or aspirin and caffeine-containing combination analgesics. Additionally, moderate to severe migraines and those that are mild to moderate that have not responded to analgesics can be treated with triptans, which are drugs specific for migraine treatment. Non-pharmacological treatments include cognitive behavioral therapy and relaxation training. Medications for the prevention of migraines have also been developed since they are more affective in offsetting the symptoms. Ubrogepant’s high specificity and selectivity for calcitonin …

Support For Me Results From The Care Integration Assessment, Rachel M. Gallo Mph, Mary Lindsey Smith Phd, Katie Rosingana Ba, Evelyn Ali Bs, Karen Pearson Mlis, Ma, Mark Richards Bs, Tyler Egeland Ba, Olivia Dooley Mpa

Substance Use Research & Evaluation

In 2019, Maine’s Department of Health & Human Services received a $2.1 million grant from the Centers for Medicare and Medicaid Services (CMS) SUPPORT Act, establishing the SUPPORT for ME initiative within the Office of MaineCare Services. The primary goal of this planning grant is to increase MaineCare providers’ capacity to deliver Substance Use Disorder (SUD) treatment and recovery services for Medicaid beneficiaries. One key component of this project is an assessment to collect information from Maine organizations to help MaineCare better understand levels of care integrations within organizations and across several dimensions of care (“Care Integration Assessment”). This report …

A Mobile App For Delirium Screening, Brett Armstrong, Daniel Habtemariam, Erica Husser, Douglas L. Leslie, Marie Boltz, Yoojin Jun, Donna M. Fick, Sharon K. Inouye, Edward R. Marcantonio, Long H. Ngo

Osteopathic Medicine Student Publications

Objective: The objective of this study is to describe the algorithm and technical implementation of a mobile app that uses adaptive testing to assess an efficient mobile app for the diagnosis of delirium.

Materials and Methods: The app was used as part of a NIH-funded project to assess the feasibility, effectiveness, administration time, and costs of the 2-step delirium identification protocol when performed by physicians and nurses, and certified nursing assistants (CNA). The cohort included 535 hospitalized patients aged 79.7 (SD¼6.6) years enrolled at 2 different sites. Each patient was assessed on 2 consecutive days by the research associate who …

Management Of Intracranial Haemangiopericytomas, Noman Ahmad, Saqib Kamran Bakhshi, Muhammad Shahzad Shamim

Section of Neurosurgery

Haemangiopericytomas are rare tumours, commonly mistaken as meningiomas on radiology. These tumours are considered malignant and treatment involves aggressive surgery, followed by adjuvant radiation therapy, and close radiological and clinical follow ups. Herein the authors have reviewed the recent literature on the management of these tumours.

Assessment Of Knowledge, Attitude, And Practice Of Child Abuse Amongst Health Care Professionals Working In Tertiary Care Hospitals Of Karachi, Pakistan, Khuld Nihan, Aamir Makda, Huzaifah Salat, Munawar Khursheed, Jabeen Fayyaz, Uzma Rahim Khan

Department of Emergency Medicine

Introduction: UNICEF report (2004) states that a significant percentage of total child population under the age of 5 years suffered malnutrition. Child sexual abuse remains undiscussed across Pakistan. Health care professionals (HCPs) are usually the first notifiers of child abuse and are ethically obliged to manage and report it.
Objective: This study was conducted to assess HCPs' response in dealing with patients of child abuse. With a better understanding, we can have a better outcome for the victims.
Methods: A total of 101 participants filled out a structured questionnaire by HCPs working in three tertiary hospitals of Karachi i.e., Aga …

Phasing Out Diploma In Nursing: Merits And Implications On Nursing Education In Pakistan, Hussain Maqbool Ahmed Khuwaja

School of Nursing & Midwifery

No abstract provided.

Gynaecological Morbidities Among Married Women And Husband's Behaviour: Evidence From A Community-Based Study, Tazeen Saeed Ali, Neelofar Sami, Adil Ali Saeed, Parveen Ali

School of Nursing & Midwifery

Aim: To determine the association between gynaecological morbidities and IPV among married women specifically, with attention to the attitudes of the husband and the degree of satisfaction in a marital relationship.
Design: Cross-sectional study design.
Methods: Data were collected using face-to-face interviews with married women aged 15-49 years, living in selected communities. Information was collected on demographic characteristics, gynaecological morbidities and IPV using a self-developed tool. Descriptive and inferential statistics were used to analyse the data.
Results: Logistic Regression showed a significant association between physical violence and burning micturition, increased urinary frequency, constant dribbling of urine, genital ulcers, lower abdominal …

The National Covid Cohort Collaborative (N3c): Rationale, Design, Infrastructure, And Deployment., Melissa A Haendel, Christopher G Chute, Tellen D Bennett, David A Eichmann, Justin Guinney, Warren A Kibbe, Philip R O Payne, Emily R Pfaff, Peter N Robinson, Joel H Saltz, Heidi Spratt, Christine Suver, John Wilbanks, Adam B Wilcox, Andrew E Williams, Chunlei Wu, Clair Blacketer, Robert L Bradford, James J Cimino, Marshall Clark, Evan W Colmenares, Patricia A Francis, Davera Gabriel, Alexis Graves, Raju Hemadri, Stephanie S Hong, George Hripscak, Dazhi Jiao, Jeffrey G Klann, Kristin Kostka, Adam M Lee, Harold P Lehmann, Lora Lingrey, Robert T Miller, Michele Morris, Shawn N Murphy, Karthik Natarajan, Matvey B Palchuk, Usman Sheikh, Harold Solbrig, Shyam Visweswaran, Anita Walden, Kellie M Walters, Griffin M Weber, Xiaohan Tanner Zhang, Richard L Zhu, Benjamin Amor, Andrew T Girvin, Amin Manna, Nabeel Qureshi, Michael G Kurilla, Sam G Michael, Lili M Portilla, Joni L Rutter, Christopher P Austin, Ken R Gersing

Faculty Research 2021

OBJECTIVE: Coronavirus disease 2019 (COVID-19) poses societal challenges that require expeditious data and knowledge sharing. Though organizational clinical data are abundant, these are largely inaccessible to outside researchers. Statistical, machine learning, and causal analyses are most successful with large-scale data beyond what is available in any given organization. Here, we introduce the National COVID Cohort Collaborative (N3C), an open science community focused on analyzing patient-level data from many centers.

MATERIALS AND METHODS: The Clinical and Translational Science Award Program and scientific community created N3C to overcome technical, regulatory, policy, and governance barriers to sharing and harmonizing individual-level clinical data. We …

Hba1c Performance In African Descent Populations In The United States With Normal Glucose Tolerance, Prediabetes, Or Diabetes: A Scoping Review, Lakshay Khosla, Sonali Bhat, Lee Ann Fullington, Margrethe F. Horlyck-Romanovsky

Publications and Research

IntroductionAfrican descent populations in the United States have high rates of type 2 diabetes and are incorrectly represented as a single group. Current glycated hemoglobin A1c (HbA1c) cutoffs (5.7% to

Methods A PubMed, Scopus, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) search (January 2020) yielded 3,238 articles published from January 2000 through January 2020. After review of titles, abstracts, and full texts, 12 met our criteria. HbA1c results were compared with other ethnic groups or validated against the oral glucose tolerance test (OGTT), fasting plasma glucose (FPG), or previous diagnosis. We classified study results by the …

Sars-Cov-2 Exposure In Escaped Mink, Utah, Usa, Susan A. Shriner, Jeremy W. Ellis, J. Jeffrey Root, Annette Roug, Scott R. Stopak, Gerald W. Wiscomb, Jared R. Zierenberg, Hon S. Ip, Mia Kim Torchetti, Thomas J. Deliberto

United States Department of Agriculture Wildlife Services: Staff Publications

In August 2020, outbreaks of coronavirus disease were confirmed on mink farms in Utah, USA. We surveyed mammals captured on and around farms for evidence of infection or exposure. Free-ranging mink, presumed domestic escapees, exhibited high antibody titers, suggesting a potential severe acute respiratory syndrome coronavirus 2 transmission pathway to native wildlife.

We report a wildlife epidemiologic investigation of mammals captured on or near properties in Utah, USA, where outbreaks of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection occurred in farmed mink. Mink farms are relatively common in the United States, and most are small family farms. The US …

Evidence-Based Use Of Cognitive Testing For Academic Interventions: A Critical Appraisal Of Meta-Analytic Methodologies, Scott L. Decker, Jessica C. Luedke

Faculty Publications

Research suggests Specific Learning Disabilities (SLD) are directly linked to specific neurocognitive deficits that result in unexpected learning delays in academic domains for children in schools. However, meta-analytic studies have failed to find supporting evidence for using neurocognitive tests and, consequently, have discouraged their inclusion in SLD identification policies. The current study critically reviews meta-analytic findings and the methodological validity of over 200 research studies used in previous meta-analytic studies to estimate the causal effect of neurocognitive tests on intervention outcomes. Results suggest that only a very small percentage (6–12%) of studies used in previous meta-analytic studies were methodologically valid …

Përdorimi I Anestetikeve Në Regjionin E Prizrenit, Albiane Nezaj

Theses and Dissertations

Fusha e mjeksisë ka mundësuar që me anë të disa medikamenteve të bëjë kryerjen e intervenimeve kirurgjike pa dhimbje dhe humbje të vetëdijes apo të dyja së bashku.

Kjo procedurë që aplikohet tek pacientët gjatë intervenimeve kirurgjike quhet Anestezion.

Procedura me të cilat arrihet anestezioni d.m.th depresioni i sisemit nervor qendror dhe periferik është proces reverzibil pasi që pas ndërprerjes së veprimit të anestetikëve të gjitha funksionet e indit nervor duhet të kthehen në gjendje normale.

Rëndesia e kësaj teme është që të merren të dhënat për ruajtjen e shendetit të pacientit gjatë dhe pas përdorimit të anestetikëve.

Gjithashtu rëndësi …

Qasjet E Reja Në Trajtimin E Kancerit Të Gjirit, Albana Zulfaj

Theses and Dissertations

Kanceri i gjirit është një tumor që zhvillohet nga qelizat e vetë gjirit. Kanceri i gjirit është rritja jashtë kontrollit dhe përhapja e qelizave jo normale të indit të gjirit. Metoda kryesore moderne për zbulimin e kancerit të gjirit është mamografia, e cila në mënyrë të besueshme zbulon nga 80% në 96% të tumoreve të gjirit, më të mëdha se10 mmnë diametër. Mamografia kryhet çdo vit si masë profilaktike për të gjitha gratë mbi moshën 40 vjet. Qëllimi bazë i këtij hulumtimi është analizimi i detajizuar i procedurave të hershme diagnostikuese bashkëkohore në kuadër të zbulimit të hershëm të kancerit …

Kujdesi Dhe Menaxhimi Infermieror Ndaj Pacientëve Me Infeksione Të Traktit Urinar, Halil Markoviq

Theses and Dissertations

Hyrje: Janë infeksione që mund të prekin çdo pjesë të aparatit urinar: veshkën, ureterin, fshikëzën e urinës, apo uretrën. Shumica e infeksioneve prekin pjesën e poshtme të aparatit urinar d.m.th. fshikëzën dhe uretrën. Të gjithë njerëzit janë të rrezikuar për tu prekur nga infeksionet e rrugëve urinare. Femrat ka një risk më të madh sesa burrat për të zhvilluar infeksion urinar. Infeksionet urinare tek fëmijët e vegjël janë kambanë alarmi, sepse mund të jenë shprehje e një anomalie të lindur strukturale të sistemit urinar.

Qëllimi i punimit: Qëllimi i punimit është analizimi i të dhënave statistikore për numrin e pacientëve …

Kujdesi Infermieror Në Të Sëmurët Me Infeksion Urinar, Ermira Rexhepi

Theses and Dissertations

Infeksionet e traktit urinar janë nga infeksionet më të zakonshme që prekin njerëzit. Infeksionet e pakomplikuara ndodhin më së shpeshti në gratë ndryshe të shëndetshme kur bakteret uropatogjene, zakonisht Escherichia coli, ngjiten nga perineumi në fshikëz dhe kapërcejnë imunitetin e lindur të strehuesit. Infeksionet e komplikuara ndodhin tek pacientët me anomali anatomike ose funksionale të traktit urinar. Diagnoza vendoset në bazë të simptomave dhe saktësia diagnostike përmirësohet me anë të analizës së urinës. Kultura e urinës është e rëndësishme me infeksion të rëndë, të përsëritur ose të komplikuar dhe kur diagnoza është e paqartë, për shembull tek fëmijët dhe të …

Përkujdesja Infermierike Ndaj Të Sëmurit Me Trakeostomë, Erblina Behluli

Theses and Dissertations

Hyrja: Një trakeostomi është një vrimë e bërë në mënyrë kirurgjike, që kalon nëpër pjesën e përparme të qafës tuaj në trake, ose mbrapa. Trakeostomi quhet hapja ose stoma e bërë nga kjo prerje. Stoma mund të shërbej si rrugë ajrore ose mund të shërbeje si vend për vendosjen e një tubi të trakeostomisë. Mënyra e parë është kur kjo procedurë kërkohet në mënyrë urgjente dhe mënyra e dytë është kur nuk kërkohet më mënyrë urgjente. Një trakeostomi mund të përdoret për të ndihmuar njerëzit që kanë nevojë të jenë në ventilatorë për më shumë se dy javë ose që …

Kujdesi Infermieror Tek Pacientët Me Infeksione Të Traktit Urinar, Liridona Kamberi

Theses and Dissertations

Infeksionet e traktit urinar (ITU) janë ndër infeksionet më të shpeshta dhe përbëjnë një problem të përditshëm. Ato prekin çdo moshë dhe kanë prirje të përsëriten apo të bëhen edhe kronike. Po ashtu ITU mbartin rrezikun e prekjes së organeve kryesore të traktit urinar, të veshkave, duke dhënë pielonefritin kronik.

Qëllimi: Punimi është realizuar me qëllim të rritjes së njohurive rreth infeksioneve të traktit urinar, mënyrës së paraqitjes, faktorëve të rrezikut si dhe kujdesin infermieror për pacientët me ITU.

Profesioni im, është i shenjtë. Unë si infermiere, me shumë dëshirë dua që ta trajtoj këtë qështje sa të mirë aq …