Medicine and Health Sciences Commons^™

Three Roles Of Narratives In The Treatment Of Chronic Pain, Nina Atanasova

Philosophy and Religious Studies Department Faculty Publications

In this paper, I discuss the roles narratives play in the diagnostics, treatment, and recovery of chronic pain patients. I show that the successes of this narrative approach to the treatment of chronic pain support the biopsychosocial model of disease. The central example of narrative interventions discussed in the paper is pain neuroscience education. This is an intervention which aims at helping chronic pain patients reconceptualize their pain experiences so as to align them with neuroscientific knowledge of pain. Multiple clinical trials have established the success of these interventions in pain reduction. This shows that neuroscience pain education is in …

The Measurement Of Strength In Children: Is The Peak Value Truly Maximal?, Hayao Ozaki, Takashi Abe, Scott J. Dankel, Jeremy P. Loenneke, Toshiharu Natsume, Pengyu Deng, Hisashi Naito

Faculty and Student Publications

It is unclear whether the measurement of maximum muscle strength in younger children can be performed accurately due to factors such as motivation and maturity (i.e., the ability to receive instruction). If there is a large change in a ratio between muscular strength and size from the youngest to the oldest, then this might provide some indication that the youngest may not have been able to voluntarily activate their muscles for reasons mentioned previously. The purpose of this study was to observe the ratio between handgrip strength (HGS) and forearm muscle thickness (MT) across differing ages in younger children. A …

Spreading Encouragement To Seniors In A Pandemic, Bonnie L. Rogulj, Lashia Hicks

Physical Therapy Collection

This brief note describes a "virtual calendar" project created by students of the University of St. Augustine for Health Sciences. The calendar of images and poetry was shared with older adult community members to reduce loneliness and increase mental health and wellness in this population during the COVID-19 pandemic.

The Scoop, Vol. 7 Issue 10, January 2021, Health Sciences Library

Volume 7

Latest news and events from the Health Sciences Library in our monthly newsletter for January 2021.

Spinal Schwannoma, Srikanth Bawgi Dr, Roopa Sheshadri Dr, Anupama C Dr

Radiology Teaching Files

CLINICAL HISTORY

70 year old male patient came with the complaints of weakness in bilateral lower limbs since 2 months and acute retention of urine since 20 days. Blood work-up was done and the parameters were within normal limits.

Oligodendroglioma, Bala Seshank Akshit Reddy Mettu Dr, Rudresh Hiremath Dr, Vinay Raj Dr

Radiology Teaching Files

CLINICAL HISTORY:

A 39 year old male patient presented to our institute with one episode of GTCS and post-ictal headache. No other relevant history was present, no similar complaints were present in the past and no comorbidities. On examination, neurological examination was within normal limits. Blood-work up was also within normal limits.

Post Primary Pulmonary Tuberculosis: A Case Report, Abhigna S. Moudgalya Dr, Vikram Patil Dr

Radiology Teaching Files

No abstract provided.

Splenic Artery Pseudoaneurysm Secondary To Necrotizing Pancreatitis – A Rare Lethal Complication, Vinay Raj Dr, Divya Vishwanatha Kini Dr

Radiology Teaching Files

CLINICAL HISTORY:

A 35-year-old male patient presented with history of massive hemoptysis associated with pain abdomen and breathlessness since the past 3 days. Patient had no prior co-morbidities; however was a chronic alcoholic and smoker since the past 15 years. No hospital admissions in the past.

Structure Based Optimization Of Benzimidazole 4-Carboxamide Scaffold Led To Picomolar Poly(Adp-Ribose) Polymerase Inhibitors, Griffin J. Coate

Theses and Dissertations

Poly(ADP-ribose) polymerase 1 (PARP1) is one of several proteins in the PARP superfamily consisting of 17 proteins with a conserved ART domain. Out of the 17 total proteins, 6 show clear evidence of catalytic activity. These 6 proteins are comprised of PARP1 through PARP4 as well as TNKS1 and TNKS2. PARP1 is thoroughly characterized and has been implicated for its role in various forms of cancer. Due to the role PARP1 plays in the DNA repair pathway, targeting PARP1 for inhibition has led to two distinct anticancer strategies. The first focusing on combinatorial drug therapy with a DNA damaging anticancer …

Molecular Characterization Of Cryptosporidium Spp. From Humans In Ethiopia, Ambachew W. Hailu, Abraham Degarege, Haileeyesus Adamu, Damien Costa, Venceslas Villier, Abdelmounaim Mouhajir, Loic Favennec, Romy Razakandrainibe, Beyene Petros

Journal Articles: Epidemiology

Data on the distribution and genotype of Cryptosporidium species is limited in Ethiopia. This study examined the presence and genetic diversity of Cryptosporidium species circulating in Ethiopian human population. Stool samples collected from patients who visited rural (n = 94) and urban (n = 93) health centers in Wurgissa and Hawassa district, respectively, were examined for the presence of Cryptosporidium spp. using microscopy, nested PCR and real-time PCR. To detect infection with PCR, analysis of 18S ribosomal RNA was performed. Subtyping was performed by sequencing a fragment of GP60 gene. The overall prevalence of infection was 46% (n = 86) …

Early Mobilization In Cardiac Surgery Patients, Morgan Gidley

Nursing Student Class Projects (Formerly MSN)

Coronary artery disease (CAD) is a buildup of plaque in the heart's arteries, which can lead to a heart attack and decrease the pumping ability of the heart muscle (American Heart Association, 2015). Because CAD is a cause major cause of mortality worldwide, it is essential to understand the risk factors, signs and symptoms, and pathophysiology behind the disease (Kanejima, 2020). To further investigate CAD, this poster was created as an educational tool. The poster discusses treatment options for heart attacks and CAD as well as preventative measures. This poster should be used as a tool to educate the public …

Ulcerative Colitis, Randy Kinietz

Nursing Student Class Projects (Formerly MSN)

This poster briefly covers the most important concepts of ulcerative colitis (UC). UC is a complex disease process and the exact etiology is not yet known. Many researchers are currently looking to find the cause of the disease and treatment options that can target the exact pathophysiological process. Nurses are instrumental in the care of UC, especially in an outpatient setting. Education on medications and proper follow-up appointments are the key to maintaining remission, reducing flare-ups, and cancer screening. Although UC is a complex disease, a multidisciplinary approach will reduce complications and prolong remission.

Malignant Hyperthermia, Courtney Morris

Nursing Student Class Projects (Formerly MSN)

Malignant Hyperthermia as defined by the International Classification of Diseases is a rare but progressive, and life-threatening hyperthermic reaction in response to a triggering agent such as general anesthetic gases or the depolarizing neuromuscular blocking agent Succinylcholine (Hopkins et. al., 2020). MalignantHyperthymia is a genetic disorder of the skeletal muscle, that leads to continuous muscle contraction and the inability to relax skeletal muscle (Haili and Weant, 2021). Signs and symptoms can vary from patient to patient and can be masked by anesthesia, but the classical signs include an increase in end-tidal CO2, increased heart rate, and a rapid increase in …

Carbon Monoxide Poisoning, Calvin Sparks

Nursing Student Class Projects (Formerly MSN)

The poster following is a graphical representation displaying carbon monoxide poisoning and the affects on normal physiology. Carbon Monoxide Poisoning interrupts normal cellular processes and contributes to reduced utilization of oxygen. Carbon monoxide poisoning is responsible for up to 50 thousand hospital admissions annually. A colorless, odorless gas that any human being is potentially at risk for. A thorough review utilizing EBSCO was performed using Boolean Terms carbon monoxide poisoning and treatment. Articles were selected based on clinical relevancy with a published date within the past 5 years of 2021.

Hypercoagulable State Of Covid-19, Amanda Martin

Nursing Student Class Projects (Formerly MSN)

From the data that has been collected and compiled on SARS-CoV-2, or Coronavirus disease 2019 (COVID-19), it has shown that there are unique qualities of the novel virus that leads to a hypercoagulable state in those diagnosed. To effectively treat those afflicted with this specific symptom of COVID-19, an understanding of the pathophysiology of the virus must be established to effectively treat and potentially prevent coagulopathy and the thrombotic events that can ensue. Gaining more insight into this will allow for standardized plan of care that includes appropriate predicative labs and effective prophylactic medications to be utilized in outpatient or …

Diabetes Mellitus, Allie Luther

Nursing Student Class Projects (Formerly MSN)

The topic of this poster is Diabetes Mellitus. This topic was chosen because 415 million people live with diabetes worldwide, and an estimated 193 million people have undiagnosed diabetes (Chatterjee et al., 2017). This number is expected to rise to 625 million by 2045 (Forouhi & Wareham, 2019). Type 2 diabetes accounts for more than 90% of patients with diabetes and leads to microvascular and macrovascular complications that cause profound psychological and physical distress to both patients and providers, and put a huge burden on health-care systems (Chatterjee et al., 2017). Despite increasing knowledge of the disease process an treatment, …

Schizophrenia, Allison Hopps

Nursing Student Class Projects (Formerly MSN)

Schizophrenia overview including symptoms. Areas of interest regarding research and ways to advance treatment for schizophrenia patients. There is still much to be known about the disease and research to help patients.

Atrial Fibrillation Pathophysiology, Ellen Macdonald

Nursing Student Class Projects (Formerly MSN)

Atrial Fibrillation is the most common cardiac dysrhythmia and contributes to significant morbidity and mortality. Despite how common this condition is, the pathophysiology of atrial fibrillation is not fully understood. To enable better treatment and prevention of AF a clearer understanding of the development and progression of atrial fibrillation is needed. The purpose of the poster is to highlight current understanding of the pathophysiology of atrial fibrillation as well as the signs and symptoms, complications and comorbidities, and the importance of nursing care for AF.

Endobariatric Procedures For Obesity: Clinical Indications And Available Options., Hemant Goyal, Jonathan Kopel, Abhilash Perisetti Md, Rupinder Mann, Aman Ali, Benjamin Tharian, Shreyas Saligram, Sumant Inamdar

Other Specialties

Obesity remains a growing public health epidemic that has increased healthcare costs and related comorbidities. Current treatment guidelines encourage a multidisciplinary approach starting from patient selection, interventions, and long-term follow-up to maintain weight loss. However, these conservative interventions are largely ineffective at reducing body weight due to low adherence to the treatment regimen. Recently, endoscopic bariatric therapies have become an attractive alternative to traditional invasive bariatric surgeries due to their improved efficacy, safety, and cost-effectiveness. Endoscopic bariatric therapies include intragastric balloon placement, endoscopic sleeve gastroplasty, gastric bypass revision, and aspiration therapy. These procedures fall into two separate categories depending on …

Covid-19 And Acute Esophageal Obstruction Management In The Emergency Department: An U.S. Multicenter Research Network Propensity-Matched Analysis, Hemant Goyal Md Facp, Abhilash Perisetti Md Facp, Mahesh Gajendran Md Mph Facp, Aman Ali Md, Neil Sharma Md

Other Specialties

Introduction- The Coronavirus Disease-2019 (COVID-19) caused by the novel SARS-CoV-2 led to significant strain on the Emergency Department (ED) visits worldwide. Multiple stay-at-home orders were issued during the pandemic unless medical treatment was urgently needed1 . Acute esophageal obstruction (AEO) due to food/ foreign body impaction usually present to the ED, given its severe symptoms. Most esophageal foreign bodies pass through the gastrointestinal (GI) tract uneventfully, and related mortality is very low. Still, most of these patients receive endoscopic interventions (up to 76%)2 . The number of non-urgent endoscopies plummeted sharply during the pandemic to reduce exposure and preserve personal …

Characterization Of Cardiovascular Function In Adult Offspring Following Prenatal Exposure To Methamphetamine, Hasitha Chavva

Theses, Dissertations and Capstones

Methamphetamine (meth) is a synthetic stimulant, and its abuse is a significant public health concern in the United States and all over the world. Methamphetamine is a highly addictive drug, and its abuse is widespread among women of child-bearing age. The consequences of methamphetamine abuse are not only of relevance to pregnant women, but also their unborn children, as amphetamine type substances can cross the placental barrier and effect the fetus during gestation. Most previous studies investigating the impact of prenatal methamphetamine exposure on the offspring have focused on neurological and behavioral effects. The goal of this study was to …

Benefits And Risk Associated With Physical Exercise During The Antenatal Period, Corrie Crump, Brittany Freeman

All Electronic Theses and Dissertations

Background/Purpose: There are many misconceptions, uncertainties, and false narratives pertaining to how much physical activity and what types of activities are safe in pregnancy. This purpose of this critical literature review was to provide more guidance on evidence-based recommendations for what activity and how much activity is considered safe, and shed light on the proven benefits being physically active provides. Additionally, the literature was reviewed to assess the benefits of exercise during pregnancy as it pertains to maternal morbidity. Theoretical Framework: Dorothea Orem’s Theory on Self-Care Deficit explains the importance of self-care, and focuses on the individual’s ability to perform …

High-Throughput Analysis Of Lung Immune Cells In A Combined Murine Model Of Agriculture Dust-Triggered Airway Inflammation With Rheumatoid Arthritis, Rohit Gaurav, Ted R. Mikuls, Geoffrey M. Thiele, Amy J. Nelson, Meng Niu, Chittibabu Guda, James D. Eudy, Austin E. Barry, Todd A. Wyatt, Debra J. Romberger, Michael J. Duryee, Bryant R. England, Jill A. Poole

Journal Articles: Internal Medicine

Rheumatoid arthritis (RA)-associated lung disease is a leading cause of mortality in RA, yet the mechanisms linking lung disease and RA remain unknown. Using an established murine model of RA-associated lung disease combining collagen-induced arthritis (CIA) with organic dust extract (ODE)-induced airway inflammation, differences among lung immune cell populations were analyzed by single cell RNA-sequencing. Additionally, four lung myeloid-derived immune cell populations including macrophages, monocytes/macrophages, monocytes, and neutrophils were isolated by fluorescence cell sorting and gene expression was determined by NanoString analysis. Unsupervised clustering revealed 14 discrete clusters among Sham, CIA, ODE, and CIA+ODE treatment groups: 3 neutrophils (inflammatory, resident/transitional, …

Neurogenic Hypertension Mediated Mitochondrial Abnormality Leads To Cardiomyopathy: Contribution Of Upr Mt And Norepinephrine-Mir- 18a-5p-Hif-1Α Axis, Shyam Sundar Nandi, Kenichi Katsurada, Sushil K. Mahata, Kaushik K. Patel

Journal Articles: Cellular & Integrative Physiology

Aims: Hypertension increases the risk of heart disease. Hallmark features of hypertensive heart disease is sympathoexcitation and cardiac mitochondrial abnormality. However, the molecular mechanisms for specifically neurally mediated mitochondrial abnormality and subsequent cardiac dysfunction are unclear. We hypothesized that enhanced sympatho-excitation to the heart elicits cardiac miR-18a-5p/HIF-1α and mitochondrial unfolded protein response (UPR^mt) signaling that lead to mitochondrial abnormalities and consequent pathological cardiac remodeling. Methods and Results: Using a model of neurogenic hypertension (NG-HTN), induced by intracerebroventricular (ICV) infusion of Ang II (NG-HTN; 20 ng/min, 14 days, 0.5 μl/h, or Saline; Control, 0.9%) through osmotic mini-pumps in Sprague-Dawley …

Benefits Of Child Life Procedural Preparation In Postoperative Long Term Recovery Of Pediatric Patients, Adriana Silva-Nevers

Graduate Student Independent Studies

This literature review is an examination of the benefits of child life preparation in children undergoing surgery, and the significant minimization of trauma from such interventions from the framework of family-centered care. This article also explores the harmful consequences of accumulated trauma, such as not receiving appropriate interventions prior to surgery. The cultural implications surrounding family centered care serve to suggest options for adapting to the particular needs of children and families. Consideration of current research in child life services and the reported benefits to patients, families, staff, and hospitals are included.

Effectiveness Of Kind Behavior Promotion In Bullying Prevention Among School-Aged Adolescents, Isabell Fetsch, Megan Fuka, Lexi Zahn

Critically Appraised Topics

Bullying is an important and prevalent issue among school-aged adolescents and adolescents. The highest rates of bullying were reported in middle schools, followed by high schools, combined schools, and primary schools, respectively. Approximately 1 in 5 high school students experience bullying at school and about 1 in 6 experience cyberbullying. The rates of bullying also differ between groups of individuals. LGBTQ+ students are more likely to be bullied than their heterosexual counterparts, females are more likely to be bullied than males, and White students reported higher rates of bullying than Hispanic and Black students (Centers for Disease Control and Prevention …

Evidence For Planning As An Intervention Approach For Adults Transitioning Into Retirement, Emily Knust, Olivia Myers, Bridget Reuss

Critically Appraised Topics

The retirement age in America is continuing to become older. Seven in ten working adults in the Baby Boomer generation said that they expect to work past age 65 or are already past that age and are still working. Of this generation, 42% would prefer to transition into their retirement by lessening their hours at their current career (Edlerson, 2019). Those who are choosing to retire later in their life are prolonging this transition to delay the loss of a meaningful occupation that they have held for several decades. For this critically appraised topic, the authors have operationally defined retirement …

Efficacy Of Cognitive Behavioral Therapy On Adults Experiencing Chronic Musculoskeletal Pain, Emma Lehman, Abbigail Smith, Krista Weiland

Critically Appraised Topics

The purpose of this critically appraised topic (CAT) paper is to explore the effectiveness of pain reduction through cognitive behavioral therapy (CBT) in assisting men and women who have chronic musculoskeletal pain with instrumental activities of daily living. There is a gap in the literature regarding the effect of cognitive behavioral therapy when managing and perceiving chronic musculoskeletal pain. There is also a gap in long-term research in the performance and satisfaction of instrumental activities of daily living (IADLs) when living with chronic pain. Aegler and Satink (2009), Cheng et al. (2017) and Ehde et al. (2014) discussed the impact …

Redeployment Of Potentially Furloughed Staff During A Pandemic Improves Ed Operations, Richard S. Mackenzie Md, Christopher J. Kita Med., Lsssbb, David B. Burmeister Do, Facep, Cpe, Marna R. Greenberg Do, Mph, Facep, Bryan G. Kane Md

Posters

No abstract provided.

The Unfortunate Seeding Of Testicular Choriocarcinoima Following The Fontan Procedure, Martin Delatorre Do, Arjan Ahluwalia Md, Kaitlyn Musco Md, Alina Zhu, Joseph Schellenberg Md

Posters

No abstract provided.