Medicine and Health Sciences Commons^™

Senior And Graduate Nursing Students Educating Junior Learners Utilizing Mid-Fidelity Simulation: Implementing And Testing Of The Cjmm Theoretical Framework, Sterling Roberts

College of Health Sciences

Novice registered nurses often struggle with preforming an accurate focused physical assessment due to increasing patient complexities. Research indicates, novice registered nurses have great difficulty with processing various contributing health factors and discerning what clinical situation needs immediate attention (Egilsdottir et al., 2019). Communication on multi-levels (peer-to-peer and inter-professional) is another major issue for healthcare providers. The Joint Commission identified communication errors as being one of the top root causes of sentinel events among healthcare providers (Sentinel Event Alert 58: Inadequate hand-off communication, 2017). The nursing clinical judgment research conducted by the National Council of State Boards of Nursing resulted …

New Benzoxazole Derivatives As Antiprotozoal Agents: In Silico Studies, Synthesis, And Biological Evaluation, Mohamed A. Abdelgawad, Mohammad M. Al-Sanea, Mohamed A. Zaki, Enas I.A. Mohamed

Faculty and Student Publications

Background. Benzoxazole derivatives have different biological activities. In pursuit of designing novel chemical entities with antiprotozoal and antimicrobial activities, benzoxazolyl aniline was utilized as a privileged scaffold of a series of (3-benzoxazole-2-yl) phenylamine derivatives, 3-benzoxazoloyl acetamide, and butyramide derivatives. Methods. These novel analogs were synthesized in straightforward simple chemistry without any quantitative chromatographic separations in reasonable yields. The biological evaluation of all target compounds as potential antimalarial, antileishmanial, antitrypanosomal, and antimicrobial agents was performed by various well-established cell-based methods. Results. Compounds 6d and 5a showed promising biological screening data. The amidation of 3-benzoxazolyl aniline 1 with the chloroacetyl functional group …

Effect Of Lutrol® F Grades (Poloxamer) On Dissolution Of Hot-Melt Extruded Kollidon® Va64-Felodipine Matrices, Saad M. Alshahrani, Abdullah Alshetaili, Bjad K. Almutairy, Michael A. Repka

Faculty and Student Publications

The objective of this study was to assess the potential of Lutrol® F grades as polymeric surfactants for dissolution enhancement of Kollidon®VA64-drug matrices produced by hot-melt extrusion (HME). The poorly soluble model drug felodipine (FEL) with a medium melting point was selected for this study. Two different grades of Lutrol® F (also called Kolliphor® P grades) were added into the HME systems to investigate their influence on the drug-incorporated matrices. Two grades of Lutrols i.e., Lutrol® F 68 (Kolliphor®P 188) and Lutrol® F 127 (Kolliphor®P 407) were studied as polymeric solubilizers. FEL was mixed with Kollidon®VA64, with or without Lutrol®F …

Use Of Adaptive Learning Technology To Promote Self-Directed Learning In A Pharmacists’ Patient Care Process Course, Jennifer Toth, Meagen Rosenthal, Kristen Pate

Faculty and Student Publications

Objective. To evaluate student changes in self-directed learning (SDL) in a Pharmacists’ Patient Care Process (PPCP) course using adaptive learning technology (ALT). Methods. The Pharmacists’ Patient Care Process was delivered using traditional teaching methods in fall 2018 and ALT in spring 2019. First-year student pharmacists were surveyed three times throughout the academic year on SDL factors. Focus groups were conducted at the end of the spring semester to identify perceptions of course delivery. Multilevel linear modeling and qualitative content analysis were used to evaluate survey responses and focus group feedback, respectively. Results. Ninety-two of 106 students completed all three surveys. …

The Effect Of Lifestyle Modification Educational Intervention On Increasing Knowledge Of Hypertension Management Among African American Adults, Margaret Josiah

Graduate Research Showcase

Abstract

Hypertension is a public health crisis that disproportionately affects the African American population more than other races (CDC, 2019). There is a direct link between hypertension and an increased risk for cardiovascular disease in the United States (CDC, 2019). Though tremendous efforts have been made in the treatment and management of hypertension, it continues to be a challenge worldwide. African Americans that receive only pharmacological therapy have not shown significant control over hypertension (Kimani, 2019). Therefore, to improve the health outcomes in the African American community, a systematic comprehensive approach that includes lifestyle modification and medication adherence is crucial. …

A Dnp Quality Improvement Project Addressing Low Hiv Screening Rates Of College Students, Kimberly Griffin

Graduate Research Showcase

Abstract

A DNP Quality Improvement Project Addressing Low HIV Screening Rates of College Students

The overall HIV testing rate is very low in the United States. HIV is easily preventable with safe sexual practices, and early HIV screening is effective in identifying individuals affected and assuring linkage to care. The rate of HIV testing among college students reflects the low numbers of the national average. This quality improvement project evaluated attitudes towards HIV testing of undergraduate college students. The project aimed to determine attitudes of college students towards testing as well as relationships between demographic factors, frequency of HIV testing, …

Cytotoxic Effects Of 5-Azacytidine On Primary Tumour Cells And Cancer Stem Cells From Oral Squamous Cell Carcinoma: An In Vitro Ftirm Analysis, Valentina Notarstefano, Alessia Belloni, Simona Sabbatini, Chiara Pro, Giulia Orilisi, Riccardo Monterubbianesi, Vincenzo Tosco, Hugh Byrne, Lisa Vaccari, Elisabetta Giorgini

Articles

In the present study, the cytotoxic effects of 5-azacytidine on primary Oral Squamous Cell Carcinoma cells (OSCCs) from human biopsies, and on Cancer Stem Cells (CSCs) from the same samples, were investigated by an in vitro Fourier Transform InfraRed Microscospectroscopy (FTIRM) approach coupled with multivariate analysis. OSCC is an aggressive tumoral lesion of the epithelium, accounting for ~90% of all oral cancers. It is usually diagnosed in advanced stages, and this causes a poor prognosis with low success rates of surgical, as well as radiation and chemotherapy treatments. OSCC is frequently characterised by recurrence after chemotherapy and by the development …

Uvb-Induced Microvesicle Particle Release In Human Skin In Vivo Is Diminished Following Oral Vitamin C And E Antioxidant Administration, Cameron Mcglone

Scholarship in Medicine - All Papers

An important question in photobiology asks how Ultraviolet B (UVB, 290 – 320 nm) radiation, which mostly absorbs in the outer epidermis of skin, can generate a systemic response such as immunosuppression. Previous in vitro and ex vivo studies demonstrate UVB-dependent release of bioactive molecule-containing microvesicle particles (MVPs) from keratinocytes. Furthermore, MVP release is diminished upon antioxidant administration. The purpose of this study is to examine UVB-induced MVP release and antioxidant response in vivo. In this IRB-approved study, 8 male participants with Fitzpatrick type I or II skin were treated with 1000 J/m2 UVB irradiation to a 5 by 5 …

Risk Factors For Sudden Infant Death Syndrome: A Cdc Wonder Analysis, Elise Hoy

Scholarship in Medicine - All Papers

Objective. By definition, there is no known cause of Sudden Infant Death Syndrome (SIDS).1 The best information currently available comes from studies investigating infant sleep habits. Thus far, researchers agree that in regards to sleep, infants are safest, and at lowest risk for SIDS, when sleeping in a supine rather than prone or lateral position, when sleeping on hard, rather than soft, bedding with no pillows or blankets, and when sleeping in a crib rather than sharing a bed with a parent.1–4 In an effort to better understand what additional factors might predispose an infant to dying of SIDS, this …

Achievements Of The Covid-19 Turkey Platform In Vaccine And Drug Development Withan Approach Of "Co-Creation And Succeeding Together", Hasan Mandal

Turkish Journal of Medical Sciences

Mobilizing the research ecosystem for accelerating vaccine and drug development has been an important reality of the pandemic. This article reviews the scientific advances that are attained by the COVID-19 Turkey Platform for vaccine and drug development against the SARS-CoV-2 virus. The platform that is coordinated by the Scientific and Technological Research Council of Turkey is established with a "co-creation and succeeding together" approach, which involves 436 researchers across 49 different institutions working on 17 vaccine and drug development projects in total. Recent advances of the COVID-19 Turkey Platform include the fourth virus-like particle-based vaccine candidate in the world to …

Turkey's Response To Covid-19 Pandemic: Strategy And Key Actions, Gülşen Barlas, Harun Öztürk, Gülen Pehli̇vantürk, Sabahatti̇n Aydin

Turkish Journal of Medical Sciences

COVID-19 emerged at the end of 2019 in Wuhan, China, and spread rapidly around the world causing many deaths. Due to the intercontinental escalation in the epidemic, while WHO declared a pandemic on March 11, 2020, our country's first case was diagnosed. Before this, the MoH established the Operations Center against possible risks regarding the Pandemic Influenza Preparedness Plan on January 10, 2020 and formed the Scientific Committee, which has a critical importance in epidemic management. National and Provincial Pandemic Coordination Boards were established within the scope of this plan. Fast, effective and frequently updated decisions were implemented. The epidemic …

One And A Half Years Into The Covid-19 Pandemic - Exit Strategies And Efficacy Of Sarscov-2 Vaccines For Holistic Management And Achieving Global Control, Eskild Petersen, Ayşe Deni̇z Gökengi̇n, Asma Al Balushi, Alimuddin Zumla

Turkish Journal of Medical Sciences

One and a half years into the pandemic, SARS-CoV-2 is still here to stay. Whilst rapid several effective COVID-19 vaccines have been developed and are being rolled out, the critical questions remain whether vaccines provide widespread protection against infection and reinfection, and what the duration of protection is. Community wide control cannot be obtained until almost everyone is immune. Vaccine production must be ramped up to cover the world population. The price of herd immunity through natural infection is high mortality in the elderly and morbidity in other age groups including children and Long-COVID. We must expect a new wave …

Going Back To Normal, But How? Re-Opening Policies And The Standards For A New Normal, Levent Akin

Turkish Journal of Medical Sciences

Governments implemented to nonpharmacological methods and various limitation policies such as closing nonessential businesses, schools and limiting group gatherings, promoting social distancing, use of personal protective equipment, advising staying at home. These policies have caused various problems in social and economic life and gradual increase in psychosocial well-being problems. All societies yearningly are waiting for the COVID-19 pandemic to be brought under control and the measures to be lifted in order to return to their previous lives. Indicators are needed to assess the burden of disease in the country while lifting measures to control the COVID-19 pandemic. When using these …

Managing Life During The Pandemic: Communication Strategies, Mental Health, And Theultimate Toll Of The Covid-19, Mehmet Hakan Türkçapar, Yasemi̇n Kahya, Tuğba Çapar Taşkesen, Hati̇ce Işik

Turkish Journal of Medical Sciences

Background/aim: The purpose of this review was to present the ultimate toll of the COVID-19 pandemic by focusing on the communication strategies and mental health. Materials and methods: We unsystematically reviewed the studies published between 2020 and 2021 from databases such as Google Scholar, Web of Science and ScienceDirect. Firstly, "new-normal" life challenges during the pandemic were discussed along with the public risk communication strategies. Later, mental health problems, posttraumatic growth, and protective factors were reviewed. Results: Literature highlighted that individuals mainly experience COVID-19 related fear, anxiety, stress, negative emotions and sleep problems. Furthermore, the rates of clinically significant depression, …

Epidemiology Of Covid-19: What Changed In One Year?, Cemal Bulut, Yasuyuki̇ Kato

Turkish Journal of Medical Sciences

A coronavirus brought the first pandemic attack of this century as a flu virus did a hundred years ago. This greatest pandemic of the century brings us new opportunities to understand and explore the dynamics of a contagious disease. Nearly two years later, we are still collecting the evidence to understand the disease. Some basic epidemiological properties are still urgently needed. Not only the origin of the virus but also Ro value, possible transmission routes, epidemiologic curves, case fatality rates, seasonality, severity and mortality risk factor, effects on the risk groups, differences between countries and so on still require strong …

From Asymptomatic To Critical Illness - Different Clinical Manifestations Of Covid-19 Inchildren, Hasan Tezer, Meli̇s Deni̇z

Turkish Journal of Medical Sciences

The global pandemic infectious disease that was named the new coronavirus disease (COVID 19), spread throughout the world, causing a major public health emergency. The causative virus of COVID-19, called SARS CoV-2, can infect all age groups. Various clinical signs and symptoms have been observed in neonates, children, and adolescents during the COVID-19 outbreak. The clinical manifestations of COVID-19 might be different due to the medical conditions and comorbid status in elderly and pediatric patients. The rise in cases among children has been reported during the COVID-19 pandemic. Although infected children generally appear to be asymptomatic or have only mild …

Multisystem Inflammatory Syndrome In Children, Selda Hançerli̇ Törün, Di̇lek Yilmaz Çi̇ftdoğan, Ateş Kara

Turkish Journal of Medical Sciences

As the COVID-19 pandemic continues, children can be infected with the virus that causes COVID-19. Clinical symptoms of children with COVID from China, where the disease was first reported, generally were less severe than adults. However, at the end of April 2020 in Europe, it was observed that some children with SARS-CoV-2 infection developed fever, abdominal pain, shock, myocardial insufficiency and they needed to be taken care of in intensive care unit. This new disease has been called multisystem inflammatory syndrome in children (MIS-C). Although the pathogenesis of MIS-C is unclear, it progresses with signs of multiorgan involvement as a …

From Asymptomatic To Critical Illness: Decoding Various Clinical Stages Of Covid-19, İlhami̇ Çeli̇k, Recep Öztürk

Turkish Journal of Medical Sciences

The clinical course of COVID-19 is variable, with clinical manifestation ranging from 81% mild course to 14% severe course along with 5% critical course in patients. The asymptomatic course is reported to potentially range between 20% and 70% (avg. 33%). A more severe course is seen in the elderly, those with various chronic diseases, and the immunosuppressed, where the case fatality rate is higher in these risk groups. The disease progresses with various symptoms, such as fever, cough, shortness of breath, malaise, myalgia, taste and smell disorders, diarrhea, sore throat, headache, and conjunctivitis. The disease begins with shortness of breath, …

Covid-19 And Sepsis, Zeli̇ha Koçak Tufan, Bi̇rcan Kayaaslan, Mervyn Mer

Turkish Journal of Medical Sciences

The COVID-19 pandemic has created a major alteration in the medical literature including the sepsis discussion. From the outset of the pandemic, various reports have indicated that although there are some unique features pertinent to COVID-19, many of its acute manifestations are similar to sepsis caused by other pathogens. As a consequence, the old definitions now require consideration of this new etiologic agent, namely SARS-CoV-2. Although the pathogenesis of COVID-19 has not been fully explained, the data obtained so far in hospitalized patients has revealed that serum cytokine and chemokine levels are high in severe COVID-19 patients, similar to those …

Pregnancy And Covid-19: Prevention, Vaccination, Therapy, And Beyond, Di̇lek Şahi̇n, Atakan Tanaçan, Sophia Ne Webster, Özlem Moraloğlu Teki̇n

Turkish Journal of Medical Sciences

: Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has alarmed the world since its first emergence. As pregnancy is characterized by significant changes in cardiovascular, respiratory, endocrine, and immunological systems, there are concerns on issues like the course of disease in pregnant women, safety of medications, route of delivery and risk of obstetric complications. The aim of this review is to summarize the current literature in the management of pregnant women during the COVID-19 pandemic. Although more than 90% of pregnant women with COVID-19 recover without serious morbidity, rapid deterioration of disease and higher …

The Radiological Findings Of Covid-19, Alper Karacan, Yakup Ersel Aksoy, Mehmet Hali̇l Öztürk

Turkish Journal of Medical Sciences

Background/aim: Available information on the radiological findings of the 2019 novel coronavirus disease (COVID-19) is constantly updated. Ground glass opacities (GGOs) and consolidation with bilateral and peripheral distribution have been reported as the most common CT findings, but less typical features can also be identified. According to the reported studies, SARS-CoV-2 infection is not limited to the respiratory system, and it can also affect other organs. Renal dysfunction, gastrointestinal complications, liver dysfunction, cardiac manifestations, and neurological abnormalities are among the reported extrapulmonary features. This review aims to provide updated information for radiologists and all clinicians to better understand the radiological …

The Timing Of Intubation And Principles Of Icu Care In Covid-19, Sema Turan, Sultan Sevi̇m Yakin, Hüseyi̇n Levent Yamanel

Turkish Journal of Medical Sciences

Coronavirus disease-19 (COVID-19) has been a serious health problem since it was first identified in Wuhan, China, in December 2019 and has created a global crisis with its economic, sociological, and psychological aspects. Approximately 15% of cases have a severe clinical presentation, and 5% of patients require admission to the intensive care unit. A significant proportion of patients presents with a rapidly progressing acute respiratory failure and require invasive mechanical ventilation. This article aimed to evaluate how the optimal intubation timing should be determined in cases of acute respiratory failure due to COVID-19 and to offer recommendations for basic intensive …

Implementation Of Post-Intensive Care Outpatient Clinic (I-Point) For Critically Illcovid-19 Survivors, Burçi̇n Halaçli, Arzu Topeli̇ İski̇t

Turkish Journal of Medical Sciences

Although we have enough and cumulative information about acute effects of COVID-19, our knowledge is extremely limited about long-term consequences of COVID-19, in terms of its impacts and burdens on patients, families, and the health system. Considering the underlying pathophysiological mechanisms affecting all of the organ systems in critically ill COVID-19 patients who are admitted to intensive care units, the development of post-intensive care syndrome is inevitable. This situation brings along the development of long-COVID. These patients should be followed regarding cognitive, physical, and psychiatric aspects and necessary specialist referrals should be carried out. In this article, we are presenting …

Post-Covid Syndrome: Pulmonary Complications, Dori̇na Esendağli, Aydin Yilmaz, Müşerref Şule Akçay, Tevfi̇k Özlü

Turkish Journal of Medical Sciences

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected millions of people worlwide and caused a pandemic that is still ongoing. The virus can cause a disease named as COVID-19, which is composed of multi systemic manifestations with a pulmonary system predominance. As the time passes, we are dealing more and more with a wide variety of effects and complications of the disease in survivors as far as with concerns about the clinical outcome and the timeline of symptoms in different patients. Since the lungs are the most involved organs and the post-COVID prolonged and persistent effects are mainly related …

Immune Dysfunction In Covid-19 And Judicious Use Of Antirheumatic Drugs For Thetreatment Of Hyperinflammation, Abdurrahman Tufan, Marco Matucci-Cerinic

Turkish Journal of Medical Sciences

: In the Wuhan province of China, almost two years ago, in December 2019, the novel Coronavirus 2019 has caused a severe involvement of the lower respiratory tract leading to an acute life-threatening respiratory syndrome, coronavirus disease-19 (COVID-19). Subsequently, coronavirus 2 (SARS-CoV-2) rapidly spread to the entire world causing a pandemic and affected every single person on earth either directly or indirectly with destroying all facets of social life and economy. Since the announcement of COVID-19 as a global pandemic, we have witnessed tremendous scientific work on all aspects of COVID-19 across the globe, which has never been witnessed before. …

An Update Of Anti-Viral Treatment Of Covid-19, Serap Yavuz, Feri̇de İpek Komsuoğlu Çeli̇kyurt

Turkish Journal of Medical Sciences

Background/aim: Currently there is not an effective antiviral treatment for COVID-19, but a large number of drugs have been evaluated since the beginning of the pandemic, and many of them have been used for the treatment of COVID-19 despite the preliminary or conflicting results of the clinical trials. We aimed to review and summarize all of the current knowledge on the antivirals for COVID-19. Results: There are 2 main drug groups for SARS-CoV-2: agents that target proteins or RNA of the virus or interfere with proteins or biological processes in the host that support the virus. The main drug groups …

Consensus Recommendations For Botulinum Toxin Injections In The Spasticitymanagement Of Children With Cerebral Palsy During Covid-19 Outbreak, Ebru Yilmaz Yalçinkaya, Nai̇me Evri̇m Karadağ Saygi, Özden Özyemi̇şci̇ Taşkiran, Nalan Çapan, Şehi̇m Kutlay, Bi̇rkan Sonel Tur, Özlem El, Ece Ünlü Akyüz, Süda Teki̇n, Demet Ofluoğlu, Murat Zi̇nnuroğlu, Pinar Akpinar, Tuğçe Özekli̇ Misirlioğlu, Berri̇n Hüner, Ahmet Hakan Nur

Turkish Journal of Medical Sciences

Spasticity is the most common motor disturbance in cerebral palsy (CP). Lockdown in the COVID-19 outbreak has profoundly changed daily routines, and similarly caused the suspension of spasticity treatment plans. Besides, the delay in botulinum toxin (BoNT) injection, which is important in the management of focal spasticity, led to some problems in children. This consensus report includes BoNT injection recommendations in the management of spasticity during the COVID-19 pandemic in children with CP. In order to develop the consensus report, physical medicine and rehabilitation (PMR) specialists experienced in the field of pediatric rehabilitation and BoNT injections were invited by Pediatric …

Vertebral Compression Fractures: Still An Unpredictable Aspect Of Osteoporosis, Fatma Yeşi̇m Kutsal, Gi̇zem Olgu Ergi̇n Ergani̇

Turkish Journal of Medical Sciences

Vertebral compression fracture is a hallmark of osteoporosis (OP) and by far the most prevalent fragility fracture. It is well proven that patients who develop a vertebral compression fracture are at substantial risk for additional fractures. Diagnosis is based on adequate clinical evaluation, imaging, and laboratory tests. The imaging of OP and fragility fractures includes conventional radiology to evaluate spinal fractures, bone mineral density (BMD) testing by dual energy x-ray densitometry, quantitative computerized tomography, magnetic resonance imaging, bone scintigraphy (if necessary), and ultrasound. Screening and treatment of individuals with high risk of osteoporotic fracture are cost-effective, but approximately two-thirds of …

Dopamine Transporter Spect Imaging In Parkinson's Disease And Parkinsoniandisorders, Ümi̇t Özgür Akdemi̇r, Hati̇ce Ayşe Tokçaer Bora, Lütfi̇ye Özlem Atay

Turkish Journal of Medical Sciences

The dopamine transporter (DAT) imaging provides an objective tool for the assessment of dopaminergic function of presynaptic terminals which is valuable for the differential diagnosis of parkinsonian disorders related to a striatal dopaminergic deficiency from movement disorders not related a striatal dopaminergic deficiency. DAT imaging with single-photon emission computed tomography (SPECT) can be used to confirm or exclude a diagnosis of dopamine deficient parkinsonism in cases where the diagnosis is unclear. It can also detect the dopaminergic dysfunction in presymptomatic subjects at risk for Parkinson's disease (PD) since the reduced radiotracer binding to DATs in striatum is already present in …

Outcome Of Noncritical Covid-19 Patients With Early Hospitalization And Early Antiviraltreatment Outside The Icu, Nursel Çalik Başaran, Oğuz Abdullah Uyaroğlu, Gülçi̇n Telli̇ Di̇zman, Lale Özişik, Taha Koray Şahi̇n, Zahi̇t Taş, Ahmet Çağkan İnkaya, Sevi̇lay Karahan, Şehnaz Özyavuz Alp, Alpaslan Alp, Gökhan Metan, Işkin Pinar Zarakol, Gülay Sai̇n Güven, Şeri̇fe Gül Öz, Arzu Topeli̇ İski̇t

Turkish Journal of Medical Sciences

Background/aim: Despite the fact that the COVID-19 pandemic has been going on for over 5 months, there is yet to be a standard management policy for all patients including those with mild-to-moderate cases. We evaluated the role of early hospitalization in combination with early antiviral therapy with COVID-19 patients in a tertiary care university hospital. Materials and methods: This was a prospective, observational, single-center study on probable/confirmed COVID-19 patients hospitalized in a tertiary care hospital on COVID-19 wards between March 20 and April 30, 2020. The demographic, laboratory, and clinical data were collected. Results: We included 174 consecutive probable/confirmed COVID-19 …