Medicine and Health Sciences Commons^™

Integration Of Consumer-Based Activity Monitors Into Clinical Practice For Children With Type 1 Diabetes: A Feasibility Study, Jason R. Jaggers, Timothy Mckay, Kristi M. King, Bradly J. Thrasher, Kupper A. Wintergerst

Faculty and Staff Scholarship

Current technology commonly utilized in diabetes care includes continuous glucose monitors (CGMs) and insulin pumps. One often overlooked critical component to the human glucose response is daily physical activity habits. Consumer-based activity monitors may be a valid way for clinics to collect physical activity data, but whether or not children with type 1 diabetes (T1D) would wear them or use the associated mobile application is unknown. Therefore, the purpose of this study was to test the feasibility of implementing a consumer-based accelerometer directly into ongoing care for adolescents managing T1D. Methods: Adolescents with T1D were invited to participate in this …

Artificial Image Objects For Classification Of Breast Cancer Biomarkers With Transcriptome Sequencing Data And Convolutional Neural Network Algorithms, Xiangning Chen, Daniel G. Chen, Zhongming Zhao, Justin M. Balko, Jingchun Chen

School of Medicine Faculty Research

Background: Transcriptome sequencing has been broadly available in clinical studies. However, it remains a challenge to utilize these data effectively for clinical applications due to the high dimension of the data and the highly correlated expression between individual genes. Methods: We proposed a method to transform RNA sequencing data into artificial image objects (AIOs) and applied convolutional neural network (CNN) algorithms to classify these AIOs. With the AIO technique, we considered each gene as a pixel in an image and its expression level as pixel intensity. Using the GSE96058 (n = 2976), GSE81538 (n = 405), and GSE163882 (n = …

Testing Multi-Theory Model (Mtm) In Explaining Sunscreen Use Among Florida Residents: An Integrative Approach For Sun Protection, Manoj Sharma, Matthew Asare, Erin Largo-Wight, Julie Merten, Mike Binder, Ram Lakhan, Kavita Batra

Environmental & Global Health Faculty Research

Florida residents have the second highest incidence of skin cancer in the nation. Sunscreen usage was found to be the one of the most effective integrative health approaches for reducing risk of skin cancer. Given the limited information on the likelihood of adopting and continuing sunscreen usage behavior, this cross-sectional study aimed to examine the correlates of initiating and sustaining sunscreen usage behavior among Florida dwellers, using the fourth-generation, multi-theory model (MTM) of behavior change. A web-based survey containing 51 questions was emailed to Florida residents aged 18 years or above, who were randomly selected from the state voter file. …

Prevention Of Oral And Maxillofacial Trauma Secondary To Orofacial Dyskinesias Associated With Anti-N-Methyl-D-Aspartate Receptor Encephalitis: A Case Series, Jeffrey W. Chadwick, Patricia J.. Brooks, Jeffrey M. Singh, David K. Lam

Pacific Faculty Work

Background: Anti-N-methyl-d-aspartate receptor encephalitis (anti-NMDARE) is a multi-stage autoimmune-mediated disease associated with a multitude of neuropsychiatric and dysautonomic features. Orofacial dyskinesias are frequently associated with this condition and manifest as abnormal movements of the orofacial musculature. These involuntary movements may result in significant trauma to the oral and maxillofacial complex including the avulsion of the dentition and orofacial lacerations. Case presentation: We describe the course of two female patients with anti-NMDARE in whom significant involuntary self-inflicted maxillofacial trauma was suffered despite the use of complex parenteral sedation regimens. The application of traditional maxillomandibular wiring techniques and pharmacologic strategies, including botulinum …

Determining Diagnosis Date Of Diabetes Using Structured Electronic Health Record (Ehr) Data: The Search For Diabetes In Youth Study, Kristin M. Lenoir, Lynne E. Wagenknecht, Jasmin Divers, Ramon Casanova, Dana Dabelea, Sharon Saydah, Catherine Pihoker, Angela D. Liese Ph.D., Debra Standiford, Richard Hamman, Brian J. Wells, The Search For Diabetes In Youth Study Group

Faculty Publications

Background Disease surveillance of diabetes among youth has relied mainly upon manual chart review. However, increasingly available structured electronic health record (EHR) data have been shown to yield accurate determinations of diabetes status and type. Validated algorithms to determine date of diabetes diagnosis are lacking. The objective of this work is to validate two EHR-based algorithms to determine date of diagnosis of diabetes. Methods A rule-based ICD-10 algorithm identified youth with diabetes from structured EHR data over the period of 2009 through 2017 within three children’s hospitals that participate in the SEARCH for Diabetes in Youth Study: Cincinnati Children’s Hospital, …

Voice-Activated Virtual Home Assistant Use And Social Isolation And Loneliness Among Older Adults: Mini Review, Cynthia F. Corbett, Pamela J. Wright Phd, Ms, Med, Rn, Cen, Kate Jones, Michael Parmer

Faculty Publications

A lack of social connectedness is common among older adults due to living alone, loss of loved ones, reduced mobility, and, more recently, social distancing created by the global Covid-19 pandemic. Older adults are vulnerable to social isolation and loneliness, which pose significant health risks comparable to those of smoking, obesity, physical inactivity, and high blood pressure. A lack of social connectedness is also correlated with higher mortality rates even when controlling for other factors such as age and comorbid conditions. The purpose of this mini review was to explore the emerging concepts of older adults' use of commercially available …

Incidence Of Cholelithiasis After Laparoscopic Sleeve Gastrectomy: Incidence Of Cholelithiasis After Laparoscopic Sleeve Gastrectomy, Iea Alabbasi, Issam Merdan, Falih Al-Gazgooz

Iraqi National Journal of Medicine

Background:_x000D_ Laparoscopic sleeve gastrectomy is a well-known method for weight reduction. Post-operative weight loss is a major risk factor for gallstone formation.Objective:_x000D_ To determine whether prophylactic concomitant laparoscopic cholecystectomy should be performed on all patients at the time of laparoscopic sleeve gastrostomy or not.Patients and Methods:_x000D_ A retrospective and prospective study on 540 patients with morbid obesity who underwent laparoscopic sleeve gastrectomy; their BMI range was between 38 and 53, their age range was 18 to 63 years, and 335 of them were females. The exclusion criteria were patients with a history of cholecystectomy, gallstone patients or gallbladder polyps more …

Evaluation Of Functional Recovery After Upper Limb Replantation: Evaluation Of Functional Recovery After Upper Limb Replantation, Heider Tayah

Iraqi National Journal of Medicine

Background: Although it is not possible always, reconstruction of defects with tissue such as defect in the original tissue usually results in best functions and esthetic outcomes. Therefore, replantation of an amputated part is superior to any other method of reconstruction mainly when the condition of the amputated part is good. The goal of replantation after amputation is function. Returning of circulation to an amputated part does not, by itself, mean success. Therefore, replantation that will not lead to a useful activity should be avoided. This is usually the case with severely crushed and extensively avulsed limbs._x000D_ Objectives: evaluation of …

Evaluation Of Mehta's Modification Of The Crawford Technique For Frontalis Sling Surgery With Silicon Rod In Severe Ptosis: Evaluation Of Mehta's Modification Of The Crawford Technique For Frontalis Sling Surgery With Silicon Rod In Severe Ptosis, Baydaa Al Abdullah, Mohammed Hatif

Iraqi National Journal of Medicine

Background: Ptosis is the drooping of the upper lid margin below its normal anatomic position due to the levator complex dysfunction. In this condition, the aesthetic and functional abnormality is obvious and is accompanied by severe visual field defect. Ptosis surgery is one of the most common oculoplastic procedures with different surgical procedures. The decision for an appropriate surgical procedure and the material used to minimize the incidence of complication depends on proper evaluation of the patient._x000D_ Aims of study: To evaluate Mehta's Modification of the Crawford technique for frontalis sling surgery with silicon rod in sever ptosis._x000D_ Patients and …

Interleukin In Aqueous Humor Of Phacoemulsification Surgery: Interleukin In Aqueous Humor Of Phacoemulsification Surgery, Salah Al-Asadi, Wijdan Nazar, Saja Moayeed

Iraqi National Journal of Medicine

Background: Cataract is a condition where the clear lens of the eye becomes dull. Diabetes mellitus is well known disease that accelerate cataract progression. Cytokines are low molecular weight proteins that mediate the immune response. Low-grade chronic inflammation and activation of the innate immune system are strongly related to the diabetes mellitus pathogenesis. Interleukin-2 (IL-2), Interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α) and certain other chemokines are inflammatory mediators are influenced in the development of diabetes and its complications._x000D_ Objective: To evaluate and correlate the levels of inflammatory cytokines IL-2, IL-6 and TNF-α in the aqueous humor of eyes of diabetic …

Urological And Surgical Complications Of Renal Transplant Recipients As A Single-Center Experience: Urological And Surgical Complications Of Renal Transplant Recipients As A Single-Center Experience, Safaa Mezban, Adnan Athafa, Ismiel Abood

Iraqi National Journal of Medicine

Background: Kidney transplantation is considered the most effective therapy for end-stage renal disease (ESRD). Postoperative complications continue to occur in nearly 12–20% of patients. These complications can be sub-divided into three categories: vascular, urologic, and nephrogenic._x000D_ Objective: To determine the surgical and urological complications of renal transplant in Basra Training Center._x000D_ Patients and Methods: A prospective descriptive study was done on 71 patients who underwent renal transplant surgery between October 2015 and August 2018. After taking their informed consent, preoperative antibiotics were given, and the procedure was done under general anesthesia. In all the transplantations, the renal vein of the …

Age-Related Value Of Anti-Mullerian Hormone: Age-Related Value Of Anti-Mullerian Hormone, Doaa Noor, Rasmiyah Al-Midhachi, Ghufran Jaafar, Maysoon Sharief

Iraqi National Journal of Medicine

Background: There is a correlation between anti-mullerian hormone (AMH) and the age when it becomes undetectable during menopause. The AMH immunoassay has been widely estimated in clinical practice to assist in reproduction and infertility treatment._x000D_  _x000D_ Objective: To investigate the normal level of serum anti-mullerian hormone (AMH) in relation to women’s age in Basra._x000D_  _x000D_ Patients and Methods: Cross-sectional study was carried out in Basra Maternity and Child Hospital from January 2018 to September 2019. Serum AMH levels were estimated for 975 women aged 15–50 years. They were classified into 7 age groups:15–20, 20–25, 25–30, 30–35, 35–40, 40–45 and 45–50 …

Knowledge Of Women From Basrah About Breast Cancer: Its Risk And Preventive Factors: Knowledge Of Women From Basrah About Breast Cancer: Its Risk And Preventive Factors, Aliyah Habeeb, Haider Al-Attar, Ali Maqtoof, Omran Habib

Iraqi National Journal of Medicine

Background: Breast cancer is very common in Basrah, Iraq and at global level. To assist in the control measures of breast cancer, good knowledge of women about certain aspects of the disease is essential and needs enhancement._x000D_ Objective: To explore the extent to which women have knowledge of breast self-examination (BSE), mammography, risk factors, and preventive measures for breast cancer._x000D_ Methods: A cross-sectional study involving 300 women in Basrah was conducted. The data collection form was used to interview participants from attendants of breast cancer early detection clinic, primary health care centers, and a private clinic. The data covered demographic …

Assessment Of Neonatal Mortality Major Factors: Assessment Of Neonatal Mortality Major Factors, Rasmiya Lafta, Husam Habeeb

Iraqi National Journal of Medicine

Background: Neonatal mortality accounts for nearly half of the deaths of children under the age of five, the main leading causes for which are respiratory distress, infection, and congenital anomalies. Action plans, which call for the elimination of preventable deaths of newborn babies, set specific targets to reduce neonatal mortality. This retrospective descriptive study was conducted in the Basra Teaching Hospital for maternity and childhood from January 2019 to February 2020, including all the neonates who were admitted in the first and second neonatal care units of the hospital._x000D_ Aim: This study aims to study the main causes of neonatal …

The Novel Use Of Convalescent Plasma In Patients With Covid-19 In Basra Governorate: Case Series Review: The Novel Use Of Convalescent Plasma In Patients With Covid-19 In Basra Governorate: Case Series Review, Saad Hammadi, Ali Hashim, Rafid Abbood, Abbas Ali, Ali Abdullah

Iraqi National Journal of Medicine

Background: The idea of convalescent plasma usage is to give passive immunity to the patients, so their immune system has a good chance of combating the virus. This study will review 6 cases of eligible Covid-19 patients that had been treated with convalescent plasma therapy in Basra Covid-19 quarantine._x000D_  _x000D_ Objectives: to demonstrate efficacy and safety of convalescent plasma  in the patient series that had been  enrolled._x000D_  _x000D_ Method:  this study has pioneered a new method to collect up to 3,000 mL of convalescent plasma in one session by an off-label use of Spectra Optia Apheresis systems/TerumoBCT /Exchange set. In …

The Compositional Structure Of The Body Of Young Football Players 13-14 Years Old, Damir Ismagilov Kanganovich

Eurasian Journal of Sport Science

Purpose: The data obtained by bio impedance analysis allows us to assess the state of fitness at the examination stage. The differences in each stage of the survey allows us to compare the data and thereby get an idea of the rationality of using the means of the educational and training process and nutrition.

Methods: The survey of football players aged 13-14 years was conducted using “Xiaomi Composition Scale” smart scales, as well as a bio impedance method, a pedagogical experiment, a method of mathematical statistics (arithmetic mean, quadratic mean, coefficient of variation).

Results: The body fat mass averaged 7.2±3.7%, …

What Sets Physically Active Rural Communities Apart From Less Active Ones? A Comparative Case Study Of Three Us Counties, Christiaan G. Abildso, Cynthia K. Perry, Lauren Jacobs, M. Renée Umstattd Meyer, Megan Mcclendon, Michael B. Edwards, James N. Roemmich, Zachary Ramsey, Margaret Stout

Faculty & Staff Scholarship

Background: Rural US communities experience health disparities, including a lower prevalence of physical activity (PA). However, “Positive Deviants”—rural communities with greater PA than their peers—exist. The purpose of this study was to identify the factors that help create physically active rural US communities. Methods: Stakeholder interviews, on-site intercept interviews, and in-person observations were used to form a comparative case study of two rural counties with high PA prevalence (HPAs) and one with low PA prevalence (LPA) from a southern US state, selected based on rurality and adult PA prevalence. Interview transcripts were inductively coded by three readers, resulting in a …

Chronic Long-Covid Syndrome: A Protracted Covid-19 Illness With Neurological Dysfunctions, Abdul Mannan Baig

Department of Biological & Biomedical Sciences

After almost a year of COVID-19, the chronic long-COVID syndrome has been recognized as an entity in 2021. The patients with the long-COVID are presenting with ominous neurological deficits that with time are becoming persistent and are causing disabilities in the affected individuals. The mechanisms underlying the neurological syndrome in long-COVID have remained obscure and need to be actively researched to find a resolution for the patients with long-COVID. Here, the factors like site of viral load, the differential immune response, neurodegenerative changes, and inflammation as possible causative factors are debated to understand and investigate the pathogenesis of neuro-COVID in …

Development Of The Master Adaptive Learner In Residency Training, Soukaina Rezqui, Susan Hansen Ma, Nyann Biery, Drew Keister Md

Department of Family Medicine

No abstract provided.

Using Frap: A Mixed Method Geospatial Mapping And Rapid Qualitative Analysis Approach, To Uncover Barriers And Facilitators Of Diabetes Care In The Lehigh Valley., Autumn Kieber-Emmons Md, Mph, Kyle Shaak Bs, Melanie B. Johnson Mpa, Susan E. Hansen Ma, Elaine Banerjee Md, Mph

Department of Family Medicine

No abstract provided.

Cystoscopy Scenarios You Should Recognize, Jason P. Gilleran

Conference Presentation Abstracts

No abstract provided.

Using Frap To Uncover Barriers And Facilitators Of Diabetes Care In The Lehigh Valley: A Mixed-Method Geospatial Mapping And Rapid Qualitative Analysis Approach, Susan Hansen Ma, Autumn Kieber-Emmons Md, Mph, Kyle Shaak Bs, Melanie Johnson, Elaine Banerjee Md, Mph

Department of Family Medicine

No abstract provided.

The Effect Of Specific Locomotor Experiences On Infants’ Avoidance Behaviour On Real And Water Cliffs, Carolina Burnay, Rita Cordovil, Chris Button, James L. Croft, Matthew Schofield, Joana Pereira, David I. Anderson

Research outputs 2014 to 2021

Infants’ avoidance of drop-offs has been described as an affordance learning that is not transferable between different locomotor postures. In addition, there is evidence that infants perceive and act similarly around real and water cliffs. This cross-sectional study investigated the effects of specific locomotor experiences on infants’ avoidance behaviour using the Real Cliff/Water Cliff paradigm. The experiments included 102 infants, 58 crawling, but pre-walking, infants (Mage = 11.57 months, SD = 1.65) with crawling experience ranging between 0.03 and 7.4 months (M = 2.16, SD = 1.71) and 44 walking infants (Mage = 14.82 months, SD = 1.99), with walking …

Short Term Outcomes Of Covid-19 In Lupus: Propensity Score Matched Analysis From A Nationwide Multi-Centric Research Network, Rahul Raiker, Haig Pakhchanian, Charles Deyoung, Latika Gupta, Sinan Kardes, Sakir Ahmed, Chengappa Kavadichanda

Student Papers, Posters & Projects

Objectives

To determine the severity and outcome of COVID-19 among individuals with lupus as compared to controls. The secondary objective was to identify the risk association of sex, race, presence of nephritis, and use of various immunomodulators with COVID-19 outcomes.

Methods

Retrospective data of individuals with lupus with and without COVID-19 between January 2020 to May 2021 was retrieved from the TriNetX. A one-to-one matched COVID-19 positive control was selected using propensity score(PS) matching. We assessed several outcomes, including all-cause mortality, hospitalisation, intensive care unit (ICU) admission, mechanical ventilation, severe COVID, acute kidney injury (AKI), Haemodialysis, acute respiratory distress syndrome …

Characterization Of Indoor Arenas Through An Anonymous Survey, Staci Mcgill, Morgan D. Hayes, Kimberly I. Tumlin, Robert Coleman

Biosystems and Agricultural Engineering Faculty Publications

Equine farms are building both stables for the horses to live in and additional facilities to train and work horses (Kidd et al., 1997). For many of these farms, an outdoor arena that has an all-weather footing is the first working facility built. During inclement weather the ability to train in the outdoor arenas is inhibited, which in turn means the trainers, riders, and farms lose income as money is only made when horses are working, training, and competing. Indoor arenas allow for horses to continue to be worked no matter the weather conditions. The equine industry contributes a total …

Tracking Development Assistance For Health And For Covid-19: A Review Of Development Assistance, Government, Out-Of-Pocket, And Other Private Spending On Health For 204 Countries And Territories, 1990–2050, Angela E. Micah, Ian E. Cogswell, Brandon Cunningham, Satoshi Ezoe, Anton C. Harle, Ismaeel Yunusa Ph. D.

Faculty Publications

Background

Methods

Enhancing Mask Activity In Dopaminergic Neurons Extends Lifespan In Flies, Xiaolin Tian

School of Medicine Faculty Publications

Dopaminergic neurons (DANs) are essential modulators for brain functions involving memory formation, reward processing, and decision-making. Here I demonstrate a novel and important function of the DANs in regulating aging and longevity. Overexpressing the putative scaffolding protein Mask in two small groups of DANs in flies can significantly extend the lifespan in flies and sustain adult locomotor and fecundity at old ages. This Mask-induced beneficial effect requires dopaminergic transmission but cannot be recapitulated by elevating dopamine production alone in the DANs. Independent activation of Gαs in the same two groups of DANs via the drug-inducible DREADD system also extends fly …

Barriers To Symptom Management Care Pathway Implementation In Pediatric Cancer, L Lee Dupuis, Allison Grimes, Emily Vettese, Lisa M Klesges, Lillian Sung

2020-Current year OA Pubs

BACKGROUND: Objectives were to describe barriers to pediatric cancer symptom management care pathway implementation and the impact of the COVID-19 pandemic on clinical research evaluating their implementation.

METHODS: We included 25 pediatric oncology hospitals in the United States that supported a grant submission to perform a cluster randomized trial in which the intervention encompassed care pathways for symptom management. A survey was distributed to site principal investigators prior to randomization to measure contextual elements related to care pathway implementation. Questions included the inner setting measures of the Consolidated Framework for Implementation Research (CFIR), study-specific potential barriers and the impact of …

Stretching After An In-Water Warm-Up Does Not Acutely Improve Sprint Freestyle Swim Performance In Diii Collegiate Swimmers, Haven L. Westra, Alexander H.K. Montoye

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 2: Issue 1, Article 11, 2021. Stretching, as part of a warm-up prior to competition, has been used as a method to enhance performance in swimming and other sports, but its efficacy as a potential ergogenic aid remains understudied. This study’s purpose was to determine if acute static stretching or a dynamic warm-up, following an in-water swim-specific warm-up, improved sprint freestyle swim performance in collegiate swimmers. NCAA Division III swimmers (n=15, 67% female) participated in three testing protocols. In each protocol, participants did an in-water warm up and either a dynamic warmup …

Medical School Watercooler Newsletter - October 8, 2021, Lindsey Lyle

Watercooler Newsletter

This is the October 8, 2021 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents include:

• USA Medical Alumni Association kicks off 2021 membership drive
• Medical students invited to 'Diversity Equity and Inclusion in GME' discussion
• More than 60 vaccinated at Medical Spanish Interest Group events in Mobile
• Nominations open for Mayer Mitchell Award
• Students launch gift box campaign for children in need
• Meet a Med Student: Shane Stephenson
• USA College of Medicine alumna joins USA Health as rheumatologist
• Faculty Spotlight: Robert Schneider, M.D., F.A.C.E.P