Medicine and Health Sciences Commons^™

2021-07-01_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

Exploring Provider Perspectives To Understand How To Best Inform Patients In South Dakota, Isabelle M. Lehman

Honors Thesis

Patients in rural areas are more likely to experience worse health outcomes than patients in urban or suburban areas. The reasons for this discrepancy are multi-faceted, including inequities in resources and access, as well as differences in the environment. Rural providers understand what education and resources patients are missing as they often interact with patients in multiple contexts. We interviewed rural providers and performed an inductive thematic content analysis of the interviews to shed some insight into what information rural patients would need to be better healthcare advocates for themselves. Three themes emerged from the interview data: health education, access, …

Roli I Përkrahjes Në Shëndetin Mental, Lirjeta Mahmuti

Theses and Dissertations

Shëndeti ynë mendor ndikon drejtpërdrejt në mënyrën se si mendojmë, ndjejmë dhe veprojmë gjithashtu ndikon në shëndetin tonë fizik.

Për të gjithë individët, shëndeti mendor, fizik dhe social janë fillesa jetësore dhe të ndërthurura të jetës. Ndërsa kuptimi ynë për këtë marrëdhënie rritet, bëhet gjithnjë e më e qartë se shëndeti mendor është thelbësor për mirëqenien e përgjithshme të individëve, shoqërive dhe vendeve. Në të vërtetë, shëndeti mendor mund të përkufizohet si një gjendje e mirëqenies që u mundëson individëve të realizojnë aftësitë e tyre, të përballen me streset normale të jetës, të punojnë në mënyrë produktive dhe të frytshme …

“Pamjaftueshmëria E Zemrës“, Gentianë Berisha

Theses and Dissertations

Dështimi ose pamjaftueshmëria (insuficienca) e zemrës do të thotë se muskuli i zemrës nuk pompon aq gjak sa organizmi ka nevojë. E cila nënkupton se puna e zemrës nuk ka ndaluar mirëpo nuk punon aq sa duhet.

Në ketë sëmundje gjaku lëviz nëpër trup me një shpejtësi më të vogël dhe presioni në zemrën rritet, si rezultat zemra nuk arrin dot të transportojë sasinë e duhur të oksigjenit dhe të lëndëve ushqyese për organizmin. Në mënyrë që pompa (zemra) të kryejë funksionin e saj

duhet që muskuli i zemrës të jetë shëndoshë e mirë. Duhet që sistemi elektrik i zemrës …

Roli I Kujdesit Infermieror Në Mjekësinë Familajre, Zahide Halimi

Theses and Dissertations

Hyrje: Para vitit 1989 shërbimet e pacientëve në spital operonin përmes gjashtë spitaleve. Kujdesi primar shëndetësor u ofrua përmes klinikave të mëdha (shtëpive shëndetësore) në 29 komuna që mbikëqyrnin një rrjet të klinikave të vogla (ambulanta dhe punkteve).

Shumica e shqiptarëve të Kosovës u pushuan nga drejtimi dhe pozitat e larta në të gjitha shërbimet publike gjatë viteve 1990 deri në 1992. Shoqata Nënë Tereza krijoi një sistem paralel të kujdesit shëndetësor parësor me 96 klinika në të gjithë Kosovën, të punësuar dhe të përdorur nga kosovarët shqiptarë.

Kujdesi parësor është kujdesi shëndetësorë që është i pranueshëm, i gjithanshëm, i …

“Roli I Infermierit Në Kujdesin E Të Sëmunrëve Në Shtëpi Të Shëndetit”, Fadil Krasniqi

Theses and Dissertations

Hyrje: Kujdesi shëndetësor është identifikuar si përparësia numër një e shumicës së vendeve të botës dhe infermierët luajnë një rol qendror e krucial në ofrimin e kujdesit shëndetësor. Infermierët kanë rol për promovimin e shëndetit, edukojnë pacientët dhe publikun për parandalimin e sëmundjeve dhe lëndimeve, ofrojnë kujdes dhe ndihmojnë në shërim, marrin pjesë në rehabilitim dhe sigurojnë mbështetje.

Qëllimi i punimit: Qëllim i punimit është edhe analizimi i të dhënave statistikore për numrin e pacientëve me sëmundje të ndryshme të trajtuar në Urgjencën e Malishevës më datën 01 dhe 02 të muajt Qershor, viti 2021.

Metodologjia: Punimi është i llojit …

Institute Of Public Health Newsletter- Volume2, Issue2, Institute Of Public Health (Iph)

Institute of Public Health Newsletter (IPHNL) and Other Publications

No abstract provided.

2021-2022 Fall Bulletin, University Of Mississippi Medical Center

Bulletins/Catalogs

2021-2022 Fall Bulletin

Improved Clinical Competence And Patients Satisfaction: Comparison Of Patient-Centered, Interdisciplinary Collaborative Round Versus Traditional Post-Partum Round, Arshia Javed, Arjumand Sohaila, Irfan Sheikh, Nida Qadir

Department of Obstetrics & Gynaecology

The origin of the patient-centered interdisciplinary collaborative round, which involves health care members of all levels at a time, is an effective and emerging approach to offer inpatient healthcare. Traditionally, post-partum rounds at teaching hospitals consisted of separate visits from all members of the obstetric team that resulted in patient inconvenience, care insufficiencies, and communication gaps. The main objective of this study was to assess the patient's satisfaction level from the traditional post-partum round versus the patient-centered collaborative care (PCCC) round. This study showed that in the traditional round, the patient's satisfaction with the treatment was 95.1%; whereas, in PCCC …

Takotsubo Cardiomyopathy, Aimee Baker

Nursing Student Class Projects (Formerly MSN)

This poster evaluates the current understanding of Takotsubo Cardiomyopathy (TTC) and describes current treatment recommendations, long-term prognosis, and advanced practice nursing implications. TTC is a relatively rare disease and is present in about 2% of suspected ST-segment myocardial infarctions in women. (Sattar et al., 2017) TTC is not well understood and has several current hypotheses regarding cellular pathology. This poster explores the current understanding of pathophysiologicderangements from an organ system and two pathologic hypotheses at the cellular level. Current treatment recommendations include subclasses of treatments stratified by types of complications. Also, this poster introduces a new subclass of heart failure …

Poster: Sars-Cov-2 Neuroinvasion, Heather M. Tatusko

Nursing Student Class Projects (Formerly MSN)

Over the last century, science and literature has reported neurological manifestations during various disease outbreaks as well as long-term sequelae following epidemics and pandemics. Some of the first neurological symptoms reported with Coronavirus Disease 2019 (COVID-19; caused by severe acute respiratory syndrome coronavirus 2 [SARS-Cov-2]) were anosmia and dysgeusia, suggesting SARS-CoV-2 penetrance of the central nervous system (CNS). To date, the definite clinical and pathological basis of CNS involvement of SARS-CoV-2 remains poorly understood, with the neurovirulence of SARS-CoV-2 and its neuroinvasive potential remaining largely unknown. The author’s poster will explore neurological manifestations of COVID-19 disease, the direct and indirect …

Neuroinflammation & Mood Disorders, Andrea Zanders

Nursing Student Class Projects (Formerly MSN)

The world of mental health treatment is evolving as more information is discovered about its multifaceted pathophysiology. This poster takes a glimpse at one of these factors: the role of neuroinflammation in mood disorders. Above normal levels of inflammation are found in patient’s suffering from depression and bipolar disorder. Elevated inflammation has significant negative effects on the brain that as a result cause dysregulation in mood. Mental health treatments that have been found to effectively address neuroinflammation include nutritional and exercise interventions. The progression of neuroinflammation research in mood disorders gives a positive outlook for patient outcomes as individuals continue …

Monetary Incentives For Producing Counterfeit, Adulterated, And Misbranded Medicine: Case Studies And Examples, Heather R. Campbell, Robert A. Lodder

Pharmaceutical Sciences Faculty Publications

Background: Pharmaceutical fraud can be very profitable. Those working in pharmaceuticals are in a tempting position as the nature of the product and supply is complex, making detection of fraud difficult and expensive. However, a reliable pharmaceutical supply can often be a life-or-death situation for patients. Thus, when detection of fraud occurs, a Regulator's Dilemma often emerges (recall a drug for which a supplier is the sole source, or allow a substandard product to be sold)—generally resulting in pharmaceutical companies receiving minimal penalties even for the worst acts. Despite pharmaceutical companies' unique leverage over regulators and profitability, studies are rare …

Community Health Volunteers Challenges And Preferred Income Generating Activities For Sustainability: A Qualitative Case Study Of Rural Kilifi, Kenya, Adelaide Lusambili, Njeri Nyanja, Sophie Vusha Chabeda, Marleen Temmerman, Lucy Nyaga, Jerim Obure, Anthony Ngugi

Population Health, East Africa

Background: There is a global emphasis on engaging community health volunteers (CHVs) in low- to middle-income countries (LMICs) to reach to the vast underserved populations that live in rural areas. Retention of CHVs in most countries has however been difficult and turnover in many settings has been reported to be high with profound negative effects on continuity of community health services. In rural Kenya, high attrition among CHVs remains a concern. Understanding challenges faced by CHVs in rural settings and how to reduce attrition rates with sustainable income-generating activities (IGAs) is key to informing the implementation of contextual measures that …

Menu Engineering And Dietary Behavior Impact On Young Adults’ Kilocalorie Choice, Christine Bergman, Yuan Tian, Andrew Moreo, Carola Raab

Hospitality Faculty Research

The obesity pandemic is associated with increased consumption of restaurant food. Labeling of menus is an intervention used to provide consumers with kilocalorie (calorie) information in hopes of them making healthier food choices. This study evaluated the relationship between young adults’ calorie choices on restaurant menus and menu design, dietary behaviors, and demographic characteristics. A 3 (fast-casual restaurants) × 4 (menu-designs based on menu engineering theories) between-subjects (n = 480, 18–24-year olds) experimental design was used. The relationship between the participants’ calorie choices (high versus low) and menu design, stage of change, gender, race, educational level and weight status was …

Special Report On Covid-19 Vaccination Trends Among Older Adults In Singapore, Micah Tan, Paulin T. Straughan, Wensi Lim, Grace Cheong

ROSA Research Briefs

This report examines trends in vaccination among older adults in Singapore to better understand why segments of older adults continue to resist vaccination against COVID-19. We find that individuals who were most likely to still be waiting to vaccinate or to not want to be vaccinated as of June 2021; are relatively older (aged 71-75), are of lower socioeconomic status (lower education levels and living in 1-3 room HDB flats), were the least likely to rely on Newspapers and Government Sources as sources of information for COVID-19 related news in November 2020, were least trusting of all sources of information, …

Perspectives, Summer/Fall 2021, Volume 9, Number 2, Nova Southeastern University

Perspectives

No abstract provided.

Prognostic Significance Of Ischaemic Electrocardiographic Changes During Stress Testing In Patients With Normal Nuclear Myocardial Perfusion Imaging, Ghufran Adnan, Fateh Ali Tipoo Sultan, Umaira Alauddin, Maria Ali Khan

Section of Cardiology

Objective: To evaluate cardiovascular outcomes in patients with normal nuclear myocardial perfusion imaging, but ischaemic electrocardiogram changes during pharmacological or exercise stress tests.
Methods: The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and comprised data of patients who underwent either pharmacological or exercise stress myocardial perfusion scan and had a normal scan with ischaemic electrocardiogram changes between January 2013 and December 2014. All cardiac events, including angina, myocardial infarction, heart failure, coronary revascularisation and cardiac death, as well as non-cardiac deaths were noted. Data was analysed using STATA 14.2.
Results: Of the 2770 patients whose data …

The Violence Of Postmodern “Gender Identity” Medicine, Heather Brunskell-Evans

Dignity: A Journal of Analysis of Exploitation and Violence

The medical “transition” of children with “gender dysphoria” is increasingly normalized in North America, Western Europe, Australia, New Zealand, and the United Kingdom. Although each country has specific national gender identity development services, the rationale for prescribing hormone treatment is broadly similar. A minority rights paradigm underpinned by postmodern theory has gained traction in the past 10 years and has been successful in influencing public policy, the education of pediatricians, endocrinologists, and mental health professionals. In this view, any response other than an affirmation of the child’s claim to be the opposite sex or “born in the wrong body” is …

The Effectiveness Of Serial Casting In Children With Arthrogryposis, Christina Bourantas, Chris Church Mpt, Stephanie Butler Bpt, Jose De Jesus Salazar-Torres Phd, John Henley Phd, Maureen Donohoe Pt, Dpt, Freeman Miller Md, L. Reid Nichols Md

Annual Student Research Poster Session

The most common foot deformity in children with arthrogryposis is clubfoot, which is typically stiffer than in the idiopathic clubfoot (IC). While the use of the Ponseti method in IC has led to improved foot mobility and reduced invasive surgical procedures, there is currently limited information of the effectiveness of serial casting (SC) in arthrogryposis. The purpose of this research is to determine the effect of serial casting in recurrent clubfoot in children with arthrogryposis on brace tolerance, foot position, patient reported outcome, and the need for surgery.

Neural Innervation Of The Immune Response Could Lead To Treatments For Severe Asthma: The Screening Of Neurotransmitters On T Helper 17 Cell Differentiation, Kate Cowger, Wei Wang Phd, Xingbin Ai Phd

Annual Student Research Poster Session

T Helper 17 (Th17) cell-driven neutrophilic asthma is a rare, yet severe phenotype that accounts for over 75% of all asthma related medical costs. Neural innervation has been known play a role in the immune response and we investigated whether the addition of neurotransmitters to would affect Th17 cell differentiation. Results indicated that neural innervation upregulated Th17 cell differentiation and expression of its cytokine IL-17 that is responsible for the severe symptoms seen in neutrophilic asthma.

In-Vitro Stimulation Of Cd4+ Lymphocytes Following Renal Ischemia/Reperfusion Injury, Emma G. Kennedy, Jason A. Collett, David P. Basile

Annual Student Research Poster Session

To explore the Th-17 activation mechanism, renal CD4+ cells were isolated from post ischemic rats and stimulated in-vitro with varying conditions. These conditions focused on the effect of adenosine on IL-17 response using RT-PCR. Additionally, inhibitors of adenosine were added to test their IL-17 response in conjunction with adenosine. Specifically, an inhibitor for the Orai1 calcium channel. Furthermore, adenosine agonists were tested with to determine their effect on IL-17 response in the in-vitro stimulation plate.

Voxelwise Mapping Of Whole-Exome Sequencing To Noninvasive Imaging With Stereotactic Localization And Deep Learning, Katherine Stanley

Annual Student Research Poster Session

Tumor heterogeneity presents a significant barrier to glioblastoma treatment. While multiparametric imaging can improve characterization of such heterogeneity, advances have been limited by access to ground truth pathology and genomics. Stereotactic localization addresses the former issue, allowing pairing of biopsy location with corresponding voxels in MR image. Using stereotactic localization, as well as voxelwise MR image analysis, a feedforward dense network, and whole-exome sequencing, the authors sought to improve multiparametric MR characterization of tumor heterogeneity.

Gender Disparity In Evaluation Of Internal Medicine Clerkship Performance., Deborah J. Gorth, Rogan G. Magee, Sarah E. Rosenberg, Nina Mingioni

Department of Medicine Faculty Papers

Importance: Women studying medicine currently equal men in number, but evidence suggests that men and women might not be evaluated equally throughout their education.

Objective: To examine whether there are differences associated with gender in either objective or subjective evaluations of medical students in an internal medicine clerkship.

Design, Setting, and Participants: This single-center retrospective cohort study evaluated data from 277 third-year medical students completing internal medicine clerkships in the 2017 to 2018 academic year at an academic hospital and its affiliates in Pennsylvania. Data were analyzed from September to November 2020.

Exposure: Gender, presumed based on pronouns used in …

The Write Stuff - Summer 2021 (Vol. 18, No. 3), Research Medical Library

Write Stuff 2021

• A friendly reminder about Core Grant citations
• Using BioRender to create scientific figures
• Reminder to grant authors: Check for grant requirements to publish in open access journals
• Promoting research articles

Pharmacotherapy In Coronavirus Disease 2019 And Risk Of Secondary Infections: A Single-Center Case Series And Narrative Review, Michael Behal, Brooke Barlow, Breanne Mefford, Melissa L. Thompson Bastin, J. Chris Donaldson, Melanie Laine, Brittany D. Bissell

Pharmacy Practice and Science Faculty Publications

OBJECTIVES: Since the onset of the coronavirus disease 2019 pandemic, immune modulators have been considered front-line candidates for the management of patients presenting with clinical symptoms secondary to severe acute respiratory syndrome coronavirus 2 infection. Although heavy emphasis has been placed on early clinical efficacy, we sought to evaluate the impact of pharmacologic approach to coronavirus disease 2019 within the ICU on secondary infections and clinical outcomes.

DATA SOURCES: PubMed (inception to March 2021) database search and manual selection of bibliographies from selected articles.

STUDY SELECTION AND DATA EXTRACTION: Articles relevant to coronavirus disease 2019, management of severe acute respiratory …

Chronic Disease Self-Management Support In Rural Areas: An Integrative Review, Karla A. Callahan

Doctoral Dissertations and Projects

Millions of Americans live with chronic health conditions which require careful attention and specific actions for optimal management. Chronic Disease Self-Management Education (CDSME) has been effectively utilized to improve health outcomes and quality of life for individuals with chronic disease, enhancing knowledge and self-efficacy. Traditional CDSME programs are less available for rural residents. An examination of successful CDSME programs highlights common interventions that yield success and may be utilized in a variety of settings. Self-management is more complex, but also more essential, for individuals with more than one chronic condition. Clinicians can provide individualized support for appropriate self-management techniques, thereby …

Web-Based Applications For Weight Loss And Management: An Integrative Review, Linda Lawton Smith

Doctoral Dissertations and Projects

Obesity is associated with the leading causes of death in the United States and the world. Internationally, 39% of the world’s population was overweight or obese, in 2014, with 9% having diabetes. These causes include diabetes, stroke, certain types of cancer and heart disease. Obesity can lead to poorer mental health outcomes and cause a decrease in the quality of life. This integrative review is to determine if health and dietary smart-phone apps are effective tools to help overweight and obese people lose weight and maintain that loss.

Stressors, Resources, And Psychological Well-Being Among Working Black And White Caregivers In The United States, Maureen E. Templeman

USF Tampa Graduate Theses and Dissertations

By the year 2060 in the United States (U.S.), not only will the number of adults aged 65 and older double, non-Hispanic Whites (Whites), who currently constitute 77% of the older adult population, will constitute just slightly more than half of older adults. As the older adult population diversifies, so will their caregivers. Over 60% of informal caregivers of older adults (caregivers) are employed, and the majority of these are employed full time. Little is known about the unique experiences of working Black or African American (Black/AA) and White caregivers and non-caregivers in the U.S. This dissertation consists of three …

Early Indicators Of Cognitive Dysfunction: The Role Of Mild Behavioral Impairment, Hillary J. Rouse

USF Tampa Graduate Theses and Dissertations

Older age is associated with an increased risk for cognitively impairing diseases such as dementia. Despite significant research to find ways to cure this disease, there has been little success. However, a critical need when an intervention is discovered is a need to find ways to identify people who are at the greatest risk of developing dementia earlier in the disease process so that interventions can be implemented at that time. This could potentially lessen their risk or delay when they are diagnosed. Using longitudinal data from the National Alzheimer’s Coordinating Center (NACC), the aims of this current dissertation were …