Medicine and Health Sciences Commons^™

Oral Mucormycosis In Post-Covid-19 Patients: A Case Series, Asmaa Ras, Enji A. Ahmed, Dalia M. Ghalwash, Radwa Hussein, Ayman A. Elgawish, Abou-Bakr E. Ras

Dentistry

No abstract provided.

Llusd Articulator - Volume 32, Number 1, Loma Linda University School Of Dentistry

Articulator (Dentistry)

Contents:

5 | Dean's Message
9 | Faculty arrive & advance
10 | Zina Johnston leads Clinic Administration; Shelly Withers chairs Dental Hygiene
11 | Paul Richardson retires
13 | Drs. Li & Zhang retire
14 | Kris Marshall retires
15 | LLUSD Student Research runs the CDA table
18 | LLUSD's 2021 virtual commencement
39 | Faculty awards
45 | NEWS
Pickleball Champs
46 | Melvin Lund visits
47 | Tina Saw restores
49 | Sara Chang ninja
51 | Monty Suprono fights the virus
52 | Chi Viet awarded & serves
53 | Elisabetta Cotti resigns
54 | …

Chronic Paracetamol Treatment Induces Neuroinflammation And Microglia Activation In Rat Hippocampus, Laddawan Lalert, Preecha Ruangvejvorachai, Supang Maneesri-Le Grand

Chulalongkorn Medical Journal

Background: Several studies have demonstrated multidirectional effects of paracetamol (acetaminophen; APAP) treatment on the central nervous system. Recently, an alteration of learning and memory have been reported following long-term APAP exposure; however, the mechanism underlying these detrimental effects of APAP treatment is not fully clarified. Objectives: To investigate the effect of chronic APAP treatment on the microglia activation and neuroinflammation in the hippocampus. Methods: Male Wistar rats (weighting 250 - 300 g) in the APAP-treated group was once a day gavaged with 200 mg/kg bodyweight APAP for 30 days, while distilled water at the same volume was orally delivered to …

Effects Of Overweight And Smoking On Aerobic Capacity, Autonomic And Pulmonary Function In Physically Inactive Middle-Aged Male, Tharnwimol Inthachai, Natchaya Chondaen, Surinthorn Maiarin, Wannasiri Kummungkun, Kroekkiat Chinda, Naphatsorn Aroonprasertkul

Chulalongkorn Medical Journal

Background: A higher body mass index (BMI) can lead to smoking, some people believe that smoking can help them to lose their weight and also quit smoking can cause weight gain. The effects of overweight and smoking have not been studied in physically inactive middle aged males, a vulnerable group in gaining weight and being at greater risk of developing cardiovascular diseases (CVD). Objective: This study aimed to determine the effects of overweight and smoking on aerobic capacity, autonomic and pulmonary function in physically inactive middle aged male subjects. Methods: Seventy-two physically inactive subjects were divided according to normal BMI …

Personality Traits And Smoking Behavior In Patients At The Check – Up Clinic, King Chulalongkorn Memorial Hospital, Pasharapa Jatuporn, Chotiman Chinvararak

Chulalongkorn Medical Journal

Background: Cigarettes are caused of health issues and premature death of the smoking population, including the cause of other problems, such as other types of illegal drugs usage, which is the sources of crimes. Thus, recognition of smoking behavior will become increasingly important. Personality traits might associate with cigarette consumption. However, there are still restricted numbers of studies with conflicting data. Objectives: To study factors association between personality and smoking behaviors in patients at the Check – up Clinic, King Chulalongkorn Memorial, Hospital. Methods: This study is a cross-sectional descriptive study. Data collection was performed using a personal information questionnaire, …

Effect Of An Information And Communication Technology Program On The Anxiety Of Coronary Artery Bypass Graft Patients’ Caregivers In Intensive Care Unit, Jirakit Duangjuk, Usavadee Asdornwised, Kessiri Wongkongkam, Teerapong Tocharoenchok

Chulalongkorn Medical Journal

Background: The caregivers of coronary artery bypass graft (CABG) patients are typically very anxious while the patients are treated in the intensive care unit (ICU). Objective: To study the effects of an information and communication technology program on the anxiety level of CABG patients’caregivers during patients’ admission to the ICU. Methods: This is a quasi-experimental research. The sample group is caregivers of CABG patients. Thirty-four caregivers in the control group that received only routine nursing care while 34 caregivers in the experimental group received the information and communication technology program and routine nursing care. Data were collected using the Thai …

Prevalence Of Self-Esteem And Depression In Recovery Phase - Community Base Physiotherapy Of Stroke Patients At Public Health Center 19 Wongsawang, Tanaporn Chuenta, Itthipol Tawankanjanachot

Chulalongkorn Medical Journal

Background: Stroke is one of the most common public health problems worldwide. In addition, it is neurological disease and it is a major problem of Thai public health. It is a chronic illness, a stroke patient that needs lifelong care for both physical and psychological aspects. Previous studies on self-esteem and post-stroke depression in stroke patients in recovery phase are scant in Thailand. Objectives: To determine the prevalence of low self-esteem, depression and its associated factors in stroke patients in recovery phase at Public Health Center 19 Wongsawang, Bangkok, Thailand. Methods: A descriptive analysis study was conducted at the Public …

Comparing Cytological Adequacy Between Conventional Smear And Liquid-Based Cytology In Ultrasound-Guided Fine Needle Aspiration Of Thyroid Nodules: A Prospective Study, Nattachai Kruajak, Pawanrat Kranokpiraksa, Tikamporn Jitpasutham

Chulalongkorn Medical Journal

Background: The major problem of conventional smear for ultrasound-guided fine needle aspiration (FNA) of thyroid nodules is the sample inadequacy. Liquid-based cytology (LBC) is claimed to perform better than the conventional smear (CS) in reducing sample inadequacy. However, the evidence of better adequacy in LBC is unclear. Objective: This study is the first prospective study aiming to compare sample adequacy in CS and LBC using ThinPrep system with adequacy criteria based on the 2017 Bethesda System for Reporting Thyroid Cytopathology. Methods: One hundred and twenty thyroid nodules were prospectively recruited for ultrasound-guided FNA from March to September 2019. The sample …

Anxiety In Caregivers Of Palliative Care Patients, Worasiri Leongnarktongdee, Puchong Laurujisawat

Chulalongkorn Medical Journal

Background: Palliative care service undoubtedly aims at quality of life of both the patients and their family members. Caring for the ill can bring about mental burden to the caregivers; but this is understudied in Thai literature. Objective: This study aimed to explore the anxiety state and associated factors in caregivers of palliative patients, particularly in urban setting as Bangkok. Methods: We recruited 93 caregivers of inpatients consulted to the Palliative Care Unit of King Chulalongkorn Memorial Hospital. The instruments used include Edmonton Symptom Assessment System (ESAS) - Thai version and The State - Trait Anxiety Inventory (STAI Form). Multiple …

First Case Report Of High Volume Therapeutic Plasma Exchange As A Rescue Therapy In Dengue Hemorrhagic Fever With Acute Liver Failure, Surat Nakaviroj

Chulalongkorn Medical Journal

Acute liver failure is a rare but life-threatening complication of severe dengue infection. Besides standard medical treatment, high volume therapeutic plasma exchange (HV-TPE) is a potential management strategy used to reverse hepatic encephalopathy and coagulopathy. HV-TPE, moreover, improves patient survival from acute liver failure due to paracetamol overdose, viral-induced hepatitis, and Wilson disease. The use of HV-TPE in acute liver failure with dengue hemorrhagic fever has never been reported. We, hereby, report a successful treatment with HV-TPE in acute liver failure with dengue hemorrhagic fever.

Compelling Evidence Of Viral Shedding Of Sars-Cov-2 In Stool And Laboratory Safety Suggestion For Stool Examination Amid Covid-19 Era, Nirin Seatamanoch, Switt Kongdachalert, Vivornpun Sanprasert, Narissara Jariyapan, Padet Siriyasatien, Narisa Brownell

Chulalongkorn Medical Journal

COVID-19 pandemic unfolds in December of 2019 as a number of unknown pneumonia cases arose in Wuhan, China. Patients who contracted the disease usually have respiratory symptoms such as cough and dyspnea. With no established treatment and vaccines, the rise in the number of infections has been unrelenting. SARS-CoV-2 transmits via droplets and aerosols. However, evidence has shown that they are infectious through stools as well. There are increasing numbers of reports of virus particles in feces as well as systematic reviews and meta-analysis to identify the extent of viral fecal excretion. The findings posed a very serious threat upon …

Culture-Bound Syndrome, Thanya Lunchaprasith, Teeravut Wiwattarangkul, Sorawit Wainipitapong

Chulalongkorn Medical Journal

Many mental disorders are expressed in different characteristics, as a result of cultural factors. These conditions, known as culture-bound syndrome, have been studied in the field of psychiatry and social anthropology. Some mental abnormalities are treated as distinctive psychiatric disorders; many others were not yet clinically recognized. Therefore, patients with the conditions should be evaluated and treated in both psychiatric and cultural practices. It should be noted that, cultural specific mental disorders gradually fade in the age of globalization.

Factors Related To Compliance To High Blood Pressure Therapy Among Patients With Hypertensive Crisis, Alyn Wattanaburapakul, Sirirat Leelacharas, Soontaree Jianvitayakij

Chulalongkorn Medical Journal

Background: Non-compliance to antihypertensive medication is a factor associated with a failure in controlling high blood pressure (BP) in the patients with hypertension (HT). To date, patient factors associated with non-compliance in patients with hypertensive crisis have not been investigated in Thai population. Objective: This study aimed to describe the factors related with compliance to the hypertensive therapy among the patients with hypertensive crisis who visited the emergency department (ED). Methods: The descriptive-correlational study was conducted at the ED of an urban, tertiary-care hospital. The eligible subjects were asked to respond to a set of questionnaires. Results: One hundred subjects …

Resilience And Associated Factors Of Family Caregivers Of The Terminal Illness Patients At Cheewabhibaln Center, King Chulalongkorn Memorial Hospital, Kornsiri Pikulthong, Peeraphon Lueboonthavatchai

Chulalongkorn Medical Journal

Background: Family caregivers play an important role to provide support and care for terminal illness patients by spending their time responding to the patients’ needs. Receiving this role can cause them to be stressful and anxious. Therefore, it is essential for them to have resilience so that they are able to overcome potentially all burdens. Objectives: The present study aimed to examine resilience and associated factors of family caregivers of the terminal illness patients at Cheewabhibaln Center, King Chulalongkorn Memorial Hospital. Methods: This descriptive study was conducted in 150 family caregivers. The sample group was recruited through the purposive sampling …

Quantitative Measurement In Knee Joint Effusion: Correlation Between Plain Radiographs And Mri, Chindarat Ratanakornphan, Teeraphorn Boonswang

Chulalongkorn Medical Journal

Background: Knee joint effusion is a common manifestation of synovial disease resulting from traumatic injury, infection, inflammation and degenerative disease. Plain radiographs and magnetic resonance imaging (MRI) play an important role in diagnosing knee effusion. However, there is scant data demonstrating the correlation of the two studies. Objective: The purposes of our study were to investigate the correlation of knee effusion between thickness of radiodense area within the suprapatellar pouch on lateral radiographs and volume measurement on MRI studies, and to assess the distribution of effusion in various compartments. Methods: Quantitative measurement of effusion volume on sagittal fat-saturated T2 weighted …

Why We Can’T Wait, Mary I. Fisher

Physical Therapy Faculty Publications

No abstract provided.

Effects Of Genetics And Sex On Hippocampal Gene Expression And Adolescent Behaviors Following Neonatal Ethanol Exposure In Bxd Recombinant Inbred Mice, Jessica A. Baker

Theses and Dissertations (ETD)

Fetal alcohol spectrum disorders (FASD) are the leading preventable neurodevelopmental disorders in the western world. A hallmark symptom of FASD is cognitive and learning deficits that present in early childhood and continue throughout adulthood. Teratogenic effects of alcohol include increased cell death in the hippocampus, a brain region critically important in learning and memory. Genetics have been shown to have a role in the severity of alcohol’s teratogenic effect on the developing brain. Previous work in our lab identified differential vulnerability to ethanol-induced call death in the hippocampus using fourteen BXD strains and the two parental strains. The goal of …

Consulting Place As Stakeholder: Accessing The Input Of Ecological Community, Hunter Adkisson

Landscape Architecture Undergraduate Honors Theses

This is a project about how landscape architects approach the landscape in their design process. Indigenous worldviews hold that the world is living and animate in its own right. When we consider stakeholder engagement in this light, the need arises to extend the definition of stakeholders to include the ecological communities of place – the flora, fauna, soils, and other non-human elements of place. To gather that input, I experimented with techniques to access a greater awareness of ecological community at two sites with different levels of urbanity and types of land management practices. This experimental approach was surprisingly successful …

Leveraging Big Data For Pattern Recognition Of Socio-Demographic And Climatic Factors In Correlation With Eye Disorders In Telangana State, India, Amna Alalawi, Les Sztandera, Parth Lalakia, Anthony Vipin Das, Sai Prashanthi Gumpili, Richard Derman

Kanbar College Faculty Papers

Purpose: Big data is the new gold, especially in health care. Advances in collecting and processing electronic medical records (EMR) coupled with increasing computer capabilities have resulted in an increased interest in the use of big data in health care. Ophthalmology has been an area of focus where results have shown to be promising. The objective of this study was to determine whether the EMR at a multi-tier ophthalmology network in India can contribute to the management of patient care, through studying how climatic and socio-demographic factors relate to eye disorders and visual impairment in the State of Telangana.

Methods: …

Update On The Safety Of Anesthesia In Young Children Presenting For Adenotonsillectomy., Stephanie R. Mcguire, Nichole M. Doyle

Manuscripts, Articles, Book Chapters and Other Papers

Tonsillectomy with and without adenoidectomy is a frequently performed surgical procedure in children. Although a common procedure, it is not without significant risk. It is critical for anesthesiologists to consider preoperative, intraoperative, and postoperative patient factors and events to optimize safety, especially in young children. In the majority of cases, the indication for adenotonsillectomy in young children is obstructive breathing. Preoperative evaluation for patient comorbidities, especially obstructive sleep apnea, risk factors for a difficult airway, and history of recent illness are crucial to prepare the patient for surgery and develop an anesthetic plan. Communication and collaboration with the otolaryngologist is …

Anatomy And Physiology Of The Palatine Tonsils, Adenoids, And Lingual Tonsils., Alexandra Arambula, Jason R. Brown, Laura Neff

Manuscripts, Articles, Book Chapters and Other Papers

Objective: This review aims to discuss the basic anatomy and physiology of the palatine and pharyngeal tonsils, with reference to how this foundational understanding may affect patient management and surgical procedures in these regions of the upper airway.

Methods: A literature search was performed using PubMed and Google Scholar using the MeSH terms tonsils, adenoids, anatomy, physiology, and adenotonsillectomy. Primary sources were excluded if they were abstracts only, non-English language, or non-human studies. Thirty-five sources were included in this review.

Results and conclusions: The pharyngeal and palatine tonsils are compact yet physiologically complex mucosa-associated lymphoid tissues that make up a …

Pharmacologic Management Of Post-Tonsillectomy Pain In Children., Daniel R. Jensen

Manuscripts, Articles, Book Chapters and Other Papers

Tonsillectomy is a very common procedure in children, often performed on an outpatient basis. Severe postoperative pain is common, and can be prolonged. Despite a large number of available analgesic medications, often employed in combination, achieving adequate pain control remains a persistent challenge. Research suggests a tendency among caregivers to undertreat pain, and a need for detailed care instructions and education to ensure adequate pain management. Furthermore, ongoing questions regarding the safety and efficacy of the most commonly used medications have led to wide variance in practice patterns and continuous reassessment through research that yields sometimes conflicting results. This review …

Gait Mechanics Are Influenced By Quadriceps Strength, Age, And Sex After Total Knee Arthroplasty, Jesse C. Christensen, Jacob J. Capin, Lauren A. Hinrichs, Moiyad Aljehani, Jennifer E. Stevens-Lapsley, Joseph A. Zeni

Physical Therapy Faculty Research and Publications

Although most patients are satisfied with outcomes after total knee arthroplasty (TKA), many retain preoperative altered gait mechanics. Identifying patient characteristics associated with gait mechanics will improve rehabilitation strategies and enhance our understanding of movement disorders. Therefore, the purpose of this study was to identify which patient characteristics are related to gait mechanics in the surgical limb during walking post-TKA. Patient characteristics included age, body mass, sex, quadriceps strength, self-reported function, and knee pain. General linear regression was used to compare patient characteristics associated with gait mechanics, after controlling for gait speed, functional capacity and time from surgery. We tested …

How Ethics Committees And Requirements Are Structuring Health Research In The Philippines: A Qualitative Study, Gideon Lasco, Vincen Gregory Yu, Lia M. Palileo-Villanueva

Development Studies Faculty Publications

Background

The last few decades have seen the rising global acknowledgment of the importance of ethics in the conduct of health research. But research ethics committees or institutional review boards (IRBs) have also been criticized for being barriers to research. This article examines the case of the Philippines, where little has been done to interrogate the health research and IRB culture, and whose circumstances can serve as reflection points for other low- and middle-income countries.

Methods

Semi-structured interviews were conducted from July to October 2020 to elicit health researchers’ perspectives and experiences regarding IRBs and the ethics approval process in …

Sharksrx Newsletter Summer 2021, Nova Southeastern University

NSU Sharks Rx

No abstract provided.

Muslim Men’S Perceptions And Attitudes On Family Planning: A Qualitative Study In Wajir And Lamu Counties In Kenya, Batula Abdi, Jerry Okal, Gamal Serour, Marleen Temmerman

Obstetrics and Gynaecology, East Africa

In patriarchal societies like Kenya, understanding men’s perceptions and attitudes on family planning is critical given their decision-making roles that affect uptake of contraception. Yet, most programmes mainly target women as primary users of contraceptive methods since they bear the burden of pregnancy. However, women-focused approaches tend to overlook gender power dynamics within relationships, with men wielding excessive power that determines contraception use or non-use. A qualitative study involving focus group discussions and in-depth interviews was conducted in the two predominantly Muslim communities of Lamu and Wajir counties, Kenya. Open-ended questions explored perspectives, attitudes and men’s understanding of contraception, family …

Improving Medication Communication Hospital Consumer Assessment Of Healthcare Providers And Systems (Hcahps) Score, Danyel Weldon Munster

Doctor of Nursing Practice Projects

Nurses provide education on medication purposes and side effects to hospitalized patients. Patient satisfaction surveys measure this intervention with the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS). HCAHPS determines a portion of hospital reimbursement and star rating. By improving patient satisfaction through effective medication communication, the hospital’s star ratings and reimbursements increase. Various clinical settings utilize the teach-back method to improve patient understanding and participation in their medication education. This quality improvement project aims to improve HCAHPS medication communication-specific scores through scripted, nurse-delivered teach-back interventions. The student DNP educated the staff nurses on an adult medical-surgical unit, …

Arhgdia Confers Selective Advantage To Dissociated Human Pluripotent Stem Cells, Marion J. Riggs, Steven D. Sheridan, Raj R. Rao

Biomedical Engineering Faculty Publications and Presentations

Human pluripotent stem cells (hPSCs) have generated significant interest in the scientific community based on their potential applications in regenerative medicine. However, numerous research groups have reported a propensity for genomic alterations during hPSC culture that poses concerns for basic research and clinical applications. Work from our laboratory and others has demonstrated that amplification of chromosomal regions is correlated with increased gene expression. To date, the phenotypic association of common genomic alterations remains unclear and is a cause for concern during clinical use. In this study, we focus on trisomy 17 and a list of candidate genes with increased gene …

The Relationship Between Regulation And Care Access In The Doula Industry, Charissa Billings

University Honors Theses

Birth doulas are unregulated service providers in the United States, who provide informational, emotional, and physical support before, during, and after birth. Currently, the United States has the highest maternal mortality rate amongst the most developed nations, as well as a serious racial gap, with Black women being twice as likely to die due to pregnancy-related complications when compared to White women. Birth doulas can help close the gaps with trained support and advocacy. Since over 40% of the births in the US are covered by Medicaid, providing birth doula services to Medicaid recipients could result in improved birth outcomes. …

The Effects Of Mental Illness On Capital Sentencing In The State Of Oregon, Mirtill E. Csikos

University Honors Theses

There is emerging awareness on the potential arbitrariness and unconstitutionality of executing persons with mental illness. Most states with current death penalty laws have little to no protection for severely mentally ill defendants during capital trials. The present paper looked at the effectiveness of sentencing statutes serving the purpose of protecting defendants with severe mental illness in the state of Oregon. Through a careful meta-analysis this research focused on determining how mental illness plays into death penalty decisions and if Oregon’s Guilty Except for Insanity defense provides sufficient protection. Furthermore, the question of mental illness as a mitigating factor was …