Medicine and Health Sciences Commons^™

Testing The Multi-Theory Model (Mtm) To Predict The Use Of New Technology For Social Connectedness In The Covid-19 Pandemic, Manoj Sharma, Kavita Batra, Jason Flatt

Environmental & Global Health Faculty Research

Loneliness or social isolation, recently described as a “behavioral epidemic,” remains a long-standing public health issue, which has worsened during the COVID-19 pandemic. The use of technology has been suggested to enhance social connectedness and to decrease the negative health outcomes associated with social isolation. However, till today, no theory-based studies were performed to examine the determinants of technology use. Therefore, the current study aims to test theory-based determinants in explaining the adoption of new technology in a nationally representative sample during the COVID-19 pandemic (n = 382). A psychometrically reliable and valid instrument based on the multi-theory model (MTM) …

Asymmetries In Dynamic Valgus Index After Anterior Cruciate Ligament Reconstruction: A Proof-Of-Concept Study, Kai Yu Ho, Andrew Murata

Physical Therapy Faculty Research

Individuals with anterior cruciate ligament reconstruction (ACLR) are at a higher risk for subsequent anterior cruciate ligament (ACL) tears. Risk factors for ACL injuries likely involve a combination of anatomical, biomechanical, and neuromuscular factors. Dynamic knee valgus has been indicated as a possible biomechanical factor for future ACL injuries. Given that knee valgus is often accompanied by contralateral pelvic drop during single-leg activities, a dynamic valgus index (DVI) that quantifies combined kinematics of the knee and hip in the frontal plane has recently been developed. As the premise of asymmetrical DVI between limbs in the ACLR population has not been …

A Prospective Observational Study Of Community Acquired Pneumonia In Kenya: The Role Of Viral Pathogens, Jamila Nambafu, Mary Achakolong, Fridah Mwendwa, Jumaa Bwika, Felix Riunga, Samuel Gitau, Hanika Patel, Rodney Adam

Internal Medicine, East Africa

Background: Lower respiratory tract infections continue to contribute significantly to morbidity and mortality across all age groups globally. In sub-Saharan Africa, many studies of community acquired pneumonia in adults have focused on HIV-infected patients and little attention has been given to risk factors and etiologic agents in an urban area with a more moderate HIV prevalence.

Methods: We prospectively enrolled 77 patients admitted to a 280 bed teaching hospital in Kenya with radiographically confirmed community acquired pneumonia from May 2019 to March 2020. The patients were followed for etiology and clinical outcomes. Viral PCR testing was performed using …

Monitoring Self-Perceived Occupational Health Inequities In Central America, 2011 And 2018, Michael Silva-Peñaherrera, David Gimeno Ruiz De Porras, George L Delclos, Marianela Rojas Garbanzo, Pamela Merino-Salazar, Maria Lopez-Ruiz, Fernando G Benavides

Faculty, Staff and Student Publications

Objectives. to analyze changes in occupational health inequity between 2011 and 2018 among workers in Central America. Methods. Data were collected by face-to-face interviews at the workers' homes for the 2 Central America Working Conditions Surveys (n = 12 024 in 2011 and n = 9030 in 2018). We estimated health inequity gaps by means of absolute and relative population attributable risks and the weighted Keppel index. We stratified all analyses by gender. Results. Between 2011 and 2018, the proportion of workers reporting poor self-perceived health decreased both in women (from 32% to 29%) and men (from 33% to 30%). …

A Time-Course Characterization Of Muscle Function And Mitochondrial Markers During Colorectal Cancer-Induced Cachexia In Tumor-Bearing Male Mice, Ana Cabrera Ayuso

Graduate Theses and Dissertations

Cachexia is a multisystemic and multifactorial syndrome prevalent in cancer patients. It is clinically defined by involuntary loss of >5% weight in a six-month window, despite nutritional interventions. A negative energy balance characterizes cancer cachexia (CC), it is associated with weakness and fatigue in skeletal muscle. Impaired muscle function is associated with lower quality of life in cancer patients. Defects in mitochondrial function are strongly associated with muscle wasting. This study explored muscular contractile function and mitochondrial quality control (MQC) markers in soleus, gastrocnemius, and tibialis anterior (TA) muscles of C26-induced male tumor-bearing mice during a 25-day time course. It …

Contextual Challenges In The Implementation Of The Alliance For Maternal And Newborn Health Improvement, Prospective Cohort Study, An Experience From Rural Pakistan, Yaqub Wasan, Shabina Ariff, Amjad Hussain, Sheraz Ahmed, Mansoor A. Abro, Imran Ahmed, Atif Habib, Sajid Bashir Soofi

Centre of Excellence in Women and Child Health

Introduction: Improving maternal and newborn survival needs robust data on patterns of morbidity and mortality from well-characterized cohorts. It is equally important for researchers to document and understand the contextual challenges of data collection and how they are addressed.
Methods: This was a prospective cohort study implemented from December 2012 to August 2014 in Matiari, Pakistan. A total of 11,315 pregnancies were enrolled. Participants were approached at home for sequential data collection through the standard pretested structured questionnaires. Some indicators were sourced through health facility records. Information on field challenges gathered through field diaries and minutes of meetings with field …

A Machine Learning Approach To First Pass Reperfusion In Mechanical Thrombectomy: Prediction And Feature Analysis., Lohit Velagapudi, Nikolaos Mouchtouris, Richard F Schmidt, David Vuong, Omaditya Khanna, Ahmad Sweid, Bryan Sadler, Fadi Al-Saiegh, M Reid Gooch, Pascal Jabbour, Robert H Rosenwasser, Stavropoula Tjoumakaris

Department of Neurosurgery Faculty Papers

INTRODUCTION: Novel machine learning (ML) methods are being investigated across medicine for their predictive capabilities while boasting increased adaptability and generalizability. In our study, we compare logistic regression with machine learning for feature importance analysis and prediction in first-pass reperfusion.

METHODS: We retrospectively identified cases of ischemic stroke treated with mechanical thrombectomy (MT) at our institution from 2012-2018. Significant variables used in predictive modeling were demographic characteristics, medical history, admission NIHSS, and stroke characteristics. Outcome was binarized TICI on first pass (0-2a vs 2b-3). Shapley feature importance plots were used to identify variables that strongly affected outcomes.

RESULTS: Accuracy for …

Frequency Of Early Postoperative Adverse Events (Aes) In Adult Patients Undergoing Elective Neurosurgical Intervention At Tertiary Care Center In Pakistan, Mansoor Chandio, Faraz Shafiq, Ather Enam

Department of Anaesthesia

Objective: The postoperative period is critical in neurosurgical patients, where the incidence of postoperative AEs is significantly high. Most of events occurs during recovery phase and has got relation to anaesthetic management. The objective of study was to determine frequency of early AEs in elective neurosurgical patients.
Methods: This cross sectional study was conducted at our tertiary care center. The duration of study was one year, from August 2017-July 2018. The data was collected using predesigned proforma. The assessment was done on arrival in recovery room (T1) and then at forty five minutes (T2), twenty-fourth hour (T3) and forty-eighth hour …

Mental Disorders Among Health Care Workers At The Early Phase Of Covid-19 Pandemic In Kenya; Findings Of An Online Descriptive Survey, Edith Kamaru Kwobah, Ann Mwangi, Kirtika Patel, Thomas Mwogi, Robert Kiptoo, Lukoye Atwoli

Internal Medicine, East Africa

Background: Healthcare workers responding to the Corona Virus Pandemic (COVID-19) are at risk of mental illness. Data is scanty on the burden of mental disorders among Kenyan healthcare workers responding to the pandemic that can inform mental health and psychosocial support. The purpose of this study was to establish the frequency and associated factors of worry, generalized anxiety disorder, depression, posttraumatic stress disorder and poor quality of sleep among Kenyan health care workers at the beginning of COVID-19 pandemic.

Methods: We conducted an online survey among 1,259 health care workers in Kenya. A researcher developed social demographic questionnaire and several …

Covid-19 And Mental Well-Being Of Nurses In A Tertiary Facility In Kenya, Sayed Karar, Jasmit Shah, Zohray Talib

Internal Medicine, East Africa

Background: The 2019 coronavirus disease (COVID-19) epidemic is a global health emergency which has been shown to pose a great challenge to mental health, well-being and resilience of healthcare workers, especially nurses. Little is known on the impact of COVID-19 among nurses in sub-Saharan Africa.

Methods: A cross sectional study was carried out between August and November 2020 among nurses recruited from the Aga Khan University Hospital, Nairobi. The survey questionnaire consisted of six components- demographic and work title characteristics, information regarding care of COVID-19 patients, symptoms of depression, anxiety, insomnia, distress and burnout, measured using standardized questionnaires. Multivariable logistic …

Comparative Analysis Of Triple-Negative Breast Cancer Transcriptomics Of Kenyan, African American And Caucasian Women, Mansoor Saleh, Darshan Shimoga Chandrashekar

Haematology and Oncology, East Africa

Purpose: Triple-negative breast cancer (TNBC) patients of various ethnic groups often have discrete clinical presentations and outcomes. Women of African descent have a disproportionately higher chance of developing TNBCs. The aim of the current study was to establish the transcriptome of TNBCs from Kenyan (KE) women of Bantu origin and compare it to those TNBCs of African-Americans (AA) and Caucasians (CA) for identifying KE TNBC-specific molecular determinants of cancer progression and potential biomarkers of clinical outcomes.

Patients and Methods: Pathology-confirmed TNBC tissues from Kenyan women of Bantu origin (n = 15) and age and stage range matched AA (n = …

Research Hotspots And Trends Of Microrna In Periodontology And Dental Implantology: A Bibliometric Analysis, Kang Gao, Yiping Dou, Menghao Lv, Yihui Zhu, Sitong Hu, Pan Ma

Faculty, Staff and Student Publications

BACKGROUND: Periodontal disease is a leading cause of tooth loss, and microRNA (miRNA) has been shown to regulate various biological processes. This study aimed to quantitatively analyze the literature related to miRNA in periodontology and dental implantology and summarize the research hotspots and trends in this field.

METHODS: Literature records from 1985 to 2020 were obtained from the Web of Science Core Collection database. After manual selection, the data was used for cooperative network analysis, keyword co-occurrence analysis, and reference co-citation analysis and visualized by CiteSpace.

RESULTS: A total of 287 papers were analyzed between 2007 and 2020, and more …

July 2021, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

UV Safety Awareness & Parks and Recreation Month

As many of us are enjoying those warm rays this summer, we must remember to protect our skin and eyes from the damaging effects of the sun. According to the CDC skin cancer is the leading type of cancer in the U.S., so it’s important to educate ourselves on the risks associated with it.

Burden Of Transport-Related Injuries In The Eastern Mediterranean Region: A Systematic Analysis For The Global Burden Of Disease Study 2017, Gbd 2017 Emr Transport Injuries Collaborators, Saeid Safiri, Mark J M. Sullman, Timo Lajunen, Tetiana Hill, Amir Almasi-Hashiani, Maziar Moradi-Lakeh, Farshad Farzadfar, Sadaf G. Sepanlou, Zulfiqar Ahmed Bhutta

Centre of Excellence in Women and Child Health

Background: Transport-related injuries (TIs) are a substantial public health concern for all regions of the world. The present study quantified the burden of TIs and deaths in the Eastern Mediterranean region (EMR) in 2017 by sex and age.
Methods: TIs and deaths were estimated by age, sex, country, and year using Cause of Death Ensemble modelling (CODEm) and DisMod-MR 2.1. Disability-adjusted life years (DALYs), which quantify the total burden of years lost due to premature death or disability, were also estimated per 100000 population. All estimates were reported along with their corresponding 95% uncertainty intervals (UIs).
Results: In 2017, there …

Effectiveness Of Fall Prevention Program On Nurses’ Knowledge And Fall Prevention Practices, Alisha Bhardwaj, Deepa Chugh

Manipal Journal of Nursing and Health Sciences

economic harm. Nurses who care for patients should be aware of the risk factors of patient falls, ways to prevent falls and provide nursing intervention. Hence, a fall prevention program was organized in order to educate the nurses regarding fall prevention. Objective: The objectives of the study were to identify the nurses’ knowledge and fall prevention practices in the hospital before and after implementation of educational sessions, to evaluate the effectiveness of fall prevention programs on nurses’ knowledge and fall prevention practices and to find out the association between post-intervention nurses’ knowledge with selected demographic variables. Method: Pre-experimental research design …

Risk Perception, Knowledge, Attitude, And Preventive Practice Towards Covid-19 Outbreak: A Cross-Sectional Online Survey In Kerala, Swapna K G

Manipal Journal of Nursing and Health Sciences

Introduction: The COVID-19 pandemic affects people of all ages; healthy and unhealthy. The only measure for prevention of the spread of infection is SMS (social distance, mask and sanitation) in the absence of an effective drug or vaccine. The lockdown had affected people’s mobility and livelihood.

Objectives: This study assessed the risk perception, knowledge, attitude and preventive practice of people of Kerala towards Covid-19 outbreak immediately after the fourth phase of lockdown and the association between the risk perception, knowledge, attitude and preventive practices and sociodemographic variables and the factors associated with risk perception.

Methods: The online …

Assessment Of Knowledge And Self-Reported Practices Regarding Self-Care Of Arteriovenous (Av) Fistula Among Patients Undergoing Hemodialysis, Deepa Muthusamy, R Sudha, Grace Pal, Cheranmadevi P

Manipal Journal of Nursing and Health Sciences

Background: End stage renal disease (ESRD) occurs when chronic kidney disease reaches an advanced state. Among the available treatments for ESRD, the Hemodialysis is the most utilized treatment. To facilitate Hemodialysis, Arteriovenous fistula is created by connecting artery to a vein. Aim: The present study aims to assess the knowledge and practice regarding self-care of Arteriovenous fistula among patients undergoing hemodialysis .Method: The research approach was quantitative in nature and descriptive research design was used. The study was conducted among 100 patients undergoing Hemodialysis in selected hospitals, Chennai. The samples were selected by non- probability purposive sampling technique. Interview …

Effect Of Dietician Consultation On Glycaemic Control: A Cross-Sectional Survey From Western-Coast Of India., Prabhath Matpady, Gundmi Arun Mayya, Praveena Mogan, Jeevan K. Shetty, Shashikiran Umakanth

Manipal Journal of Nursing and Health Sciences

Background: Type 2 diabetes mellitus (T2DM) is a complex, chronic condition that can cause acute and chronic complications due to poor glycaemic control. This highlights the importance of self-management in achieving optimal glycaemic control. Dietary advice plays a vital role in the self-management of T2DM.

Objective: To study the effect of dietician consultation on the glycated Hb levels in T2DM patients and to compare it with T2DM patients, not on dietician consultation.

Methods: This is a cross-sectional study amongst people with type 2 diabetes mellitus (T2DM) was conducted in predominantly rural and suburban communities of Udupi taluk, Karnataka, South India. …

Assessment Of Concerns And Health-Seeking Behaviours Related To Covid-19 Infection, Elizebeth Rani. V, Sudha Arumugam, Yashodha G

Manipal Journal of Nursing and Health Sciences

Assessment of concerns and health-seeking behaviours related to COVID-19 infection

Elizebeth Rani V ^1* R Sudha ² , Yashodha G ³

1. Reader, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

2. Principal, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

3. Lecturer, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

*Corresponding author

Elizebeth Rani. V, Reader, VHS-MA Chidambaram College of Nursing, Chennai, Tamil Nadu, India

E-mail: [email protected]

Short title: Elizebeth et al. Health-seeking behaviours related to COVID-19.

How to cite this article: Elizebeth Rani V, Sudha R, & Yashodha G (2021). Assessment of …

Assessment Of Compliance With The Therapeutic Regimen And Risk For Diabetic Foot Ulcers Among Patients With Diabetes Mellitus During Covid-19 Pandemic, Deepa Muthusamy, Cheranmadevi P, Saroja Kumar, R Sudha, Jennitta G

Manipal Journal of Nursing and Health Sciences

Background: According to the data from the World Health Organization (2011), over 3 million people die worldwide from diabetes and its related complications every year as a result of non-compliance. Aim: The present study aimed to assess the compliance to therapeutic regimen and risk for diabetic foot ulcer during COVID-19 pandemic among patients with Diabetes Mellitus. Method: The research approach was evaluative in nature and descriptive research design was used. The study was conducted among 100 patients with Diabetes Mellitus in selected hospitals, Chennai. The samples were selected by non- probability purposive sampling technique.. Structured 3 point rating scale was …

A Review Of Ongoing Trials In Exercise And Physical Activity For Postmenopausal Osteoporosis, Anupama D S, Judith Noronha, Kiran K V Acharya, Mukhyaprana Prabhu, Baby S. Nayak

Manipal Journal of Nursing and Health Sciences

Osteoporosis is a major public health problem worldwide. While exercise and physical activity have been shown to improve the bone strength and quality of life of osteoporosis patients, there is still no clarity about the quantum, frequency and pattern of exercises. This review of ongoing trials on exercise and physical activity among postmenopausal osteoporosis was conducted using the World Health Organization International Clinical Trial Registry Platform (WHO-ICTRP). "Postmenopausal Osteoporosis" and "Exercise" were the keywords used for the review. The objective of this review was to identify the ongoing trials in exercise and physical activity for postmenopausal osteoporosis. Results revealed that …

The Unheard Cry Of An Emergency Nurse, Monica Rita Hendricks, Dr.Sunil Kumar Shetty

Manipal Journal of Nursing and Health Sciences

Abstract

Working as an emergency nurse, brings along with it a string of complications that the nurse initially did not sign up for when she opted for a job in the emergency department. The dreams of a fresh staff are soon crushed by the turmoil of their her job.

The aim of this reality check article is to spread awareness among the nurses in India and make them feel supported in their ordeal. The paper also focuses on what could be done to help the nurses traverse through their stressful everyday nursing lives.

Key words: Emergency department, nurse, stress

Epidemics And Pandemics: That Changed The Public Health History, Suja Karkada Dr., Mickael Antonie Joseph Dr., Celastin Susan, Veena Sophiya Menezes, Lanet Smitha Karkada

Manipal Journal of Nursing and Health Sciences

Epidemics and Pandemics: that changed the public health history

Abstract

Currently, the world is experiencing one of the most disruptive pandemics in the modern history of disease and illness. As human beings became more civilized, started building cities, establishing trade routes between cities and countries, the conditions needed for these diseases to spread were greatly enhanced and hence history has recorded many more epidemics and pandemics since the advent of global travel. Many of these epidemics and pandemics have disrupted the life of common human being from BC 430(Athens Plague) until date (Covid 19). Most of the recorded epidemics in …

Muscle Force Contributions To Ankle Joint Contact Forces During An Unanticipated Cutting Task In People With Chronic Ankle Instability, Hoon Kim, Rianna M. Palmieri-Smith, Kristof Kipp

Exercise Science Faculty Research and Publications

The purpose of this study was to compare muscle force contributions to ankle joint compression and anteroposterior shear forces between people with chronic ankle instability (CAI) and healthy controls (CON) during an unanticipated cutting task. Eleven people with CAI and 11 CON performed an unanticipated cutting task as three-dimensional motion capture, ground reaction force (GRF), and muscle activation data were collected. A musculoskeletal modeling was used to calculate talocrural joint compression and anteroposterior shear forces and parse out the contributions to these forces from ankle-spanning muscles and from GRF. Independent t-tests were used for statistical analysis. People with CAI exhibited …

Association Between Physical Activity And Sport Participation On Hemoglobin A1c Among Children And Adolescents With Type 1 Diabetes, Kristi King, Jason R. Jaggers, Lindsay J. Della, Timothy Mckay, Sara Watson, Amy E. Kozerski, Kimberly Hartson, Kupper A. Wintergerst

Faculty and Staff Scholarship

Purpose: To determine associations between physical activity (PA) and sport participation on HbA1c levels in children with type 1 diabetes (T1D). Method: Pediatric patients with T1D were invited to complete a PA and sport participation survey. Data were linked to their medical records for demographic characteristics, diabetes treatment and monitoring plans, and HbA1c levels. Results: Participants consisted of 71 females and 81 males, were 13 +- 3 years old with an average HbA1c level of 8.75 +- 1.81. Children accumulating 60 min of activity 3 days or more a week had significantly lower HbA1c compared to those who accumulated less …

New Mexican Parents’ Perspectives Regarding Public Schools’ Communication And Language Services For Their Elementary-Aged Children With Autism Spectrum Disorder During Covid-19, Susanna E. Cole

Speech and Hearing Sciences ETDs

This study explored five New Mexican parents’ perceptions of changes to the public school-based communication and language services for their children with autism spectrum disorder (ASD) during the Covid-19 pandemic and the subsequent advantages and disadvantages of these changes. The parents participated in semi-structured interviews between October 2020 and February 2021. All of the parents reported their children’s services had eventually gone completely remote, but one had secured some in-person instruction time for her child by the time of her interview. Three parents reported reduction in school-based communication and language services for which they sought to compensate through other means. …

Inspire : Vol 4, Issue 7, Department Of Medicine

INSPIRE – Department of Medicine Archives

Content

• Message from the Chair
• Pakistan Global Women Leaders with Royal College of Physicians London (RCP)
• Medicine at National and International Forums
• In-depth- featuring Visiting Faculty Dr Salim Virani
• Featured Faculty: Dr. Saadia Tabassum “...the road to success is bumpy and tortuous. There is no elevator to success, you have to take the stairs!”
• What are Academics Around the World Reading This Month?
• Publications

Adenoid Cystic Carcinoma Of External Auditory Canal: A Rare Disease, Abdul Basit Shah Vardag, Muhammad Hassan Danish, Mohammad Sohail Awan, Muhammad Usman Tariq, Omaima Anis Bhatti, Muhammad Hammad Deewani

Section of Otolaryngology, Head & Neck Surgery

External auditory canal, like other epithelialized surfaces is predisposed to malignancies such as Squamous cell carcinomas (SCC), melanomas and adenocarcinomas. In this background, malignancies like adenoid cystic carcinoma (ACC) are a rare occurrence and need to be thoroughly evaluated both locally and for distant extension. The malignancy needs to be addressed with an aggressive approach surgically with adequate marginal clearance. The role of radiation is debatable considering the outcomes in the limited data. Here we present the case of a 35-year-old female who came in with otalgia and otorrhea associated with a mass in the external auditory canal. After biopsy …

Collet-Sicard Syndrome Due To Concurrent Extramedullary Intracranial Plasmacytoma And Jugular Venous Sinus Thrombosis In Multiple Myeloma, Dilraj Sokhi, Caroline Wangui Mithi, Farah Ebrahim, Adil Salyani, Sheila Waa, Riyat Malkit

Internal Medicine, East Africa

In a patient with Collet- Sicard syndrome and multiple myeloma, both extramedullary plasmacytomas and internal jugular vein- sigmoid sinus thrombosis should be consid- ered as they can coexist.

Covid-19 Impact On Radiology Students’ Distance Learning (Summer 2021), Mary Lee, Jason Chan, Cheryann Jackson-Holmes, Renzo Marmolejo, Zoya Vinokur

Publications and Research

The Radiological Technology students have adjusted from the urgent distance learning that was enacted in the Spring of 2020, to the hybrid distance learning that is currently in place. This hybrid distance learning is the same way the incoming class of radiological technology students were taught. Both cohorts of students were tracked over the year by online anonymous surveys. We wanted to know how students were adapting to distance learning, if their focus and motivation varied over the course of the year due to changing pandemic conditions. For the students that were working, what impact did it have on their …