Medicine and Health Sciences Commons^™

A Rare Presentation Of Bilateral Bochdaleck Congenital Diaphragmatic Hernia, A Case Study, Manuel Britto, Sean Michael, Sofia I. Cartaya, Bernard Alfredo Cartaya

HCA Healthcare Journal of Medicine

Introduction

Congential diaphragmatic hernias (CDH) are a rare process that have a prevalence of 1–4 cases per 10,000 live births, and of these, bilateral Bochdalek congenital diaphragmatic hernias are even rarer entities that occur in about 1% of cases. This finding is rarely documented in literature. This paper offers a detailed methodical timeline documentation of the events that occurred after delivery and includes how to approach the diagnosis and management of such a rare and volatile condition.

Presentation

The neonate was born at 35 weeks and 6 days gestation. Unfortunately, despite intensive cardiopulmonary resuscitation efforts, the neonate expired within less …

What Internal Variables Affect Sensorimotor Rhythm Brain-Computer Interface (Smr-Bci) Performance?, Alex J. Horowitz, Christoph Guger, Milena Korostenskaja

HCA Healthcare Journal of Medicine

In this review article, we aimed to create a summary of the effects of internal variables on the performance of sensorimotor rhythm-based brain computer interfaces (SMR-BCIs). SMR-BCIs can be potentially used for interfacing between the brain and devices, bypassing usual central nervous system output, such as muscle activity. The careful consideration of internal factors, affecting SMR-BCI performance, can maximize BCI application in both healthy and disabled people. Internal variables may be generalized as descriptors of the processes mainly dependent on the BCI user and/or originating within the user. The current review aimed to critically evaluate and summarize the currently accumulated …

What External Variables Affect Sensorimotor Rhythm Brain-Computer Interface (Smr-Bci) Performance?, Alex J. Horowitz, Christoph Guger, Milena Korostenskaja

HCA Healthcare Journal of Medicine

Sensorimotor rhythm-based brain-computer interfaces (SMR-BCIs) are used for the acquisition and translation of motor imagery-related brain signals into machine control commands, bypassing the usual central nervous system output. The selection of optimal external variable configuration can maximize SMR-BCI performance in both healthy and disabled people. This performance is especially important now when the BCI is targeted for everyday use in the environment beyond strictly regulated laboratory settings. In this review article, we summarize and critically evaluate the current body of knowledge pertaining to the effect of the external variables on SMR-BCI performance. When assessing the relationship between SMR-BCI performance and …

Competency-Based Medical Education And Breast Disease, David Scott Lind, Bharti Jasra

HCA Healthcare Journal of Medicine

The future delivery of high quality, patient-centered breast care is fundamentally dependent on how we train the next generation of breast care providers. As medical educators, we have a tremendous opportunity to transform how clinical skills related to breast care are taught and assessed and thereby, improve breast patient outcomes. This article reviews the current state of education and ideas for implementing a learner-specific, competency-based curriculum to teach breast care skills.

2021-06-30_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …

2021-06-30_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.

2021-06-30_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. It is updated Monday - Friday.
This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of …

From Da Vinci To Definitive Diagnosis: How Training In Sports Ultrasound Harnesses Sound, Science And Skill., Jon Patricios, Michael Rossiter, Corey Cunningham, Jane Fitzpatrick, Anja Hirschmueller, Thamsanqa Mweli, Beverly Roos, Jane S Thornton

Family Medicine Publications

No abstract provided.

Balanced Impacts Of Fitness And Drug Pressure On The Evolution Of Pfmdr1 Polymorphisms In Plasmodium Falciparum., Marvin Duvalsaint, Melissa D. Conrad, Stephen Tukwasibwe, Patrick K. Tumwebaze, Jennifer Legac, Roland A. Cooper, Philip J. Rosenthal

Natural Sciences and Mathematics | Faculty Scholarship

BACKGROUND: Anti-malarial drug resistance may be limited by decreased fitness in resistant parasites. Important contributors to resistance are mutations in the Plasmodium falciparum putative drug transporter PfMDR1.

METHODS: Impacts on in vitro fitness of two common PfMDR1 polymorphisms, N86Y, which is associated with sensitivity to multiple drugs, and Y184F, which has no clear impact on drug sensitivity, were evaluated to study associations between resistance mediators and parasite fitness, measured as relative growth in competitive culture experiments. NF10 P. falciparum lines engineered to represent all PfMDR1 N86Y and Y184F haplotypes were co-cultured for 40 days, and the genetic make-up of the …

Non-Operative Management Of Diabetic Foot Osteomyelitis: Acase Report, Em Yunir, Yully Astika Nugrahayning Aziza

Jurnal Penyakit Dalam Indonesia

Diabetic foot osteomyelitis is an advanced complication of diabetic foot infection which can increase the risk of amputation. This report discusses a case of a 50-year-old female with a wound on the thumb of her left foot that became more swollen with a bluish red color within one month. The patient delayed her treatment due to the COVID-19 pandemic. She has had diabetes and hypertension for 20 years which is uncontrolled. Physical examination showed a sausage toe digiti 1 left pedis with wound 4 x 2 cm with purulent discharge, Probe to Bone (PTB) positive. Laboratory and x-ray examination showed …

Correlation Of Sun Exposure Score And Vitamin D Intake Withserum 25(Oh)D Levels In Older Women, Kholidatul Husna, Novira Widajanti, Sri Sumarmi, Hadiq Firdaus

Jurnal Penyakit Dalam Indonesia

Introduction. Indonesia is a tropical country, but the prevalence of vitamin D deficiency in older women is high due to the lack of sun exposure and low vitamin D intake. Some previous studies have reported that people from rural areas have higher serum 25(OH)D levels compared to those from urban areas. This study was conducted to analyze the correlation between sun exposure score and vitamin D intake with serum 25(OH)D levels of older women from rural areas. Methods. This was an analytic cross-sectional study involving older women in two villages from Wonorejo and Kraton Districts, Pasuruan Regency, in June 2020 …

Current Clinical Approach Of Nosocomial Clostridium Difficileinfection, Frans Liwang, Robert Sinto

Jurnal Penyakit Dalam Indonesia

Hospital-acquired Clostridium difficile infection (CDI) has become one of the global threats because the incidence has increased in recent decades. This nosocomial infection is closely related to antibiotic use in health services and is commonly found in the elderly. Antibiotics can promote colonization and CDI by intestinal microbiota dysbiosis and complex innate immune system activation. The manifestation also has a wide spectrum, ranging from mild diarrhea to fulminant colonic mucosal necrosis. Given that not all colonized subjects will be infected, further investigations such as toxigenic culture, nucleic-acid detection, and stool immunologic tests are only useful in symptomatic cases. In all …

Dispersi Gelombang Qt, Simon Salim

Jurnal Penyakit Dalam Indonesia

Sejak elektrokardiografi (EKG) dibawa ke perhatian klinisi oleh Einthoven1 sampai dengan saat ini, EKG masih merupakan modalitas yang tidak dapat dipisahkan dalam penilaian sistem kardiovaskular. Namun, pemeriksaan yang sederhana dan tidak invasif ini, tidak selalu mudah untuk diintepretasikan. Hasil yang tergambar di kertas EKG tidak murni dipengaruhi jaringan otot jantung saja, namun dipengaruhi juga oleh jaringan tubuh lain yang terdapat di antara jantung dan lokasi dimana elektroda diletakkan. Dengan demikian, hal ini juga harus dipertimbangkan dalam menginterpretasikan hasil EKG.

Association Of Proprotein Convertase Kexin/Type 9 With Atherosclerosis In People With Type 2 Diabetes Mellitus: A Systematic Review, Farissa Luthfia, Wismandari Wisnu, Dicky Levenus Tahapary, Pringgodigdo Nugroho

Jurnal Penyakit Dalam Indonesia

Introduction. Type 2 diabetes melitus is the leading cause of cardiovascular event with high level of low-density lipoprotein as the main predictor marker of atherosclerosis. PCSK9 plays a role in LDL-receptor regulation, its association with atherosclerosis had been investigated but the result is inconsistent. This study aimed to examine the association between PCSK9 level and atherosclerosis in people with type 2 diabetes.

Methods. A systematic review was done in July 18 – September 02, 2020 and registered in PROSPERO. Risk of bias of each study was analyzed with Newcastle Ottawa scale tools. Studies involved in this systematic …

The Effect Of Angiotensin-Converting Enzyme Genepolymorphism And Angiotensin Ii Levels In Coronary Slowflow Phenomenon At Mohammad Hoesin General Hospitalpalembang, Arlis Karlina, Taufik Indrajaya, Ali Ghanie, Erwin Sukandi, Ferry Usnizar, Syamsu Indra, Rukiah Chodilawati, Imran Saleh

Jurnal Penyakit Dalam Indonesia

Introduction. The presence of ACE gene polymorphism is expected to have a role in cardiovascular diseases, including coronary slow flow phenomenon (CSFP). Angiotensin converting enzyme (ACE) gene polymorphism also plays an essential role in increasing angiotensin II levels. Therefore, this study aimed to analyze the effect of angiotensin-converting enzyme gene polymorphism and angiotensin II levels in the coronary slow flow phenomenon in Mohammad Hoesin General Hospital Palembang. Methods. This case-control study was started from July 2019 to July 2020 at RSMH Palembang with 32 subjects for each case (CSFP patients) and the control group (non-CSF patients). This study used a …

Controlled Blood Pressure Factors In Hypertension Patients Atarifin Achmad Hospital, Riau Province: Cross Sectional Study, Dimas Pramita Nugraha, Eka Bebasari

Jurnal Penyakit Dalam Indonesia

Introduction. Hypertension is a chronic disease that causes 1 in every 7 deaths. Controlled blood pressure will reduce the complication of hypertension. The aim of this study was to determine the factors that influence controlled blood pressure. Methods.This research was conduct by using an observational method with a cross-sectional study design to analyze factors for controlled blood pressure. The population of this research was all of the hypertension patients at the internal medicine polyclinic in Arifin Achmad Hospital Riau Province. The sample was selected using accidental sampling method. Patient adherence level factor was measured using the Morisky medication adherence scale-8 …

Hubungan Jumlah Koloni Bakteri Di Udara Dalam Ruang Dengan Kejadian Sick Building Syndrome (Sbs) Pada Pegawai Di Arsip Nasional Republik Indonesia Tahun 2019, Rachma Aditria Suci, Ririn Arminsih Wulandari

Jurnal Nasional Kesehatan Lingkungan Global

Background. Sick Building Syndrome (SBS) is one of the problems that are often experienced by residents in office buildings. SBS can be caused due to indoor air quality and individual characteristics. This study aims to determine the relationship between the total amount of bacterial colonies in the air in indoor office with SBS at Arsip Nasional Republik Indonesia. Methods. Cross sectional study design was used, the independent variables was the total number of colonies. The confounding variables were temperature, relative humidity, lighting, age, gender, working period, history of allergies and smoking habits. Results. Statistical analysis gives the results of the …

Does Covera-19 Know ‘When To Hold ‘Em Or ‘When To Fold ‘Em? A Translational Thought Experiment, Gerald Dieter Griffin

School of Pharmacy Faculty Articles

The function of proteins depends on their structure. The structural integrity of proteins is dynamic and depends on interacting nearby neighboring moieties that influence their properties and induce folding and structural changes. The conformational changes induced by these nearby neighbors in the micro-environmental milieu at that moment are guided by chemical or electrical bonding attractions. There are few literature references that describe the potential for environmental milieu changes to disfavor SARS-CoV-2 attachment to a receptor for survival outside of a host. There are many studies on the effects of pH (acid and base balance) supporting its importance for protein structure …

Analisis Pemasaran Produk Layanan Homevisit Pasien Gangguan Jiwa Di Rumah Sakit Jiwa : Article Review, Ivan Paulus Gunata

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

In 2018, the World Health Organization (WHO), in its report titled "Mental Health Action Plan," stated that explained that around 300 million people in the world suffer from depression, 60 million people in the world suffer from bipolar affective disorder, and 23 million people have psychosis. Meanwhile, in Indonesia, based on data from Riskesdas 2018 data on sufferers of mental disorders among the Indonesian population aged 15 years and over, there are 6.1 percent suffer from depression, and there are 9.8 percent suffer from emotional mental disorders due to stress. Stressors that are handled well will provide positive emotions. There …

Comparison Of Red Cell Distribution Width Values Towardsmortality In Adult And Elderly Hospital-Acquired Pneumoniapatients In Dr. Sardjito Hospital, Desty Gusti Sari, Rizka Humardewayanti Asdie, Heni Retnowulan

Jurnal Penyakit Dalam Indonesia

Introduction. Hospital-acquired pneumonia (HAP) is a major cause of morbidity and mortality. Red cell distribution width (RDW) is associated with mortality in patients with septic shock and community-acquired pneumonia (CAP). However, little is known about the effect of elevation of RDW value on mortality in HAP patients, especially in the elderly population who have a worse prognosis. This study aimed to determine the proportion of adult and elderly HAP patients who have an increase in RDW value and the relation between the increase in RDW value to the risk of mortality in HAP patients during hospitalization. Methods. A cross-sectional and …

Pengaruh Tekanan Panas Terhadap Tekanan Darah Tinggi Pada Pekerja Bagian Casting Dan Pressing Di Pt X Tahun 2019, Shendy Glenfano Salean, I Made Djaja

Jurnal Nasional Kesehatan Lingkungan Global

Background. Heat pressure is a combination of several factors such as air temperature, air humidity, air velocity which is a forming of heat pressure. Exposure to high heat pressure can cause an increase in heart rate and blood pressure, also known as hypertension. According to the WHO, hypertension causes the deaths of as many as 8 million deaths a year worldwide. According to Riskesdas (2018) in Indonesia hypertension has a high prevalence, which is equal to 25.8% in 2013 and then becomes 34.1% in 2018. Methods. This study used a cross-sectional study design. This study aims to see the relationship …

Computational Study Of Drug Interactions Of Receptors, Specifically Glycoprotein D Of Human Herpes Virus 1 And Dopamine D4 Receptor, Griffin Fountain

Theses and Dissertations

This thesis introduces computer-aided drug design methods in Chapter 1 and discuss their applications on two receptors in Chapters 2 and 3: Glycoprotein D (gD) of Herpes Simplex Virus 1 (HSV-1) and Dopamine Receptor D4 (DRD4). The Herpes Simplex Virus is a human pathogen that develops unpleasant cold sores around the body, most commonly around the mouth, neck or genitals area. Currently there is no cure or vaccine that can eliminate this virus. Glycoprotein D (gD) is a viral ligand for host cell receptors such as nectin -1. This interaction mediates the entry of HSV-1. In chapter 2, we used …

Interview Corner: Dr. Koestler

Quill & Scope

No abstract provided.

Summer Internship Report: Abstract, Chandra P. Daniel, Stacey Lloyd, Bidia Deperthes, Kenneth Knapp

Quill & Scope

No abstract provided.

Breast Cancer Screening Amidst The Covid-19 Pandemic, Maya Pandit, Savan Shah, Shreya Makkapati

Quill & Scope

No abstract provided.

Jamais Vu, Jai Ahluwalia

Quill & Scope

No abstract provided.

Reminder, Gillian Hecht

Quill & Scope

No abstract provided.

Reflecting On A Season Of Loss, Brinda Raval

Quill & Scope

No abstract provided.

8pm, Rebecca Nguyen

Quill & Scope

No abstract provided.

An Evaluation Of Distributed And Accumulated Reinforcer Arrangements On Skill Acquisition And Preference, Natalie R. Mandel

USF Tampa Graduate Theses and Dissertations

Discrete trial training (DTT), an evidence-based instructional procedure (Wong et al., 2015), is often used to teach skills to individuals with autism. Manipulations to the reinforcement component of DTT have increased its instructional efficiency, resulting in acquisition of skills in less time (e.g., Cividini-Motta & Ahearn, 2013). Results of previous studies (e.g., DeLeon et al., 2014) indicate that some individuals prefer to complete larger work requirements that result in a larger amount of a reinforcer (i.e., accumulated arrangement), rather than receiving access to small amounts of a reinforcer dispersed throughout the work requirement (i.e., distributed arrangement). In addition, accumulated reinforcer …