Medicine and Health Sciences Commons^™

“Menaxhimi Infermieror I Pacientëve Me Kancer Të Gjirit”, Elmira Çovanaj

Theses and Dissertations

Hyrje- Duke pasur parasysh se kanceri i gjirit tregon një rritje të përditshme të rasteve dhe këto rritje flasin për një dyfishim të rasteve në dekadat e ardhshme, atëherë në punim jam fokusuar në funksionet e gjirit si dhe anatominë dhe fiziologjinë e tij. Poashtu kam përshkruar patologjitë e gjirit,ndryshimet që ndodhin tek gjinjtë,etiologjia e semundjes etj.Kam përmendur faktorët e rrezikut,faktorët e dyshimt,faktorët e ndryshueshëm,faktorët e pandryshueshëm si dhe faktorët gjenetik. Një ndër rolet kryesore në trajtimin e kancerit të gjirit e luan infermierja.Roli i saj është i pazëvendësushëm. Qëllimi i punimit- Qëllim kryesor kam pasur të tregoj faktorët e …

Kujdesi Infermieror Tek Pacientët Me Epilepsi, Meriton Rrudhani

Theses and Dissertations

Hyrje: Epilepsia është sëmundja më e shpeshtë në neurologji, ku manifestohet me ngërçe të muskujve dhe çrregullim të fuqishëm të vetëdijes. Në këtë punim janë të paraqitura shkaqet e epilepsis, simptomat, ndihma e parë, ndërhyrja kirurgjikale, roli i infermierit/es ndaj pacientëve me epilepsi dhe shumë informata lidhur me sëmundjet epileptike. Metodologjia: Studimi është i tipit Cross sectional dhe është realizuar në repartin e neurologjisë në QKUK.Ёshtë përdorur pyetësori i strukturuar të cilin e kemi adresuar në repartin e neurologjisë në QKUK. Pjesëmarrës në këtë pyetësor ishin pacientët e repartit neuorologjikë të sëmurë nga sëmundja e epilepsisë.. Rezultatet: Prej 12 personave …

Traumat Lumbale Dhe Kujdesi Infermieror, Arlinda Neziri

Theses and Dissertations

Shëndeti është niveli i efikasitetit funksional apo metabolikë i qenieve të gjalla. Tek njeriu, kjo është gjendje e përgjithshme e mendjës, trupit dhe shpirtit të një personi, që do të thotë të jenë të lirë nga sëmundjet, dëmtimi ose dhimbja. Duke pasur parasysh faktin se trupi i njeriut që nga lindja e deri në vdekje, është i ekspozuar ndaj sëmundjeve të ndryshme apo dëmtimeve fizike, të cilat shkaktohen nga faktorët e brendshëm apo të jashtëm, infermieria si degë e mjekësisë ka për qëllim që të kujdeset për shëndetin e çdo personi i cili është prekur nga ndonjë sëmundje apo ka …

Cilësia E Jetës Tek Pacientët Me Diabet Të Tipit 2 Në Regjionin E Gjilanit, Lindita Rexhepi Ramadani

Theses and Dissertations

Diabeti është një sëmundje kronike që kërkon kujdes të vazhdueshëm mjekësor dhe edukim të pacientit për vetë-menaxhimi për të parandaluar komplikimet akute dhe për të zvogëluar rrezikun e komplikimeve afatgjata. Kujdesi ndaj diabetit është kompleks dhe kërkon që të adresohen shumë çështje, përtej kontrollit glikemik. Qëllimi i këtij hulumtimi është matja e cilësisë së jetës së personave me diabet te tipit 2. Përmes të dhënave të mbledhura do të synohet të paraqitet një pasqyrë e cilësisë së jetës së personave me diabet të tipit 2. Në studimin e realizuar kanë marrë pjesë 50 pacientë me diabet të tipit 2, të …

Robotic Gastrotomy And Bezoar Removal In A Six-Year-Old., Lior Kopel, Joshua Volin, Anthony Iacco, Begum Akay, Pavan Brahmamdam

Conference Presentation Abstracts

No abstract provided.

Hiv Research "Year In Review" In Haiti, Chris Delcher, June Bae, Shannan Rich, Jacob Peace

Institute for Pharmaceutical Outcomes and Policy Reports

Introduction

For this issue of the Epidemiologic Surveillance Bulletin, we summarize the prior year’s research on populations living with HIV (PLWH) in Haiti for World AIDS Day 2020.

Methods

We retrieved 50 articles from PubMed (pubmed.gov) for articles written in English using the search term [Haiti* AND (HIV OR "human immunodeficiency virus" OR AIDS)] from December 2019 to November 19, 2020 (approximately 1 year). We included studies that of cohorts of people living with HIV in Haiti, patients enrolled from Haiti in multi-country clinical studies and studies involving populations at substantial risk of HIV in Haiti. We excluded studies of …

Pregabalin Induced Hypersensitivity Reaction And Joint Pains In Patient With Lumbosacral Radiculopathy, Ramla Nayaib Hashmi, Iqra Khan, Ummul Kiram, Soobia .S Siddiqui, Tamaniat .

Pakistan Journal of Neurological Sciences (PJNS)

Pregabalin is an antiepileptic medication commonly used for other purposes. It is also approved for neuropathic pain. Reported adverse effects are not severe, short lasting and are usually well tolerated1. The most common side effects comprise of lightheadedness , sedation , double vision ,increase in bodyweight and imbalance whereas decrease in neutrophil count and hypersensitivity are the uncommon adverse effects. In the literature till date, few case reports are available on the drug reactions to pregabalin. We report a case of young female who developed hypersensitivity reaction with pregabalin including body rashes, hives peripheral edema, and joint pains. Using the …

Neurological Associations Of Covid-19 Vaccines, Rija Zehra Ghazanfar, Mohammad Wasay

Pakistan Journal of Neurological Sciences (PJNS)

It does not come as a surprise that the introduction of an unprecedented treatment for a recently notorious disease will cause concerns and raise some questions. As a race we have become cautious over the centuries about what treatment modalities we accept and reject. With the advent of social media and endless sources of information we find ourselves standing at an intersection of many pathways, thinking meticulously where to go from there? At one point the widely available stats and the complex way in which these vaccines work do not really interest the general population as much as how they …

Optimizing Stroke Care In Baluchistan, Anjum Farooq, Wazir Akbar, Ahmed Wali

Pakistan Journal of Neurological Sciences (PJNS)

Stroke is the second leading cause of death after ischemic heart disease.(1) Pakistan, currently the fifth most populous country of the world, has limited data on prevalence of stroke and its risk factors. Only two small-scale population-based studies conducted in Karachi showed stroke prevalence of 4.8% and 19.1%. (1) One study conducted in KP province of Pakistan showed estimated stroke prevalence of 1.2%. (1) The burden of stroke risk factors in Pakistan is enormous. Diabetes and hypertension are the most common risk factors in Pakistan. (2) Other common risk factors in Pakistan are active smoking, obesity, and family history of …

Patterns And Determinants Of Treatment Completion And Default Among Newly Diagnosed Multibacillary Leprosy Patients: A Retrospective Cohort Study, Veincent Christian F. Pepito, Arianna Maever L. Amit, Rae Erica D. Samontina, Sarah Jane A. Abdon, David Norman L. Fuentes, Ofelia P. Saniel

Ateneo School of Medicine and Public Health Publications

Background

Poor treatment adherence among leprosy patients contribute to relapse, development of antimicrobial resistance, and the eventual plateauing of the prevalence and incidence of leprosy not just in the Philippines, but also worldwide. For this reason, we aimed to identify the patterns and determinants affecting treatment completion and default among multibacillary leprosy patients.

Methods

We conducted a retrospective cohort study involving three large hospitals in Metro Manila, Philippines. Patients who started the World Health Organization - Multiple Drug Therapy for multibacillary leprosy between January 1, 2007 and December 31, 2013 were included in the study. Selected socio-demographic and clinical data …

Repurposing Drugs To Treat Heart And Brain Illness, Maranda S. Cantrell, Alejandro Soto-Avellaneda, Jackson D. Wall, Aaron D. Ajeti, Brad E. Morrison, Lisa R. Warner, Owen M. Mcdougal

Chemistry and Biochemistry Faculty Publications and Presentations

Drug development is a complicated, slow and expensive process with high failure rates. One strategy to mitigate these factors is to recycle existing drugs with viable safety profiles and have gained Food and Drug Administration approval following extensive clinical trials. Cardiovascular and neurodegenerative diseases are difficult to treat, and there exist few effective therapeutics, necessitating the development of new, more efficacious drugs. Recent scientific studies have led to a mechanistic understanding of heart and brain disease progression, which has led researchers to assess myriad drugs for their potential as pharmacological treatments for these ailments. The focus of this review is …

Propensity Score Matching Evaluation Of Psychological Stress And Hair Cortisol Among People Living With Hiv In China, Xu Chen, Shuaifeng Liu, Chengbo Zeng, Xiaoming Li Ph.D., Shan Qiao Ph.D., Riying Lv, Zhiyong Shen

Faculty Publications

To compare the psychological stress level and hair cortisol level of people living with HIV (PLWH) with those without HIV in China, a total of 220 participants were initially enrolled in the study, including 200 PLWH and 20 people living without HIV. Psychological stress level, including quality of life, anxiety, perceived stress and psychological resilience, was self-reported in both groups with related scales. The cortisol in hair was extracted and assessed by LC-APCI-MS/MS method. Propensity score matching analysis was performed to balance the baseline covariates of the two groups, whereas the difference in psychological stress level and hair cortisol level …

Gut Microbiota In Covid-19 Treatment, Tella Sadighpour, Audrey C. Tolouian

Nursing Faculty Publications

A novel coronavirus (severe acute respiratory syndrome coronavirus [SARS-CoV-2]), has been causing a COVID-19 pandemic of acute respiratory syndrome in humans since December 2019. It appears to be similar in structure to the virus that caused the SARS-CoV outbreak of 18 years ago. However, in addition to the respiratory disorders, the COVID-19 patients might suffer extra-pulmonary disorders, including gut dysfunction or liver dysfunction complications, which show as gut–lung crosstalk. Fecal specimens should be considered as a source of detection of SARS-CoV-2 as one of the routine diagnostic tests in order to guide hospital’s liberation and release of quarantine of patients.

江門市老年照顧者的照顧壓力及社會支持研究報告 = A Research Report On The Caregiving Pressures And Social Support Of Older Carers In Jiangmen City, 香港嶺南大學亞太老年學研究中心, 江門市恒愛社會工作綜合服務中心

APIAS Research Report 研究報告

根據中國第七次人口普查的結果顯示，2021年65歲及以上人口為19064萬人，占總人口的13.50% (國家統計局, 2021年5月11日)。中國老年人口於2025年將突破3億，2033年會突破至4億，2053年將達到峰值4.87億，占屆時全球老年人口的4分之1 (鄒波，2017)。隨著老年人口的不斷增加和壽命的增長，老齡化將是中國和很多發達國家面臨的重要問題。

此研究的地區為江門市，它是廣東省最“老”的城市，2019年該市戶籍老人為88.3萬人(比2018年增加5.7萬人)，占戶籍總人口比例為22.1%(2018年為20.7%)。2019年江門市戶籍老人增速達6.9%，遠高於戶籍人口增速0.3%，亦高於全國和廣東省平均水準。老年人數量更以每年2.5萬到3萬人的速度增加，預計於2036年將達到戶籍人口的25%以上。受計劃生育政策的影響及2016年開放二胎政策，很多家庭都為獨生子女家庭，未來將呈現出“四二二”的家庭結構。這意味著青壯年的照顧壓力會進一步加劇,更多老年人將成為照顧者。

老年照顧者在照顧患病家人的過程要面對很多的困難。陳茜等(2008)通過分析國內外相關文獻後，認為老年照顧者主要需要承受體力上的壓力、精神上的壓力、經濟上的壓力和社會壓力。羅小茜等(2015)通過分析文獻發現，老老照護者會產生多種不良結果，如軀體症狀、心理症狀和照護品質下降。康峻鳴等(2020)對148例腦卒中後遺症患者及其家庭照顧者進行健康測量簡表(SF—36)以及社會支持量表(SSRS)調查，發現腦卒中後遺症患者家庭照顧者的生活品質與社會支持呈正相關。目前對於老年人照顧壓力的研究大多以理論、文獻的分析為主，或者僅僅從某一類型疾病的照顧壓力進行研究，如張睿等(2008)對10名認知障礙患者的照顧者進行非結構訪談，瞭解其照顧感受。可是針對老年照顧者的壓力的實證研究比較少，且對老年照顧者的需求及社會支持的研究更加缺乏。因此，本研究期望通過對江門市老年照顧者的深度訪談，去瞭解他們的照顧壓力來源及其社會支援網路。此研究報告分為三部分，第一部分指出研究的問題及此研究的方法。第二部分是主要發現。最後一個部分提供相關的建議。

Coronavirus Disease (Covid-19): The Value Of Chest Radiography For Patients Greater Than Age 50 Years At An Earlier Timepoint Of Symptoms Compared With Younger Patients, Mae Igi, Molly Lieux, Joe Park, Catherine Batte, Bradley Spieler

Faculty Publications

Background: A relative paucity of data exists regarding chest radiography (CXR) in diagnosis of coronavirus disease (COVID-19) compared to computed tomography. We address the use of a strict pattern of CXR findings for COVID-19 diagnosis, specifically during early onset of symptoms with respect to patient age.

Methods: We performed a retrospective study of patients under investigation for COVID-19 who presented to the emergency department during the COVID-19 outbreak of 2020 and had CXR within 1 week of symptoms. Only reverse transcription polymerase chain reaction (RT-PCR)-positive patients were included. Two board-certified radiologists, blinded to RT-PCR results, assessed 60 CXRs in consensus …

Ginger And Honey, Samana Shah, Austin Shin

Biomedical Engineering

Ginger and Honey is an application service for those interested in holistic health and wellness. It is intended to provide a cohesive space where eating plans, recommendations and information can be easily accessed. The app captures the art and science of food as a healing mechanism for those fighting diseases such as cancer, cardiovascular disease and diabetes.

Inspire : Vol 4, Issue 6, Department Of Medicine

INSPIRE – Department of Medicine Archives

Content

• Message from the Chair
• Medicine at National and International Forums
• In-depth- feature Visiting Faculty Dr Ghazala Sadiq
• Featured Faculty: Dr. Talha Shahzad “...Be empathetic to your patients, work hard with honesty and maintain appropriate balance between your professional and family life…”
• Publications

Augmented Package Of Palliative Care For Women With Cervical Cancer: Responding To Refractory Suffering, Eric L. Krakauer, Khadidjatou Kane, Xiaoxiao Kwete, Gauhar Afshan, Lisa Bazzett-Matabele, Danta Dona Ruthnie Bien-Aimé, Lawrence F. Borges, Sarah Byrne-Martelli, Stephen Connor, Raimundo Correa

Department of Anaesthesia

The essential package of palliative care for cervical cancer (EPPCCC), described elsewhere, is designed to be safe and effective for preventing and relieving most suffering associated with cervical cancer and universally accessible. However, it appears that women with cervical cancer, more frequently than patients with other cancers, experience various types of suffering that are refractory to basic palliative care such as what can be provided with the EPPCCC. In particular, relief of refractory pain, vomiting because of bowel obstruction, bleeding, and psychosocial suffering may require additional expertise, medicines, or equipment. Therefore, we convened a group of experienced experts in all …

Pharmacy Newsletter : June 2021, Pharmacy Department

Department of Pharmacy Archives

Content:

• Role of Pharmacist to Overcome the Challenges related to COVID-19 Vaccines
• Myths & Facts about COVID-19 Vaccine
• Medication Loss in the Tubing while Administration
• One Pill can kill | Advancing your knowledge of Paediatric Toxicology
• Chronic Therapy Medications During the Perioperative Period: To Continue or Discontinue?

Pharmacy Team Leads Efforts For Covid-19 Vaccine Clinic For Underserved, Kyle Mcmillan, Christine R. Birnie Phd

Pharmacy Faculty/Staff Publications

Completing Advanced Practice Placement Experience (APPE) rotations in the midst of a pandemic such as COVID-19 left many pharmacy students across the state and country with frequent changes and cancellations to their schedules. As stressful and anxiety- producing as that can be, it also creates some unique opportunities. During one of my last rotations, I had the opportunity to participate in a Service-Learning Elective at St. Joseph’s Neighborhood Center in Rochester, N.Y., where we were able to design and execute the Center’s first COVID-19 vaccine clinic.

Commencement Program 2021 (School Of Medicine), Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

2 | 2021 Events of Commencement

4 | University Administration

5 | Significance of Academic Regalia

6 | University History Highlights

8 | Criteria for Institutional Awards

10 | Loma Linda University Health and Loma Linda University Honorees

23 | The Programs, The School Honorees, and The Speakers

25 | Candidates for Degrees

40 | Physician’s Oath

41 | The Scientist’s Oath

42 | Awards

Prevalence And Factors Associated With Common Mental Disorders In Young People Living With Hiv In Sub-Saharan Africa: A Systematic Review, Ezra K. Too, Amina Abubakar, Carophine Nasambu, Hans M. Koot, Pim Cuijpers, Charles Rjc Newton, Moses K. Nyongesa

Institute for Human Development, East Africa

Introduction: Common mental disorders (CMDs) particularly depression and anxiety, are highly comorbid with HIV also in young people living with HIV (YLWH). In sub-Saharan Africa (SSA) where most YLWH reside, there are limited summary data on CMDs among these youths, yet there are previous systematic reviews summarizing data on CMDs among adults living with HIV. We conducted a systematic literature review on the prevalence and correlates of CMDs among YLWH, aged 10 to 24 years, from SSA.

Methods: We searched African Index Medicus, African Journals Online and five other electronic databases (from database inception up to 31 December …

Maternal Sociodemographic Factors And Antenatal Stress, Maheshwari Andhavarapu, James Orwa, Marleen Temmerman, Wangira Musana

Obstetrics and Gynaecology, East Africa

Antenatal stress has been associated with adverse birth outcomes such as fetal growth restriction, low birth weight, and preterm birth. Understanding key determinants of stress in a vulnerable pregnant population has the potential of informing development of targeted cost-effective interventions to mitigate against these adverse birth outcomes. We conducted a secondary analysis of data from 150 pregnant women attending antenatal care services at a rural referral hospital in Kenya. The participants completed a sociodemographic and clinical questionnaire, the Cohen’s Perceived Stress Scale (PSS) and gave a hair sample for cortisol and cortisone analysis. The association between selected sociodemographic predictors (age, …

Developmental Status Of Young Children In Foster Care, Jill Mcleigh, Cecy Lazcano, Karlyn Tunnell

Health Status, Outcomes, and Literacy and Healthcare Utilization

Children in foster care (CFC) may be at higher risk for developmental problems. This study sought to determine (1) the percentage of CFC with developmental problems seen at an integrated primary care clinic and (2) whether the presence of various risk factors was associated with increased odds of developmental problems in general and across developmental domains. This cross-sectional study used the Ages and Stages Questionnaire, Third Edition, demographic, and health-related data retrieved from electronic health records. The study included 796 children aged 1 to 66 months seen at an integrated primary care clinic exclusively serving CFC. Frequencies and percentages of …

Association Of Health Warning Labels And Motivation To Quit Waterpipe Tobacco Smoking Among University Students In The Eastern Mediterranean Region, Dina Farran, Grace Khawam, Rima Nakkash, Juhan Lee, Niveen Abu-Rmeileh, Muhammad W. Darawad, Aya Mostafa, Khalid A. Kheirallah, Mohamed Salama, Randah R. Hamadeh, Jim Thrasher Ph.D., Ma, Ms, Ramzi G. Salloum

Faculty Publications

Introduction:
This study aimed to determine associations between health warning label content and motivation to quit waterpipe smoking by gender and smoking location.

Methods:
Convenience samples of university students in three Eastern Mediterranean countries – Egypt (n=442), Jordan (n=535) and Palestine (n=487) – completed an online survey assessing health warning labels. Multinomial logit regression models were conducted to determine the association between different variables, particularly gender and smoking location, with motivation to quit.

Results:
In Palestine, female smokers were more motivated to quit waterpipe smoking when seeing textual warning labels related to children (T2) and pregnancy (T6) [T2: 1.8 (95% …

Advancing Knowledge About Stakeholder Engagement In Multisectoral Nutrition Research, Andrea M. Warren, Shilpa V. Constantinides, Christine E. Blake, Edward A. Frongillo Jr.

Faculty Publications

Strategies to engage stakeholders increase the relevance of multisectoral nutrition research but are challenging to embed within research programs. Drawing from fifteen food choice studies, the aim of this study was to understand the diversity of strategies that researchers used in engaging with stakeholders to synthesize lessons learned from their experiences. Researchers developed and implemented a wide range of strategies that varied in terms of extent of collaboration sought. Informational strategies were used to increase stakeholder buy-in and generate demand for results. Collaborative strategies were more integral to the production of knowledge and were used in framing research significance, interpreting …

Using A Global Food Environment Framework To Understand Relationships With Food Choice In Diverse Low- And Middle-Income Countries, Shilpa V. Constantinides, Christopher Turner, Edward A. Frongillo Jr., Shiva Bhandari, Ligia I. Reyes, Christine E. Blake

Faculty Publications

This study aimed to determine if the Turner et al. (2018) framework allows researchers to identify and study relationships between food environments and individual food choice in diverse contexts and if updates to the framework are warranted. We mapped evidence from 15 drivers of food choice projects to the framework, using thematic analysis to identify common drivers within the food environment across countries and emergent characteristics not listed in the framework. The framework contained breadth and depth of content necessary to identify common drivers – prices and affordability, availability, and vendor and product properties. Insights regarding common drivers and emergent …

Factor Structure And Equivalence Of Maternal Resources For Care In Bangladesh, Vietnam, And Ethiopia, Sulochana Basnet, Edward A. Frongillo Jr. Ph.D., Phuong Hong Nguyen, Spencer Moore, Mandana Arabi

Faculty Publications

Objectives: Resources for care among women are crucial for children's growth and development. The objectives of this cross-sectional study were to determine if: (1) the factor structure of measures of maternal resources for care was comparable across countries and consistent with the theoretical constructs and (2) the measures showed equivalence across contexts.

Methods: The study included 4400, 4029 and 2746 women from Bangladesh, Vietnam, and Ethiopia, respectively. The measures of resources for care were maternal education, knowledge, height, body mass index, mental well-being, financial autonomy, decision-making, employment, support in chores, and perceived support.

Results: The factor analysis demonstrated that a …

Association Of Cumulative Social Risk And Social Support With Receipt Of Chemotherapy Among Patients With Advanced Colorectal Cancer, Rachel E. Davis, Amber W. Trickey, Paul Abrahamse, Ikuko Kato, Kevin Ward, Arden M. Morris

Faculty Publications

Importance: Approximately 38% of patients with advanced colorectal cancer do not receive chemotherapy. Objective: To determine whether cumulative social risk (ie, multiple co-occurring sociodemographic risk factors) is associated with lower receipt of chemotherapy among patients with advanced colorectal cancer and whether social support would moderate this association. Design, Setting, and Participants: This cross-sectional, population-based, mailed survey study was conducted from 2012 to 2014. Participants were recruited between 2011 and 2014 from all adults within 1 year after diagnosis of stage III colorectal cancer in the Detroit, Michigan, and State of Georgia Surveillance, Epidemiology, End-Results cancer registries. Patients were eligible if …

Migration As A Determinant Of Childhood Obesity In The United States And Latin America, Mireya Vilar-Compte, Arturo V. Bustamante, Nancy López-Olmedo, Pablo Gaitán-Rossi, Jaqueline Torres, Karen E. Peterson, Graciela Teruel, Rafael Pérez-Escamilla

Department of Public Health Scholarship and Creative Works

International migration has economic and health implications. The acculturation process to the host country may be linked to childhood obesity. We use the Community Energy Balance (CEB) framework to analyze the relationship between migration and childhood obesity in Mexican households with international migrants. Using longitudinal data from the Mexican Family Life Survey (MxFLS), we examine how migrant networks affect childhood obesity in origin communities. We also review binational health programs that could be effective at tackling childhood obesity in migrant households from Mexico. Children embedded in migrant networks are at greater risk of developing overweight or obesity, suggesting a significant …