Medicine and Health Sciences Commons^™

External Beam Radiation Therapy Carries Lower Risk Of Sexual Dysfunction As Compared To Radical Prostatectomy In Treatment Of Patients With Localized Prostate Cancer, Aamod S. Dekhne

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising:

Donovan JL, Hamdy FC, Lane JA, et al. Patient-Reported Outcomes after Monitoring, Surgery, or Radiotherapy for Prostate Cancer. N Engl J Med. 2016;375(15):1425-1437. https://doi.org/10.1056/NEJMoa1606221

for a patient with localized prostate cancer and concerns regarding future sexual dysfunction.

The Biopsychosocial Model And Clinical Decision Science In The Age Of Black Lives Matter: A Clinical Reflection, Abdul-Rahman M. Suleiman, Samer Ilayan

Clinical Research in Practice: The Journal of Team Hippocrates

The author reflects on the biopsychosocial considerations of elevated blood pressure in teenage African American youth during the era of Black Lives Matter (BLM). Parallels are drawn between Dr. Engel’s biopsychosocial model and clinical decision science.

Clinical Decision Science: Experience Can Be Shared; Can It Be Taught?, James Peter Meza

Clinical Research in Practice: The Journal of Team Hippocrates

The editor reflects on the biopsychosocial model of clinical decision making and whether it can be taught in clinical medicine.

Microaggressions In The Academy: One Black Professor’S Narrative, Kevin L. Jones

Journal of Multicultural Affairs

For many Black men in academia, predominantly White institutions are the epicenter of racism and hindered success. My first year as an instructor at a predominantly White institution proved to be an experience I will never forget. I had some expectations of what I would encounter, but what actually happened far exceeded anything I could have imagined. Through the lens of a racial microaggressions framework, my personal narrative describes my lived experiences as a Black male preparing for the academy at a predominantly White institution in the south. Consequently, these experiences had a long-term emotional, physiological, and psychological impact. These …

Déjà Vu Or The Repetitive Nature Of Microaggressions: An Account Of Two Life Changing Experiences, 10 Years Apart, Nina M. Ellis-Hervey

Journal of Multicultural Affairs

According to American Psychologist Angela Lee Duckworth (2016), grit is often described as passion and perseverance for very long-term goals, while encompassing courage, conscientiousness, perseverance, resilience, and passion. Embodying such characteristics has supported me in thriving in various conditions and situations as an African American girl, then a woman. Grit further assisted in me overcoming many obstacles while remaining resilient, open-minded, and inquisitive. At various points in my education, more specifically my time in undergraduate and graduate schooling, and further in my pursuit of tenure as a young professor, I was met with overt and covert exposures to microaggressions of …

Peripapillary And Superficial Retinal Microvascular Changes In Hypertension Using Ocular Coherence Tomography Angiography, Jithin Suresh

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

Clinical Management Of Covid-19: A Review Of Pharmacological Treatment Options, A. M. Heustess, M. A. Allard, D. K. Thompson, P. S. Fasinu

Pharmaceutical Sciences

No abstract provided.

Association Of Serum Lipid Levels And Other Systemic Risk Factors With Retinal Hard Exudates In Diabetic Retinopathy Patients., Harshita Mukesh Hiran

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

Ocular Complications In Patients Undergoing Chemoradiation For Head And Neck Cancers., Siddharth Vallabhaneni

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

The Role Of Special Physical Training In Improving The Effectiveness Of Competitive Exercises, Ilhomjon Akhmedovich Tursunaliev

Eurasian Journal of Sport Science

Aim: In this article, athletes-students studying in the specialty "Weightlifting" of the State University of Physical Culture and Sports of Uzbekistan were studied in order to increase the effectiveness of performing competitive exercises with the help of special exercises that were selected during training sessions to improve pedagogical skills in this sport.

Methods: Before starting the study, the results of athletes lifting sets and dumbbells were determined. Then a 4-week (1 month) training plan was developed. The results after the study were analyzed in the form of ( % ), as well as the number of barbell lifts (NBL) analyzed …

Vestibulosomatic Training As A Tool Of Increasing The Stability Of Aiming Accuracy In Basketball To The Impact Of Various Plane Acceleration, Azad Artikovich Pulatov

Eurasian Journal of Sport Science

The article analyzes the materials of an experimental study devoted to the study and justification of the possibility of increasing the stability of the aiming accuracy of shots in basketball to the effects of multi-plane accelerations by systematically training the function of the vestibular analyzer.

Gaba And Glutamate In The Preterm Neonatal Brain: In-Vivo Measurement By Magnetic Resonance Spectroscopy., Sudeepta K. Basu, Subechhya Pradhan, Adre J. Du Plessis, Yehezkel Ben-Ari, Catherine Limperopoulos

Pediatrics Faculty Publications

Cognitive and behavioral disabilities in preterm infants, even without obvious brain injury on conventional neuroimaging, underscores a critical need to identify the subtle underlying microstructural and biochemical derangements. The gamma-aminobutyric acid (GABA) and glutamatergic neurotransmitter systems undergo rapid maturation during the crucial late gestation and early postnatal life, and are at-risk of disruption after preterm birth. Animal and human autopsy studies provide the bulk of current understanding since non-invasive specialized proton magnetic resonance spectroscopy (

Anti-Tubercular Drugs And Associated Visual Defecats, Pagadala Tejaswi

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

Study Of Maternal And Cord Blood Vitamin B12 Levels With Anthropometry In Term Neonates Born To Normal And Malnourished Mothers: A Hospital Based Cross Sectional Study, Sugapradha A. Gr

Kasturba Medical College, Mangalore Theses and Dissertations

No abstract provided.

2021-05-28_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 …

2021-05-28_Michiganoverview_Covidtestingtimes, Michigan Department Of Health & Human Services

Michigan COVID-19 Testing Turnaround Data

This page will no longer be updated after 5/28/2021. COVID-19 testing turnaround time has provided helpful data on the average time taken for diagnostic COVID-19 laboratory tests to be reported to the state health department, however, due to most labs meeting their threshold, testing turnaround time is no longer being monitored. Other pertinent COVID-19 data for the state can be found on the Michigan Data page.

Integrating Genomics And Metabolomics For Scalable Non-Ribosomal Peptide Discovery., Bahar Behsaz, Edna Bode, Alexey Gurevich, Yan-Ni Shi, Florian Grundmann, Deepa Acharya, Andrés Mauricio Caraballo-Rodríguez, Amina Bouslimani, Morgan Panitchpakdi, Annabell Linck, Changhui Guan, Julia Oh, Pieter C Dorrestein, Helge B Bode, Pavel A Pevzner, Hosein Mohimani

Faculty Research 2021

Non-Ribosomal Peptides (NRPs) represent a biomedically important class of natural products that include a multitude of antibiotics and other clinically used drugs. NRPs are not directly encoded in the genome but are instead produced by metabolic pathways encoded by biosynthetic gene clusters (BGCs). Since the existing genome mining tools predict many putative NRPs synthesized by a given BGC, it remains unclear which of these putative NRPs are correct and how to identify post-assembly modifications of amino acids in these NRPs in a blind mode, without knowing which modifications exist in the sample. To address this challenge, here we report NRPminer, …

Does More Testing In Routine Preoperative Evaluation Benefit The Orthopedic Patient? Case Control Study From A Resource-Constrained Setting, Obada Hasan, Shah Fahad, Mohammad Mustafa, Pervaiz Hashmi, Shahryar Noordin

Section of Orthopaedic Surgery

Background: Routine preoperative tests in healthy patients not only cause extra anxiety, but may delay treatment without influencing surgical plan. This has worse impact in resource-constrained settings where fee for service rather than health insurance is the usual norm. Investigators aim to determine if "routine" pre-operative tests are justified in healthy orthopedic patients.
Methods: We conducted a non-commercialized, non-funded matched case control study in tertiary care university hospital and a level-1 trauma centre for healthy patients (ASA-1&2) admitted from January 2014-December 2016 for elective orthopedic intermediate and major procedures. Cases (patient who had a change in his/her surgical plan after …

Vestibular Case Studies: A Case Of Cva And Vestibular Paroxysmia, Jennifer Banovic B.S., Nicholas Stanley Ph.D. Au.D.

AuD Capstone Projects - Communication Sciences and Disorders

Case 1:

Introduction: One of the leading causes of centrally based vestibular impairment is a cerebrovascular accident (CVA). Patients typically present with limb or facial weakness, dizziness and imbalance, impaired vision, and speech or language dysfunction, however, these symptoms can vary depending on the site of lesion. Case presentation: An 85-year-old female presented with dizziness, bilateral tinnitus, aural fullness, and aphasia, occurring after she suffered a CVA. Three months after the CVA, she was seen by a balance clinic for a videonystagmography (VNG) and audiologic evaluation. Discussion: CVAs can alter the blood supply to the inner ear and its nerve …

Postdischarge 24/7 Hotline Service For Neurology And Neurosurgery Patients And 1-Year Impact On Readmission Rates, Unplanned Emergency Department Visits, And Patient Satisfaction, Shafqat Bibi, Rida Mitha, Kiran Bano, Farida Datoo, Nadia Karim, Muhammad Shahzad Shamim

School of Nursing & Midwifery

Objective: Telephone triage is a system in which trained nurses use standardized protocols to evaluate symptoms over the phone and determine the appropriate course of action.
Materials and methods: We implemented a protocol for systematic follow up phone calls and telephonic triage to families of neurology and neurosurgery patients after discharge, primarily to improve care transition and to assess its impact on the ratio of visits in the emergency department, readmissions, and overall satisfaction of patients and families. The intervention comprised the implementation of nurse led telephone triage and postdischarge follow up phone calls. After implementing hotline services in mind …

Spatially Refined Time-Varying Reproduction Numbers Of Covid-19 By Health District In Georgia, Usa, March–December 2020, Chigozie A. Ogwara, Arshpreet Kaur Mallhi, Xinyi Hua, Kamalich Muniz-Rodriguez, Jessica S. Schwind, Xiaolu Zhou, Jeffery A. Jones, Joanne Chopak-Foss, Gerardo Chowell, Isaac Chun-Hai Fung

Biostatistics, Epidemiology & Environmental Health Sciences: Faculty Publications

This study quantifies the transmission potential of SARS-CoV-2 across public health districts in Georgia, USA, and tests if per capita cumulative case count varies across counties. To estimate the time-varying reproduction number, Rt of SARS-CoV-2 in Georgia and its 18 public health districts, we apply the R package ‘EpiEstim’ to the time series of historical daily incidence of confirmed cases, 2 March–15 December 2020. The epidemic curve is shifted backward by nine days to account for the incubation period and delay to testing. Linear regression is performed between log10-transformed per capita cumulative case count and log10-transformed population size. We observe …

2021-05-28_Michiganoverview_Covidvaccinestats, Michigan Department Of Health & Human Services

Michigan COVID-19 Vaccine Data

The COVID Vaccine Dashboard page was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus/0,9753,7-406-98178_103214-547150--,00.html.

Data is updated Monday through Saturday. Previously reported numbers of administered vaccine doses may change as new data are received. A possible lag in reporting vaccine doses will result in increases in numbers previously reported.

This report is created by the Michigan Department of Health and Human Services Division of Immunization from data reported to the Michigan Care Improvement Registry (MCIR).

The dashboard contained the tabs Vaccines Delivered, Delivery Trend, Doses Administered, Doses by Vaccine, Doses Metrics, Coverage, Coverage Metrics …

2021-05-28_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.

2021-05-28_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 - Saturday.
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 …

Cannabis Use And Car Crashes: A Review., Ulrich W Preuss, Marilyn A. Huestis, Miriam Schneider, Derik Hermann, Beat Lutz, Alkomiet Hasan, Joseph Kambeitz, Jessica W M Wong, Eva Hoch

College of Health Professions Faculty Papers

In this review, state-of-the-art evidence on the relationship between cannabis use, traffic crash risks, and driving safety were analyzed. Systematic reviews, meta-analyses, and other relevant papers published within the last decade were systematically searched and synthesized. Findings show that meta-analyses and culpability studies consistently indicate a slightly but significantly increased risk of crashes after acute cannabis use. These risks vary across included study type, crash severity, and method of substance application and measurement. Some studies show a significant correlation between high THC blood concentrations and car crash risk. Most studies do not support this relationship at lower THC concentrations. However, …

Promoting Antibiotic Stewardship In Primary Care Setting: An Evaluation Process Of Treatment Practices For Uncomplicated Urinary Tract Infections In Premenopausal Non-Pregnant Women, Ira Amayun

Doctor of Nursing Practice (DNP) Projects

Problem

Inappropriate antibiotic prescribing increases the prevalence of antibiotic resistance. While evidence-based practice guidelines can reduce antibiotic use, inconsistent adherence to these guidelines results in ineffective treatment, increased cost, and increasing antibiotic resistance.

Context

At Athena Med-Monterey, a multi-provider primary care clinic where approximately 90% of the patients are women, written guidelines for uncomplicated urinary tract infections (uUTIs) in premenopausal non-pregnant women (PrMNPW) are lacking. In addition, there are no processes for assessing adherence to clinical guidelines.

Interventions

The advanced practice nurse (APN) led a quality improvement process to assess and promote adherence to practice guidelines using a small test …

Common Concerns, Barriers To Care, And The Lived Experience Of Individuals With Hepatitis B: A Qualitative Study., Catherine Freeland, Sean Farrell, Priyanka Kumar, Maureen Kamischke, Michaela Jackson, Sierra Bodor, Timothy M Block, Rosemary Frasso Phd, Msc, Cph, Chari Cohen

College of Population Health Faculty Papers

BACKGROUND: An estimated between 257 and 292 million people live with chronic HBV globally. While much is known about the causes, and epidemiology of HBV, little is understood about the quality of life and impact of HBV on those living with the infection.

METHODS: A random sample of HBV-related email queries sent to the Hepatitis B Foundation, a U.S.-based non-profit organization, over a 12-month period in 2018-2019 were retrieved, tabulated, and analyzed qualitatively to highlight information needs and explore the experiences of people living with HBV and their families and loved ones. Codebook development was informed by the literature and …

Arkansas’S Culture Of Health 2011–2019: A Case Study Narrative Of Robert Wood Johnson Foundation Data Sets, Dylan Travis

Student Theses and Dissertations

Investigating the Robert Wood Johnson Foundation (RWJF) yearly data sets from 2011 to 2019, I illustrate the numerous health decade averages that exist at the county level within the state of Arkansas. These health decade averages are representative of both health factors and health outcomes as measured by the RWJF. The decade averages are compared both nationally and at the county level. I reveal both the positive and negative decade averages that exist within the state, and ideally, to encourage further original study. This is accomplished through a narrative and summative approach of the existing data.

When The Er Doc Became The Patient's Dad, Brad Buckingham

Journal of Wellness

Perspective from an emergency physician whose infant daughter had botulism.

Acuity Level Of Care As A Predictor Of Case Fatality And Prolonged Hospital Stay In Patients With Covid-19: A Hospital-Based Observational Follow-Up Study From Pakistan, Aysha Almas, Zain Mushtaq, Jette Moller

Section of Internal Medicine

Objectives: To determine if there is an association between acuity level of care (ALC), case fatality and length of stay in patients admitted to hospital due to COVID-19.
Design: A hospital-based observational follow-up study.
Setting: Internal Medicine Service of the Aga Khan University Hospital, Pakistan, from 26 February 2020 to 30 June 2020.
Participants: Adult patients with confirmed COVID-19, aged ≥18 years.
Methods: ALC was categorised into low, intermediate and high level and patients were triaged using the standard emergency severity illness score. All patients were followed until the end of hospital admission for the outcome of case fatality and …