Medicine and Health Sciences Commons^™

Overdose: The Public Health Policies That Caused The Opioid Crisis, Benjamin T. Suslavich

Cleveland State Law Review

Recently, local governments have successfully sued pharmaceutical manufacturers for damages related to the opioid crisis in the United States under the theory that these pharmaceuticals were responsible for causing addictions and deaths across the nation. However, the opioid crisis was, in fact, caused by the creation of national public health policies which compelled the prescription of opioid analgesics. The dogma of the "pain movement," which spearheaded public health policies, was adopted in some form by nearly every healthcare regulator in the country. With unchecked power and influence on the U.S. healthcare system, healthcare regulators mutated slightly misleading advertising by pharmaceutical …

A Comparison Of Techniques Of Boron Removal From Water And Wastewater, Abdolmajid Fadaei

Journal of Environmental Science and Sustainable Development

Boron is a vital trace element required by plants, humans, and animals. It is also a significant element used in several industries. Along with the widespread usage of boron, boron waste progressively contaminates the potable water sources as well as causing a chain of environmental and health challenges to occur. This study reviews the techniques used for boron removal from aqueous solutions, including ion exchange, resin adsorption, reverse osmosis (RO), electrocoagulation, microfiltration, chemical coagulation, solvent extraction, electro dialytic, and hybrid processes. A review search was carried out from the databases Scopus, PubMed, Web of Knowledge, and Embase using the following …

Prevalence And Evaluation Of Multidrug Resistance Pattern Of Pseudomonas Aeruginosa Among Critical And Non-Critical Areas At A Tertiary Care Hospital Of Multan, Romah Ishfaq, Hubza Ruatt Khan, Mehvish Javeed, Muhammad Ikrama Tanveer, Asma Ashraf

Journal of Bioresource Management

Pseudomonas aeruginosa is an extremely wide spread microorganism linked to nosocomial illnesses. Effective inspection of variations in antimicrobial resistance patterns of P. aeruginosa is vital for selecting suitable antimicrobial drugs for pragmatic treatment. The current research has been performed for assessing antimicrobial sensitivity profile of P. aeruginosa isolated as of a variety of medical specimens collected from critical and non-critical admitted patients of Nishtar Hospital, Multan. The isolates were detected utilizing standard lab practices, as well as the sensitivity was examined employing Kirby-Bauer disk diffusion method corresponding to Clinical and Laboratory Standard Institute (CLSI) recommendations 2019. Out of 373 samples, …

The Effect Of Diabetes Exercise On The Quality Of Life Of Type 2 Diabetes Mellitus Patients, Nur Rachmawati Maulida, Jongky Hendro Prajitno, Nuniek Nugraheny Sulistiawaty

Jurnal Keolahragaan

Physical inactivity and obesity are some of the main risk factors for diabetes mellitus (DM). The presence of DM might result in impaired quality of life (QoL). Our study aimed to firstly determine the association between diabetes exercise status and the QoL in type 2 Diabetes Mellitus (T2DM) patients and secondly to explore other factors associated with QoL among T2DM patients. This was an observational study with cross-sectional design of T2DM patients in dr. Trimurti primary health care (PHC) from January - December 2019. The subjects were recruited consecutively then categorized into treatment group (who performed diabetes exercise …

Rapid Weight Loss (Rwl) Method On Game Performance Of Martial Art Athletes, Imam Hariadi, Nurrul Riyad Fadhli, Taufik Taufik, Dona Sandy Yudasmara, Eldiene Zaura I㢂¬„¢Tamada, Rida Hanania

Jurnal Keolahragaan

Martial athletes use the rapid weight loss (RWL) method as a strategy to lose weight quickly before competing. This study was conducted to examine the prevalence of the magnitude of the impact of the RWL method used as a way to lose weight by running using a sauna suit on the physical, physiological, psychological, and performance conditions of martial athletes. The population in this study were martial arts athletes throughout Indonesia. This study uses a descriptive method by collecting data through a questionnaire instrument on google Forms which is distributed to martial athletes, especially in the fighting class. The results …

Suspected Anaphylactic Reaction Following Second Dose Of The Pfizer-Biontech (Bnt162b2) Coronavirus Vaccine In A Geriatric Female, Angelina Hong, Giezy Sardinas

HCA Healthcare Journal of Medicine

Anaphylaxis is a rare but serious adverse reaction that can occur following mRNA-based vaccination against coronavirus (COVID-19). This is a case of a geriatric patient presenting with hypotension and an urticarial rash with bullous lesions following a syncopal episode with incontinence. She received the second dose of the Pfizer-BioNTech (BNT162b2) COVID-19 vaccine three days prior, and first developed the skin abnormalities the morning after receiving the vaccine. She had no past history of anaphylaxis or allergies to vaccinations.

Her presentation met the diagnostic criteria for anaphylaxis, according to the World Allergy Organization: she had acute onset illness involving the skin …

Vertical Transmission Of Sars-Cov-2 In A Twin Pregnancy, Tiffany C. Chang, Rebecca F. Herbert, Stacey N. Tran, Victoria M. Weprinsky, Bhaskari Burra, Chi Dola

HCA Healthcare Journal of Medicine

Transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first identified in 2019 and rapidly evolved into the global coronavirus disease 2019 (COVID-19) pandemic. The emergence of a highly morbid disease has posed ongoing challenges in the diagnosis, management, and prevention of COVID-19. The uncertainty underlying medical decision making is further compounded by preexisting conditions, including pregnancy. Here, we report a twin pregnancy complicated by maternal COVID-19 and the vertical transmission of SARS-CoV-2. We hope that our experiences contribute to a better understanding of the disease in pregnancy and, ultimately, guide the development of effective treatment and prevention …

Quality Of Icu Discharge Summaries Produced By Pediatric Residents: The Memorial Health University Medical Center Experience, Jessica M. Lee, James Ryden, Emma Meehan, Eric Shaw, Mary C. Lytle, Andrew Stack, Ashley Shearman

HCA Healthcare Journal of Medicine

Background

Discharging intensive care unit (ICU) patients directly home is becoming more common. High-quality ICU discharge summaries are crucial in the transition of patient care. Currently, at Memorial Health University Medical Center (MHUMC), there exists no standardized ICU discharge summary template or consistency when discharge documentation is completed. Investigators evaluated the timeliness and completeness of ICU discharge summaries at MHUMC produced by pediatric residents.

Methods

A single-center retrospective chart review of pediatric patients discharged directly from a 10-bed Pediatric ICU to home was conducted. Charts were evaluated pre- and post-intervention. The intervention included the implementation of a standardized ICU discharge …

Exploring Medical Marijuana Knowledge And Perceptions Among A Community-Based Sample, Lan'tejuana S. Cooper, Jullet Davis Weaver, Vanessa Crowther, Marisa Lewis

Florida Public Health Review

Exploring Medical Marijuana Knowledge and Perceptions among a Community-Based Sample

Abstract

Background: The increasing number of states legalizing marijuana suggests that a growing majority of adults now see marijuana as offering more benefits than risks. As use increases, the need to better understand user characteristics and the nature of their beliefs also increases. Purpose: This exploratory study investigates the knowledge and perceptions of medical marijuana among community-based individuals. We theorize that demographic characteristics, socioeconomic status, social network, health status, and knowledge about marijuana are associated with the number of conditions the person believes marijuana treats. Methods: The study utilizes a …

Risk Factors For Emergency Medical Care Or Hospitalization Due To Heat-Related Illness Or Injury: A Systematic Review, Blair Litwiller, Amber N. Barnes

Florida Public Health Review

Background: Temperatures globally have been predicted to increase due to changes in the climate. As the earth gets warmer, it is expected that heat-related illness will also increase worldwide. An effective and appropriate public health response will be critical. Purpose: The aim of this review was to identify risk factors associated with heat-related illness and injury to provide target areas for future interventions. Methods: A review of existing literature was analyzed for risk factors that may increase the likelihood of being admitted to an emergency department for a heat related illness or injury. Results: Of the …

Community Approaches To Veterans And Active-Duty Service Member Suicide Prevention Through Public Health Outreach: A Commentary, Joe Bohn, Tommy Childers, Christopher Baglivo

Florida Public Health Review

We discuss insights on a West Central Florida community-based Veterans suicide prevention effort- a series of Veterans coffee socials. Noted as a public health crisis which has been well documented, the article provides an overview of the importance of public health approaches and academic public health engagement at a local level to addressing suicide prevention at community levels. An active-duty service member’s perspective is provided that points to common pain points that that extend to the Veterans community with reintegration challenges. A community-based participatory research methodology has been applied which stressed the importance of community partners (e.g., public, private and …

Covid-19 Vaccines And Homoeopathy – An Integrative Review, Deepthi Gilla, S R Sreelakshmy, Bsj Raja Kumar

Indian Journal of Research in Homoeopathy

Background: The COVID-19 pandemic has brought millions of people at risk. Clinical trials of several known antiviral drugs and vaccines have been done. Homoeopathy is known to be effective in the prevention and treatment of infectious diseases as well as in overcoming some adverse effects of vaccination. Objectives: The objectives of this review were to identify the adverse effects of COVID-19 vaccination from the published literature and doing homoeopathic repertorisation to find out indicated remedies for alleviating the ill effects of COVID-19 vaccines. Methods: Published literature was searched for ‘Covid-19’, ‘Vaccination’ and ‘Adverse events’ in PubMed between …

Factors Influencing The Utilization Of Antenatal Care, Institutional Delivery, And Postnatal Care Services Among Women In Bangladesh, Akibul Islam Chowdhury, Mohammad Asadul Habib, Tanjina Rahman

Makara Journal of Health Research

Background: In Bangladesh, the utilization of maternal health services is low, which triggers pregnancy-related complications and maternal deaths. The current community-based cross-sectional study aims to evaluate the factors associated with antenatal care (ANC), institutional delivery, and postnatal care (PNC) service utilization among women in selected areas of Southwest Dhaka, Bangladesh.

Methods: The study was carried out among 391 mothers from rural and urban areas. Data were collected using a standard questionnaire. Univariate and multivariate analyses were performed to identify the significant determinants associated with maternity care service utilization.

Results: Result shows that approximately 65%, 71%, and 72% …

Relationships Between Self-Regulation And Use Of Parenting Strategies For Eating And Physical Activity Behaviors Among Mexican-Heritage Mothers, Haley Delgado, M. Renee Umstattd Meyer, Tyler Prochnow, Megan Mcclendon, Joseph R. Sharkey

Health Behavior Research

It is important to understand theoretically based support behaviors that can promote healthy eating and active living among Mexican-heritage mothers. This study examined the relationship between maternal self-regulation (the capacity to plan, guide, and monitor one’s behavior flexibly in the face of changing circumstances) and use of parenting strategies among mothers residing along the Texas-Mexico border. Mothers (n = 116) were recruited from three geographic regions within Hidalgo County, Texas. A 21-item survey was administered to measure self-regulation through goal setting and limit setting. The Parenting Strategies for Eating and Activity Scale (PEAS) was used to measure parenting strategies …

An Evaluation Of The Enjoyment Levels Of Participants Of Lifelab, A Health Literacy Intervention For Socially Disadvantaged Adolescents., Lorna Burke, Dr. Hannah Goss, Craig Smith, Dr. Johann Issartel, Dr. Sarahjane Belton

SURE Journal: Science Undergraduate Research Experience Journal

Aim: LifeLab is co-designed by and for Junior Cycle students from social disadvantage in Ireland, with the hope to improve health literacy and subsequent health outcomes in this cohort. The aim of this study was to evaluate the enjoyment levels of students participating in the pilot of LifeLab, with a view to informing future development of the intervention.

Method: As part of the process evaluation of the pilot of LifeLab, a series of focus groups and purposively designed enjoyment scales were completed by 80 adolescents, from one disadvantaged school in Dublin, Ireland. Inductive thematic analysis was carried out to analyse …

Reliability, Validity, And Exploratory Factor Analyses Of Gentrification Health Research Measures, Christopher Williams, Nathaniel Woodard, Charlene Chao-Li Kuo

Advances in Clinical Medical Research and Healthcare Delivery

Background

Gentrification is a type of neighborhood change (NC) that causes demographic shifts and improvement in the built environment. Adverse health outcomes associated with NC have not been consistently established in the literature. Yet, major methodological barriers define this field of study including lack of tailored and culturally relevant measures. This aim of this study was to assess the psychometric properties of novel and adapted NC measures that sought to improve appropriateness for all literacy levels, to enhance survey efficiency, and to assess features of the built environment.

Methods

We conducted a cross-sectional study in a highly gentrifying neighborhood in …

Filipino Physical Therapists’ Practice And Perspectives On Non-Treatment Physical Activity For Older Adults, Frances Rom M. Lunar, Attilah Mae B. Alog, Alexa Ds Tanchuling, Kristen Mari Andal, Beatrice Camille Chan, Daniel C. Chua, Claire Beatrice Martinez, Ma. Anna Carmina D. Orlino, Jem Bettina G. Tan, Koji A. Katakura Jr., Marvin Louie S. Ignacio

Philippine Journal of Physical Therapy

Introduction:

Studies have already investigated the practice of physical therapists (PTs) in promoting non-treatment physical activity (NTPA). However, these were done in the context of mostly western settings or were not specific to older adult practice. It is still unclear if a similar level of practice and perspectives on NTPA promotion exists in a setting where physical therapy is more associated with rehabilitation than health promotion, such as in the Philippines. Therefore, this study aimed to describe Filipino PTs' knowledge of WHO physical activity (PA) guidelines and their use of behavioral change techniques (BCTs) and theories when promoting PA in …

History Of Falls, Mild Cognitive Impairment, And The Presence Of Home Environmental Hazards Among Community-Dwelling Older Persons In District V, Manila, Marilou J. Raval, Donald S. Lipardo

Philippine Journal of Physical Therapy

Introduction: It is important to investigate factors that may increase the fall risk in the geriatric population. This study aimed to determine the relationship between: 1) mild cognitive impairments (MCI) and history of falls; 2) home environmental hazards (HEH) and history of falls; and 3) MCI and HEHs among older adults.

Methods: Community-dwelling older persons of District V, Manila were random sampled to participate in this cross-sectional correlational study. The Home Falls and Accidents Screening Tool for Health Professionals (HOMEFAST-HP) and Fall History Questionnaire were used to collect information on the presence of HEH and history of falls, respectively. Chi-Square …

Publishing Research Protocols, Rolando Lazaro, Arvie Vitente, Catherine Joy Escuadra, Esmerita Rotor, Jocel Regino

Philippine Journal of Physical Therapy

No abstract provided.

Why Skin-To-Skin Contact Is Not Made A Traditional Practice Right After Childbirth? Hindrances Behind Its Non-Implementation, Ateefa Al-Noor

Journal of Asian Midwives (JAM)

Skin-to-skin contact (SSC) is the practice in which a newborn is dried and placed immediately on mother’s chest. Both the mother and the baby gains benefits from this as it aids in breastfeeding and helps baby adjust to temperature outside the mother’s womb. However, not many midwives in hospitals carry out this crucial practice. Staff shortage, lack of awareness and time constraints were identified as the main determinants because SSC was not implemented. Realistic measures should be taken to enhance SSC as discussed in the paper. Thus, promotion of SSC soon after childbirth will be advantageous for neonatal quality of …

Experiences And Concerns Of Female Hotel Housekeepers In The First Stages Of The Covid-19 Lockdown In The Balearic Islands (Spain): A Qualitative Study, Xenia Chela-Alvarez, Cristian Sanchez-Rodriguez, Oana Bulilete, Mclara Vidal-Thomàs, Joan Llobera

The Qualitative Report

Strongly enforced mobility restrictions to deter the spread of COVID-19 severely impacted tourism, a pivotal economic sector of the Balearic Islands. Little is known about the experiences of the most economically affected groups, such as hotel housekeepers. This study aimed to explore the experiences and concerns of hotel housekeepers (approximately 13,000 worked in the Balearic Islands before the pandemic) during the first stages of the COVID-19 lockdown. Semi-structured interviews were conducted by telephone in April of 2020. Thematic analysis was used for interpretation. Eighteen hotel housekeepers were interviewed. Main experiences and concerns identified were: (a) distress due to employment status …

Relationships Of Academic Expectation Stress & Self-Efficacy, Efficacy For Self-Regulated Learning With Academic Performance During Covid Pandemic, Muath A Alammar, Dushad Ram, Hamad Ali Alwarthan, Fouad A. Alshubayshiri, Abdullah Mohammed Alobaidi

International Journal of Health and Allied Sciences

Background: Academic expectation stress & self-efficacy and efficacy for self-regulated learning may affect academic performance. The Covid pandemic has affected the physical and psychological well-being of all, including students. However, there is a paucity of studies examining these variables in college students in Saudi Arabia. Objectives: This study was conducted to explore the levels and relationships of academic expectation stress & self-efficacy, self-regulated learning, and its relationships with academic performance in college students of ---- University during the Covid pandemic. Material and Methods: A total of 302 students were recruited in this cross-sectional study. They were assessed with sociodemographic and …

Program Evaluation Of Faith Community Nursing Cardiovascular Education Intervention, Jennifer Cummings

International Journal of Faith Community Nursing

Abstract

Background: Cardiovascular disease is the leading cause of death in the United States. Many cardiovascular risk factors are modifiable. Community engagement by Faith Community Nurses in church settings can help patients reduce risk.

Problem/Purpose: Faith Community Nurses at a Philadelphia church identified a need for cardiovascular lifestyle risk modification education and planned this as the inaugural topic of its new health outreach program. The project purpose was to evaluate effectiveness of the program in increasing knowledge of cardiovascular risk modification, increasing level of readiness to make self-identified lifestyle changes, and to evaluate the program format as a potential model …

Advance Care Planning In Faith Communities: A Quality Improvement Project, Lorie Hacker, Jan Gaddis, Jessica Grimm, Catherine Chung

International Journal of Faith Community Nursing

This quality improvement project examined the impact of providing an advance care planning training tool to faith community nurses in the community setting on advance care planning knowledge, self-efficacy, and implementation of advance care planning outreach and advance directive completion. The pre- and post-intervention frequencies measure and paired-t test survey design resulted in clinically significant improvements in knowledge, and self-efficacy of advance care planning among faith community nurses. A fifty-fold increase was seen in advance care planning outreach activities among the group from pre- to post-intervention. The limitations of the project included small sample size and short implementation timing. However, …

Monkeypox: Facts For Faith Community Nurses, Melissa K. Travelsted

International Journal of Faith Community Nursing

Faith community nurses provide services to diverse populations and should be aware of the recent monkeypox outbreak. The 2022 outbreak is dissimilar from previous as cases are occurring in non-endemic countries with no travel connections to endemic countries. Cases in the United States are mostly identified in the gay, bisexual, and other men who have sex with men. Symptoms of monkeypox begin with flu-like symptoms progressing to a sequential rash (macule, papule, vesicles, pustules, scabs). The distinguishing characteristic of monkeypox from other Orthopoxviruses is lymphadenopathy. There is no FDA approved treatment for monkeypox as most cases are mild and self-limiting, …

Grinding All My Life: Nipsey Hussle, Community Health, And Care Ethics, Pyar J. Seth, Carlton K. Harrison, Jasmyn Mackell

Journal of Hip Hop Studies

As John Legend said, “Nipsey was so gifted, so proud of his home, so invested in his community” (Martin, 2019). Though Nipsey Hussle certainly had a lyrical gift, the discourse after his murder remained largely focused on his work as a humanitarian and community activist. Hussle was a staunch advocate for gun control, police abolition, and education equity in Los Angeles and the State of California. Academic research has often neglected the very clear relationship between Hip Hop and health, particularly the underlying theme of improving community health. To our knowledge, Hussle never identified as a community health organizer. Still, …

A Case Of Inferior Dislocation Of Right Shoulder, Gauri A. Nair

Digital Journal of Clinical Medicine

Dislocation of the shoulder is the commonest of all large joint dislocations. Inferior dislocation of the shoulder, also called luxatio erecta, is a rare form. It appears in less than 0.5% of all shoulder dislocations. Patient characteristically presents with an arm locked in upright position - Luxatio erecta. Its etiology, clinical presentation and radiographic findings are distinct. An awareness of associated potential neurovascular injuries and rotator cuff tears is important in this rare entity and should be excluded with high index of suspicion. Preferred modality of treatment depends upon the age of the patient and the extent of neurovascular involvement. …

Personality Disorder Predisposing To Alcohol Dependence, Samarchitha S Ms., Venkatesh Babu Dr., Megha Sadashiv Dr., Sudeep Pk Mr.

Digital Journal of Clinical Medicine

No abstract provided.

High-Velocity Fracture: Case Of Displaced Intertrochanteric Fracture Offemur With Spiral Fracture Of Shaft Of Right Femur, Gayathri Sureshkumar Nair

Digital Journal of Clinical Medicine

BACKGROUND

Intertrochanteric fracture is a common orthopedic condition characterized by extracapsular fractures of the proximal femur that occur between the greater and lesser trochanter with predominance in elderly population, especially those with osteoporosis, wherein even a low energy mechanism is enough to cause the fracture.

There is an observed female predominance with ratio between 2:1 and 8:1. [1,2]

Commonly observed symptoms include shortened and externally rotated limb, pain and bony tenderness around the hip joint, inability to bear weight on the affected limb to name a few.

Management depends upon age of patient, nature of the fracture, number of comminuted …

Comparison Of Conventional Pap Smear And Manual Liquid Based Cytology With P16 Marker In Screening For Cervical Cancer In Indian Tertiary Healthcare Setups In Mysuru, Gayathri Sureshkumar Nair, Nandini Manoli, Nandish Manoli

Digital Journal of Clinical Medicine

In India, there are 20.2 per 100000 new cases of Cervical Cancer diagnosed and 11.1 per 100000 deaths annually accounting for more than one fifths of global cervical cancer deaths. [1] Thus, due to an absence of a national immunization program to cover human papillomavirus (HPV) vaccination and lack of accessible cervical cancer screening, the disease is characterized by late detection, lack of access to affordable and quality health care, and high mortality rates. [2]

Papanicolaou Smear Test was a novel invention by Dr George Papanicolaou in the year 1927 which gained maximum popularity in 1950 as a screening test …