Medicine and Health Sciences Commons^™

Risk Factors And Compliance Of Surviving Sepsis Campaign: A Retrospective Cohort Study At Tertiary Care Hospital, Farheen Yousuf, Ayesha Malik, Ayesha Saba, Sana Sheikh

Department of Obstetrics & Gynaecology

Background and objective: Sepsis is one of the leading causes of direct maternal mortality in Pakistan. It is recommended that the first three hours after the presentation are crucial. During this time implementation of surviving sepsis campaign resuscitation bundles reduces maternal mortality. Our objective was to assess the factors contributing to puerperal sepsis and the compliance of "surviving sepsis campaign resuscitation bundles in puerperal sepsis" for the management of puerperal sepsis.
Methods: This was a retrospective record review for five years from January 2011-December 2015. All women who fulfilled the inclusion criteria of puerperal sepsis were included and data from …

Differential Cd4+ T-Cell Cytokine And Cytotoxic Responses Between Reactivation And Latent Phases Of Herpes Zoster Infection, Wenjie Jin, Mike Fang, Ismail Sayin, Carson Smith, Jeffrey L Hunter, Brian Richardson, Jackelyn B Golden, Christopher Haley, Kenneth E Schmader, Michael R Betts, Stephen K Tyring, Cheryl M Cameron, Mark J Cameron, David H Canaday

Faculty, Staff and Student Publications

BACKGROUND: CD4+ T cells are a critical component of effective immune responses to varicella zoster virus (VZV), but their functional properties during the reactivation acute vs latent phase of infection remain poorly defined.

METHODS: Here we assessed the functional and transcriptomic properties of peripheral blood CD4+ T cells in persons with acute herpes zoster (HZ) compared to those with a prior history of HZ infection using multicolor flow cytometry and RNA sequencing.

RESULTS: We found significant differences between the polyfunctionality of VZV-specific total memory, effector memory, and central memory CD4+ T cells in acute vs prior HZ. VZV-specific CD4+ memory …

Studying Spread Patterns Of Covid-19 Based On Spatiotemporal Data, Beiyu Lin, Xiaowei Jia, Zhiqian Chen

Computer Science Faculty Publications

The current COVID-19 epidemic have transformed every aspect of our lives, especially our behavior and routines. These changes have been drastically impacting the economy in each region, such as local restaurants and transportation systems. With massive amounts of ambient data being collected everywhere, we now can develop innovative algorithms to have a much greater understanding of epidemic spread patterns of COVID-19 based on spatiotemporal data. The findings will open up the possibility to design adaptive planning or scheduling systems that will help preventing the spread of COVID-19 and other infectious diseases.

In this tutorial, we will review the trending state-of-theart …

Sweat Rate And Sweat Electrolyte Concentrations In Football Players During Exercise In Cool Versus Warm Environmental Conditions: A Cross Over Study, Nicholas Mobile

West Chester University Master’s Theses

Objectives: To determine if sweat rate and sweat electrolyte concentrations differ when football players exercise in warm versus cool environmental conditions. Participants: Eleven unacclimatized football players exercised for 60 min in warm (24°C and 75%RH) and cool (10°C and 25%RH) randomly assigned trials. Methods: Sweat patches made from sterile gauze were placed on forearm, low back and thigh sites after skin was thoroughly washed and dried. Sweat rate was calculated as change in pre-exercise to post-exercise nude body weight adjusted for fluid consumed and urine produced during exercise. Sweat patches were removed after exercise and centrifuged to separate sweat from …

Grades Do Not Define You: Mindfulness-Based Intervention Effects On College Students' Self-Efficacy, Health, And Wellbeing, Jayla Godfrey

West Chester University Master’s Theses

Abstract

This thesis explores the punitive grading norms and lack of support from institutions and how it effects college students. More specifically, how it effects college students’ self-efficacy, self-esteem, health, and wellbeing. Through the lens of critical action research this thesis investigates the experiences of stakeholders and will integrate research and methods that have been supported by seasoned scholars. In this thesis, a two-part program focusing on imposter syndrome, fear of failure, grades, mindfulness, and improving student’s self-efficacy and wellbeing is proposed. The leadership of this programmatic intervention relies on the facilitator and focuses on mindfulness-based interventions and group discussions. …

Aadej Comm 8 4 2022

AADEJ - The Communicator

The Communicator is the official journal of the American Association of Dental Editors and Journalists (AADEJ). It is published quarterly, distributed digitally via email to members, and posted on the Association's website, AADEJ.org. Each issue includes regular updates from the editorial team and AADEJ board, as well as feature articles on current issues in the field.

Dnp Project Active Anson, Melissa C. Griffin

Doctor of Nursing Practice Projects

Objectives: To implement and evaluate the effectiveness of using a mobile app to encourage hospital workers to increase their physical activity.

Methods: Project was open and advertised to all hospital employees in a small rural community hospital in the south-eastern United States through flyers, bulletin boards, emails, banners and in-person registration assistance. Registered participants completed a 30-day walking challenge and recorded their daily step counts. Participants received a gift bag with fitness items such as water bottles. The three highest step count participants were awarded prizes. Weekly prize drawings were conducted for participants with 10,000 steps per day. Post challenge …

Smartphrases: Optimizing Discharge Education In Limited English Proficiency (Lep) Spanish-Speaking Patient Encounters, Somer Knight

Doctor of Nursing Practice Projects

Health inequities due to communication barriers exist at a high rate for those who identify with limited English proficiency. This quality improvement project aimed to decrease these inequities by providing pre-translated discharge instructions (AVS) to patients who receive surgical services and recover in the pediatric post anesthesia care unit (PACU) of a state hospital. Specifically, this project examined if the availability of pre-translated instructions (SmartPhrases) increased nurse and interpreter satisfaction with the discharge process, and improved their perceived level of equitable care they are able to provide. Discharge instructions were gathered from the participating surgical and interventionist teams, and the …

We Are Having This Conversation Now: The Times Of Aids Cultural Production (Introduction And Toc & 3 Timelines), Alexandra Juhasz, Theodore Kerr

Publications and Research

We Are Having This Conversation Now offers a history, present, and future of AIDS through thirteen short conversations between Alexandra Juhasz and Theodore Kerr, scholars deeply embedded in HIV responses. They establish multiple timelines of the epidemic, offering six foundational periodizations of AIDS culture, tracing how attention to the crisis has waxed and waned from the 1980s to the present. They begin the book with a 1990 educational video produced by a Black health collective, using it to consider organizing intersectionally, theories of videotape, empowerment movements, and memorialization. This video is one of many powerful yet overlooked objects that the …

Capallaries Of Care: Pato Hebert In Conversation With Alex Juhasz, Alexandra Juhasz, Pato Hebert

Publications and Research

Discussion about art show, Lingering: No Silver Linings, about longhaul COVID with artists and organizers, Pato Hebert and Alex Juhasz.

Potential And Limitations Of Using Stem Cells To Cure Alzheimer’S Disease: A Literature Review Of Its Potential And Ethical Limitations In Translation To Human Trials, Eleni Zivla

OUR Journal: ODU Undergraduate Research Journal

Alzheimer's disease has become one of the most significant, life-limiting illnesses of our time as a result of the rapid increase in the average life expectancy. To successfully develop a cure for this yet incurable disease, one must understand the pathology of Alzheimer’s disease. As found in recent research studies, a brain that is diagnosed with Alzheimer's is characterized by the presence of extracellular amyloid plaques composed of the amyloid-beta (Aβ) peptide and intracellular neurofibrillary tangles composed of the microtubule-associated protein: tau. In this literature review, several stem cell therapies are being reviewed as a potential cure for Alzheimer’s disease …

School Provided Speech-Language Therapy Plans Amid The Coronavirus Pandemic And Correlating Provider Attitudes, Zabia Evans

OUR Journal: ODU Undergraduate Research Journal

As the Coronavirus pandemic continues to be a threat for those of all ages, schools were a main concern when discussing how we should attempt to return to our “normal” lives. A considerable amount of speech therapy is done in schools, and speech-language pathologists nationwide are also being impacted by the changes during this school year. This research examined many aspects of providing speech therapy during the 2020-2021 school year, beginning with introductory statistics concerning the number of children participating in each session, the instruction styles, and grade levels taught. Respondents answered a set of questions concerning their attitudes towards …

Swosu Research And Scholarly Activity Fair 2022, Swosu Office Of Sponsored Programs

SWOSU Research and Scholarly Activity Fair Programs

On behalf of Southwestern Oklahoma State University, welcome to the Thirtieth Research and Scholarly Activity Fair! We are proud to host students and faculty from universities and community colleges from across the state at this meeting of scholars. Research and scholarly activity ranging from Business Administration, Education and Professional Studies, Fine Arts and Design, Liberal Arts, and Mathematics and Science.
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Sincerely, SWOSU Office of Sponsored Programs and URSAC

Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 1: Recollections Of Another Realm, Jenny Wade

International Journal of Transpersonal Studies

Autobiographic memories prior to birth remain controversial in psychology because such memories are traditionally believed to begin much later when some sense of self is formed. Prenatal sentience, including fetal learning, occurs in species from arthropods to humans, and evidence for autobiographic memories from pre- and neo-natal humans has typically come from clinical case histories of altered-state regression techniques eliciting records from adults or clinical case histories of children in normal states. This thematic analysis examined 68 “earliest memory” narratives submitted to an independent website to explore the question: what do people who claim to remember how they came into …

Case Report: Bilateral Emphysematous Pyelonephritis With Pneumatosis Intestinalis, Maria D'Amico, Joseph Izes, Akhil Das

Department of Urology Faculty Papers

Emphysematous pyelonephritis is a severe and rare gas producing infection in the renal parenchyma or collecting system. Diabetes mellitus is an established risk factor. Treatment options include antibiotics, minimally invasive management such as percutaneous drainage, or nephrectomy. This case report describes a 40-year-old female with newly diagnosed diabetes and cirrhosis who presented with left sided emphysematous pyelonephritis. After initial management with intravenous antibiotics and drainage of the collecting system, this patient's clinical condition worsened, and subsequent repeat imaging revealed bilateral emphysematous pyelonephritis as well as pneumatosis intestinalis.

Maximal Strength Training Increases Metabolic Energy Expenditure In Sedentary Adults Classified As Obese, Robert E. Anderson Iii

Theses and Dissertations--Nutrition and Food Systems

Background: Metabolic adaptations reduce resting and non-resting energy expenditure to account for approximately 120 kcal/day. Weight loss promotes greater skeletal muscle efficiency, reducing the energy cost of physical activity and is correlated with declines in skeletal muscle glucose oxidation. Maximal Strength Training (MST) has the potential to upregulate glucose utilization and may offset these metabolic adaptations. Objective: To determine if MST offsets markers of metabolic adaptation by increasing resting and non-resting energy expenditure in sedentary individuals classified as obese. Methods: Five (5) participants (2 females, 3 males), ages 18-35 years, with obesity (BMI 30–45 kg/m2) were enrolled in an 8-week …

Plague Risk In The Western United States Over Seven Decades Of Environmental Change, Colin J. Carlson, Sarah N. Bevins, Boris V. Schmid

United States Department of Agriculture Wildlife Services: Staff Publications

After several pandemics over the last two millennia, the wildlife reservoirs of plague (Yersinia pestis) now persist around the world, including in the western United States. Routine surveillance in this region has generated comprehensive records of human cases and animal seroprevalence, creating a unique opportunity to test how plague reservoirs are responding to environmental change. Here, we test whether animal and human data suggest that plague reservoirs and spillover risk have shifted since 1950. To do so, we develop a new method for detecting the impact of climate change on infectious disease distributions, capable of disentangling long-term trends (signal) and …

Novel Repair Of Costal Margin Rupture With Preoperative 3d Planning, Casey T. Walk, Gregory Semon

Department of Surgery Faculty Publications

WHAT WOULD YOU DO? This is a 32-year-old man involved in a motor vehicle crash in 2019 with chronic left-sided rib pain since. He was initially treated with physical therapy and medical management with no improvement. CT imaging in 2021 noted displaced left lateral seventh and eighth ribs, noted chest wall deformity, and when three-dimensional (3D) reconstruction of his ribs was created, this noted a left- sided costal margin rupture at the sixth and seventh ribs.

A Retrospective Cohort Study Assessing Acute Kidney Injury And Renal Recovery Among Septic Patients Empirically Treated With Vancomycin Piperacillin–Tazobactam Versus Vancomycin Cefepime, Brian Pacca Elliott, Michael M. Tang, Joshua Alexander Madden, Ronald J. Markert, Steven Dale Burdette, Craig Matthew Pleiman, Emily Claire Speelmon

Internal Medicine Faculty Publications

Vancomycin plus piperacillin-tazobactam (VPT) is a commonly used antimicrobial regimen for septic patients. VPT is more nephrotoxic than other regimens such as vancomycin plus cefepime (VC) when given over several days. This risk of nephrotoxicity is less clear when VPT is given for initial empiric therapy in sepsis and de-escalated quickly based on evolving clinical information. The objective of this study was to assess nephrotoxicity among septic patients empirically treated with either VPT or VC at initial clinical presentation. We conducted a retrospective study of septic patients who received VPT or VC within 12 h of presentation to the emergency …

Whistling Scrotum: An Unusual Presentation Of Pneumomediastinum In The Setting Of An Open Scrotal Wound, Brant Bickford, Andrew J. Berglund, Ronald J. Markert, Hari Polenakovik

Internal Medicine Faculty Publications

BACKGROUND Pneumoscrotum is a rare clinical occurrence in which air accumulates in the scrotum. The origin of air is primarily from trauma, but spontaneous pneumoscrotum can develop from gastrointestinal or pulmonary sources. Physical examination of pneumoscrotum typically includes crepitus of the perineal region and scrotal swelling and associated findings depending on the origin of the free air. However, pneumoscrotum in the setting of a scrotal wound, which allows air to pass freely outside the body, has not been previously documented in the literature. CASE REPORT A 72-year-old man who recently underwent a scrotal incision and drainage for recurrent epididymitis presented …

Measuring The Effects Of Pre-Exhaust Training Using Electromyography, Zephaniah S. Pratt

Undergraduate Theses, Professional Papers, and Capstone Artifacts

This review is an examination of pre-exhaust electromyography studies, their cumulative results, and a discussion of specific shortcomings they exhibit. It concludes with a discussion on improvements future studies in the field can incorporate. Specifically, this review addresses the lack of understanding in regards to the current primary uses of PE (pre-exhaust), and EMG’s (electromyography) drawbacks when used to measure PE effectiveness. Current practices of PE focus on advanced weight training athletes attempting to improve the stimulus to fatigue ratio of their lifting sessions, and reduce their risk of injury. Research thus far has mainly focused on cross sectional studies …

Bachelor Of Science In Nursing First Professional Degree & Second Degree Accelerated Student Guide, 2022-2023 Edition, Dr. Susan L. Davis, Rn & Richard J. Henley College Of Nursing

News, Magazines and Reports

The Nursing Student Guide is the official student handbook and provides essential DHCON policies and procedures for academic progression and graduation. This guide is intended to supplement the University Catalog and provide information specific to the nursing programs.

Knowledge And Attitudes Of Cypriots On Melanoma Prevention: Is There A Public Health Concern?, Demetra Kyprianou, Iris Charalambidou, Oluwaseun Famojuro, Hongmei Wang, Dejun Su, Evi A. Farazi

Journal Articles: Epidemiology

BACKGROUND: Melanoma is the deadliest type of skin cancer. It is the eighth most common cancer in males and the tenth in females in Cyprus, an island in the Mediterranean with a high ultraviolet (UV) index. Cyprus is expected to be strongly affected by climate change and consequently, melanoma will likely become an increasing public health problem. Melanoma prevention is possible; however, it is unknown if people living in Cyprus are aware of melanoma and prevention methods. To this end, we used a validated survey to evaluate the level of melanoma knowledge and factors associated with it in the Cypriot …

Intestinal Helminth Infection, Anemia, Undernutrition And Academic Performance Among School Children In Northwestern Ethiopia, Abraham Degarege, Berhanu Erko, Yohannes Negash, Abebe Animut

Journal Articles: Epidemiology

This study examined the prevalence and intensity of intestinal helminth infections and their association with anemia, undernutrition, and academic performance among school children in Maksegnit, northwestern Ethiopia. A total of 1205 school children, who attended Maksegnit Number Two Elementary School between May and July 2021, participated in this study. To determine helminth infection status, two thick Kato–Katz slides were examined for each child. Hemoglobin level was measured using a HemoCue machine. Academic performance was assessed using the mean score of all subjects children have taken for the Spring 2020/2021 academic term. Out of 1205 children examined, 45.4% were infected with …

Severe Acute Respiratory Syndrome Coronavirus 2 Reinfection: A Case Series From A 12-Month Longitudinal Occupational Cohort, Christina D. Mack, Caroline Tai, Robby Sikka, Yonatan H. Grad, Lisa L. Maragakis, Nathan D. Grubaugh, Deverick J. Anderson, David Ho, Michael Merson, Radhika M. Samant, Joseph R. Fauver, James Barrett, Leroy Sims, John Difiori

Journal Articles: Epidemiology

Findings are described in 7 patients with severe acute respiratory syndrome coronavirus 2 reinfection from the National Basketball Association 2020-2021 occupational testing cohort, including clinical details, antibody test results, genomic sequencing, and longitudinal reverse-transcription polymerase chain reaction results. Reinfections were infrequent and varied in clinical presentation, viral dynamics, and immune response.

Severe Acute Respiratory Infection-Preparedness: Protocol For A Multicenter Prospective Cohort Study Of Viral Respiratory Infections, Radu Postelnicu, Avantika Srivastava, Pavan K. Bhatraju, Mark M. Wurfelc, George L. Anesi, Martin Gonzalez, Adair Andrews, Karen Lutrick, Vishakha K. Kumar, Timothy M. Uyeki, Perren J. Cobb, Leopoldo N. Segal, David Brett-Major, Janice M. Liebler, Christopher J. Kratochvil, Vikramjit Mukherjee, M. Jana Broadhurst, Richard Lee, David Wyles, Jonathan E Sevransky, Laura Evans, Douglas Landsittel

Journal Articles: Epidemiology

OBJECTIVES: Respiratory virus infections cause significant morbidity and mortality ranging from mild uncomplicated acute respiratory illness to severe complications, such as acute respiratory distress syndrome, multiple organ failure, and death during epidemics and pandemics. We present a protocol to systematically study patients with severe acute respiratory infection (SARI), including severe acute respiratory syndrome coronavirus 2, due to respiratory viral pathogens to evaluate the natural history, prognostic biomarkers, and characteristics, including hospital stress, associated with clinical outcomes and severity.

DESIGN: Prospective cohort study.

SETTING: Multicenter cohort of patients admitted to an acute care ward or ICU from at least 15 hospitals …

Decreasing Anxiety, Depression, And Suicidal Ideation Through The Implementation Of Education And Screening At Chandler Medical Center, Ashley Gillstrap

DNP Projects

PURPOSE: To provide education on high suicide rates within the healthcare community, screen providers for suicide risk factors, and disseminate mental health resources at the University of Kentucky Chandler Medical Center (UKCMC). The goal of this intervention is to increase awareness and provide resources to providers to essentially decrease these suicide rates.

METHODS: A randomized controlled trial was used with a non-equivalent group pretest-posttest survey design to examine the effect of an education module about suicide risk factors. Along with a rating of how COVID-19 affected mental health, a Patient Health Questionnaire 9 (PHQ-9) was implemented, and mental health resources …

Analysis Of Hematocrit Levels In Walleye Sander Vitreus From Similar Waterbodies, Alyssa Hauser

Journal of Earth and Life Science

Walleye Sander vitreus are a popular fish among anglers and hold a prominent place in Minnesotan’s identity as their state fish. Because of this, multiple management practices are used to ensure the continued health of their populations within Minnesota waters. In this study, the process of analyzing hematocrit levels was used to determine if the analysis of hematological parameters could be a useful tool in detecting differences in population health. To evaluate this, blood samples were acquired from age-0 and age-1 fish from two similar lakes and run through a hematocrit centrifuge to separate platelets from plasma to read the …

A Fall From Grace: The Rising Rate Of Attorneys With Substance Abuse Disorders, Chemical Dependencies And Addictions, Amy M. Yost

Honors Undergraduate Theses

This thesis is a continuation of research and scholarly writing that the author completed for a published article that appeared in Volume 5 of the University of Central Florida Undergraduate Law Journal, Spring 2022. The rising rate of attorneys with a self-reported substance abuse disorder, chemical or alcohol dependency, as the data reveals, is the highest in our country’s history. Although the notion of attorney addictions and dependency issues may come as a surprise to those outside of the legal community, these issues are not breaking news. Rather, the data has been slowly emerging due to the increasing number of …

Analyzing The Relationship Between The Quality Of Life And Race Of Lung Cancer Survivors, Alina S. Wise

Honors Undergraduate Theses

Purpose: The relationship between racial disparities and the health-related quality of life (HRQoL) of lung cancer patients is not well understood. The purpose of this study was to quantify the overall HRQoL of lung cancer patients and compare differences in HRQoL among racial groups in the United States.

Methods: We analyzed data from the Behavioral Risk Factors Surveillance System (BRFSS), a population-based national cross-sectional study conducted by the Centers for Disease Control and Prevention. The BRFSS is conducted annually in all 50 states and collects information on demographics, health behaviors, health-related experiences, health conditions, use of medications, and use of …