Medicine and Health Sciences Commons^™

Is The 340b Hospitals Battle At The Supreme Court Over?, Casey W.. Baker, Susan W. Lanham, Alberto Coustasse

Accounting Faculty Research

Under the Federal 340B Program, hospitals and eligible health care clinics that serve low income or rural populations can qualify for federally negotiated manufacturer discounts on purchases of prescription drugs. Approximately 50,000 entities participate in the 340B program, where pharmaceutical manufacturers are instructed to supply outpatient medications to participating providers at discounted rates of 20% to 50%. Participating hospitals depend on profits from the differential between their reimbursement for these drugs and the discounted rates they disburse to finance affordable patient care in underserved communities. On June 15, 2022, the US Supreme Court ruled that major cuts to 340B payments …

The Managed Care Solution To The Dental Student Loan Crisis, Chester Gary Dds, Jd

The New York State Dental Journal

Enforceable cost control mechanisms can fix skyrocketing student loan debt.

Medications Associated With Oral Lichenoid Lesions: A Single-Site Retrospective Cohort Study, Debra K. Fischoff Dmd, Ms, Sara Sternbach Dds, Juliana Gomez Dds, Sonal S. Shah Dds

The New York State Dental Journal

BACKGROUND: The investigators aim to determine the frequency of systemic medications in patients with oral lichen planus or oral lichenoid lesions. METHODS: A retrospective study of lichenoid diagnoses in the New York University College of Dentistry Oral Medicine Clinic. Data obtained included patient demographics, prescription medications and pathologic diagnosis. Comparative analysis was performed. RESULTS: A total of 162 oral lichenoid lesion/oral lichen planus patients were identified: The most frequently found medications were anti-hypertensives, anti-hyperlipidemics followed by metformin, proton pump inhibitors and levothyroxine. CONCLUSION: The findings emphasize the importance of clinicians’ awareness of potential oral adverse reactions from certain medications.

Evaluating The Impact Of Providing Free Dental Treatment To Vulnerable Populations, Brendan Dowd Dds, Betsy Bray Rdh, Bs

The New York State Dental Journal

The Dental Demonstration Project was studied over a five-year period to evaluate how the impact from attended events and the follow up intervention influenced dental health home status of patients who attended. The report includes information gathered from 24 events that took place throughout New York State.

Application Of Forensic Anthropology In Identification, Prateek Rastogi Dr.

Health collection

Identification is of paramount importance in medical as well as medicolegal field. Identification of living is required for settling civil and criminal disputes like marriage, inheritance, identifying the victim or accused of crimes. In dead, issues of identification assumes greater importance in decomposed, dismembered, mutilated or fragmentary remains. Proper identification in terms of age, race, gender, stature is must in such cases in order to progress further in investigations. Hence, research in forensic anthropology is a need of hour.

1. https://www.scopus.com/record/display.uri?eid=2-s2.0-85104776254&origin=resultslist&sort=plf-f
2. https://www.scopus.com/record/display.uri?eid=2-s2.0-85063227602&origin=resultslist&sort=plf-f
3. https://www.scopus.com/record/display.uri?eid=2-s2.0-85019194305&origin=resultslist&sort=plf-f

Molecular Microbial Characterization, Kavitha S. Shettigar Dr.

Health collection

Meningitis causes significant morbidity and mortality in paediatrics and globally account for 180,000 deaths each year. In India, meningitis is the leading cause of mortality in children below five years of age and accounts to 22% of death. Current work is aimed to design a real time-PCR based method to identify and characterize the meningitis pathogens and provide an early, rapid and accurate diagnosis of meningitis as it carries high rate of mortality, especially with delay in diagnosis. In addition, our group is working on diabetic foot infection pathogens using molecular genotyping approaches of MLST, MLVA and ribosomal sequencing.

1. https://www.ijmyco.org/article.asp?issn=2212-5531;year=2022;volume=11;issue=1;spage=38;epage=46;aulast=Johnson …

Language Development And Disorders, Sudhin Karuppali Dr.

Health collection

The field of language development and its disorders is a widely researched area in the field of speech-language pathology. However, language development in the Indian population is vaguely studied, probably because of the diversity of languages and cultures in this country. This has time and again resulted in difficulties in estimating the language levels of children with language impairments, consequently becoming challenging to prepare customized interventional plans. The lack of standardized language assessment tools has always been a concern in clinical practice. This lacuna in establishing accurate language levels has been observed in the adolescent population as well, which is …

2022-11-01_Michiganoverview_Covidcounts, Michigan Department Of Health & Human Services

Michigan COVID-19 Confirmed Cases by Date of Onset Data

Data was downloaded as an Excel spreadsheet which appeared in the Public Use Datasets section under the Cumulative Data link of Michigan's Coronavirus webpage, under the url https://www.michigan.gov/coronavirus/stats.

Cases are aggregated by the date of onset of COVID-19 symptoms, if known, otherwise by laboratory specimen date if known, otherwise by case referral date. Deaths are aggregated by the date of death if known, otherwise by the last date of a change to the case status.

2022-11-01_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus/stats/coronavirus-symptoms. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated twice a week on Mondays and Thursdays.

Syndromic Surveillance System data is obtained from approximately 216 facilities participating in syndromic surveillance (139 Emergency Departments (ED), 77 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, …

Radio Frequency Identification Enhances Patient Safety, Craig Kimble, Alberto Coustasse, Ken Maxik

Pharmacy Practice & Administration

Radio Frequency Identification (RFID) is a technology that uses tags and readers to identify and collect asset information. In pharmacies, this usually means RFID is used for high cost equipment or pharmaceuticals. RFID applications have been in use for many years but recently gained traction in health systems. RFID is becoming particularly effective in drug inventory and automation applications, such as medication carousels and pick-to-light systems.

Evaluate 503b Facilities For Outsourced Compounds, Sarah Clemente, Brittany Riley, Alberto Coustasse

Pharmacy Practice & Administration

The US health care system has encountered long-standing, complex challenges, including growing costs, overuse of care, staffing shortages and supply chain weaknesses. COVID-19 revived these pressures, transforming the health care landscape. Medication and staffing shortages plague hospital systems, and pharmacies are not exempt. Most health systems have experienced high levels of pharmacy technician turnover, with most reporting a minimum turnover rate of 21% last year. In addition, medication shortages of critical medications and infusions create significant workflow barriers that hospitals must address to ensure patient safety. In the face of these obstacles, health systems are turning to 503B compounding facilities …

Discussing The Injustice Of The Covid-19 Vaccine Pass Imposed On Medical Consultation In Public Hospitals In Hong Kong, Fung Kei Cheng

Journal of Health Ethics

The COVID-19 pandemic has devastated public health, economy and social life all over the world, especially wherever a vaccine pass scheme has been implemented. Many countries have begun to relax schedules to return to normal activities. In contrast, Hong Kong continues to tighten the utilisation of a vaccine pass for medical services in order to boost vaccination rates. Such a practice not only significantly challenges ethical and operative concerns but also threatens health equity and social justice for healthcare decision-makers and practitioners, consequently hurting public health and community well-being. This discussion analyses the various arguments, reviews vaccine hesitancy and suggests …

Assessment Of School- Going Children For 2d’S And Adolescent Health Using Rbsk As A Screening Tool In East Singh Hum District Of Jharkhand -A Comparative Cross-Sectional Study, Khushboo Juneja

Health collection

Presently working on ICMR-STS project to assess the prevalence of 2D’s and adolescent health conditions and to determine the association between the various biosocial factors and health conditions among the school-going children. This study will throw light on the prevalence of 2D’s and adolescent health in our study area that would be able to fill in the gaps in literature for the same.

1. Shree T, Juneja K, Srivastava S, Mahajan H. Perceptions of Undergraduate Medical Students towards Online Learning in a Medical College in the National Capital Region (NCR), India: Medical Students Perceptions to Online Learning. Indian Journal of …

Oral Health, Dentistry, Periodontology, Interrelation Between Periodontal Disease And Systemic Diseases, Diet And Periodontal Disease, Vijayendra Pandey Dr.

Health collection

There is increasing evidence that Periodontitis is related to a number of systemic diseases and it may be a risk factor for several chronic inflammatory diseases including cardiovascular disease, cerebrovascular disease , angina and myocardial infarction, adverse pregnancy outcomes, respiratory diseases and diabetes mellitus.

Resistin an adipokine found in adipose tissue and also released by inflammatory cells is associated with the upregulation of inflammatory process. Chronic low grade inflammation is emerging as a conceivable etiologic mechanism linking periodontitis and obesity.

Objectives-

To assess whether obese individuals are at increased risk of severe periodontitis by comparing periodontal clinical parameters (GI, PI, …

2022-11-01_Michiganoverview_Isdreporting, Michigan Department Of Health & Human Services

Michigan COVID-19 Outbreak Reports

The K-12 Aged ISD Reporting page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/stats/k-to-12-aged-isd-reporting.

This report is created from data reported by the Michigan Disease Surveillance System (MDSS) the Michigan Department of Health and Human Services' web-based communicable disease reporting system. Data is updated every week.

The purpose of the dashboard is to report the 7 day average of COVID-19 cases in Michigan school students aged 5 through 18 at the intermediate school district and school district levels, as well as display trends over time to better illustrate the changing nature of the COVID-19 pandemic. Cases are attributed to …

2022-11-01_Michiganoverview_Covidlongtermcare, Michigan Department Of Health & Human Services

Michigan COVID-19 Long Term Care Data

The COVID Long Term Care Facilities page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/stats/data-about-places/long-term-care-data.

This report is created by the Michigan Department of Health & Human Services from data self-reported by long-term care facilities into EMResource. Data for all reporting facilities is posted weekly each Monday.

The information below represents COVID-19 data reported directly to MDHHS by licensed and operating Skilled Nursing, Home for the Aged and Adult Foster Care facilities (licensed to serve 13 or more individuals) in Michigan from January 1, 2020. All long-term care facilities additionally have an obligation to report COVID-positive residents and/or staff …

Occurrence Of Kanamycin-Resistant Bacteria Relative To Anthropogenic Pollution Along Richland Creek In Nashville, Tn​, Jolene Ho Mach, Annie Le, Brandon Torres Ramirez

Science University Research Symposium (SURS)

The overuse of antibiotics has caused an increase in antibiotic-resistant (AR) bacteria, which is a serious public health concern. Previous studies showed a significant correlation between anthropogenic pollution and AR bacteria. This project aims to identify AR bacteria in Richland Creek relative to local anthropogenic pollution. Water samples were collected at four locations along Richland Creek in Nashville, Tennessee. Bacteria resistant to the antibiotic kanamycin were isolated from the water samples, identified to genera using DNA barcoding, and compared among the sites. We expect to see a greater abundance and diversity of kanamycin-resistant bacteria closer to the end than near …

Gabapentin Presents High Potential For Misuse, Alberto Coustasse, Stacie Deslich, Susan W. Lanham, Brittany Riley

Management Faculty Research

The FDA Approved Gabapentin in 1993 as a non-controlled substance and it has remained a non-controlled substance at the federal level. The drug was created as an anticonvulsant and used to treat seizure disorders. The medication has also been used to treat hot flashes, neuropathic pain, pain, postoperative nausea, substance abuse issues, and vomiting. It is estimated that approximately 1% of people in the United States misuse gabapentin. This fact has compelled certain states to generate legislative initiatives designed to monitor the use and/or reclassify gabapentin. In 2019, US pharmacies dispensed 69 million prescriptions for gabapentin.

Himmelfarb Headlines - November / December 2022, The George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Headlines (2009 - present)

News, information, and resources relating to Himmelfarb Library that is of interest to patrons.

Cleft Palate Repair Enhanced Recovery After Surgery, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Diabetic Ketoacidosis Continuous Glucose Monitors, Children's Mercy Kansas City

Clinical Critically Appraised Topics

No abstract provided.

Differential Regulation Of Gene Expression Pathways With Dexamethasone And Acth After Early Life Seizures., Jeffrey L Brabec, Mohamed Ouardouz, J Matthew Mahoney, Rod C Scott, Amanda E Hernan

Faculty Research 2022

Early-life seizures (ELS) are associated with persistent cognitive deficits such as ADHD and memory impairment. These co-morbidities have a dramatic negative impact on the quality of life of patients. Therapies that improve cognitive outcomes have enormous potential to improve patients' quality of life. Our previous work in a rat flurothyl-induction model showed that administration of adrenocorticotropic hormone (ACTH) at time of seizure induction led to improved learning and memory in the animals despite no effect on seizure latency or duration. Administration of dexamethasone (Dex), a corticosteroid, did not have the same positive effect on learning and memory and has even …

Advancing Clinical And Translational Research In Germ Cell Tumours (Gct): Recommendations From The Malignant Germ Cell International Consortium., Adriana Fonseca, João Lobo, Florette K Hazard, Joanna J Gell, Peter K Nicholls, Robert S Weiss, Lindsay Klosterkemper, Samuel L Volchenboum, James C Nicholson, A Lindsay Frazier, James F Amatruda, Aditya Bagrodia, Michelle Lockley, Matthew J Murray

Faculty Research 2022

Germ cell tumours (GCTs) are a heterogeneous group of rare neoplasms that present in different anatomical sites and across a wide spectrum of patient ages from birth through to adulthood. Once these strata are applied, cohort numbers become modest, hindering inferences regarding management and therapeutic advances. Moreover, patients with GCTs are treated by different medical professionals including paediatric oncologists, neuro-oncologists, medical oncologists, neurosurgeons, gynaecological oncologists, surgeons, and urologists. Silos of care have thus formed, further hampering knowledge dissemination between specialists. Dedicated biobank specimen collection is therefore critical to foster continuous growth in our understanding of similarities and differences by age, …

Abdominal Pain For Community Providers, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

If Smoking Were Eliminated, Which Us Counties Would Still Have High Rates Of Smoking-Related Cancers?, Douglas J. Myers, David Kriebel

Public and Population Health Faculty Publications and Presentations

Objective: to characterize the county variability of the impact of smoking elimination on rates of smoking-related cancers and explore whether common environmental indices predicted which metropolitan counties would experience high rates of smoking-related cancers even after smoking was eliminated. Methods: Surveillance, Epidemiology, and End Results Program (SEER) and Environmental Protection Agency (EPA) data were obtained. County level cancer rates for 257 metropolitan SEER counties, including the observed rates and those predicted after eliminating smoking, were derived via multilevel regression modeling and age standardized to the 2016 SEER population. Associations between the EPA’s Environmental Quality Index (EQI) scores and “Low Benefit” …

Bell's Palsy, Munachiso Onwuameze '24, Destiny Grant '23, Kosi Okeke '24

Human Diseases Graphic Novels

No abstract provided.

Who’S Cooking Tonight? A Time-Use Study Of Coupled Adults In Toronto, Canada, Bochu Liu, Michael J. Widener, Lindsey G. Smith, Steven Farber, Dionne Gesink, Leia M. Minaker, Zachary Patterson, Kristian Larsen, Jason Gilliland

Geography & Environment Publications

Understanding how coupled adults arrange food-related labor in relation to their daily time allocation is of great importance because different arrangements may have implications for diet-related health and gender equity. Studies from the time-use perspective argue that daily activities such as work, caregiving, and non-food-related housework can potentially compete for time with foodwork. However, studies in this regard are mostly centered on individual-level analyses. They fail to consider cohabiting partners’ time spent on foodwork and non-food-related activities, a factor that could be helpful in explaining how coupled partners decide to allocate time to food activities. Using 108 daily time-use logs …

Association Of Pediatric Buccal Epigenetic Age Acceleration With Adverse Neonatal Brain Growth And Neurodevelopmental Outcomes Among Children Born Very Preterm With A Neonatal Infection., Noha Gomaa, Chaini Konwar, Nicole Gladish, Stephanie H Au-Young, Ting Guo, Min Sheng, Sarah M Merrill, Edmond Kelly, Vann Chau, Helen M Branson, Linh G Ly, Emma G Duerden, Ruth E Grunau, Michael S Kobor, Steven P Miller

Department of Medicine Publications

IMPORTANCE: Very preterm neonates (24-32 weeks' gestation) remain at a higher risk of morbidity and neurodevelopmental adversity throughout their lifespan. Because the extent of prematurity alone does not fully explain the risk of adverse neonatal brain growth or neurodevelopmental outcomes, there is a need for neonatal biomarkers to help estimate these risks in this population.

OBJECTIVES: To characterize the pediatric buccal epigenetic (PedBE) clock-a recently developed tool to measure biological aging-among very preterm neonates and to assess its association with the extent of prematurity, neonatal comorbidities, neonatal brain growth, and neurodevelopmental outcomes at 18 months of age.

DESIGN, SETTING, AND …

The Broad Field Of Active Research/ Specialization Is In The Areas Of Hypertension, Diabetes Mellitus And Ecg Interpretation By Nurses., Melita Sheilini Dr.

Health collection

Hypertension (HTN) is one of the common preventable noncommunicable diseases. Only 53–70% of individuals with HTN are estimated to be taking the medication as advised by their physicians. In 2008, an estimated 17.3 million people died from cardiovascular diseases, representing 30% of all global deaths. By 2020, an 11% rise in deaths due to cardiovascular diseases has been estimated in India, for which HTN is one of the major contributing factors. As per the World Health Organization report of World Hypertension Day 2017, it was estimated at the global level that of the people with HTN, only 57% are aware …

Sleep Problems And Psychological Well-Being: Baseline Findings From The Canadian Longitudinal Study On Aging, Kelly Anderson, Rebecca Rodrigues, Kathryn Nicholson, Giuseppe Guaiana, Piotr Wilk, Saverio Stranges

Data and Test Instruments

No abstract provided.