Medicine and Health Sciences Commons^™

Benefits Of Staying Active During Cancer Treatment Flyer, Hailey Powell, Tracy Lowe, Janice S. Withycombe

Publications

No abstract provided.

First Steps Towards Validating Educational Material Related To In-Patient Mobility In Children With Cancer, Hailey Powell, Tracy Lowe, Janice Withycombe

Publications

Children undergoing cancer treatment have markedly reduced mobility, especially during inpatient admissions for chemotherapy.1 Reduced mobility can increase the risk factors for chronic diseases such as obesity, cardiovascular disease, and type 2 diabetes. Mobility during in-patient stays is encouraged at many institutions but may not receive priority due to competing demands on staff time. Promoting mobility while in-patient, has known health benefits but also serves to role model expected outpatient behaviors. Prior research reflects that parents and caregivers need additional education related to mobility during childhood cancer therapy2, yet there is a lack of validated materials on this topic.

Conversion Of Dissertations To Publications At The Aga Khan University Kenya: An Exploratory Study Of Residents Perceptions And Experiences, Brigette Macharia

Master of Medicine in Anaesthesiology

Background: The successful completion and submission of a dissertation is a fundamental milestone for many residency programs worldwide. Publication of a dissertation in a peer-reviewed journal makes it more accessible and is impactful within the scientific context. It contributes to the global outlook of total burden of disease, for which significant geographical variation exists. Publication of residents’ research is a convenient surrogate marker for research training and experience. However, the preparation of a manuscript, successful submission and acceptance in a peerreviewed journal is challenging for both residents and their supervisors. Justification: Aga Khan University (AKU) invests heavily in infrastructure to …

Informing Healthcare Operations With Integrated Pathology, Clinical, And Epidemiology Data: Lessons From A Single Institution In Kenya During Covid-19 Waves, Allan Njau, Jemimah Kimeu, Jaimini Gohil, David Nganga

Pathology, East Africa

Pathology, clinical care teams, and public health experts often operate in silos. We hypothesized that large data sets from laboratories when integrated with other healthcare data can provide evidence that can be used to optimize planning for healthcare needs, often driven by health-seeking or delivery behavior. From the hospital information system, we extracted raw data from tests performed from 2019 to 2021, prescription drug usage, and admission patterns from pharmacy and nursing departments during the COVID-19 pandemic in Kenya (March 2020 to December 2021). Proportions and rates were calculated. Regression models were created, and a t-test for differences between …

“Do Not Detach The Placenta From My Baby's Cord” - Lotus Birth Case Series From Tanzania Tertiary Hospital, Willbroad Kyejo, Davis Rubagumya, Christian Mwalo, Lynn Moshi, Munawar Kaguta, Miriam Mgonja, Shweta Jaiswal

Family Medicine, East Africa

Introduction: Lotus birth is seldom practiced, with its prevalence being not well documented. There is no clear existing guideline or pathway for this practice. Safety in delivery as well as caring for newborn and her mother is of paramount importance. Hence, clarity for Lotus delivery in any set up is indispensable.

Cases findings: We have described on case series approach to women who opted to delivery without detachment of placenta. We have described delivery characteristics, neonatal clinical course, cord, and placenta manage- ment. In year 2022 at our center, we have received two cases of lotus delivery.

Conclusion and …

Communication Skills Of General Practitioners In Nairobi, Kenya: A Descriptive Observational Study, Gulnaz Mohamoud, Robert Mash

Family Medicine, East Africa

Background High-quality primary care needs to be person-centred, and GPs must communicate effectively to ensure continuity and coordination of care. In Kenya, there is little knowledge about the quality of communication in consultations by GPs.

Aim To evaluate the quality of communication in consultations by GPs.

Design & setting Descriptive, observational study of 23 GP consultations in 13 private sector primary care facilities in Nairobi, Kenya.

Method One consultation with a randomly selected adult patient was recorded per GP, and 16 communication skills evaluated with the Stellenbosch University Observation Tool (SUOT). A total percentage score was calculated per consultation, and …

Pregnancy Following Robot-Assisted Laparoscopic Bilateral Endometriotic Cystectomy Rare Case Report Of Endometriosis Stage Iv, Willbroad Kyejo, Ally Zain Ismail, Brenda Moshi, Gregory Ntiyakunze, Nancy Matillya, Munawar Kaguta

Family Medicine, East Africa

Introduction and importance: Endometriosis is a common cause of infertility in women. In this case report we explain successful conception in deep-infiltrating ovarian endometriosis following robot-assisted surgery and androgenic agonist treatment.

Case presentation: A 38-year-old current Para 2, Living 2 presented 8 years ago with chronic lower abdominal pain, dysmenorrhea, and delayed conception. Advance endometriosis was highly suspected from the history and examination. Robot-assisted laparoscopic partial cystectomy was performed for the deep-infiltrating ovarian endometriosis. She was then discharged with postoperative androgenic agonists and with timed intercourse, she got pregnant within 9 months.

Clinical discussion: Advanced endometriosis (Stage III or …

Dean's Update, September 2022, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

Prevalence And Risk Factors Associated With Depression In Pregnant Adolescents In Nairobi, Kenya, Albert Tele, Joseph Kathono, Shillah Mwaniga, Vincent Nyongesa, Obadia Yator, Onesmus Gachuno, Dalton Wamalwa, Beatrice Amugune, Zul Merali, Manasi Kumar

Brain and Mind Institute

Background: Adolescent parenthood can be associated with a range of adverse outcomes for young mothers such as depression, substance abuse, and posttraumatic stress disorder. Identification of depression and understanding risk factors among pregnant adolescents is important for development of appropriate interventions and programs focused on adolescent mental health. This paper reports on the findings of the prevalence of depression and its associated risk factors among pregnant adolescents in Nairobi, Kenya.

Methods: We recruited 153 pregnant adolescent (14-18 years) who were accessing maternal health services in one of two Nairobi County primary health care facilities in the cross-sectional survey …

Ambient Temperature During Pregnancy And Risk Of Maternal Hypertensive Disorders: A Time-To-Event Study In Johannesburg, South Africa, Chérie Part, Jean Le Roux, Matthew Chersichb, Shobna Sawry, Véronique Filippi, Nathalie Roos, Lee Fairlie, Britt Nakstad, Jeroen De Bont, Stanley Luchters

Institute for Human Development, East Africa

Hypertensive disorders in pregnancy are a leading cause of maternal and perinatal mortality and morbidity. We evaluate the effects of ambient temperature on risk of maternal hypertensive disorders throughout pregnancy. We used birth register data for all singleton births (22–43 weeks' gestation) recorded at a tertiary-level hospital in Johannesburg, South Africa, between July 2017–June 2018. Time-to-event analysis was combined with distributed lag non-linear models to examine the effects of mean weekly temperature, from conception to birth, on risk of (i) high blood pressure, hypertension, or gestational hypertension, and (ii) pre-eclampsia, eclampsia, or HELLP (hemolysis, elevated liver enzymes, low platelets). Low …

Paediatric Integrated Care In The Primary Care Setting: A Scoping Review Of Populations Served, Models Used And Outcomes Measured, Jill Mcleigh, Lauren Malthaner, Caitlin Winebrenner, Kimberly Stone

Integrated, Trauma-Informed Care

Paediatric integrated care (PIC), which involves primary care and behavioural health clinicians working together with patients and families, has been promoted as a best practice in the provision of care. In this context, behavioural health includes behavioural elements in the care of mental health and substance abuse conditions, chronic illness and physical symptoms associated with stress, and addressing health behaviours.

For questions about this study or others, please email [email protected]

childrens.com/fostercare

Libretto-531: A Phase Iii Study Of Selpercatinib In Multikinase Inhibitor-Naïve, Lori J Wirth, Marcia S Brose, Rossella Elisei, Jaume Capdevila, Ana O Hoff, Mimi I Hu, Makoto Tahara, Bruce Robinson, Ming Gao, Meng Xia, Patricia Maeda, Eric Sherman

Department of Medicine Faculty Papers

Selpercatinib is a first-in-class, highly selective and potent, central nervous system-active RET kinase inhibitor. In the phase I/II trial, selpercatinib demonstrated clinically meaningful antitumor activity with manageable toxicity in heavily pre-treated and treatment-naive patients with RET-mutant medullary thyroid cancer (MTC). LIBRETTO-531 (NCT04211337) is a multicenter, open-label, randomized, controlled, phase III trial comparing selpercatinib to cabozantinib or vandetanib in patients with advanced/metastatic RET-mutant MTC. The primary objective is to compare progression-free survival (per RECIST 1.1) by blinded independent central review of patients with progressive, advanced, multikinase inhibitor-naive, RET-mutant MTC treated with selpercatinib versus cabozantinib or vandetanib. …

Lessons Learned As Thomas Jefferson University's Rural Physician Shortage Area Program (Psap) Approaches The Half-Century Mark, Howard K. Rabinowitz, Robert J. Motley, Fred W. Markham Jr., Gillian A. Love

Department of Family & Community Medicine Faculty Papers

To help increase the supply and retention of rural family physicians, Thomas Jefferson University initiated the Physician Shortage Area Program (PSAP) in 1974. The program selectively admits medical school applicants who both grew up in a rural area and plan to practice in a rural area. During medical school, PSAP students have ongoing mentoring and rural clinical experiences.

As the program now approaches the half-century mark, this commentary summarizes several important lessons learned. First, outcomes research is critical, and program leaders have been able to publish 15 papers and a book about the PSAP and its outcomes. Second, these studies …

Validity Of An Abbreviated Individual Water Insecurity Experiences (Iwise-4) Scale For Measuring The Prevalence Of Water Insecurity In Low- And Middle-Income Countries, Hilary J. Bethanancourt, Edward A. Frongillo Jr. Ph.D., Sera L. Young

Faculty Publications

The 12-item Water Insecurity Experiences Scales provide high resolution, cross-context equivalent data on household and individual water insecurity. A 4-item, 1-minute version of the Household Water Insecurity Experiences (HWISE-4) Scale has proven useful for understanding the prevalence of household water insecurity experiences when limited resources preclude the use of the HWISE-12 Scale. Herein, we tested the validity of an analogous four-item version of the Individual Water Insecurity Experiences Scale (IWISE-4) for measuring the prevalence of individual water insecurity when limited resources prevent implementation of the IWISE-12 Scale. We used data from adults in 31 low- and middle-income countries (n …

Developing Methods For Testing Inhibition Of E. Coli Strains By Urinary Lactobacilli, Layla Jeries, Rayan Haque

Summer Community of Scholars Posters (RCEU and HCR Combined Programs)

No abstract provided.

Investigating The Effects Of Kidney Stones On Our Microbiome: Lactobacilli Growth In The Presence Of Oxalate, Rayan Haque, Layla Jeries

Summer Community of Scholars Posters (RCEU and HCR Combined Programs)

No abstract provided.

Large Scale Overexpression And Purification Of Taq Dna Polymerase In Escherichia Coli, Christopher San Miguel

Summer Community of Scholars Posters (RCEU and HCR Combined Programs)

No abstract provided.

Financial Barriers To Mental Healthcare Services And Depressive Symptoms Among Residents Of Washington Heights, New York City, Roman Pabayo, Claire Benny, Sze Yan Liu, Erin Grinshteyn, Peter Muennig

Department of Public Health Scholarship and Creative Works

Objectives: In the United States, Hispanics are more likely to experience financial barriers to mental health care than non-Hispanics. We used a unique survey to study the effect of these financial barriers on the severity of depressive symptoms among Hispanics who had previously been diagnosed as having depression. Methods: This cross-sectional study used data from the 2015 Washington Heights Community Survey, administered to 2,489 households in Manhattan, New York City. Multiple regression models and propensity score matching were used to estimate the association between financial barriers to mental health care and depressive symptoms and the likelihood of being clinically depressed. …

Oral Administration Of Iron And Toltrazuril In Combination Improves Survival Rate And Growth Rate And Reduces Anaemia In Piglets, Pachara Pearodwong, Padet Tummaruk

The Thai Journal of Veterinary Medicine

The present study was performed to determine the efficacy of an oral administration of iron and toltrazuril in combination on the growth rate, survival rate and the incidence of anaemia in suckling piglets. A total of 406 piglets were randomly allocated to one of three groups: i.) CONTROL (n = 161), the piglets were administered iron dextran 200 mg intramuscularly and toltrazuril (20 mg/kg) orally at 3 days of age; ii.) NEGATIVE (n = 84), the piglets were not treated with iron until 7 days of age, and toltrazuril was given at 5 days of age and iii.) TREATMENT (n …

Generation Of Tail Bearing Sperm-Like Cells From In Vitro Spermatogenesis Of Farming Goat Testis, Rakesh Bhaskar, Bijaylaxmi Sahoo, Sung Soo Han, Mukesh Kumar Gupta

The Thai Journal of Veterinary Medicine

In vitro spermatogenesis offers a therapeutic modality for the treatment of male infertility associated with pre-or post-meiotic barriers to the spermatogenesis process. The present study reports the production of tail-bearing sperm-like cells from in vitro spermatogenesis of farming goat testis in an air-liquid inter-phase culture. The testicular fragments (1-2 mm3) were placed on agarose scaffolds at air-liquid interphase and cultured in vitro for 60 days. Proliferating germ cell colonies were visible after 45-55 days of culture. Differentiation of cells to spermatogonia and spermatocytes was observed from the 40th day onwards. Tail bearing sperm-like elongated cells, with apical acrosome, were detected …

Haplotype Variation Of Partial Sry Gene In Ongole Grade Bulls (Bos Indicus) Of Indonesia, Widya Pintaka Bayu Putra, Saiful Anwar, Slamet Diah Volkandari, Syahruddin Said

The Thai Journal of Veterinary Medicine

Ongole grade cattle (Bos indicus) are Indonesian beef cattle that adapt well in a tropical climate. This study was aimed to observe the genetic diversity of partial Sex-determining of the region Y chromosome (SRY) gene (625 bp) in Ongole grade bulls (Bos indicus) of Indonesia. A total twenty-three (23) DNA samples of animal studies were collected from frozen sperm (straws) produced by the National Artificial Insemination Centers (NAICs) of Lembang (13 straws) and Singosari (10 straws). Research showed that a total of four (4) insertion mutations were detected in the intronic region with the position of 1831th, 1844th, 1850th and …

A Systematic Review: The Source Of Antimicrobial Resistance Pathogenic Bacteria On Slaughtered Meat, Cross-Contamination Or Self-Contamination?, Xin Wu, Fanan Suksawat, Sunpetch Angkititrakul, Chunlian Song, Jun Chai, Yifang Zhang, Xianghua Shu, Huiyan Xing, Wengui Li

The Thai Journal of Veterinary Medicine

Slaughtered meat has been identified as one of the major vehicles for forming antimicrobial resistance (AMR). It is still believed that AMR pathogens introduced by overusing antimicrobials in the breeding industry are directly brought in from farm animals. This disregards however the fact that many gut pathogens do not settle on muscle parts; the presence of gut pathogens on muscle products does not directly correlate to farm feeding. To investigate whether the source of AMR bacteria on slaughtered meat was cross-contamination or self-contamination, many peer-reviewed publications were studied to assess if the observational studies focused on AMR pathogenic bacteria association …

Ovarian Stimulation With A Low Dose Of Follicle Stimulating Hormone Improved Recovery Rates And Developmental Competence Of Goat Oocytes, Pintira Thiangthientham, Nitira Anakkul, Junpen Suwimonteerabutr, Wirakan Kallayanathum, Sawita Santiviparat, Mongkol Techakumphu, Theerawat Tharasanit

The Thai Journal of Veterinary Medicine

The aim of this study was to optimise the ovarian responses using different FSH (follicle stimulating hormone) treatments in goats. Group 1 (control), the ovaries were stimulated with a total dose of 200 mg FSH per doe. The FSH injections were performed at 12-h intervals starting on day 9 after progesterone implantation. The FSH doses were decreased to 160 mg/doe and 130 mg/doe for Groups 2 and 3, respectively. The numbers of small, medium and large follicles were determined by real-time B mode ultrasonography. Ovum pick-up (OPU) was performed by laparoscopy under general anesthesia at 96, 42 and 36 h …

Surgical Removal Of Urinary Bladder Urolith In Female Asian Elephant (Elephas Maximus) By Episiotomy And Urinary Bladder Sphincterotomy, Nikorn Thongtip, Supaphen Sripiboon, Nattaphol Muangthong, Suteeranun Pipitwanichtham, Smit Srisomrun, Patcharida Dittawong, Phawaran Meetipkit, Ratiwan Sitdhibutr, Warangkhana Lankaphin, Petthisak Sombutputorn, Weerapongse Tangjitjaroen

The Thai Journal of Veterinary Medicine

A 50-year-old female Asian elephant (Elephas maximus) was referred to the Kasetsart University Veterinary Teaching Hospital with histories of anuria and abdominal pain for five days. Trans-rectal ultrasonography demonstrated the presence of hyperechogenic uroliths located between the neck and trigone of the urinary bladder. Vestibuloscopy by endoscope revealed an abnormal brownish mass obstructing the internal bladder orifice. Episiotomy was performed after standing sedation with dexmedetomidine, epidural anesthesia and perineal infiltration with lidocaine. A single 1.7 kg urinary bladder urolith with 17x12x10 cm dimension was manually removed using a combination of several methods, including sphincter dilatation using lidocaine ring infiltration at …

A Study Of Standard Values Of Two-Dimensional, M-Mode And Doppler Echocardiography In Conscious Small Domestic Rabbits, Nattanicha Ngosurachet, Tipparat Tangtraitha, Preeyanit Kaewyara, Pattharat Asvaesoontorn, Thawat Lekdumrongsak, Sirilak Disatian Surachetpong

The Thai Journal of Veterinary Medicine

To determine normal cardiac values for two-dimensional, M-mode and Doppler echocardiography because standard echocardiographic values have not been adequately studied in small-breed rabbits. Data was collected from 40 healthy small-breed rabbits. The results of complete physical examination, thoracic radiography, electrocardiography and echocardiography were collected and analysed as descriptive statistics. The correlation between weight and age and echocardiographic parameters was evaluated. A t-test was performed to compare the parameters between males and females. Most parameters were normally distributed and could be reliably used as standard values of echocardiographic parameters. Weight and age correlated positively with several echocardiographic parameters. However, there was …

Odor Detection Of Cancer Cell Metabolites By Scent-Detection Dogs, Geontae Park, Dongwook Kim, Seongsoo Jeong, Dongsun Park, Gonhyung Kim

The Thai Journal of Veterinary Medicine

Dogs have a superior olfactory system; thus, they have been trained and used to detect various nonbiological and biological scents. In addition, many studies have recently reported dogs’ ability to detect the odor of certain cancers or cancer cells. A previous study documented that a dog trained to detect a certain malignant cancer cell could also detect another, unfamiliar malignant cancer cell well, implying that these two cancer cells share a certain specific odor. Thus, given the hypothesis that malignant cancer cells of different origins may contain a common cancer-specific odor, the purpose of the present study was to evaluate …

Molecular Determination Of West Nile Virus, Equine Herpesvirus 1 And Herpesvirus 4 In Feral Horses In Turkey, Irmak Dik, Oguzhan Avci, Sibel Yavru, H. Pelin Aslim, H.Sercan Palanci

The Thai Journal of Veterinary Medicine

West Nile Virus (WNV), Equine Herpesvirus 1 (EHV-1) and Equine Herpesvirus 4 (EHV-4) are among the important pathogenic viral factors for both domestic and feral horses. This study was carried out to determine the molecular presence of WNV, EHV-1 and EHV-4 infections in feral horses in Konya. Blood samples were taken from 36 horses selected by a randomized sampling method from a total of 250 feral horses bred together. The leukocyte samples obtained were examined virologically for the presence nucleic acid of WNV using the Nested reverse transcriptase-polymerase chain reaction assay (nested RT-PCR) method and using molecular methods for the …

Efficacy Of Immune Complex Infectious Bursal Disease Vaccines Against Very Virulent Infectious Bursal Disease Virus Challenge In Commercial Layer Chicken, Nataya Charoenvisal, Phornphisut Areeraksakul, Choew Kong Mah, Nida Sirikobkul, Nida Sirikobkul

The Thai Journal of Veterinary Medicine

The vaccination program for controlling Infectious bursal disease (IBD) was complicated due to high maternal antibody in day old chick. Therefore, our study was performed in young layer chickens with high maternal antibody as commonly seen in our country. The objective of this study was to determine the protective efficacy of immune complex IBD vaccines against very virulent infectious bursal disease virus (vvIBDV) challenge in commercial layer chickens. As immune complex vaccine A was recommended in layers by the company, the first aim of the study was to compare immune complex vaccine A (group 1) and B (group 3). The …

Molecular Detection And Isolation Of Mycoplasma Conjunctivae From Goats With Infectious Keratoconjunctivitis In Sichuan Province, Southwest China, Youwen Yang, Yanmin Li, Xiaofang Dao, Lei Fei, Falong Yang

The Thai Journal of Veterinary Medicine

Infectious keratoconjunctivitis (IKC) is a common contagious ocular disease in ruminants worldwide characterized with keratitis and conjunctivitis and, in severe cases, blindness. Recently two outbreaks of infectious keratoconjunctivitis (IKC) occurred in goats in Sichuan Province, China. To identify the causative agent responsible for these outbreaks, ocular swabs were then taken from 40 goats with IKC and 22 goats without IKC for isolation and molecular detection of mycoplasma. Mycoplasma conjunctivae-specific nested-PCR was 85.0% positive among samples from goats with IKC and 40.9% positive from goats without IKC. Nine PCR products were sequenced and showed that there was 99.6-100% sequence homology among …

Enterococcus Faecium Septicemia In A Dog: Clinical Features And Molecular Screening Of Virulence Genes Of Enterococcus, Trasida Ployngam, Numfa Fungbun

The Thai Journal of Veterinary Medicine

A one-year-old Golden Retriever male dog manifested multi-systemic inflammation with a marked increment of plasma D-dimer. Enterococcus spp. was identified from hemoculture and it showed multidrug resistance (MDR), including amikacin, cephazolin, ceftriaxone, clindamycin, imipenem, penicillin G and sulfa-trimethoprim. Pure Enterococcus colonies were identified for species-specific DNA by PCR amplification and sequencing. It was 100% identical with the Enterococcus faecium strains in the National Center for Biotechnology Information (NCBI) database. Molecular screening of virulence genes of the isolated E. faecium strain exhibited four of nine genes including gelatinase (gelE), cell wall adhesion (efaAfm), second collagen adhesin (scm) and adhesin of collagen …