Medicine and Health Sciences Commons^™

Influence Of Height And Reach On Fight-Ending Punches In The Ultimate Fighting Championship™ Mixed Martial Arts Promotion, Oliver R. Barley, Shayne Vial, Mark Scanlan, Liam C. Tapsell, Corey Wilson, Julian Giustiniano, Matthew G. Plush, Colin S. Doherty

Research outputs 2022 to 2026

In mixed martial arts, punches commonly lead to a knockout (KO) or technical knockout (TKO), though factors influencing such punches are unclear. This study assessed how differences in height, reach, and combined difference (height + reach) influence fight-ending punches. We analysed 264 Ultimate Fighting Championship contests that concluded with a KO/TKO from hooks, straights, uppercuts, or overhand punches. Three multinomial logistic regression analyses assessed the influence of (a) reach, (b) height and (c) combined difference on likelihood of punch type, with overhand punches as the reference category. Pairwise comparisons for punch type were conducted, and probability differences were compared across …

External Validation Of The Phoenix Sepsis Score In Children With Suspected Community-Acquired Sepsis, Elliot Long, Meredith Borland, Shane George, Shefali Jani, Eunicia Tan, Natalie Phillips, Amit Kochar, Simon Craig, Anna Lithgow, Arjun Rao, Stuart Dalziel, Ed Oakley, Stephen Hearps, Ben Gelbart, Sarah Mcnab, Fran Balamuth, Scott Weiss, Nathan Kuppermann, Charlotte Brad, Amanda Williams, Franz Babl

Department of Medicine Faculty Papers

IMPORTANCE: The novel Phoenix Sepsis Score and sepsis criteria were derived and validated using a multicountry dataset and proposed as a new definition for sepsis in children.

OBJECTIVE: To externally validate the Phoenix Sepsis Score and sepsis criteria in a cohort of children hospitalized with suspected community-acquired sepsis.

DESIGN, SETTING, AND PARTICIPANTS: This diagnostic study used data from the multicenter, multicountry Sepsis Epidemiology in Australian and New Zealand Emergency Departments (SENTINEL) study, collected from 2021 to 2023 and including 90-day follow-up. Children admitted to the hospital through 11 emergency departments in Australia and New Zealand and treated with parenteral antibiotics …

Connectome-Based Predictive Modeling Of Ptsd Development Among Recent Trauma Survivors, Ziv Ben-Zion, Alexander J Simon, Matthew Rosenblatt, Nachshon Korem, Or Duek, Israel Liberzon, Arieh Y Shalev, Talma Hendler, Ifat Levy, Ilan Harpaz-Rotem, Dustin Scheinost

Staff and Researcher Publications

Importance: The weak link between subjective symptom-based diagnostics for posttraumatic psychopathology and objective neurobiological indices hinders the development of effective personalized treatments.

Objective: To identify early neural networks associated with posttraumatic stress disorder (PTSD) development among recent trauma survivors.

Design, setting, and participants: This prognostic study used data from the Neurobehavioral Moderators of Posttraumatic Disease Trajectories (NMPTDT) large-scale longitudinal neuroimaging dataset of recent trauma survivors. The NMPTDT study was conducted from January 20, 2015, to March 11, 2020, and included adult civilians who were admitted to a general hospital emergency department in Israel and screened for early PTSD symptoms indicative …

Debating The Risks And Benefits Of Firearms In The Us-Make The Other Side Panicky, Cedric Dark

Faculty, Staff and Students Publications

No abstract provided.

Recovery Potential In Patients After Cardiac Arrest Who Die After Limitations Or Withdrawal Of Life Support, Jonathan Elmer, Patrick J Coppler, Cecelia Ratay, Alexis Steinberg, Sara Difiore-Sprouse, Nicholas Case, Baruch Fischhoff, Maria De-Arteaga, Alain Cariou, Alejandro A Rabinstein, Andrea O Rossetti, Ankur A Doshi, Bradley J Molyneaux, Cameron Dezfulian, Carolina B Maciel, Christoph Leithner, Cindy H Hsu, Claudio Sandroni, David M Greer, David B Seder, Francis X Guyette, Fabio Silvio Taccone, Hiromichi Naito, Jasmeet Soar, Jean-Baptiste Lascarrou, Jerry P Nolan, Karen G Hirsch, Katherine M Berg, Marion Moseby-Knappe, Markus B Skrifvars, Michael C Kurz, Min Jung Kathy Chae, Mypinder S Sekhon, Nicholas J Johnson, Pedro Kurtz, Romergryko G Geocadin, Sachin Agarwal, Teresa L May, Theresa M Olasveengen, Clifton W Callaway, Optimizing Recovery Prediction After Cardiac Arrest (Orca) Study Group

Faculty, Staff and Students Publications

Importance: Understanding the relationship between patients' clinical characteristics and outcomes is fundamental to medicine. When critically ill patients die after withdrawal of life-sustaining therapy (WLST), the inability to observe the potential for recovery with continued aggressive care could bias future clinical decisions and research.

Objective: To quantify the frequency with which experts consider patients who died after WLST following resuscitated cardiac arrest to have had recovery potential if life-sustaining therapy had been continued.

Design, setting, and participants: This prospective cohort study included comatose adult patients (aged ≥18 years) treated following resuscitation from cardiac arrest at a single academic medical center …

Clinical Performance Of An N-Terminal Pro-B-Type Natriuretic Peptide Assay In Acute Heart Failure Diagnosis, Lori B Daniels, Patience Ajongwen, Robert H Christenson, Carol L Clark, Deborah B Diercks, Gregory J Fermann, Sharon E Mace, Simon A Mahler, Peter S Pang, Zubaid Rafique, Michael S Runyon, James Tauras, Christopher R Defilippi

Faculty, Staff and Students Publications

Background: We evaluated the Vitros® Immunodiagnostic Products N-terminal pro B-type natriuretic peptide (NT-proBNP) II assay for aiding in diagnosis of heart failure (HF) in patients with acute dyspnea.

Methods: Serum concentrations of NT-proBNP were measured in patient samples from 20 emergency departments across the United States. Study endpoints included sensitivity, specificity, likelihood ratios, and predictive values for diagnosis of acute HF according to age-stratified cutoffs (450, 900, and 1800 pg/mL), and a rule-out age-independent cutoff (300 pg/mL). Additional measures were area under the curve (AUC) for receiver operating characteristic (ROC) curves. Results were also interpreted in patient subgroups with relevant …

Environmental Hygiene Strategies To Combat Antimicrobial Resistance In Healthcare Settings, Mary Morgan Lee, Caroline A O'Neil, Lucy Vogt, Jennie H Kwon

2020-Current year OA Pubs

In this manuscript, we highlight current literature on environmental hygiene techniques to combat reservoirs of antibiotic resistant organisms in the healthcare environment. We discuss several topics for each strategy, including mechanism of action, assessment of effectiveness based on studies, cost, and real-world translatability. The techniques and topics summarized here are not inclusive of all available environmental hygiene techniques but highlight some of the more popular and investigated strategies. We focus on the following: Ultraviolet radiation, hydrogen peroxide vapor, copper-coated surfaces, phages, interventions involving sinks, and educational initiatives.

Intouch Week Of March 3, 2025, New York Medical College

InTouch

• Fawaz Al-Mufti, M.D., Leads Stroke Trial Exploring Cognitive Benefits of Thrombectomy
• Faculty Spotlight: From Pupil to Professor: Adam Karp, M.D. '19
• Student Spotlight: Janice Fung’s Quest to Combat Plague Through Vaccine Innovation
• Alumni Spotlight: The Extraordinary Life of Donald Doyle, M.D. ‘67

Geographic Access To Cancer Care And Treatment And Outcomes Of Early-Stage Non-Small Cell Lung Cancer, Pratibha Shrestha, Ying Liu, James Struthers, Benjamin Kozower, Min Lian

2020-Current year OA Pubs

IMPORTANCE: Data on the impact of geographic access to cancer care on early-stage non-small cell lung cancer (NSCLC) treatment and outcomes are limited.

OBJECTIVE: To examine the associations of geographic access to cancer care with guideline-recommended treatment and outcomes in patients with early-stage NSCLC.

DESIGN, SETTING, AND PARTICIPANTS: This population-based cohort study included patients with early-stage NSCLC newly diagnosed between January 1, 2007, and December 31, 2015, followed up through December 31, 2016, and identified from the Surveillance, Epidemiology, and End Results dataset. Data analysis was performed from March to November 2024.

EXPOSURES: Geographic access to thoracic surgeons and radiation …

Assessment Of The Sensitivity Of A Smartphone App To Assist Patients In The Identification Of Stroke And Myocardial Infarction: Cross-Sectional Study, Amar Dhand, Rama Mangipudi, Anubodh S Varshney, Jonathan R Crowe, Andria L Ford, Nancy K Sweitzer, Min Shin, Samuel Tate, Haissam Haddad, Michael E Kelly, James Muller, Jay S Shavadia

2020-Current year OA Pubs

BACKGROUND: Most people do not recognize symptoms of neurological and cardiac emergencies in a timely manner. This leads to delays in hospital arrival and reduced access to therapies that can open arteries. We created a smartphone app to help patients and families evaluate if symptoms may be high risk for stroke or heart attack (myocardial infarction, MI). The ECHAS (Emergency Call for Heart Attack and Stroke) app guides users to assess their risk through evidence-based questions and a test of weakness in one arm by evaluating finger-tapping on the smartphone.

OBJECTIVE: This study is an initial step in the accuracy …

Sex Differences In Apolipoprotein E And Alzheimer Disease Pathology Across Ancestries, Xiaoyi Xu, Jiseon Kwon, Ruiqi Yan, Catherine Apio, Soomin Song, Gyujin Heo, Qijun Yang, Jigyasha Timsina, Menghan Liu, John Budde, John C Morris, Carlos Cruchaga, Yun Ju Sung, Et Al.

2020-Current year OA Pubs

IMPORTANCE: Age, sex, and apolipoprotein E (APOE) are the strongest risk factors for late-onset Alzheimer disease (AD). The role of APOE in AD varies with sex and ancestry. While the association of APOE with AD biomarkers also varies across sex and ancestry, no study has systematically investigated both sex-specific and ancestry differences of APOE on cerebrospinal fluid (CSF) biomarkers together, resulting in limited insights and generalizability.

OBJECTIVE: To systematically investigate the association of sex and APOE-ε4 with 3 core CSF biomarkers across ancestries.

DESIGN, SETTING, AND PARTICIPANTS: This cohort study examined 3 CSF biomarkers (amyloid β1-42 [Aβ42], phosphorylated tau 181 …

Racial Equity In Urine Drug Screening Policies In Labor And Delivery, Vahid Azimi, Cassandra Trammel, Lauren Nacke, Alexandra Rubin, Lori Stevenson, Brittaney Vaughn, Stephen M Roper, Mark A Zaydman, Ronald Jackups, Noor Riaz, Kim P Schamel, Jeannie C Kelly

2020-Current year OA Pubs

IMPORTANCE: Black pregnant patients are significantly more likely than their White counterparts to undergo peripartum urine drug screening (UDS) and subsequent reporting to child protective services (CPS).

OBJECTIVE: To evaluate the association of removing isolated cannabis use and limited prenatal care as order indications, combined with clinician-facing clinical decision support, with racial parity in peripartum UDS and CPS reporting.

DESIGN, SETTING, AND PARTICIPANTS: This quality improvement study assessed 9396 pregnant patients at a single tertiary care center in a Midwestern US urban metropolitan region who delivered before (June 1, 2021, to September 31, 2022) and after (October 1, 2022, to …

Analysis Of Systematic Trade-Offs Between Military And Healthcare Expenditure Alongside Gdp Growth Of Select Asian And Western Exporting Economies In The 21st Century, Rahul Balamurugan, Carlos Gershenson, Preethi Nanjundan, Hiroki Sayama

Northeast Journal of Complex Systems (NEJCS)

This study explores the complexity in the trade-offs between military expenditure, healthcare expenditure, and GDP growth across select Asian nations and major weapon-exporting countries, examining how nations allocate finite resources between national security and human well-being over the past two decades. Using a systems science approach, the research integrates Granger causality testing to analyze temporal and directional relationships among GDP growth, military expenditure, and healthcare expenditure, uncovering their dynamic interdependencies. The methodology includes trend and slope analysis, Granger causality testing, outlier detection, and clustering to identify heterogeneity in resource allocation strategies. Developed, weapon-exporting nations exhibit complementary trends, with strong causality …

The Importance Of Country Of Origin In Vaccine Messaging For H-2a Farmworkers, Anna M. Scheyett, Maria Bowie, Virginia Brown, Andrea Scarrow

Journal of the Georgia Public Health Association

Background: H-2A farmworkers are disproportionately vulnerable to COVID-19 and understanding their beliefs regarding COVID-19 vaccines is important for public health outreach, yet to date little research has examined the influence of country of origin (COO) on the vaccine beliefs of this uniquely transient population.

Methods: Three focus groups (N=30) were held with H-2A farmworkers in South Georgia to explore their beliefs on COVID-19 vaccines, using thematic analyses to identify COO influences on these beliefs.

Results: Family in COO influenced worker vaccine beliefs through direct advice, commonly held beliefs in COO about harmful government agendas via vaccines increased worker vaccine fears, …

Tubulin Transforms Tau And Α-Synuclein Condensates From Pathological To Physiological, Lathan Lucas, Phoebe S Tsoi, My Diem Quan, Kyoung-Jae Choi, Josephine C Ferreon, Allan Chris M Ferreon

Faculty, Staff and Students Publications

Proteins phase-separate to form condensates that partition and concentrate biomolecules into membraneless compartments. These condensates can exhibit dichotomous behaviors in biology by supporting cellular physiology or instigating pathological protein aggregation 1–3 . Tau and α- synuclein (αSyn) are neuronal proteins that form heterotypic (Tau:αSyn) condensates associated with both physiological and pathological processes. Tau and αSyn functionally regulate microtubules 8–12 , but are also known to misfold and co-deposit in aggregates linked to various neurodegenerative diseases 4,5,6,7 , which highlights the paradoxically ambivalent effect of Tau:αSyn condensation in health and disease. Here, we show that tubulin modulates Tau:αSyn condensates by promoting …

Interdisciplinary Management Of A Patient With Developmental Disabilities Under General Anesthesia In An Academic Dental Surgery Center: A Case Report, Kevin R. Adams, Tim Verceles, Fatima Mashkoor, Jesse W. Manton

Pacific Journal of Health

Background: Individuals with intellectual and developmental disabilities may require dental care to be delivered while under general anesthesia, albeit there is often greater need for these services than hospital capacity allows.

Case Description: This case report presents a 19-year-old male with intellectual and developmental disabilities and numerous comorbidities who was able to be treated under general anesthesia in an academic dental surgery center by an interdisciplinary team. The accompanying discussion identifies strategies that dental teams and academic centers can consider to effectively provide care to patients with intellectual and developmental disabilities who require general anesthesia.

Comparative Analysis Of Oxygenators And Anticoagulation Strategies In Neonatal And Pediatric Ecmo Patients, Debra E. Newton, Johanna I. Orrick

Presentations

Background: Due to supply chain challenges, our institution transitioned from Pediatric Quadrox oxygenators to Nautilus oxygenators for neonatal and pediatric extracorporeal membrane oxygenation (ECMO) patients. During this transition, variations in anticoagulation results were observed with bivalirudin, the first-line anticoagulant, in patients weighing less than 8 kg. This study aimed to evaluate heparin as an alternative anticoagulant in this patient population utilizing Nautilus oxygenators. Methods: A retrospective analysis was conducted on 29 neonatal and pediatric ECMO patients (weight range: 2.3–6.1 kg). Patients were divided into three groups based on oxygenator and anticoagulant type: · Group 1: Quadrox with bivalirudin (n=11) · …

Narcissistic Personality Indicators As Predictors Of Narcissistic Personality Disorder: A Cross-Cultural Study, Wael M. F. Abuhassan, Brigid Unim, Zulfiqar Ullah Siddiqui, Shaheen Falki, Karavadi Vidusha, Fayez Mahamid, Fakher Nabeel Mohammad Khalili, Kamel H. Katalo

An-Najah University Journal for Research - B (Humanities)

Background: Individuals affected by narcissistic personality disorder (NPD) are characterized by lack of empathy, grandiosity, low self-esteem, and a need for attention and special treatment that leads to unstable interpersonal relationships, occupational problems, and significant psychosocial distress. Objectives: The study aims to evaluate which Narcissistic Personality (NP) dimensions are the strongest and most significant predictors of NPD. Methods: The present study followed a cross-cultural research design aimed at determining the strongest and most significant predictors of NPD, therefore the shortened version of the Narcissistic Personality Indicators (NPI) questionnaire (NPI-40) developed by Raskin and Terry (1988) was administered online to those …

A Scoping Review Protocol: Biosensor Use In Healthcare Professionals And Education, Olivia Matson, Brittany Brennan, Annisija Hunter

College of Nursing Reviews and Protocols

Biosensors have emerged as valuable tools in healthcare, offering real-time physiological data that enhance patient monitoring, workforce well-being, and educational training. While extensive research has focused on their clinical applications for patient care, less attention has been given to their use among healthcare professionals and students. Understanding how biosensors are integrated into healthcare education and workforce monitoring is critical to optimizing their potential for improving learning outcomes, stress management, and clinical performance.
This scoping review aims to systematically explore the literature on biosensor use among healthcare professionals and students in both educational and clinical settings. The review will be conducted …

Exercise Therapy As A First-Line, Non-Pharmacological Intervention For Symptom Reduction And Improved Quality Of Life For Patients With Fibromyalgia, Lauren Aubrey

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

Fibromyalgia (FM) is a disorder of unknown cause, characterized primarily by chronic widespread pain of the musculoskeletal system and an abnormal pain response (Centers for Disease Control and Prevention [CDC], 2022). In addition to pain, patients with FM report many other symptoms, including: Poor sleep quality, chronic fatigue, depression and anxiety, cognitive difficulties (e.g. memory problems and difficulty thinking known as ‘brain fog’), migraines, tension headaches, irritable or overactive bladder, gastro-intestinal dysfunction (e.g. irritable bowel syndrome and heartburn), and an overall decreased quality of life (American College of Rheumatology [ACR], 2023; CDC, 2022; European Alliance of Associations for Rheumatology [EULAR], …

Be Safe Out There, Lance Plunkett Jd, Llm

The New York State Dental Journal

In recent months, NYSDA has experienced a series of cyberattacks, where members received fake e-mails purporting to be from NYSDA Trustees. These are known as phishing attacks, a form of cyberattack that attempts to engage the recipient into falling for some scam or into clicking on a link that activates malicious software.

Cargo Hitchhiking Autophagy - A Hybrid Autophagy Pathway Utilized In Yeast, Katrina F Cooper

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Macroautophagy is a catabolic process that maintains cellular homeostasis by recycling intracellular material through the use of double-membrane vesicles called autophagosomes. In turn, autophagosomes fuse with vacuoles (in yeast and plants) or lysosomes (in metazoans), where resident hydrolases degrade the cargo. Given the conservation of autophagy,

The Importance Of Cost Transparency In Healthcare: Improving Cost-Of-Care Conversations To Support Patient Decision-Making, Christian Abdelshahed

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

Healthcare costs have steadily increased over the years, driven by factors such as administrative inefficiencies, high pharmaceutical prices, and the complexity of insurance systems (Soley-Bori et al., 2020). The issue extends beyond individual patients, impacting the entire healthcare system through increased emergency room visits and higher rates of untreated chronic conditions. Policies aimed at cost transparency, insurance reform, and increased access to affordable care are essential in addressing this crisis. Research highlights the importance of patient-provider cost-of-care discussions as a potential solution, yet these discussions remain infrequent due to barriers such as provider training gaps, time constraints, and systemic inefficiencies …

Exploring The Impact Of Residential Proximity To Blue Spaces On The Occurence Of Diabetes, Justin Acala

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

There is a commonly held belief among surfers in the healing properties of the ocean. Many report that simply visiting a beach has a positive effect on them, whether it is spiritually, mentally, or physically. According to Sandifer et al. (2021) “evidence suggests that living close to ‘blue spaces’ (water features), particularly coastlines, has salutary effects on human health” (p. 1), highlighting a potential benefit to coastal living. For some countries across Europe and Australia, research suggests that living by the coast in Europe and Australia is associated with better health (Geiger et al., 2023). Can similar health benefits of …

Egypt's Mental Health Care System, Monica Saleib

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

Mental health disorders are a growing problem worldwide. While Western countries are more open to discussing mental health issues, this isn’t the case in Arab and African countries. In Egypt, talking about mental health is considered taboo, leading to a large number of individuals seeking treatment from traditional healers (Okasha et al., 2020). There are numerous reasons why Egyptians tend to seek traditional care, a large factor being the presence of traditional healers in local communities, fostering a sense of community acceptance (Assad et al., 2015). A recent study found that although seeking care from traditional healers can sometimes result …

The Effects Of Bipap Masks While In Acute Care Settings, Drawbacks And Alternate Mask Options, Leanne Rider

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

There are a variety of clinical masks used in hospital environments for respiratory treatments. One treatment used for acute care patients experiencing symptoms, due to chronic respiratory health issues such as COPD or sleep apnea, is referred to as a Bilevel Positive Airway Pressure (BiPAP) machine. The Cleveland Clinic defines this machine in simple terms as “…a type of noninvasive ventilation that helps you breathe. Providers can use it to treat you if you’re not getting enough oxygen or can’t get rid of carbon dioxide “(The Cleveland Clinic, 2023, BiPAP). To break it down further, bilevel in this case means …

Influence Of The Teach-Back Method On Patient Understanding And Satisfaction, Claire Woods

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

The teach-back method is an education technique in which the patient is asked to repeat back the information given to them in order to verify comprehension. If knowledge gaps are identified, reteaching is then done. According to Linn et al. (2013), patients are unable to recall almost half of the medication information presented to them and recall is correlated to medication adherence. The teach-back method is optimized for improving patient understanding from their current level (Tamura-Lis, 2013). One of the most crucial times to provide patients with information is at discharge, before they take on new care procedures or medications. …

A Unified Response: Strengthening Civilian-Military Medical Disaster Response, Julio Orozco Jr.

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

In times of catastrophic events, the ability of civilian first responders to collaborate effectively with Military Medical Units (MMUs) is crucial for delivering quality healthcare and saving lives. While the military is traditionally tasked with security and defense operations, their expertise in battlefield and emergency medicine in austere environments with limited resources makes them a vital asset during disaster response efforts. Military medics, specifically, are trained to provide care under extreme stress, often in some of the most challenging conditions (Raeeszadeh et al., 2022). Effective disaster response training for both civilian and military personnel must prioritize key elements like the …

Music Therapy: To Decrease Pain And Anxiety In Active Labor Compared To Pharmacological Interventions, Rattana Soubandith

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

Pain management during active labor is crucial for a safe and positive outcome, when delivering a baby and stabilizing the mother during postpartum care. A study in Italy of 30 random women who were pregnant and labored between 37 weeks and 42 weeks gestation participated in a control group and intervention group while in active labor, found out that music plays a big part in lowering a women’s labor pain during labor and postpartum (Buglione et al., 2020, p. 694). Music can shift a person’s perception of pain and distract them from the current physical pain (Levy, 2017, p. 23). …

Oregon Medicaid: Lowering The Barriers To Access, Maya Krueger

NURS 502: Critical Inquiry and Scholarship in Nursing Practice

Oregon’s Medicaid program for health insurance has updated the criteria and more people are qualifying for coverage than ever before. With the Oregon Health Plan (OHP) Bridge program that took effect July 1, 2024, an estimated 100,000 Oregon individuals are projected to eventually qualify (OHA, 2024). While these updates grant more access to services and covered benefits, many Medicaid beneficiaries still claim they are unable to utilize their benefits due to difficulty finding a participating provider. With support and reform for mental healthcare on the rise and the future of Medicaid a concern, researchers have been investigating the effectiveness of …