Medicine and Health Sciences Commons^™

A Rare Case Of Constrictive Pericarditis As Initial Manifestation Of Paediatric Anaplastic Large Cell Lymphoma Requiring Urgent Pericardiectomy, Sara Iqbal, Abdul Ahad Sohail, Narmeen Asif, Muhammad Rahil Khan, Sabeehuddin Siddique, Saulat Fatimi

Section of Cardiothoracic Surgery

Constrictive pericarditis (CP) is a rare end stage inflammatory disorder affecting both parietal and visceral pericardium leading to a right heart failure. Malignancy is the least common cause of CP. Anaplastic large cell lymphoma (ALCL) accounts for 10-15% of all Non-Hodgkin lymphomas in children. Very few case reports have reported ALCL that is involving the heart and only two have been published involving pericardium but all were managed medically. We present an interesting case of an 11 year old child who presented with an effusive CP that required urgent Pericardiectomy for managing right heart failure. His histopathology was positive for …

Investigating Sofa, Delta-Sofa And Mpm-Iii For Mortality Prediction Among Critically Ill Patients At A Private Tertiary Hospital Icu In Kenya: A Retrospective Cohort Study, Lillian N. Lukoko, Peter S. Kussin, Rodney Adam, James Orwa, Wangari Siika

Anaesthesiology, East Africa

Background: Outcomes in well-resourced, intensive care units (ICUs) in Kenya are thought to be comparable to those in high-income countries (HICs) but risk-adjusted mortality data is unavailable. We undertook an evaluation of the Aga Khan University Hospital, Nairobi ICU to analyze patient clinical-demographic characteristics, compare the performance of Sequential Organ Failure Assessment (SOFA), delta-SOFA at 48 hours and Mortality Prediction Model-III (MPM-III) mortality prediction systems, and identify factors associated with increased risk of mortality.

Methods: A retrospective cohort study was conducted of adult patients admitted to the ICU between January 2015 and September 2017. SOFA and MPM-III scores were determined …

The Data Are Inadequate To Assess Safety And Efficacy Of Mass Chemotherapy For Taenia Solium Taeniasis, A. Clinton White Jr., Seth E. O'Neal, Andrea Winkler, Annette Abraham, Hélène Carabin

OHSU-PSU School of Public Health Faculty Publications and Presentations

As members of the Pan American Health Organization (PAHO) and World Health Organization (WHO) guidelines development group on chemotherapy strategies for the control of Taenia solium taeniasis, we are very disappointed at the systematic review by Haby and colleagues. With respect to the analysis of efficacy, the authors did not account for differences in the methods used to ascertain the outcome in the studies analyzed. There are also major concerns regarding the safety analyses. Few of the included studies used carefully designed active surveillance protocols to detect epileptic seizures and/or chronic progressive headaches. These neurologic side effects, due the inadvertent …

A Single-Center Comparison Using Exoskeleton Rehabilitation For Cerebrovascular Accidents And Traumatic Brain Injury In A Cohort Of Hispanic Patients, Lisa R. Trevino, Kristina Vatcheva, Michael E. Auer, Angela Morales, Lama M. Abdurrahman, Sarajova Viswamitra, Annelyn Torres-Reveron

School of Mathematical & Statistical Sciences Faculty Publications

Background Traumatic brain injury (TBI) is one of the leading causes of disability in the United States. The EKSO GT Bionics® (EKSO®) is a robotic exoskeleton approved by the Federal Drug Administration (FDA) for rehabilitation following a cerebrovascular accident (CVA or stroke) and recently received approval for use in patients with TBI. The aim of the study was to examine if the use of exoskeleton rehabilitation in patients with TBI will produce beneficial outcomes.

Methods This retrospective chart-review reports the use of the (EKSO®) robotic device in the rehabilitation of patients with TBI compared to patients with CVA. We utilized …

Review Of Treatment Options For Pneumonia In The Inpatient Setting, Shirley B Bonanni

Department of Family & Community Medicine Presentations and Grand Rounds

No abstract provided.

Management Of Neonatal Hyperbilirubinemia, David Schutzman

Department of Family & Community Medicine Presentations and Grand Rounds

No abstract provided.

Refugee Health In Philadelphia, Marc Altshuler

Department of Family & Community Medicine Presentations and Grand Rounds

Objectives

1. Define the U.S. refugee resettlement process
2. Discuss the history of refugee health in Philadelphia and the creation of the Jefferson Center for Refugee Health
3. Review selected data on our patients
4. Learn how to utilize new resources to care for refugees

Uplc-Ms/Ms Analysis Of Cyp1a-Mediated Ethoxyresorufin-O-Deethylation Activity In The Rat Kidney Microsomes, Devaraj Venkatapura Chandrashekar, Reza Mehvar

Pharmacy Faculty Articles and Research

Ethoxyresorufin (ER)-O-deethylation (EROD) activity has been widely used to assess cytochrome P450 1A (CYP1A) activity. The kinetics of CYP1A activity have been well characterized in the liver microsomes. However, studies in kidney microsomes are limited due to the much lower EROD activity in this organ. Here, we developed and validated a sensitive UPLC-MS/MS assay for the characterization of the EROD activity in the rat kidney microsomes. In a 50 µL reaction mixture, rat kidney microsomes (0.25 mg/mL) were incubated with ER (0.1–5 µM) and NADPH (1 mM) for 10 min. Acidic solvents, such as trichloroacetic acid or formic …

Optimist Prime- Emergency Medicine Residents Are An Optimistic Group, Nicole Battaglioli, Sarah Mott, Tim P. Moran, Simiao Li-Sauerwine, Matt Melamed

Journal of Wellness

Introduction: No study before has been conducted looking at the level of optimism and pessimism in emergency medicine residents and how it may be linked to resident burnout. This is the first national- level assessment of these personality factors.

Methods: This was a prospective survey study leveraging data obtained through the 2017 National Emergency Medicine Resident Wellness Survey, which included the Life Orientation Test-Revised (LOT-R). The Life Orientation Test-Revised (LOT-R) is a 10-item tool that measures levels of optimism versus pessimism.

Results: We found that the majority of our resident respondents scored in the moderate category of the LOT-R. Additionally, …

Integrating Art Into Life In Pursuit Of Occupational Balance, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Dr. Sharon Gutman, PhD, OTR, FAOTA, an occupational therapy professor and artist based in New York, provided the cover art for the Summer 2020 edition of The Open Journal of Occupational Therapy (OJOT). “Goldfish” is a 10” x 13” watercolor painting. Dr. Gutman has nearly 30 years of experience in clinical practice, higher education, research, and service to the profession. Dr. Gutman pursued a career in occupational therapy because it was a field where she could use her creativity. This decision led to an extraordinary career and a life of service to others. When the demands of a busy lifestyle …

They Said: Perspectives On Capstone Experience And Projects In Occupational Therapy, Rondalyn V. Whitney, Guy Mccormack

The Open Journal of Occupational Therapy

No abstract provided.

The S.E.L.F. Approach: Systems And Experiential Learning Framework For Fieldwork And Capstone Education Development, Theresa Delbert, Kasey Stepansky, Tina Lekas

The Open Journal of Occupational Therapy

This article presents an evidence-based strategy to assist academic fieldwork coordinators and capstone coordinators with meeting the Accreditation Council for Occupational Therapy Education standards of experiential learning components in an entry-level doctoral occupational therapy curriculum. The S.E.L.F. approach core methods for pedagogical framework and manual development are based on systems theory and educational learning theories. To optimize fieldwork and capstone delivery, the recommended process should include organizational analysis, program development, manual writing, and implementation of practical learning experience. Objectives of the fieldwork and capstone experiences can effectively connect to the overall curriculum design while addressing integral credentialing standards through an …

Demonstrating Occupational Therapy’S Distinct Value: Addressing The Quadruple Aim Of Health Care Through Doctoral Capstone Projects, Ingrid Provident, Jennifer E. Lape

The Open Journal of Occupational Therapy

The quadruple aim of health care focuses on enhancing health care systems through improving quality patient care, improving the health of populations, providing care in cost-efficient ways, and improving the experience of providing health care by decreasing provider and caregiver stress and burnout. The purpose of this retrospective review is to share how the curricular design and doctoral capstone process from one postprofessional occupational therapy doctorate program have been designed to support students in recognizing occupational therapy’s distinct value in creating sustainable practice changes to move their respective health care systems forward. The postprofessional occupational therapy doctorate curriculum over 12 …

Fieldwork Educators’ Expectations Of Level Ii Occupational Therapy Students’ Professional And Technical Skills, Jessica Mason, Cynthia L. Hayden, Renee Causey-Upton

The Open Journal of Occupational Therapy

Fieldwork educators are critical to the development of successful occupational therapy students, and the fieldwork experience is vital to the growth of each occupational therapy student in the profession. The purpose of this research was to explore perceptions held by Level II fieldwork educators of occupational therapy students’ professional and technical skills at the beginning of Level II fieldwork. This study used a convergent parallel mixed-method design and surveyed 54 fieldwork educators. The survey participants expected students to possess a variety of professional and technical skills in a multitude of areas. Fieldwork educators identified communication as the most essential professional …

Designing Effective Capstone Experiences And Projects For Entry-Level Doctoral Students In Occupational Therapy: One Program’S Approaches And Lessons Learned, Sara Stephenson, Oaklee Rogers, Cynthia Ivy, Richard Barron, Jennifer Burke

The Open Journal of Occupational Therapy

Entry-level doctoral occupational therapy programs require students to complete a capstone experience and project that supports advanced skills through an in-depth learning experience with a student-selected mentor. Strong curriculum design and mentorship are vital aspects of successful capstone experiences and projects. Through the application of these key components, students are supported, in collaboration with mentors, to achieve mutually beneficial projects allowing advancement of the profession through dissemination of capstone work.

Ican-Play: A Practice Guideline For Assessment And Intervention Of Play For Children With Severe Multiple Disabilities, Stephanie Hui, Katherine Dimitropoulou

The Open Journal of Occupational Therapy

The nature of play in children with severe multiple disabilities (SMD) is complex, as many have significant motor and language impairments. Through the use of assistive technology (AT), children with SMD can play more independently and provide input to caregivers on their preferred play repertoire. This author-developed guideline describes an assessment and intervention to improve play in children with SMD using AT methods. The Interactive Child Activity Narrative of Play (iCan-Play) is an assessment tool used to evaluate play in children with SMD. It provides a comprehensive understanding of children’s play preferences, social and environmental contexts, and frequency of play. …

Sensory-Based Interventions In The School Setting: Perspectives Of Paraeducators, Lyn Kaiser, Marie-Christine Potvin, Caitlin Beach

The Open Journal of Occupational Therapy

Background: The purpose of this study was to explore paraeducators’ perceptions of sensory-based interventions (SBIs). Paraeducators are frequently responsible for implementing SBIs to enhance a student’s ability to learn in school. Previous studies have explored the perceptions of teachers and occupational therapists, but as of yet, there are no published studies exploring the perceptions of paraeducators regarding the efficacy of SBIs.

Methods: An ethnographic study was conducted with paraeducators (n = 11) working with students diagnosed with autism spectrum disorder or emotional disturbance in a center-based special education program. These paraeducators participated in a focus group …

Bundling Payment Initiatives For Total Hip And Knee Arthroplasties: Perspectives Of Health Care Professionals, Katherine Lally, Melinda Schultze, Hannah Ehresman, Helene L. Lohman, Vanessa D. Jewell

The Open Journal of Occupational Therapy

Background: A broad qualitative research study explored the perceptions of rehabilitation health care professionals and administrative leadership on coordination of care for rehabilitation patients who received hip or knee arthroplasties under the bundling initiative.

Method: Data was collected through the conduction of a focus group, email communication, and individual phone interviews. Researchers analyzed data collected from five administrative personnel and eight rehabilitation health care professionals who work in a facility that participates in a bundling initiative payment model.

Results: Four major themes were identified: importance of care coordination, increased efficiency and effectiveness, establishing protocols, and challenges of …

Effectiveness Of A Metacognitive Shopping Intervention For Adults With Intellectual Disability Secondary To Down Syndrome, Katherine V. O'Neill, Sharon A. Gutman

The Open Journal of Occupational Therapy

Background: The purpose of this study was to examine the effects of a metacognitive strategy-training intervention on the shopping performance of adults with intellectual disability secondary to Down syndrome.

Method: A single subject ABA design across six participants was employed and included a 2-week baseline data collection period, followed by an 8-week intervention phase, and a 2-week follow-up data collection period 1 month after intervention end. Time, frequency, and level of assistance required by the participants to demonstrate targeted shopping skills were measured during baseline, intervention, and follow-up probe phases.

Results: As a group, the participants experienced …

Experience Of Stigma Post Incarceration: A Qualitative Study, Rebecca Sinko, Tina Deangelis, Bernadette Alpajora, Josephine Beker, Ilyse Kramer

The Open Journal of Occupational Therapy

Background: Minimal attention has been given to the perspectives and experiences of individuals post incarceration regarding stigma and its impact on reintegration and occupational engagement. This research aimed to understand how stigma is experienced among individuals who were formerly incarcerated and its influence on occupational engagement, specifically social participation, work, and school occupations. This research also examined the role of occupational therapy as an intervention in addressing stigma from the perspectives of individuals who were formerly incarcerated to inform practice and mitigate the influence of stigma.

Method: Interviews were conducted with 10 participants of a work rehabilitation program for people …

Occupational Therapy Group Programming For Adolescents With Developmental And Learning Disabilities: A Retrospective Documentation Review, Jennifer A. Merz, Bonnie Nakasuji, Kimberly S. Mollo

The Open Journal of Occupational Therapy

Background: Individuals with learning disabilities have higher rates of unemployment, are less likely to live independently, and have lower rates of college graduation. Occupational therapists who serve this population need to capture outcomes for programming effectively to determine best practice to address these needs. A retrospective documentation review of occupational therapy transition group programming was completed to identify themes and to assess fieldwork student documentation clarity.

Method: Analysis of 162 de-identified treatment notes from the years 2014–2018 was completed for six high school students (HSS) (13 to 20 years of age) who previously participated in a high school …

Effectiveness Of Electronic Documentation: A Case Report, Christie Raymond, Susan Zapf, Ellen Hudgins

The Open Journal of Occupational Therapy

Background: This case report aims to inform the occupational therapist and other health care professionals of documentation best practices.

Method: This qualitative case report uses an exploratory approach to compare the quality of one participant’s handwritten documentation to her electronic documentation. Outcome measures include the Accuracy Rationale Completeness (ARC) Audit to score the quality of the notes and quantity of words, and an informal discussion with the participant about her experiences using both types of documentation.

Results: The participant’s 25 handwritten notes scored a sum of 321 and the 25 electronic notes scored a …

Capstones: Voices From The Occupational Therapy Profession, Rondalyn V. Whitney, Guy Mccormack

The Open Journal of Occupational Therapy

No abstract provided.

A Phenomenological Investigation Of The Contextual Variability And Anticipation Of Stuttering, Amanda D. Ortiz-Alvarez

Speech and Hearing Sciences ETDs

Stuttering is a neurologically based speech impairment often defined by listener-oriented parameters (i.e., its overt characteristics). These fail to encompass contextual variability and anticipation, two facets of the speaker’s experience which, though frequently encountered by people who stutter (PWS), remain poorly understood and largely under-researched. To better understand the subjective underpinnings of these phenomena, as well as how PWS conceptualize and relate to their stuttering, the present study sought to explore a) the experiences of PWS with the unpredictable and/or variable nature of their stuttering, as well as their beliefs surrounding potential contributors to its variability; b) the experiences of …

Insight - Summer 2020, Dugoni School Of Dentistry

Insight

Whether you are involved in clinical research, biomedical research, the scholarship of teaching and learning, improvement of the health care system, or professional partnerships that advance the field, we aim to spotlight the work of people at the Dugoni School.

Gynecologic Surgrete, New Horizons Guyana 2019: An Experience Of A Lifetime For Global Health Engagement And Medical Readiness, Bethany L. Charron, Katherine L. Dengler, Bao Tram Nguyen, Ashley Coggins, Jason C. Massengill, Trisha J. Tomkins

Obstetrics and Gynecology Faculty Publications

New Horizons is an annual training exercise designated for military medical professionals and civil engineers to assist partner nations of Southern Command (SOUTHCOM), as well as provide exceptional training to U.S. military members.1 In Spring of 2019, a gynecologic surgery readiness training exercise (SURGRETE) team composed of 16 joint-service military healthcare professionals, specifically including a fellowship-trained female pelvic medicine and reconstructive surgery (FPMRS) surgeon, an FPMRS fellow, an obstetrics and gynecology (OB/GYN) specialist, three OB/GYN residents, and additional anesthesia, nursing, and surgical technician support, traveled to Guyana to participate in the New Horizons global health exercise. The mission of the …

2020-07-15_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …

2020-07-15_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/0,9753,7-406-98163_98173-526911--,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by long-term care facilities into EMResource. Data is updated on an ongoing basis.

The data below represents a cumulative total of confirmed COVID-19 resident cases, cumulative total of suspected and confirmed resident deaths, cumulative total of confirmed COVID-19 staff cases, and cumulative total of suspected and confirmed staff deaths reported by SNFs in Michigan since January 1, 2020. Case numbers are provisional and may change as facilities correct …

2020-07-15_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of care (POC) tests, look for current infection. Serology (antibody) tests are used to look for the possibility of previous infection.
Source: Michigan Disease Surveillance System (MDSS) and Vital Records

The website contained the tables …

A Systematic Review Of Academic Discourse Interventions For School-Aged Children With Language-Related Learning Disabilities, Amy K. Peterson, Carly B. Fox, Megan Israelsen

Communicative Disorders and Deaf Education Student Research

Purpose: This systematic review synthesized a set of peer-reviewed studies published between 1985 and 2019 and addressed the effectiveness of existing narrative and expository discourse interventions for late elementary and middle school-aged students with language-related learning disabilities.

Method: A methodical search of the literature for interventions targeting expository or narrative discourse structure for students ages 9-14 with group experimental designs identified 33 studies, seven of which met specific criteria to be included in this review.

Results: An 8-point critical appraisal scale was applied to analyze the quality of the study design and effect sizes were calculated for six of the …