Medicine and Health Sciences Commons^™

Smart Environments For Assisted Living: A Multidisciplinary Collaboration In Engineering And Architecture Education, Adriana Rios-Santiago, Anabel Pineda-Briseno, Jesus A. Gonzalez-Rodriguez, Uriel Saul Huerta

Manufacturing & Industrial Engineering Faculty Publications

This paper presents a description of a collaborative project based on the integration of technology development in the built environment for assisted living. The multidisciplinary collaboration is developed as a cooperative commitment to provide support for cross-border, collective projects. It was initiated as a project-based learning setting between undergraduate engineering students, and four years later the program shifted to include undergraduate architecture students and engineering master’s students. The learning experience opens the gate to a completely new collaborative setting, yet to be established, independent from its predecessor setting of project-based learning, focusing now towards an interdisciplinarity setting in cross-border collaboration. …

Natural History Of Geographic Atrophy Secondary To Age-Related Macular Degeneration: Results From The Prospective Proxima A And B Clinical Trials, Nancy Holekamp, Charles C Wykoff, Steffen Schmitz-Valckenberg, Jordi Monés, Eric H Souied, Hugh Lin, Melvin D Rabena, Ronald A Cantrell, Erin C Henry, Fan Tang, Balakumar Swaminathan, Jillian Martin, Daniela Ferrara, Giovanni Staurenghi

2020-Current year OA Pubs

PURPOSE: To better characterize visual function decline and geographic atrophy (GA) progression secondary to age-related macular degeneration (AMD).

DESIGN: Proxima A (NCT02479386)/Proxima B (NCT02399072) were global, prospective, noninterventional, observational clinical trials.

PARTICIPANTS: Eligible patients were aged ≥50 years. Patients in Proxima A had bilateral GA without choroidal neovascularization (CNV) in either eye (N = 295). Patients in Proxima B had GA without CNV in the study eye and CNV±GA in the fellow eye (fellow eye CNV cohort, n = 168) or GA without CNV in the study eye, no CNV/GA in the fellow eye (fellow eye intermediate AMD cohort, n …

Physical Therapy Management For A 68-Year-Old Female Following Right Breast Lumpectomy: A Case Report, Mackenzie Dumm

Physical Therapy Scholarly Projects

Background and Purpose. This case report describes and evaluates the clinical decision-making process, physical therapy interventions, and clinical outcomes of a patient with upper extremity pain and functional limitations that presented following breast cancer treatment including a right breast lumpectomy, chemotherapy, and radiation therapy.

Case Description. The patient was a 68-year-old female who was diagnosed with breast cancer in the right breast and received post-surgical physical therapy simultaneously with radiation therapy.

Intervention. Physical therapy interventions were developed with an emphasis on low intensity and short duration cardiovascular activity, thoracic mobility, upper extremity strengthening, scapular stabilization, scar tissue mobilization, …

Nutrinews: June, 2020, Department Of Nutrition And Dietetics, University Of North Florida

NutriNews

This issue features Research around the world: High Prevalence of suboptimal vitamin B12 in young adult women of south Asian and European ethnicity, do alternative milks compare nutritionally to cow's milk?

Efficacy Of Work-Related Training For Individuals With Autism Spectrum Disorder, E. Anderson, L. Hatton, K. Schlager, A. Shea, K. Watlington, M. Ferraro, M. C. Potvin

Student Papers, Posters & Projects

Research suggests that traditional models of work-related training, in addition to a lack of on-the-job support, may exacerbate difficulties experienced by individuals with autism spectrum disorder with obtaining and maintaining employment

The poor employment outcomes experienced by individuals with ASD are well-documented throughout literature and have resulted in the need to examine more effective ways of providing support and work-related interventions.

Although research has investigated the efficacy of work-related training on successful employment outcomes when used with individuals with ASD, a systematic review summarizing this evidence has yet to be published. Therefore, this review examines and interprets current research evidence …

Leaving No One Behind: Towards Equitable Global Elimination Of Hepatitis C, Elin Hoffmann Dahl, Hassaan Zahid, Khawar Aslam, Wasim Jafri

Section of Gastroenterology

No abstract provided.

First Rwanda National Trauma Symposium 2019: Challenges And Priorities., Ashley Rosenberg, Faustin Ntirenganya, Irene Bagahirwa, Gabin Mbanjumucyo, Lambert Rutayisire, Severien Muneza, Innocent Nzeyimana, Eric Benimana, Ernest Nahayo, Busisiwe Bhengu, Assuman Nuhu, Arsene Muhumuza, Costica Uwitonze, Ghislaine Umwali, Menelas Nkeshimana, Jeanne D'Arc Nyinawankusi, Elizabeth Krebs, Jean Marie Uwitonze, Igance Kabagema, Theophile Dushime, Jean Claude Byiringiro, Gilles Ndayisaba, Sudha Jayaraman

Department of Emergency Medicine Faculty Papers

No abstract provided.

E-Cigarette Or Vaping Product Use-Associated Lung Injury (Evali) Characterized By Pulmonary Ultrasound, Peter Sacci, Arthur Au

Department of Emergency Medicine Faculty Papers

Pulmonary ultrasound is a useful tool in the diagnosis and resuscitation of emergency department (ED) patients with dyspnea. We present the case of a patient who was diagnosed with E-cigarette or vaping product use-associated lung injury (EVALI) using pulmonary ultrasound. Many of these cases are diagnosed using x-ray, computerized tomography, or bronchoscopy and to our knowledge this is the first published case that demonstrates utility of ultrasound in diagnosing EVALI. While more investigation is needed on the use of this technique, the patient in this case was diagnosed with EVALI based on positive history, presence of normal cardiac function, non-cardiogenic …

Improving Central Venous Catheter Infection Rates Through The Use Of A Bundle: An Integrative Review, Janice Laverne Harris-Hall

Doctoral Dissertations and Projects

The role of Central Venous Catheters (CVC) is significant for the End-Stage Renal Disease (ESRD) population. The placement of the CVC for a HD (HD) patient is not only necessary, but life-sustaining. CVCs are usually placed for an emergent HD treatment, while awaiting a permanently placed arteriovenous fistula or graft (AVF/AVG), or when the permanent access becomes non-functioning. There are multiple risk factors related to having a CVC placed, the most predominant complication being catheter line-associated bloodstream infections (CLABSIs). Studies have shown that implementing a CVC prevention bundle was associated with a significant reduction in the CLABSI rates within the …

Do Household Asset Wealth Measurements Depend On Who Is Surveyed? Asset Reporting Concordance Within Multi-Adult Households In Rural Uganda., Meghan L. Smith, Bernard Kakuhikire, Charles Baguma, Justin D. Rasmussen, David Bangsberg, Alexander C. Tsai

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: In resource-limited settings, the Filmer & Pritchett asset index is frequently used to measure household economic status. Little is known about how its validity is affected by differential reporting or recall within households.

Methods: As part of a whole-population survey in a rural region of southwestern Uganda, we elicited household asset information from married dyads (404 men and 404 matched women) residing within the same households. We assessed the extent to which the asset index yielded differing measures of relative household wealth, depending on whether the husband’s or wife’s survey data were used in its calculation. To …

Health And Dental Care Expenditures In The United States From 1996 To 2016, Man Hung, Martin S. Lipsky, Ryan Moffat, Evelyn Lauren, Eric S. Hon, Jungweon Park, Gagandeep Gill, Julie Xu, Lourdes Peralta, Multiple Additional Authors

OHSU-PSU School of Public Health Faculty Publications and Presentations

Introduction: As total health and dental care expenditures in the United States continue to rise, healthcare disparities for low to middle-income Americans creates an imperative to analyze existing expenditures. This study examined health and dental care expenditures in the United States from 1996 to 2016 and explored trends in spending across various population subgroups.

Methods: Using data collected by the Medical Expenditure Panel Survey, this study examined health and dental care expenditures in the United States from 1996 to 2016. Trends in spending were displayed graphically and spending across subgroups examined. All expenditures were adjusted for inflation or …

Innovative Nanomaterial Approaches For Solar Energy Applications, James Walshe

Doctoral

The fundamental limitation of the conversion efficiency achievable with solar energy solutions (which includes photovoltaic and photothermal technology), requires the adaptation and integration of a series of innovative material strategies to continue the process of sustainably decarbonizing the global economy. Through the passive integration of additional nanoscale features which exploit and modify the solar spectrum through its interactions with luminescent molecules, metal nanoparticles, and/or thin-film optical coatings – the solar spectrum can be modulated and accordingly the collection efficiency of each respective technology enhanced. However, irrespective of the type of spectral conversion integrated into the technology (luminescent down-shifting, nanofluids, plasmonic …

Convalescent Plasma: Promise For Covid-19 Pandemic, Sadaf Sheikh, Muhammad Akbar Baig

Department of Emergency Medicine

No abstract provided.

Covid-19 Pandemic: Public Trust And Guiding Ethics Where Ventilators Equal Lives, Sadaf Sheikh, Muhammad Akbar Baig

Department of Emergency Medicine

No abstract provided.

Optimising Ventilator Use During The Covid-19 Pandemic, Sadaf Sheikh, Muhammad Akbar Baig

Department of Emergency Medicine

Hypoxemia is the most common cause for hospitalization in COVID-19 patients. Acute hypoxemic respiratory failure or acute respiratory distress syndrome (ARDS) is the most common complication in COVID-19 patients. Close monitoring of respiratory decompensation is essential. Supplemental oxygen, high flow nasal canula, non-invasive ventilation and endotracheal intubation are the most commonly suggested methods to improve oxygenation. Early intubation with pre-oxygenation, modified rapid sequence intubation and intubation using a video laryngoscope has been advised as a strategy including lung protective ventilation, prone position ventilation, adequate sedation and extracorporeal membrane oxygenation. Strict personal precautions and challenges related to airway management has been …

Obstructive Sleep Apnea In Middle Age Male Smokers, Muhammad Hassan, Saad Ali Ansari, Farzana Salman, Raafay Kamal Khan, Waleed Shahzad, Ehsan-Ur- Rehman, Omer Hassaan, Aftab Ahmed, Mazhar Badshah

Pakistan Journal of Neurological Sciences (PJNS)

OBJECTIVE: Obstructive sleep apnea is the most common type of sleep apnea. This was designed to establish the relationship between smoking and obstructive sleep apnea. Methods:This cross-sectional study was conducted at the outpatient department of Pakistan Institute of Medical Sciences, Islamabad, Pakistan, from August 2018 to November 2018 (dates mentioned in methods are different) and comprised of males aged 30-50 years. Participants were divided into two groups of smokers and non-smokers and Berlin questionnaire was used to collect data employing systemic random sampling. SPSS 22 was used for analysis. Results:There were 768 male participants in the study equally split between …

A Review Of Brain Death Protocols Across The Globe And Need For Brain Death Guideline For Pakistan., Mohammad Wasay, Syeda Batool Mujtaba, Mughis Sheerani, Saleem Barech, Rashid Jooma

Pakistan Journal of Neurological Sciences (PJNS)

The concept of brain death was first formally presented in United States of America in 1968 (Ad Hoc Committee of the Harvard Medical School to examine the definition of Brain Death, 1968) in part to facilitate organ donation. It is a widely accepted term in most countries but some like Japan do not consider it as death. According toAAN, brain death is defined as death due to irreversible loss of function of the entire brain — comparable to circulatory death, which is defined as irreversible loss of function of the circulatory system. The purpose of our study is to review …

Factors Influencing Severity In Acute Ischemic Strokes, Inam E Khuda, Intisar Siddiqui, Saad Munzar, Rashid Nazir, Arsalan Ahmed

Pakistan Journal of Neurological Sciences (PJNS)

Background: Stroke severity is one of the factors that determines stroke related disability. We explored possible associations between stroke severity and commonly evaluated clinical parameters of stroke patients. Objective: To determine the relationships between clinical features including routine in- hospital investigations done in first 24 hours of admission and variations in the stroke severity. Patients and Methods: This was a retrospective, analytical study performed in the Department of Neurology at Shifa International Hospital, Shifa Tameer-e-Millat University, Islamabad, Pakistan. Adult patients admitted with ischemic stroke, over a period of 39 months, with Middle Cerebral Artery infarctions, were included. National Institute of …

Knowledge And Use Of The International Classification Of Functioning, Disability And Health (Icf) Among Health Professionals In A Developing Country, Sidra K. Jafri, Olaf Kraus De Camargo

Pakistan Journal of Neurological Sciences (PJNS)

The World Health Organization’s (WHO) International Classification of Functioning, Disability, and Health (ICF) provides a biopsychosocial framework for understanding all the factors that should be considered while managing any health condition. The ICF has been employed for clinical, academic, research, and policymaking purposes in developed as well as developing countries. There is a great disparity in the representation in the literature regarding knowledge and potential application of the ICF in professional practice around the world especially from low middle-income countries like Pakistan. This study aims to evaluate the profile and knowledge of health professionals in Pakistan about the application of …

Concussion: A Review Of Epidemiology, Presentation And Treatment., Sidra Saleem, Arsalan Anwar, Fahham Asghar, Muhammad Wasay

Pakistan Journal of Neurological Sciences (PJNS)

A direct impact on the head can cause a Mild Traumatic Brain Injury or Concussion. It is a neuronal brain injury with or without loss of consciousness. Each year, approximately 69 million people are estimated to suffer from Concussion. Around 80-90% of these Concussion cases resolve within a week. The most commonly reported post-concussion symptoms include headache, cognitive changes, sleep disturbances, and depression. Essential in the approach to patients with concussion includes a detailed history taking and physical examination. Imaging modalities like Magnetic Resonance Images (MRI) of the brain may not show any significant changes; therefore more sensitive tests, like …

A Rare Presentation Of Pulmonary Sarcomatoid Carcinoma With Left Atrial Involvement And Spinal Metastasis Presenting With An Ischemic Infarct., Hina Imtiaz, Muhammad Dawood Amir Sheikh

Pakistan Journal of Neurological Sciences (PJNS)

Pulmonary Sarcomatoid Carcinoma is a rare, aggressive tumor comprising of both epithelial and mesenchymal cells. It is important to distinguish it from other lung tumors due to its poor prognosis and extensive metastasis. We present a case of a 36 year old female patient who initially presented with right sided weakness and slurred speech due to an ischemic infarct of the left basal ganglia. Further workup revealed a lung mass extending to the left atrium with spinal metastasis. Sarcomatoid Carcinoma remains a diagnostic challenge due to its early recurrence and atypical presentation.

Movement Disorder Associated With Celiac Disease And Thyroid Dysfunction:Case Report, Ramla Nayaib Hashmi, Ummul Kiram, Rabbia Tariq

Pakistan Journal of Neurological Sciences (PJNS)

Autoimmune movement disorders are uncommon yet likely treatable conditions. It is challenging to diagnose and manage these disorders, ultimately leading to a significant morbidity in terms of functional disability of patient. It is troublesome for practicing neurologists to identify whether the antibodies which are detected during the work up of these autoimmune movement disorders are merely incidental or have pathogenic role. This will help them to decide regarding whether to start immunotherapy or not. Here we have discussed two patients of movement disorder who were found to have positive work up for other autoimmune diseases. Available Literature on autoimmune movement …

Effects Of Intermittent Fasting On Taste Modulation And Perception, Sajid Hameed, Mohammad Wasay

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.

Postnatal Loss Of The Insulin Receptor In Osteoprogenitor Cells Does Not Impart A Metabolic Phenotype, John L. Fowlkes, R. Clay Bunn, Evangelia Kalaitzoglou, Phil Ray, Iuliana Popescu, Kathryn M. Thrailkill

Barnstable Brown Diabetes Center Faculty Publications

The relationship between osteoblast-specific insulin signaling, osteocalcin activation and gluco-metabolic homeostasis has proven to be complex and potentially inconsistent across animal-model systems and in humans. Moreover, the impact of postnatally acquired, osteoblast-specific insulin deficiency on the pancreas-to-skeleton-to-pancreas circuit has not been studied. To explore this relationship, we created a model of postnatal elimination of insulin signaling in osteoprogenitors. Osteoprogenitor-selective ablation of the insulin receptor was induced after ~10 weeks of age in IR^l°^x/lox/Osx-Cre^+/− genotypic male and female mice (designated postnatal-OIRKO). At ~21 weeks of age, mice were then phenotypically and metabolically characterized. Postnatal-OIRKO mice demonstrated …

Bacterial Contamination Of Mobile Phones Among Health Care Workers: A Meta-Analysis Study, Azza Omran, Mohamed S. Taha

Journal of Medicine in Scientific Research

Background Mobile phones (MPs) are becoming commonplace in both community and hospital settings. There are studies that show that phones can be considered fomites in potential, ones that give organisms an environment conducive to their development, such as constant heat and moisture. Aim The present study aimed to do a meta-analysis to investigate the bacterial contamination of MPs among health care workers (HCWs). Materials and methods Using MEDLINE database (http://www.pubmed.com), we conducted a systematic literature search to identify relevant studies published within the past 20 years (from 2000 up to 2020). Appropriate articles were accessed in full text …

Bileaflet Augmentation For Repair Of Rheumatic Mitral Valve Disease In Egyptian Patients, Maged M. A. Kisho

Journal of Medicine in Scientific Research

Objectives Mitral valve (MV) repair in rheumatic patients is a challenging procedure and carries high incidence of early and late failure. We aimed in this study to evaluate the mid-term results of MV bileaflet augmentation to increase the depth of coaptation and achieve satisfactory results of repair. Patients and methods Between January 2015 and December 2018 at the National Heart Institute of Egypt, 24 rheumatic patients had leaflet augmentation with glutaraldehydetreated autologous pericardium as part of their mitral repair procedure. Their clinical and echocardiographic data were prospectively analyzed. Results The mean age of the rheumatic patients was 34.2 ± 14.7 …

Hospital Outcome And Predictors Of Mortality Of Primary Isolated On-Pump Coronary Artery Bypass Grafting In Acute Coronary Syndrome, Ahmed M. E. Abdelgawad

Journal of Medicine in Scientific Research

Background The effect of surgical treatment on patients with acute coronary syndrome (ACS) is disputable. The objective of the present study was to analyze the outcome, in-hospital mortality, and its predictors as well as major adverse cardiac and cerebrovascular events in patients referred to coronary artery bypass grafting (CABG) with ACS presentation. Patients and methods Hospital medical records of ACS presentation were retrieved from Madinah Cardiac Center database between November 2011 and August 2017. A total number of 630 patients who underwent primary isolated CABG for ACS presentation were identified. Of these, unstable angina (UA) pectoris was present in 277 …

Comparison Of Drug-Eluting And Bare-Metal Stents In Patients With Saphenous Vein Graft Stenosis, Ahmed Zayed, Ahmed Algebaly, Tamer El Banna

Journal of Medicine in Scientific Research

Background The use of drug-eluting stents (DES) during the percutaneous coronary intervention of patients with degenerated saphenous vein graft (SVG) is uncertain. Although previous studies showed that DES might decrease the rate of re-intervention in patients with SVG stenosis, randomized controlled trials comparing bare-metal stents (BMS) and DES in SVG lesions have been inconclusive. Objective The purpose of this study was to compare the outcomes in patients undergoing SVG stent implantation treated with DES or BMS. Patients and methods This was a retrospective observational study that included 60 patients who underwent percutaneous coronary intervention for SVG lesions, comprising 30 patients …

Effects Of Oral Sildenafil After Palliative Procedures To Increase Pulmonary Blood Flow In Cyanotic Heart Diseases, Ahmed Al-Gebaly, Ahmed Zayed, Amal Younan, Hanan Mohammed, Rania Aboushokka, Rasha Hossny, Yahia Mahmoud

Journal of Medicine in Scientific Research

Background Continuing efforts have been exerted to improve the outcome of palliative procedures for cyanotic congenital heart diseases. Sildenafil is known for the management of erectile dysfunction and pulmonary hypertension, but the cardiac benefits of this drug showed its impacts in the hemodynamic profile of cardiac patients. Aim To evaluate the effect of oral sildenafil on man-made shunts and vascular connection of cyanotic heart diseases. Patients and methods This comparative study was conducted from 2013 to 2017 on patients who had congenital cyanotic heart disease and who underwent acquired palliative procedure to increase the pulmonary blood flow. Procedures included: modified …

Evaluation Of Early Outcomes Of Modified Bentall Procedure As A Treatment Of Ascending Aortic Diseases, Ahmed S. Ali

Journal of Medicine in Scientific Research

Back ground Ascending aortic diseases are life-threatening conditions that have an increasing incidence. The modified Bentall procedure has become the technique of choice used to treat such diseases. Objectives This study evaluates early outcomes of patients who underwent modified Bentall procedure as a treatment of ascending aortic diseases. Patients and methods A total of 75 patients who underwent modified Bentall operation for ascending aortic diseases at the National Heart Institute during a 3-years period (July 2015 to August 2018) were studied prospectively. The included patients were divided according to the type of aortic disease into two groups: group A included …