Medicine and Health Sciences Commons^™

Idiopathic Chylopericardium: A Rare Entity, Seema Jaga, Joseph Namey, Christiano Caldeira, Salah Al-Andary

West Florida Division GME Research Day 2020

• Idiopathic chylopericardiumis a rare entity in which the acculumation of chylousfluid surrounds the pericardial space.
• Herein, we present a case of a 50 year old healthy female patient with no known past medical history that was diagnosed with idiopathic chylopericardiumand was successfully treated using a pleurXcatheter drainage for two and a half weeks and a low fat diet.

Healthy Behaviors For Healthcare Workers, Nicole Mccullough

Masters Theses/Capstone Projects

ARC Healthcare is a health technology contracting company that handles provider network development, software development, and healthcare consulting for large health plans and provider partners. ARC Healthcare is providing contracts to health providers in region 4 states to allow our focused, confidential client to make additional referrals to the providers who agree to the contract through a community care network. Patients who have been referred by the client will then be able to be seen by providers of countless practices and specialties.

ARC Healthcare partnered with the Ignite Health Foundation to organize health fairs for underprivileged communities during my time …

Elder Isolation In Immigrant Communities, Jessica Da Silva

School of Professional Studies

This paper examined loneliness, as a measurement of perceived social isolation, in older immigrant adults. Previous research shows that older adults are more likely to experience social isolation and loneliness. Both of which have a direct correlation with their overall health (Wilson & Molton, 2010, Cacioppo et al., 2002) and mortality rates (Holt-Lunstad et al, 2015). Another international study found that immigrants in particular are at a higher risk for experiencing loneliness (Government of Canada, 2018). In this study, 35 immigrants and non-immigrants participants answered a survey which included 20 questions from the UCLA Loneliness Scale Version 3 (Russel, 1996). …

Language, Motor, And Cognitive Outcomes Of Toddlers Who Were Born Preterm, Diane Frome Loeb, Caitlin M. Imgrund, Jaehoon Lee, Steven Barlow

Center for Brain, Biology, and Behavior: Faculty Publications

Purpose: The purpose of this study was to examine the language, motor, and cognitive abilities of children born preterm in four categories: (a) healthy preterm infants, (b) infants of diabetic mothers, (c) infants with respiratory distress syndrome, and (d) infants with chronic lung disease when the children were 30 months, uncorrected age. Comorbidity of language, motor, and cognitive skills was examined, along with predictor variables.

Method: A total of 148 children who were born preterm participated and were assessed using bivariate tests and logistic regression on standardized assessment scores.

Results: Controlling for the children’s gestational age (GA), overall language ability …

2020-05-01_Michiganoverview_Covidcounts, Michigan Department Of Health & Human Services

Michigan COVID-19 Confirmed Cases by Date of Onset Data

Data was captured from the Cumulative Data link of Michigan's Coronavirus webpage, under the url https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_99207---,00.html.

The website contained the table Count of Confirmed COVID-19 Cases by Date of Onset , sorted by Michigan Preparedness Region. It also contained 18 charts, including the count of confirmed Covid-19 cases by date of onset in the state overall as well as in each preparedness region,and the normalized rate of Covid-19 cases per 1,000,000 residents in both the state and in each preparedness region.

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

NutriNews

This issue features Vacation Fun and Physically Distancing, Lend a wing, Why Communication is Key in Nutrition, Tips in maintaining health during a crisis

Ohiohealth Corporate Fitness Center: Startup Bmw Site, Zixiao Nan

Masters Theses/Capstone Projects

This project proposal aims to start up a fitness center located at two new sites of BMW. This project will provide BMW with detailed recommendations on designing and constructing exercise space, ordering equipment, developing budget, hiring staff, creating schedule and content of group classes and programs being delivered, and contributing to an ideal working environment.

Feasibility And Acceptability Of A Proposed Pharmacy-Based Harm Reduction Intervention To Reduce Opioid Overdose, Hiv And Hepatitis C, Beth E. Meyerson, Jon D. Agley, Wasantha Parakrama Jayawardene, Lori Ann Eldridge, Prachi Arora, Carriann Smith, Nina Vadiei, Amy K. Kennedy, Taylor J. Moehling

Scholarship and Professional Work – COPHS

Background: Evidence-based harm reduction intervention components which might benefit pharmacy patients have not been integrated and studied.

Objective: To investigate the feasibility and acceptability of a proposed pharmacy-based harm reduction intervention to reduce opioid overdose, HIV and hepatitis C called PharmNet.

Methods: Indiana managing pharmacists were surveyed in 2018 to assess the feasibility and acceptability of an intervention for opioid misuse screening, brief intervention, syringe and naloxone dispensing, and referrals provision. The Consolidated Framework for Implementation Research informed the survey development and analysis.

Result: The sample included 303 (30.8%) pharmacists; 215 (70.9%) provided detailed written comments. Intervention Characteristics: 83.3% believed …

Novel Infection Status Post Electrocution Requiring A 4th Ray Amputation, William R. Judson, John D. Murphy, Phillip H. Sussman, John N. Harker

West Florida Division GME Research Day 2020

• Prevotella bivia is an anaerobic, non-pigmented, Gram-negative bacillus species that is known to inhabit the human female vaginal tract and oral flora. It is most commonly associated with endometritis and pelvic inflammatory disease.^{1, 2}
• Rarely, P. bivia has been found in the nail bed, chest wall, intervertebral discs, and hip and knee joints.¹ The bacteria has been linked to necrotizing fasciitis, osteomyelitis, or septic arthritis.^{3, 4}
• Only 3 other reports have described P. bivia infections in the upper extremity with one patient requiring amputation2, and one with deep soft tissue infection requiring multiple debridements and extensive tenosynovectomy. …

Giant Splenic Artery Pseudoaneurysm Rupture Presenting As Hemorrhagic Shock, Jaya Sanapati, Parth R. Desai, Locke W. Barber, Johnathan Frunzi, Timothy Lee

West Florida Division GME Research Day 2020

A 56-year-old Asian male was brought to the emergency department by first responders after he developed severe, sudden-onset headache and chest pain at his home. Past medical history was insignificant. On arrival to the emergency department, the patient was in respiratory distress. Vital signs revealed temperature of 36.0°C, blood pressure of 71/44, heart rate of 90 beats per minute, respiratory rate of 18 breaths per minute, and oxygen saturation of 95% with delivery of oxygen at 2 liters per minute via nasal cannula. Examination of the abdomen revealed diffuse tenderness. Laboratory findings and arterial blood gas analysis revealed normocytic anemia …

From Stasis To Peristalsis, Jennifer Nwaogu

Cohort VIII

The use of laxatives and prune juice in current practice are recommended for patients with chronic constipation. Patient with autism spectrum disorder tend to have a higher occurrence of chronic constipation, rendering the recommended therapy ineffective. For this quality improvement project, prucalopride 2 mg, was prescribed to relieve symptoms of chronic constipation. The project was executed at an intermediate care facility. The population of interest were male adults ages 29 through 40, with a complaint of chronic constipation. The patients were prescribed prucalopride 2mg once a day, for 2 weeks. The follow-up assessments showed positive results with improved bowel movements. …

My Thoughts On Covid-19, Patrick Ferraro

Community Reflections

I feel deeply sorry for the loved ones that were lost from the SHU community directly from COVID-19. The tragedy of death can feel even worse in a time like this where it’s almost as if we can feel it through all of the fear we are presented with.

Coronavirus Update 5-1-2020, The Coronavirus Planning Team

University Briefings & Virtual Events

Our plan to offer a full on-campus program for both residential and commuter students (for the fall semeser) will not come without temporary changes to our typical way of campus life.

Experience During Covid-19, Anonymous

Community Reflections

This submission from Professor James Bartley was a class assignment from a student who maintained a journal describing her experience working at a hospital during the pandemic.

A Multicomponent Tailored Intervention Program Protocol For Weight Loss In An Underserved Adult Patient Population With Obesity, Rita R. Arnold

Evidence-Based Practice Project Reports

Obesity is a multifactorial, individualized, chronic disease that increases known risk factors for significant comorbidities and mortality. The primary purpose of this Evidence-Based practice project was to improve indicators of obesity (weight, BMI) among patients served by a free medical clinic, using a tailored multicomponent intervention. The secondary purpose was to determine if the weight loss intervention was associated with a decrease in blood pressure and depression symptoms. The intervention was guided by the Health Promotion Model by Nola Pender. The Johns Hopkins Nursing Evidence Based Practice Model (JHNEBP) guided implementation of the project. A comprehensive literature review was completed …

Progression Magazine, 2020 Spring/Summer, Coastal Carolina University

Progression Magazine

Magazine of the College of Science at Coastal Carolina University.

Dallas, Tx: The Staggering Wealth Gap, Macy Golman

School of Professional Studies

In the summer of 2019, I had the privilege of serving as an AmeriCorps member with an organization called Equal Heart. One of Equal Heart’s main initiatives was to provide meals to children in underserved populations, to make sure that without school in session, these children would still be receiving food. Unfortunately, in many instances, without these meals, many of the children we served would likely not know when they would be eating their next fulfilling meal. There were certain pockets of Dallas that we would travel to everyday, places that were fifteen minutes maximum from my house, but places …

Ohiohealth Employer Services, John Groeber

Masters Theses/Capstone Projects

Employer Services is one of the many divisions within OhioHealth. The division’s focus is to improve the health and wellness of different employers. This includes onsite clinics, health screenings, flu shots, fitness and nutrition programming, and tobacco cessation programs. OhioHealth offers biometric screenings to employers to determine how healthy employees are. The number of risk factors an employee determines their health insurance. OhioHealth’s 2 largest companies are Nationwide Children’s Hospital and OhioHealthy. Part of these biometric screenings includes screening for tobacco. These cotinine results are stored in a physical book that they bring to different biometric events. The majority of …

Covid 19 On 21 Apr 2020: Behind The Numbers, Vivian Mcalister

Data and Test Instruments

When President Mike Hoare asked me to write a piece for this issue on the COVID-19 pandemic, I objected saying that I was not an expert. On reflection, I realize that we have all become experts on the pandemic, not only from living through it, but also from the information constantly being given to us. I offered to write about my struggles trying to understand the numbers that are presented daily, in ever enlarging red dots. It is no surprise to conclude that these numbers mislead us in many ways. This article does aim not reduce our fascination with the …

Neonatal Health Outcomes And Access To Care, Riki Desjarlais

Nursing | Senior Theses

This paper will review existing research regarding the importance of prenatal healthcare. The research included covers the barriers existing to pregnant mothers and the consequences these barriers pose for mothers and babies with prenatal care that is unobtainable or undesired. This paper will also review current interventions that have provided under-served mothers with the resources they need to better ensure a healthy pregnancy and delivery. Research analyzing mother’s attitudes and beliefs regarding prenatal care will be addressed in addition to how these beliefs may attribute to the health outcomes of their babies. Finally, this paper will include my own research …

Late Referrals Of Pediatric Patients With Elevated Blood Pressure, Guido Filler, Laura Torres-Canchala

Paediatrics Publications

Editorial Commentary

Comparative Analysis Of American Heart Association And European Society Of Hypertension Ambulatory Blood Pressure Thresholds For Diagnosing Hypertension In Children., Ajaya Sharma, Luis Altamirano-Diaz, Michael Grattan, Guido Filler, Ajay P Sharma

Paediatrics Publications

Introduction: The influence of using 24-hour ambulatory blood pressure (ABP) thresholds recommended by the American Heart Association (AHA) (24-hour mean ABP >95th percentile and ABP load >25%) or the European Society of Hypertension (ESH) (mean 24-hour ABP >95th percentile or >130/80 mm Hg if mean ABP 95th percentile exceeds 130/80 mm Hg) on the diagnosis of pediatric hypertension has been understudied.

Methods: In a cross-sectional, retrospective study of 159 children from a tertiary care outpatient clinic, we classified office blood pressure (OBP) as normotension or hypertension based on the OBP thresholds recommended by the American Academy of Pediatrics (AAP) and …

Seizure Freedom Improves Health-Related Quality Of Life After Epilepsy Surgery In Children., Puneet Jain, Mary Lou Smith, Kathy Speechley, Mark Ferro, Mary Connolly, Rajesh Ramachandrannair, Salah Almubarak, Andrea Andrade, Elysa Widjaja

Paediatrics Publications

AIM: To determine whether epilepsy surgery improved health-related quality of life (HRQoL) and whether seizure freedom after surgery mediated the improvement in HRQoL.

METHOD: This multicenter cohort study compared HRQoL after epilepsy surgery to pharmacological management in children with drug-resistant epilepsy (DRE). HRQoL was measured using the Quality of Life in Childhood Epilepsy (QOLCE) questionnaire at baseline and 1-year follow-up. The mediator between treatment type and HRQoL was seizure freedom.

RESULTS: Two hundred and thirty-seven patients were recruited (surgery group: n=147 [92 males, 45 females]; pharmacological group: n=90 [53 males, 37 females]). Mean age at seizure onset was 6 years …

Standards Of Care For Children In Emergency Departments: Executive Summary., Rodrick K Lim, Baljit Cheema, Catherine Cartman, Ffion Davies, Marianne Gausche-Hill, Felix Hay

Paediatrics Publications

No abstract provided.

Age At Migration And The Risk Of Psychotic Disorders: A Systematic Review And Meta-Analysis., Kelly K. Anderson, Jordan Edwards

Epidemiology and Biostatistics Publications

OBJECTIVE: To conduct a systematic review and meta-analysis of the existing evidence on the association between age at migration and the risk of psychotic disorders.

METHODS: Observational studies were eligible for inclusion if they presented data on the association between age at migration and the risk of psychotic disorders among first-generation migrant groups. We used two random effects meta-analyses to pool effect estimates for each stratum of age at migration relative to (i) a native-born reference category and (ii) the youngest age stratum (0 to 2 years).

RESULTS: Ten studies met inclusion criteria, and five were included in the meta-analysis. …

A Systematic Review Of Occupational Therapy Interventions In The Transition From Homelessness, Roxanne Isard Ms., Carrie Anne Marshall, Leonie Boland, Lee Ann Westover, Sharon A. Gutman

Occupational Therapy Publications

Background: Although systematic and scoping reviews have identified a range of interventions for persons experiencing homelessness, no known reviews have captured the range and quality of intervention studies aimed at supporting a transition from homelessness. Objectives: To capture the range and quality of occupational therapy intervention studies aimed at supporting a transition to housing following homelessness. Method: Using Joanna Briggs Institute (JBI) guidelines, we conducted a systematic review including a critical appraisal and narrative synthesis of experimental studies. Results: Eleven studies were included. Critical appraisal scores ranged from 33.3 to 88.9 of a possible score of 100 (Mdn = 62.5; …

Delays In Hospital Admissions In Patients With Fractures Across 18 Low-Income And Middle-Income Countries (Inormus): A Prospective Observational Study, Panthea Pouramin, Chuan Silvia Li, Jason W. Busse, Sheila Sprague, P. J. Devereaux, Jagnoor Jagnoor, Rebecca Ivers, Mohit Bhandari, Gordon Guyatt, Brad Petrisor, Lehana Thabane, Respicious L. Boniface, Bruce Browner, Fernando De La Huerta, Rebecca Q. Ivers, Theodore Miclau, Paul Moroz, Andrew Pollak, Gerard Slobogean, Parag Sancheti, Emil Schemitsch, Junlin Zhou, Paula Mckay, Raman Mundi, Nathan O'Hara, Diane Heels-Ansdell, Lisa Buckingham, Nicole Simunovic, Robyn Norton, Jing Zhang, Maoyi Tian, Soumyadeep Bhaumik, Samina Parveen

Bone and Joint Institute

© 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: The Lancet Commission on Global Surgery established the Three Delays framework, categorising delays in accessing timely surgical care into delays in seeking care (First Delay), reaching care (Second Delay), and receiving care (Third Delay). Globally, knowledge gaps regarding delays for fracture care, and the lack of large prospective studies informed the rationale for our international observational study. We investigated delays in hospital admission as a surrogate for accessing timely fracture care and explored factors associated with delayed hospital admission. …

Heterogeneous Baroreflex Control Of Sympathetic Action Potential Subpopulations In Humans, Stephen A. Klassen, M. Erin Moir, Charlotte W. Usselman, J. Kevin Shoemaker

Bone and Joint Institute

© 2020 The Authors. The Journal of Physiology © 2020 The Physiological Society Key points: Emission patterns in muscle sympathetic nerve activity stem from differently sized action potential (AP) subpopulations that express varying discharge probabilities. The mechanisms governing these firing behaviours are unclear. This study investigated the hypothesis that the arterial baroreflex exerts varying control over the different AP subpopulations. During baseline, medium APs expressed the greatest baroreflex slopes, while small and large APs exhibited weaker slopes. On going from baseline to lower body negative pressure (LBNP; simulated orthostatic stress), baroreflex slopes for some clusters of medium APs expressed the …

Development And Usability Testing Of A Web-Based And Therapist-Assisted Coping Skills Program For Managing Psychosocial Problems In Individuals With Hand And Upper Limb Injuries: Mixed Methods Study, Folarin Omoniyi Babatunde, Joy Macdermid, Ruby Grewal, Luciana Macedo, Mike Szekeres

Bone and Joint Institute

© 2020 Folarin Omoniyi Babatunde, Joy MacDermid, Ruby Grewal, Luciana Macedo, Mike Szekeres. Background: Ineffective coping has been linked to prolonged pain, distress, anxiety, and depression after a hand and upper limb injury. Evidence shows that interventions based on cognitive behavioral therapy (CBT) may be effective in improving treatment outcomes, but traditional psychological interventions are resource intensive and unrealistic in busy hand therapy practices. Developing web-based, evidence-based psychological interventions specifically for hand therapy may be feasible in clinical practice and at home with reduced training and travel costs. Hand Therapy Online Coping Skills (HOCOS) is a program developed to supplement …

Repetita Iuvant: Repetition Facilitates Online Planning Of Sequential Movements, Giacomo Ariani, Young Han Kwon, Jörn Diedrichsen

Brain and Mind Institute Researchers' Publications

Copyright © 2020 the American Physiological Society. Beyond being essential for long-term motor-skill development, movement repetition has immediate benefits on performance, increasing speed and accuracy of a second execution. While repetition effects have been reported for single reaching movements, it has yet to be determined whether they also occur for movement sequences, and what aspects of sequence production are improved. We addressed these questions in two behavioral experiments using a discrete sequence production (DSP) task in which human volunteers had to perform short sequences of finger movements. In experiment 1, we presented participants with randomly varying sequences and manipulated 1) …