Medicine and Health Sciences Commons^™

Case Series: Discordance Between Visible Retinal Nerve Fiber Layer Defects And Spectral Domain Optical Coherence Tomographic Analysis In Patients With Glaucoma, Joseph Sowka Od, Leticia Rousso Od

Optometric Clinical Practice

Background: Spectral domain optical coherence tomography (SD-OCT) has become a common modality in glaucoma diagnosis. Ease of use, comfort, and a comparative normative database makes this technology very popular with patients and practitioners. However, despite the sophistication of this technology, it may miss pathologic abnormalities of the retinal nerve fiber layer (RNFL) or be misinterpreted by practitioners based upon comparisons to a normative database.

Purpose: To illustrate discordance between clinical examination and SD-OCT analysis in patients with glaucoma.

Case Reports: Examples of three patients with glaucoma who had photographically and ophthalmoscopically visible RNFL defects who had SD-OCT analyses that fell …

Optometry's Contribution, Paul B. Freeman Od

Optometric Clinical Practice

Letter from the Editor-in-Chief

Incentive Sensitization For Exercise Reinforcement To Increase Exercise Behaviors, Kyle D. Flack, Harry M. Hays, Jack Moreland

Dietetics and Human Nutrition Faculty Publications

Individuals can be sensitized to the reinforcing effects of exercise, although it is unknown if this process increases habitual exercise behavior. Sedentary men and women (body mass index: 25–35 kg/m², N = 52) participated in a 12-week aerobic exercise intervention. Exercise reinforcement was determined by how much work was performed for exercise relative to a sedentary alternative in a progressive ratio schedule task. Habitual physical activity was assessed via accelerometry. Post-intervention increases in exercise reinforcement predicted increases in physical activity bouts among those who expended over 2000 kcal per week in exercise and who compensated for less than …

2020-04-27_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

2020-04-27_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 …

Senior Night, Aleyah Rastetter

Reflections, Poetry, Photos, and other Writings

This is a letter regarding the loss of my senior year of high school.

Wai Puna: An Indigenous Model Of Māori Water Safety And Health In Aotearoa, New Zealand, Chanel Phillips Ph.D.

International Journal of Aquatic Research and Education

Māori (the indigenous peoples of Aotearoa, New Zealand) are intimately connected to wai (i.e., water) yet are overrepresented in New Zealand’s drowning statistics each year. On average Māori account for 20-24% of all preventable and non-preventable drowning fatalities, despite comprising only 15 percent of New Zealand’s population. Drowning remains a significant issue posing a threat to whānau (i.e., families) through premature death being imminent and whakapapa (i.e., genealogy) being interrupted. There is limited research that has examined Māori and indigenous understandings of water safety within the literature and limited studies that have investigated the issue of Māori drowning from a …

2020-04-27_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.

It's In The Bag: Tidal Volumes In Adult And Pediatric Bag Valve Masks, Benjamin Dafilou, Daniel Schwester, Nathan Ruhl, Andreia Marques-Baptista

College of Science & Mathematics Departmental Research

Introduction: A bag valve mask (BVM) is a life saving device used by all levels of health care professionals during resuscitative care. We focus most of our time optimizing the patient's position, firmly securing the mask, and frequency of ventilations. However, despite our best efforts to control these factors, we may still be precipitating harm to the patient. Multiple studies have shown the tidal volumes typically delivered by the adult BVM are often higher than recommended for lung-protective ventilation protocols. In this study we measure and compare the ventilation parameters delivered by the adult and pediatric BVM ventilators. Methods: A …

Ua3/10/2 Cares Act For Students, Wku President's Office - Caboni

WKU Administration Documents

Email from WKU president Timothy Caboni to faculty & staff regarding the Coronavirus Aid Relief & Economic Security Act for students.

2020-04-27_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

The webpage was obtained from Michigan's Coronavirus Cumulative Data page, under the link Data About Places. Data is self-reported by hospitals daily to the EM Resource System per MDHHS Director Robert Gordon's Emergency Order.

Contains the tables Statewide Available Bed Tracking for COVID-19, COVID-19 Metrics, Statewide Available PPE Tracking for COVID-19 (Statewide Available PPE and Bed Tracking), as well as the tables PPE Days On Hand and Patient Census.

2020-04-27_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. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., with COVID-19 results included as of 10 a.m.

Note on cumulative counts: This report is provisional and subject to change. As public health investigations of individual cases continue, there will be corrections to the status and details of referred cases that result in changes to this report.
Note on the deaths: Deaths must be reported by health care providers, medical examiners/coroners, and recorded by local health departments …

Food Insecurity Resources At The University Of Mississippi, Summer Jefferson, Anne Cafer, Georgianna Mann

APCRL Policy Briefs

Food security is defined by the United States Department of Agriculture as, "access by all people at all times to enough food for an active, healthy lifestyle." Estimates of food insecurity on college campuses range from 19-46%, but 20-25% of students who are not classified as food insecure still report anxiety about food shortage. The purpose of this policy brief is to contextualize the results from research on the campus awareness of the Ole Miss Food Bank and the nutritional analysis of the Food Bank's offerings.

2020-04-27 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Lori D. Sloane, Todd Quinn, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Ariel Hurwitz, Lynnmarie Jarratt, Jenny Situ, Alexandra Yingling, Elly Munde, Cristian Bologa, Kristine Tollestrup, Orrin Myers, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM daily cases. McKinley surpasses Bernalillo cases. NM personal stories. Pushes for earlier reopening: Grants, Roosevelt, Lea, Albuquerque. Bus route reopening. Unpaid substitute teachers. Union nurse protest. Georgia reopening. CVS Walgreens LabCorp testing. WHO endorses federal plan. Australians embrace tracing. Brazil overwhelmed. Kawasaki disease elevated. Contamination simulations. Rice cooker mask steaming. Novel eye mask. 3 million worldwide cases. Contact tracing pitfalls. Malaria inverse relationship. Wastewater surveillance. Homeless testing. Predicting death rates. Urban informal settlements. Global health guide. Improving quarantine adherence. Practice guidelines: multiple myeloma, pediatric management, pediatric dialysis, PPE in oro/nasopharyngeal conditions. Recombinant ACE2 blocks virus. Viral life …

Data Analysis Of A National Health And Nutrition Examination Survey (Nhanes) To Identify The Relationship Between Obesity And Cancer, Reyhaneh A. Yazdi, Ramona Stone

Public Health Sciences Student Work

Introduction: Obesity and cancer independently are two important causes of death in the USA. A growing number of studies shows that these two chronic illnesses are related.

Objective: To examine the relationship of cancer and obesity using BMI and Waist Circumference (WC) as indicators using the National Health and Nutrition Examination Survey (NHANES) dataset.

Method: NHANES (2013-2014) dataset was used to obtain information on BMI, Waist Circumference (WC), and cancer (presence or absence) among the participants. The prevalence of obesity and cancer was tested with Pearson λ^2 test and the relationship of these two with education (5 levels) was examined …

Marijuana And Depression, Pratik Sharma, Ramona Stone

Public Health Sciences Student Work

Purpose: As the country struggles to address an epidemic of alcohol and E-cigarette, a wide-ranging category of natural substance “marijuana” have provoked a new sense of public urgency over the past decade. Notwithstanding the federal ban, selling and use of non-medical marijuana continues to escalate due to state legalization process. The purpose of this cross-sectional study is to determine the relationship between marijuana use and depression.

Methods: The 2013-2014 National Health and Nutrition Examination Survey (CDC) data was used to test the association between marijuana use and depression. This nationally representative weighted sample included N=62,769 adults ages 14 years or …

Enhancing African Student Well-Being And Success, Jeff Gillingham, Heather Edelblute, Zeinab Baba

Public Health Sciences Student Work

Purpose: African Immigrant students contribute to the diversity of West Chester University (WCU); however, little is known about how to promote their well-being, retention, and success. This is due to African immigrants often being grouped with African American students in academic research, masking any differences between these two groups. Immigrant students may face unique challenges and stressors associated with adapting to life in the US which can affect their health and academic success. For this reason, we assess sources of stress and social support needs for African immigrant students at WCU.

Methods: This study uses a qualitative design that relies …

The Effects Of Lower Body Positive Pressure Treadmill Running On Acute Femoral Cartilage Deformation, Megan Graff, Kenneth P. Clark, John J. Smith, Nicole M. Cattano

Sports Medicine Student Work

Purpose: Examine and compare the acute response of femoral cartilage in healthy individuals after running at full bodyweight (BW) (100%) and 80% BW on a lower body positive pressure treadmill. Methods: Crossover study consisted of 20 total healthy participants (10 males, 10 females). Femoral cartilage width was assessed using ultrasonography before and after the assigned running conditions. The control condition consisted of running at 6mph for 30 minutes at 100% BW, while the experimental condition consisted of running at 6mph for 30 minutes at 80% BW. Each participant ran both BW conditions, exactly one week apart. The order of conditions …

Evaluating The Outcomes Of A Health Career Summer Academy For Underserved Youth, Alyssa M. Smith, Daniel J. Baer

Sports Medicine Student Work

Purpose: The Health Career Summer Academy (HCSA) is a one-week program that introduces students from underserved populations to various health careers and areas of study in health sciences. The purpose of this study was to determine whether this week-long summer academy increased characteristics of positive youth development, promoted transferrable skills, and increased interest in college and/or health sciences careers. Methods: In 2017 and 2018, seventy-three participants (mean age = 13.6) from the greater Philadelphia area completed anonymous online surveys on the first day and final day of HCSA programs at West Chester University, Arcadia University, and Rosemont College. Surveys included …

05-05-20 Hsc Committee Meeting Notice, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Demographics Of Opioid Prescriptions, Isaac Linton, Simon Condliffe

Economics & Finance Student Work

The author ran Linear Probability Model and Logistic Model regressions on data from the 2017 Medical Expenditures Panel Survey to determine demographics of opioid prescriptions. The dependent variable was opioid prescription received (Y/N) and independent variables included age, education level, relative income, race, insurance status, etc. Results of the regressions showed that people with public or private insurance are more likely to be prescribed an opioid, that the problem mainly affects white people, and that as educational attainment increases, likelihood of opioid prescription decreases.

Iron Deficiency Anemia: An Unexpected Cause Of An Acute Occipital Lobe Stroke In An Otherwise Healthy Young Woman, Qian Zhang, Khine S. Shan, Conor O'Sullivan, Travis C. Nace

Abington Jefferson Health Papers

A 29-year-old caucasian woman who presented to the hospital with an acute onset of right eye visual disturbance and headache was found to have an acute left occipital lobe infarction. Past medical history was significant for iron deficiency anemia (IDA) secondary to menorrhagia. Her initial hemoglobin level was 7.8 G/DL, and her symptoms improved after iron and blood transfusions. Hypercoagulable studies were completed in the outpatient setting, and the results were unremarkable. Her acute stroke was most likely related to IDA as she had low cardiovascular risk factors along with a negative complete stroke workup.

Living Sweet: A Multi-Functional Mobile-Phone Application Strategy For Adults With Uncontrolled Type 2 Diabetes Mellitus, Chantel K. Anderson

Evidence-Based Practice Project Reports

Type 2 Diabetes Mellitus (T2DM), one of the most common chronic diseases, is increasing worldwide, and once diagnosed, lifetime self-management is critical to maintain glycemic control (Vermeire et al., 2005; American Diabetes Association (ADA), 2018). Management of T2DM has been acknowledged as challenging due to the need for strict lifestyle adaptations. From a public health perspective, uncontrolled diabetes leads to increased healthcare costs, secondary complications, and ultimately severe disabilities (ADA, 2018). The purpose of this evidencebased practice (EBP) project was to evaluate the effectiveness of a diabetes-specific mobile health application (MHA) on glycated-hemoglobin (HbA1C), self-care perception (SCP), and self-care behaviors …

Preventing Readmissions Through Community Health Nursing, Stephanie Dawson

MSN Capstone Projects

Incorporating community health nurses to follow patients with a moderate to high risk of readmission post-discharge could improve the risk of readmission for these patients. When a patient is discharged from the hospital, they can become overwhelmed and not be adequately prepared to go home despite the discharge education given (Kenney-Lueptow, 2020). Telephone follow up is a low-cost way to decrease readmissions and provide continued education to the patients (Heitkam, 2019). Utilizing the bedside nurses that have been caring for the patients in the hospital can create a greater sense of community for the hospital and its population. By connecting …

Covid-19 And Pneumonia: Increased Risk For Individuals With Intellectual And Developmental Disabilities During The Pandemic, Scott D. Landes, Dalton Stevens, Margaret A. Turk

Population Health Research Brief Series

Adults with intellectual and developmental disabilities (IDD) are more likely to develop pneumonia than adults without IDD. This brief describes the implications of higher rates of pneumonia among individuals with IDD for increased risk of serious complications (including death) from COVID-19.

Epidemiologic Survey Of Legionella Urine Antigen Testing Within A Large Wisconsin-Based Health Care System, Caroline P. Toberna, Hannah M. William, Jessica J. F. Kram, Kayla Heslin, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Purpose: Legionella pneumophila pneumonia is a life-threatening, environmentally acquired infection identifiable via Legionella urine antigen tests (LUAT). We aimed to identify cumulative incidence, demographic distribution, and undetected disease outbreaks of Legionella pneumonia via positive LUAT in a single eastern Wisconsin health system, with a focus on urban Milwaukee County.

Methods: A multilevel descriptive ecologic study was conducted utilizing electronic medical record data from a large integrated health care system of patients who underwent LUAT from 2013 to 2017. A random sample inclusive of all positive tests was reviewed to investigate geodemographic differences among patients testing positive versus negative. Statistical comparisons …

Measurement Of Female Genital Mutilation/Cutting Status: Perspectives From Healthcare Providers, Policymakers, Programme Implementers, And Researchers, Dennis Matanda

Reproductive Health

Among practicing communities, female genital mutilation/cutting (FGM/C) is a highly sensitive and emotionally charged issue, and open discussion is often considered taboo. Not only may it be difficult to motivate people to discuss the topic, but the validity of their responses may be questionable. These factors make research on FGM/C challenging and hence the need for careful consideration of research methodologies. There is a need for proper documentation of the strengths and limitations of the various data-collection methodologies to assist in generating reliable data for programmatic efforts toward FGM/C abandonment. This working paper describes a study undertaken to highlight methodological …

When And How Does Law Effectively Reduce The Practice Of Female Genital Mutilation/Cutting?, Josephine Wouango, Susan L. Ostermann, Daniel Mwanga

Reproductive Health

Female genital mutilation/cutting (FGM/C) is recognized globally as carrying risks to both the physical and psychological health of girls and women and is widely considered a violation of human rights. An estimated 200 million girls and women in 30 countries have undergone FGM/C and as many as 30 million girls younger than 15 years of age are at risk. A common policy response to FGM/C is to call for the enactment and enforcement of criminal prohibitions on the practice. Yet, compliance with laws is complex: it can be motivated and undercut by moral, social, religious, and incentive-based factors. The study …

The Relation Between Linguistic Awareness Skills And Spelling In Adults: A Comparison Among Scoring Procedures, Victoria S. Henbest, Lisa A. Fitton Ph.D., Krystal L. Werfel, Kenn Apel

Faculty Publications

Purpose: Spelling is a skill that relies on an individual’s linguistic awareness, the ability to overtly manipulate language. The ability to accurately spell is important for academic and career success into adulthood. The spelling skills of adults have received some attention in the literature, but there is limited information regarding which approach for analyzing adults’ spelling is optimal for guiding instruction or intervention for those who struggle. Thus, we aimed to examine the concurrent validity of four different scoring methods for measuring adults’ spellings (a dichotomous scoring method and three continuous methods) and to determine whether adults’ linguistic awareness skills …

The Inflammatory Bowel Disease Questionnaire In Randomized Controlled Trials Of Treatment For Ulcerative Colitis: Systematic Review And Meta-Analysis, Aaron Yarlas, Stephen Maher, Martha Bayliss, Andrew Lovley, Joseph C. Cappelleri, Andrew G. Bushmakin, Marco D. Dibonaventura

Journal of Patient-Centered Research and Reviews

Purpose: The 32-item Inflammatory Bowel Disease Questionnaire (IBDQ-32) is the most frequently used instrument to capture disease-specific quality of life in randomized clinical trials for ulcerative colitis. This review and meta-analysis provides the first synthesis of evidence regarding the sensitivity of IBDQ-32 total and domain scores to treatment efficacy.

Methods: A systematic literature search and risk-of-bias assessment yielded 14 articles that were included in the primary analysis. Treatments were categorized as efficacious if they met the primary efficacy endpoint (which was not the IBDQ-32); otherwise they were categorized as non-efficacious. A continuous measure of treatment efficacy was calculated for …