Medicine and Health Sciences Commons^™

Impacting Rate Of Critical Hypoglycemic Events, Ariel Gardner Rn, Melanie Gomez Bsn, Rn, Tina Hemmerle Rn

Patient Care Services / Nursing

No abstract provided.

Talking Trash In The Big Apple: Mitigating Bird Strikes Near The North Shore Marine Transfer Station, Stephan J. Beffre, Brian E. Washburn

United States Department of Agriculture Wildlife Services: Staff Publications

Anthropogenic activities that concentrate wildlife near airports increases the risk of wildlife–aircraft collisions. Placing waste management facilities, natural areas, golf courses, and other landscape features near airports have the potential to attract wildlife hazardous to aviation. We conducted a 3-year study (March 2013–February 2016) to determine if the implementation of a Wildlife Hazard Mitigation Program (WHMP) would influence the bird use of a waste transfer station located near LaGuardia Airport, New York City, New York, USA. We conducted wildlife surveys during 3 phases: (1) no mitigation program and no waste transfer station, (2) active mitigation and no waste transfer station, …

Association Of Dairy Consumption With Metabolic Syndrome, Hypertension And Diabetes In 147 812 Individuals From 21 Countries, Balaji Bhavadharini, Mahshid Dehghan, Andrew Mente, Sumathy Rangarajan, Patrick Sheridan, Viswanathan Mohan, Romaina Iqbal, Rajeev Gupta, Scott Lear, Edelweiss Wentzel-Viljoen

Community Health Sciences

Objective: Our aims were to assess the association of dairy intake with prevalence of metabolic syndrome (MetS) (cross-sectionally) and with incident hypertension and incident diabetes (prospectively) in a large multinational cohort study.
Methods: The Prospective Urban Rural Epidemiology (PURE) study is a prospective epidemiological study of individuals aged 35 and 70 years from 21 countries on five continents, with a median follow-up of 9.1 years. In the cross-sectional analyses, we assessed the association of dairy intake with prevalent MetS and its components among individuals with information on the five MetS components (n=112 922). For the prospective analyses, we …

Peran Yayasan Kehati Dalam Program Prakarsa Lintasanhijau Halimun Salak, Marisca Wulansari, Indra Lestari Fawzi

Jurnal Ilmu Kesejahteraan Sosial

This study describes a Corporate Social Responsibility (CSR) program conducted by Star Energy Geothermal Salak, Ltd. in collaboration with the KEHATI Foundation in a program entitled Green Coridor Initatives Halimun Salak. This study aims to look at type of CSR governance, the role of the KEHATI in CSR activities as well as opportunities, obstacle and challenges in the Green Coridor Initiaves Halimun Salak. This is a qualitative research with a case study design using purposive sampling techniques. Data mining was carried out with a semi-structured in-depth interview with representatives of the Star Energy Geothermal Salak, Ltd., representatives of the KEHATI …

The Experimental Effects Of Acute Exercise Intensity On Retrieval-Induced Forgetting, Joshua Franklin

Honors Theses

Accumulating research has shown that acute exercise can enhance memory function. Although counterintuitive, acute exercise may also facilitate aspects of forgetting. Specifically, retrieving a subset of items from memory can facilitate the retention of retrieved items (retrieval practice; RP) and inhibit the subsequent retrieval of non-retrieved items (retrieval-induced forgetting; RIF). Given that acute exercise has been shown to enhance cognition-related inhibition, acute exercise may facilitate RIF. A sample of 225 young adults completed either a control (N=75), moderate-intensity acute exercise (N=75), or vigorous-intensity acute exercise session (N=75). Both acute exercise sessions lasted 20 minutes. Participants then completed a standard retrieval-induced …

Efficacy Of Leukotriene Receptor Antagonist In Children With Obstructive Sleep Apnea: A Systematic Review And Meta-Analysis, Phurin Sujirakula, Prakobkiat Hirunwiwatkul, Busarakum Chaitusaney, Natamon Charakorn

Chulalongkorn Medical Journal

No abstract provided.

Association Of Ageing And Pcos Women’S Metabolic Turbulence: A Cohort Study In Hospitals Of Faisalabad, Pakistan, Laiq Ahmad

Chulalongkorn Medical Journal

No abstract provided.

How Does The Social World Shape The Experience Of A Rare Disease? Social Position And The Development, Progression, And Medical Care For People With Amyotrophic Lateral Sclerosis, Jennifer A. Andersen

Department of Sociology: Dissertations, Theses, and Student Research

This dissertation focuses on the implications of social position and life course on the experience of Amyotrophic Lateral Sclerosis (ALS). Using a sociology in medicine frame, I test three theoretical perspectives (fundamental cause theory, social determinants of health, and life course theory) to determine the influence of social conditions on the development and progression of, and medical care for, people with ALS (pALS). Further, I use ALS as an exemplar of the need for a sociology of disease.

Using the Amyotrophic Lateral Sclerosis National Registry, I first assess the association of social position with the reported onset location at the …

Navigating The Social Determinants Of Health: First Steps Toward Assessing And Addressing Socioeconomic Needs, Jocelyn Daubendiek

Honors Program: Senior Projects (Public)

The Social Determinants of Health (SDOH) are the socioeconomic conditions that shape a person’s life and can include an individual’s housing situation, economic opportunities, ability to obtain food, access to transportation and healthcare, level of education, and exposure to discrimination and violence. When people struggle with these socioeconomic aspects of their lives, their health will be negatively impacted as a consequence. In this study, the SDOH of patients were evaluated at the University of Nebraska Medical Center and Nebraska Medicine through the use of a survey about socioeconomic needs, and the Electronic Medical Record (EMR) of each participating patient was …

It’S Not Cuul To Juul: Nicotine Addiction, The Rise Of E-Cigarette Usage, And How Zebrafish Can Help, Anna Pearson 20

Honor Scholar Theses

No abstract provided.

Oral Health And Quality Of Life: A Clinic-Based Sample, Kinan M. Al-Bitar

Master's Theses (2009 -)

Attachment loss due to periodontal diseases is associated with functional limitations as well as physical pain and psychological discomfort, which may lead to a reduced quality of life. This manuscript is intended to answer the question, if periodontal status has an effect on oral health related quality of life. Survey data were collected in an U.S. dental school clinical setting from n=97 adults (54% females, average age 51 years) in a cross- sectional study. Quality of life related to oral health was assessed with the Oral Health Impact Profile (OHIP-49). Additional measures using the DMFT index, periodontal status, dental anxiety, …

Accuracy Of Merging Scans Of Definitive Fixed Prosthodontic Impressions To Obtain Single, Accurate Digitized Master Casts, Ossama Raffa

Master's Theses (2009 -)

Introduction: Many impressions sent to commercial laboratory dental technicians may include marginal defects. In order to fabricate accurate restorations, digital technology may be used to merge digital files of defective impressions into a single Standard Tesselation Language (STL) file, free of errors. Material and Methods: Ivorine teeth on a dentoform were prepared to receive a posterior fixed dental prosthesis (FDP). A flawless impression was made in a sectional tray using polyvinyl siloxane (PVS) impression material. An extraoral scanner was used to digitize the impression; this was the reference cast. Wax was used to create defects on the buccal and lingual …

Peri-Implantitis Risk Prediction Using A Computer Based Periodontal Risk Calculator Tool: A Retrospective Study, Walaa Al Zaibak

Master's Theses (2009 -)

Introduction: Although literature is abundant on the diagnosis and management of peri-implantitis after it has occurred, to our current knowledge there are no studies that have specifically looked into the relationship between peri-implantitis and the periodontal risk assessment tool used for natural dentitions.Material and Methods: In this retrospective study, the patient population included patients (>20 years of age) who had implants placed and restored at Marquette University School of Dentistry (MUSOD) from 2008 to 2016. Further, the restored implants in these patients must have been in function for at least one year and followed up in the school …

Impact Of Delayed Completion Of Previously Initiated Therapy And Provider Type On Outcomes Of Root Canal Treatment, Igor Sulim

Master's Theses (2009 -)

Objective:if the provider type influences long-term outcomes in instances where NSRCT has been previously initiated. The primary purpose of this study was to determine if the period of time between previously initiated therapy and the completion of non-surgical root canal treatment (NSRCT) influences long-term outcomes. The secondary purpose of this study was to determineMaterials/Methods: Enrollment and claims data from Delta Dental of Wisconsin from2002-2014 was analyzed. Teeth that received NSRCT within 6 months after completionof pulpal debridement or pulpotomy procedures (identified by Codes of DentalProcedures and Nomenclature) and within a continuous insurance coverage period were …

Influence Of Progressive Vs. Minimal Canal Preparations On The Fracture Resistance Of Mandibular Molars: A Finite Element Analysis, Michael Smoljan

Master's Theses (2009 -)

INTRODUCTION: Several file systems have been recently introduced with the objective of preserving coronal dentin. There is limited research comparing the role of canal shaping on preservation of pericervical dentin and its role in fracture resistance. The aim of this study is to investigate the effect of minimal canal taper on residual tooth strength and stress distribution after root canal treatment. Methods: Two pre-accessed mandibular molar TruTeeth (Acadental Endo 3DP, Lenexa, KS) were subject to simulated endodontic treatment in this study. One tooth was instrumented with ProTaper Gold (Dentsply, Tulsa, OK) to F2 (25/0.08v progressive taper) in the mesial canals …

Outcomes Of Primary Endodontic Therapy In Medicaid Enrollees, Timothy Gainey

Master's Theses (2009 -)

The objective of this study was to determine factors affecting survival of teeth after nonsurgical root canal therapy (NSRCT) among enrollees of Wisconsin Medicaid during the years 2001-2009. Only permanent teeth with NSRCTs and that had permanent restorations within 60 days after treatment completion were included in the analysis. Patients with less than 60 days of insurance coverage after treatment completion were excluded. NSRCTs and untoward events (extraction) were identified based on Code on Dental Procedures and Nomenclature (CDT). Kaplan-Meier methods were used to plot the survival distribution for the overall cohort and subgroups by age, gender, race, tooth location, …

Adverse Maternal Environment And Western Diet Impairs Cognitive Function And Alters Hippocampal Glucocorticoid Receptor Promoter Methylation In Male Mice., Xingrao Ke, Qi Fu, Jennifer Sterrett, Cecilia J. Hillard, Robert H. Lane, Amber Majnik

Manuscripts, Articles, Book Chapters and Other Papers

Adverse maternal environment (AME) and high-fat diet in early childhood increase the risk of cognitive impairment and depression later in life. Cognitive impairment associates with hippocampal dysfunction. A key regulator of hippocampal function is the glucocorticoid receptor. Increased hippocampal GR expression associates with cognitive impairment and depression. Transcriptional control of GR relies in part upon the DNA methylation status at multiple alternative initiation sites that are tissue specific, with exon 1.7 being hippocampal specific. Increased exon 1.7 expression associates with upregulated hippocampal GR expression in early life stress animal models. However, the effects of AME combined with postweaning western diet …

Tortuosity-Powered Microfluidic Device For Assessment Of Thrombosis And Antithrombotic Therapy In Whole Blood, David J Luna, Navaneeth K R Pandian, Tanmay Mathur, Justin Bui, Pranav Gadangi, Vadim V Kostousov, Shiu-Ki Rocky Hui, Jun Teruya, Abhishek Jain

Faculty, Staff and Students Publications

Accurate assessment of blood thrombosis and antithrombotic therapy is essential for the management of patients in a variety of clinical conditions, including surgery and on extracorporeal life support. However, current monitoring devices do not measure the effects of hemodynamic forces that contribute significantly to coagulation, platelet function and fibrin formation. This limits the extent to which current assays can predict clotting status in patients. Here, we demonstrate that a biomimetic microfluidic device consisting stenosed and tortuous arteriolar vessels would analyze blood clotting under flow, while requiring a small blood volume. When the device is connected to an inline pressure sensor …

Turkish Paediatric Dentists’ Knowledge, Experiences And Attitudes Regarding Child Physical Abuse, Nermin Özgür, Elif Ballikaya, H. Cem Güngör, Atilla S. Ataç

School of Dentistry Faculty Research and Publications

Objectives

Numerous studies have shown that the education of health professionals is essential to effectively respond to child abuse. The present study aimed to evaluate Turkish paediatric dentists' knowledge, experiences and attitudes regarding child physical abuse.

Materials and methods

An electronic questionnaire was e‐mailed to 518 paediatric dentists. Participants’ knowledge of diagnostic indicators of child physical abuse, and their past experiences, attitudes and self‐assessment of educational needs were evaluated.

Results

The response rate was 40.9% (n = 212). Participants who completed their undergraduate education before 1997 received significantly less education on child physical abuse than participants who completed their …

Vibrational And Sonochemical Characterization Of Ultrasonic Endodontic Activating Devices For Translation To Clinical Efficacy, Erfan Dashtimoghadam, Alexander Johnson, Farahnaz Fahimipour, Mohamadali Malakoutian, Jessica Vargas, Jose Gonzalez, Mohamed Ibrahim, John Baeten, Lobat Tayebi

School of Dentistry Faculty Research and Publications

Passive activation of endodontic irrigants provides improved canal disinfection, smear layer removal, and better subsequent sealing. Although evidence suggests that passive activating endodontic devices increase the effectiveness of irrigation, no study exists to quantitatively compare and validate vibrational characteristics and cavitation produced by different ultrasonic endodontic devices. The current study aims to compare the efficiency of various commercially available ultrasonic endodontic activating devices (i.e., EndoUltra™, EndoChuck, Irrisafe™, and PiezoFlow®). The passive endodontic activating devices were characterized in terms of tip displacement and cavitation performance using scanning laser vibrometry (SLV) and sonochemical analysis, respectively. The obtained results showed that …

Critical-Sized Bone Defects Regeneration Using A Bone-Inspired 3d Bilayer Collagen Membrane In Combination With Leukocyte And Platelet-Rich Fibrin Membrane (L-Prf): An In Vivo Study, Farahnaz Fahimipour, Farshid Bastami, Ahad Khoshzaban, Shahrbanoo Jahangir, Mohamadreza Baghaban Eslaminejad, Fahimeh Kahyyatan, Hannaneh Safiaghdam, Yeganeh Sadooghi, Majid Safa, Tahereh S. Jafarzadeh Kashi, Erfan Dashtimoghadam, Lobat Tayebi

School of Dentistry Faculty Research and Publications

Objectives

We aim to develop a 3D-bilayer collagen (COL) membrane reinforced with nano beta-tricalcium-phosphate (nβ-TCP) particles and to evaluate its bone regeneration in combination with leukocyte-platelet-rich fibrin (L-PRF) in vivo.

Background data

L-PRF has exhibited promising results as a cell carrier in bone regeneration in a number of clinical studies, however there are some studies that did not confirm the positive results of L-PRF application.

Methods

Mechanical & physiochemical characteristics of the COL/nβ-TCP membrane (1/2 & 1/4) were tested. Proliferation and osteogenic differentiation of seeded cells on bilayer collagen/nβ-TCP thick membrane was examined. Then, critical-sized calvarial defects in 8 …

Defining A Taxonomy Of Intracranial Hypertension: Is Icp More Than Just A Number?, W Andrew Kofke, Swarna Rajagopalan, Diana Ayubcha, Ramani Balu, Jovany Cruz-Navarro, Panumart Manatpon, Elizabeth Mahanna-Gabrielli

Faculty, Staff and Students Publications

Intracranial pressure (ICP) monitoring and control is a cornerstone of neuroanesthesia and neurocritical care. However, because elevated ICP can be due to multiple pathophysiological processes, its interpretation is not straightforward. We propose a formal taxonomy of intracranial hypertension, which defines ICP elevations into 3 major pathophysiological subsets: increased cerebral blood volume, masses and edema, and hydrocephalus. (1) Increased cerebral blood volume increases ICP and arises secondary to arterial or venous hypervolemia. Arterial hypervolemia is produced by autoregulated or dysregulated vasodilation, both of which are importantly and disparately affected by systemic blood pressure. Dysregulated vasodilation tends to be worsened by arterial …

Provider Attitudes And Practice Patterns For Direct-Acting Antiviral Therapy For Patients With Hepatocellular Carcinoma, Nicole E Rich, Ju Dong Yang, Ponni V Perumalswami, Naim Alkhouri, Whitney Jackson, Neehar D Parikh, Neil Mehta, Reena Salgia, Andres Duarte-Rojo, Laura Kulik, Mina Rakoski, Adnan Said, Omobonike Oloruntoba, George N Ioannou, Maarouf A Hoteit, Andrew M Moon, Amol S Rangnekar, Sheila L Eswaran, Elizabeth Zheng, Janice H Jou, James Hanje, Anjana Pillai, Ruben Hernaez, Robert Wong, Steven Scaglione, Hrishikesh Samant, Devika Kapuria, Shaun Chandna, Russell Rosenblatt, Veeral Ajmera, Catherine T Frenette, Sanjaya K Satapathy, Parvez Mantry, Prasun Jalal, Binu V John, Oren K Fix, Michael Leise, Christina C Lindenmeyer, Avegail Flores, Nayan Patel, Z Gordon Jiang, Nyan Latt, Renumathy Dhanasekaran, Mobolaji Odewole, Sofia Kagan, Jorge A Marrero, Amit G Singal

Faculty, Staff and Students Publications

BACKGROUND & AIMS: Direct-acting antivirals (DAAs) are effective against hepatitis C virus and sustained virologic response is associated with reduced incidence of hepatocellular carcinoma (HCC). However, there is controversy over the use of DAAs in patients with active or treated HCC and uncertainty about optimal management of these patients. We aimed to characterize attitudes and practice patterns of hepatology practitioners in the United States regarding the use of DAAs in patients with HCC.

METHODS: We conducted a survey of hepatology providers at 47 tertiary care centers in 25 states. Surveys were sent to 476 providers and we received 279 responses …

Anaesthetic Management For Hiatal Hernia Repair In A Child With Bartter's Syndrome: A Case Report, Durriya Raza, Fauzia Khan

Department of Anaesthesia

Bartter syndrome is a rare disorder characterized by reduced sodium chloride transport in the distal nephrons of the kidney. Its clinical features are renal salt wasting, hypokalemic metabolic alkalosis, elevated renin and aldosterone levels with normal or low blood pressure, polyuria, hypercalciuria and malnutrition. The pathophysiologic and biochemical changes in these patients should be kept in mind when considering anaesthetic management. This case report describes our management in a nineteen months old, 3.6 kg weight male child with Bartter's syndrome who underwent elective repair of hiatal hernia and gastrostomy.

Postoperative Cognitive Dysfunction Following General Anaesthesia In Patients Undergoing Elective Non-Cardiac Surgery, Khalid Samad, Hameed Ullah, Muhammad Saad Yousuf

Department of Anaesthesia

Objective: To determine frequency of early postoperative cognitive dysfunction (POCD) in patients aged 40 to 60 years, following general anaesthesia in patients undergoing elective, non-cardiac surgery.
Study design: Descriptive study.
Place and duration of study: Department of Anaesthesiology, The Aga Khan University Hospital (AKUH), Karachi, from December 2015 to May 2016.
Methodology: After obtaining approval from Ethical Review Committee of AKUH and informed consent, ASA I and II patients, aged between 40 to 60 years of either gender, undergoing general anaesthesia for elective non-cardiac surgical procedures, were recruited. Patients were assessed preoperatively by using mini-mental state examination (MMSE); and patients …

Flexibility And Adaptation: Key Elements For Preserving Research Continuity During The Covid-19 Pandemic, Mindy George-Weinstein

PCOM Scholarly Works

Limiting the spread of the coronavirus by social-distancing has eclipsed nearly all normal daily activities and routines. Healthcare services for those with COVID-19 and protection of vulnerable populations have escalated exponentially. State and local governments are mandating closure of non-essential businesses while classifying operations of pharmaceutical and biotechnology companies as essential. Education of students at all levels is, for the most part, virtual across the U.S.

The Covid-19 Pandemic And Business Law: A Series Of Posts From The Oxford Business Law Blog, Gert-Jan Boon, Markus K. Brunnermeier, Horst Eidenmueller, Luca Enriques, Aurelio Gurrea-Martinez, Kathryn Judge, Jean-Pierre Landau, Marco Pagano, Ricardo Reis, Kristin Van Zwieten

Research Collection Yong Pung How School Of Law

The COVID-19 Pandemic is the biggest challenge for the world since World War Two, warned UN Secretary General, António Guterres, on 1 April 2020. Millions of lives may be lost. The threat to our livelihoods is extreme as well. Job losses worldwide may exceed 25 million. Legal systems are under extreme stress too. Contracts are disrupted, judicial services suspended, and insolvency procedures tested. Quarantine regulations threaten constitutional liberties. However, laws can also be a powerful tool to contain the effects of the pandemic on our lives and reduce its economic fallout. To achieve this goal, rules designed for normal times …

Ultra-Low-Dose Estrogen Therapy For Female Hypogonadism., Yukihiro Hasegawa, Tomoyo Itonaga, Kento Ikegawa, Satsuki Nishigaki, Masanobu Kawai, Eri Koga, Hideya Sakakibara, Judith L Ross

Department of Pediatrics Faculty Papers

In females, endogenous estrogen secretion increases gradually before pubertal development. The benefits of low-dose estrogen therapy in patients with Turner syndrome were originally discussed by Ross et al. and Quigley et al. These seminal studies used ethinyl estradiol (EE2), starting at a dose of 25 ng/kg/d. We hypothesized that the initial dosage of estrogen could be titrated to more closely mimic physiological increments of endogenous estrogen. Therefore, our recent study initiated EE2 treatment at a dosage of 1-2 ng/kg/d, an ultra-low-dose estrogen therapy in pediatric patients with Turner syndrome. The ultra-low-dose estrogen therapy in this syndrome produced a good …

Feasibility Of Long Acting Pre-Exposure Prophylaxis (Prep) In Rural Communities, William A. Mase, Ellie Purdy

Health Policy & Community Health: Faculty Publications

Published as part of the "Eagles Talking About the Public’s Health" Commentaries.

Link: https://jphcoph.georgiasouthern.edu/opr/etaph/

Submaximal Isometric Force Steadiness In People With Multiple Sclerosis Under Single And Dual Task Conditions, Sheri Bunyan

Dissertations (1934 -)

Activities of daily living require steady, non-fatiguing, isometric muscular contractions to maintain postural control and stabilize body segments to facilitate interaction with the environment. Furthermore, typical activities often require simultaneous performance of cognitive and motor tasks. This may challenge people with multiple sclerosis, a chronic neurodegenerative disease of the central nervous system associated with motor and cognitive impairments. Despite functional relevance, isometric force steadiness in both the upper and lower extremities has not been explored in this population. Additionally, dual task experiments in multiple sclerosis have primarily used gait, a dynamic activity, as the motor task. Thus, the purpose of …