Medicine and Health Sciences Commons^™

Accelerated Surgery Versus Standard Care In Hip Fracture (Hip Attack): An International, Randomised, Controlled Trial, Flavia K. Borges, Mohit Bhandari, Ernesto Guerra-Farfan, Ameen Patel, Alben Sigamani, Masood Umer, Maria E. Tiboni, Maria Del Mar Villar-Casares, Vikas Tandon, Jordi Tomas-Hernandez, Jordi Teixidor-Serra, Victoria Ra Avram, Mitchell Winemaker, Mmampapatla T. Ramokgopa, Wojciech Szczeklik, Giovanni Landoni, Chew Yin Wang, Dilshad Begum, John D. Neary, Anthony Adili, Parag K. Sancheti, Abdel Rahman Lawendy, Mariano Balaguer-Castro, Paweł Ślęczka, Richard J. Jenkinson, Aamer Nabi Nur, Gavin Ca Wood, Robert J. Feibel, Stephen J. Mcmahon, Alen Sigamani, Ekaterine Popova, Bruce M. Biccard, Iain K. Moppett

Bone and Joint Institute

© 2020 Elsevier Ltd Background: Observational studies have suggested that accelerated surgery is associated with improved outcomes in patients with a hip fracture. The HIP ATTACK trial assessed whether accelerated surgery could reduce mortality and major complications. Methods: HIP ATTACK was an international, randomised, controlled trial done at 69 hospitals in 17 countries. Patients with a hip fracture that required surgery and were aged 45 years or older were eligible. Research personnel randomly assigned patients (1:1) through a central computerised randomisation system using randomly varying block sizes to either accelerated surgery (goal of surgery within 6 h of diagnosis) or …

Flying After Diving: Decompressions And Barotraumas., Nihad E. Daidzic

Aviation Department Publications

FAA Safety Seminar (GL1598968) held at Modern Avionics/Air Trek North at KFCM, Eden Prairie, MN at 9:00 CST on Saturday, February 29, 2020.

Health Risk Behaviors: Smoking, Alcohol, Drugs, And Dating Among Youths In Rural Central Java, Zahroh Shaluhiyah, Syamsulhuda Budi Musthofa, Ratih Indraswari, Aditya Kusumawati

Kesmas

Adolescents are more likely to adopt risky health behaviors, such as smoking, alcohol use, and sexual activity. This study examined the links betweensmoking, alcohol use, and risky dating behavior and analyzed how these factors influenced risky dating and other behaviors. It is expected that this studywould be used as a foundation for developing appropriate integrated intervention for multiple risk behaviors among youths. This study was an explanatory research study with a cross-sectional approach. It involved 160 youths aged 15-24 years randomly selected from purposive villages. Participants completedself-administrated questionnaires with an enumerator present. Data were analyzed using univariate, chi-square, and multiple …

Evaluation Of Program For Overcoming Intestinal Worm Infections Among Children, Henny Febriyanti, Haerawati Idris

Kesmas

Prevalence of intestinal worm infection in generall is extremely high in Indonesia among the poor population with poor sanitation. One of the government programs to address this problem is the distribution of medicines to prevent intestinal worm infections. However, the coverage of the achievement for this program is still low in several areas of public health centers in Palembang. Therefore, this study was conducted to evaluate the efficacy of the national program for preventing intestinal worm infections. The qualitative research design used evaluation model approach Context, Input, Process, and Product (CIPP) model. This study was conducted in one of health …

Gambaran Higiene Sanitasi Makanan Dan Penerapan Prinsip Hazard Analysis Critical Control Point (Haccp) Di Unit Instalasi Gizi Rumah Sakit X Tahun 2018, Putri Chaerina Septiani, Ririn Arminsih Wulandari

Jurnal Nasional Kesehatan Lingkungan Global

This study is a descriptive research to know the overview of implementation food hygiene sanitation in Nutrition Installation Unit of Hospital X, year 2018 that used observation, interview, and laboratory analysis as methods of collecting data. The results obtained from this research are known that sanitation hygiene in the hospital nutrition unit X is quite qualified according to the checklist referring to Permenkes 1096 Year 2011. However, there are several aspects to be improved such as sanitation facilities, building, and cooking utensils storage. Based on bacteriological result on food samples, hand swab of food handlers, and cutlery in hospital X …

Dampak Pajanan Particulate Matter 2,5 (Pm2,5) Terhadap Gejala Penyakit Paru Obstruktif (Ppok) Kronis Eksaserbasi Akut Pada Pekerja Di Pelabuhan Tanjung Priok, 2018, Ashila Diza Rahmadini, Budi Haryanto

Jurnal Nasional Kesehatan Lingkungan Global

Background. According to studies, one of the places with highest activity that caused the release of this emission in in ports. Port activities such as delivering goods to and from the port caused high amount of PM2,5 to be released to the air and it can affect field worker, one of them is Acute Exacerbation Chronic Obstructive Pulmonary Disease or AECOPD. Methods. The study used observational design study with cross-sectional approach to 75 field workers whom had worked more than 1 year. Results. The results of this study indicate that PM2.5 exposure at the port has exceeded WHO levels of …

Kejadian Penyakit Paru Obstruktif Kronik (Ppok) Pada Pengendara Ojek Online Di Kota Bogor Dan Kota Depok Tahun 2018 (Studi Kasus Pencemaran Udara), Muhammad Aziz Hakim Ramadhan, Budi Hartono

Jurnal Nasional Kesehatan Lingkungan Global

Background. Taxibike online drivers are the population at risk of lung function impairment caused by exposure of traffic-air pollutions, particularly PM2,5. This study aims to know the incidences of COPD, and its relationship with working hours behaviour, the use of PPE, the loacation of work, nutritional status and the degree of smoking among taxiboke online drivers in Bogor and Depok City . Methods. This study used primary and secondary data with the number of research subjects as many as 100 taxibike online drivers. The design study in this research was cross sectional. Data were analyzed bivariately with chi-square test and …

Analisis Risiko Kesehatan Pajanan Inhalasi Debu Particulate Matter 2.5 Pada Siswa Sekolah Menengah Pertama Di Kota Depok Tahun 2018, Amiati Silitonga, Bambang Wispriyono

Jurnal Nasional Kesehatan Lingkungan Global

Particulate Matter2.5 is becoming international concern due to its unique nature. With a size less than 25 microns, these pollutants can penetrate deep to the alveoli. Consisting of a variety of materials and capable of plastering by toxic chemical pollutants, the toxicity of PM2.5 cannot yet be determined with certainty. One of the important sources of PM2.5 is the road traffic. Populations close to the source of exposure will have potential hazards, one place with a densely populated such as school. Schools close to the highway may be the site of exposure to students with PM2.5. Students are vulnerable group …

Analisis Kadar Kadmium Dan Beberapa Parameter Kunci Pada Air Lindi Di Tempat Pengolahan Sampah Terpadu (Tpst) Bantar Gebang Tahun 2018, Inas Fadhilah, Laila Fitria

Jurnal Nasional Kesehatan Lingkungan Global

Background. Waste which accumulates in landfills can lead to contamination of the environment and risk to the health of the local population. One cause of contamination is leachate. Integrated Waste Treatment Plant (TPST) Bantar Gebang treated leachate water in Waste Water Management Site (IPAS). Method. This research was conducted to know leachate water treatment efficiency and to know cadmium content and some key parameters. This study was conducted by sampling on inlet, outlet and surface water on different days. This study also added measurement data conducted by Bantar Gebang. The results were analyzed and compared to the regulatory standards in …

Perilaku Hidup Bersih Dan Sehat (Phbs) Dengan Kejadian Gangguan Pernapasan Pada Balita Di Kawasan Pesisir Desa Sedari, Kecamatan Cibuaya, Karawang, Jawa Barat Tahun 2018, Nadhilah Zhafirah, Dewi Susanna

Jurnal Nasional Kesehatan Lingkungan Global

Background. Hygiene issues are one of the most difficult issues to solve in Desa Sedari, especially sanitation on households. Poor home sanitation is a reflection of how Healthy and Clean Living on Household (PHBS) implementation on their life. If the quality of sanitation is poor, then it will affect and increase the risk of disease transmission, one of which is respiratory distress especially in toddlers. Methods. This study was conducted using a cross-sectional design with proportionate stratified random sampling with 90 samples to take on 6 hamlets. Results. The results of this study conclude that 5 indicators of Healthy and …

Effects Of Diabetes On The Output Of Farmer And Its Policy Implications, Syed Asif Ali Naqvi, Bilal Hussain, Syed Ale Raza Shah, Muhammad Sohail Amjad Makhdum

Kesmas

This study investigated the impact of diabetes on work performance of different farming communities from Punjab, Pakistan. This study was based on cross-sectional data. A representative sample of 374 farmers was collected from five selected districts. Three types of respondents were analyzed in the study e.g.,laborer, small and large growers. Poisson and logistic regression techniques were used for the sake of analysis. According to the investigated results for thelabor category, respondents with more age, less qualification, low earning per month (Rupees), and having positive record of family diabetes, would havemore leave per month. In the same way, findings for small …

Qualitative Exploration Of Experiences And Consequences Of Health-Related Stigma Among Indonesians With Hiv, Leprosy, Schizophrenia And Diabetes, Sarju Sing Rai, Irwanto Irwanto, Ruth M.H. Peters, Elena V. Syurina, Annisa Ika Putri, Altana Mikhakhanova, Denise Naniche, Marjolein B.M. Zweekhorst

Kesmas

Health-related stigma causes a negative impact on the lives of affected people and undermines the effectiveness of public health programs. This study aimedto explore experiences and consequences of stigma among people affected by four health conditions relevant in Indonesia– HIV (Human ImmunodeficiencyVirus), leprosy, schizophrenia and diabetes. In this qualitative study 40 people affected by the four health conditions in Jakarta and West Java, Indonesia–,were interviewed between March and June 2018. Data were analyzed thematically by following an integrative inductive-deductive approach. The experiencesand consequences of people with stigma were similar, but such experience were more severe among people affected by HIV, …

Entomological Index And Home Environment Contribution­ ­To Dengue Hemorrhagic Fever In Mataram City, Indonesia, Tri Baskoro Tunggul Satoto, Nur Alvira Pascawati, Tri Wibawa, Roger Frutos, Sylvie Maguin, I Kadek Mulyawan, Ali Wardana

Kesmas

Indonesia is a member of Southeast Asia Regional Office (SEARO) ranked the first in dengue hemorrhagic fever (DHF) problem based on incidence rate (IR) and case fatality rate (CFR). Several provinces in Indonesia experience an outbreak, one of which is the Mataram City in West Nusa Tenggara Province. Mataram City is an endemic area of DHF because the DHF cases are always found in three consecutive years with the number of cases that fluctuate and tend to increase. This study aimed to obtain factors that could be used to improve early warning systems in controlling DHF. This study used a …

Utilization Of Family Planning Contraceptives Among Women Inthe Coastal Area Of South Buru District, Maluku, 2017, Christiana Rialine Titaley, Ninik Sallatalohy

Kesmas

Maluku Province is one among provinces in Indonesia with a contraceptive prevalence rate (CPR) lower than the national average. This study aimed toexamine factors associated with the utilization of family planning contraceptives among women of reproductive age living in the coastal area of South BuruDistrict, Maluku, Indonesia. Data were derived from a household health survey conducted in five subdistricts in South Buru, e.g., Namrole, Leksula, Waesama,Kapala Madan and Ambalau Subdistricts on November 2017 by the Faculty of Medicine, Pattimura University in Ambon. Information on contraceptive usewere collected from 390 married women aged 20 - 49 years. Bivariate and multivariate logistic …

Determinants Of Stunted Children In Indonesia: A Multilevel Analysis At The Individual, Household, And Community Levels, Febri Wicaksono, Titik Harsanti

Kesmas

This study aimed to examine the risk factors of childhood undernutrition in Indonesia. Determinants of childhood stunting were examined by using the 2013 Indonesia Basic Health Research Survey dataset. A total of 76,165 children aged under 5 years were included in this study. The analysis used multivariate multilevel logistic regression to determine adjusted odds ratios (aORs). The prevalence of stunting in the sample population was 36.7%. The odds of stunting increased significantly among the under-five boys, children living in slum area, and the increase of household member (aOR = 1.11, 95 %CI: 1.06–1.15; 1.09, 95%CI: 1.04–1.15; and 1.03, 95%CI: 1.02–1.04 …

The Role Of Alternative Mrna Splicing In Heart Development, Douglas Bittel, Nataliya Kibiryeva, Naoya Kenmochi, Prakash Patil, Tamayo Uechi, Brenda Rongish, Mike Filla, Jennifer A. Marshall, Michael Artman, Rajasingh Johnson, James E. O'Brien

Manuscripts, Articles, Book Chapters and Other Papers

Research in the last 10 years has led to improved understanding of the genetic regulation of vertebrate heart development, but despite this effort, approximately 70% of all congenital heart defects (CHDs) still have an unknown etiology. Alternative splicing of mRNA has been documented to play roles in normal and abnormal development. Dysregulated splicing of mRNA has been shown to cause heart defects in mice, however a link between mRNA splicing and CHDs has not yet been shown in humans. We reported that more than 50% of genes associated with heart development were alternatively spliced in the right ventricle (RV) of …

Treatment Of Anxiety Using Massage Therapy In A Neurorehabilitation Program, Jennifer Gordon

Graduate Theses, Dissertations, and Capstones

Abstract

Traumatic brain injury (TBI) has been considered a silent epidemic. The symptoms post-injury can be pervasive and impact individuals physically, emotionally, and socially. It also creates a financial burden on the individual and society. Finally, it can be challenging to the family and caregivers of these individuals because navigating the healthcare needs can be problematic. An enriched neurorehabilitation program may improve the quality of life and outcomes of the individual with TBI. The diagnosis of anxiety has been found to be a major factor that influences the prognosis. Cognitive behavior therapy (CBT) and pharmacology can assist in the management …

Relationship Between Oral Health And Clinical Osteoporosis Among Hospitalized Patients With And Without Diabetes, Kenneth Izoura, Gayle Allenback, Amber Champion, Civon Gewelber, Michael Neubauer

School of Medicine Faculty Research

Objective: Diabetes mellitus (DM) is associated with poor oral health and osteoporosis (OP). The aim of this study was to assess the relationship between OP, periodontal disease (PD), and other dental and health outcomes in a cohort of hospitalized patients with and without DM. Method: Using a cross-sectional study design, we enrolled consecutive hospitalized patients. We administered a questionnaire to gather demographic information, oral health history, smoking history, and history of OP. We inspected their dentition and reviewed their charts. Data were analyzed using t-tests, chi-square tests, and logistic regression models. Result: Out of 301 patients enrolled, 275 had PD, …

Why I Brought My Mother Home, Barbara L. Gracious

HCA Healthcare Journal of Medicine

According to the Alzheimer’s Association, in the United States more than 16 million adult family members provide care for a relative with Alzheimer’s disease or other dementia. The economic value contributed by unpaid caregivers is $234 billion dollars. Such caregivers are vital to the ability of the U.S. to meet caretaking needs, as the projected number of individuals suffering from dementia will nearly triple over the next 30 years. A meta-analysis found that decisions to provide family caretaking are rooted in long-standing family relationships. This essay explores one family’s decision to move from long-term institutional care back to family-based care …

Assessing For Gender Disparities In The Selection Of Chief Residents Of Emergency Medicine Residency Programs, Emilio G. Volz, Justin Steinberg, Tony Zitek

HCA Healthcare Journal of Medicine

Introduction: Although the number of women physicians has been increasing, there may be gender disparities in the assessment of female emergency medicine residents. This study sought to determine if female emergency medicine residents are less likely to become chief residents than males.

Methods: In July 2017, an anonymous survey was distributed to the program coordinators of all accredited emergency medicine residency programs in the United States. The survey requested the number of males and females in each graduating class from 2015 to 2017. The percentage of female residents who were chief residents was calculated and compared to that for males. …

The Great Imitator Strikes Again: A Case Of A Lupus Flare-Up Presenting Like An Acute Abdomen, Emmanouil Kiriakopoulos, Vanessa Perez, Robyn Hoelle

HCA Healthcare Journal of Medicine

Systemic lupus erythematosus (SLE) is an autoimmune disease affecting all age groups and can manifest in various forms, often making the initial or successive presentations difficult to diagnose. Peritonitis secondary to lupus is a rare manifestation of this disease and the prevalence is said to be much lower in children. We present a case report of an adolescent male with a known history of lupus who presented to the emergency department with a clinical picture consistent with an acute surgical abdomen and underwent an appendectomy. Subsequent workup identified the culprit as a lupus-related peritonitis requiring corticosteroids for resolution.

Periodic Paralysis Syndromes: A T3 Thyrotoxicosis Etiology Presentation And Review Of Literature, Alex Chao, Hossein Akhondi

HCA Healthcare Journal of Medicine

Periodic paralysis is a group of muscle diseases that are related to transmembrane ion channels. Dysfunction of these channels causes an increase in sodium-potassium (Na-K) adenosinetriphosphatase (ATPase) activity that pushes potassium into the cells that result in serum hypokalemia that manifests as muscle weakness. Beta-adrenergic stimulation and insulin sensitivity might also play a role.

Periodic paralysis is divided into hereditary and acquired forms. Thyrotoxic periodic paralysis is an acquired form of periodic paralysis that manifests as muscle weakness, hypokalemia, and hyperthyroidism. The onset of the symptoms is mainly over the age of 20 and can be triggered by intense physical …

Management Principles To Drive The Creation Of A 21st Century Medical School, Johannes Vieweg, Francois Sainfort, Julie A. Jacko, Paula S. Wales

HCA Healthcare Journal of Medicine

Introduction: There are currently no data, blueprints, best practices, or financial models available to guide the creation of a new medical school. Yet, the United States is experiencing unprecedented growth of new allopathic medical schools.

Findings: This article brings logic to the process. It converts the complexity of what is often regarded as an administrative exercise into the first published framework of management principles. Those principles were then translated into a process map and a financial optimization model. All three elements can be successfully implemented for establishing an accredited, value-driven medical education program that minimizes time from inception to implementation, …

Preparing For Your First Job: A Resident’S Outline To Curriculum Vitae Writing, Marissa Bournique

HCA Healthcare Journal of Medicine

A curriculum vitae (CV) is a requirement for any physician seeking employment. Writing a job-winning CV requires preparation and discipline. This article presents useful guidelines for preparing and writing a CV aimed at residents seeking their first job as full-fledged physicians.

A Brief Tutorial On Manuscript Preparation: From Journal Selection To Manuscript Review, Christopher N. Ochner, Jocelyn N. Mineo

HCA Healthcare Journal of Medicine

This article is designed to introduce the novice researcher to the process of journal selection, manuscript submission and manuscript review. PubMed indexing, journal readership, scope, focus, impact factor, fees and acceptable manuscript types are discussed in the first section. The remainder of this article focuses on manuscript preparation, submission and review, including formatting, pre-submission inquiry, submission portals, and the manuscript review process. Specific recommendations are provided to assist the reader in navigating these stages.

A New Journal To Publish Houses Of Brick: Introducing The Hca Healthcare Journal Of Medicine, Hale Z. Toklu, Bruce Deighton, Graig Donini

HCA Healthcare Journal of Medicine

Welcome to the HCA Healthcare Journal of Medicine, a new peer-reviewed scientific periodical dedicated to the care and improvement of human life by publishing and disseminating scholarly work focusing on innovation and enhanced quality, developing new knowledge in clinical care, and contributing to research in medical education.

A Quantitative Comparison Of Arm Activity Between Women With Breast Cancer And Healthy, Mary Insana Fisher, Claire Davies, Timothy L. Uhl

Physical Therapy Faculty Publications

Purpose: Survivors of breast cancer (BC) on the non-dominant side have more persistent deficits than those with cancer on the dominant limb. What is not known is whether those with BC use their involved upper limbs more, less, or at the same level as women without BC. Accelerometer use offers a quantifiable method to measure activity levels of upper limbs. The purpose of this study was to quantify the activity levels of the non-dominant involved limb among survivors of BC and compare these values to their dominant limb, as well as the non-dominant limb of a control group.

Methods: Participants …

Perceptions Of The Osteopathic Profession In New York City's Chinese Communities, Justin Chin, Sarah Li, Gregory Yim, Yaqun Arlene Zhou, Peter Justin Wan, Emily R Dube, Mikhail Volokitin, Sonu Sahni, Mark A Terrell, Christine M Lomiguen

Touro College of Osteopathic Medicine (New York) Publications and Research

Objective: The purpose of this study was to assess knowledge of and barriers to osteopathic medicine in Chinese immigrant communities in New York City (NYC).

Design: A cross-sectional study was designed in which a culturally appropriate survey in Chinese and English versions was administered anonymously to measure immigrant perceptions and knowledge of osteopathic medicine.

Setting: Data collection occurred in the municipal delineations for the Chinatown neighbourhood within the New York, New York borough of Manhattan.

Participants: Community members were selected using convenience sampling from high-density areas to participate. Information gathered from the survey included demographics, education level, healthcare habits and …

Covid-19 Travel Restrictions - South Korea, February 28, 2020, University Of Northern Iowa

UNI Response to COVID-19

A memo announcing the restriction on travel to South Korea.

Evidence To Support Hiv Prevention For Adolescent Girls And Young Women (Agyw) And Their Male Partners: Results From Malawi Dreams Studies With Agyw, Male Partners Of Agyw, Men Living With Hiv, And Program Implementing Partners, Nanlesta Pilgrim, Victor Mwapasa, Effie Chipeta, Wanangwa Chimwaza Manda, Nrupa Jani, Tracy Mcclair, Lyson Tenthani, Sanyukta Mathur

HIV and AIDS

Project SOAR, led by the Population Council, in partnership with the Center of Reproductive Health at the University of Malawi College of Medicine, conducted a research portfolio to generate evidence to reduce HIV risk among adolescent girls and young women (AGYW) and their male partners. The objectives of this implementation research were to generate evidence for describing HIV-related risk factors among AGYW; assess the extent to which the overall DREAMS project contributed toward the goal of reducing HIV risk among AGYW; and understand the characteristics of male partners and how to link them to HIV services, as well as retain …