Medicine and Health Sciences Commons^™

Factors Associated With Preventable Emergency Department Visits For Nontraumatic Dental Conditions In The U.S., Pearl C. Kim, Wenlian Zhou, Shawn J. Mccoy, Ian K. Mcdonough, Betty Burston, Marcia Ditmyer, Jay J. Shen

Dental Medicine Faculty Research

This study was designed to examine national trends and evaluate social determinants of health that were associated with the provision of dental services in emergency rooms in the United States between 2007 and 2014. A pooled cross-sectional database of emergency department (ED) visits combined the 2007–2014 waves of the Nationwide Emergency Department Sample. A total of 3,761,958 ED visits with dental conditions were extracted and the principal diagnosis was identified. A series of modified Poisson regression models were used to assess the relationship between patient sociodemographic factors and hospital characteristics, and the likelihood of visiting the ED for a nontraumatic …

Cmut/Cmos-Based Butterfly Iq – A Portable Personal Sonoscope, Joyce Liu, Ba, Jiajun Xu, Md, Flemming Forsberg, Phd, Faium, Ji-Bin Liu, Md

Department of Radiology Faculty Papers

With the development of bioengineering technologies, medical ultrasound systems have evolved and advanced over the years, including the transition of ultrasound machines from analog devices to digital systems and improvements in transducer assembly from piezoelectric ceramics to single crystals. In the past several years, the further miniaturization of ultrasound units has become possible with the advancement of computer chip manufacturing and production. Most recently, a new handheld ultrasound system has been developed by the startup company Butterfly Network, using an innovative CMUT/CMOS-based probe technique. This paper will review the history, technology and features of this new device, as well as …

Clinical Value Of Ultrasonography For Monitoring Angular Pregnancy In First-Trimester, Yanhua Zhen, Md, Xuefeng Lu, Md, Chenyu Wang, Md, Huixia Li, Md, Ji-Bin Liu, Md

Department of Radiology Faculty Papers

Objective: To explore the clinical value of ultrasonography for early detection and monitoring of angular pregnancy during the first-trimester.

Methods: For this retrospective study, we enrolled 23 patients with asymptomatic angular pregnancy who were diagnosed by ultrasound at early pregnancy and who underwent ultrasound follow-up to determine its clinical outcome. An ultrasound unit E8 (GE Healthcare, Milwaukee, WI) associated with a 5-9 MHz convex array transvaginal probe was used to image the gestational sac by both two-dimensional and three-dimensional modes. Transvaginal sonographic observation included the location, size, and shape of the gestational sac, as well as the relationship between the …

Artificial Intelligence In Ultrasound Imaging: Current Research And Applications, Shuo Wang, Bs, Ji-Bin Liu, Md, Ziyin Zhu, Md, John Eisenbrey, Phd

Department of Radiology Faculty Papers

Artificial intelligence (AI) is an area of computer science that emphasizes the creation of intelligent software or system based on big data information, machine learning and deep learning technologies. The rapid development of science and technology as well as internet communication has enabled AI and big data to gradually apply to many fields of health care. The modern imaging medicine is one of the first areas that AI can play an important role and applications. As cross-sectional imaging, ultrasound (US) is well suitable for AI technology to standardize imaging protocols and improve diagnostic accuracy. This article reviews current AI technology …

Applications In Molecular Ultrasound Imaging: Present And Future, Vishal Thumar, Md, Ji-Bin Liu, Md, John Eisenbrey, Phd

Department of Radiology Faculty Papers

Molecular ultrasound imaging or targeted contrast-enhanced ultrasound (CEUS) is a relatively new technique that has varied applications to augment both diagnostics and therapeutics. Ultrasound contrast agents are conjugated to ligands that bind with specific biomarkers in the areas of interest which can then be quantified using ultrasound technology. This technique has numerous clinical applications including studying pathophysiology of disease, improving diagnostic sensitivity and specificity, and improving localized drug delivery. This technology, most notably, has proven useful in numerous oncologic and cardiovascular applications. Given ultrasound’s advantages over other radiographic studies including its low cost, lack of ionizing radiation, portability, ability to …

Medical School Watercooler Newsletter - September 29, 2019, Lindsey Lyle

Watercooler Newsletter

This is the September 29, 2019 edition of the Frederick P. Whiddon College of Medicine's Newsletter - Watercooler.

Contents Include:

Pediatric grand rounds to focus on chest wall deformities

Students learn skin cancer screening at the GO Run

Bassam to present at national neuromuscular review

Register Now: Third Annual Conference on Ethics and Opioids

Department of Pathology to host Research Seminar Series

USA awarded more than $4 million to improve health in underserved areas

The Household Water Insecurity Experiences (Hwise) Scale: Development And Validation Of A Household Water Insecurity Measure For Low-Income And Middle-Income Countries, Sera L. Young, Godfred O. Boateng, Zeina Jamaluddine, Joshua D. Miller, Edward A. Frongillo, Torsten B. Neilands, Shaleans M. Collins, Amber Wutich, Wendy E. Jepson, Justin Stoler

Faculty Publications

Objective Progress towards equitable and sufficient water has primarily been measured by population-level data on water availability. However, higher-resolution measures of water accessibility, adequacy, reliability and safety (ie, water insecurity) are needed to understand how problems with water impact health and well-being. Therefore, we developed the Household Water InSecurity Experiences (HWISE) Scale to measure household water insecurity in an equivalent way across disparate cultural and ecological settings.

Methods Cross-sectional surveys were implemented in 8127 households across 28 sites in 23 low-income and middle-income countries. Data collected included 34 items on water insecurity in the prior month; socio-demographics; water acquisition, use …

The Household Water Insecurity Experiences (Hwise) Scale: Development And Validation Of A Household Water Insecurity Measure For Low-Income And Middle-Income Countries, Sera L. Young, Godfred O. Boateng, Zeina Jamaluddine, Joshua D. Miller, Edward A. Frongillo Jr., Torsten B. Neilands, Shelean M. Collins, Amber Wutich, Wendy E. Jepson, Justin Stoler, On Behalf Of The Hwise Research Coordination Network

Faculty Publications

Objective

Progress towards equitable and sufficient water has primarily been measured by population-level data on water availability. However, higher-resolution measures of water accessibility, adequacy, reliability and safety (ie, water insecurity) are needed to understand how problems with water impact health and well-being. Therefore, we developed the Household Water InSecurity Experiences (HWISE) Scale to measure household water insecurity in an equivalent way across disparate cultural and ecological settings.

Methods

Cross-sectional surveys were implemented in 8127 households across 28 sites in 23 low-income and middle-income countries. Data collected included 34 items on water insecurity in the prior month; sociodemographics; water acquisition, use …

Possible Skull Base Erosion After Prolonged Frontal Sinus Stenting, Nathaniel H. Reeve Md, Harry H. Ching Md, Yuna Kim Md, Walter W. Schroeder Md

School of Medicine Faculty Research

Frontal sinus stenting is widely used with the goal of maintaining nasofrontal duct patency after sinus surgery. The general recommendation is to leave stents in place for 6 months; however, prolonged stenting up to 6 years has been reported with no complication. We present the first reported case of frontal sinus posterior table and skull base erosion following prolonged frontal sinus stenting. A 57-year-old female presented with chronic sinusitis and nasal obstruction. Imaging revealed pansinusitis with retained stents in each frontal sinus that were placed 8 years prior. On the right, there was an area of skull base erosion at …

Triple Aims Healthcare Policy Voices Of Graduate Student Interprofessional Team Members, Gary J. Skolits, Rachel N. Ladd, Paul Kirkland, Lora Beebe, Marian Roman

The Qualitative Report

The purpose of this study is to share the voices of healthcare graduate students participating in an interprofessional course experience, particularly as their voice relate to fundamental healthcare issues care embodied in the Triple Aims. Two research questions guided study efforts: (1) how do graduate students perceive the value of interprofessional learning experiences for their professional development as future healthcare providers? and (2) based on these experiences, how do students perceive the potential for interprofessional teams to address the Triple Aims of health care? This study was based on the qualitative approach of inductive thematic coding (Braun & Clarke, 2006). …

Peran Bimbingan Dan Konseling Dalam Penguatan Pendidikan Karakter Di Sekolah Menengah Kejuruan, Muslihati Muslihati

Jurnal Kajian Bimbingan dan Konseling

This research aims at describing the roles of guidance and counseling in strengthening character education of the students of Mitra Industri MM2100 Vocational High School, Cikarang, Bekasi, West Java. It used qualitative approach with case study design, in which the data was collected through interview and observation. The main informants were: coordinator of Mitra Industri Cikarang Foundation; principal; assistant principal of academic affairs and curriculum; dean of students; school counselor; homeroom teacher; and students of Mitra Industri MM2100 Vocational High School. The data was analyzed by category and reduction in accordance with the focus of the research. The results of …

Pengembangan Multimedia Interaktif Informasi Karier Untuk Meningkatkan Kematangan Karier Siswa Sekolah Menengah Kejuruan, Liya Husna Risqiyain, Edi Purwanta

Jurnal Kajian Bimbingan dan Konseling

Adolescence is a crucial phase of life where individuals need to choose a particular career. In choosing a career, many individuals experience problems. This study aims to: (1) create an interactive multimedia product containing career information to improve vocational high school students’ career maturity; (2) reveal the quality of interactive multimedia containing career information in improving vocational high school students’ career; and (3) understand the effectiveness of interactive multimedia containing career information in improving vocational high school students’ career maturity. This research development referred to Borg & Gall’s development research. In the feasibility stage, data collection was conducted by distributing …

Frequency And Early Complications Of Late Preterm Infants: A Descriptive Analysis From Two Secondary-Care Hospitals Of Karachi, Waqar Khowaja, Abdul Lateef Leghari, Ali Shabbir Hussain, Shabina Ariff, Iqtidar Khan

Department of Paediatrics and Child Health

Introduction: Globally, prematurity accounts for 12.7% of all live births while late preterm accounts for around three-fourth (73%) of these premature births. In Pakistan, the prevalence of prematurity is approximately 18.89%. Late preterm infants often have weight and size similar to some term infants, but they are still metabolically and physiologically immature. Hence, these infants, as compared to term infants, are at a higher risk of developing medical complications, which results in higher morbidity and mortality during the birth hospitalization. We aim to determine the frequency of early complications in late preterm infants during their stay at Aga Khan Secondary-care …

Evaluasi Hasil Layanan Konseling Individual Di Sekolah Menengah Atas Yogyakarta, Wahyu Widyatmoko, Edi Purwanta

Jurnal Kajian Bimbingan dan Konseling

This research aimed to evaluate the implementation of individual counseling results at Muhammadiyah 3 Yogyakarta Senior High School. Evaluation model used was gap (discrepancy evaluation model). In addition, population in this research was students who had attended individual counseling. Furthermore, research samples were 104 students, obtained by using proportionate stratified random sampling technique. Data collection used was individual counseling scale. The data was analyzed using descriptive statistics. Findings indicated that the majority of individual counseling results was in good criteria.

Self-Regulation Of Emotion In Students In Yogyakarta Indonesia: Gender Differences, Said Alhadi, Wahyu Nanda Eka Saputra, Purwadi Purwadi, Siti Muyana, Agus Supriyanto, Dwi Fatmawati

Jurnal Kajian Bimbingan dan Konseling

The purpose of this study was to identify whether there are differences in self-regulation of emotion skills of male and female students. This study is a comparative study with a sample of 796 students (452 males, 344 females). The sample selection is taken using simple random sampling technique. The instrument used is the scale of self-regulation of emotion. Data analysis used to identify differences in self-regulation of emotion skills of male and female students is independent samples test. The findings of the study indicate that there is a significant difference between the self-regulation of emotion skills of male and female …

Pengaruh Regulasi Emosi Terhadap Harga Diri Siswa Sekolah Menengah Atas Di Yogyakarta, Alif Muarifah, Mufied Fauziah, Wahyu Nanda Eka Saputra, Augusto Da Costa

Jurnal Kajian Bimbingan dan Konseling

Self-esteem is an important element for students to support their development optimally. However, students performed various problems related to the students’ self-esteem level. For instance, students posted their activities and problems on social media. One variable affected self-esteem was students’ emotional control. This study aimed to identify the effect of emotional control on students’ self-esteem. This study involved 612 students as sample who were randomly selected in the Special Region of Yogyakarta. Data analysis technique in this research was regression analysis. Results indicated that there was a significant effect of emotional control on students’ self-esteem. This study recommended a counseling …

Impact Of Acculturation On Body Mass Index In Haitians, Nirva Berthold Lafontant

Journal of Excellence in Nursing and Healthcare Practice

Longer term immigrants residing in the United States exhibit physical health decline related to higher body mass index (BMI). Theories on immigrant acculturation have been used to examine health patterns by length of stay in the United States. The purpose of this cross-sectional study, guided by the Schwartz model of acculturation, was to examine the effect of acculturation and length of stay in the United States on BMI in a sample of Haitian immigrants living in a northeast metropolitan area. The research question was developed to examine the effects of acculturation and how long immigrants reside in the United States …

Why We Can’T Solve The Opioid Problem, Wayne F. Coombs, Ph.D.

Journal of Appalachian Health

Appalachia’s opioid epidemic is a complex, systemic problem being addressed by limited intervention processes conceptualized through narrow disciplinary models that are not working. We need a new comprehensive, collaborative approach if we ever hope to find solutions to this problem.

A Virginia Mountain City Responds To The Challenge Of Improving Health Outcomes, Robert S. Cowell Jr.

Journal of Appalachian Health

In 2012, Roanoke Virginia was becoming a city of haves and have-nots, a place where many were benefitting from revitalization underway but too many were seeing their situation grow worse and becoming even more entrenched. Poverty with levels as high as 50% in some neighborhoods; life expectancy sometimes 14 years shorter than those living just one or two neighborhoods over; and lack of access to fresh food, medical care, and economic opportunities—all within view of the largest hospital in the region was unacceptable.

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Adult Food Security And The Relationship With Adverse Childhood Experiences Among Residents Of Appalachian North Carolina, Manan Roy, Erin Bouldin, Maggie Bennett, Adam Hege

Journal of Appalachian Health

Introduction: The Appalachian region has worse health outcomes than the remainder of the United States. These disparities are often linked to the underlying social and environmental determinants of health. Adverse childhood experiences (ACEs) are associated with poor health outcomes across the lifespan and have a significant impact on future social determinants as an adult, including food security status.

Purpose: To explore the relationships between ACEs and food security among adults in the Appalachian counties of North Carolina and make comparisons with the rest of the state.

Methods: Researchers used North Carolina’s 2012 Behavioral Risk Factor Surveillance System data; namely, …

A Comparison Of Appalachian And Non-Appalachian Kentucky Dui Offenders, Megan F. Dickson, Megan Kissel, J. Matthew Webster

Journal of Appalachian Health

Background: Driving under the influence has been an overlooked consequence of the opioid epidemic. Although recent reports have highlighted the increased prevalence of DUI in rural communities and the extensive mental health problems and criminal and drug use histories among rural Appalachian DUI offenders, it is unclear how Appalachian DUI populations compare to DUI offenders in other regions.

Purpose: To help fill this void in the literature, the current study uses a statewide sample to examine how Appalachian DUI offenders differ from non-Appalachian DUI offenders in a predominantly rural state.

Methods: Assessment records were examined for 11,640 Kentucky DUI offenders …

Roanoke's Collective Public Health Activities, Michael Lytton

Journal of Appalachian Health

Roanoke is addressing problems that confront many small and medium sized cities in the U.S., especially disparities in health and life expectancy between neighborhoods. These disparities are often legacies of decades of racial and economic segregation, resulting in low-income or disinvested communities. Typically, such neighborhoods have fewer parks, higher vacancy rates and less stable affordable housing stock, inadequate public transit systems, too few clinics, too many fast food restaurants and insufficient access to high quality schools. In Roanoke these are the northwest and southeast quadrants, both federally designated Medically Underserved Areas, and characterized by a large proportion of the city’s …

Amantadine Minimally Improves Arousal In Patients With Severe Traumatic Brain Injury, Michelle Eventov

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Giacino JT, Whyte J, Bagiella E, et al. Placebo-Controlled Trial of Amantadine for Severe Traumatic Brain Injury. New England Journal of Medicine. 2012;366(9):819-826. doi: 10.1056/nejmoa1102609.

An Animal-Assisted Intervention Study In The Nursing Home: Lessons Learned, Lonneke G. J. A. Schuurmans, Inge Noback, Jos M. G. A. Schols, Marie-Jose Enders-Slegers

People and Animals: The International Journal of Research and Practice

AAI studies in the nursing home pose a specific set of challenges. In this article the practical and ethical issues encountered during a Dutch psychogeriatric nursing home AAI study are addressed with the aim of sharing our experiences for future researchers as well as AAI practitioners in general.

In our study we compared three groups of clients with dementia who participated in group sessions of either visiting dog teams, visiting FurReal Friend robot animals, or visiting students (control group) and monitored the effect on social interaction and neuropsychiatric symptoms through video analysis and questionnaires. We encountered the following four categories …

The Meaning And Motivation Of Children Participating In Animal-Assisted Therapy: A Pilot Study, Beth Laskowski, Melissa Y. Winkle, Whitney Lucas Molitor

People and Animals: The International Journal of Research and Practice

Background: Despite claims that animal-assisted therapy is beneficial, there is limited empirical evidence supporting this. Current literature supports the physical, emotional, and psychological benefits an animal can provide, but few studies have explored the outcomes of incorporating an animal into skilled treatment facilitated by a healthcare professional. This study seeks to explore the effects of animal-assisted therapy in outpatient pediatric occupational therapy practice.

Purpose: The purpose of this research is to explore the meaningfulness and motivation animal-assisted therapy interventions provide for pediatric clients when compared with traditional occupational therapy treatment.

Methods: Researchers utilized a within-participants repeated-measures design for this study. …

Facial Tissue Changes With Microimplant Assisted Rapid Palatal Expanders, Kevin Shimizu

Orthodontics and Endodontics Theses

Introduction: Skeletal expansion has been a treatment modality in orthodontics and orthopedics to correct skeletal transverse discrepancies with maxillary constriction. The utilization of microimplants in conjunction with these palatal expanders offers a higher degree of pure skeletal expansion and minimizes the dental side effects. The purpose of this study is to evaluate the changes of the hard and soft tissues of the face after skeletal expansion for orthodontics. Methods: 36 patients who had received successful expansion with a microimplant assisted rapid palatal expander were compared to their pre-expansion records. All patients received CBCTs from which a 3-D analysis configuration was …

Creating A Virtual Community To Provide Centralized Access To Research Resources And Services, Margeret-Claire Chenault, Ms, Julia Center, Bs, Melissa Mccarey, Mph, Kathleen O'Malley, Bsn, Ccrp, Cce

Jefferson Clinical Research Institute Posters

Purpose

Thomas Jefferson University (TJU) is a rapidly growing, geographically dispersed academic healthcare system. Research personnel must navigate essential resources and services buried within a multitude of siloed platforms and websites. Jefferson Clinical Research Institute (JCRI) provides centralized support to research personnel and investigators and recognizes the need to efficiently connect staff with these resources. TJU launched a new platform that allows employees to access benefits information, payroll, time-off, and mandatory learning. This platform also features virtual “communities” designed for networking and sharing information. JCRI created one such community to link personnel with resources and services (Figure1). We evaluated its …

Sure 2019 Undergraduate Science Conference Booklet, Sure Network

Group Reports

The Second Annual Science Undergraduate Research Experience (SURE) Conferences (SURE 2019) took place on 27th September 2019 in Institute of Technology, Carlow, Technological University Dublin and Institute of Technology, Sligo. The simultaneous conferences had a total of 23 oral presentations and 67 poster presentations, and were attended by over 450 students, academic staff, professional body and industry representatives.

The aims of the conference were to:

• Provide current students with an opportunity to gain an understanding of the work which has been undertaken by recent graduates, and the career opportunities that exist for graduates in Scientific disciplines.
• Provide recent graduates with …

A History In Postcards: Osteopathic Hospitals, Robyn Oro

Notes from the Archives

No abstract provided.

Using Active Learning Methods, Adult Learning Principles And The Identification Of Critical To Quality (Ctq) Factors To Create Effective Site Staff Training Plans And Improve Quality Risk Management, Kathleen A. Thoma

Clinical Research and Leadership Faculty Posters and Presentations

Objective: The objective of this poster presentation is to help sponsors, monitors and clinical research site managers design and conduct more meaningful and effective site staff training activities in order to enhance the implementation of study protocols in accordance with the investigational plan and thus improve quality risk management.

Content: The U.S. Food and Drug Administration (FDA), the International Council on Harmonization (ICH) and the European Medicines Agency (EMA) emphasize that sponsors should choose investigators, clinical research site staff and monitors that are qualified by education, training and experience. In addition, these entities have taken a more risk-based approach to …