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Articles 164101 - 164130 of 326329

Full-Text Articles in Medicine and Health Sciences

The Expression Of Serum Lactate Dehydrogenase In Canine Oral Tumors, Nan Choisunirachon, Urapa Klansnoh, Panrawee Phoomvuthisarn, Sirinun Pisamai, Chutimon Thanaboonnipat, Anudep Rungsipipat Sep 2019

The Expression Of Serum Lactate Dehydrogenase In Canine Oral Tumors, Nan Choisunirachon, Urapa Klansnoh, Panrawee Phoomvuthisarn, Sirinun Pisamai, Chutimon Thanaboonnipat, Anudep Rungsipipat

The Thai Journal of Veterinary Medicine

Lactate dehydrogenase (LDH) has been reported to be a prognostic indicator of human malignant melanoma (MM), lymphoma, renal cell carcinoma and prostate cancer. In veterinary medicine, elevation of serum LDH has been reported in canine lymphoma and mammary gland tumors. However, the expression of the LDH in oral tumor-bearing dogs has not been elucidated. In this study, serum LDH levels were evaluated and compared between healthy dogs (control; n = 20) and oral tumor-bearing dogs (n = 34). Half of the tumor-bearing dogs (17dogs) had oral MM, followed by 6 dogs with oral squamous cell carcinoma (SCC), 4 dogs with …


Detection Of Rabies Virus Specific Antibody In Stray Dogs In Palestine, Adnan Fayyad, Nasr Jalboush, Ibrahim Alzuheir, Belal Abu Helal, Mohammad Manasrah Sep 2019

Detection Of Rabies Virus Specific Antibody In Stray Dogs In Palestine, Adnan Fayyad, Nasr Jalboush, Ibrahim Alzuheir, Belal Abu Helal, Mohammad Manasrah

The Thai Journal of Veterinary Medicine

Stray dogs are considered as a major public health risk in rabies-endemic countries such as Palestine. The objective of the present study was to assess the presence of antibody against rabies in stray dogs in order to estimate the immune status of stray dogs for the purpose of risk management. The present study reports the first investigation for the detection of specific antibodies to rabies virus (RABV) in the serum of stray dogs in Palestine. The serum samples were collected randomly from 92 stray dogs from different seven Palestinian districts and were tested for the presence of antirabies antibodies by …


Stages Of Change, Smoking Behavior And Acceptability Of A Textmessaging Intervention For Tobacco Cessation Among Cigarette, Dokha And Shishasmokers: A Qualitative Research Study, Yusra Elhidaia Elobaid, Andrea Leinberger Jabari, Aisha Al Hamiz, Abdul Rizzak Al Kaddour, Sherif Bakir, Heba Barazi, Elisa Kazim, Scott Sherman, Raghib Ali Sep 2019

Stages Of Change, Smoking Behavior And Acceptability Of A Textmessaging Intervention For Tobacco Cessation Among Cigarette, Dokha And Shishasmokers: A Qualitative Research Study, Yusra Elhidaia Elobaid, Andrea Leinberger Jabari, Aisha Al Hamiz, Abdul Rizzak Al Kaddour, Sherif Bakir, Heba Barazi, Elisa Kazim, Scott Sherman, Raghib Ali

All Works

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. To explore: (A) the underlying motivators and barriers to smoking cessation among young Arabic speaking smokers and (B) to examine the suitability and preferences for tobacco cessation interventions (specifically text messages) and study the possibility of enrollment methods for a randomised controlled study using text messages as an intervention for tobacco cessation. Design Qualitative research using focus group discussions and content analysis. Setting(s) Two universities, one of them is the first and foremost comprehensive national university in the United …


Investigation Of Extended-Spectrum Beta-Lactamase (Esbl)- Producing Escherichia Coli And Antimicrobial Resistance In Dogs With Periodontal Disease, Jirapa Thepmanee, Jutamart Rodroo, Nattakarn Awaiwanont, Montira Intanon, Kannika Na Lampang, Niyada Thitaram, Kriangkrai Thongkorn Sep 2019

Investigation Of Extended-Spectrum Beta-Lactamase (Esbl)- Producing Escherichia Coli And Antimicrobial Resistance In Dogs With Periodontal Disease, Jirapa Thepmanee, Jutamart Rodroo, Nattakarn Awaiwanont, Montira Intanon, Kannika Na Lampang, Niyada Thitaram, Kriangkrai Thongkorn

The Thai Journal of Veterinary Medicine

Oral and faecalsamples were collected from thirty four dogs with periodontal disease in Chiang Mai, Thailand to investigate the prevalence of Extended Spectrum Beta Lactamase -producing E. coli(ESBL-EC) and to determine the antimicrobial resistance patterns of isolatesagainst 12 antimicrobial agents. Ten of thirty-four dogs (29.41%) were positive for ESBL-EC, one dog (2.94%) was positive from an oral sample and nine dogs (26.47%) were positive from faecal samples. All ESBL-EC isolates were multi-drug resistant (i.e. against ≥ 3 antimicrobial classes). All isolates were 100% resistant to Ampicillin, Cefazolin, Cephalexin, Ciprofloxacin and Clindamycin, and 100% susceptible to Imipenem. AMP-AMC-KZ-CL-ATM-DO-CIP-SXT-DA was the most …


The Use Of B-Scan Coupling With A-Scan Ultrasonography To Characterize Ocular Biometry In Canine Absolute Glaucoma, Napasorn Ngamrojanavanit, Natthaporn Tanthasathien, Nirachon Srisamai, Suchaya Taotongnuntasin, Panrawee Phoomvuthisarn, Nalinee Tuntivanich Sep 2019

The Use Of B-Scan Coupling With A-Scan Ultrasonography To Characterize Ocular Biometry In Canine Absolute Glaucoma, Napasorn Ngamrojanavanit, Natthaporn Tanthasathien, Nirachon Srisamai, Suchaya Taotongnuntasin, Panrawee Phoomvuthisarn, Nalinee Tuntivanich

The Thai Journal of Veterinary Medicine

This study was to investigate intraocular structures of canine absolute glaucomatous eyes using real time B-scan ultrasonography in accordance with the amplitude mode. Ten normal eyes and twenty absolute glaucomatous eyes were included in this study. Ocular biometry via closed-eye technique was performed usingthe Ultrascan®Imaging System (Alcon Surgical Laboratory,Fort Worth, USA), with a 10 MHz mechanical sector probe. Changes of intraocular structures were descriptively analyzed. Ocular biometry was measured, statistically analyzed and compared between both groups. While mean lens thickness was comparable betweennormotensive and glaucomatous eyes, mean lens equatorial length was higher in the latter group. Increased hyperechogenicity of lens …


25 Years Of Workforce Development: The Story Of One Health Network’S “Research Scholar” Internship Program, Margaret A. Hadinger Edd, Ms, Kerri Green Ms, Med., Brooke Zumas Psyd Sep 2019

25 Years Of Workforce Development: The Story Of One Health Network’S “Research Scholar” Internship Program, Margaret A. Hadinger Edd, Ms, Kerri Green Ms, Med., Brooke Zumas Psyd

Department of Education

No abstract provided.


A Study Protocol On Comparative Randomised Controlled Trial Of Homoeopathy -Vs- Allopathy In Acute Otitis Media And Its Recurrence In Children, Central Council For Research In Homoeopathy Ccrh Sep 2019

A Study Protocol On Comparative Randomised Controlled Trial Of Homoeopathy -Vs- Allopathy In Acute Otitis Media And Its Recurrence In Children, Central Council For Research In Homoeopathy Ccrh

Indian Journal of Research in Homoeopathy

Background: Acute otitis media (AOM) is one of the most common acute infections in children, and injudicious prescription of antibiotics may lead to increase of antibiotic-resistant cases. Homoeopathic treatment may provide a safer and more effective treatment. Objective: Earlier, a pilot study conducted by the Central Council for Research in Homoeopathy (CCRH) on eighty patients at a single centre showed non-inferiority results. This study shall be undertaken to substantiate the earlier findings. Methods: This will be an open-label, non-inferiority, randomised controlled (parallel arm) trial to be conducted on children in the age group of 2–12 years, suffering from AOM. The …


Association Between Maxillary Transverse Discrepancy And Occurrence Of Potentially Impacted Maxillary Canines In Mixed Dentition Patients, Farhana Ghaffar, Rashna Hoshang Sukhia, Mubassar Fida Sep 2019

Association Between Maxillary Transverse Discrepancy And Occurrence Of Potentially Impacted Maxillary Canines In Mixed Dentition Patients, Farhana Ghaffar, Rashna Hoshang Sukhia, Mubassar Fida

Section of Dental-Oral Maxillofacial Surgery

Objective: The aim of this study was to determine the association between transverse maxillary discrepancy and occurrence of potentially impacted maxillary canines in mixed dentition patients.
Material and methods: This cross-sectional analytical study was conducted on 85 Pakistani subjects (32 males and 53 females) aged between 8 to 13 years, having good quality orthopantomographs and dental casts. Maxillary transverse discrepancy was assessed by subtracting the mandibular intermolar width from the maxillary intermolar width on dental cast. Maxillary lateral incisors and canines were traced from orthopantomographs, and canines were placed into sector classification. Chi-square test was used to determine the difference …


Bone Scintigraphy Imaging Of Cardiac Amyloidosis, Issa Menge Kuria, Samuel Gitau, Khalid Makhdomi Sep 2019

Bone Scintigraphy Imaging Of Cardiac Amyloidosis, Issa Menge Kuria, Samuel Gitau, Khalid Makhdomi

Imaging & Diagnostic Radiology, East Africa

Transthyretin-related cardiac amyloidosis (ATTR) amyloidosis is an aggressive, rapidly progressive, and fatal disease, for which several promising therapies are in development. This condition is frequently underdiagnosed because of the limited specificity of echocardiography and the traditional requirement for histological diagnosis. It is well known that 99mtechnetium-labeled bone scan radiotracers can localize in the myocardial amyloid deposits, but the use of this imaging modality to differentiate between the two subtypes has only lately been revisited. We report a case of a 76-year-old man with a clinical diagnosis of amyloidosis who underwent a bone scan that had features of ATTR amyloidosis. To …


Role Of Dietary Flavonoid Compounds In Driving Patterns Of Microbial Community Assembly, Kerry L. Ivey, Andrew T. Chan, Jacques Izard, Aedin Cassidy, Geraint B. Rogers, Eric B. Rimm Sep 2019

Role Of Dietary Flavonoid Compounds In Driving Patterns Of Microbial Community Assembly, Kerry L. Ivey, Andrew T. Chan, Jacques Izard, Aedin Cassidy, Geraint B. Rogers, Eric B. Rimm

Department of Food Science and Technology: Faculty Publications

Flavonoids are a group of polyphenolic dietary compounds found in many different plant-based foods. There is increasing evidence that higher flavonoid intake may be causally linked to a reduced risk of cardiovascular disease and other chronic diseases. The bioactivity and bioavailability of many dietary flavonoids can be influenced by gastrointestinal microbiome metabolism. However, the role that habitual flavonoid intake plays in shaping the human gut microbiome is poorly understood. We describe an application of an ecosystem-based analytic approach to nutritional, microbiome, and questionnaire data from a cohort of more than 240 generally healthy adult males to assess the role of …


Landscape Factors That Influence European Starling (Sturnus Vulgaris) Nest Box Occupancy At Nasa Plum Brook Station (Pbs), Erie County, Ohio, Usa, Morgan Pfeiffer, Thomas W. Seamans, Bruce N. Buckingham, Bradley F. Blackwell Sep 2019

Landscape Factors That Influence European Starling (Sturnus Vulgaris) Nest Box Occupancy At Nasa Plum Brook Station (Pbs), Erie County, Ohio, Usa, Morgan Pfeiffer, Thomas W. Seamans, Bruce N. Buckingham, Bradley F. Blackwell

United States Department of Agriculture Wildlife Services: Staff Publications

During the last decade at NASA Plum Brook Station (PBS), Erie County, Ohio, United States, there has been a nearly 50% decrease in European Starling (Sturnus vulgaris) occupancy (nests with ≥1 egg) of nest boxes designed to be used by starlings. Increased availability of natural cavities, from invertebrate pests, might have altered nest box occupation rates. It was hypothesized that starling nest box occupation rates would be a function of an index of potentially suitable tree cavities for nesting starlings, the semi-colonial nature of breeding starlings, and access to foraging areas (e.g., mowed lawns near buildings). Specifically, it was predicted …


Research Symposium 2019 - Health Disparities: Community Engagement, The University Of Texas Rio Grande Valley. School Of Medicine Sep 2019

Research Symposium 2019 - Health Disparities: Community Engagement, The University Of Texas Rio Grande Valley. School Of Medicine

School of Medicine Publications

With the theme of “Health Disparities: Community Engagement,” this symposium aims to showcase the work done by researchers here in the Valley and beyond toward improving the health and well-being of the communities they serve and society as a whole.


Ossification Of The Posterior Longitudinal Ligament: Surgical Approaches And Associated Complications., Jeffery Head, George Rymarczuk, Geoffrey Stricsek, Lohit Velagapudi, Christopher Maulucci, Christian Hoelscher, Md, James Harrop Sep 2019

Ossification Of The Posterior Longitudinal Ligament: Surgical Approaches And Associated Complications., Jeffery Head, George Rymarczuk, Geoffrey Stricsek, Lohit Velagapudi, Christopher Maulucci, Christian Hoelscher, Md, James Harrop

Department of Neurosurgery Faculty Papers

Ossification of the posterior longitudinal ligament (OPLL) is a rare but potentially devastating cause of degenerative cervical myelopathy (DCM). Decompressive surgery is the standard of care for OPLL and can be achieved through anterior, posterior, or combined approaches to the cervical spine. Surgical correction of OPLL via any approach is associated with higher rates of complications and the presence of OPLL is considered a significant risk factor for perioperative complications in DCM surgeries. Potential complications include dural tear (DT) and subsequent cerebrospinal fluid leak, C5 palsy, hematoma, hardware failure, surgical site infections, and other neurological deficits. Anterior approaches are technically …


Preventing Delirium Takes A Village: Systematic Review And Meta-Analysis Of Delirium Preventive Models Of Care, Ariba Khan, Olga Boukrina, Mooyeon Oh-Park, Nina A. Flanagan, Maharaj Singh, K Oldham Sep 2019

Preventing Delirium Takes A Village: Systematic Review And Meta-Analysis Of Delirium Preventive Models Of Care, Ariba Khan, Olga Boukrina, Mooyeon Oh-Park, Nina A. Flanagan, Maharaj Singh, K Oldham

College of Nursing Faculty Research and Publications

BACKGROUND

Each hospital day of delirium incurs greater healthcare costs, higher levels of care, greater staff burden, and higher complication rates. Accordingly, administrators are incentivized to identify models of care that reduce delirium rates and associated costs.

PURPOSE

We present a systematic review and meta-analysis of delirium prevention models of care.

DATA SOURCES

Ovid MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, EMBASE, and PsycINFO.

STUDY SELECTION

Eligible models of care were defined as provider-oriented interventions involving revision of professional roles, multidisciplinary teams, and service integration. Included studies implemented multidomain, multicomponent interventions, used a validated delirium instrument, and enrolled a control …


Creation And Implementation Of A Pediatric Advanced Practice Nurse Critical Care Fellowship Program, Bonnie Stojadinovic, Christine A. Schindler, Margaret Faut Callahan, Maureen O'Brien, Tom B. Rice, Theresa Mikhailov Sep 2019

Creation And Implementation Of A Pediatric Advanced Practice Nurse Critical Care Fellowship Program, Bonnie Stojadinovic, Christine A. Schindler, Margaret Faut Callahan, Maureen O'Brien, Tom B. Rice, Theresa Mikhailov

College of Nursing Faculty Research and Publications

Advanced practice registered nurses (APRNs) who begin their careers in the pediatric intensive care unit (PICU) may be challenged in this practice environment. Inadequate prior experience as a staff nurse, limited opportunities for clinical placements in the PICU during graduate education, and being in a fast-paced, high-acuity practice environment without prior exposure to critically ill children are practice challenges in the PICU setting. The goal of postgraduate education training programs (fellowship programs) for the acute care pediatric nurse practitioner (ACPNP) is to prepare students to become beginner practitioners who can function effectively in the acute care setting within a few …


Individual Nurse Productivity In Preparing Patients For Discharge Is Associated With Patient Likelihood Of 30-Day Return To Hospital, Olga Yakusheva, Marianne E. Weiss, Kathleen L. Bobay, Linda L. Costa, Ronda G. Hughes, Morris Hamilton, James Bang, Peter I. Buerhaus Sep 2019

Individual Nurse Productivity In Preparing Patients For Discharge Is Associated With Patient Likelihood Of 30-Day Return To Hospital, Olga Yakusheva, Marianne E. Weiss, Kathleen L. Bobay, Linda L. Costa, Ronda G. Hughes, Morris Hamilton, James Bang, Peter I. Buerhaus

College of Nursing Faculty Research and Publications

Objective:

Applied to value-based health care, the economic term “individual productivity” refers to the quality of an outcome attributable through a care process to an individual clinician. This study aimed to (1) estimate and describe the discharge preparation productivities of individual acute care nurses and (2) examine the association between the discharge preparation productivity of the discharging nurse and the patient’s likelihood of a 30-day return to hospital [readmission and emergency department (ED) visits].

Research Design:

Secondary analysis of patient-nurse data from a cluster-randomized multisite study of patient discharge readiness and readmission. Patients reported discharge readiness scores; postdischarge outcomes and …


Nursing Care For Adolescents With Cancer Relapse Receiving Palliative Care(การพยาบาลผู้ป่วยวัยรุ่นโรคมะเร็งกลับเป็นซ้ำที่ได้รับการดูแลแบบประคับประคอง), Thipkasorn Wannaphak Sep 2019

Nursing Care For Adolescents With Cancer Relapse Receiving Palliative Care(การพยาบาลผู้ป่วยวัยรุ่นโรคมะเร็งกลับเป็นซ้ำที่ได้รับการดูแลแบบประคับประคอง), Thipkasorn Wannaphak

Journal of Nursing Research, Innovation, and Health

This article is aimed at providing nursing care for adolescents with cancer relapse receiving palliative care due to their physical and mental suffering. The relapse is considered a severe condition as the cancer cell has spread to other organs which are often incurable, depending on the patients' health. Adolescents with cancer relapse often encountered late effects from the previous treatment as well as side effects from chemotherapy in the new treatment which results in deterioration in health. Intensive treatment for patients in this group is difficult to success and also decrease the quality of patient's life. Palliative care as patients …


Health Management Of Diabetes Risk Group In Ban Muang Whan : A Qualitative Research Perspective(การจัดการสุขภาพของกลุ่มเสี่ยงโรคเบาหวานในชุมชนบ้านม่วงหวาน : มุมมองจากการศึกษาเชิงคุณภาพ), Arissara Sukwatjanee, Anchaleeporn Amatayakul Sep 2019

Health Management Of Diabetes Risk Group In Ban Muang Whan : A Qualitative Research Perspective(การจัดการสุขภาพของกลุ่มเสี่ยงโรคเบาหวานในชุมชนบ้านม่วงหวาน : มุมมองจากการศึกษาเชิงคุณภาพ), Arissara Sukwatjanee, Anchaleeporn Amatayakul

Journal of Nursing Research, Innovation, and Health

Purpose: To explore health management of diabetes risk group Design: Qualitative researchMethods: The research participants comprised of 75 people, including people, who were diabetes risk group and their families, sub-district health promoting hospital staff, community leaders, village health volunteers, monks, teachers and food vendors in Ban Muang Whan community. The research instruments included 1) the in depth-interviewed guideline, 2) the group discussion guideline, 3) the brain storm guideline, 4) the observation guideline, and 5) the field note. Data were analyzed using content analysis method. Findings: People, who were diabetes risk group, provided self-care including controlled diet, controlled body weight, exercise, …


The Effect Of Self-Care Enhancement Program On Post-Bariatric Surgery Self-Care Behaviors Among Morbid Obese Patients(ผลของโปรแกรมส่งเสริมการดูแลตนเองต่อพฤติกรรมการดูแลตนเองภายหลังการผ่าตัดลดน้ำหนักของผู้ป่วยโรคอ้วน), Sipaphan Lavasut, Rungrawee Navicharern Sep 2019

The Effect Of Self-Care Enhancement Program On Post-Bariatric Surgery Self-Care Behaviors Among Morbid Obese Patients(ผลของโปรแกรมส่งเสริมการดูแลตนเองต่อพฤติกรรมการดูแลตนเองภายหลังการผ่าตัดลดน้ำหนักของผู้ป่วยโรคอ้วน), Sipaphan Lavasut, Rungrawee Navicharern

Journal of Nursing Research, Innovation, and Health

Purpose: 1) To study the self-care behaviors post-bariatric surgery among morbid obese patients who received the self-care enhancement program. 2) To compared the self-care behaviors post-bariatric surgery among the control group and the experimental group.Design: Quasi-experimental research.Methods: The 30 patients were male and female with morbid obese patients, aged between 18-59 years old, receiving post-bariatric surgery at King Chulalongkorn Memorial Hospital. They were hospitalized and assigned to the control and the experimental group (15 persons in each group), and matched pair by gender, age and type of operation. The experimental group received the self-care enhancement program based on Orem's self-care, …


The Effect Of Empowerment Program On Late Phase Postoperative Recovery Among Post Lumbar Spine Surgery Patients(ผลของโปรแกรมเสริมสร้างพลังอำนาจต่อการฟื้นสภาพหลังผ่าตัดระยะท้ายในผู้ป่วยที่ได้รับการผ่าตัดกระดูกสันหลังระดับเอว), Rattiya Toeysri, Pachanut Nanthaitaweekul Sep 2019

The Effect Of Empowerment Program On Late Phase Postoperative Recovery Among Post Lumbar Spine Surgery Patients(ผลของโปรแกรมเสริมสร้างพลังอำนาจต่อการฟื้นสภาพหลังผ่าตัดระยะท้ายในผู้ป่วยที่ได้รับการผ่าตัดกระดูกสันหลังระดับเอว), Rattiya Toeysri, Pachanut Nanthaitaweekul

Journal of Nursing Research, Innovation, and Health

Purpose: To study the effects of empowerment program on late phase postoperative recovery among post lumbar spine surgery patients.Design: Quasi-experimental researchMethods: The participants were 46 patients aged 30-59 years old, under postoperative lumbar spine surgery were admitted into the Neurosurgery ward at Prasat Neurological Institute. Randomly selected and assigned into either experimental and control group comprised 23 patients in each group with matching technique for age, pain scale, and level of lumbar spine surgery. The research instruments consisted of the empowerment program base on the concept of Gibson, notebook with activity, and postoperative recovery profile for lumbar spine surgery patients. …


The Factors Related To Hiv Prevention Behavior Among Myanmarese Youth Migrant Workers(ปัจจัยที่มีความสัมพันธ์กับพฤติกรรมการป้องกันการติดเชื้อเอชไอวีของเยาวชนแรงงานข้ามชาติชาวเมียนมา), Ekkalak Faksook, Pregamol Rutchanagul, Wanalada Thongbai Sep 2019

The Factors Related To Hiv Prevention Behavior Among Myanmarese Youth Migrant Workers(ปัจจัยที่มีความสัมพันธ์กับพฤติกรรมการป้องกันการติดเชื้อเอชไอวีของเยาวชนแรงงานข้ามชาติชาวเมียนมา), Ekkalak Faksook, Pregamol Rutchanagul, Wanalada Thongbai

Journal of Nursing Research, Innovation, and Health

Purpose: To investigate factors related to HIV preventive behaviors among Myanmarese youth migrant workers. Design: descriptive correlation research studyMethod: The sampling consisted of 120 young Myanmar migrant workers Visited to the hospital under the Department of Medical Services, Bangkok area between October and November 2018. Data were collected using a set of questionnaires. The questionnaires included questionnaires about personal information, knowledge, attitude toward HIV infection, perceived susceptibility to HIV infection, self-efficacy for HIV prevention and HIV prevention behavior. Data were analyzed using descriptive and inferential statistics. Correlations were identified using the Pearson product-moment correlation coefficient, and the point biserial correlation …


Improving Recognition And Reporting Of Adverse Drug Reactions In The Nicu: A Quality Improvement Project., Betsy Cammack, Alexandra Oschman, Tamorah R. Lewis Md Phd Sep 2019

Improving Recognition And Reporting Of Adverse Drug Reactions In The Nicu: A Quality Improvement Project., Betsy Cammack, Alexandra Oschman, Tamorah R. Lewis Md Phd

Manuscripts, Articles, Book Chapters and Other Papers

Adverse drug reactions (ADRs) are under-recognized and under-reported in the Neonatal Intensive Care Unit (NICU) population, with up to 95% of all ADRs not reported. Compared with non-elderly adults, pediatric patients are 3 times more likely to experience an ADR, with varying rates from 0.6% to 16.8%. The Children's Mercy NICU has an ADR rate of 0.29% (2015). This high rate presents an opportunity to increase recognition and reporting, and improve characterization of ADRs in the NICU.

Methods: The primary aim of this quality improvement project was for 70% of patients who received specified medications (indomethacin, dexmedetomidine, fentanyl, lorazepam, dexamethasone, …


Sepsis Education Utilizing ‘Sepsis Alert’ Checklist To Support The Adherence Of Early Management Bundle In The Emergency Department, Jean Jun Sep 2019

Sepsis Education Utilizing ‘Sepsis Alert’ Checklist To Support The Adherence Of Early Management Bundle In The Emergency Department, Jean Jun

Doctoral Dissertations and Projects

Early recognition and timely management of sepsis is a priority within hospitals due to its direct impact on patients’ outcomes. It is critical for healthcare providers to be educated and aware of the signs and symptoms of sepsis. The emergency department (ED) is the forefront of the hospital where majority of patients with sepsis are assessed and either discharged or admitted into the hospital. Therefore, it is critical for ED nurses to be educated in the early signs of sepsis and follow evidence-based practice guidelines when managing these patients. The project leader implemented a sepsis education intervention aimed at clinical …


Improving The Youth Hiv Prevention And Care Cascades: Innovative Designs In The Adolescent Trials Network For Hiv/Aids Interventions, Sylvie Naar, Michael G Hudgens, Ron Brookmeyer, April Idalski Carcone, Jason Chapman, Shrabanti Chowdhury, Andrea Ciaranello, W Scott Comulada, Samiran Ghosh, Keith J Horvath, Ladrea Ingram, Sara Legrand, Cathy J Reback, Kit Simpson, Bonita Stanton, Tyrel Starks, Dallas Swendeman Sep 2019

Improving The Youth Hiv Prevention And Care Cascades: Innovative Designs In The Adolescent Trials Network For Hiv/Aids Interventions, Sylvie Naar, Michael G Hudgens, Ron Brookmeyer, April Idalski Carcone, Jason Chapman, Shrabanti Chowdhury, Andrea Ciaranello, W Scott Comulada, Samiran Ghosh, Keith J Horvath, Ladrea Ingram, Sara Legrand, Cathy J Reback, Kit Simpson, Bonita Stanton, Tyrel Starks, Dallas Swendeman

Faculty, Staff and Student Publications

Dramatic decreases in HIV transmission are achievable with currently available biomedical and behavioral interventions, including antiretroviral therapy and pre-exposure prophylaxis. However, such decreases have not yet been realized among adolescents and young adults. The Adolescent Medicine Trials Network (ATN) for HIV/AIDS interventions is dedicated to research addressing the needs of youth at high risk for HIV acquisition as well as youth living with HIV. This article provides an overview of an array of efficient and effective designs across the translational spectrum that are utilized within the ATN. These designs maximize methodological rigor and real-world applicability of findings while minimizing resource …


Unraveling The Functional Role Of The Orphan Solute Carrier, Slc22a24 In The Transport Of Steroid Conjugates Through Metabolomic And Genome-Wide Association Studies, Sook Wah Yee, Adrian Stecula, Huan-Chieh Chien, Ling Zou, Elena V Feofanova, Marjolein Van Borselen, Kit Wun Kathy Cheung, Noha A Yousri, Karsten Suhre, Jason M Kinchen, Eric Boerwinkle, Roshanak Irannejad, Bing Yu, Kathleen M Giacomini Sep 2019

Unraveling The Functional Role Of The Orphan Solute Carrier, Slc22a24 In The Transport Of Steroid Conjugates Through Metabolomic And Genome-Wide Association Studies, Sook Wah Yee, Adrian Stecula, Huan-Chieh Chien, Ling Zou, Elena V Feofanova, Marjolein Van Borselen, Kit Wun Kathy Cheung, Noha A Yousri, Karsten Suhre, Jason M Kinchen, Eric Boerwinkle, Roshanak Irannejad, Bing Yu, Kathleen M Giacomini

Faculty, Staff and Student Publications

Variation in steroid hormone levels has wide implications for health and disease. The genes encoding the proteins involved in steroid disposition represent key determinants of interindividual variation in steroid levels and ultimately, their effects. Beginning with metabolomic data from genome-wide association studies (GWAS), we observed that genetic variants in the orphan transporter, SLC22A24 were significantly associated with levels of androsterone glucuronide and etiocholanolone glucuronide (sentinel SNPs p-value


Pm25 Metal Constituent Exposure And Stillbirth Risk In Harris County, Texas, Amal Rammah, Kristina W Whitworth, Inkyu Han, Wenyaw Chan, Elaine Symanski Sep 2019

Pm25 Metal Constituent Exposure And Stillbirth Risk In Harris County, Texas, Amal Rammah, Kristina W Whitworth, Inkyu Han, Wenyaw Chan, Elaine Symanski

Faculty, Staff and Student Publications

There is limited evidence on the role of exposure to chemical constituents of fine particulate matter (PM


Effects Of Rescheduling On Patient No-Show Behavior In Outpatient Clinics, Jiayi Liu, Jingui Xie, Kum Khiong Yang, Zhichao Zheng Sep 2019

Effects Of Rescheduling On Patient No-Show Behavior In Outpatient Clinics, Jiayi Liu, Jingui Xie, Kum Khiong Yang, Zhichao Zheng

Research Collection Lee Kong Chian School Of Business

We study the effects of rescheduling on no-show behavior in an outpatient appointment system for both new and follow-up patients. Previous literature has primarily focused on new patients and investigated the role of waiting time on no-show probability. We offer a more nuanced understanding of this costly phenomenon. Using comprehensive clinical data, we demonstrate that for follow-up patients, their no-show probability decreases by 10.9 percentage points if their appointments were rescheduled at their own request, but increases by 6.2 percentage points if they were rescheduled by the clinic. New patients, in contrast, are more concerned about waiting time and less …


Statement On Imaging And Pulmonary Hypertension From The Pulmonary Vascular Research Institute (Pvri), David G. Kiely, David L. Levin, Paul M. Hassoun, Dunbar Ivy, Pei-Ni Jone, Jumaa Bwika, Steven M. Kawut, Jim Lordan, Angela Lungu, Jeremy A. Mazurek Sep 2019

Statement On Imaging And Pulmonary Hypertension From The Pulmonary Vascular Research Institute (Pvri), David G. Kiely, David L. Levin, Paul M. Hassoun, Dunbar Ivy, Pei-Ni Jone, Jumaa Bwika, Steven M. Kawut, Jim Lordan, Angela Lungu, Jeremy A. Mazurek

Internal Medicine, East Africa

Pulmonary hypertension (PH) is highly heterogeneous and despite treatment advances it remains a life-shortening condition. There have been significant advances in imaging technologies, but despite evidence of their potential clinical utility, practice remains variable, dependent in part on imaging availability and expertise. This statement summarizes current and emerging imaging modalities and their potential role in the diagnosis and assessment of suspected PH. It also includes a review of commonly encountered clinical and radiological scenarios, and imaging and modeling-based biomarkers. An expert panel was formed including clinicians, radiologists, imaging scientists, and computational modelers. Section editors generated a series of summary statements …


Evaluation Of Prescribing Patterns Of Long-Acting Injectable Antipsychotics Within A Community Health System., Jared Netley Pharmd, Mpa, Bcps, Jamie Gaul Pharmd, Bcps, Chelsea L Ferguson Pharmd Sep 2019

Evaluation Of Prescribing Patterns Of Long-Acting Injectable Antipsychotics Within A Community Health System., Jared Netley Pharmd, Mpa, Bcps, Jamie Gaul Pharmd, Bcps, Chelsea L Ferguson Pharmd

Parkview Pharmacy Department

PURPOSE/BACKGROUND: Long-acting injectable antipsychotics (LAIAs) are used in the management of schizophrenia, bipolar disorder, and related psychiatric conditions. The efficacy of LAIAs has been established in randomized controlled trials; however, usage of LAIAs outside of randomized controlled trials may not correlate to naturalistic prescribing habits. The purpose of this analysis was to evaluate the prescribing patterns of LAIAs within our health system and identify any inconsistencies between medications' published labeling information and clinical practice.

METHODS/PROCEDURES: All patients who received a LAIA at the time of the analysis were included for review. Areas of inconsistency between the prescribed LAIA and each …


Inspire : Vol 2, Issue 9, Department Of Medicine Sep 2019

Inspire : Vol 2, Issue 9, Department Of Medicine

INSPIRE – Department of Medicine Archives

Content

  • Message From The Chair
  • Women in Global Health (WGH) Pakistan Chapter
  • Faculty Development Workshop Series
  • Department of Medicine at National and International Forums Featured Faculty Profile Dr. Rabeea Azmat “ There is no shortcut to success!”
  • What Are Academics Around the World Reading This Month?
  • Publications