Medicine and Health Sciences Commons^™

A Pilot Physician Mentoring Program In A Large Hospital System, Crista C. Keller Md

HCA Healthcare Journal of Medicine

This article summarizes the development and implementation of a mentoring program designed to support and educate physicians new to practice in a large, outpatient hospital system. The program addresses organizational, operational, and financial elements of medical practice. Topics include efficiency and time management, coding education, leadership, and burnout. These topics are often not directly addressed in medical education, yet are crucial to physician well-being. The article describes the program structure, initial feedback, and recommendations for program replication and expansion.

A Clinical Review On Spinal Epidural Abscess: Epidemiology, Pathophysiology, Diagnosis, And Management For Emergency Medicine And Hospitalist Physicians, Madeline A. Guy, Jeffrey S. Guy

HCA Healthcare Journal of Medicine

Spinal epidural abscess (SEA), a critical surgical emergency, demands prompt recognition and intervention to prevent severe complications and fatalities. The incidence of SEA is notably increasing, particularly among individuals with diabetes, intravenous drug use, or a history of invasive spinal procedures. Although SEA can manifest through various clinical symptoms, the presence of its classic triad—back pain, fever, and neurological deficits—is noteworthy despite its occurrence in only 10% to 13% of cases. Identifying this triad is vital due to its high specificity for SEA, which is essential to guiding swift diagnostic and therapeutic actions in a condition where early intervention is …

An Acknowledgement To The Hca Healthcare Journal Of Medicine's Reviewers And Editors For The First Half Of 2024, Graig Donini, Bruce Deighton

HCA Healthcare Journal of Medicine

The HCA Healthcare Journal of Medicine would like to thank those behind the scenes who make this publication possible. Our journal would not be possible without the assistance of our peer reviewers, authors, and board members.

Acute Kidney Injury Induced Lithium Toxicity With Concomitant Neuroleptic Malignant Syndrome, Yin Ye Lai, Normaizuwana M. Mokhtar, Intan Nureslyna Samsudin, Subashini C. Thambiah

BioMedicine

Lithium, despite being an indispensable agent in the treatment of psychiatric disorders, has a narrow therapeutic index and needs to be carefully administered. Neuroleptic malignant syndrome (NMS) is a rare but potentially fatal complication due to central dopaminergic blockade. This case report illustrates the challenges in lithium therapy particularly related to the development of NMS when further risk factors such as polypharmacy and dehydration are present. We report a case of a 50-year-old man with underlying bipolar affective disorder who was previously able to tolerate olanzapine and lithium well, however developed chronic lithium toxicity due to diminished lithium elimination in …

Loss Of Tyrosine 211 Phosphorylation Of Proliferating Cell Nuclear Antigen (Pcna) Enhances Postnatal Mammary Gland Development, Yi-Chun Shen, You-Zhe Lin, Wan-Rong Wu, Pei-Le Lin, Chien-Ching Liao, Feng-Chi Chung, Chia-Yun Chen, Ching-Yu Weng, Shao-Chun Wang

BioMedicine

The intricately orchestrated progression of mammary tissue development involves the precise coordination of gland differentiation and cellular proliferation. Nevertheless, the understanding of the role and regulatory mechanisms governing the DNA replication machinery in mammary gland development remains limited. Given the essential role of DNA replication in the viability of living cells, any genetic disturbance to its replicative function, in any form, will impede organ development. This circumstance poses a technical challenge in elucidating the potential function of cell proliferation in mammary morphogenesis. PCNA is crucial in DNA replication, playing a pivotal role in the development of complete eukaryotic organisms. The …

Effect Of Inulin From Dahlia Tubers (Dahlia Variabilis) Extract On Insulitis Severity And Insulin Expression In Diabetic Rats, Ismawati Ismawati, Saryono Saryono, Mukhyarjon Mukhyarjon, Ilhami Romus, Veni Dayu Putri, Sri Yanti, Fitri Dyna, Nada Idzdihari Adesti

BioMedicine

Background: Dahlia (Dahlia variabilis), a widely cultivated ornamental plant in Indonesia, is known to contain 84.08% inulin in its tubers. Numerous studies have demonstrated the antidiabetic potential of inulin from various plant sources. However, most of the research is in the form of a mixture of inulin with other active substances, and no one has analyzed the effects of inulin derived from dahlia tubers. This study examines the effect of inulin from dahlia tuber extract on blood glucose levels, serum insulin expression, pancreatic tissue insulin expression, homeostatic model assessment of insulin resistance (HOMA-IR), and the extent of …

Effect Of Mucuna Pruriens Seed Extract On Depression-Like Behavior Derived From Mild Traumatic Brain Injury In Rats, Alfonso Mata-Bermudez, Ricardo Trejo-Chávez, Marina Martínez-Vargas, Adán Pérez-Arredondo, María De Los Ángeles Martínez-Cárdenas, Araceli Diaz-Ruiz, Camilo Rios, Héctor Alonso Romero-Sánchez, Agustino Martínez-Antonio, Luz Navarro

BioMedicine

Background: Traumatic brain injury (TBI) is a severe health problem for which there is no specific treatment, leading to neurological or neuropsychological consequences. One of the most described disorders, even after mild TBI (mTBI), is depression, related to mechanisms involving reactive oxygen species (ROS). The Mucuna pruriens (M. pruriens) plant has various antioxidant, neuroprotective, and anti-inflammatory properties.

Purpose: There is insufficient evidence of M. pruriens use for the treatment of neurobehavioral and depressive impairments induced by TBI and of the mechanisms underlying this effect, so we aimed to evaluate the ability of shortterm administration of M. pruriens extract …

Effect Of Alantolactones On Cardiac Parameters Of Animals Under Artificially Induced Oxidative Stress, Mishal Fatima, Hina Andaleeb, Tanzila Rehman, Ouz Gul, Shanza Azeezz, Huzaifa Rehman, Haq Nawaz

BioMedicine

Purpose: Phytochemicals have been found effective in reducing the oxidative stress and damage to cardiovascular and other tissues. In this study, the effects of alantolactone (AL) on cardiac parameters in rabbits exposed to artificially-induced oxidative stress were investigated. Method: The oxidative stress was induced in a group of White New Zealand rabbits by injecting 40% hydrogen peroxide solution (1 ml/kg body weight) thrice with an interval of 72 h. The hydrogen peroxide-treated animals were orally treated with AL extracted from the roots of Inula helenium (1 ml/kg repeated thrice after 72 h). Blood samples were taken before and after the …

Polyphenols In Bee Products And Prevention Of Cell Senescence, Siti Nuriah Mohd Noor, Marahaini Musa, Ahmad Azlina, Siew Hua Gan, Kannan Thirumulu Ponnuraj

BioMedicine

Sustaining the continuity of cells and their homeostasis throughout the lifespan is compulsory for the survival of an organism. Cellular senescence is one of mechanisms involved in cell homeostasis and survival, and plays both important and detrimental roles in the maintenance of malfunctioned and normal cells. However, when exposed to various insults (genetic, metabolic and environmental), the cells undergo oxidative stress which may induce premature senescence, or so-called stress-induced premature senescence. Many age-related diseases are associated with premature senescence. Hence, there is growing interest in the intake of natural sources such as dietary food, which has protective functions on human …

A Descriptive Study On Holistic Nursing Education: Student Perspectives On Integrating Mindfulness, Spirituality, And Professionalism, Sara P. Prescott Student Nurse, Adrianna L. Watson Phd, Rn, Ccrn, Tcrn, Chelsey D. Young Msn, Rn, Carly Peterson Msn, Aprn, Nnp-Bc, Doctoral Candidate, Daphne Thomas Dnp, Rn, Chse, Cne, Cnml, Cen, Matthew Anderson Dnp, Aprn, Fnp-C, Samuel B. Watson M.A., Doctoral Candidate

Student Works

Background: Mindfulness has gained prominence in education as a method for enhancing student well-being and learning, yet its integration into nursing curricula remains underexplored. Student lived experiences are essential to understanding the potential benefits and challenges of mindful nursing practice.

Aim: To explore the lived experiences of undergraduate nursing students who practice mindfulness as it relates to nursing education.

Methods: This was a qualitative descriptive phenomenological study. Data was collected using semi-structured Zoom interviews. Recruitment used word of mouth and snowball sampling. Out of 80 applicants, 17 undergraduate nursing students were interviewed until data saturation was achieved. Data were analyzed …

A Case And Intervention For Older Adult Sexual Mistreatment, Renee J Flores, Cristina Murdock, John Halphen, Carlos Reyes-Ortiz, Jason Burnett

Faculty and Staff Publications

Background: The sexual mistreatment of older adults is a significant public health issue; like other forms of sexual violence, it is more prevalent than officially reported. Survivors often hesitate to speak out due to feelings of embarrassment, fear, or potential cognitive impairments. Moreover, the concealment of such mistreatment, coupled with societal stigmas surrounding aging and sexuality, creates challenges in recognizing sexual mistreatment during routine or emergency room visits.

Purpose: This paper provides a framework for informing physicians, psychiatrists, and other healthcare providers on best practices screening, detection, and management of sexual mistreatment in older adults.

Methods: A literature review of …

Covid-19 Infection Wave Mortality From Surveillance Data In The Philippines Using Machine Learning, Julius Migriño Jr, Ani Regina U. Batangan, Rizal Michael R. Abello

Ateneo School of Medicine and Public Health Publications

The Philippines had several COVID-19 infection waves brought about by different strains and variants of SARS-CoV-2. This study aimed to describe COVID-19 outcomes by infection waves using machine learning. A cross-sectional surveillance data review design was employed using the DOH COVID Data Drop dataset as of September 24, 2022. The predominant variant(s) of concern divided the dataset into time intervals representing the infection waves: ancestral (A0), Alpha/Beta (AB), Delta (D), and Omicron (O). Descriptive statistics and machine learning models were generated from each infection. The final data set consisted of 3,896,206 cases wherein 98.39% of cases recovered while 1.61% died. …

Postpartum Depression Screening In The Neonatal Intensive Care Unit At A Tertiary Pediatric Hospital, Abbie Bates

Doctor of Nursing Practice Final Manuscripts

POSTPARTUM DEPRESSION SCREENING IN THE NEONATAL INTENSIVE CARE UNIT AT A TERTIARY PEDICTRIC HOSPITAL

By

Abbie Kim Bates

Razel Bacuetes Milo, PH.D. DNP., FNP-C

Background: Postpartum depression (PPD) is a treatable mood disorder with an onset at 1-3 months after childbirth. In the United States, PPD occurs at a rate of 1 in 8 women and as high as 1 in 5 women in parts of the country. In unique populations such as the neonatal intensive care unit (NICU), PPD rates can be as high as 40%. The treatment rate for PPD is 50% with a sizable percentage of …

The Neuroscience Of Mindfulness Based Art Therapy: A Literature Review, Elizabeth Strasser

Expressive Therapies Capstone Theses

Art therapy and neuroscience are two fields which are currently growing and expanding with the development of new technology which allows for therapists and scientists to advance their understanding of how the brain and the body respond to the world around us. The interaction between the brain, body, and environment is complex, and for the sake of clarity for this thesis this interaction will be conceptualized through the lens of the body-mind model, polyvagal theory, neuroaesthetics, the flow state, mindfulness, sensory engagement, and art as therapy. Neuroscience in relation to psychology can be used to develop a deeper understanding of …

Group Counseling With Motivational Interviewing Approach To Enhance Intrinsic Motivation And Academic Engagement, Arie Ichwan Nurhidayat, Mulawarman Mulawarman, Sunawan Sunawan

Jurnal Kajian Bimbingan dan Konseling

The objective of this study was to assess the efficacy of motivational interviewing (MI) group counseling in enhancing intrinsic motivation and academic engagement among students at State Senior High School 2 Sragen, Indonesia. Students with low intrinsic motivation and academic engagement often display a lack of attention during learning activities, disinterest in school, use of cell phones for non-academic purposes during study time, and failure to complete assigned tasks. This study employed a pretest and multiple posttest design, with 14 students selected via purposive sampling and subsequently divided into two groups: the experimental group (7 students), who received group counseling …

School Counselor Capacity Building: A Literature Review, Yulizar Yulizar, Ahman Ahman, Juntika Nurihsan, Ipah Saripah

Jurnal Kajian Bimbingan dan Konseling

Capacity describes the human ability to perform, maintain itself, and self-renew. The concept of capacity building is concerned with three distinct levels: the individual, the organizational, and the community level. The literature on capacity building for school counselors is quite diverse. Accordingly, a comprehensive review of the emerging literature is required. This study conducted a systematic literature review exploring the current state of knowledge regarding the capacity building of school counselors. This study was conducted in accordance with the Standard Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P), which guided the selection of 30 articles that met the …

Organ-Specific Dosimetry Following Radiopharmaceutical Therapy For Metastatic Prostate Cancer, Frank J. Arturi, Nilanjan Haldar, Shray Jain, Gia Nguyen, Jessie Dinome, Firas Mourtada, Lydia J. Wilson, Phd

Department of Radiation Oncology Posters

Introduction

• Radiopharmaceutical Therapy (RPT) uses radioactive agents to target cancer at the cellular level
• Lu-177 targeting prostate-specific membrane antigen (PSMA), known as 177Lu- PSMA-617, can be used to treat metastatic, castration-resistant prostate cancer (mCRPC)
• 177Lu-PSMA-617 treatments use a standard dose and treatment regimen for all patients
• Patients exhibit different side effects and tumor response during treatment

The Role Of Indonesian Doctors As Content Creators In Fighting Health Hoaxes, Myths, And Stigma On Social Media, Lydia Okva Anjelia, Deddy Mulyana, Jenny Ratna Suminar

JURNAL KOMUNIKASI INDONESIA

Amidst the proliferation of disinformation and misinformation related to health on social media, the public must ensure that the sources of information are trustworthy. This research aims to explain the role of doctors in the fight against health hoaxes, myths, and stigma spread through social media. The study adopts qualitative research with a phenomenological approach to understand doctors' experiences and perceptions regarding their efforts to address health hoaxes, myths, and stigma on social media. Fifteen doctors as content creators in Jakarta and Bandung were selected as informants using purposive sampling. The data was collected through interviews, observation participation, and documentation …

Global Perspective Of The Risks Of Falsified And Counterfeit Medicines: A Critical Review Of The Literature, Aonghus J. Feeney, Jeffery A. Goad, Gerard T. Flaherty

Pharmacy Faculty Articles and Research

Background

Methods

About Premedical Programs At Ud, 2024-25, Udayton

Pre-Health Resource Center Campus Communications

No abstract provided.

Work Readiness Of Final Year Students Observed From Grit And Career Adaptability, Vivianora Diva, Pratista Arya Satwika

Jurnal Kajian Bimbingan dan Konseling

Universities are obliged to prepare graduates of the highest caliber and ensure that their qualifications align with the requirements of the professional world. Therefore, it is essential for them to equip students with the necessary skills and knowledge before they enter the workforce. Nevertheless, a considerable number of students remain inadequately prepared for the demands of the workplace. The capacity to persevere and adapt to new circumstances are two key attributes that can influence an individual's preparedness for professional roles. This study aims to ascertain the relationship between grit and career adaptability with the work readiness of final-year students. This …

Special Supplement Issue On Quality Assurance And Enrichment Of Biological And Biomedical Ontologies And Terminologies, Licong Cui, Ankur Agrawal

Faculty, Staff and Student Publications

Ontologies and terminologies serve as the backbone of knowledge representation in biomedical domains, facilitating data integration, interoperability, and semantic understanding across diverse applications. However, the quality assurance and enrichment of these resources remain an ongoing challenge due to the dynamic nature of biomedical knowledge. In this editorial, we provide an introductory summary of seven articles included in this special supplement issue for quality assurance and enrichment of biological and biomedical ontologies and terminologies. These articles span a spectrum of topics, such as development of automated quality assessment frameworks for Resource Description Framework (RDF) resources, identification of missing concepts in SNOMED …

Ultrasonic Doppler As A Guide For Feline Peripheral Arterial Catheterization, Satoshi Haginoya, Elizabeth J. Thomovsky, Hsin-Yi Weng, Paula A. Johnson, Aimee C. Brooks

Purdue University Libraries Open Access Publishing Fund

Objectives

The study aimed to determine if an ultrasonic Doppler-guided technique (UDGT) leads to improved placement efficacy (time, success) of feline dorsal pedal arterial catheters vs the traditional palpation-guided technique (TPT).

Methods

A total of 26 adult, client-owned cats requiring sedation or general anesthesia for any reason, aged >12 months and weighing >3.0 kg, and with Doppler blood pressure measurements of at least 80 mmHg were enrolled. Each hindlimb was randomly assigned for dorsal pedal arterial catheterization using either the UDGT or TPT. With the UDGT, the location of the artery was identified by an audible sound using the Doppler. …

Predicting Poor Mental Health Among Older Syrian Refugees In Lebanon During The Covid-19 Pandemic: A Nested Cross-Sectional Study, Berthe Abi Zeid, Leen Farouki, Tanya El Khoury, Abla M. Sibai, Carlos Mendes F. De Leon, Marwan F. Alawieh, Zeinab Ramadan, Sawsan Abdulrahim, Hala Ghattas Ph.D., Stephen J. Mccall

Faculty Publications

Background: Post-term pregnancy, defined as reaching or exceeding 42 + 0 weeks of gestation, is known to be associated with unfavourable birth outcomes. High-income countries have responded to this risk by widely adopting labour induction protocols in late-term, but many low- and middle-income countries have not. However, understanding underlying mechanisms linking post-term births to adverse newborn and infant outcomes remains limited.

Objective:To investigate the (a) prevalence of post-term, (b) the risk factors associated with post-term (c) the association between post-term births and the risk of smallfor-gestational-age (SGA) neonates and of infant mortality in middle-income settings.

Methods:We used existing …

Inevitable Or Preventable? A Pilot Intervention To Reduce Burnout Risk In Acute Care Nurses, Emily R. Kelly

Clinical Psychology Dissertations

Purpose: Burnout among healthcare workers is widespread and costly, resulting in calls for action to reduce the experience and impact of this work-related phenomenon. Burnout among nurses has been associated with impaired patient safety, decreased quality of care, lower levels of patient satisfaction, decreased productivity, and higher levels of intent-to-leave the profession. Aim: The aims of this study are to assess whether sleep problems mediate the relationship between recovery and burnout and to examine the feasibility of a pilot intervention to enhance recovery, improve sleep quality, and reduce burnout among inpatient nurses. Method: Eligible participants included registered nurses who worked …

Introducing Therapeutic Music As An Alternative Therapy To Reduce Anxiety In The Emergency Department, Azuka Debbie Onyekwe

Doctor of Nursing Practice Final Project Abstract

Purpose: This quality improvement project evaluated the feasibility of implementing therapeutic music in the emergency department (ED) to decrease anxiety levels by 10% over three months at a hospital in West Houston.

Background: Anxiety in the ED can exacerbate patient conditions and lead to increased use of anxiolytic drugs. Prior studies suggest that therapeutic music is effective in lowering anxiety across clinical settings. Anxiety in emergency department settings can negatively impact patient outcomes and increase reliance on pharmacological treatments. Evidence from previous research has demonstrated that therapeutic music interventions can significantly reduce anxiety, making it a promising non-pharmacological approach. However, …

"Addressing Barriers To Digital Health Readiness Among A Latino Population", Karla Martin Gonzalez, Alexzandra T. Gentsch, Chelsea Torres, Elias Borne, Josefina Hendry, Lianette Pappaterra, Maryann Salib, Brooke Worster, Steven Gravier-Leon, Kristin L. Rising

Department of Emergency Medicine Faculty Papers

No abstract provided.

Dental Health Status And Associated Factors In The Deprived Population Covered By Rural Dental Insurance Program In The Province Of Kerman/Iran, Asma Sabermahani, Mohammad Jafari Sirizi, Zinab Shaker, Rasool Hassanzadeh, Tayebeh Malekmohammadi, Naimeh Hasheminejad

Journal of Dentistry Indonesia

Tooth decay is a widespread disease with considerable financial and psychological costs. Objective: The aim of this study was to investigate dental health of a large sample of people covered by rural insurance program in Kerman province. Methods: A sample size of 5000 was determined among people living in villages and towns with a population of less than 20000 who are all covered by dental rural insurance program. The DMFT/dmft index was assessed in five target age groups using the WHO oral health measurement standard form. Demographic and socioeconomic status of participants was also recorded. The percentage of …

Hyaluronic Acid In Managing Deep Residual Pockets In Stage Iii-Iv Periodontitis: A Randomized Controlled Trial, Mohamad Adib Jaafar, Esther Voo Vui Ching, Sharul Nisha Ali, Jeyanthi Subramaniam, Yuhaniz Ahmad Yaziz

Journal of Dentistry Indonesia

Objective: The purpose of this study was to determine the adjunctive clinical effect of hyaluronic acid (HA) in the non-surgical treatment of subjects with residual pockets (≥ 6 mm) at the maintenance phase. Methods: 36 systemically healthy subjects in the periodontal maintenance phase were included in this 3-month randomized clinical trial. Subjects received a course of full-mouth, scaling and root debridement (SRD). In the test group (n = 18), HA 0.8% was applied subgingivally immediately after SRD. The control group (n = 18) was treated with SRD only. Subjects in both groups were required to apply HA 0.2% …

Analysis Of Bone Destruction Mechanism By Aggregatibacter Actinomycetemcomitans: A Systematic Review, Erik Idrus, Karenina Raihani Amalia Ardiman, Widya Lestari, Masita Mandasari, Sri Angky Soekanto

Journal of Dentistry Indonesia

Periodontitis is a disease marked by inflammation of the periodontium, caused by biofilms present in the oral cavity, and results in alveolar bone destruction. One of the main hallmarks of periodontitis is the presence of Aggregatibacter actinomycetecomitans, which is generally suppressed by antibiotic administration. The strategy to control A. actinomycetecomitans by small specific peptide inhibitors potentially halts the progression of alveolar bone damage while lowering the risk of antibiotic resistance. The detailed interaction mechanisms of A. actinomycetecomitans and bone cells are fundamental to discovering and constructing the specific inhibitor. Objective : To systematically review the mechanism of bone destruction by …