Medicine and Health Sciences Commons^™

The Impact Of Severity Of Motor Delay, Timing Of Task Mastery, And Start-Play Intervention On The Development Of Means-End Problem Solving In Young Children, Andrea B. Cunha, Iryna Babik, Dongho Choi, Natalie Koziol, Regina T. Harbourne, Stacey C. Dusing, Sarah W. Mccoy, Sandra L. Willett, James A. Bovaird, Michele A. Lobo

Psychological Sciences Faculty Publications and Presentations

Background: Children with motor delays are at increased risk for delayed means-end problem-solving (MEPS) performance.

Objectives: To evaluate children with motor delays: 1) the impact of motor delay severity and MEPS mastery timing on developmental trajectories of MEPS; and 2) the effectiveness of Sitting Together And Reaching To Play (START-Play) intervention for improving MEPS.

Methods: This represents a secondary analysis from a multi-site randomized controlled trial, with blinded assessors and prospective registration. Children with mild or significant motor delays (n = 112, mean age=10.80, SD=2.59 months at baseline) were randomly assigned to START-Play or usual care early …

The Effects Of Controlled Breathing And Physical Postures On Anxiety And Stress In Mental Health Patients, Kristen Killingsworth

DNP Research Projects

Objective: Anxiety and stress are debilitating disorders that have been on the rise in recent years following the COVID-19 pandemic. Medication alone has not been shown to be successful in mitigating the disorders, necessitating research into other alternatives for anxiety and stress management. The purpose of this project was to assess if a single complementary and alternative medicine (CAM) relaxation session had an impact on stress and anxiety levels. Method: A comprehensive literature review was conducted to identify strategies for reducing stress and anxiety. Guided by the Holistic Care Model of Self-Regulation, the nurse-led CAM relaxation session was developed. The …

Perception Of Students As Partners In Learning Among Students And Faculty Members Of Sonam Karachi, Pakistan, Anum Shiraz Gujrati

PhD-HS 2024

Background: Students as Partners (SaP) has emerged as a student-centred approach where students are taken as active partners in determining learning outcomes and pedagogies rather than being merely passive learners and consumers in Higher Education (HE). It shifts the focus from the teacher-centred to the student learning environment and from a product to process-orientated outcomes. There is still a need to explore the perception of students as partners in HE among undergraduate and graduate nursing students and faculty members.
Purpose: The purpose of the study is to explore the perception of students and faculty members regarding students as partners in …

Research Action Brief: Healthcare Experiences And Perceptions As Drivers Of Gaps In Mammography, Core (Center For Outcomes Research & Education)

Reports

No abstract provided.

Health Systems Partnership For Collaborative Anti-Racist Perinatal Care: A Case Study Of Black Community Based Perinatal Care, Roberta Hunte, Monique Gill, Kevin Cherry, Desha Reed-Holden

Reports

No abstract provided.

Impact Of Anaemia On Right And Left Ventricular Function In Dialysis Patients, Nesreen M. Zakaria, Naglaa F. Al-Mihy, Rehab M. Al-Ashry

Journal of Medicine in Scientific Research

Background A common complication in cases with end stage renal disease (ESRD) undergoing hemodialysis is anemia, contributing significantly to cardiovascular morbidity. The goal of this research is to assess anemia impact on right ventricular (RV) and left ventricular (LV) function in patients undergoing regular dialysis. Methods In this prospective study, one hundred ESRD patients on regular hemodialysis were enrolled, divided into two groups: 72 anemic patients (Group I) and 28 non-anemic patients (Group II). Anemia was characterized by hemoglobin (Hgb) levels below 120 g/L for males and below 110 g/L for women. Group I patients underwent echocardiographic evaluations at baseline, …

Seroprevalence Of Hiv Markers Among Patients Attending To Shebin El- Kom Teaching Hospital, Elham T. Awwad, Rasha G Mostafa, Asmaa M Soliman, Abdelghany Aish, Mariam A. Fouad

Journal of Medicine in Scientific Research

Objectives: to determine the prevalence of HIV infections and assess the accuracy of various testing methods among patients at Shibin El Kom teaching hospital.

Background: HIV/AIDS is a global public health challenge, with increasing prevalence in developing countries like Egypt. Stigma and limited detection methods have hindered the accurate assessment of HIV cases. Early detection is critical for effective prevention and treatment.

Methods:

A retrospective study was conducted from May 2006 to December 2022, involving 71,353 individuals who underwent routine preoperative and preadmission investigations. Blood samples were collected and tested using an immunochromatographic rapid test, ELISA, chemiluminescence, and Western blot. …

Incidence Of Peripartum Hysterectomy In Al-Galaa Teaching Hospital, Marwa R. Shahine, Sherif M. Safwat

Journal of Medicine in Scientific Research

Introduction: A hysterectomy carried out at the moment of delivery or within a day after it is known as a peripartum hysterectomy. Either a scheduled or emergency procedure can be carried out. It is a dramatic life-saving technique carried out when all other conservative management avenues have failed, made worse by the frequent emergency circumstances in which it is carried out.

Objectives: Studying the causes and patterns of peripartum hysterectomy at Al-Galaa Maternity Teaching Hospital, A tertiary referral hospital, in addition to studying the associated maternal and fetal complications.

Methodology: In order to analyze the emergency peripartum hysterectomy performed at …

Unilateral Versus Bilateral Laparoscopic Ovarian Drilling In Clomiphene Citrate Resistant Cases Of Polycystic Ovarian Syndrome: A Randomized Controlled Study, Sahar Saeed Elhalfawy, Mostafa Zein- Elabedeen Mohammed, Ayman Shehata Dawood, Mai Nabil Ageez

Journal of Medicine in Scientific Research

Background: Laparoscopic Ovarian Drilling (LOD) is superior to gonadotropins as it induces mono-ovulation, hence eliminating the potential risks linked to multiple pregnancies or ovarian hyperstimulation syndrome (OHSS).

Aim: To contrast the efficiency of unilateral laparoscopic ovarian drilling (ULOD) and bilateral ovarian drilling (BLOD) in treating clomiphene citrate (CC) resistant instances of polycystic ovarian syndrome (PCOS) according to clinical responses, change in biochemical parameters, follicle stimulating hormone (FSH), anti-mullerian hormone (AMH), luteinizing hormone (LH), ovulation rate over six months.

Methods: This Randomized Controlled Work was performed on 140 participants aged from 25 to 35 years old, with PCOS, infertile …

Association Between Urolithiasis And Non-Alcoholic Fatty Liver Disease ; A Comprehensive Study In National Institute Of Urology And Nephrology, Jehan Ibrahim M. Altohamy, Basma Aref Eltaweel, Ahmed Mostafa Elgamal, Salwa Mohammed Ahmed Dahesh, Ghadir Mohamed Elsawy

Journal of Medicine in Scientific Research

Background: Numerous studies have documented an important association between non-alcoholic fatty liver disease (NAFLD) and urolithiasis. NAFLD is described as 5% fat or more of the liver contents in other liver diseases absence including those related to alcohol consumption, chronic viral hepatitis, other chronic liver diseases as autoimmune hepatitis, and drug-induced hepatic diseases (1). Liver tru-cut biopsy is considered the gold standard yet invasive NAFLD diagnostic technique and carries potential complications (2). On the other hand, Computed Tomography (CT) is considered a non-invasive convenient tool that allows for measurable assessment of NAFLD allowing for quantitative diagnosis. Consequently, CT has proven …

The Changes In The Coefficient Of Variation Of The Corneal Endothelial Cell Size (Cv) In Specular Microscopy Following Cataract Surgery, Tarek Ibrahim Badr

Journal of Medicine in Scientific Research

Background Phacoemulsification surgery is the most widely used technique for cataract surgery worldwide. Phacoemulsification comes in two flavors: torsional and longitudinal. Our research compares The changes in the Coefficient of Variation of endothelial cell size(CV) in specular microscopy following longitudinal and torsional phacoemulsification. Patients and Methods In this prospective randomized study, we want to assess the impact of torsional versus longitudinal phacoemulsification on the variations in the Coefficient of Variation of endothelial cell size (CV) in specular microscopy. Our study will comprise 50 eyes with cataract of nuclear type, grades 1, 2 or 3. Results Upon comparing the two groups' …

Concept Of Health-Related Quality Of Life Among People With Heart Failure In Karachi, Pakistan, Anny Ashiq Ali

PhD-HS 2024

Background: Non-communicable diseases (NCDs), including cardiovascular diseases, are a leading cause of global mortality. The mortality rate for cardiovascular diseases is on the rise, with 80 % to 86 % of fatalities, particularly in low- and middle-income countries, including Pakistan. Among NCDs, heart failure (HF) is a condition for which there is no cure, and patients rely on supportive treatments to maintain their quality of life. HF not only affects physical well-being but also has far-reaching consequences on the emotional, social, and cognitive aspects of life. In the context of Pakistan, where unique healthcare, sociocultural, and economic factors prevail, the …

Organic Dust Exposure Enhances Sars-Cov-2 Entry In A Pkcα- And Adam-17-Dependent Manner, Abenaya Muralidharan, Christopher Bauer, Claire Nissen, St. Patrick Reid, Jill A. Poole, Todd A. Wyatt

Journal Articles: Environmental, Agricultural & Occupational Health

No abstract provided.

Creating A Centralized Immunization Resource Center, Teresa Nathan

Nursing Posters

To support clinic nurses in their knowledge & comfortability around immunizations, an Immunization Resource Center was created on SharePoint. Having resources and educational materials located in a single location can help ensure consistency across the clinic system in our work with immunizations.

Professional Development In Practice: Enhancing The Npd Role, Amy Stang

Nursing Posters

Inquiry:

The problem this project is addressing is a lack of knowledge related to NPD scope and standards in the organization. The education department is largely decentralized, with staff reporting to various leaders outside of NPD department. Some areas within the organization lack support and continuing education specific to NPD.

Standardized Orientation In A Multi-Site Clinic System, Cathrine Robak

Nursing Posters

There are over 50 clinics serving more than 8 counties in CentraCare. Managers and supervisors at each clinic lead orientation of new nursing employees. The ambulatory educator recognized a need for standard orientation tools and resources as clinic managers and supervisors shared that they were each completing orientation of new nursing employees in a different way.

Obstetrics Emergency Labor And Delivery Case Simulations With Normal Vaginal Delivery Demonstration: A Hands-On Simulation For Clerkship Students, Emily A. Young, William A. Winter, Robyn N. D'Agostino, Rose A. Maxwell, Sheela Barhan, Marilyn Kindig

Obstetrics and Gynecology Faculty Publications

Introduction: Simulation is rarely used for medical student education in the field of obstetrics. This method is an effective model of learning for topics that are encountered in clinical situations and for topics that pose significant risk to patients when an untrained individual is involved. Methods: A 2-hour obstetric delivery simulation session was developed and incorporated into the third-year obstetrics and gynecology clerkship rotation at Wright State University Boonshoft School of Medicine. Medical students completed self-guided content reviews with resources provided prior to the session. During the session, each medical student conducted a normal vaginal delivery and one of the …

Enhancing Patient Care: The Power Of The Endoscopy Checklist, Emily Obermiller

Nursing Posters

Endoscopy procedures start at 8:00 a.m., but inpatients are often unprepared when report is required at 7:00 a.m. This lack of patient readiness causes delays in endoscopy start times, creates safety concerns, and delays in care. Nurses who are well-informed about procedural preparation are more likely to have patients properly prepared, improve safety, and increase effective communication.

The E-Liquid Flavorings Cinnamaldehyde, Vanillin, And Ethyl Vanillin Induce Cellular Stress Responses In Human Proximal Tubule (Hk-2) Epithelial Cells, Ashley J. Cox

Theses, Dissertations and Capstones

The use of electronic nicotine delivery systems (ENDS) has become popular in recent years as an alternative to traditional cigarettes. These devices heat and subsequently vaporize e-liquids for inhalation by the user, which allows for the delivery of ingredients such as flavorings, nicotine, and solvents through the vapor. Flavorings used in e-liquids are “generally recognized as safe” (GRAS) for consumption by the Food and Drug Administration (FDA), however there are currently no recommendations on safety regarding the inhalation of flavoring agents. While research characterizing effects of e-liquids and their flavorings is abundant in lung and respiratory tract models, few studies …

Examining The Impact Of Firearm Recoil During A Round Of Trap Shooting On Neurometabolic Changes Associated With Traumatic Brain Injury, Lakota Jones

Theses, Dissertations and Capstones

The CDC identifies concussion as a blunt, blow, or jolt to the head resulting in brain injury. Shooting sports do not impose a direct blow to the head but instead inflict rapid acceleration to the brain via recoil transfer. Exposure to rapid, repetitive recoil may cause physiological disturbances in the brain, therefore resulting in mild traumatic brain injury (TBI). Chronic recoil transfer and overpressure exposure influencing neurometabolic changes of TBI have yet to be measured. The objective of this study was to examine kinetic energy experienced in trap and skeet shooters following one round of shooting in comparison to neurometabolic …

Healthy Eating & Shift Work, Lisa Kilgard

Nursing Posters

To provide knowledge and education to individuals who engage in shift work. Which may assist them in maintaining a healthier eating and lifestyle.

Implementation Of A Two-Person Urinary Catheter Insertion Practice Change, Brandy Berends, Elizabeth Kiffmeyer, Jenelle Overgaard, Amy Railson, Morgan Thiry

Nursing Posters

Decrease incidence of Catheter Associated Urinary Tract Infections (CAUTIs) for inpatients by implementing a two-person urinary catheter insertion practice change using a checklist.

Immunotherapy Serum Mixing: 2023 Best Practice Changes, Eyas Abla Md, Paul Faybusovich Do, Matthew Lies, Mallory Mondloch

Nursing Posters

Background Story:

CentraCare - Plaza Allergy & Asthma Clinic compounds immunotherapy serum with advanced training of licensed nurses. Effective November 1, 2023, USP (797) Pharmaceutical Compounding guidelines were updated and endorsed by the American Academy of Allergy, Asthma & Immunology (AAAI). The Allergy Clinic completed a gap analysis to determine what process needed to change to comply with these latest guidelines.

Sticks And Stones May Break My Bones, But Words Can Hurt Me Too: Psychological Safety And Microaggressions, Theresa Reichert, Janelle Maciej, Julia Vang

Nursing Posters

To foster a healthy work environment, address reports of microaggressions, and improve psychosocial safety within the SCH Telemetry team

Technology Decreases Treatment Decision Times, Angela Moscho

Nursing Posters

Patients who experience a stroke while hospitalized have a higher mortality rate than those who present to the emergency department. Our plan is to utilize technology to allow the stroke provider to evaluate the patient while in their hospital room, instead of waiting until the patient is in the CT scanner. Utilizing technology of an iPad for inpatient code strokes will allow for quicker assessment of the patient, resulting in faster treatment decision for this population.

Sonographic Evaluation Of An Urachal Remnant: A Case Report, Courtney Gushi

Allied Health Faculty Publications

Urachal anomalies are rare and often identified incidentally during diagnostic imaging examinations, such as sonography. These anatomical anomalies are being detected with increasing frequency due to advancements in cross-sectional imaging. Early detection facilitates effective management and treatment options. When these anomalies go undetected and persist into adulthood, patients are at an increased risk for adverse health outcomes. Urachal anomalies have the potential to undergo pathological changes, leading to inflammation, infection, and even malignancy. Therefore, it is imperative for sonographers to be proficient in identifying and understanding sonographic characteristics of urachal abnormalities. This is crucial, given that sonography continues to be …

Archives Of Neurosurgery Volume 1 Issue 1 - Full Issue

Archives of Neurosurgery

Archives of Neurosurgery Volume 1 Issue 1 - Full Issue

Misdiagnosis Between Coccygeal Dislocation Fracture And Lumbosacral Disc Herniation, Gilberto Gardea-Loera, Gilberto Gardea-Ramírez, Ylián Ramírez-Tapia

Archives of Neurosurgery

INTRODUCTION: Coccydynia is the condition of disabling pain in the coccyx that occurs when sitting or moving to a standing position. Due to a lack of knowledge by spine specialists, many patients suffer for years without adequate treatment. We highlight the relevance of diagnosing and treating coccygodynia correctly to avoid lumbosacral pathology overestimation. METHODS: We present a series of patients with painful coccygeal segment syndrome associated with different lumbar alterations who underwent coccygectomy from 1996 to 2021 in our spine clinic. We describe VAS and MacNab scores and complication rates. We used Student-T-Test for statistical analysis. RESULTS: We included 40 …

Extraforaminal Minimally Invasive Lumbar Conjoined Nerve Root Decompression And Segment Fusion: Surgical Technique, Case Report And Literature Review, Manuel Rodríguez García, José Antonio Soriano Sánchez, Sergio Soriano Solis, Oscar Sánchez Escandón, Iris Tatiana Montes González

Archives of Neurosurgery

INTRODUCTION

Associated or conjoined nerve roots are an embryological anomaly presented primarily as bifid nerve roots arising from the dura. They are susceptible to trauma with radicular symptoms and even neurological deterioration of patients presenting them, due to space they occupy and adhesions to adjacent structures. We report a case treat with a minimally invasive technique.

CASE REPORT

A 68-year-old woman with lumbar and radicular pain in the right lower limb, with findings of L4-L5 instability and L4-L5, L5-S1 degenerative disc changes on imaging studies with bilateral L5 and S1 radiculopathy predominantly on the right side on preoperatory neurophysiological studies. …

Dr. Mauro Loyo: Mexican Icon Of World Neurosurgery. Posthumous Tribute, Ramiro Del Valle

Archives of Neurosurgery

Dr. Mauro Loyo Varela was born on November 30th, 1941, in the city of Veracruz. Not only was he an extraordinary surgeon, but he was also an unforgettable teacher. He held several academic positions in and outside the country. He taught 83 Latin American and Caribbean neurosurgeons with patience and devotion, always willing to share his knowledge without reservation. A man of singular talent, his contributions to neurosurgery were outstanding. From 1977 to 1986, he was the Chief of Neurosurgery Services at the IMSS National Medical Center. Between 1982 and 1990, he contributed to the design of numerous instruments and …