Pharmacy and Pharmaceutical Sciences Commons^™

Flipped Classroom Versus Lecture: A Quasi-Experimental Study Evaluating The Performance Of Dental Students.”, Manal Elhijazi, Ihsane Benyahya

Health Sciences

Background: The flipped classroom is an active pedagogical modality that improves learning, autonomy and critical thinking. This work aims to evaluate the impact of the flipped classroom on student performance compared to the lecture in a biomaterials course.

Material and methods:Second-year dental students were invited to participate voluntarily in this quasi-experimental study .Thus, they were divided into two groups: one group benefited́ from the flipped classroom while the control group attended the lecture. At the end of a formative evaluation for both groups, their average grades were compared using Student's test (significance threshold set at p

Results : …

Estimation Of The Immunological Markers (Ctla4 And Vegf) Of The Adjuvant Ovarian Cancer In Iraqi Women Patients, Yasir Naeem Khlaif, Mayada Noori Iqbal, Hind Jaber Hassoon

Al-Esraa University College Journal for Medical Sciences

Background: The most frequent cause of death for females with gynecological cancer diagnoses is ovarian cancer (OC). Furthermore, generally speaking, it ranks as the 5^th most frequent cause of death for females. The majority of cases had advanced diagnoses, which worsens the disease's prognosis. Objectives: The aims of the study is to Estimate the immunological markers “cytotoxic T lymphocyte associated antigen 4” (CTLA4) and “Vascular Endothelial Growth Factor” (VEGF) in Adjuvant women (OC). Materials and methods: 90 Adjuvant women OC were included in this study (30 of them were taking (1-6) dose of biotherapy Bevacizumab (Avastin) Group 1 (G1), …

Determination Of The Hematological And Biochemical Parameters Associated With Liver Cancer, Hepatitis Types B, And C In Iraqi Patients, Saja Khudhier Essa Al-Juboori, Shaymaa Ismael Kadhum Al-Juboori

Al-Esraa University College Journal for Medical Sciences

Hepatocellular carcinoma (HCC) is the second most common cancer in humans and the fifth most prevalent worldwide. Although the survival rate of HCC has increased over time, postoperative recurrences remain high after a decade. HCC can be caused by both viral and non-viral diseases. There are two major global risk factors for HCC these are: hepatitis B virus (HBV) and hepatitis C virus (HCV). As part of routine health exams, complete blood counts can detect a variety of disorders, including infections, anemia, immune system disorders, and blood cancers. A complete blood count (CBC) can be used to perform a biochemical …

High-Performance Liquid Chromatography Analytical Techniques For Determining The Various Diabetic Type 2 Medications: A Review Article, Mohammed Abdullah Ahmed, Mohammed J.M. Hassan, Hayder O. Hashim, Ashour H. Dawood

Al-Esraa University College Journal for Medical Sciences

A metabolic illness known as diabetes mellitus (DM) is brought on by the body's decreased secretion and/or activity of the hormone insulin. The condition worsens, pathological alterations in the body, such as nephropathy, retinopathy, and cardiovascular problems, become inevitable. Type I and II DM are the two primary subtypes of DM. Oral hypoglycaemics are used to treat type II diabetes, while insulin replacement therapy is typically used to treat type I diabetes. Patients typically receive dual drug treatments. Despite using oral hypoglycemic medications as monotherapy, have not been able to accomplish their therapeutic goals with first-line therapy.

In the current …

Evaluate Levels Of Nephrin And Kidney Injury Molecule In Diabetic Nephropathy Patients, Ahmed Malik Hassan, Hassan Ali Al-Saadi, Radhwan Mohammed Hussein

Al-Esraa University College Journal for Medical Sciences

Introduction: Diabetes, particularly when uncontrolled for an extended length of time, was already related with a higher risk of complications and progression of both macrovascular and microvascular problems. Diabetic nephropathy is one of the complications of diabetes can be a result from micro vascular effect of diabetes, kidney disease can occur in both type one or type two diabetes patients kidney disease usually affects young and middle-aged patients. Kidney injury molecule and Nephrin is a biomarkers used to diagnosis of early biomarkers in diabetic nephropathy Objective: The aim was effectiveness of KIM-1 and nephrin for diagnosis of diabetic kidney disease …

Characterization Of Irritable Bowel Syndrome Subtype In Iraqi Patients, Ola Amer Jasim, Khalid Mahdi Salih

Al-Esraa University College Journal for Medical Sciences

Irritable Bowel Syndrome (IBS) is a functional disease of gastrointestinal tract (GIT) that affects 10-20% of the population worldwide and is distinguished by abdominal pain/discomfort and changes in bowel habits that is accompanied by diarrhea, constipation, or both. Cross-sectional study was conducted on 50 Iraqi patients with IBS who were presented at private clinics for gastrointestinal diseases (GIDs). The study lasted from November 2021 to May 2022 and aimed to determine the frequency of IBS subtypes among Iraqi patients, as well as the influence of several factors on disease’s initiation, type and severity such as age, gender, and anxiety. The …

Study Of Il-15, Il-11, And Some Physiological Parameters In Aborted Women, Enas Saad Sabih

Al-Esraa University College Journal for Medical Sciences

Objective; The objective of current investigation is TO KNOW THE roles of IL-15 and IL-11 with some physiological indicators in pathophysiology of aborted women.

Methods; This investigation was conducted in the Medical City Hospital's gynecology consultant ‏ for period of March – May 2023. Thirty blood samples were taken from aborted women who visit hospitals and clinics otolaryngology. In addition to thirty blood samples were taken from healthy women who represented as a control group. The levels of IL-11 and IL-15 were detected by enzyme immunoassay (ELISA) (Immunotech, France), and random blood sugar observed by Biorex machine (UK). Levels of …

Incidence Of Crimean-Congo Hemorrhagic Fever (Cchf) In Different Governorates Of Iraq, Ihsan M. Al-Saqur, Amina N. Althwani, Heba N. Safah Hussein, Aubiad H. Noor, Ranna A. Sabar, Dhoha D. Hadi, Shad. H. Haitham

Al-Esraa University College Journal for Medical Sciences

Crimean-Congo hemorrhagic Fever (CCHF) is one of the most important infectious diseases in the world. This disease is considered as a dangerous zoonotic viral disease transmitted from animals to human by Hyalomma ticks. The first case was registered in Iraq in 1979, which led to the death of the patient, her doctor and some of the medical staff in Baghdad/Al-Yarmouq hospital. The current study was conducting on the data of (399) patients suffering from symptoms of hemorrhagic septicemia for two years (2021and 2022) which received from Central Disease Control (CDC) in Baghdad depending on serological test. The results revealed that …

Effect Of Ferritin, Magnesium And Cobalt On Total Viable Count Of Candida Spp. In Normal Pregnant And In-Vitro Fertilized Women, Lina Sami Adham, Abbas Sabri Almizraqchi

Al-Esraa University College Journal for Medical Sciences

Background: A correlation existed between diminished levels of vital mineral elements crucial for antioxidant activity in the bodies of pregnant women and an elevated susceptibility to preeclampsia. Objective: To assess the effect of salivary mineral elements on the salivary total count Candida spp in pregnant, in vitro fertilization pregnant women and control. Materials and Methods: A total of 85 subjects were included in this study, first group consist of (30) normal pregnant women, second group consist of (30) In vitro fertilization (IVF), and third group consist of (25) non-pregnant women, the samples were collected from different clinics …

Iv Vs Po: The Acetaminophen Showdown At Swedish, Diem Pham, Adam Corson, Renee Rassilyer-Bomers

2024 Swedish Learning and Celebration Day

No abstract provided.

Improving Prolonged Antibiotics Education In A Pediatric Unit, Zerena S. Silva Villamonte

Master's Projects and Capstones

Problem Children’s Hospital A's incidence report tool, iCares, demonstrates that 50% of the issues related to prolonged intravenous (IV) antibiotics are categorized as administration issues. This leads to the medication being delivered at the wrong time or rate. Having these issues increases patient length of stay, increasing hospital costs. Context The microsystems for this quality improvement project include inpatient pediatric patient care units (PCU) 300, 360, and 400. Children’s Hospital A is a 361-bed San Francisco Bay Area hospital. Interventions The Clinical Nurse Leader students implemented a presentation defining prolonged IV antibiotics, their rationale, and a video demonstrating the correct …

Adherence To Sb5195 Naloxone Distribution Requirements At Discharge From The Emergency Department, E Stewart, J Delfeld, J Mckay, J Corhei, Kailyn Elliot

Providence Nursing Research Conference 2023 – Present

Background: Washington State, mirroring a national crisis, experienced a surge in opioid-related deaths, with 17,502 fatalities from 2007 to 2021. This trend aligns with the U.S.'s broader opioid epidemic, marked by 70,000 drug overdose deaths in 2017, data show overdose deaths involving opioids increased from an estimated 70,029 in 2020 to 80,816 in 2021. Overdose deaths were from synthetic opioids, primarily fentanyl. In response, empowering registered nurses (RNs) in emergency departments (EDs) to issue Nurse-Initiated Orders (NIO) for patients to discharge from the hospital with physical naloxone pre-pack kits to be used in the community, an opioid antagonist, has …

Medication Errors Among Als Providers In The Prehospital Setting, Cody Vaughn Gibson, Victor Jimenez Jr

Annual Research Symposium

EMS providers administer a variety of medications to patients in the prehospital environment, and while there are numerous published studies on medication errors pertaining to the hospital environment, there are comparatively fewer studies which focus on the prehospital environment. Therefore, the purpose of this survey is to investigate the type and frequency of medication errors occurring in the prehospital environment.

Effectiveness Of Antibiotic Stewardship For Healthcare Providers At Urgent Care Clinics, Helen T. Adewole

Electronic Theses and Dissertations

Antibiotics have revolutionized modern medicine; however, the overuse in urgent care and primary care significantly contributes to the global burden of infections resistant to available antimicrobial medicines. Approximately 30% of the antimicrobials prescribed in acute care settings are unnecessary. Patient demand for antibiotics has seemingly skyrocketed following the recent COVID-19 pandemic. Practitioners must be knowledgeable about antibiotic stewardship initiatives, such as the wait-and-see approach, to reduce antibiotic overuse and improve the trajectory of antibiotic resistance and patient health outcomes. The gap in practice was the limited awareness of scientific evidence-based tools to partner with patients and improve antibiotic prescription patterns. …

Pediatric Vaccination Adherence: Enhancing Compliance Among First-Generation Asian American Parents, Katelyn Leong

Nursing | Senior Theses

Background: Vaccine adherence in the pediatric population refers to receiving vaccines as per the recommended schedule, which significantly reduces vaccine-preventable diseases and enhances community immunity. Vaccine hesitancy, driven by concerns such as safety, misinformation, or cultural beliefs can affect adherence. National coverage of state-mandated vaccines among kindergarteners declined from 95% to around 93% between 2019 and 2022, varying across different vaccines. Objective: This research proposal’s focus is to determine if an educational intervention targeting first-generation Asian Americans, who have adopted their immigrant parents' misinformation about vaccines, will effectively increase vaccination rates among their children. The study aims to assess the …

Satisfaction And Absenteeism To Lectures:Cross-Sectionnel Study Of Dental Students, Manal El Hijazi, Soundouss Soulami, Ihsane Benyahya

Health Sciences

Introduction: Lectures are still the main pedagogical tool in universities. The aim of this study was to evaluate student satisfaction with lectures and to analyze the factors behind student absenteeism.

Methods: A descriptive cross-sectional study was carried out among dental student by a voluntary, anonymous self-administered questionnaire with open and closed question. Statistical analysis was performed by SPSS version 25 and the Chi2 test was used to compare percentages, with a significance level of p

Neuroprognostication In Patients With A Subarachnoid Hemorrhage: A Quasi-Review Of Anti-Inflammatory Agent Administration Versus Blood Pressure Management, Julia Gabalski, Marcie Mcmahon

Soaring: A Journal of Undergraduate Research

A subarachnoid hemorrhage (SAH) is a type of stoke where a blood vessel bursts and causes the subarachnoid space to become filled with blood. Traditional nursing management of SAH includes close monitoring of blood pressure goals in order to prevent complications such as vasospasm. Vasospasm causes delayed cerebral ischemia and neurological deficits secondary to the initial injury. Recent research has expanded understanding of the underlying mechanisms behind the neuroinflammatory cascade that occurs after a SAH. In this study, a methodical search was conducted through the CINAHL and PubMed databases to form a quasi-review of current research. The comparison of traditional …

Molecular Study Of The Agr Gene In Multidrug-Resistant (Mdr) And Extensively Drug-Resistant (Xdr) In The S. Aureus, Mays Ali Salim, Estabraq Ali Maklef, Montaha Abdul-Karim Al-Saffar

Al-Esraa University College Journal for Medical Sciences

Staphylococcus aureus a gram-positive coccus and one of the most important opportunistic bacteria that can lead to nosocomial infections. The purpose of this study is to explore the distribution and prevalence of the Agr gene in multidrug-resistance (MDR) and extensively drug-resistant (XDR) S. aureus. 62 isolates performed antibiotic sensitivity test. The isolates showed 66.12% resistance to clindamycin with MIC at range≥4, erythromycin 77.41% with MIC at range≥8, ciprofloxacin 19.35% with MIC at range≥4, oxacillin 75.80% with MIC at range≥4, cefoxitin 45.16% with MIC at range≥8, gentamycin 29.03% with MIC at range≥16, nitrofurantoin 14.51% and MIC at range≥128, and tetracycline …

Distribution Of Epidemiological Characteristics Of Low Back Pain Patients Attending To Baghdad Teaching Hospital, Khadija Kamil Salman, Ali Hussein. Al-Hafid, Shatha Ahmed Mohammed Ali

Al-Esraa University College Journal for Medical Sciences

Background: Low back pain (LBP) is a very common health problem worldwide especially in the low and middle-income countries. The LBP may be acute or chronic in nature caused by several medical conditions. The majority of acute low back pain is mechanical in nature due to sprains and strains. Chronic LBP, on the other hand, is most commonly attributed to sciatica, which a radiculopathy condition caused by compression, inflammation and/or injury to the spinal nerve roots. Aims of study: To study epidemiological features of low back pain. Patients and Methods: A cross-sectional study of 440 individuals diagnosed with …

Comparison Between Crp Level And Some Biochemical Parameters In Hashimoto And Hypothyroidism Iraqi Patients, Shahad Muthanna Abdulsattar, Ahmed Salem Mohammed, Susan Ahmed Zwyea

Al-Esraa University College Journal for Medical Sciences

Background: Hypothyroidism is a common medical condition that occurs due to a lack of the hormone thyroxine. Hashimoto's thyroiditis (HT) is the most prevalent thyroid disorder, also known as autoimmune thyroid disease (AITD). Approximately 20-30% of people develop hypothyroidism due to ongoing inflammation of the thyroid tissue it triggers. Aims: To investigate the difference between inflammatory and biochemical test in Hashimoto autoimmune thyroiditis (AITD) and hypothyroidism patients (non-autoimmune) Methods: The study was done on 50 Hashimotos patients, 50 Hypothyroidism patients from the Endocrinology Unit at Baghdad Teaching Hospital and Educational Laboratories / Baghdad City, Iraq, and 50 control healthy …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Diagnostic Accuracy Of Cbct In The Differential Diagnosis Of Apical Cysts And Granulomas Using Histopathological Findings As A Reference Standard: A Systematic Revew, Fatima Zohra Rouggani, Chaimaa Kabil, Rachida Mayou, Sidi Mohamed . Bouzoubaa

Health Sciences

Introduction

The periapical lesions represent a complex group. Granulomas and cysts represent the two most frequent forms in routine clinical practice.

Aim: Highlight the diagnostic accuracy of CBCT imaging in the differential diagnosis between a cyst and a granuloma compared to histopathological examination as a reference technique.

Materials and Methods:

Our literature search involved articles published in the following databases: PubMed, Cochrane, science direct and Google scholar.

Our intention was to review recent articles from the last 5 years and to select studies conducted in significantly changed socio-medical contexts that could have a positive impact on the validity of our …

Inclusive Integration Of Refugees And Migrants In Djibouti's National Healthcare System: Current Situation And Prospects For Improvement, Farhan Houssein Ali, Njah Mansour, Kenza Hassouni

Health Sciences

Cet examen narratif vise à décrire et synthétiser les données actuelles sur la situation des migrants et des réfugiés à Djibouti, ainsi que les progrès de la stratégie d'intégration inclusive mise en œuvre par le gouvernement djiboutien. Il s'appuie sur diverses sources, notamment la littérature grise et les publications scientifiques. Les résultats indiquent que le nombre de migrants et de réfugiés est en augmentation constante depuis 2019, avec un état de santé vulnérable et des risques sanitaires alarmants. Il est urgent d'accélérer la mise en œuvre de la stratégie tout en l'adaptant aux données actuelles et d'établir un système fiable …

Evidence Synthesis Methodology: Promoting Reproducible Methodology Through Modified Assignments, Laura Lipke, Neyda Gilman

Library Created Resources

Initially, systematic reviews in healthcare served to synthesize findings from clinical studies, aiding comprehensive access to the most effective treatments within evidence-based practice. Over time, their scope has broadened beyond treatment effectiveness, leading to a surge in publication. Consequently, many health science faculty now assign systematic reviews in classrooms without a full grasp of the standardized process, leaving students ill-equipped due to insufficient guidance and resources.

While mastering systematic review techniques is crucial for evidence-based practice, faculty can opt for modified assignments to foster a deeper understanding of the review process. These modified tasks, can be completed within a semester, …

Home Blood Pressure Monitoring Bundle For Hypertension Outcomes In Adult Patients Receiving Care In Public Health Clinics, Christine Jennifer Victorian

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Hypertension (HTN) that is not adequately controlled leads to cardiovascular disease, stroke, and heart disease. It affects 116 million adults (47%) in the United States (U.S.). The HTN compliance rate in a South Texas public health clinic was 64%, below the national benchmark of 76%. Home blood pressure monitoring (HBPM) was recommended in a joint statement by the American Heart Association (AHA) and the American Medical Association (AMA). Literature evidence revealed that the HBPM bundle increased BP control (< 140/90 mmHg) compliance.

Methods: A quality improvement (QI) bundle was initiated to address the low HTN compliance rate from a quality management perspective. …

Clinical Practice Guideline For The Management Of Depression In Primary Care, Estrella Catherine Villarreal

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: The prevalence of depression poses a significant challenge in primary care, emphasizing the urgent need to address this issue during patient visits. Primary care providers are at the forefront of managing depression, yet they encounter difficulties in screening, diagnosing, assessing, and treating this complex condition. Clinical guidelines serve as valuable tools for primary care providers and practices, offering support in identifying and addressing depression effectively. An evidence-based approach to treating depression in primary care, with a focus on collaborative interventions with behavioral health to enhance depression management for American Indian/Alaskan Native (AI/AN) communities.

Methods: The descriptive analysis was conducted …

Implementation Of Prognosticator Algorithm For Initiation Of Serious Illness Discussions And Improving The Rate Of Palliative And Hospice Referrals, Joy Isebor

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Context: Early serious illness conversations related to end-of-life and goals of care with seriously ill patients have been associated with improving patients' outcomes and quality of care (Bernacki et al., 2015). However, initiating these serious illness discussions has been challenging in the home-based primary care setting.

Objectives: To train and support home-based primary care clinicians in integrating best practices in serious illness discussions and decision-making engagement among patients sixty-five and older with serious illnesses, optimize the alignment between patient goals and the medical care they receive, improving their quality of life and the rate of palliative care and hospice referrals. …

Dental Students’ Psychological Stress: A Comprehensive Investigation Of Stress Inducing Factors At Mohammed Vi University Of Sciences And Health, Latifa El Mouden, Elmehdi Fettach

Health Sciences

Dental students are significantly confronted with mental health problems. We conducted a prospective recruitment of students at the Faculty of Dentistry of the Mohammed VI University of Sciences and Health to investigate the determinants of stress specific to this population in order to find solutions to improve their quality of life. In our study, 410 students responded to the survey, the average age of the students was 21.51 ± 2.102 years, 70% were female, 30% were in their 6th year, and 60% of the students were from Casablanca. The average MSP-25B score was 101.94 ± 33.035. In our study, there …

Relationship Of Serum Copeptin Level With Traditional Risk Factors For Acute Coronary Syndrome In Early Diagnosis Of This Syndrome In Iraqi Patients, Ali Abdul Rasool Hussein, Abdulkareem H. Issa, Abbas Naji Muslem Al Shareeifi

Al-Esraa University College Journal for Medical Sciences

Background: Acute coronary syndrome (ACS) is still one of the main causes of morbidity and mortality worldwide and an early diagnosis of myocardial infarction (MI) aims to decrease mortality in MI patients. The ACS is manifested as one of three subtypes. These subtypes include MI with the electrocardiogram (ECG) is showing ST-segment elevation (STEMI), the other is MI with the ECG is showing no ST-segment elevation (NSTEMI) and the third type is unstable angina (UA). Objectives: To explore the Relationship of serum copeptin level with traditional risk factors for acute coronary syndrome in early diagnosis of this syndrome in Iraqi …

Immunological And Molecular Investigation Of Non-Helicobacter Pylori Gastritis Within Type 2 Diabetes Mellitus, Zahraa Maad Abdul-Sahib, Najah Ali Mohammad, Abdul Razzaq Nema

Al-Esraa University College Journal for Medical Sciences

Gastritis is one of the most common diseases in the digestive system, especially in patients with low immunity, including diabetic mellitus. Diabetic Mellitus considered one of an endocrine gland disease characterized by elevated blood sugar because of a defect in the regulation of sugar in the body. The purpose of this study was to assess the association between Non-Helicobacter pylori gastritis with type 2 diabetic mellitus (N-Hp G.T2DM), by interleukin IL-10 and IL-18. This study included 37(41.1%) N-Hp G.T2DM, 23 (25.6%) gastritis (G) only and 30 (33.3%) healthy participants. Biomarkers for T2DM and G (FBS, …