Public Health Commons^™

Quality Of Life Associated With Health In Spinal Tuberculosis, Juan S. Moreno, Aleixo N. Pedro, Armando A. Aguirre, Tania A. Baspineiro, Julio B. Flores, Andrei Andrei, Eduardo L. Plasier, Edson L. Oroz, Carlos L. Lucero, Jose L. Segales, Thiago M. De Souza, Juan M. García, Molina Pizarro, Filadelfo Normabuena, María N. Castillo, Erika R. Quezada, Wilson Q. Alanoca, Paulo S. Da Silva, Byron S. Maldonado, Jorge S. Flores, Josselin S. Mamani, Felipe S. Chaves, Reddy S. Nunes, Manuel S. García, Perla D. Oros, José R. Rangel, Luis D. Rodríguez, José S. Sánchez

LATIN Neurosurgery Journal

Introduction: Spinal tuberculosis, al though rare, is a variant of miliary TB, which when it occurs can lead to catastrophic in juries, since it is usually painful and disfig uring, and can lead to irreversible neurologi cal injuries. Which directly or indirectly has an impact on the quality of life of the patient. For this reason, our objective is to review the updated literature on the impact of spinal TB onthequality of life of patients and to identify variables that are directly or indirectly associ ated with better or worse results.
Methodology: Following the Prisma criteria for the development of …

Surgical Indicatios For Spinal Tuberculosis Systematic Review, Byron S. Maldonado, Jorge S. Flores, Aleixo N. Pedro, Armando A. Aguirre, Tania A. Baspineiro, Julio B. Flores, Andrei Andrei, Eduardo L. Plasier, Edson L. Oroz, Carlos L. Lucero, Jose L. Segales, Thiago M. De Souza, Juan M. García, Molina Pizarro, Filadelfo Normabuena, María N. Castillo, Erika R. Quezada, Wilson Q. Alanoca, Paulo S. Da Silva, Juan S. Moreno, Josselin S. Mamani, Felipe S. Chaves, Reddy S. Nunes, Manuel S. García, Perla D. Oros, José R. Rangel, Luis D. Rodríguez, Jose S. Soriano

LATIN Neurosurgery Journal

Introduction: The objective of this systematic review is to establish the main indi cations for the treatment of spinal tuberculo sis. Although there are many factors to con sider this modality of treatment, with differ ent techniques and surgical approaches, we summarize the main indications for easy to re member reference check list.
Methodology: On this systematic review we analyze the quality of evidence generated on the subject “Indications for Surgical treat ment in spinal tuberculosis” from 2017-01-01 to 2022-01-08 to stablish an update and issue recommendtions on this regard.
Results: 20 articles met the criteria and were included in …

Interferon-Gamma Release Assays In The Diagnosis Of Spinal Tuberculosis: A Systemic Review, Eduardo Laos-Plasier, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Andrei, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, José L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-García, Molina Pizarro, Filadelfo Normabuena, María E. Nuñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Byron Salazar-Maldonado, Jorge Salazar-Flores, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez

LATIN Neurosurgery Journal

Introduction: Interferon-gamma release assays are indirect immunological tests used mainly for the diagnosis of latent tubercu losis, their use in active tuberculosis being controversial. This study aims to analyze the usefulness of gamma interferon release assays in the diagnosis of spinal tuberculosis and to obtain a consensus for their use.
Methods: A systematized search was carried out in PubMed and Scielo for ar ticles in English, Spanish, or Portuguese from 10/01/2012 to 10/01/2022, eligibility criteria were applied, the papers included were analyzed according to the GRADE methodology and then established the SORT type recommendation.
Results: We obtained 27 articles, of …

Imaging Signs Indicating Post Tubercular Kyphosis Progression In Children: Systematic Review, Juan F. Mier-García, Carlos A. Llanos-Lucero, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Andrei, Eduardo Laos-Plasier, Byron Salazar-Maldonado, Jorge Salazar-Flores, Edson Lizarazu-Oroz, José L. López-Segales, Thiago Magalhães-De Souza, Molina Pizarro, Filadelfo Normabuena, María E. Nuñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, Jose A. Soriano-Sánchez

LATIN Neurosurgery Journal

Introduction: One of the main complications of spine tuberculosis is the instability produced by the injury of the articular structures between the vertebrae as well as the adjacent tissues, which, depending on the degree of involvement, can lead to angular kyphosis with the consequent risk of neurological impairment that can end with paraplegia. While the criteria for vertebral instability secondary to tuberculosis were identified and the pathophysiological processes that determine the progression of kyphosis following tuberculosis were deter mined, there is no new criteria, following Rajasekaran’s 2001 work, which demon strated which imaging signs could predict a kyphosis progression in …

Genexpert Mtb/Rif As A Diagnostic Test For Spinal Tuberculosis: Systematic Review, Erika Reyes-Quezada, María E. Nuñez-Castillo, Pedro Aleixo-Nogueira, Armando Alpizar-Aguirre, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Andrei, Eduardo Laos-Plasier, Byron Salazar-Maldonado, Jorge Salazar-Flores, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, José L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-García, Molina Pizarro, Filadelfo Normabuena, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez

LATIN Neurosurgery Journal

Introduction: Tuberculosis is an infectious disease that ranks as the thirteenth cause of death worldwide. As is known, tuberculo sis is not only limited to the lungs, but there is a wide range of extrapulmonary pathologies. Current diagnostic methods for spinal tuberculosis are limited by the time factor in order to provide results early and reliably. GeneX pert MTB/RIF is currently available as an al ternative, fast and reliable test for pathogen identification.
Methodology: This systematic review adheres to the PRISMA [1] criteria. The objective of the systematic review was to analyze the quality of the evidence gener ated on …

Effectiveness Of Vertebral Biopsy In Spinal Tuberculosis. Systematic Review, Armando Alpizar-Aguirre, Pedro Aleixo-Nogueira, Tania Arancibia-Baspineiro, Julio C. Burgos-Flores, Andrei Andrei, Eduardo Laos-Plasier, Edson Lizarazu-Oroz, Carlos A. Llanos-Lucero, Jose L. López-Segales, Thiago Magalhães-De Souza, Juan F. Mier-Gracía, Molina Pizarro, Filadelfo Normabuena, María E. Nuñez-Castillo, Erika Reyes-Quezada, Wilson Quispe-Alanoca, Paulo G. Sacramento-Da Silva, Juan C. Salcedo-Moreno, Josselin M. Sánchez-Mamani, Felipe A. Santos-De Queiroz-Chaves, Byron Salazar-Maldonado, Jorge Salazar-Flores, Reddy A. Simón-Nunes, Manuel E. Soto-García, Perla M. Del Valle-Oros, José A. Israel-Romero-Rangel, Luis M. Duchén-Rodríguez, José A. Soriano-Sánchez

LATIN Neurosurgery Journal

Introduction: Vertebral biopsy, espe cially percutaneous biopsy for histopathologi cal study and culture, continues to be the Gold Standard in the Diagnosis of Spinal Tubercu losis since the last century, however, there are no recent systematic reviews of the literature on its effectiveness in this pathology.
Method: A systematic review was car ried out on the PubMed platform, with the keywords ”Spinal tuberculosis” and ”Biopsy” in the title and abstract with a time limitation from January 1, 2017 to October 26, 2022. A summary of 11 selected articles was prepared, a list of the variables used in each article was …

Editorial Message: Vertebral Destruction Syndrome And Spinal Tuberculosis, Armando A. Aguirre

LATIN Neurosurgery Journal

No abstract provided.

Editorial Message: Top Class Neurosurgery Research Available From Latin America For The Benefit Of The World, Jose S. Soriano

LATIN Neurosurgery Journal

No abstract provided.

Editorial Message, Luis Alencar Biurrum Borba

LATIN Neurosurgery Journal

No abstract provided.

Content Table

LATIN Neurosurgery Journal

No abstract provided.

Geographic Distribution Of Melanoma Cases In Maine: Identifying Vulnerable Counties For Targeted Intervention, Joshua R. Parbs, Madeline Prentiss, Calla Hladky, Henry Stoddard, Kathryn Stevens, Elizabeth V. Seiverling, Peggy Cyr

Journal of Maine Medical Center

Introduction: Maine has the twelfth highest incidence of melanoma in the United States. The purpose of this study was to determine which Maine counties were the most impacted by melanoma through the use of geographical methods. Identification of counties with the highest prevalence of melanoma will help in targeting future training and public health interventions.

Methods: All melanoma cases (n=5,340) reported to the Maine CDC Cancer Registry from 2013 to 2018 were sorted by pathologic T stage. Data were sorted by county and population-adjusted. Population data and provider data came from Area Health Resource Files. County and zip-code maps were …

Improving Patients’ Perception Of Provider Trust And Communication With Birth Plans, Christelle Reeves, Nicole Tenzel, Timothy Kremer

North Texas Research Forum 2024

Objective: Birth plans are an effective tool for a pregnant person to express their desires and expectations for labor and postpartum. Shortcomings of birth plans can be found whenever there is a lapse in communication between provider and patient. In the management of labor and emergent situations, it has been observed by patients that obstetric providers can communicate in authoritarian and dismissive manners. In response to this, birth plans were developed to serve as a guide in these scenarios. Birth plans allow a pregnant person to design a thoughtful plan of action with their healthcare provider before giving birth, rather …

Evidenced-Based Strategies To Increase Cervical Cancer Screening Rates, Tuong Cat Vo Bsn-Rn, Nada Salloukh Bsn-Rn, Tatiana Elena Swanson Bsn-Rn, Xiao Mie Cindy Zhu Bsn-Rn, Laura Taylor Reed Dnp, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Purpose/Background

Cervical cancer is the fourth leading cause of cancer affecting women worldwide (Staley et al., 2021). With cervical cancer being a preventable disease, an effective method of reducing healthcare costs and mortality is primary prevention, such as screenings. Financial burdens and barriers to accessing medical care may result due to the lack of proper cervical cancer screenings. Detecting cervical cancer includes screening women 21 to 65 years old with a Papanicolaou (PAP) test every three years. Women aged 30 to 65 years old can extend the screening of cervical cancer by having a Human Papillomavirus (HPV) test along with …

Playing It Sun Safe: A Quality Improvement Project, Sarah P. Tarr, Kathryn K. Dambrino, R. David Phillippi, Ashley Karpinos

DNP Scholarly Projects

Background: Athletes who play outdoor sports have multiple risk factors for the development of skin cancer. Literature highlights the need for the use of evidence-based strategies to improve the knowledge and utilization of sun protection practices in this high-risk population. Methods: Playing it Sun Safe was a multifaceted skin cancer prevention initiative implemented in a population of collegiate soccer athletes in collaboration with a university athletic department and campus health clinic. Evidence-based interventions were designed through application of the Health Belief Model (HBM) and were implemented using the Institute for Healthcare Improvement (IHI) quality improvement framework. Purpose: The two-fold aim …

Implementation Of A Standardized Suicide Screening Process In A University Student Health Clinic: A Quality Improvement Project, Addie Grace Strong, Kathryn Dambrino, R. David Phillippi, Linda Wofford

DNP Scholarly Projects

Background: Suicide is a leading cause of death among college age students, prompting the need for evidence-based screening tools like the Columbia Suicide Severity Rating Scale (C-SSRS) to enable early detection and timely intervention. Inconsistencies in suicide screening may pose a risk of missed intervention opportunities. This Doctor of Nursing Practice project specifically aimed to improve the quality and consistency of suicide screening in a university student health clinic by implementing the C-SSRS tool into the clinic workflow during mental health appointments. Methods: Employing a quality improvement framework, this scholarly project followed the Institute for Healthcare Improvement Model for Improvement …

Childhood Cancer Survivorship: Navigating A New Normal In Middle Tennessee, Karli M. Beaumont

OTD Capstone Projects

Monroe Carell Jr. Children’s Hospital at Vanderbilt in partnership with Vanderbilt-Ingram Cancer Center offers REACH for Cancer Survivorship, a pediatric cancer survivorship clinic. REACH provides a full range of follow-up care designed to meet the physical, emotional, and practical needs of survivors and continuous surveillance of deleterious effects of cancer and its treatments. The purpose of this project was to meet population and agency needs through research of long- and late-term sequela while advocating for occupational therapy’s role in the oncology population through the proactive therapy and prospective surveillance models. The process of creating this project included synthesizing the literature, …

Do Nsaids' Decrease Union Rates Following Joint Arthrodesis? A Meta-Analysis, Emerson Rowe, Julian Takagi-Stewart, Asif Ilyas, Sina Ramtin

Tower Health Research Day

No abstract provided.

Understanding Vaccine Hesitancy: An Analysis Of Caregiver Influences On Pediatric Covid-19 Vaccination Decisions, Neiki Rokni, Shu Zhao Md, Matthew Nguyen, David Liu, Harrison Jordan Do, Jory Parson, Sidharth Sahni Do, Tanner Walsh Md, Ashley Henderson Md, Jennifer Higgins Md

Tower Health Research Day

No abstract provided.

Modeling An Infection Outbreak With Quarantine: The Sibkr Model, Mikenna Dew, Amanda Langosch, Theadora Baker-Wallerstein

Rose-Hulman Undergraduate Mathematics Journal

Influenza is a respiratory infection that places a substantial burden in the world population each year. In this project, we study and interpret a data set from a flu outbreak in a British boarding school in 1978 with mathematical modeling. First, we propose a generalization of the SIR model based on the quarantine measure in place and establish the long-time behavior of the model. By analyzing the model mathematically, we determine the analytic formulas of the basic reproduction number, the long-time limit of solutions, and the maximum number of infection population. Moreover, we estimate the parameters of the model based …

Measuring The Impact Of Primary Care Team Composition On Patient Activation Utilizing Electronic Health Record Big Data Analytics, Kristen K. Will, Yue Liang, Chih-Lin Chi, Gerri Lamb, Michael Todd, Connie Delaney

Journal of Patient-Centered Research and Reviews

Purpose

Team-based care has been linked to key outcomes associated with the Quadruple Aim and a key driver of high-value patient-centered care. Use of the electronic health record (EHR) and machine learning have significant potential to overcome previous barriers to studying the impact of teams, including delays in accessing data to improve teamwork and optimize patient outcomes.

Methods

This study utilized a large EHR dataset (n = 316,542) from an urban health system to explore the relationship between team composition and patient activation, a key driver of patient engagement. Teams were operationalized using consensus definitions of teamwork from the literature. …

Adult Development And Associated Health Risks, Elizabeth C. Halloran

Journal of Patient-Centered Research and Reviews

Much has been learned about adult development in recent decades. Adults go through stages of development (emerging adulthood, young adulthood, middle adulthood, post-retirement, and very old age) with certain challenges at each stage. Viewing patients through a developmental lens is part of providing patient-centered care. Knowing the prominent issues, stressors, and risks at each stage of development is important in understanding patients. This knowledge can help customize medical advice to patients regarding obesity, disability, sleep, substance use, relationships, and age-related declines. This paper summarizes an updated view of adult development and discusses its relevance to health risks and patient-centered care …

Research Frameworks: Critical Components For Reporting Qualitative Health Care Research, Ann Z. George

Journal of Patient-Centered Research and Reviews

Qualitative health care research can provide insights into health care practices that quantitative studies cannot. However, the potential of qualitative research to improve health care is undermined by reporting that does not explain or justify the research questions and design. The vital role of research frameworks for designing and conducting quality research is widely accepted, but despite many articles and books on the topic, confusion persists about what constitutes an adequate underpinning framework, what to call it, and how to use one. This editorial clarifies some of the terminology and reinforces why research frameworks are essential for good-quality reporting of …

A Systematic Review: Mirror Neurons & Schizophrenia, Yashesvi Sharma, Surajit Dey

Annual Research Symposium

This research project establishes a link between Mirror Neuron System (MNS) activity and this information's implications in treating and understanding schizophrenia, specifically, schizophrenic patients with negative symptoms.

Decoding Implant-Related Sickness: Unraveling The Complexities Of Breast Implant Illness, Madison M. Stewart

Senior Theses

This thesis investigates the phenomenon of breast implant illness (BII), examining its potential correlation with individual factors such as obesity and poor lifestyle habits. BII, characterized by nonspecific symptoms, is often self-diagnosed by patients influenced by social media and internet sources, leading to requests for implant removal. Conducting a comprehensive meta-analysis, the study scrutinizes existing literature to evaluate the association between BII, obesity, and lifestyle choices. Employing inclusion criteria, peer-reviewed publications are analyzed through systematic review methodology to offer insights into the interplay between BII and adiposity, exploring inflammatory mechanisms and patient behaviors like exercise and smoking. The research aims …

"Fueling For A Healthy Life:" A Cooking Class For Adolescent And Young Adult Childhood Cancer Survivors, Hope Dominique

Senior Theses

Following cancer treatment, childhood cancer survivors (CCS) are at an increased risk of developing chronic diseases and face an increased risk of health-related death during adulthood. Recent literature demonstrates that modifying lifestyle factors such as nutrition can reduce the risk of late mortality in survivors, suggesting that interventions promoting a healthy lifestyle may improve quality and quantity of life for CCS. However, many adolescent and young adult (AYA) CCS do not adhere to national dietary guidelines and face both real and perceived barriers to adopting healthier eating habits while in a critical period for establishing behaviors that contribute to lifelong …

The Mda’S Michigan Donated Dental Services (Dds) Program: How To Serve The Elderly And Disabled In Your Community And Build Your Team (Without Leaving Your Office!), April Stopczynski

The Journal of the Michigan Dental Association

April Stopczynski, MDA Manager of Access and Prevention, sheds light on the Michigan Donated Dental Services (DDS) program, elucidating its impact on individuals through poignant patient narratives and dentist testimonials. The article illustrates how DDS bridges the gap in dental care for the elderly, disabled, and financially compromised individuals in Michigan. The program not only restores smiles but also transforms lives by providing much-needed dental treatment through volunteer dentists and labs. This article presents the value of DDS for patients, providers, dental team members and the greater community. Information is provided on how to participate in this transformative program.

An Internal Audit On Patient Safety And Quality Of Services In A Rural Health Training Center, Coimbatore., Josphine Priscilla Charles, Kathiravan Rajendran, Jenit Osborn

Digital Journal of Clinical Medicine

Prioritizing patient safety is imperative for enhancing quality healthcare, especially in lower- and middle-income countries. Recognizing this urgency, India's Ministry of Health and Family Welfare introduced the 'SaQushal' toolkit, empowering health facilities to self-assess and improve their safety practices. This study presents an internal audit at a Rural Health Training Centre (RHTC) in Coimbatore, India, utilizing the 'SaQushal' framework. The facility achieved an overall score of 63%, exceeding the 50% minimum threshold for each domain, indicating commendable efforts towards establishing good quality standards. Notably, all domains scored above 50%, highlighting strengths across various safety dimensions. While acknowledging this progress, the …

Study Protocol: Identifying Transcriptional Regulatory Alterations Of Chronic Effects Of Blast And Disturbed Sleep In United States Veterans, Molly J. Sullan, Kelly A. Stearns-Yoder, Zhaoyu Wang, Andrew J. Hoisington, Adam D. Brenoweth, Walter Carr, Yongchao Ge, Hanga Galfalvy, Fatemah Haghighi, Lisa A. Brenner

Faculty Publications

Injury related to blast exposure dramatically rose during post-911 era military conflicts in Iraq and Afghanistan. Mild traumatic brain injury (mTBI) is among the most common injuries following blast, an exposure that may not result in a definitive physiologic marker (e.g., loss of consciousness). Recent research suggests that exposure to low level blasts and, more specifically repetitive blast exposure (RBE), which may be subconcussive in nature, may also impact long term physiologic and psychological outcomes, though findings have been mixed. For military personnel, blast-related injuries often occur in chaotic settings (e.g., combat), which create challenges in the immediate assessment of …

Posteriormedial Ankle Impingement In A Male Division I Ice Hockey Player: A Case Report, Bethany Thompson

UNO Student Research and Creative Activity Fair

The purpose of this case report is to present the case of a 21 year old male Division I collegiate hockey player’s injury during their season, resulting in posteriormedial ankle impingement of the deep posterior tibiotalar ligament, osteochondral lesion of the talus, and tenosynovitis of the tibialis posterior. The patient’s injury did not require surgery; however, they did complete a rehabilitation plan with a physical therapist and receive a cortisone injection. The patient had a positive outcome due to the athletic trainer sending the patient for immediate diagnostic imaging after initial consultation. The patient was able to continue participation in …

The Koolungar Moorditj Healthy Skin Project: Elder And Community Led Resources Strengthen Aboriginal Voice For Skin Health, Bernadette M. Ricciardo, Jacinta Walton, Noel Nannup, Dale Tilbrook, Heather-Lynn Kessaris, Carol Michie, Brad Farrant, Roni Forrest, Annette Garlett, Joanne Hill, Larissa Jones, Natasha Kickett, Sally Smith, Delys Walton, Taleah Ugle, Nadia Rind, Richelle Douglas, Jodie Ingrey, Brenda Carter, Ainslie Poore, Ingrid Amgarth-Duff, Hannah Thomas, Prasad S. Kumarasinghe, Jonathan R. Carapetis, Asha C. Bowen

Journal of the Australian Indigenous HealthInfoNet

In partnership with local Aboriginal Community Controlled Health Organisations, the Elder-led co-designed Koolungar Moorditj Healthy Skin project is guided by principles of reciprocity, capacity building, respect, and community involvement. Through this work, the team of Elders, community members, clinicians and research staff have gained insight into the skin health needs of urban-living Aboriginal koolungar (children); and having identified a lack of targeted and culturally appropriate health literacy and health promotion resources on moorditj (strong) skin, prioritised development of community-created healthy skin resources. Community members self-appointed to Aboriginal Community Advisory Groups (CAG) on Whadjuk (Perth) …