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Renal Artery Pseudo-Aneurysms: Do All Of Them Require Endovascular Management?, Naseer Choh, Mudasir Bhat, Omair Shah, Imran Hafeez, Faiz Shera, Tariq Gojwari, Feroze Shaheen 2021 Sheri Kashmir Institute of Medical Sciences

Renal Artery Pseudo-Aneurysms: Do All Of Them Require Endovascular Management?, Naseer Choh, Mudasir Bhat, Omair Shah, Imran Hafeez, Faiz Shera, Tariq Gojwari, Feroze Shaheen

Journal of Global Radiology

Purpose: Our study examines the etiological profile, clinical and imaging features of renal artery pseudo aneurysms (RAPs), as well as the efficacy and need for the angioembolization of RAPs in a resource-constrained setting.

Materials and Methods: A total of 36 patients with RAPs were included in our study. Initial diagnosis was made by Doppler Ultrasonography (USG) followed by CT renal angiography in all cases. DSA was performed in 28 patients, as eight patients showed spontaneous resolution by thrombosis on immediate pre-procedure Doppler study. Angioembolization with a microcoil was performed for 30 aneurysms in 28 patients. Technical success was confirmed at ...


"The Use Of Water As A Weapon Against Public Health In Palestine And Kashmir", Evan D. Gumas 2021 Fordham University

"The Use Of Water As A Weapon Against Public Health In Palestine And Kashmir", Evan D. Gumas

Senior Theses

Water as a political tool has serious implications for global conflicts and its very nature has devastating impacts on public health. No disputes display these more clearly than those in Palestine and Kashmir which are, in large part, water related. Subsequently, public health is affected as water is integral to public health. Both Palestine and Kashmir’s positions in their regions of the world make their experiences with water weaponization against public health unique, but their statuses as occupied territories share vast similarities which make them perfect candidates for research on the intersection of water use as a weapon and ...


Comparing The Health And Welfare Of Refugees And Non-Refugees At The Outset Of The Covid-19 Pandemic: The Results Of A Community Needs Assessment., Matthew J. Lyons, Mary Helen O'Connor, Iris Feinberg, Daniel J. Whitaker, Michael Eriksen, Ashli Owen-Smith, Saiza Jivani, Mohammad Tamer, Esther Kim, Ganaro Makor 2021 Georgia State University

Comparing The Health And Welfare Of Refugees And Non-Refugees At The Outset Of The Covid-19 Pandemic: The Results Of A Community Needs Assessment., Matthew J. Lyons, Mary Helen O'Connor, Iris Feinberg, Daniel J. Whitaker, Michael Eriksen, Ashli Owen-Smith, Saiza Jivani, Mohammad Tamer, Esther Kim, Ganaro Makor

Journal of Refugee & Global Health

Refugees are a vulnerable population who experience significant health disparities. They may also be at disproportionately high risk of adverse outcomes due to the COVID-19 pandemic. This paper presents the results of a community needs assessment to investigate the impact of the pandemic on health and welfare in a refugee relocation community in the United States. A multilingual data collection team made up of refugees surveyed 179 participants (128 refugees vs. 51 non-refugees). Only 55.9% of refugee respondents said they would be able to provide enough food for their family this week, compared with 84.0% of non-refugees (p ...


The Population Affected By The Syndemic Of Covid-19 And Poverty Is More Likely To Be Hospitalized With Sars-Cov-2 Pneumonia, Julio A. Ramirez, Stephen P. Furmanek, Meredith Cahill, Stephen S. Hanson, Ruth Carrico, Forest W. Arnold 2021 University of Louisville

The Population Affected By The Syndemic Of Covid-19 And Poverty Is More Likely To Be Hospitalized With Sars-Cov-2 Pneumonia, Julio A. Ramirez, Stephen P. Furmanek, Meredith Cahill, Stephen S. Hanson, Ruth Carrico, Forest W. Arnold

The University of Louisville Journal of Respiratory Infections

Background

Lockdown measures to control COVID-19 have exacerbated the poverty epidemic. We hypothesized that the synergistic interaction of COVID-19 and poverty epidemics favors the development of more severe forms of COVID-19 in the population living in poverty. To test this hypothesis, we assessed whether an ecological association exists between the geographic distribution of hospitalized patients with SARS-CoV-2 pneumonia and markers of poverty in the city of Louisville, KY.

Methods

Using the geomasked home addresses of hospitalized patients with SARS-CoV-2 pneumonia in the city of Louisville, a kernel density heatmap was created. Kuldorff’s spatial scan statistic was used to calculate ...


Senegal’S Global Health Example In The Fight To Achieve The Sustainable Development Goals, Annika Skogg 2021 South Dakota State University

Senegal’S Global Health Example In The Fight To Achieve The Sustainable Development Goals, Annika Skogg

Schultz-Werth Award Papers

In a time when the entire world is experiencing the importance of global health, Senegal has been highly praised for the effectiveness of its COVID-19 response despite being a low-resource country in West Africa. Senegal’s COVID-19 response displays the central pillars of the country’s community-based public health programming that has made it so successful in decreasing malaria transmission and improving maternal health. This study combines qualitative data with personal experiences during a faculty-led study abroad program to Senegal to examine Senegalese public health campaigns, evaluate the reasons for their success, and ultimately learn from a leader in the ...


Effect Of Passive Tobacco Smoking Exposure On The Periodontal Status Of Turkish Children, Raif ALAN, Onur GEZGİN, Emre KORKUT, Şükriye TÜRKOĞLU, Esra ÇELİK, Seyfullah HALİLOĞLU 2021 Department of Periodontology, Faculty of Dentistry, Canakkale Onsekiz Mart University, 17100, Canakkale, Turkey

Effect Of Passive Tobacco Smoking Exposure On The Periodontal Status Of Turkish Children, Raif Alan, Onur Gezgin, Emre Korkut, Şükriye Türkoğlu, Esra Çelik, Seyfullah Haliloğlu

Journal of Dentistry Indonesia

Objective: This study aimed to assess the effect of passive tobacco smoking (PTS) through the comparison of the periodontal status and the C-reactive protein (CRP) and cotinine levels in the biologic fluids in children who are exposed and unexposed to PTS. Methods: A total of 148 participants, whom had smokers (PTS-exposed, n=82) and non-smokers (PTS-unexposed, n=66) in their families, respectively, were included in the study. Gingival index, plaque index, probing depth, and bleeding on probing were recorded. Moreover, saliva, urine, and gingival crevicular fluid samples were collected. CRP and cotinine levels in the biological fluids were determined by ...


Global Health Leadership Pathway: A Novel Approach To Global Radiology Curriculum Integration For Residents, Katrina McGinty, Robert G. Dixon, Melissa P. Culp 2021 The University of North Carolina at Chapel Hill

Global Health Leadership Pathway: A Novel Approach To Global Radiology Curriculum Integration For Residents, Katrina Mcginty, Robert G. Dixon, Melissa P. Culp

Journal of Global Radiology

Purpose: Our radiology residency programs are at an academic medical center in the southeastern United States and are accredited by the Accreditation Council for Graduate Medical Education (ACGME). During the initial eight years of our department’s global health program, 22 residents participated in our global health collaborations with a related $31,000 in extradepartmental travel awards. Increasingly, residents applying to our program convey interest in the integration of global health into their careers as radiologists. To that end, our administration, global health faculty, and residency program directors created and approved a Global Health Leadership Pathway (GHLP). The Pathway spans ...


Streptococcus Anginosus Lung Infection And Empyema: A Case Report And Review Of The Literature, Nishita Tripathi, Kuldeep Ghosh, Anupama Raghuram 2021 University of Louisville

Streptococcus Anginosus Lung Infection And Empyema: A Case Report And Review Of The Literature, Nishita Tripathi, Kuldeep Ghosh, Anupama Raghuram

The University of Louisville Journal of Respiratory Infections

Streptococcus milleri group (SMG) also referred to as the Streptococcus anginosus group. These are Gram-positive, variable hemolysis, catalase negative, microaerophilic, non-motile facultative anaerobes which have been known to cause abscesses in humans. We report a case of empyema caused by Streptococcus anginosus in a patient with an unresolved pneumonia for over a month. In early October 2018, the patient presented to an emergency room with the complaints of shortness of air, productive cough, chills, subjective fever and weight loss for 4 weeks. A chest X-ray revealed a left lower lobe pneumonia. He was treated with 250 mg of azithromycin for ...


Characteristics And Outcomes Of Bacteremic Pneumococcal Pneumonia Of Patients With And Without Hiv Infection In Argentina, Alejandra González 2021 Posadas Hospital

Characteristics And Outcomes Of Bacteremic Pneumococcal Pneumonia Of Patients With And Without Hiv Infection In Argentina, Alejandra González

The University of Louisville Journal of Respiratory Infections

Streptococcus pneumoniae is the main causative agent of pneumonia, with a 10 to 25 percent rate of isolation in blood cultures. Controversies exist regarding the prognostic impact of a history of human immunodeficiency virus (HIV) infection on community-acquired pneumonia.

The aim of our work was to analyze and compare the clinical presentation, radiological findings and progression of pneumococcal pneumonia in patients infected with and not infected with HIV. We retrospectively analyzed adult patients with positive blood cultures for Streptococcus pneumoniae and clinical and radiological findings compatible with pneumonia in the period between January 2012 and May 2017. Age, sex, comorbidities ...


Preference Of Inhalants Over Pills/Injections Among Pulmonary Tuberculosis Patients In Western India: A Cross-Sectional Study, Nirmal Ahuja 2021 Harrisburg University of Science and Technology

Preference Of Inhalants Over Pills/Injections Among Pulmonary Tuberculosis Patients In Western India: A Cross-Sectional Study, Nirmal Ahuja

Harrisburg University Faculty Works

Background:

Presently, pills and injections are the two modes of therapeutic treatment available for tuberculosis (TB) patients. Many researchers have hypothesized inhalation drug delivery for reducing treatment times and possibly limiting the insurgence of drug resistance. This study was aimed at identifying and assessing the preferences of inhalation therapy over injections/pills among pulmonary TB patients.

Method:

Cross-sectional study design was used and a sample of 477 participants were recruited at selected three Directly Observed Treatment Short-Course (DOTS) centers in Bhiwandi city. Data was collected through a self-reported questionnaire. Descriptive statistics were reported, and binomial regression models were applied for ...


Neurosurgical Praxis Guidelines During The Covid-19 Outbreak. Consensus-Based On Currently Available Literature., José Antonio Soriano Sánchez, Bárbara Nettel Rueda, José Alberto Israel Romero Rangel, Armando Alpizar Aguirre, Miguel Ángel Andrade-Ramos, Ulises García Dr., Diego Mendez Rosito, Jorge A. Santos, Sara Patricia Pérez Reyes, Julian Eduardo Soto Abraham, Jose E. Valerio Pascua, Marco Antonio Barajas Romero, Eduardo Díaz Juárez, Alma Griselda Ramírez Reyes, Maria Elena Gonzalez, Claudia Katiutska González Valdez, Félix Domínguez Cortinas, Noé Santiago Ramírez, Tenoch Herrada Pineda, Manuel Eduardo Soto García, Edgar Nathal Vera, Gustavo Melo Guzmán 2021 The American British Cowdray Medical Center IAP

Neurosurgical Praxis Guidelines During The Covid-19 Outbreak. Consensus-Based On Currently Available Literature., José Antonio Soriano Sánchez, Bárbara Nettel Rueda, José Alberto Israel Romero Rangel, Armando Alpizar Aguirre, Miguel Ángel Andrade-Ramos, Ulises García Dr., Diego Mendez Rosito, Jorge A. Santos, Sara Patricia Pérez Reyes, Julian Eduardo Soto Abraham, Jose E. Valerio Pascua, Marco Antonio Barajas Romero, Eduardo Díaz Juárez, Alma Griselda Ramírez Reyes, Maria Elena Gonzalez, Claudia Katiutska González Valdez, Félix Domínguez Cortinas, Noé Santiago Ramírez, Tenoch Herrada Pineda, Manuel Eduardo Soto García, Edgar Nathal Vera, Gustavo Melo Guzmán

Archives of Neurosurgery

INTRODUCTION: The World Health Organization recommended several strategies to contain the COVID-19 pandemic, including optimization of care for all patients, especially the seriously ill. Given the strain, the pandemic has posed on healthcare systems around the world, many neurosurgical associations have provided triage recommendations for patients to save resources for the pandemic. We aimed to provide practical recommendations based on specific illnesses requiring surgical procedures commonly performed by neurosurgeons on a life-threatening basis of patient illness. We consider this guideline will help neurosurgeons for the appropriate triage of patients on a daily-situation basis during this pandemic.

METHODS: The Mexican Society ...


Improving Sepsis Bundle Compliance In The Emergency Department, Meredith Burkhart 2021 University of Arkansas, Fayetteville

Improving Sepsis Bundle Compliance In The Emergency Department, Meredith Burkhart

The Eleanor Mann School of Nursing Student Works

Sepsis is one of the leading causes of death in hospitals across the nation. It is also the costliest condition a patient can be admitted to the hospital for. This proposal discussed the significance of sepsis in the local, national, and international level. It also covered the SEP-1 guidelines given by the Centers for Medicare and Medicaid. Prior to project implementation, the clinical site had at least one sepsis bundle fall out every month, meaning that a portion of the SEP-1 guideline was not met. This project introduced an alert system for the emergency department to respond to patients with ...


Validation Of A Locally Designed Computed Tomography Dose Phantom: A Comparison Study With A Standard Acrylic Phantom In South-South, Nigeria, Anwuli Christiana Tobi, Chukwuka Emmanuel Mokobia, Joyce Ekeme Ikubor, Akintayo Daniel Omojola 2021 Department of Physics Delta State University Abraka, Delta State, Nigeria

Validation Of A Locally Designed Computed Tomography Dose Phantom: A Comparison Study With A Standard Acrylic Phantom In South-South, Nigeria, Anwuli Christiana Tobi, Chukwuka Emmanuel Mokobia, Joyce Ekeme Ikubor, Akintayo Daniel Omojola

Journal of Global Radiology

Purpose: The aim of this study was to determine the mean volume computed tomography dose index (CTDIvol) for the standard head and body phantoms and locally designed head and body phantoms respectively. Similarly, this study determined and compared the displayed mean CTDIvol and Dose Length Product (DLP) for the above phantoms from the CT monitor. In addition, the percentage deviations of both phantoms were compared with the recommended limits from the International Atomic Energy Agency (IAEA) and the American College of Radiologists (ACR). Materials and

Methods: Dose measurements were made using a standard polymethymethacrylate (PMMA) phantom for head and body ...


Invasive Pneumococcal Serotype 3 Disease Despite Pneumococcal Polysaccharide Vaccine-23, B. Frank Parker Jr, Forest W. Arnold 2021 University of Louisville, Louisville, KY

Invasive Pneumococcal Serotype 3 Disease Despite Pneumococcal Polysaccharide Vaccine-23, B. Frank Parker Jr, Forest W. Arnold

The University of Louisville Journal of Respiratory Infections

Pneumococcal disease has a high global morbidity and mortality. We report a case of a 63-year old female with a history of vaccination with pneumococcal polysaccharide vaccine-23 (PPSV-23) who was transferred to a tertiary care facility with fever and seizures due to an unknown etiology. The diagnosis of invasive pneumococcal disease (IPD) was based the identification of Streptococcus pneumoniae in the blood (culture; serogroup 3) and cerebrospinal fluid (antigen), and the finding of purulence under pressure at craniotomy. The pneumococcal vaccine should provide protection from IPD. The findings reported here display that IPD can overcome immunity proffered by the pneumococcal ...


Mental Health Affects Of The Covid-19 Pandemic, Mia Kepler 2021 Kutztown University

Mental Health Affects Of The Covid-19 Pandemic, Mia Kepler

English Department: Research for Change - Wicked Problems in Our World

Over the past year worldwide everyone has experienced the Covid-19 pandemic in one way or another. As time evolves during the pandemic mental health is getting worse every day. People are experiencing feelings of loneliness and uneasiness. Mental health professionals are trying to find solutions to this major issue in today's society. Change is needed to prevent people's mental health from worsening during these unprecedented times and to help the people who are already suffering.


To Preprint Or Not To Preprint, Forest W. Arnold, Kimberley A. Buckner, Alex Glynn, Jessica Petrey, Jose Bordon 2021 University of Louisville

To Preprint Or Not To Preprint, Forest W. Arnold, Kimberley A. Buckner, Alex Glynn, Jessica Petrey, Jose Bordon

The University of Louisville Journal of Respiratory Infections

No abstract provided.


The Efficacy Of A Communication Guide On Stress Experienced By Family Members Of Patients Admitted In The Intensive Care Unit With Covid-19, Kandace Williams 2021 University of Arkansas, Fayetteville

The Efficacy Of A Communication Guide On Stress Experienced By Family Members Of Patients Admitted In The Intensive Care Unit With Covid-19, Kandace Williams

The Eleanor Mann School of Nursing Student Works

Coronavirus disease (COVID-19), first introduced in the United States on January 20, 2020, has created worldwide panic due insufficient research and understanding of the nature of this new disease. Patients suffering from COVID-19 often require intensive care unit (ICU) admissions, resulting in stress and confusion amongst patients and their families. The high transmissibility of the disease has caused hospitals to adopt firm visitor restrictions to protect the public from exposure and spread. Families experience increased anxiety and stress due to ineffective communication with staff and restricted access to their hospitalized loved ones. A needs assessment revealed a gap in care ...


The Policy Of Substance Abuse In Liberia: Analysis And Recommendations, Yamah Dolo 2021 Merrimack College

The Policy Of Substance Abuse In Liberia: Analysis And Recommendations, Yamah Dolo

Community Engagement Student Work

Countries all over the globe are affected by substance abuse. Substance abuse is a traumatic issue that people around the world battle. Substance use has occurred for many years and seems to keep increasing. According to Parekh, “Substance use disorder (SUD) is complex a condition in which there is uncontrolled use of a substance despite harmful consequence.” (Parekh, 2017). Substance abuse has a significant effect on health, an individual’s well-being, families, relationships, and the post-war community. However, with the information on Liberia, little is known about the substance abuse cases. Liberia is a country that has no health, and ...


Barriers, Challenges And Fears From Immigrants In Access To Healthcare: A Proposal For Undocumented Immigrants To Being Insured, Jose Gonzalez-Ibarra 2021 Merrimack College

Barriers, Challenges And Fears From Immigrants In Access To Healthcare: A Proposal For Undocumented Immigrants To Being Insured, Jose Gonzalez-Ibarra

Community Engagement Student Work

Access to healthcare is a global issue that needs to be addressed. Worldwide organizations have put efforts in place to overcome this problem and offer solutions and recommendations to various countries. However, these efforts have not been entirely successful. Receiving the highest attainable standard of health or only receiving care is extremely difficult or impossible for individuals who are considered vulnerable such as immigrants, especially those who are undocumented immigrants. Through the recognition of barriers, challenges and fears from immigrants accessing healthcare and a shape of social determinants of health, institutions of government, nonprofit sector and community members organized could ...


Emergent Trends In The Chinese Counterfeit Pharmaceutical Supply Chain And Opportunities For Public-Private Reform, Mary Monk 2021 University of South Carolina - Columbia

Emergent Trends In The Chinese Counterfeit Pharmaceutical Supply Chain And Opportunities For Public-Private Reform, Mary Monk

Senior Theses

This research seeks to identify and analyze emerging trends in the Chinese counterfeit pharmaceutical trade, extending from the supply chain’s point of origin to domestic and overseas retail dispensary. To aid readability, Chapter 1 of this thesis opens with key conclusions and policy recommendations for various Chinese and U.S. stakeholders based on the shortcomings identified in Chapter 5. Chapter 2 begins with a review of international roadblocks to diagnosing the issue, such as lack of consensus on working definitions and cross-border discrepancies in pharmaceutical oversight regulation. This section also provides a general overview of existing factors driving demand ...


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