Publications by authors named "Rebekah Lee"
Article Synopsis
- The study conducted a systematic review and meta-analysis to explore the impact of neurogenic bowel dysfunction (NBD) and bowel care-related autonomic dysreflexia (B-AD) on the quality of life (QoL) of individuals with spinal cord injury (SCI).
- Over half of those surveyed reported significant issues with bowel dysfunction, including fecal incontinence and constipation, with a notable percentage experiencing B-AD, especially in individuals with higher-level injuries.
- The findings indicate that bowel dysfunction severely affects QoL, emphasizing the need for improved bowel management strategies to enhance the overall well-being of individuals living with SCI.
High Incidence of Postoperative Nausea and Vomiting in Transgender Women Undergoing Facial Feminization Procedures.
Plast Reconstr Surg Glob Open
November 2023
Article Synopsis
- Postoperative nausea and vomiting (PONV) is a major issue for patient recovery, with previous studies indicating higher rates in women during their menstrual cycles due to estrogen levels.
- This study analyzed data from 282 transgender women who underwent facial feminization surgery, finding a PONV rate of 37%, compared to just 11% in cis-gender individuals having rhinoplasty.
- The results suggest that transgender women face an elevated risk of PONV after facial feminization surgery, highlighting a need for tailored postoperative care in this population.
Article Synopsis
- Many algorithms for evaluating acute coronary syndrome (ACS) in emergency departments depend on measuring changes in troponin levels over specific time intervals, which can be challenging in a busy setting.
- A study involving 821 patients indicated that using a troponin "velocity" approach (the rate of change in troponin levels) may effectively predict major cardiac events within 30 days, even without strict timing for specimen collection.
- The findings suggested that while the new velocity-based algorithm showed a decent negative predictive value, it performed comparably well when incorporated into existing European Society of Cardiology protocols using troponin measurements.
Every year, hundreds of thousands of individuals with felony convictions are released into the community with the expectation that those reentering society will be "successful" upon reentry. Society tells persons with criminal backgrounds they have a "second chance" upon release, yet we are reluctant to provide the resources necessary to make this happen. Stigma is frequently identified as a potential obstacle to reentry (DeFina & Hannon, 2009; Shivy et al.
View Article and Find Full Text PDFContext: The utilization of Child Life Services is influenced by interprofessional collaboration and perceptions of other members of the medical team.
Objectives: To summarize studies which address pediatric health care team perspectives on Child Life Services and their utilization in the hospital setting.
Data Sources: A comprehensive literature search was conducted with controlled vocabularies and key terms in MEDLINE, Embase, CINAHL, PsycInfo, and Web of Science.
Study Objective: To evaluate whether the introduction of a 1-hour high-sensitivity cardiac troponin-T (hs-TnT) pathway for patients who present to the emergency department (ED) with suspected acute coronary syndrome (ACS) improves ED patient flow without changing the rate of "missed" major adverse cardiac events (MACE), compared to use of conventional cardiac troponin with an associated 3-hour pathway.
Methods: This was a prospective, uncontrolled observational study conducted before and after implementation of a 1-hour hs-TnT pathway at a high-volume urban ED. Patients undergoing evaluation for ACS in the ED were enrolled during their initial visit and clinical outcomes were assessed at 30 and 90 days.
Purpose: Bolus water drinking, at room temperature, has been shown to improve orthostatic tolerance (OT), probably via sympathetic activation; however, it is not clear whether the temperature of the water bolus modifies the effect on OT or the cardiovascular responses to orthostatic stress. The aim of this study was to assess whether differing water temperature of the water bolus would alter time to presyncope and/or cardiovascular parameters during incremental orthostatic stress.
Methods: Fourteen participants underwent three head-up tilt (HUT) tests with graded lower body negative pressure (LBNP) continued until presyncope.
Research on persons with felony convictions readily acknowledges that the stigma associated with incarceration is an obstacle for successful reentry; we, therefore, employed a correlational research design utilizing a survey-based data collection method to investigate the relations among stigma consciousness, career barriers, and career-related self-efficacy in a sample of 148 men with felony convictions. Participants were recruited online and in person from various reentry organizations in the Midwestern United States. Findings revealed that stigma consciousness related to several career barriers and was inversely associated with career-related self-efficacy.
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- The SingHealth radiology film archives contain valuable local radiological cases from the 1950s, showcasing both historical medical and social interests.
- Some notable cases include cerebral angiography related to hemiplegia and remnants of cultural practices like bound feet.
- Selected cases were published to commemorate the International Day of Radiology in 2020 and the 200th anniversary of the Singapore General Hospital in 2021, featuring areas like gastroenterology, musculoskeletal health, and obstetrics and gynecology.
The Singapore Health Services cluster (SingHealth) radiology film archives are a valuable repository of local radiological cases dating back to the 1950s. Some of the cases in the archives are of historical medical interest, i.e.
View Article and Find Full Text PDFArticle Synopsis
- High-level spinal cord injury (SCI) negatively impacts cardiovascular autonomic function, with the extent of dysfunction linked to the severity of the injury.
- In a study involving 63 individuals with acute traumatic SCI, two groups were identified by one month post-injury: those with complete autonomic dysfunction and those with some recovery, indicating variable long-term outcomes.
- Cardiovascular symptoms worsened over time, particularly for those with complete autonomic injury; overall, the study highlights the importance of monitoring autonomic function (measured through low-frequency systolic arterial pressure) as a key marker of cardiovascular health in acute SCI cases.
Article Synopsis
- The research focuses on developing detailed genome assemblies for two diploid progenitor species of the common oat, Avena atlantica and Avena eriantha, which can potentially improve the adaptive and food quality traits of cultivated oats.
- The findings reveal that both genome assemblies are large, rich in repetitive sequences, and contain about 50,000 annotated genes, including key resistance gene analogs.
- The study enhances understanding of common oat's evolution and genetics, including insights into subgenomic relationships and candidate genes linked to flowering time and disease resistance.
Article Synopsis
- The study aimed to evaluate the need for prophylactic embolization of extrahepatic vessels in patients with hepatocellular carcinoma (HCC) undergoing yttrium-90 selective internal radiotherapy (Y SIRT) using catheter-directed computed tomography hepatic angiography (CD-CTHA).
- Conducting a retrospective analysis of 186 HCC patients between 2010 and 2015, the researchers found that only 18.8% required embolization of extrahepatic vessels, while achieving a 99.5% technical success rate for Y SIRT.
- The findings suggest that using CD-CTHA for Y SIRT results in a low incidence of complications, with only a few
Article Synopsis
- Transgender individuals often face negative experiences in medical settings, highlighting the importance of nurses in creating an emotionally safe environment for them.
- A survey of 265 nursing students revealed that educational exposure to transgender issues and personal connections with transgender individuals improved their confidence in providing culturally competent care.
- Promoting nursing education that focuses on gender identity and encourages interactions with transgender individuals can foster more accepting attitudes and better health care practices.
The discordance between genome size and the complexity of eukaryotes can partly be attributed to differences in repeat density. The Muller F element (∼5.2 Mb) is the smallest chromosome in , but it is substantially larger (>18.
View Article and Find Full Text PDFThis article is among the first historical considerations of road safety in Africa. It argues that race and class, as colonial dualisms, analytically frame two defining moments in the development of African automobility and its infrastructure-"Africanization" in the first decade of Kenya's political independence from Britain, 1963-75, and democratization in postapartheid South Africa. We argue that recent road safety interventions in both countries exemplify an "epidemiological turn" influenced by public health constructions of the HIV/AIDS epidemic.
View Article and Find Full Text PDFObjective: The recent legalization of mifepristone has given women in Australia a new option for termination of pregnancy. Pharmacists are well positioned to provide information and supply mifepristone for patients. However, there are ethical and legal concerns in Australia regarding the supply of mifepristone, as pharmacists may choose to conscientiously object to supplying mifepristone and are subject to differing abortion laws between states and territories in Australia.
View Article and Find Full Text PDFObjective: To compare demographic and clinical characteristics among 3 ethnic groups of indigent patients exhibiting diabetic ketoacidosis (DKA), in Houston, Texas.
Methods: Over a span of 3.5 years, 321 patients were interviewed at the time of admission for DKA.