2012

Anterior Cruciate Ligament Injury Diagnosis and Management in a Pediatric Patient: A Case Report
The management of the skeletally immature athlete sustaining injury to the anterior cruciate ligament and other knee structures provides multiple challenges for both the treating clinicians and parents of the injured child. The diagnostic process and subsequent decision making present additional complexities because of the developmental anatomy and the potential for disturbance of normal growth patterns by some surgical interventions. In the following case report, the course to appropriate management of a young athlete is detailed, including the contributions of imaging results. The article was published in the December 2012 issue of The International Journal of Sports Physical Therapy. 

Role of International Medical Graduates in Kentucky Medicine: Implications For Workforce Planning and Medical Education
The purpose of this study is to examine the overall impact of IMGs on Kentucky’s physician workforce and determine whether they overcome the shortage of USMGs. The article was published in the October 2012 issue of the Journal of the Kentucky Medical Association.

Patient Navigation for Breast and Colorectal Cancer in 3 Community Hospital Settings
The Ralph Lauren Cancer Center implemented patient navigation programs in sites across the United States building on the model pioneered by Harold P. Freeman, MD. Patient navigation targets medically underserved with the objective of reducing the time interval between an abnormal cancer finding, diagnostic resolution, and treatment initiation. In this study, the authors assessed the incremental cost effectiveness of adding patient navigation to standard cancer care in 3 community hospitals in the United States. The article was published in the October 2012 issue of the journal Cancer. 

Cellular Localization of Aquaporin-1 in the Human and Mouse Trigeminal Systems
Previous studies reported that a subpopulation of mouse and rat trigeminal neurons express water channel aquaporin-1 (AQP1). In this study we make a comparative investigation of AQP1 localization in the human and mouse trigeminal systems. The article was published in the September 2012 issue of the journal PLOS ONE. 

Persistent Wrist Pain in a Mature Golfer 
Clients presenting with ulnar-sided wrist pain can provide diagnostic and management challenges for physical therapists. Symptoms in this region may originate from multiple structures. Integration of clinical examination and diagnostic imaging results is often required for optimal decision-making and patient management. To obtain the most informative imaging results, practitioners need an understanding of injury patterns and their detection by various imaging modalities. This case describes a mature golfer who presented with persistent ulnar-sided wrist pain and was eventually determined to have a fracture of the hook of the hamate accompanied by neighboring soft tissue involvement also contributing to his symptom complex. His history and the diagnostic process are detailed along with a brief discussion of his subsequent management post-operatively. The article was published in the August 2012 issue of The International Journal of Sports Physical Therapy.

A Simulated Passive Intervertebral Motion Task: Observations of Performance in a Cross-Sectional Study
Passive motion palpation is an integral component in examination, diagnosis or classification, and treatment of persons with mechanical disorders of the cervical spine. If the magnitude of force application during passive movement assessment is associated with greater palpatory accuracy has not been established. The article was published in the August 2012 issue of the Journal of Manual & Manipulative Therapy. 

Role of Community Health Workers in Improving Diabetes Outcomes
The purpose of this study was to examine the effectiveness of using community health workers (CHWs) to support nurse-led diabetes self-management education (DSME) with medically underserved clients. The poster was presented at the Kentucky Rural Health Association’s 14th Annual Conference, August 16-17, in Bowling Green, KY.

Optimizing CDEs and CHWs for Kentucky’s Rural Diabetes Belt Counties
It is desirable that more effective linkages be established between CDEs and CHWs, who have demonstrated their ability to enroll hard-to-reach clients in research and service and to support DSME programs. CHWs have been shown to help increase the knowledge and self-management behavior of type diabetics. This relationship could optimize DSME in rural Kentucky counties underserved by CDEs. The poster was presented at the Kentucky Rural Health Association’s 14th Annual Conference, August 16-17, in Bowling Green, KY.

Need for General Surgeons in Kentucky’s Communities
Examine the distribution of general surgeons and need for them throughout Kentucky and their characteristics in terms of practice location and practice type, e.g., community-based private practice, hospital based, and contracted. The poster was presented at the Kentucky Rural Health Association’s 14th Annual Conference, August 16-17, in Bowling Green, KY.

Effectiveness of Community Health Workers in Providing Outreach and Education for Colorectal Cancer Screening in Appalachian Kentucky
The purpose of this study was to examine the effectiveness of a community health worker (CHW)-delivered cancer education program designed to increase knowledge and awareness of colorectal cancer screening options. The study population was an extremely vulnerable and medically underserved geographic region in Appalachian Kentucky. The article was published in the May 2012 issue of the journal Social Work in Health Care (51:430-440).

Mining for Future Health Care Providers in Appalachian Kentucky
Recent studies project a significant shortage of U.S. health care providers within the next decade. To address southeastern Kentucky’s persistent undersupply of medical professionals, a multi-county Health Career Enrichment Camp for rising 9th and 10th grade students was implemented in 2008. This report describes the annual camp’s development and preliminary outcomes. The article was published in the May 2012 issue of the Journal of Health Care for the Poor and Underserved.

Bmi-1 Absence Causes Premature Brain Degeneration
Bmi-1, a polycomb transcriptional repressor, is implicated in cell cycle regulation and cell senescence. Its absence results in generalized astrogliosis and epilepsy during the postnatal development, but the underlying mechanisms are poorly understood. Here, we demonstrate the occurrence of oxidative stress in the brain of four-week-old Bmi-1 null mice. The article was published in the February 2012 issue of the journal PLOS ONE.

Aquaporin-4 Efficiency Exacerbates Brain Oxidative Damage and Memory Deficits Induced by Long-Term Ovarian Hormone Deprivation and D-Galactose Injection
Astrocyte dysfunction is implicated in pathogenesis of certain neurological disorders including Alzheimer’s disease (AD). A growing body of evidence indicates that water channel aquaporin-4 (AQP4) is a potential molecular target for the regulation astrocyte function. The article was published in the February 2012 issue of the International Journal of Neuropsychopharmacology.

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