2013

Calcium Sensing Receptor Absence Delays Postnatal Brain Development via Direct and Indirect Mechanisms
Calcium sensing receptor (CaSR) is implicated in the establishment of neural connections and myelin formation. However, its contribution to brain development remains unclear. We addressed this issue by analyzing brain phenotype in postnatal CaSR null mice, a model of human neonatal severe hyperparathyroidism. The article was published in the December 2013 issue of the journal Molecular Neurobiology.

Aerobic Exercise Combined with Antioxidative Treatment does not Counteract Moderate- or Mid-Stage Alzheimer-Like Pathophysiology of APP/PS1 Mice
This study reveals that a combined treatment of aerobic exercise plus antioxidative stress does not counteract pathophysiology in the moderate- or mid-stages of AD. The article was published in the October 2013 issue of the journal CNS Neuroscience & Therapeutics.

Diagnostic Imaging of the Throwing Athlete’s Shoulder
The diagnostic capabilities of advanced imaging have increasingly enabled clinicians to delineate between structural alterations and injuries more efficiently than ever before. These impressive gains have unfortunately begun to provide a reliance on imaging at the loss of quality in the clinical examination. Ideally, imaging of the shoulder complex is performed to confirm the provisional diagnosis developed from the history and clinical exam rather than to create such. This clinical commentary will provide the framework for both basic and advanced uses of imaging as well as discussion of evolving modalities. The article was published in the October 2013 issue of The International Journal of Sports Physical Therapy.

Finding Common Ground: Defining and Measuring Provider-Patient Rapport
With the significant increase of diabetes in rural areas and challenges identified in communicating complex information, identifying barriers to the treatment and self-management of the disease, creating an environment that lends itself to partnership building, shared-decision making and honest, open, and respectful communication is critical. This poster presented conceptual and operational definitions of rapport based on existing health communication and medical communication research. Additionally, three categories of measurable, provider-based rapport-building behaviors were offered along with a theoretical model of rapport-building. Together, these findings may provide a common ground that may help us to move forward as rural health researchers. The poster was presented at the Kentucky Rural Health Association’s 15th Annual Conference, September 26-27, 2013, in Bowling Green, KY.

Kentucky's Growing Need for Medical Laboratory Practitioners
Kentucky has a current need of 461 medical laboratory scientists and 1,067 medical laboratory technicians when compared to the seven states that border Kentucky.

Conclusions: The Center of Excellence in Rural Health can take the lead in the development of a cooperative model that educates and trains MLS students through an associate degree program (e.g., associate of science) and prepares them for beginning a baccalaureate program offered at the Center of Excellence in Rural Health. This program can help meet a substantial need for MLS graduates and offer opportunities for new careers for persons displaced through downturns in the coal industry and other labor dislocations in Eastern Kentucky. The poster was presented at the Kentucky Rural Health Association’s 15th Annual Conference, September 26-27, 2013, in Bowling Green, KY.

A Diffusible Mobile Dental Services Model for Prevention-Focused Outreach for Underserved Children in Rural Communities
Mobile dental services can effectively screen and treat children in areas where services are unavailable through public school programs and through private dental practices that are closed to new patients or do not accept Medicaid patients. Mobile dental services are adaptable and can be focused in areas within communities to create access for high risk and underserved families. The poster was presented at the Kentucky Rural Health Association’s 15th Annual Conference, September 26-27, 2013, in Bowling Green, KY.

Effectiveness of Community Health Workers (CHWs) in Coordinating Diabetes Self-Management Education (DSME) for High-need Appalachian Counties
This study examined the effectiveness of Community Health Workers in supporting a nurse-led DSME intervention among clients who are characterized by high rates of poverty and poor education. The poster was presented at the National Rural Health Association’s 36th Annual Rural Health Conference, May 7-10, 2013, in Louisville, KY.

BEPCP: Media Campaign to Promote Smoke-Free Facilities
Kentucky continues to have the highest lung cancer rate in the nation and is in the top 10 states for heart disease. Despite progress in local smoke-free policies, rural populations remain disproportionately affected by secondhand smoke. This project looked to identify effective messaging and ways to develop, disseminate and evaluate media material. The poster was presented at the Center for Clinical and Translational Science’s 8th Annual Spring Conference, April 8, 2013, in Lexington, KY.

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