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Article ; Online: Answering the Rehabilitation 2030 Call.

Hillaker, Emily / Bova, Michael / Libby, Jina / Tricarico, Maria / Andrews, Patrick / Scharf, Rebecca

PM & R : the journal of injury, function, and rehabilitation

2024

Abstract: In 2017, the World Health Organization initiated a global effort to improve rehabilitative services by 2030, with the overall goal of helping individuals with disabilities achieve maximal independence and improved well-being. Though more than 1 billion ... ...

Abstract	In 2017, the World Health Organization initiated a global effort to improve rehabilitative services by 2030, with the overall goal of helping individuals with disabilities achieve maximal independence and improved well-being. Though more than 1 billion people worldwide live with a disability, a significant portion do not have access to appropriate rehabilitative services. In low-income countries, such as Zambia, where rehabilitative services are greatly lacking, disability can further exacerbate economic disparities in the context of personal, cultural, and environmental factors that limit participation in society. Therefore, expansion of rehabilitative services in low-income countries is a pressing global need, and such efforts must be tailored to the societal and cultural framework in which they are implemented. Community-based rehabilitation programs are uniquely poised to provide services in similar low-to-middle-income countries as they eliminate travel barriers to care, allow for regular follow-up, and address the societal determinants of disability by encouraging greater community engagement and by decreasing cultural stigma around disability. Special Hope Network (SHN), a community-based rehabilitation organization in Lusaka, Zambia that serves families caring for children with physical and cognitive disabilities, represents a cost-effective, sustainable, and culturally practical model to provide rehabilitative care. We propose this organization's model as one that can be reproduced and expanded upon in other low-to-middle-income countries to answer the World Health Organization's call to action.
Language	English
Publishing date	2024-03-28
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2608988-9
ISSN	1934-1563 ; 1934-1482
ISSN (online)	1934-1563
ISSN	1934-1482
DOI	10.1002/pmrj.13160
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Article ; Online: Laryngeal Manifestation of Intranasal Acetaminophen Abuse and Review of Literature.

Lin, R Jun / Smith, Libby J

Ear, nose, & throat journal

2019 Volume 98, Issue 4, Page(s) 192–194

MeSH term(s)	Acetaminophen/adverse effects ; Administration, Intranasal ; Cicatrix/pathology ; Cicatrix/surgery ; Debridement ; Dysphonia/etiology ; Dysphonia/surgery ; Female ; Humans ; Larynx/pathology ; Larynx/surgery ; Middle Aged ; Nasal Cartilages/pathology ; Nasal Cartilages/surgery ; Nasopharynx/pathology ; Nasopharynx/surgery ; Necrosis/etiology ; Substance-Related Disorders/complications ; Substance-Related Disorders/pathology ; Trachea/pathology ; Vocal Cords/pathology ; Vocal Cords/surgery
Chemical Substances	Acetaminophen (362O9ITL9D)
Language	English
Publishing date	2019-04-02
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	750153-5
ISSN	1942-7522 ; 0145-5613
ISSN (online)	1942-7522
ISSN	0145-5613
DOI	10.1177/0145561319836807
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Article ; Online: Hoarseness Guidelines Redux: Toward Improved Treatment of Patients with Dysphonia.

Francis, David O / Smith, Libby J

Otolaryngologic clinics of North America

2019 Volume 52, Issue 4, Page(s) 597–605

Abstract: The Hoarseness Guideline Update provides an evidence-based approach to a patient who presents to the clinic with hoarseness. The guidelines cover management decisions in acute and chronic dysphonia for patients of all ages before and after laryngeal ... ...

Abstract	The Hoarseness Guideline Update provides an evidence-based approach to a patient who presents to the clinic with hoarseness. The guidelines cover management decisions in acute and chronic dysphonia for patients of all ages before and after laryngeal examination. The present review discusses the process used to develop these guidelines, including limitations of the process and each key action statement.
MeSH term(s)	Acute Disease ; Chronic Disease ; Diagnosis, Differential ; Dysphonia/diagnosis ; Dysphonia/therapy ; Hoarseness/diagnosis ; Hoarseness/therapy ; Humans ; Laryngitis/drug therapy ; Laryngoscopy ; Postoperative Complications/epidemiology ; Practice Guidelines as Topic ; Proton Pump Inhibitors/therapeutic use
Chemical Substances	Proton Pump Inhibitors
Language	English
Publishing date	2019-05-14
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	417489-6
ISSN	1557-8259 ; 0030-6665
ISSN (online)	1557-8259
ISSN	0030-6665
DOI	10.1016/j.otc.2019.03.003
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Article ; Online: Investigating multigelator systems across multiple length scales.

Marshall, Libby J / Bianco, Simona / Ginesi, Rebecca E / Doutch, James / Draper, Emily R / Adams, Dave J

Soft matter

2023 Volume 19, Issue 26, Page(s) 4972–4981

Abstract: Preparation of multicomponent systems provides a method for changing the properties of low molecular weight gelator (LMWG)-based systems. Here we have prepared a variety of multicomponent systems where both components ... ...

Abstract	Preparation of multicomponent systems provides a method for changing the properties of low molecular weight gelator (LMWG)-based systems. Here we have prepared a variety of multicomponent systems where both components are
Language	English
Publishing date	2023-07-05
Publishing country	England
Document type	Journal Article
ZDB-ID	2191476-X
ISSN	1744-6848 ; 1744-683X
ISSN (online)	1744-6848
ISSN	1744-683X
DOI	10.1039/d3sm00521f
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Article ; Online: Cricoid Chondronecrosis: Case Report and Review of Literature.

Mims, Mark M / Leclerc, Andree A / Smith, Libby J

The Annals of otology, rhinology, and laryngology

2020 Volume 129, Issue 7, Page(s) 662–668

Abstract: Objective: Cricoid chondronecrosis is a rare entity that has significant consequences for patients. Reports of its occurrence are scattered in the literature and currently there is no comprehensive review to help guide providers.: Methods: A case ... ...

Abstract	Objective: Cricoid chondronecrosis is a rare entity that has significant consequences for patients. Reports of its occurrence are scattered in the literature and currently there is no comprehensive review to help guide providers. Methods: A case report from our institution is presented. A review of available literature is then provided with assessment of risk factors, signs and symptoms at presentation, laryngeal exam findings, radiologic findings, and surgical techniques. Results: Twenty-four cases of cricoid chondronecrosis were reviewed from the literature. Patient age ranged from 8 months to 76 years. A history of endotracheal intubation for various reasons was present in all but two cases, and duration of intubation ranged from 6 hours to 28 days. Patients presented with airway compromise in all but two cases-one asymptomatic patient with prior tracheostomy and another with dysphagia after radiation. Dysphonia (n = 6) and dysphagia (n = 3) were less commonly present. Subglottic stenosis (n = 19) was the most common exam finding followed by vocal fold impairment (n = 11). When CT scan findings were reported, fragmentation of the cartilage and/or hypodensity of the central lamina were described in all but one case. Interventions ranged from observation on antibiotics and steroids to surgical therapies including tracheostomy, dilation, and posterior cricoid split, with or without stent placement. Conclusions: Cricoid chondronecrosis is a serious, rare entity that can occur even after a short period of endotracheal intubation. Providers must have a high level of suspicion in patients that present with upper airway dyspnea with a history of prior intubation. Level of evidence: Level 4.
MeSH term(s)	Adult ; Alcoholism/complications ; Anti-Bacterial Agents/therapeutic use ; Cartilage Diseases/complications ; Cartilage Diseases/diagnosis ; Cartilage Diseases/pathology ; Cartilage Diseases/therapy ; Cricoid Cartilage/diagnostic imaging ; Cricoid Cartilage/pathology ; Depression/complications ; Dyspnea/etiology ; Haemophilus Infections/complications ; Haemophilus Infections/diagnosis ; Haemophilus Infections/therapy ; Humans ; Intubation, Intratracheal ; Laryngoscopy ; Laryngostenosis/diagnosis ; Laryngostenosis/etiology ; Male ; Necrosis ; Otorhinolaryngologic Surgical Procedures ; Respiratory Sounds/etiology ; Streptococcal Infections/complications ; Streptococcal Infections/diagnosis ; Streptococcal Infections/therapy ; Tracheostomy ; Vocal Cord Paralysis/diagnosis ; Vocal Cord Paralysis/etiology
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2020-02-18
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	120642-4
ISSN	1943-572X ; 0003-4894
ISSN (online)	1943-572X
ISSN	0003-4894
DOI	10.1177/0003489420904974
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Conference proceedings: Long Term Outcomes of Medial Epicondylectomies

Anderson, Libby J. / Ross, Mark

2020 , Page(s) IFSSH19–787

Event/congress	14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT); Berlin; ; International Federation of Societies for Hand Therapy; 2019
Keywords	Medizin, Gesundheit ; Medial epicondylectomy ; Medial epicondylitis ; Ulnar neuritis
Publishing date	2020-02-06
Publisher	German Medical Science GMS Publishing House; Düsseldorf
Document type	Conference proceedings
DOI	10.3205/19ifssh1222
Database	German Medical Science

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Article ; Online: Enhancement of the mechanical properties of lysine-containing peptide-based supramolecular hydrogels by chemical cross-linking.

Marshall, Libby J / Matsarskaia, Olga / Schweins, Ralf / Adams, Dave J

Soft matter

2021 Volume 17, Issue 37, Page(s) 8459–8464

Abstract: Exposure of lysine-containing peptide-based gelators to the cross-linking agent glutaraldehyde allows tuning of gel mechanical properties. The effect of cross-linking depends on the position of the lysine residue in the peptide chain, the concentration ... ...

Abstract	Exposure of lysine-containing peptide-based gelators to the cross-linking agent glutaraldehyde allows tuning of gel mechanical properties. The effect of cross-linking depends on the position of the lysine residue in the peptide chain, the concentration of gelator and the conditions under which cross-linking takes place. Through control of these factors, cross-linking leads to increased gel strength.
MeSH term(s)	Cross-Linking Reagents ; Glutaral ; Hydrogels ; Lysine ; Peptides
Chemical Substances	Cross-Linking Reagents ; Hydrogels ; Peptides ; Lysine (K3Z4F929H6) ; Glutaral (T3C89M417N)
Language	English
Publishing date	2021-09-29
Publishing country	England
Document type	Journal Article
ZDB-ID	2191476-X
ISSN	1744-6848 ; 1744-683X
ISSN (online)	1744-6848
ISSN	1744-683X
DOI	10.1039/d1sm01136g
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Article ; Online: Are Prerequisite Courses Barriers to Pharmacy Admission or the Keys to Student Success?

Chesnut, Renae / Anderson, Grant W / Buncher, Olivia / Dietrich, Michael A / Rosenberg, Jennifer M / Ross, Libby J

American journal of pharmaceutical education

2022 Volume 86, Issue 10, Page(s) ajpe8920

Abstract: The variability and complexity of course prerequisites across colleges and schools of pharmacy can result in barriers to admission. While prerequisites play an important role in the admissions process and assuring student preparation, requiring excessive ...

Abstract	The variability and complexity of course prerequisites across colleges and schools of pharmacy can result in barriers to admission. While prerequisites play an important role in the admissions process and assuring student preparation, requiring excessive prerequisites can create unnecessary challenges for applicants. Prospective students may choose not to apply to a particular pharmacy school or even enter the profession because they cannot complete all course prerequisites in time to apply. Extraneous prerequisites can also contribute to the cost of education and educational indebtedness, which can more adversely affect minority and disadvantaged students. Pharmacy programs should carefully examine their course prerequisite requirements and consider new ways to measure preparedness to attract a diverse and competent pool of applicants to the profession while also being more competitive with other health professions programs.
MeSH term(s)	Humans ; School Admission Criteria ; Education, Pharmacy ; Pharmacy ; Educational Status ; Students
Language	English
Publishing date	2022-02-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	603807-4
ISSN	1553-6467 ; 0002-9459
ISSN (online)	1553-6467
ISSN	0002-9459
DOI	10.5688/ajpe8920
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Zs.A 924: Show issues

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Article ; Online: Technical Challenges for Laryngeal Electromyography.

Lin, R Jun / Munin, Michael C / Belsky, Michael / Smith, Brandon / Grose, Elysia / Nisenbaum, Rosane / Rosen, Clark A / Smith, Libby J

The Laryngoscope

2023 Volume 134, Issue 2, Page(s) 831–834

Abstract: Background/objective: Laryngeal electromyography (LEMG) is a useful diagnostic test in the evaluation of vocal fold paralysis (VFP). This study investigates factors that can make LEMG challenging to perform.: Methods: Patients with subacute ... ...

Abstract	Background/objective: Laryngeal electromyography (LEMG) is a useful diagnostic test in the evaluation of vocal fold paralysis (VFP). This study investigates factors that can make LEMG challenging to perform. Methods: Patients with subacute unilateral VFP presented for LEMG were prospectively enrolled. Demographic data including BMI, previous neck surgery, and anatomic factors were collected. Patient-reported pain related to the procedure was recorded on a visual analogue scale (VAS). Electromyographer and otolaryngologist recorded a consensus rating of the perceived difficulty in performing the test and confidence in using the results for clinical decision-making. Results: A total of 111 patients (56.8% female) were enrolled between August 2015 and August 2018. The mean age was 55 ± 14 years, and the average body mass index (BMI) was 28.5 ± 6.4. The mean patient-reported VAS score for pain was 35 ± 24. Notably, 31.2% of the tests were considered "very easy," 32.1% were considered "mildly challenging" and 23.9% and 12.8% were considered "moderately challenging" and "extremely challenging," respectively, by the clinicians. Common factors affecting LEMG difficulty included poorly palpable surface anatomy (50.5%) and patient intolerance (15.6%). Clinicians felt confident in 76.1% of the test findings. Bivariate analyses showed that prior neck surgery is associated with elevated VAS (p = 0.02), but clinician-perceived difficulty of performing the test is not associated with elevated VAS scores (p = 0.55). Conclusions: Majority of LEMG tests are well tolerated by patients. Physicians reported more confidence using LEMG for clinical decision-making when the test was easier to perform. Difficult surface anatomy and patient intolerance affects clinician confidence in integrating the test results with clinical care. Level of evidence: 3 Laryngoscope, 134:831-834, 2024.
MeSH term(s)	Humans ; Female ; Adult ; Middle Aged ; Aged ; Male ; Electromyography/methods ; Larynx ; Vocal Cord Paralysis/diagnosis ; Neck ; Pain ; Laryngeal Muscles
Language	English
Publishing date	2023-09-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	80180-x
ISSN	1531-4995 ; 0023-852X
ISSN (online)	1531-4995
ISSN	0023-852X
DOI	10.1002/lary.31035
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Article ; Online: A mixed method analysis of student satisfaction with active learning techniques in an online graduate anatomy course: Consideration of demographics and previous course enrollment.

Bradley, Libby J / Meyer, Kimberly E / Robertson, Taylor C / Kerr, Marcel Satsky / Maddux, Scott D / Heck, Amber J / Reeves, Rustin E / Handler, Emma K

Anatomical sciences education

2023 Volume 16, Issue 5, Page(s) 907–925

Abstract: Online learning has become an essential part of mainstream higher education. With increasing enrollments in online anatomy courses, a better understanding of effective teaching techniques for the online learning environment is critical. Active learning ... ...

Abstract	Online learning has become an essential part of mainstream higher education. With increasing enrollments in online anatomy courses, a better understanding of effective teaching techniques for the online learning environment is critical. Active learning has previously shown many benefits in face-to-face anatomy courses, including increases in student satisfaction. Currently, no research has measured student satisfaction with active learning techniques implemented in an online graduate anatomy course. This study compares student satisfaction across four different active learning techniques (jigsaw, team-learning module, concept mapping, and question constructing), with consideration of demographics and previous enrollment in anatomy and/or online courses. Survey questions consisted of Likert-style, multiple-choice, ranking, and open-ended questions that asked students to indicate their level of satisfaction with the active learning techniques. One hundred seventy Medical Science master's students completed the online anatomy course and all seven surveys. Results showed that students were significantly more satisfied with question constructing and jigsaw than with concept mapping and team-learning module. Additionally, historically excluded groups (underrepresented racial minorities) were generally more satisfied with active learning than non-minority groups. Age, gender, and previous experience with anatomy did not influence the level of satisfaction. However, students with a higher-grade point average (GPA), those with only a bachelor's degree, and those with no previous online course experience were more satisfied with active learning than students who had a lower GPA, those holding a graduate/professional degree, and those with previous online course experience. Cumulatively, these findings support the beneficial use of active learning in online anatomy courses.
MeSH term(s)	Humans ; Problem-Based Learning ; Anatomy/education ; Students, Medical ; Personal Satisfaction ; Demography
Language	English
Publishing date	2023-04-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	2483491-9
ISSN	1935-9780 ; 1935-9772
ISSN (online)	1935-9780
ISSN	1935-9772
DOI	10.1002/ase.2276
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