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Relationship Between Concern For Vision Loss And Self-Care Management In Type 1 And Type 2 Diabetics, Esi Nkyekyer
Relationship Between Concern For Vision Loss And Self-Care Management In Type 1 And Type 2 Diabetics, Esi Nkyekyer
Yale Medicine Thesis Digital Library
The purpose of this study is to assess the following hypotheses: concern for vision loss is associated with self-care behavior and glucose control; concern for overall diabetes complications is associated with self-care behavior and glucose control; concern for vision loss accounts for a significant proportion of the association between concern for overall diabetes complications and self-care behavior and glucose control in Type 1 and Type 2 diabetic subjects. The study sample consists of 100 participants (24 Type 1 diabetics, 69 Type 2 diabetics, 7 unknown) over the age of 18 presenting to the Yale Diabetes Center from June 2009 to …
Capillary Blood Gas Measurement As A Novel Means Of Assessing Flap Perfusion In Free Tissue Transfer, Aaron Remenschneider
Capillary Blood Gas Measurement As A Novel Means Of Assessing Flap Perfusion In Free Tissue Transfer, Aaron Remenschneider
Yale Medicine Thesis Digital Library
CAPILLARY BLOOD GAS MEASUREMENT AS A NOVEL MEANS OF ASSESSING FLAP PERFUSION IN FREE TISSUE TRANSFER. Aaron K. Remenschneider and Douglas A. Ross (Sponsored by Dr. Clarence Sasaki). Section of Otolaryngology, Department of Surgery, Yale University, School of Medicine, New Haven, CT. To demonstrate that in comparison to implantable O2 microelectrodes, Capillary Blood Gas measurements represent a reliable, accessible and easy method of identifying failing free flaps, and furthermore, to assess post-operative free-flap monitoring techniques nation-wide, determining the openness of surgeons to new surveillance modalities. Groin fasciocutaneous flaps were elevated in 10 rats and following arterial or venous occlusion, oxygen …
Living Kidney Donor Informed Consent Practices Vary Between U.S. And Non-U.S. Centers, Ami Parekh
Living Kidney Donor Informed Consent Practices Vary Between U.S. And Non-U.S. Centers, Ami Parekh
Yale Medicine Thesis Digital Library
Living kidney donation rates are increasing in the United States and internationally. Major consensus statements on the care of living kidney donors recommend communicating all potential health and psychosocial risks to donors. We evaluated the degree of international variation in the process of informed consent of potential donors during their evaluation. Transplant professionals attending the 2006 World Transplant Congress responded to a survey assessing their informed consent processes, donor evaluation and risk communication to living donors. US based respondents were compared to non-US respondents. There were 221 respondents from 177 transplant centers and 40 countries (48% US respondents). Across US …
Becoming The Doctor I Want To Be: The Professional Development Of Internal Medicine Residents, Merritt Mclean Evans
Becoming The Doctor I Want To Be: The Professional Development Of Internal Medicine Residents, Merritt Mclean Evans
Yale Medicine Thesis Digital Library
BECOMING THE DOCTOR I WANT TO BE: EVALUATING THE PROFESSIONAL DEVELOPMENT OF INTERNS. Merritt Evans, Eric Holmboe, Jeffrey Wong, Julie Rosenbaum. Department of Internal Medicine, Yale University, School of Medicine, New Haven, CT. BACKGROUND: Several studies have suggested that the current medical training environment may include experiences that compromise trainees professional development. Little work has been done to explore this evolution during internship. METHODS: Interns in the Yale University Internal Medicine Residency Programs were asked to evaluate their professional development during internship through a qualitative study involving two open-ended written surveys and a focus group interview. Participants were identified in …
High Rates Of Undiagnosed Pulmonary Tuberculosis And Barriers To Diagnosis And Care Among Tb And Hiv Co-Infected Patients In A Rural South African Hospital: A Cross-Sectional Cohort Study, Palav Babaria
Yale Medicine Thesis Digital Library
ABSTRACT High Rates of Undiagnosed Pulmonary Tuberculosis and Barriers to Diagnosis and Care Among HIV-positive Patients in a Rural South African Hospital: A Cross-sectional cohort study Palav A. Babaria, N. Sarita Shah, Anthony P. Moll, Neel R. Gandhi, Gerald H. Friedland. Yale AIDS Program, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT. Tuberculosis (TB) is the leading cause of mortality among HIV infected patients in South Africa. Symptoms of active TB may be subtle in HIV patients and go unrecognized in early illness, creating an opportunity for nosocomial TB transmission. Late presentation and delayed diagnosis of …
Longitudinal Evaluation Of Quality Of Life In Older Persons With Advanced Illness, Rachel Solomon
Longitudinal Evaluation Of Quality Of Life In Older Persons With Advanced Illness, Rachel Solomon
Yale Medicine Thesis Digital Library
Longitudinal Evaluation of Quality of Life in Older Persons with Advanced Illness Rachel Solomon, Paul Kirwin, and Terri Fried. Section of Geriatrics, Departments of Internal Medicine and Psychiatry, Yale University School of Medicine, New Haven, CT; VA Connecticut Healthcare System. Background: Efforts to understand and evaluate quality of life (QoL) among persons with chronic disease have resulted in the development of indices that measure QoL according to the severity of disease, symptoms, and functional impairments. By definition, inclusion of these domains presumes that QoL declines as illness progresses. However, this assumption may not reflect the subjective experience of QoL in …
Mode Of Delivery Decisions Among Hiv-Infected Mothers At An Urban Maternity Hospital In Nairobi, Kenya, Jessica Hoffmann Beard
Mode Of Delivery Decisions Among Hiv-Infected Mothers At An Urban Maternity Hospital In Nairobi, Kenya, Jessica Hoffmann Beard
Yale Medicine Thesis Digital Library
Purpose: The objectives of this study are to describe mode of delivery decision making among HIV positive women, understand patient knowledge and attitudes regarding elective cesarean section (ECS) for prevention of mother-to-child transmission of HIV (PMTCT), and in turn quantify the use of ECS for PMTCT at an urban Kenyan maternity hospital. Methods: This is a descriptive cross-sectional study involving the survey of postpartum HIV-infected women delivering at Pumwani Maternity Hospital (PMH) in Nairobi, Kenya. Each participant was interviewed using a standardized questionnaire. Results: 250 women participated in this study over the course of three months. The rate of delivery …
The Md/Mba Effect: A Study Of How Residency Directors Perceive Applicants With An Mba, Douglas Lyssy
The Md/Mba Effect: A Study Of How Residency Directors Perceive Applicants With An Mba, Douglas Lyssy
Yale Medicine Thesis Digital Library
Background: The recent increase in the number of programs offering a combined medical doctorate and masters in business administration (MD/MBA) degree means an increase in the number of medical students with MBAs applying for residency training. While these students hope that residency program directors will see the benefits of having on staff a resident with business skills many, however are now confronted with some of the medical community's negative attitudes toward business and management. These students are concerned about the perception that those who seek business training have "sold out" or "are in it for the money" and whether this …
Use Of Media To Improve Human Papilloma Virus (Hpv)Vaccine Acceptability, Pavithra Venkat
Use Of Media To Improve Human Papilloma Virus (Hpv)Vaccine Acceptability, Pavithra Venkat
Yale Medicine Thesis Digital Library
Our objective was to determine if using a video educational tool can influence (1) individual vaccine acceptability (2) parental acceptability, (3) parental views on vaccine mandates, and (4) age of vaccination accepted for the Human Papilloma Virus (HPV) vaccine. We conducted a cross-sectional study using bilingual surveys distributed at Brigham and Womens and Massachusetts General Hospital clinics and at the Coalition of Boston Public Health Association from January to March 2007. An initial 32-question survey addressing HPV knowledge, beliefs and vaccine acceptability was completed, followed by an eight-minute video about HPV and the vaccine. An additional 11-question post assessment was …
The Utility Of Plain Radiography In The Evaluation Of Degenerative Spine Disease, Andrew Simpson
The Utility Of Plain Radiography In The Evaluation Of Degenerative Spine Disease, Andrew Simpson
Yale Medicine Thesis Digital Library
Study Designs: Questionnaire, Retrospective chart review, Cadaver study, and cross-sectional study. Objectives: Assess current imaging practices; determine utility of accessory radiographic studies, including dynamic and oblique radiographs; calculate effective radiation doses of routine spine radiographs. Summary of Background Data: Plain radiography is generally considered the initial imaging modality for evaluation of degenerative spine complaints. In addition to anteroposterior (AP) and lateral views, dynamic and oblique views may also be obtained. There is currently no data on imaging practices of spine specialists, the utility of these accessory radiographic views, or the radiation exposure patients receive as a result of various spine …
Efficacy Of Formal Screening For Depression In Pediatric Type 1 Diabetes Clinic, Jeffrey Winer
Efficacy Of Formal Screening For Depression In Pediatric Type 1 Diabetes Clinic, Jeffrey Winer
Yale Medicine Thesis Digital Library
This study was undertaken to examine the efficacy of screening for depression in a pediatric diabetes clinic and how the yield of such screening compares with established screening protocols aimed at identifying early microvascular complications and associated autoimmune diseases. Two-hundred-fifteen children and adolescents 8-18 years old in the Yale Pediatric Diabetes Center were screened for depression using the Children's Depression Inventory (CDI), with information including gender, age, duration of diabetes, HbA1C, and results of other screening protocols compiled. A total of 8.4% of our cohort had CDI scores ≥13 indicative of clinically-significant depressive symptoms, with a range of 0-34. Depression …
A Survey Of Radiology Practices' Use Of After-Hours Services, Adam Harris Kaye
A Survey Of Radiology Practices' Use Of After-Hours Services, Adam Harris Kaye
Yale Medicine Thesis Digital Library
Purpose: To identify the characteristics of and the motives behind radiologists use, or lack thereof, of after-hours services. Methods: From August 2005 to June 2006, 300 non-specialty hospitals randomly selected from the 2005 American Hospital Association Directory of Hospitals were contacted by phone, email, and mail, with an attempt made to speak to the chief of radiology. We obtained 115 responses, a 38.3% response rate, including 64 from practices that used an external after-hours service. Responses were analyzed using descriptive statistical analyses. Results Practices gave convenience as the most important reason they use an after-hours services, with value for recruiting …
Creating A Path For High Quality Care: Implementation Of The Mini-Cex In A Student-Run Clinic, Paul Daniel Di Capua
Creating A Path For High Quality Care: Implementation Of The Mini-Cex In A Student-Run Clinic, Paul Daniel Di Capua
Yale Medicine Thesis Digital Library
Purpose: This study examines the utility of implementing the mini-CEX at a student-run primary care clinic. The mini-CEX is a validated tool for clinical skills feedback and evaluation. The implementation of the mini-CEX sought to improve quality standards in providers clinical skills, and therefore to set a model for continuous quality improvement in medical education. Hypothesis: The primary hypothesis tested is that a minimum of three mini-CEXs per week will produce a positive utility for both students and faculty. Methods: A needs-based analysis focus group solicited opinions on the mission and function of the clinic from the student-providers. The mini-CEX …
Social Support And Reproductive Health In 15 To 24 Year Old Immigrant Latinas In The San Francisco Bay Area, Ahou Meydani
Social Support And Reproductive Health In 15 To 24 Year Old Immigrant Latinas In The San Francisco Bay Area, Ahou Meydani
Yale Medicine Thesis Digital Library
This study examines how social support is related to reproductive health risk among 15-24 year old immigrant Latinas residing in the San Francisco Bay Area. This is a cross-sectional, clinic-based study, composed of a sample of 68 immigrant Latina women, aged 15-24 (mean 18.7, S.D. 2.2), recruited from waiting rooms at two clinics in Oakland. Participants completed an interviewer-administered questionnaire and provided blood and self-obtained vaginal swab specimens to test for sexually transmitted infections. Three dimensions of social support were assessed: 1) functional support, using the Medical Outcomes Study (MOS) Social Support Survey; 2) structural support (quantity of support sources); …