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Full-Text Articles in Medicine and Health Sciences

Ngo's Bpa Report Intended To Frighten, Not Enlighten., Robert L. Brent Dr. Oct 2015

Ngo's Bpa Report Intended To Frighten, Not Enlighten., Robert L. Brent Dr.

The Selected Works of Robert Brent

None


Healthcare Information Systems: Opportunities And Challenges, Madison Ngafeeson Oct 2015

Healthcare Information Systems: Opportunities And Challenges, Madison Ngafeeson

Madison Ngafeeson

No abstract provided.


Cara Hidup Sehat, Eyondd Wae Lee Eyondd Apr 2015

Cara Hidup Sehat, Eyondd Wae Lee Eyondd

eyondd wae lee eyondd

Sebuah Cara hidup sehat kualitas dalam hal wanita muda tanpa cacat yang telah diperiksa oleh metode spesialis adalah batas pinggang - pinggul sekitar 0 . tujuh puluh . Fisiologi telah demostrated bahwa wanita dengan jam pasir detail yang lebih matang daripada beberapa wanita muda yang berbeda berdasarkan langkah-langkah yang lebih baik dari hormon manusia perempuan tertentu , realitas yang akan pria sadar keadaan memilih kaki . Orang-orang yang dibangkitkan oleh gambar banyak individu mengungkap dalam media untuk menemukan apa yang tegas atau sama sekali tidak sempurna . Beberapa feminis dan tambahan dokter [ tidak jelas ] menggabungkan diberdayakan yang untuk gelar besar bentuk tipis diperkenalkan dalam buku harian ...


Appendix: Expand Wikipedia Stub On Supplier - Induced Demand, Robert D. Lieberthal, Phd, Juan Leon, Phd Jan 2015

Appendix: Expand Wikipedia Stub On Supplier - Induced Demand, Robert D. Lieberthal, Phd, Juan Leon, Phd

School of Population Health Faculty Papers

Appendix for article that has been accepted for Journal of Economic Education.


Automated Detection Of Puffing And Smoking With Wrist Accelerometers, Qu Tang Jan 2015

Automated Detection Of Puffing And Smoking With Wrist Accelerometers, Qu Tang

Electrical and Computer Engineering Master's Theses

Real-time, automatic detection of smoking behavior could lead to novel measurement tools for smoking research and "just-in-time" interventions that may help people quit, reducing preventable deaths. This paper discusses the use of machine learning with wrist accelerometer data for automatic puffing and smoking detection. A two-layer smoking detection model is proposed that incorporates both low-level time domain features and high-level smoking topography such as inter-puff intervals and puff frequency to detect puffing then smoking. On a pilot dataset of 6 individuals observed for 11.8 total hours in real-life settings performing complex tasks while smoking, the model obtains a cross ...


Macro Level Design Of Healthcare Networks Using Optimization And Simulation, Onur Uzunlar Jan 2015

Macro Level Design Of Healthcare Networks Using Optimization And Simulation, Onur Uzunlar

Industrial Engineering Master's Theses

Macro level design of networks is usually considered as determining the locations and capacity levels of the resources as well as the assignment of entities to these resources. Given the high costs of healthcare coupled with a focus on access and preventive health, many healthcare systems are engaged in macro-level planning of their overall network topology, care location, market expansion, and merger strategies. The use of systems engineering models to help inform these decisions can be very effective at designing both cost-efficient and qualified healthcare services, especially in cases involving complex and competing considerations.

This thesis presents several systems engineering ...


Chronic Betahistine Co-Treatment Reverses Olanzapine's Effects On Dopamine D2 But Not 5-Ht2a/2c Bindings In Rat Brains, Jiamei Lian, Xu-Feng Huang, Nagesh B. Pai, Chao Deng Jan 2015

Chronic Betahistine Co-Treatment Reverses Olanzapine's Effects On Dopamine D2 But Not 5-Ht2a/2c Bindings In Rat Brains, Jiamei Lian, Xu-Feng Huang, Nagesh B. Pai, Chao Deng

Illawarra Health and Medical Research Institute

Olanzapine is widely prescribed for treating schizophrenia and other mental disorders, although it leads to severe body weight gain/obesity. Chronic co-treatment with betahistine has been found to significantly decrease olanzapine-induced weight gain; however, it is not clear whether this co-treatment affects the therapeutic effects of olanzapine. This study investigated the effects of chronic treatment of olanzapine and/or betahistine on the binding density of the serotonergic 5-HT2A (5-HT2AR) and 5-HT2C (5-HT2CR) receptors, 5-HT transporter (5-HTT), and dopaminergic D2 receptors (D2R) in the brain regions involved in antipsychotic efficacy, including the prefrontal cortex (PFC), cingulate cortex (Cg), nucleus accumbens (NAc ...


Pharmacist Consult Service In Geriatric Trauma Patients, Vanessa M. Gleason, Pharm D., Rohit A. Moghe, Pharm D., Msph, Cde, Doris Warner, Msn, Rn, Cen, Michael S. Weinstein, Md, Facs Dec 2014

Pharmacist Consult Service In Geriatric Trauma Patients, Vanessa M. Gleason, Pharm D., Rohit A. Moghe, Pharm D., Msph, Cde, Doris Warner, Msn, Rn, Cen, Michael S. Weinstein, Md, Facs

Pharmacy, Presentations and Grand Rounds

Introduction

• Geriatric patients (> 65 years of age) have a 3-5% incremental increase in annual occurrence of trauma making it a top five leading cause of death in this population.

• The mortality rate ranges from 15-30%, which is 4-5 times higher than younger patients.

• In 2011, data from the Pennsylvania Trauma Systems Foundation (PTSF) demonstrated nearly 32% of injured patients statewide and nearly 50% of the trauma patients at Thomas Jefferson University Hospital (TJUH) were > 65 years.

• Most geriatric patients have comorbidities that are treated with many medications, which may predispose them for falls.

• Although there are many methods to assess ...


Pediatric Emergency Medical Care In Yerevan, Armenia: A Knowledge And Attitudes Survey Of Out-Of-Hospital Emergency Physicians., Aline A. Baghdassarian, Ross I. Donaldson, Andrew D Depiero, Nancy L Chernett, Harsh P. Sule Md Dec 2014

Pediatric Emergency Medical Care In Yerevan, Armenia: A Knowledge And Attitudes Survey Of Out-Of-Hospital Emergency Physicians., Aline A. Baghdassarian, Ross I. Donaldson, Andrew D Depiero, Nancy L Chernett, Harsh P. Sule Md

Department of Emergency Medicine Faculty Papers

BACKGROUND: Out-of-hospital emergency care is at an early stage of development in Armenia, with the current emergency medical services (EMS) system having emergency physicians (EPs) work on ambulances along with nurses. While efforts are underway by the Ministry of Health and other organizations to reform the EMS system, little data exists on the status of pediatric emergency care (PEC) in the country. We designed this study to evaluate the knowledge and attitudes of out-of-hospital emergency physicians in pediatric rapid assessment and resuscitation, and identify areas for PEC improvement.

METHODS: We distributed an anonymous, self-administered Knowledge and Attitudes survey to a ...


Lkb1 Deficient Non-Small Cell Lung Cancer Cells Are Vulnerable To Energy Stress Induced By Atp Depletion, Chao Yang Dec 2014

Lkb1 Deficient Non-Small Cell Lung Cancer Cells Are Vulnerable To Energy Stress Induced By Atp Depletion, Chao Yang

UT GSBS Dissertations and Theses (Open Access)

Lung cancer is the second most frequent cancer in United States, which represents about 13.5% of new cancer cases every year. It accounts for about 27.2% of all cancer related deaths, which is more than the sum of deaths caused by prancretic, breast and colorectal. On average, only about 16% of lung cancer patients survive beyond 5 years. LKB1 is the third most mutated gene in lung cancer. It has been shown that LKB1 is mutated in at least 15% to 30% of NSCLC. Tumor with LKB1 mutation is associated with poor differentiation, high metastasis and worse response ...


The New Oral Anticoagulants For The Treatment Of Venous Thromboembolism: A New Paradigm Shift In Antithrombotic Therapy., Taki Galanis, Gina Keiffer, Geno J Merli Dec 2014

The New Oral Anticoagulants For The Treatment Of Venous Thromboembolism: A New Paradigm Shift In Antithrombotic Therapy., Taki Galanis, Gina Keiffer, Geno J Merli

Department of Medicine Faculty Papers

BACKGROUND: Several novel oral anticoagulants have been studied for the prevention and treatment of venous thromboembolism (VTE) in different patient populations. Clinicians will increasingly encounter scenarios in which they must choose among these and conventional anticoagulants for the treatment of this potentially fatal condition.

OBJECTIVE: To review the results of Phase III clinical trials that investigated the novel oral anticoagulants for the treatment of deep vein thrombosis and pulmonary embolism. Potential advantages and disadvantages of these anticoagulant agents with respect to each other and conventional therapy will also be explored through a case-based approach.

METHODS: A literature search in PubMed ...


Protecting The Skin Of Older Adults Through Surveillance And Pressure Ulcer Prevention Beginning In Emergency Services, Jennifer L. Zoeteman Dec 2014

Protecting The Skin Of Older Adults Through Surveillance And Pressure Ulcer Prevention Beginning In Emergency Services, Jennifer L. Zoeteman

Doctoral Dissertations

ED (emergency department) personnel are admitting to inpatient services increasing numbers of elderly clients who are at risk for skin breakdown. The ED environment is designed for short term care in response to emergent situations. Pressure related injuries originating in the ED lead to both physical suffering and financial burdens. Pressure relief strategies have been actively employed on an inpatient basis without translation to the ED environment. Evidence for best practice in PUP (pressure ulcer prevention) in the ED is not widely embraced. Prevention of PUs is primarily within the scope of nursing practice and amenable to improvements in the ...


The Care Of The Soul And Treatments For Sufferers Of Borderline Personality Disorder, Nancy Calvert-Koyzis Nov 2014

The Care Of The Soul And Treatments For Sufferers Of Borderline Personality Disorder, Nancy Calvert-Koyzis

Consensus

No abstract provided.


Preparing Social Work Practitioners To Work With And In Behalf Of Older Adults, Margaret E. Hartford Nov 2014

Preparing Social Work Practitioners To Work With And In Behalf Of Older Adults, Margaret E. Hartford

The Journal of Sociology & Social Welfare

Practice in the field of social gerontology is one of the developing frontiers in social work. Now and in the foreseeable future, services with a population that is growing older will be a rapidly expanding field of practice. Many of the programs for older adults are multidisciplinary and demand collaboration among several professions and services. In some instances social work is and will be the central organizing force assuming administrative responsibility. In other instances social workers are collateral with several professions, and in still others social work services are an adjunct to another service profession, such as medicine nursing, urban ...


Differential Aspects Of Assessment And Intervention In Social Work Practice With The Elderly And Their Families, Barbara Silverstone Nov 2014

Differential Aspects Of Assessment And Intervention In Social Work Practice With The Elderly And Their Families, Barbara Silverstone

The Journal of Sociology & Social Welfare

So much in our society separates the rest of us from the old that a discussion of the differential aspects of practice with the elderly and their families (many of whom are aging) runs the risk of being redundant as well as a concealed endorsement of the professional biases which afflict us all. The truth of the matter is that important differences do exist between social work practice with the old and with younger generations, differentials which emanate from a sound gerontological knowledge base. Although the similarities far out-weigh the discrepancies, failure to recognize or delineate these differences has resulted ...


Volunteer Support For The Institutionalized Elderly, Harold Zepelin, Janet Stutzman Nov 2014

Volunteer Support For The Institutionalized Elderly, Harold Zepelin, Janet Stutzman

The Journal of Sociology & Social Welfare

A neglected topic in discussions of services for the institutionalized elderly seems to be the question of whether the residents of nursing homes are receiving adequate support from volunteers. Undoubtedly, voluntarism is playing an important part in the provision of services and emotional support for the aged population, among them the elderly that are institutionalized. But because of the child-centeredness and youth-orientation of American society, it is possible that work with the elderly may not be attracting volunteers in proportion to the needs of this population. This may be especially true of the elderly in institutions because work with this ...


Informal Support Systems For The Aged: Limitations And Issues, Marjorie Buckholz Nov 2014

Informal Support Systems For The Aged: Limitations And Issues, Marjorie Buckholz

The Journal of Sociology & Social Welfare

The need for community social services to enable older persons to remain in their homes has been well documented (Gold, 1974; Lohman, 1978; Atchley, 1977; Blenkner, 1977). Inspite of a growing service industry and professional corps of helpers, it does not reach the growing numbers of elderly, especially the older-elderly who are most likely to be frail (Gold, 1974; Lohmann, 1978; Heyman and Polansky, 1977). The aged share of the population has grown relative to the younger age group. In 1900, 6.4% of the U. S. population was 60 years or older; in 1975, it had increased to 14 ...


Home Support Services And The Ecology Of Aging, Abraham Monk Nov 2014

Home Support Services And The Ecology Of Aging, Abraham Monk

The Journal of Sociology & Social Welfare

Home support services for the aged are emerging as a primary concern in the Title XX planning proposals put forth by states and localities. This is not surprising when one considers that Title XX guidelines require the setting of priorities among non-cash benefit programs that help insure the individual's self-sufficiency within his or her normal environment.

All services under Title XX must relate to one or more of five objectives for the individual client: economic independence; self care; prevention or remedy of neglect, abuse or other conditions which lead to dependence; intermediate community based care and, as a last ...


Transmedial Documentation For Non-Visual Image Access, Melody J. Mccotter Nov 2014

Transmedial Documentation For Non-Visual Image Access, Melody J. Mccotter

Proceedings from the Annual Meeting of the Document Academy

In my doctoral studies on information accessibility for the individual who is blind or visually impaired, I’ve been exploring the ways we can make image documents more accessible. This requires using an alternative sensory modality, and translating the document into a different format. The questions that arise when we consider this process are many, but among them are:

  • Is it the same document once we’ve converted it to an audio narrative about the work, or a 3D topographic map of an artwork, or a musical interpretation?
  • If it is not the same document, how truthful can the “trans-medial ...


A Comparison Of Factors Associated With Past Use, Projected Use, And Perceived Community Need For Health And Social Services, Pat M. Keith Nov 2014

A Comparison Of Factors Associated With Past Use, Projected Use, And Perceived Community Need For Health And Social Services, Pat M. Keith

The Journal of Sociology & Social Welfare

Life change, political, and demographic factors associated with past use, projected use, and perceived community needs for services by the aged were examined. Data were derived from interviews conducted with men and women 65 or over in a midwestern community. Life changes were more useful in explaining relationships with health and social services among men than were demographic and political variables. But among women, there was less difference in the amount of variance explained by the three groups of variables. Although men and women differed little in the extent to which they had experienced life changes, discontinuity was differentially associated ...


Medical Social Work Faculty: Clinicians Or Educators?, Richard M. Grinnell Jr., Nancy S. Kyte Nov 2014

Medical Social Work Faculty: Clinicians Or Educators?, Richard M. Grinnell Jr., Nancy S. Kyte

The Journal of Sociology & Social Welfare

Within the health care field, medical social work has expanded rapidly over the past few years. In the United States, medical social workers comprise approximately 1.5 percent of the total medical schools' faculty. And, there is empirical evidence that medical social work faculty will increase substantially over the years to come.

However, we as social work educators know very little about medical social work facultys' opinions on how they perceive their overall function within medical schools. More specifically, if medical social work faculty are to function effectively in medical settings, we as a profession must know: if they perceive ...


Conflict Theories And Social Work Education, Norman N. Goroff Nov 2014

Conflict Theories And Social Work Education, Norman N. Goroff

The Journal of Sociology & Social Welfare

How one defines the world has consequences for one's actions in the world. Sociology has attempted to utilize the scientific method to help human beings understand their social world. However, in the process of its development, sociology has reflected the ideological bias of its practitioners. (Mills, 1943). Irving Zeitlin (1968, pp. vii) claims "Much of classical sociology arose within the context of a debate - first with eighteenth-century thought of the Enlightenment, and later with its true heir of the nineteenth century, Karl Marx."

The central theme of this paper is that social work education makes extensive use of conflict ...


Structural Functional Theory, Social Work Practice And Education, Joe Hudson Nov 2014

Structural Functional Theory, Social Work Practice And Education, Joe Hudson

The Journal of Sociology & Social Welfare

The theoretical framework of structural functionalism in sociological theory does not consist of a single, unified, and consistent exposition. Different writers make different emphases, use somewhat different terminolog, and include different phenomena under a variety of similar terms. Rather than attempt to deal superficially with a wide variety of theorists writing out of this perspective, we will focus primarily on the central concepts in the work of perhaps the most eminent proponent of this approach in current sociological work - Talcott Parsons - and, in turn, discuss the relevance of this framework for social work education and practice.


Interactionist Theory, Human Behavior Social Work And Social Work Education, Ralph Segalman Nov 2014

Interactionist Theory, Human Behavior Social Work And Social Work Education, Ralph Segalman

The Journal of Sociology & Social Welfare

Much explanation of human behavior is based on assumptions about animal behavior. Two major contemporary theories, Behaviorism and Freudianism place major emphasis upon the human being as animal. Many middle-level theories have no reference to man's distinctive social characteristics. However, social explanations of behavior do have a heuristic advantage in the study of human functioning and "social pathology."


Systems Theory, Robert D. Leighninger Jr. Nov 2014

Systems Theory, Robert D. Leighninger Jr.

The Journal of Sociology & Social Welfare

Systems Theory has generated a lot of excitement in the last decade. It has also spawned more than its share of pitchmen, enough so that it is in danger of being discredited before its genuine potential in many fields of practice has been fairly tested. Wearing the double halo of Science and Corporate Efficiency conferred by its association with the aerospace industry and the Pentagon, it has been enthusiastically offered to Federal and State governments (Chartrand, 1971; Hoos, 1969 & 1972) as well as private individuals and organizations as a way of solving complex social problems like mass transit, crime, and welfare dependency. As with any situation where expectations are raised (at high cost in contract fees) and then left unfulfilled, the reaction may indict basic ideas and intemperate applications alike.

Let us, then, look more closely at the history and logic of systems theory and try to assess its strengths and weaknesses as a guide to social work practice. Remembering Gross' admonition, we must be tolerant of the confusion and error that are part of the ferment of innovative thinking and yet wary of its intoxication. To change the metaphor from food to drink: Getting too high makes one a dangerous driver and an easy mark. This is, after all, the practitioner's special problem. He or she must deal daily with the lives of real people, not imaginative constructs. After a yeasty session with intoxicating ideas, theorists can always sit in the back seat and sing; but the practitioner is the one who has to get behind the wheel and drive safely home.


Book Review: Questioning Protocol, Barbara Lewis Mba Nov 2014

Book Review: Questioning Protocol, Barbara Lewis Mba

Patient Experience Journal

In her review of Questioning Protocol by Randi Redmond Oster, Barbara Lewis shares how this new and award winning book takes the reader on Randi Oster's harrowing journey of navigating the healthcare system while helping her teenage son’s battle with Crohn’s disease. Seventeen chapters build a chronological story of success, frustration and failure in dealing with modern medicine and a healthcare industry that may appear foreign to the outsider.


Book Review: The Language Of Caring Guide For Physicians: Communication Essentials For Patient-Centered Care (2nd Edition), Chet Wyman Md Nov 2014

Book Review: The Language Of Caring Guide For Physicians: Communication Essentials For Patient-Centered Care (2nd Edition), Chet Wyman Md

Patient Experience Journal

In thie book review for Wendy Leebov and Carla Rotering’s The Language of Caring Guide for Physicians: Communication Essentials for Patient-Centered Care (2nd edition), the author/reviewer conveys his perspective on the essential value of this publication. He offers his recommendation of this book for anyone who wants to improve their own communication skills and also for physician leaders responsible for initiatives to engage physicians and improve service quality, patient outcomes, and CAHPS scores for a department or organization, noting it is an essential read in today’s healthcare environment.


Learning What High Quality Compassionate Care Means For Cancer Patients And Translating That Into Practice, Fiona Mckenzie, Katherine Joel, Charlotte Williams, Kathy Pritchard-Jones Professor Nov 2014

Learning What High Quality Compassionate Care Means For Cancer Patients And Translating That Into Practice, Fiona Mckenzie, Katherine Joel, Charlotte Williams, Kathy Pritchard-Jones Professor

Patient Experience Journal

In 2010, UCLPartners, a partnership of health care providers and universities in North Central London, began a collaboration with local commissioners that aimed to think about cancer care and diagnosis differently. Understanding that a good patient experience can only be delivered by putting patients first and working together along their journey from symptoms to recovery, we brought clinical leaders together with patients to think about how to improve outcomes for patients, outside institutional barriers. From the very beginning this new network, an integrated cancer system, focused on understanding what mattered most to patients and organising how it worked and how ...


Exploring The Impact Of An Interprofessional Care Protocol On The Patient Experience And Outcomes For Seniors With Diabetes, Linda J. Mast Phd, Facmpe, Ateequr Rahman Phd, Diane Bridges Phd, Neil L. Horsley Dpm Nov 2014

Exploring The Impact Of An Interprofessional Care Protocol On The Patient Experience And Outcomes For Seniors With Diabetes, Linda J. Mast Phd, Facmpe, Ateequr Rahman Phd, Diane Bridges Phd, Neil L. Horsley Dpm

Patient Experience Journal

Contemporary healthcare has placed intensified focus on the patient experience. Ultimately the patient experience is influenced by relationships with healthcare providers. In order to make a positive impact on patient outcomes and quality of care, the patient experience must be positive. Interprofessional collaboration is recognized as a key aspect of a culture that fosters patient-centered care and a positive patient experience. This quasi-experimental study explores the impact of interprofessional collaboration to develop a preventive services care protocol for seniors with diabetes. Patients were studied over six months using pre-test and post-test measures. Both quantitative data from clinical outcomes and qualitative ...


Hearing The Patient Voice: Using Video Intervention/Prevention Assessment To Understand Teens With Cystic Fibrosis, Susan Horky Lscw, Laura E. Sherman Msw, Julie Polvinen, Michael Rich Md Nov 2014

Hearing The Patient Voice: Using Video Intervention/Prevention Assessment To Understand Teens With Cystic Fibrosis, Susan Horky Lscw, Laura E. Sherman Msw, Julie Polvinen, Michael Rich Md

Patient Experience Journal

This qualitative study asked two questions: 1) How do teens with cystic fibrosis (CF) feel about their treatments; and 2) What factors lead teens to adhere, or not adhere, to treatments. To answer these questions we used an innovative approach (Video Intervention/Prevention Assessment or VIA), to learn about the experiences of teens with CF. We loaned video camcorders to teens with CF and asked them to create visual narratives of their lives. Researchers logged and coded videotapes, identifying themes that arose from the material. A primary theme was “Doctors don’t understand.” Participants also highlighted the value of routines ...