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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.


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 ...


Examining Success In Health Information Technology Implementation Research, Madison Ngafeeson Nov 2014

Examining Success In Health Information Technology Implementation Research, Madison Ngafeeson

Conference Presentations

The implementation of health information systems (IS) is rapidly increasing. In the United States, $70 billion will be invested by the government to facilitate the adoption of the electronic health record over a ten-year period. However, IS acceptance is not success. We use content analysis to investigate the success component.


A Systematic Review Of The Epidemiology Of Nonfatal Strangulation, A Human Rights And Health Concern, Susan B. Sorenson, Manisha Joshi, Elizabeth Sivitz Nov 2014

A Systematic Review Of The Epidemiology Of Nonfatal Strangulation, A Human Rights And Health Concern, Susan B. Sorenson, Manisha Joshi, Elizabeth Sivitz

Departmental Papers (SPP)

We reviewed the literature on the epidemiology of nonfatal strangulation (also, albeit incorrectly, called choking) by an intimate partner.

We searched 6 electronic databases to identify cross-sectional, primary research studies from 1960 to 2014 that reported national prevalence estimates of nonfatal strangulation by an intimate partner among community-residing adults. Of 7260 identified references, 23 articles based on 11 self-reported surveys in 9 countries met the inclusion criteria. The percentage of women who reported ever having been strangled by an intimate partner ranged from 3.0% to 9.7%; past-year prevalence ranged from 0.4% to 2.4%, with 1.0 ...


End Of Life Ethics: Hospice And Advance Directives, Thomas Kehr Oct 2014

End Of Life Ethics: Hospice And Advance Directives, Thomas Kehr

CedarEthics: A Journal of Critical Thinking in Bioethics

It has been said, “Everybody will die, but very few people want to be reminded of that fact” (Handler, 2000, p.28). Perhaps this is the reason so few adults have advanced directives. Even after the 2005 public debate over the Terry Schiavo case, it has been calculated that two-thirds of Americans adults have not completed advance directives (Morhaim & Pollack, 2013).

Americans are united in desiring that their wishes be honored. Sister Nancy, a senior Catholic Nun, had completed her living will. After a medical episode and hospitalization she was furious that hospital emergency physicians had not honored her advanced directives. Yes, her life was saved; but the sacred trust of patient and physician was broken. It is this sacred trust we all count on.

This paper will provide an ethical overview of advance directives, hospital care, hospice services, and physician roles and essential responsibilities. It will ...


Why Christians Are Afraid Of Removing Artificial Nutrition And Hydration, Lynley Terkelson Oct 2014

Why Christians Are Afraid Of Removing Artificial Nutrition And Hydration, Lynley Terkelson

CedarEthics: A Journal of Critical Thinking in Bioethics

On 31 March 2005, Terri Schiavo passed away, amidst the grief, consternation, and outrage of many Americans. In our desire to live forever and “be like God” (Genesis 3:5), human beings have created death-defying technologies. However, these technologies have led to many ethical dilemmas, in part because bioethics has been influenced insidiously by a cultural transhumanism that denies our fundamental human nature and mortality. Many Christians have embraced a transhumanist view of technology, leading to an unhealthy vitalism at the end of life. In this paper, I will demonstrate this flawed view, using the persistent vegetative states (PVS) as ...


Ethical Duties In Ectopic Pregnancy, Josephine Hein Oct 2014

Ethical Duties In Ectopic Pregnancy, Josephine Hein

CedarEthics: A Journal of Critical Thinking in Bioethics

Ectopic pregnancy is occurring at an increasing frequency in the United States due to a rise in sexually transmitted disease, fertility treatments such as in vitro fertilization, smoking, stress, and drug use. An ectopic pregnancy (EP), from Latin roots meaning “out of place,” is a pregnancy that does not correctly implant into its normal location in the endometrium of the uterus. Instead, the developing embryo implants in the fallopian tube, the cervix, the ovaries, or the abdominal or pelvic cavity. EPs today constitute about 2% of all pregnancies, of which 97% implant in the fallopian tube. A ruptured EP can ...


Beacon Communities’ Public Health Initiatives: A Case Study Analysis, Barbara L. Massoudi Mph, Phd, Laura H. Marcial, Saira Haque, Robert Bailey, Kelley Chester, Shellery Cunningham, Amanda Riley, Paula Soper Oct 2014

Beacon Communities’ Public Health Initiatives: A Case Study Analysis, Barbara L. Massoudi Mph, Phd, Laura H. Marcial, Saira Haque, Robert Bailey, Kelley Chester, Shellery Cunningham, Amanda Riley, Paula Soper

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Abstract

Introduction: The Beacon Communities for Public Health (BCPH) project was launched in 2011 to gain a better understanding of the range of activities currently being conducted in population- and public health by the Beacon Communities. The project highlighted the successes and challenges of these efforts with the aim of sharing this information broadly among the public health community.

Background: The Beacon Community Program, designed to showcase technology-enabled, community-based initiatives to improve outcomes, focused on: building and strengthening health information technology (IT) infrastructure and exchange capabilities; translating investments in health IT to measurable improvements in cost, quality, and population health ...


Building The Research Enterprise In The Academic Environment:, Geraldine Polly Bednash, Jane Kirschling, Eileen T. Breslin, Robert Rosseter Oct 2014

Building The Research Enterprise In The Academic Environment:, Geraldine Polly Bednash, Jane Kirschling, Eileen T. Breslin, Robert Rosseter

Quality Advancement in Nursing Education - Avancées en formation infirmière

The preponderance of nursing research conducted in the United States occurs in schools of nursing. Accordingly, a major role for academic leaders in nursing education is the development of a resource base to support and expand the research mission of the nursing program. The intersection of research and practice is also an essential element for assuring the relevance of nursing research and advancing the application of the evidence generated by nursing scientists. The following paper presents an introduction to nursing research in the U.S. with an emphasis on the educational and operational resources needed to maintain a robust research ...


Interprofessional Simulation Learning With Nursing And Pharmacy Students: A Qualitative Study, Pauline Paul, Joanne K. Olson, Cheryl Sadowski, Brian Parker, Angele Alook, Deirdre Jackman, Cheryl Cox, Stewart Maclennan Oct 2014

Interprofessional Simulation Learning With Nursing And Pharmacy Students: A Qualitative Study, Pauline Paul, Joanne K. Olson, Cheryl Sadowski, Brian Parker, Angele Alook, Deirdre Jackman, Cheryl Cox, Stewart Maclennan

Quality Advancement in Nursing Education - Avancées en formation infirmière

Health science students are increasingly learning in simulated situations within their own disciplines, but interprofessional simulation learning (ISL) does not occur as often and is rarely investigated. This research explored perceptions of undergraduate nursing (n=5) and pharmacy (n=4) students with respect to how ISL contributed to discipline-specific learning, to learning about the other profession, and to the development of interprofessional skills. The students were exposed to three ISL activities with data gathered from observation of the simulation sessions, individual interviews, and field notes. Content analysis was conducted. Student participants described the ISL activities as a positive learning experience ...


Exploration Des Facteurs Influençant La Mobilisation Des Savoirs Par Une Pensée Critique Chez Des Étudiantes Infirmières Bachelières Lors De Stages Cliniques, Kathleen Lechasseur, Ginette Lazure, Louise Guilbert Oct 2014

Exploration Des Facteurs Influençant La Mobilisation Des Savoirs Par Une Pensée Critique Chez Des Étudiantes Infirmières Bachelières Lors De Stages Cliniques, Kathleen Lechasseur, Ginette Lazure, Louise Guilbert

Quality Advancement in Nursing Education - Avancées en formation infirmière

Pour contribuer activement à la santé des personnes, les infirmières doivent faire appel à une diversité de savoirs dans leur pratique. Face à l’augmentation constante de la complexité des soins, la formation de la relève comporte des enjeux majeurs. L’étude visait à caractériser le processus de mobilisation des savoirs par une pensée critique chez des étudiantes infirmières bachelières en situation de soins en vue de mieux comprendre son déploiement et de le soutenir. Une approche qualitative, inspirée de la théorisation ancrée a mis au jour certains des facteurs d’influence sur ce processus en recourant à un entretien ...


Clinical Nursing Reasoning In Nursing Practice: A Cognitive Learning Model Based On A Think Aloud Methodology, Johanne Goudreau, Louise Boyer, Dimitri Létourneau Oct 2014

Clinical Nursing Reasoning In Nursing Practice: A Cognitive Learning Model Based On A Think Aloud Methodology, Johanne Goudreau, Louise Boyer, Dimitri Létourneau

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background. The current context of increasingly complex nursing care requires a high level of clinical reasoning in nursing practice. Still, teaching clinical reasoning in nursing remains a challenge for educators in the field. Although several studies have been conducted to try to understand clinical reasoning in nursing, neither its developmental stages nor the corresponding critical milestones have been uncovered. Therefore, nursing educators cannot rely on a cognitive learning model (a description of how people learn and develop a specific competency) to facilitate the learning of this crucial competency.

Objectives. This study was conducted to develop a cognitive learning model of ...


Story Based Learning: A Student Centred Practice-Oriented Learning Strategy, Karen Mackinnon, Lynne E. Young Oct 2014

Story Based Learning: A Student Centred Practice-Oriented Learning Strategy, Karen Mackinnon, Lynne E. Young

Quality Advancement in Nursing Education - Avancées en formation infirmière

Story based learning (SBL) has evolved as a way to promote quality in nursing education by assisting faculty to develop a student-centred learning environment. SBL is a teaching/learning strategy that also strengthens learners’ capacities to provide quality nursing care. Health professional education has been identified as a key contributor to advancing quality care. Key documents identify the pillars of quality health professional education as client–centred care, inter-professional education, teamwork and collaborative learning, knowledge mobilization and evidence-based practice, awareness of the limits of one’s knowledge as a foundation for reflective practice and life-long learning, and mastery of a ...


Confronting The Social Mandate For Nursing Scholarship – One School Of Nursing’S Journey., Susan M. Duncan, Star Mahara, Victoria Holmes Oct 2014

Confronting The Social Mandate For Nursing Scholarship – One School Of Nursing’S Journey., Susan M. Duncan, Star Mahara, Victoria Holmes

Quality Advancement in Nursing Education - Avancées en formation infirmière

The move to advance the qualification of nurses has necessitated the expansion of baccalaureate degree level nursing education to colleges and other less research-intensive post-secondary institutions in Canada and beyond. Shifts in the post-secondary institutional contexts of nursing education necessitate a re-thinking of the mandate and purpose of scholarship in nursing and how it can be sustained. Over a span of forty years, Thompson Rivers University School of Nursing has evolved from a community college program to one situated in a university college, and most recently within a new university. In this paper, we describe the purpose and process of ...


Evaluating The Reliability Of Ehr-Generated Clinical Outcomes Reports: A Case Study, Chatrian Kanger, Lisanne Brown, Snigdha Mukherjee, Haichang Xin, Mark Diana, Anjum Khurshid Oct 2014

Evaluating The Reliability Of Ehr-Generated Clinical Outcomes Reports: A Case Study, Chatrian Kanger, Lisanne Brown, Snigdha Mukherjee, Haichang Xin, Mark Diana, Anjum Khurshid

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Quality incentive programs, such as Meaningful Use, operate under the assumption that clinical quality measures can be reliably extracted from EHRs. Safety Net providers, particularly Federally Qualified Health Centers and Look-Alikes, tend to be high adopters of EHRs; however, recent reports have shown that only about 9% of FQHCs and Look-Alikes were demonstrating meaningful use as of 2013. Our experience working with the Crescent City Beacon Community (CCBC) found that many health centers relied on chart audits to report quality measures as opposed to electronically generating reports directly from their EHRs due to distrust in the data. This paper ...


Improving Access To Care: Mobile Dental Units, Caitlin Stephens Oct 2014

Improving Access To Care: Mobile Dental Units, Caitlin Stephens

Honors College Capstone Experience/Thesis Projects

Despite efforts to improve oral health, untreated childhood tooth decay continues to be a major concern in the state of Kentucky. It is said that an estimated 42.8 percent of children in Kentucky suffer from early childhood caries (ECC) before the age of five and 39.3 percent of these children have never been in a dental office (The Kentucky Oral Health Summit). Another study conducted revealed that approximately 20 percent of preschoolers, 50 percent of second graders and 75 percent of 15 years olds are affected by untreated tooth decay (Kentucky’s Dental Access Summit, 2013). What are ...


Hookah: A Fun Fad Or Harmful Habit?, Amy Gee Broadrick Oct 2014

Hookah: A Fun Fad Or Harmful Habit?, Amy Gee Broadrick

Honors College Capstone Experience/Thesis Projects

Hookah smoking has been a well-known activity in the Middle East for hundreds of years. More recently, hookah has become a worldwide phenomenon, especially in the United States of America. It is important to know why people choose this habit, and specifically why teenagers and young adults are becoming the main frequent users.

An interview session consisting of a questionnaire was the methodology used in this study. This session involved a total of twenty individuals. Ten of these individuals were people who actively participated in smoking hookah. The other ten subjects were individuals who do not engage in hookah smoking ...


Factors Involved In Early Age Dental Visits, Lillian Brooke Mcneal Oct 2014

Factors Involved In Early Age Dental Visits, Lillian Brooke Mcneal

Honors College Capstone Experience/Thesis Projects

Today, more children are diagnosed with Early Childhood Caries (ECC) than at any other time in modern history. It is noted that Early Childhood Caries (ECC) is now the most common infectious disease among children and occurs 5 times more than asthma (America Academy of Pediatric Dentistry, 2014). Considering the extent of this disease, it is imperative to determine the cause of it and factors involved in the control.

In order to begin this study, one must first analyze different patients and their living conditions, along with the frequency of dental visits and when the first dental visit occurred. What ...


Continuity Of Mammalian Fauna Over The Last 200,000 Y In The Indian Subcontinent, Patrick Roberts, Eric Delson, Preston Miracle, Peter Ditchfield, Richard G. Roberts, Zenobia Jacobs, James Blinkhorn, Russell L. Ciochon, John G. Fleagle, Stephen R. Frost, Christopher C. Gilbert, Greg F. Gunnell, Terry Harrison, Ravi Korisettar, Michael D. Petraglia Oct 2014

Continuity Of Mammalian Fauna Over The Last 200,000 Y In The Indian Subcontinent, Patrick Roberts, Eric Delson, Preston Miracle, Peter Ditchfield, Richard G. Roberts, Zenobia Jacobs, James Blinkhorn, Russell L. Ciochon, John G. Fleagle, Stephen R. Frost, Christopher C. Gilbert, Greg F. Gunnell, Terry Harrison, Ravi Korisettar, Michael D. Petraglia

Faculty of Science, Medicine and Health - Papers

Mammalian extinction worldwide during the Late Pleistocene has been a major focus for Quaternary biochronology and paleoecology. These extinctions have been variably attributed to the impacts of climate change and human interference. However, until relatively recently, research has been largely restricted to the Americas, Europe, and Australasia. We present the oldest Middle-Late Pleistocene stratified and numerically dated faunal succession for the Indian subcontinent from the Billasurgam cave complex. Our data demonstrate continuity of 20 of 21 identified mammalian taxa from at least 100,000 y ago to the present, and in some cases up to 200,000 y ago. Comparison ...


Enhanced Precision In The Analysis Of Randomized Trials With Ordinal Outcomes, Iván Díaz, Elizabeth Colantuoni, Michael Rosenblum Oct 2014

Enhanced Precision In The Analysis Of Randomized Trials With Ordinal Outcomes, Iván Díaz, Elizabeth Colantuoni, Michael Rosenblum

Johns Hopkins University, Dept. of Biostatistics Working Papers

We present a general method for estimating the effect of a treatment on an ordinal outcome in randomized trials. The method is robust in that it does not rely on the proportional odds assumption. Our estimator leverages information in prognostic baseline variables, and has all of the following properties: (i) it is consistent; (ii) it is locally efficient; (iii) it is guaranteed to match or improve the precision of the standard, unadjusted estimator. To the best of our knowledge, this is the first estimator of the causal relation between a treatment and an ordinal outcome to satisfy these properties. We ...


Patient Report Improves Posthospital Discharge Event Capture In Total Joint Replacement: A Novel Approach To Capturing All Posthospital Event Data, Leslie Harrold, Scott Pascal, Courtland Lewis, Regis O'Keefe, Vincent Pellegrini, Jeroan Allison, David Ayers, Patricia Franklin Oct 2014

Patient Report Improves Posthospital Discharge Event Capture In Total Joint Replacement: A Novel Approach To Capturing All Posthospital Event Data, Leslie Harrold, Scott Pascal, Courtland Lewis, Regis O'Keefe, Vincent Pellegrini, Jeroan Allison, David Ayers, Patricia Franklin

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Current approaches to quantifying total posthospital complications and readmissions following surgical procedures are limited because the United States does not have a single health care payer. Patients seek posthospital care in varied locations, yet hospitals can only quantify those returning to the same facility. Seeking information directly from patients about health care utilization following hospital discharge holds promise to provide data that is missing for surgeons and health care systems.

Background: Because total joint replacement (TJR) is the most common and costly elective surgical hospitalization, we examined the concordance between patients’ self-report of potential short-term complications and their readmissions ...


A Study In Self-Defeat: The Public Health Venereal Disease Clinic, Joseph F. Sheley Oct 2014

A Study In Self-Defeat: The Public Health Venereal Disease Clinic, Joseph F. Sheley

The Journal of Sociology & Social Welfare

This paper relates the results of three months of participant observation and interviews in a public venereal disease clinic. The research was directed toward assessment of the relationship of clinic efficiency (a smoothly operating bureaucratic clinic) and clinic effectiveness (a major reduction of illness within a community). The venereal disease clinic is described as an efficient and well planned health unit with three major objectives: a) checking the increase of V.D. through preventive medicine; b) detection and treatment of V.D. within the community; and c) provision of health services to lower S.E.S. segments of the population ...


Health Insurance Among Young Adults Rebounds Post Recession: More Become Dependents On A Parent's Plan After Aca Extends Coverage To Adult Children, Michael J. Staley, Jessica A. Carson Oct 2014

Health Insurance Among Young Adults Rebounds Post Recession: More Become Dependents On A Parent's Plan After Aca Extends Coverage To Adult Children, Michael J. Staley, Jessica A. Carson

The Carsey School of Public Policy at the Scholars' Repository

While much of the existing research explores young adults' insurance only in the post-recession period (that is, 2010 to present), authors Michael Staley and Jessica Carson assess young adults' rates of coverage within and beyond the context of the recession by examining changes across the entire 2007 to 2012 period.


Malagasy Women's Preferences For Reproductive Health Care In Mahabo, Madagascar, Mackenzie Findlay Oct 2014

Malagasy Women's Preferences For Reproductive Health Care In Mahabo, Madagascar, Mackenzie Findlay

Undergraduate Research Symposium Posters & Abstracts

In rural Madagascar, women seeking reproductive care may have the option of seeking out their local traditional birth attendant (TBA) or going to a biomedical Western clinic. In those cases in which there is a choice, our understandings of how women make their choice is limited. By understanding local women’s preferences for reproductive health care, this research seeks to not “[put] oneself in her place” and make recommendations from that standpoint, but rather to understand the “variety of responses to the practices that shape their lives” (Narayan 419). There is a finite amount of resources in the world and ...


Bringing A Behavioral Health Consultant To Residency: Implications For Practice And Training, Natasha Gouge, Jodi Polaha, Rebecca Powers Oct 2014

Bringing A Behavioral Health Consultant To Residency: Implications For Practice And Training, Natasha Gouge, Jodi Polaha, Rebecca Powers

International Journal of Health Sciences Education

This study examined pediatric residents’ responsiveness and experiences in the context of a new pilot program, building an on-site Behavioral Health Consultant (BHC) into their primary care training site. Fifteen pediatric residents were divided so that 9 had access to an on-site BHC and 6 did not. Over the first year of the program, research assistants observed 322 patient visits to record concerns raised, residents’ responses, and visit length. Data regarding BHC activity and residents’ subjective impressions of the program were also collected. Results showed that at least one BH concern was raised in 24% of observed visits. Residents with ...


Wearable Technology In Obstetrical Emergency Simulation: A Pilot Study, Jami Goodwin, Rayan A. Elkattah, Martin Olsen Oct 2014

Wearable Technology In Obstetrical Emergency Simulation: A Pilot Study, Jami Goodwin, Rayan A. Elkattah, Martin Olsen

International Journal of Health Sciences Education

Background: Medical student involvement in clinical care of obstetrical emergencies is limited. Wearable technology, namely Google Glass, has been used to enhance the simulation experience for trainees at our institution. We present a pilot study that examines the utility of this technology in medical students’ education through remotely-conducted exercises in obstetric emergencies.

Materials & Methods: A total of thirteen medical students accepted the opportunity to participate in an obstetric emergencies training exercise with remote monitoring. Students wore the Google Glass device while participating in two simulated obstetrical emergencies: shoulder dystocia and vaginal breech delivery. A remote instructor monitored the students’ performance ...


Letter From Editors, Wendy Nehring, Jacek Smurzynski, Lisa Haddad Oct 2014

Letter From Editors, Wendy Nehring, Jacek Smurzynski, Lisa Haddad

International Journal of Health Sciences Education

No abstract provided.