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Full-Text Articles in Medicine and Health Sciences

Evolution Of An Interprofessional Training: A Five-Year Review Of An Interprofessional Training Involving Family Medicine Residents, Nurse Practitioner Students, Pharmacy Trainees, Counseling Psychology, And Social Work Students In Southern New Mexico, Daubney Boland, Erika Martin Gergerich Oct 2018

Evolution Of An Interprofessional Training: A Five-Year Review Of An Interprofessional Training Involving Family Medicine Residents, Nurse Practitioner Students, Pharmacy Trainees, Counseling Psychology, And Social Work Students In Southern New Mexico, Daubney Boland, Erika Martin Gergerich

Health and Interprofessional Practice

The Affordable Care Act (ACA, 2010) embraced the “triple aim” in healthcare to enhance health, promote better care, and reduce cost. The use of healthcare teams can improve patient care, health outcomes, and reduce medical errors (Earnest & Brandt, 2014). However, building healthcare teams goes beyond placing people of different healthcare professions together, it requires the integration of the healthcare disciplines, a valuing of each other’s roles, and the ability to communicate and work together (IPEC, 2011). The term interprofessional reflects interdependence, shared responsibility, and reliance on each other to best accomplish a task. These values often run counter to ...


Integrating Interprofessional Education Into An Academic Enrichment Program, Tina P. Gunaldo, Allison Augustus-Wallace, Amanda Goumas, Toby Cheramie, Stephen Brisco, Elizabeth Levitzky Oct 2018

Integrating Interprofessional Education Into An Academic Enrichment Program, Tina P. Gunaldo, Allison Augustus-Wallace, Amanda Goumas, Toby Cheramie, Stephen Brisco, Elizabeth Levitzky

Health and Interprofessional Practice

INTRODUCTION: Interprofessional education (IPE) is widely accepted as an important aspect of health professional programs. However, there is limited IPE research focused in the pre-health professional student population. The aim of this study was to measure pre-health student perceptions of IPE and their knowledge of other health professions during a summer academic enrichment program.

METHODS: Students who had completed their first or second year of college studies participated in the six week Summer Health Professions Education Program (SHPEP) funded by the Robert Wood Johnson Foundation. Students engaged in IPE through an online module, as well as small group activities.

RESULTS ...


Visual Arts Programs For Health Sciences Students Have Unrealized Potential For Interprofessional Education, Kaleen N. Hayes, Susan M. Meyer Oct 2018

Visual Arts Programs For Health Sciences Students Have Unrealized Potential For Interprofessional Education, Kaleen N. Hayes, Susan M. Meyer

Health and Interprofessional Practice

No abstract provided.


Adapting The Communication And Teamwork Skills Assessment To Assess Pre-Licensure Health Care Student Team Performance In Simulation-Enhanced Interprofessional Education, Kelli Masters, Stacy L. Lutter, Deborah Barton, Michael Bohrn, Rodney Grim, Dawn Becker, Duane Patterson Sep 2018

Adapting The Communication And Teamwork Skills Assessment To Assess Pre-Licensure Health Care Student Team Performance In Simulation-Enhanced Interprofessional Education, Kelli Masters, Stacy L. Lutter, Deborah Barton, Michael Bohrn, Rodney Grim, Dawn Becker, Duane Patterson

Health and Interprofessional Practice

Introduction: Literature demonstrates a lack of structured reporting of interprofessional (IPE) education activities and challenges objectively measuring team performance. The purposes of this article are: to provide a structured description of a simulation-enhanced IPE project focusing on pre-licensure health care student team performance; and, to describe how the Communication and Teamwork Skills (CATS) assessment was adapted to assess teamwork and communication skills during student team simulations.

Methods: Simulated case scenarios were conducted with teams consisting of nursing, respiratory therapy, and medical students. The CATS tool was adapted for use in IPE simulations by adding two statements that globally assessed frequency ...


Ultrasonography-Guided Lumbar Punctures Effect On Success Rate In Infants, Patricia Dorian Aug 2018

Ultrasonography-Guided Lumbar Punctures Effect On Success Rate In Infants, Patricia Dorian

School of Physician Assistant Studies

Background: Lumbar puncture (LP) is a common diagnostic procedure performed in emergency departments for febrile infants in order to rule in or rule out bacterial meningitis. A traditional LP procedure is accomplished by palpating for anatomical landmarks in order to place the needle in the correct location. Similar to venous catheterization, ultrasonography has been used as a non-invasive tool to locate these landmarks and mark their location on the skin of the patient. Several adult studies have been performed in order to analyze the success rate of traditional versus ultrasonography-assisted LPs and have shown increased success in the ultrasonography groups ...


Telemedicine To Treat Rural Stroke Patients Via A Hub-And-Spoke Model, Matthew Heberling Aug 2018

Telemedicine To Treat Rural Stroke Patients Via A Hub-And-Spoke Model, Matthew Heberling

School of Physician Assistant Studies

Background: Telemedicine is a model of care that is becoming known for its patient-centric and environmentally friendly applications.1Combining telemedicine with a hub-and-spoke model is a method being used more frequently to disseminate vascular expertise and optimize recombinant tissue plasminogen activator (rt-PA) use.2Approximately 45% of Americans do not have immediate access to acute stroke centers within 60 minutes.4 Due to this distance and time between onset and arrival, patients presenting to rural emergency departments are 10 times less likely to receive rt-PA than those same patients in urban settings. Telemedicine is one method that can be ...


Moderate Exercise Throughout Pregnancy And A Decreased Risk Of Unplanned Cesarean Sections, Larissa Hosler Aug 2018

Moderate Exercise Throughout Pregnancy And A Decreased Risk Of Unplanned Cesarean Sections, Larissa Hosler

School of Physician Assistant Studies

Background: Overall cesarean section rates have increased in the United States from 20.7% in 1996 to 32.9% in 2009. Research shows that maternal morbidity is higher among women who have cesarean deliveries versus patients who have vaginal deliveries. With the rate of cesarean sections increasing in recent years, there have been efforts put in place to reduce these numbers. One method of combating this trend could be increasing exercise throughout the course of pregnancy. This review assesses the current evidence of the benefits of moderate exercise in decreasing the risk of unplanned cesarean section.

Methods: An exhaustive search ...


Early Administration Of Ketamine In Refractory Status Epilepticus, Kayla Moody Aug 2018

Early Administration Of Ketamine In Refractory Status Epilepticus, Kayla Moody

School of Physician Assistant Studies

Purpose: While protocols regarding how to treat status epilepticus (SE) has been universally accepted, management of refractory status epilepticus (RSE) is far from being evidence-based. Ketamine (KET), a NMDA-antagonist, may have a role in RSE when other conventional anesthetics fail due to its unique pharmacodynamic properties and good safety profile.

Methods: Exhaustive search of available medical literature was performed using MEDLINE-Ovid, MEDLINE-PubMed, Psych INFO, Web of Science, and CINAHL for relevant articles from 2012-2017 using keywords “ketamine” and “status epilepticus.” Additional criteria for consideration: articles applicable to the topic and published in the English language. Exclusion criteria includes all opinion ...


Use Of Probiotics In Patients With Nonalcoholic Fatty Liver Disease And Reduction Of Liver Aminotransferases, Sandy Pham Aug 2018

Use Of Probiotics In Patients With Nonalcoholic Fatty Liver Disease And Reduction Of Liver Aminotransferases, Sandy Pham

School of Physician Assistant Studies

Background

Nonalcoholic fatty liver disease (NAFLD) in one of the most common liver diseases characterized by increases in serum aminotransferases and accumulation of fat in the liver. NAFLD can lead to diabetes, cardiovascular complications, end stage liver disease, liver cirrhosis, and hepatocellular carcinoma. At the moment there is no drug treatment for the management of NAFLD. Other treatment options should be explored for this disease that can progress to liver cirrhosis and hepatocellular carcinoma. Individual studies and systematic analysis have shown that the consumption of probiotics can decrease liver aminotransferase levels in adults with NAFLD.

Methods

An extensive literature search ...


The Relationship Between Fish Oil Supplementation During Pregnancy And Incidence Of Asthma In Children, Jesanne Tageson-Ramirez Aug 2018

The Relationship Between Fish Oil Supplementation During Pregnancy And Incidence Of Asthma In Children, Jesanne Tageson-Ramirez

School of Physician Assistant Studies

Background: The incidence of asthma is increasing in the United States. Some researchers believe this rise is due to higher levels of n-6 fatty acids in relation to n-3 fatty acids that are found in cold-water fish. Several studies over the years have tried to discern if increasing fish oil in the diet or by supplementation can decrease the incidence of asthma in children. However, the results of these studies are not in agreement.

Methods: A comprehensive search of available medical literature was performed using MEDLINE-Ovid, CINAHL, and Web of Science using the keywords: fatty acids, omega-3s, fish oil, LCPUFAs ...


Novottf-100a System As A Treatment For Glioblastoma, Amber Morrison Aug 2018

Novottf-100a System As A Treatment For Glioblastoma, Amber Morrison

School of Physician Assistant Studies

Background: Glioblastoma is an aggressive malignant brain tumor with exceptionally poor prognosis. Currently, patients with this diagnosis receive a combination of chemotherapy, surgical debulking, as well as radiation therapy. Recently, a new device has been FDA approved for treatment of glioblastoma called the NovoTTF-100A system. Research has shown improvement of patients’ lives as well as prolonged survival. The focus of this systematic review is to evaluate if the NovoTTF-100A system could be an effective addition to the standard of care for patients with glioblastoma.

Methods: An exhaustive medical literature search was completed using MEDLINE-Ovid, Web of Science, and Google Scholar ...


Blood Pressure Measurement As A Risk Factor For Lymphedema In Females Post Breast Cancer Treatment, Chelsea Braesch Aug 2018

Blood Pressure Measurement As A Risk Factor For Lymphedema In Females Post Breast Cancer Treatment, Chelsea Braesch

School of Physician Assistant Studies

Background: Lymphedema is a common complication of breast cancer treatment. And while breast cancer survivors are at an increased risk of developing lymphedema, there are various risk factors that, if avoided, might limit the incidence of arm swelling. A few national organizations have recommended that patients avoid blood pressure measurements on the affected arm. The purpose of this systematic review is to determine whether this burden is evidence-based or if it is causing unnecessary health anxiety.

Methods: An exhaustive search of available medical literature was performed using MEDLINE-PubMed, Web of Science, and CINAHL. Key words included “blood pressure” and “lymphedema ...


Decreasing Cocaine Use With Repetitive Transcranial Magnetic Stimulation, Cody Stekly, Kate Ziesenheim Aug 2018

Decreasing Cocaine Use With Repetitive Transcranial Magnetic Stimulation, Cody Stekly, Kate Ziesenheim

School of Physician Assistant Studies

Background: Dependence on cocaine causes significant functional impairment and morbidity in users and is extremely prevalent in the U.S. Unlike other abused substances, there is currently no effective standard of treatment to decrease cocaine cravings and prevent relapse. This systematic review assesses whether recent research shows that repetitive transcranial magnetic stimulation (rTMS) is an effective treatment to decrease cocaine use.

Methods: An exhaustive search of the medical literature databases was performed using Medline-Ovid, CINAHL, and Web of Science with the search words “cocaine” and “transcranial magnetic stimulation”. The studies reviewed were chosen based on inclusion and exclusion criteria and ...


Hospital Librarians: Training The Next Generation Of Doctors, Heather J. Martin Jul 2018

Hospital Librarians: Training The Next Generation Of Doctors, Heather J. Martin

OLA Quarterly

Hospital librarians address a wide array of information needs. They help nurses figure out how to take care of patients, help physicians with difficult cases, help families get reliable health information, and sometimes the information they provide even helps save a life. They also play an important role in training the next generation of doctors. At one hospital in Oregon, Providence St. Joseph Health System Library Services has integrated traditional library instruction directly into the curriculum of the Internal Medicine Residency Program.

Providence St. Joseph Health (PSJH) System Library Services has a staff of 16 librarians and library paraprofessionals dedicated ...


The Role Of Tinted Lenses In The Perception Of Color Deficiency, Ahlam Alenazi Jul 2018

The Role Of Tinted Lenses In The Perception Of Color Deficiency, Ahlam Alenazi

College of Optometry

Purpose: Many different approaches have been used to improve the color perception in patients with color deficiency. Currently, filters and tinted contact lenses are the most widely-available method to enhance color perception. Filters have been shown to help patients to pass pseudoisochromatic color tests, to better perform their daily activities, and enable them to better enjoy nature and art as well.

The aim of this study was to evaluate the efficacy of monocular Neuchroma tinted lenses in improving the color perception for those with color vision deficiency. The specific combination of tints was selected to mimic the neutral (black) point ...


Snowball Fights And Spaghetti Towers: A Classroom Perspective On Interprofessional Education, Emily F. Loudermilk, Michelle Renee Musser Jun 2018

Snowball Fights And Spaghetti Towers: A Classroom Perspective On Interprofessional Education, Emily F. Loudermilk, Michelle Renee Musser

Health and Interprofessional Practice

No abstract provided.


Situated Learning And Interprofessional Education: An Educational Strategy Using An Apprenticeship Model To Develop Research Skills For Practice, Andrea Gossett Zakrajsek, Elizabeth Schuster Jun 2018

Situated Learning And Interprofessional Education: An Educational Strategy Using An Apprenticeship Model To Develop Research Skills For Practice, Andrea Gossett Zakrajsek, Elizabeth Schuster

Health and Interprofessional Practice

Interprofessional education (IPE) offers an opportunity to train health professional students to develop research skills, collaboratively, while working on authentic healthcare problems. The situated learning educational model offers a unique way of structuring IPE experiences to incorporate the healthcare context, Communities of Practice, and meaningful participation of all learners. This paper will discuss an educational strategy developed to support the role progression of interprofessional research students within a project that is embedded in an authentic healthcare problem that has implications for IPE program development. The authors present a visual model that supports understanding of the development of knowledge and skills ...


Examining Change In Confidence: A Unique Approach To Interprofessional Education Evaluation, Carol J. Hermansen-Kobulnicky, Mary Anne Purtzer, Reshmi L. Singh, Catherine L. Ross, Kristin Mctigue, Lindsey Overstreet Jun 2018

Examining Change In Confidence: A Unique Approach To Interprofessional Education Evaluation, Carol J. Hermansen-Kobulnicky, Mary Anne Purtzer, Reshmi L. Singh, Catherine L. Ross, Kristin Mctigue, Lindsey Overstreet

Health and Interprofessional Practice

Introduction. Measuring student confidence is integral to evaluating student perceived ability regarding interprofessional collaborative practice. The purpose of this study was to examine change in confidence after an introductory interprofessional education assignment using Bandura’s self-efficacy framework.

Methods. A retrospective pre-post design assessed change in student confidence, targeting the strength dimension of self-efficacy beliefs. Students enrolled in health discipline-specific courses in two sequential years participated in an introductory embedded case-based IPE assignment. Sixteen statements were developed to assess students’ confidence for specific Interprofessional Education Collaborative (IPEC) sub-competencies consistent with student learning outcomes. Descriptive statistics, paired sample t-tests (comparing pre-post), analysis ...


Assessment Of An Innovative Medication Adherence Training Exercise In An Interprofessional Training Program, Ashley L. Adams, Megan Gregory, Sonya R. Wilmer, Natalie Hundt May 2018

Assessment Of An Innovative Medication Adherence Training Exercise In An Interprofessional Training Program, Ashley L. Adams, Megan Gregory, Sonya R. Wilmer, Natalie Hundt

Health and Interprofessional Practice

OBJECTIVE To assess the effect of an innovative training exercise on post-graduate healthcare trainees’ knowledge and perspectives of medication adherence and skills gained within an interprofessional training program.

METHODS Postgraduate trainees (medicine, pharmacy, advanced practice nursing, and mental health) at the Michael E. DeBakey VA Medical Center’s Center of Excellence in Primary Care Education interprofessional training program participated in a medication adherence exercise and training session. The session included a formal PowerPoint presentation, an innovative medication adherence simulation exercise, clinical scenarios, and a journal club. Verbal feedback during the debriefing session occurred after the medication adherence simulation exercise and ...


The Effectiveness Of An Introductory Interprofessional Course In Building Readiness For Collaboration In The Health Professions, Kathrin A. Eliot, Anthony P. Breitbach, Leslie Hinyard, Eileen Toomey May 2018

The Effectiveness Of An Introductory Interprofessional Course In Building Readiness For Collaboration In The Health Professions, Kathrin A. Eliot, Anthony P. Breitbach, Leslie Hinyard, Eileen Toomey

Health and Interprofessional Practice

INTRODUCTION Interprofessional Education (IPE) prepares collaborative-ready health professionals although the actual process of learning “about, from and with” each other is widely debated in the literature (World Health Organization, 2010). The goal of the study was to examine the effectiveness of an introductory IPE course in improving students’ collaboration skills.

METHODS Undergraduate, health professions students completed the 11-item Self-Assessed Collaboration Skills (SACS) survey before and after completing an introductory IPE course.

RESULTS Results of paired samples t-tests suggest that there were significant improvements in students’ self-assessed collaboration skills and on the learning, information sharing, and team support dimensions.

DISCUSSION This ...


Proposing An Alternative: Analyzing Patient Perspective On Recycled Versus Ready-Made Glasses As A Global Refractive Error Solution, Sonam Narayan May 2018

Proposing An Alternative: Analyzing Patient Perspective On Recycled Versus Ready-Made Glasses As A Global Refractive Error Solution, Sonam Narayan

College of Optometry

Purpose: Refractive error impairs a large percentage of the world population and many populations do not have access to eye health care services. VOSH groups visit these underserved areas providing comprehensive eye health care, including prescribing options for refractive error correction. This study analyzes two of those options, recycled and ready-made spectacles, and details patient preferences.

Methods: 94 patients volunteered to be part of a survey process, that had patients compare and select recycled or ready-made glasses as their preference in independent questions regarding better vision, comfort, style, and overall choice of spectacles to take home.

Results: Statistical analysis showed ...


Three-Wheeled Bike Activity Program, Brent Waroniecki, Cate Mccoy Apr 2018

Three-Wheeled Bike Activity Program, Brent Waroniecki, Cate Mccoy

Occupational Therapy Education Tools

This is a patient education handout on three-wheeled biking and stretches to perform before riding.


Shower Safety, Bre Davis, Jordan Andrews Apr 2018

Shower Safety, Bre Davis, Jordan Andrews

Occupational Therapy Education Tools

This patient education handout shares shower safety strategies.


Prevent Falls In Your Home, Ashley May, Sophie Warden Apr 2018

Prevent Falls In Your Home, Ashley May, Sophie Warden

Occupational Therapy Education Tools

This patient education handout shares tips for changes that can be made around the home to help prevent falls.


After Breast Surgery Recovery, Jasmine Pielemeier, Jules Large Apr 2018

After Breast Surgery Recovery, Jasmine Pielemeier, Jules Large

Occupational Therapy Education Tools

This patient education handout shares information on post breast surgery exercises.


Caring For Your Hand Burn, Emily Sitler, Courtney Livaudais Apr 2018

Caring For Your Hand Burn, Emily Sitler, Courtney Livaudais

Occupational Therapy Education Tools

This patient education handout shares information on caring for a hand burn.


Home Hand Exercise Program, Nacira Sahagun, Kevin Mai Apr 2018

Home Hand Exercise Program, Nacira Sahagun, Kevin Mai

Occupational Therapy Education Tools

This patient education handout shares information on hand exercises for osteoarthritis.


Prevent Falls And Stay Safe, Carrie Birrer, Kahlani Badeaux Apr 2018

Prevent Falls And Stay Safe, Carrie Birrer, Kahlani Badeaux

Occupational Therapy Education Tools

This patient education handout shares tips on preventing falls.


Your Daily Routine For Better Sleep, Lindsay Reich, Ashley Rigas Apr 2018

Your Daily Routine For Better Sleep, Lindsay Reich, Ashley Rigas

Occupational Therapy Education Tools

This patient education handout shares information on creating a routine to improve sleep.


Save Your Energy With The Four P'S, Emily Maritz, Nina Van Beuning, Rivkah Smith Apr 2018

Save Your Energy With The Four P'S, Emily Maritz, Nina Van Beuning, Rivkah Smith

Occupational Therapy Education Tools

This patient education handout shares tips on using the four p's of energy conservation.