Medicine and Health Sciences Commons^™

Disparities In Oral Health: Socioeconomic Status And Policies To Increase Access To Primary Dental Care, Mckenzie Nutter

Theses/Capstones/Creative Projects

Primary dental care is a patient-centered service consisting of routine dental checkups. The oral cavity is the first point of entrance to the body for many harmful pathogens. Therefore, primary dental care is essential to not only prevent and treat conditions in the mouth, but to also reduce the number of systemic diseases in the rest of the body. However, people with higher incomes or wealth have increased access to primary dental care. People with low socioeconomic status have decreased access to primary dental care, at least in part due to difficulties in paying for separate dental insurance. Disparities in …

Strategic Audit Of Optum, Connor Crow

Honors Theses

Optum is a large American-based pharmacy benefit manager, healthcare consultant, healthcare delivery service, and business analytics corporation that has dominated the industry with sister-company UnitedHealthcare underneath the umbrella UnitedHealthGroup. This report seeks to understand through internal and external analyses how Optum’s business model and strategies have allowed them to gain and sustain competitive advantages in the everchanging, volatile environment of healthcare. Specific tools used to highlight this include Porter’s Five Forces, PESTEL, and SWOT analyses. Additionally, strategic recommendations are given for Optum’s next steps.

Caring Revisited: A Foucauldian Discourse Analysis On The Association Of Caring With The Profession Of Nursing, Margot Boulton

Electronic Thesis and Dissertation Repository

There have been numerous theories put forward by nursing theorists on the importance of caring in nursing. Very few studies have looked at the impact that this association has on the practice of nursing. This study will add to the existing literature by using a Foucauldian discourse analysis to examine the material effects that the caring discourse has on nurses’ ability to advocate for safe working conditions during a public health emergency. Using the outbreak of COVID-19 in Ontario, Canada in the Spring of 2020 as a context, this study seeks to establish caring as a discourse and examine how …

Artificial Intelligence For Rapid Meta-Analysis: Case Study On Ocular Toxicity Of Hydroxychloroquine., Matthew Michelson, Tiffany Chow, Neil A Martin, Mike Ross, Amelia Tee Qiao Ying, Steven Minton

Articles, Abstracts, and Reports

BACKGROUND: Rapid access to evidence is crucial in times of an evolving clinical crisis. To that end, we propose a novel approach to answer clinical queries, termed rapid meta-analysis (RMA). Unlike traditional meta-analysis, RMA balances a quick time to production with reasonable data quality assurances, leveraging artificial intelligence (AI) to strike this balance.

OBJECTIVE: We aimed to evaluate whether RMA can generate meaningful clinical insights, but crucially, in a much faster processing time than traditional meta-analysis, using a relevant, real-world example.

METHODS: The development of our RMA approach was motivated by a currently relevant clinical question: is ocular toxicity and …

Ectopic Pregnancy At A Teaching Hospital, Nigeria: An Analysis Of Presentation And Risk Factors, Benjamin O. Uhunmwangho, Collins E. M. Okoror, Osayomore Idemudia

Menoufia Medical Journal

Objective The aim of this study was to determine and evaluate the incidence, clinical presentation and risk factors of ectopic pregnancies. Background Ectopic pregnancy is a life-threatening gynaecological emergency, and a significant cause of maternal morbidity and mortality in Nigeria. Patients and methods This was a retrospective, descriptive study of ectopic pregnancies managed during the study period (1 January 2009 to 31 December 2013). The medical records of the patients managed for ectopic pregnancy as well as the total birth record and gynaecological admission records during the period under review were retrieved, and data were collected. There were 3719 gynaecological …

Potentially Preventable Mortality In The Pediatric Intensive Care Unit: Findings From A Retrospective Mortality Analysis, Qalab Abbas, Fozia Memon, Parveen Laghari, Ali Faisal Saleem Dr, Anwarul Haque

Department of Paediatrics and Child Health

Objective: The goal of this study was to estimate the proportion and causes of potentially preventable mortality among critically ill children admitted to the pediatric intensive care unit (PICU).
Methods: The medical records of all patients who died in the PICU (age range: one month to 16 years) between January 2014 and December 2015 were evaluated by two independent reviewers to determine whether there had been any delayed recognition of deteriorating conditions, delayed interventions, unintentional/unanticipated harm, medication errors, adverse reactions to transfusions, and hospital-acquired infections that could have resulted in unanticipated death. Preventability was labeled on a 6-point scale.
Results: …

Adherence To Universal Precautions And Associated Factors Among Nurses Caring For Critically Ill Patients In Dar Es Salaam Tanzania, Salma A. Wibonela, Columba Mbekenga, Fatina B. Ramadhani, Ally Mwanga, Pedro Palangyo

School of Nursing & Midwifery, East Africa

Background: Globally, it is known that heath care workers particularly in critical care settings are at higher risk of occupational exposure to infections. Surveillance systems to monitor body fluid exposure have been established in developed world. However, such systems are not available and consequently, exposure to body fluids is rarely reported, documented and monitored in many African countries.

Objectives: To assess knowledge, practice and factors influencing adherence of Universal Precautions of infection prevention among nurses at Muhimbili national hospital and Muhimbili orthopaedic institute Dar es salaam Tanzania.

Design: Quantitative cross-sectional and observational study. SPSS was used for data …

Older Persons’ And Their Caregivers’ Perspectives And Experiences Of Research Participation With Impaired Decision-Making Capacity: A Scoping Review, Annmarie Hosie, Slavica Kochovska, Nola Ries, Imelda Gilmore, Deborah Parker, Craig Sinclair, Caitlin Sheehan, Aileen Collier, Gideon A. Caplan, Mandy Visser, Xiaoyue Xu, Elizabeth Lobb, Linda Sheahan, Linda Brown, Wai Lee, Christine R. Sanderson, Ingrid Amgarth-Duff, Anna Green, Layla Edwards, Meera R. Agar

Nursing Papers and Journal Articles

Background and Objectives: Human research ethics statements support equitable inclusion of diverse groups. Yet older people are under-represented in clinical research, especially those with impaired decision-making capacity. The aim of this study was to identify perspectives and experiences of older persons and their caregivers of research participation with impaired decision-making capacity.

Research Design and Methods: Scoping review of literature and online sources in January-February 2019 (updated June 2020) according to Joanna Briggs Institute methodology and PRISMA Extension for Scoping Reviews. English-language peer-reviewed research articles and Australian online narratives were included. Data were tabulated and narratively synthesized.

Results: From 4171 database …

Role Of Area-Level Access To Primary Care On The Geographic Variation Of Cardiometabolic Risk Factor Distribution: A Multilevel Analysis Of The Adult Residents In The Illawarra—Shoalhaven Region Of Nsw, Australia, Renin Melkias Baby Selvi Toms, Xiaoqi Feng, Darren J. Mayne, Andrew D. Bonney

Illawarra Health and Medical Research Institute

Background: Access to primary care is important for the identification, control and management of cardiometabolic risk factors (CMRFs). This study investigated whether differences in geographic access to primary care explained area-level variation in CMRFs. Methods: Multilevel logistic regression models were used to derive the association between area-level access to primary care and seven discrete CMRFs after adjusting for individual and area-level co-variates. Two-step floating catchment area method was used to calculate the geographic access to primary care for the small areas within the study region. Results: Geographic access to primary care was inversely associated with low high density lipoprotein (OR …