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The Partial Immersion Aquatic Approach Using Adjustable Weight Bearing To Improve Posture And Sitting Balance Adaptation For Children With Severe Cerebral Palsy, Niv Shelef 2020 Jerusalem Board of Education

The Partial Immersion Aquatic Approach Using Adjustable Weight Bearing To Improve Posture And Sitting Balance Adaptation For Children With Severe Cerebral Palsy, Niv Shelef

International Journal of Aquatic Research and Education

The innovative ‟Partial Immersion” Aquatic Therapy Approach was developed to enhance balance and posture during sitting adaptation for children with severe cerebral palsy who exhibit deficiency in those skills on land. Stable balance during sitting posture is one of the preconditions for hands function in activities of daily living. Aquatic skills learned during aquatic therapy were then transferred to a land environment. Therapy included the use of a treatment chair that enabled adjustable weight bearing in a series of 30 mm steps. A mixed-methods design employing a multiple case study approach (n=5) including quantitative and qualitative methods investigated the ...


Oh, The Places You’Ll Go: A Journey Through Ohiohealth Home Care, Holly Williams 2020 Otterbein University

Oh, The Places You’Ll Go: A Journey Through Ohiohealth Home Care, Holly Williams

Masters Theses/Capstone Projects

This project focuses on the OhioHealth Home Care Practicum with Heather McDavid the Director of Finance and Interim Director of HME (Home Medical Equipment). OhioHealth Home Care has five business lines. These include Home Health, HME, Palliative Care, Hospice, and IV infusion.

There are multiple Home Care locations that enable access to these resources. These locations include, The David P Blom Administrative Complex (The BAC), The Preserve, The HME Warehouse, Riverside Hospital, The Westerville Medical Campus, The Marion HME Offices, The Mansfield HME Offices, and The Dublin Methodist Hospital.

The purpose of this project is to understand processes and decision ...


Medialized Total Ossicular Replacement Prosthesis, Marc D. Polanik, Aaron K. Remenschneider 2020 University of Massachusetts Medical School

Medialized Total Ossicular Replacement Prosthesis, Marc D. Polanik, Aaron K. Remenschneider

Open Access Articles

Vestibular complaints secondary to a deeply medialized ossicular prosthesis have been documented following stapedotomy1 but infrequently reported following total ossicular replacement prosthesis (TORP) placement. Lateral TORP displacement through the tympanic membrane (TM) occurs in 5% to 9% of cases2; however, medial displacement, with violation of the footplate, is rare and has only been reported following canal wall down mastoidectomy.3 For the below case, institutional review board approval was obtained from the University of Massachusetts Medical School Human Subjects Committee.


A Case Of Pacemaker Syndrome Mimicking A Heart Failure Exacerbation, Seline Haci, Som Aftabizadeh, Senthil Thambidorai, Karan Gupta, Ahsan Khan, Aman Patel, Kimberly Wilson, Anand Subramanian 2020 HCA Healthcare

A Case Of Pacemaker Syndrome Mimicking A Heart Failure Exacerbation, Seline Haci, Som Aftabizadeh, Senthil Thambidorai, Karan Gupta, Ahsan Khan, Aman Patel, Kimberly Wilson, Anand Subramanian

Cardiology

No abstract provided.


Could Toilet Paper Be The New Consumer Fear Index?, Singapore Management University 2020 Singapore Management University

Could Toilet Paper Be The New Consumer Fear Index?, Singapore Management University

Perspectives@SMU

Consumers are panic buying toilet paper out of fears associated with the impact of CODVID-19 – however, there are ways to reduce the incidence of such behaviour


Left Atrial Appendage Printing Process, Areli Reyes, Brandon James Mukai, Mia Noelle von Knorring 2020 California Polytechnic State University, San Luis Obispo

Left Atrial Appendage Printing Process, Areli Reyes, Brandon James Mukai, Mia Noelle Von Knorring

Biomedical Engineering

The left atrial appendage senior design team aims to assist in closing off the left atrial appendage that is susceptible to coagulation due to non-valvular atrial fibrillation. Coagulation in the left atrial appendage (LAA) can be life threatening as it can lead to a stroke. Dr. Chris Porterfield performs a procedure that uses the Boston Scientific Watchman to close the appendage. He finds that sizing the Watchman properly is difficult with limited visuals from live CT scans. He proposed converting the CT scans into a 3D printed model of the left atrial appendage and left atrium so he can visually ...


A Quality Intervention To Reduce Telemetry, Alina Polonsky MD, Abdullah Alcharif MD, Andrew Maiolo MD 2020 HCA Healthcare

A Quality Intervention To Reduce Telemetry, Alina Polonsky Md, Abdullah Alcharif Md, Andrew Maiolo Md

Internal Medicine

No abstract provided.


The Potential For Autonomous Vehicle Technologies To Address Barriers To Driving For Individuals With Autism, Caroline Rodier 2020 University of California, Davis

The Potential For Autonomous Vehicle Technologies To Address Barriers To Driving For Individuals With Autism, Caroline Rodier

Mineta Transportation Institute Publications

Individuals with autism represent a sizeable share of the U.S. population (almost 2%), and nearly half of those with autism have average to high levels of intelligence. However, available research shows that adults with autism have a much more difficult time becoming employed and living independently compared to both typically developing adults and adults with disabilities. This study reviews the available literature on the magnitude of challenges to driving and accessing essential opportunities for adults with autism, and the potential of autonomous vehicles to address those challenges. This study is unique in that it identifies the specific driving challenges ...


Lead X-Ray Vests: Pros And Cons In Dental Radiography And Patient Education On Radiographic Technology, Kayla D. Oakley, Emily Deker 2020 Virginia Commonwealth University

Lead X-Ray Vests: Pros And Cons In Dental Radiography And Patient Education On Radiographic Technology, Kayla D. Oakley, Emily Deker

Dental Hygiene Student Scholarship

Problem: There is a greater need to emphasize and educate patients and providers about radiologic advancements and patient exposure. The tradition of placing lead x-ray vests on patients for all radiographs is no longer a necessity. Without the explanation of why lead aprons are no longer needed, unnecessary steps for the provider and potential harm to the patient could be caused.

Methods: This review of literature was assembled by analyzing data from primary and secondary sources through online databases. The most recent research on the risks and benefits of the use of lead x-ray vests towards patients in the dental ...


Chlorhexidine Gluconate Vs Povidone-Iodine In The Prevention Of Clean-Contaminated Surgical Site Infections, Erin Layne, Abigail Stone 2019 James Madison University

Chlorhexidine Gluconate Vs Povidone-Iodine In The Prevention Of Clean-Contaminated Surgical Site Infections, Erin Layne, Abigail Stone

Physician Assistant Capstones, 2016 to 2019

Abstract

Background:

A patient’s skin is the major source of pathogens that can cause post-operative complications such as surgical site infections (SSIs). Optimization of pre-operative skin antisepsis is obtained with chlorhexidine gluconate (CG) and povidone-iodine (PI). These two solutions are the most widely used antiseptics for pre-operative purposes.

Objective:

Among surgical patients greater than 18 years of age undergoing clean-contaminated surgery, which antiseptic, iodophors or chlorhexidine gluconate, is more effective at reducing postoperative surgical site infections?

Methods:

A search was done in PubMed utilizing the terms chlorhexidine, infection control, iodophors, and surgical site infection. The limits applied included randomized ...


Safe And Effective Use Of A Hands-Free Intracorporeal Retractor For Suture-Based Liver Retraction During Minimally Invasive Bariatric Procedures: Results Of A Large Case Series, Roger De la Torre, Matthew Sappington, Tom Smith, Jeremy Bryner, David Mantilla, J Stephen Scott 2019 HCA Healthcare

Safe And Effective Use Of A Hands-Free Intracorporeal Retractor For Suture-Based Liver Retraction During Minimally Invasive Bariatric Procedures: Results Of A Large Case Series, Roger De La Torre, Matthew Sappington, Tom Smith, Jeremy Bryner, David Mantilla, J Stephen Scott

General Surgery

Background

Laparoscopic bariatric surgery requires retraction of the left lobe of the liver to provide adequate operative view and working space. Conventional approaches utilize a mechanical retractor that requires a dedicated incision, may cause liver damage, and often requires an assistant. This study evaluated the safety and efficacy of hands-free intracorporeal retractors in a large series of subjects undergoing laparoscopic bariatric surgery. This method eliminates the need for a subxiphoid incision, enables full surgeon autonomy, and allows for adjustments throughout the procedure.

Methods

Retrospective chart review identified all subjects at a single hospital undergoing bariatric surgery between September 2017-March 2019 ...


Intraabdominal Fire During Emergency Laparotomy, Heather Christopherson MD, Alan Kroll MD 2019 HCA Healthcare

Intraabdominal Fire During Emergency Laparotomy, Heather Christopherson Md, Alan Kroll Md

Anesthesiology

72 yo obese male presented to ED for 2 day history abdominal pain: sharp, radiating bilateral upper quadrants, n/v/constipation. Patient took entire bottle magnesium citrate, pain became unbearable. On arrival SaO2 88% RA, other vitals stable, Lactic Acid 1.85 mg/dl, CT abdomen massive free air. Taken to OR, intubated, general anesthesia, peritoneal cavity entered with cautery device. Upon entering peritoneum abdomen, flames erupted from the cavity. Flames spontaneously extinguished. No thermal injury sustained by patient. Surgeon’s eyebrows where singed, no other injuries sustained by OR staff. Patient remained hemodynamically stable, surgery proceeded without incident.


Rapid, Remote Education For Point-Of-Care Ultrasound Among Non-Physician Emergency Care Providers In A Resource Limited Setting, Benjamin M. Terry, David L. Polan, Rashidah Nambaziira, Julius Mugisha, Mark C. Bisanzo, Romolo Joseph Gaspari 2019 University of Massachusetts Medical School

Rapid, Remote Education For Point-Of-Care Ultrasound Among Non-Physician Emergency Care Providers In A Resource Limited Setting, Benjamin M. Terry, David L. Polan, Rashidah Nambaziira, Julius Mugisha, Mark C. Bisanzo, Romolo Joseph Gaspari

Open Access Articles

Introduction: Access to high-quality emergency care in low- and middle-income countries (LMIC) is lacking. Many countries utilise a strategy known as "task-shifting" where skills and responsibilities are distributed in novel ways among healthcare personnel. Point-of-care ultrasound (POCUS) has the potential to significantly improve emergency care in LMICs.

Methods: POCUS was incorporated into a training program for a ten-person cohort of non-physician Emergency Care Providers (ECPs) in rural Uganda. We performed a prospective observational evaluation on the impact of a remote, rapid review of POCUS studies on the primary objective of ECP ultrasound quality and secondary objective of ultrasound utilisation. The ...


Wavelet-Based Analysis Of Physical Activity And Sleep Movement Data From Wearable Sensors Among Obese Adults, Rahul Soangra, Vennila Krishnan 2019 Chapman University

Wavelet-Based Analysis Of Physical Activity And Sleep Movement Data From Wearable Sensors Among Obese Adults, Rahul Soangra, Vennila Krishnan

Physical Therapy Faculty Articles and Research

Decreased physical activity in obese individuals is associated with a prevalence of cardiovascular and metabolic disorders. Physicians usually recommend that obese individuals change their lifestyle, specifically changes in diet, exercise, and other physical activities for obesity management. Therefore, understanding physical activity and sleep behavior is an essential aspect of obesity management. With innovations in mobile and electronic health care technologies, wearable inertial sensors have been used extensively over the past decade for monitoring human activities. Despite significant progress with the wearable inertial sensing technology, there is a knowledge gap among researchers regarding how to analyze longitudinal multi-day inertial sensor data ...


Neutral Diagnosis: An Innovative Concept For Medical Device Clinical Trials, Bo Zhang, Shangyuan Ye, Sravya B. Shankara, Hui Zhang, Qingfeng Zheng 2019 University of Massachusetts Medical School

Neutral Diagnosis: An Innovative Concept For Medical Device Clinical Trials, Bo Zhang, Shangyuan Ye, Sravya B. Shankara, Hui Zhang, Qingfeng Zheng

Open Access Articles

Study design and statistical analysis are crucial in pivotal clinical trials to evaluate the effectiveness and safety of new medical devices under investigation. In recent years, innovative intraoperative in vivo breast tumor diagnostic devices have been proposed to improve the accuracy and surgical outcomes of breast tumor patients undergoing resection. Although such technologies are promising, investigators need to obtain statistical evidence for the effectiveness and safety of these devices by conducting valid clinical trials. However, the study design and statistical analysis for these clinical trials are complicated. While these trials are designed to provide real-time intraoperative diagnosis of cancerous tissue ...


Multicenter Study Of Lumbar Discectomy With Barricaid Annular Closure Device For Prevention Of Lumbar Disc Reherniation In Us Patients: A Historically Controlled Post-Market Study Protocol, K. Brandon Strenge, Christian P. DiPaola, Larry E. Miller, Clint P. Hill, Robert G. Whitmore 2019 The Orthopaedic Institute

Multicenter Study Of Lumbar Discectomy With Barricaid Annular Closure Device For Prevention Of Lumbar Disc Reherniation In Us Patients: A Historically Controlled Post-Market Study Protocol, K. Brandon Strenge, Christian P. Dipaola, Larry E. Miller, Clint P. Hill, Robert G. Whitmore

Open Access Articles

BACKGROUND: Patients with large defects in the annulus fibrosus following lumbar discectomy have high rates of symptomatic reherniation. The Barricaid annular closure device provides durable occlusion of the annular defect and has been shown to significantly lower the risk of symptomatic reherniation in a large European randomized trial. However, the performance of the Barricaid device in a United States (US) population has not been previously reported.

DESIGN AND METHODS: This is a historically controlled post-market multicenter study to determine the safety and efficacy of the Barricaid device when used in addition to primary lumbar discectomy in a US population. A ...


Using Shared Decision Making And Team-Based Care To Overcome Socioeconomic And Cultural Barriers To Colorectal Cancer Screenings, Amanda Powell, Debra Pyle, Kristin Rowse, Misty Weeman, Rachel Kidder, Internal Medicine/Pediatric Clinic, Ruth Hanselman, Suneela Nayak, Stephen Tyzik, Amy Sparks 2019 Maine Medical Center

Using Shared Decision Making And Team-Based Care To Overcome Socioeconomic And Cultural Barriers To Colorectal Cancer Screenings, Amanda Powell, Debra Pyle, Kristin Rowse, Misty Weeman, Rachel Kidder, Internal Medicine/Pediatric Clinic, Ruth Hanselman, Suneela Nayak, Stephen Tyzik, Amy Sparks

Operational Excellence

Colorectal cancer is the third leading cause of cancer death in the United States. It disproportionally affects minorities and those in lower socioeconomic groups. The use of fecal immunochemical testing (FIT) is a low barrier, low cost and low risk screening tool as compared to the traditional colonoscopy exam. The use of FIT offers the opportunity to overcome barriers such as cultural, economic and low health literacy.

As part of a large health care system, an internal medicine clinic wanted to increase the use and return of FIT in their clinic patients. A team developed a plan for implementing improvement ...


Increase Staff Utilization Of Occlusive Interface In Micro-Preemie Babies On Bcpap, Deborah Igo, Kimberly Kingsley, Faythe Henry, Misty Melendi, Amy McBee, Valerie Cook, Christopher Woods, Angela Rojecki, Lauren Walley, Amy Sparks, Stephen Tyzik, Suneela Nayak, Ruth Hanselman 2019 Maine Medical Center

Increase Staff Utilization Of Occlusive Interface In Micro-Preemie Babies On Bcpap, Deborah Igo, Kimberly Kingsley, Faythe Henry, Misty Melendi, Amy Mcbee, Valerie Cook, Christopher Woods, Angela Rojecki, Lauren Walley, Amy Sparks, Stephen Tyzik, Suneela Nayak, Ruth Hanselman

Operational Excellence

Premature neonates born before 26 weeks gestation present many care challenges as they need special precautions to be taken to overcome their fragility. Intubation is often needed for this patient population as their lungs are not fully developed. However, due to their high susceptibility for skin breakdown invasive ventilation often can create subsequent problems. A respiratory therapist team in an academic tertiary medical center wanted to explore the use of an occlusive interface for intubation while providing various forms of non-invasive ventilation in their NICU with the hopes for fewer complications.

The objective of this project was to reduce the ...


Marketing Channel Effectiveness Of New Medications/Medical Technology, Hadley McCormick 2019 Augustana College, Rock Island Illinois

Marketing Channel Effectiveness Of New Medications/Medical Technology, Hadley Mccormick

Celebration of Learning

This research project will study what marketing platforms/channels are most effective in the dissemination of new medical product news. Many people like myself have an illness/disease that requires daily medication, or require the daily use of a medical device. Due to the increasing influence of Direct to Consumer advertising of pharmaceuticals and the constant development of new medications and devices, patients may now more often go to the doctor with perceptions of what they should do to manage their illness/disease. This study aims to look at how the developers of these medications/medical devices promote their products ...


Utilizing Simulation To Implement Cognitive Aids In The Operating Room, Kaitlyn Brown 2019 Southern Illinois University Edwardsville

Utilizing Simulation To Implement Cognitive Aids In The Operating Room, Kaitlyn Brown

Doctor of Nursing Practice Projects

Background: Operating room crises require prompt, efficient action to avoid detrimental outcomes. Research shows that crisis checklists or other cognitive aids assist anesthesia providers in taking prompt action while improving efficiency by decreasing treatment steps missed during critical events.

Objectives: The purpose of this project was to evaluate the effectiveness of incorporating cardiac arrest and malignant hyperthermia crisis checklists into the operating room using high-fidelity simulation-based education.

Methods: Researchers implemented the Stanford Emergency Manual Cognitive Aids for cardiac arrest and malignant hyperthermia to anesthesia staff at a community hospital in southern Illinois with 18 participants. Implementation consisted of an education ...


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