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Reducing Benzodiazepine Use For The Treatment Of Insomnia And Supporting Nonpharmacological Therapies, UnChan Pyon 2019 University of Vermont

Reducing Benzodiazepine Use For The Treatment Of Insomnia And Supporting Nonpharmacological Therapies, Unchan Pyon

Family Medicine Clerkship Student Projects

Most medical organizations recommend against the use of benzodiazepine use for the treatment of insomnia, especially in the elderly. However, the percentage of the adult population on benzos increase with age: 7.5% in adults ages 51-64; 9% in adults over 65. Alternative therapies for insomnia, including online CBT, require more commitment than taking a medication so many patients opt for medication. This project aims to increase awareness of benzodiazepine use for insomnia and provide support for nonpharmacological therapies.


Finding The Narrative In Incident Reports, La'eeqa Aslam 2018 The University of San Francisco

Finding The Narrative In Incident Reports, La'eeqa Aslam

Master's Projects and Capstones

The Progress Foundation, as licensed by the state of California and the Community Care Licensing, is required to use incident reports for internal audits and remain in compliance as a health facility. Incident reports are used to record events or accidents that have occurred within an organization. Often times, reports are made, handed off, and given from the residence home to the Community Care Licensing with little to no information of how an incident was managed. The Progress Foundation is working towards tracking information from the incident reports to improve internal management and understand the trends in the reports.

In ...


Student Registered Nurse Anesthetists’ Perception Of Simulation As A Positive Reinforcement To Classroom Lecture In Handling A Difficult Airway, Kayla Forbis 2018 The University of Southern Mississippi

Student Registered Nurse Anesthetists’ Perception Of Simulation As A Positive Reinforcement To Classroom Lecture In Handling A Difficult Airway, Kayla Forbis

Doctoral Projects

The management of a difficult airway by anesthesia providers is a core component of providing safe care. Simulation provides an opportunity for the student to manage uncommon clinical scenarios without harm to an actual patient. This project aimed to determine if the use of simulation may be useful in training Student Registered Nurse Anesthetist in the management skills of a difficult airway. The proposed intervention of this project was the addition of simulation experience to didactic lecture covering difficult airway management techniques. As supported in the Adult Learning Principles of Medical Learners, by allowing the SRNA to actively participate in ...


Clinical Cues Of Suboptimal Glucose Homeostasis In Individuals Diagnosed With Type 2 Diabetes Mellitus: An Integrative Literature Review, Joel Hutson 2018 DePaul University

Clinical Cues Of Suboptimal Glucose Homeostasis In Individuals Diagnosed With Type 2 Diabetes Mellitus: An Integrative Literature Review, Joel Hutson

Grace Peterson Nursing Research Colloquium

Background: General practice healthcare providers may not fully utilize all available subtle clinical cues (physical/behavioral signs and symptoms) when screening for diabetes, or when assessing for suboptimal control of glucose homeostasis.

Objectives: To assess the prevalence and utility of incorporating diabetic clinical cues into routine physical assessments and questionnaires of individuals with type 2 diabetes, and to compile a comprehensive list and questionnaire using clinical cues.

Methods: Utilizing the databases CINAHL Complete, PubMed, and Academic Search Complete, an integrative literature review of 78 studies was conducted using the key terms type 2 diabetes and clinical manifestations of diabetes.

Results ...


"Wrapping" Up In Kenya: A Student’S Learning Experience In Eldoret, Kenya, Alexander R. Mills, Monica L. Miller, Rakhi Karwa, Sonak D. Pastakia, Aileen Y. Chang, Edith Tonui, Sara Fletcher, Phelix Were, Ellen Schellhase 2018 Purdue University

"Wrapping" Up In Kenya: A Student’S Learning Experience In Eldoret, Kenya, Alexander R. Mills, Monica L. Miller, Rakhi Karwa, Sonak D. Pastakia, Aileen Y. Chang, Edith Tonui, Sara Fletcher, Phelix Were, Ellen Schellhase

Purdue Journal of Service-Learning and International Engagement

Alexander R. Mills received his Doctor of Pharmacy degree in May 2017 and has completed a PGY-1 community-based pharmacy practice resident with Walgreen Company and Purdue University College of Pharmacy. During his time at Purdue, he was heavily involved with Purdue’s chapter of The American Red Cross Club, serving as the president and coordinator of community outreach programs. Upon completing his PGY-1, he will continue to pursue his aspirations to care for the medically underserved while currently completing a PGY-2 residency specializing in ambulatory care and academia at the University of Mississippi in Jackson.


Shanghai, China: “Nontraditional” Traditional Chinese Medicine, Joshua Martin 2018 Purdue University

Shanghai, China: “Nontraditional” Traditional Chinese Medicine, Joshua Martin

Purdue Journal of Service-Learning and International Engagement

Joshua Martin is a second-year PharmD student in the Purdue University College of Pharmacy. Within the College of Pharmacy, he is the president-elect of the Industry Pharmacist Organization (IPhO), is on the Orientation Steering Committee for newly admitted PharmD students, and preforms nanoparticle research within the Industrial and Physical Pharmacy sector of the College. He hopes to pursue a career in the pharmaceutical industry where he can positively impact patients on a global scale. Josh comes from a family of Boilermakers and avidly supports the Black and Gold. In this article, he describes his experience studying at Shanghai University of ...


Pressure Methods For Primary Hemorrhage Control: A Randomized Crossover Trial., Nathan Phillip Charlton, Robert Solberg, Justin Rizer, Nici Singletary, William A. Woods 2018 University of Virginia and American Red Cross Scientific Advisory Council

Pressure Methods For Primary Hemorrhage Control: A Randomized Crossover Trial., Nathan Phillip Charlton, Robert Solberg, Justin Rizer, Nici Singletary, William A. Woods

International Journal of First Aid Education

Background: The importance of hemorrhage control in traumatic injury has been highlighted by the 2015 Stop the Bleed federal campaign in the United States and subsequent development of modular bleeding control courses offered by organizations such as the American Red Cross (https://www.dhs.gov/stopthebleed). However, the scientific evidence regarding the best methods and mechanisms of applying direct manual pressure to stop hemorrhage is lacking to inform first aid education skill development.

Hypothesis: The purpose of this tri-phase study is to evaluate the pressure generated when adding increasing layers of gauze dressings and to compare the force generated using ...


Being Proactive About Media Engagement In First Aid Education, Emily Oliver, Gareth Bentley 2018 British Red Cross

Being Proactive About Media Engagement In First Aid Education, Emily Oliver, Gareth Bentley

International Journal of First Aid Education

Submitted below as full text of submission


Competency Index For Clinical Research Professionals (Circp) - Assessment With Scoring Guide, Carlton Hornung 2018 University of Louisville

Competency Index For Clinical Research Professionals (Circp) - Assessment With Scoring Guide, Carlton Hornung

Assessments

No abstract provided.


Tell Me More: Promoting Compassionate Patient Care Through Conversations With Medical Students, Danielle Qing, Anjali Narayan, Kristin Reese, Sarah Hartman, Taranjeet Ahuja, Alice Fornari 2018 Donald and Barbara Zucker School of Medicine at Hofstra/Northwell

Tell Me More: Promoting Compassionate Patient Care Through Conversations With Medical Students, Danielle Qing, Anjali Narayan, Kristin Reese, Sarah Hartman, Taranjeet Ahuja, Alice Fornari

Patient Experience Journal

Tell Me More® (TMM) is a medical student driven project that represents a movement amongst the rising generation of physicians to practice humanistic, patient-centered medicine through a collaborative approach. Students interviewed patients to create individualized posters designed to build rapport and trust between patients and clinicians, remind patients of their special strengths by highlighting their unique interests and qualities, and encourage more personal and compassionate patient-clinician interactions in order to enhance the patient experience. Students asked each patient three questions: 1. “How would your friends describe you?” 2. “What are your strengths?” 3. “What has been most meaningful to you ...


Cultural Competency Training: How Do We Measure Outcomes?, Timothy Lee, Sean Ervin Dr. 2018 Emory Healthcare

Cultural Competency Training: How Do We Measure Outcomes?, Timothy Lee, Sean Ervin Dr.

Journal of Critical Thought and Praxis

Background

The term “cultural competency” in healthcare is meant to convey an understanding of cultural and linguistic differences that exist within and between distinct social groups and a sensitivity to these differences that may allow for improved health care outcomes to occur. The medical literature has validated the importance of cultural competency training to medical education and its possible influence on patient health status and outcomes. Many pre-licensure cultural competency training programs have emerged due to the perceived benefits for healthcare delivery and outcomes. However, few studies have evaluated the clinical impact and success of these training programs. In this ...


Ecrptq Clinical Research Professional Competencies, The University Of Michigan 2018 DIAMOND

Ecrptq Clinical Research Professional Competencies, The University Of Michigan

Assessments

No abstract provided.


November 2018, SWOSU Bulldog Wellness Committee 2018 Southwestern Oklahoma State University

November 2018, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

Healthier Dishes to Serve This Thanksgiving

This year, why not make Thanksgiving not only delicious but also a health-boosting experience that’s truer to the origins of the holiday? For most of us, our traditional Thanksgiving meal has shifted away from the natural foods enjoyed by the 17th-century celebrants. But it’s not that difficult to get back to preparing delicious food that is fresh from the harvest…and packed with nutrition.


Predicting First Term Success In An Associates Degree Nursing Program Using Cognitive And Noncognitive Factors, Richard Hilton Turner 2018 Liberty University

Predicting First Term Success In An Associates Degree Nursing Program Using Cognitive And Noncognitive Factors, Richard Hilton Turner

Doctoral Dissertations and Projects

Since the late 1990s the nursing field has experienced increased demand for RN’s as well as a number of internal and external factors that have worsened this problem. College admissions officers have struggled to identify those students who are most likely to persist in an associate degree nursing (ADN) program. Estimates of programmatic attrition vary, but fall somewhere between 25-50%. A great deal of research has been expended in an attempt to determine which preadmission variables are most likely to indicate programmatic success. Unfortunately, no “best set” of admissions variables has been identified. The purpose of this research was ...


Perceptions Of Specialties And Primary Care Careers: Findings From West Virginia Medical Student And Resident Focus Groups, April L. Vestal, Laura Boone, Robert Walker, A. Brianna Sheppard, Dakota Morris, Ashley J. Noland 2018 West Virginia University

Perceptions Of Specialties And Primary Care Careers: Findings From West Virginia Medical Student And Resident Focus Groups, April L. Vestal, Laura Boone, Robert Walker, A. Brianna Sheppard, Dakota Morris, Ashley J. Noland

Marshall Journal of Medicine

The purpose of this study was to improve the understanding of how perceptions of practicing specific medical specialties contribute to career decisions. Participants included medical students and residents from training programs in West Virginia. Focus groups were conducted between September 2013 and February 2015. Thematic content analysis of focus group interviews was used to identify phrases indicating perceptions of person- versus technique-oriented personality medical specialties.

“Self-focused” and “other-focused” themes emerged within person-oriented comments. Factors affecting “self”, including work/life balance and salary and practice environment, made certain specialties more appealing. Technique-oriented comments included working in a hospital setting, performing technical ...


Nadolol In Pregnancy: A Medical Student’S Reflection On Her Pregnancy, Rebecca King-Mallory, Shawndra Barker, Kaitlin McGrogan, Adam M. Franks 2018 Trident Medical Center, South Carolina

Nadolol In Pregnancy: A Medical Student’S Reflection On Her Pregnancy, Rebecca King-Mallory, Shawndra Barker, Kaitlin Mcgrogan, Adam M. Franks

Marshall Journal of Medicine

Hypertension is a common concern during pregnancy. Beta-blockers are one potential treatment, but third trimester exposure has correlated with an increased risk of perinatal events. Nadolol, a nonselective beta blocker, has properties that differ from those of its selective counterparts, including longer half-life, decreased protein binding, and renal excretion in the unchanged form. There is very limited data on the use of nadolol during pregnancy, and its safety has not been completely evaluated. This case study documents the perinatal outcomes of nadolol use throughout a medical student’s pregnancy and explores the experience in obtaining and undergoing medical care.


Diversity Among American Medical Students By Parental Education: Improving Participation Rates For A Historically Underrepresented Community, Kenneth W. Oldfield Dr. 2018 University of Illinois at Springfield

Diversity Among American Medical Students By Parental Education: Improving Participation Rates For A Historically Underrepresented Community, Kenneth W. Oldfield Dr.

Trends in Diversity

Demonstrating their commitment to diversity, the American Medical Association and the Association of American Medical Colleges advocate for enrolling more students from educationally disadvantaged backgrounds. Nevertheless, published research shows that those raised in these circumstances are significantly underrepresented at America's medical schools. The country’s decades long upward redistribution of wealth suggests that unless school officials act to counter this trend, these discrepancies in educational opportunities will likely increase. This paper offers a workable, six-part plan medical school administrators nationwide can use to remedy this problem.


Cancer As A Chronic Disease, Beth Herrick, James Liebmann, Richard S. Pieters 2018 University of Massachusetts Medical School

Cancer As A Chronic Disease, Beth Herrick, James Liebmann, Richard S. Pieters

Cancer Concepts: A Guidebook for the Non-Oncologist

Cancers which were once fatal are increasingly able to be managed as chronic diseases. While most metastatic cancers in adults may not be curable, they often can be controlled for long periods of time with a succession of treatments. In this chapter in Cancer Concepts: A Guidebook for the Non-Oncologist, we will examine those cancers with longer natural histories and those with extended survivals due to therapeutic advances. Finally, several cases will be presented that exemplify this new paradigm of cancer as a chronic disease.


Evaluating Well-Being In Ob/Gyn Residents And Faculty, Erika Copperman, Naomi Light, Carla J. Kelly, Deborah Simpson 2018 Aurora Sinai Medical Center

Evaluating Well-Being In Ob/Gyn Residents And Faculty, Erika Copperman, Naomi Light, Carla J. Kelly, Deborah Simpson

Journal of Patient-Centered Research and Reviews

Background: Between 22% and 60% of practicing physicians are reported to have experienced burnout. OB/GYN resident burnout has been reported at 90%. Duty-hour limitations were implemented for patient safety and have been associated with some increase in overall resident quality of life, but also potential sacrifices in resident education and patient care. Contributors to burnout and drivers of engagement include workload and job demands, control and flexibility, and poor work-life integration.

Purpose: To evaluate the impact associated with implementing limited weekend rounding, redistribution of postpartum rounding on weekdays, and introduction of quarterly wellness mornings on overall resident and faculty ...


Monitoring Lead Screening Within A Milwaukee Family Medicine Residency Clinic, Kristin E. Dement, Jessica J.F. Kram, Dennis J. Baumgardner, Bonnie Bobot, Alonzo Jalan 2018 Aurora UW Medical Group

Monitoring Lead Screening Within A Milwaukee Family Medicine Residency Clinic, Kristin E. Dement, Jessica J.F. Kram, Dennis J. Baumgardner, Bonnie Bobot, Alonzo Jalan

Journal of Patient-Centered Research and Reviews

Background: Lead screenings, as part of a child’s preventive examinations, are offered by many Women, Infants, and Children (WIC) clinics in the Milwaukee area. Previously, the Family Care Center (FCC) at Aurora Sinai Medical Center (Milwaukee, WI) did not have access to lead screenings performed by WIC clinics and later recorded in the Wisconsin Blood Lead Registry (WBLR). Therefore, unnecessary duplicate screenings may have occurred on children seen at FCC for their preventive exams.

Purpose: To determine if children were undergoing unnecessary duplicate lead screenings at FCC.

Methods: We conducted a retrospective review of lead screenings performed at well-child ...


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