Effect Of Presence And Absence Of Parents On The Emotional Maturity And Perceived Loneliness In Adolescents, 2021 BAHRIA UNIVERSITY, KARACHI CAMPUS, NATIONAL STADIUM RD, KARACHI, PAKISTAN
Effect Of Presence And Absence Of Parents On The Emotional Maturity And Perceived Loneliness In Adolescents, Sana Fatima, Momal Bashir, Kainat Khan, Sheeza Farooq, Sidra Shoaib, Sheeba Farhan
Journal of Mind and Medical Sciences
The present study was conducted to examine the Emotional Maturity and Perceived Loneliness of adolescents with respect to the presence and absence of parents. It was hypothesized that the absence or presence of parents of adolescents would affect the level of emotional maturity and perceived loneliness among adolescents. The adolescent participants N=250 (males n=125 and females n=125; age range= 13-18; M=16.63; SD=0.87) were approached through purposive convenient sampling technique. Measures included the Emotional Maturity Scale and the UCLA loneliness scale V-III. Results indicated that adolescent who lived with their guardians had greater perceived loneliness than those who lived with their …
Adverse Childhood Experiences And Urinary Incontinence In Elementary School Aged Children, 2021 University of Tennessee Health Science Center
Adverse Childhood Experiences And Urinary Incontinence In Elementary School Aged Children, Amanda Jill Travis Msn, Fnp-C, Margaret C. Harvey Phd, Aprn, Acnp-Bc, Chfn, Michelle Rickard Dnp, Apnp-C
Doctor of Nursing Practice Projects
Purpose/Background: Adverse Childhood Experiences (ACEs) have an impact on health throughout the lifespan (Filletti et al., 1999; Hughes et al., 2017). These experiences range from physical and mental abuse, substance abuse in the home, parental separation or loss, financial instability, acute illness or injury, witnessing violence in the home or community, and incarceration of family members (Hughes et al., 2017). Understanding and screening for ACEs in children with urinary incontinence can help practitioners identify psychological stress as a potentially modifiable risk factor.
Methods: A 5-month chart review was performed identifying English speaking patients ages 6-11 years presenting to the outpatient …
Using Frap: A Mixed Method Geospatial Mapping And Rapid Qualitative Analysis Approach, To Uncover Barriers And Facilitators Of Diabetes Care In The Lehigh Valley., 2021 Lehigh Valley Health Network
Using Frap: A Mixed Method Geospatial Mapping And Rapid Qualitative Analysis Approach, To Uncover Barriers And Facilitators Of Diabetes Care In The Lehigh Valley., Autumn Kieber-Emmons Md, Mph, Kyle Shaak Bs, Melanie B. Johnson Mpa, Susan E. Hansen Ma, Elaine Banerjee Md, Mph
Department of Family Medicine
No abstract provided.
The Mediating/Moderating Role Of Cultural Context Factors On Self-Care Practices Among Those Living With Diabetes In Rural Appalachia, 2021 University of Kentucky
The Mediating/Moderating Role Of Cultural Context Factors On Self-Care Practices Among Those Living With Diabetes In Rural Appalachia, Brittany L. Smalls, Adebola Adegboyega, Ellen Combs, Matthew Rutledge, Philip M. Westgate, Md. Tofial Azam, Felipe De La Barra, Lovoria B. Williams, Nancy E. Schoenberg
Family and Community Medicine Faculty Publications
Background
The aim of this study was to examine whether cultural factors, such as religiosity and social support, mediate/moderate the relationship between personal/psychosocial factors and T2DM self-care in a rural Appalachian community.
Methods
Regression models were utilized to assess for mediation and moderation. Multilevel linear mixed effects models and GEE-type logistic regression models were fit for continuous (social support, self-care) and binary (religiosity) outcomes, respectively.
Results
The results indicated that cultural context factors (religiosity and social support) can mediate/moderate the relationship between psychosocial factors and T2DM self-care. Specifically, after adjusting for demographic variables, the findings suggested that social support may …
Down Syndrome And Dementia:: A Patient And Care-Giver Centered Approach, 2021 Thomas Jefferson University
Down Syndrome And Dementia:: A Patient And Care-Giver Centered Approach, Mary M. Stephens, E. Adel Herge, Charmaine Wright
Department of Occupational Therapy Faculty Papers
No abstract provided.
Integrated Behavioral Health (Ibh) Program Updates And Evidence For Ibh In Sud, 2021 Thomas Jefferson University
Integrated Behavioral Health (Ibh) Program Updates And Evidence For Ibh In Sud, Rachelle Rene, Phd, Bcb, Hsmi
Department of Family & Community Medicine Presentations and Grand Rounds
Learning Objectives
At the end of this presentation, the participant will be able to:
- Describe core components of the Primary Care Behavioral Health Model
- Identify IBH Program implementation highlights and challenges
- Discuss at least one intervention to address SUD in primary care
Management Of Recurrent Bacterial Vaginosis, 2021 Thomas Jefferson University
Management Of Recurrent Bacterial Vaginosis, Barbara Cymring, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Review the importance of appropriate management of recurrent BV (rBV)
- Review the appropriate diagnosis of rBV
- Review the causes and risk factors for BV and rBV
- Review the current literature on treatment for rBV
- Discuss some preventative measures for decreasing risk of BV infection
A Qualitative Analysis Of Third-Year Medical Students' Reflection Essays Regarding The Impact Of Covid-19 On Their Education., 2021 Thomas Jefferson University
A Qualitative Analysis Of Third-Year Medical Students' Reflection Essays Regarding The Impact Of Covid-19 On Their Education., Erin L. Kelly, Allison R. Casola, Kelsey Smith, Samantha Kelly, Maria Syl D. De La Cruz
Department of Family & Community Medicine Faculty Papers
BACKGROUND: The COVID-19 pandemic fundamentally changed every aspect of healthcare delivery and training. Few studies have reported on the impact of these changes on the experiences, skill development, and career expectations of medical students.
METHOD: Using 59 responses to a short reflection essay prompt, 3rd year medical students in Philadelphia described how the COVID-19 pandemic affected their education in mid-2020. Using conventional content analysis, six main themes were identified across 14 codes.
RESULTS: Students reported concerns regarding their decreased clinical skill training and specialty exposure on their career development due to the loss of in-person experience during their family medicine …
Teratogenic Medication Usage In Primary Care Of Women Of Reproductive Age, 2021 Thomas Jefferson University
Teratogenic Medication Usage In Primary Care Of Women Of Reproductive Age, Krys Foster, Md, Mph, Faafp
Department of Family & Community Medicine Presentations and Grand Rounds
Introduction
- Teratogenic medications are commonly prescribed to individuals with pregnancy potential
- Despite knowledge of potential teratogenic effects, data suggest that effective communication regarding the risks and benefits of medication use in the context of the patient’s fertility goals remains inadequate
- We will discuss recommendations for changes in education and healthcare delivery to facilitate thoughtful prescribing in this population
Learning Objectives
- To review a common scenario faced by primary care physicians caring for individuals at risk of pregnancy
- To recognize factors that might place certain patients at increased risk of teratogenic exposure in early pregnancy
- To gain competence in assessing fertility …
Osteoporosis, 2021 Thomas Jefferson University
Osteoporosis, Susan Mockus Parks, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
Review importance of bone health
Define and identify osteopenia and osteoporosis
Learn treatment options for osteopenia
- How to counsel patients
- How to use FRAX calculator to assist with treatment decisions
Learn treatment options for osteoporosis
- Become familiar with treatment guidelines and options
An Approach To Faculty Development For Underrepresented Minorities In Medicine., 2021 Thomas Jefferson University
An Approach To Faculty Development For Underrepresented Minorities In Medicine., Juan Robles, Tanya Anim, Maria Harsha Wusu, Krys E. Foster, Yury Parra, Octavia Amaechi, Kari-Claudia Allen, Jose E. Rodríguez, Kendall M. Campbell, Dmitry Tumin, Judy Washington
Department of Family & Community Medicine Faculty Papers
OBJECTIVES: The diversity of the US physician workforce lags significantly behind the population, and the disparities in academic medicine are even greater, with underrepresented in medicine (URM) physicians accounting for only 6.8% of all US medical school faculty. We describe a "for URM by URM" pilot approach to faculty development for junior URM Family Medicine physicians that targets unique challenges faced by URM faculty.
METHODS: A year-long fellowship was created for junior URM academic clinician faculty with funding through the Society of Teachers of Family Medicine Project Fund. Seven junior faculty applied and were accepted to participate in the fellowship, …
Residency Training On The Frontlines Of The Covid-19 Pandemic - A Qualitative Study From Tanzania, 2021 Aga Khan University
Residency Training On The Frontlines Of The Covid-19 Pandemic - A Qualitative Study From Tanzania, Mariam Noorani, Hussein Manji, Elizabeth Mmari, Samina Somji, Nahida Z. Walli, Sherin Kassamali, Shabbir Adamjee, Nancy Matillya, Hanifa Mbithe, Aliasger Nagri, Neelam Ismail
Paediatrics and Child Health, East Africa
Introduction: the Coronavirus Disease 2019 pandemic has affected residency training globally. The aim of this study was to understand how the pandemic affected teaching and learning in residency programs in low resource settings where residents and faculty were working on the front line treating patients with the disease.
Methods: this qualitative study enrolled residents and faculty from the Aga Khan University in Tanzania who were providing front line care during the pandemic. Purposeful sampling was used and data was collected using focus group discussions and in-depth interviews between August and September 2020. Analysis was done using qualitative content analysis.
Results: …
Utilization Of Patient-Controlled Analgesia Reduces Length Of Stay Of Sickle Cell Crisis Hospitalizations, 2021 Memorial Health University Medical Center
Utilization Of Patient-Controlled Analgesia Reduces Length Of Stay Of Sickle Cell Crisis Hospitalizations, Brett M. Prestia, Talha Ramzan, Catherine Waldron, Ameer Malik, Robert M. Pallay, Candace R. Murbach, Mike Flynn, Eric Shaw Phd, Abdullah Kutlar, Daniel Lowe
HCA Healthcare Journal of Medicine
Background
Sickle cell crisis hospitalizations are emotionally and financially burdensome to patients and healthcare systems, and processes to decrease the frequency or length of stay of these crises should be examined.
Methods
This is a multicenter retrospective hospital record review of sickle cell crisis hospitalizations as defined by ICD-10 codes (D57.1-4), from January 2016 through December 2019, examining inpatient medication administration records and length of stay among admitted adults aged 18–65 years. Patient controlled analgesia orders using morphine, hydromorphone, fentanyl and/or merperidine at any point of an admission (n=188) were compared to admissions without any patient-controlled analgesia orders (n=2,159). The …
Use Of Ultrasound-Guided Platelet-Rich Plasma In The Treatment Of Carpometacarpal Osteoarthritis, 2021 Oak Hill Hospital
Use Of Ultrasound-Guided Platelet-Rich Plasma In The Treatment Of Carpometacarpal Osteoarthritis, Manuel Britto, Siraaj Dawood, Siyang Lu, Martin Canillas
HCA Healthcare Journal of Medicine
Introduction
Osteoarthritis (OA) is the most common form of arthritis and can severely affect function and quality of life. Platelet-rich plasma (PRP) is derived from a patient’s own blood and has potential as an adjunct to treat OA. However, research has been limited for small joints such as the carpometacarpal (CMC) joint.
Clinical Findings
A 65-year-old Caucasian male complained of bilateral wrist and neck pain after a motor vehicle accident. His initial exam noted swelling, tenderness and pain with movement at the bilateral thumb CMC joints and anatomic snuffboxes. However, there was no strength, range of motion or tactile deficits …
Management And Diagnosis Of Hypothyroidism, 2021 Thomas Jefferson University
Management And Diagnosis Of Hypothyroidism, Catherine Guariglia, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Goals
- Recognize the different etiologies of hypothyroidism
- Identify signs and symptoms of hypothyroidism
- Feel comfortable diagnosing and treating primary hypothyroidism
- Define subclinical hypothyroidism and when/if it is necessary to treat
- Recognize how pregnancy influences hypothyroidism management
- Be able to counsel patients on treatment for hypothyroidism
There Is Insufficient Evidence To Recommend Bremelanotide For Hypoactive Sexual Desire Disorder, 2021 Beaumont Wayne Hospital Family Medicine Residency Program
There Is Insufficient Evidence To Recommend Bremelanotide For Hypoactive Sexual Desire Disorder, Scott Yaekle Md, Halima Ali Md, Carol Baker Md
Clinical Research in Practice: The Journal of Team Hippocrates
An informed consent discussion for a patient with Hypoactive Sexual Desire Disorder.
Adhd In Adolescents And Adults, 2021 Thomas Jefferson University
Adhd In Adolescents And Adults, Hannah Facey, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Understand the concept of neurodiversity
- Define ADHD
- Review the diagnostic criteria and challenges with diagnosis for ADHD in adults
- Explore our role as family medicine physicians in diagnosis and treatment
- Discover the prevalence of comorbid conditions associated with ADHD
- Obtain a general understanding of the categories of medical treatments available for adults with ADHD
- Gain a deeper appreciation for the role that biases play in the under- and misdiagnosis of women and BIPOC
Heart Failure Transitions Of Care Program, 2021 Thomas Jefferson University
Heart Failure Transitions Of Care Program, Samantha Macko, Pharmd
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Heart failure overview; statistics, risk factors, signs and symptoms
- List heart failure therapeutic treatment options
- Explain importance of continuation of care for heart failure patients after initial hospital discharge
- Discuss importance of multidisciplinary approach to treatment of heart failure (HF) patients
- Discuss components of heart failure transitions of care (HFTOC) program at Thomas Jefferson University Hospital
Community-Dwelling Older Adult Fall Prevention Improvement Project, 2021 University of San Francisco
Community-Dwelling Older Adult Fall Prevention Improvement Project, Evan Edminster Bsn, Rn, Cfrn, Tcrn, Cen, Nhdp-Bc
Master's Projects and Capstones
Abstract
Problem: Ground-level falls among community-dwelling adults 60 years and older are significant and contribute to adverse health outcomes such as fractures, functional decline, disability, and death. Additionally, falls among community-dwelling older adults are the number one mechanism of injury seen at a Northern California Level II trauma center. Falls often lead to post-fall fear, activity restriction, and physical deconditioning, further compounding fall risk.
Context: When trauma centers provide targeted outreach and screening for unmanaged health risks such as falls, they reduce unnecessary disability and premature death in the local population. Reducing total fall victim numbers and fall recidivism also …
Pharmaceutical Management Of Weight Loss, 2021 Thomas Jefferson University
Pharmaceutical Management Of Weight Loss, Jake Schutzman, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Briefly review some context & consequences of the US obesity epidemic
- Review available prescription anti-obesity medications
- Discuss details specific to each of these medications
- Review other medications affecting weight
After this lecture, I hope you will:
- Have a greater understanding of available anti-obesity medications
- Be more comfortable in patient discussions & management of obesity