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Effectiveness Of Honey For Healing Chronic Wounds Compared To Standard Treatments, Erin J. Miller 2019 University of Lynchburg

Effectiveness Of Honey For Healing Chronic Wounds Compared To Standard Treatments, Erin J. Miller

Lynchburg Journal of Medical Science

OBJECTIVE: To determine if medical-grade honey is efficacious to other products such as in concomitant use with calcium alginate or standalone to hydrogel or PluroGel for healing chronic wounds in the adult population.

METHODS: Retrospective chart review for the adult population ages 18-89 with chronic wounds. Exclusion criteria included hospice or terminal prognosis (expectancy), active cancer or receiving cancer treatments, and inconsistent treatment application (consecutive weekly treatments for at least 3 weeks).

SETTING: long-term care facilities (nursing homes)

RESULTS: Hydrogel (n = 21 wounds) had a 16.53 percent mean weekly change and 17.43 percent mean weekly improvement with a ...


Social Determinants Of Health And What Mothers Say They Need And Want After Release From Jail., Elisabeth Stelson, Marjie Mogul, Holly Harner, Jeane Ann Grisso, Rosemary Frasso PhD, MSc, CPH 2018 Department of Social and Behavioral Sciences, T.H. Chan School of Public Health, Harvard University, Boston, MA

Social Determinants Of Health And What Mothers Say They Need And Want After Release From Jail., Elisabeth Stelson, Marjie Mogul, Holly Harner, Jeane Ann Grisso, Rosemary Frasso Phd, Msc, Cph

College of Population Health Faculty Papers

Identifying the biopsychosocial needs of mothers who have been released from jail is critical to understanding the best ways to support their health and stability after release. In May through August 2014, we interviewed 15 mothers who had been released from an urban jail about their reentry experiences, and we analyzed transcripts for themes. Eight domains of community reentry emerged through analysis: behavioral health services, education, employment, housing, material resources, medical care, relationships with children, and social support. Participants defined barriers to successful reentry, which paralleled the social determinants of health, and shared suggestions that could be used to mitigate ...


Presentation And Outcomes After Medical And Surgical Treatment Versus Medical Treatment Alone Of Spontaneous Infectious Spondylodiscitis: A Systematic Literature Review And Meta-Analysis., Davis G Taylor, Avery L Buchholz, Durga R Sure, Thomas J Buell, James H Nguyen, Ching-Jen Chen, Joshua M Diamond, Perry A Washburn, James Harrop, Christopher I Shaffrey, Justin S Smith 2018 University of Virginia, Charlottesville, VA

Presentation And Outcomes After Medical And Surgical Treatment Versus Medical Treatment Alone Of Spontaneous Infectious Spondylodiscitis: A Systematic Literature Review And Meta-Analysis., Davis G Taylor, Avery L Buchholz, Durga R Sure, Thomas J Buell, James H Nguyen, Ching-Jen Chen, Joshua M Diamond, Perry A Washburn, James Harrop, Christopher I Shaffrey, Justin S Smith

Department of Medicine Faculty Papers

Study Design: Systematic literature review.

Objectives: The aims of this study were to (1) describe the clinical features, disabilities, and incidence of neurologic deficits of pyogenic spondylodiscitis prior to treatment and (2) compare the functional outcomes between patients who underwent medical treatment alone or in combination with surgery for pyogenic spondylodiscitis.

Methods: A systematic literature review was performed using PubMed according to PRISMA guidelines. No year restriction was put in place. Statistical analysis of pooled data, when documented in the original report (ie, number of patients with desired variable and number of patients evaluated), was conducted to determine the most ...


Strategies To Improve Post-Procedural Safe Patient Handoffs, Marguerite Anderson, Tara Herman, Janice Nichols, Robyn Dixon, Elizabeth Van Der Linden, Bonnie Boivin, Stephen Tyzik, MMC ASU, MMC PACU, SSU, Endoscopy, Advanced Endoscopy, One Call Center 2018 Maine Medical Center

Strategies To Improve Post-Procedural Safe Patient Handoffs, Marguerite Anderson, Tara Herman, Janice Nichols, Robyn Dixon, Elizabeth Van Der Linden, Bonnie Boivin, Stephen Tyzik, Mmc Asu, Mmc Pacu, Ssu, Endoscopy, Advanced Endoscopy, One Call Center

Operational Excellence

STRATEGIES TO IMPROVE SAFE PATIENT HANDOFFS AND POST PROCEDURAL FLOW

During patient transfers from one care unit to another, it is imperative for patient safety and satisfaction that timely and complete communication between staff occurs. In an academic tertiary care medical center, a team consisting of representatives from 6 patient care units used improvement methods of operational excellence to improve patient centered movement.

The goal of this project was to improve the percentages of two questions related to information sharing on the FY2018 AHRQ Culture of Patient Safety Survey. Using baseline metrics to reflect the current state of patient wait ...


Broadening The Lens: A Systems Approach To Nursing Home Quality Improvement, Kelly M. Smith 2018 University of South Florida

Broadening The Lens: A Systems Approach To Nursing Home Quality Improvement, Kelly M. Smith

Graduate Theses and Dissertations

The National Quality Award Program, sponsored by the American Healthcare Association National Center for Assisted Living, was implemented to cultivate continuous quality improvement in nursing homes and assisted living facilities. Based upon the Baldridge Criteria for Performance Excellence, the program utilizes a systems-based or Big “Q” approach to quality and requires applicants to examine seven categories of their organizational environment including: 1) leadership, 2) strategy, 3) customers, 4) measurement, analysis, and knowledge management, 5) workforce, 6) operations, and 7) results. The subsequent dissertation examines whether award status is associated with better performance on publicly reported quality measures and financial performance ...


The Development Of A Temporomandibular Force Simulator To Study Craniofacial Strain In-Vitro, Kenneth KC Ip 2018 The University of Western Ontario

The Development Of A Temporomandibular Force Simulator To Study Craniofacial Strain In-Vitro, Kenneth Kc Ip

Electronic Thesis and Dissertation Repository

An in-vitro musculoskeletal loading simulator was developed to replicate the internal forces of mastication, and then employed in a comparison of clinically relevant facial fracture repairs. Muscle forces are simulated by pneumatic pistons via 3D printed mounts that are reverse-engineered from CT scan to match muscle attachment sites, which are adhered to bone in order to simulate native stress distributions. Bite force and bone strain pattern of the craniofacial structure under load were measured using a force sensor and strain gauges respectively. In a series of five fresh-frozen cadaveric heads, it was found that strain patterns of the craniofacial structure ...


Diverticulitis Resulting In Brain Abscess: A Case Report (Poster)., Sean J. Wallace MD, David Deisher DO, Thomas Daniel Harrison DO 2017 Lehigh Valley Hospital

Diverticulitis Resulting In Brain Abscess: A Case Report (Poster)., Sean J. Wallace Md, David Deisher Do, Thomas Daniel Harrison Do

Department of Surgery

No abstract provided.


Extra-Pleural Dermal Solitary Fibrous Tumor On The Posterior Shoulder: A Case Report., Sean J. Wallace MD, Robert Teixeira MD, Nathan F. Miller, Hina A. Sheikh, Genevieve Guzman, Rohit Sharma MD 2017 Lehigh Valley Hospital

Extra-Pleural Dermal Solitary Fibrous Tumor On The Posterior Shoulder: A Case Report., Sean J. Wallace Md, Robert Teixeira Md, Nathan F. Miller, Hina A. Sheikh, Genevieve Guzman, Rohit Sharma Md

Department of Surgery

No abstract provided.


The New Diagnostic Team, Mark L. Graber, Diana Rusz, Melissa L. Jones 2017 Stony Brook University

The New Diagnostic Team, Mark L. Graber, Diana Rusz, Melissa L. Jones

Articles

The National Academy of Medicine (NAM) in the recently issued report Improving Diagnosis in Health Care outlined eight major recommendations to improve the quality and safety of diagnosis. The #1 recommendation was to improve teamwork in the diagnostic process. This is a major departure from the classical approach, where the physician is solely responsible for diagnosis. In the new, patient-centric vision, the core team encompasses the patient, the physician and the associated nursing staff, with each playing an active role in the process. The expanded diagnostic team includes pathologists, radiologists, allied health professionals, medical librarians, and others. We review the ...


Dabigatran Reversal With Idarucizumab., Charles V. Pollack, Paul A Reilly, Jeffrey I Weitz 2017 Thomas Jefferson University, Philadelphia, PA, United States

Dabigatran Reversal With Idarucizumab., Charles V. Pollack, Paul A Reilly, Jeffrey I Weitz

Department of Medicine Faculty Papers

No abstract provided.


Outcomes Of Pulmonary Embolism In A Tertiary Setting., Nicole Stansbury, James K. Wu MD 2017 Lehigh Valley Health Network

Outcomes Of Pulmonary Embolism In A Tertiary Setting., Nicole Stansbury, James K. Wu Md

Department of Surgery

No abstract provided.


Creatinine Trends In Transcatheter Aortic Valve Replacement Patients., Sydney Pickering, Taryn Samet MD, Raymond L. Singer MD, MMM, James K. Wu MD 2017 Lehigh Valley Health Network

Creatinine Trends In Transcatheter Aortic Valve Replacement Patients., Sydney Pickering, Taryn Samet Md, Raymond L. Singer Md, Mmm, James K. Wu Md

Department of Surgery

No abstract provided.


A Retrospective Analysis Of The Outcomes Of Extracorporeal Cardiopulmonary Resuscitation (Ecpr)., Rachel Wills, Kennedy Gallagher, James A. Burke MD, Tim S. Misselbeck MD, James K. Wu MD 2017 Lehigh Valley Health Network

A Retrospective Analysis Of The Outcomes Of Extracorporeal Cardiopulmonary Resuscitation (Ecpr)., Rachel Wills, Kennedy Gallagher, James A. Burke Md, Tim S. Misselbeck Md, James K. Wu Md

Department of Surgery

No abstract provided.


Results From Application To An Absorbable Synthetic Membrane To Superficial And Deep Second Degree Wounds., Sigrid A. Blome-Eberwein MD, Patrick Pagella MSN, ARNP, BSN, RN, Deborah Boorse RN, CNP, Hamed Amani MD 2017 Lehigh Valley Health Network

Results From Application To An Absorbable Synthetic Membrane To Superficial And Deep Second Degree Wounds., Sigrid A. Blome-Eberwein Md, Patrick Pagella Msn, Arnp, Bsn, Rn, Deborah Boorse Rn, Cnp, Hamed Amani Md

Department of Surgery

No abstract provided.


Treatment Of Second‐Degree Burns With Lactic Acid Skin Substitute In Outpatient Setting: Pain And Patient Comfort., Deborah Boorse RN, CNP, Sigrid A. Blome-Eberwein MD 2017 Lehigh Valley Health Network

Treatment Of Second‐Degree Burns With Lactic Acid Skin Substitute In Outpatient Setting: Pain And Patient Comfort., Deborah Boorse Rn, Cnp, Sigrid A. Blome-Eberwein Md

Department of Surgery

No abstract provided.


Delirium Reduction Strategies For The Critically Ill, June Chaves, Sam Canonico, Will Cheney, Tammy Corey, Gil Fraser, Alex Kowalewski, Jen Low, Cardiac Intensive Care Unit, Haley Pelletier, Cathy Palleschi, Stephen Tyzik, Suneela Nayak, Ruth Hanselman 2017 Maine Medical Center

Delirium Reduction Strategies For The Critically Ill, June Chaves, Sam Canonico, Will Cheney, Tammy Corey, Gil Fraser, Alex Kowalewski, Jen Low, Cardiac Intensive Care Unit, Haley Pelletier, Cathy Palleschi, Stephen Tyzik, Suneela Nayak, Ruth Hanselman

Maine Medical Center

Delirium, an acute and fluctuating disturbance of consciousness and cognition, is a common manifestation of acute brain dysfunction in critically ill patients. Patients with delirium have longer hospital stays and a lower 6-month survival rate than do patients without delirium. Preliminary research suggests that delirium may be associated with cognitive impairment that persists months to years after discharge.

In a large acute care hospital, the cardiac intensive care staff became interested in mitigating their unit’s high delirium rate of ventilated patients. At baseline, many members of the healthcare team did not believe that delirium could be prevented and the ...


Forgiveness: How It Manifests In Our Health, Well-Being, And Longevity, Kathi Norman 2017 University of Pennsylvania

Forgiveness: How It Manifests In Our Health, Well-Being, And Longevity, Kathi Norman

Master of Applied Positive Psychology (MAPP) Capstone Projects

Forgiveness is a character strength and process that, when practiced, is associated with improved psychological well-being, physical health outcomes, and longevity. Forgiveness can serve as a protective factor that buffers against poor health and psychological consequences. Common misconceptions about forgiveness can serve as barriers to the desire to cultivate this protective strength, as forgiveness is often conflated with permissiveness, and perceived as permission for a transgressor to engage in hurtful conduct. The benefits of forgiveness, however, are most significant for the individual who has been transgressed, rather than the transgressor. Failing to forgive, or unforgiveness, is the practice of engaging ...


Motor Learning And Adaptation In People With Knee Osteoarthritis And Chronic Pain, Heather Turcotte, Katherine S. Rudolph 2017 University of New England

Motor Learning And Adaptation In People With Knee Osteoarthritis And Chronic Pain, Heather Turcotte, Katherine S. Rudolph

Osteopathic Medicine Student Research Posters

Osteoarthritis (OA) affects an estimated 50 million people in the US, and approximately 43% have limitations in daily function due to arthritis pain.3 Individuals with knee osteoarthritis (OA) have heightened sensitization to pain2,5 as well as reduced strength, diminished function and quality of life1 that prompts them to seek care from health care providers. Physical therapists commonly work with patients to improve function and quality of life by helping them learn to move without pain. Unfortunately, chronic pain causes changes to the nervous system that may impact the ability to learn new ways but the extent to which ...


Evaluating The Relationship Between Participation In Student-Run Free Clinics And Changes In Empathy In Medical Students., Anita Modi, Michele Fascelli, Zachary Daitch, Mohammadreza Hojat Professor 2017 Thomas Jefferson University Hospital, Philadelphia, PA

Evaluating The Relationship Between Participation In Student-Run Free Clinics And Changes In Empathy In Medical Students., Anita Modi, Michele Fascelli, Zachary Daitch, Mohammadreza Hojat Professor

Department of Medicine Faculty Papers

PURPOSE: We explored differences in changes in medical student empathy in the third year of medical school between volunteers at JeffHOPE, a multisite medical student-run free clinic of Sidney Kimmel Medical College (SKMC), and nonvolunteers.

METHOD: Volunteerism and leadership experience at JeffHOPE were documented for medical students in the Class of 2015 (n = 272) across their medical educations. Students completed the Jefferson Scale of Empathy at the beginning of medical school and at the end of the third year. Students who reported participation in other Jefferson-affiliated clinics (n = 44) were excluded from this study. Complete data were available for 188 ...


Pain And Physical Function In A Socioeconomically Diverse Sample Of Black And White Adults, Angela Sardina 2017 University of South Florida

Pain And Physical Function In A Socioeconomically Diverse Sample Of Black And White Adults, Angela Sardina

Graduate Theses and Dissertations

Musculoskeletal pain alters physiological function and these changes may be evidenced as early as middle age. Previous research has concluded that middle-aged adults are a high-risk group for chronic pain and report functional limitations similar to older adults. However, few studies have explored the unique individual factors (e.g., sociodemographic, health, and psychosocial characteristics) that may drive the pain experience; and more research is needed that examines the relationships between musculoskeletal pain and physical function, using objective performance measures, in a sample of racially and socioeconomically diverse adults.

Data from the Healthy Aging in Neighborhoods of Diversity across the Life ...


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