Workplace Bullying, Emotional Abuse And Harrassment In Fire Departments, 2019 Embry-Riddle Aeronautical University
Workplace Bullying, Emotional Abuse And Harrassment In Fire Departments, John C. Griffith, Donna L. Roberts
On The Subject Of Autism: Lacan, First-Person Writing, And Research, 2019 University of Vermont
On The Subject Of Autism: Lacan, First-Person Writing, And Research, Adam Neil Poulin
Graduate College Dissertations and Theses
In his essay, Don’t Mourn for Us, Jim Sinclair describes autism as a “way of being.” He maintains there is “no normal child hidden behind the autism” and that “it colors every experience, every sensation, perception, thought, emotion, and encounter, every aspect of existence.” In an attempt to appreciate the depth of Sinclair’s statements, this thesis approaches autism as a “way of being” through the psychoanalytic theory of Jacques Lacan. By applying Lacan’s conceptual framework to first-person writing and scientific research, I lay an interdisciplinary foundation for the case I make. Although this project requires significant conceptual ...
Optimizing Quality Of Care By Patient Satisfaction For The Department Of Orthopaedics - A Survey Study, 2018 Marshall University
Optimizing Quality Of Care By Patient Satisfaction For The Department Of Orthopaedics - A Survey Study, Milad Modarresi, Ammar Qureshi, Rodrigo Aguilar, Meghan Anderson, Felix Cheung
Marshall Journal of Medicine
Introduction: Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) has provided a standardized survey method in order to evaluate the patient’s satisfaction on the care they are provided. While overall patient satisfaction is clearly a multidimensional concept, the HCAHPS survey covers 8 domains of health care. This study tries to identify and establish the main determinants to patient’s level of satisfaction during their visit to Cabell Huntington Hospital Orthopaedics department.
Methods: Data was collected from surveys handed in 3 consecutive months; June, July and August of 2013. Sixteen questions were selected from HCAHPS that were appraised to ...
Tablet-Based Collection Of Patient-Reported Data In Diverse, Low-Income Populations: A Case Study In Breast Cancer Risk Assessment, Cristina O'Donoghue, Celia P. Kaplan, Rebecca Howe, Laura J. Esserman, Eliseo J. Perez-Stable, Elissa M. Ozanne
Journal of Health Disparities Research and Practice
Background: Tablets and other technologies are evolving tools to collect personalized health data. However, the quality of data collected by these tools in vulnerable populations is unknown. We explore the acceptability and reliability of a Breast Health Questionnaire app’s use by diverse, low-income women against a pen/paper survey.
Methods: Women who spoke English or Spanish were recruited to complete a tablet and a paper/pen questionnaire prior to their screening mammography. The usability and reliability of the BHQ app were assessed and analyzed.
Results: Of 116 women, 94 (81%) found the app easy to use. Reliability between the ...
Local Impact - Serving Our Community, 2018 Loma Linda University
Local Impact - Serving Our Community, Loma Linda University Health
Table of Contents
10 | Outreach to San Bernardino
14 | Community Health Workers
16 | Creating community for the disabled
18 | Water safety in Coachella Valley
19 | People of impact
24 | Serving the homeless with a sacrament
26 | Better child mental health for better physical health
28 | Guilds support children
4 | From our President - Why we serve
6 | Innovation - Published research
30 | Vision 2020 - Update in images
32 | Giving - Philanthropy focus
34 | Gallery - Commencement 2018
38 | Alumni - Serving nearby
40 | Annual Report - Highlights and financials from the fiscal year
Reducing O Negative Blood Product Usage In A Tertiary Care Academic Medical Center, 2018 Maine Medical Center
Reducing O Negative Blood Product Usage In A Tertiary Care Academic Medical Center, Wendy Weiler, Tracy Cook, Mmc Blood Bank, Mark Parker, Stephen Tyzik, Suneela Nayak, Ruth Hanselman, Amy Sparks
MANAGEMENT OF O NEGATIVE BLOOD USE
O registered blood cells are the universal donor but it comprises only 7% of the blood supply. As a result, inappropriate use can result in shortages.
At an academic tertiary care medical center, a performance improvement goal was established that O negative blood cells would make up less than 12% of all blood type transfused by the end of their fiscal year.
A root cause analysis established reasons for the use of O negative blood cells. A number of countermeasures were initiated using the plan, do, study, act (PDSA) problem solving model. Using newly ...
The Chapman Bone Algorithm: A Diagnostic Alternative For The Evaluation Of Osteoporosis, 2018 Chapman University
The Chapman Bone Algorithm: A Diagnostic Alternative For The Evaluation Of Osteoporosis, Elise Levesque, Anton Ketterer, Wajiha Memon, Cameron James, Noah Barrett, Cyril Rakovski, Frank Frisch
Mathematics, Physics, and Computer Science Faculty Articles and Research
Osteoporosis is the most common metabolic bone disease and goes largely undiagnosed throughout the world, due to the inaccessibility of DXA machines. Multivariate analyses of serum bone turnover markers were evaluated in 226 Orange County, California, residents with the intent to determine if serum osteocalcin and serum pyridinoline cross-links could be used to detect the onset of osteoporosis as effectively as a DXA scan. Descriptive analyses of the demographic and lab characteristics of the participants were performed through frequency, means and standard deviation estimations. We implemented logistic regression modeling to find the best classification algorithm for osteoporosis. All calculations and ...
Experimental Evaluation Of The Importance Of Colonization History In Early-Life Gut Microbiota Assembly, 2018 University of Nebraska-Lincoln
Experimental Evaluation Of The Importance Of Colonization History In Early-Life Gut Microbiota Assembly, Inés Martínez, Maria X. Maldonado-Gomez, João Carlos Gomes-Neto, Hatem Kittana, Hua Ding, Robert J. Schmaltz, Payal Joglekar, Roberto Jiménez Cardona, Nathan L Marsteller, Steven W. Kembel, Andrew K. Benson, Daniel A. Peterson, Amanda Ramer-Tait, Jens C. Walther
Faculty Publications in Food Science and Technology
The factors that govern assembly of the gut microbiota are insufficiently understood. Here, we test the hypothesis that inter-individual microbiota variation can arise solely from differences in the order and timing by which the gut is colonized early in life. Experiments in which mice were inoculated in sequence either with two complex seed communities or a cocktail of four bacterial strains and a seed community revealed that colonization order influenced both the outcome of community assembly and the ecological success of individual colonizers. Historical contingency and priority effects also occurred in Rag1-/- mice, suggesting that the adaptive immune system is ...
Distinct Neuropsychological Profile And Associated Neurochemical Changes In Individuals With Mitochondrial Encephalomyopathy, Lactic Acidosis, And Stroke-Like Episodes (Melas), 2018 The Graduate Center, City University of New York
Distinct Neuropsychological Profile And Associated Neurochemical Changes In Individuals With Mitochondrial Encephalomyopathy, Lactic Acidosis, And Stroke-Like Episodes (Melas), Emily B. Leaffer
All Dissertations, Theses, and Capstone Projects
Background: Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-like Episodes (MELAS) is a maternally inherited progressive multisystemic disorder. Occurrence of seizure and/or stroke-like episode, as well as classic biomarkers (i.e., cerebral lactic acidosis, depleted N-acetylaspartate (NAA)), have been linked to neuropsychological deficit and trigger the developmental cascade of neurodegeneration affecting posterior prior to anterior brain regions. While a pattern of global deterioration has been reported, systematic examination in a large MELAS cohort has not been conducted.
Objective: First, we examined verbal and visual memory function and its relationship to brain metabolites (lactate, NAA) in individuals with MELAS. Second, we hypothesized ...
How Do Health Care Providers Identify And Address Lifestyle Factors With Community Dwelling Adults Who Have Chronic Wounds?, 2018 The University of Western Ontario
How Do Health Care Providers Identify And Address Lifestyle Factors With Community Dwelling Adults Who Have Chronic Wounds?, Linda Norton
Electronic Thesis and Dissertation Repository
Wound prevention and management best practice guidelines and literature contain recommendations that treatment plans need to consider the client’s lifestyle but offer little guidance about the specific lifestyle factors to be considered, nor how to address these. A post positivist constructivist grounded theory study was used to explore this gap Participants were health care providers with at least 5 years of experience working with community dwelling adults with chronic wounds. Data were transcripts of two semi structured individual interviews, a reflective journal, relevant documents identified by participants and transcripts of focus groups.
A common understanding of lifestyle factors was ...
Alumni Journal - Volume 89, Number 2, 2018 Loma Linda University
Alumni Journal - Volume 89, Number 2, Loma Linda University School Of Medicine
Alumni Journal, School of Medicine
14 | True Sustenance
17 | Department Reports: Pediatrics and Obstetrics and Gynecology
24 | APC 2018 Review
2 | From the Editor
4 | From the President
6 | From the Dean
9 | This and That
10 | School of Medicine News
12 | AIMS Report and Awards
13 | The Student Fund
34 | Book Review
37 | Classified/Placement Ads
38 | Alumni News
39 | In Memoriam
43 | Historical Snapshot
44 | What's Up Doc? - Daniel L. Bouland '82
8 | New Board of Directors Members and Alumni Association Officer
An Opportunity For Pharmacists To Help Improve Coordination And Continuity Of Patient Health Care, 2018 University of Minnesota
An Opportunity For Pharmacists To Help Improve Coordination And Continuity Of Patient Health Care, Jon C. Schommer, Lawrence M. Brown, Ryan (Alyssa) Bortz, Alina Cernasev, Basma T. Gomaa, Keri D. Hager, Lisa Hillman, Olihe Okoro, Serguei V. S. Pakhomov, Paul L. Ranelli
Pharmacy Faculty Articles and Research
Pharmacist workforce researchers are predicting a potential surplus of pharmacists in the United States that might result in pharmacists being available for engagement in new roles. The objective for this study was to describe consumer opinions regarding medication use, the health care system, and pharmacists to help identify new roles for pharmacists from the consumer perspective. Data were obtained from the 2015 and 2016 National Consumer Surveys on the Medication Experience and Pharmacist Roles. Out of the representative sample of 36,673 respondents living in the United States, 80% (29,426) submitted written comments at the end of the survey ...
Implementation Of A Screening Protocol To Improve Provider Assessment Of Depression In Patients With Psoriasis, Marlee Bryant
Graduate Student Projects and Scholarship
Patients with psoriasis are at an increased risk for depression. Despite this risk, many dermatology care providers do not screen for depression in practice, including providers at the target practice for this project. This evidence-based practice pilot project was purposed to increase dermatology providers’ assessment of depression in patients with psoriasis. This project involved implementing a depression screening protocol at one private dermatology practice and educating providers on the use of the protocol including the embedded depression screening tool, the Patient Health Questionnaire-9. The project leader used a quasi-experimental design and collected data utilizing retrospective chart reviews completed pre- and ...
Improving Health And Well-Being: Connecting Research And Practice. The 24th Annual Conference Of The Health Care Systems Research Network, Karen L. Margolis, Nico Pronk, Jane E. Duncan, Sarah M. Greene
Journal of Patient-Centered Research and Reviews
The 24th annual conference of the Health Care Systems Research Network (HCSRN, formerly the HMO Research Network), held April 11–13, 2018, in Minneapolis, Minnesota, attracted 357 attendees. The HCSRN is a consortium of 18 community-based research organizations embedded in or affiliated with large health care delivery systems. Its annual research conference, held since 1994, is a unique venue that brings diverse stakeholders (eg, research teams, clinicians, patients, funders) together to explore a range of health research topics and scientific findings, with a unifying goal of connecting applied research to real-world care delivery for the betterment of individual and community ...
Health Sciences Libraries Advancing Collaborative Clinical Research Data Management In Universities, 2018 University of Washington
Health Sciences Libraries Advancing Collaborative Clinical Research Data Management In Universities, Tania P. Bardyn, Emily F. Patridge, Michael T. Moore, Jane J. Koh
Journal of eScience Librarianship
Purpose: Medical libraries need to actively review their service models and explore partnerships with other campus entities to provide better-coordinated clinical research management services to faculty and researchers. TRAIL (Translational Research and Information Lab), a five-partner initiative at the University of Washington (UW), explores how best to leverage existing expertise and space to deliver clinical research data management (CRDM) services and emerging technology support to clinical researchers at UW and collaborating institutions in the Pacific Northwest.
Methods: The initiative offers 14 services and a technology-enhanced innovation lab located in the Health Sciences Library (HSL) to support the University of Washington ...
Implementing The Cdcs Core Elements Of Outpatient Antibiotic Stewardship Program Into The Urgent Care, 2018 University of Missouri, St. Louis
Implementing The Cdcs Core Elements Of Outpatient Antibiotic Stewardship Program Into The Urgent Care, Deanna Powelson
Purpose: The inappropriate use of antibiotics has led to the development of antimicrobial
resistance which is a severe threat to the public and an increasing global problem. The
Centers for Disease Control and Prevention (CDC) estimates at least two million illnesses
and 23,000 deaths are caused by antibiotic-resistant bacteria in the United States (CDC,
2014). The purpose of this quality improvement (QI) project was to evaluate the
effectiveness of an antibiotic stewardship program (ASP) on urgent care providers'
prescribing on viral respiratory tract infections (RTIs) including the common cold,
pharyngitis, and bronchitis.
Methods: This QI project implemented the CDCs ...
Cancer - The Formidable Opponent, 2018 Loma Linda University
Cancer - The Formidable Opponent, Loma Linda University Health
Table of Contents:
14 | Mark Reeves on a cancer diagnosis
16 | Genetic testing
17 | Immunotherapy
18 | Psychosocial support
21 | Myths of clinical trials
22 | Treating cancer in children
24 | Hope for stage IV patients
26 | Treating leukemia in the surrounding Hispanic population
28 | Turning off a cell's switching mechanism
29 | Prompting leukemia cells to die
30 | Cancer-fighting foods
32 | Finding answers and treatments with California's cancer database
34 | Mapping cancer screening
36 | History of our proton therapy
37 | Out next step in battling cancer
4 | From our President: Living for a cure
6 | Updates: Clinical ...
Parkinson’S Disease Support Groups In Rural America: Barriers, Resources, And Opportunities, 2018 University of Wyoming
Parkinson’S Disease Support Groups In Rural America: Barriers, Resources, And Opportunities, Erin J. Bush, Reshmi L. Singh, Mary Jo C. Hidecker, Catherine Phillips Carrico
The Qualitative Report
People with Parkinson’s disease who live in rural communities may lack information and support regarding their condition, compared to those in urban or suburban areas. For the study described herein, the researchers sought to gain a deeper understanding of support group experiences of rural Parkinson’s disease stakeholders through merging an interpretive phenomenological design with Community-based Participatory Research (CBPR). Using this merged approach, we collected qualitative data from five focus groups to gain a community perspective. The qualitative data was analyzed thematically, first, and then further explored for an overall essence. The theme, Support Group Benefits: Opportunities for Communication ...
Today - June 2018, 2018 Loma Linda University
Today - June 2018, Loma Linda University Health
Inside this issue:
-- School of Medicine honors Leonard Bailey’s contributions to infant heart transplant field
-- School of Pharmacy graduates encouraged to find value in life beyond work
-- School of Dentistry graduates begin their professional journeys
-- Allied Health Professions graduates encouraged to share love of Jesus with their future patients
-- School of Public Health graduating class represents 25 nations
-- Schools of Religion, Behavioral Health graduates encouraged to serve others
-- School of Nursing celebrates milestone as 10,000th graduate receives degree
-- University President’s Award winners announced for 2018
-- 42 graduate from San Manuel Gateway College’s medical certificate programs
Patient Acceptance Of Remote Scribing Powered By Google Glass In Outpatient Dermatology: Cross-Sectional Study, 2018 Palo Alto Medical Foundation
Patient Acceptance Of Remote Scribing Powered By Google Glass In Outpatient Dermatology: Cross-Sectional Study, Sandra Odenheimer, Deepika Goyal, Veena Jones, Ruth Rosenblum, Lam Ho, Albert Chan
Background: The ubiquitous use of electronic health records (EHRs) during medical office visits using a computer monitor and keyboard can be distracting and can disrupt patient-health care provider (HCP) nonverbal eye contact cues, which are integral to effective communication. Provider use of a remote medical scribe with face-mounted technology (FMT), such as Google Glass, may preserve patient-HCP communication dynamics in health care settings by allowing providers to maintain direct eye contact with their patients while still having access to the patient’s relevant EHR information. The medical scribe is able to chart patient encounters in real-time working in an offsite ...