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Workplace Bullying, Emotional Abuse And Harrassment In Fire Departments, John C. Griffith, Donna L. Roberts 2019 Embry-Riddle Aeronautical University

Workplace Bullying, Emotional Abuse And Harrassment In Fire Departments, John C. Griffith, Donna L. Roberts

John Griffith

Firefighters are heroes who save lives and protect property. They are highly revered in societies all around the world and perform under the most stressful of conditions. Drawing on literature from the United States (USA), this chapter reviews the culture, demographics and changing mission of the fire service as a backdrop to workplace harassment and bullying issues. The fire service has unique organizational dynamics that can lead to harassment and bullying and, at the same time, are the critical reasons for working to eliminate intentional and unintentional unfair treatment of women and minorities. Recent literature and studies show that the ...


Reducing The Waiting List For New Referrals To The Ent Outpatient Department, Jana Crowley 2019 Royal College of Surgeons in Ireland

Reducing The Waiting List For New Referrals To The Ent Outpatient Department, Jana Crowley

Jana Crowley


Introduction: Lengthy outpatient waiting lists are a global healthcare concern affecting most hospital specialities in Ireland. The result is a delay in treatment and suboptimal outcomes for newly referred patients[1]. Simultaneously, patients requiring long-term follow-up care exist amid this overburdened system.
 
Aims & Objectives: This quality improvement project plan was created in part fulfilment of the MSc in Physician Associate Studies. It concentrates on improving waiting times for new ENT patients by the creation of a non-physician-led ‘microsuction clinic’, which aims to streamline patients requiring regular care. The objectives were to Investigate the volume of new patients awaiting an appointment ...


Reducing The Waiting List For New Referrals To The Ent Outpatient Department, Jana Crowley 2019 Royal College of Surgeons in Ireland

Reducing The Waiting List For New Referrals To The Ent Outpatient Department, Jana Crowley

Jana Crowley


Introduction: Lengthy outpatient waiting lists are a global healthcare concern affecting most hospital specialities in Ireland. The result is a delay in treatment and suboptimal outcomes for newly referred patients[1]. Simultaneously, patients requiring long-term follow-up care exist amid this overburdened system.
 
Aims & Objectives: This quality improvement project plan was created in part fulfilment of the MSc in Physician Associate Studies. It concentrates on improving waiting times for new ENT patients by the creation of a non-physician-led ‘microsuction clinic’, which aims to streamline patients requiring regular care. The objectives were to Investigate the volume of new patients awaiting an appointment ...


The Fall Of The Gladiators: Wives’ Tales Of Concussion Reporting And (Possible) Progressive Neurodegenerative Disease In Nfl Players, Caroline E. Faure EdD; ATC, Madeline P. Casanova MPE 2019 Idaho State University

The Fall Of The Gladiators: Wives’ Tales Of Concussion Reporting And (Possible) Progressive Neurodegenerative Disease In Nfl Players, Caroline E. Faure Edd; Atc, Madeline P. Casanova Mpe

The Qualitative Report

This study aims to uncover and describe stories of progressive cognitive, emotional, and behavioral decline in NFL players, as told by those who may know them best: their wives. The goal of the study was to simply explore and understand this new phenomenon with a group of individuals who had not yet been asked to voice their experiences. For this qualitative study, we conducted interviews with 20 wives of current and retired NFL players. Through thematic analysis of the wives’ narratives, we identified four themes that help to describe the wives’ attitudes and experiences. These were (a) Husbands’ Willingness to ...


On The Subject Of Autism: Lacan, First-Person Writing, And Research, Adam Neil Poulin 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 ...


Career Regret Among Physician Assistants: A Comparative Survey Of Primary And Specialty Care Careers, Talia Sierra, Jennifer Forbes, Michael Nelson 2018 Idaho State University

Career Regret Among Physician Assistants: A Comparative Survey Of Primary And Specialty Care Careers, Talia Sierra, Jennifer Forbes, Michael Nelson

Internet Journal of Allied Health Sciences and Practice

Purpose: This study investigated if career regret varies among physician assistants (PAs) practicing in primary and specialty care fields. This information may assist practicing and aspiring physician assistants when selecting or changing their career path.

Methods: A survey was emailed to 5,000 primary and specialty care physician assistants. Items indicating career regret were compared between primary and specialty care groups.

Results: Eight hundred and thrity-four (16.7%) completed surveys were received back. Career regret is similar between primary and specialty care physician assistants, with low reports from both groups. No statistical significance was found between primary care and specialty ...


Exposure To Household Air Pollution From Biomass Cookstoves And Levels Of Fractional Exhaled Nitric Oxide (Feno) Among Honduran Women, Megan L. Benka-Coker, Maggie L. Clark, Sarah Rajkumar, Bonnie N. Young, Annette M. Bachand, John R. Balmes, Robert Brook, Tracy L. Nelson, John Volckens, Steve J. Reynolds, Ander Wilson, Christian L'Orange, Nicholas Good, Casey Quinn, Kirsten Koehler, Sebastian Africano, Anibal Osorto Pinel, Jennifer L. Peel 2018 Gettysburg College

Exposure To Household Air Pollution From Biomass Cookstoves And Levels Of Fractional Exhaled Nitric Oxide (Feno) Among Honduran Women, Megan L. Benka-Coker, Maggie L. Clark, Sarah Rajkumar, Bonnie N. Young, Annette M. Bachand, John R. Balmes, Robert Brook, Tracy L. Nelson, John Volckens, Steve J. Reynolds, Ander Wilson, Christian L'Orange, Nicholas Good, Casey Quinn, Kirsten Koehler, Sebastian Africano, Anibal Osorto Pinel, Jennifer L. Peel

Health Sciences Faculty Publications

Household air pollution is estimated to be responsible for nearly three million premature deaths annually. Measuring fractional exhaled nitric oxide (FeNO) may improve the limited understanding of the association of household air pollution and airway inflammation. We evaluated the cross-sectional association of FeNO with exposure to household air pollution (24-h average kitchen and personal fine particulate matter and black carbon; stove type) among 139 women in rural Honduras using traditional stoves or cleaner-burning Justastoves. We additionally evaluated interaction by age. Results were generally consistent with a null association; we did not observe a consistent pattern for interaction by age. Evidence ...


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 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 2018 Rush University

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, Loma Linda University Health 2018 Loma Linda University

Local Impact - Serving Our Community, Loma Linda University Health

Scope


Table of Contents

Features
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

Departments
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, Wendy Weiler, Tracy Cook, MMC Blood Bank, Mark Parker, Stephen Tyzik, Suneela Nayak, Ruth Hanselman, Amy Sparks 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

Operational Excellence

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, Elise Levesque, Anton Ketterer, Wajiha Memon, Cameron James, Noah Barrett, Cyril Rakovski, Frank Frisch 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, 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 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), Emily B. Leaffer 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?, Linda Norton 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, Loma Linda University School of Medicine 2018 Loma Linda University

Alumni Journal - Volume 89, Number 2, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Features
14 | True Sustenance
17 | Department Reports: Pediatrics and Obstetrics and Gynecology
24 | APC 2018 Review

Departments
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

Extras
8 | New Board of Directors Members and Alumni Association Officer


Implementation Of A Screening Protocol To Improve Provider Assessment Of Depression In Patients With Psoriasis, Marlee Bryant 2018 Liberty University

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 ...


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 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 ...


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 2018 HealthPartners Institute

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, Tania P. Bardyn, Emily F. Patridge, Michael T. Moore, Jane J. Koh 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 ...


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