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Using A Tailored Health Information Technology Driven Intervention To Improve Health Literacy And Medication Adherence (Talkingrx), Brenda Fay 2016 Aurora Health Care

Using A Tailored Health Information Technology Driven Intervention To Improve Health Literacy And Medication Adherence (Talkingrx), Brenda Fay

Brenda Fay

Although most patients admitted with acute coronary syndrome or acute ischemic stroke in South Asian countries receive these evidence-based treatments, their overall continuation in the outpatient phase of care remains low. Patient from Pakistan are uniquely challenged in this respect because the overall literacy rates remain one of the lowest in Pakistan among South Asian Countries. In addition, a great majority of Pakistani patients often do not understand or follow health prescriptions (which are still written in English). Additionally, due to an unregulated health industry, they frequently take multiple opinions and prescriptions from different physicians. The investigators propose to develop ...


Factors Influencing Healthy Eating And Physical Activity Behaviors Of Adolescents In Appalachia, Natalie Walker 2016 East Tennessee State University

Factors Influencing Healthy Eating And Physical Activity Behaviors Of Adolescents In Appalachia, Natalie Walker

Electronic Theses and Dissertations

This study examined the TPB constructs of attitude, perceived behavioral control, and subjective norms and their ability to predict healthy eating and physical activity behaviors among adolescents living in Southern Appalachia. The study also considered the relative utility of subjective norms and social support in predicting these behaviors. Data for this research were derived from a larger study, Team Up for Healthy Living, conducted September 2011 through November 2014 with high school students in the Appalachian region (Study ID: R01MD006200 from the National Institute on Minority Health and Health Disparities). Participants (n=963) completed a three-part paper survey collecting data ...


Health Literacy As A Moderator In The Relationship Between Diabetes Knowledege And Diabetes Outcomes, Jameshyia Ballard Thompson 2016 University of Southern Mississippi

Health Literacy As A Moderator In The Relationship Between Diabetes Knowledege And Diabetes Outcomes, Jameshyia Ballard Thompson

Dissertations

The purpose of this research was to determine if health literacy was a moderator in the relationship between diabetes knowledge and diabetes outcomes, and explore the relationship between diabetes knowledge and health literacy. The target population included adults living in Mississippi with a diagnosis of diabetes at any point in life. A pilot study was performed to determine if the Functional Communicative Critical Health Literacy scales (FCCHL) and the Spoken Knowledge in Low Literacy in Diabetes scale (SKILLD) were appropriate for use in a population of adults in Mississippi with a diagnosis of diabetes. Participants for the pilot study were ...


Using A Data Quality Framework To Clean Data Extracted From The Electronic Health Record: A Case Study., Oliwier Dziadkowiec, Tiffany Callahan, Mustafa Ozkaynak, Blaine Reeder, John Welton 2016 University of Colorado, College of Nursing, Anschutz Medical Campus

Using A Data Quality Framework To Clean Data Extracted From The Electronic Health Record: A Case Study., Oliwier Dziadkowiec, Tiffany Callahan, Mustafa Ozkaynak, Blaine Reeder, John Welton

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Objectives: Examine (1) the appropriateness of using a data quality (DQ) framework developed for relational databases as a data-cleaning tool for a dataset extracted from two EPIC databases; and (2) the differences in statistical parameter estimates on a dataset cleaned with the DQ framework and dataset not cleaned with the DQ framework.

Background: The use of data contained within electronic health records (EHRs) has the potential to open doors for a new wave of innovative research. Without adequate preparation of such large datasets for analysis, the results might be erroneous, which might affect clinical decision making or results of Comparative ...


Effects Of Olfactory Sense On Chocolate Craving, Michael W. Firmin, Aubrey Gillette, Taylor E. Hobbs 2016 Cedarville University

Effects Of Olfactory Sense On Chocolate Craving, Michael W. Firmin, Aubrey Gillette, Taylor E. Hobbs

Michael W. Firmin, Ph.D.

Chocolate has been referred to as one of the most socially acceptable addictions. It is one of America’s most craved foods, and women tend to crave it more frequently than men. Kemps and Tiggemann (2013) conducted an innovative experiment to reconcile the ideas of mental imagery, scent, and craving. After presenting images of sweet foods and having female undergraduate students smell a neutral scent, the researchers found that the neutral smell decreased craving for sweet foods.

In the present study, researchers sought to replicate many aspects of Kemps and Tiggemann’s design. This new study went one step further ...


Survival Rates In Trauma Patients Following Health Care Reform In Massachusetts, Turner Osler, Laurent G. Glance, Wenjun Li, Jeffery S. Buzas, David W. Hosmer 2016 University of Vermont Medical Center

Survival Rates In Trauma Patients Following Health Care Reform In Massachusetts, Turner Osler, Laurent G. Glance, Wenjun Li, Jeffery S. Buzas, David W. Hosmer

Wenjun Li

IMPORTANCE: Massachusetts introduced health care reform (HCR) in 2006, expecting to expand health insurance coverage and improve outcomes. Because traumatic injury is a common acute condition with important health, disability, and economic consequences, examination of the effect of HCR on patients hospitalized following injury may help inform the national HCR debate. OBJECTIVE: To examine the effect of Massachusetts HCR on survival rates of injured patients. DESIGN, SETTING, AND PARTICIPANTS: Retrospective cohort study of 1,520,599 patients hospitalized following traumatic injury in Massachusetts or New York during the 10 years (2002-2011) surrounding Massachusetts HCR using data from the State Inpatient ...


Adherence To Evidence-Based Secondary Prevention Pharmacotherapy In Patients After An Acute Coronary Syndrome: A Systematic Review, Han-Yang Chen, Jane S. Saczynski, Kate L. Lapane, Catarina I. Kiefe, Robert J. Goldberg 2016 University of Massachusetts Medical School

Adherence To Evidence-Based Secondary Prevention Pharmacotherapy In Patients After An Acute Coronary Syndrome: A Systematic Review, Han-Yang Chen, Jane S. Saczynski, Kate L. Lapane, Catarina I. Kiefe, Robert J. Goldberg

Robert J. Goldberg

OBJECTIVE: To synthesize current evidence on medication adherence rates and associated risk factors in patients after an acute coronary syndrome (ACS).

METHODS: A systematic review was conducted. Five electronic databases and article bibliographies were searched for publications from 1990 to 2013 which assessed adherence to secondary prevention pharmacotherapy in adults after hospital discharge for an ACS. Identified studies were screened using pre-defined criteria for eligibility. A standardized form was used for data abstraction. Methodological quality was assessed using modified criteria for quantitative studies.

RESULTS: Sixteen studies met our inclusion criteria. Post-discharge medication adherence rates at 1-year ranged between 54% and ...


A 35-Year Perspective (1975 To 2009) Into The Long-Term Prognosis And Hospital Management Of Patients Discharged From The Hospital After A First Acute Myocardial Infarction, Han-Yang Chen, Joel Gore, Kate L. Lapane, Jorge L. Yarzebski, Sharina D. Person, Jerry H. Gurwitz, Catarina I. Kiefe, Robert J. Goldberg 2016 University of Massachusetts Medical School

A 35-Year Perspective (1975 To 2009) Into The Long-Term Prognosis And Hospital Management Of Patients Discharged From The Hospital After A First Acute Myocardial Infarction, Han-Yang Chen, Joel Gore, Kate L. Lapane, Jorge L. Yarzebski, Sharina D. Person, Jerry H. Gurwitz, Catarina I. Kiefe, Robert J. Goldberg

Robert J. Goldberg

There are limited population-based data available describing trends in the long-term prognosis of patients discharged from the hospital after an initial acute myocardial infarction (AMI). Our objectives were to describe multidecade trends in post-discharge mortality and their association with hospital management practices in patients discharged from all medical centers in Central Massachusetts after a first AMI. Residents of the Worcester, Massachusetts, metropolitan area discharged from all hospitals in Central Massachusetts after a first AMI from 1975 to 2009 comprised the study population (n = 8,728). Multivariable-adjusted logistic regression analyses were used to examine the association between year of hospitalization and ...


Validation Of The Waterpipe Tolerance Questionnaire Among Jordanian School-Going Adolescent Waterpipe Users, Sukaina Alzyoud, Sreenivas P. Veeranki, Khalid Kheriallah, Ali M. Shotar, Lori Pbert 2016 Hashemite University

Validation Of The Waterpipe Tolerance Questionnaire Among Jordanian School-Going Adolescent Waterpipe Users, Sukaina Alzyoud, Sreenivas P. Veeranki, Khalid Kheriallah, Ali M. Shotar, Lori Pbert

Lori Pbert

INTRODUCTION: Waterpipe use among adolescents has been increasing progressively. Yet no studies were reported to assess the validity and reliability of nicotine dependence scale. The current study aims to assess the validity and reliability of an Arabic version of the modified Waterpipe Tolerance Questionnaire WTQ among school-going adolescent waterpipe users.

METHODS: In a cross-sectional study conducted in Jordan, information on waterpipe use among 333 school-going adolescents aged 11-18 years was obtained using the Arabic version of the WTQ. An exploratory factor analysis and correlation matrices were conducted to assess validity and reliability of the WTQ.

RESULTS: The WTQ had a ...


Correction Of Verication Bias Using Log-Linear Models For A Single Binaryscale Diagnostic Tests, Haresh Rochani, Hani M. Samawi, Robert L. Vogel, Jingjing Yin 2016 Georgia Southern University

Correction Of Verication Bias Using Log-Linear Models For A Single Binaryscale Diagnostic Tests, Haresh Rochani, Hani M. Samawi, Robert L. Vogel, Jingjing Yin

Haresh Rochani

In diagnostic medicine, the test that determines the true disease status without an error is referred to as the gold standard. Even when a gold standard exists, it is extremely difficult to verify each patient due to the issues of costeffectiveness and invasive nature of the procedures. In practice some of the patients with test results are not selected for verification of the disease status which results in verification bias for diagnostic tests. The ability of the diagnostic test to correctly identify the patients with and without the disease can be evaluated by measures such as sensitivity, specificity and predictive ...


How Long Does That 10-Year Smoke Alarm Really Last? A Survival Analysis Of Smoke Alarms Installed Through The Saife Program In Rural Georgia, Haresh Rochani, Valamar Malika Reagon, Steve Davidson 2016 Georgia Southern University

How Long Does That 10-Year Smoke Alarm Really Last? A Survival Analysis Of Smoke Alarms Installed Through The Saife Program In Rural Georgia, Haresh Rochani, Valamar Malika Reagon, Steve Davidson

Haresh Rochani

Background: When functioning properly, a smoke alarm alerts individuals in the residence that smoke is near the alarm. Smoke alarms serve as a primary prevention mechanism to abate morbidity and mortality related to residential fires. Methods: Using survival analysis, we examined the length of operability of 10-year lithium battery powered smoke alarms installed through the Georgia Public Health/CDC SAIFE program in Moultrie, Georgia. Attempts were made to reach all homes in the city limits. The premise of the study is that geographic clusters (in the case of Moultrie city quadrants) are associated with decreases in the length of time ...


Gender Differences In Concussion Reporting Among High School Athletes, Theresa Miyashita, Eleni Diakogeorgiou, Christina VanderVegt 2016 Sacred Heart University

Gender Differences In Concussion Reporting Among High School Athletes, Theresa Miyashita, Eleni Diakogeorgiou, Christina Vandervegt

Eleni Diakogeorgiou

Background: An athlete’s lack of concussion knowledge could lead to significant underreporting and injury mismanagement. To provide more effective management strategies of concussions in adolescent athletes, further examination of reporting behaviors is of critical importance. Hypothesis: The hypotheses for this study were as follows: (1) Girls are more likely to report concussion, (2) girls are more likely to report future concussions after an educational intervention, and (3) a difference in rationale for not reporting concussion will be found between sexes. Study Design: Cross-sectional, cohort design. Level of Evidence: Level 3. Methods: Survey answers were collected on 454 high school ...


Gender Differences In Concussion Reporting Among High School Athletes, Theresa Miyashita, Eleni Diakogeorgiou, Christina VanderVegt 2016 Sacred Heart University

Gender Differences In Concussion Reporting Among High School Athletes, Theresa Miyashita, Eleni Diakogeorgiou, Christina Vandervegt

Theresa Miyashita

Background: An athlete’s lack of concussion knowledge could lead to significant underreporting and injury mismanagement. To provide more effective management strategies of concussions in adolescent athletes, further examination of reporting behaviors is of critical importance. Hypothesis: The hypotheses for this study were as follows: (1) Girls are more likely to report concussion, (2) girls are more likely to report future concussions after an educational intervention, and (3) a difference in rationale for not reporting concussion will be found between sexes. Study Design: Cross-sectional, cohort design. Level of Evidence: Level 3. Methods: Survey answers were collected on 454 high school ...


Commentary: Sense And Sensibility: The Role Of Specialists In Health Care Reform, Nanette M. Schwann MD, Brian A. Nester DO, Thomas M. McLoughlin Jr, MD 2016 Lehigh Valley Health Network

Commentary: Sense And Sensibility: The Role Of Specialists In Health Care Reform, Nanette M. Schwann Md, Brian A. Nester Do, Thomas M. Mcloughlin Jr, Md

Thomas M McLoughlin Jr., MD

No abstract provided.


Predictive Value Of The Functional Movement Screen As It Relates To Anterior Cruciate Ligament Injury, Daniel A. Herring, Kyle D. Cherry, Hannah L. Stedge 2016 Cedarville University

Predictive Value Of The Functional Movement Screen As It Relates To Anterior Cruciate Ligament Injury, Daniel A. Herring, Kyle D. Cherry, Hannah L. Stedge

Hannah L. Stedge, M.S.

Introduction: Anterior cruciate ligament injuries occur over 200,000 times annually in the United States alone (Brophy, et al. 2009). This injury strains the healthcare system and affects the players, teams, parents, and the organization they are a part of. There have been, however, clinically researched risk factors that predispose athletes to ACL injury (Gignac, et al. 2015; Laible, et al. 2014). As a result, there is a clinical need for an effective screening tool to identify those athletes at risk for ACL injury. The Functional Movement Screen has been shown to be an effective screening tool for detecting athletes ...


Negotiating Deliberative Ideals In Theory And Practice: A Case Study In "Hybrid Design", Ann Mongoven, Danielle Lake, Jodyn Platt, Sharon Kardia 2016 Michigan State University

Negotiating Deliberative Ideals In Theory And Practice: A Case Study In "Hybrid Design", Ann Mongoven, Danielle Lake, Jodyn Platt, Sharon Kardia

Journal of Public Deliberation

Much literature on deliberation is derived from ideal theory. However, deliberations are inevitably non-ideal in two ways: (1) many deliberative ideals are in tension with each other; and 2) intended balancing of ideals cannot be attained perfectly amidst the messiness of real-world recruitment and conversation. This essay explores both kinds of non-ideality in respect to a case study: the 2011 community deliberative processes on a state public health “biobank,” the Michigan BioTrust for Health. We follow two recommendations from major contemporary theorists of deliberation: to be transparent about how competing deliberative goals are negotiated in deliberative design; and to publicize ...


West Virginia Nursing Homes: Are They Up To The Standard?, Guillermo Madero MD, Shirley M. Neitch MD 2016 Marshall University

West Virginia Nursing Homes: Are They Up To The Standard?, Guillermo Madero Md, Shirley M. Neitch Md

Shirley M. Neitch

Quality measurement and performance monitoring are under continuous assessment in Nursing Homes (NH). Through this research project we assess the quality of care provided in the NH in the state of West Virginia by publicly accessible quality measurements. The methodology for this research study was through the retrieval of data from the Nursing Home Compare website in which a total of 80 NH were located and analyzed. The results demonstrate that more than 50% of NH in West Virginia are at or above the national average when compared using the Five Star Rating System by CMS, in overall rating (59 ...


West Virginia Nursing Homes: Are They Up To The Standard?, Guillermo Madero MD, Shirley M. Neitch MD 2016 Marshall University

West Virginia Nursing Homes: Are They Up To The Standard?, Guillermo Madero Md, Shirley M. Neitch Md

Guillermo Madero

Quality measurement and performance monitoring are under continuous assessment in Nursing Homes (NH). Through this research project we assess the quality of care provided in the NH in the state of West Virginia by publicly accessible quality measurements. The methodology for this research study was through the retrieval of data from the Nursing Home Compare website in which a total of 80 NH were located and analyzed. The results demonstrate that more than 50% of NH in West Virginia are at or above the national average when compared using the Five Star Rating System by CMS, in overall rating (59 ...


Ethnicity Matters: Implications For Understanding And Acting Upon Disparities In Health Affecting Black Men In The United States, Helen V. S. Cole 2016 Graduate Center, City University of New York

Ethnicity Matters: Implications For Understanding And Acting Upon Disparities In Health Affecting Black Men In The United States, Helen V. S. Cole

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

Compared to non-Hispanic whites, non-Hispanic blacks have higher rates of mortality from heart disease, cancer, cardiovascular disease, and HIV/AIDS. Black men have a life expectancy approximately 4.7 years than the life expectancy of non-Hispanic white men, due in part to higher prevalence of chronic disease among black men. Many factors are hypothesized to contribute to disparities in health between races, including differences in socioeconomic status; culturally-linked behaviors such as diet, substance use, and physical activity; access to quality healthcare and other resources; and experiences of racism, both institutional and interpersonal. However, in public health research, race is usually ...


Calcium Phosphate As A Key Material For Socially Responsible Tissue Engineering, Vuk Uskoković, Victoria M. Wu 2016 Chapman University

Calcium Phosphate As A Key Material For Socially Responsible Tissue Engineering, Vuk Uskoković, Victoria M. Wu

Pharmacy Faculty Articles and Research

Socially responsible technologies are designed while taking into consideration the socioeconomic, geopolitical and environmental limitations of regions in which they will be implemented. In the medical context, this involves making therapeutic platforms more accessible and affordable to patients in poor regions of the world wherein a given disease is endemic. This often necessitates going against the reigning trend of making therapeutic nanoparticles ever more structurally complex and expensive. However, studies aimed at simplifying materials and formulations while maintaining the functionality and therapeutic response of their more complex counterparts seldom provoke a significant interest in the scientific community. In this review ...


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