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Articles 1 - 19 of 19
Full-Text Articles in Entire DC Network
College Student Understanding Of Informed Consent Terminology, Kishore Garapati
College Student Understanding Of Informed Consent Terminology, Kishore Garapati
Master's Theses and Doctoral Dissertations
A good, understandable informed consent form (ICF) is key to ethical medical research, and the ICF is necessary according to United States federal regulation. Since they may be written in complex technical language, ICFs are often difficult for subjects to understand. The purpose of this research was to evaluate students' understanding of terminology commonly used in the ICF. An online research survey was sent to active students of Eastern Michigan University (EMU) during the winter 2015 semester. Questions were asked to evaluate the students' understanding of the correct meaning of the terms used in medical research. The majority of students …
Bios 7131 - Survival Analysis, Lili Yu
Bios 7131 - Survival Analysis, Lili Yu
Jiann-Ping Hsu College of Public Health Syllabi
This course introduces statistical methods for analyzing data collected on the time to an event, referred to as survival data, in medical research and other health-related fields. Emphasis will be placed on the application of the methodology and computational aspects rather than theory. The students will learn how to apply SAS procedures to data and interpret the results.
Hspm 6030 - Healthcare Economics And Policy, James H. Stephens
Hspm 6030 - Healthcare Economics And Policy, James H. Stephens
Jiann-Ping Hsu College of Public Health Syllabi
This course examines the dynamic nature of health economics and policy in addition to understanding the political process in the healthcare and public health context. This course uses foundational economic concepts to develop health economic applications and processes. The course will review important studies in medical research, epidemiology, public health and other fields as they relate to the economics of health care. An overview of the process of policy making with excerpts from congressional testimony, proposed rules, executive orders, etc., will be covered.
The Harmful, Nontherapeutic Use Of Animals In Research Is Morally Wrong, Nathan Nobis
The Harmful, Nontherapeutic Use Of Animals In Research Is Morally Wrong, Nathan Nobis
Nathan M. Nobis, PhD
It is argued that using animals in research is morally wrong when the research is nontherapeutic and harmful to the animals. This article discusses methods of moral reasoning and discusses how arguments on this and other bioethical issues might be defended and critiqued. A basic method of moral argument analysis is presented and used to show that common objections to the view that “animal research is morally wrong” fail: ie, common arguments for the view that “animal research is morally permissible” are demonstrably unsound or in need of defense. It is argued that the best explanations why harmful, nontherapeutic research …
Human Animal Chimeras For Therapeutic Protocols, Bracha Sklar
Human Animal Chimeras For Therapeutic Protocols, Bracha Sklar
The Science Journal of the Lander College of Arts and Sciences
Research on humans is limited, therefore human animal chimeras have been used to study human systems. A Human animal chimera is an animal containing animal and human cell lines. The primary goal of human animal chimera research is to establish an animal with human cellular characters, which can and should more realistically be able to imitate as closely as possible the in vivo situations in humans. This research is very important, because it allows scientists to study human systems in vivo using a humanized animal model. However ethical issues arise when experimenting with humans and animals being mixed together. Using …
Respiratory Infection And Antimicrobial Prescribing: How Well Are The Guidelines Adhered To?, Veronica Seippel
Respiratory Infection And Antimicrobial Prescribing: How Well Are The Guidelines Adhered To?, Veronica Seippel
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Approximately two million people in the United States (US) are infected annually by organisms that have developed resistance to one or more of the antimicrobials designed to eradicate them. The highest-ranking category of illness for which antibiotics are most commonly overprescribed is respiratory infections (CDC, 2014a). The purpose of this project was to explore current antimicrobial prescribing trends for respiratory infections at an urgent care facility. The ACE Star Model of Knowledge Transformation (Stevens, 2004) was utilized to serve as a guide in conducting this research study. Utilizing the detailed guidelines and treatment criteria for respiratory infections developed by the …
Pressure Ulcer Assessment And Documentation, Cynthia Ruggiero
Pressure Ulcer Assessment And Documentation, Cynthia Ruggiero
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Accurate assessment and documentation of skin is an important nursing activity yet the task of identifying and documenting wounds can be difficult. New regulations from the Centers for Medicare and Medicaid dictate that hospitals will not receive payment for the treatment of stage III or stage IV hospital-acquired pressure ulcers. Literature supports that accurate assessment and documentation of a pressure ulcer is important to the care of the patient, to provide legal documentation, and for reimbursement. The purpose of this project was to develop and implement a pressure ulcer assessment and documentation pocket guide. The development of the pocket guide …
Perceived Barriers To Health Promotion Behavior Of Women In Early Recovery From Alcohol Use Disorder, Renee Ann Graham
Perceived Barriers To Health Promotion Behavior Of Women In Early Recovery From Alcohol Use Disorder, Renee Ann Graham
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Women with Alcohol Use Disorder (AUD) have a higher risk of chronic illness and a mortality rate that is 50 to 100% greater than men’s (National Institute on Alcohol Abuse and Alcoholism, 2008). Lifestyle changes in the recovery from AUD include adopting behaviors that foster health and identifying women’s barriers to health promotion behavior is important to fostering a healthy lifestyle. The purpose of this study was to explore perceived barriers to health promotion behavior of women in early recovery from AUD. Participants were women (N = 50) who attended 12-step recovery meetings for alcoholism, of which: 86% were 26 …
Neuroscience Nurses' Perceptions Of The Barriers To Identifying And Treating Pain In Acutely Brain-Injured Adult Patients, Kimberly A. Iannotti
Neuroscience Nurses' Perceptions Of The Barriers To Identifying And Treating Pain In Acutely Brain-Injured Adult Patients, Kimberly A. Iannotti
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Pain management for the critically ill adult can be daunting. Numerous factors contribute to this challenging process including altered level of consciousness (LOC), inability to speak, life support measures, family input, level of sedation, paralyzing agents, restraints, cognitive impairment, and numerous other factors. The current practice related to pain management in the neurologically critically ill adult patient population is limited by inadequate pain scales, altered neurological status, and atypical pain-associated behaviors. Additionally, nurses are challenged by unclear practice guidelines. The critical care nurse is required to assess and manage pain, as well as implement specific interventions based on the patient’s …
Disparities Between Men And Women In The Time Of Initial Ekg Acquisition, Beverly Mcgillivray
Disparities Between Men And Women In The Time Of Initial Ekg Acquisition, Beverly Mcgillivray
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Cardiovascular disease is the most common cause of death around the world. Initial treatment is often time dependent. An EKG is the single most important initial clinical test to diagnose acute myocardial infarctions. Recognizing acute coronary symptoms in the initial presentation to an emergency department is critical in order to obtain the initial EKG. Of concern is the likelihood of delay in the initial EKG acquisition for females. The purpose of the research study was to distinguish if there is a disparity between genders to the best practice of door to EKG in 10 minutes from the arrival time in …
Managing Hospitalized Adults With Alcohol Dependence, Lisa Darling
Managing Hospitalized Adults With Alcohol Dependence, Lisa Darling
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Alcohol withdrawal is a common clinical condition with a variety of presentations, complications and morbidities. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), an estimated 17 million Americans, or one in every 12 adults, have an alcohol use disorder (AUD). An unanticipated hospital admission can precipitate alcohol withdrawal syndrome that can develop six hours after the cessation of alcohol. Early assessment of potential alcohol dependence, as well as symptoms of withdrawal and utilizing the CIWA tool, is important in identifying and managing this at risk population and reducing the potential incidence of complications. The purpose of this …
A Comparrison Of Two Emergency Departments, Erin C. Blais
A Comparrison Of Two Emergency Departments, Erin C. Blais
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Urosepsis accounts for approximately 25% of all cases of sepsis in the developed world. The mortality from urosepsis is high and the financial burden is exorbitant. Research has established that a patient’s survivability from sepsis is inversely proportional to time to antibiotic administration. The initial care of patients with urosepsis often occurs in the chaotic setting of the Emergency Department and obtaining a urine specimen is a key element of patient care. The purpose of the project was to compare two emergency departments door-to-urine time with a focus on urine procurement technique. Urine procurement may occur by straight catheterization, Quik …
Do Patients In The Intensive Care Unit Receive Recommended Total Daily Calories With Enteral Feedings Using A Rate Based Protocol?, Karen A. Schaefer
Do Patients In The Intensive Care Unit Receive Recommended Total Daily Calories With Enteral Feedings Using A Rate Based Protocol?, Karen A. Schaefer
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
When a patient is unable to eat or eat enough nutrients due to an illness or surgery, nutrition from another source may be required. Supplemental nutrition may be given in the form of enteral nutrition. The current practice is delivering enteral feedings on a rate based protocol to deliver calculated required calories over a specific length of time. Patients who receive enteral nutrition may have feedings interrupted due to a variety of reasons such as a procedure or diagnostic exam. Interruptions reduce the total daily calories delivered. If a patient does not achieve their total daily calories, it can be …
The Relationship Between Osteoarthritis, Hip Arthroplasty, And Post-Operative Ambulation Distances, Melissa E. Ings
The Relationship Between Osteoarthritis, Hip Arthroplasty, And Post-Operative Ambulation Distances, Melissa E. Ings
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Osteoarthritis, total hip replacements, and post-operative ambulation distances are three interrelated concepts that lead patients from diagnosis, to intervention, and to the first indications of recovery post-operatively. The purpose of the project was to quantify the ambulation distances of patients with one of three surgical approaches for total hip replacements (THR). The timeframe for measurement was from the day of surgery (day 0) through the second post-operative day (POD 2) comparing different surgical approaches with length of ambulation distances. Pre-operative elective joint replacement educational classes, may play a role in post-operative recovery, which provided the rationale for including them in …
The Injustice Of Inclusion And Fair Opportunity: Exploiting Children In Medical Research For The Benefit Of An Unworthy Society, Ruqaiijah Yearby
The Injustice Of Inclusion And Fair Opportunity: Exploiting Children In Medical Research For The Benefit Of An Unworthy Society, Ruqaiijah Yearby
All Faculty Scholarship
The history of pediatric medical research has been characterized as a history of child abuse. Usually, the debate regarding the use of children in medical research has centered on questions of Autonomy (informed consent) and Beneficence (the best interest of the child based on a benefit risk analysis). The debate has rarely focused on the question of which children should participate in medical research by discussing the legal principle of Justice (prohibits use of vulnerable populations for medical research who are already overly burdened for medical research unrelated to health issues affecting them and requires that populations who participate in …
The Role Of Vitamin D In Diabetes And Cardiovascular Disease: An Updated Review Of The Literature, Dimitrios Papandreou, Zujaja Tul Noor Hamid
The Role Of Vitamin D In Diabetes And Cardiovascular Disease: An Updated Review Of The Literature, Dimitrios Papandreou, Zujaja Tul Noor Hamid
All Works
© 2015 Dimitrios Papandreou and Zujaja-Tul-Noor Hamid. The dietary reference values for Vitamin D were set primarily considering its role in bone health, but with the discovery of Vitamin D receptors throughout body tissues, new links with other health conditions are now studied, such as for diabetes and cardiovascular diseases (CVD). This paper shall analyze and examine all new research studies carried out, especially in 2013-2015 regarding diabetes mellitus (DM) and cardiovascular diseases (CVD). Vast research has been carried out to establish strong relationship between Vitamin D serum levels, supplementation, diabetes, and CVD. However, the results from researches identified in …
Exploring Barriers To Code Status Discussions, Christina Marie Dickson
Exploring Barriers To Code Status Discussions, Christina Marie Dickson
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
It is imperative that Advanced Practice Registered Nurses (APRNs) have the skill set necessary to initiate code status discussions with people. The literature supports that healthcare providers tend to avoid the topic, for reasons that include feeling uncomfortable, not having enough time, and not wanting to take away hope. How do we break down these barriers to ensure that healthcare providers feel comfortable and prepared to have code status discussions? The purpose of this project was to explore perceived barriers encountered by the Advanced Practice Registered Nurse (APRN) student population. A survey was developed that included sections on comfort level …
Reducing Hospital Acquired Pressure Ulcers, Jessica M. Leblanc
Reducing Hospital Acquired Pressure Ulcers, Jessica M. Leblanc
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Pressure ulcers have been a persistent issue in hospitals for many years and continue to remain a major cause of morbidity and mortality. Most hospital acquired pressure ulcers (HAPUs) are considered preventable and are identified by the National Quality Forum as a nurse-sensitive quality indicator. Intensive care patients in particular tend to be at a higher risk to develop PUs and prevention in the intensive care population continues to be a major challenge in many hospitals. Recently, some intensive care units have been utilizing a preventative silicone foam barrier dressing applied to patients admitted to the unit in order reduce …
Is There A Difference In Pain Management Of Patients With Upper Extremity Injuries In Relation To Age?, Cheryl Pappas
Is There A Difference In Pain Management Of Patients With Upper Extremity Injuries In Relation To Age?, Cheryl Pappas
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Timely and appropriate analgesia for the treatment of long bone fractures is a primary goal of Emergency Departments. Despite incentives from the Centers of Medicare and Medicaid and accreditation agencies studies have found the existence of pain management disparities. The purpose of this research study was to conduct a retrospective chart review to investigate if patients with an upper extremity long bone fracture received pain medication within 60 minutes of arrival to the ED and to identify if there was a difference in the pain management of patients, with identical injuries, by age. Katharine Kolcaba’s comfort theory was used to …