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Human Factors Engineering In Healthcare, Priyadarshini Pennathur

International Nursing Research Congress (INRC)

Health care work systems are complex, Human factors engineering is a scientific discipline concerned with matching people’s capabilities and limitations to design through application of scientific principles and methods. Human factors principles must be considered and used in health care systems around the world.

Evidence-Based Pain Management Solutions, Michele Marie Farrington

International Nursing Research Congress (INRC)

Pain is a frequent, complex, important clinical condition with established practice recommendations. EBP is an expected standard for care, yet is not consistently provided. Provision of evidence-based pain management requires nurses to balance numerous factors, including patient preferences, individual responses to interventions, and coordination with colleagues.

Cognitive And System Factors Impacting Nurses Postoperative Pain Management, Laura Cullen, Toni Tripp-Reimer

International Nursing Research Congress (INRC)

Pain, a common patient experience has complex recommendations to guide practice. A qualitative study used observations, interviews and focus group to analyze cognitive and system factors during nurses" pain management when caring for post-operative total knee replacement patients.

Knowledge And Perceptions About Zika Virus In A Middle East Country, Sohaila Cheema, Patrick Maisonneuve, Ingmar Weber, Luis Fernandez-Luque, Amit Abraham, Albert B. Lowenfels, Ravinder Mamtani

NYMC Faculty Publications

BACKGROUND: Zika virus, an emerging serious infectious disease, is a threat to persons living or travelling to regions where it is currently endemic, and also to contacts of infected individuals. The aim of this study was to assess knowledge about this new public health threat to persons residing in a Middle Eastern country.

METHODS: We conducted a survey at several international universities in Qatar to assess knowledge and awareness about this disease. An adapted version of the survey was also conducted using online channels from Qatar.

RESULTS: The median age of the 446 participants, was 25 years, 280 (63%) were …

Call For Vigilance – Red Flags In Systemic Lupus Erythematous, Badar Hasan, Talal Asif, Maryam Hasan, Amr Edrees

Marshall Journal of Medicine

Systemic Lupus Erythematous(SLE) is a multisystem autoimmune disease. It has been identified as the underlying cause for death for an average 1,034 deaths from 2000 and 2014. Our cases highlight two rare but life threatening complications of SLE; Catastrophic antiphospholipid syndrome (CAPS) and Diffuse alveolar hemorrhage (DAH) with mortality as high as 50-90%. Both cases presenting with respiratory symptoms, required meticulous monitoring in ICU and initially treated with broad spectrum antibiotics However, unlike pneumonia these patients required immunosuppressive and plasmapheresis leading to clinical improvement.

Antimicrobial Stewardship: A Comprehensive Literature Review Of The Nursing Role In Preventing Multi-Drug-Resistant Infections, Casey N. May, Kaitlyn E. Thormahlen, Renee M. Vittone, Celina C. Calo

International Nursing Research Congress (INRC)

Purpose: Antimicrobial Stewardship Programs (ASPs) have been developed through collaboration across multiple disciplines and integrated into facilities to combat multi-drug resistant organisms. The purpose of these programs is primarily to educate clinicians on appropriate antibiotic use, and to implement evidence-based standards of practice in order to improve patient safety and quality of patient care. There is much controversy regarding interdisciplinary roles in antibiotic stewardship. This literature review aims to bring to the forefront the already present, yet largely understated role of the nurse. It is likely that physicians, pharmacists, and nurses do not recognize what they can do to prevent …

Emergence Of Fluoroquinolone Resistance Among Drug Resistant Tuberculosis Patients At A Tertiary Care Facility In Karachi, Pakistan, Syed Mohammad Asad Zaidi, Abdul Haseeb, Shifa Salman Habib, Amyn Malik, Saira Khowaja, Nausheen Saifullah, Nadeem Rizvi

Community Health Sciences

Background: Pakistan is classified as one of the high multi-drug resistant tuberculosis (MDR-TB) burden countries. A poorly regulated private sector, over-prescription of antibiotics and self-medication has led to augmented rates of drug-resistance in the country. Pakistan's first national anti-tuberculosis drug resistance survey identified high prevalence of fluoroquinolone resistance among MDR-TB patients. Further institutional evidence of fluoroquinolone drug-resistance can support re-evaluation of treatment regimens as well as invigorate efforts to control antibiotic resistance in the country.
Findings: In this study, data for drug-susceptibility testing (DST) was retrospectively analyzed for a total of 133 patients receiving MDR-TB treatment at the Chest Department …

An Overview Of Disease And Parasitism In Southeastern Bobwhite Quail, William R. Davidson, Forest E. Kellogg

National Quail Symposium Proceedings

(Invited Paper) Salient information on diseases and parasites of bobwhite quail (Colinus virginianus) in the southeastern United States is summarized. Major diagnostic findings on 146 bobwhites submitted to our regional wildlife disease laboratory from 1972 through 1981 included traumatic injuries, various toxicoses, and avian pox. Traumatic injuries were diagnosed frequently throughout the 10-year period, whereas toxicologic problems occurred sporadically. Avian pox emerged in outbreak proportions in the region in 1978 and thereafter has been prevalent in localized areas, Prompted by severe aflatoxin contamination in southeastern corn crops in 1977, studies on aflatoxicosis in bobwhites indicated that risks to wild bobwhite …

Lyme Disease, Courtney Bode

Nursing Student Class Projects (Formerly MSN)

Lyme disease (LD) is a zoonotic infection transmitted by black-legged (deer) ticks. This disease is the most common vector-bourne illness in the United States (Maloney, 2016). The tick transmits Borrelia burgdorferi, which is the bacterial agent of LD. The Center of Disease Control (CDC) suspects the disease is highly underreported in the United States (Clayton, Dunn, Jones, Jones, & Schaffner, 2015). Even with the disease being underreported, LD is the fifth most commonly reported nationally notifiable disease (Delorey, et al., 2015). Signs and symptoms of Lyme disease can vary greatly in severity. This disease often causes multisystemic illness, starting locally …

Deployment Of Clinical Grant To Enhance Influenza Vaccination Among Spinal-Cord Injury Outpatient Veterans, Huberta-Corazon (Bette) Thiam Cozart

International Nursing Research Congress (INRC)

Background: A top priority of the US Veterans Health Administration (VHA) Public Health Office, Goals for 2014-15 VHA Influenza Vaccination Program was to; "promote seasonal influenza vaccination to all Veteran patients" per Center of Disease Control (CDC) recommendation that, "all persons aged 6 months and older are recommended for annual vaccination". Latest VHA Influenza Surveillance Data Report (2014) cites heightened influenza cases in both inpatient and outpatient settings, with "nearly one-third" of veterans being tested for influenza were found to be positive. Thus, to enhance influenza vaccination amongst Spinal Cord Injury Veterans considered as vulnerable population due to the …

Gene Drives, Nature, Governance: An Ethnographic Perspective, Irus Braverman

Contributions to Books

Published as chapter 3 in Gene Editing, Law, and the Environment, Irus Braverman, ed.

Synthetic gene drives raise ethical, ecological, and legal questions that are sometimes difficult to grasp. What is clear, however, is that the power to directly alter not just a singular form of life but the genetics of entire populations and species are currently both under-regulated and under-theorized. In place of state regulations, what seems to be emerging is a form of self-regulation by the gene drive scientists themselves. My chapter draws on in-depth interviews with several prominent gene drive scientists to explore their approach toward nature, …

Week Of July 24, 2017, New York Medical College

InTouch

• The Catherine and Ladislav P. Hinterbuchner Endowed Chair in Rehabilitation Medicine Dedication Ceremony Is Set for August 10
• Touro Scholar Offers Online Archive Designed to Showcase Scholarship
• Touro College of Dental Medicine at New York Medical College Welcomes the Class of 2021

Ventilator-Associated Pneumonia, Brittnay Adkins

Nursing Student Class Projects (Formerly MSN)

Many patients admitted to an Intensive Care Unit (ICU) are critically-ill. Those are that mechanically ventilated are also at risk for nosocomial infections that can negatively affect the patients health. Oral hygiene care, early mobilization, spontaneous breathing trials, and aspiration precautions are all interventions that many hospitals have incorporated into standard practice to prevent ventilator-associated pneumonia (VAP). The importance of these interventions are discussed; along with the pathophysiology of VAP and how healthcare providers can positively impact the millions of patients every year that are affected by nosocomial infections.

Cutaneous Microbial Community Variation Across Populations Of Eastern Hellbenders (Cryptobranchus Alleganiensis Alleganiensis), Obed Hernandez-Gomez, Jason T. Hoverman, Rod N. Williams

Natural Sciences and Mathematics | Faculty Scholarship

Multicellular hosts maintain complex associations with microbial communities. While microbial communities often serve important functional roles for their hosts, our understanding of the local and regional processes that structure these communities remains limited. Metacommunity analyses provide a promising tool for investigating mechanisms shaping microbiome heterogeneity, which is essential for predicting functional variation between hosts. Using a metacommunity framework, we examined heterogeneity in the skin microbiome of the eastern hellbender (Cryptobranchus alleganiensis alleganiensis). Hellbenders are broadly distributed throughout river systems in the eastern United States, but are present in specific environmental locations throughout their range. The large range of the species …

Checklist Of Helminths Of Bats From Mexico And Central America, F. Agustín Jiménez, Juan M. Caspeta-Mandujano, Said B. Ramírez-Chávez, Silvia E. Ramírez-Díaz, Marissa G. Juárez-Urbina, Jorge L. Peralta-Rodríguez, José A. Guerrero

MANTER: Journal of Parasite Biodiversity

Based on original data obtained from fieldwork conducted from January 2008 to December 2015 and from previous records from published accounts, an updated checklist of helminth parasites of bats from Mexico and Central America is presented. The checklist has been organized in four ways, first as a helminth-host list in the state of Morelos, second as a helminth-host list with taxonomic and geographic distributional information, third as a bat-helminth list with references, and last, as a summary of the host-helminth association. A total of 105 records and 67 helminth taxa (26 trematodes, 4 cestodes, and 37 nematodes [33 adult and …

Epidemiological Importance Of Neglected Malaria Vector Behaviors And Evaluating Novel Tools For Controlling Residual Malaria Transmission In Africa ---- Individual-Based Modeling Study, Lin Zhu

Open Access Dissertations

Malaria elimination remain a worldwide public health challenge. Residual malaria transmission has been consistently reported even in areas with adequate coverage of the two World Health Organization (WHO) recommended vector control interventions of long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS). Sugar-feeding and resting are two neglected yet crucial behaviors in malaria vector biology, and the corresponding environmental resources can play a huge role on the vector biology, and consequently on malaria transmission. However, there are few research on these two behaviors. The wide use of the indoor vector control tools has increased insecticide resistance in malaria vectors and …

Correlation Networks And Hot Spot Detection Of Dengue Morbidity In Cebu City, Philippines, Gibson` Maglasang

CNU Journal of Higher Education

Dengue is considered to be the fastest re-emerging disease in the world (WHO, 2012). Currently, it is one of the most prevalent diseases in the Central Visayas Region, Philippines particularly in Cebu City (Gubler and Clark, 1995). Each year, large number of dengue outbreaks continues to occur causing tremendous burden not only to health but to the economy as well. Thus, to address the increasing concern about the threat posed by Dengue Incidence, a clearer picture of epidemiology and important risk factors is needed. In this study, the weekly data on Dengue morbidity for each barangay in Cebu City from …

Career Corner: Quidel Seeks Cell Culture Manufacturing Associate In Athens Location, Ohio University College Of Arts & Sciences

All Forum Articles

No abstract provided.

Supporting And Retaining Village Health Teams: An Assessment Of A Community Health Worker Program In Two Ugandan Districts., Daniel C Mays, Edward J O'Neil, Edison A Mworozi, Benjamin J Lough, Zachary J Tabb, Ashlyn E Whitlock, Edward M Mutimba, Zohray M Talib

Health Policy and Management Faculty Publications

Background

Uganda’s national community health worker program involves volunteer Village Health Teams (VHTs) delivering basic health services and education. Evidence demonstrates their positive impact on health outcomes, particularly for Ugandans who would otherwise lack access to health services. Despite their impact, VHTs are not optimally supported and attrition is a growing problem. In this study, we examined the support needs and existing challenges of VHTs in two Ugandan districts and evaluated specific factors associated with long-term retention. We report on findings from a standardized survey of VHTs and exploratory interviews with key stakeholders and draw conclusions that inform efforts to …

Reflecting Back On The Ebola Outbreak And The Future Of Bioterrorism, Christian Pedersen

Pepperdine Policy Review

In the wake of the 2014 Ebola outbreak, policy makers have focused on the public health components which led to the outbreak, the efforts to control it, and mitigate the impact of the outbreak. Some of the most enlightening aspects of the outbreak, pertain to National Security. The crisis demonstrated some crucial challenges the United States would have to plan for to effectively respond to a bioterrorist attack.

Volume 54, Number 49: July 19, 2017, University Of North Dakota

University Letter Archive

No abstract provided.

Age Appropriate Treatment Of Drug-Resistant Tuberculosis In South Africa, Brittney Jayne Sullivan

Dissertations

The purpose of this study was to describe the time from DR-TB diagnosis to treatment initiation for people in South Africa with DR-TB with and without HIV and to evaluate the influence of age on the timing of treatment initiation after controlling for patient and health system characteristics. It was hypothesized that younger patients would have a greater number of days from DR-TB diagnosis to DR-TB treatment initiation. Additionally, we address the knowledge gaps pertaining to prescription of guideline-based treatment for DR-TB at treatment initiation and the influence of individual and health system factors on prescribed treatment for youth and …

Assessing The Utility Of Phenylene Ethynylenes Against Candida Species Pathogens, Rina Sylejmani

Biomedical Engineering ETDs

Candida species are the cause of many bloodstream infections through contamination of indwelling medical devices. These infections account for a 40% mortality rate, posing a significant risk to immunocompromised patients. Traditional treatments against Candida infections include amphotericin B and various azole treatments. Unfortunately, these treatments are associated with high toxicity, and resistant strains have become more prevalent. As a new frontier, light-activated phenylene ethynylenes have shown promising biocidal activity against Gram-positive and -negative bacterial pathogens, as well as the environmental yeast, Saccharomyces cerevisiae. In this thesis, we monitored the viability of Candida species after treatment with a cationic conjugated …

What's Happening: July 17, 2017, Maine Medical Center

What's Happening

No abstract provided.

Advance Practice Registered Nurses' (Aprns') Clinical Practice Strategies To Deter Antibiotic Overuse, Pamela Willson, Susan K. Lee, Marcia Poole

International Nursing Research Congress (INRC)

Purpose: Despite evidence that unnecessary antibiotic therapy for acute respiratory tract infections (ARTIs) increases risk of adverse drug events, increases antibiotic-resistant bacteria and healthcare costs, while not providing clinical improvement, prescription use is common. While there are reports of physician clinical practice strategies to deter antibiotic overuse, no studies specific to Advanced Practice Nurses" (APNs) practice behaviors were found. The provider"s communication of positive and negative treatment recommendations leans to support for deterring antibiotic misuse. The primary aim of this study was to describe APNs clinical strategies to reduce antibiotic overuse for ARTIs in pediatric patients.

Methods: The conceptual model …

Iot Based Recipes For Enabling Senior Citizens: Stakeholders Views On How Integration Of Iot And Web Services Can Enhance Well-Being And Inclusion Of Older People, Matteo Zallio, Damon Berry, John Mcgrory

Conference papers

The main body of research clearly highlights the world’s population is rapidly expanding. When this fact is combined with the increase in life longevity due to medical and social advances it alters the demographic balance in relation to age. Hence, the number of people aged 65 and over is constantly increasing. The potential of Smart Technologies and IoT-based devices to improve health has increased rapidly in the last few years and users are now in a position to contribute to the development of the interaction process and need to be properly trained on benefits of using new technologies. IFTTT (If …

Conference Program, Wilfred Chen, Nicole Borth, Stefanos Grammatikos

Biochemical and Molecular Engineering XX

No abstract provided.

Genetic Approaches To Population Ecology And Conservation Of The Sacramento Mountain Salamander, Samantha Jo Nicole Cordova

Biology ETDs

Aneides hardii (Sacramento Mountain salamander) is restricted to high-elevation habitat that is fragmented by low-elevation piñon-juniper woodland. Aneides hardii is a species of conservation concern in New Mexico, in part, because disease and climate change endanger its long-term persistence. In this study, we use sequence data from the mitochondrial cytochrome b gene and a microsatellite locus of A. hardii to addresses the timing and scale of population subdivision. We also calculated genetic diversity measures and compared them among mountain ranges to explore demographic history of A. hardii. Twenty-six haplotypes and three genetically distinct lineages were identified, and each haplotype …

Evaluation Of Phosphatidylcholine As A Local Drug Delivery Device For Application To Orthopedic Implants, Michael Anthony Harris

Electronic Theses and Dissertations Archive

Periprosthetic joint infection (PJI) is a major burden on the healthcare system and significantly increases the mortality rate of patients following total joint arthroplasty. Prophylactic local antibiotic delivery can reduce infection rates and improve patient outcome; however, infection rates remain at 1-2%. Biofilm inhibitors are a possible means to prevent bacterial attachment to implants. This work evaluates the use of a phosphatidylcholine coating for local delivery of antibiotics and a biofilm inhibitor, cis-2-decenoic acid. Results show that antibiotic and biofilm inhibitor are released at clinically relevant amounts for 5-9 days, indicating the phospholipid is a viable carrier. In vitro studies …

Reducing Antibiotic Use In The Management Of Upper Respiratory Infections In The Urgent Care Setting, Melissa Jones Holley

International Nursing Research Congress (INRC)

Purpose: Upper Respiratory Infections (URIs) are the most common presenting complaint to urgent care centers across the United States. Regardless of etiology or provider specialty, antibiotics are prescribed 60% of the time for the treatment of URIs, contributing to drug resistant respiratory organisms which often provide clinical management challenges for patients and their providers. These practices impact patient outcomes, quality of care, antimicrobial resistance, and economics in community and hospital settings. Chart reviews at a local urgent care company revealed similar practices among providers. Differences in provider type, knowledge base, confidence, practice experiences, and the lack of company adopted treatment …