Digital Commons Network^™

Improving Outcomes In Adults With Diabetes Through An Interprofessional Collaborative Practice Program, Jean Nagelkerk, Margaret Thompson, Michael Bouthillier, Amy Tompkins, Lawrence Baer, Jeff Trytko, Andrew Booth, Adam Stevens, Kayleah Groeneveld

Open Access Publishing Support Funded Articles

In 2014, the Midwest Interprofessional Practice, Education and Research Center partnered with a Federally Qualified Health Center (FQHC) to implement an interprofessional collaborative practice (IPCP) education program to improve the health of adult patients with diabetes and to improve practice efficiency. This partnership included integrating an interprofessional team of students with the practice team. Twenty-five students and 20 staff engaged in the IPCP program, which included completion of educational modules on IPCP and implementation of daily huddles, focus patient visits, phone calls, team-based case presentations, medication reconciliation, and student-led group diabetes education classes. This study used a sequential mixed methods …

Influence Of Smoking On Lipid Profile In Iraqi Men, Safa W. Azize

Muthanna Medical Journal

Cigarette smoking is generally considered as associated with increased risk of a variety of medical disorders. Several studies provide the evidences that a smoking is strongly associated with change the normal status of the lipid profile. The present study aimed to compare the lipid profile between smokers and non-smokers and to determine the influence smoking on the lipid profile in our community. Forty smoking males and thirty non-smoking males from different areas of Babylon governorate were included in this study. Their age was ranged between 20 and 40 years. Fasting blood was withdrawn from all groups and used for determination …

The Parthenon, November 7, 2017, Jared Casto

The Parthenon

The Parthenon, Marshall University’s student newspaper, was published by students Monday through Friday during the regular semester and weekly on Thursdays during the summer. Due to budgetary constraints, beginning with the 2016 Fall semester, the newspaper is only published two days a week. Physical issues are printed on Tuesdays and Fridays. The editorial staff is responsible for the news and the editorial content.

November 2017 (Issue 1) : Celiac Disease And Nutrition, Aga Khan University Hospital, Karachi

Nutrition and Food Services Department (NFSD) Archives

• What is celiac disease?
• What are the symptoms of celiac disease?
• How is celiac disease treated?
• What foods can be consumed?
• Food label reading guide

Modelling Stunting In List: The Effect Of Applying Smoothing To Linear Growth Data, Simon Cousens, Jamie Perin, Parul Christian, Lee Shu-Fune Wu, Sajid Bashir Soofi, Zulfiqar Ahmed Bhutta, Claudio Lanata, Richard L. Guerrant, Aldo A. M. Lima, Kåre Mølbak

Department of Paediatrics and Child Health

Background: The Lives Saved Tool (LiST) is a widely used resource for evidence-based decision-making regarding health program scale-up in low- and middle-income countries. LiST estimates the impact of specified changes in intervention coverage on mortality and stunting among children under 5 years of age. We aimed to improve the estimates of the parameters in LiST that determine the rate at which the effects of interventions to prevent stunting attenuate as children get older.
Methods: We identified datasets with serial measurements of children's lengths or heights and used random effects models and restricted cubic splines to model the growth trajectories of …

Water, Sanitation And Hygiene Interventions For Acute Childhood Diarrhea: A Systematic Review To Provide Estimates For The Lives Saved Tool, Nazia Darvesh, Jai K. Das, Tyler Vaivada, Michelle F. Gaffey, Kumanan Rasanathan, Zulfiqar Ahmed Bhutta

Department of Paediatrics and Child Health

Background: In the Sustainable Development Goals (SDGs) era, there is growing recognition of the responsibilities of non-health sectors in improving the health of children. Interventions to improve access to clean water, sanitation facilities, and hygiene behaviours (WASH) represent key opportunities to improve child health and well-being by preventing the spread of infectious diseases and improving nutritional status.
Methods: We conducted a systematic review of studies evaluating the effects of WASH interventions on childhood diarrhea in children 0–5 years old. Searches were run up to September 2016. We screened the titles and abstracts of retrieved articles, followed by screening of the …

Patient Experience In The Behavioral Health Setting: Key Best Practices Throughout An Organizational Journey, Mark L. D'Agostino, Tena Vizner, Daniel Wald, Linda Espinosa, Rick Evans

Patient Experience Journal

NewYork-Presbyterian/Westchester Division, a clinical affiliate of Weill Cornell Medicine, is a 260-bed hospital providing inpatient and outpatient behavioral health care for children, adolescents, adults and older adults. From 2004-2010 the hospital’s patient experience scores on the Press Ganey® Inpatient Psychiatry Survey improved from the 14th to 53rd percentile nationally. We primarily attribute this to joining the Planetree® Affilliate Network. Planetree is a mission based not-for-profit organization that partners with healthcare organizations around the world and across the care continuum to represent the patient voice and advance how professional caregivers engage with patients and families. In 2011, hourly rounding was redesigned …

Patient Experience Of Taking Adjuvant Endocrine Therapy For Breast Cancer: A Tough Pill To Swallow, Kuang-Yi Wen, Rita Smith, Aruna Padmanabhan, Lori Goldstein

Patient Experience Journal

Adjuvant endocrine therapy (AET) has substantially improved the mortality rate among breast cancer survivors. Despite the proven efficacy, the non-adherence rate to therapy is still high. This study is aimed to examine women’s challenges related to AET adherence and management. Semi-structured interviews were conducted with six Caucasian and six African American breast cancer survivors who were prescribed for AET. The transcripts of audio-taped interviews were qualitatively analyzed. Key themes were: 1) positive beliefs in AET, 2) uncertainty about long-term adherence, 3) experiences with side effects, 4) forgetting and remembering, 5) other concerns and information needs, 6) potential intervention format, and …

Operationalizing Person-Centered Care Practices In Long-Term Care: Recommendations From A “Resident For A Day” Experience, Jennifer L. Johs-Artisensi

Patient Experience Journal

As the senior population continues to age, long-term care is positioned for growth and care recipients are demanding more person-centered care. While long-term care leaders may understand and believe in the value of person-centered care, sometimes operationalizing practices to ensure its delivery can be challenging. Using an ethnographic approach, over three years, 159 long-term care administrator-in-training practicum students each lived as a resident for 24 hours in a nursing home. Following the experience, using the Picker Institute’s framework, each participant identified and justified an Always Experience® – an optimal experience they believed should routinely occur for every long-term care resident. …

Virtual Clinical Trials: One Step Forward, Two Steps Back, Lori Andrews, Kayla Kostelecky, Stephanie Spritz, Alexandra Franco

Journal of Health Care Law and Policy

Virtual clinical trials have entered the medical research landscape. Today’s clinical trials recruit subjects online, obtain informed consent online, send treatments such as medications or devices to the subjects’ homes, and require subjects to record their responses online. Virtual clinical trials could be a way to democratize clinical research and circumvent geographical limitations by allowing access to clinical research for people who live far from traditional medical research centers. But virtual clinical trials also depart dramatically from traditional medical research studies in ways that can harm individuals and the public at large. This article addresses the issues presented by virtual …

The Drug Quality And Security Act Of 2013: Compounding Consistently, Stella Haeyoung Kim

Journal of Health Care Law and Policy

No abstract provided.

2017-18 Faculty Senate Xxii - November 6, 2017 Minutes Summary, Faculty Senate

Faculty Senate Agendas & Minutes

No abstract provided.

The Role Of Trauma And Poverty In Decision-Making: Implications For Otda Practices, Carolyn Hilarski Ph.D.

Public Assistance Development Programs

Decision-making is defined as a method of selecting a particular option among a set of alternatives expecting to produce a desirable outcome. Decision-making is a complex process and can be particularly daunting depending upon an individual’s circumstances. Adults seeking financial assistance and other supports from public and private human services agencies may have significant challenges with the decision-making process due to their current circumstances.

Research suggests poverty affects higher-level thinking skills, including decision-making. One explanation poses a relationship between the state of poverty, the stress/trauma response, and impaired decision-making. For example, studies indicate that when people are experiencing fear and …

The Role Of Feature-Based Discrimination In Driving Health Disparities Among Black Americans, Randl B. Dent, Nao Hagiwara, Elena V. Stepanova, Tiffany L. Green

Faculty Publications

Objective: A growing body of research finds that darker skin tone is often associated with poorer physical and mental health in Blacks. However, the psychosocial mechanisms underlying the skin tone-health link remain elusive. The present study seeks to address this knowledge gap by investigating the direct and indirect (through perceived discrimination, socioeconomic status, and self-esteem) effects of skin tone on self-reported physical and mental health.

Design: An urban sample of 130 Blacks aged 35 and above completed a self-administered computerized survey as a part of larger cross-sectional study.

Results: Self-esteem played a particularly important role in mediating the associations between …

The Guardian, Week Of November 6, 2017, Wright State Student Body

The Guardian Student Newspaper

News articles from The Guardian for the week of November 6, 2017. The Guardian, the official student-run newspaper for Wright State University. It has been published regularly since March of 1965.

Bjc Today

BJC Today

No abstract provided.

Conference Proceedings: Aurora Scientific Day 2017

Journal of Patient-Centered Research and Reviews

This supplement includes select abstracts presented at the 43rd Annual Aurora Scientific Day research symposium on May 24, 2017. Aurora Scientific Day hosts a forum for original research conducted by faculty, fellows, residents, and other allied health professionals affiliated with Aurora Health Care, an integrated health system headquartered in Milwaukee, Wisconsin.

The Lifestyle Initiative: An Innovative Coaching-Based Quality Improvement Study To Improve The Health Of Aurora Health Care Caregivers And Family Members, Tiffany A. Mullen, Jessica J.F. Kram, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

Background: Self-management support has been shown to improve clinical outcomes. Health coaching, one form of self-management support, empowers patients within the health care system by providing information and through collaboratively developed care plans.

Purpose: Assess the impact of The Lifestyle Initiative, a coaching-based health program utilized by Aurora Health Care caregivers or family members.

Methods: The Lifestyle Initiative is a coaching-based approach for Aurora caregivers or family members enrolled in Aurora’s health insurance network. Individuals were recruited from the care management database, and all participants had an Aurora primary care provider. Participation was limited to those ≥ 18 years of …

The Role Of Talin2 In Breast Cancer Tumorigenesis And Metastasis, Liqing Li, Xiang Li, Lei Qi, Piotr G. Rychahou, Naser Jafari, Cai Huang

Markey Cancer Center Faculty Publications

Recent studies show that talin2 has a higher affinity to β-integrin tails and is indispensable for traction force generation and cell invasion. However, its roles in cell migration, cancer cell metastasis and tumorigenesis remain to be determined. Here, we used MDA-MB-231 human breast cancer cells as a model to define the roles of talin2 in cell migration, invasion, metastasis and tumorigenesis. We show here that talin2 knockdown (KD) inhibited cell migration and focal adhesion dynamics, a key step in cell migration, and that talin2 knockout (KO) inhibited cell invasion and traction force generation, the latter is crucial for cell invasion. …

Faculty Senate Agenda, November 6, 2017, Utah State University

Faculty Senate & Faculty Senate Executive Committee

• EPC October Report
• Faculty Evaluation Committee Annual Report
• Faculty Athletic Representative (FAR)

Improved Service Efficiency Improves Racial Disparity In Diabetic Care, Abel Irena, Kushal Patel, David Thompson, Gregory Schleis, Abiy Gesese, Richard Battiola

Journal of Patient-Centered Research and Reviews

Background: Racial disparities in diabetes care have been documented. Disparities also have been shown to affect service quality and outcome of diabetic care. Analysis of our internal medicine residency clinic diabetic care management performance across REAL-G (race, ethnicity, age, preferred language and/or gender) showed race-based disparity on two outcome measures: 1) measurement of glycohemoglobin (A1C) at least twice a year; and 2) target blood pressure of < 140/90.

Purpose: Develop interventions to decrease racial disparities in diabetes care among patients managed by an internal medicine residency clinic, as part of the Alliance of Independent Academic Medical Center’s National Initiative V project.

Methods: …

Musical Hallucinations Treated With Atypical Antipsychotics In A Geriatric Population – A Case Series, Adam Schindzielorz Md, D. Scott Murphy Md, Suzanne Holroyd Md

Psychiatry

Musical hallucinations have been likened to the auditory equivalent of Charles Bonnet Syndrome, which involves complex visual hallucinations, most often in the context of visual impairment. Musical hallucination frequently take the form of hymns, carols, and show-tunes and are strongly associated with hearing loss, with some studies suggesting a prevalence of 2.5–3.6% in the hearing impaired. Musical hallucinations are typically treated with anticonvulsant and anticholinesterase medications, with some studies having evaluated the efficacy of sedative hypnotics, antipsychotics and antidepressants in various psychiatric and medical subpopulations suggesting a heterogeneous spectrum of causes for this disorder.

We present two cases of musical …

Fit For Purpose? Institutions For Dispensing Law And Justice Devonport Prison: The Most Efficient Establishment Of Its Kind, Ka Stevenson

School of Law, Humanities and Social Sciences

No abstract provided.

Fit For Purpose? Institutions For Dispensing Law And Justice Devonport Prison: The Most Efficient Establishment Of Its Kind, Ka Stevenson

School of Law, Humanities and Social Sciences

No abstract provided.

Highlights From Pirls 2016: Australia's Perspective, Sue Thomson, Kylie Hillman, Marina Schmid, Sima Rodrigues, Jessica Fullarton

Progress in International Reading Literacy Study (PIRLS)

The Progress in International Reading Literacy Study (PIRLS) is an international study of reading literacy directed by the IEA (International Association for the Evaluation of Educational Achievement). In Australia, PIRLS is implemented by the Australian Council for Educational Research (ACER), which is Australia’s representative to the IEA. In Australia, PIRLS is part of the National Assessment Program. PIRLS has been conducted internationally at Year 4 on a five-year cycle since 2001, however, Australia participated for the first time in 2011. The main goal of PIRLS is to assist countries to monitor and evaluate their teaching of reading across time. Year …

Correlation Between Ldl, Hdl, And Triglyceride Conditions With Body Fat Percentage Of Universitas Padjadjaran Professors, Yosi Wailan Saputra, Miftahurachman Miftahurachman, Leonardo Lubis

Folia Medica Indonesiana

Elderly is a problem that may disrupt the balance of various molecules in the body, especially fat molecules, which may result in the emergence of various diseases so that blood fat and adipose level examinations need to be done regularly and periodically as an effort of early detection. This study aimed to find correlation between Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL), and triglyceride with body fat percentage among professors in Universitas Padjadjaran (Unpad) who were mostly in elderly age. This study was a linear regression analytical study conducted on 52 Unpad professors (♂ 75%, ♀ 25%) based on …

Fatigue-Related Medical Conditions Affecting Seafarers : An Exploratory Case-Study Of Indian Seafarers, Saratkumar Chembukkavu Narayanan

World Maritime University Dissertations

No abstract provided.

The Implementation Of The United Nations On Sustainable Development Goals Number 14 Concerning “Conserve And Sustainable Use Of The Ocean, Seas And Marine Resources For Sustainable Development” In Indonesia Maritime Regulation : The Review On The Law And Policy Applied In Indonesia Concerning The Coastal And Maritime Resources And Protection, Namiraisir Endah Asmar

World Maritime University Dissertations

No abstract provided.

Life Quality Among Elderly With Obesity In Outpatient Clinic, Dr. Soetomo Hospital, Surabaya, Patricia Maria Kurniawati, Hening Laswati Laswati

Folia Medica Indonesiana

Obesity is one of the chronic diseases that may have significant impact and affect the quality of life, especially in elderly who already have multidimensional problems. This study aimed to provide information about the influence of obesity in elderly on every component of his quality of life by using the SF-36 quality of life. This study was conducted on 105 patients in outpatient Medical Rehabilitation, Geriatrics and Diabetes at Dr. Soetomo Hospital, Surabaya. Patients aged 60-75 years, consisting of 62 men and 43 women. The number of patients with obesity was 49 persons (46.7%) with an average body mass index …

The Difference Of Blood Pressure And Arterial Stiffness After Intake Of Arabica And Robusta Coffee In Controlled Hypertension, Budi S Pikir, Andrianto Andrianto, Ford Ance A

Folia Medica Indonesiana

Potential mechanisms of caffeine promote large artery stiffness and associated with increased morbidity and mortality of cardiovascular disease. To find the difference of blood pressure and arterial stiffness after intake of arabica and robusta coffee in controlled hypertension, a quasi-experimental study was done enrolling 24 controlled hypertension and 24 normotensive subjects collected by purposive sampling. Subjects received ± 10,6 g caffeinated coffee in 150 ml water with crossover protocol twice in 5 days. The assessment of arterial stiffness by obtaining ultrasound 2D image of common carotid artery then was calculated with beta stiffness index. Blood pressure and arterial stiffness was …