Operations Research, Systems Engineering and Industrial Engineering Commons^™

Opioid Medication Use And Education Following Sports Medicine Procedures: An Evidence-To-Practice Review, Caitlin S. O’Mara, Michael G. Ward, Zachary K. Winkelmann

Clinical Practice in Athletic Training

According to the Centers for Disease Control (CDC), illicit and prescription drug overdoses are responsible for 128 deaths every day in the United States. In 2018, 70% of all overdose related deaths involved opioids. Efforts to minimize the opioid epidemic focus on community education, research, partnership, and healthcare support. Under the CDC guidelines, current practices include monitoring trends of drug use and drug related deaths, conducting research to recognize areas in need of improvement and to analyze effectiveness of current treatments, partner with community organizations and healthcare systems that deal firsthand with opioid users, and educate the public on drug …

Les Lésions Professionnelles De La Coiffe Des Rotateurs De L'Épaule : Optimiser La Prise En Charge Des Travailleurs Et Favoriser Le Retour Au Travail, François Desmeules, Jean-Sébastien Roy, Joseph-Omer Dyer, Pierre Frémont, Clermont Dionne, Joy C. Macdermid, Michel Tousignant, Annie Rochette

Rapports de recherche scientifique

Les atteintes musculosquelettiques de l’épaule sont fréquentes chez les travailleurs. En plus d’affecter leur qualité de vie, elles entraînent une augmentation de l’absentéisme et une diminution de la productivité, et peuvent conduire à une retraite anticipée. Pour l’année 2017, la province de Québec a enregistré 2,1 milliards de dollars en prestations en lien avec des lésions professionnelles. Environ 8 % de ces réclamations étaient dues à une lésion touchant l’articulation de l’épaule (CNESST, 2018).

Les lésions de la coiffe des rotateurs (CR) sont les affections les plus rencontrées chez les travailleurs présentant une atteinte à l’épaule. Présentement, les cliniciens ne …

Les Lésions Professionnelles De La Coiffe Des Rotateurs De L'Épaule : Optimiser La Prise En Charge Des Travailleurs Et Favoriser Le Retour Au Travail : Matériel Supplémentaire, François Desmeules, Jean-Sébastien Roy, Joseph-Omer Dyer, Pierre Frémont, Clermont Dionne, Joy C. Macdermid, Michel Tousignant, Annie Rochette

Rapports de recherche scientifique

Voir également :

• Les lésions professionnelles de la coiffe des rotateurs de l'épaule : optimiser la prise en charge et en favoriser le retour au travail, RA-1119-fr

• Les lésions professionnelles de la coiffe des rotateurs de l’épaule : optimiser la prise charge et en favoriser le retour au travail : guide de pratique clinique, RG-1119-fr

Développement, Validation Et Application D’Une Méthode Quantitative Pour Évaluer Les Déplacements Des Pieds Des Manutentionnaires, André Plamondon, Antoine Muller, Xavier Robert-Lachaîne, Jasmin Vallée-Marcotte, Denys Denis, Christian Larue, Hakim Mecheri, Philippe Corbeil

Rapports de recherche scientifique

Les troubles musculosquelettiques lors d’activités de manutention manuelle (MM) sont encore très présents dans nos milieux de travail. Les facteurs de risque biomécanique les plus souvent associés aux douleurs au dos incluent la manutention manuelle, les répétitions excessives, les torsions du tronc et les levers de charges lourdes. Plusieurs déterminants d’une tâche de MM ont été étudiés pour déterminer leur importance sur l'exposition physique des travailleurs. Par exemple, la hauteur de la charge, la distance initiale de la charge par rapport au corps, la masse soulevée et la vitesse du soulèvement sont tous des déterminants liés à la …

Confort Thermique Et Mobilité Des Policiers Motards Lors Du Port Du Gilet Pare-Balles : Une Analyse Ergonomique, Steve Vezeau, Alain S. Comtois, Victoria Budico

Rapports de recherche scientifique

Plusieurs études démontrent une diminution importante des risques de décès chez les agents de police qui portent un gilet pare-balles (GPB). Cependant, certains patrouilleurs demeurent réticents à le revêtir à cause des inconforts qu’il engendre sur les plans thermiques et de la mobilité; ceux-ci représentent 8 % de l’ensemble des agents de police et 47 % des agents motards, ce qui accroît les risques pour leur sécurité. Les agents des unités motocyclistes seraient donc parmi les plus exposés, notamment en raison de conditions particulières telles que le travail à l’extérieur, la proximité d’une source de chaleur (moteur), le port de …

Influence Of The Inherent Safety Principles On Quantitative Risk In Process Industry: Application Of Genetic Algorithm Process Optimization (Gapo), Mehdi Jahangiri, Abolfazl Moghadasi, Mojtaba Kamalinia, Farid Sadeghianjahromi, Sean Banaee

Community & Environmental Health Faculty Publications

Inherent safety (IS) refers to a set of measures that enhance the safety level of processes and equipment, rendering additional equipment and/or add-ons. The early design phase of processes is suited best for implementation of IS strategies as some of such strategies either are impossible to be implemented at the operation phase or substantially increase costs. The purpose of this study is to present a new approach called genetic algorithm process optimization (GAPO), by which processes can be made inherently safer even at the operation phase. This study simulates the IS principle, assessing its impact on quantitative risk and the …

Future Implications Of Telehealth In Post-Covid World, Sujatha Alla, Vijay Kumar Chattu

Engineering Management & Systems Engineering Faculty Publications

[Introduction] The recent global pandemic forced telehealth to play a greater role in global healthcare delivery due to limited healthcare accessibility. The advent of innovative communication technologies has made it easier for patients to get services like health assessment, diagnosis, interventions, supervision, and information remotely. Digital imaging, decision support software, virtual reality, machine learning for error reduction, Internet of Things (IoT) such as wearable sensors, assistive robots, advances in data management (tracking, transmission, and storage), real-time analytics or store-and-forward, are some of the dynamic technologies that provide strong evidence-based support to scalable and sustainable telehealth programs.

Physicians And Their Patience: Redefining Healthcare Relationships Through Readability Optimization, Rachel V. Ball

Honors Undergraduate Theses

The present study takes legibility research and extends it to the medical setting. Internal Medicine Physicians from UCF developed six passages of medical text detailing a History of Present Illness (HPI) Report from an emergency department as well as comprehension questions for the purpose of our study. In our study, we first presented non-medical passages and comprehension questions in six common fonts to identify participants' individual fastest and slowest fonts. We then gave participants medical passages in both their best and worst fonts while measuring reading speed and comprehension. This study was delivered to a population of Amazon Mechanical Turk …

Potential Production Of Theranostic Boron Nitride Nanotubes (64cu-Bnnts) Radiolabeled By Neutron Capture, Wellington Marcos Silva, Helio Ribeiro, Jaime Taha-Tijerina

Manufacturing & Industrial Engineering Faculty Publications

In this work, the radioisotope 64Cu was obtained from copper (II) chloride dihydrate in a nuclear research reactor by neutron capture, (63Cu(n, )64Cu), and incorporated into boron nitride nanotubes (BNNTs) using a solvothermal process. The produced 64Cu-BNNTs were analyzed by TEM, MEV, FTIR, XDR, XPS and gamma spectrometry, with which it was possible to observe the formation of64Cu nanoparticles, with sizes of up to 16 nm, distributed through nanotubes. The synthesized of 64Cu nanostructures showed a pure photoemission peak of 511 keV, which is characteristic of gamma radiation. This type of emission is desirable for Photon Emission Tomography (PET scan) …

Nebulizer-Based Systems To Improve Pharmaceutical Aerosol Delivery To The Lungs, Benjamin M. Spence

Theses and Dissertations

Combining vibrating mesh nebulizers with additional new technologies leads to substantial improvements in pharmaceutical aerosol delivery to the lungs across therapeutic administration methods. In this dissertation, streamlined components, aerosol administration synchronization, and/or Excipient Enhanced Growth (EEG) technologies were utilized to develop and test several novel devices and aerosol delivery systems. The first focus of this work was to improve the poor delivery efficiency, e.g., 3.6% of nominal dose (Dugernier et al. 2017), of aerosolized medication administration to adult human subjects concurrent with high flow nasal cannula (HFNC) therapy, a form of continuous-flow non-invasive ventilation (NIV). The developed Low-Volume Mixer-Heater (LVMH) …

Redeployment Of Athletic Trainers During A Pandemic, James Caiola

Clinical Practice in Athletic Training

Before COVID-19 was recognized as a global pandemic involving the United States of America in March of 2020, MedStar Health employed 40 Athletic Trainers (ATs) in multiple settings. While ATs worked in the traditional setting at 17 high schools, 2 universities, and with 2 professional teams in the Baltimore, MD and Washington, DC area, they also have been used in nontraditional ways. They are used in the physician practice setting to manage clinic flow, evaluate patients and present to the physician, provide pre- and post-surgical patient education, and being an overall patient point of contact in a busy clinic. They …

Telehealth Optimization – Role Of Clinical Athletic Trainers In Orthopedic/Sports Medicine Practice, Katie Harbacheck, Laura Grambo, Shaun Keefer, Eric Klein, Christine Boyd, Carolyn Ford-Hemann, Cameron D’Alpe, Steve Frick, Kevin Shea

Clinical Practice in Athletic Training

Background: Prior to COVID-19, telehealth (TH) implementation in most health systems was minimal. The transition to high rates of TH was dramatic in response to COVID-19, and many health systems struggled to develop optimal, efficient TH workflows. Hypothesis/Purpose: The primary purpose of this study was to evaluate the role of clinically integrated athletic trainers (ATs) into the TH transition of a major orthopedic academic center through growth of TH visits as well as physician satisfaction. Methods: Workflows and tip sheets were designed to include considerations of TH visit increases, adoption of appropriate technology platforms and optimal staff models. The rapid …

Raw And Pure Education In The Society, Iwasan D. Kejawa

Department of Educational Administration: Dissertations, Theses, and Student Research

What does education mean to individuals in the world today? Education is a way one can attain or improve his or her ability to lead and survive in the society of ours. Without educational training of the mind, it may be impossible to realize the importance of adaptability of living in the environment. Without education, It may also be difficult to embellish the use of both the mental and physical attributes possessed by individual beings.

What really is education? Education is the training of the mind to perform desire functions or to perpetuate the modality of obtaining an end or …

Safety In The Quebec Construction Industry: An Overview Of And Possible Improvements In Hazardous Energy Control Using Lockout On Construction Sites By Electricians, Pipefitters, Refrigeration Mechanics And Construction Millwrights, Damien Burlet-Vienney, Yuvin Chinniah, Ayoub Nokra, Abdallah Ben Mosbah

Études primaires

Lack of proper energy control on construction sites leads to numerous worker fatalities every year. Energy control refers to the concept of lockout and other methods used in particular in North America. The aim of this exploratory research project was to achieve a better understanding of energy control practices in the Quebec construction industry for four trades: electricians, pipefitters, refrigeration mechanics and construction millwrights. For each trade, 10 or so semistructured interviews were conducted by means of an open-ended questionnaire, developed with reference to the current provincial regulatory requirements. The 95 experiences described by the 38 participants were compiled by …

A Markov Chain Approach For Forecasting Progression Of Opioid Addiction, Abhijit Gosavi, Susan L. Murray, N. Karagiannis

Engineering Management and Systems Engineering Faculty Research & Creative Works

The U.S. is currently facing an opioid crisis. Naltrexone is a common treatment for drug addiction; it reduces the desire to take opiates. However, addicts often stop treatment or continue to use opioids while in treatment. This results in increased fatalities and associated costs. A Markov-chain model is presented to analyze the progression of opioid addiction to assist the medical community in developing appropriate treatments. The model includes patients who continue opiate use while on naltrexone (blocked patients) and those who use opiates after missing naltrexone doses (unblocked patients). The other types of patients are abstinent (the best-case scenario) and …

Critères De Stabilité Des Échelles Et Des Escabeaux, Bertrand Galy

Rapports de recherche scientifique

Les chutes de hauteur sont encore aujourd’hui une des principales causes d’accident au Québec, et la deuxième cause en termes de coûts sur la période 2010 – 2012, avec une moyenne de 397 millions de dollars par année. Selon la CNESST, les statistiques de lésions impliquant les échelles, que ce soit en construction ou en établissement, montrent une augmentation au fil des ans (période de 2007 à 2012) et sur la période 2009 à 2013, 20 % des lésions dues à une chute de hauteur ont été causées par une chute à partir d’une échelle.

Un des principaux critères affectant …

Trainer Appropriation And Transfer Of A New Prevention Approach In Material Handling Based On Action Principles, Denys Denis, Maud Gonella, Marie Comeau, Martin Lauzier

Rapports de recherche scientifique

Mise en contexte et objectif

Prenant acte du constat d’échec des formations à la manutention axées sur l’enseignement exclusif de la technique sécuritaire « dos droit – genoux fléchis », une nouvelle approche d’intervention dite « stratégie intégrée de prévention en manutention » (SIPM) a été proposée en 2011. Son originalité repose, entre autres, sur l’utilisation de neuf principes d’action permettant de comprendre et de commenter la richesse des techniques de manutention utilisées naturellement par les manutentionnaires dans leur milieu de travail. L’étude a pour objectif central d’évaluer l’appropriation et le transfert de la SIPM par un groupe d’intervenants formés …

Survey Of Airflow Around A Heated Manikin As A Simulated Aeromedical Evacuation Patient On A Litter With Computational Fluid Dynamics Models, George P. Lemmer

Theses and Dissertations

Aeromedical Evacuations remain the predominant method used to transport patients from forward deployed areas of operations to secure locations with more robust medical infrastructure. Transportation of chemical warfare casualties and infectious patients require additional attention to prevent cross contamination. Specific airflow characteristics paired with environmental control system settings are a gap in scholarly literature. Based on the available literature computational fluid dynamics models were created to simulate the airflow around a patient represented by human geometry using commercially available software. In order to compare simulated and experimental results a heated manikin was placed in the MURPHEE aerosol exposure chamber and …

A Core Reference Hierarchical Primitive Ontology For Electronic Medical Records Semantics Interoperability, Ziniya Zahedi

Engineering Management & Systems Engineering Theses & Dissertations

Currently, electronic medical records (EMR) cannot be exchanged among hospitals, clinics, laboratories, pharmacies, and insurance providers or made available to patients outside of local networks. Hospital, laboratory, pharmacy, and insurance provider legacy databases can share medical data within a respective network and limited data with patients. The lack of interoperability has its roots in the historical development of electronic medical records. Two issues contribute to interoperability failure. The first is that legacy medical record databases and expert systems were designed with semantics that support only internal information exchange. The second is ontological commitment to the semantics of a particular knowledge …

Study Of Temperature Profile In Drying Process, Shaxnoza Abduvaxitovna Sultanova, Jasur Esirgapovich Safarov, Tojiniso Tursunboyevna Raxmanova

Chemical Technology, Control and Management

The article describes the simulation of the temperature field in a wide range of structural and operational parameters of the drying process. A qualitatively new representation of the temperature field profile in the chamber is revealed. As a result of the experiments, criteria were found for the unevenness of the temperature profiles on the pallets of the dispersion of the temperature of the material and the slope of the approximating line at fixed values of the average temperature of the substance. In the course of the work, an interrelation between the criteria of unevenness was revealed, which is clearly manifested …

Smart Environments For Assisted Living: A Multidisciplinary Collaboration In Engineering And Architecture Education, Adriana Rios-Santiago, Anabel Pineda-Briseno, Jesus A. Gonzalez-Rodriguez, Uriel Saul Huerta

Manufacturing & Industrial Engineering Faculty Publications

This paper presents a description of a collaborative project based on the integration of technology development in the built environment for assisted living. The multidisciplinary collaboration is developed as a cooperative commitment to provide support for cross-border, collective projects. It was initiated as a project-based learning setting between undergraduate engineering students, and four years later the program shifted to include undergraduate architecture students and engineering master’s students. The learning experience opens the gate to a completely new collaborative setting, yet to be established, independent from its predecessor setting of project-based learning, focusing now towards an interdisciplinarity setting in cross-border collaboration. …

Identification Of Patterns And Disruptions In Ambient Sensor Data From Private Homes, Yan Wang

USF Tampa Graduate Theses and Dissertations

The world’s population is rapidly aging and the increasing demand for home and health care services from this aging population brings unprecedented challenges to the economy and society. Ambient-assisted smart homes, residences equipped with ambient sensors to monitor the resident’s daily activities in a continuous and unobtrusive way, present great potential to manage the growing care service needs of this older population segment, and enable them to age-in-place.

Despite growing research, using ambient sensor data from private homes to monitor daily activities, health and wellness still faces significant challenges. To study ambient sensor data from private homes where annotated data …

Characterizing Statin Use Among Prediabetic Patients With Predictive Analytics, Alexandra Gentile

Industrial Engineering Undergraduate Honors Theses

Diabetes is one of the leading causes of death in the United States and can cause severe impairments to those diagnosed. Prediabetes is a state when a patient has higher fasting plasma glucose levels than a non-diabetic person but is not quite high enough to be considered diabetes. Both diabetic and prediabetic patients are at higher risk for cardiovascular diseases (CVD), which is the leading cause of death in the United States. The primary form for prevention and treatment of CVD is through statin therapy. Statins are a class of medications used to treat and prevent CVD by limiting cholesterol …

Développement D’Outils Pour L’Évaluation Du Processus D’Implantation Et L’Analyse Économique D’Une Intervention Ergonomique : Le Cas D’Une Intervention De Prévention Des Troubles Musculosquelettiques Dans L’Industrie De L’Abattage Et De La Transformation De La Volaille, Émilie Desjardins, Hélène Sultan-Taïeb, France St-Hilaire, Nicole Vézina, Élise Ledoux, Patricia Bélanger, Rita Naji

Rapports de recherche scientifique

Depuis les années 1990, Nicole Vézina et son équipe ont réalisé des travaux de recherche qui ciblent l’apprentissage de l’affilage et de l’aiguisage des couteaux dans un objectif de prévention des troubles musculosquelettiques (TMS). Le cas à l’étude est une intervention implantée dans le département d’éviscération d’une usine d’abattage et de transformation de la volaille située au Québec. Il s’agit d’une intervention ergonomique de prévention des TMS avec plusieurs types de transfert d’apprentissage dans un contexte de travail à la chaîne à cadence élevée. L’objectif général de cette étude était de développer des outils de collecte de données adaptés aux …

Cardiovascular Surgery Practice Remodel: Increasing Job Satisfaction And Reducing Turnover Rates Of Advanced Practice Providers, Christian Brooks

Doctor of Nursing Practice Scholarly Project

Cardiovascular Surgery Practice Remodel: Increasing Job Satisfaction and Reducing Turnover Rates of Advanced Practice Providers

Background: The CVS practice in a Midwestern state had a shift in morale and job satisfaction in their advanced practice providers (APPs). This shift lead to the high turnover rate of 35% in 2018. In an effort to bring a halt to the high turnover rate, and to continue the excellent patient care for which the hospital is known, hospital administration became involved and set up a committee to guide the development of a new CVS APP practice model. The goal was to develop …

Preferred Treatment Methods For Patients With Inflammatory Bowel Disease, James L. Deitschel

Theses and Dissertations

Shared decision making is the concept of physicians involving patients in the treatment planning process. The University of Maryland Medical Center is interested in applying shared decision making to the treatment of patients with Inflammatory Bowel Disease (IBD). The two treatment methods analyzed in this study were medical management and surgery. To explore patient preferences between these two alternatives, a discrete choice experiment (DCE) was employed. The responses for the DCE were binary, so logistic regression models were explored. The conditional logistic regression model was determined to be the most appropriate for this analysis. After step-wise regression was performed, a …

Retrospective Study Of Fmol Health System Utilization Using Geospatial Information, Deekshith Mandala

LSU Master's Theses

Medicaid Expansion and closing of Emergency Departments (ED) like Earl K. Long, Baton Rouge General Mid-City ED, and Champion Medical Center changed the health care landscape in East Baton Rouge Parish (EBRP). In this research study, a Geographical Information System (GIS) is used to analyze the impact of the expansion of Medicaid and the inauguration of Our Lady of the Lake North Baton Rouge ED (OLOL NBR ED) over the utilization of Franciscan Missionaries of our Lady Health System (FMOLHS) for both emergency and non-emergency health care services. This study is performed across the 58 neighborhoods of EBRP. Overutilization of …

Dynamic Resource Allocation For Coordination Of Inpatient Operations In Hospitals, Najibesadat Sadatijafarkalaei

Wayne State University Dissertations

Healthcare systems face difficult challenges such as increasing complexity of processes, inefficient utilization of resources, high pressure to enhance the quality of care and services, and the need to balance and coordinate the staff workload. Therefore, the need for effective and efficient processes of delivering healthcare services increases. Data-driven approaches, including operations research and predictive modeling, can help overcome these challenges and improve the performance of health systems in terms of quality, cost, patient health outcomes and satisfaction.

Hospitals are a key component of healthcare systems with many scarce resources such as caregivers (nurses, physicians) and expensive facilities/equipment. Most hospital …

Tolerance Intervals For Time Series Models And Specifying Trimming/Winsorizing Cutoffs, Kedai Cheng

Theses and Dissertations--Statistics

Confidence intervals are used to capture a parameter of interest, usually a mean or a quantile, at a specified confidence level. Prediction intervals are another practical interval that aim at making sound predictions of future values with some confidence. Although these are useful inference tools, neither of them gives people a plausible range of the sampled population. Tolerance intervals are such an inference tool that captures a specified proportion of the sampled population at a predetermined confidence level. In this dissertation, tolerance intervals for an autoregressive process with order p are constructed. In addition, a method of utilizing tolerance interval …

Mobile Health Technology To Enhance Healthcare Service Delivery In Developing Nations (Saudi Arabia), Nawaf Khan

Electronic Theses and Dissertations, 2020-2023

Saudi Arabia is among the countries that have very high prevalence rates of diabetes and hypertension, with prevalence rates of almost 18% and 25%, respectively. The majority of patients with diabetes and hypertension fail to manage their diseases and to show up for their follow up appointments. Mhealth technology is among the interventions that have been recently adopted to overcome these issues and improve the quality of healthcare services. This study aims to evaluate the effectiveness of a mobile phone application named diabetes and hypertension application (DHA Tracking) to promote adherence for patients with diabetes and hypertension in Mecca, Saudi …