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Articles 391 - 420 of 443
Full-Text Articles in Medicine and Health Sciences
Premedical Programs Newsletter, January-February 2015, University Of Dayton
Premedical Programs Newsletter, January-February 2015, University Of Dayton
Pre-Health Resource Center Campus Communications
Newsletter for students, staff, and faculty in the premedical and predental programs.
Acl Injuries In Female Athletes: Are Prevention Programs The Answer?, Brooke Chandor
Acl Injuries In Female Athletes: Are Prevention Programs The Answer?, Brooke Chandor
Honors Theses
Around 400,000 people tear their anterior cruciate ligaments (ACLs) every year in the United States. The majority of these injuries occur during athletics, and most commonly to females. Their neuromuscular abilities, anatomies, and hormones put female athletes at a much higher risk of ACL injury than male athletes. The current gold standard of treatment, ACL reconstruction, is an imperfect technique at best. It leaves patients with much higher risk of both ACL reinjury and early onset of osteoarthritis. Prevention programs, aimed at reducing the neuromuscular risk factors in female athletes, have proved to effectively reduce the number of noncontact ACL …
Job Stress Among Female Residents During Postgraduate Training At A University Hospital In Karachi, Pakistan, Madiha Hashmi, Fauzia A. Khan, Khan S, Ali S. K
Job Stress Among Female Residents During Postgraduate Training At A University Hospital In Karachi, Pakistan, Madiha Hashmi, Fauzia A. Khan, Khan S, Ali S. K
Department of Anaesthesia
Background: Postgraduate medical training is a stressful experience for both male and female doctors but previous studies have shown that stress might be more prevalent amongst female residents. Since women make up 70-80% of medical graduates in Pakistan we conducted this study to determine the prevalence of stress among female residents during postgraduate training and identify the most common stressors.
Methodology: All female residents enrolled in postgraduate training programmes at the Aga Khan University meeting the inclusion criteria were recruited and informed written consent was obtained. Job Stress Inventory (JSI) was used to identify symptoms and sources of job stress. …
Implications Of Long-Term Proton Pump Inhibitor Use: Promoting Step-Down Therapy For Management Of Gastro-Esophageal Reflux Disease In The Outpatient Setting, Sonam Kapadia
Family Medicine Clerkship Student Projects
Per the International Montreal Consensus, gastro-esophageal reflux disease (GERD) is defined as a "condition which develops when the reflux of stomach contents causes troublesome symptoms or complications". GERD is the most common disease of the gastrointestinal tract with an estimated prevalence affecting 20% of the Western population. According to the National Ambulatory Medical Care Survey, 38.53 million annual outpatient visits are related to GERD. The ABIM Foundation's "Choosing Wisely" initiative in collaboration with the American Gastroenterological Association draws attention to the evidence based recommendation: "For pharmacological treatment of patients with gastro-esophageal reflux disease (GERD), long-term acid suppression therapy (proton pump …
Barriers To Recovery For Bangor's Buprenorphine Patients, John R. Mclaren, Erin Keller
Barriers To Recovery For Bangor's Buprenorphine Patients, John R. Mclaren, Erin Keller
Family Medicine Clerkship Student Projects
There are several buprenorphine providers at EMMc's Center for Family Medicine serving the greater Bangor, ME region - an area of substantial opiate use. Among the patient population of outpatient buprenorphine users, both locally and nationally, there are high rates of relapse (~32%). In order to decrease relapse rates, it's first imperative to conduct a baseline review of the current buprenorphine population to identify specific types of patients who are at higher risk of relapse. By understanding the barriers to recovery, the office hopes to apply an intervention to the current program, targeting this local demographic more effectively.
Increasing The Recognition Of Generalized Anxiety Disorder In Primary Care, Sarah Rosner
Increasing The Recognition Of Generalized Anxiety Disorder In Primary Care, Sarah Rosner
Family Medicine Clerkship Student Projects
National Comorbidity Survey has shown that anxiety disorders are the most frequent disorders in the population, with a lifetime prevalence of 28.8%, and a 5.7% lifetime prevalence of Generalized Anxiety Disorder (GAD) specifically. The presence of anxiety disorders contribute in an additive fashion to poor function, reduced quality of life, and more sick days from work. Despite being as common and impairing as depressive disorders, anxiety disorders have received much less attention in terms of the media, research, and public health efforts, and are often undetected and undertreated. Only a minority of patients with anxiety, 15-36%, are recognized in primary …
Educating The Colchester Community About Measles And Its Prevention, Phildrich Teh
Educating The Colchester Community About Measles And Its Prevention, Phildrich Teh
Family Medicine Clerkship Student Projects
Measles is a highly contagious disease with potential complications ranging from diarrhea, pneumonia, otits media, uveitis, and encephalitis. Since the introduction of the measles vaccine in 1967, incidence of measles in the United States has drastically decreased: by 1985, number of cases had fallen by 99%, by 2000, measles was declared to be eliminated from the US. Over the last decade, measles cases per year has been limited to a median of 70. In recent years however, the U.S. has seen an alarming rate of measles cases. The increasing number of measles cases per year in the U.S. highlights the …
Allergic Rhinitis: Treatment Of A Seasonal Problem, John Whittier
Allergic Rhinitis: Treatment Of A Seasonal Problem, John Whittier
Family Medicine Clerkship Student Projects
Allergic rhinitis affects up to 30% of the population yet there is evidence that it is under treated and misdiagnosed. Allergy symptoms closely mimic other common illnesses and most medication used to treat seasonal allergies is now available over the counter. This shift in therapy means that patients are now self-medicating with little knowledge of what they are actually treating. Therefore this project aims to clear common misconceptions that prevail in the general population of Vermont as well as provide some guidance on the types of medications used to treat seasonal allergies.
Barriers To Recovery For Buprenorphine Patients In Bangor, Maine, Erin L. Keller, John Mclaren
Barriers To Recovery For Buprenorphine Patients In Bangor, Maine, Erin L. Keller, John Mclaren
Family Medicine Clerkship Student Projects
Opiate addiction is a major public health problem in Maine. Addiction is a chronic disease with high relapse rates. A better understanding of the demographics and barriers to recovery in opiate addicted populations can help to improve the success of buprenorphine treatment programs.
Resources For Smoking Cessation In Milton Vt, Kai Ping Wang
Resources For Smoking Cessation In Milton Vt, Kai Ping Wang
Family Medicine Clerkship Student Projects
Today, Tobacco is still the #1 leading cause of preventable death in the United States. Use of tobacco products leads to chronic illnesses such as asthma, heart disease, cancer, lung disease, and stroke. According to the latest data in 2013 from the Behavioral Risk Factor Surveillance System, 16.6% of adults in Vermont are current smokers compared to 19% of adults nationwide. This projects seeks to provide easier access to the available resources in the local Milton, VT community for smoking cessation.
Drug Treatment Court: The Power Of Understanding Addiction, Asaad Traina
Drug Treatment Court: The Power Of Understanding Addiction, Asaad Traina
Family Medicine Clerkship Student Projects
The Drug Treatment Court in Burlington is one of about 3000 drug treatment courts nationwide. They were developed as an “alternate sentencing court”, a method of restorative justice that would allow people who had multiple criminal charges related to substance abuse to overcome their addiction, have their criminal charges dismissed, and pursue a fuller life. As part of this program, many participants attend an Intensive Outpatient Program (IOP). As a third year medical student, I lead an educational session with the aim of helping participants understand the neurophysiology behind their addiction.
Ua94/6/15 Student / Alumni Personal Papers Wku Dorris Hutchinson, Wku Archives
Ua94/6/15 Student / Alumni Personal Papers Wku Dorris Hutchinson, Wku Archives
WKU Archives Collection Inventories
Correspondence and publications created by and about the Dorris Hutchison during her time at Sloan-Kettering Institute.
Drug-Induced Cardiotoxicity Of Oncological Agents: Monitoring Parameters, Prevention, And Future Chemotherapy, Sarah Nguyen, Mary Nguyen, Laura Tsu
Drug-Induced Cardiotoxicity Of Oncological Agents: Monitoring Parameters, Prevention, And Future Chemotherapy, Sarah Nguyen, Mary Nguyen, Laura Tsu
Pharmacy Faculty Articles and Research
The goal of this article is to educate pharmacists of the impact of cardiotoxicity on chemotherapy regimens including key cancer agents, monitoring parameters, prevention, and the future of chemotherapy.
Use Of Team-Based Learning Pedagogy For Internal Medicine Ambulatory Resident Teaching, S. Balwan, A. Fornari, P. Dimarzio, J. Verbsky, R. Pekmezaris, J. Stein, S. Chaudhry
Use Of Team-Based Learning Pedagogy For Internal Medicine Ambulatory Resident Teaching, S. Balwan, A. Fornari, P. Dimarzio, J. Verbsky, R. Pekmezaris, J. Stein, S. Chaudhry
Journal Articles
BACKGROUND: Team-based learning (TBL) is used in undergraduate medical education to facilitate higher-order content learning, promote learner engagement and collaboration, and foster positive learner attitudes. There is a paucity of data on the use of TBL in graduate medical education. Our aim was to assess resident engagement, learning, and faculty/resident satisfaction with TBL in internal medicine residency ambulatory education. METHODS: Survey and nominal group technique methodologies were used to assess learner engagement and faculty/resident satisfaction. We assessed medical learning using individual (IRAT) and group (GRAT) readiness assurance tests. RESULTS: Residents (N = 111) involved in TBL sessions reported contributing to …
Not For Industry Only: Medical Students And Office-Based Academic Detailing The Pivot (Pregnant Women Influenza Vaccine Optimization Team) Initiative, D. A. Blitz, J. R. Mallen, T. G. Kwiatkowski, J. M. Rabin, Y. D. Dlugacz, R. A. Silverman
Not For Industry Only: Medical Students And Office-Based Academic Detailing The Pivot (Pregnant Women Influenza Vaccine Optimization Team) Initiative, D. A. Blitz, J. R. Mallen, T. G. Kwiatkowski, J. M. Rabin, Y. D. Dlugacz, R. A. Silverman
Journal Articles
Academic detailing is a method of educational outreach that utilizes individualized encounters with physicians to broach specific medical issues in an evidence-based and quality-driven manner. Medical students utilized the matter of influenza vaccination during pregnancy as a lens through which to explore the methods of academic detailing in a community setting. Structured and customized dialogues between North Shore-LIJ affiliated obstetricians and Hofstra North Shore-LIJ medical students were conducted regarding the disparity between the proportion of providers that recommend the vaccine and the percentage of pregnant women being vaccinated annually. Ultimately the project aimed to increase vaccine-carrying rates throughout office based …
Promoting Faculty Scholarship - An Evaluation Of A Program For Busy Clinician-Educators, S. Reader, A. Fornari, S. Simon, J. Townsend
Promoting Faculty Scholarship - An Evaluation Of A Program For Busy Clinician-Educators, S. Reader, A. Fornari, S. Simon, J. Townsend
Journal Articles
BACKGROUND: Clinician educators face barriers to scholarship including lack of time, insufficient skills, and access to mentoring. An urban department of family medicine implemented a federally funded Scholars Program to increase the participants' perceived confidence, knowledge and skills to conduct educational research. METHOD: A part-time faculty development model provided modest protected time for one year to busy clinician educators. Scholars focused on designing, implementing, and writing about a scholarly project. Scholars participated in skill seminars, cohort and individual meetings, an educational poster fair and an annual writing retreat with consultation from a visiting professor. We assessed the increases in the …
Context And Contribution: Going Beyond The Research Paper In The Health Sciences, Laura Menard
Context And Contribution: Going Beyond The Research Paper In The Health Sciences, Laura Menard
Scholarship and Professional Work
Conference poster presented at the Midwest Medical Library Association Chapter Meeting, October 2-6, 2015 in Louisville, KY.
Neutralizing Antibodies Against West Nile Virus Identified Directly From Human B Cells By Single-Cell Analysis And Next Generation Sequencing, K. Tsioris, N. T. Gupta, A. O. Ogunniyi, R. M. Zimnisky, F. Qian, Y. Yao, X. Wang, J. N. Stern, R. Chari, J. C. Love, +8 Additional Authors
Neutralizing Antibodies Against West Nile Virus Identified Directly From Human B Cells By Single-Cell Analysis And Next Generation Sequencing, K. Tsioris, N. T. Gupta, A. O. Ogunniyi, R. M. Zimnisky, F. Qian, Y. Yao, X. Wang, J. N. Stern, R. Chari, J. C. Love, +8 Additional Authors
Journal Articles
West Nile virus (WNV) infection is an emerging mosquito-borne disease that can lead to severe neurological illness and currently has no available treatment or vaccine. Using microengraving, an integrated single-cell analysis method, we analyzed a cohort of subjects infected with WNV - recently infected and post-convalescent subjects - and efficiently identified four novel WNV neutralizing antibodies. We also assessed the humoral response to WNV on a single-cell and repertoire level by integrating next generation sequencing (NGS) into our analysis. The results from single-cell analysis indicate persistence of WNV-specific memory B cells and antibody-secreting cells in post-convalescent subjects. These cells exhibited …
Cultural Norms Of Clinical Simulation In Undergraduate Nursing Education, Susan G. Mcniesh
Cultural Norms Of Clinical Simulation In Undergraduate Nursing Education, Susan G. Mcniesh
Susan McNiesh
Simulated practice of clinical skills has occurred in skills laboratories for generations, and there is strong evidence to support high-fidelity clinical simulation as an effective tool for learning performance-based skills. What are less known are the processes within clinical simulation environments that facilitate the learning of socially bound and integrated components of nursing practice. Our purpose in this study was to ethnographically describe the situated learning within a simulation laboratory for baccalaureate nursing students within the western United States. We gathered and analyzed data from observations of simulation sessions as well as interviews with students and faculty to produce a …
Substance Abuse Amongst High School And College Students, Herman Kalsi
Substance Abuse Amongst High School And College Students, Herman Kalsi
Family Medicine Clerkship Student Projects
Substance abuse among young adults is hardly a new trend. About 50% of full-time college students binge drink or abuse prescription drugs, 25% of which meet the definition of having substance abuse or a dependence. That is three times the rate of the general population. Estimated overall total cost of substance abuse in US is $600 billion annually. Ease of access is a main contributor to drug abuse amongst college students.
Improving Vaccination Rates At Uvmmc Family Medicine, Berlin, Emily G. Jones
Improving Vaccination Rates At Uvmmc Family Medicine, Berlin, Emily G. Jones
Family Medicine Clerkship Student Projects
Practitioners don't know current vaccination rates for their practice. Some current reported rates look incorrect, according to the Medical Director. Other reports show areas for improvement. One problem is that patients no longer in the practice remain in the system and decrease rates; another problem is that paper records were loaded manually by persons without medical training when the electronic medical record.
Education In Over The Counter Medications, For High School Freshmen, Ian Crane
Education In Over The Counter Medications, For High School Freshmen, Ian Crane
Family Medicine Clerkship Student Projects
Over the medications offer numerous benefits, allowing short term treatment of symptoms, and reducing unnecessary Doctor’s visits for things like viral illness. Yet these medications also have potential for misuse. Roughly 10% of Danbury High School students abused OTC medications in 2013.
Screening For Developmental Delays In Brandon Vt, Flang Nguyen
Screening For Developmental Delays In Brandon Vt, Flang Nguyen
Family Medicine Clerkship Student Projects
Brandon Medical Center (BMC) currently uses the developmental milestones screening tool built into their electronic medical record to look for developmental delays. Usage of the tool has been awkward, inconvenient, and unmanageable in the office setting. BMC, being the main health care provider for newborns, infants, and toddlers of Brandon, VT, is looking to improve their screening systems for developmental delays during well-child visits
Assessing Patient Barriers To Community Health Team Referral, Benjamin Scott Albertson
Assessing Patient Barriers To Community Health Team Referral, Benjamin Scott Albertson
Family Medicine Clerkship Student Projects
Objective: To assess patient barriers to Community Health Team (CHT) referrals at Hinesburg Family Practice.
Methods: Patients of Hinesburg Family Practice who were referred to the CHT by a physician and subsequently declined to be seen within the last 15 months were interviewed via telephone to assess what barriers prevented them from accessing CHT services. Twenty five patients were identified and called a minimum of 3 times using contact information obtained from the EHR. Eleven patients were contacted, one of whom had since followed through with the CHT. Responses from the ten patients who met the criteria and …
Increasing Naloxone Availability, Brian Till
Increasing Naloxone Availability, Brian Till
Family Medicine Clerkship Student Projects
Administration of naloxone is credited with the reversal of at least 10,000 opioid overdoses in the United States between 1996-2010 alone.[i] Moreover, intranasal naloxone has proven an equally effective route of drug administration when compared to IV dosing in emergent prehospital settings[ii], and retrospective studies have shown no significant difference in efficacy between doses delivered by healthcare professionals and non-healthcare professionals.[iii] Despite these facts, and broad protections provided to physicians prescribing naloxone and citizens administering naloxone outlined in Vermont Act 75, few if any Vermont physicians have incorporated prescribing naloxone into their practice. This project intended …
Diagnosis And Treatment Of Ptsd And Other Service-Related Conditions In The Veteran Patient Population, Christopher Mayhew
Diagnosis And Treatment Of Ptsd And Other Service-Related Conditions In The Veteran Patient Population, Christopher Mayhew
Family Medicine Clerkship Student Projects
There are approximately 48,602 veterans living in the state of Vermont with roughly 20% residing in Chittenden County. According to national VA statistics, only 40% of the veteran population receives some health care from the VA. Currently UVM providers receive no formal training in delivering care to veterans and there are no military history templates or PTSD screening tools in PRISM. Giving community providers access to basic VA tools, information and resources will help improve the quality of care they offer to their veteran patients.
Online Summer Activity Tracker For Teens, Jamie E. Richter
Online Summer Activity Tracker For Teens, Jamie E. Richter
Family Medicine Clerkship Student Projects
To address teenage obesity by encouraging physical activity and making teens aware of time spent in passive activities. Teens will be able to log onto an interactive web site to track their physical activity and earn raffle entries for reaching fitness goals. Teens will also be asked to track their computer and TV time to make them more aware of how much time they spend in these passive activities.
Pediatric Lipid Screening Guidelines: Information For Patients And Families, Erin R. Pichiotino, Mph
Pediatric Lipid Screening Guidelines: Information For Patients And Families, Erin R. Pichiotino, Mph
Family Medicine Clerkship Student Projects
Universal Pediatric Lipid Screening Guidelines are currently based on expert opinion only. Bright Futures/American Academy of Pediatrics currently recommends screening all patients ages 9-11 and again at ages 17-21. The US Preventive Services Task Force (USPSTF), however, concludes the evidence is insufficient to recommend for or against routine screening. This discordance leaves ambiguity for implementation in Family Medicine practices in Vermont. A survey of providers at Milton Family Practice showed that only 14% of providers at Milton Family Practice regularly perform lipid screening on their pediatric patients.
Increasing Patient Knowledge Of Obstructive Sleep Apnea And Sleep Studies, Billy Tran
Increasing Patient Knowledge Of Obstructive Sleep Apnea And Sleep Studies, Billy Tran
Family Medicine Clerkship Student Projects
Sleep Apnea is a common and shockingly under-diagnosed disorder. OSA has various health consequences, including increased risk of cardiovascular disease and stroke. Many patients don't ask about OSA due to lack of awareness and an intimidation about the process of care for OSA. This project helps to increasing understanding of the sleep study and make OSA a more approachable disorder
Screening, Brief Intervention And Referral To Treatment For Substance Abuse In Waitsfield, Vt, Chi An Liu
Screening, Brief Intervention And Referral To Treatment For Substance Abuse In Waitsfield, Vt, Chi An Liu
Family Medicine Clerkship Student Projects
Substance abuse is an issue in Waitsfield, VT and currently there is no formal program or intervention at Mad River Family Practice to help patients overcome their addictions. Screening, brief intervention and referral to treatment (SBIRT) is a program to identify at risk patients, raise awareness of their abuse, and help them find support and treatment they need.