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Full-Text Articles in Medicine and Health Sciences

Public Health Service Options For Affordable And Accessible Noncommunicable Disease And Related Chronic Disease Prevention And Management, Sharon Brownie, Andrew P. Hills, Rachel Rossiter Oct 2014

Public Health Service Options For Affordable And Accessible Noncommunicable Disease And Related Chronic Disease Prevention And Management, Sharon Brownie, Andrew P. Hills, Rachel Rossiter

School of Nursing & Midwifery, East Africa

Globally, nations are confronted with the challenge of providing affordable health services to populations with increasing levels of noncommunicable and chronic disease. Paradoxically, many nations can both celebrate increases in life expectancy and bemoan parallel increases in chronic disease prevalence. Simply put, despite living longer, not all of that time is spent in good health. Combined with factors such as rising levels of obesity and related noncommunicable disease, the demand for health services is requiring nations to consider new models of affordable health care. Given the level of disease burden, all staff, not just doctors, need to be part of …


Lung Flute Improves Symptoms And Health Status In Copd With Chronic Bronchitis: A 26 Week Randomized Controlled Trial, Sanjay Sethi, Jingjing Yin, Pamela K. Anderson Sep 2014

Lung Flute Improves Symptoms And Health Status In Copd With Chronic Bronchitis: A 26 Week Randomized Controlled Trial, Sanjay Sethi, Jingjing Yin, Pamela K. Anderson

Biostatistics Faculty Publications

Background: Chronic obstructive pulmonary disease (COPD) is characterized by mucus hypersecretion that contributes to disease related morbidity and is associated with increased mortality. The Lung Flute® is a new respiratory device that produces a low frequency acoustic wave with moderately vigorous exhalation to increase mucus clearance. We hypothesized that the Lung Flute, used on a twice daily basis will provide clinical benefit to patients with COPD with chronic bronchitis.

Methods: We performed a 26 week randomized, non-intervention controlled, single center, open label trial in 69 patients with COPD and Chronic Bronchitis. The primary endpoint was change in respiratory symptoms measured …


Partnerships For Health - Jeff Health And The Rwanda Village Concept Project – A Model Of Interdisciplinary Health Professions Student Global Education, James D. Plumb, Md, Mph, Ellen J. Plumb, Md, Komal Soin, Md-Cugh 2014, Edmond Bagazini, Md, Mph, Remy Muhire Manzi, Md, Mph, Jean Christoph Rusatira, Md Jul 2014

Partnerships For Health - Jeff Health And The Rwanda Village Concept Project – A Model Of Interdisciplinary Health Professions Student Global Education, James D. Plumb, Md, Mph, Ellen J. Plumb, Md, Komal Soin, Md-Cugh 2014, Edmond Bagazini, Md, Mph, Remy Muhire Manzi, Md, Mph, Jean Christoph Rusatira, Md

College of Population Health Lectures, Presentations, Workshops

Background

The Rwanda Health and Healing Project (RHHP)

• Started in 2006: Barefoot Artists and TJU Department of Family and Community Medicine

– Global health immersion experience

– Interdisciplinary

– Focus: team-based, sustainable public health programming,

economic development, community empowerment

• Public-Health Programming: Akarambi, Rugerero

– Hygiene and Sanitation

– Childhood Nutrition

– Helminth Prevention

– HIV Education

– Income Generation: chicken coop, rabbit rearing, mushroom farming, bee keeping, pig farming


Data Sharing Between Home Care Professionals: A Feasibility Study Using The Rai Home Care Instrument, Dawn M. Guthrie Jun 2014

Data Sharing Between Home Care Professionals: A Feasibility Study Using The Rai Home Care Instrument, Dawn M. Guthrie

Kinesiology and Physical Education Faculty Publications

Background: Across Ontario, home care professionals collect standardized information on each client using the Resident Assessment for Home Care (RAI-HC). However, this information is not consistently shared with those professionals who provide services in the client’s home. In this pilot study, we examined the feasibility of sharing data, from the RAI-HC, between care coordinators and service providers.

Methods: All participants were involved in a one-day training session on the RAI-HC. The care coordinators shared specific outputs from the RAI-HC, including the embedded health index scales, with their contracted physiotherapy and occupational therapy service providers. Two focus groups were …


Patient Attitudes Towards Physician Nonverbal Behaviors During Consultancy: Result From A Developing Country, Fahad Hanif Khan, Raheela Hanif, Rumina Tabassum, Waris Qidwai Dr, Kashmira Nanji Feb 2014

Patient Attitudes Towards Physician Nonverbal Behaviors During Consultancy: Result From A Developing Country, Fahad Hanif Khan, Raheela Hanif, Rumina Tabassum, Waris Qidwai Dr, Kashmira Nanji

Department of Family Medicine

Background. Nonverbal behaviors have a significant impact on patients during consultations. This study was undertaken to find out the attitudes and preferences of the patients regarding nonverbal communication during consultations with physicians, in a tertiary care hospital.
Methods. A questionnaire based cross-sectional study was carried out at the Aga Khan University Hospital, Karachi, Pakistan, during the months of January to March 2012. All patients (>18 years of age) coming for consultancy in the family medicine clinics were approached; out of 133, 120 agreed to participate. The subjects were asked questions regarding physician’s comforting touch and eye contact and …


An Analysis Of Waiting Time Reduction In A Private Hospital In The Middle East, Husam Asfoor Jan 2014

An Analysis Of Waiting Time Reduction In A Private Hospital In The Middle East, Husam Asfoor

Applied Research Projects

The study of patient’s waiting time reduction have been receiving attention since the implementation of recent changes in the healthcare quality indicators. However, there is still many areas of improvement the healthcare industry could implement to improve waiting time and positively affect patient satisfaction. This is especially crucial for private healthcare organizations since it has a direct effect on their bottom-line.

In this study, we examine the patient waiting time between the registration stage and the vital sign stage at a private hospital in the Middle East country of United Arab Emirates.

By retrieving the data logs from the EHR …