Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons™

Open Access. Powered by Scholars. Published by Universities.®

Selected Works

2013

Discipline
Keyword
Publication
File Type

Articles 2611 - 2633 of 2633

Full-Text Articles in Medicine and Health Sciences

With The Patient- Teaching In The Patient's Presence (Tipp), Teacher & Educator Resources Dec 2012

With The Patient- Teaching In The Patient's Presence (Tipp), Teacher & Educator Resources

Teacher and Educator Resources

No abstract provided.

Go to article

Feasibility Of Text Messaging To Improve Oral Anti-Cancer Adherence In Older Cancer Patients, Sandra Spoelstra Dec 2012

Feasibility Of Text Messaging To Improve Oral Anti-Cancer Adherence In Older Cancer Patients, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

BACKGROUND
More than 50 oral chemotherapy agents in pill form are on the market, with projections that in 3 years, 25% of cancer treatment will be in pill form.  For oral agents to achieve a therapeutically effective level for cancer treatment, patients must strictly adhere to the regimen. However, adherence is often less than 80%, which may be inadequate for treating the cancer. There are more than 285 million wireless subscribers in the US with an estimated 67.5% of adults owning cell phones and 98% of those phones having text messaging capability. A recent review of 12 trials on interventions …

Go to article

Motivational Interviewing & Cognitive Behavioral Therapy To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra Dec 2012

Motivational Interviewing & Cognitive Behavioral Therapy To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: Patients with cancer miss as much as one-third of the prescribed doses of oral anti-cancer agents required for treatment of their disease.
Problem & Purpose: This shift in treatment results in care at home, placing responsibility on patients. This review will discuss the foundation for developing a combined motivational interviewing (MI) and brief cognitive behavioral therapy (CBT) intervention and will examine evidence on MI/CBT interventions that improved adherence.
Framework: Not applicable.
Methods: Whittemore and Knafl’s review method was used, identifying studies via a search in CINAHL and PubMed using key words of MI/CBT; and reviewing of references.
Findings: 2822 …

Go to article

Symptom Severity, Symptom Attribution, And Preference For Assistance While Taking Chemotherapy Or Targeted Agents, Sandra Spoelstra Dec 2012

Symptom Severity, Symptom Attribution, And Preference For Assistance While Taking Chemotherapy Or Targeted Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: When taking oral agents, patients need to manage symptoms so that they do not become so severe that it leads to decreased function and difficulty with activities of daily living, and reducing or stopping the medication, rendering the cancer treatment ineffective.
 
Problem & Purpose: Over fifty oral anti-cancer agents are currently on the market, and within three years, 25% of treatment will be delivered in pill form, shifting treatment to the responsibility of patients. This study describes symptoms from oral agents, attribution of symptoms, and preference for assistance. 
 
Framework: Not applicable.
 
Methods: Thirty cancer patients taking …

Go to article

Text Messaging To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra Dec 2012

Text Messaging To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: A review of oral agent studies indicates less than an 80% rate of adherence; and 10% of those newly prescribed oral agents stop taking their medication. Lack of adherence to oral anti-cancer agents is a significant clinical problem that may result in treatment failure, hospitalization, loss of work, and, in some instances, death.
 
Problem & Purpose: Treatment is primarily the responsibility of patients who are prescribed oral agents. This review will discuss the foundation for developing a text message intervention and will examine evidence on text message interventions that improved adherence.
Framework: Not applicable.
 
Methods: Whittemore and …

Go to article

Development Of A Risk Index To Predict Transfers From Home And Community-Based Waiver Programs To Nursing Homes: Can Care Managers Assist Older Adults To Delay Nursing Home Placement?, Sandra Spoelstra Dec 2012

Development Of A Risk Index To Predict Transfers From Home And Community-Based Waiver Programs To Nursing Homes: Can Care Managers Assist Older Adults To Delay Nursing Home Placement?, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Purpose: This research examines the risk of nursing home placement (NHP) among an inception cohort of 6525 older adults entering a statewide home and community-based waiver program between 2002—2007.
 
Background: With adults aged 65 and older currently comprising 15% of the population and growing exponentially, concern is mounting as to how to care for this group. It will be important to deliver high-quality care tailored to the needs of clients in order to allow these individuals to remain living in the community. Most older adults prefer to remain in their homes but are forced to transfer to NHs because …

Go to article

A Multi-Disciplinary Collaboration To Promote Adherence In Cancer Patients Taking Oral Agent Medications, Sandra Spoelstra Dec 2012

A Multi-Disciplinary Collaboration To Promote Adherence In Cancer Patients Taking Oral Agent Medications, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Problem and State of the Science: Over 50 oral agents in pill form are currently on the market, with projections that in three years, 25% of cancer treatment will be delivered in pill form with patients assuming responsibility for self-management at home. For oral agents to achieve a therapeutically effective level for cancer treatment, patients must strictly adhere to the regimen. Adherence to oral cancer agents is often less than 80%, which may be inadequate for treating the cancer. Many barriers exist to promoting medication adherence for cancer patients in fast-paced office settings. This include time demands, focusing on physical …

Go to article

Determining Preferences For Symptom Management Assistance While Taking Oral Anti-Cancer Agent Pills, Sandra Spoelstra Dec 2012

Determining Preferences For Symptom Management Assistance While Taking Oral Anti-Cancer Agent Pills, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Nearly 50 oral anti-cancer agents are on the market, and it’s projected that in 3 years, 25% of chemotherapy will be delivered in pill form. Thus, patients must take responsibility for managing symptoms at home. This was an 8-week exploratory study of cancer patients on oral agents from 3 cancer centers in the Midwest. Baseline interviews collected characteristics, type/stage of cancer, symptoms, and comorbid conditions. Patients were asked preference for information to help manage symptoms. Mean age was 65.2 years, 50% were Female, 87% Caucasian and 13% African American. Preference for obtaining symptom management information included: 37% phone calls, 27% …

Go to article

High-Throughput Genome Sequencing Of Lichenizing Fungi To Assess Gene Loss In The Ammonium Transporter/Ammonia Permease Gene Family, Tami R. Mcdonald, Olaf Mueller, Fred S. Dietrich, François Lutzoni Dec 2012

High-Throughput Genome Sequencing Of Lichenizing Fungi To Assess Gene Loss In The Ammonium Transporter/Ammonia Permease Gene Family, Tami R. Mcdonald, Olaf Mueller, Fred S. Dietrich, François Lutzoni

Tami McDonald

No abstract provided.

Go to article

Intellectual Property And Public Health – A White Paper, Ryan G. Vacca, Jim Chen, Jay Dratler Jr., Tom Folsom, Timothy Hall, Yaniv Heled, Frank Pasquale, Elizabeth Reilly, Jeff Samuels, Kathy Strandburg, Kara Swanson, Andrew Torrance, Katharine Van Tassel Dec 2012

Intellectual Property And Public Health – A White Paper, Ryan G. Vacca, Jim Chen, Jay Dratler Jr., Tom Folsom, Timothy Hall, Yaniv Heled, Frank Pasquale, Elizabeth Reilly, Jeff Samuels, Kathy Strandburg, Kara Swanson, Andrew Torrance, Katharine Van Tassel

Yaniv Heled

On October 26, 2012, the University of Akron School of Law’s Center for Intellectual Property and Technology hosted its Sixth Annual IP Scholars Forum. In attendance were thirteen legal scholars with expertise and an interest in IP and public health who met to discuss problems and potential solutions at the intersection of these fields. This report summarizes this discussion by describing the problems raised, areas of agreement and disagreement between the participants, suggestions and solutions made by participants and the subsequent evaluations of these suggestions and solutions.

Led by the moderator, participants at the Forum focused generally on three broad …

Go to article

Varying-Smoother Models For Functional Responses, Philip T. Reiss, Lei Huang, Huaihou Chen, Stan Colcombe Dec 2012

Varying-Smoother Models For Functional Responses, Philip T. Reiss, Lei Huang, Huaihou Chen, Stan Colcombe

Philip T. Reiss

This paper studies estimation of a smooth function f(x,v) when we are given functional responses of the form f(x, ·) + error, but scientific interest centers on the collection of functions f(·,v) for different v. The motivation comes from studies of human brain development, in which x denotes age whereas v refers to brain locations. Analogously to varying-coefficient models, in which the mean response is linear in x, the “varying-smoother” models that we consider exhibit nonlinear dependence on x that varies smoothly with v. We discuss three approaches to estimating varying-smoother models: (a) methods that employ a tensor product penalty; …

Go to article

Pathway To Change: A Jail Labyrinth Project, Donna M. Zucker Rn, Phd, Faan Dec 2012

Pathway To Change: A Jail Labyrinth Project, Donna M. Zucker Rn, Phd, Faan

Donna M. Zucker

This video is a documentary of a labyrinth building project at a county jail.

Go to article

No Room For Error: An Ethical Critique Of Organizational Systems For Patient Safety, Peter A. Depergola Ii Dec 2012

No Room For Error: An Ethical Critique Of Organizational Systems For Patient Safety, Peter A. Depergola Ii

Peter DePergola

No abstract provided.

Go to article

The Notion Of Compassion And The Goals Of Medicine And Healthcare: A Systematic Analysis, Peter A. Depergola Ii Dec 2012

The Notion Of Compassion And The Goals Of Medicine And Healthcare: A Systematic Analysis, Peter A. Depergola Ii

Peter DePergola

No abstract provided.

Go to article

The Notion Of Compassion And The Goals Of Medicine And Healthcare: A Systematic Analysis, Peter A. Depergola Ii Dec 2012

The Notion Of Compassion And The Goals Of Medicine And Healthcare: A Systematic Analysis, Peter A. Depergola Ii

Peter DePergola

No abstract provided.

Go to article

The Ethical Principle Of Cooperation And Organizational Complicity In Healthcare: A Systematic Analysis, Peter A. Depergola Ii Dec 2012

The Ethical Principle Of Cooperation And Organizational Complicity In Healthcare: A Systematic Analysis, Peter A. Depergola Ii

Peter DePergola

No abstract provided.

Go to article

Providing Clinical Service To Unaccompanied Homeless Youth, Rebecca Mirick, Ruth Dean Dec 2012

Providing Clinical Service To Unaccompanied Homeless Youth, Rebecca Mirick, Ruth Dean

Rebecca Mirick

Work with unaccompanied homeless youth is an increasing focus of social work practice. It is estimated that there are between 204,000 and 406,000 unaccompanied homeless youth (ages 12 to 24) in the United States (Abel, 2010; Homeless Research Institute, 2012). These youth have high rates of substance abuse, suicide (Barczyk & Thompson, 2008), and trauma, both in their homes of origin (Kurtz, Kurtz, & Jarvis, 1991; Rew, 2001; Slesnick, Kang, & Aukward, 2008), and on the streets (Fisher, Florsheim, & Sheetz, 2005). With the recent economic recession, their numbers have increased and their needs have become more urgent than ever …

Go to article

Progression From New Methicillin-Resistant Staphylococcus Aureus Colonisation To Infection: An Observational Study In A Hospital Cohort, Michelle Nd Balm, Andrew A. Lover, Sharon Salmon, Paul A. Tambyah, Dale A. Fisher Dec 2012

Progression From New Methicillin-Resistant Staphylococcus Aureus Colonisation To Infection: An Observational Study In A Hospital Cohort, Michelle Nd Balm, Andrew A. Lover, Sharon Salmon, Paul A. Tambyah, Dale A. Fisher

Andrew Lover

Background
Patients newly colonised with methicillin-resistant Staphylococcus aureus (MRSA) are at higher risk of clinical MRSA infection. At present, there are limited data on the duration or magnitude of this risk in a hospital population with a known time of MRSA acquisition.
Methods
A retrospective cohort study of 909 adult patients known to have newly identified MRSA colonisation during admission to National University Hospital, Singapore between 1 July 2007 and 30 June 2011 was undertaken. Patients were excluded if they had history of previous MRSA colonisation or infection, or if they had been a hospital inpatient in the preceding 12 …

Go to article

Quantifying Effect Of Geographic Location On Epidemiology Of Plasmodium Vivax Malaria, Andrew A. Lover, Richard J. Coker Dec 2012

Quantifying Effect Of Geographic Location On Epidemiology Of Plasmodium Vivax Malaria, Andrew A. Lover, Richard J. Coker

Andrew Lover

Recent autochthonous transmission of Plasmodium vivax malaria in previously malaria-free temperate regions has generated renewed interest in the epidemiology of this disease. Accurate estimates of the incubation period and time to relapse are required for effective malaria surveillance; however, this information is currently lacking. By using historical data from experimental human infections with diverse P. vivax strains, survival analysis models were used to obtain quantitative estimates of the incubation period and time to first relapse for P. vivax malaria in broad geographic regions. Results show that Eurasian strains from temperate regions have longer incubation periods, and Western Hemisphere strains from …

Go to article

Planning Impairments In Schizophrenia: Specificity, Task Independence And Functional Relevance, Daniel V. Holt, Jürgen Wolf, Joachim Funke, Matthias Weisbrod, Stefan Kaiser Dec 2012

Planning Impairments In Schizophrenia: Specificity, Task Independence And Functional Relevance, Daniel V. Holt, Jürgen Wolf, Joachim Funke, Matthias Weisbrod, Stefan Kaiser

Joachim Funke

The present study investigated the specificity of planning impairments in schizophrenia compared to unipolar major depression. Multiple measures of planning ability were employed to assess the task independence of a planning deficit. Furthermore, the predictive power of planning ability with regard to functional outcome was analyzed. A total of 80 participants completed a comprehensive neuropsychological assessment with an emphasis on executive functions and planning ability. The sample consisted of 28 patients with schizophrenia, 28 patients with depression and 24 healthy controls. Both patient groups were impaired on measures of attention, working memory and planning, but only planning ability differentiated between …

Go to article

Finalarticleinpressruralhealthqrseh.Pdf, Rebecca Busanich Dec 2012

Finalarticleinpressruralhealthqrseh.Pdf, Rebecca Busanich

Rebecca Busanich

No abstract provided.

Go to article

Beyond Understanding: Intercultural Teacher Empathy In The Teaching Of English As An Additional Language, Maggie Mcalinden Dec 2012

Beyond Understanding: Intercultural Teacher Empathy In The Teaching Of English As An Additional Language, Maggie Mcalinden

Dr Maggie McAlinden

In the context of increasing linguistic and cultural diversity of learners in Australian education, this phd study explored teacher empathy in a diverse tertiary education setting. The study developed a tentative, constructivist grounded theory of teacher empathy and interculturality. The findings point to the importance of teacher identity and the experience, expression and interpretation of emotion and meaning in culturally and linguistically diverse educational settings. The theory and its implications challenge, inform and support educators in Australia and beyond to meet the demand to become critical, interculturally effective educators.

Go to article

Methods For Evaluating Prediction Performance Of Biomarkers And Tests, Margaret S. Pepe Phd, Holly Janes Phd Dec 2012

Methods For Evaluating Prediction Performance Of Biomarkers And Tests, Margaret S. Pepe Phd, Holly Janes Phd

Margaret S Pepe PhD

This chapter describes and critiques methods for evaluating the performance of markers to predict risk of a current or future clinical outcome. We consider three criteria that are important for evaluating a risk model: calibration, benefit for decision making and accurate classification. We also describe and discuss a variety of summary measures in common use for quantifying predictive information such as the area under the ROC curve and R-squared. The roles and problems with recently proposed risk reclassification approaches are discussed in detail.

Go to article

First Prev