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University of Louisville

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2019

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Articles 1 - 30 of 85

Full-Text Articles in Medicine and Health Sciences

Burnout Among Emergency Physicians Working At A Large Tertiary Centre In Ontario, Rushika Perera, Kristine Van Aarsen, Laura Foxcroft, Rodrick Lim Dec 2019

Burnout Among Emergency Physicians Working At A Large Tertiary Centre In Ontario, Rushika Perera, Kristine Van Aarsen, Laura Foxcroft, Rodrick Lim

Journal of Wellness

BACKGROUND: Emergency medicine (EM) is a high-stress specialty. Work related stress and burnout have been reported to negatively impact physician-patient interactions, overall physician mental and physical health, and most importantly, patient outcomes. We assessed the rates of burnout among emergency physicians (EPs) at our centre.

METHODS: A local cross-sectional study to assess burnout among adult and pediatric EPs, fellows and residents was conducted at three Emergency Departments (EDs) at a single institution in Canada. The anonymous online survey encompassed demographics, the validated MBI tool (Maslach Burnout Inventory) and additional questions aimed at identifying determinants of EP burnout. Each respondent’s three …


Night Shifts, Salvator Vicario Dec 2019

Night Shifts, Salvator Vicario

Journal of Wellness

No abstract provided.


Metaphors We Think By, Aldis H. Petriceks Dec 2019

Metaphors We Think By, Aldis H. Petriceks

Journal of Wellness

N/A


Can We Actually Improve Resident Wellness? Pilot Data From A Longitudinal Wellness Curriculum For Emergency Medicine Residents, Anne M. Messman, Claire Min-Venditti, Elizebeth Dubey, Brian Reed, Hanhan Zhang, Hafez Bazzi, James Paxton Dec 2019

Can We Actually Improve Resident Wellness? Pilot Data From A Longitudinal Wellness Curriculum For Emergency Medicine Residents, Anne M. Messman, Claire Min-Venditti, Elizebeth Dubey, Brian Reed, Hanhan Zhang, Hafez Bazzi, James Paxton

Journal of Wellness

Objectives/Background: The wellness of resident physicians, particularly in emergency medicine with its high rate of burnout, has become of paramount importance to residency programs. This study aims to evaluate the effects of the implementation of an evidence-based wellness curriculum on self-reported resident wellness across three emergency medicine residency programs.

Methods: This is a prospective, interventional study of the impact of a well-defined, longitudinal wellness curriculum administered to all categorical residents in three emergency medicine residency programs. Anonymous surveys incorporating the Perceived Stress Scale (PSS) and the Connor-Davidson Resilience Scale (CD-RISC) were administered before and after implementation of the …


They Shouldn't Get To Hurt You, Diann M. Krywko Dec 2019

They Shouldn't Get To Hurt You, Diann M. Krywko

Journal of Wellness

No abstract provided.


Wellness Domains For Residency Training Programs, Danielle Hart, Glenn Paetow, Ramin Tabatabai, Rochelle Zarzar, Arlene S. Chung Nov 2019

Wellness Domains For Residency Training Programs, Danielle Hart, Glenn Paetow, Ramin Tabatabai, Rochelle Zarzar, Arlene S. Chung

Journal of Wellness

In this editorial, we describe a residency-specific wellness framework that residency leadership can utilize in developing their local wellness programs.


Sustainable Solutions, Fall/Winter 2020, Issue 41 Nov 2019

Sustainable Solutions, Fall/Winter 2020, Issue 41

Sustain Magazine

No abstract provided.


Developments For The Treatment Of Invasive Infections Due To Multidrug-Resistant Acinetobacter Baumannii, David Laurent, Richard Drew, Dustin Wilson Nov 2019

Developments For The Treatment Of Invasive Infections Due To Multidrug-Resistant Acinetobacter Baumannii, David Laurent, Richard Drew, Dustin Wilson

The University of Louisville Journal of Respiratory Infections

Acinetobacter baumannii is a significant pathogen in healthcare settings (specifically prominent in healthcare- and ventilator-associated pneumonia) due primarily to its virulence and resistance to a wide variety of antimicrobial drug classes, including carbapenems (CRAB). Existing therapies (notably polymyxins, minocycline, tigecycline, amikacin, and sulbactam) often result in suboptimal tissue concentrations, high rates of toxicity, and increasing rates of resistance. Although utilizing combinations of antibiotics (specifically those containing colistin) have been employed, results have been mixed, and control trials are lacking. Eravacycline is a novel tetracycline with an improved pharmacokinetic profile and more potent activity against A. baumannii relative to tigecycline. Cefiderocol …


Community-Acquired Pneumonia Pathogenesis In Patients With Chronic Obstructive Pulmonary Disease, Julio A. Ramirez, Rodrigo Cavallazzi Nov 2019

Community-Acquired Pneumonia Pathogenesis In Patients With Chronic Obstructive Pulmonary Disease, Julio A. Ramirez, Rodrigo Cavallazzi

The University of Louisville Journal of Respiratory Infections

No abstract provided.


Wellness Review 2019, Part 1, Martin Huecker, Brian A. Ferguson Oct 2019

Wellness Review 2019, Part 1, Martin Huecker, Brian A. Ferguson

Journal of Wellness

Welcome to the first Journal of Wellness review of recent literature. Wellness leaders are aware that a literature search yields thousands of articles on burnout, less on wellness, and no consistent, reliable source of publication. This validates the mission of JWellness, to collect editorials and research in one location, free for all to read and publish, allowing dissemination to all healthcare professionals.


Association Of Urine Levels Of C-Reactive Protein With Clinical Outcomes In Patients With Pneumonia: A Pilot Study, Subathra Marimuthu, Vidyulata Salunkhe, Stephen P. Furmanek, Leslie A Wolf Oct 2019

Association Of Urine Levels Of C-Reactive Protein With Clinical Outcomes In Patients With Pneumonia: A Pilot Study, Subathra Marimuthu, Vidyulata Salunkhe, Stephen P. Furmanek, Leslie A Wolf

The University of Louisville Journal of Respiratory Infections

Finding relevant biomarkers as a potential predictor of severity for patients hospitalized with community acquired pneumonia (CAP), in addition to the clinical scoring system, could advance progress towards more effective patient management. The inflammatory marker, C-reactive protein (CRP), which is elevated in the pathogenesis of many infectious diseases, may be a key biomarker target for CAP. Previous studies have shown that serum CRP may be a useful diagnostic marker for pneumonia in hospitalized patients with acute respiratory symptoms. The main aims of this study were to determine the correlation between serum and urine CRP levels in hospitalized patients with CAP, …


Health Benefits Associated With An Employer-Sponsored Health Promotion Program With Device-Reported Activity, Ian Duncan, Wade Herndon, Xiyue Liao Oct 2019

Health Benefits Associated With An Employer-Sponsored Health Promotion Program With Device-Reported Activity, Ian Duncan, Wade Herndon, Xiyue Liao

Journal of Wellness

Background: As interest has grown in the effect of healthy behaviors on health outcomes, programs have been developed to incent healthy behavior. The growth of devices able to transmit information about program participant activities has allowed researchers to analyze physical activity (PA). We analyzed the relationship between positive changes in device-reported physical activity levels and changes in health-related variables in a longitudinal cohort of US based employees.

Methods: Exercise levels were measured and recorded by a device (such as a pedometer or heart-rate monitor) or gym visit and recorded by the health promotion program provider, The Vitality Group. The devices …


Letter From The Editor-In-Chief: Journal Of Refugee & Global Health Volume 2, Issue 2, Ruth Carrico Oct 2019

Letter From The Editor-In-Chief: Journal Of Refugee & Global Health Volume 2, Issue 2, Ruth Carrico

Journal of Refugee & Global Health

No abstract provided.


Treatment Of Podoconiosis With Complicating Polyinfections Within Rural African Villages: A Case Study, Amanda R. Beering, Abigail R. Florence, Soon Bahrami Md Sep 2019

Treatment Of Podoconiosis With Complicating Polyinfections Within Rural African Villages: A Case Study, Amanda R. Beering, Abigail R. Florence, Soon Bahrami Md

Journal of Refugee & Global Health

This case study aims to provide a treatment plan for the treatment of podoconiosis with complicating polyinfections in a resource poor setting. A second objective is to help healthcare providers teach preventive measures to villagers in affected regions.


Implementing A Clinical Research Program In Long Term Care Facilities: Experiences From The University Of Louisville Center Excellence For Research In Infectious Diseases [Cerid], Ruth Carrico, Dawn Balcom, Kuldeep Ghosh, Bilal Abaid, Vidyulata Salunkhe, Bibodh Jung Karki, Simra Kiran, Stephen Furmanek, Senen Pena, Julio A. Ramirez Sep 2019

Implementing A Clinical Research Program In Long Term Care Facilities: Experiences From The University Of Louisville Center Excellence For Research In Infectious Diseases [Cerid], Ruth Carrico, Dawn Balcom, Kuldeep Ghosh, Bilal Abaid, Vidyulata Salunkhe, Bibodh Jung Karki, Simra Kiran, Stephen Furmanek, Senen Pena, Julio A. Ramirez

Journal of Refugee & Global Health

Background: According to the US Census Bureau International Report, in 2015, almost nine percent of the world’s population was aged 65 and over. As the worldwide population ages, there is a need to understand how to best care for those individuals. Developing clinical research programs focusing on long term care (LTC) will be critical to defining best practice.

Objectives: The objectives of this manuscript are to: 1) outline the challenges identified in performing clinical research in long term care facilities (LTCF), and 2) offer solutions for future clinical research in the LTC environment based upon our experiences.

Methods: A research …


The Make ‘Em Well Project -Rewards And Recognition Phase, Diann M. Krywko Sep 2019

The Make ‘Em Well Project -Rewards And Recognition Phase, Diann M. Krywko

Journal of Wellness

The Make ‘EM Well Project- Rewards and Recognition

Background: Physicians report high burnout levels and difficulty finding joy in work, causing a healthcare system crisis. Our institution assessed burnout by administering the Areas of Work-life (AWS) and Maslach Burnout Inventory™ (MBI) Surveys. Emergency Medicine (EM) results were alarming. Effectively rewarding and recognizing employees requires understanding different appreciation languages. Administrators should understand what enhances and detracts from joy in the workplace. This study describes the “Make ‘EM Well Project” and its focus on Rewards and Recognition (RR).

Methods: Two surveys were sent to EM providers including faculty, residents, fellows, and advanced …


Environmentally Responsible Land Use, Spring/Summer 2010, Issue 22 Sep 2019

Environmentally Responsible Land Use, Spring/Summer 2010, Issue 22

Sustain Magazine

No abstract provided.


Sustainable Communities, Fall/Winter 2010, Issue 21 Sep 2019

Sustainable Communities, Fall/Winter 2010, Issue 21

Sustain Magazine

No abstract provided.


Sustainable Building, Spring/Summer 2009, Issue 20 Sep 2019

Sustainable Building, Spring/Summer 2009, Issue 20

Sustain Magazine

No abstract provided.


Environmental History, Fall/Winter 2009, Issue 19 Sep 2019

Environmental History, Fall/Winter 2009, Issue 19

Sustain Magazine

No abstract provided.


Student Research, Spring/Summer 2008, Issue 18 Sep 2019

Student Research, Spring/Summer 2008, Issue 18

Sustain Magazine

No abstract provided.


Evolving Pollution Prevention, Fall/Winter 2008, Issue 17 Sep 2019

Evolving Pollution Prevention, Fall/Winter 2008, Issue 17

Sustain Magazine

No abstract provided.


Climate Change, Spring/Summer 2007, Issue 16 Sep 2019

Climate Change, Spring/Summer 2007, Issue 16

Sustain Magazine

No abstract provided.


Our Energy Future, Fall/Winter 2007, Issue 15 Sep 2019

Our Energy Future, Fall/Winter 2007, Issue 15

Sustain Magazine

No abstract provided.


Land Conservation, Spring/Summer 2006, Issue 14 Sep 2019

Land Conservation, Spring/Summer 2006, Issue 14

Sustain Magazine

No abstract provided.


Pollution And Heart Disease, Fall/Winter 2006, Issue 13 Sep 2019

Pollution And Heart Disease, Fall/Winter 2006, Issue 13

Sustain Magazine

No abstract provided.


Green Cities, Spring/Summer 2005, Issue 12 Sep 2019

Green Cities, Spring/Summer 2005, Issue 12

Sustain Magazine

No abstract provided.


Global Sustainability, Fall/Winter 2005, Issue 11 Sep 2019

Global Sustainability, Fall/Winter 2005, Issue 11

Sustain Magazine

No abstract provided.


Environmental Justice, Spring/Summer 2004, Issue 10 Sep 2019

Environmental Justice, Spring/Summer 2004, Issue 10

Sustain Magazine

No abstract provided.


Kentucky's Environmental Future, Fall/Winter 2004, Issue 9 Sep 2019

Kentucky's Environmental Future, Fall/Winter 2004, Issue 9

Sustain Magazine

No abstract provided.