Medicine and Health Sciences Commons^™

Physicians, Patients, And Facebook: Could You? Would You? Should You?, Joy Peluchette, Katherine Karl, Alberto Coustasse

Management Faculty Research

This paper investigates the opinions of physicians and patients regarding the use of Facebook to communicate with one another about health-related issues. We analyzed 290 comments posted on online discussion boards and found that most (51.7%) were opposed to physicians being Facebook “friends” with patients and many (42%) were opposed to physicians having any kind of Facebook presence. The primary reasons for this opposition were concerns about privacy and the need to maintain professional boundaries in the physician-patient relationship. Others expressed concerns about HIPAA violations. Some believed it was acceptable for physicians to use Facebook as long as they were …

Oncolog, Volume 58, Number 08, August 2013, Bryan Tutt, Sarah Bronson

OncoLog MD Anderson's Report to Physicians (All issues)

• Specialized Care Improves Lives of patients With Head and Neck Lymphedema: A unique program is producing dramatic results for patients with head and neck lymphedema, a side effect of cancer treatment that can interfere with patient's ability to speak, swallow, or breath
• Targeted Cancer Therapies May Help Overcome Resistance to Radiation Therapy: Some cancer cells are resilient enough to withstand and recover from the damage to their DNA caused by radiation therapy. But recent studies have shown that adding molecularly targeted agents to radiation therapy can prevent the repair of this radiation-induced damage and therapy improve the treatment response of …

Assessing The Quality, Suitability And Readability Of Internet-Based Health Information About Warfarin For Patients, Sayeed Nasser, Judy Mullan, Beata Bajorek

Judy Mullan

BackgroundWarfarin is a high-risk medication where patient information may be critical to help ensure safe and effective treatment. Considering the time constraints of healthcare providers, the internet can be an important supplementary information resource for patients prescribed warfarin. The usefulness of internet-based patient information is often limited by challenges associated with finding valid and reliable health information. Given patients’ increasing access of the internet for information, this study investigated the quality, suitability and readability of patient information about warfarin presented on the internet.MethodPreviously validated tools were used to evaluate the quality, suitability and readability of patient information about warfarin on …

Educating Patients About Warfarin Theray Using Information Technology: A Survey On Healthcare Professionals' Perspectives, Sayeed Nasser, Judy Mullan, Beata Bajorek

Judy Mullan

Objective: To explore healthcare professionals’ views about the benefits and challenges of using information technology (IT) resources for educating patients about their warfarin therapy. Methods: A cross-sectional survey of both community and hospital-based healthcare professionals (e.g., doctors, pharmacists and nurses) involved using a purpose-designed questionnaire. The questionnaires were distributed using a multi-modal approach to maximise response rates. Results: Of the total 300 questionnaires distributed, 109 completed surveys were received (43.3% response rate). Over half (53.2%) of the healthcare participants were aged between 40-59 years, the majority (59.5%) of whom were female. Fifty nine (54.1%) participants reported having had no access …

The Chronic Heart-Failure Assistance By Telephone (Chat) Study: Assessment Of Telephone Support For Vulnerable Patients With Chronic Disease, Julie Yallop, Bianca Chan, Leon Piterman, Andrew Tonkin, Andrew Forbes, Patricia M. Davidson, Robyn Clark, Elizabeth Halcomb, Andrea Nangle, Simon Stewart, Joanne Croucher, Henry Krum

Elizabeth Jane Halcomb Professor

Aim: To determine whether telephone support using an evidence-based protocol for chronic heart failure (CHF) management will improve patient outcomes and will reduce hospital readmission rates in patients without access to hospital-based management programs. Methods: The rationale and protocol for a cluster-design randomised controlled trial (RCT) of a semi-automated telephone intervention for the management of CHF, the Chronic Heart-failure Assistance by Telephone (CHAT) Study is described. Care is coordinated by trained cardiac nurses located in Heartline, the national call center of the National Heart Foundation of Australia in partnership with patients' general practitioners (GPs). Conclusions: The CHAT Study model represents …

Pouring Salt On A Wound: Pseudomonas Aeruginosa Virulence Factors Alter Na+ And Cl− Flux In The Lung, Alicia E. Ballok, George A. O'Toole

Dartmouth Scholarship

Pseudomonas aeruginosa is a ubiquitous opportunistic pathogen with multiple niches in the human body, including the lung. P. aeruginosa infections are particularly damaging or fatal for patients with ventilator-associated pneumonia, chronic obstructive pulmonary disease, and cystic fibrosis (CF). To establish an infection, P. aeruginosa relies on a suite of virulence factors, including lipopolysaccharide, phospholipases, exoproteases, phenazines, outer membrane vesicles, type III secreted effectors, flagella, and pili. These factors not only damage the epithelial cell lining but also induce changes in cell physiology and function such as cell shape, membrane permeability, and protein synthesis. While such virulence factors are important in …

Describing The Falls Prevention Program At An Acute Care Hospital In Ontario Using Leveson’S Systems Model, Mahboubeh Mehrjoo

Electronic Thesis and Dissertation Repository

Falls are the most frequent adverse event in acute care hospitals. Although a large number of studies have addressed the patients’ risk factors for falls and best practices in fall prevention, patients falls still remain a major problem. This study applied a systemic methodology (Causal Analysis based on STAMP (CAST)) to depict Ontario’s acute care hospital structure related to patient fall prevention. The system’s component behaviours and interactions were described and deficits and inappropriate control mechanisms among the system’s controllers were identified. As a result of the CAST analysis, the complexity of the health care system, lack of a consistent …

Portal And Systemic Haemodynamic Action Of N-Acetylcysteine In Patients With Stable Cirrhosis, Alison Jones, I Bangash, I.A.D Bouchier, P Hayes

Alison L Jones

The effects of intravenous N-acetylcysteine on hepatic and systemic haemodynamics were investigated in 11 patients with stable cirrhosis (eight alcohol; two primary bilary cirrhosis; one cryptogenic). N-acetylcysteine administration had no effect on the mean heart rate or mean arterial blood pressure despite a significant fall in systemic and pulmonary vascular resistance. Cardiac index increased but estimated liver blood flow and portal venous pressure did not change significantly. Administration of N-acetylcysteine resulted in increased oxygen delivery to the tissues because of the increased cardiac index but this was not accompanied by a rise in either arteriovenous oxygen extraction ratio or mean …

Cognitive Skills Underlying Driving In Patients Discharged Following Self-Poisoning With Central Nervous System Depressant Drugs, Tharaka Dassanayake, Patricia Michie, Alison Jones, Trevor Mallard, Ian Whyte, Gregory Carter

Alison L Jones

Background: Central nervous system–depressant (CNS-Ds) drugs can impair cognitive functions and driving. They are also the most common drugs taken in overdose in hospital-treated episodes of self-poisoning. In Australia most of these patients are discharged within 48 h, while they still have possible subclinical drug effects. We aimed to determine whether patients treated for self-poisoning with CNS-Ds are impaired in the Trail-Making Test (TMT, parts A and B), a neuropsychological test that is known to correlate with driving performance. Methods: This study was a conducted from November 2008 to April 2011 in a referral center for poisonings in New South …

The Older Patient, The Doctor And The Trainee: Patients' Attitudes And Implications For Models Of Care, Andrew Bonney, Sandra Jones, Donald Iverson

Sandra Jones

Aims & rationale/Objectives Population ageing poses major challenges for health systems. Additionally, training future general practitioners in the management of older and chronically ill patients is potentially hampered by the reluctance of these patients to consult trainees for chronic care. This paper reports a cross-sectional study investigating the attitudes of older patients to trainees, to inform strategies to improve older patient-trainee interaction. Methods The survey instrument was distributed to 1900 patients aged 60 and over from 38 training practices from five Australian states using a stratified, randomised cluster sampling process. Generalised estimating equation models were used for analysis. Principal findings …

'If My Arms And Legs Aren't Dropping Off I'Ll Wait To See My Usual Gp!' An Analysis Of Older Patients' Attitudes To Registrars Informed By Agency Theory, Andrew D. Bonney, Sandra C. Jones, Donald C. Iverson, Christopher A. Magee

Sandra Jones

Continuity of care and trust are important in older patient-doctor relationships which impacts older patient willingess to consult registrars for chronic disease management.

The Right To Die, Samantha Steenburn

Honors Theses

In this thesis, I argue that, with certain procedural safeguards in place, physician‐assisted death (PAD) and euthanasia are morally permissible and should be an option for terminally ill patients. The first chapter introduces the history of PAD and euthanasia in the United States focusing on Oregon and Washington. Chapter two focuses on PAD in The Netherlands. Chapter three reviews philosophical arguments regarding PAD and details certain procedural safeguards such as medical friendships, consultations, and multiple opinions, which help to guarantee the moral acceptability of PAD and euthanasia. These safeguards also contribute to a relationship of beneficence from the physician to …

Limited English Proficient Patient's Use Of Family Members And Interpreters: A Pilot Study, Brittany T. Histing

Honors Scholar Theses

The purpose of this study is to explore and describe the experiences of “Spanish speaking, Spanish dominant and Limited English Proficient Latino patients” accessing health care in the United States (Parés-Avila, Sobralske, & Katz). This will be a descriptive study addressing caring for LEP patients accessing the healthcare setting using interpreters. The goal of the study is to describe LEP patient’s familiarity of interpreter services available via the CLAS standards, describe LEP patient’s experiences accessing healthcare in the United States, and describe LEP patient’s experiences in the United States health care system using or not using an interpreter.

Nutritional Status Of Patients With End Stage Liver Disease: An Outpatient Assessment, Anna Marie Cumming-Browne Hefner Phd, Msn, Cpnp, Rn

Dissertations

Cirrhosis is the 12th leading cause of death in the United States. It is well documented end stage liver disease drives a patient to a catabolic state thus depleting them of essential nutrients. Malnutrition is often unrecognized and untreated in outpatients. Though BMI, nutritional intake, anthropometric measurements have been used in clinical trials, there still remains no standard nutritional assessment. The purpose of this dissertation was to (1) identify the incidence of malnutrition in patients with compensated and decompensated liver disease utilizing defined nutritional parameters (Subjective Global Assessment, anthropometric measurements, hand grip strength, and laboratory values) and (2) correlate with …

Description Of Medical-Surgical Nurses Care Of Patients At Risk For Pressure Ulcers, Barbara Jean Mayer Phd

Dissertations

Aim: The purpose of this qualitative study was to explore and describe the level of understanding of PU development and prevention and perceptions of implementing PU prevention measures in nurses caring for patients in medical-surgical units. Method: The study was conducted in three (3) community hospitals within the same healthcare system using an Interpretive Description approach. Six (6) focus groups were conducted including thirty (30) participants. Findings: Participants described their knowledge of PU development and prevention as good and perceived continuing education as important in maintaining knowledge levels. Two (2) methods of identifying patients at risk for PU development were …

Poor Nutritional Status Of Older Subacute Patients Predicts Clinical Outcomes And Mortality At 18 Months Of Follow-Up, K Charlton, C Nichols, S Bowden, Marianna Milosavljevic, K Lambert, L Barone, M Mason, M Batterham

Karen E. Charlton

Background/Objectives: Older malnourished patients experience increased surgical complications and greater morbidity compared with their well-nourished counterparts. This study aimed to assess whether nutritional status at hospital admission predicted clinical outcomes at 18 months follow-up. Subjects/Methods: A retrospective analysis of N=2076 patient admissions (65+ years) from two subacute hospitals, New South Wales, Australia. Analysis of outcomes at 18 months, according to nutritional status at index admission, was performed in a subsample of n=476. Nutritional status was determined within 72 h of admission using the Mini Nutritional Assessment (MNA). Outcomes, obtained from electronic patient records, included hospital readmission rate, total Length of …

G-Protein-Coupled Receptor Kinase 4 Polymorphisms Predict Blood Pressure Response To Dietary Modification In Black Patients With Mild-To-Moderate Hypertension, B Rayner, R Ramesar, K Steyn, N Levitt, C Lombard, K Charlton

Karen E. Charlton

No abstract provided.

Older Rehabilitation Patients Are At High Risk Of Malnutrition: Evidence From A Large Australian Database, Karen Charlton, Clare Nichols, Steven Bowden, Kelly Lambert, Lilliana Barone, Michelle Mason, Marianna Milosavljevic

Karen E. Charlton

No abstract provided.

The Effects Of A Violence Assessment Checklist On The Incidence Of Violence For Emergency Department Nurses, Sarah Knapp

Evidence-Based Practice Project Reports

Workplace violence (WV) is commonplace in American culture, and nurses working in emergency departments (ED) are not immune to its effects. Violence against emergency department nurses is prominent in current nursing literature, and a cause for major concern. Regrettably there is no consistent tool being used to assess for potential patient violence specific to the emergency department. Current assessment tools have been developed and are commonly used in the mental health arena. This evidence-based practice project concentrated on answering the clinical question of whether or not a violence risk assessment checklist reduced the incidence of violence and increased perception of …

Mglur5 And Nmda Receptor Density Are Reduced In The Dorsolateral Prefrontal Cortex Of Schizoaffective But Not Schizophrenia Patients, Kelly Newell, Natalie Matosin, Elisabeth Frank, Chao Deng, Xu-Feng Huang

Xu-Feng Huang

Abstract of a poster that presented at the Society of Biological Psychiatry 67th Annual Meeting.

Determinants Of Health-Related Quality Of Life In Arab American Patients With Type 2 Diabetes, Yousef Zakarni Phd

Dissertations

HRQL is an important aspect of chronic illnesses such as diabetes and needs to be considered by healthcare providers. It is one of the most important outcomes of healthcare interventions, representing an integral public health goal in Healthy People 2000, 2010, and 2020. Arab Americans (AAs), one of the most rapidly growing minorities in United States, tend to have a high prevalence of type 2 diabetes. The purpose of this study was to describe determinants of HRQL, including social support attitude, religiosity, and select demographics for AA patients with type 2 diabetes. A descriptive correlational study using a cross sectional …

Gender Differences In Cognitive Function Of Patients With Chronic Schizophrenia, Mei Han, Xu-Feng Huang, Da Chen, Mei Xiu, Li Hui, Haibo Liu, Thomas Kosten, Xiang Zhang

Xu-Feng Huang

Schizophrenic patients have cognitive impairments, but gender differences in these cognitive deficits have had limited study. This study assessed cognitive functioning in 471 subjects including 122 male and 78 female schizophrenic patients and 141 male and 130 female healthy controls. We found that immediate memory, language, delayed memory and total RBANS scores were significantly decreased in schizophrenia compared with healthy controls for both genders. Male patients had significant lower immediate memory, delayed memory and total RBANS scores than female patients, and healthy controls showed a similar gender difference. The RBANS showed modest correlations with PANSS scores, duration of illness and …

Neck Muscle Fatigue And Postural Control In Patients With Whiplash Injury, Paul Stapley, Maria Beretta, Elena Toffola, Marco Schieppati

Dr Paul J Stapley

Objectives: To examine if patients with whiplash injury show identifiable increases in neck muscle fatigability and associated increase in postural body sway after contractions of dorsal neck muscles, and if physiotherapy treatment reduces these effects. Methods: Sway was measured during stance in 13 patients before and after 5 min of isometric dorsal neck muscle contractions and after recovery, pre- and post-physiotherapy, using a force platform. Amplitude and median frequency of neck muscle EMG were calculated during the contracting period. After each stance trial, patients gave a subjective score of sway. Results: Pre-treatment, seven patients showed EMG signs of fatigue (increases …

Untitled, Richard S. Koch

Koch Collection, Papers of Richard S Koch, DO

Provides support for association between spinal asymmetry and heart disease and how osteopathic physicians can help treat heart disease through treatment of asymmetries.

Neck Care, Richard S. Koch

Koch Collection, Papers of Richard S Koch, DO

Hand-out given to Dr Koch's patients, that provided plan following their neck treatment.

List Of Patients With Back Pain Post X-Ray And Treatment, Richard S. Koch

Koch Collection, Papers of Richard S Koch, DO

List of Dr Koch's patients (names removed) who had back pain, showing their age, number of treatments, previous treatments and previous diagnoses.

Justifying Postural X-Rays To Reveal Asymmetries, Richard S. Koch

Koch Collection, Papers of Richard S Koch, DO

Abstract which attempts to justify the use of spinal x-rays to reveal spinal asymmetries that correlate with back pain and visceral dysfunction/diseases.

Asthma & Cardiac Physician Treatment (Techniques), Richard S. Koch

Koch Collection, Papers of Richard S Koch, DO

Dr Koch's notes on treatment techniques used for his patients with asthma/cardiac issues.

Proving Spinal Visceral Relations In General Practice, Richard S. Koch

Koch Collection, Papers of Richard S Koch, DO

Discusses how spinal x-rays can reveal asymmetries that had gone undiagnosed and their association with a dysfunctioned organ.

Children's Postural Studies, Richard S. Koch

Koch Collection, Papers of Richard S Koch, DO

Lists Dr Koch's patients' s chief complaints as well as drawing of their spinal curves.