Medicine and Health Sciences Commons^™

Maximizing Roi: Laboratories And The Value Of Next-Generation Public Health, Glen P. Mays

Health Management and Policy Presentations

Laboratories serve as information engines for the public health enterprise, and their importance to population health improvement is likely to grow considerably under U.S. health reform. This session will examine the changing landscape of public health responsibilities within a reforming U.S. health system, and the current and potential roles for public health laboratories in improving the health and economic value of investments in public health. The session examines key changes in the organization, financing, and delivery of public health services that are occurring through innovations to better integrate public health and medical care delivery, and the current and potential roles …

What's Happening: May 19, 2014, Maine Medical Center

What's Happening

No abstract provided.

Public Health Services & Systems Research And The Reforming U.S. Health System, Glen P. Mays

Health Management and Policy Presentations

This session reviews progress in the field of public health services & systems research (PHSSR), with a specific focus on findings that can inform the implementation and impact of health reform strategies on the U.S. public health system.

The Lived Experience Of Parental Bereavement, Christine Denhup

Seton Hall University Dissertations and Theses (ETDs)

The purpose of this manuscript is to present a Heideggerian hermeneutic phenomenological nursing research study on the phenomenon of parental bereavement. The aim of this study is to describe the lived experience of bereaved mothers and fathers who have experienced the death of a child due to cancer. Van Manen’s (1997) method guided this qualitative inquiry. New knowledge describing the meaning of the lived experience of parental bereavement promotes a better understanding of the phenomenon from the perspective of parents, fills a significant gap in the literature, and informs nursing research, education, and practice.

Human Factors Contributing To Nursing Errors, Cheryl K. Roth

Nursing Theses and Dissertations

There has been considerable focus on reducing errors in the hospital setting over the last two centuries, but errors continue to occur at an alarming rate. Two articles are discussed that explore nursing errors. The purpose of these studies was to identify human factors that cause nursing errors and to identify the constructs of likelihood to cause error, ability to intervene, importance, and commonness relating to human factors causing errors. The first paper describes a Delphi Study which examined the likely causes of nursing error using an expert group (n=25) of Quality Assurance, Risk Management, Patient Safety, and staff nurses. …

Cost-Effectiveness Analysis Of Tunneled Central Venous Catheter Dressings In Canadian Blood Stem Cell Transplant, Melanie Keeler

Nursing Theses and Dissertations

Central venous catheters (CVC) are an integral tools used in blood stem cell transplant with registered nurses responsible for maintenance and catheter care. However, CVC practice guidelines in the literature are inconsistent or absent. Gaps in the evidence generated several research questions regarding potential variability in CVC practice across Canada and the impact that variability may have on healthcare spending and patient outcomes. A survey of Canadian practice revealed differences in CVC practice across the nation that coincide with discrepant and/or absent guidelines. Device-associated complications such as catheter-related bloodstream infection (CRBSI) are both costly and avoidable. Current cost-analyses within the …

Impact Of Text Messaging On Diabetic Foot Self-Care Behaviors Using A Single-Case Design, Stephanie Charese Hills

Nursing Theses and Dissertations

Problem: The absence of diabetic foot self-care is one of the major reasons for the approximately 60,000 avoidable lower extremity amputations annually in the U.S. Providers have limited time during clinic visits to educate their patients and increase awareness. Innovative strategies beyond the clinical setting are necessary to reinforce self-care behaviors. Objective: The purpose of this study was to use an innovative design method to examine the impact of providing diabetic foot care education to patients via text messaging and to assess the effect on patient self-care behaviors and clinical outcomes. Methods: Quantitative research using a single case study design. …

Health, Health Perceptions, Healthcare Practices, And Influencing Factors Among Korean Immigrants Living In Rural Texas, Mary Beth Winton

Nursing Theses and Dissertations

The population of Asian immigrants in the United States increased 43.3% from 2000 to 2010. During the same period, Texas experienced an increase of Korean immigrants of over 47%. Despite the increase of Korean immigrants, only a minimal number of studies explored health and healthcare needs specific to this population. Furthermore, none of the studies addressed Korean immigrants living in rural Texas. Hence, an ethnographic study was conducted to examine the health and healthcare among Korean immigrants living in rural Texas. Face-to-face interviews were conducted and transcribed. Five major themes emerged which included acculturation, health and health perceptions, healthcare, relaxation …

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• Preservice Teacher's Preparedness

Community Health News, Georgia Southern University

Health Policy & Community Health: News & Publications (2011-2018)

• Preservice Teachers’ Preparedness

Airway Obstruction In Congenital Central Hypoventilation Syndrome, Alexandra K Reverdin, Ricardo Mosquera, Giuseppe N Colasurdo, Cindy K Jon, Roya M Clements

Faculty, Staff and Student Publications

Congenital central hypoventilation syndrome (CCHS) is the failure of the autonomic system to control adequate ventilation while asleep with preserved ventilatory response while awake. We report a case of a patient with CCHS who presented with intrathoracic and extrathoracic airway obstruction after tracheostomy tube decannulation and phrenic nerve pacer placement. Nocturnal polysomnography (NPSG) revealed hypoxia, hypercapnia and obstructive sleep apnoea, which required bilevel positive airway pressure titration. Airway endoscopy demonstrated tracheomalacia and paretic true vocal cords in the paramedian position during diaphragmatic pacing. Laryngeal electromyography demonstrated muscular electrical impulses that correlated with diaphragmatic pacer settings. Thus, we surmise that the …

Lessons Learned In Caring For Patients Treated With Therapeutic Hypothermia, Catherine H. Swedberg Rn, Kelly A. Wolfenden Rn, Bsn, Cci, Jeffrey Martin Rn, Carolyn Ordway Msn, Rn, Crnp

Patient Care Services / Nursing

No abstract provided.

E Pluibus Unum: The Unification Of Four Culturally Unique Pre-Admission Testing Sites To One Network Department, Theresa Elwell Rn, Carol Saxman Msn, Rn-Bc, Kelli Brown Msn, Rn-Bc, Kelly Stivala Bsn, Rn, Capa

Patient Care Services / Nursing

No abstract provided.

Charging Change, Kaye Barnhart Rn, Bc, Erin Joyce Bsn, Cpan

Patient Care Services / Nursing

No abstract provided.

Einstein's Medication Reach Program Enhances Patient Care, Deborah Hauser Rph, Mha

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Einstein's Comprehensive Unit-Based Safety Program, Beth Lapiene Msph

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Data Analytics In Population Health, Harm Scherpbier Md, Ms

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Medical School Watercooler Newsletter - May 18, 2014, Lindsey Lyle

Watercooler Newsletter

This is the May 18, 2014 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• Medical Students Present at AAMC National Meeting
• Books Collected During National Library Week Delivered to USA Children’s Medical Center
• Biomedical Engineering, Lung Biology Graduate Students Win Awards for Presentations
• Dr. Burns Presents Frazer/Leigh Memorial Lecture

The Use Of Natural Products As Potential Anti-Pseudomonas Agents, Margaret B. Bell

Seton Hall University Dissertations and Theses (ETDs)

Pseudomonas is a genus of gram-negative gammaproteobacteria with a large range of diversity. Because of its ability to grow at low temperature, Pseudomonas is a cause of food spoilage. This bacterium is also a very common nosocomial infection of hospital patients. In this study, we investigated the effects of different natural products on Pseudomonas. The products included a polysaccharide, two flavonoids tangeretin and nobiletin and their derivatives, 5’OH-tangeretin and 5’OH-nobiletin, black tea polyphenol – theaflavins (TFs), as well as an herb named Fallopia multiflora (Chinese Knotweed). P. fluorescens and P. aeruginosa were used as model organisms. Antimicrobial effects were …

Chemical Dental Plaque Control: Chlorhexidine Tooth Staining And Efficacy Of Common Whitening Procedures, Zoe Kiklis

Scripps Senior Theses

Chlorhexidine mouth rinses remove dental plaque from teeth, preventing dental caries, dental decay, and more serious systemic infections. Tooth discoloration due to extrinsic staining is the most prominent side effect of regular chlorhexidine use. Decreasing the concentration of chlorhexidine reduces staining area and severity. Staining can also be prevented and treated by tooth bleaching, a common cosmetic dental procedure that diminishes extrinsic staining by oxidizing chromagens adsorbed onto the tooth surface. In the proposed trial, common bleaching agents will be investigated for their efficacies in preventing chlorhexidine staining. Results of the trial could further the development of a chlorhexidine mouth …

An Examination Of Exposure And Avoidance Behavior Related To Second-Hand Cigarette Smoke Among Adolescent Girls In Canada, Jennifer Schwartz, Raquel B. Graham, Chris G. Richardson, Chizimuzo T.C. Okoli, Laura L. Struik, Joan L. Bottorff

Nursing Faculty Publications

BACKGROUND: Although rates of tobacco use and exposure to second-hand smoke (SHS) are declining in Canada, SHS exposure among non-smoking adolescents remains high. This study aimed to describe frequency, locations, and avoidance behavior related to SHS exposure among adolescent girls in British Columbia, Canada.

METHODS: Data were analyzed from 841 adolescent girls aged 13 to 15 years old who completed an internet-delivered survey as part of a cohort study examining SHS exposure and substance use. Measures assessed demographics, smoking behavior and intentions, frequency and locations of SHS exposure, and avoidance behavior related to SHS.

RESULTS: Excluding their own smoking, 27% …

Agenda (Pdf), School Of Dentistry

LSU School of Dentistry Research Day

No abstract provided.

Dose Expansion Cohorts In Phase I Trials, Alexia Iasonos, John O'Quigley

Memorial Sloan-Kettering Cancer Center, Dept. of Epidemiology & Biostatistics Working Paper Series

A rapidly increasing number of Phase I dose-finding studies, and in particular those based on the standard 3+3 design, frequently prolong the study and include dose expansion cohorts (DEC) with the goal to better characterize the toxicity profiles of experimental agents and to study disease specific cohorts. These trials consist of two phases: the usual dose escalation phase that aims to establish the maximum tolerated dose (MTD) and the dose expansion phase that accrues additional patients, often with different eligibility criteria, and where additional information is being collected. Current protocols typically do not specify whether the MTD will be updated …

Integrating Guided Motor Imagery And Cross Education Into Rehabilitation: Scientific Review And Clinical Application, Emily Bouchard

Mahurin Honors College Capstone Experience/Thesis Projects

BACKGROUND: Guided motor imagery and cross education are two concepts that build upon motor programs. Guided motor imagery consists of imagining a specific action, thereby activating the respective motor program without an actual movement. Cross education incorporates contralateral training to activate the motor program of an action to the resting limb. These techniques yield neurological actions that can lead to improved performance outcomes when integrated into physical therapy programs. PURPOSE: This literature review investigated guided motor imagery and cross education within the scientific literature, identified and summarized evident themes and provided suggestions for incorporating these methods into rehabilitation programs. METHODS: …

The Truth About Type 1 Diabetes Mellitus: The Myths Exposed, Caitlynn Oberhausen

Mahurin Honors College Capstone Experience/Thesis Projects

Children with type 1 diabetes, T1DM, live with a widely misunderstood, chronic disease. The daily management regimens and psychosocial aspect of T1DM bring attention to the child with diabetes. Myths and misconceptions of diabetes management abound. The intent of this research is to address myths and misconceptions by reading a children’s book, written and illustrated by the researcher, to students in grades 3-5 at a local elementary school and measuring change in knowledge with an assessment tool based on book content.

Herbal And Holistic Medicine In Latin America, William H. Lyle

Mahurin Honors College Capstone Experience/Thesis Projects

A variety of herbal and holistic remedies were used in pre-Columbian cultures, especially in Aztec and Incan cultures. Many different herbs were used to provide medical attention to patients directly, while other herbs were used to supplement shaman^[1] medicine, which was particularly common in Inca culture. While there is little scientific basis for shamanism, as a viable healing option in modern culture, most herbal remedies had active chemical ingredients that could be or are used today to treat similar symptoms, and, in some cases, are being applied in different scenarios as well. The methods of usage, active chemicals, and …

Suicide Prevention: Training And Education Of Family Physicians, Amresh Srivastava

Data and Test Instruments

General practitioners training: a strategic response to treatment gaps for suicide behaviour Amresh Shrivastava Suicide is an international public heath problem, which impacts the most vulnerable of the world’s populations. About one million people commit suicide and 10-20 times of these attempt it every year across the glob. More than 90000 adolescents commit suicide every year while rate of attempted suicide every year. .It is also among the top 20 leading causes of death, which is projected to contribute more than 2% to the global burden of disease by the year 2020 globally for all ages. Significantly, these figures fails …

Hispanic Health Initiative: Creating A Sustainable Health Fair For An Immigrant Community, Chaz Arnold

Mahurin Honors College Capstone Experience/Thesis Projects

Previous demographic and social interest research conducted in Bowling Green, Kentucky has prompted concern for access to quality healthcare for immigrant populations, specifically for the Hispanic community. The missions of the preliminary investigation and subsequent implementation of a sustainable health fair for the Spanish-speaking community were to assess the primary health concerns that many Hispanics face and offer long-term solutions to collectively resolve these health issues. Preliminary investigation involved researching population-specific health statistics in order to quantify prevalence of certain conditions which were, in turn, prioritized in terms of necessity to address. Further research reflected personal concern from the target …

Technology Improving Spinal Cord Injured Outlook: Our Experience With The Diaphragmatic Pacing System, Amanda Morina, Pt, Dpt, Ncs, Catharine Farnan-Kennedy, Ms, Crrn, Onc, Cbis

Department of Rehabilitation Medicine Faculty Papers

Introduction

Technology is always changing and that is a certainty. Integrating it into a population in a cost effective manner is always a challenge. One of the benefits of technology is the power to improve quality of life for those who are spinal cord injured. Five years ago in 2009, our rehabilitation team had the opportunity to partner with a young spinal cord injured patient with a newly implanted diaphragmatic pacer device (DPS). Since then we have had several patients with chronic spinal cord injury with this technology. The following poster will review the literature related to this device in …

Letter To Alliance For Headache Disorders Advocacy, William B. Young, Md

Department of Jefferson Headache Center Papers and Presentations

Several years ago the Centers for Medicare and Medicare Services (CMS) decided it would not pay for oxygen for the treatment of cluster headache. This is a serious hardship for many people with cluster headache. The American Headache Society and the Alliance for Headache Disorders Advocacy appealed to CMS to reverse this decision but they refused.

In February, we went to Congress, asking them to encourage CMS to reconsider this appeal. As a result of these efforts, Nebraska Senator Johanns and Delaware Senator Coons are circulating a letter for all Senators to sign urging CMS to re-evaluate this situation. To …