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2015

Cedarville University

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Articles 1 - 30 of 87

Full-Text Articles in Medicine and Health Sciences

Pharmacy Admissions: The Dating Game, Travis Mentch, Aaron Oliver, Joel Sanvee, Godfred Atta-Effa, Maame Debrah-Pinamang, Monica Saad, Aleda Chen, Stephanie M. Cailor, Kate Ford Dec 2015

Pharmacy Admissions: The Dating Game, Travis Mentch, Aaron Oliver, Joel Sanvee, Godfred Atta-Effa, Maame Debrah-Pinamang, Monica Saad, Aleda Chen, Stephanie M. Cailor, Kate Ford

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Abstract:

Background:

According to the American Association of Colleges of Pharmacy, as of July 2015, there are 132 US-based colleges and schools of pharmacy. The decision on which school students choose can be one of the most important decisions they will make in their lives. Many factors can affect these decisions, such as: curricular content, location/facilities, finances, and diversity. Although there are many factors that impact student decisions, the relative importance of these factors is unknown. This project will determine the importance of these factors in order to aid school recruitment.

Objectives:

The objective of this project is to determine …


A Systematic Review Of The Cost-Effectiveness Of Chemotherapy Regimens, Nicholas Rudy, Hannah Chittenden, David Fisher, Abigail Moon, Lia G. Hickinbotham, Emily Bruce, Eric Blizzard, Aleda Chen, Chelsea Manion Dec 2015

A Systematic Review Of The Cost-Effectiveness Of Chemotherapy Regimens, Nicholas Rudy, Hannah Chittenden, David Fisher, Abigail Moon, Lia G. Hickinbotham, Emily Bruce, Eric Blizzard, Aleda Chen, Chelsea Manion

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Background

The rising cost of chemotherapy dramatically increases the burden on healthcare and presents new challenges in achieving optimal patient outcomes. New treatments, in general, are more specialized but show minor progress in regards to efficacy. Accordingly, the threat of overpaying for chemotherapy regimens has increased. There is a need for a comprehensive review to compile relevant studies in order to inform clinician decisions on the basis of cost-effectiveness and quality of life.

Objectives

Therefore, the aim of this project is to assess the cost-effectiveness of anticancer medications with a special focus on the quality of life of patients undergoing …


College Student Awareness Of Fetal Alcohol Spectrum Disorders, Micah F. Bernard, Kale Hanavan, Vineeta Rao, Jacob Shaffer, Katherine Woodard, Dominic Yeboah, Phillip L. Thornton Dec 2015

College Student Awareness Of Fetal Alcohol Spectrum Disorders, Micah F. Bernard, Kale Hanavan, Vineeta Rao, Jacob Shaffer, Katherine Woodard, Dominic Yeboah, Phillip L. Thornton

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Fetal alcohol spectrum disorders (FASDs) results from women drinking alcohol during pregnancy. This objective of this project is to assess college students’ awareness of FASDs and determine if education improves self-reported attitudes towards drinking while pregnant or when pregnancy is possible. Previously conducted studies have equipped healthcare professionals to provide education to at-risk mothers and to intervene in pregnant mothers. However, little research has been done on informing those who are not yet pregnant but who may become pregnant about this disease and its prevention. This study will attempt to address this gap by targeting college students, a population usually …


Reducing Perineal Tears: The Effect Of Pushing Methods And Length Of 2nd Stage Of Labor, Kristen A. Mohre, Jessica A. Wall, Chien-Yueh Lee Dec 2015

Reducing Perineal Tears: The Effect Of Pushing Methods And Length Of 2nd Stage Of Labor, Kristen A. Mohre, Jessica A. Wall, Chien-Yueh Lee

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Objective: To evaluate the current literature evidence for the effects of either instructed or spontaneous pushing on perineal laceration incidence during delivery and the duration of second stage of labor.

Background: Lacerations (tears) of the perineum are common among women during delivery, increasing pain, infection risk, and other problems for women. Furthermore, prolonged second stage of labor has been shown a risk factor for lacerations. Pushing methods could have an effect on the incidence of lacerations and duration of second stage of labor.

Methods: Thorough search of online databases for the highest levels of evidence relating to the topic within …


Perceptions Of Marijuana Use Among Adolescents, Kofi Amoah, James Baffoe, Katherine Distel, Matt Madden, Jordan Thomas, Insang Yang Dec 2015

Perceptions Of Marijuana Use Among Adolescents, Kofi Amoah, James Baffoe, Katherine Distel, Matt Madden, Jordan Thomas, Insang Yang

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Background

The United States federal government has been discouraging use of marijuana for decades. Prior to 1970, the federal regulation of marijuana use was through taxes. In 1970, marijuana use was deemed a criminal offense, and overrode any states that considered it legal. In 2012, Colorado and Washington were the first two states to legalize marijuana for recreational use. A study found adolescent use was 8.68% higher in states allowing medical marijuana and had a significantly lower perception of risks associated with marijuana use (6.94%).

Objectives

To determine if an educational program about the effects of marijuana use can negatively …


Herb-Drug Interaction Of Andrographolide On The Pharmacokinetics Of Carbamazepine In Rats, Elizabeth Aziz, Samuel Franklin, Ankit Pandav, Abigail Savino, Caleb Thompson, Caleb Vandyke, Ruth Choi, Elisha R. Injeti Dec 2015

Herb-Drug Interaction Of Andrographolide On The Pharmacokinetics Of Carbamazepine In Rats, Elizabeth Aziz, Samuel Franklin, Ankit Pandav, Abigail Savino, Caleb Thompson, Caleb Vandyke, Ruth Choi, Elisha R. Injeti

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Objective: To determine if andrographolide (AND) impacts the pharmacokinetics of carbamazepine (CBZ).

Background: CBZ is an anticonvulsant medication that is metabolized in the liver by cytochrome P450 (CYP) enzymes. AND is an over-the-counter medication that is common in Eastern cultures to treat inflammation and is a CYP enzyme inhibitor. Because CBZ is metabolized in the liver by these specific CYP enzymes, coadministration of andrographolide and CBZ could result in a herb-drug interaction.

Methods: Sprague-Dawley rats (N=12) aged between 3 months and 6 months (250-350 g) will be split into control (N=6) and treatment (N=6) groups. The treatment group will receive …


The Impact Of A Flipped Classroom Compared To Lecture-Based Teaching On Achieving Course Outcomes, Victoria Bumgardner, Caleb Tang, Jasmine Gunti, Akwasi Appiah, Melissa J. Beck Dec 2015

The Impact Of A Flipped Classroom Compared To Lecture-Based Teaching On Achieving Course Outcomes, Victoria Bumgardner, Caleb Tang, Jasmine Gunti, Akwasi Appiah, Melissa J. Beck

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Education is one of the most vital components that compose a modern society and as such, its improvement and optimization is always sought. This study investigates the efficacy between two learning methods in a graduate level biochemistry course: complete active learning and a hybrid of active and passive learning. Active learning is one method of achieving course outcomes with an emphasis on student responsibility through self-studying of course material followed by classroom discussion. In comparison, passive learning emphasizes instructor responsibility through didactic lecturing of course material. The aftermath results following a hybrid form of active and passive learning (in-class didactic …


The Different Artificial Sweeteners And Their Effects On Endothelial Cell/Blood Vessel Health: Possible Implications For Ringing In The Ear, Morgan R. Bailey, Jessica A. Ward, Belinda O. Darkwah, Brandon L. Spears, Casey A. Nelson, Myriam E. Shaw Ojeda, Rocco J. Rotello Dec 2015

The Different Artificial Sweeteners And Their Effects On Endothelial Cell/Blood Vessel Health: Possible Implications For Ringing In The Ear, Morgan R. Bailey, Jessica A. Ward, Belinda O. Darkwah, Brandon L. Spears, Casey A. Nelson, Myriam E. Shaw Ojeda, Rocco J. Rotello

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Abstract:

Background:

Tinnitus, a condition whose remarkable symptom is ringing in the ear (RIE), is a problem plaguing people all around the world in varying degrees of severity, though it is most common and severe in older populations. Literature is lacking on its etiology. Therefore, it is difficult to diagnose and treat. Several possible components could play a role in the development of tinnitus including neurological, physiological, traumatic, dietary and vascular factors. No factor has yet been definitively linked to the development of tinnitus. Vascular health can be significantly impacted by diet- especially in regard to sugars. As artificial sweeteners …


Cell Cycle-Dependent Phosphorylation Of Nucleophosmin And Its Potential Regulation By Peptidyl-Prolyl Cis/Trans Isomerase, Xuelian Zhao, Junfang Ji, Li-Rong Yu, Timothy Veenstra, Xin Wei Wang Nov 2015

Cell Cycle-Dependent Phosphorylation Of Nucleophosmin And Its Potential Regulation By Peptidyl-Prolyl Cis/Trans Isomerase, Xuelian Zhao, Junfang Ji, Li-Rong Yu, Timothy Veenstra, Xin Wei Wang

Pharmaceutical Sciences Faculty Publications

Nucleophosmin (NPM) is a ubiquitously expressed phosphoprotein involved in many cellular processes. Phosphorylation is considered the major regulatory mechanism of the NPM protein, associated with diverse cellular events. In this study, we characterized the phosphorylation status of several physiological phosphorylation sites of NPM, especially the newly confirmed


Factors Influencing Emergency Contraception Use In Indigent Populations, Melissa Arnold, April Bonifaz, Kasandra Chambers, Amy Roy, Ashley Scherreik, Kurtis Schultz, Miriam Ansong, Phillip L. Thornton, Tracy Frame Oct 2015

Factors Influencing Emergency Contraception Use In Indigent Populations, Melissa Arnold, April Bonifaz, Kasandra Chambers, Amy Roy, Ashley Scherreik, Kurtis Schultz, Miriam Ansong, Phillip L. Thornton, Tracy Frame

Excerpts in Pharmacy Research Journal

Introduction: Indigent women are disproportionately affected by unwanted, unplanned pregnancies. Studies previously identified lack of knowledge about emergency contraception (EC) as a major deterrent from use. This study was performed to address three potential barriers to the use of EC in indigent populations: culture and religion, patient education, and cost. For the entirety of this study, EC refers to levonorgestrel (LNG).

Objectives: To determine the impact of culture and religion, patient education, and cost on EC use in the indigent population.

Methods: This study was a cross-sectional observational study to explore and investigate relationships between indigent populations and the …


Protein Analysis Of Human Lacrimal Fluid In Varying Age Groups, Jayson M. Brewin, Daniel C. James, Neil Klinger, Jenna G. Lawhead, Nathaniel J. Luce, Amy Wuobio, Lindsay Florkey, Rocco J. Rotello Oct 2015

Protein Analysis Of Human Lacrimal Fluid In Varying Age Groups, Jayson M. Brewin, Daniel C. James, Neil Klinger, Jenna G. Lawhead, Nathaniel J. Luce, Amy Wuobio, Lindsay Florkey, Rocco J. Rotello

Excerpts in Pharmacy Research Journal

Purpose: The objective of this research project was to identify proteins secreted from human lacrimal fluids onto the extra-ocular surface of the eye that could be later used to predict eye health, disease, and age-related changes. The identification of specific lacrimal proteins in relative quantities and patterns in younger versus older patients may reflect both ocular and extra-ocular disease states.

Methods: This observational study collected samples of lacrimal fluid from 20 subjects between the ages of 18 and 25 years and 20 subjects over the age of 50 years with the use of Schirmer strips. The protein composition of these …


Welcome To The Excerpts In Pharmacy Research Journal, Miriam Ansong, Melissa J. Beck, Ginger Cameron, Rocco Rotello Oct 2015

Welcome To The Excerpts In Pharmacy Research Journal, Miriam Ansong, Melissa J. Beck, Ginger Cameron, Rocco Rotello

Excerpts in Pharmacy Research Journal

The editorial board at Cedarville University School of Pharmacy welcomes you to the inaugural issue of the Excerpts in Pharmacy Research Journal (ISSN 2374-4693).


2015 White Coat Ceremony Invitation, School Of Pharmacy, Cedarville University Sep 2015

2015 White Coat Ceremony Invitation, School Of Pharmacy, Cedarville University

2015 White Coat Ceremony Documents

No abstract provided.


2015 White Coat Ceremony Program, School Of Pharmacy, Cedarville University Sep 2015

2015 White Coat Ceremony Program, School Of Pharmacy, Cedarville University

2015 White Coat Ceremony Documents

No abstract provided.


Class Of 2019, School Of Pharmacy, Cedarville University Sep 2015

Class Of 2019, School Of Pharmacy, Cedarville University

2015 White Coat Ceremony Documents

No abstract provided.


Pledge Of Professionalism, School Of Pharmacy, Cedarville University Sep 2015

Pledge Of Professionalism, School Of Pharmacy, Cedarville University

2015 White Coat Ceremony Documents

No abstract provided.


A Pre-Test Post-Test Tool Development And Evaluation For The Abstinence-Plus Curriculum “Against The Tide”, Nicole C. Boucuvalas Aug 2015

A Pre-Test Post-Test Tool Development And Evaluation For The Abstinence-Plus Curriculum “Against The Tide”, Nicole C. Boucuvalas

Master of Science in Nursing Theses

Problem and Significance: Adolescents in the U.S. are subjected to multiple media messages, peer influence, and cultural acceptance of sexual activity that result in one of the highest rates of teen pregnancy, teen abortion, and sexually transmitted disease among all developed nations. Varying educational curriculums have been studied regarding their effectiveness in decreasing these negative societal issues with our youth. The Women’s Pregnancy Center within Peoria Rescue Ministries has been administering abstinence-plus sex education curriculum, Against the Tide (ATT), to various school systems for the past 15 years. However, the effectiveness of the ATT curriculum had not been measured. …


A Descriptive Correlational Study Measuring The Emotional Impact Of Acl Injury And Reconstruction On Intention To Return And Actual Return To Previous Level Of Sport In Competitive Athletes, Moriah M. Frazee, Molly M. Frazee Aug 2015

A Descriptive Correlational Study Measuring The Emotional Impact Of Acl Injury And Reconstruction On Intention To Return And Actual Return To Previous Level Of Sport In Competitive Athletes, Moriah M. Frazee, Molly M. Frazee

Master of Science in Nursing Theses

BACKGROUND: Anterior Cruciate Ligament (ACL) injuries among athletes are increasingly common, yet less than 50% of these athletes return to their previous level of sport participation. While most of these athletes are physically ready to return to sport, many of them have reported they were not emotionally ready to return.

PURPOSE: The purpose of this study was to determine the relationship between 1) the emotional readiness to return to sport, 2) intention to return to their previous level of sport participation, and 3) actual return to their previous level of sport participation after ACL injury and reconstruction in competitive adult …


Attitudes Of Western, Conventionally Trained Physicians Toward Integrative Medicine In Kenya: A Descriptive Correlational Study, Heather L. Hall Aug 2015

Attitudes Of Western, Conventionally Trained Physicians Toward Integrative Medicine In Kenya: A Descriptive Correlational Study, Heather L. Hall

Master of Science in Nursing Theses

The 2007 policy draft of Kenya’s National Coordinating Agency for Population and Development (NCAPD) states that the primary source of health care for more than two-thirds of Kenya’s population is traditional medicine (as cited in NCAPD, 2008). The World Health Organization (WHO) (2013) suggests there should be an integration of TM into systems of national health care to increase health care access. Integrative medicine (IM) involves the integration of therapies from both alternative and mainstream medicine (Integrative medicine, 2014). Little is known about the attitudes of Western, conventionally trained physicians toward IM in a non-Western setting. The purposes of this …


A Systematic Review And Development Of Best Practice In The Usage Of Video Recording During Debriefing Of Simulation With Undergraduate Nursing Students, Sarah J. Rodewald, Andrea M. Bell Aug 2015

A Systematic Review And Development Of Best Practice In The Usage Of Video Recording During Debriefing Of Simulation With Undergraduate Nursing Students, Sarah J. Rodewald, Andrea M. Bell

Master of Science in Nursing Evidence-Based Practice Projects

The purpose of this evidence based project was to evaluate current literature and synthesize the best practice guidelines for debriefing and video-assisted debriefing (VAD) as it relates to simulation-based learning for undergraduate nursing students. Presently, high fidelity patient simulators (HFPS) and various debriefing techniques are used in many different occupational fields. Facilitator led verbal debriefing is a standard practice in nursing schools following a simulation to guide student reflection and learning. Newer technology, however, is now allowing for video-recording and annotation of simulations for enhanced debriefing sessions and can be used for immediate review. Some evidence-based guidelines exist for standard …


The Effect Of Spiritual Care Education On Hospice Nurses’ Competence In The Assessment And Implementation Of Spiritual Care With Their Patients: A Quasi-Experimental Study, Vida Anita Amoah Aug 2015

The Effect Of Spiritual Care Education On Hospice Nurses’ Competence In The Assessment And Implementation Of Spiritual Care With Their Patients: A Quasi-Experimental Study, Vida Anita Amoah

Master of Science in Nursing Theses

Background: There is a well-documented relationship between spiritual care and improved quality of life for hospice and palliative care patients. However, nurses report that they receive little education on how to provide spiritual care. This lack of education results in nurses’ reluctance to provide spiritual care for their patients.

Theoretical Model: The Faith-Hope-Love Model of Spiritual Wellness (FHLMSW) provides a theoretical understanding of the human spirit, spirituality, spiritual wellness, and spiritual needs.

Purpose: The purpose of this study was to use the FHLMSW to examine the effects of spiritual care education on Hospice Nurses’ competence on how to assess and …


Spiritual Quality Of Life Among Geriatric Cancer Patients: A Descriptive Correlational Study, Mary R. Leyendecker Aug 2015

Spiritual Quality Of Life Among Geriatric Cancer Patients: A Descriptive Correlational Study, Mary R. Leyendecker

Master of Science in Nursing Theses

A solid understanding of spiritual quality of life (SQOL) is critical for healthcare providers as they strive to achieve optimum care of geriatric cancer patient. However, there is a gap in the current literature regarding SQOL in geriatric cancer patients. Therefore, the purpose of this descriptive correlational study was to describe the spiritual quality of life (SQOL) among geriatric cancer patients as it relates to their demographic characteristics and self described wellness. A convenience sample of 32 participants from a cancer center in Midwest Ohio were recruited for this study. The participants completed the World Health Organization Quality of Life-Spiritual, …


Smoking Cessation During Pregnancy: An Evidence Based Practice Protocol, Katherine J. Ruhlman Aug 2015

Smoking Cessation During Pregnancy: An Evidence Based Practice Protocol, Katherine J. Ruhlman

Master of Science in Nursing Evidence-Based Practice Projects

Intrauterine exposure to nicotine is one of the largest modifiable risk factors for infant morbidity and mortality. Previous progress toward decreasing the number impacted by intrauterine nicotine exposure has recently plateaued. While guidelines for assisting pregnant women to stop smoking are available, few providers have a formalized protocol in place. This project will evaluate most current research evidence regarding smoking cessation during pregnancy in order to develop a formalized protocol for implementation in an obstetric clinic in Southwest Ohio. Reviewed literature was summarized and level of evidence was established. Recommendations were made and categorized as strong, moderate, and weak. The …


Spiritual Well-Being, Faith, Hope, Anxiety And Loneliness In Oncology Patients: A Descriptive Correlational Study, Julia R. Mueller Aug 2015

Spiritual Well-Being, Faith, Hope, Anxiety And Loneliness In Oncology Patients: A Descriptive Correlational Study, Julia R. Mueller

Master of Science in Nursing Theses

Purpose: To test theorized relationships in the newly developed Faith-Hope-Love Model of Spiritual Wellness (FHLMSW). The research questions were: 1) do measures of faith, hope and love correlate with or predict spirituality as defined by FHLMSW in a palliative care population; and 2) do relationships exist between measures of spirituality and physical symptoms and distress among the same palliative care population.

Patients and Methods: This was a descriptive correlational study, which included 21 participants with a stage III or IV cancer diagnosis that were receiving palliative care at a community oncology practice, that took place between January 2015 to March …


An Investigation Of The Nurse Practitioner’S Knowledge And Self-Efficacy On Expanded Back To Sleep Guidelines And Practice Of Providing Anticipatory Guidance: A Descriptive Correlational Study, Amy M. Kacho Aug 2015

An Investigation Of The Nurse Practitioner’S Knowledge And Self-Efficacy On Expanded Back To Sleep Guidelines And Practice Of Providing Anticipatory Guidance: A Descriptive Correlational Study, Amy M. Kacho

Master of Science in Nursing Theses

Abstract

Significance of the problem: Despite an overall drop in the rate of Sudden Infant Death Syndrome (SIDS) in the United States, equivalent increases of Sudden Unexpected Infant Deaths (SUIDS) have occurred. SUIDS are infant deaths from suffocation, strangulation or other factors related to the infants sleeping environment; in 2011 the American Academy of Pediatrics (AAP) expanded the Back to Sleep recommendations to include SUIDS causes of death.

Relevant to nurses: Nurse Practitioners (NPs) play a key role in implementing Back to Sleep recommendations, yet there is a very little literature exploring the frequency and consistency with which …


A Descriptive Correlational Study Examining The Relationship Of Emergency Department Contextual Factors And Transfer Interval To An Intermediate Unit, Mary K. Tankersley Aug 2015

A Descriptive Correlational Study Examining The Relationship Of Emergency Department Contextual Factors And Transfer Interval To An Intermediate Unit, Mary K. Tankersley

Master of Science in Nursing Theses

The number of emergency department (ED) visits in the US has increased over the past 20 years. In 1993 there were 90 million visits to the ED. In 2003 this number increased by 27% to 114 million while the population increased by only 12%. This statistic reveals there was more than one ED visit for every three people in the US in 2003 (Institute of Medicine, 2006). Patients who present to the Emergency Department (ED) during overcrowded conditions have an increased length of stay and increased risk of inpatient mortality compared to non-overcrowded conditions (Medicare.gov, N.D.). Overcrowding has been defined …


Evidence-Based Recommendations For The Assessment Of Severe Acute Malnutrition In Children Aged 6-59 Months In The Central African Republic, Rachel R. Wong Aug 2015

Evidence-Based Recommendations For The Assessment Of Severe Acute Malnutrition In Children Aged 6-59 Months In The Central African Republic, Rachel R. Wong

Master of Science in Nursing Evidence-Based Practice Projects

Thirty-five percent of mortalities in children under the age of five can be attributed to malnutrition (World Health Organization (WHO), n.d.). Nearly 24 percent of children less than five from 2008-2012 in the Central African Republic were moderately or severely underweight and nearly eight percent suffered from severe or moderate wasting (The United Nations International Children’s Emergency Fund, 2013). As a result of recent sectarian violence which began with a coup in March 2013, the Central African Republic is facing a nutrition crisis. As a result, an estimated 28,000 Central African children under the age of five are predicted to …


An Ethical Framework For End-Of-Life Discussions, Mark E. Lones Jul 2015

An Ethical Framework For End-Of-Life Discussions, Mark E. Lones

Bioethics in Faith and Practice

The primary goal of medical care is to assist patients to address medical issues which may threaten their health in order to preserve and restore the quality of the patients’ life. However, when a patient’s prognosis for meaningful survival is poor, there is a change in focus from restorative care to palliative care. The transition from “cure to comfort” is one of the most challenging and important medical care decisions the patient and family may encounter. The purpose of this article is to help give patients, families and care-givers an ethical framework to effectively discuss treatment options, values, and preferences …


The Abortion Decision: What About Dad?, Erica C. Graham Jul 2015

The Abortion Decision: What About Dad?, Erica C. Graham

Bioethics in Faith and Practice

The modern utilitarian abortion debate focuses on how women are affected by abortion but has neglected the utilitarian concerns of men. Abortion is currently justified based on ethical claims that apply to both men and women equally. These ethical claims include empowerment in reproductive decisions, not desiring to become a parent, socioeconomic concerns, moral responsibility over children, pregnancy resulting from coercion, and autonomy. This paper reveals the equivalent ethical claims of men and women to these claims and argues for men having a legal say in deciding whether or not to abort.


A Call To Forward-Thinking Bioethics, Heather G. Kuruvilla Jul 2015

A Call To Forward-Thinking Bioethics, Heather G. Kuruvilla

Bioethics in Faith and Practice

It is said that hindsight is always 20/20. However, a reasoned approach to practical bioethics requires an awareness of developing technologies and their potential applications to clinical practice.