Medicine and Health Sciences Commons^™

Examining Patient-Centered Care Through The Eyes Of An Occupational Therapist, Molly R. Ray

Mahurin Honors College Capstone Experience/Thesis Projects

The concept of person-centered care is a major factor in the ongoing shift between a type of care that focuses on biological concepts ignoring psychological and emotional needs of a person, to a new type of care that considers the whole person, striving to meet not only their physical needs, but their spiritual and emotional needs, striving to involve the patient in every aspect of care. In this study, an adapted person-centered checklist was created as a possible future tool to encourage occupational therapists to implement person-centered care techniques in daily practice. Supporting research includes a literature review on person-centered …

Medicare, Sally Coberly

National Health Policy Forum

This publication provides an overview of the Medicare program including eligibility, covered services, cost-sharing requirements, and program financing.

What's Happening: January 4, 2016, Maine Medical Center

What's Happening

No abstract provided.

Metabolomics Workbench: An International Repository For Metabolomics Data And Metadata, Metabolite Standards, Protocols, Tutorials And Training, And Analysis Tools, Manish Sud, Eoin Fahy, Dawn Cotter, Kenan Azam, Ilango Vadivelu, Charles Burant, Arthur Edison, Oliver Fiehn, Richard M. Higashi, K. Sreekumaran Nair, Susan Sumner, Shankar Subramaniam

Toxicology and Cancer Biology Faculty Publications

The Metabolomics Workbench, available at www.metabolomicsworkbench.org, is a public repository for metabolomics metadata and experimental data spanning various species and experimental platforms, metabolite standards, metabolite structures, protocols, tutorials, and training material and other educational resources. It provides a computational platform to integrate, analyze, track, deposit and disseminate large volumes of heterogeneous data from a wide variety of metabolomics studies including mass spectrometry (MS) and nuclear magnetic resonance spectrometry (NMR) data spanning over 20 different species covering all the major taxonomic categories including humans and other mammals, plants, insects, invertebrates and microorganisms. Additionally, a number of protocols are provided for …

Week Of January 4, 2016, New York Medical College

InTouch

• Katharine Yamulla is Named Director of the Clinical Skills and Simulation Center
• SOM Bids Farewell to Montgomery Douglas, M.D.
• Department of Microbiology and Immunology Hosts Research Forum
• Class of 2018 Helps Spread Holiday Cheer
• NYMC Welcomes Orange-Ulster BOCES Health Occupations Students of America

Serum Amyloid A Impairs The Antiinflammatory Properties Of Hdl, Chang Yeop Han, Chongren Tang, Myriam E. Guevara, Hao Wei, Tomasz Wietecha, Baohai Shao, Savitha Subramanian, Mohamed Omer, Shari Wang, Kevin D. O'Brien, Santica M. Marcovina, Thomas N. Wight, Tomas Vaisar, Maria C. De Beer, Frederick C. De Beer, William R. Osborne, Keith B. Elkon, Alan Chait

Physiology Faculty Publications

HDL from healthy humans and lean mice inhibits palmitate-induced adipocyte inflammation; however, the effect of the inflammatory state on the functional properties of HDL on adipocytes is unknown. Here, we found that HDL from mice injected with AgNO₃ fails to inhibit palmitate-induced inflammation and reduces cholesterol efflux from 3T3-L1 adipocytes. Moreover, HDL isolated from obese mice with moderate inflammation and humans with systemic lupus erythematosus had similar effects. Since serum amyloid A (SAA) concentrations in HDL increase with inflammation, we investigated whether elevated SAA is a causal factor in HDL dysfunction. HDL from AgNO₃-injected mice lacking Saa1.1 …

Integrative Analysis Of Breast Cancer Reveals Prognostic Haematopoietic Activity And Patient-Specific Immune Response Profiles, Frederick S. Varn, Erik H. Andrews, David W. Mullins, Chao Cheng

Dartmouth Scholarship

Transcriptional programmes active in haematopoietic cells enable a variety of functions including dedifferentiation, innate immunity and adaptive immunity. Understanding how these programmes function in the context of cancer can provide valuable insights into host immune response, cancer severity and potential therapy response. Here we present a method that uses the transcriptomes of over 200 murine haematopoietic cells, to infer the lineage-specific haematopoietic activity present in human breast tumours. Correlating this activity with patient survival and tumour purity reveals that the transcriptional programmes of many cell types influence patient prognosis and are found in environments of high lymphocytic infiltration. Collectively, these …

Medical School Watercooler Newsletter - January 3, 2016, Lindsey Lyle

Watercooler Newsletter

This is the January 3, 2016 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents Include:

• Patients Needed for Clinical Study to Evaluate Effectiveness of Peppermint, Caraway Oils in Treating Functional Dyspepsia
• Dr. Strada Chosen to Receive GoDaddy Bowl’s Champion of Life Award
• USA Health System Represented in Mobile Bay’s 40 Under 40
• USA Mourns Loss of Dr. Aubrey Taylor

Psychometric Testing Of The Teamstepps® 2.0 Team Performance Observation Tool, Mary Beth R. Maguire

Doctorate of Nursing Science Dissertations

Approximately 213,000 deaths occur in hospitals each year as a result of preventable adverse events (James, 2013). Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS^®) is an evidence-based teamwork curriculum intended to minimize preventable adverse events through improved medical team performance. One way to provide evidence of team performance is through evaluation. The Team Performance Observation Tool (TPOT) is a TeamSTEPPS^®curriculum instrument that can be utilized to evaluate the effectiveness of team performance. In 2014, TeamSTEPPS^®2.0 was released and an updated version of the TPOT was published. Limited reports of validity …

Associations Between Advanced Cancer Patients' Survival And Family Caregiver Presence And Burden, J. Nicholas Dionne-Odom, Jay G. Hull, Michelle Y. Martin, Kathleen D. Lyons

Dartmouth Scholarship

We conducted a randomized controlled trial (RCT) of an early palliative care intervention (ENABLE: Educate, Nurture, Advise, Before Life Ends) for persons with advanced cancer and their family caregivers. Not all patient participants had a caregiver coparticipant; hence, we explored whether there were relation- ships between patient survival, having an enrolled caregiver, and caregiver out- comes prior to death. One hundred and twenty-three patient-caregiver dyads and 84 patients without a caregiver coparticipant participated in the ENABLE early versus delayed (12 weeks later) RCT. We collected caregiver quality-of-life (QOL), depression, and burden (objective, stress, and demand) measures every 6 weeks for …

Jainism And Nonviolence: From Mahavira To Modern Times, Lana E. Sims

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

The research contained in this paper focuses on the religion of Jainism, its main principle of ahimsa, or nonviolence, and how that philosophy has evolved over the years, eventually inspiring today’s nonviolent movements. First, a look will be taken at the origin of Jainism, with a brief explanation of its most important principles and beliefs. Then, ahimsa is explained as it has been traditionally perceived by Jains. The recent evolution of the meaning of ahimsa and its impact on modern nonviolence movements is discussed, with a focus on the influence of second-generation Jains in the United States on the …

Madeleine Leininger And The Transcultural Theory Of Nursing, Daniel A. Busher Betancourt

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

This paper explores Madeleine Leininger’s Theory of Transcultural Nursing and the importance that her theory has in the realm of modern nursing care. The United States is a nation widely acclaimed for its advances in health care, and nurses hold a vital role in delivering such quality care to their patients, who offer differences in “values, beliefs, and lifeways." In light of the globalization of health care and the stress put on professionalism in nursing, Leininger’s theories and research on comparative human care hold a prominent place in health care that provide congruency in the beliefs and cultural values of …

Poor Drug Adherence And Lack Of Awareness Of Hypertension Among Hypertensive Stroke Patients In Kampala, Uganda: A Cross Sectional Study Neurology, Martha Sajatovic, Cathy Sila, Michael Degeorgia

Faculty Scholarship

Background: Raised blood pressure (BP) remains an important risk factor for cardiovascular diseases such as stroke. Adherence to therapeutic recommendations especially antihypertensive drugs is important in BP control. The aim of the study was to assess the stroke risk factors and levels of adherence among hypertensive patients with stroke in Kampala Uganda. Methods: In a cross-sectional study we describe 112 hypertensive subjects with stroke from two Kampala city hospitals. A standardized pre-tested questionnaire was used to collect medical history, clinical details, radiological findings and laboratory data. Results: A total of 112 hypertensive subjects with stroke were enrolled between May 2013 …

Portrait Of An Ot Artist: Using Mindfulness To Find Life Balance, Lydia Royeen

The Open Journal of Occupational Therapy

Lynn Davies, a Canadian-based occupational therapist, understands the skill set and practice required to employ a balanced work/play/leisure routine, even for an occupational therapist. Occupational therapists can easily foster this balanced routine for clients; however, they may fall short of adopting this balanced routine in their own lives. Lynn uses art and mindfulness strategies to strive for a meaningful routine. Balancing her work as a therapist and her engagement in art is an ever-evolving orchestra, as she has a passion for both.

Assistive Technology Accessibility And Abandonment: Challenges For Occupational Therapists, Daniel Mc Cruz, Maria Luisa G. Emmel, Mariana G. Manzini, Paulo V. Braga Mendes

The Open Journal of Occupational Therapy

No abstract provided.

Evaluation Of Outcomes Associated With A Leisure-Time Activity Program For Disadvantaged Youth, Juanita Bester, Maatje Kloppers

The Open Journal of Occupational Therapy

The SLEAK (Skills, Learning and Educational Activities for Kids) program was established in 2008 as a joint partnership between a community leader and the Division of Occupational Therapy Stellenbosch University. The vision of the SLEAK program is to create a sustainable, non-profit, leisure-time activity program for the youth (10-13 years of age) of the community in order to curb drug and gangster-related activities and to foster healthy work-related skills in the youth to make them responsible and productive members of their community.

The SLEAK program was evaluated in its entirety and this article will focus on the results for the …

An Elective Course Exploring Occupational Justice Through Occupational Storytelling And Story Making, Julie A. Bednarski

The Open Journal of Occupational Therapy

The purpose of this study was to examine whether second-year Master of Occupational Therapy (MOT) students who enroll in the elective course “Occupation in Long-Term Care (LTC)” would be able to apply concepts of occupational justice in the nursing home environment through engaging residents in occupational storytelling and story making in order to facilitate resident self-advocacy for participation in a valued occupation. The occupational therapy elective course was developed and implemented with students alternating between the classroom and the nursing home environments. Outcome evaluation measurements included analysis of student reflective journaling to obtain qualitative data. The researcher found that students …

Role Performance And Role Valuation Among Occupational Therapy Students In Norway, Tore Bonsaksen, Hildegunn Kvarsnes

The Open Journal of Occupational Therapy

Background: The Model of Human Occupation describes roles as providing the person with a framework around which to organize daily occupations. Role performance and role valuation in young adults may be related to gender, but there are few research studies to date to support this view.

Methods: This study is a cross-sectional design using a sample of 87 occupational therapy students in Norway. We used the Role Checklist to assess the students’ performance and valuation of roles, and a variety of statistical procedures were employed in the analysis.

Results: Compared to the female participants, males performed roles in the community, …

Using Technology To Increase Physical Activity In Health Profession Students, Mary Ann Stark, Kelly Elrod, Sara Haller, Andrea Mahon

The Open Journal of Occupational Therapy

Health profession students may need help establishing and maintaining positive health behaviors when they are in college. This study explored the effectiveness of text messaging as an innovative method for promoting an increase in daily physical activity. A convenience sample (N = 134) was recruited from students at a college of Health and Human Services in Michigan. The participants were randomized into an intervention or control group (n = 67 each). The intervention group received daily affective text messages encouraging more physical activity by taking more steps. The control group received only messages reminding them to report their number of …

Attitudes Of Occupational Therapists And Occupational Therapy Assistants Toward The Entry-Level Bachelor’S Degree For Otas, Randy P. Mccombie

The Open Journal of Occupational Therapy

Discussions at the local, state, and national level often focus on the value of and prospect for a change from the current entry-level master’s degree to the doctorate degree as the required entrance degree for occupational therapists (OTs). While this debate is not without merit, what appears to be lacking is comparable attention to and consideration of the entry-level bachelor’s degree for occupational therapy assistants (OTAs). The present study examined the attitudes and opinions of OTs and OTAs in regard to the entry-level bachelor’s degree for OTAs. Responses from 144 OTs and 77 OTAs to a postal mailed survey found …

The Use Of Personal Projects Analysis To Enhance Occupational Therapy Goal Identification, Mary Egan, Lori Scott-Lowery, Cynthia De Serres Larose, Liane Gallant, Chantal Canada Jaillet

The Open Journal of Occupational Therapy

Background: Client-centered occupational therapy begins with the identification of personally-relevant patient goals. This study aimed to determine whether the elicitation module of Personal Projects Analysis (PPA) could help patients in an acquired brain injury day hospital program identify more meaningful goals than those identified using the Canadian Occupational Performance Measure (COPM) alone.

Method: Ten patients completed the COPM. They rated the importance of each goal and their confidence that they could attain each goal. During the next session, using the elicitation module of PPA, they identified personal projects just prior to their brain injuries, current personal projects, and future desired …

A Phenomenological Study On The Perception Of Occupational Therapists Practicing In The Emergency Department, Gregory Chown, Theresa Soley, Susan Moczydlowski, Christine Chimento, Amy Smoyer

The Open Journal of Occupational Therapy

Background: The purpose of the study was to increase the scope of knowledge regarding the perception of occupational therapy (OT) practitioners working in the emergency department (ED). A literature review identified a gap in knowledge of OT practitioners working in the ED.

Methods: The 10 participants in this study were registered and licensed OT practitioners working at five acute-care settings with experience working in the ED in Pennsylvania hospitals. A qualitative phenomenological research study was conducted using semi-structured interviews of participants’ lived experiences.

Results: Using qualitative data analysis program Atlas.ti 7®, the central themes discovered were discharge recommendations that ensure …

Outcomes After Cognitive Perceptual Motor Retraining (Cpm) Of Patients With Acquired Brain Injury (Abi), Kara Christy, Natasha Huffine, Tammy Hannah, Marita B. De Leon

The Open Journal of Occupational Therapy

Background: Remediation of deficits is one approach used by occupational therapists in the treatment of clients with acquired brain injury (ABI). This retrospective study examined outcomes after participation in Cognitive Perceptual Motor Retraining (CPM) of clients with ABI and identified demographic and injury characteristics of clients that were associated with outcomes. CPM was delivered as part of the standard treatment and was not designed for research purposes.

Method: A retrospective review of 59 client records was completed. CPM evaluation test scores, demographic information, and injury characteristics were extracted from the records.

Results: There were moderate improvements in CPM test scores …

State Of The Journal Year 3: Finding Our Balance, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Intravenous Immunoglobulin Treatment, Illness Intrusiveness, And Quality Of Life In Neurological Autoimmune Patients, Pamela Jane Gennari

2010-2016 Archived Posters

There is scant literature regarding the psychological effects of intravenous immunoglobulin (IVIG) treatment experience on quality of life (QOL) for neurological autoimmune disease patients diagnosed with multiple sclerosis, multifocal motor neuropathy, myasthenia gravis, and chronic inflammatory demyelinating polyneuropathy. IVIG treatment experience predicted QOL in 1 Neuro-QOL subscale; illness intrusiveness mediated 9 of the Neuro-QOL subscales using bias-corrected bootstrapping for statistical significance; and person control did not mediate the relationship between illness intrusiveness and QOL.

Flight Nurses’ Narratives Of Traumatic Patient Care Events: Why Do They Stay?, Joanne Booth Newton

Graduate Dissertations and Theses

As frontline providers of care, flight nurses are continuously exposed to traumatic patient care events; they are, accordingly, highly vulnerable to the injurious effects of compassion fatigue. Flight nursing is an exclusive nursing specialty in which highly trained registered nurses provide comprehensive pre-hospital, emergency, and critical care to patients with urgent or life-threatening conditions aboard helicopter or fixed wing aircraft or, when necessary due to unfavorable weather conditions, by ground ambulance. The purpose of this study was to explore the lived experiences of five flight nurses; to better understand the factors they perceived to be contributors or barriers to compassion …

The Benefits Of Body Mass Index And Waist Circumference In The Assessment Of Health Risk, Mary T. Imboden, Alexander H.K. Montoye, Leonard A. Kaminsky

Faculty Publications - Department of Kinesiology

Obesity is an epidemic in the United States. Most health and fitness (H&F) professionals are familiar with reports showing that 69% of American adults are overweight, and an estimated 36.5%are obese, defined as having a body mass index (BMI) of 25 kg/m2 or higher and 30 kg/m2 or higher, respectively. Thus, 78.6 million American adults are considered to have excess weight that is detrimental to their health (16,17,19). In 2014, there was not a single state with a prevalence of obesity of less than 20%, and 19 states were reported to have an obesity prevalence of more than 30%. This …

The Association Between Sleep Problems, Sleep Medication Use, And Falls In Community-Dwelling Older Adults: Results From The Health And Retirement Study 2010, Yaena Min, Pramit A. Nadpara, Patricia W. Slattum

Pharmacotherapy and Outcomes Science Publications

Background. Very few studies have assessed the impact of poor sleep and sleep medication use on the risk of falls among community-dwelling older adults. The objective of this study was to evaluate the association between sleep problems, sleep medication use, and falls in community-dwelling older adults. Methods. The study population comprised a nationally representative sample of noninstitutionalized older adults participating in the 2010 Health and Retirement Study. Proportion of adults reporting sleep problems, sleep medication use, and fall was calculated. Multiple logistic regression models were constructed to examine the impact of sleep problems and sleep medication use on …

Promoting Cognitive Support Technology Use And Employment Success Among Postsecondary Students With Traumatic Brain Injuries, Phillip Rumrill, Eileen Elias, Deborah J. Hendricks, Karen Jacobs, Anne Leopold, Amanda Nardone, Elaine Sampson, Marcia Scherer, Callista Stauffer, Brian T. Mcmahon

Physical Medicine and Rehabilitation Publications

OBJECTIVE: This article applies positive psychology principles to the purpose and objectives of a five-year, federally-funded initiative to provide cognitive support technology (CST) training and career preparatory services for undergraduate college students with mild and moderate traumatic brain injuries (TBI).

METHODS: A total of 48 students with TBI have participated in the project during its first 18 months of operation - 14 of whom are military veterans with disabilities who were in the Iraq and/or Afghanistan theaters.

CONCLUSION: Positive psychology interventions such as Best Possible Self, Intensely Positive Experiences, and Asset-based Assessments provide a framework for examining the activities of …

Major Depression As A Complex Dynamic System, Angélique O. J. Cramer, Claudia D. Van Borkulo, Erik J. Giltay, Han L. J. Van Der Maas, Kenneth S. Kendler, Marten Scheffer, Denny Borsboom

Psychiatry Publications

In this paper, we characterize major depression (MD) as a complex dynamic system in which symptoms (e.g., insomnia and fatigue) are directly connected to one another in a network structure. We hypothesize that individuals can be characterized by their own network with unique architecture and resulting dynamics. With respect to architecture, we show that individuals vulnerable to developing MD are those with strong connections between symptoms: e.g., only one night of poor sleep suffices to make a particular person feel tired. Such vulnerable networks, when pushed by forces external to the system such as stress, are more likely to end …