Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons™

Open Access. Powered by Scholars. Published by Universities.®

2017

Discipline
Institution
Keyword
Publication
Publication Type
File Type

Articles 11491 - 11520 of 14524

Full-Text Articles in Medicine and Health Sciences

The Assessment Of Work Productivity And Activity Impairment In Behçet's Disease, Gonca Mumcu, Fadi̇me Lehi̇mci̇, Özlem Fi̇dan, Hülya Gük, Uğur Alpar, Ali̇ Uğur Ünal, Zeynep Ertürk, Fatma Ali̇baz Öner, Güzi̇de Nevsun İnanç, Safi̇ye Atlas Tüli̇n Ergun, Rafi̇ Haner Di̇reskeneli̇ Jan 2017

The Assessment Of Work Productivity And Activity Impairment In Behçet's Disease, Gonca Mumcu, Fadi̇me Lehi̇mci̇, Özlem Fi̇dan, Hülya Gük, Uğur Alpar, Ali̇ Uğur Ünal, Zeynep Ertürk, Fatma Ali̇baz Öner, Güzi̇de Nevsun İnanç, Safi̇ye Atlas Tüli̇n Ergun, Rafi̇ Haner Di̇reskeneli̇

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to assess the relationships between the course of Behçet's disease (BD), disease-specific fears, and work productivity and activity impairment. Materials and methods: In this cross-sectional study, 110 consecutive BD patients were included. The Work Productivity and Activity Impairment questionnaire was used. Results: In the group of employed patients, 30.41% had missed work during the previous week. The mean percentages of daily activity impairment were higher in patients with musculoskeletal involvement (39.81 ± 33.61%) compared to those without (23.48 ± 32.45%) (P = 0.008). A greater decrease in working hours was observed in patients …

Go to article

Repeated Prevalence Studies Of Nosocomial Infections In One University Hospital In Serbia, Milena Ilic, Ljiljana Markovic-Denic Jan 2017

Repeated Prevalence Studies Of Nosocomial Infections In One University Hospital In Serbia, Milena Ilic, Ljiljana Markovic-Denic

Turkish Journal of Medical Sciences

Background/aim: Nosocomial infections occur worldwide and affect both developed and resource-poor countries. The aim of this paper was to determine the prevalence and risk factors for nosocomial infections in one Serbian hospital. Materials and methods: Three-point prevalence surveys were conducted in the Clinical Center of Kragujevac (1240 beds). The standard definitions for nosocomial infections of the Centers for Diseases Control and Prevention were used. The authors conducted surveys according to the same protocol. Results: The prevalence of infected patients and the overall prevalence of nosocomial infections was 6.2% and 7.1% in 2003, 4.6% and 4.6% in 2005, and 7.6% and …

Go to article

Assessment Of Developmental And Radiological Long-Term Outcomeof Children With Surgically Treated Midgut Volvulus, Ahmet Murat Çakmak, Özlem Boybeyi̇ Türer, Gülnur Göllü Bahadir, Bi̇lge Türedi̇, Ufuk Ateş, Adalet Elçi̇n Yildiz, Gonul Kucuk, Ömer Suat Fi̇toz, Betül Ulukol, Mustafa Kemal Aslan, Tutku Soyer, Hüseyi̇n Di̇ndar Jan 2017

Assessment Of Developmental And Radiological Long-Term Outcomeof Children With Surgically Treated Midgut Volvulus, Ahmet Murat Çakmak, Özlem Boybeyi̇ Türer, Gülnur Göllü Bahadir, Bi̇lge Türedi̇, Ufuk Ateş, Adalet Elçi̇n Yildiz, Gonul Kucuk, Ömer Suat Fi̇toz, Betül Ulukol, Mustafa Kemal Aslan, Tutku Soyer, Hüseyi̇n Di̇ndar

Turkish Journal of Medical Sciences

Background/aim: The aim is to evaluate the long-term outcome of asymptomatic patients who underwent surgical correction for midgut volvulus. Materials and methods: Seven patients managed surgically for midgut volvulus in the last 3 years were included. Demographic features, symptoms at presentation, diagnoses, surgical procedures, and complications were recorded. Patients were then contacted for followup and evaluation of long-term outcomes. General physical conditions, anthropometric parameters, feeding habits, and defecation histories were evaluated. Laboratory examinations were performed. Color Doppler ultrasonography (CDUS) was performed to evaluate blood flow in the superior mesenteric artery (SMA). Results: In total, seven patients were identified. The median …

Go to article

Prediction Of Atopy Via Total Immunoglobulin E Levels Andskin Prick Tests In Patients With Psoriasis, Emi̇ne Sümeyye Ünal, Ülker Gül, Adi̇le Berna Dursun, Ferda Öner Erkekol Jan 2017

Prediction Of Atopy Via Total Immunoglobulin E Levels Andskin Prick Tests In Patients With Psoriasis, Emi̇ne Sümeyye Ünal, Ülker Gül, Adi̇le Berna Dursun, Ferda Öner Erkekol

Turkish Journal of Medical Sciences

Background/aim: Although the etiopathogeneses of psoriasis and atopy appear to be different, psoriasis has been found to be associated with atopy and atopic dermatitis. In this study, we aimed to determine the role of atopy by examining the medical history and clinical and laboratory findings of patients with psoriasis. Materials and methods: Patients with psoriasis, asthma patients, and healthy volunteers were included in the study. Serum total immunoglobulin E (IgE) levels were obtained, and prick tests were administered to all groups. Results: Psoriatic patients demonstrated percentages of atopy history (21.3%) that were higher than those of the healthy subjects (15.7%). …

Go to article

Central Line-Associated Blood Stream Infections: Characteristics And Risk Factors Formortality Over A 5.5-Year Period, Aynur Ati̇lla, Zahi̇de Doğanay, Hale Kefeli̇ Çeli̇k, Mehmet Derya Demi̇rağ, Süleyman Sirri Kiliç Jan 2017

Central Line-Associated Blood Stream Infections: Characteristics And Risk Factors Formortality Over A 5.5-Year Period, Aynur Ati̇lla, Zahi̇de Doğanay, Hale Kefeli̇ Çeli̇k, Mehmet Derya Demi̇rağ, Süleyman Sirri Kiliç

Turkish Journal of Medical Sciences

Background/aim: Central line-associated bloodstream infections (CLABSIs) are associated with substantial morbidity and mortality and the infection rates vary in a wide range (high: 62.5%; low: 20%) in developing countries. We aimed to investigate the characteristics and the risk factors for mortality in patients with CLABSIs in intensive care units (ICUs) and provide the relevant data. Materials and methods: The electronic medical records database and file records obtained through active surveillance by an infection control committee of a hospital were screened to identify patients with CLABSIs hospitalized from January 2008 through July 2013. Results: A total of 166 CLABSI episodes in …

Go to article

The Efficacy Of Microphototherapy With A Medlight Cupcubegrimed Device In Psoriatic Patients With Localized Lesions, Nesli̇han Yildirim, Gül Erki̇n Jan 2017

The Efficacy Of Microphototherapy With A Medlight Cupcubegrimed Device In Psoriatic Patients With Localized Lesions, Nesli̇han Yildirim, Gül Erki̇n

Turkish Journal of Medical Sciences

Background/aim: Psoriasis is a chronic skin disease. To reduce side effects associated with current treatment modalities, new treatment methods are required. Some clinicians have begun to use microphototherapy to treat psoriatic patients with a limited number of lesions (lesions affecting <10% of the body surface area). Materials and methods: Microphototherapy is indicated in patients whose lesions persist despite systemic and topical treatment or when such treatment is contraindicated. Our study aimed to evaluate the efficacy of microphototherapy in psoriasis patients with localized lesions. Patients in this unblinded and prospective study were treated three times a week for 50 sessions using a MedLight CupCUBE Grimed microphototherapy device that emits an ultraviolet B (UVB) spectrum. Results: Forty-five lesions in 23 psoriatic patients were treated. Treatment outcome was evaluated based on the Psoriasis Severity Index (PSI). PSI scores decreased significantly during the treatment. Conclusion: The MedLight CupCUBE Grimed microphototherapy device was effective for the treatment of psoriasis patients with localized lesions. The device can administer UVB radiation to involved regions while protecting uninvolved regions and minimizing radiation dose. However, having to be administered by experienced technicians and the long time required for each treatment session are disadvantages of the technique.

Go to article

Combination Therapy With Dendritic Cell-Based Vaccine And Anti-Cd69 Antibodyenhances Antitumor Efficacy In Renal Cell Carcinoma-Bearing Mice, Si Ming Wei, Hang Li Pan, Li Wang, Guo Li Yin, Kai Zhong, Ya Zhou, Shu Jiao Yang, Zhao Liang Xin Jan 2017

Combination Therapy With Dendritic Cell-Based Vaccine And Anti-Cd69 Antibodyenhances Antitumor Efficacy In Renal Cell Carcinoma-Bearing Mice, Si Ming Wei, Hang Li Pan, Li Wang, Guo Li Yin, Kai Zhong, Ya Zhou, Shu Jiao Yang, Zhao Liang Xin

Turkish Journal of Medical Sciences

Background/aim: Dendritic cell-based vaccine therapy for renal cell carcinoma is effective but requires improvement. Here we explored whether combination therapy with dendritic cell-based vaccine and anti-CD69 antibody can enhance antitumor efficacy in renal cell carcinoma-bearing mice. Materials and methods: Balb/c mice were challenged subcutaneously with murine renal cell carcinoma (Renca) cells. On day 3 after tumor cell inoculation, tumor-bearing mice either were left untreated or were treated with Renca tumor lysate-pulsed dendritic cells (i.e. dendritic cell-based vaccine), anti-CD69 antibody, or a combination of Renca tumor lysate-pulsed dendritic cells with anti-CD69 antibody. The mice were sacrificed on day 28. Tumor volume …

Go to article

Effects Of Ankaferd Bloodstopper On Dermal Healing In Diabetic Rats, Sertaç Aktop, Burcu Çevreli̇, Deni̇z Genç, Emel Serdaroğlu Kaşikçi, Ni̇l Çomunoğlu Üstündağ, Noushi̇n Zi̇bandeh, Eli̇f Merve Özcan, Gökhan Göçmen, Mehmet Kami̇l Göker, İsmai̇l Tayfun Uzbay, Tunç Akkoç Jan 2017

Effects Of Ankaferd Bloodstopper On Dermal Healing In Diabetic Rats, Sertaç Aktop, Burcu Çevreli̇, Deni̇z Genç, Emel Serdaroğlu Kaşikçi, Ni̇l Çomunoğlu Üstündağ, Noushi̇n Zi̇bandeh, Eli̇f Merve Özcan, Gökhan Göçmen, Mehmet Kami̇l Göker, İsmai̇l Tayfun Uzbay, Tunç Akkoç

Turkish Journal of Medical Sciences

Background/aim: Diabetes mellitus inhibits wound-induced angiogenesis, impairs the wound healing process, and leads to the development of chronic wounds. Ankaferd BloodStopper (ABS) is a new and promising local haemostatic agent. Although the mechanism of ABS-mediated haemostasis is well established, little is known about the associated histological and biochemical tissue reactions. The aim of this study was to evaluate the effects of this new-generation local haemostatic agent on short-term soft-tissue healing in streptozotocin (STZ)-treated rats. Materials and methods: The 24 Wistar albino rats used in this study were divided into STZ-treated (STZ, n = 12) and nontreated groups (control, n = …

Go to article

Modifications Of Mice Gut Microflora Following Oral Consumption Oflactobacillus Acidophilus And Bifidobacterium Bifidum Probiotics, Hossein Khavari-Daneshvar, Maryam Mosavi, Hamid Khodayari, Ebrahim Rahimi, Peyman Ranji, Amir Hossein Mohseni, Reyhaneh Mahmudian, Farzad Shidfar, Shahram Agah, Ali Mohammad Alizadeh Jan 2017

Modifications Of Mice Gut Microflora Following Oral Consumption Oflactobacillus Acidophilus And Bifidobacterium Bifidum Probiotics, Hossein Khavari-Daneshvar, Maryam Mosavi, Hamid Khodayari, Ebrahim Rahimi, Peyman Ranji, Amir Hossein Mohseni, Reyhaneh Mahmudian, Farzad Shidfar, Shahram Agah, Ali Mohammad Alizadeh

Turkish Journal of Medical Sciences

Background/aim: Thirty male BALB/c mice were equally divided into three groups: control, L. acidophilus, and B. bifidum for the assessment of the probiotics' stability in the gut microflora. Materials and methods: First, the gut microflora of the mice was checked every 3 days (days 3, 6, 9, and 12) without probiotic consumption, and then the mice were daily given orally 1.5 g of probiotics in 30 cc of drinking water. The consumption of probiotics was then stopped for recovery and then the consumption continued for 5 months. Results: On day 9 after the consumption of the probiotics, L. acidophilus and …

Go to article

Efficient Production Of Nanobodies Against Urease Activity Ofhelicobacter Pylori In Pichia Pastoris, Shahrbanoo Pourasadi, Seyed Latif Mousavi Gargari, Masoumeh Rajabibazl, Shahram Nazarian Jan 2017

Efficient Production Of Nanobodies Against Urease Activity Ofhelicobacter Pylori In Pichia Pastoris, Shahrbanoo Pourasadi, Seyed Latif Mousavi Gargari, Masoumeh Rajabibazl, Shahram Nazarian

Turkish Journal of Medical Sciences

Background/aim: Helicobacter pylori is a major health problem. One of the therapeutic approaches is administration of antibody against H. pylori. The methylotrophic Pichia pastoris is a suitable host for expression of recombinant antibody fragments. The aims of this study were the expression and the evaluation of camelid nanobody in the yeast Pichia pastoris. Materials and methods: The camelid-derived heavy-chain antibody (nanobody) against the UreC subunit of urease from H. pylori was subcloned in the pPink-HC shuttle vector and transferred into Escherichia coli TOP10. After digestion and purification, the shuttle vector was transformed in the PichiaPink expression system. The expression was …

Go to article

Evaluation Of Cytotoxic, Membrane, And Dna Damaging Effects Of Thymus Revolutuscélak Essential Oil On Different Cancer Cells, Aysun Özkan, Ayşe Erdoğan Jan 2017

Evaluation Of Cytotoxic, Membrane, And Dna Damaging Effects Of Thymus Revolutuscélak Essential Oil On Different Cancer Cells, Aysun Özkan, Ayşe Erdoğan

Turkish Journal of Medical Sciences

Background/aim: In this study, we evaluated Thymus revolutus Célak essential oil and its two main constituents, γ-terpinene and p-cymene, as potential oxidative agents against lung cancer and epidermoid carcinoma cells. Materials and methods: Cell viability assessment was made by CellTiter-Blue® cell viability and 3-(4,5-dimethylthiazol-2-yl)-2,5- diphenyltetrazolium bromide (MTT) assay after treatment with 5?600 ?g/mL concentrations of essential oil, γ-terpinene, and p-cymene. Malondialdehyde and 8-hydroxy-2'-deoxyguanosine levels in parental H1299, epirubicin-resistant (drug-resistant) H1299, A549, and A431 cells were also assayed after essential oil, γ-terpinene, and p-cymene had been administered for 24 h. Glutathione S-transferase (GST), glutathione peroxidase (GPx), glutathione reductase (GRx), and glucose …

Go to article

Prevalence And Risk Factors For Vitamin D Deficiency In Patientswith Widespread Musculoskeletal Pain, Muharrem Çi̇dem, Ilhan Karacan, Ozan Beytemür, Seher Kara Jan 2017

Prevalence And Risk Factors For Vitamin D Deficiency In Patientswith Widespread Musculoskeletal Pain, Muharrem Çi̇dem, Ilhan Karacan, Ozan Beytemür, Seher Kara

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to examine the prevalence of 25-hydroxyvitamin D (25(OH) vitamin D) deficiency in patients complaining of widespread musculoskeletal pain. Materials and methods: In this cross-sectional study, 14,925 patients (13,589 females and 1336 males; mean age: 47.0 years, range: 20-99 years) were included. Serum 25(OH) vitamin D was measured by ELISA. The patients were classified into two groups: 1) patients with vitamin D deficiency (<20 ng/mL) and 2) patients without vitamin D deficiency (>20 ng/mL). Results: The prevalence of vitamin D deficiency was 73.9%. A multivariate logistic regression model showed that low 25(OH) vitamin D level was associated with sex, age, and month …

Go to article

Social Support And Quality Of Life In A Group Of Cancer Patients (Ankara, Turkey), Mustafa Soner Yilmaz, Bi̇rgül Pi̇yal, Recep Akdur Jan 2017

Social Support And Quality Of Life In A Group Of Cancer Patients (Ankara, Turkey), Mustafa Soner Yilmaz, Bi̇rgül Pi̇yal, Recep Akdur

Turkish Journal of Medical Sciences

Background/aim: Cancer has become an important public health challenge all around the world. Though the demographic and clinical features of cancer patients are well documented in Turkey, the establishment of social support networks has been somewhat neglected. The aim of the study was to assess cancer patients' perceived social support and quality of life characteristics. Materials and methods: The Multidimensional Perceived Social Support Scale, European Organization of Research and Treatment of Cancer Quality of Life Questionnaire, and Turkish version of the EUROHIS measurements were obtained from the study group. Associations between the scores and sociodemographic variables of the patients were …

Go to article

Relationship Between Blood Glucose Levels And Cardiovascular Risk In The Spanish Mediterranean Population, Angel Arturo Lopez Gonzalez, Zoe Manzanero, Maria Teofila Vicente-Herrero, Sheila Garcia-Agudo, Maria Gil-Llinas, Francisco Moreno-Morcillo Jan 2017

Relationship Between Blood Glucose Levels And Cardiovascular Risk In The Spanish Mediterranean Population, Angel Arturo Lopez Gonzalez, Zoe Manzanero, Maria Teofila Vicente-Herrero, Sheila Garcia-Agudo, Maria Gil-Llinas, Francisco Moreno-Morcillo

Turkish Journal of Medical Sciences

Background/aim: Diabetes is associated with an increased prevalence of cardiovascular disease. Impaired fasting glucose (IFG) is an intermediate clinical situation between normal glucose levels and type 2 diabetes. The aim of this study is to determine how fasting glucose concentrations affect different cardiovascular risk scales. Materials and methods: A descriptive study was conducted with 59,041 Mediterranean Spanish workers. IFG was determined using the American Diabetes Association (ADA) and the World Health Organization (WHO) criteria. Different indicators of cardiovascular risk were analyzed: body mass index, waist circumference, waist-to-height ratio, blood pressure, lipid parameters, atherogenic indices, metabolic syndrome, and various scales of …

Go to article

Psychosocial Functioning In Pediatric Patients With Pectus Excavatum And Pectus Carinatum, Ali̇ye Tuğba Bahadir, Pinar Kuru, Ayli̇n Çakiroğlu, Ceyda Afacan, Mustafa Yüksel Jan 2017

Psychosocial Functioning In Pediatric Patients With Pectus Excavatum And Pectus Carinatum, Ali̇ye Tuğba Bahadir, Pinar Kuru, Ayli̇n Çakiroğlu, Ceyda Afacan, Mustafa Yüksel

Turkish Journal of Medical Sciences

Background/aim: Pectus excavatum and pectus carinatum are the most commonly seen anterior chest wall deformities. Recent studies reveal that minimal invasive repair of pectus deformities improves the quality of life. Our aim is to assess the psychosocial functioning and sociodemographic characteristics of pediatric patients with pectus deformities and evaluate the differences between patients operated on with minimal invasive repair techniques and nonoperated patients. Materials and methods: Thirty-two patients with pectus deformities who were operated on 6 months or more before and 31 nonoperated patients participated in the study. The Children's Depression Inventory, Piers-Harris Children's Self-Concept Scale, Capa Social Phobia Scale …

Go to article

Association Study Of Ctla-4 +49a/G Gene Polymorphism With Recurrentpregnancy Loss In The Iranian Azeri Turkish Ethnic Group, Mortaza Bonyadi, Sara Parsa, Simin Taghavi, Narges Zeinalzadeh Jan 2017

Association Study Of Ctla-4 +49a/G Gene Polymorphism With Recurrentpregnancy Loss In The Iranian Azeri Turkish Ethnic Group, Mortaza Bonyadi, Sara Parsa, Simin Taghavi, Narges Zeinalzadeh

Turkish Journal of Medical Sciences

Background/aim: Recurrent pregnancy loss (RPL) is defined as two or more pregnancy losses. T-regulatory cells play an important role in the feto-maternal interface. Cytotoxic-T-lymphocyte antigen-4 (CTLA-4) is a molecule that downregulates the activation and proliferation of T cells. The objective of the current study was to investigate the possible association of CTLA-4+49A/G gene polymorphism with RPL among patients from the Iranian Azeri Turkish ethnic group. Materials and methods: The study group/patients consisted of 101 women with the experience of two or more pregnancy losses and the control group consisted of 101 women with at least two live births, without any …

Go to article

Antioxidants Status In Type 2 Diabetic Patients In Morocco, Rachid Eljaoudi, Naoual Elomri, Meryem Laamarti, Yahia Cherrah, Taoufik Amezyane, Driss Ghafir, Azeddine Ibrahimi Jan 2017

Antioxidants Status In Type 2 Diabetic Patients In Morocco, Rachid Eljaoudi, Naoual Elomri, Meryem Laamarti, Yahia Cherrah, Taoufik Amezyane, Driss Ghafir, Azeddine Ibrahimi

Turkish Journal of Medical Sciences

Background/aim: Type 2 diabetes is a heterogeneous and multifactorial metabolic disorder with some relationship to oxidative stress (OS). Since no studies were conducted in the Moroccan population, this clinical investigation aimed at evaluating the antioxidants status in Moroccan patients with type 2 diabetes. Materials and methods: Blood samples of 60 type 2 diabetic patients and 40 healthy controls subjects were analyzed for determination of glycemia, hemoglobin, CRP, glycated hemoglobin, lipid parameters, malondialdehyde (MDA), vitamins E and C, copper (Cu), zinc (Zn), and selenium (Se). Results: CRP and triglycerides were higher in the diabetic group while high-density lipoprotein levels were significantly …

Go to article

A Comparison Of Screening Tools For The Early Detection Of Peripheral Neuropathy In Adults With And Without Type 2 Diabetes, Jennifer J. Brown, Shana Pribesh, Kimberly G. Baskette, Aaron I. Vinik, Sheri R. Colberg Jan 2017

A Comparison Of Screening Tools For The Early Detection Of Peripheral Neuropathy In Adults With And Without Type 2 Diabetes, Jennifer J. Brown, Shana Pribesh, Kimberly G. Baskette, Aaron I. Vinik, Sheri R. Colberg

Educational Leadership & Workforce Development Faculty Publications

Objective. Examine the effectiveness of the 128 Hz tuning fork, two monofilaments, and Norfolk Quality of Life Diabetic Neuropathy (QOL-DN) questionnaire as tools for the early detection of diabetic peripheral neuropathy (DPN) in overweight, obese, and inactive (OOI) adults or those who have prediabetes (PD) or type 2 diabetes (T2D). Research Design and Methods. Thirty-four adults (mean age 58.4 years +/- 12.1) were divided by glycemia (10 OOI normoglycemic, 13 PD, and 11 T2D). Sural nerves were tested bilaterally with the NC-stat DPNCheck to determine sural nerve amplitude potential (SNAP) and sural nerve conduction velocity (SNCV). All other testing …

Go to article

Intimate Partner Violence-Related Hospitalizations In Appalachia And The Non-Appalachian United States, Danielle M. Davidov, Stephanie M. Davis, Motao Zhu, Tracie O. Afifi, Melissa Kimber, Abby L. Goldstein, Nichole Pitre, Kelly K. Gurka, Carol Stocks Jan 2017

Intimate Partner Violence-Related Hospitalizations In Appalachia And The Non-Appalachian United States, Danielle M. Davidov, Stephanie M. Davis, Motao Zhu, Tracie O. Afifi, Melissa Kimber, Abby L. Goldstein, Nichole Pitre, Kelly K. Gurka, Carol Stocks

Faculty & Staff Scholarship

The highly rural region of Appalachia faces considerable socioeconomic disadvantage and health disparities that are recognized risk factors for intimate partner violence (IPV). The objective of this study was to estimate the rate of IPV-related hospitalizations in Appalachia and the non-Appalachian United States for 2007–2011 and compare hospitalizations in each region by clinical and sociodemographic factors. Data on IPV-related hospitalizations were extracted from the State Inpatient Databases, which are part of the Healthcare Cost and Utilization Project. Hospitalization day, year, in-hospital mortality, length of stay, average and total hospital charges, sex, age, payer, urban-rural location, income, diagnoses and procedures were …

Go to article

Development And Implementation Of A Nurse Driven Protocol To Increase Palliative Care Consults In Patients With Advanced Heart Failure, Amber Calendar Jan 2017

Development And Implementation Of A Nurse Driven Protocol To Increase Palliative Care Consults In Patients With Advanced Heart Failure, Amber Calendar

Doctor of Nursing Practice Projects

Heart failure creates a significant economic burden for the United States (Ambrosy et al., 2014). In an effort to better coordinate care for patients with advanced heart failure, the American College of Cardiology and American Heart Association developed guidelines for the management of heart failure and suggest integration of palliative care services (Yancy et al., 2013). Palliative care is defined as specialized medical care for patients with serious illness to improve quality of life by focusing on symptom control (Hospice and Palliative Care Association, 2017). The aim of this scholarly project was to translate research into practice by developing a …

Go to article

Impact Of A Sepsis Coordinator On Patient Outcomes Of Adult Patients With Sepsis, Angela B. Smith Jan 2017

Impact Of A Sepsis Coordinator On Patient Outcomes Of Adult Patients With Sepsis, Angela B. Smith

Doctor of Nursing Practice Projects

The impact of sepsis is a significant health problem with estimations of 3 million cases of severe sepsis annually and a resultant 750,000 deaths in the United States (Gaieski, Edwards, Kallan & Carr, 2013). The implementation of a Sepsis Coordinator was developed at a local acute care facility to identify areas of opportunities in the care of sepsis patients, facilitate processes to identify patients at risk for sepsis, educate the multidisciplinary team on new and existing evidence and measure and monitor outcome data. This study evaluates the impact of a Sepsis Coordinator on hospital mortality, length of stay and evidence-based …

Go to article

Does Intensive Behavioral Therapy Result In Greater Weight Loss Among Patients With Obesity At A 12-Week Interval, Angela Jones Jan 2017

Does Intensive Behavioral Therapy Result In Greater Weight Loss Among Patients With Obesity At A 12-Week Interval, Angela Jones

Doctor of Nursing Practice Projects

Purpose: To examine the efficacy of Intensive Behavioral Therapy (IBT) in adult, obese patients at a 3-month interval conceptually consistent with the Centers for Medicare and Medicaid (CMS) measures of 6.6 pounds in six months as determinant of weight loss success. Method: A convenience sample of 42 patients in the NEA Baptist Weight Management Program with a BMI of 30 kg/m2 or greater and active participation in the program for a minimum of 12 weeks. Patients pregnant, currently treated for cancer, or other body surface restricting conditions were excluded. Active participation entailed face-to-face visits with APRN, nurse weigh-ins, weekly group …

Go to article

Development Of A Sexual Assault Legal Education (Sale) Certification Program For Advanced Healthcare Providers Precepting Novice Sexual Assault Nurse Examiners In Arkansas, Heather Dawn Thompson Jan 2017

Development Of A Sexual Assault Legal Education (Sale) Certification Program For Advanced Healthcare Providers Precepting Novice Sexual Assault Nurse Examiners In Arkansas, Heather Dawn Thompson

Doctor of Nursing Practice Projects

Caring for victims of sexual violence requires evidence based didactic education combined with clinical preceptorship by a qualified advanced practice provider. With less than twenty certified sexual assault nurse examiners in the state of Arkansas, it is imperative to increase access to qualified examiners. Despite available didactic courses, access to qualified clinical preceptors/mentors is an obstacle that has yet to be addressed. To assess the interest of advanced providers in completing a certification course in forensics that would qualify them as a preceptor for novice sexual assault nurse examiners, a pilot study was conducted. Majority of respondents (80%) were interested …

Go to article

Validation Of An Evaluation Tool For Simulation To Test Competency In Diagnosis And Management Of Anaphylaxis By Nurse Anesthesia Students, Christie Black Jan 2017

Validation Of An Evaluation Tool For Simulation To Test Competency In Diagnosis And Management Of Anaphylaxis By Nurse Anesthesia Students, Christie Black

Doctor of Nursing Practice Projects

Nurse Anesthesia students must demonstrate required core competencies prior to graduation and entry into practice. High-fidelity medical simulation can be used for performance evaluation and assessment of these competencies. However, in order to effectively evaluate student performance, a valid and reliable evaluation tool must be utilized. The goal of this experimental study was to create a simulation evaluation tool for recognition, diagnosis, and management of anaphylaxis in a patient under general anesthesia and determine if it was both valid and reliable. Ten 3rd level Arkansas State University (A-State) Nurse Anesthesia students were recruited to participate in a critical event simulated …

Go to article

Early Identification And Screening Of Adolescent Depression In Primary Care, Ladonna Williams Jan 2017

Early Identification And Screening Of Adolescent Depression In Primary Care, Ladonna Williams

Doctor of Nursing Practice Projects

Depression is a major concern affecting all population groups across the world, yet little attention has been directed to adolescents despite high incidence rates. The inadequacy or limited mental health facilities have seen primary care clinics take up the role of screening for depression. Thus, this study investigated the rate of depression screening within primary care settings for adolescents. A descriptive research design was carried out and data collected using retrospective chart review of 100 charts. The study targeted adolescents within the age group of 11 and 14 who had sought primary care services from 2015 onwards. It excluded participants …

Go to article

Identifying Factors That Impact Provider Adherence With Current Asthma Guidelines, Tammi Martinez Jan 2017

Identifying Factors That Impact Provider Adherence With Current Asthma Guidelines, Tammi Martinez

Doctor of Nursing Practice Projects

The objective of this descriptive study is to identify factors that may impact adherence for providing patients enrolled in a rural primary care practice with an asthma action plan (AAP) as recommended by The National Heart, Lung and Blood Institute (NHBLI). The AAP, developed by the provider and care team in partnership with the patient, describes explicit instructions for long-term control and quick relief-medication tailored to the literacy and cultural beliefs of the patient. Currently; the rate of adherence for this standard practice at the primary care site is 20%. The plan is to be updated at every patient visit …

Go to article

Studying For The National Board Dental Hygiene Exam, Skye Lewis Jan 2017

Studying For The National Board Dental Hygiene Exam, Skye Lewis

A with Honors Projects

This is a slide show which includes helpful hints for studying for the National Board Dental Hygiene Exam.

Go to article

The Evaluation Of Cervical Spinal Angle In Patients With Acute And Chronic Neck Pain, Ayhan Aşkin, Korhan Bariş Bayram, Ümi̇t Seçi̇l Demi̇rdal, Emel Atar, Çi̇ğdem Ari̇foğlu Karaman, Ece Güvendi̇, Ali̇ye Tosun Jan 2017

The Evaluation Of Cervical Spinal Angle In Patients With Acute And Chronic Neck Pain, Ayhan Aşkin, Korhan Bariş Bayram, Ümi̇t Seçi̇l Demi̇rdal, Emel Atar, Çi̇ğdem Ari̇foğlu Karaman, Ece Güvendi̇, Ali̇ye Tosun

Turkish Journal of Medical Sciences

Background/aim: Clinicians associate the changes in cervical lordosis with neck pain, but there is no clear consensus on this. We aimed to investigate the relationships of cervical angles, neck pain, disability, and the psychological status of the patients with acute and chronic neck pain. Materials and methods: A total of 110 patients with neck pain were included in this study. Demographic and clinical characteristics of the patients were recorded. The lordosis angle was determined by the posterior tangent method. A visual analog scale (VAS), the Neck Disability Index (NDI), and the Hospital Anxiety and Depression (HAD) scale were administered to …

Go to article

Risk Factors Associated With Poor Outcome In Diabetic Foot Ulcer Patients, Saira Saleem, Nazim Hayat, Irshad Ahmad, Tanvir Ahmad, Abdulgaffar Rehan Jan 2017

Risk Factors Associated With Poor Outcome In Diabetic Foot Ulcer Patients, Saira Saleem, Nazim Hayat, Irshad Ahmad, Tanvir Ahmad, Abdulgaffar Rehan

Turkish Journal of Medical Sciences

Background/aim: Diabetic foot ulcers and related complications are a major cause of morbidity and hospital admissions. Our aim was to evaluate the risk factors associated with poor outcome in diabetic foot ulcers. Materials and methods: A prospective study was conducted on patients with diabetic foot ulceration attending the Madinah Teaching Hospital from June 2014 to December 2015. Potential risk factors and laboratory test results at presentation were recorded and their association with outcome (healing vs. amputation) was analyzed using IBM SPSS Statistics for Windows, Version 22.0. Results: In total, 112 patients were studied during our study period. The majority of …

Go to article

Possible Triggering Factors And Comorbidities In Newlydiagnosed Autoimmune Bullous Diseases, Sevgi̇ Akarsu, Özlem Özbağçivan, Necla Dolaş, Şebnem Aktan Jan 2017

Possible Triggering Factors And Comorbidities In Newlydiagnosed Autoimmune Bullous Diseases, Sevgi̇ Akarsu, Özlem Özbağçivan, Necla Dolaş, Şebnem Aktan

Turkish Journal of Medical Sciences

Background/aim: The distribution and the demographic, etiological, and clinical features of autoimmune bullous diseases (ABDs) vary according to geographic regions of the world. The limited number of reported studies in Turkey are mostly retrospective and generally include only pemphigus. The aim of our study was to evaluate the demographic data, clinical features, associated triggering factors, and comorbidities in patients newly diagnosed with ABDs. Materials and methods: In this descriptive and prospective study, the demographic data, inhabited regions, smoking and drinking habits, presence of comorbidities, and specific and general potential triggering factors of ABDs considered by the patients were examined. Furthermore, …

Go to article

First Prev Next Last