Medicine and Health Sciences Commons^™

Reducing Peak Workload In The Cockpit: A Human In The Loop Simulation Evaluating New Runway Selection Tool, Tanja Bos, Rolf Zon, Wilfred Rouwhorst

H-Workload 2017: Models and Applications (Works in Progress)

In efforts to increase safety and reduce peak workload situations in the cockpit, a tool with a different interaction style was developed for use in case of a runway change instructed by Air Traffic Control during approach. In an experiment a workload comparison was made between the new tool and the conventional cockpit. Workload was measured by means of a self-rating after each experiment run, as well as eye blink frequency during each run. Results show that the self-rated workload decreases with the new tool for one of the two crew members and the blink frequency suggests a workload decrease …

Retention Systems For Extraoral Maxillofacial Prosthetic Implants: A Critical Review, M.V. Cobein, N.P. Coto, O. Crivello Junior, J.B.D. Lemos, L.M. Vieira, M.L. Pimentel, Hugh Byrne, R.B. Dias

Articles

We describe the techniques available for retention of implant-supported prostheses: bar-clips, O-rings, and magnets. We present reported preferences and, although this is limited by the heterogeneity of methods used and patients studied, we hope we have identified the best retention systems for maxillofacial prosthetic implants. If practitioners know the advantages and disadvantages of each system, they can choose the most natural and comfortable prosthesis. We searched the PubMed and Scopus databases, and restricted our search to papers published 2001–13. MeSH terms used were Maxillofacial prosthesis and Craniofacial prosthesis OR Craniofacial prostheses. We found a total of 2630 papers, and after …

Ralph M. Steinman: Research And Career, Carol L. Moberg, Judy Adams, Steinman Laboratory

Steinman and the Nobel Prize

General information about Dr. Ralph Steinman and his Nobel Prize winning research.

Effects Of Moderate Intensity Interval Training On Cognitive Function, Jennifer Spencer, Matthew Young, Emma Niemi, Lisa Schick, Zachary Lemaster

The Corinthian

ABSTRACT

Purpose: The purpose of this study was to investigate if exercise in the form of moderate intensity interval training had an effect on memory by comparing the performance of number of words recalled after the implementation of an exercise condition and a control condition.

Methods: The investigators tested a total of 20 participants. All participants completed an informed consent document prior to testing. Participants had three minutes to memorize a list of 15 words. This was followed by either 15 minutes of interval training or 15 minutes of sitting in a controlled environment. All participants participated in both the …

University Of South Alabama College Of Medicine Annual Report For 2017-2018, College Of Medicine

COM Annual Reports

This Annual Report of the College of Medicine catalogues accomplishments of our faculty, students, residents, fellows and staff in teaching, research, scholarly and community service during the 2017-2018 fiscal year.

Does The Proportion Of Same-Day And 24-Hour Appointments Impact Patient Satisfaction?, Jason P. Richter, Lynn Downs, Brad Beauvais, Peter V. Huynh, Jessica E. Hamilton, Forest Kim, Fred Weigel

Health Care Administration Faculty Research

Background: The relationship between open access and patient satisfaction is mixed. Our study is the first to assess the relationship between open access appointment scheduling and patient satisfaction in the Military Health System (MHS). It is also unique in that we examine both same-day and 24-hour access through a relationship with satisfaction.

Methods: We conducted a panel time-series analysis with general estimating equations on the Army population of outpatient facilities (N = 32), with 32 364 957 total observations. Our primary independent variables were the proportion of a facility’s appointments within 24 hours and same day from July 2013 to …

Alcohol Marketing And Youth Alcohol Consumption: A Systematic Review Of Longitudinal Studies Published Since 2008, David Jernigan, Jonathan K. Noel, Jane Landon, Nicole Thornton, Tim Lobstein

Health & Wellness Department Faculty Publications and Research

No abstract provided.

Public Healthcare Funding Modifies The Effect Of Out-Of-Pocket Spending On Maternal, Infant, And Child Mortality, Jonathan K. Noel

Health & Wellness Department Faculty Publications and Research

No abstract provided.

Infrastructure And Career Opportunities In Addiction Science : The Emergence Of An Interdisciplinary Field, Thomas F. Babor, Dominique Morisano, Jonathan K. Noel, Katherine Robaina, Judit H. Ward, Andrea L. Mitchell

Health & Wellness Department Faculty Publications and Research

No abstract provided.

How To Write A Systematic Review Article And Meta-Analysis, Lenka Čablová, Richard Pates, Michal Miovský, Jonathan K. Noel

Health & Wellness Department Faculty Publications and Research

No abstract provided.

Intraoperative Administration Of Intravenous Acetaminophen At Induction Or End Of Surgery And Its Relationship With Opioid Consumption And Pain Scores, Spencer Davis Greenwood

Theses, Dissertations and Capstones

Obesity has become increasingly prevalent in the United States. Bariatric surgeries have increased as the prevalence of obesity has risen, providing an effective alternative to weight loss. Intravenous acetaminophen (IVA) is a safe and effective non-opioid medication that can be given without the risk of respiratory or cardiac complications. Research has shown that the use of IVA during surgery can improve postoperative pain scores, reduce opioid requirements, and improve patient satisfaction.

A retrospective cohort study of 200 patients (100 per group) undergoing laparoscopic bariatric surgery (LBS) was performed. Statistical analysis was used to determine the relationship between those who received …

What Is The Relationship Of Increased Intraocular Pressure And Body Mass Index In Patients Undergoing Robotic Prostatectomy In Sleep Trendelenburg Position?, Seth Parsons

Theses, Dissertations and Capstones

Introduction: Robotic Prostatectomy is a common procedure performed in surgery centers all over the world, but these procedures can be long and difficult to manage for Anesthesia providers. This study examined the relationship between increased intraocular pressure (IOP) and Body Mass Index (BMI) during Robotic Prostatectomies in Steep Trendelenburg (ST) position. Other variables studied were length of procedure, age, and ASA physical classification.

Methodology: The study was a retrospective cross-sectional design of 100 patients with a BMI over 30 and 100 patients with a BMI under 30 who have undergone Robotic Prostatectomies at Charleston Area Medical Center (CAMC) between …

Does Rotem-Guided Therapy Influence Postoperative Chest Tube Output In On-Pump Cabg?, Preston Franklin Woodburn-Camp

Theses, Dissertations and Capstones

Abstract: The purpose of this study was to identify the association between ROTEM-guided therapy and chest tube output in patients who have undergone elective on-pump CABG.

Introduction: In open heart surgery, there are a variety of ways that coagulation disturbances occur, such as hemodilution of coagulation factors and platelets, a reduction in coagulation factors due to the use of cardiopulmonary bypass the administration of the anticoagulant heparin, and altered temperature. Severe bleeding is frequently associated with open-heart surgery, especially on-pump coronary artery bypass grafting (CABG). Thromboelastometry using rotational thromboelastometry (ROTEM) is a point-of-care testing that can show specific defects in …

Tenofovir Induced Nephrotoxicity: A Mechanistic Study, Rachel A. Murphy

Theses, Dissertations and Capstones

Tenofovir (TFV) is a reverse transcriptase inhibitor that is approved by the United States Food and Drug Administration (FDA) to treat HIV and chronic Hepatitis B. It has a long half-life, allowing for once a day dosing and is effective in treatment of both naive and experienced patients. It is administered orally as tenofovir disoproxil fumarate (TDF) and is deesterified in plasma to the active drug TFV. However, renal impairment is associated with its use; TFV can induce decreased glomerular filtration rate (GFR) and free calcitriol, renal failure, and Fanconi Syndrome. The exact mechanism of toxicity currently remains unknown, largely …

The Assessment Of Medial Stability Of The Elbow Using Sonography And Three Clinical Tests, Andrew Michael Demoss

Theses, Dissertations and Capstones

Introduction: Injuries to the Ulnar Collateral Ligament of the elbow are a common occurrence in overhead throwing athletes. Clinical assessment of the medial elbow can be assisted using Sonography. Ultrasound imaging can be used to determine the width of the medial joint space. This study will determine whether altering the joint angle in the elbow during various clinical tests has an effect on the width of the medial joint space.

Methods: Ultrasound images of the non-dominant elbow were collected during three clinical tests of medial elbow stability; valgus stress test, weighted valgus test and the milking maneuver. The …

The Effects Of Flexor Pronator Mass Fatigue On Medial Elbow Stability, Nathaniel Harvey Millard

Theses, Dissertations and Capstones

Introduction: The medial elbow is supported from valgus loading with the ulnar collateral ligament (UCL), the flexor pronator mass (FPM), and the radial head. Fatigue of muscle can lead to a decrease in force production. The decrease in force production can lead to a decrease in joint stability. This study tested the effect of fatigue of the FPM muscles on the width of the medial joint space.

Methods: Thirty-one participants volunteered for this study (18 female and 12 male, 1 excluded; mean height 170.2±10.1 cm, mean weight 71.2±15.6 kg, mean age 21.53±1.87 years old). Ultrasound images of the width of …

Is Interoperability A Hindrance To The Nationwide Health Information Exchange (Nhie)?, Nitesh Patil, Sruthi Katamneni

Theses, Dissertations and Capstones

Introduction: HIE is the exchange of clinical data as well as healthcare data among the providers, healthcare institutions, and data repositories. Nationwide Health Information Network (NHIN), was adopted in the year 2004, under the Office of the National Coordinator for Health Information Technology (ONCHIT) with an objective to share the files electronically securely and in a safe manner.

Methodology: The literature review included 40 references in which information relevant to the purpose of this study was scrutinized; these references met the inclusion criterion. The methodology for this study was an extensive and thorough literature review. The sources utilized in this …

Perceptions Of The Athletic Training Profession By A Collegiate Athlete Patient Population, Bethany Estelle Beuhring

Theses, Dissertations and Capstones

Patient satisfaction is an advancing topic amongst health care professions, but athletic training has not kept up with these advances. The purpose of this study was to assess patient satisfaction and perception of the athletic training profession as related to their exposure to athletic training services over the course of an athletic career. Four hundred one student-athletes from a single institution were sent an email containing a link to the online-questionnaire, 93 student-athletes submitted the questionnaire. Weak negative correlations were found between questions regarding patient satisfaction with athletic training care and patient perception of the athletic training profession. Results imply, …

Local Sensitivity Analysis Of Acute Inflammation, James Martin

Theses, Dissertations and Capstones

The inflammatory response is the body's response to some pathogen or foreign invader. When infected by a pathogen, a healthy individual will mount a response with immunological factors to eliminate it. An inflammatory response that is either too strong or too weak can be detrimental to the individual's health. We will look at a qualitative mathematical model of the inflammatory response, in scenarios that represent varying disorders of the immune system. Using sensitivity analysis we determine which parameters of this model are most influential in the different scenarios. By determining which parameters are most influential we can suggest possible targets …

"We're Human": An Analysis Of Formal And Informal Training Methods For Direct Care Staff Working With Dual-Diagnosis Populations, Adam Clay Stephenson

Theses, Dissertations and Capstones

Direct care staff, or DCS, are individuals tasked with providing a number of care services to individuals with disabilities in various settings. This study focuses on a group of direct care staff working at a day habilitation program in central West Virginia. Training techniques used to prepare these workers for a diverse array of roles are reviewed comparatively and through a sociological theoretical lens utilizing perspectives from Bandura (1977), Laubach (2005), Marx (1964), and Wolfensberger (1983). Semi-structured interview results indicate that formal training is driven by a less valorous view of disabled individuals as a class than informal training; that …

Doxorubicin Cytotoxicity In A Human Proximal Tubular Epithelial Cell Line Was Attenuated By The Natural Product Resveratrol, Morghan Schuyler Getty

Theses, Dissertations and Capstones

The cancer chemotherapeutic agent doxorubicin (DOX), Adriamycin, is part of the treatment regimen for breast, ovarian, small cell lung cancer and acute/chronic lymphoid leukemia. Adverse effects associated with DOX are cardiotoxicity and nephrotoxicity. Interventions are needed to reduce DOX nephrotoxicity. Resveratrol (RES) is a phytochemical contained in grapes, berries and nuts, which possesses antioxidant and anticancer properties. This study tested the hypothesis that RES will attenuate DOX renal cytotoxicity in human noncancerous renal proximal tubular epithelial (HK-2) cells and that RES will reduce DOX mediated changes in mitochondrial function. HK-2 cells were plated and grown for 48 hours (h). Cells …

Telemedicine And Its Utilization In The Management Of Chronic Heart Failure Patients, Adejoke Sotome, Chirra Pooja

Theses, Dissertations and Capstones

Introduction: Telemedicine is well developed and very useful for heart failure patients in emergencies. Many cases of heart failures are due to inability of reaching the physicians on time and failure of assessing the patient disease condition at earlier stage.

Methodology: The methodology for this study was a literature review. Electronic databases used included EBSCO Host, Google Scholar, Academic Search Premier, PubMed, ProQuest, and Marshall Digital Scholar. A total of 32 sources were referenced.

Results: This literature review examined several studies and research articles on the significance of Telemedicine in the treatment of chronic heart failure patients with …

Business Plan For A Non-Profit Pediatric Iv Pole Wagon Distribution Program, Susan White Hester

Nursing Theses and Capstone Projects

Problem: Children have reported that pain and anxiety were the most difficult part of hospitalization, and under treatment of pain and anxiety can have short and long term effects on health outcomes. Most healthcare professionals recognize a link between emotional health and physical health, but this may be especially true for pediatric patients who may not be able to marshal adequate coping skills due to their developmental age. Providing age appropriate alternatives, such as distraction therapy, may result in less invasive treatments for pediatric patients. Distraction therapy is an effective nonpharmacological intervention that is often under-utilized in the acute care …

Clarifying The Need For Inpatient Medication Education, Pamela Cox Raffaldt

Nursing Theses and Capstone Projects

Low health literacy is a problem for millions of Americans resulting in increased use of avoidable healthcare resources and poor health outcomes. Use of pharmaceutical regimens to manage acute and chronic health issues is the most common treatment modality. Unfortunately, people with low health literacy may have trouble understanding and following provider instructions; reading and following directions on medication bottles, either prescribed and/or over the counter; and identifying proper reasons for taking a medication. The purpose of this study was to increase patient self-agency for the treatment and management of acute and chronic health conditions through medication education. Providing medication …

Effect Of A Student Success Program On The Academic Success Of First Semester Junior Bsn Students, Ann Hardison Black

Nursing Theses and Capstone Projects

Problem: The expectation of the current nurse workforce is to deliver safe quality care while meeting the demands of an ever-changing healthcare system. More nurses are needed to combat the ongoing nursing shortage, as Baby Boomers reach retirement and the need for health care continues to rise. The healthcare industry has a vested interest in schools of nursing graduation rates as they impact the needed supply of nurses to fill vacant positions. Multiple variables collectively influence student success in a nursing program. Many students do not realize the rigor of a nursing curriculum until they are in the midst of …

Primary Care "Catches" Up With Behavioral Health, Michael Hannes Thorarinson

Nursing Theses and Capstone Projects

The problems caused by the lack of care coordination between primary care and behavioral health are well documented. Patients with uncontrolled mental health issues along with chronic health problems cost two to three times the health care dollars to manage than patients who have the same chronic health problems but without uncontrolled mental health issues. Despite this, in rural North Carolina, the de facto level of care coordination is none. Mental health and primary care are completely separate, distinct systems that do not routinely communicate. One of the identified barriers to care coordination is the lack of reimbursement for the …

Does Implementing An Evidence-Based Fall Risk Scale Decrease Fall Rates?, Melissa Jackson Smith

Nursing Theses and Capstone Projects

In this research facility, the falls risk assessment that was previously used was replaced with an evidenced-based tool, the Morse Falls Scale. Fall rates were analyzed for a five month period after implementation of the new scale, from May 1, 2016 – September 30, 2016, and compared to the same months the previous year to see if fall rates decrease with using the evidenced-based scale. Fall prevention is multi-factorial and begins with an assessment of the patients risk for a fall, and interventions which are personalized for each patient. Fall prevention should include all staff, as anyone can make a …

Hcad 6002: Policy Map Project Rubrics For Report And Presentation, Anne Hewitt

Health and Medical Sciences (OER)

No abstract provided.

Hcad 7518 Course Assignment - Vulnerable Populations: Using Policymap For Population Health Analysis, Anne Hewitt

Health and Medical Sciences (OER)

No abstract provided.

Education Leadership Conference 2017 - Policy Map, Genevieve Pinto Zipp, Catherine Maher

Health and Medical Sciences (OER)

No abstract provided.