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Full-Text Articles in Medicine and Health Sciences
Sustainable Building Certification In Healthcare And Patient Satisfaction, Brian Jay Goehner
Sustainable Building Certification In Healthcare And Patient Satisfaction, Brian Jay Goehner
Walden Dissertations and Doctoral Studies
Eco-friendly healthcare delivery concepts are becoming more accepted as hospital leaders seek to control energy costs, mitigate contributions to climate change, and preserve scarce resources. Leadership in Energy and Environmental Design (LEED) offers healthcare leaders a framework for designing and constructing sustainable facilities that meet efficiency goals. The purpose of this quantitative cross-sectional study was to build an understanding of whether LEED certification influences Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings. Using complex systems theory as the framework, the research questions were focused on exploring if higher levels of LEED certification led to greater HCAHPS overall hospital …
Microcystins And Liver Disease Mortality, Insights From An Ecological Study, Rajesh Tirpaul Melaram
Microcystins And Liver Disease Mortality, Insights From An Ecological Study, Rajesh Tirpaul Melaram
Walden Dissertations and Doctoral Studies
Microcystins (MCs) are toxic secondary metabolites produced by freshwater cyanobacteria. Algal bloom subsidence can stimulate MC release, which can impair liver function if orally exposed to in large doses. The purpose of this retrospective, U.S. ecological study was to determine if MC exposure represented an environmental risk factor for liver disease mortality using a socioecological approach. A longitudinal ecological substudy investigated the association between average total MCs in Lake Washington and Lake Manatee and age-adjusted chronic liver disease (CLD)/cirrhosis death rates in Brevard County and Manatee County, Florida (FL). A prediction model of total MCs was deduced by quantifying levels …