Medicine and Health Sciences Commons^™

Treatment Of Anxiety Using Massage Therapy In A Neurorehabilitation Program, Jennifer Gordon

Graduate Theses, Dissertations, and Capstones

Abstract

Traumatic brain injury (TBI) has been considered a silent epidemic. The symptoms post-injury can be pervasive and impact individuals physically, emotionally, and socially. It also creates a financial burden on the individual and society. Finally, it can be challenging to the family and caregivers of these individuals because navigating the healthcare needs can be problematic. An enriched neurorehabilitation program may improve the quality of life and outcomes of the individual with TBI. The diagnosis of anxiety has been found to be a major factor that influences the prognosis. Cognitive behavior therapy (CBT) and pharmacology can assist in the management …

Relationship Between Oral Health And Clinical Osteoporosis Among Hospitalized Patients With And Without Diabetes, Kenneth Izoura, Gayle Allenback, Amber Champion, Civon Gewelber, Michael Neubauer

School of Medicine Faculty Research

Objective: Diabetes mellitus (DM) is associated with poor oral health and osteoporosis (OP). The aim of this study was to assess the relationship between OP, periodontal disease (PD), and other dental and health outcomes in a cohort of hospitalized patients with and without DM. Method: Using a cross-sectional study design, we enrolled consecutive hospitalized patients. We administered a questionnaire to gather demographic information, oral health history, smoking history, and history of OP. We inspected their dentition and reviewed their charts. Data were analyzed using t-tests, chi-square tests, and logistic regression models. Result: Out of 301 patients enrolled, 275 had PD, …

Why I Brought My Mother Home, Barbara L. Gracious

HCA Healthcare Journal of Medicine

According to the Alzheimer’s Association, in the United States more than 16 million adult family members provide care for a relative with Alzheimer’s disease or other dementia. The economic value contributed by unpaid caregivers is $234 billion dollars. Such caregivers are vital to the ability of the U.S. to meet caretaking needs, as the projected number of individuals suffering from dementia will nearly triple over the next 30 years. A meta-analysis found that decisions to provide family caretaking are rooted in long-standing family relationships. This essay explores one family’s decision to move from long-term institutional care back to family-based care …

Assessing For Gender Disparities In The Selection Of Chief Residents Of Emergency Medicine Residency Programs, Emilio G. Volz, Justin Steinberg, Tony Zitek

HCA Healthcare Journal of Medicine

Introduction: Although the number of women physicians has been increasing, there may be gender disparities in the assessment of female emergency medicine residents. This study sought to determine if female emergency medicine residents are less likely to become chief residents than males.

Methods: In July 2017, an anonymous survey was distributed to the program coordinators of all accredited emergency medicine residency programs in the United States. The survey requested the number of males and females in each graduating class from 2015 to 2017. The percentage of female residents who were chief residents was calculated and compared to that for males. …

The Great Imitator Strikes Again: A Case Of A Lupus Flare-Up Presenting Like An Acute Abdomen, Emmanouil Kiriakopoulos, Vanessa Perez, Robyn Hoelle

HCA Healthcare Journal of Medicine

Systemic lupus erythematosus (SLE) is an autoimmune disease affecting all age groups and can manifest in various forms, often making the initial or successive presentations difficult to diagnose. Peritonitis secondary to lupus is a rare manifestation of this disease and the prevalence is said to be much lower in children. We present a case report of an adolescent male with a known history of lupus who presented to the emergency department with a clinical picture consistent with an acute surgical abdomen and underwent an appendectomy. Subsequent workup identified the culprit as a lupus-related peritonitis requiring corticosteroids for resolution.

Periodic Paralysis Syndromes: A T3 Thyrotoxicosis Etiology Presentation And Review Of Literature, Alex Chao, Hossein Akhondi

HCA Healthcare Journal of Medicine

Periodic paralysis is a group of muscle diseases that are related to transmembrane ion channels. Dysfunction of these channels causes an increase in sodium-potassium (Na-K) adenosinetriphosphatase (ATPase) activity that pushes potassium into the cells that result in serum hypokalemia that manifests as muscle weakness. Beta-adrenergic stimulation and insulin sensitivity might also play a role.

Periodic paralysis is divided into hereditary and acquired forms. Thyrotoxic periodic paralysis is an acquired form of periodic paralysis that manifests as muscle weakness, hypokalemia, and hyperthyroidism. The onset of the symptoms is mainly over the age of 20 and can be triggered by intense physical …

Management Principles To Drive The Creation Of A 21st Century Medical School, Johannes Vieweg, Francois Sainfort, Julie A. Jacko, Paula S. Wales

HCA Healthcare Journal of Medicine

Introduction: There are currently no data, blueprints, best practices, or financial models available to guide the creation of a new medical school. Yet, the United States is experiencing unprecedented growth of new allopathic medical schools.

Findings: This article brings logic to the process. It converts the complexity of what is often regarded as an administrative exercise into the first published framework of management principles. Those principles were then translated into a process map and a financial optimization model. All three elements can be successfully implemented for establishing an accredited, value-driven medical education program that minimizes time from inception to implementation, …

Preparing For Your First Job: A Resident’S Outline To Curriculum Vitae Writing, Marissa Bournique

HCA Healthcare Journal of Medicine

A curriculum vitae (CV) is a requirement for any physician seeking employment. Writing a job-winning CV requires preparation and discipline. This article presents useful guidelines for preparing and writing a CV aimed at residents seeking their first job as full-fledged physicians.

A Brief Tutorial On Manuscript Preparation: From Journal Selection To Manuscript Review, Christopher N. Ochner, Jocelyn N. Mineo

HCA Healthcare Journal of Medicine

This article is designed to introduce the novice researcher to the process of journal selection, manuscript submission and manuscript review. PubMed indexing, journal readership, scope, focus, impact factor, fees and acceptable manuscript types are discussed in the first section. The remainder of this article focuses on manuscript preparation, submission and review, including formatting, pre-submission inquiry, submission portals, and the manuscript review process. Specific recommendations are provided to assist the reader in navigating these stages.

A New Journal To Publish Houses Of Brick: Introducing The Hca Healthcare Journal Of Medicine, Hale Z. Toklu, Bruce Deighton, Graig Donini

HCA Healthcare Journal of Medicine

Welcome to the HCA Healthcare Journal of Medicine, a new peer-reviewed scientific periodical dedicated to the care and improvement of human life by publishing and disseminating scholarly work focusing on innovation and enhanced quality, developing new knowledge in clinical care, and contributing to research in medical education.

A Quantitative Comparison Of Arm Activity Between Women With Breast Cancer And Healthy, Mary Insana Fisher, Claire Davies, Timothy L. Uhl

Physical Therapy Faculty Publications

Purpose: Survivors of breast cancer (BC) on the non-dominant side have more persistent deficits than those with cancer on the dominant limb. What is not known is whether those with BC use their involved upper limbs more, less, or at the same level as women without BC. Accelerometer use offers a quantifiable method to measure activity levels of upper limbs. The purpose of this study was to quantify the activity levels of the non-dominant involved limb among survivors of BC and compare these values to their dominant limb, as well as the non-dominant limb of a control group.

Methods: Participants …

Perceptions Of The Osteopathic Profession In New York City's Chinese Communities, Justin Chin, Sarah Li, Gregory Yim, Yaqun Arlene Zhou, Peter Justin Wan, Emily R Dube, Mikhail Volokitin, Sonu Sahni, Mark A Terrell, Christine M Lomiguen

Touro College of Osteopathic Medicine (New York) Publications and Research

Objective: The purpose of this study was to assess knowledge of and barriers to osteopathic medicine in Chinese immigrant communities in New York City (NYC).

Design: A cross-sectional study was designed in which a culturally appropriate survey in Chinese and English versions was administered anonymously to measure immigrant perceptions and knowledge of osteopathic medicine.

Setting: Data collection occurred in the municipal delineations for the Chinatown neighbourhood within the New York, New York borough of Manhattan.

Participants: Community members were selected using convenience sampling from high-density areas to participate. Information gathered from the survey included demographics, education level, healthcare habits and …

Covid-19 Travel Restrictions - South Korea, February 28, 2020, University Of Northern Iowa

UNI Response to COVID-19

A memo announcing the restriction on travel to South Korea.

Evidence To Support Hiv Prevention For Adolescent Girls And Young Women (Agyw) And Their Male Partners: Results From Malawi Dreams Studies With Agyw, Male Partners Of Agyw, Men Living With Hiv, And Program Implementing Partners, Nanlesta Pilgrim, Victor Mwapasa, Effie Chipeta, Wanangwa Chimwaza Manda, Nrupa Jani, Tracy Mcclair, Lyson Tenthani, Sanyukta Mathur

HIV and AIDS

Project SOAR, led by the Population Council, in partnership with the Center of Reproductive Health at the University of Malawi College of Medicine, conducted a research portfolio to generate evidence to reduce HIV risk among adolescent girls and young women (AGYW) and their male partners. The objectives of this implementation research were to generate evidence for describing HIV-related risk factors among AGYW; assess the extent to which the overall DREAMS project contributed toward the goal of reducing HIV risk among AGYW; and understand the characteristics of male partners and how to link them to HIV services, as well as retain …

Systems Biology Of Ferroptosis: A Modeling Approach., Anna Konstorum, Lia Tesfay, Bibbin T Paul, Frank M Torti, Reinhard Laubenbacher, Suzy V Torti

Faculty Research 2020

Ferroptosis is a recently discovered form of iron-dependent regulated cell death (RCD) that occurs via peroxidation of phospholipids containing polyunsaturated fatty acid (PUFA) moieties. Activating this form of cell death is an emerging strategy in cancer treatment. Because multiple pathways and molecular species contribute to the ferroptotic process, predicting which tumors will be sensitive to ferroptosis is a challenge. We thus develop a mathematical model of several critical pathways to ferroptosis in order to perform a systems-level analysis of the process. We show that sensitivity to ferroptosis depends on the activity of multiple upstream cascades, including PUFA incorporation into the …

A Novel Case Of Bacterial Meningitis In A Patient With Loeys-Dietz, Lacey D. Colvin Do, Christy Fagg

Infectious Disease

No abstract provided.

Community-Based Hiv Treatment Service Delivery Model For Female Sex Workers In Tanzania: Evaluation Findings, Lung Vu, Waimar Tun, Louis Apicella, Jeremiah Kidola, Caterina Casalini, Gasper Mbita, Neema Makyao, Todd Koppenhaver, Erick Mlanga

HIV and AIDS

Project SOAR in collaboration with the National AIDS Control Program of the Government of Tanzania, National Institute of Medical Research, and Jhpiego’s Sauti Program, conducted an implementation science study to investigate the delivery of community-based antiretroviral treatment (ART) services to female sex workers (FSWs) in Tanzania. Studies from sub-Saharan Africa have shown improved HIV treatment outcomes, such as uptake of HIV services, retention in care, and increased dignity and quality of life, by using community-based delivery of HIV services. As detailed in this Project SOAR final report, the study assessed the effectiveness of the community-based ART delivery intervention in improving …

Strengthening Capacity For Assessment Of Hiv-Related Data Needs Among Key Populations To Inform Evidence-Based Responses, Amrita Rao, Nikita Viswasam, Stefan Baral

HIV and AIDS

Defining the HIV prevention and treatment needs of key populations who have disproportionate HIV acquisition and transmission risks has been particularly difficult in the context of generalized HIV epidemics where less attention has historically been placed on the HIV prevention and treatment needs of these groups. There is a gap in our understanding of the specific needs of—and ultimately the investment case for the added value of supporting—disproportionately burdened key populations in these settings. In response to this gap, Johns Hopkins University under the United States Agency for International Development (USAID)-funded Project SOAR implemented a project in partnership with collaborators, …

Factors Associated With First Antenatal Care Booking Among Pregnant Women At A Reproductive Health Clinic In Tanzania: A Cross Sectional Study, Lucy Kisaka, Sebalda Leshabari

School of Nursing & Midwifery, East Africa

Background: Antenatal care (ANC) is a key basic intervention targeting maternal and perinatal morbidity and mortality. The World Health Organization (WHO) recommends the first ANC booking before 12 weeks of gestation. This enhances positive maternal and fetal outcomes through early detection of complications, prompt treatment, referral, and management of expected physiological changes. Despite high ANC coverage (98%), free contacts, and easy accessibility, little is known why few (24%) pregnant women in Tanzania book their first ANC-visit early. This study aimed to identify factors associated with first ANC booking among pregnant women in a Tanzanian reproductive health clinic.

Methods: Systematic …

Studi Deskriptif Analisa Promosi Layanan Rumah Sakit, Ni Putu Indra Dewi, Anindita Santoso, Handi Wirawan, Joan Puspita Tanumihardja

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Health services have entered an era of competition that requires hospitals to be able to provide superior services to attract consumers (patients). Hospitals need to implement an effective marketing system so that outreach targets and ultimately service utilization can be achieved by using integrated marketing communication techniques to coordinate and control various elements of the promotional mix. In this manuscript, the researcher analyzes the promotion of hospital services using a descriptive study method.

Diagonal 1 And Mid-Lad Myocardial Bridge With Elevated Troponin Enzymes, Ronak Patel Do

Cardiology

No abstract provided.

Incapacité Due À Un Trouble Musculosquelettique : Les Inquiétudes Liées À L'Environnement De Travail, Marie-France Coutu, Marie-José Durand, Iuliana Nastasia, Fergal O'Hagan, Patrick Gosselin, Marie-Élise Labrecque, Sara Pettigrew, Djamal Berbiche

Rapports de recherche scientifique

Environ une personne sur trois dans le monde vivrait avec un trouble musculosquelettique (TMS) persistant. Plusieurs auteurs soulignent l’influence significative des facteurs psychosociaux, dont l’anxiété, sur le développement de l’incapacité prolongée. Associées à l’anxiété, des inquiétudes excessives ont été documentées chez des travailleurs ayant une douleur persistante d’origine musculosquelettique. Les inquiétudes ne favorisent pas l’adaptation en contexte d’une situation problématique. Cependant, aucune étude n’a jusqu’à présent tenté de comprendre ces inquiétudes, en lien avec l’environnement de travail. Une meilleure compréhension de ce phénomène semble un incontournable pour offrir une action mieux ciblée aux travailleurs ayant une incapacité au travail prolongée. …

A Shift In Reality: Virtual And Augmented Systems In Higher And Medical Education, Brian Meyer

Current Issues in Emerging eLearning

Virtual and augmented technologies provide a seamless solution for merging traditional, theoretical learning with practical application in context. Unlike traditional teaching pedagogies, in which lessons are restricted in terms of the use of additional apparatus, pedagogies that involve the use of virtual and augmented reality technologies enable educators to build upon taught concepts to demonstrate the application of those concepts in practice, and allow educators to generate multiple atypical scenarios in order to build competence in practical fields of endeavour. In medical education, virtual and augmented reality tools provide an especially important opportunity for preparation before treating patients in actual …

School Of Pharmacy Intellectual Property Report Fy20, Second Quarter Report, Soumyajit Majumdar

U. S. Patents, School of Pharmacy

School of Pharmacy Intellectual Property Report FY20, Second Quarter Report (as of 12/31/2019)

Considerations For Collecting And Documenting Fgm/C Data By Health Care Providers, Dennis Matanda

Reproductive Health

Data on female genital mutilation/cutting (FGM/C) are rarely collected in health facilities, yet routine collection of facility-based data through other health-seeking visits (e.g., during antenatal care) is considered good medical practice and can be an important source of data. Clinical exams provide an opportunity to identify women and girls who have undergone FGM/C, which is an important step in aiding the prevention of chronic complications that can be difficult to manage later in life. These exams also make it possible to refer those with FGM/C-related complications for specialized treatment. Clinical visits also present an opportunity to discuss prevention of the …

A Quality Intervention To Reduce Telemetry, Alina Polonsky Md, Abdullah Alcharif Md, Andrew Maiolo Md

Internal Medicine

No abstract provided.

Marketing Mix Vs Loyalitas Pasien: Studi Literatur, M. Andri Junaidi, Wahyu Sulistiadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Marketing is the entire activity and process of making, communicating, delivering, offering something feasible for customers, clients, co-workers and society in general. The relationship with the hospital, because the hospital is classified as a semi-business organization. Hospitals must use marketing to face all the problems that exist and take all opportunities in order to survive, one of which is the marketing mix. The method used in this paper is a literature review using PRISMA. This resulted in 13 journals, both domestic and foreign. The marketing mix is needed as a way of marketing the hospital. From the search results, it …

Business Development Of Dental Services Marketing In Hospital: A Systematic Review, Ferti Dwi Ekasari, Wahyu Sulistiadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

One of the health services in the hospital is dental and oral health care. Hospitals must establish a good marketing strategy for their organizations in an effort to continue to improve or maintain the expected position. Based on the above, it is necessary to know what efforts can be made by dental outpatient clinics in developing marketing of dental and oral health services in dental clinics in hospitals to increase patient visits to hospital dental clinics. This study use Systematic Review with PRISMA method retrieved from online database such as ProQuest, willy online, J Store, Scopus and Google Schoolars using …

Strategies Of Hospital Marketing For Increasing Patient Satisfaction: A Systematic Review, Lenggo Geni Sari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Patient satisfaction is the most important of hospital goal. The hospital who has focused to customer satisfaction, obtain some basic benefits, like the hospital's reputation is more positive in the eyes customers and the community and encourage the creation of customer loyalty which makes it possible for hospitals increase profits, harmoniously the relationship of the hospital to its customers and encourage everyone in the hospital to work with more goals well. Strategies of hospital marketing are needed to increase patient satisfaction. We use Systematic Review with PRISMA method retrieved from online database such as ProQuest, Wiley online, J Store, Sciencedirect …

Strategi Segmentasi, Target Dan Posisi Pasar Klinik Aestetik Di Rs Multazam Medika, Evie Ni’Matunnisa

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Aesthetics Clinic is a product that began to be developed, both independent clinics or in hospitals. With the growing technology used, it makes people more concerned about skin health so that beauty service products can be an alternative business strategy that can be developed and become a profit for private hospitals today. With the increasing competition between hospitals, the addition of aesthetic clinic services at Multazam Medika Hospital is expected to bring something new in the development of hospital marketing products. This study uses a descriptive analysis methodology whose results will be input for hospitals in determining business strategies.