Medicine and Health Sciences Commons^™

การทดสอบความแม่นยำของเครื่องวัดความดันโลหิตอัตโนมัติแบบพกพาชนิดไร้สายในประชากรไทย, วันฉัตร เหล่าสงวนเอก

Chulalongkorn University Theses and Dissertations (Chula ETD)

ความเป็นมา ปัจจุบันเครื่องวัดความดันโลหิตอัตโนมัติแบบถูกออกแบบมาให้มีความสะดวกต่อการใช้งานมากขึ้น โดยล่าสุดมีการออกแบบเป็นเครื่องวัดความดันแบบไร้สาย ซึ่งมีเพียงสายรัดวัดความดัน (Blood pressure cuff) และมีการใส่อุปกรณ์ตั้งเวลาเพื่อให้สามารถบันทึกความดันโลหิตได้โดยอัตโนมัติตามเวลาที่กำหนดไว้ อย่างไรก็ตามเครื่องวัดความดันโลหิตอัตโนมัติที่ถูกติดตั้งอุปกรณ์ตั้งเวลานี้ ยังไม่เคยถูกตรวจสอบความแม่นยำของการวัดความดันโลหิตในประชากรไทย วัตถุประสงค์ เพื่อตรวจสอบความแม่นยำของเครื่องวัดความดันโลหิตอัตโนมัติ Uright model TD3140, TaiDoc Technology Corporation รุ่นที่ถูกติดตั้งอุปกรณ์ตั้งเวลาวัดความดันโลหิตอัตโนมัติ ตามมาตรฐานของ ANSI/AAMI/ISO ปี 2018 วิธีการวิจัย เป็นการศึกษาพรรณนาแบบตัดขวาง เก็บข้อมูลและวัดความดันโลหิตของอาสาสมัคร ตั้งแต่เดือนสิงหาคม 2564 ถึงกุมภาพันธ์ 2565 โดยเก็บข้อมูลทั่วไป, โรคประจำตัว รวมถึงยาที่ให้เป็นประจำ และวัดความโลหิตของอาสาสมัครจากเครื่อง Uright model TD3140, TaiDoc Technology Corporation รุ่นที่ถูกติดตั้งอุปกรณ์ตั้งเวลาวัดความดันโลหิตอัตโนมัติ เปรียบเทียบกับการวัดความดันแบบมาตรฐานตามเกณฑ์ของ ANSI/AAMI/ISO ปี 2018 ผลการวิจัย ในการวิเคราะห์ข้อมูลเบื้องต้น ของอาสาสมัครทั้งหมด 85 คน (อายุเฉลี่ย 38.39 ± 13.91 ปี, 69% เพศหญิง) ความดันโลหิตตัวบนเฉลี่ย (Mean systolic blood pressure) 117.46 ± 18.63 [84-176] มิลลิเมตรปรอท ความดันโลหิตตัวล่างเฉลี่ย (Mean diastolic blood pressure) 74.84 ± 10.70 [42-108] มิลลิเมตรปรอท ค่าเฉลี่ยของความแตกต่างของความดันโลหิตที่ได้จากเครื่องวัดความดันที่ทดสอบกับวิธีมาตรฐาน 0.66 ± 6.81 มิลลิเมตรปรอท ของความดันโลหิตตัวบน และ -0.96 ± 6.33 มิลลิเมตรปรอท ของความดันโลหิตตัวล่าง ค่าเบี่ยงเบนมาตรฐาน (SD) เมื่อคิดจากความแตกต่างของอาสาสมัครแต่ละบุคคล 0.66 ± 4.45 มิลลิเมตรปรอท ของความดันโลหิตตัวบน และ -0.96± 3.46 …

Unf Coronavirus Information 2021, Unf Emergency Management

UNF COVID-19 Response

General information about the campus response to the COVID-19 pandemic, including the 4 Key Pillars of Shared Responsibility.

Making It Work For Everyone: Developing Flexible Digital Clinical Communication Modules For Health Disciplines In An Australian Context, Nayia Cominos, Kerry Thoirs, Rowena Harper, Giordana Cross, Megan Cooper

Internet Journal of Allied Health Sciences and Practice

Purpose: This paper discusses an innovative multi-disciplinary approach to the development and evaluation of flexible, digital clinical communication learning resources to support students in twelve health disciplines to develop clinical communication skills in preparation for their clinical placements. Methods: A modified Delphi survey was sent to all stakeholders in the Division of Health Sciences to identify the most important communication skills from the list of 61 communication skills identified by Bachmann et al in 2013. Lecturers, clinical educators, clinicians, and students were invited to rate the importance of each skill. Results: A set of digital resources was created for teaching …

Infusing A Course-Based Undergraduate Research Experience (Cure) Into An Allied Health Curriculum, Deborah A. Johnson, Beverly J. Barham, Susan R. Franzen

Internet Journal of Allied Health Sciences and Practice

Purpose: Infusion of a course-based undergraduate research experience (CURE) into an existing research design course in an applied science curriculum allowed medical laboratory science students (n=22) to each be a contributing team member in a hand’s-on research experience, where most of the work was completed during the class time on campus. This design allowed for equal access, an equitable experience, and inclusion of all students enrolled in the course. Methods: Students and instructors worked together to develop a research question. The group agreed that the research question would be to determine the number of environmental specimens that were …

Therapeutic Management Of A Patient With Necrotizing Fasciitis Resulting In Quadrilateral Amputation And Critical Illness Myopathy In The Intensive Care Setting: A Case Report., Mallory A. Kargela, Annette J. Siebens

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case is to illustrate the best available evidence to provide early therapeutic intervention for a critically ill patient presenting with cardiovascular and pulmonary complications due to multi-system compromise. Case Description: A 19-year-old male was admitted to the hospital with the diagnosis of necrotizing fasciitis and necrotizing pneumonia. He experienced numerous additional medical complications ultimately leading to tracheostomy, delirium, critical illness myopathy, and quadrilateral amputation secondary to necrotizing fasciitis and critical limb ischemia following prolonged veno-venous extracorporeal membrane oxygenation (VV-ECMO). Outcomes: Patient was discharged to an outside rehabilitation hospital after 103 days in the acute setting …

An Introduction To Interprofessional Education For First Semester Doctoral Occupational Therapy And Physical Therapy Students, Suzanne Trojanowski, Jillian Woodworth, Anna Rose Wiencek, Amy Yorke

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) engages health care professional students in order to develop the knowledge, skills, and attitudes required of a health care practitioner. IPE can be challenging to execute; however, exposing students early in their professional education in IPE has positive results. Occupational therapy (OT) and physical therapy (PT) are health care professions who commonly work with each other. The purpose of this study is to describe the process and outcomes of implementing an IPE experience with first year doctoral OT (OTD) and PT (DPT) students completed within the first six weeks of the first semester of their respective …

Ability Status, Self-Advocacy, And Individuals With Neurodevelopmental Disabilities: Neurodiversity-Informed Training For Professionals And Caregivers, Allison N. Simpson

Psychology Doctoral Specialization Projects

Ability status in U.S. society is a critical social and cultural identity. “Disability” is often viewed through the lens of pathology as an illness. This kind of view affects not only the personal identity of individuals with neurodevelopmental disabilities, but also their treatment by others in the community, employers, caregivers, and others in their system of interaction. Even individuals who are strong self-advocates can be silenced by this kind of lens. A more empowering way to view individuals with neurodevelopmental disabilities is through the lens of neurodiversity in order to see their abilities, needs, wishes, and lives. The current project …

Harming The Help-Seeking: Necessity For Assessing Harmful And Biased Attitudes Toward Clients With Substance Use Disorder, Crystal D. Mcdowell, Crystal Dawn Mcdowell

Psychology Doctoral Specialization Projects

Numerous times, as a new clinician, I have witnessed the substance use disorder population referred to as not being dependable, dangerous, burnt out, and even hopeless. Often times I have heard mental health professionals make statements amongst themselves that the client could not be helped, referred to them as a “frequent flyer,” (meant to convey they frequently present for treatment, relapse, and return for treatment), and complain how tax dollars are being wasted to support the client. I felt empathy and a sense of hopelessness for these clients as they were seeking treatment in order to get help and yet …

Stepping Up And Taking The Lead: School-Based Slps' Perceptions And Attitudes Of Leadership, Millie Newport, Gabrielle Saliba, Mary C. Smith, Brenda Louw

ETSU Faculty Works

This research explores the personal perspectives of school-based SLPs regarding their training in, perceptions of, and experiences regarding leadership. Survey research was conducted, and school based SLPs acted as respondents. Results may inform education in leadership, both in student training and in continuing education. Leadership in the field of speech-language pathology is essential to not only advocate for better outcomes of clients and patients, but also to foster an environment for change and understanding for future generations of SLPs.

Digital Media And Social Connection In The Lives Of Children, Adolescents, And Families, Kaveri Subrahmanyam, Yalda T. Uhls, A. Third

UNF Faculty Research and Scholarship

No abstract provided.

Factors Affecting Covid-19 Pandemic, Linrui Han

Masters Theses

“COVID-19 has affected our daily lives in many aspects, such as work, healthcare, education, business, and social. With the quick spread of this new coronavirus, many countries quickly fell into a pandemic control and management mode. It has been more than one year since the discovery of COVID-19, but until now, COVID-19 is still affecting our lives and our daily operations. The research consists of two papers focusing on different factors affecting the COVID-19 pandemic. The first paper studies the effect of ICT and healthcare expenditures on the COVID-19 management and control. The second paper focuses on the impact of …

Microbiomes Of Blood-Feeding Arthropods: Genes Coding For Essential Nutrients And Relation To Vector Fitness And Pathogenic Infections. A Review, Daniel E. Sonenshine, Philip E. Stewart

Biological Sciences Faculty Publications

Blood-feeding arthropods support a diverse array of symbiotic microbes, some of which facilitate host growth and development whereas others are detrimental to vector-borne pathogens. We found a common core constituency among the microbiota of 16 different arthropod blood-sucking disease vectors, including Bacillaceae, Rickettsiaceae, Anaplasmataceae, Sphingomonadaceae, Enterobacteriaceae, Pseudomonadaceae, Moraxellaceae and Staphylococcaceae. By comparing 21 genomes of common bacterial symbionts in blood-feeding vectors versus non-blooding insects, we found that certain enteric bacteria benefit their hosts by upregulating numerous genes coding for essential nutrients. Bacteria of blood-sucking vectors expressed significantly more genes (p < 0.001) coding for these essential nutrients than those of non-blooding insects. Moreover, compared to endosymbionts, the genomes of enteric bacteria also contained significantly more genes (p < 0.001) that code for the synthesis of essential amino acids and proteins that detoxify reactive oxygen species. In contrast, microbes in non-blood-feeding insects expressed few gene families coding for these nutrient categories. We also discuss specific midgut bacteria essential for the normal development of pathogens (e.g., Leishmania) versus …

From The Legal Literature: Covid And The Criminal Law, Francesca Laguardia

Department of Justice Studies Faculty Scholarship and Creative Works

No abstract provided.

The Ideology Of Baby-Mama Phenomenon: Assessing Knowledge And Perceptions Among Young People From Educational Institutions, Opeyemi S. Adeojo, Daniel Egerson, Gabriel Mewiya, Rowland Edet

Department of Sociology: Faculty Publications

This study investigated the knowledge and perception of the ideology of baby-mama concept among the youths. Particularly, this paper assessed the knowledge of the concept of baby mama among youths and also their opinion on the acceptability of this style of family structure. The study employed a qualitative approach through an in-depth interview research method. Forty respondents between the ages of 16 and 40 years were selected across three educational institutions in Oyo state, south-west Nigeria. The participants of the study voluntarily agreed to participate in the research and everything said during the course of the interview was transcribed and …

Cross-National Attitudes About Paid Parental Leave Offerings For Fathers, Qi Li, Chris Knoester, Richard J. Petts

Department of Sociology: Faculty Publications

Using cross-national data from the 2012 International Social Survey Programme (N = 33,273), this study considers institutional, self-interest, and ideational factors in analyzing public opinions about the provision, length, and source of paid parental leave offerings for fathers. We find substantial support for generous leave offerings. Multilevel regression results reveal that being a woman, supporting dual-earning expectations, and realizing more family strains lead to support for more generous leave offerings. Endorsing separate spheres and intensive mothering attitudes reduces support for more generous leave offerings; although, gendered attitudes interact with one another in predicting leave preferences, too. Finally, country-level indicators …

Attitudes About Paid Parental Leave: Cross-National Comparisons And The Significance Of Gendered Expectations, Family Strains, And Extant Leave Offerings, Chris Knoester, Qi Li, Richard J. Petts

Department of Sociology: Faculty Publications

Using data on paid parental leave preferences from 35,488 adults situated within 26 different OECD countries, and multilevel modeling, this study examines public opinions about the provision of paid parental leave, some government funding of leave offerings, and preferred lengths of leave offerings. We consider how attitudes may be similar or different across social contexts and then focus upon the extent to which gender, gendered parenting role attitudes, family strains, and country-level institutionalized leave offerings are associated with leave preferences. The findings indicate that the vast majority of respondents are in favor of rather widespread and generous paid parental leave …

Registered Nurses’ Perceptions Of Obesity, Elizabeth Ann Pettifor

Walden Dissertations and Doctoral Studies

Obesity has become an epidemic in the United States (U.S.) population. Obesity is a risk factor for many health problems that ultimately lead to death or disability. Nurses in the U.S have a higher-than-average rate of overweight and obesity. The purpose of this exploratory, qualitative case study was to identify and recommend areas for change in the hospital environment to assist bedside nurses in the U.S to have a healthier lifestyle. Social media was used to conduct a purposeful sampling technique and recruit 10 registered nurses working full time at the bedside in the U.S who struggle with obesity. Semi …

Lived Experiences Of Police Officers And Their Roles During Opioid Overdose, Sean Banks

Walden Dissertations and Doctoral Studies

Researchers have conducted multiple studies regarding opioid users, opioid addicts, relatives of addicts, and health professional responses. The opioid crisis has been a focus for scholars following the first wave of prescription in 1991 (CDC, 2016). However, there is limited research that examines the lived experiences of law enforcement officers and their roles during an opioid overdose. As the opioid crisis has continued to negatively affect individuals, families, communities, cities, and countries, federal, state, and local policymakers have searched for ways to combat the opioid crisis. For many law enforcement agencies, policymakers have enacted policy that mandates patrol officers carry …

Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint

Walden Dissertations and Doctoral Studies

AbstractBurnout, a syndrome described as a state of mental and or physical exhaustion, impacts the workforce of hospice and palliative nurses where employees’ behaviors and professional efficacy reflect poorly on their work. The prevalence of burnout among hospice nurses led to the development of this project. The Maslach Burnout Inventory (MBI) served as a reference guide for developing the content, which addressed whether a staff education program at this Southeastern United States facility, would affect a change in knowledge among hospice nurses reduce burnout. Knowles’s theory of adult learning framed this education program on self-care and stress management. Focus was …

Educating Nurse Practitioners To Avoid Urine Cultures To Prevent Overuse Of Antibiotics, Diane Evelen Deangelo

Walden Dissertations and Doctoral Studies

Unnecessary antibiotics are often ordered for positive urine cultures in long-term care (LTC) residents despite a lack of symptoms, indicating asymptomatic bacteriuria (ASB). Treating ASB with antibiotics can result in antibiotic-resistant organisms, allergic reactions to antibiotics, and secondary infections such as clostridium difficile. The purpose of this DNP project was to provide an evidence-based education intervention regarding management of ASB and UTIs with the hope of increasing the knowledge among nurse practitioners (NPs) that could be translated into practice and result in a decreased antibiotic use in LTC patients. The DNP project was grounded in Knowles’ adult learning theory and …

Physicians’ Perceptions And Intent To Use Mcdonald Guidelines For Diagnosing Multiple Sclerosis, Daniel E. O'Brien

Walden Dissertations and Doctoral Studies

Multiple sclerosis (MS) is a chronic inflammatory demyelinating disease of the central nervous system that affects close to 400,000 patients in the United States and roughly 2.3 million people around the world. Because this is a growing global public health concern, researchers and clinicians are calling for a more efficient adoption of these McDonald MS guidelines in clinical practice as outlined in newly diagnosed guidelines. The purpose of this quantitative correlational study was to examine the relationship between the independent variables gender, guidelines knowledge, years in practice and intent to use the McDonald MS guidelines for diagnosing MS among physicians. …

Effectiveness Of 7-Day And 30-Day Interval Aftercare To Reduce Psychiatric Readmissions, Aldrick Dwight Barr

Walden Dissertations and Doctoral Studies

The results for psychiatric readmissions and 7- and 30-day follow-up care post psychiatric discharge are mixed. Psychiatric readmissions of psychiatric patients are costly. The purpose of this quantitative study was to evaluate the association between 7- and 30-day follow-up care percentages and 30-day readmission rates for an inpatient psychiatric facility (IPF). The transtheoretical model was used to assess patient readiness for behavior change and a patient-centered guide that provides strategies for patient progression during hospital readmission and post psychiatric hospital discharge. In this study, a quantitative, correlational research design utilizing public secondary data retrieved from the Centers of Medicaid and …

Marital Status And Human Immunodeficiency Virus Mortality In A Southern County, Javis Nkwanwoh

Walden Dissertations and Doctoral Studies

Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) remains a substantial cause of mortality, particularly among U.S. segments of the population. Marriage is protective of HIV/AIDS mortality due to monogamy; however, the increased risk of HIV/AIDS mortality among other marital subgroups is understudied. The purpose of this study was to examine the association between marital status and HIV/AIDS mortality among a cohort of HIV infected individuals in a southern county. Mills' behavior theory guided this research as it posits that all behaviors are acquired through conditioning, which occurs through the interaction with the environment. The study had a quantitative research design …

Clinical Practice Guideline For The Treatment Of Osteoarthritic Pain Among Elderly Patients, Marylie Palomo Buckoski

Walden Dissertations and Doctoral Studies

Osteoarthritic (OA) pain is a debilitating condition associated with significant medical, emotional, and economic burdens affecting approximately 27 million Americans and causes billions of dollars for medical expenditures. OA pain is a frequent cause of disability among elderly patients in the United States and requires effective pain management to decrease pain and improve their quality of life. The nurse practitioners (NPs) working in the seven affiliated pain management practices in the Southwest area of the United States, do not consistently follow current evidence-based pain management protocols when providing care for patients with OA pain. The purpose of this DNP project …

Staff Education On Identifying Burden And Burnout In Family Caregivers, Ekeoma Cooper

Walden Dissertations and Doctoral Studies

AbstractThe aging population in the United States continues to grow and, along with it, the need for informal caregivers. Informal caregivers provide ongoing assistance with activities of daily living to a friend or relative. Due to the sole responsibility of providing ongoing care, these individuals may experience burden and burnout, which has been defined as a state of emotional, mental, and physical exhaustion. Given the role that informal caregivers provide as part of the healthcare delivery system, caregiver burden and burnout are a public health issue. Nurse practitioners play a significant role in identifying caregiver burden and burnout, especially among …

Effect Of Human-Animal Interactions On Retail Employees’ Job Satisfaction And Job Performance, Michelle Elizabeth Davis

Walden Dissertations and Doctoral Studies

Research has shown that companion animals can have a positive effect on people who suffer from mental and physical illnesses; however, few studies have considered the impact of human-animal interactions (HAIs) on employees in the work environment. This quantitative study investigated the effect of HAIs on 146 employees’ job satisfaction and job performance in three retail environments with a range of potential animal interactions: retail store with no animal presence (none), retail store with occasional animal presence (occasional), and retail store with persistent animal presence (constant). Retail employees’ job satisfaction and performance in each retail setting were assessed using the …

Embracing Dynamic Models For Gene Drive Management, Andrew J. Golnar, Emily W. Ruell, Alun L. Lloyd, Kim M. Pepin

United States Department of Agriculture Wildlife Services: Staff Publications

Robust methods of predicting how gene drive systems will interact with ecosystems is essential for safe deployment of gene drive technology. We describe how quantitative tools can reduce risk uncertainty, streamline empirical research, guide risk management, and promote cross-sector collaboration throughout the process of gene drive technology development and implementation.

Gene drive technologies, although diverse in design and mode of action, are molecular architectures that promote the transmission of genetic information between generations. In theory, the release of one gene-drive-modified organism (GDMO) has the potential to irreversibly alter species, ecosystems, and environmental processes at a global scale (although in practice …

Economic Effects Of Predation By Scaup On Baitfish And Sportfish Farms, Carole R. Engle, Stephen Clements, Brian S. Dorr, J. Brian Davis, Luke A. Roy, Anita M. Kelly

United States Department of Agriculture Wildlife Services: Staff Publications

Fish-eating birds have been found to consume baitfish and sportfish raised on farms in the United States. Understanding the on-farm economic effects of such wildlife conflicts is essential for wildlife management agencies to make informed decisions. Lesser scaup, while not widely considered a fisheating bird, will consume farmed fish. Baitfish and sportfish farms in Arkansas (the major baitfish and sportfish producingstate in the U.S.) were surveyed to gather data on the cost of protecting farm crops from scaup. The values of lost sales revenue from the various species of baitfish and sportfish consumed by scaup were estimated based on a …

Evidence On The Effectiveness Of Small Unmanned Aircraft Systems (Suas) As A Survey Tool For North American Terrestrial, Vertebrate Animals: A Systematic Map Protocol, Jared A. Elmore, Michael F. Curran, Kristine O. Evans, Sathishkumar Samiappan, Meilun Zhou, Morgan B. Pfeiffer, Bradley F. Blackwell, Raymond B. Iglay

United States Department of Agriculture Wildlife Services: Staff Publications

Background: Small unmanned aircraft systems (sUAS) are replacing or supplementing manned aircraft and groundbased surveys in many animal monitoring situations due to better coverage at finer spatial and temporal resolutions, access, cost, bias, impacts, safety, efficiency, and logistical benefits. Various sUAS models and sensors are available with varying features and usefulness depending on survey goals. However, justification for selection of sUAS and sensors are not typically offered in published literature and existing reviews do not adequately cover past and current sUAS applications for animal monitoring nor their associated sUAS model and sensor technologies, taxonomic and geographic scope, flight conditions and …

Rabies Post-Exposure Healthcare-Seeking Behaviors And Perceptions: Results From A Knowledge, Attitudes, And Practices Survey, Uganda, 2013, Sarah C. Bonaparte, Laura Adams, Barnabas Bakamutumaho, Galileu Barbosa Costa, Julie M. Cleaton, Amy Gilbert, Modupe Osinubi, Emily G. Pieracci, Sergio Recuenco, Victor Tugumizemu, Joseph Wamala, Ryan M. Wallace

United States Department of Agriculture Wildlife Services: Staff Publications

Background Rabies is a viral disease of animals and people causing fatal encephalomyelitis if left untreated. Although effective pre- and post-exposure vaccines exist, they are not widely available in many endemic countries within Africa. Since many individuals in these countries remain at risk of infection, post-exposure healthcare-seeking behaviors are crucial in preventing infection and warrant examination.

Methodology A rabies knowledge, attitudes, and practices survey was conducted at 24 geographically diverse sites in Uganda during 2013 to capture information on knowledge concerning the disease, response to potential exposure events, and vaccination practices. Characteristics of the surveyed population and of the canine-bite …