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Articles 1 - 30 of 1214
Full-Text Articles in Medicine and Health Sciences
Perceived Barriers Of Early Mobilization In The Intensive Care Unit, Melissa Sonderman, Emily Miles, Joshua Ferge
Perceived Barriers Of Early Mobilization In The Intensive Care Unit, Melissa Sonderman, Emily Miles, Joshua Ferge
Doctor of Nursing Practice Projects: College of Nursing
Purpose
Early mobilization of Intensive Care Unit (ICU) patients can improve patient outcomes but also includes barriers to implementation. Nebraska Medicine has continued to have ongoing quality improvement initiatives like the ABCDEF liberation bundles and early mobilization that have been attempted but have never fully come to fruition. This project surveys Nebraska Medicines ICUs staff to better understand attitudes, knowledge and behavior regarding early mobilization using a validated tool. The aim was to identify barriers, so the organization could better understand the needs of ICU staff for future implementations of early mobility and related assessment tools.
Materials and Methods
A …
Prevalence Of Depression In Physical Therapy Environments For Young Adult Populations In The U.S.: A Systematic Literature Review, Audrey N. Baucom
Prevalence Of Depression In Physical Therapy Environments For Young Adult Populations In The U.S.: A Systematic Literature Review, Audrey N. Baucom
Honors College Theses
Objective: This systematic review aimed to examine interactions of depression symptoms and diagnoses and its prevalence in physical therapy settings among the young adult population ages 18-24 in the United States through current literature and to identify existing literature. Methods: This review followed the PRISMA guidelines to form a systematic review. Ten databases were extensively searched. Results were screened by one researcher and those that met the criteria were verified as inclusive by a second researcher. Results: The search yielded 3,017 results and included two studies. In each study, age was not identified as a prevalent variable in mental health …
Mri Image Regression Cnn For Bone Marrow Lesion Volume Prediction, Kevin Yanagisawa
Mri Image Regression Cnn For Bone Marrow Lesion Volume Prediction, Kevin Yanagisawa
Theses and Dissertations
Bone marrow lesions (BMLs), occurs from fluid build up in the soft tissues inside your bone. This can be seen on magnetic resonance imaging (MRI) scans and is characterized by excess water signals in the bone marrow space. This disease is commonly caused by osteoarthritis (OA), a degenerative join disease where tissues within the joint breakdown over time [1]. These BMLs are an emerging target for OA, as they are commonly related to pain and worsening of the diseased area until surgical intervention is required [2]–[4]. In order to assess the BMLs, MRIs were utilized as input into a regression …
Physiotherapists Description Of Patient-Centered Care, And Barriers And Facilitators Experienced To Implementation, Maclean Jordan
Physiotherapists Description Of Patient-Centered Care, And Barriers And Facilitators Experienced To Implementation, Maclean Jordan
Electronic Thesis and Dissertation Repository
Patient-centered care (PCC) is a growing standard for healthcare delivery due to the benefits to patient autonomy. Lacking a cohesive definition in the physiotherapy literature, it is also lacking in implementation. Employing interpretive description with semi-structured interviews, the goal was to understand how physiotherapists drawn from private for-profit clinics in Canada describe PCC, and barriers and facilitators to providing it. Results included requiring person-centered communication in PCC, seeing Health holistically, centering the patient in care, and being a skill that becomes clearer with practice experience. Barriers included: lack of practitioner reflexivity, patient not desiring self-directed care, and limited access to …
Workload Management Strategies To Promote Senior Physical Therapy Faculty Retention In The United States, Amanda Parrish
Workload Management Strategies To Promote Senior Physical Therapy Faculty Retention In The United States, Amanda Parrish
Walden Dissertations and Doctoral Studies
No abstract provided.
Development And Validation Of The Pain Resilience And Optimism Scale (Pros), Wonjin Seo
Development And Validation Of The Pain Resilience And Optimism Scale (Pros), Wonjin Seo
Electronic Thesis and Dissertation Repository
Numerous self-report questionnaires have been used in pain research to explore patients' experiences. However, these questionnaires often employ negatively worded items that can potentially worsen patients' distress. In response to the emergence of positive psychology, this thesis aimed to develop a new questionnaire that adopts a positive and strengths-focused approach, incorporating resilience, to replace the negative items found in existing tools such as the Pain Catastrophizing Scale (PCS). First, the effectiveness of the Connor-Davidson Resilience Scale (CD-RISC) in measuring resilience following trauma was assessed through a systematic review using the COnsensus-based Standards for the selection of health status Measurement INstruments …
Traditional Chinese Medicine And The Argument For Future Application In The United States, Kylie Nicole Frohlich
Traditional Chinese Medicine And The Argument For Future Application In The United States, Kylie Nicole Frohlich
Graduate Student Theses, Dissertations, & Professional Papers
No abstract provided.
Comparison Of Radiological Signs To Clinical Symptoms In Children With Jia. A Pilot Study, Shubham Sharma
Comparison Of Radiological Signs To Clinical Symptoms In Children With Jia. A Pilot Study, Shubham Sharma
All ETDs from UAB
JIA, which stands for juvenile idiopathic arthritis, is a group of chronic inflammatory joint diseases that usually occur in children under the age of 16 and last for at least six weeks1–5. It is one of the most common chronic joint diseases in childhood1 and affects up to 150 out of every 100,000 children worldwide6. This condition has no identifiable cause and is different from adult rheumatoid arthritis. Unfortunately, JIA can have a significant negative impact on the lives of these young children, causing disability and impairing their daily activities. TMJ involvement is more common than previously believed in JIA …
Decreasing Surgical Complications In Diabetic Patients, Bandana Mahato
Decreasing Surgical Complications In Diabetic Patients, Bandana Mahato
DNP Qualifying Manuscripts
Executive Summary
Objective: This manuscript aims to determine if controlling diabetes prior to undergoing low back surgery could decrease complications and disability.
Contexts: Despite the overwhelming information on the complications of uncontrolled diabetes, patients continue to have elevated HgA1C before having surgery. Furthermore, there is a plethora of data showing uncontrolled diabetic patients will have higher complications after surgery, yet patients continue to have elective surgery despite having unchecked diabetes. There are no clear guidelines for primary care providers or surgeons on when they should allow patients to have elective surgery. Therefore, it is vital that HgA1c needs to be …
The Effects Of Mindfulness And Exercise On Symptoms Of Parkinson’S Disease: A Systematic Review, Collin Tyler Garner
The Effects Of Mindfulness And Exercise On Symptoms Of Parkinson’S Disease: A Systematic Review, Collin Tyler Garner
Dissertations
Parkinson’s Disease (PD) is the second most common neurodegenerative disease affecting which affects motor control, emotional regulation, cognition, and sleep through degradation of dopaminergic neurons. As of 2019, PD affects approximately 8.5 million individuals worldwide, with prevalence estimated to increase to between 8.7 and 9.3 million by 2030. The primary therapeutic approach to PD management is pharmaceutical, relying on dopamine replacement therapy. However, recent research has identified promising complementary therapies such as exercise and mindfulness training.
This review was conducted to compile and present evidence related to the efficacy of exercise, mindfulness, and combined exercise and mindfulness protocols as complementary …
Promoting Patient Mobility To Decrease Hospital Length Of Stay, Saira Kinuthia
Promoting Patient Mobility To Decrease Hospital Length Of Stay, Saira Kinuthia
Student Scholarly Projects
Practice Problem: Promoting patient mobility may reduce hospital-acquired complications and length of stay (LOS). Evidence-based studies have established that there is a correlation between immobility and an increased length of stay in the hospital. How can nurse-driven mobility interventions effectively increase patient mobility and reduce the risk of complications and length of hospital stay?
PICOT: The PICOT question that guided this project was: For veteran patients in the Progressive Care unit (PCU) of a medical center (P), will using the Johns Hopkins Highest Level of Mobility tool (JH-HLM) (I) compared to not using a mobility tool (C) decrease hospital length …
The Impact Of Boxing Exercise On The Quality Of Life In People Living With Parkinson's Disease, Jen Baker
The Impact Of Boxing Exercise On The Quality Of Life In People Living With Parkinson's Disease, Jen Baker
Master of Science in Nursing Final Projects
This integrative review aimed to explore the effects of boxing exercises on the quality of life (QOL) of people with Parkinson’s Disease (PwP). Boxing exercise programs are popular in the Parkinson’s Disease (PD) community. Decreasing motor symptoms tends to be a primary focus in exercise and PwP. However, non-motor symptoms are a side effect of PD that varies amongst individuals and can impact QOL. Understanding the effects of boxing, especially on non-motor QOL, can support practitioners when prescribing specific exercise modalities for PwP. An integrative review with the search of PUBMED, CINAHL, and MEDLINE was performed, and the methodology of …
Exploring The Patients’ And Family Members’ Perspectives On Home-Based Palliative Care, Nadia Sultan Ali
Exploring The Patients’ And Family Members’ Perspectives On Home-Based Palliative Care, Nadia Sultan Ali
Theses & Dissertations
Background: Home health care is considered as a partial substitute for institutional long-term care, because patients and families with known poor prognoses prefer to stay home with their loved ones and people mostly cannot bear the cost of care at the hospital. Therefore, the importance of home-based palliative care is raised via a shared and coordinated model for saving lives through care.
Purpose: To explore patients' and family members' perspectives and experiences of receiving home-based palliative care services.
Method: This was a qualitative exploratory study conducted in Karachi, targeting patients and family members receiving home-based palliative care services. The data …
The Role Of Patient And Rehabilitation Factors In The Recovery Of Home And Family Work Roles Following Distal Radius Fracture, Sheena Saju Philip Ms.
The Role Of Patient And Rehabilitation Factors In The Recovery Of Home And Family Work Roles Following Distal Radius Fracture, Sheena Saju Philip Ms.
Electronic Thesis and Dissertation Repository
Background: Distal radius fracture (DRF) is a common upper extremity fracture that causes significant impairment and leads to difficulties in fulfilling important life roles such as indoor and outdoor cleaning, meal preparation, grocery shopping, caring for others, and earning and managing family income. However, clinicians do not routinely address home and family life roles after a DRF. Patient and rehabilitation factors are crucial in addressing home and family work roles (HFWRs). The HFWR questionnaire consists of tasks that are typically performed at home.
Objective: The overarching objective of this thesis is to explore the role of patient and rehabilitation …
The Lived Experience Of Persons With Parkinson's Disease In Non-Contact Boxing Programs, Laura Mulder
The Lived Experience Of Persons With Parkinson's Disease In Non-Contact Boxing Programs, Laura Mulder
Electronic Thesis and Dissertation Repository
We conducted a scoping review to identify articles examining non-contact boxing programs for persons with Parkinson’s disease (PwP). Results suggested that gait, mobility, balance, and quality-of-life were the most-studied outcomes. Many qualitative articles explored the experience within in-person boxing programs, but no articles explored experiences within virtual boxing programs. We followed this review with an interpretative phenomenological analysis aimed at addressing this research gap and interviewed six PwP who had engaged with both virtual and in-person Rock Steady Boxing programming. Results suggested that although the virtual setting improved elements of the individual experience, the physical and social aspects were better …
Exploring The Experience Of Sexuality And Gender During The Healthcare Transition Of The Youth With Cerebral Palsy, Umma Salma
Electronic Thesis and Dissertation Repository
Background: Transition from the pediatric to adult health care system is an important phase of healthcare for youth with cerebral palsy (CP). Sexuality and gender are two very important components of health that are mostly ignored in the healthcare transition process. It is possible that health care providers only see a client’s disability, and therefore, key aspects of sexuality and gender diversity may be ignored, or deemed irrelevant as a result of their disability status. Therefore, the purpose of our study is to explore how gender and sexuality may influence the experience of health care transition for youth with cerebral …
The Shared Contributions Of The Capsule, Labrum, And Bone On The Suction Seal Of The Hip, Alexander J. Hoffer
The Shared Contributions Of The Capsule, Labrum, And Bone On The Suction Seal Of The Hip, Alexander J. Hoffer
Electronic Thesis and Dissertation Repository
The hip capsule, labrum, and bone contribute to hip stability. Abnormalities in these structures are associated with pain and microinstability. Previous studies have quantified the individual stabilizing roles of the capsule and labrum and have associated cam over-resection with decreased hip stability.
The first objective of this thesis was to identify the relative biomechanical contributions of the capsule, labrum, and bone to the hip suction seal, as a representation of hip stability. The second objective was to assess the effectiveness of a labral reconstruction in restoring the suction seal after a cam over-resection.
Ten human cadaveric hips were tested in …
Evaluation Of Conservative And Operative Treatments In Active Patients With Acromioclavicular (Ac) And Rotator Cuff (Rc) Injuries, Jesse Singh
Electronic Thesis and Dissertation Repository
Abstract
Introduction: Shoulder pain and disability, particularly acromioclavicular joint (ACJ) and rotator cuff (RC) injuries, are common in a physically active population. Determining operative or rehabilitative treatment plans involve multiple treatment choices influenced by the injury grade and treatment goals, such as return to sport. This thesis investigates the management of treatment for AC and RC injuries
Method: The first study is a scoping review that uses the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) to synthesize 32 studies involving athletes who have undergone conservative or operative treatment for their Rockwood grade III …
Developing Rehabilitation Treatment Decision Aid For People Living With Complex Regional Pain Syndrome (Crps), Erfan Shafiee
Developing Rehabilitation Treatment Decision Aid For People Living With Complex Regional Pain Syndrome (Crps), Erfan Shafiee
Electronic Thesis and Dissertation Repository
This Ph.D. dissertation aimed to develop a treatment decision aid for people with Complex Regional Pain Syndrome (CRPS) using the Ottawa Decision Support Framework (ODSF). The decision aid was developed throughout a two-phase process.
The first phase involved understanding the existing evidence and the factors influencing decision-making in CRPS rehabilitation: priorities and preferences of patients and therapists were considered. This phase encompassed the integration of diverse sources of evidence, including systematic reviews, overview of systematic reviews, critical appraisal of guidelines, and a survey exploring patients' and therapists' priorities and preferences for CRPS rehabilitation interventions. All forms of evidence were used …
A Community Dweller’S Perspective Of A Day Shoulder Arthroplasty Surgery., Bansari D. Patel Ms.
A Community Dweller’S Perspective Of A Day Shoulder Arthroplasty Surgery., Bansari D. Patel Ms.
Electronic Thesis and Dissertation Repository
The following study was a qualitative interpretive descriptive study aimed at investigating immediate barriers or difficulties in the lives of the community dwellers as well as modifications occurring in the daily routine activities shortly after the out-patient total shoulder arthroplasty procedure. The personal and surgical factors affecting at-home recovery were focussed alongside exploring the coping mechanisms and adaptations in everyday day life. The study mainly focused on the initial three weeks' duration after the discharge. The study followed the constructivist paradigm, adopting the interpretive description methodology. A total of 19 subjects who underwent same/ single day discharge total shoulder arthroplasty …
Chronic Lower Back Pain Among Women In India: Evidence-Based Approach To Risk Factors And Interventions, Aelita Matosova
Chronic Lower Back Pain Among Women In India: Evidence-Based Approach To Risk Factors And Interventions, Aelita Matosova
Master's Projects and Capstones
Chronic lower back pain (CLBP) is a prevalent issue worldwide, affecting about 1.71 billion people, with a significant proportion being women. CLBP is a major health concern in India, particularly among women, which were 80% reported experiencing this condition. Several factors, such as personal beliefs, sociocultural norms, restricted healthcare access, repetitive movements, and psychological aspects, contribute to this high prevalence leading to severe health and economic implications, including reduced work productivity and income. Although there have been several reports on prevalence and risk factors of CLBP, to our knowledge, there has not been enough work focusing on evidence-based interventions to …
Exploring The Relationship Between Hemispheric Prefrontal Cortex Activation, Standing Balance, And Fatigue In Individuals Post-Stroke: A Fnirs Study, Sarthak Kohli
Electronic Thesis and Dissertation Repository
Balance impairments are common after stroke. Reasons for this are multifactorial and include motor dysfunction and fatigue. Limited research has explored the combined effects of post-stroke fatigue and balance on brain activation patterns. Research has shown that prefrontal cortex (PFC) activation may be involved in both motor control and fatigue throughout the recovery process post-stroke. The aim of this thesis was to determine whether: (1) PFC activation levels change between standing balance tasks, (2) PFC hemispheric activation is asymmetric during standing balance tasks, and (3) fatigue levels are associated with task-based activation. Patients with hemiparesis were recruited from the inpatient …
Reducing Falls And Fall-Related Hospital Transfers In Geriatric Assisted Living Residents, Laurissa Ash
Reducing Falls And Fall-Related Hospital Transfers In Geriatric Assisted Living Residents, Laurissa Ash
Nursing (graduate) Student Scholarship
Background: Falls among older adults are frequent, rendering significant costs to both the individual and the healthcare system, and are preventable. In 2021, fall-related deaths in adults over the age of 65 were calculated at a rate of 78.0 per 100,000 people, and nonfatal falls were reported at 28% of all older adults (Centers for Disease Control and Prevention [CDC], 2023). In Pennsylvania, approximately 27.9% of older adults fell in 2020 (CDC, 2023). A multifactorial approach to reducing falls can be achieved through the implementation of fall risk screening tools and intervention bundles (Beato et al., 2019; Burland et al., …
Effects Of Static Versus Dynamic Cupping On Ankle Dorsiflexion, Alexandria N. Schaub
Effects Of Static Versus Dynamic Cupping On Ankle Dorsiflexion, Alexandria N. Schaub
All NMU Master's Theses
PURPOSE: Cupping therapy involves lifting and separating fascial tissue to facilitate stretching and promote blood flow. Although cupping is a common treatment modality for pain, studies are inconsistent in regards to whether cupping improves other outcomes, like range of motion. Possessing a limited range of motion can lead to musculoskeletal injury. The aim of this research is to determine the acute effect of different methods of cupping therapy on ankle dorsiflexion. METHODS: A total of 35 healthy adults (age: 22.1±4.52 years) with an average ankle ROM of 34.68±4.22° at baseline were included in the study. Participants were randomly …
Reaction Time Under Limited Vision With Cognitive Challenge In Individuals With Anterior Cruciate Ligament Reconstruction, Hsuan Bonny Lu
Reaction Time Under Limited Vision With Cognitive Challenge In Individuals With Anterior Cruciate Ligament Reconstruction, Hsuan Bonny Lu
All Graduate Plan B and other Reports, Spring 1920 to Spring 2023
The anterior cruciate ligament (ACL) rupture is a common sports injury. ACL reconstruction (ACLR) is a necessary treatment for individuals to return to competitive sports. However, a high rate of secondary injury occurs when individuals return to sport. Past research has shown that ACLR impairs physical performance, including reduction of force generate against the floor under the injured leg, changes in the gait pattern, and a loss of knee stability. While structural changes following ACL injury can leave the knee joint less stable, neurophysiological changes following ACL injury represent one potentially important mechanism underlying the performance deficits. Healthy individuals rely …
Systemic, Institutional, And Teaching Factors In The Delivery Of Interprofessional Education Curriculum In Canada, Mohammad B. Azzam
Systemic, Institutional, And Teaching Factors In The Delivery Of Interprofessional Education Curriculum In Canada, Mohammad B. Azzam
Electronic Thesis and Dissertation Repository
The Canadian federal and several provincial governments are currently collaborating to establish ‘team-based’ primary healthcare—or interprofessional collaborative practice (IPCP), which can be effectively accomplished when interprofessional education (IPE) is sustainably delivered by health and social care (HASC) professional education programs. Indeed, achieving the intended patient/client-oriented outcomes of IPE and subsequent IPCP requires deliberate and purposeful considerations of several systemic, institutional, and teaching factors. Regrettably, the analyses of the extent to which these factors have influenced effective IPCP is currently under-researched. In this integrated-article dissertation, we took a purposeful and systematic approach to explore the extent to which these multi-tiered factors …
Allied Health Faculty Members’ Perspective On Interprofessional Collaborative Practice: A Hermeneutic Phenomenological Study, Prajakta Khare-Ranade, Margaret Newsham Beckley, Mary Geders Falcetti
Allied Health Faculty Members’ Perspective On Interprofessional Collaborative Practice: A Hermeneutic Phenomenological Study, Prajakta Khare-Ranade, Margaret Newsham Beckley, Mary Geders Falcetti
Dissertations
A framework for interprofessional collaborative practice (IPCP) was developed by the World Health Organization (WHO) (WHO, 2010) in response to the need to address the complicated conditions that exist in today’s health systems. Much of the focus of today’s health service delivery is predicated on the social determinants of health (Barzansky et al., 2019), which refer to the environmental conditions associated with where people are born, live, go to school, work, play, age, and worship that have an impact on health, function, quality of life, and risks (Healthy People 2030, n.d.). IPCP is thought to be the only approach effective …
Implementation Of A Vestibular Disorder Screening Tool In An Urgent Care, Kathleen A. Probst
Implementation Of A Vestibular Disorder Screening Tool In An Urgent Care, Kathleen A. Probst
Dissertations
Implementation of a Vestibular Disorder Screening Tool in an Urgent Care
Kathleen A. Probst
M.S.N., University of Missouri-Columbia, 2007
B.S.N., University of Missouri-Columbia, 2004
A Dissertation Submitted to The Graduate School at the University of Missouri-St. Louis in partial fulfillment of the requirements for the degree
Doctor of Nursing Practice
August 2023
Advisory Committee
Susan Dean-Baar, PhD, RN, CENP, FAAN
Chairperson
Jennifer Vines, DNP, MSN, RN
Troy Dinkel, MD
Copyright, Kathleen A. Probst, 2023
Abstract
Problem: Vestibular disorders disrupt everyday living and can cause reduced quality of life. Guidelines developed to screen for vestibular disorders are not efficient to use …
Pelvic Health Through The Lens Of Occupational Therapy, Nupinder Kaur
Pelvic Health Through The Lens Of Occupational Therapy, Nupinder Kaur
Occupational Therapy Student Capstones
No abstract provided.
Implementation Of A Nurse-Driven Early Mobility Protocol In Critical Care To Reduce Intensive Care Unit Acquired Weakness (Icuaw), Wendy Key
Doctor of Nursing Practice Projects
Background: Intensive care unit acquired muscle weakness (ICUAW) is a syndrome of general weakness that occurs while a patient has a critical illness. Almost half of all ICU patients develop ICUAW. The most common occurrence of ICUAW is seen in patients diagnosed with prolonged mechanical ventilation, severe sepsis, or difficulty weaning from mechanical ventilation (MV). Bedrest is the number one risk factor for the development of ICUAW and the elderly are at higher risk. The best treatment for ICUAW is early mobility which has shown positive effects for decreasing ventilator days and intensive care unit (ICU) length of stay (LOS). …