Medicine and Health Sciences Commons^™

African Americans Beliefs Regarding Skin Cancer And Prevention, Tamara Wesley

Walden Dissertations and Doctoral Studies

Skin cancer is becoming more prevalent in African Americans. African Americans' mortality rate is significantly higher than any other race due to lack of awareness. The purpose of this qualitative study, guided by Rosenstock's health belief model, was to gain an understanding of African Americans' beliefs and perceptions regarding skin cancer. Ten telephone interviews were conducted with African Americans who were 18 years old or older, no history of cancer, and who were members of a church in a rural town in the southeastern United States. The interview transcripts were manually transcribed verbatim. The data were analyzed by using codes …

Socioeconomic Status, Benzathine Penicillin Prophylaxis, And Clinical Outcomes In Patients With Rheumatic Heart Disease, Christopher Sabo Yilgwan

Walden Dissertations and Doctoral Studies

Rheumatic heart disease (RHD) is the major cause of acquired heart disease and death for children and young adults in developing countries. Poverty and social disadvantage are thought to influence the clinical outcomes in RHD patients. Guided by the health lifestyle theory, this study assessed the relationship between socioeconomic status and clinical outcomes (heart failure events and mortality) in patients with RHD. It also examined how adherence to penicillin prophylaxis mediates the effect of socioeconomic status (SES) on clinical outcomes. Using the Nigerian database of the REMEDY study, this study was conducted with 243 participants using Poisson regression and logistic …

Effects Of Full Practice Authority On Chronic Disease Outcomes And Costs, Nichole Marie Alegria

Walden Dissertations and Doctoral Studies

Rising medical costs and increasing shortage of qualified primary care providers has left hundreds of thousands of Texans with limited or no access to primary care services. One way to bridge the gap is to use advanced practice registered nurses who function as nurse practitioners (NPs). Current evidence indicates that by expanding the scope of practice (SOP) of NPs, access to care and patient outcomes improve. The aim of this DNP project was to analyze the current health care policy and examine the relationship and impact SOP has on patient outcomes and health care costs associated with hypertension and diabetes. …

A Comparative Analysis Of Job Satisfaction, Burnout, And Intent To Leave Among Nurses, Randall Lee Mcelreath

Walden Dissertations and Doctoral Studies

There is a significant shortage of qualified registered nurses in the United States which, in part, is due to a lack of job satisfaction and burnout with an intent to leave nursing, especially among nurses who work in specialty areas such as intensive care. There is limited research as to how job satisfaction and burnout contribute to intent to leave among the specialty areas of nursing working at the bedside in an acute care environment. The purpose, guided by the modeling and role modeling theory, was to determine the relationship that exists between burnout, job satisfaction, and intent to leave …

Information Security Ambassadors’ Perceptions Of Peer-Led Motivation In Phishing Detection, Kingkane Malmquist

Walden Dissertations and Doctoral Studies

Phishing rates are increasing yearly and continue to compromise data integrity. The need to guard business information is vital for organizations to meet their business objectives and legal obligations. The purpose of this phenomenological study was to explore security ambassadors’ perceptions of motivating their peers to adopt safe internet behaviors in a large medical campus in Minnesota. Hackman and Oldham’s job characteristic motivation theory was used to frame the study. Data were collected from semistructured interviews with 20 security ambassadors. Data coding and analysis yielded 7 themes: rewarding, value, personal interest, limited information security knowledge, increased interest, communication, and topics …

Breast Cancer Knowledge, Attitude, And Screening Practices Among Hispanic/Latino Women, Harrindra Seepersaud

Walden Dissertations and Doctoral Studies

Nearly 1 out of every 8 women will develop breast cancer during her lifetime, making breast cancer the most common noncutaneous malignancy in women, particularly among the Hispanic/Latino population. Hispanic/Latino women are more likely than non-Hispanic/Latino women to be diagnosed with breast cancer after the disease has progressed to a fatal stage. This quantitative study measured how knowledge, attitude, and screening practices affect the prevalence and outcomes of breast cancer cases among Hispanic/Latino women while controlling for socioeconomic status factors, using social cognitive theory as a framework. This research uses secondary data analysis of a cross-sectional survey study, the 2014 …

Empathy In Clinical Practice: A Qualitative Study Of Early Medical Practitioners And Educators, Sonia Ijaz Haider, Qamar Riaz, Roger Christopher Gill

Department for Educational Development

Objective: To explore the reasons for decline in empathy among physicians and to identify strategiesfor fostering empathetic clinical practice.
Methods: The qualitative study was conducted at the Aga Khan University Hospital, Karachi, from February to June 2017, and comprised focus group discussions involving separate sessions with medical students, residents and clinical teachers. Content analysis was used to analyse the verbatim transcripts for identification of codes which led to derivation of themes from the data. Consolidated criteria for reporting qualitative research was used to assess the quality of the study.
Results: Of the 109 subjects, 57(52.3%) were medical students, 30(27.5%) residents …

03-02-2020 Hsc Committee Meeting Minutes, Hsc Committee

HSC Committee (A subcommittee of the UNM Board of Regents)

No abstract provided.

Effectiveness Of A Faculty Mentor Development Program For Scholarship At An Academic Health Center, Akshay Sood, Clifford Qualls, Beth Tigges, Bronwyn Wilson, Deborah Helitzer

Clinical and Translational Science Center Scholarly Output

Introduction:

Mentors are in short supply at academic health centers (AHCs). The effectiveness of training mentors (without preselection for their research skills) to support faculty mentees in scholarly activities at AHCs is not well known.

Methods:

The University of New Mexico Health Sciences Center has a two-component program to develop effective mentors for scholarship for faculty mentees. It has an online component supplemented by an optional face-to-face (F2F) component. Study outcomes included changes in self-reported knowledge scores for online users and Mentoring Competency Assessment scores for F2F users.

Results:

One hundred five mentors, mostly women associate professors, used the online …

Deep Learning For Improved Risk Prediction In Surgical Outcomes, Ali Jalali, Hannah Lonsdale, Nhue Do, Jacquelin Peck, Monesha Gupta, Shelby Kutty, Sharon R Ghazarian, Jeffrey P. Jacobs, Mohamed Rehman, Luis M. Ahumada

Journal Articles: Pediatrics

The Norwood surgical procedure restores functional systemic circulation in neonatal patients with single ventricle congenital heart defects, but this complex procedure carries a high mortality rate. In this study we address the need to provide an accurate patient specific risk prediction for one-year postoperative mortality or cardiac transplantation and prolonged length of hospital stay with the purpose of assisting clinicians and patients' families in the preoperative decision making process. Currently available risk prediction models either do not provide patient specific risk factors or only predict in-hospital mortality rates. We apply machine learning models to predict and calculate individual patient risk …

Human Skills Assessment As A Support To Human Factor Management, Lorenzo Comberti, Micaela Demichela, Maria Chiara Leva

Conference papers

Automatization, robotics and Industry 4.0 are deeply modifying the working condition with an expected reduction of the number of workers employed in traditional job and an increasing request of new professions. Despite these technologies could limit the involvement of workers, in some sectors humans are still widely employed, as in assembly line of manufacturing companies. As a consequence of this, the Human Factor (HF) will still have relevant influence in term efficiency, quality and safety performances.

This paper approached the HF analysis into the manufacturing field in an assembly line. This study was focused on the analysis of those human-skills …

Espad 2019 Ireland: Results From The European Schools Project On Alcohol And Other Drugs In Ireland, Salome Sunday, Sheila Keogan, Joan Hanafin, Luke Clancy

Books / book chapters

The ESPAD Ireland 2019 Report is the seventh Irish data-collection wave of the European Schools Project for Alcohol and Other Drugs (ESPAD) carried out in Ireland.Data included in the sample reported here and submitted to ESPAD Europe consists of survey results from 1967 students born in 2003, who were 15-16 years old at the time of the survey which was performed in a sample of Irish schools from March to June 2019. These serial data sets enable us to monitor trends in alcohol, tobacco, gaming, internet usage as well as a number of other behaviors including illicit drug usage such …

Does Providing Pill Testing At Festivals Increase Intention To Use Ecstasy?, Sherri Lee Murphy

Theses : Honours

Calls to provide sanctioned pill testing (drug checking) at music festivals has met with resistance from most Australian governments due to a concern that such services would increase use of ecstasy and other drugs. To address an important gap in current knowledge, I investigated how a pill testing service might influence intention to use ecstasy. I also drew from the Theory of Planned Behaviour to examine what determinants of behaviour predict intention to use a pill testing service. Music festival attendees (N = 247) were presented with three hypothetical pill testing scenarios: The current legal circumstance where consumers only …

The Impact Of Singing On Pulmonary Function And Quality Of Life In Patients With Muscular Dystrophy, Mia Simonette

Theses : Honours

Muscular dystrophy is a congenital disorder that results in progressive deterioration of muscle strength and function. The genetic disorder is caused by the absence of dystrophin protein which helps to keep muscle cells together, the absence of this protein causes muscles to become weak and fragile. Despite impairment of motor function and muscle strength, a major issue is the progressive impact on the respiratory muscles. Weak pulmonary function can lead to secondary issues such as atelectasis, decreased lung compliance, repeated infections, ineffective cough and ventilation-perfusion during sleep1. Respiratory failure is said to be the most common cause of death in …

Native Health Database: Reflection, Opportunities, And Next Steps, Jonathan Pringle

Native Health Database project records

Presentation about the Native Health Database.

Weight Changes Post-Phentermine Use, Cassandra S. Towns, Roschelle A. Heuberger, Jack Logomarsino, Arturo Olivera Jr.

Internet Journal of Allied Health Sciences and Practice

Purpose: Evaluate weight maintenance in subjects who lost weight while taking phentermine (PTM). Methods: This study was conducted by utilizing a validated survey to collect self-reported data about weight changes post-PTM use. The survey was sent to 19,986 email addresses of current and former patients of a PTM-based outpatient clinic, located in Chicago, IL; 546 participants completed the survey. Results were analyzed using a variety of techniques. Results: At the time of the survey, 42% of responders maintained all the weight lost while on PTM, and 25.2% had maintained a weight loss of at least 10% of their body weight. …

The Relationship Between Physician Assistant School Admissions Exam (Pa-Cat) And Undergraduate Performance Measured By Science Gpa And Cumulative Gpa", Scott Massey, Johnna Yealy, Rajat Chadha, David Beck

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: Physician Assistant (PA) programs often set minimum GPA and graduate record examination (GRE) requirements for admission, citing that candidates with higher admission scores will perform better in the PA program. However, to date, there are limited published studies with inconsistent results that have investigated the validity of using these preadmission characteristics to predict performance in PA programs or on the Physician Assistant National Certifying Exam (PANCE). The development of a physician assistant college admission test (PA-CAT) that has predictive validity to determine PANCE success would give PA admissions committees an additional resource to make decisions. This study …

The Effect Of Extraversion On Practical Examination Scores In Students Of Physical Therapy, Scott Richardson, Zachary Zemanek, Travis Downen, Chantsen Rich, Nate Weltzin

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine whether a physical therapy student’s level of extraversion positively correlates to practical exam scores. Methods: Participants were a convenience sample recruited from the classes of 2018 and 2019 in the Doctor of Physical Therapy program at Franklin Pierce University in Goodyear, Arizona. Subjects completed the Goldberg’s Big-Five Factor Marker questionnaire as a measure of introversion/extraversion. These scores were compared with participants’ practical exam scores using a Spearman Rho statistical test with data analysis completed using SPSS software. Results: 60 participants (31 males, 29 females) with mean extraversion score (32.97+/-7.90, p=.27) and …

The Utility And Value Of The Physiotherapy Eskills Training Online Resource During Work-Integrated Learning: A Mixed Methods Study., Elisabeth Preston, Cathy Chapple, Elizabeth Mayland, Louise Ada, Leigh Hale

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: The purpose of this study was to determine the use and value of the Physiotherapy eSkills Training Online resource during work-integrated learning in naïve physiotherapy students. Method: A mixed methods study design was used. Participants: Forty-four final year physiotherapy students participating in neurological work-integrated learning units of study participated in this study. Intervention: Students had access to the Physiotherapy eSkills Training Online resource during their 6-week neurological work-integrated learning unit of study, which includes video footage and written information about 25 practical skills related to the physiotherapy management of stroke. Outcome Measures: Use of the …

Plyometric Training For Young Male Field Hockey Players, Vijaya Krishnan, Twincy Rajawadha

Internet Journal of Allied Health Sciences and Practice

Background: Field hockey is a team sport requiring a combination of skill set to enhance a player’s performance. Power, Fitness and Agility are few such basic parameters. Newer training protocols are constantly explored to achieve the desired effect and plyometrics is one such method. It is also important to know how long lasting the effects of training are. Methodology: Fifty (50) male field hockey players at interschool and zonal level participated in the study. These sports specific parameters - lower limb power, fitness level and agility - were tested using the vertical jump test, 40-metre sprint test, and shuttle cross …

Effects Of Resistance Training On Smoking Abstinence Self-Efficacy In Sedentary Smokers, Scott Richardson, Brent Alvar, Daniel Dodd, Uma Nair, Ryan Seltzer

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Introduction: Cigarette smoking is prevalent with 40 million Americans smoking and one in five deaths attributed to this behavior. Aims: This study examined effects of a resistance training (RT) program on smoking abstinence self-efficacy. Methods: Forty (40) participants were randomized into intervention or control groups. Smoking abstinence self-efficacy, withdrawal symptoms, and smoking behavior were measured. Results/Findings: RT group presented with statistically significant greater increases in self-efficacy compared to control. RT group participants also presented with non-significantly greater decreases in smoking behavior and withdrawal symptoms compared to control. Conclusions: This study demonstrates effectiveness of …

What Is The Evidence For The Effectiveness Of Scapulothoracic Strengthening Exercises In Individuals With Neck Pain: A Systematic Review, Anna-Maria Zacharakis, Lauren Mia Zanelli, Holly Rose Watkins, Lea Victoria O'Brien, Evan James Wolfendale, George Harry White, Matt Ransom

Internet Journal of Allied Health Sciences and Practice

Neck pain is a highly prevalent issue, ranked as the fourth greatest issue worldwide in terms of overall disease burden, and consequently, places a substantial impact upon the healthcare system. Scapulothoracic exercises appear as a promising avenue for the treatment of neck pain amongst the various treatment options currently available. However, there is uncertainty surrounding the effectiveness and clinical application of this approach. Purpose: The aim of this review was to establish the evidence surrounding the clinical application and effectiveness of scapulothoracic strengthening exercises to reduce neck pain. Methods: A systematic search of four electronic databases, including Ovid Medline, Scopus, …

A Pilot Study Exploring The Impact Of Interprofessional Simulation On Role Clarity And Student Readiness For Collaborative Clinical Practice, Shira Schecter Weiner, Laura Hagan, Julie F. Kardachi

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional collaboration is recognized as a healthcare practice paradigm that may decrease overall costs and minimize errors. Yet it remains common for practitioners to provide care within silos, inadequately considering the impact of their decisions on other providers and overall costs, which ultimately may negatively impact the patient. Integrating interprofessional collaboration in school curricula can establish the importance of this approach to healthcare. For optimal efficacy, every professional in the healthcare team must recognize their unique role and the roles of others, to allow for seamless interprofessional collaboration. Simulation is a teaching tool that provides students with the opportunity …

What Is The Responsiveness And Quality Of Life “Utility” For Promis Outcomes In Foot And Ankle Patients Following Physical Therapy?, Christopher G. Neville, Judith F. Baumhauer, Jeff Houck

Faculty Publications - College of Physical Therapy

Introduction/Purpose: Patients with foot and ankle conditions have been shown to demonstrate improvement in their generic outcomes using the Patient Reported Outcome Measurement Information System (PROMIS). However, the responsiveness to change and the impact change may have on quality of life has not been explored following non-operative care with physical therapy. The effect size (ES) is an assessment of the magnitude of change while the impact of change in physical function can be assed with quality of life utility scores. Therefore, the purpose of this analysis was to investigate the responsiveness of the PROMIS physical function (PF) scale on changes …

Overall Health And The Influence Of Physical Therapy On Physical Function Following Total Ankle Arthroplasty, Frank E. Diliberto, Daniel H. Aslan, Jeff R. Houck, Bryant S. Ho, Anand M. Vora, Steven L. Haddad

Faculty Publications - College of Physical Therapy

Background: The overall health and the importance of physical therapy for people following total ankle arthroplasty (TAA) have been understudied. Our purpose was to characterize the overall health of patients following TAA, and explore the frequency, influence, and patient-perceived value of physical therapy.

Methods: People who received a TAA participated in this retrospective cohort online survey study. The survey included medical history questions and items from the Patient-Reported Outcomes Measurement Information System (PROMIS) Short Forms. Seven PROMIS domains, reflecting the biopsychosocial model of care (physical, mental, social), were included to examine participant overall health status in comparison to the general …

Do Patients Judge Success Of Treatment And Patient Acceptable Symptom State Based On Current Self-Reported Health Status?, Ryan Jacobson, Daniel Kang, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: Value-based care models call for better interpretation of patient-reported outcomes. Patients may reference health status differently when appraising if an intervention was successful versus if their current state is acceptable. The purpose of this study was to determine the association between success of treatment (SOT), patient acceptable symptom state (PASS), and PROMIS measure T-scores, following a single primary care physical therapy encounter.

Methods: Cross-sectional study. Ninety-two patients with musculoskeletal complaints were administered standard SOT and PASS questions, and PROMIS Physical Function, Pain Interference, and Self-Efficacy for Managing Symptoms measures. Association of PASS and SOT was determined using rank biserial …

Can Patient-Reported Outcomes Measurement Information System® (Promis) Measures Accurately Enhance Understanding Of Acceptable Symptoms And Functioning In Primary Care?, Ryan Jacobson, Daniel Kang, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: Value-based healthcare models will require prioritization of the patient’s voice in their own care toward better outcomes. The Patient-Reported Outcomes Measurement Information System® (PROMIS) gives patients a voice and leads providers to actionable treatments across a broad range of diagnoses. However, better interpretation of PROMIS measures is needed. The purpose of this study was to evaluate the accuracy of PROMIS Physical Function (PF), Self-Efficacy for Managing Symptoms (SE), Pain Interference (PI), Fatigue, and Depression measures to discriminate patient acceptable symptom state (PASS) in primary care, determining if that accuracy is stable over time and/or retained when PROMIS score thresholds …

Preseason Y Balance Test Scores Are Not Associated With A Lower Quadrant Sports Injury In A Heterogeneous Population Of Division Iii Collegiate Athletes, Jason Brumitt, Jill A. Sikkema, Saiko Mair, Cj Zita, Victor Wilson, Jordan Peterson

Faculty Publications - College of Physical Therapy

Functional performance tests, such as the Y Balance Test-Lower Quarter (YBT-LQ), hold promise as screening tools to identify athletes at risk for injury. The ability of the YBT-LQ to discriminate injury risk in Division III collegiate athletes is unknown. The purpose of this study was to determine if preseason YBT-LQ scores are associated with noncontact time-loss lower-quadrant (low back or lower extremities) injury in a heterogeneous population of Division III collegiate athletes. Two hundred and fourteen athletes (females = 104) performed the YBT-LQ test. Preseason YBT-LQ scores, analyzed by the total population, were not associated with noncontact time-loss lower-quadrant injury. …

Impact Of Extended Interval Inr Testing During The Covid-19 Pandemic, Jordan Holder Pharmd, Maryam Noureldin Pharmd, Bcps,Bcacp, Priya Verma Pharmd

Parkview Pharmacy Department

2020 ASHP Midyear Clinical Meeting

Objective: To determine if extended INR interval monitoring during the COVID-19 pandemic would significantly impact TTR or be associated with emergency department (ED) visits and hospitalizations with bleeding or clotting events.

An Evaluation Of Vancomycin Use In Patients With Urosepsis, Curtis Stump Pharmd, Shahinda Mohmed, Dustin D Linn Pharmd, Rph, Bcccp

Parkview Pharmacy Department

Poster Presentation

Background and Objective:

Urosepsis is an infection that originates from the urinary tract and accounts for 9% of all sepsis cases. 1 Pathogens commonly associated with urosepsis include E. coli, Proteus spp., Enterobacter spp., Klebsiella spp., and P. aeruginosa, and gram-positive bacteria (5% of cases). Sepsis treatment guidelines do not provide specific recommendations for the management of urosepsis; however, they state to utilize anti-MRSA agents, such as vancomycin, when risk factors for MRSA exist. 2 The prevalence of urosepsis caused by gram-positive organisms has been reported at low rates. The objective of this study is to evaluate how …