Equipment and Supplies Commons^™

Modeling The Adoption Of Identification Standards Within The Healthcare Supply Chain, Angelica Burbano

Graduate Theses and Dissertations

The adoption of identification standards and its associated technology in the healthcare supply chain has been slow over the past twenty five years, despite the evidence of the benefits that can be achieved. The widespread use of identification standards in the form of barcode labeled medical products can contribute to the reduction of point of care errors and can increase the efficiency of healthcare supply chain related processes. This research is focused on the analysis of the adoption of identification standards in the healthcare supply chain with a particular focus on the healthcare provider adoption challenges. The research is divided …

Sensitive Fluorescence Detection Using A Camera From The Gaming Industry, Brian L. Van Hoozen Jr.

Lawrence University Honors Projects

The detection limit for fluorescence imaging has been improved by more than two orders of magnitude by a modulation technique that minimizes the influence of noise. Since most noise sources have a 1/f dependence, higher modulation frequencies result in less noise in the detected signal. Typical cameras used for imaging have frame rates of 50 or 100 hertz which is too low for substantial noise reduction. However, new time-of-flight cameras developed for the gaming industry have modulation frequencies of up to 20 MHz, allowing for a substantial reduction in noise in the detected signal. In this study, the improved detection …

Digital And Clinical Refractometers Are Valid Instruments For The Measure Of Hydration Status, A. J. Niemann, S. W. Yeargin, L. E. Eberman, H. M. Mata, H. A. Adams, D. J. Dziedzicki

Symposium 2012

Although some instruments have been validated for clinical measure of hydration status, new and currently invalid instruments are available for purchase and clinical use. Athletic trainers commonly use these instruments to assess hydration status for weight checks and body mass loss charts due to their ease of use. However, the validity of these popular instruments has not yet been established.

A Modular Framework For Home Healthcare Monitoring, Blake Puryear

Computer Science and Computer Engineering Undergraduate Honors Theses

Many patients with chronic health problems have multiple ailments but different patients may have different such ailments. Home monitoring systems for individual ailments exist but a patient may have multiple of these, all designed independently. There are no standard architectures so this leads to unmanageable diversity which causes problems for patients in having to learn to use a variety of monitors and for physicians in trying to monitor many patients. The purpose of this project was to design and prototype a next generation modular remote healthcare monitoring system capable of monitoring multiple ailments and extensible to new ailments in order …

Kinesio Taping On Short-Term Changes In Shoulder Strength In Healthy Adults: A Randomized Clinical Trial, Dario A. Callegari, Cristobal E. Cordova, Julia R. Dunievitz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Study Type: A Randomized Clinical Trial

Introduction:

Kinesio tape is an elastic tape used in various settings and it is purported to assist in strengthening weakened muscles. The mechanism behind this claim is neuromuscular facilitation. The purpose of this study was to determine if the claims of Kinesio tape would be supported in its role in strength enhancing properties.

Methods:

Twenty-nine healthy, untrained male and female college-aged individuals participated in this study. Two baseline measurements assessing shoulder external rotation (ER) strength were collected using isokinetic dynamometry. Subjects were then randomized into two groups, Kinesio tape with ER strengthening (KT-Ex) and …

Ventilator Associated Pneumonia Prevention In The Traumatically Injured Patient: Beyond The Bundle!, Cindy Umbrell Msn,Rn,Cns,Ccrn, Kenneth Miller Med, Rrt-Nps

Patient Care Services / Nursing

No abstract provided.

Design And Experimental Validation Of Continuous Dna Separation Using Itp-Based Microfluidic Device, Nora C. M. Goscinski, Mary E. Rosa, Elizabeth K. Wheeler, Maxim Shusteff

Chemistry and Biochemistry

We have demonstrated a chip-based microfluidic device suitable for rapid and high-throughput DNA separation and purification for downstream analysis. The glass-based device incorporates a transverse free-flow isotachophoresis (tFF-ITP) that overcomes the volume limitations of CE approaches, and allows continuous sample processing in contrast to batch-mode solid-phase extraction (SPE). The device is able to focus DNA at flow rates up to 100 uL/min, and sample conductivity up to 2 mS/cm. Downstream of the chip, 30-40% of DNA from the input sample is recovered as a result of ITP focusing, and preliminary results indicate that this design is able to purify DNA …

Effects Of Arterial Strain And Stress In The Prediction Of Restenosis Risk: Computer Modeling Of Stent Trials, Shijia Zhao, Linxia Gu, Stacey R. Froemming

Department of Mechanical and Materials Engineering: Faculty Publications

Purpose — In-stenting restenosis is one of the major complications after stenting. Clinical trials of various stent designs have reported different restenosis rates. However, quantitative correlation between stent features and restenosis statistics is scant. In this work, it is hypothesized that stress concentrations on arterial wall caused artery injury, which initiates restenosis. The goal is to assess the correlation between stent-induced arterial stress and strain and the documented restenosis rates.

Methods — Six commercially available stents, including balloon-expandable stents and self-expanding stents, were virtually implanted into the arteries through finite element method. The resulted peak Von Mises stress, principal stress, …

The Utilization Of A Sub-Glottic Endotracheal Tube To Reduce Ventilator Associated Pneumonia Rate, Kenneth Miller Med, Rrt-Nps, Robert Leshko Bs,Rrt, Angela Lutz Bs, Rrt-Nps, Linda Cornman Bs, Rrt-Nps

Patient Care Services / Nursing

No abstract provided.

Applying Inventory Control Practices Within The Sisters Of Mercy Health Care Supply Chain, Server Apras

Graduate Theses and Dissertations

This research lays a foundation for the better understanding of the application and acceptance of more advanced inventory control practices within the health care supply chain. The demand characteristics and optimal control policies for pharmaceutical items within a multi-echelon provider network are examined within the framework of a case study. Demand forecasting algorithms were applied to forecast demand for inventory control procedures. A spreadsheet-based inventory planning tool was used to minimize the inventory holding and ordering costs subject to fill rate constraints. The costs of inventory control models are compared to the current ordering and inventory control strategies to document …

Investigation Of Emergency Medical Technicians Practice And Beliefs Regarding The Recognition And Treatment Of Exertional Heat Stroke, Kristin Applegate

Master's Theses

Context: Current Evidence Based Practice (EBP) supports the use of rectal thermometry (T_re) for an accurate diagnosis and cold water-immersion (CWI) for the treatment of Exertional Heat Stroke (EHS) for an optimal outcome. Emergency Medical Services (EMS) play a critical role for the diagnosis and treatment of EHS as they may be the first to arrive on scene, however there is limited data regarding their implementation of EBP.  Objective: Investigate current practice regarding EHS by EMS professionals and explore the relationship that exists between EMS and Athletic Trainers (ATs).  Design: A basic qualitative design using in-person focus groups. …

Use Of A Spine Robot Employing A Real Time Force Control Algorithm To Develop, Simulate, And Compare Spinal Biomechanical Testing Protocols: Eccentric Loading, Pure Moment, And A Novel Head Weight Protocol, Daniel Mark Wido

Theses and Dissertations (ETD)

In vitro testing provides a critical tool for understanding the biomechanics of the subaxial cervical spine. Previous common testing protocols used to evaluate the subaxial cervical spine include Pure Moment (PM), follower load, and eccentric lever arm (EL) loading methods. Although these methods are widely accepted, there is always a goal to try to better simulate physiologic loading conditions. While the follower load attempts to simulate compression due to muscle activation, no previous protocol has taken into account the constant vertical force vector applied to C2 produced by the weight of the human head. Furthermore, we are unaware of previous …

Use Of A Multi-Axis Robotic Testing Platform To Investigate The Sagittal Mechanics Of The Multi-Body Lumbar Spine, Jessica Rose Stubbs

Theses and Dissertations (ETD)

A biomechanical study was performed to compare range of motion of the multi-body lumbar spine using three different protocols: pure moment, eccentric loading, and a new method called combined loading moment. The objectives of the study were to introduce a new protocol that overcomes the limitations of previous methods by applying more realistic loading conditions and to compare the range of motion of this new protocol to those of eccentric loading and pure moment protocols within the same specimen pool. The second objective of this study was to compare the data sets of these three protocols to both in vivo …

Development Of Fetal Movement Between 26 And 36 Weeks’ Gestation In Response To Vibroacoustic Stimulation, Marybeth Grant-Beuttler, Laura M. Glynn, Amy L. Salisbury, Elyssia Poggi Davis, Carol Holliday, Curt A. Sandman

Psychology Faculty Articles and Research

BACKGROUND: Ultrasound observation of fetal movement has documented general trends in motor development and fetal age when motor response to stimulation is observed. Evaluation of fetal movement quality, in addition to specific motor activity, may improve documentation of motor development and highlight specific motor responses to stimulation.

AIM: The aim of this investigation was to assess fetal movement at 26 and 36-weeks gestation during three conditions (baseline, immediate response to vibro-acoustic stimulation (VAS), and post-response).

DESIGN: A prospective, longitudinal design was utilized.

SUBJECTS: Twelve normally developing fetuses, eight females and four males, were examined with continuous ultrasound imaging.

OUTCOME MEASURES: …

Evaluation Of The Quantitative Accuracy Of A Commercially-Available Positron Emission Mammography Scanner, Adam Springer

Dissertations and Theses (Open Access)

Objective: The PEM Flex Solo II (Naviscan, Inc., San Diego, CA) is currently the only commercially-available positron emission mammography (PEM) scanner. This scanner does not apply corrections for count rate effects, attenuation or scatter during image reconstruction, potentially affecting the quantitative accuracy of images. This work measures the overall quantitative accuracy of the PEM Flex system, and determines the contributions of error due to count rate effects, attenuation and scatter.

Materials and Methods: Gelatin phantoms were designed to simulate breasts of different sizes (4 – 12 cm thick) with varying uniform background activity concentration (0.007 – 0.5 μCi/cc), cysts and …

Development And Application Of Computational Tools For The Study And Optimization Of Variable Resolution X-Ray (Vrx) Computed Tomography Scanners, David Alejandro Rendon

Theses and Dissertations (ETD)

The overall goal of this project was to develop and apply important computerized aids for the design and implementation of Variable Resolution X-ray (VRX) CT scanners developed at the University of Tennessee, Memphis. VRX scanners take advantage of the “projective compression” principle that allows the same device to image objects of very different sizes with the same level of detail by adjusting the field of view and the reconstruction resolution.

The first part of this project aimed to develop a set of computational tools specifically tailored for the design, implementation and study of VRX scanners. This included creating a reconstruction …

Chronic Inflammatory Responses To Microgel-Based Implant Coatings, Amanda W. Bridges, Rachel E. Whitmire, Neetu Singh, Kellie L. Templeman, Julia E. Babensee, L. Andrew Lyon, Andrés J. García

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Inflammatory responses to implanted biomedical devices elicit a foreign body fibrotic reaction that limits device integration and performance in various biomedical applications. We examined chronic inflammatory responses to microgel conformal coatings consisting of thin films of poly(N-isopropylacrylamide) hydrogel microparticles cross-linked with poly(ethylene glycol) diacrylate deposited on poly(ethylene terephthalate) (PET). Unmodified and microgel-coated PET disks were implanted subcutaneously in rats for 4 weeks and explants were analyzed by histology and immunohistochemistry. Microgel coatings reduced chronic inflammation and resulted in a more mature/organized fibrous capsule. Microgel-coated samples exhibited 22% thinner fibrous capsules that contained 40% fewer cells compared to unmodified PET disks. …

Search For The Next "Silver Bullet": A Review Of Literature, V. A. Black, G. Njewel

Journal of the Arkansas Academy of Science

We present a review on the application of silver containing compounds that have been incorporated in the surfaces of a large variety of medical devices including vascular, urinary, and peritoneal catheters, endotracheal tubes, sutures, and fracture fixation devices, as well as other materials such as plastics in kitchen appliances and fabrics. We found renewed and rising interest in silver-containing materials due to their antimicrobial, including antiviral and antifungal, properties, their good toxicology and environmental record. Silver-containing compounds could be used against bacterial strains that are known to be resistant to antibiotics. More research is necessary to determine safe levels and …

Biomechanical Comparison Of Lumbar Disc Replacements, Peter Wong

Theses and Dissertations (ETD)

Surgical options for lumbar spinal disorders are rapidly expanding. One seemingly promising area is the lumbar disc replacement. Design specifications vary among the manufacturers based upon differing perceptions of ideal motion. Comparison studies are important in quantifying different features for future improvements but are currently lacking. The objective of this study was to compare the biomechanical properties of three currently available treatments: disc replacement with ProDisc-L, disc replacement with Maverick, and a pedicle screw fixation. It was hypothesized that structural designs differences of ProDisc-L and Maverick could be distinguished in both motion and loading patterns. It was also hypothesized that …

Parameter Optimization For Image Denoising Based On Block Matching And 3d Collaborative Filtering, Ramu Pedada, Emin Kugu, Jiang Li, Zhanfeng Yue, Yuzhong Shen, Josien P.W. Pluim (Ed.), Benoit M. Dawant (Ed.)

Electrical & Computer Engineering Faculty Publications

Clinical MRI images are generally corrupted by random noise during acquisition with blurred subtle structure features. Many denoising methods have been proposed to remove noise from corrupted images at the expense of distorted structure features. Therefore, there is always compromise between removing noise and preserving structure information for denoising methods. For a specific denoising method, it is crucial to tune it so that the best tradeoff can be obtained. In this paper, we define several cost functions to assess the quality of noise removal and that of structure information preserved in the denoised image. Strength Pareto Evolutionary Algorithm 2 (SPEA2) …

Blood Utilization In Children Managed Non-Operatively For Blunt Solid Organ Injury., Scott J. Keckler, Kuojen Tsao, Susan W. Sharp, G W. Holcomb Iii, Daniel J. Ostlie, Shawn D. St Peter

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Blood product utilization is an important issue in health care, given the frequent shortages in hospitals and the societal burden required to maintain the supply. Therefore, we retrospectively audited our blunt spleen/liver trauma experience to determine the percentage of cross-matched blood that was transfused to see whether more stringent typing criteria should be applied.

METHODS: A retrospective analysis of a recent 7-year experience with nonoperative management in patients with blunt spleen or liver injury was performed. Demographics, packed red blood cells prepared by cross-match, and transfusions were measured. Unmatched, O-type blood given in the trauma bay was excluded. Patients …

Adaptive Technology Catalog, Cisr

CISR Studies and Reports

By design, the purpose of this Adaptive Technology Catalog is to provide a resource for governments, survivor-assistance and other agencies to help victims of landmines and other explosive remnants of war (ERW) and other disabled workers get back to self-sufficiency and paid work.

Landmine and ERW injuries have a devastating impact on the economic security of individuals, families and communities. Most often, these circumstances exist in countries that lack the basic social welfare infrastructure that might otherwise keep this at-risk population from poverty.

Designing, developing and identifying simple and inexpensive tools and programs that assist with survivor work reintegration is …

Reduced Acute Inflammatory Responses To Microgel Conformal Coatings, Amanda W. Bridges, Neetu Singh, Kellie L. Burns, Julia E. Babensee, L. Andrew Lyon, Andrés J. García

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Implantation of synthetic materials into the body elicits inflammatory host responses that limit medical device integration and biological performance. This inflammatory cascade involves protein adsorption, leukocyte recruitment and activation, cytokine release, and fibrous encapsulation of the implant. We present a coating strategy based on thin films of poly(N-isopropylacrylamide) hydrogel microparticles (i.e. microgels) cross-linked with poly(ethylene glycol) diacrylate. These particles were grafted onto a clinically relevant polymeric material to generate conformal coatings that significantly reduced in vitro fibrinogen adsorption and primary human monocyte/macrophage adhesion and spreading. These microgel coatings also reduced leukocyte adhesion and expression of pro-inflammatory cytokines (TNF-alpha, IL-1 beta, …

Theoretical And Experimental Evaluation Of Spatial Resolution In A Variable Resolution X-Ray Computed Tomography Scanner, Roman Melnyk

Theses and Dissertations (ETD)

A variable resolution x-ray (VRX) computed tomography (CT) scanner can image objects of various sizes with greatly improved spatial resolution. The scanner employs an angulated discrete detector and achieves the resolution boost by matching the detector angulation to the scanner field of view (FOV) determined by the size of an object being imaged. A comprehensive evaluation of spatial resolution in an experimental version of the VRX CT scanner is presented in this dissertation. Two components of this resolution were evaluated – the pre-reconstruction spatial resolution, described by the detector presampling modulation transfer function (MTF), and the post-reconstruction spatial resolution, given …

Depth And Size Limits For The Visibility Of Veins Using The Veinviewer Imaging System, Soujanya Ganesh

Theses and Dissertations (ETD)

Administration of fluids or medication and blood draw procedures require the nurse or the phlebotomist to access the veins in patients at hospitals or phlebotomy centers. It is important to minimize the discomfort associated with sticking needles in the patient more than once and most often, necessary to find an appropriate vein within few minutes. However, problems involved in accessing veins in pediatric and obese patients make it very difficult to perform a successful stick in a short time. The VeinViewer Imaging System is an infrared imaging device that provides the nurses and phlebotomists a means for locating veins in …

The Effectiveness Of Shoulder Injury Assessment Techniques: Analyzing The Occurrences Of False Positives, Alec Cianfichi

Undergraduate Theses and Capstone Projects

Shoulder injuries are very common in sports such as baseball, football, and tennis due to high impact and stress placed on the shoulder joint. Due to the greater chance of shoulder injuries in these types of sports, it is imperative for shoulder injury assessments to be accurate in order to ensure that the athlete does not participate with an injured shoulder or lose participation time due to an incorrect assessment. In order to assess the validity of the Apprehension, Relocation, and Surprise test for shoulder instability, student athletes with no known shoulder injuries were evaluated. Tests were conducted under the …

Impact Of Suture Choice On Stricture Formation Following Repair Of Esophageal Atresia, Shawn D. St Peter, Patricia A. Valusek, Charles L. Snyder, G W. Holcomb Iii, Daniel J. Ostlie

Manuscripts, Articles, Book Chapters and Other Papers

Background/ Purpose: The most common complication following repair of esophageal atresia is anastomotic stricture. Despite strong opinions of pediatric surgeons regarding the type of suture used for the anastomosis, these opinions remain unsubstantiated by any data present in the literature. Therefore, we investigated the rate and severity of stricture formation relative to the suture size and material.
Materials & Methods: A retrospective analysis of our most recent 20-year experience with repair of esophageal atresia and tracheoesophageal fistula (EA/TEF) was performed. Stricture was defined as the need for dilation. Outcomes were analyzed based on absorbability, texture, and type of …

Accessibility Of Home Blood Pressure Monitors For Blind And Visually Impaired People, Mark M. Uslan, Darren M. Burton, Thomas E. Wilson, Steven Taylor, Bruce S. Chertow, Jack E. Terry

Physics Faculty Research

Background: The prevalence of hypertension comorbid with diabetes is a significant health care issue. Use of the home blood pressure monitor (HBPM) for aiding in the control of hypertension is noteworthy because of benefits that accrue from following a home measurement regimen. To be usable by blind and visually impaired patients, HBPMs must have speech output to convey all screen information, an easily readable visual display, identifiable controls that are easy to use, and an accessible user manual.

Methods: Data on the physical aspects and the features and functions of nine Food and Drug Administration-approved HBPMs (eight of which were …

A Computer Simulation Model Of The Human Head-Neck Musculoskeletal System, Jun Yan

Theses and Dissertations (ETD)

Objective. The objective of this research was to develop a muscle-driven biomechanical model of the human head-neck system that could be used to simulate neck movements under muscle control. This model can further be modified to enable input from an external stimulus, such as EMG data.

Summary of background data. Utilizing computer aided design (CAD) and dynamic simulation software programs, the Joint Implant Biomechanics Laboratory at The University of Tennessee Health Science Center developed a virtual model of the human cervical spine to simulate the in vitro biomechanical experiments. This in vitro model did not include any muscle …

Technology Brief: Digital Pen And Paper: A Review Of The Technology And Its Potential Application In Healthcare, Martin Schiavenato

Nursing Faculty Scholarship

Electronic medical records (EMR) are a priority in the landscape of US healthcare. Digital pen and paper systems offer an expedient and innovative way of adapting the familiar handwriting medium into the EMR. The technology of the digital pen and paper and its components is reviewed and critically evaluated as to its potential advantages, disadvantages, and implications to patient care. In addition, field testing of a commercial digital pen and paper system was carried out in an informal educational setting by a panel of expert clinicians and educators. Potential nursing and healthcare applications and implications are listed and discussed.