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2020

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Articles 541 - 570 of 1043

Full-Text Articles in Medical Education

Sma Type 1 Mimicry: A Four-Month-Old In The Nicu With Failure To Thrive, Michael D. Mcdowell Jr May 2020

Sma Type 1 Mimicry: A Four-Month-Old In The Nicu With Failure To Thrive, Michael D. Mcdowell Jr

Research Days

No abstract provided.


Cost Savings From Implementation Of Low-Flow Anesthesia, Laura Levine May 2020

Cost Savings From Implementation Of Low-Flow Anesthesia, Laura Levine

Research Days

No abstract provided.


Clinical Risk Assessment For Testicular Torsion In The Emergency Department, Matthew Solove May 2020

Clinical Risk Assessment For Testicular Torsion In The Emergency Department, Matthew Solove

Research Days

No abstract provided.


Clinical Improvements In A Patient With Spinal Muscular Atrophy Type 1 Receiving Nusinersen Therapy, Michael D. Mcdowell Jr May 2020

Clinical Improvements In A Patient With Spinal Muscular Atrophy Type 1 Receiving Nusinersen Therapy, Michael D. Mcdowell Jr

Research Days

No abstract provided.


Documentation Changes For Fellow Visits In The Emergency Department: Financial And Educational Impact, Grace E. Arends Md May 2020

Documentation Changes For Fellow Visits In The Emergency Department: Financial And Educational Impact, Grace E. Arends Md

Research Days

No abstract provided.


A Multidisciplinary Chronic Lung Disease Team In A Neonatal Intensive Care Unit Is Associated With Increased Survival To Discharge Of Infants With Tracheostomy, Taylor Hansen May 2020

A Multidisciplinary Chronic Lung Disease Team In A Neonatal Intensive Care Unit Is Associated With Increased Survival To Discharge Of Infants With Tracheostomy, Taylor Hansen

Research Days

No abstract provided.


Week Of May 11, 2020, New York Medical College May 2020

Planning And Facilitating The Training Of Emergency Medical Services On The Safe Transport Of Patients With Highly Infectious Diseases, Mohammed Alhallaf May 2020

Planning And Facilitating The Training Of Emergency Medical Services On The Safe Transport Of Patients With Highly Infectious Diseases, Mohammed Alhallaf

Theses & Dissertations

Emergency Medical Services (EMS) personnel are the first line of treatment and are the first exposed health care workers to infectious diseases (IDs). Consequently, the EMS setting is a relatively vulnerable environment for disease transmission and cross-contamination. Also, serious and emerging IDs, such as highly pathogenic viral hemorrhagic fevers and novel Coronaviruses, in a time of increased globalization, require comprehensive EMS training and preparedness. This project had the objective of identifying best practices for the EMS transport of patients with IDs. The methods for this project were done in two phases. In the first stage, we …


Trauma Informed Care: Paving The Way To Better Patient Outcomes, Sarah Halsey, Amy L. Armstrong May 2020

Trauma Informed Care: Paving The Way To Better Patient Outcomes, Sarah Halsey, Amy L. Armstrong

Doctor of Nursing Practice Projects

Trauma-informed care (TIC) is an approach that enables healthcare clinicians to understand the effects of trauma and create a safer environment. Providers acknowledge the pervasive nature of trauma but lack proper tools and training to implement. It has been suggested that trauma is the prime determinant of health outcomes. Therefore, providing training and cultivating a change towards a trauma-informed organization, has the capability to change health outcomes.

The purpose of this project was to establish a program at SIU Medicine in which new employees are trained on the importance of TIC. Working closely with the Director of Population and Community …


Week Of May 4, 2020, New York Medical College May 2020

An Investigation Of Treatments For The Prevention Of Metabolic Complications For Women Suffering From Polycystic Ovarian Syndrome: Diet, Exercise, Weight Reduction And Herbal Remedies, Brenda Martinez-Puente May 2020

An Investigation Of Treatments For The Prevention Of Metabolic Complications For Women Suffering From Polycystic Ovarian Syndrome: Diet, Exercise, Weight Reduction And Herbal Remedies, Brenda Martinez-Puente

Nursing | Senior Theses

The purpose of this research study is to compare the views of traditional versus alternative treatments available to women with Polycystic Ovarian Syndrome (PCOS) suffering from metabolic complications. Alternative treatments include diet, exercise, herbal remedies, or any combination of the three. Pharmacological interventions for the conditions associated with PCOS such as metformin, used to control glucose levels, and clomiphene, used to treat infertility. Through the literature review, articles show herbs and plant products to have similar mechanisms of actions as the pharmacological interventions, but with less side effects. For example, cinnamon was shown to increase insulin sensitivity and pomegranate juice …


Hospital To Home: Fall Prevention Interventions For The Discharging Patient, Joy Bridewell May 2020

Hospital To Home: Fall Prevention Interventions For The Discharging Patient, Joy Bridewell

Nursing Masters Papers

Falls is a major public health problem globally, with an estimated 646,000 fatal falls per year. This makes falls the second leading cause of unintentional injury death. Falls are very costly with non-fatal fall injuries costing about $50 billion per year and fatal falls with an estimated $754 million. Many risk factors contribute to a person’s risk of falling. Risk factors include age, gender, muscle strength, underlying medical or disabling conditions, and unsafe environments. Patients who have been hospitalized are also among those at risk. Most hospitalized patients are assessed frequently to determine their risk of falling so that care …


Developing A Clinical Practice Guideline For Surgical Diabetic Patients, Barbie Denise Harbaugh, Diane Whitehead May 2020

Developing A Clinical Practice Guideline For Surgical Diabetic Patients, Barbie Denise Harbaugh, Diane Whitehead

Walden Faculty and Staff Publications

Diabetes is a recognized risk factor for postoperative infection, acute renal failure, ileus, and lengthy hospital stay. Optimal screening, management, and scheduling of elective surgery for diabetic patients has been shown to improve quality care, decrease complications, and increase the efficiency and lower the costs of preoperative patient care. However, surgery cancellations are common due to inadequate preoperative glycemic control and poor intraoperative glycemic control, which is a recognized risk factor for perioperative or postoperative complications. There were no clinical practice guidelines or optimization protocols for elective surgery patients at a small rural hospital in the Northeast United States. The …


Twenty-Seven Questions For Writers & Journalists To Consider When Writing About Covid-19 & Hiv/Aids, Alexandra Juhasz, Pato Hebert, Theodore Kerr, Diana Cage May 2020

Twenty-Seven Questions For Writers & Journalists To Consider When Writing About Covid-19 & Hiv/Aids, Alexandra Juhasz, Pato Hebert, Theodore Kerr, Diana Cage

Publications and Research

The desire to compare COVID-19 and HIV/AIDS is understandable. The response to HIV provides an inspiring road map for how to save lives. For over four decades, starting in the early 1980s, activists, scientists, politicians and cultural producers have been working alongside one another resulting in life saving developments—and goals not yet achieved. Since the late 1990s, HIV has become a manageable chronic illness for those with access to life saving medicine, housing, food, and social support. Meanwhile, stigma, discrimination, and criminalization directed at people living with HIV continue, based on social difference, access to resources and community, and an …


Utilizing Best Practices Of 3d-Modeling And Printing In Veterinary Medicine To Analyze Elbow Incongruity Of A Maltese Canine, Johnny Altwal May 2020

Utilizing Best Practices Of 3d-Modeling And Printing In Veterinary Medicine To Analyze Elbow Incongruity Of A Maltese Canine, Johnny Altwal

Student Scholar Symposium Abstracts and Posters

Research on the application of 3D-printed models in human medicine is extensive, but it is relatively new for veterinary medicine. With the increased numbers of certified veterinary radiologists and animal imaging facilities, best practices in 3D model design and printing can be explored. This project was two-fold. First, an encompassing literature review was generated, outlining the development and uses of computer-generated 3D models in connection to their applications in veterinary medicine. Accurate renderings of an animal’s anatomy can be used to train new students, educate clients on their pets’ needs, and guide veterinarian surgical approaches. Several different cases were explored …


Determining Racial And Ethnic Disparities In Breastfeeding In The United States, Summer Coker May 2020

Determining Racial And Ethnic Disparities In Breastfeeding In The United States, Summer Coker

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The benefits of breastfeeding have been thoroughly studied and researched, with the majority of healthcare providers, health organizations and policies, and professionals in health all recommending the practice. Breastfeeding has protective factors for the newborn against infection and mortality. Other benefits for breastfed children include reduced risk of obesity, asthma, and ear infections; enhanced chance of having a higher income; and a stronger immune system that can follow them throughout adulthood (World Health Organization [WHO] 2020). For mothers who breastfeed, there is a reduced risk of developing ovarian and breast cancer, high blood pressure, and type 2 diabetes (Centers for …


New Dentist News (May 2020), Ada Committee On The New Dentist May 2020

New Dentist News (May 2020), Ada Committee On The New Dentist

New Dentist News

New Dentist News offers timely information on scientific, social, educational, political and economic developments affecting new dentists. This collection is historical and items may not reflect current standards. For up-to-date information contact the ADA. The New Dentist News was alternately titled ADA Lifeline, 1997-June 2001.


The Effect Of The Timing Of A Hospice Referral And The Perceived Quality Of Care By The Family, Caitlin Tran May 2020

The Effect Of The Timing Of A Hospice Referral And The Perceived Quality Of Care By The Family, Caitlin Tran

Nursing | Senior Theses

Hospice care is a specialized type of palliative care for patients with a time-limiting illness. Despite its benefits, hospice remains underutilized. A key reason behind the underutilization are untimely referrals, often made during the last weeks or days of the patient’s life. The purpose of this paper is to investigate the existing barriers towards hospice that play into late referrals and its effect on patient/family satisfaction. This information will be examined to propose a pilot research study for further exploration.


Participation In Mindfulness-Based Stress Reduction Therapy On The Immune Function Of Survivors Of Breast Cancer: A Literature Review And Pilot Study For Clinical Practice, Bianca Marteja May 2020

Participation In Mindfulness-Based Stress Reduction Therapy On The Immune Function Of Survivors Of Breast Cancer: A Literature Review And Pilot Study For Clinical Practice, Bianca Marteja

Nursing | Senior Theses

A review of current literature presented in this work suggests that MBSR participation results in NKCA, T-cell and B-cell restoration as well as a reduction in inflammatory biomarkers. While results from these studies are statistically significant, they are, however, relatively small. Furthermore, the reliability and one’s ability to generalize study findings from this literature review is limited by consistently small sample sizes, high attrition, differing forms of MBSR application, and inconsistent adherence to MBSR home practices.

The distribution of a 10-point survey using likert scales occured in a pilot study associated with the aforementioned literature review; this survey evaluated registered …


Intersectionality, Access, And Women’S Health: Engaging And Enacting A Feminist Model Of Health Care, Nidhi Chawla May 2020

Intersectionality, Access, And Women’S Health: Engaging And Enacting A Feminist Model Of Health Care, Nidhi Chawla

Honors Scholar Theses

“Intersectionality, Access, and Women’s Health: Engaging and Enacting a Feminist Model of Health Care” takes seriously the potential role feminist theory can play in the making of a more accessible and effective model of medical care. In terms of theory and methodology, this thesis draws upon Kimberlė Crenshaw’s influential notion of “intersectionality” as a means of mapping multiple identities and subjectivities; as an additional lens, the thesis accesses Audre Lorde’s insistence that one cannot rely on established systems as the basis for progressive politics. Consistent with the reflexive dynamics of intersectional feminism, and guided by the notion that the personal …


Plant-Based Diet: How It Affects Health, Sarah Marsland May 2020

Plant-Based Diet: How It Affects Health, Sarah Marsland

Senior Honors Projects

This research project aims to investigate the relationship between plant-based dieting and overall health, specifically the prevention and reversal of chronic disease. Two subjects committed to eating a plant-based diet comprised of primarily vegetables, fruits, whole grains and non-processed foods for six weeks. Before beginning, they were asked about their current health status, including a complete health history, and their knowledge of plant-based eating. Throughout the research period, the subjects shared what they were eating, challenges they faced, and any benefits they noticed. Upon completion of the diet, they answered questions about their experience. With this information, the researcher was …


Novel Therapeutic Approaches To Treat Brain Cancer Combining Cold Atmospheric Plasma, Therapeutic Prodrugs And Gold Nanoparticles, Zhonglei He May 2020

Novel Therapeutic Approaches To Treat Brain Cancer Combining Cold Atmospheric Plasma, Therapeutic Prodrugs And Gold Nanoparticles, Zhonglei He

Doctoral

Glioblastoma Multiforme (GBM) makes up approximately 45% of all primary brain tumours. State of the art treatment at present involves concurrent and adjuvant temozolomide (TMZ) with radical radiotherapy which extends median survival from 12.1 months (radical radiotherapy alone) to 14.6 months according to the study of the European Organization for Research and Treatment of Cancer (EORTC) Brain Tumour and Radiotherapy Groups and the National Cancer Institute of Canada (NCIC) Clinical Trials Group. Meanwhile, National Cancer Registry Ireland presented that GBM represents over 40% of all malignant brain tumours and had the worst five-year net survival (4%) compared to overall malignant …


The Need For Change In Emergency Medical Approach When Caring For Individuals With Autism, Hannah Watkins May 2020

The Need For Change In Emergency Medical Approach When Caring For Individuals With Autism, Hannah Watkins

Undergraduate Theses and Capstone Projects

This paper highlights the need for policy changes and additional training related to caring for individuals with autism in emergency situations. Individuals with autism spectrum disorder are at risk of receiving inadequate care due to the challenges that come with such a complex diagnosis. Depending on the severity of autism for each individual, behavioral outbursts and aggression can often occur due to the overwhelming amount of stimulation in the emergency department environment. While medical professionals have the potential to be a great help during times of crisis, there is often very little training given to providers in regard to delivering …


New Trends In Radiology Education, Time To Adapt Locally, Faheem Ullah Khan, Noman Khan, Muhammad Arif Saeed May 2020

New Trends In Radiology Education, Time To Adapt Locally, Faheem Ullah Khan, Noman Khan, Muhammad Arif Saeed

Department of Radiology

No abstract provided.


Mental Health Assessments In Icu And Acute Care, Carolynn M. Keane, Megan Altom, Taylor Harrell, Erica Smith, Danielle Woodward May 2020

Mental Health Assessments In Icu And Acute Care, Carolynn M. Keane, Megan Altom, Taylor Harrell, Erica Smith, Danielle Woodward

Master of Occupational Therapy Student Critically Appraised Topics

The purpose of our critically appraised topic is to provide a brief summary of assessments that may be relevant to the burn unit or ICU setting, including their validity, reliability, specificity, sensitivity, and limitations. We had a total of eight articles with the following study designs: Systematic Review (2 articles), Longitudinal Study (1 article), Comparative Analysis (1 article), Correlational Analysis (2 articles) and Methodological (2 articles). These articles looked at the reliability, validity, specificity, and sensitivity of the following assessments: Abbreviated Burn Specific Anxiety Scale (A-BSPAS), Beck Depression Inventory-II, Brief Coping Orientation to Problems Experience (B-COPE), Concise Mental Health Checklist …


A Needs Assessment For The Utilization Of Child Life Specialist Bereavement Support Services In An Emergency Veterinary Hospital Setting, Jared R. Negin-Fryers May 2020

A Needs Assessment For The Utilization Of Child Life Specialist Bereavement Support Services In An Emergency Veterinary Hospital Setting, Jared R. Negin-Fryers

Graduate Theses/Dissertations

Studies indicate that there is an affective attachment bond, and related emotional involvement that exists between the companion animal and their human owners. Patient companion-animal death within the veterinary hospital, is a daily occurrence, with death rates per patient being significantly higher than in human health care. This comparatively higher death rate is due to the commonplace utilization of professionally sanctioned euthanasia to relieve animal pain and suffering. Companion animal death, may elicit grief reactions that are identical to what is experienced upon the death of a family member. A void currently exists in family centered veterinary care in terms …


A Career Eulogy Reflective Exercise: A View Into Early Professional Identity Formation, William Crump, R. Steve Fricker, Allison Crump-Rogers Apr 2020

A Career Eulogy Reflective Exercise: A View Into Early Professional Identity Formation, William Crump, R. Steve Fricker, Allison Crump-Rogers

Marshall Journal of Medicine

Introduction

Beginning medical students have a very early idea of what their physician identity will be. Providing a brief structured opportunity to reflect on the end of their career can be an important first step in identity formation.

Methods

A reflective exercise was used in the summer prior to beginning medical school as each class of students at a regional rural medical school began a summer prematriculation program from 2015-2019. Students wrote what they wished to be said about them at the end of their career using a “Career Eulogy.” Identifiers were removed and narratives were coded into recurring text …


Complete Response To Stage Iv Colorectal Adenocarcinoma With Disease-Free Survival At 24 Months: Case Report And Overview Of The Literature, Madison N. Crank 6746693, Arslan Iqbal, Michael Abdelmasseh, Mohamed Alsharedi, Doreen Griswold, Alysia Browne, Juan R. Sanabria Apr 2020

Complete Response To Stage Iv Colorectal Adenocarcinoma With Disease-Free Survival At 24 Months: Case Report And Overview Of The Literature, Madison N. Crank 6746693, Arslan Iqbal, Michael Abdelmasseh, Mohamed Alsharedi, Doreen Griswold, Alysia Browne, Juan R. Sanabria

Marshall Journal of Medicine

Over 150,000 new cases of colon cancer were diagnosed in the US in 2019. Stage and age at diagnosis are important prognostic factors for overall survival (OS). For the age group 70-79, the OS for females with poorly differentiated stage IV colon cancer at 1, 2 and 5 years after surgery is 39%, 15%, and 2%, respectively. We present a case of a 77-year-old female with significant cardiac history. She was diagnosed with stage IV colorectal cancer complicated with enteric fistula. Due to her initial performance status and comorbidities, she was not a candidate for surgery or systemic chemotherapy. Nonetheless, …


Nicaraguan Homeowner Showing Gratitude For Concrete Flooring As Part Of A Public Health Mission Trip, Breonna Kinnison Apr 2020

Nicaraguan Homeowner Showing Gratitude For Concrete Flooring As Part Of A Public Health Mission Trip, Breonna Kinnison

HCA Healthcare Journal of Medicine

I’m Bree Kinnison, a fourth-year medical student and aspiring psychiatrist. When I’m not studying, I enjoy painting using acrylics. This painting depicts a very fond memory of mine. After completing the medical portion of our mission trip in Nicaragua, we began our public health portion. Along with fellow students, I laid concrete flooring in this woman’s house. For all 76 years of her life, she had never experienced anything other than a dirt floor in her home. Traditional dirt flooring in Nicaraguan homes is responsible for many preventable illnesses. When shown the final product, she reached out and hugged the …


Development And Validation Of A Scale To Measure Nurse/Medical Resident Physician Collaboration, Bruce St. Amour, W. Brady Dehart Apr 2020

Development And Validation Of A Scale To Measure Nurse/Medical Resident Physician Collaboration, Bruce St. Amour, W. Brady Dehart

HCA Healthcare Journal of Medicine

Introduction: The purpose of this pilot study is to investigate the reliability of an interprofessional collaboration measurement scale used for nursing interactions with resident physicians. To date, the collaboration between nurses and residents has not been adequately investigated and a validated tool specifically for this purpose is not yet available. Our objective is to adapt a previously validated interprofessional scale for health care settings to the specific nurse/resident physician collaboration.

Methods: In 2019, nurses from two hospitals were contacted via email and were invited to complete an anonymous survey that asked about the nurses’ interaction and collaboration with resident physicians. …