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2019

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Articles 61 - 90 of 111

Full-Text Articles in Medical Humanities

The Role Of Compassion In Medical Ethics And Its Reintegration In Modern Practice, Hannah E. Borchers Apr 2019

The Role Of Compassion In Medical Ethics And Its Reintegration In Modern Practice, Hannah E. Borchers

Senior Honors Theses

Compassion has been an integral part of medical ethics since its origins, but as medicine progressed, compassion slowly disappeared from practice. The development of any industry results from many complex factors, but the decline of compassion in medicine can be largely attributed to the evolution of technology and role of medical ethics committees. Change is not always negative, but in this case, medicine neglected one of its foundational principles. This is seen by analyzing the history and progression of medical ethics and its four pillars. Plato and Aristotle defined justice in Greek philosophy, Hippocrates used the concept of non-maleficence in …

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Ecological Determinants Of Respiratory Health: Examining Associations Between Asthma Emergency Department Visits, Diesel Particulate Matter, And Public Parks And Open Space In Los Angeles, California, Jason A. Douglas, Reginald S. Archer, Serena E. Alexander Mar 2019

Ecological Determinants Of Respiratory Health: Examining Associations Between Asthma Emergency Department Visits, Diesel Particulate Matter, And Public Parks And Open Space In Los Angeles, California, Jason A. Douglas, Reginald S. Archer, Serena E. Alexander

Health Sciences and Kinesiology Faculty Articles

Los Angeles County (LAC) low-income communities of color experience uneven asthma rates, evidenced by asthma emergency department visits (AEDV). This has partly been attributed to inequitable exposure to diesel particulate matter (DPM). Promisingly, public parks and open space (PPOS) contribute to DPM mitigation. However, low-income communities of color with limited access to PPOS may be deprived of associated public health benefits. Therefore, this novel study investigates the AEDV, DPM, PPOS nexus to address this public health dilemma and inform public policy in at-risk communities. Optimized Hotspot Analysis was used to examine geographic clustering of AEDVs, DPM, and PPOS at the …

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Hard Choices And Deficient Choosers, Mark Kelman Mar 2019

Hard Choices And Deficient Choosers, Mark Kelman

Northwestern Journal of Law & Social Policy

No abstract provided.

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The Effect Of Arm Swing On Countermovement Vertical Jump Performance, Arash Mohammadzadeh Gonabadi Mar 2019

The Effect Of Arm Swing On Countermovement Vertical Jump Performance, Arash Mohammadzadeh Gonabadi

UNO Student Research and Creative Activity Fair

Vertical jumping is one of the popular ways to evaluate ankle-knee efficiency in athletic population. Arm swing can play a crucial role in enhancing vertical jump performance. This study aimed to address the differences in kinetic and kinematic parameters during countermovement jump motion with arm swing (AS) and no arm swing (NAS). We used OpenSim to examine the efficacy of AS in reducing the impulse applied to the body and changes in range of lower limb joint angles at landing instant. We calculated the maximum vertical peak of the ground reaction force and impulse generated at landing in two different …

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Escaping Death: Naloxone's Chemical Nature And Potential To Combat The Opioid Epidemic, Abigale Miller Mar 2019

Escaping Death: Naloxone's Chemical Nature And Potential To Combat The Opioid Epidemic, Abigale Miller

Honors Program: Senior Projects (Public)

Naloxone is a life-saving drug with the ability to reverse an opioid overdose. As the opioid epidemic’s death toll rises, we can turn to Naloxone as a tool to combat the crisis. The epidemic, born of corruption, has a wide reach among the people of the United States, with especially firm grasps on middle-aged people, sufferers of chronic pain, white Americans and those living in the eastern portion of the country. Naloxone’s elegant design saves lives by effectively competing for a position on an opioid biding receptor in the brain to almost instantly end an overdose and restore normal breathing. …

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Interdisciplinary Trust And Respect Protects Patients From Changing Power Dynamics In Healthcare, Sahithi Gogineni, Iman Choucair Feb 2019

Interdisciplinary Trust And Respect Protects Patients From Changing Power Dynamics In Healthcare, Sahithi Gogineni, Iman Choucair

Clinical Research in Practice: The Journal of Team Hippocrates

The changing culture of power relationships in healthcare, and its effect on the coordination of patient care, is highlighted.

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Betrayed Partners And Men With Poisoned Souls: Interview With A Former Sex Buyer In Germany, Ingeborg Kraus Feb 2019

Betrayed Partners And Men With Poisoned Souls: Interview With A Former Sex Buyer In Germany, Ingeborg Kraus

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

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Diet And Addiction: Interview With A Former Food, Pornography, And Alcohol Addict, Tro Kalayjian, Brian Lenzkes Feb 2019

Diet And Addiction: Interview With A Former Food, Pornography, And Alcohol Addict, Tro Kalayjian, Brian Lenzkes

Dignity: A Journal of Analysis of Exploitation and Violence

Drs. Tro Kalayjian (Tapan, New York) and Brian Lenzkes (Santee, California) talk to Matt about his struggles with food, pornography, and alcohol addiction, and how changing his diet contributed to his recovery from his addictions. This report is excerpted from the audio podcast LowCarbMD, Episode 13 (https://itunes.apple.com/us/podcast/low-carb-md-podcast/ ), January 30, 2019). This podcast has filled us with immense hope for those struggling with addiction.

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Acknowledgment Of 2018 Jpcrr Peer Reviewers Jan 2019

Acknowledgment Of 2018 Jpcrr Peer Reviewers

Journal of Patient-Centered Research and Reviews

The editors of Journal of Patient-Centered Research and Reviews gratefully acknowledge the contributions of submission reviewers from the previous year. Peer review is an essential component to publishing quality, trustworthy scientific literature.

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The Cura Personalis Of Healthcare Delivery: Ethical Reflections On Internal Medicine, Peter A. Depergola Ii Jan 2019

The Cura Personalis Of Healthcare Delivery: Ethical Reflections On Internal Medicine, Peter A. Depergola Ii

Journal of Health Ethics

In this essay, the author explores the meaning of care for the whole person, and underscores the mission of compassion as being willing to meet patients at their suffering point.

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Managing Endings In The Beginning: Ethical Reflections On Neonatal Intensive Care, Peter A. Depergola Ii Jan 2019

Managing Endings In The Beginning: Ethical Reflections On Neonatal Intensive Care, Peter A. Depergola Ii

Journal of Health Ethics

In this essay, the author examines the difficult task of determining quality of life for seriously-ill newborns, and highlights the narrative vitalism so often characteristic of those forced to make end-of-life decisions on behalf of those whose lives have just begun.

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Dignity And The Life Worth Living: Ethical Reflections On Pediatric Intensive Care, Peter A. Depergola Ii Jan 2019

Dignity And The Life Worth Living: Ethical Reflections On Pediatric Intensive Care, Peter A. Depergola Ii

Journal of Health Ethics

In this essay, the author navigates the terrain of proxy decision making, and uncovers the hidden tendency of some clinicians to reduce quality of life to physical capability.

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The Moral Obligation Of Bearing One Another’S Burdens: Ethical Reflections On Surgical Intensive Care, Peter A. Depergola Ii Jan 2019

The Moral Obligation Of Bearing One Another’S Burdens: Ethical Reflections On Surgical Intensive Care, Peter A. Depergola Ii

Journal of Health Ethics

In this essay, the author analyzes the nature of curing and healing, and offers practical steps for managing families who request medically contraindicated interventions.

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Healing Without Curing: Ethical Reflections On Palliative Care Medicine, Peter A. Depergola Ii Jan 2019

Healing Without Curing: Ethical Reflections On Palliative Care Medicine, Peter A. Depergola Ii

Journal of Health Ethics

In this essay, the author evaluates the nature of hope in the chronically ill, and emphasizes the many lessons dying individuals can teach us about living.

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The Truths That Make Us Free: Ethical Reflections On Reproductive Endocrinology, Peter A. Depergola Ii Jan 2019

The Truths That Make Us Free: Ethical Reflections On Reproductive Endocrinology, Peter A. Depergola Ii

Journal of Health Ethics

In this essay, the author surveys the concept of therapeutic privilege, and addresses the temptation to respond to biographical questions with biological answers in the context of personal meaning-making.

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The Morality Of Medical Miracles: Ethical Reflections On Pediatric Oncology, Peter A. Depergola Ii Jan 2019

The Morality Of Medical Miracles: Ethical Reflections On Pediatric Oncology, Peter A. Depergola Ii

Journal of Health Ethics

In this essay, the author investigates the practical ethics of miraculous healings, and proposes a four-step approach for working with parents who, for religious reasons, refuse life-saving treatment for children.

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Introduction: Notes From The Bedside, Sheila P. Davis Jan 2019

Introduction: Notes From The Bedside, Sheila P. Davis

Journal of Health Ethics

No abstract provided.

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Living With Productive Discomfort: Ethical Reflections On Critical Care Medicine, Peter A. Depergola Ii Jan 2019

Living With Productive Discomfort: Ethical Reflections On Critical Care Medicine, Peter A. Depergola Ii

Journal of Health Ethics

In this essay, the author considers the theme of deaths and resurrections in light of uncertain outcomes, and captures the pressure on ethicists to always know “the right thing to do.”

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Competitive Strategies Of Hospitals: Antecedents And Association With Financial Performance, Akbar Ghiasi Jan 2019

Competitive Strategies Of Hospitals: Antecedents And Association With Financial Performance, Akbar Ghiasi

All ETDs from UAB

In this three-paper dissertation, first, we examined the relationship between strategic group membership and hospital financial performance in terms of operating margin. The results revealed the important role of strategy on financial performance of a hospital. In the second paper, organizational and environmental antecedents of hospital’s business strategy choice were studied. The results showed that environmental and organizational factors may predict the business strategy choice of hospitals. The third paper investigated the moderating effect of environmental instability on the relationship between strategic group membership and financial performance. Environmental instability does not strongly affect the relationship between hospital strategic group membership …

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Using Behavioral Health Data From A Health Information Exchange: An Examination Of Facilitators And Barriers, Randyl Cochran Jan 2019

Using Behavioral Health Data From A Health Information Exchange: An Examination Of Facilitators And Barriers, Randyl Cochran

All ETDs from UAB

Behavioral health disorders are common, and they frequently co-occur with chronic physical illnesses. Behavioral health patients with chronic physical illnesses are three times more likely to be readmitted to the hospital within 30 days of discharge than non-behavioral health patients. Readmissions among behavioral health patients are costly: $817 million in readmissions costs are related to mood and psychiatric disorders. High readmission rates are attributed, in part, to poor exchange of health-related information between various care providers. Health information exchanges (HIEs) are effective in chronic disease management, but their effectiveness in integrated care delivery is unclear. This study examined facilitators of …

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"Free Indirect Suicide: An Unfinished Fugue In H Minor", Seo-Young J. Chu Jan 2019

"Free Indirect Suicide: An Unfinished Fugue In H Minor", Seo-Young J. Chu

Publications and Research

In this lyric essay/work of creative nonfiction (listed among “Notable Essays & Literary Nonfiction” in Best American Essays 2020), Seo-Young Chu uses poetry, autotheory, and creative nonfiction to explore the generational trauma/postmemory han she inherited from her parents and the importance of destigmatizing mental illness through dialogue.

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A Comparative Study Of Medical And Literary Representations Of Shell Shock, 1914-50, Madison Das Jan 2019

A Comparative Study Of Medical And Literary Representations Of Shell Shock, 1914-50, Madison Das

Honors Undergraduate Theses

This thesis explores shell shock--a common but misunderstood disorder seen in soldiers of World War One--through a Medical Humanities framework. Chapter 1 conducts a traditional medical review of scientific articles published on the pathology, symptoms, and treatment of shell shock between 1914-50. Chapter 2 builds upon this by offering a literary reading of Rebecca West's novel, The Return of the Soldier, which was published as the war drew to a close in 1918. The reading of West draws upon the medical research detailed in Chapter 1 to offer new conclusions about Chris's shell shock. The thesis shows how taking an …

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Madness Narratives: Victorian Textual Responses To The Insanity Diagnosis, Jonathan Glenn Tinnin Jan 2019

Madness Narratives: Victorian Textual Responses To The Insanity Diagnosis, Jonathan Glenn Tinnin

Theses and Dissertations--English

In Madness Narratives, I examine four understudied texts at the intersection of Victorian asylums, patients’ lack of voice, and resistance narratives. I argue that these texts all reject the silencing power of the insanity diagnosis as they represent patients, former patients, and asylum reformers creating counternarratives that call for recognition of the patients’ humanity and right to be heard. In my first chapter, “Narrating Insanity: Constructing the Madness Narrative in Charles Reade’s Hard Cash,” I assert that Reade’s 1863 novel proposes a nuanced understanding of the insanity diagnosis as a collaboratively-composed story that justifies the confinement of the …

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Physical Therapist Views And Experiences With Patient Use Of Marijuana, Arturo De La O Basurto Jr. Jan 2019

Physical Therapist Views And Experiences With Patient Use Of Marijuana, Arturo De La O Basurto Jr.

Cal Poly Humboldt theses and projects

Conditions seen within physical therapy settings overlap with reasons that patients seek marijuana. For this reason, information about these professionals’ outlooks on patients’ marijuana use in prime. Purpose: Gain current views and experiences of physical therapists (PTs)/physical therapist assistants (PTAs) on their patients’ use of marijuana in the physical therapy field. Methods: PTs/PTAs were invited to complete an anonymous survey asking relative PT/PTA views, experiences, and understanding of patients’ marijuana use. Results: PTs/PTAs who have had experience (did not have experience) with patients who use marijuana received information about marijuana from news media - 61% (60%), patients …

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Total Laryngectomy Surgery In The United States And Spain: A Tale Of Two Healthcare Systems, Anna Nyszczy Jan 2019

Total Laryngectomy Surgery In The United States And Spain: A Tale Of Two Healthcare Systems, Anna Nyszczy

Williams Honors College, Honors Research Projects

For individuals entering the field of health professions, an understanding of variation among global health systems can foster more informed viewpoints when working with multicultural populations. To investigate this relationship between the Spanish and U.S. systems, I analyzed the macro-structure of the healthcare systems in the United States and Spain to better understand plans of treatment, economic burden to patients and quality of life of patients undergoing total laryngectomy surgery in each country. A critical review of scholarly journals and studies relating to the healthcare systems of each country and total laryngectomy surgeries showed a unique picture of each system. …

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Just Culture: It's More Than Policy, Linda Paradiso, Nancy Sweeney Jan 2019

Just Culture: It's More Than Policy, Linda Paradiso, Nancy Sweeney

Ellmer School of Nursing Faculty Publications

[Description] Paradiso and Sweeney discuss the relationship between trust, just culture, and error reporting in medical care. Errors rarely occur in a vacuum, rather they're a sequence of events with multiple opportunities for correction. Clinical nurses can have a significant impact on reducing errors due to their proximity to patients. Just culture is a safe haven that supports reporting. In a just culture environment, organizations are accountable for systems they design and analysis of the incident, not the individual. The shift to a just culture is a slow process that takes years to develop and hardwire. Hospital-wide policies that incorporate …

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“It’S The Story”: Online Animated Simulation Of Cultural Competence Of Poverty -- A Pilot Study, Kimberly E. Johnson, Melissa Fleck, Thomas Pantazes Jan 2019

“It’S The Story”: Online Animated Simulation Of Cultural Competence Of Poverty -- A Pilot Study, Kimberly E. Johnson, Melissa Fleck, Thomas Pantazes

Internet Journal of Allied Health Sciences and Practice

Purpose: In this pilot study, researchers explore an online animated simulation as an educational tool for emerging health professionals to promote cultural competence of poverty, food insecurity, and the Supplemental Nutrition Assistance Program.Methods: Researchers recruited participants in the allied health sciences for focus groups to explore the effectiveness of an online animation in promoting cultural competence of poverty, food insecurity, and public assistance programs. Participants were asked about their experience with the educational tool and changes in cultural competence regarding poverty, food insecurity, and the Supplemental Nutrition Assistance Program. Participants also responded to five survey questions about their experience …

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Effects Of Protein Timing And Energy Balance On Body Composition In Collegiate Athletes, Ashley Licata Jan 2019

Effects Of Protein Timing And Energy Balance On Body Composition In Collegiate Athletes, Ashley Licata

All ETDs from UAB

The current literature indicates that energy balance and protein consumption influence body composition. However, the effects of protein intake, timed protein supplementation, and energy balance on body composition have not yet been fully investigated in collegiate athletes. The purpose of this research was to assess collegiate athletes using hourly food and exercise data to examine how protein timing and energy balance relate to body composition. Aims 1 and 2 focus on collegiate female soccer athletes and further our understanding of the potential roles that protein amount and frequency and hourly energy balance play in optimizing fat mass and fat-free mass. …

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The Mechanism Of Glucose-Induced Trib3 Expression In Myoblasts And Myotubes, Xiaobing Liu Jan 2019

The Mechanism Of Glucose-Induced Trib3 Expression In Myoblasts And Myotubes, Xiaobing Liu

All ETDs from UAB

Our previous data indicates that glucose-toxicity is dependent upon upregulation of TRIB3 expression in muscle. TRIB3 is a glucose-responsive gene and, as a pseudokinase, it blocks phosphorylation of AKT resulting in insulin resistance. The purpose of the current study was to identify the role of the differentiation process and the minimal functional sequence of TRIB3 promoter region in modulating glucose-induced TRIB3 gene expression in C2C12 myocytes. First, C2C12 myocytes were collected every 48 hours during the whole differentiation, totally 4 intervals. Before collection, cells were treated with either 5mmol glucose or 25mmol glucose for 24 hours. Under 5mmol glucose, the …

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Organizational Characteristics And Environmental Factors Associated With Hospitals Identified As Consolidation Targets, Christi Pierce Jan 2019

Organizational Characteristics And Environmental Factors Associated With Hospitals Identified As Consolidation Targets, Christi Pierce

All ETDs from UAB

In today’s dynamic healthcare landscape, hospitals face uncertainty and pressure from changing reimbursement schemas, intense government regulation, technological advances, consumer demand and workforce scarcity. These increased pressures have led to an acceleration of consolidation activities as hospitals position themselves to cope with a dynamic and complex external environment by maximizing resources, creating economies of scale and expanding access to care. Despite increased hospital consolidation activity, little is known about what makes a hospital attractive as a consolidation target to an acquiring hospital, particularly post-ACA. The purpose of this study was to evaluate the organizational characteristics and environmental factors associated with …

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