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Dying Well In Nursing Homes During Covid-19 And Beyond: The Need For A Relational And Familial Ethic, Jennifer Parks, Maria Howard 2021 Loyola University Chicago

Dying Well In Nursing Homes During Covid-19 And Beyond: The Need For A Relational And Familial Ethic, Jennifer Parks, Maria Howard

Philosophy: Faculty Publications and Other Works

This paper applies a relational and familial ethic to address concerns relating to nursing home deaths and advance care planning during Covid-19 and beyond. The deaths of our elderly in nursing homes during this pandemic have been made more complicated by the restriction of visitors even at the end of life, a time when families would normally be present. While we must be vigilant about preventing unnecessary deaths caused by coronavirus outbreaks in nursing homes, some deaths of our elders are inevitable. Thus, it is essential that advanced care planning occurs in a way that upholds the familial and relational …


The Health Insurance Portability And Accountability Act And Its Impact On Privacy And Confidentiality In Healthcare, Allyssa Stadler 2021 Liberty University

The Health Insurance Portability And Accountability Act And Its Impact On Privacy And Confidentiality In Healthcare, Allyssa Stadler

Senior Honors Theses

The world of healthcare and technology has continued to grow and expand into the future while HIPAA (the Health Insurance Portability and Accountability Act), the foundational patient privacy law in the United States of America, is attempting to keep up with this new world. This thesis reviews HIPAA and other health-related laws necessary to understanding patient privacy. It analyzes peer-reviewed studies on patient confidentiality and HIPAA to elicit the patient’s and provider’s opinion on HIPAA and patient confidentiality. Lastly, the current challenges of patient confidentiality and HIPAA are discussed, and potential solutions are suggested to improve these issues.


In With A Runny Nose, Out In A Body Bag: Why Is It So Difficult For Black Women To Leave The Hospital Alive?, Chelsea Carter 2021 Murray State University

In With A Runny Nose, Out In A Body Bag: Why Is It So Difficult For Black Women To Leave The Hospital Alive?, Chelsea Carter

Liberal Arts Capstones

In the Black community, there is an unspoken understanding about going to the doctor with a runny nose, and leaving in a body bag. A recent article published by The Oprah Magazine demonstrates that racism is rampant in the United States healthcare system, and it is taking the lives of Black women at an alarmingly disproportionate rate (Stallings, 2018). When seeking medical treatment, many Black women are at the mercy of doctors who hold an implicit bias against Black women. Simply put, implicit bias describes when people behave and treat others based on negative preconceptions they have about other people, …


Comparison Of Mortality Data From Nebraska’S Rural & Metropolitan Health Districts, Claire Figi 2021 University of Nebraska at Omaha

Comparison Of Mortality Data From Nebraska’S Rural & Metropolitan Health Districts, Claire Figi

Theses/Capstones/Creative Projects

As there has been minimal research done on the correlation between communities identified as rural or metropolitan and their mortality rates, this research aims to provide baseline evidence that mortality rates associated with non-infectious and infectious diseases are connected to an area’s rural or metropolitan classification. This study analyzed public data from the Nebraska Department of Health and Human Services and the Center for Disease Control to compare mortality rates related to the top two causes of death in both rural and metropolitan health districts of the state of Nebraska, United States. This data was then compared to mortality rates …


Rates Of Positive Suicide Screens Among The Emergency, Inpatient And Outpatient Clinics At A Tertiary Care Children’S Hospital, Fajar Raza, Hung-Wen Yeh, John Lantos, Mark Connelly, Shayla Sullivant 2021 Children's Mercy Hospital

Rates Of Positive Suicide Screens Among The Emergency, Inpatient And Outpatient Clinics At A Tertiary Care Children’S Hospital, Fajar Raza, Hung-Wen Yeh, John Lantos, Mark Connelly, Shayla Sullivant

Posters

Background: Prior research has suggested that rates and acuity of suicidality are elevated among patients seen in EDs and in certain clinics. However, the occurrence and severity of suicide risk has been rarely studied in the pediatric clinic populations due in part to unsystematic screening. We examined suicidality across different pediatric clinical care settings based on data from our newly implemented hospital-wide suicide risk screening program.


Objective: To determine a) which patient populations presented with the highest rates of suicidality; and b) the percentage of patients who had current thoughts of suicide and were thus deemed “acute.”


Design/Methods: We conducted …


The Effect Of Covid-19 On The Detection And Prevalence Of Suicidality In Adolescents, John Lantos, Hung-Wen Yeh, Fajar Raza, Mark Connelly, Shayla Sullivant 2021 Children's Mercy Hospital

The Effect Of Covid-19 On The Detection And Prevalence Of Suicidality In Adolescents, John Lantos, Hung-Wen Yeh, Fajar Raza, Mark Connelly, Shayla Sullivant

Presentations

Background: The COVID-19 pandemic saw changes to the delivery of health services and concerns about psychological morbidity not directly related to COVID infection. We analyzed the effects of the pandemic on our hospital’s program to screen adolescents for suicidality.

Objective: To determine the effect of the COVID-19 pandemic on 1) a hospital-wide screening program for suicidality in teens; and 2) the prevalence of positive screens for suicidality.

Design/Methods: Our study population was all patients > 12yo seen as inpatients or in the ED or clinics at a children’s hospital in Apr-June in 2019 (T1) and 2020 (T2). Eligible pts were screened …


Genetic Testing In Pregnancies With Ultrasound Anomalies: Exploration Of Factors That Influence Uptake, Lukas D. Kruidenier 2021 The University of Texas MD Anderson Cancer Center UTHealth Graduate School of Biomedical Sciences

Genetic Testing In Pregnancies With Ultrasound Anomalies: Exploration Of Factors That Influence Uptake, Lukas D. Kruidenier

Dissertations and Theses (Open Access)

Prenatal genetic diagnostic and screening tests have been rapidly evolving over the past decade with the introduction and expansion of cell free DNA screening (cfDNA) and the use of chromosomal microarray (CMA) as a first-line test for evaluation of fetal anomalies. Understanding patient motivations for or against expanded genetic testing options is paramount, therefore this study aimed to ascertain the patient perspective. Ninety-nine patients with an ultrasound anomaly participated in an anonymous, cross-sectional, research survey assessing coping strategies, factors influencing the genetic testing decision, and demographic variables. After multivariable analysis, the desire for directive counseling regarding testing was correlated with …


Nebraska Public Guardianship Of Unbefriended Patients: A Preliminary Review Of Health Outcomes And Cost Savings, Emily N. Berzonsky 2021 University of Nebraska Medical Center

Nebraska Public Guardianship Of Unbefriended Patients: A Preliminary Review Of Health Outcomes And Cost Savings, Emily N. Berzonsky

Capstone Experience: Master of Public Health

Unbefriended patients often experience an extended length of stay in the hospital while their medical providers await legal appointment of a public guardian to make their medical decisions. The medically unnecessary days the unbefriended patient spends in the hospital equates to high costs for the hospital, but more importantly, negative health outcomes for the patient. The purpose of this study is to provide literature and data to support recommendations for possible changes in Nebraska’s public guardianship appointment process. A literature review seeks to answer: (1) What is the median hospital length of stay for an unbefriended patient without a guardian …


Climate Change And Vaccines: Distrust Of Science In Politics And The Media, Natalie Montalbano 2021 University of Rhode Island

Climate Change And Vaccines: Distrust Of Science In Politics And The Media, Natalie Montalbano

Senior Honors Projects

Distrust in science and the scientific process has increased significantly over the last fifty years, and this distrust is particularly apparent in the fields of climate change and vaccination. Climate change, a relatively new scientific issue, has become one of the hottest topics discussed in both U.S and world politics. The existence and real threat of anthropogenic global warming was publicly declared by National Geographic in 2004, but climate scientists had acknowledged that humans were causing the warming of our Earth as early as the 1980’s. Vaccines, despite being safe and effective in curbing the spread of infectious diseases, have …


Covid-19 And Challenges To The Traditional Understanding Of Individual Medical Autonomy, Callon A. Green 2021 University of Mississippi

Covid-19 And Challenges To The Traditional Understanding Of Individual Medical Autonomy, Callon A. Green

Honors Theses

Throughout history, vaccines have provided the human population with the ability to combat dangerous illnesses and avoid preventable suffering. Despite the benefits vaccines provide to the public health of the United States, anti-vaccination sentiment and resistance to vaccine uptake are still prevalent in the modern day. As the COVID-19 pandemic has developed into a major public health crisis that can be controlled through vaccination, the issues underlying vaccine resistance are becoming more critical to return to normal life. Using COVID-19 as a case study, it is evident that the individual choice to deny vaccination can have consequences on the health …


Disparities In Access To Assisted Reproductive Technology Among Hispanic Women In The United States, Madison Gallagher 2021 University of South Dakota

Disparities In Access To Assisted Reproductive Technology Among Hispanic Women In The United States, Madison Gallagher

Honors Thesis

Infertility is a health problem that affects approximately 7 million women in the United States (Ethics Committee of the American Society for Reproductive Medicine, 2015). Due to the high costs of reproductive medicine and infertility treatment, these services tend to be expensive and have limited accessibility without full insurance coverage. Emerging literature outlines the disparities in access to proper treatment for reproductive complications. These existing studies highlight that many minority populations in the United States experience increased challenges regarding access to reproductive medicine and infertility treatment. Among these minority groups are Hispanic women, who are more likely to require reproductive …


In With A Runny Nose, Out In A Body Bag: Why Is It So Difficult For Black Women To Leave The Hospital Alive?, Chelsea Carter 2021 Murray State University

In With A Runny Nose, Out In A Body Bag: Why Is It So Difficult For Black Women To Leave The Hospital Alive?, Chelsea Carter

Scholars Week

In the Black community, there is an unspoken understanding about Black people going to the doctor with a runny nose, and leaving in a body bag. A recent article published by The Oprah Magazine demonstrates that racism is rampant in the United States healthcare system, and it is taking the lives of Black women at an alarmingly disproportionate rate (Stallings, 2018). When seeking medical treatment, many Black women are at the mercy of doctors who possess an implicit bias against Black women. Simply put, implicit bias describes the phenomenon in which people behave and treat others based on negative preconceptions …


Quarantine Ethics: From Past To Covid-19, Chrystal Barnes 2021 Portland State University

Quarantine Ethics: From Past To Covid-19, Chrystal Barnes

OHSU-PSU School of Public Health Annual Conference

Quarantines have been a preventative measure for reducing communicable disease spread for centuries. The method of implementation can vary widely and to some extent requires some level of judgement from enforcing powers, often state police power. As such, historically, some quarantines have been unfairly enforced based on discriminatory practices. COVID-19 has brought about the most widespread and extended quarantine in U.S. history, which makes evaluating the ethics all the more critical. In addition, it is well established that COVID-19 impacts have disproportionately caused harm to populations, such as those who are of a low socioeconomic status and people of color. …


Corruption In Capsules: How It Is Legal For Companies To Put Harmful Ingredients In Vitamins And Dietary Supplements, Emily Leggiero 2021 Kutztown University of Pennsylvania

Corruption In Capsules: How It Is Legal For Companies To Put Harmful Ingredients In Vitamins And Dietary Supplements, Emily Leggiero

English Department: Research for Change - Wicked Problems in Our World

The vitamin and supplement industry has increased exponentially in profits as well as potential products on the market since the turn of the century. However, these products are not regulated, nor do they undergo any premarket clinical research or testing. Public health is compromised by vitamins and supplements that are available for American consumption that is disproportionately unregulated to their chemically similar counterparts. This wicked problem is facilitated through the combination of historical legislative definitions that has since been distorted for corrupt administrative gain through the allotment of corporate expenditures. Company disbursements are made to the same policymakers that create …


Mid-Atlantic Ethics Committee Newsletter, Spring 2021, 2021 University of Maryland Francis King Carey School of Law

Mid-Atlantic Ethics Committee Newsletter, Spring 2021

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.


Phil 201: Bioethics, CUNY School of Professional Studies 2021 City University of New York (CUNY)

Phil 201: Bioethics, Cuny School Of Professional Studies

Open Educational Resources

An exploration of complex contemporary ethical problems from healthcare, the environment, and bioethics. Issues include problems of drugs and addiction, stigma toward people with disabilities, terminal illness and chronic health needs, resource allocation in times of disaster, infectious diseases, gene editing, and humans’ relationship with their environment. Classical and contemporary ethical theories, moral theories, and the fundamentals of scientific integrity will be applied to make principled, defensible, moral judgments.


A Literary Analysis Of The Origin Of Human Embryonic Stem Cells, Its Advancements, Philosophical, Ethical, Sociocultural, And Political Aspects; An Investigation Of The Underlying Attributes That Affect One’S Views On Hesc Research To Resolve Turkey And Brazil’S Hesc Policy, Religious, And Cultural Conflicts, Haleema Shamsuddin 2021 Belmont University

A Literary Analysis Of The Origin Of Human Embryonic Stem Cells, Its Advancements, Philosophical, Ethical, Sociocultural, And Political Aspects; An Investigation Of The Underlying Attributes That Affect One’S Views On Hesc Research To Resolve Turkey And Brazil’S Hesc Policy, Religious, And Cultural Conflicts, Haleema Shamsuddin

Honors Scholars Collaborative Projects

Human embryonic stem cells (hESCs) are cells derived from 5-day human embryos and are self-renewing cell lines that change into any type of cell in the body, a trait called pluripotency. hESCs have almost unlimited clinical and medical research potential. Despite the great therapeutic promise of hESC research, it comes with a controversial ethical debate due to its involvement with the destruction of the human embryo. The central argument revolves around the question of whether or not these human embryos should be ascribed equal moral status to fully developed humans. This thesis aims to analyze the origin and advancements of …


A Tour Of Gender Critical Literature: A Review Of Transgender Body Politics By Heather Brunskell-Evans, Az Hakeem 2021 University College of London Medical School

A Tour Of Gender Critical Literature: A Review Of Transgender Body Politics By Heather Brunskell-Evans, Az Hakeem

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.


Public Health And History: Vaccination Regulation In The Northeastern States, Kate Campbell 2021 DePauw University

Public Health And History: Vaccination Regulation In The Northeastern States, Kate Campbell

Student Research

In 1905 Henning Jacobson went before the United States Supreme Court in Jacobson v. Massachusetts and argued that his constitutional right to liberty was infringed upon when compulsory vaccination laws were introduced. When mandatory vaccination laws were introduced in Cambridge, Massachusetts there was another deadly smallpox epidemic racing through the northeastern states. Government officials believed that the best way to control the disease and ultimately stop the spread was through government intervention. The Supreme Court ultimately ruled that as a citizen of the United States it is often times necessary to give up some forms of liberty in order to …


Catholic Terminal Sedation-A New Framework For Providing Terminal Palliative Sedation As A Requirement In Catholic Healthcare Organizations, Noah Dimas 2021 Duquesne University

Catholic Terminal Sedation-A New Framework For Providing Terminal Palliative Sedation As A Requirement In Catholic Healthcare Organizations, Noah Dimas

Graduate Student Research Symposium

The present attitudes surrounding death and dying in the United States have been trending toward the acceptance of so-called “Assisted Death” interventions at the end-of-life (EoL), specifically Physician-Assisted Suicide. The acceptance of these interventions is rooted in the notion of autonomy within the American culture of medicine that generally states a patient is allowed to request whatever medical interventions they wish. As such, legislative bodies around the United States have begun to legalize Assisted Death in response to the regularly cited desire to die peacefully and without pain from an expected terminal illness. However, for Catholic healthcare organizations, there is …


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