Medical Humanities Commons^™

Relationship Between Self-Care And Health-Related Quality Of Life In Older Adults With Moderate To Advanced Heart Failure, Harleah G. Buck, Christopher S. Lee, Debra K. Moser, Nancy M. Albert, Terry A. Lennie, Brooke Bentley, Linda Worrall-Carter, Barbara Riegel

School of Nursing Departmental Papers

Background: Heart failure (HF) patients who follow the treatment regimen and attend to symptoms before they escalate are assumed to have better health-related quality of life (HRQOL) than those with poor self-care, but there are few data available to support or refute this assumption.

Objective: The objective of the study was to describe the relationship between HF self-care and HRQOL in older (≥65 years old) adults with moderate to advanced HF.

Methods: Self-care was measured using the 3 scales (maintenance, management, and confidence) of the Self-care of Heart Failure Index. Scores range from 0 to 100, with higher numbers indicating …

Segmented Life Of Cf, Anna Novak

English Student Work

No abstract provided.

Self-Organizing Biopsychosocial Dynamics And The Patient-Healer Relationship, David Pincus

Psychology Faculty Articles and Research

The patient-healer relationship has an increasing area of interest for complementary and alternative medicine (CAM) researchers. This focus on the interpersonal context of treatment is not surprising as dismantling studies, clinical trials and other linear research designs continually point toward the critical role of context and the broadband biopsychosocial nature of therapeutic responses to CAM. Unfortunately, the same traditional research models and methods that fail to find simple and specific treatment-outcome relations are similarly failing to find simple and specific mechanisms to explain how interpersonal processes influence patient outcomes. This paper presents an overview of some of the key models …

Political Competition, Relative Deprivation, And Perceived Threat: A Research Note On Anti- Christian Violence In India, Chad Bauman, Tamara Leech

Department of Public Health Scholarship and Creative Works

A preliminary subnational statistical analysis of violence against Christians in contemporary India, this article suggests that whereas the data provide very little support for simple, demographic explanations of this violence, they do more robustly support theories emphasizing the relative status of ethnic and religious minorities (vis-à-vis majorities) and the perception, among Hindus, that Christians (and other minorities) represent a threat to their numerical, political and economic strength.

Guantánamo Bodies: Law, Media, And Biopower, Cary Federman, Dave Holmes

Department of Justice Studies Faculty Scholarship and Creative Works

The idea of the Guantánamo detainee as a Muselmann, the lowest order of concentration camp inmates, contains within it important implications for the new understanding of sovereignty in the era of Guantánamo, in an age of exception. The purpose of this article is to explain the status of those who are detained at Guantánamo Bay. Stated broadly, in assessing that status, we will emphasize the connection between the altered meaning of sovereignty that has accompanied the placing of prisoners in an American penal colony in Cuba and the biopolitical status of the prisoners who reside there. More particularly, we …

Sir William Osler And The Muniments Of The Almshouse At Ewelme, Charles T. Ambrose

Microbiology, Immunology, and Molecular Genetics Faculty Publications

No abstract provided.

The Historical Importance Of Transylvania University’S Medical Department (1799-1859), Focusing On The Little Known Secret Kappa Lambda Society Of Hippocrates And The Origin Of The American Medical Association's Principles Of Medical Ethics, Charles T. Ambrose

Microbiology, Immunology, and Molecular Genetics Faculty Publications

No abstract provided.

Matching For Several Sparse Nominal Variables In A Case-Control Study Of Readmission Following Surgery., José R. Zubizarreta, Caroline E. Reinke, Rachel R. Kelz, Jeffrey H. Silber, Paul R. Rosenbaum

Health Care Management Papers

Matching for several nominal covariates with many levels has usually been thought to be difficult because these covariates combine to form an enormous number of interaction categories with few if any people in most such categories. Moreover, because nominal variables are not ordered, there is often no notion of a "close substitute" when an exact match is unavailable. In a case-control study of the risk factors for read-mission within 30 days of surgery in the Medicare population, we wished to match for 47 hospitals, 15 surgical procedures grouped or nested within 5 procedure groups, two genders, or 47 × 15 …

Tropical Medicine: A Clinical Text, 8th Edition, Revised And Expanded, Kevin M. Cahill, M.D.

Institute of International Humanitarian Affairs

The history of tropical medicine is as dramatic as the story of humankind. It has its own myths and legends, including tales of epidemics that destroyed whole civilizations. Today, with silent stealth, tropical diseases still claim more lives than all the current wars combined. Having had the privilege of working throughout Africa, Asia, and Latin America, as well as in the great medical centers of Europe and the United States, the author presents the details essential for understanding pathogenesis, clinical manifestations, therapy, and prevention of the major tropical diseases. The text, now in its eighth edition, has been used for …

The Impact Of Frailty On Health Related Quality Of Life In Heart Failure, Harleah G. Buck, Barbara Riegel

School of Nursing Departmental Papers

Background/Aims: Most heart failure (HF) hospital discharges involve people > 65 years, many frail. The purpose of this study was to determine if frailty explains variability in health related quality of life (HRQOL) in older adults with HF over and above known correlates.

Methods: A frailty index score was developed by weighting age, number of comorbid conditions, and symptom severity. A multivariate hierarchical regression analysis of known predictors of HRQOLgender, income, ethnicity, health perception, NYHA class — were entered first and then the frailty index was entered and regressed on HRQOL in 2 unique samples.

Results: When known predictors were tested …

Osler Came To Boston, Charles T. Ambrose

Microbiology, Immunology, and Molecular Genetics Faculty Publications

No abstract provided.

Transylvania Medical Alumni Who Served In The Union And Confederate Armies, Charles T. Ambrose

Microbiology, Immunology, and Molecular Genetics Faculty Publications

No abstract provided.

A Qualitative Meta-Analysis Of Heart Failure Self-Care Practices Among Individuals With Multiple Comorbid Conditions, Victoria V. Dickson, Harleah G. Buck, Barbara Riegel

School of Nursing Departmental Papers

Background

Most heart failure (HF) patients have other comorbid conditions. HF self-care requires medication and diet adherence, daily weight monitoring, and a thoughtful response to symptoms when they occur. Self-care is complicated when other chronic conditions have additional self-care requirements. The purpose of this study is to explore how comorbidity influences HF self-care.

Methods

Using qualitative descriptive meta-analysis techniques, transcripts from 3 mixed methods studies (n = 99) were reexamined to yield themes about perceptions about HF and self-care and to explore the influence on HF self-care. The Charlson Comorbidity Index identified comorbid conditions.

Results

The sample was 74% Caucasian, …

A Transylvania Medical Graduate Searches For His Sons After A Civil War Battle, Charles T. Ambrose

Microbiology, Immunology, and Molecular Genetics Faculty Publications

No abstract provided.

Transylvania Medical Alumni Served Both Sides During The Civil War, Charles T. Ambrose

Microbiology, Immunology, and Molecular Genetics Faculty Publications

No abstract provided.

Osler And The Infected Letter: A History Of Disinfecting Mail With Special Reference To Smallpox, Charles T. Ambrose

Microbiology, Immunology, and Molecular Genetics Faculty Publications

In January 1876 William Osler, a young Canadian physician, was recovering from a mild case of smallpox contracted while attending patients at the Montreal General Hospital (Figure 1). In a letter written that same month to an old schoolmate (ArthurJarvis), Osier described his illness and noted in closing, "You need not be afraid of this letter. I will disinfect it before sending." Concern about disseminating smallpox via the letter was well founded. In his medical textbook of 1892, Osler would later write that smallpox can be conveyed by fomites: "the dried scales [of variola scabs] ... as a dust-like powder …

Joseph Hersey Pratt, M.D.: The Man Who Would Be Osler, Charles T. Ambrose

Microbiology, Immunology, and Molecular Genetics Faculty Publications

Joseph Hersey Pratt (1872-1956) was a member of the second class of the Johns Hopkins Medical School, where he became a devoted student of William Osler and life-long disciple. Pratt received his medical degree in 1898 and spent his professional career in Boston. He maintained a close association with Osler until the latter's death in 1919, when Osler's deification as a secular medical saint began. When Pratt died in 1956 at age 83, the Boston Globe eulogized him in an editorial which read, "Dr. Pratt earned a place in the group of Boston medical immortals who have done so much …

Decomposing The Intergenerational Disparity In Income And Obesity, Qi Zhang, Buhong Zheng, Ning Zhang, Youfa Wang

Community & Environmental Health Faculty Publications

Intergenerational disparity in income and health violates the norm of equal opportunity and deserves the attention of researchers and policy makers. To understand changes in intergenerational disparity, we created the intergenerational mobility index (IMI), which can simultaneously measure changes in income rankings and in health outcomes across two generations. We selected obesity as one health outcome to illustrate the application of IMI due to its severe health and financial consequences for society and the significant changes in the distribution of obesity across income groups. Although obesity has increased in all income groups in the last four decades, higher income groups …

The Life And Times Of A Kansas Horse And Buggy Doctor And His Recollections On The Care Of Children, Robert D. Schremmer Md, Jane F. Knapp Md

Posters

Describes the career of Arthur Emmanuel Hertzler, MD, 1870-1946, who practiced in Halstead, Kansas.

The Effect Of Telehomecare On Heart Failure Self Care, Kathryn H. Bowles, Barbara Riegel, Mark G. Weiner, Henry A. Glick, Mary D. Naylor

School of Nursing Departmental Papers

Heart failure (HF) afflicts nearly 6 million Americans and the prevalence continues to rise as the population ages. Hospital use for HF is high and about half of readmissions are believed to be preventable. Promoting self care through telehomecare is an emerging strategy for managing chronic illness. Hospitalized heart failure patients were randomly assigned at discharge to receive usual home care or telehomecare, nurse visits and daily use of monitoring devices such as blood pressure cuffs, scales, glucometers, and pulse oximetry to monitor their symptoms. Nurses at the home care agency monitored the results and interacted with patients as needed …