Race, Feeding Practices And Infant Weight Gain During The First 6 Weeks Of Life,
2021
University of Alabama at Birmingham
Race, Feeding Practices And Infant Weight Gain During The First 6 Weeks Of Life, Alysha Breanne Everett
All ETDs from UAB
Background: Non-Hispanic black (NHB) infants are disproportionately affected by rapid weight gain compared to non-Hispanic white (NHW) infants, which in turn, is associated with future disparities including obesity and cardiometabolic disease. Feeding practices, such as the use of formula or bottles, differ by race and are associated with rate of weight gain. Data from the Pregnancy and Early Life in the South (PEARLS) birth-cohort study was used to test the hypotheses that change in body weight and weight-for-age z-scores (WAZ) from birth to 6 weeks would be greater for (1) NHB versus NHW infants; and (2) infants fed formula (exclusively …
Does Interdisciplinary Care Team Care Management Improve Health Quality And Demonstrate Cost Effectiveness?,
2021
University of Alabama at Birmingham
Does Interdisciplinary Care Team Care Management Improve Health Quality And Demonstrate Cost Effectiveness?, F Cardwell Feagin
All ETDs from UAB
The U. S. healthcare system faces unsustainable rising healthcare costs. Health care cost as a percentage of gross domestic product is expected to rise to 19.4 percent by 2027 (Wilson, 2019). This unstainable rise in healthcare costs is creating a problem for consumers of healthcare. By 2030, the average annual healthcare spending per working household, including premium and out-of-pocket expenditures, is estimated to be 33.9 percent of median compensation (Girod et al., 2016). Also, lawmakers and policymakers face funding issues of healthcare. A key finding of this study is that field-based interdisciplinary care team care management, with an algorithm selecting …
Evidence For A Bioelectrical Marker Of Insulin Resistance In Premenopausal Women: Membrane Capacitance,
2021
University of Alabama at Birmingham
Evidence For A Bioelectrical Marker Of Insulin Resistance In Premenopausal Women: Membrane Capacitance, Valene E Garr Barry
All ETDs from UAB
Insulin resistance (IR) is associated with poor metabolic and reproductive outcomes among premenopausal women. Early identification of women with IR might mitigate these outcomes. However, clinically suitable methods to identify women with IR are unavailable due to high cost, high patient burden, or limited reliability. The objective was to examine a bioimpedance-based approach to identifying women with IR using membrane capacitance (CM). CM is a measure of cell membrane health and function, which is independently associated with IR and may be a suitable predictor. We validated the association of CM with IR and established the clinical utility of CM as …
Rural And Urban Differences In Vegetable And Fruit Consumption Among Older Cancer Survivors In The Deep South: An Exploratory Cross-Sectional Study,
2021
University of Alabama at Birmingham
Rural And Urban Differences In Vegetable And Fruit Consumption Among Older Cancer Survivors In The Deep South: An Exploratory Cross-Sectional Study, Harleen Kaur
All ETDs from UAB
Background: Rural Americans have poorer overall health and physical functioning than their urban counterparts. A varied diet, rich in vegetable and fruit (V&F) consumption may improve health; however, little is known about rural-urban differences in V&F consumption, especially in older cancer survivors. Objective: To assess differences in V&F consumption among older cancer survivors residing in urban- and rural-designated areas, and explore whether differences exist by sex, race, and cancer type. Design: This was a cross-sectional secondary analysis. Participants/setting: Screening data from the Harvest for Health trial was obtained on 731 Medicare-eligible cancer survivors across Alabama. Main outcome measures: V&F consumption …
Service Profiles In Substance Use Disorder Treatment: The Role Of Institutional And Organizational Factors,
2021
University of Alabama at Birmingham
Service Profiles In Substance Use Disorder Treatment: The Role Of Institutional And Organizational Factors, Reena Joseph Kelly
All ETDs from UAB
Substance use disorders (SUDs) are a growing crisis globally and in the US, and place an enormous health, social, and financial burden on the nation. To address the complex nature of SUDs, treatment typically involves a combination of different types of services to address the medical, behavioral and social needs of the patient and care is often delivered by specialized SUD treatment facilities. Despite recommendations for a broad suite of services, individual facilities vary in the specific services that they offer. This study examined whether and why systematic differences exist between treatment facilities based on their service mix and whether …
Actual And Perceived Balance Abilities While Performing Tasks That Challenge Balance In Older Adults And Individuals With Parkinson's Disease.,
2021
University of Alabama at Birmingham
Actual And Perceived Balance Abilities While Performing Tasks That Challenge Balance In Older Adults And Individuals With Parkinson's Disease., Jutaluk Kongsuk
All ETDs from UAB
Walking is a fundamental activity for one to interact effectively with one’s environment. Walking in the community often requires both a wide range and constant modification of walking speed. Decreased walking capacity, that is the maximum speed that a person can physically achieve, results in a decline in both functional mobility and personal independence, contributing to decreased community participation among individuals whose walking is impaired. The most common test of walking speed (i.e., overground comfortable and maximum walking speed) may not reflect the full capacity of individuals to regulate gait control. Whereas walking with progressively increasing treadmill speeds allows researchers …
The Association Between Medicaid Expansion, Medicaid Disproportionate Share Payments And The Financial Performance Of Safety Net Hospitals,
2021
University of Alabama at Birmingham
The Association Between Medicaid Expansion, Medicaid Disproportionate Share Payments And The Financial Performance Of Safety Net Hospitals, Jon Law
All ETDs from UAB
Safety Net Hospitals (SNHs) provide necessary emergency and acute care to all individuals, regardless of their ability to pay for health care. Medicaid Expansion and Disproportionate Share (DSH) payments are two Medicaid programs that may mitigate the financial vulnerability of SNH’s. Some assert that Medicaid Expansion, as part of the Patient and Affordable Care Act (ACA), may provide financial relief for SNHs. It offers payment mechanisms for millions of uninsured individuals. DSH expenditures per capita for each state vary widely. There is some likelihood that SNHs in some states may benefit greater than others. The study was framed within the …
Value Analysis Of Electronic Health Records,
2021
University of Alabama at Birmingham
Value Analysis Of Electronic Health Records, Shikha Shah Modi
All ETDs from UAB
The Electronic Health Record (EHR) is defined as “a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting” (HIMSS, 2011). EHRs have become an important part of the current health system as a result of government regulations, technology advancements, health care challenges, and market conditions. EHRs are considered an expensive investment; however, the complexity of adopting and implementing EHRs also demands attention. Given the complexity of health information technology (HIT) systems and the hefty investment that is required in the adoption of EHRs, a return on investment is expected, and it …
Disrupting The Perioperative Opioid Gateway: Identification Of Risk Factors For New Persistent Post-Surgical Opioid Use,
2021
University of Alabama at Birmingham
Disrupting The Perioperative Opioid Gateway: Identification Of Risk Factors For New Persistent Post-Surgical Opioid Use, Gia Marie Pittet
All ETDs from UAB
A large portion of the American Opioid Crisis is due to opioid naïve patients who become new persistent post-surgical opioid users, although the risk factors for the development of this addiction are not well studied. The objective of this study was to analyze multiple layers of pre-operative and procedural risk factors using an ecological perspective theoretical framework in adult patients undergoing invasive surgery. We performed a retrospective analysis of 13,970 opioid naïve adults in a mixed surgical cohort with data available at the University of California Los Angeles that was merged with narcotics data for the State of California (IRB#19-000625). …
Financial Performance Of Participating Hospitals In Accountable Care Organizations,
2021
University of Alabama at Birmingham
Financial Performance Of Participating Hospitals In Accountable Care Organizations, Abdulrhman Alzhrani
All ETDs from UAB
The study examines the influence of accountable care organizations ACO participation on hospital financial performance. It poses two research questions: 1) how does ACO participation influence hospital financial performance? 2) How do organizational factors- hospital size, electronic health records (EHR) utilization, and ambulatory services- moderate the relationship between hospital ACO participation and financial performance? The study used longitudinal sample of general and surgical hospitals operating in United States from 2009 to 2017. The data were obtained from several sources including American Hospital Association (AHA), AHA survey of care system and payment, hospital cost reports, AHA information technology and Area Health …
Motivation For Participating In Continuous Professional Development Among Selected General Practitioners In Kuala Lumpur, Malaysia: An Exploratory Case Study,
2021
Universiti Malaya
Motivation For Participating In Continuous Professional Development Among Selected General Practitioners In Kuala Lumpur, Malaysia: An Exploratory Case Study, Low Kien Yong
Student Works (2020-2029)
Continues Professional Development (CPD) activities are life-long learning engagements for general practitioners. It can enhance their medical competencies across cognition, psychomotor and affection domains, hence upholding safety and quality of healthcare services. Literature reported that motivation drives learning among general practitioners. However, limited studies explored the motivation from an educational lens. This study explored motivation(s) from the Andragogy and Self-Determination Theory perspectives in promoting active learning among general practitioners. This study also explored their perceptions of the amended law enforcement in Malaysia that mandates CPD participation. Three private general practitioners in Kuala Lumpur consented to participate in this study. In-depth …
Investigating The Development Of Perceptions And Behavioural Intentions Towards People Living With Hiv (Plhiv) Among Pre-Clinical Medical Students In The University Of Malaya,
2021
Universiti Malaya
Investigating The Development Of Perceptions And Behavioural Intentions Towards People Living With Hiv (Plhiv) Among Pre-Clinical Medical Students In The University Of Malaya, Calvin Christopher Willims Fernandez
Student Works (2020-2029)
Since the beginning of the HIV/AIDS epidemic in the 1980s, there has been a high prevalence of stigma and discrimination towards people living with HIV (PLHIV). They manifest in people’s attitudes and behaviour, and in various contexts including education, employment and healthcare. For the latter specifically, stigma-driven behaviours by healthcare practitioners have resulted in poorer health outcomes for PLHIV, where they are humiliated, isolated and in some cases, even refused treatment. This subsequently leads to an increase in mental health issues and other damaging health behaviours among PLHIV. Numerous studies have explored the manifestation of these stigmatizing attitudes and behaviours …
Social And Emotional Competence And Its Association With Cyberbullying Among Adolescents,
2021
Universiti Malaya
Social And Emotional Competence And Its Association With Cyberbullying Among Adolescents, Sivabalan Thava Viknaraj
Student Works (2020-2029)
Cyberbullying is a growing menace especially in countries like Malaysia which highly focuses on digital industry development. Adolescents are at greater risk since their higher usage of internet mainly on the grounds of social networking. The aim of this study is to describe cyberbullying through various factors and the relationship with social and emotional competence (SEC) using the General Aggression Model as a theoretical framework. The study, conducted through June 2019 to November 2019, adopted a cross sectional study design, among 889 adolescents aged 13 and 14 years old of national secondary schools in Penang, Malaysia. Two-stage random sampling was …
Self-Directed Learning Readiness Of Recent Medical Graduates,
2021
Universiti Malaya
Self-Directed Learning Readiness Of Recent Medical Graduates, Mohamad Nabil Mohd Noor
Student Works (2020-2029)
Self-directed learning occurs when teachers empower learners to take control of their learning. This method has been highlighted in medical education to promote lifelong learning for physicians to adapt to the ever-changing field of medicine. Past researchers have focused on undergraduate medical students' self-directed learning readiness and suggested further studies for the population after graduation. The present study aims to measure the level of self-directed learning readiness amongst recent medical graduates in Malaysia. 371 Malaysian doctors who recently graduated within the past 18 months participated in this study and completed Guglielmino’s Self-Directed Learning Readiness Scale. Mean score was computed to …
Perception Of Stakeholders On Current Perfusion Education In Malaysia,
2021
Universiti Malaya
Perception Of Stakeholders On Current Perfusion Education In Malaysia, Rafiq Sumardi Omar
Student Works (2020-2029)
Perfusionist is known as a certified medical technician liable for extracorporeal oxygenation of the blood during open-heart surgery. Current curriculum is believed to be at par and is aligned with the National Occupational Skills Standard, however, the scope of perfusion practice keeps changing with the advancement of technology and procedures, and there is a demand for specialty area such as extracorporeal membrane oxygenation (ECMO). Therefore, current curriculum should be re-evaluated by taking consideration from multiple stakeholders’ perception on current needs, content, educational strategies, teaching methods, assessment methods, and curriculum management. Hence, this study aimed to explore perception of stakeholders in …
Prevalence Of Neurophobia And Its Related Perceptions On Neurology Among Junior Doctors In Malaysia,
2021
Universiti Malaya
Prevalence Of Neurophobia And Its Related Perceptions On Neurology Among Junior Doctors In Malaysia, Nor Azam Ismail
Student Works (2020-2029)
The phenomenon of neurophobia, which is described as the fear of neurological subjects, is not well studied among Malaysian doctors. The aim of the study was to determine the prevalence of neurophobia among Malaysian junior doctors, to determine the perceived level of interest, knowledge, confidence and phobia in Neurology, to assess the association and prediction between different demographic backgrounds of the junior doctors, reasons for Neurology being perceived as a difficult subject, and perceived usefulness of different methods of learning neurology on their perceived difficulty of neurology. The study employed an online, questionnaire-based data collection method distributed among junior doctors …
Revealing Meaning From Story: The Application Of Narrative Inquiry To Explore The Factors That Influence Decision Making In Relation To The Withdrawal Of Life-Sustaining Treatment In The Intensive Care Unit,
2021
Edith Cowan University
Revealing Meaning From Story: The Application Of Narrative Inquiry To Explore The Factors That Influence Decision Making In Relation To The Withdrawal Of Life-Sustaining Treatment In The Intensive Care Unit, Fiona Foxall, Deborah Sundin, Amanda Towell-Barnard Phd, Mnursing, Beverly Ewens, Vivien Kemp, Davina Porock
Research outputs 2014 to 2021
This paper considers the effectiveness of narrative inquiry as a research method in collecting and analyzing stories from a purposive sample of intensive care nurses and doctors, regarding their perceptions of the factors that influence decision-making in relation to the withdrawal of life sustaining treatment. Delaying the withdrawal of treatment when it is clearly indicated, may result in unnecessary patient suffering at the end of life, distress for the family as well as moral distress for staff. In narrative inquiry participants’ first-hand accounts of their experiences are told through story; the focus of analysis is the story, with the story …
We’Re All On This Spaceship Earth,
2020
University of Central Florida School of Medicine/HCA Healthcare Consortium, North Florida Regional Medical Center
We’Re All On This Spaceship Earth, Nancy Si
HCA Healthcare Journal of Medicine
The photo features the geodesic sphere at Epcot, Disney World in Orlando, FL. Inside the dome, there was an iconic ride called “Spaceship Earth”, which has since been shut down for refurbishment. This photo was taken November 2019, approximately 6 months before it was shut down. Much like how the ride emphasized the progress that human civilization has made in the last several hundred years and hopes to make in years to come, the current pandemic has shown us how far we have come in the medicine and other STEM fields. We hope only to do better and be better …
Still Learning: Covid Through The Eyes Of A Medical Student,
2020
Mercer University School of Medicine
Still Learning: Covid Through The Eyes Of A Medical Student, Alexis Strahan
HCA Healthcare Journal of Medicine
As a first-year medical student when the COVID-19 pandemic found a foothold, I felt an overwhelming amount of emotions that accompanied the pandemic’s spread. Fear, although a reasonable choice, was not the first emotion that I experienced. In fact, it was a general feeling of paralysis. I had not six months prior taken an oath to commit my career and life to the service of the public’s health care needs, yet I could provide little more than the textbook knowledge of biochemistry or genetics from my first semester of learning. My hands felt unarmed and unskilled for the fight. What …
Cultural Competency Training For U.S. Army Security Force Assistance Brigade (Sfab) Brigade Medical Teams,
2020
Southern Illinois University Edwardsville
Cultural Competency Training For U.S. Army Security Force Assistance Brigade (Sfab) Brigade Medical Teams, Jacob Blount
Doctor of Nursing Practice Projects
The United States Army began standing up Security Force Assistance Brigades (SFAB) in February 2018. The Brigade Medical Team (BMT) is an 11-person, interdisciplinary Army National Guard team. National Guard Soldiers only have one weekend per month and two weeks of annual training per year to develop/maintain cultural competence. The researcher investigated the efficacy of the Cross-Cultural Competence Trainer (3CT) V2 course to develop and maintain cultural competency in BMT personnel. Pre-test results were obtained from three military medical personnel and a post-test immediately after the course. Participants completed a longitudinal test 28-31 days after the post-test. There was a …
