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Managing Endings In The Beginning: Ethical Reflections On Neonatal Intensive Care, Peter A. DePergola II 2019 University of Massachusetts Medical School - Baystate; Elms College

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.


Dignity And The Life Worth Living: Ethical Reflections On Pediatric Intensive Care, Peter A. DePergola II 2019 University of Massachusetts Medical School - Baystate; Elms College

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.


The Moral Obligation Of Bearing One Another’S Burdens: Ethical Reflections On Surgical Intensive Care, Peter A. DePergola II 2019 University of Massachusetts Medical School - Baystate; Elms College

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.


Healing Without Curing: Ethical Reflections On Palliative Care Medicine, Peter A. DePergola II 2019 University of Massachusetts Medical School - Baystate; Elms College

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.


The Truths That Make Us Free: Ethical Reflections On Reproductive Endocrinology, Peter A. DePergola II 2019 University of Massachusetts Medical School - Baystate; Elms College

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.


The Morality Of Medical Miracles: Ethical Reflections On Pediatric Oncology, Peter A. DePergola II 2019 University of Massachusetts Medical School - Baystate; Elms College

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.


Introduction: Notes From The Bedside, Sheila P. Davis 2019 The University of Southern Mississippi

Introduction: Notes From The Bedside, Sheila P. Davis

Journal of Health Ethics

No abstract provided.


Living With Productive Discomfort: Ethical Reflections On Critical Care Medicine, Peter A. DePergola II 2019 University of Massachusetts Medical School - Baystate; Elms College

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.”


Competitive Strategies Of Hospitals: Antecedents And Association With Financial Performance, Akbar Ghiasi 2019 University of Alabama at Birmingham

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 …


Using Behavioral Health Data From A Health Information Exchange: An Examination Of Facilitators And Barriers, Randyl Cochran 2019 University of Alabama at Birmingham

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 …


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

"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.


How To Balance Intuitive And Analytical Functions Of Brain: A Neutrosophic Way Of Scientific Discovery Process, Florentin Smarandache, Victor Christianto, Robert Neil Boyd 2019 University of New Mexico

How To Balance Intuitive And Analytical Functions Of Brain: A Neutrosophic Way Of Scientific Discovery Process, Florentin Smarandache, Victor Christianto, Robert Neil Boyd

Branch Mathematics and Statistics Faculty and Staff Publications

Initially this article stems from our discussion on math and mysticism, inspired by an article by Ralph Abraham. But it becomes a discussion on the role of intuition and inspiration in scientific discovery process. Hopefully this article will help anyone who aspires to be good scientists or engineers.


A Comparative Study Of Medical And Literary Representations Of Shell Shock, 1914-50, Madison Das 2019 University of Central Florida

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 …


Madness Narratives: Victorian Textual Responses To The Insanity Diagnosis, Jonathan Glenn Tinnin 2019 University of Kentucky

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 …


3d Printing In Low Resource Healthcare Settings: Analysis Of Potential Implementations, Alenna Beroza 2019 Michigan Technological University

3d Printing In Low Resource Healthcare Settings: Analysis Of Potential Implementations, Alenna Beroza

Dissertations, Master's Theses and Master's Reports

3D printing has gained significant momentum in the past ten years, and its unique advantages make it especially ideal for use in low resource healthcare settings, where many designs have already been successfully implemented. Yet, little has been studied on how 3D printing can be sustainably and functionally implemented in low resource healthcare systems as a manufacturing practice. In this report, three business models are proposed for this implementation: In-House Operator, Independent Operator, and Print Farm. These models were then tested over four months in Kisumu county, Kenya, at two workshops and seven public hospitals. I worked with local medical …


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

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 …


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

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. …


Just Culture: It's More Than Policy, Linda Paradiso, Nancy Sweeney 2019 Old Dominion University

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 …


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

“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 …


Embodied Transitions In Michel De Montaigne, Nora Martin Peterson, Peter Martin 2019 University of Nebraska-Lincoln

Embodied Transitions In Michel De Montaigne, Nora Martin Peterson, Peter Martin

Department of Modern Languages and Literatures: Faculty Publications

Sixteenth-century French philosopher Michel de Montaigne was one of the first writers to reflect on embodiment. “I am myself the matter of my book,” he proclaims in the introduction to his Essays. Montaigne writes about various moments of embodied transitions: a near-death experience, reflections on aging and cognitive decline, and a lengthy discussion of how to cope in the face of devastating loss. Taking an interdisciplinary perspective by analyzing the relationship between embodiment, health representations, and geropsychological themes, this chapter analyzes Montaigne’s in-between moments, arguing that Montaigne’s essays—innovative in their own time—remain important in discussing embodied transitions today.


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