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Improving Same Day Surgery Patient Outcomes Through A Nurse Practitioner Led Telephone Follow-Up Call, Jessica Cooke, Kamila Zasowska 2022 University of San Diego

Improving Same Day Surgery Patient Outcomes Through A Nurse Practitioner Led Telephone Follow-Up Call, Jessica Cooke, Kamila Zasowska

Doctor of Nursing Practice Final Manuscripts

Background: On average, patients experience one to seven problems post-hospital discharge leading to increased unplanned emergency room visits, hospital readmission, and worse outcomes. The average cost of a single hospital admission is $15,477, an emergency room visit $1,389, and treatment for a surgical site infection $10,443-$25,546. Additionally, the Center for Medicare and Medicaid Services (CMS) imposes fines on hospital systems with high readmission rates. Currently, the Southern California hospital this project was implemented at has a 15.5% hospital-wide unplanned 30-day readmission rate with a national average of 15.2%.

Purpose: The purpose of this ...


Social Isolation During The Covid-19 Pandemic And Its Impact On Maine's Nursing Homes, Tanya Roy 2022 University of Maine - Main

Social Isolation During The Covid-19 Pandemic And Its Impact On Maine's Nursing Homes, Tanya Roy

Honors College

The COVID-19 pandemic has created several challenges within the healthcare industry and has highlighted the impact of social isolation on older adults in Maine’s nursing homes. The older adult population, defined as individuals 65 years and older, has been identified with increased risk in contracting the SARS-CoV-2 virus during the COVID-19 pandemic. Therefore, older adults were placed on strict isolation precautions and confined within their nursing home setting, many residing only in their rooms. With Maine having the oldest population in the United States, this created a need for further investigation into how the COVID-19 pandemic has impacted the ...


Interpersonal Communication In Eye Care: An Analysis Of Potential Impacts On Cataract Surgery Candidates’ Expectations And Behaviors, Amy Hellem, Sara LaBelle, Cynthia Matossian, Paul Karpecki 2022 Chapman University

Interpersonal Communication In Eye Care: An Analysis Of Potential Impacts On Cataract Surgery Candidates’ Expectations And Behaviors, Amy Hellem, Sara Labelle, Cynthia Matossian, Paul Karpecki

Communication Faculty Articles and Research

Purpose: To identify cataract surgery candidates’ knowledge, beliefs, desires and emotions as they relate to cataract surgery generally as well as to their behavioral intent to adhere to a doctor-recommended pre-surgical ocular surface prep routine designed to improve refractive outcomes and prevent surgical complications.

Methods: This national, noninterventional, cross-sectional, mixed methods survey included 278 US adults ages 65 and older with no history of cataract surgery in either eye.

Results: Only 20% of participants said they want to have cataract surgery, and even fewer (8%) said they wish they could have cataract surgery right away. Fear was the predominant emotion ...


Physical Therapy Interventions And Outcomes In A Patient With Transfemoral Amputation Following Sound Side Total Knee Arthroplasty: A Case Report, Scott Love, Debra Gray, Jenna Yent, Michael Jason Highsmith 2022 University of St. Augustine for Health Sciences

Physical Therapy Interventions And Outcomes In A Patient With Transfemoral Amputation Following Sound Side Total Knee Arthroplasty: A Case Report, Scott Love, Debra Gray, Jenna Yent, Michael Jason Highsmith

Physical Therapy Collection

Background: Following a transfemoral amputation (TFA), osteoarthritis (OA) on the sound limb may occur secondary to overuse. Potential causative factors include gait abnormalities, increased knee load, and performing hopping activities without a prosthesis. Unilateral TFA patients may require a total knee arthroplasty (TKA) to improve function.

Case Description and Methods: A 56-year-old male with a TFA who was diagnosed with left knee OA and was classified as a limited community ambulator underwent a TKA to restore function. The purpose of this case report is to determine the benefits of standard physical therapy (PT) augmented by a high intensity, whole-body strengthening ...


Altitude Illness, Kali Hepner 2022 Arcadia University

Altitude Illness, Kali Hepner

Capstone Showcase

With an increasing number of individuals traveling to high altitudes, it is important to address the risk these individuals face of developing altitude related illnesses. An example of high altitude related illness might be the elevation transition of travelers flying into Denver, Colorado (1,673 m) with the intention to then drive up to Rocky Mountain National Park’s Alpine Visitor Center (3,595 m) in the same day. This poses increased risk of unacclimatized visitors experiencing altitude illness in remote areas of the national park. This poster summarizes the diagnosis, prevention, and treatment of altitude illnesses so that clinicians ...


The Role Of Physical Activity In Older Adults And Practical Intervention, Se Won Lee, Rebecca Patel, Bryan Werner, Ji Won Yoo, Timothy Tiu 2021 MountainView Medical Center-Nevada

The Role Of Physical Activity In Older Adults And Practical Intervention, Se Won Lee, Rebecca Patel, Bryan Werner, Ji Won Yoo, Timothy Tiu

HCA Healthcare Journal of Medicine

Physical inactivity (PI), defined as not meeting guidelines for physical activity beyond baseline daily living activities, is common among older adults (age 65 and older) and contributes to increased morbidity, increased mortality and increased health care spending. Understanding the clinical impact of PI on common medical conditions among older adults will help primary care physicians (PCPs) to educate these patients successfully. Physical activity and exercise are effective in the primary and secondary prevention of chronic diseases that can lead to physical impairments, disability and/or premature death. Physical activity and exercise have been shown to improve cognitive dysfunction and painful ...


Food Addiction And Obesity, Lisa Ling 2021 Abilene Christian University

Food Addiction And Obesity, Lisa Ling

Electronic Theses and Dissertations

The obesity rate in the U.S. adult population has increased to epidemic levels despite attempts to decrease obesity through evidence-based knowledge, clinical practice guidelines, medical interventions, and individual efforts. For certain individuals, food addiction behaviors such as food cravings, loss of control, and binge eating contribute to obesity and require a different approach to care. Little work has been done on adding the possibility of food addiction to obesity screening and treatment. This study utilized a quasi-experimental quantitative pre- and postsurvey research design based on Lewin’s change theory. Nurse practitioners were surveyed regarding the provider’s perceptions, attitudes ...


Stereo Hearing With Unilateral Bone Conduction Amplification, Megan Crouse 2021 James Madison University

Stereo Hearing With Unilateral Bone Conduction Amplification, Megan Crouse

Dissertations, 2020-current

Abstract

Conductive hearing loss results when the neural integrity of the auditory system is healthy, but sound is prevented from reaching the cochlea in its entirety. Unilateral Congenital Aural Atresia (UCAA) is a birth defect in which there is no external ear canal, resulting in the reduction of sound able to reach the middle ear. Two primary options for correcting this conductive hearing loss are canalplasty or a bone anchored hearing device (BAHD). We want to compare the benefit level from these options, specifically in two conditions: sound localization and the ability to detect speech from one ear while there ...


Impact Of Fellow/Resident Involvement During Colonoscopy In A High-Volume Colorectal Surgical Practice, Zachary Chomitzky, William Sangster 2021 Lehigh Valley Health Network

Impact Of Fellow/Resident Involvement During Colonoscopy In A High-Volume Colorectal Surgical Practice, Zachary Chomitzky, William Sangster

Research Scholars

No abstract provided.


Pediatric Sepsis-Development Of A Clinical Pathway For The Pediatric Emergency Department, Roslyn Lampkin-Smiley 2021 University of St Augustine for Health Sciences

Pediatric Sepsis-Development Of A Clinical Pathway For The Pediatric Emergency Department, Roslyn Lampkin-Smiley

Student Scholarly Projects

Globally, various researchers have suggested that sepsis is one of the most prominent causes of infant fatalities. Since 2004, countless guidelines have been developed to assist in the early identification and management of sepsis. The PICOT question that guided this project was: Does the implementation of a pediatric sepsis clinical pathway, compared with the standard protocol in emergency departments, decrease delays in treatment times of patients presenting with sepsis? Researchers have suggested that early recognition and interventions for septic patients can result in decreased mortality rates. A pediatric sepsis clinical pathway was implemented during this project. The pathway alerted staff ...


Increasing Staff Awareness And Screening Practices For Adverse Childhood Experiences At A Primary Care Clinic, Kayla Wright 2021 Jacksonville State University

Increasing Staff Awareness And Screening Practices For Adverse Childhood Experiences At A Primary Care Clinic, Kayla Wright

Doctor of Nursing Practice Projects

Adverse childhood experiences (ACEs) are present in approximately 60% of the adult population in the United States. There is a correlation between adverse childhood experiences and chronic health conditions as adults. Despite the evidence showing this correlation, there is a lack of screening for ACEs in the primary care setting. Many primary care providers and staff are unaware of ACEs or the correlation with chronic health conditions and substance abuse and, therefore, do not understand how to or recognize the benefits of screening in primary care. With education for providers and staff, primary care is the ideal setting to perform ...


Isomirmap-Fast, Deterministic, And Exhaustive Mining Of Isomirs From Short Rna-Seq Datasets., Phillipe Loher, Nestoras Karathanasis, Eric R Londin, Paul Bray, Venetia Pliatsika, Aristeidis G. Telonis, Isidore Rigoutsos 2021 Computational Medicine Center, Sidney Kimmel Medical College, Thomas Jefferson University, 1020 Locust Street, Philadelphia, PA, 19107, USA

Isomirmap-Fast, Deterministic, And Exhaustive Mining Of Isomirs From Short Rna-Seq Datasets., Phillipe Loher, Nestoras Karathanasis, Eric R Londin, Paul Bray, Venetia Pliatsika, Aristeidis G. Telonis, Isidore Rigoutsos

Computational Medicine Center Faculty Papers

MOTIVATION: MicroRNA (miRNA) precursor arms give rise to multiple isoforms simultaneously called "isomiRs." IsomiRs from the same arm typically differ by a few nucleotides at either their 5´ or 3´ termini, or both. In humans, the identities and abundances of isomiRs depend on a person's sex, population of origin, race/ethnicity, and on tissue type, tissue state, and disease type/subtype. Moreover, nearly half of the time the most abundant isomiR differs from the miRNA sequence found in public databases. Accurate mining of isomiRs from deep sequencing data is thus important.

RESULTS: We developed isoMiRmap, a fast, standalone, user-friendly ...


Serious Mental Illness In Nursing Homes: Quality Concerns, Dylan J. Jester 2021 University of South Florida

Serious Mental Illness In Nursing Homes: Quality Concerns, Dylan J. Jester

USF Tampa Graduate Theses and Dissertations

Objective: This dissertation is made of two academic papers followed by a chapter discussing policy implications of the findings. The objective of this dissertation is to better understand if high-serious mental illness (SMI) nursing homes (NHs) provide poorer quality of care (e.g., operationalized as staffing levels, NH Compare quality star ratings, and health deficiencies) and whether quality in high-SMI NHs is confounded by payer mix (e.g., the proportion of residents who are Medicaid-reimbursed). A modified Donabedian Structure, Process, Outcome (SPO) Model was used as the main theoretical framework.

Methods: Data came from the Certification and Survey Provider Enhanced ...


Sepsis In Two Hospitals In Rwanda: A Retrospective Cohort Study Of Presentation, Management, Outcomes, And Predictors Of Mortality., Dennis A Hopkinson, Jean Paul Mvukiyehe, Sudha P Jayaraman, Aamer A Syed, Myles Dworkin, Willy Mucyo, Thierry Cyuzuzo, Anne Tuyizere, Christian Mukwesi, Gaston Nyirigira, Paulin R Banguti, Elisabeth D Riviello 2021 Department of Internal Medicine, Virginia Commonwealth University, Richmond, United States

Sepsis In Two Hospitals In Rwanda: A Retrospective Cohort Study Of Presentation, Management, Outcomes, And Predictors Of Mortality., Dennis A Hopkinson, Jean Paul Mvukiyehe, Sudha P Jayaraman, Aamer A Syed, Myles Dworkin, Willy Mucyo, Thierry Cyuzuzo, Anne Tuyizere, Christian Mukwesi, Gaston Nyirigira, Paulin R Banguti, Elisabeth D Riviello

Student Papers & Posters

PURPOSE: Few studies have assessed the presentation, management, and outcomes of sepsis in low-income countries (LICs). We sought to characterize these aspects of sepsis and to assess mortality predictors in sepsis in two referral hospitals in Rwanda.

MATERIALS AND METHODS: This was a retrospective cohort study in two public academic referral hospitals in Rwanda. Data was abstracted from paper medical records of adult patients who met our criteria for sepsis.

RESULTS: Of the 181 subjects who met eligibility criteria, 111 (61.3%) met our criteria for sepsis without shock and 70 (38.7%) met our criteria for septic shock. Thirty-five ...


Senior Cohousing: The Social Architecture Of Cohousing, Community Design & Well Being, Michael Mandelman 2021 University of Wisconsin-Milwaukee

Senior Cohousing: The Social Architecture Of Cohousing, Community Design & Well Being, Michael Mandelman

Theses and Dissertations

The world is facing a situation without precedent, due to the anticipated growth in and increasing longevity of elderly people. Where and how people live is and can be a determinant of health. There is substantial research on inadequate housing for older people and its adverse effects on health. However, less is known about how senior cohousing affects the health of its residents. Further research is needed to improve strategies for senior living environments that promote social interaction and facilitate well-being. This study aims to bolster design and policy strategies by investigating how senior cohousing residents perceive how their living ...


Embodied Medicine: Integrating Dance/Movement Therapy Into Physical Medicine & Rehabilitation, Sneha Rajan 2021 Sarah Lawrence College

Embodied Medicine: Integrating Dance/Movement Therapy Into Physical Medicine & Rehabilitation, Sneha Rajan

Dance/Movement Therapy Theses

Physical medicine and rehabilitation (PM&R) is a field of medicine that addresses a variety of disorders impacting the brain, spinal cord, muscles, and bones. When approaching patient care, the goals of dance/movement therapists are similar to those of physiatrists, because both strive for a holistic approach to treatment that considers more than just physical ailments. Adding dance/movement therapy sessions in parallel with PM&R services would enhance the overall patient experience and quality of life. Previous studies that explore the use of dance/movement therapy with various neurodegenerative diseases, neuromuscular diseases, and sustained injuries are reviewed for ...


Prevalence Of Common Disease Conditions In A Large Cohort Of Individuals With Down Syndrome In The United States, Brian Chicoine, Anne Rivelli, Veronica Fitzpatrick, Laura Chicoine, Gengjie Jia, Andrey Rzhetsky 2021 Advocate Aurora Health

Prevalence Of Common Disease Conditions In A Large Cohort Of Individuals With Down Syndrome In The United States, Brian Chicoine, Anne Rivelli, Veronica Fitzpatrick, Laura Chicoine, Gengjie Jia, Andrey Rzhetsky

Journal of Patient-Centered Research and Reviews

Purpose: Given the current life expectancy and number of individuals living with Down syndrome (DS), it is important to learn common occurrences of disease conditions across the developmental lifespan. This study analyzed data from a large cohort of individuals with DS in an effort to better understand these disease conditions, inform future screening practices, tailor medical care guidelines, and improve utilization of health care resources.

Methods: This retrospective, descriptive study incorporated up to 28 years of data, compiled from 6078 individuals with DS and 30,326 controls matched on age and sex. Data were abstracted from electronic medical records within ...


Non-Dental Oral Cavity Findings In Gastroesophageal Reflux Disease: A Systematic Review And Meta-Analysis, Madalina-Gabriela Indre, Darius Sampelean, Vlad Taru, Angela Cozma, Dorel Sampelean, Mircea Vasile Milaciu, Olga Hilda Orasan 2021 PROF. DR. OCTAVIAN FODOR REGIONAL INSTITUTE OF GASTROENTEROLOGY AND HEPATOLOGY, CLUJ-NAPOCA, ROMANIA

Non-Dental Oral Cavity Findings In Gastroesophageal Reflux Disease: A Systematic Review And Meta-Analysis, Madalina-Gabriela Indre, Darius Sampelean, Vlad Taru, Angela Cozma, Dorel Sampelean, Mircea Vasile Milaciu, Olga Hilda Orasan

Journal of Mind and Medical Sciences

Gastroesophageal reflux disease (GERD) is known as the most prevalent gastrointestinal disorder in the United States, leading to substantial morbidity, although associated mortality is rare. Based on the appearance of esophageal mucosa on upper endoscopy, GERD is divided into erosive esophagitis (ERD) and nonerosive reflux disease (NERD). Heartburn and acid regurgitation are the typical symptoms of the disease, although some patients may present atypical manifestations such as epigastric pain, nausea, asthma, chronic cough, pharyngitis, laryngitis, sleep disturbances, otitis, and sinusitis. Other signs, such as oral mucosal lesions may result from GERD by direct acid or acidic vapor contact in the ...


Effects Of Combining Meditation Techniques On Short-Term Memory, Attention, And Affect In Healthy College Students., Samani Unnata Pragya, Neelam D Mehta, Bassam Abomoelak, Parvin Uddin, Pushya Veeramachaneni, Naina Mehta, Stephanie Moore, Melissa Jean-Francois, Stephanie Garcia, Samani Chaitanya Pragya, Devendra I Mehta 2021 Department of Religions and Philosophies, University of London, London, United Kingdom

Effects Of Combining Meditation Techniques On Short-Term Memory, Attention, And Affect In Healthy College Students., Samani Unnata Pragya, Neelam D Mehta, Bassam Abomoelak, Parvin Uddin, Pushya Veeramachaneni, Naina Mehta, Stephanie Moore, Melissa Jean-Francois, Stephanie Garcia, Samani Chaitanya Pragya, Devendra I Mehta

Department of Medicine Faculty Papers

Meditation refers to a family of self-regulation practices that focuses on training attention and awareness to foster psycho-emotional well-being and to develop specific capacities such as calmness, clarity, and concentration. We report a prospective convenience-controlled study in which we analyzed the effect of two components of Preksha Dhyāna – buzzing bee sound meditation (Mahapran dhvani) and color meditation (leśyā dhyāna) on healthy college students. Mahapran and leśya dhyāna are two Preksha Dhyāna practices that are based on sound and green color, respectively. The study population represents a suitable target as college students experience different stress factors during the school year. This ...


Preliminary Data On The Potential For Unintentional Antidoping Rule Violations By Permitted Cannabidiol (Cbd) Use., Ute Mareck, Gregor Fusshöller, Hans Geyer, Marilyn A. Huestis, Anja B Scheiff, Mario Thevis 2021 Institute of Biochemistry, German Sport University Cologne, Cologne, Germany

Preliminary Data On The Potential For Unintentional Antidoping Rule Violations By Permitted Cannabidiol (Cbd) Use., Ute Mareck, Gregor Fusshöller, Hans Geyer, Marilyn A. Huestis, Anja B Scheiff, Mario Thevis

Institute of Emerging Health Professions Faculty Papers

According to the World Anti-Doping Agency (WADA) regulations, cannabinoids use is prohibited in competition except for cannabidiol (CBD) use. For an adverse analytical finding (AAF) in doping control, cannabinoid misuse is based on identification of the pharmacologically inactive metabolite 11-nor-delta-9-carboxy-tetrahydrocannabinol-9-carboxylic acid (carboxy-THC) in urine at a concentration greater than 180 ng/ml. All other (minor) cannabinoids are reported as AAF when identified, except for CBD that has been explicitly excluded from the class of cannabinoids on WADA's Prohibited List since 2018. However, due to the fact that CBD isolated from cannabis plants may contain additional minor cannabinoids, the permissible ...


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