Primary Care Commons^™

A Functional Algorithm For Weight Loss And Obesity Practice: Guide For Clinical Decision-Making For Treating Women, Jennifer A. Tice Williams

Dissertations

ABSTRACT

Background

Overweight and obesity have significant impact and consequences on women leading to reduced quality of life, comorbid conditions and premature mortality. Many healthcare providers lack adequate training and the time to properly treat overweight and obesity. Algorithms have been shown to improve clinical knowledge and save time.

Objectives

To develop an algorithm for weight loss assessment and treatment to aid in the clinical decision-making process while improving the quality of care for overweight and obese clients in an efficient manner that can be replicated.

Methods

After an extensive literature review to identify best-practice guidelines for weight loss a …

Comprehensive Review Of The Evidence Regarding The Effectiveness Of Community-Based Primary Health Care In Improving Maternal, Neonatal And Child Health: 8. Summary And Recommendations Of The Expert Panel, Robert E. Black, Carl E. Taylor, Shobha Arole, Abhay Bang, Zulfiqar Ahmed Bhutta, A Mushtaque R. Chowdhury, Betty R. Kirkwood, Nazo Kureshy, Claudio F. Lanata, James F. Phillips

Department of Paediatrics and Child Health

Background: The contributions that community-based primary health care (CBPHC) and engaging with communities as valued partners can make to the improvement of maternal, neonatal and child health (MNCH) is not widely appreciated. This unfortunate reality is one of the reasons why so few priority countries failed to achieve the health-related Millennium Development Goals by 2015. This article provides a summary of a series of articles about the effectiveness of CBPHC in improving MNCH and offers recommendations from an Expert Panel for strengthening CBPHC that were formulated in 2008 and have been updated on the basis of more recent evidence.
Methods: …

Human Cytomegalovirus: A Neglected Public Health Area Of Significant Relevance To Women, The Foetus And New Born. Time For Action!, Amna Rehana Siddiqui, Saira Ibrahim, Anwar Ali Siddiqui, Paul Moss, El-Nasir Lalani

Community Health Sciences

No abstract provided.

Chlamydia Screening In Women At A University Student Health Center, Jaime K. Carroll, Karen Macauley

Doctor of Nursing Practice Final Manuscripts

The purpose of this evidenced-based project was to increase chlamydia pre- screening and screening in women under age 25 presenting with urinary symptoms. Interventions included chlamydia pre-screening alerts embedded into the electronic medical record. Three-month evaluation showed a chlamydia pre-screening rate of 100% and an increase in chlamydia screening by 9%.

Health Care Transitions For Adolescents And Young Adults With Special Health Care Needs: Where Are We Now?, Nicole Mubanga, Dennis J. Baumgardner, Jessica J. F. Kram

Journal of Patient-Centered Research and Reviews

Eventually, all adolescents must “graduate” from pediatric-oriented to adult-oriented health care. This transition, most often occurring during young adulthood, is especially important for adolescents with special health care needs and involves not only primary care physicians, but also both pediatric and adult subspecialists. Several studies support the benefit of transitional programs for adolescents and young adults with special health care needs. Additionally, the American Academy of Pediatrics named transitional care as one of its top priorities. However, transitional programs have yet to become an established norm among hospitals and providers, specifically outside of children’s hospitals. This topic synopsis aims to …

When One Is Sick And Two Need Help: Caregivers’ Perspectives On The Negative Consequences Of Caring, Ilja Ormel, Susan Law, Courtney Abbott, Mark Yaffe, Marc Saint-Cyr, Kerry Kuluski, Debbie Josephson, Ann C. Macaulay

Patient Experience Journal

Informal or family caregivers contribute significantly to individual care, and to the Canadian healthcare system, yet receive limited support from governments, institutions, and healthcare professionals in recognition of their role, or in response to their health and social care needs – often due to the negative consequences of caregiving. Learning about the diversity of others’ experiences can positively influence personal decision-making, reduce feelings of isolation, as well as promote adjustment to a personal situation. For caregivers, however, few resources exist that provide reliable information on others’ experiences. We collected the narratives of caregivers’ experiences of caring for someone with a …

The Effect Of Routine Adult Phq-2 Depression Screen And Scheduled Follow-Up Protocol In The Primary Care Setting, Alex F. Bikowski

Evidence-Based Practice Project Reports

Healthy People has projected depression to be the primary cause of disability by 2020; therefore routine depression screening has been prioritized as a national healthcare initiative. The purpose of this Evidence-Based Practice (EBP) project is to demonstrate that routine implementation of the 2-item Patient Health Questionnaire (PHQ-2) depression screener, along with a scheduled follow-up protocol for adults in the primary care setting, can improve current mental health practices regarding the identification of depression by clinicians. The evidence supports use of the PHQ-2 for routine adult depression screening, as long as a scheduled follow-up protocol is available for positive screens. This …

The Impact Of The Patient-Centered Medical Home On Health Disparities In Adults: A Systematic Review Of The Evidence, J. Nwando Olayiwola 2062970, Sonali Sheth, Victor Mleczko, Anna L. Choi, Anjana E. Sharma

Journal of Health Disparities Research and Practice

Introduction: The objective of this study was to review the empirical evidence on Patient-Centered Medical Home (PCMH) impact on health disparities in adults.

Methods: We searched PubMed, Scopus, and Google Scholar to identify studies on PCMH/health homes and health disparities published in English between January 1, 2009 and December 31, 2014. Articles met inclusion criteria if they investigated at least one component of PCMH or health homes in vulnerable populations, defined by PROGRESS-PLUS criteria, and reported differences in one of five clinical quality measures.

Results: 964 articles were identified through database searching and subsequent snowballing. 60 articles underwent full text …

Appendicular Mass – A Rare Form Of Tuberculosis, Petrisor Banu, Vlad D. Constantin, Florian Popa, Mircea Bratucu, Teodora Vladescu, Cristian Balalau

Journal of Mind and Medical Sciences

Tuberculosis is in the top 10 causes of death worldwide, being one of the most deadly infectious diseases. It is estimated that one of three people from the entire earth population has a latent infection with M tuberculosis. This aerobic bacterium possesses the ability to persist in host tissues for years and to begin replication once immunity declines.

The lungs are most frequent site of infection as the Mycobacterium tuberculosis is carried by aerosol droplets and is commonly transmitted by respiratory route. The second way of transmission is by contaminated food.

Intestinal contamination coexists with pulmonary tuberculosis and only 10% …

Transitioning To Team-Based Primary Care, Karim Hanna, Paul Di Capua

All Publications

No abstract provided.

Interaction Of Cd14 Haplotypes And Soluble Cd14 On Pulmonary Function In Agricultural Workers., Tricia D. Levan, Lynette M. Smith, Art J. Heires, Ted R. Mikuls, Jane L. Meza, Lisa A. Weissenburger-Moser, Debra J. Romberger

Journal Articles: Internal Medicine

BACKGROUND: Agricultural environments are contaminated with organic dusts containing bacterial components. Chronic inhalation of organic dusts is implicated in respiratory diseases. CD14 is a critical receptor for gram-negative lipopolysaccharide; however, its association with respiratory disease among agricultural workers is unknown. The objective of this study was to determine if serum soluble CD14 (sCD14) levels are associated with lung function among agricultural workers and if this association is modified by genetic variants in CD14.

METHODS: This cross-sectional study included 584 veterans with >2 years of farming experience and that were between the ages of 40 and 80 years. Participants underwent spirometry …

Provider Referral Of Patients With Acute Low Back Pain To Physical Therapy: Implications For Outcomes And Costs, Corinne Griggs

DNP Projects

Because most patients with an acute episode of low back pain (LBP) enter the health care system through primary care, it is important primary care providers consider the effects of their decisions on patient outcomes and costs. Although guidelines for primary care management of acute LBP do not place emphasis on physical therapy, they have not been updated since 2007, and more recent evidence supports the use of timely physical therapy in acute LBP patients without “red flags.” Additionally, many studies indicate specialist or surgical consultation is over-utilized, inflating costs and delaying physical therapy. The aim of this project was …

Characteristics Of Primary Care Physicians In Patient-Centered Medical Home Practices: United States, 2013, Esther Hing, Ellen Kurtzman, Denys Lau, Andrew Bindman

Nursing Faculty Publications

Objective—This report describes the characteristics of primary care physicians in patient-centered medical home (PCMH) practices and compares these characteristics with those of primary care physicians in non-PCMH practices.

Methods—The data presented in this report were collected during the induction interview for the 2013 National Ambulatory Medical Care Survey, a national probability sample survey of nonfederal physicians who see patients in office settings in the United States. Analyses exclude anesthesiologists, radiologists, pathologists, and physicians in community health centers. In this report, PCMH status is self-defined as having been certified by one of the following organizations: Accreditation Association for Ambulatory Health Care, …

The Effects Of Patient Characteristics On Clinician’S Adherence To Preventive Practice Guidelines, Deshana A. Collett Ph.D,Pa-C, Kenneth M. Tyler Ph.D.

Journal of Health Disparities Research and Practice

ABSTRACT

BACKGROUND: The existence of health disparities confirms that not all patients, regardless of differences in patient demographics, are provided quality healthcare (Agency of Health Care Research and Quality, 2003). Moreover, research suggests that health disparities may be present due to the inadequate delivery of medical services (S. Haist, J. Wilson, M. Lineberry, & C. Griffith, 2007; Van Ryn, Burgess, Malat, & Griffin, 2006). The differences in the delivery of care and services to ethnic minorities and those of low socioeconomic status warrant examining the role healthcare providers play in the causation of these health disparities (Smedley, Stith, & Nelson, …

Degree Of Knowledge, Potential Barriers, And Reasons For Finding Out About Genetic Testing, Lisa Ann Atkinson, Drew Alexander Holm, Michael Jacob

All Electronic Theses and Dissertations

Genetic testing is a resource that continues to evolve and change the world of medicine. The availability of such testing has created opportunities for many to better understand and take control of their health. However, studies show that the general population is still lacking in awareness toward genetic testing and what it has to offer. The purpose of this study was to assess the knowledge about genetic testing and participant’s feelings towards finding out about a possible inheritable disease. A nine question survey was distributed to 156 participants at two Minnesota schools and one Minnesota clinic. The study found that …

Patient Understanding Of The Physician Assistant Profession Across Age Groups, Amber Baumann, Galen Hilgendorf

All Electronic Theses and Dissertations

The demand for healthcare providers such as Physician Assistants is ever increasing with the growing and aging United States population. The number of Physician Assistant education programs as well as practicing Physician Assistants is growing at an astronomical rate, making the general population’s understanding of this profession more important than ever. Therefore, this study is aimed at assessing the degree of understanding of the Physician Assistant profession across the Twin Cities metro and south central Minnesota. It also assesses if a gap in understanding exists across age groups within these areas. The study utilized a web-based questionnaire consisting of 12 …

Patient Satisfaction With Physician Assistants In Family Practice, Megan A. Bendix, Mariah Eystad

All Electronic Theses and Dissertations

Introduction: The nation is experiencing an expanding, aging population. As the nation faces an imminent physician shortage, physician assistants (PAs) will be utilized in practice to a greater extent. Maintaining patient satisfaction is important because it improves patient outcomes. Purpose: The purpose of this study is to evaluate patient satisfaction with PAs in family practice. By researching determinants of satisfaction, this study will identify the factors that influence overall patient satisfaction. The results will indicate what aspects of a patient’s visit can be improved upon to increase satisfaction. Methods: A survey was given at family practice clinics to patients that …

Sports Specialization And Injury Prevalence, Jacob P. Berwyn, Jordan Lee Reiner

All Electronic Theses and Dissertations

This retrospective study examines musculoskeletal injury prevalence rates among high school athletes. Specifically, it examines if there is a higher injury prevalence amongst single sport athletes compared to multi-sport high school athletes. Also, it looks at injury prevalence by gender to determine if male or female athletes are more prone to injuries. The population for this study consisted of student athletes from Bethel University in Arden Hills, Minnesota. In order to qualify for the study the athletes must have participated in a State High School League sanctioned sport prior to competing at the collegiate level. Consent forms and questionnaires were …

Dynamic Knee Hyperextension Screening As A Predictor Of Acl Injury Potential In Competitive High School Soccer Players, Jon-Paul W. Ciszewski, David Mcgehee, Jessica Schindler

All Electronic Theses and Dissertations

Introduction: Young, active populations who play sports that include sudden cutting motions, are at heightened risk of injury to the anterior cruciate ligament (ACL). Female athletes with increased joint laxity and subsequent hyperextension of the knee, are at greatest risk of ACL injury when compared to males. Purpose: The purpose of this retrospective study was to explore the incidence of dynamic knee hyperextension in high school soccer athletes by sex and team level, as observed through high-speed photography. This could lead to a potentially practicable screening tool for identifying high school soccer athletes at increased risk of ACL injury. Methods: …

Prevalence Of Caffeine Use And Knowledge Of Its Benefits, Side Effects, And Withdrawal Symptoms Among Pre-Pa Students, Pa Students, And Clinically Practicing Pas, Kjerstin Grace Durie, Chelsie Nicole Horner, Greta Sowles

All Electronic Theses and Dissertations

Caffeine is consumed daily by eighty percent of the world’s population, making it the most widely used stimulant drug. Caffeine has various benefits, side effects, and withdrawal symptoms associated with its use, but there is a lack of research that studies how much caffeine users know about these effects. This research study assessed the use of caffeine for academic and professional purposes and the knowledge about the benefits, side effects, and withdrawal symptoms of caffeine among pre-PA students, PA students, and practicing PAs in Minnesota. To do so, a paper copy of a survey was given to pre-PA students and …