Medicine and Health Sciences Commons^™

Executive Deficits In Amyotrophic Lateral Sclerosis: Examining The Consequences Of Self-Regulatory Impairment On Quality Of Life, Abbey R. Roach

University of Kentucky Doctoral Dissertations

Amyotrophic Lateral Sclerosis (ALS) is a fatal neurodegenerative disease that attacks the motor system and contributes to a range of cognitive and behavioral impairments (e.g., behavioral and emotional disinhibition, planning and problem solving difficulties, impulsivity, attention, and personality change). This executive dysfunction may contribute to selfregulatory impairment across several domains, including cognitive skills, thought processes, emotion regulation, interpersonal skills, and physiology, that may be crucial to the quality of life (QOL), or well being, of patients and their caregivers. Given the relentless course and prognosis of ALS, palliative treatments for ALS should target the full range of self-regulatory deficits ...

The Cost Of Medication Errors In The Emergency Department: Implications For Clinical Pharmacy Practice, Benjamin Bowman

MPA/MPP/MPFM Capstone Projects

Introduction

The main purpose of this capstone project is to provide an objective analysis of the cost of a medication error in the emergency department. The secondary objective of this analysis is to estimate the cost avoidance impact of providing clinical pharmacy services in the emergency department (ED).

Literature review

Previous literature has described the scope of clinical pharmacy services in the ED and has, to some extent, presented economic outcomes analyses of the impact of these services (Cohen et al., 2009; Lada and Delgado, 2007). According to Cohen et al., the current literature is still lacking a formal pharmacoeconomic ...

What Is The Impact Of Kentucky’S Pharmacy Recovery Network?, Benjamin Paul Clark

MPA/MPP/MPFM Capstone Projects

Problem Statement: This capstone will focus on Kentucky’s Pharmacy Recovery Network (PRN). In general, professional recovery networks are organizations that act as a liaison between professional state boards and the health professionals who are dealing with substance abuse and addictions that sometimes result in negative consequences to that individual and/or their profession. Instead of a “one-strike and you are out” approach, these organizations recognize that there is a disease process occurring. Thus, as opposed to engaging in strictly punitive measures, a rehabilitative approach is chosen to allow the health professional an opportunity to recover and successfully reenter into ...

Impact Of Levalbuterol Versus Albuterol In Kentucky Medicaid Patients, Velma Henry

MPA/MPP/MPFM Capstone Projects

Problem:

Asthma is a chronic pulmonary disease that occurs in approximately 10 percent of the population worldwide and is associated with a significant increase in direct medical expenditures. Levalbuterol and racemic albuterol are two short-acting β2-agonists (SABA) prescribed for the treatment of asthma. Racemic albuterol has been used for more than 40 years but is associated with several side effects including tremor. When levalbuterol was approved in 2005 its manufacturer and several studies suggested that using levalbuterol results in better respiratory parameters, fewer hospitalizations, less adverse effects and therefore, lower overall treatment costs and hence less need for β-adrenergic agonist ...

Community Needs Assessment Of Mayasandra Village, Karnataka, India, Alexander Hernandez Holl

MPA/MPP/MPFM Capstone Projects

No executive summary.

The Relationship Between Obesity And Skin And Soft Tissue Infections, Juliana Swiney

MPA/MPP/MPFM Capstone Projects

The Problem:

It is well known that our country is experiencing an obesity epidemic: 33.9% of all adults are obese (BMI>30) and 67% of adults are either overweight or obese (BMI>25). Obesity is a risk factor for several serious disease states such as, diabetes, stroke, hypertension, heart disease and some types of cancer. It also has a less well defined relationship with skin and soft tissue infections.

Although it is known that excessive weight increases the opportunity for harmful skin conditions, this relationship has not been as well studied. Some of the mechanisms that predispose obese people ...

50 Years For The Uk College Of Medicine, F. Douglas Scutchfield Md

Preventive Medicine and Environmental Health Presentations

No abstract provided.

Radical Hysterectomy With Pelvic Lymphadenectomy: Indications, Technique, And Complications, Rachel A. Ware, John R. Van Nagell Jr.

Obstetrics and Gynecology Faculty Publications

Radical hysterectomy with pelvic lymphadenectomy remains the treatment of choice for women with Stages IA₂ and IB₁carcinoma of the cervix, and selected patients with Stage II endometrial cancer. Improvement in surgical techniqe, administration of prophylactic antibiotics, thromboemolic prophylaxis, and advances in critical care medicine have resulted in lower operative morbidity associated with this procedure. Major urinary tract complications such as ureteral injury or vesico-vaginal fistula are now extremely rare (< 1%). Five-year survival rates following this procedure vary according to a number of clinical and histologic variables, and may be as high as 90% in women without lymph node metastases.

Mental Health Aspects Of An Adolescent Medicine Clinic Patient Population, Abdel Salous, Linah Al-Alem, Hatim A. Omar

Pediatrics Faculty Publications

The correlation between exposure to forms of violence and development of mental disorders in victims is well established. The purpose of this chapter was to identify mental health problems in an adolescent medicine clinic population in Lexington, KY and to investigate potential correlation of mental disorders with psychosocial factors. Data were gathered from the charts of 169 adolescent clinic patients (age 10-22) seen in the clinic for mental health care and analyzed using Excel. 68% of the patient population was urban, while 32% was rural. In terms of gender, 40% of the patients were male and 60% were female. 80 ...

Digest Of The Philadelphia College Of Osteopathic Medicine (Winter 2010), Philadelphia College Of Osteopathic Medicine

Digest

The Winter 2010 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• Opening Remarks
• PCOM Updates
• Development News
• Wounded Healers
• Founders’ Day 2010
• Mining the Connection between Mind & Body
• Keeping Healthcare Providers Safe from Youth Gang Violence
• Class Notes
• In Memoriam
• My Turn Essay

Small Intestine Submucosa For Repair Of Injured Rabbit Cornea: A Pilot Study, Mark Nicholas Perenich

PCOM Biomedical Studies Student Scholarship

Corneal injuries blind approximately 15 million people worldwide annually. Current methods of treatment have several disadvantages with respect to cost and availability. This study evaluated a small intestine submucosa (SIS) xenograft treatment for a severe corneal injury. SIS could be a favorable alternative to the current treatment methods, because it is inexpensive to produce and abundant where pigs are consumed. A severe ocular injury was created in the right eye of 5 rabbits by n-heptanol and mechanical debridement of the cornea and limbus. The cornea was then evaluated with fluorescence stain and a SIS xenograft was used for treatment. Clinical ...

Letter From The Editor, Justin Guthier

Voices from the Floor

No abstract provided.

A Close Call - Donald Halke Iii, Ms-Iii, Justin Guthier

Voices from the Floor

No abstract provided.

Lessons From A Career In Medicine And Education - Rani Bright, Mbbs, Justin Guthier

Voices from the Floor

No abstract provided.

Perspectives On The Patient & Physician Experience - Alexander Nicholas, Do, Justin Guthier

Voices from the Floor

No abstract provided.

Experiences And Perceptions Of How Community-Based Interventions Can Promote Young Adults' Resilience To Suicide Within Rural/Regional Communities, Tracy Evans

Theses : Honours

In the literature, both statistics and studies have noted that suicide in rural/regional young adults' is an important concern. Recent research suggests, that to facilitate a primary approach to suicide prevention in young people, there is a need to promote the protective construct of resilience at a community level, highlighting strategies such as connectedness, and decreasing the stigma related to mental illness and health-seeking behaviour (Commonwealth Department of Health & Aged Care, 2005; Injury Control Council of Western Australia, 2006). However, there is a need to investigate and identify the links or mediating factors that promote individual resilience within a person, in relation ...

Australian Red Meat Consumption – Predominantly Lean In Response To Public Health And Consumer Demand, P. G. Williams, V. Droulez

Faculty of Health and Behavioural Sciences - Papers (Archive)

Introduction and Methods: Trimming fat off meat is recommended for reducing intake of saturated fat. This paper reviews trends over the past 20 years that have influenced the red meat supply in response to consumer and health professional demands for lean meat, drawing on published survey data, marketing information, analyses of meat content and qualitative research commissioned by Meat and Livestock Australia. Results and Discussion: Separable fat is the greatest determinant of the saturated fat in Australian red meat, and changes in the processing and butchering practices have combined to produce red meat today with significantly lower separable fat. Nutrient ...

Aggressive Wet Age-Related Macular Degeneration, Tommy Cleary

Faculty of Health and Behavioural Sciences - Papers (Archive)

The purpose of this paper is to use a case study to illustrate an encounter with aggressive wet Age-related Macular Degeneration (wet AMD) and discuss clinical interpretation issues related to primary care optometry.

Children's Magazines: Reading Resources Or Food Marketing Tools?, Sandra C. Jones, Amanda Reid

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: Magazines targeted at children under 12 years old are growing in popularity; past studies have asserted that food items are rarely exposed, but methodological issues may have covered the true extent of covert promotion. The primary purpose of the present study was to quantify the nature and extent of the promotion of branded food products in Australian children’s magazines. Design: We conducted a content analysis of possible food promotions in seven top-selling Australian children’s magazines published in 2005. In addition to regular food advertisements, the number of advertisements for premiums, editorials, puzzles or games, competitions and branded ...

Dose Of Omega-3 Pufa Required To Lower Plasma Triglycerides In Pre-Menopausal Women, Cassandra Sparkes, Andrew Sinclair, Robert Gibson, Paul Else, Barbara Meyer

Faculty of Health and Behavioural Sciences - Papers (Archive)

Outcomes: There was a direct relationship between the supplemental dose of LC w-3 PUFA and subsequent changes in erythrocyte EPA + DHA levels (R2 = 0.64, p