Matching Items (19)

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Evaluating Whether the Benefits of Spinal Fusion Surgeries are Worth Their Increasing Costs

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This thesis seeks to evaluate whether the benefits of spinal fusion surgeries are worth their increasing costs. The paper examines the trends that contribute to these surgeries' increasing prices and

This thesis seeks to evaluate whether the benefits of spinal fusion surgeries are worth their increasing costs. The paper examines the trends that contribute to these surgeries' increasing prices and then evaluates the customer impact of these surgeries in order to make a conclusion on whether the surgeries are worth it. This paper discusses the main factors that contribute to the increase in prices of these surgeries and these include the aging population, the increase in diabetes rates, and the practice of purchasing physicians owned distributorships (PODs) devices in some hospitals. The paper concluded that there is a definite correlation between the increased rate of spinal surgeries performed as a result of an increase in diabetes rates in the US population. It was argued that diabetes can lead to multiple spinal diseases which increase the demand of spinal surgeries which in turn causes the prices of these surgeries to rise. The paper also argued that current technological advances have allowed us to live longer which in turn leads to an increase in spine surgeries simply due to old age and a deteriorating spine. Lastly, it was argued that the recent surge in the POD devices being used in spinal surgeries in some hospitals can be seen as a possible influence to the increase in the cost of these surgeries. This is because the hospitals that chose to purchase surgery devices from PODs are more likely to increase the cost to perform the surgery because they are paying a lot more for those devices. Looking at the customer impact, it was apparent that spinal fusion surgeries carry certain risks because they require decortication of bone and, often, placement of implants; along with extensive dissection and longer operative time. However, based on the research conducted, there was no conclusion to be made on whether spinal fusions carried more risks than all other spinal surgeries because the data used only compared the surgery to some that are arguably less complicated like discectomies.

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Date Created
  • 2017-12

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A Look into Measuring Trust in Medical Devices

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The purpose of this review is to determine how to measure and assess human trust in medical technology. A systematic literature review was selected as the path to understand the

The purpose of this review is to determine how to measure and assess human trust in medical technology. A systematic literature review was selected as the path to understand the landscape for measuring trust up to this point. I started by creating a method of systematically reading through related studies in databases before summarizing results and concluding with a recommended design for the upcoming study. This required searching several databases and learning each advanced search methods for each in order to determine which databases provided the most relevant results. From there, the reader examined the results, keeping track in a spreadsheet. The first pass through filtered out the results which did not include detailed methods of measuring trust. The second pass took detailed notes on the remaining studies, keeping track of authors, participants, subjects, methods, instruments, issues, limitations, analytics, and validation. After summarizing the results, discussing trends in the results, and mentioning limitations a conclusion was devised. The recommendation is to use an uncompressed self-reported questionnaire with 4-10 questions on a six-point-Likert scale with reversing scales throughout. Though the studies analyzed were specific to medical settings, this method can work outside of the medical setting for measuring human trust.

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Date Created
  • 2020-05

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In-vitro validation of a novel miniaturized hydrogel wafer check valve for the treatment of hydrocephalus

Description

Hydrocephalus is a chronic medical condition characterized by the excessive accumulation of cerebrospinal fluid in the brain. It is estimated that 1-2 of every 1000 babies in the United States

Hydrocephalus is a chronic medical condition characterized by the excessive accumulation of cerebrospinal fluid in the brain. It is estimated that 1-2 of every 1000 babies in the United States is born with congenital hydrocephalus, with many individuals acquiring hydrocephalus later in life through brain injury. Despite these alarming statistics, current shunts for the treatment of hydrocephalus display operational failure rates as high as 40-50% within two years following implantation. Failure of current shunts is attributed to complexity of design, external implantation, and the requirement of multiple catheters. The presented hydrogel wafer check valve avoids all the debilitating features of current shunts, relying only on the swelling of hydrogel for operation, and is designed to directly replace failed arachnoid granulations- the brain’s natural cerebrospinal fluid drainage valves. The valve was validated via bench-top (1) hydrodynamic pressure-flow response characterizations, (2) transient response analysis, and (3) overtime performance response in brain-analogous conditions. In-vitro measurements display operation in range of natural CSF draining (cracking pressure, PT ~ 1–110 mmH2O and outflow hydraulic resistance, Rh ~ 24 – 152 mmH2O/mL/min), negligible reverse flow leakages (flow, QO > -10 µL/min), and demonstrate the valve’s operational reproducibility of this new valve as an implantable treatment.

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Date Created
  • 2016-05

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Glare: NICU Environmental Consideration

Description

This study aimed to quantify glare induced into the NICU through phototherapy devices commonly used to treat neonatal jaundice. The blue light associated with the devices can cause a number

This study aimed to quantify glare induced into the NICU through phototherapy devices commonly used to treat neonatal jaundice. The blue light associated with the devices can cause a number of physiological affects including melatonin suppression, disturbances of one's circadian rhythm, and has the potential to lead to risk factors of age-related macular degeneration (AMD) in the long term. The study found that the phototherapy device tested emitted a sufficient amount of light to be considered 'disturbing' using the DeBoer scale. Due to this, phototherapy devices in the future should take into consideration the minimization of light emitted which is not directly treating the infant on the device to prevent potential physiological effects that nurses may experience.

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Created

Date Created
  • 2018-05

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Analysis of Screening Tools for Identifying Sex Trafficking Victims in the Medical Setting

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The purpose of this study was to create a screening tool specifically for the identification of sex trafficking victims in the medical setting through the analysis of existing human trafficking

The purpose of this study was to create a screening tool specifically for the identification of sex trafficking victims in the medical setting through the analysis of existing human trafficking screening tool studies geared towards use in the medical setting. Screening questions from these studies were compiled and modified into a survey that was distributed to healthcare professionals through the nationwide HEAL (Health Professional Education, Advocacy, Linkage) Trafficking listserv. Each screening tool study demonstrated benefits and disadvantages that were helpful in the sampling and selection of screening tool questions. The small sample size and a lack of data on the attitudes of medical professionals on sex trafficked victims were noted as limitations to this study. Further implications for this study would include validating the screening tool questions in a medical setting to determine the sensitivity of the survey in identifying patients as possible sex trafficking victims.

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Date Created
  • 2018-05

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The Arizona Legal Center and Student Health Outreach for Wellness Clinic Medical Legal Partnership: An Interprofessional Model of Health Care

Description

This project discusses a Medical-Legal Partnership (MLP) between the Arizona Legal Center (ALC) and the Student Health Outreach for Wellness (SHOW) clinic. The ALC is a nonprofit 501(c)(3) legal aid

This project discusses a Medical-Legal Partnership (MLP) between the Arizona Legal Center (ALC) and the Student Health Outreach for Wellness (SHOW) clinic. The ALC is a nonprofit 501(c)(3) legal aid clinic located in at the Beus Center for Law and Society alongside the Sandra Day O'Connor College of Law at Arizona State University. They are a community- based legal aid service that helps low income and underserved populations find answers and solutions to their legal questions through free of charge consultations. The ALC is primarily operated by student volunteers and volunteer attorneys. The SHOW clinic is a tri-university, student-led community-based project that works to provide whole person health care for poor, low income, or underserved individuals in Phoenix, Arizona. I was given the opportunity to join in this effort through my role as an undergraduate student volunteer at the ALC during the summer of 2017. Planning and coordination between these two entities has been ongoing, and after several months of work, the partnership has reached a more formative state. Our team estimates our partnership will be implemented into clinical facilities and operational by the Fall of 2018. By the summer of 2018, the SHOW clinic will be providing medical services at three locations: the Human Services Campus clinic, Crossroads Flower clinic, and Crossroads Mesa clinic. These clinical sites are where the MLP between the ALC and SHOW will operate. The ALC will provide legal consultations at each facility once a month, every month during the fall semester of 2018. They will also conduct educational workshops for facility patients once a month, every month. The following paper discusses: 1) a brief history of healthcare delivery and healthcare trends in the United States, 2) discusses what Medical-Legal Partnerships are and why they should be used, 3) specific health needs in the state of Arizona, 4) the developmental process of this specific partnership, 4) the challenge of medical and legal confidentiality, 5) and a proposed timeline of how we intend to successfully implement our partnership at clinical sites.

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Created

Date Created
  • 2018-05

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Medical Storytelling: The Power of a Patient's Testimony

Description

Usually a medical website has a description, or overview, of the condition. Then there are different sections informing the viewer about the signs and symptoms, diagnosis, and treatment options. There

Usually a medical website has a description, or overview, of the condition. Then there are different sections informing the viewer about the signs and symptoms, diagnosis, and treatment options. There are some resource links for families to explore, but there it provides more information rather than narration. What is lacking is a patient account or perspective on the given topic. This project suggests an added resource for parents and patients with its storytelling element that is irreplaceable. An example is also available using my own story growing up with hemifacial microsomia.

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Created

Date Created
  • 2014-12

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Analysis and Promotion of Short-term Medical Volunteer Work: A Study of an NGO in Central America

Description

Short-term medical volunteer work via a nongovernmental organization is a popular tool for students in the health care field to gain experience, while further providing communities that normally lack health

Short-term medical volunteer work via a nongovernmental organization is a popular tool for students in the health care field to gain experience, while further providing communities that normally lack health care options the opportunity to receive free care. One such organization, VIDA Volunteer Travel, has been successful in implementing this model in Central America. However, organizations of this form have not been evaluated for effectiveness or improvement. This exploratory study examines the effectiveness of VIDA based on six qualifying characteristics that make up a successful NGO. The researcher conducted in-depth, semi-structured interviews with 21 individuals, including VIDA staff members in Costa Rica and Nicaragua, health professionals working for VIDA, local community leaders, and volunteers participating in VIDA's programs. Summaries and quotes of these interviews were uploaded and analysed using Atlas.ti to identify common words and themes from the interviews. Informants frequently identified the organization as sustainable, both from a fiscal and ecological standpoint. The organization also successfully managed volunteers, although post-trip follow-up was lacking. Adherence to the mission statement and distribution of supplies allowed for improved organization and successful structure of the organization. Education and health promotion was also emphasized, although implementation of this education into the communities was lacking. Collaboration with the community and volunteers allowed for stringent, successful treatment to be given to patients, and ethical guidelines set up by the organization allowed for self-governance and improvement of the NGO. This study suggests future research opportunities for the organization, to evaluate its own impact and opportunities for improvement. Furthermore, suggestions are addressed that allow the organization to improve upon its well-implemented infrastructure, and allow for future organizations to use VIDA as a model for improvement.

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Created

Date Created
  • 2013-05

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PUERTO RICAN TRADITIONAL FOLK MEDICAL KNOWLEDGE AND PATIENT SATISFACTION IN A PUERTO RICAN CLINICAL SETTING

Description

Over the past three decades, medical anthropology research, published within both public health and anthropological journals, demonstrates both the prevalence of traditional folk medicine in Latino populations in the United

Over the past three decades, medical anthropology research, published within both public health and anthropological journals, demonstrates both the prevalence of traditional folk medicine in Latino populations in the United States and the potential difficulty of negotiating these beliefs and practices with clinical, western biomedicine. I bring attention to what might be a narrative of divergent values that occurs in Latino communities in the United States. A well-documented source (Pachter, 1994) of this clash is the culturally pervasive use of folk medicine in Latino layperson populations seeking biomedical care in the Unites States (U.S.). Numerous studies (Padilla, 2001; Koss 1972) suggest that a significant portion of Latinos in the continental United States call upon folk knowledge to diagnose, reinterpret, and treat illness. The Puerto Rican population seems to be no exception, though few studies are specific to native-born Puerto Ricans living in Puerto Rico, where the issue of access to quality public health care becomes increasingly problematic. In this honors undergraduate thesis project, I conduct a review of the literature that bridges anthropology and public health research and proceed to describe a study I conducted on Culebra Island, Puerto Rico in May of 2015. The study aims to determine whether patient satisfaction can be linked to being treated by a physician hailing from a similar cultural background, or if an irredeemable disparity between patient and provider present a roadblock to health outcomes. I found that the Puerto Rican physicians are receptive to folk illness (symptoms) and consider folk therapy as part of the treatment regimen. The physicians make patients feel understood, which might improve treatment adherence and thus health outcomes. Still, respondents demonstrated that there is high patient trust in the biomedical model by emphasizing the use of conventional medications in tandem with the folk therapy. Nevertheless, the health care provider's disposition in regards to folk knowledge and modalities are important but does not present a roadblock to optimal care and health outcomes as much as access, available services or clinic resources.

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Date Created
  • 2016-05

The Experience of International Service Learning: Project Vietnam

Description

Abstract: International Service Devils (ISD) is a non-profit volunteer program established and run by students at Arizona State University, Polytechnic Campus. Since 2013, International Service Devils has volunteered in Costa

Abstract: International Service Devils (ISD) is a non-profit volunteer program established and run by students at Arizona State University, Polytechnic Campus. Since 2013, International Service Devils has volunteered in Costa Rica, Guatemala, and India. This blog, written by Kali Richmond and myself, shares the experience of how we as students have established a new volunteer program in Ho Chi Minh City, Vietnam. We have described in an entertaining fashion, our entire learning process from the brainstorming and organizing, to the results of the trip itself. This includes the struggles that we had to overcome with planning and finances, as well as crediting the people and organizations who helped us along the way to overcome those obstacles. We established 2 volunteer projects as well as completed multiple community analyses for the possibility of starting a school and providing scholarships to deserving children through the Young Dreamer Network. This blog is accompanied by an approximately 15 minute video of footage and photos taken during our time in Vietnam. The video shows both the volunteer aspect as well as some of the cultural experiences that we experienced. The purpose of this documentation is to encourage international service learning as a source of experience and education for University students, and to show plausibility of setting goals similar to ours and being able to achieve them. We hope that our writing can help students get an idea of what it takes to be a leader in international service learning programs, and that our experience can help prove the worth of volunteering abroad. We want to inspire fellow students to travel with the mission to learn from wherever they go and be able to give back to those communities, as this has provided us with immense personal growth and new perspectives on education and culture.

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Created

Date Created
  • 2017-05