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- Creators: Haydn, Joseph, 1732-1809
ContributorsHaydn, Joseph, 1732-1809 (Composer)
ContributorsHaydn, Joseph, 1732-1809 (Composer)
Description
Smartphone-based healthcare. It's becoming more real as technology advances, adding value to healthcare and opening the doors to more personalized medicine. The Medical Pal is a smartphone application that can track symptoms and analyze trends in the severity of those symptoms, alerting healthcare providers when there is a significant increase in the symptom severity. This is especially directed to the palliative patient, whose care is focused on managing symptoms and providing comfort. The HIPAA-compliant server used for the smartphone application was Catalyze.io and 40 Mayo Clinic Arizona palliative patients were surveyed on their smartphone usage to test the acceptance of this app in a clinical setting. A trial involving 9 simulated patients was conducted over a two week period to test the functionality of the app. A majority of surveyed patients (85%) expressed favor for the idea of a mobile ESAS, and the app was functioning, with the capability of displaying patient data on a healthcare provider's account. This project is intentionally a door-opener to an open field of opportunity for mobile health, symptom observation, and improvements in healthcare delivery.
ContributorsDao, Lelan Diep (Author) / Cortese, Denis (Thesis director) / Lipinski, Christopher (Committee member) / Fitch, Tom (Committee member) / Barrett, The Honors College (Contributor) / Department of Chemistry and Biochemistry (Contributor)
Created2015-05
Description
Burn injuries and soft tissue infections infrequently result in amputation; however, the prognostic indicators of lower limb amputation are not well characterized by current literature. Several other studies have estimated the prevalence of amputation to be between 1.8-5.8% in burn patients, but a thorough analysis of past medical history as potential risk factors had not yet been conducted in the United States. Our retrospective study examined the medical charts of 110 patients admitted to the Arizona Burn Center at Maricopa Medical Center between 2000 and 2016 with varying levels of lower limb amputation due to either a burn injury or soft tissue infection. The data was then compared to controls matched for sex, injury mechanism, age, and total body surface area (TBSA) that did not receive an amputation and that were admitted during the same time frame. Statistically significant relative risk factors for amputation included diabetes mellitus, hypertension, smoking history, alcohol abuse, and liver disease, each of which increased risk four to five times over matched controls. Interestingly, all these conditions negatively impact the circulatory system, leading to blood vessel damage, difficulties with wound healing, and increased risk for infection. As the prevalence of obesity and cardiovascular disease increases in the United States’ population, risk factors such as diabetes and hypertension are projected to affect more individuals than ever before. By demonstrating the increase in risk these conditions have on impacting the likelihood of amputation, this study exemplifies the importance of properly managing cardiovascular diseases to both burn clinicians and prevention campaigns.
ContributorsRichards, Nicole Paige (Author) / Cortese, Denis (Thesis director) / Matthews, Marc (Committee member) / School of Life Sciences (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
Description
This research will focus on identifying healthcare disparities among different groups of people in Maricopa County, with a focus on the Phoenix area. It takes form in a combination of a review of previously existing data, surveying pregnant women about their health insurance situations before their pregnancies, and surveying college students in Maricopa County about their past and current health insurance situations. The pregnant women who were interview were part of a study called Metabolism Tracking During Pregnancy through the School of Nutrition and Health Promotion at Arizona State University. College students who were interviewed were recruited online and all participants were choosing to respond. This research paper will focus on policies currently in place to try to address healthcare disparities and establishing the presence of healthcare disparities that are preexisting, and using individual responses from a small sample size of minorities and women to represent the larger Phoenix population. Differences in healthcare spending for different groups of people will also be analyzed in order to establish disparities present. This research is significant because if healthcare equality is the goal, then spending distribution to each should be proportional to the size of each subpopulation.
ContributorsGeiser, Rachel (Author) / Reifsnider, Elizabeth (Thesis director) / Cortese, Denis (Committee member) / School of Molecular Sciences (Contributor) / School of International Letters and Cultures (Contributor) / School of Politics and Global Studies (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
The study focused on blue light and its effects on health due to the increased daily use in society. The purpose of this study was to determine the amount of prior knowledge of the general public on blue light and its link the Age Related Macular Degeneration (ARMD). Participants were selected from a group of patients at Eye Care Professionals in Chandler, Arizona. In the first part of the study, participants answered an initial survey which was used to screen participants for the second part of the study depending on their use of blue light protective products. The second part of the study focused on education and evaluation, and consisted of a video and a survey. Overall, it was found that 72.6% of participants were not aware that blue light can lead to ARMD, and therefore are unaware of protective products available to them. The second part of the study was not completed. A video with additional supplementary information was sent to participants; however, there were not enough responses for the data to be statistically significant. Therefore optometrists, ophthalmologists, and general practitioners could use educational tools such as short videos or simple brochures to increase awareness of blue light and ARMD if they prove to be effective.
ContributorsFurey, Catherine Grace (Author) / Cortese, Denis (Thesis director) / Reitano, Joseph (Committee member) / Department of Marketing (Contributor) / W. P. Carey School of Business (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
ContributorsHaydn, Joseph, 1732-1809 (Composer)
ContributorsHaydn, Joseph, 1732-1809 (Composer)
Description
This thesis concerns the adoption of health information technology in the medical sector, specifically electronic health records (EHRs). EHRs have been seen as a great benefit to the healthcare system and will improve the quality of patient care. The federal government, has seen the benefit EHRs can offer, has been advocating the use and adoption of EHR for nearly a decade now. They have created policies that guide medical providers on how to implement EHRs. However, this thesis concerns the attitudes medical providers in Phoenix have towards government implementation. By interviewing these individuals and cross-referencing their answers with the literature this thesis wants to discover the pitfalls of federal government policy toward EHR implementation and EHR implementation in general. What this thesis found was that there are pitfalls that the federal government has failed to address including loss of provider productivity, lack of interoperability, and workflow improvement. However, the providers do say there is still a place for government to be involved in the implementation of EHR.
ContributorsKaldawi, Nicholas Emad (Author) / Lewis, Paul (Thesis director) / Cortese, Denis (Committee member) / Jones, Ruth (Committee member) / Barrett, The Honors College (Contributor) / School of Politics and Global Studies (Contributor) / School of Human Evolution and Social Change (Contributor)
Created2013-05
Description
The social determinants of health (SDOH) represent factors that impact the health and effectiveness/compliance of a treatment plan for a patient. The SDOH include such factors as economic stability, education, home and community context, access to healthcare, neighborhood and built environment, and personal behavior. The purpose of this study is to determine the extent of collection and integration of SDOH into clinical practice, and the usefulness of this information in medical decision making. Following a thorough literature review, an online survey was deployed to physicians and administrators around the country, with the aim of answering the following questions: 1) Do provider practices collect information on a patient's social determinants of health? 2) If yes, how is that information being used, if at all? 3) If not, what is preventing them from doing so? 4) Do the answers to questions 1-3 differ based on the type of payment model (Fee-for-Service or Capitation) to which the practice is subject? The results of the study suggest that fee-for-service payment environments present less incentive to use a patient's SDOH in medical decision making.
ContributorsKarthik, Asha Rajam (Author) / Cortese, Denis (Thesis director) / Landman, Natalie (Committee member) / Department of Information Systems (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05