Matching Items (10)

132853-Thumbnail Image.png

Prognostic Indicators of Lower Limb Amputation

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

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.

Contributors

Agent

Created

Date Created
2019-05

134222-Thumbnail Image.png

Increasing Blue Light Awareness: Knowledge of the General Public on the Link between Blue Light and Age-Related Macular Degeneration

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

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.

Contributors

Agent

Created

Date Created
2017-05

133997-Thumbnail Image.png

Healthcare Disparities among Minorities and Women in the Phoenix Area

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

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.

Contributors

Created

Date Created
2018-05

136464-Thumbnail Image.png

The Medical Pal: A Smartphone Application to Improve Healthcare Delivery to Palliative Patients

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

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.

Contributors

Agent

Created

Date Created
2015-05

137718-Thumbnail Image.png

Electronic Health Records: Federal Policy or Street Level Implementation.

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

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.

Contributors

Agent

Created

Date Created
2013-05

148483-Thumbnail Image.png

The Correlation Between Prevention Levels and Health Status

Description

There is a lot of variation in health outcomes when it comes to individual states in America. Some states, such as Hawaii, have the life expectancy equivalent to that of developed countries, whereas states like Mississippi have the life expectancy

There is a lot of variation in health outcomes when it comes to individual states in America. Some states, such as Hawaii, have the life expectancy equivalent to that of developed countries, whereas states like Mississippi have the life expectancy equivalent to that of third world countries. This raised the questions of which states are doing well in health and why, and if their health has to do with their performance in the primary, secondary, tertiary, and/or quaternary prevention levels. The purpose of this research was to investigate if there is a correlation between performance in any of the prevention levels and the overall health status of a state, and if there is, which prevention level would be most beneficial for states to prioritize. The hypothesis of this research was: states that prioritized primary and secondary levels of prevention would have better health than states that prioritized tertiary and quaternary levels of prevention, since basic health measures contribute more to health outcomes than advanced medicine. To investigate this question, indicators were chosen to derive the ranking of each state in health and each of the four prevention levels. Six states were then chosen to represent the high, average, and low health statuses respectively. The six states were ranked for all indicators, and the data was analyzed and compared to determine a potential relationship between the prevention level rankings and the overarching health ranking. It was found that there is a correlation between performance in the primary and secondary prevention levels and a state’s overall health status, whereas there was no such correlation for the tertiary and quaternary levels. A model for health was proposed for states looking to improve their health status, which was to invest in primary prevention, followed by secondary, tertiary, then quaternary prevention and only moving to the next prevention level once the previous level reached a satisfactory threshold.

Contributors

Agent

Created

Date Created
2021-05

147900-Thumbnail Image.png

The Impact of Social Determinants of Health on Medical Decision Making

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

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.

Contributors

Agent

Created

Date Created
2021-05

147839-Thumbnail Image.png

Cultural Competency in Health Care Delivery in the United States

Description

What is being done to promote cultural sensitivity in healthcare settings? To find answers and solutions to the widespread deficit of cultural competence in the health care industry, this case study interviews a varied sample of five physicians consisting of

What is being done to promote cultural sensitivity in healthcare settings? To find answers and solutions to the widespread deficit of cultural competence in the health care industry, this case study interviews a varied sample of five physicians consisting of three men and two women in clinical, academic, and administrative positions. The hypothesis was physicians do not receive cultural sensitivity training in medical school and as a result, they have to find other ways to learn about the cultures of their patients. None of the participants had received formal cultural competency training in medical school and all of them found methods to improve their cultural literacy. The study uncovered the cultural training physicians do receive is sporadic and inconsistent, which can cause some disconnect between education and real-life clinical practice. Many solutions to improve cultural competency in health care delivery are presented. The results of this exploratory research should be used to inspire future conversations about cultural competency in health care as well as the creation of support and educational services and materials to medical students and health care workers on improving cultural sensitivity in clinical practice.

Contributors

Agent

Created

Date Created
2021-05

162258-Thumbnail Image.png

Disproportionate Effects of COVID-19 on Minority Populations

Description

As 2020 unfolded, a new headline began taking over front pages: “COVID-19”. In the months that followed, waves of fear, sorrow, isolation, and grief gripped the population in the viruses’ wake. We have all heard it, we have all felt

As 2020 unfolded, a new headline began taking over front pages: “COVID-19”. In the months that followed, waves of fear, sorrow, isolation, and grief gripped the population in the viruses’ wake. We have all heard it, we have all felt it, indeed because we were all there. Trailing a few months behind those initial headlines, more followed that only served to breed misinformation and ludicrous theories. Even with study after study, quality, scientific data about this new virus could not come fast enough. There was somehow both too much information and also not enough. We were scrambling to process the abundance of raw numbers into some semblance of an explanation. After those first few months of the pandemic, patterns in the research are beginning to emerge. These horrific patterns tell much more than just the pathology of COVID-19. As the number of sick, surviving, and deceased patients began to accumulate, it became clear that some populations were left devastated, while others seemed unscathed. The reasons for these patterns were present long before the COVID-19 Pandemic. Disparities in health care were highlighted by the pandemic – not caused by it. The roots of these disparities lie in the five Social Determinants of Health (SDOH): (1) economic stability, (2) neighborhood and built environment, (3) education, (4) social and community context, and (5) health and health care. Minority populations, namely Black Americans, Hispanic Americans, Native Americans, and Pacific Islanders consistently have higher diagnosis rates and poorer patient outcomes compared to their White American and Asian American counterparts. This is partly because minority populations tend to have jobs that pay lower, increase exposure risk, and provide little healthcare. When unemployment increased in the wake of the pandemic, minorities were the first to lose their jobs and their health insurance. In addition, these populations tend to live in densely populated neighborhoods, where social isolation is harder. Higher poverty rates encourage work DISPROPORTIONATE EFFECTS OF COVID-19 ON MINORITY POPULATIONS 3 rather than education, often perpetuating the cycle. The recent racial history and current aggressions towards minority people might produce a social attitude against healthcare Health care itself can be expensive, hard to find, and/or tied to employment, leading to poorly controlled comorbidities, which exacerbate poor patient outcomes in the case of COVID-19 infection. The healthcare delivery system plays little part in the SDOH, instead, public policy must be called to reform in order to fix these issues.

Contributors

Agent

Created

Date Created
2021-12

162993-Thumbnail Image.png

Exploring the Causes of Accidental/Preventable Deaths in the United States Military

Description

Accidents have been the leading cause of death in the United States military for the past two decades. The purpose of this research paper is to analyze the main causes of accidental deaths in the U.S. military, what has been

Accidents have been the leading cause of death in the United States military for the past two decades. The purpose of this research paper is to analyze the main causes of accidental deaths in the U.S. military, what has been done in an effort to stop these from occurring, and any underlying factors that may have led to these preventable deaths. The information for this research paper was obtained via scientific articles, literature reviews, and government hearings. The results show that the majority of accidental deaths are due to factors such as inefficient training, neglected equipment, and lack of mental health. In conclusion, the U.S. military needs to invest more of its resources into promoting soldier health and safety.

Contributors

Created

Date Created
2021-05