Browse Items · NEOMED Bibliography Database

Access to medical care among the elderly in rural northeastern Ohio.

BACKGROUND: Conventional wisdom holds that the elderly living in rural areas suffer poor health and have limited access to health care compared with their urban peers. The relation between poor health and limited access, however, has yet to be…

Tags: *Rural Population, 1993, Aged, Buss T F, Female, Gillanders W R, Health Services Accessibility/*statistics & numerical data, Health Services for the Aged/*supply & distribution, Health Status, Humans, Male, Middle Aged, Ohio, Reproducibility of Results, The Journal of family practice

Linking the elderly to community services.

Sometimes, the only contact elderly patients have with outside medical services is through the EMS network. Find out how one city uses prehospital providers to link these patients with community services tailored to their needs.

Tags: *Social Support, 1991, Aged, Community Health Services/*organization & administration, Department of Family & Community Medicine, Emergency Medical Services/*organization & administration, Forms and Records Control, Gerson L W, Health Services for the Aged/*organization & administration, Hoover R, Humans, Interinstitutional Relations, JEMS : a journal of emergency medical services, McCoy S, NEOMED College of Medicine, Ohio, Organizational Innovation, Palmisano B, Referral and Consultation

Homeopathic medicine and presidential health: homeopathic influences upon two Ohio presidents.

Tags: *Famous Persons, 1997, 19th Century, 20th Century, Deppisch L M, History, Homeopathy/*history, Ohio, The Pharos of Alpha Omega Alpha-Honor Medical Society. Alpha Omega Alpha

Confronting the communication gap between conventional and alternative medicine: a survey of physicians' attitudes.

CONTEXT: An estimated 60 million Americans use some from of complementary and alternative medicine, though approximately 70% do not tell their physicians about this use. Open communication between conventional medical providers and patients in this…

Tags: *Attitude of Health Personnel, *Complementary Therapies, *Physician-Patient Relations, *Physicians, 1999, Adult, Alternative therapies in health and medicine, Crock R D, Female, Humans, Jarjoura D, Male, Middle Aged, Ohio, Polen A, Rutecki G W, Surveys and Questionnaires

Unintentional injuries. Risk factors in preschool children.

Successful strategies for preventing childhood injuries require better understanding of injury epidemiology. A case-control study was designed to identify risk factors for injury among preschool patients of a university-affiliated, community-based…

The consultation and referral process. A report from NEON. Northeastern Ohio Network Research Group.

BACKGROUND: Consultation and referral are essential components of the practice of primary care. Despite this, little is known about the factors that contribute to the success of a referral. We examined the short-term outcomes of communication between…

How to Develop a Contrast-Enhanced Ultrasound Program.

With the recent Food and Drug Administration approval of Lumason (sulfur hexafluoride lipid-type A microsphere, Bracco Diagnostics Inc, Monroe Township, NJ) for contrast-enhanced ultrasound (CEUS) to characterize focal liver lesions in both adult and…

Tags: *Contrast Media, *Models, *Organizational Innovation, *Organizational Objectives, *Ultrasonography, 2017, Barr Richard G, contrast-enhanced ultrasound, Humans, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, Kidney, Liver, Liver Neoplasms/*diagnostic imaging, Lumason, Ohio, Organizational, Radiology/*organization & administration

Use of Fine-scale Geospatial Units and Population Data to Evaluate Access to Emergency Care.

Introduction: Time to facility is a crucial element in emergency medicine (EM). Fine-scale geospatial units such as census block groups (CBG) and publicly available population datasets offer a low-cost and accurate approach to modeling geographic…

Adherence to Endotracheal Tube Depth Guidelines and Incidence of Malposition in Infants and Children.

BACKGROUND: Adherence to guidelines for endotracheal tube (ETT) insertion depth may not be sufficient to prevent malposition or harm to the patient. To obtain an estimate of ETT malpositioning, we evaluated initial postintubation chest radiographs…

Tags: 2018, Bigham Michael T, Chi Square Test, Chi-Square Distribution, Child, Confidence Intervals, Data Analysis Software, Descriptive Statistics, Female, Guideline Adherence, Guideline Adherence/*statistics & numerical data, Hospitals, Human, Humans, Incidence, Infant, Inpatients, Intensive Care Units, Intratracheal – Standards – United States, Intratracheal/adverse effects/standards/*statistics & numerical data, Intubation, Male, McNinch Neil L, Medical Errors/*statistics & numerical data, NRP, Odds Ratio, Ohio, P-Value, PALS, Pediatric – Ohio, Pediatrics, Practice Guidelines, Preschool, Prough Donald S, Radiography, Radiography/*statistics & numerical data, Random Allocation, Respiratory care, Retrospective Design, ROC Curve, Thoracic, Trachea/diagnostic imaging, tracheal tube malposition, United States, Volsko Teresa A

Cleveland Clinic's summer research program in reproductive medicine: an inside look at the class of 2014.

BACKGROUND: The American Center for Reproductive Medicine's summer internship course in reproductive medicine and research at Cleveland Clinic is a rigorous, results-oriented annual program that began in 2008 to train both local and international…

Hand hygiene and face touching in family medicine offices: a Cincinnati Area Research and Improvement Group (CARInG) network study.

BACKGROUND: Family medicine offices may play an important role in the transmission of common illnesses such as upper respiratory tract infections (URTIs). There has, however, been little study of whether physicians teach patients about URTI…

Assessing the impact on patient-physician interaction when physicians use personal digital assistants: a Northeastern Ohio Network (NEON) study.

BACKGROUND: The effects of the use of technological devices on dimensions that affect the physician-patient relationship need to be well understood. OBJECTIVES: Determine patients' perceptions of physicians' personal digital assistant (PDA) use,…

The use of sensory electrical stimulation for pressure ulcer prevention.

Pressure ulcer prevention is critically important for many people with reduced mobility. The authors investigated whether sensory (sub-motor-threshold) electrical stimulation (ES) may provide a convenient preventive intervention. A double-blinded,…

Tags: *Electric Stimulation Therapy, 2010, Adult, Aged, Blood Gas Monitoring, Bogie Kath, Buttocks, Clinical Trials, Double-Blind Method, Double-Blind Studies, Electric Stimulation – Methods, Electric Stimulation – Utilization, Funding Source, Ho Chester H, Human, Humans, Interface Pressure, Kim Jennifer, Male, Middle Age, Middle Aged, Muscle, Muscle Contraction, Ohio, Outcome Assessment, Paralysis/etiology/physiopathology/*therapy, Physiotherapy theory and practice, Pressure Ulcer – Prevention and Control, Pressure Ulcer/etiology/physiopathology/*prevention & control, Regional Blood Flow, Repeated Measures, Sensory Thresholds, Skeletal – Radiography, Skeletal/blood supply/diagnostic imaging/*innervation, Spinal Cord Injuries, Spinal Cord Injuries/complications/physiopathology/*therapy, Time Series, Tomography, Transcutaneous, Treatment Failure, Wang Xiaofeng, X-Ray Computed

Risk factors associated with Clostridium difficile diarrhea in hospitalized adult patients: a case-control study–sucralfate ingestion is not a negative risk factor.

OBJECTIVES: To assess risk factors associated with Clostridium difficile diarrhea in hospitalized adult patients, and to test the hypothesis that sucralfate ingestion is associated with nondetection of C difficile cytotoxin in stool specimens.…

Physician activities during time out of the examination room.

PURPOSE: Comprehensive medical care requires direct physician-patient contact, other office-based medical activities, and medical care outside of the office. This study was a systematic investigation of family physician office-based activities…

The medically underserved: who is likely to exercise and why?

Adults who exercise regularly have better health, but only 15% of U.S. adults engage in regular exercise, with some social groups, such as people with lower incomes and women, having even lower rates. This study investigates the rate at which…

Reading qualitative research from a methodological point of view.

Tags: *Crime Victims, 1996, Aftercare, Community Health Services/organization & administration/standards, Cuevas N M, Data Interpretation, Dinero T E, Evaluation Studies as Topic, Feit M D, Health Services Research/*methods/standards, Humans, Journal of health & social policy, Ohio, Patient Satisfaction, Process Assessment (Health Care), Program Evaluation/*methods, Research Design/standards, Statistical, Voluntary Health Agencies/*organization & administration/standards

Medical students' experience of academic review and promotions committees.

BACKGROUND: Like all medical schools, Northeastern Ohio Universities College of Medicine (NEOUCOM) has an elaborate committee system for academic review and promotions (ARP). Little research exists locally or nationally on this system. PURPOSE:…

Does functional decline prompt emergency department visits and admission in older patients?

BACKGROUND: Older patients may visit the emergency department (ED) when their illness affects their function. OBJECTIVES: To quantify the function of older ED patients, to assess whether functional decline (FD) had occurred, and to determine whether…

Baseline characteristics influencing quality of life in women undergoing gynecologic oncology surgery.

BACKGROUND: Quality of life (QoL) measurements are important in evaluating cancer treatment outcomes. Factors other than cancer and its treatment may have significant effects on QoL and affect assessment of treatments. Baseline data from longitudinal…

Effect of method of administration on longitudinal assessment of quality of life in gynecologic cancer: an exploratory study.

BACKGROUND: Longitudinal assessments of quality of life are needed to measure changes over the course of a disease and treatment. Computer versions of quality of life instruments have increased the feasibility of obtaining longitudinal measurements.…

Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers.

INTRODUCTION: Appropriate management of chronic diseases, including proper use of medications, can lead to better disease control, decrease disease-related complications, and improve overall health. Pharmacists have been shown to positively affect…

Tags: *Quality Improvement, 2017, Adolescent, Adult, Aged, Antihypertensive Agents/*therapeutic use, Awad Magdi H, Blood Pressure, Chronic Disease – Drug Therapy, Chronic Disease – Therapy, Community Health Centers, Data Analysis Software, Department of Pharmacy Practice, Descriptive Research, Descriptive Statistics, Diabetes Education, Diabetes Mellitus – Therapy, Diabetes Mellitus/*drug therapy/metabolism, Female, Financing, Funding Source, Glasgow Kyle, Glycated Hemoglobin A/metabolism, Glycosylated, Government, Health Services, Hemoglobin A, Hornbeck Fox Carrie, Hospital/*methods, Human, Humans, Hypertension – Therapy, Hypertension/*drug therapy, Hypoglycemic Agents/*therapeutic use, Journal of primary care & community health, Male, Medically Underserved, Medication Management, medications, Middle Aged, Multicenter Studies, NEOMED College of Pharmacy, Ohio, Outcome Assessment (Health Care), Outcomes (Health Care), Patient Education as Topic, Pharmacists, Pharmacy, Pharmacy Service, Pilot Projects, Pilot Studies, Porter Brianne, primary care, Program Evaluation, Prospective Studies, Pryor Barbara, Referral and Consultation, Rodis Jennifer L, Self Care, Sevin Alexa, Young Adult

Using established predictors of post-traumatic stress to explain variations in recovery outcomes among orthopedic patients.

The present studies examine whether information contained in medical records can be used to predict outcomes following two orthopedic procedures: repair of hip fracture and total knee replacement. Study 1 reports the acute, in-hospital recovery data…

Tags: *Recovery of Function, 2015, 80 and over, activity, Adult, adults, Aged, Arthroplasty, Clinical Assessment Tools, Coefficient Alpha, Comorbidity, Contrera Kevin, Cremeans-Smith Julie K, Delahanty Douglas L, Department of Family & Community Medicine, Depression, Descriptive Statistics, disability, Disabled, distress, Female, Funding Source, Greene Kenneth, Health Care, Hip Fractures – Surgery, Hip/*psychology, Human, Humans, Journal of health psychology, Knee, Knee/*psychology, Male, Middle Age, Middle Aged, Miller Eric T, NEOMED College of Medicine, Ohio, Orthopedic Surgery, outcomes, P-Value, Pain, Pain Measurement, Pfefferle Kiel, Post-Traumatic – Risk Factors, Post-Traumatic/*etiology, Prospective Studies, Record Review, recovery, Regression, Regression Analysis, Replacement, Risk Assessment, Scales, Speering Leann, Stress Disorders, T-Tests, Treatment Outcomes, Walking

The Relationship Between Organizational Characteristics and Advance Care Planning Practices.

Organizational characteristics may impede the uniform adoption of advance care planning (ACP) best practices. We conducted telephone interviews with site directors of a Midwestern state's Medicaid waiver program administered by the Area Agencies on…

Tags: 2015, Administrative Personnel, Adult, advance care planning, Advance Care Planning/*organization & administration/standards, area agency on aging, Attitude of Health Personnel, Baughman Kristin R, care management, Case Management, Case Managers, Chi Square Test, Clinical Protocols/standards, community-based long-term care, Confidence Intervals, Cross Sectional Studies, Cross-Sectional Studies, Data Analysis Software, Department of Family & Community Medicine, Descriptive Research, Descriptive Statistics, Female, Funding Source, Government Agencies, Hazelett Susan, Human, Humans, Inservice Training/organization & administration, interviews, Logistic Regression, Long Term Care, Ludwick Ruth, Male, Medicaid, Medicaid/statistics & numerical data, Middle Age, Middle Aged, Midwestern United States, Multivariate Analysis, NEOMED College of Medicine, nurses, Odds Ratio, Ohio, organizational characteristics, Organizational Culture, Palmisano Barbara, Practice Guidelines as Topic, Questionnaires, registered nurses, Rural Areas, Sanders Margaret, social workers, Surveys, T-Tests, Telephone, The American journal of hospice & palliative care, United States, Urban Areas

Narrative analysis of the ethics in providing advance care planning.

Our objective was to better understand the values and ethical dilemmas surrounding advance care planning through stories told by registered nurses and licensed social workers, who were employed as care managers within Area Agencies on Aging. We…

Predictors of nonattendance at the first newborn health supervision visit.

Failure to attend the first newborn health supervision visit is an important problem for the Continuity Care Clinic of Children's Hospital Medical Center of Akron, Ohio. The goal of this study was to use objective data from the neonatal record to…

Screen Exposure During Daily Routines and a Young Child's Risk for Having Social-Emotional Delay.

This cross-sectional study assessed associations between social-emotional development in young children and their number of daily routines involving an electronic screen. We hypothesized children with poor social-emotional development have a…

An examination of premature mortality among decedents with serious mental illness and those in the general population.

OBJECTIVES: The primary aim of this retrospective study of death records was to determine whether there were significant differences in years of potential life lost (YPLL) between decedents with serious and persistent mental illness at a community…

Use of the Sequential Intercept Model as an approach to decriminalization of people with serious mental illness.

The Sequential Intercept Model provides a conceptual framework for communities to use when considering the interface between the criminal justice and mental health systems as they address concerns about criminalization of people with mental illness.…

Tags: *Mental Disorders, *Models, 2006, Cooperative Behavior, Criminal Law/*organization & administration, Department of Psychiatry, Emergency Services, Griffin Patricia A, Humans, Munetz Mark R, NEOMED College of Medicine, Ohio, Organizational, Psychiatric services (Washington, D.C.), Psychiatric/*organization & administration

Integrating evidence-based practices and the recovery model.

Consumer advocacy has emerged as an important factor in mental health policy during the past few decades. Winning consumer support for evidence-based practices requires recognition that consumers' desires and needs for various types of treatments and…

Tags: *evidence-based medicine, *Patient Advocacy, *Public Opinion, *Research, 2001, Frese F J 3rd, Health Care, Humans, Kress K, Mental Disorders/*rehabilitation, Mental Health Associations, Models, Ohio, Psychiatric services (Washington, D.C.), Psychological, Quality Assurance, Stanley J, United States, Vogel-Scibilia S

Physiology laboratory experience for high school students.

Recently, we were charged with providing a learning opportunity for high school students participating in the Upward Bound Regional Math and Science Program, a program designed to stimulate interest in mathematics and science for students from…

Tags: *Laboratories, 1993, Adolescent, Animals, Collins H L, DiCarlo S E, Dissection, Female, Humans, Male, Muscles/physiology, Ohio, Physiology/*education/instrumentation, Rats, Sprague-Dawley, Teaching/methods, The American journal of physiology

Surveying the hidden attitudes of hospital nurses' towards poverty.

AIMS AND OBJECTIVES: To explore the attitudes held by registered nurses about persons living in poverty. BACKGROUND: As a profession, nursing has strong commitment to advocating for the socioeconomically disadvantaged. The links among poverty and…

Tags: *Attitude of Health Personnel, *Healthcare Disparities, *Poverty, 2015, Adult, Age Factors, Attitude Measures, Attitudes, Baughman Kristin, Coefficient Alpha, Convenience Sample, Cross Sectional Studies, Cross-Sectional Studies, Department of Family & Community Medicine, Descriptive Research, Descriptive Statistics, Educational Status, Female, Fishbein Rebecca, Health disparities, health inequities, Health Status Disparities, Hospital, Hospital/*psychology, Human, Humans, Income, Job Experience, Journal of clinical nursing, Ludwick Ruth, Male, Middle Age, Middle Aged, Multivariate Analysis, NEOMED College of Medicine, Nurse Attitudes – Evaluation, nurses, Nursing Staff, Ohio, Politics, Poverty, registered nurses, Regression, Regression Analysis, Summated Rating Scaling, Surveys and Questionnaires, Wittenauer James, Young Adult

Short-term functional decline and service use in older emergency department patients with blunt injuries.

BACKGROUND: Injuries are a common reason for emergency department (ED) visits by older patients. Although injuries in older patients can be serious, 75% of these patients are discharged home after their ED visit. These patients may be at risk for…

Tags: *Activities of Daily Living, 2010, 80 and over, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Academic Medical Centers, Activities of Daily Living, Aged, Allen Kyle R, Blanda Michelle, Bone/physiopathology/therapy, Clinical Assessment Tools, Comorbidity, Confidence Intervals, Department of Emergency Medicine, Descriptive Statistics, Emergency Care – In Old Age, Emergency Patients – In Old Age, Emergency Service, Family, Female, Fisher's Exact Test, Fractures, Functional Status – In Old Age, Geriatric Assessment, Geriatric Functional Assessment, Gerson Lowell W, Health Resource Utilization – In Old Age, Hospital/*statistics & numerical data, Hospitals, Human, Humans, Logistic Models, Logistic Regression, Longitudinal Studies, Male, Mental Status Schedule, NEOMED College of Medicine, Nonpenetrating – In Old Age, Nonpenetrating/*physiopathology/*therapy, OARS Multidimensional Functional Assessment Questionnaire, Odds Ratio, Ohio, Outcome Assessment, Outpatients, P-Value, Predictive Value of Tests, Prospective Studies, Questionnaires, Record Review, ROC Curve, Scales, Summated Rating Scaling, Surveys and Questionnaires, T-Tests, Teaching, Treatment Outcome, Treatment Outcomes, Wilber Scott T, Wounds

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