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  • 1
    In: International Journal of Maternal and Child Health and AIDS (IJMA), Global Health and Education Projects, Inc. (GHEP), Vol. 10, No. 3s ( 2021-10-20), p. S1-54
    Abstract: The fourth annual summer research summit organized by the Center of Excellence (COE) in Health Equity, Training and Research, Baylor College of Medicine (BCM) was held on May 20, 2021. The theme of this year’s summit was ‘Strengthening Our Commitment to Racial and Social Justice to Improve Public Health.’ Given the ongoing pandemic, the summit was conducted virtually through digital platforms. This program was intended for both BCM and external audiences interested in advancing health equity, diversity and inclusion in healthcare among healthcare providers and trainees, biomedical scientists, social workers, nurses, individuals involved in talent acquisition and development such as hiring managers (HR professionals), supervisors, college and hospital affiliate leadership and administrators, as well as diversity and inclusion excellence practitioners. We had attendees from all regions of the United States, India, Pakistan and the Demographic Republic of the Congo. The content in this Book of Abstracts encapsulates a summary of the research efforts by the BCM COE scholars (which includes post-baccalaureate students, medical students, clinical fellows and junior faculty from BCM) as well as the external summit participants. The range of topics in this year’s summit was quite diverse encompassing disparities in relation to maternal and child health (MCH), immigrant heath, cancers, vaccination uptakes and COVID-19 infections. Various solutions were ardently presented to address these disparities including community engagement and partnerships, improvement in health literacy and development of novel technologies and therapeutics. With this summit, BCM continues to build on its long history of educational outreach initiatives to promote diversity in medicine by focusing on programs aimed at increasing the number of diverse and highly qualified medical professionals ready to introduce effective and innovative approaches to reduce or eliminate health disparities. These programs will improve information resources, clinical education, curricula, research and cultural competence as they relate to minority health issues and social determinants of health. The summit received very positive response in terms of zealous participation and outstanding evaluations; and overall, it was a great success.   Copyright © 2021 Lopez et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.
    Type of Medium: Online Resource
    ISSN: 2161-864X , 2161-8674
    URL: Issue
    Language: Unknown
    Publisher: Global Health and Education Projects, Inc. (GHEP)
    Publication Date: 2021
    detail.hit.zdb_id: 2715876-7
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  • 2
    In: Frontiers in Neurology, Frontiers Media SA, Vol. 11 ( 2020-12-18)
    Abstract: Introduction: We conducted a randomized controlled trial evaluating the efficacy and tolerability of cryotherapy in preventing chemotherapy-induced peripheral neuropathy (CIPN) in patients with early breast cancer receiving neo/adjuvant weekly paclitaxel. Methods: Patients were recruited from the National Cancer Centre Singapore and randomized (1:1) to receive either cryotherapy or usual care. Cryotherapy was applied as frozen gloves and socks on all extremities from 15 min before paclitaxel until 15 min post-infusion every cycle. Efficacy was measured by patient-reported outcomes (Patient Neurotoxicity Questionnaire [PNQ] and EORTC QLQ-CIPN20) and electrophysiological assessments. The primary endpoint was PNQ severity at 2 weeks after 12 cycles of weekly paclitaxel. Results: A total of 46 patients were recruited, of which 8 dropped out before paclitaxel treatment, leaving 38 evaluable. There was no significant difference in PNQ severity between cryotherapy and usual care at 2 weeks after paclitaxel treatment (sensory: p = 0.721; motor: p = 1.000). A benefit was observed at 3 months post-paclitaxel based on PNQ (sensory: 14.3 vs. 41.2%, p = 0.078; motor: 0 vs. 29.4%, p = 0.012) and CIPN20 (sensory: β = −3.6, 95%CI = −10.5–3.4, p = 0.308; motor: β = −7.3, 95%CI = −14.6–0, p = 0.051). Additionally, cryotherapy subjects have lower CIPN20 autonomic score (β = −5.84, 95%CI = −11.15 to −0.524, p = 0.031) and higher sympathetic skin response hand amplitudes (β = 0.544, 95%CI = 0.108–0.98, p = 0.014), suggesting possible autonomic benefits from cryotherapy. Temporary interruption with cryotherapy occurred in 80.9% of the subjects due to cold intolerance. Conclusions: There is insufficient evidence that cryotherapy prevents sensory neuropathy which may be due to the high rates of cryotherapy interruption in this study. The autonomic benefits of cryotherapy should be further investigated with appropriate outcome measures. Clinical Trial Registration: ClinicalTrials.gov : NCT03429972.
    Type of Medium: Online Resource
    ISSN: 1664-2295
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2020
    detail.hit.zdb_id: 2564214-5
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  • 3
    Online Resource
    Online Resource
    Asian Economic and Social Society ; 2016
    In:  Journal of Asian Business Strategy Vol. 6, No. 8 ( 2016-8), p. 167-175
    In: Journal of Asian Business Strategy, Asian Economic and Social Society, Vol. 6, No. 8 ( 2016-8), p. 167-175
    Type of Medium: Online Resource
    ISSN: 2309-8295 , 2225-4226
    URL: Issue
    Language: Unknown
    Publisher: Asian Economic and Social Society
    Publication Date: 2016
    detail.hit.zdb_id: 2639835-7
    SSG: 3,2
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  • 4
    Online Resource
    Online Resource
    Journal of Neurosurgery Publishing Group (JNSPG) ; 2012
    In:  Journal of Neurosurgery Vol. 116, No. 6 ( 2012-06), p. 1379-1388
    In: Journal of Neurosurgery, Journal of Neurosurgery Publishing Group (JNSPG), Vol. 116, No. 6 ( 2012-06), p. 1379-1388
    Abstract: The detrimental effects of immobility on intensive care unit (ICU) patients are well established. Limited studies involving medical ICUs have demonstrated the safety and benefit of mobility protocols. Currently no study has investigated the role of increased mobility in the neurointensive care unit population. This study was a single-institution prospective intervention trial to investigate the effectiveness of increased mobility among neurointensive care unit patients. Methods All patients admitted to the neurointensive care unit of a tertiary care center over a 16-month period (April 2010 through July 2011) were evaluated. The study consisted of a 10-month (8025 patient days) preintervention observation period followed by a 6-month (4455 patient days) postintervention period. The intervention was a comprehensive mobility initiative utilizing the Progressive Upright Mobility Protocol (PUMP) Plus. Results Implementation of the PUMP Plus increased mobility among neurointensive care unit patients by 300% (p 〈 0.0001). Initiation of this protocol also correlated with a reduction in neurointensive care unit length of stay (LOS; p 〈 0.004), hospital LOS (p 〈 0.004), hospital-acquired infections (p 〈 0.05), and ventilator-associated pneumonias (p 〈 0.001), and decreased the number of patient days in restraints (p 〈 0.05). Additionally, increased mobility did not lead to increases in adverse events as measured by falls or inadvertent line disconnections. Conclusions Among neurointensive care unit patients, increased mobility can be achieved quickly and safely with associated reductions in LOS and hospital-acquired infections using the PUMP Plus program.
    Type of Medium: Online Resource
    ISSN: 0022-3085 , 1933-0693
    RVK:
    RVK:
    Language: Unknown
    Publisher: Journal of Neurosurgery Publishing Group (JNSPG)
    Publication Date: 2012
    detail.hit.zdb_id: 2026156-1
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  • 5
    Online Resource
    Online Resource
    Clute Institute ; 2011
    In:  Journal of Applied Business Research (JABR) Vol. 24, No. 1 ( 2011-01-16)
    In: Journal of Applied Business Research (JABR), Clute Institute, Vol. 24, No. 1 ( 2011-01-16)
    Abstract: 〈 p class="MsoNormal" style="text-align: justify; margin: 0in 0.5in 0pt; tab-stops: -.5in; mso-hyphenate: none;" 〉 〈 span style="font-family: Times New Roman; font-size: x-small;" 〉 A sample of 225 firms is analyzed, using structural equation modeling, to test five hypotheses. 〈 span style="mso-spacerun: yes;" 〉 & nbsp; 〈 /span 〉 This study seeks to gain a better understanding of the practice of coordination among functional areas within the buying firm as well as between buyer firms and their key suppliers. 〈 span style="mso-spacerun: yes;" 〉 & nbsp; 〈 /span 〉 The implications of this research suggest that it is important for firms to focus on their long-term success as they work with key suppliers. 〈 span style="mso-spacerun: yes;" 〉 & nbsp; 〈 /span 〉 The research shows when the stakeholders of the firm support its efforts to coordination and cooperation with its key suppliers, the firm benefits. 〈 span style="mso-spacerun: yes;" 〉 & nbsp; 〈 /span 〉 Evidence shows cross-functional coordination enhances the firm & rsquo;s capability to cooperate with its key suppliers. 〈 span style="mso-spacerun: yes;" 〉 & nbsp; 〈 /span 〉 The findings are significant to supply chain manager and to the various functional managers in charge of quality, production, R & amp;D, and customer service and their respective counter parts in supplier firms. 〈 span style="mso-spacerun: yes;" 〉 & nbsp; 〈 /span 〉 Finally, this study expands prior research and fills a gap in the literature by showing the importance of inter-organizational coordination between the buyer & rsquo;s supply management/purchasing function and the supplier & rsquo;s operations function. This study reveals that conformance to specifications, product reliability and overall product quality performance can be significantly improved when these inter-organizational functional areas coordinate their requirements. 〈 span style="mso-spacerun: yes;" 〉 & nbsp; 〈 /span 〉 The study also shows that product quality can be significantly improved when intra-organizational and inter-organizational coordination occurs simultaneously. 〈 /span 〉 〈 /p 〉
    Type of Medium: Online Resource
    ISSN: 2157-8834 , 0892-7626
    URL: Issue
    Language: Unknown
    Publisher: Clute Institute
    Publication Date: 2011
    SSG: 3,2
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  • 6
    In: Frontiers in Education, Frontiers Media SA, Vol. 7 ( 2022-7-29)
    Abstract: Studies have provided evidence that Interprofessional Education (IPE) can improve learners’ attitudes, knowledge, skills, behaviors, and competency. Traditionally, IPE is commonly seen in the healthcare professional training in tertiary education. Aging is a global issue that requires more than just a single healthcare sector. It requires interdisciplinary collaboration and understanding to tackle the issues. Therefore, IPE is essential for nurturing university students to tackle the ever-changing global challenges. In addition, different hurdles can hinder IPE development. To have a better understanding of the feasibility, acceptance, and educational value of IPE in Hong Kong, we conducted a cross-sectional quantitative study. We invited teachers and students from a Hong Kong university to fill in an online survey that evaluated their understanding and participation in IPE, their attitude toward IPE, and the barriers to developing IPE from March to June 2020. Among the 37 academic staff and 572 students who completed the survey, 20 (54.1%) teachers and 422 (73.8%) students had never heard of IPE before, and 26 (70.3%) teachers and 510 (89.2%) students had never participated in any IPE activities. Major barriers reported by teachers included an increase in teaching load (72.9%), lack of administrative support (72.9%), lack of financial support and limited budget (67.5%), difficulty to make logistic arrangements (64.8%), and problems with academic schedules and calendars (62.1%). The survey findings revealed that despite the positive attitude of university teachers and students toward IPE, barriers that could hinder the development of IPE included heavy teaching and administrative load and logistic arrangement for classroom arrangement and academic scheduling involving multiple faculties.
    Type of Medium: Online Resource
    ISSN: 2504-284X
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2882397-7
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  • 7
    In: Biomedical Genetics and Genomics, Open Access Text Pvt, Ltd., Vol. 2, No. 1 ( 2017)
    Type of Medium: Online Resource
    ISSN: 2398-5399
    Language: Unknown
    Publisher: Open Access Text Pvt, Ltd.
    Publication Date: 2017
    detail.hit.zdb_id: 2923562-5
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  • 8
    Online Resource
    Online Resource
    JSTOR ; 1981
    In:  Biotropica Vol. 13, No. 2 ( 1981-06), p. 25-
    In: Biotropica, JSTOR, Vol. 13, No. 2 ( 1981-06), p. 25-
    Type of Medium: Online Resource
    ISSN: 0006-3606
    RVK:
    Language: Unknown
    Publisher: JSTOR
    Publication Date: 1981
    detail.hit.zdb_id: 2052061-X
    SSG: 12
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  • 9
    Online Resource
    Online Resource
    Wiley ; 1997
    In:  Strategic Management Journal Vol. 18, No. 11 ( 1997-12), p. 879-894
    In: Strategic Management Journal, Wiley, Vol. 18, No. 11 ( 1997-12), p. 879-894
    Type of Medium: Online Resource
    ISSN: 0143-2095 , 1097-0266
    Language: Unknown
    Publisher: Wiley
    Publication Date: 1997
    detail.hit.zdb_id: 1478912-7
    detail.hit.zdb_id: 164405-1
    SSG: 3,2
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  • 10
    In: Journal of Neurosurgery, Journal of Neurosurgery Publishing Group (JNSPG), Vol. 125, No. 6 ( 2016-12), p. 1523-1532
    Abstract: The inclusion of the pain management domain in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey now ties patients' perceptions of pain and analgesia to financial reimbursement for inpatient stays. Therefore, the authors wanted to determine if a quality improvement initiative centered on a standardized analgesia protocol could significantly reduce postoperative pain among neurosurgery patients. METHODS The authors implemented a 10-month, prospective, interrupted time-series trial of a quality improvement initiative. The intervention consisted of a multimodal, interdepartmental, standardized analgesia protocol with process improvements from preadmission to discharge. All neurosurgical-floor patients participated in the quality improvement intervention, with data collected on a systematically randomly sampled subset of 96 patients for detailed analysis. Patient-reported numeric rating scale pain on the first postoperative day (POD) served as the primary outcome. RESULTS Implementation of the analgesia protocol resulted in improved preoperative and postoperative documentation of pain (p 〈 0.001) and improved use of multimodal analgesia, including use of NSAIDs (p 〈 0.009) and gabapentin (p 〈 0.027). This intervention also correlated with a 32% reduction in reported pain on the 1st POD for all neurosurgical patients (mean pain scale scores 4.31 vs 2.94; p = 0.000) and a 43% reduction among spinal surgery patients (mean pain scale scores 5.45 vs 3.10; p = 0.036). After controlling for covariates, implementation of the protocol was a significant predictor of lowered postoperative pain (p = 0.05) on the 1st POD. This reduction in pain correlated with protocol compliance (p = 0.028), and a significant decrease in the monthly number of naloxone doses suggests improved safety (mean dose ± SD 1.5 ± 1.0 vs 0.33 ± 0.5; p = 0.04). Furthermore, a significant and persistent reduction in the pain management component of the HCAHPS scores suggests a durability of results extending beyond the life of the study (72.1% vs 82.0%; p = 0.033). CONCLUSIONS The implementation of a standardized analgesia protocol can significantly reduce postoperative pain among neurosurgical patients while increasing safety. Given the current climate of patient-centered outcomes, this study has broad implications for the continuum of care model proposed in the Affordable Care Act. Clinical trial registration no.: NCT01693588 ( clincaltrials.gov )
    Type of Medium: Online Resource
    ISSN: 0022-3085 , 1933-0693
    RVK:
    RVK:
    Language: Unknown
    Publisher: Journal of Neurosurgery Publishing Group (JNSPG)
    Publication Date: 2016
    detail.hit.zdb_id: 2026156-1
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