| A Model for Nationwide Patient Tracking |
Sep-2009 |
158 pages |
| Authors:
Nicole M Quinn; NAVAL POSTGRADUATE SCHOOL MONTEREY CA
|
 | The events of Hurricane Katrina raised awareness of the need to track patients nationwide. As patients were transferred out of the region quickly, they often could not be located by family members or the evacuating facilities, which caused psychological and operational stress for all those involved. The literature shows that a nationwide patient tracking system does not exist today, and by putting patient tracking at the forefront of preparedness, challenges ... |
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| Electronic Health Records. DOD and VA Efforts to Achieve Full Interoperability Are Ongoing; Program Office Management Needs Improvement |
Jul-2009 |
36 pages |
| Authors:
GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC
|
| The National Defense Authorization Act for Fiscal Year 2008 required the Department of Defense (DOD) and the Department of Veterans Affairs (VA) to accelerate their exchange of health information and to develop systems or capabilities that allow for interoperability (generally, the ability of systems to exchange data) by September 30, 2009. It also required compliance with federal standards and the establishment of a joint interagency program office to function as ... |
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| Recovering Servicemembers. DOD and VA Have Jointly Developed the Majority of Required Policies but Challenges Remain |
Jul-2009 |
38 pages |
| Authors:
Bonnie Anderson; Randall B Williamson; Susannah Bloch; Catina Bradley; April Brantely; Frederick Caison; Lisa Motley; Elise Pressma; GOVERNMENT ACCOUNTABILITY OFFICE WASHINGTON DC
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| Over the past 8 years, DOD has designated over 34,000 servicemembers involved in OEF and OIF as wounded in action. The severity of injuries can result in a lengthy process for a patient to either return to duty or to transition to veteran status. The most seriously injured servicemembers from these conflicts usually receive care at Walter Reed Army Medical Center or the National Naval Medical Center. According to DOD ... |
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| Identifying and Overcoming Barriers to Diabetes Management in the Elderly: An Intervention Study |
Jun-2009 |
22 pages |
| Authors:
Medha N Munshi; JOSLIN DIABETES CENTER BOSTON MA
|
| This study investigates whether short-term focused intervention by a geriatric multidisciplinary team with the addition of a geriatric life specialist is superior to usual care (with attention control) in improving glycemic control and quality of life parameters in elderly patients with diabetes, and whether these interventions will have persistent effects on outcome measures. The study also evaluates improvement in cerebral perfusion in elderly with type 2 diabetes following a 6-month ... |
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| The Protection of Medical Units under the Geneva Conventions in the Contemporary Operating Environment |
Feb-2009 |
96 pages |
| Authors:
Michael S Smith; ARMY COMMAND AND GENERAL STAFF COLL FORT LEAVENWORTH KS
|
| The Geneva Conventions, along with their Additional Protocols, represent the fundamental documents on which the Law of Armed Conflict (LOAC) is established. Originally established under the premise of conventional warfare, these documents have been the cornerstone of U.S. Army doctrine in providing direction to U.S. forces in adherence to the LOAC. The Global War on Terrorism (GWOT) has put many U.S. medical units in a quandary: they must care for ... |
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| VITAL (Vanguard Investigations of Therapeutic Approaches to Lung Cancer) |
01-Jan-2009 |
309 pages |
| Authors:
David Stewart; Waun K Hong; Reuben Lotan; M D ANDERSON CANCER CENTER HOUSTON TX
|
| The VITAL Research Program will provide a better understanding of the cellular and molecular processes that drive lung tumorigenesis so that an accurate risk model for recurrence and/or the development of the secondary primary tumor can be developed, and the biologic agents most effective in reducing these events in the group of high-risk patients can be identified. We will be incorporating retrospective clinical trial specimens to develop our risk model ... |
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| Prostate Cancer Survivors with Rising PSA and Their Spouses: Treatment Decision Making and Quality of Life |
Dec-2008 |
12 pages |
| Authors:
Michael A Diefenbach; MOUNT SINAI SCHOOL OF MEDICINE NEW YORK
|
| This study involves patients and their spouses/partners who are attending two cancer centers: the Deane Prostate Health and Research Center in the Department of Urology at Mount Sinai Hospital New York City and the Department of Medical Oncology at Fox Chase Cancer Center Philadelphia. Patients will have been diagnosed with rising PSA but have no clinical evidence of cancer. Eligible patients and their spouse/partners who have agreed to participate (n ... |
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| Early Diagnosis, Treatment and Care of Cancer Patients |
Sep-2008 |
6 pages |
| Authors:
Richard Fisher; ROCHESTER UNIV NY
|
| This grant program encompasses two complimentary projects. The hypothesis that leukemia can be treated effectively by inhibition of putative cancer stem cells will be tested in project #1. This will be done by application of inhibitors of stem cells as a novel approach for eradication of leukemia tumor cells. Parthenolide (PTL)-based drugs and related drugs that inhibit nuclear factor kappa B (NF-kB) will be used. The effects of these drugs ... |
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| Case Study: South Texas Veterans Health Care System's Communication Center |
14-Jul-2008 |
65 pages |
| Authors:
Paula A Kinsel; SOUTH TEXAS VETERANS AFFAIRS HEALTH CARE SYSTEM SAN ANTONIO TX
|
| This is a case study of the South Texas Veterans Health Care System's Communication Center located at the Kerrville Division in Kerrville, Texas. This project discusses missed, scheduled appointments and their impact on clinic waiting times, as well as the development of the Communication Center at Kerrville Division as a solution to reduce appointment no-shows. Through the evaluation of nine clinics over three periods, it was determined that patients who ... |
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| Nurse Staffing Proportions and Negative Outcomes |
23-Jun-2008 |
35 pages |
| Authors:
John L Ament; MARTIN ARMY COMMUNITY HOSPITAL FORT BENNING GA
|
| This retrospective study examined the nurse staffing proportion at Martin Army Community Hospital and whether this proportion was a significant predictor of reported negative inpatient outcomes. The proportion of nursing staff to patients was examined to determine if there is a correlation to three specific diagnoses. The specific diagnoses were post operative wound infection, pneumonia, and decubitus ulcers, as captured from the hospital data repository (MHS MART or M2). The ... |
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| Outpatient Workload (RVU) Predictors: Age, Gender & Beneficiary Category |
15-Jun-2008 |
47 pages |
| Authors:
Charles Moniz; JOHNS HOPKINS UNIV BALTIMORE MD
|
| This retrospective study examines 1,529 data observations based on eligible beneficiaries who received outpatient care primary and specialty) within the catchment areas of three military treatment facilities located at Nellis AFB, Langley AFB and Travis AFB during fiscal year 2006. Data was collected from the Military Health System Management Analysis and Reporting Tool (M2). Univariate analysis of variance was used to determine the difference between workload, measured in relative value ... |
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| Quantitative Analysis of Contributing Factors Affecting Patient Satisfaction in Family Medicine Service Clinics at Brooke Army Medical Center |
06-Jun-2008 |
82 pages |
| Authors:
Timothy M Gates; BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON TX
|
| Predictors of patient satisfaction for Brooke Army Medical Center Family Medicine Service primary care clinics was performed. Data was obtained from the Army Provider Level Patient Satisfaction Survey from May 2003-September 2007. An ordinal regression model was developed to determine the effect patient demographics, facility characteristics, and patient-provider interaction on patient satisfaction. Mean patient satisfaction was 4.635 (1-completely dissatisfied, 5-completely satisfied). Two key significant variables emerged in this study; whether ... |
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| An Analysis of the Patient Appointing System of the 121st Combat Support Hospital to Determine an Optimal Appointing System |
Jun-2008 |
62 pages |
| Authors:
Aatif M Sheikh; COMBAT SUPPORT HOSPITAL ( 121ST) APO AP NEW YORK 96205
|
| Kissick's Iron Triangle provides a model for health care delivery which postulates that the three goals of healthcare: quality, access, and cost containment cannot be simultaneously achieved. This is directly at odds with the latest continuous process improvement technique of Lean Six Sigma (faster, better, cheaper) which proposes that cost (cheaper) and quality (better) will increase if you increase access (faster). A centralized appointing system may be a method to ... |
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| Characterization of the Hematopoietic Stem Cell in the Peripheral Blood of Patients with Idiopathic Myelofirosis |
Jun-2008 |
6 pages |
| Authors:
Ronald Hoffman; MOUNT SINAI SCHOOL OF MEDICINE NEW YORK
|
| The clinical course of patients with Philadelphia chromosome negative myeloproliferative disorder (MPD) is frequently complicated by thrombotic events. Post-natal vasculogenesis has been proposed to play a critical role in angiogenesis by acting through a hierarchy of endothelial progenitor cells (EPC). Some EPC have been shown to share a number of features associated with monocytes while other more primitive progenitor cells produce EC in vitro exclusively. The cells which share features ... |
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| Patient Satisfaction and Productivity |
14-May-2008 |
27 pages |
| Authors:
Michael C Sauer; MONCRIEF ARMY COMMUNITY HOSPITAL FORT JACKSON SC
|
| Patient satisfaction and variables attributable to determining the best means to ensure patients experience high satisfaction are important to any medical organization. At Moncrief Army Community Hospital (MACH) at Fort Jackson, South Carolina, significant improvements in patient satisfaction were realized when as a matter of policy every patient was encouraged to complete a customer satisfaction card at each appointment. This was due to several factors, most significant among them is ... |
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| U.S. Outpatient Beneficiary Satisfaction at Korean Hospitals |
12-May-2008 |
85 pages |
| Authors:
Alex L Hayman; COMBAT SUPPORT HOSPITAL ( 121ST) APO AP NEW YORK 96205
|
| Nearly 6,000 TRICARE beneficiaries per annum receive outpatient medical care in one of 24 Korean hospitals within the Republic of Korea (ROK). The objective of this project was to determine TRICARE U.S. outpatient beneficiary satisfaction at Memorandum of Understanding (MOU) Host Nation Hospitals in the ROK. The point of service survey used for this project was aligned with the Department of Defense's Army Provider Level Satisfaction Survey. The survey utilizes ... |
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| Implementation of an Electronic Medical Records System |
07-May-2008 |
67 pages |
| Authors:
Chadwick B Fletcher; ARMY MEDICAL DEPT CENTER AND SCHOOL FORT SAM HOUSTON TX
|
| Delivery of excellent primary care--central to overall medical care--demands that providers have the necessary information when they provide care. This paper argues that provider and patient information and decision support needs can be satisfied only if primary care providers use electronic medical records (EMRs). Although robust EMRs are now available, only about 5% of U.S. primary care providers use them. Recently, with only modest investments, Australia, New Zealand, and England ... |
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| Genomic and Expression Profiling of Benign and Malignant Nerve Sheath Tumors in Neurofibromatosis Patients |
May-2008 |
33 pages |
| Authors:
Brian Rubin; Torsten Nielsen; Matt van de Rijn; STANFORD UNIV CA
|
| The goal of the study is to identify genes that will serve as molecular markers for progression of neurofibroma to MPNST, and to identify potential therapeutic targets. miRNA expression profiling was performed on 6 cases of MPNSTs, and 7 cases of synovial sarcomas. By using unsupervised hierarchical clustering most tumors were grouped together according to tumor type. Subsequent analyses using Significance Analysis of Microarrays (SAM) identified miRNAs that differentiate between ... |
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| The Effects of a Customer Service Initiative at Moncrief Army Community Hospital |
06-Apr-2008 |
55 pages |
| Authors:
George T Barido; MONCRIEF ARMY COMMUNITY HOSPITAL FORT JACKSON SC
|
| In November 2006, Moncrief Army Community Hospital (MACH) instituted a customer service initiative intended to improve overall patient satisfaction by changing the behavior of front-desk clerks. The initiative involved front-desk clerks offering every outpatient customer an Interactive Customer Evaluation (ICE) comment card upon completion of their ambulatory visit. Implementation priority was given to the Urgent Care Clinic (UCC) and the Family Health Clinic (FHC). The purpose of this case study ... |
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| Serum Genetic Markers as Surrogates of Prostate Cancer Progression |
01-Apr-2008 |
16 pages |
| Authors:
Dave S Hoon; JOHN WAYNE INST FOR CANCER TREATMENT AND RESEARCH SANTA MONICA CA
|
| As proposed, we have successfully established assays to detect free tumor-related DNA marker(s) in serum of prostate cancer (PCa) patients and studied the potential use of the biomarker detection as surrogate genetic markers in monitoring PCa patients. Despite slight delay in the beginning, the program has moved expediently over the years from assay development and optimization to subject sample accrual and assessment. DNA markers involving allelic instability (Al; 6 markers) ... |
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| Antagonism of Taxol Cytotoxicity by Prolactin: Implication for Patient Resistance to Chemotherapy |
01-Mar-2008 |
60 pages |
| Authors:
Nira Ben-Jonathan; CINCINNATI UNIV OH
|
| The overall objective of these studies is to examine the protective effects of prolactin (PRL) against anti-cancer drugs using MDA-MB-468 breast cancer cells and cisplatin as the experimental models. The major goal was to characterize the mechanism by which PRL provides chemoprotection. Progress has been made toward this goal as follows. First using flow cytometry we have established that cisplatin causes cell cycle arrest at the G2 phase. This was ... |
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| A Predictive Model for Massive Transfusion in Combat Casualty Patients |
FEB 2008 |
8 pages |
| Authors:
Daniel F. McLaughlin; Sarah E. Niles; Jose Salinas; Jeremy G. Perkins; E. D. Cox; Charles E. Wade; John B. Holcomb; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
| Massive transfusion (MT) is associated with increased morbidity and mortality in severely injured patients. Early and aggressive use of blood products in these patients may correct coagulopathy, control bleeding, and improve outcomes. However, rapid identification of patients at risk for MT has been difficult. We postulated that evaluation of clinical variables routinely assessed upon admission would allow identification of these patients for earlier, more effective intervention. Methods: A retrospective cohort ... |
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| A Reduction in Clot Formation Rate and Strength Assessed by Thrombelastography Is Indicative of Transfusion Requirements in Patients With Penetrating Injuries |
FEB 2008 |
|
| Authors:
Amy J. Plotkin; Charles E. Wade; Donald H. Jenkins; Kimberly A. Smith; Jody C. Noe; Myung S. Park; Jeremy G. Perkins; John B. Holcomb; ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
|
 | Bleeding is a major cause of death in patients with traumatic injuries. Recently, thrombelastograph (TEG) has been suggested as an additional means of evaluating coagulation in trauma patients. We hypothesized that TEG data would aid in defining the coagulopathy of trauma in patients with penetrating traumatic injuries. |
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| Prior Health Care Utilization as a Potential Determinant of Enrollment in a 21-Year Prospective Study, the Millennium Cohort Study |
10-Jan-2008 |
11 pages |
| Authors:
Besa Smith; Tyler C Smith; Margaret A Ryan; Isabel G Jacobson; Timothy S Wells; Robert J Reed; Paul J Amoroso; Christina N Spooner; NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
|
| Results obtained from self-reported health data may be biased if those being surveyed respond differently based on health status. This study was conducted to investigate if health, as measured by health care use preceding invitation, influenced response to invitation to a 21-year prospective study, the Millennium Cohort Study. Inpatient and outpatient diagnoses were identified among more than 68,000 people during a one-year period prior to invitation to enroll. Multivariable logistic ... |
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| Continuity of Care for Cancer Patients at Irwin Army Community Hospital |
04-Jan-2008 |
47 pages |
| Authors:
Kay Hadley; IRWIN ARMY COMMUNITY HOSPITAL FORT RILEY KS
|
| This study examined the association between provider continuity and patients with cancer enrolled to Irwin Army Community Hospital, Fort Riley, Kansas. A set of simple descriptive statistics were performed for all 118 cancer patients and a more rigorous analysis was conducted on a subset of 44 breast cancer patients. The researcher found numerous mathematical models to measure continuity. The Modified Modified Continuity Index was selected from numerous models as the ... |
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| The Potential Cost Savings of Greater Use of Home- and Hospice- Based End of Life Care in England |
Jan-2008 |
|
| Authors:
Andrew Daly; Evi Hatziandreu; Fragiskos Archontakis; RAND CORP SANTA MONICA CA
|
| This report was prepared for and in collaboration with the National Audit Office. The study objective was twofold: first, to provide an estimation of the current economic impact of caring for patients during their last year of life in England; and, second, to simulate the potential benefits of an expansion of those services by decreasing reliance on acute care during that time. The study is part of a broader Value ... |
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| Prostate Cancer Survivors With Rising PSA and Their Spouses: Treatment Decision Making and Quality of Life |
01-Dec-2007 |
11 pages |
| Authors:
Michael A Diefenbach; MOUNT SINAI SCHOOL OF MEDICINE NEW YORK
|
| This study involves patients and their spouses/partners who are attending two cancer centers: the Deane Prostate Health and Research Center in the Department of Urology at Mount Sinai Hospital, New York City and the Department of Medical Oncology at Fox Chase Cancer Center, Philadelphia. Patients will have been diagnosed with rising PSA but have no clinical evidence of cancer. Eligible patients and their spouse/partners who have agreed to participate (n ... |
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| Improving Quality of Life in Ovarian Cancer Patients: A Brief Intervention for Patients and Their Partners |
SEP 2007 |
18 pages |
| Authors:
Sandra G. Zakowski; ROSALIND FRANKLIN UNIV OF MEDICINE AND SCIENCE CHICAGO IL
|
| The current study examines the effects of a psychological intervention that encourages emotional expression in ovarian cancer patients and their partners. Ovarian cancer patients (n=130) and their partners are randomly assigned to an intervention or a control group. Following Pennebaker's model, subjects in the intervention group are asked to write about their deepest thoughts and feelings regarding their cancer experience for 20 minutes each day for three consecutive days. The ... |
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| The "Worried Well" Response to CBRN Events: Analysis and Solutions |
JUN 2007 |
64 pages |
| Authors:
Fred P. Stone; AIR UNIV MAXWELL AFB AL COUNTER PROLIFERATION CENTER
|
| Chemical, biological, radiological, or nuclear (CBRN) weapons in the hands of a terrorist or a rogue state is one of the greatest threats to the security of the United States. These weapons of mass destruction (WMD) can cause catastrophic loss of life and innumerable injuries and can challenge the U.S. health care system beyond its capacity to provide treatment. Most hospitals do not have the beds, equipment, staff, or facilities ... |
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| Quality of Life and Functional Status across the Life Course |
01 MAY 2007 |
32 pages |
| Authors:
Michelle J. Naughton; WAKE FOREST UNIV WINSTON-SALEM NC SCHOOL OF MEDICINE
|
| This Behavioral Center of Excellence in Breast Cancer contains three separate, but related research projects focused on breast cancer patients quality of life and functional status. There is also a Biostatistics's Core Facility supporting all three studies. The three projects are: Project 1) Menstrual Cycle Maintenance and Quality of Life Following Treatment for Breast Cancer: A Prospective Study. This is a study of women aged 45 years and younger diagnosed ... |
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| NMMC Picture Archiving and Communication Systems (PACS) |
Apr-2007 |
13 pages |
| Authors:
Robert C Becker; NORTH MISSISSIPPI MEDICAL CENTER TUPELO MS
|
| Most deliverables for this project period were met: *PACS equipment became fully operational at 13 primary care clinics in rural Mississippi (2 clinics are scheduled to be installed and operational in June 2007) and radiology staff at all 13 sites were thoroughly trained: (1) Measurement of efficiency of radiologists and primary care providers (PCPs) compared to baseline; (2) Measurement of satisfaction of PCPs compared to baseline; (3) Measurement of efficacy ... |
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| A Mouse Model to Investigate the Role of DBC2 in Breast Cancer |
MAR 2007 |
9 pages |
| Authors:
Valerie Boka; TEXAS UNIV HEALTH SCIENCE CENTER AT SAN ANTONIO
|
| Sporadic breast cancer represents 90% of breast cancer patients. Mutations of both oncogenes and tumor suppressor genes often occur in spontaneous breast cancer. Specifically, tumor suppressor gene activity may be abrogated or decreased in cancer cells. Recently, a putative tumor suppressor gene, DBC2 (Deleted in Breast Cancer), was discovered that appears to be frequently mutated in sporadic breast cancer. DBC2 is suspected to be a tumor suppressor gene important for ... |
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| Detection of the Host Immune Response to Burkholderia mallei Heat-Shock Proteins GroEL and DnaK in a Glanders Patient and Infected Mice |
2007 |
12 pages |
| Authors:
Kei Amemiya; Jennifer L. Meyers; David DeShazer; Renaldo N. Riggins; Stephanie Halasohoris; Marilyn England; Wilson Ribot; Sarah L. Norris; David M. Waag; ARMY MEDICAL RESEARCH INST OF INFECTIOUS DISEASES FORT DETRICK MD
|
| We examined, by enzyme-linked immunosorbent assay and Western blot analysis, the host immune response to 2 heat-shock proteins (hsps) in a patient and mice previously infected with Burkholderia mallei. The patient was the first reported human glanders case in 50 years in the United States. The expression of the groEL and dnaK operons appeared to be dependent upon a sigma(32) RNA polymerase as suggested by conserved heat-shock promoter sequences, and ... |
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| Business Case Analysis: Identifying Concerns for the Continuum of Care for United States Air Force Cadets with the Implementation of Base Realignment and Close Initiatives at the Air force Academy Hospital |
31 DEC 2006 |
57 pages |
| Authors:
Katie A. McShane; AIR FORCE ACADEMY HOSPITAL UNITED STATES AIR FORCE ACADEMY CO 10TH MEDICAL GROUP
|
| This business case analysis (BCA) projects the likely financial results and other business consequences to the United States Air Force Academy (USAFA) Hospital, 10th Medical Group (MDG), associated with the impending loss of inpatient services as directed under the 2005 Base Realignment and Closure Commission (BRAC) initiatives. Authorized under the BRAC Act of 1990, Public Law 101-510, 10 U.S.C 2687, these initiatives are public law. This BCA will focus on ... |
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| Resuscitative Hyperkalemia in Noncrush Trauma: A Prospective, Observational Study |
DEC 2006 |
8 pages |
| Authors:
Robert M. Perkins; Matthew C. Aboudara; Kevin C. Abbott; John B. Holcomb; WALTER REED ARMY MEDICAL CENTER WASHINGTON DC
|
| The trauma patient is exposed to physiologic processes and life-saving interventions that predispose to hyperkalemia. Severe elevations in potassium levels subject this compromised patient to additional cardiac risks in the periresuscitative period. Recent advances in the care of the massively traumatized patient may or may not increase the risk for hyperkalemia. This prospective, observational study was undertaken to define the period prevalence of hyperkalemia (plasma potassium level >5.5 mmol/L) in ... |
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| Prostate Dose Escalation by Innovative Inverse Planning-Driven IMRT |
NOV 2006 |
201 pages |
| Authors:
Lei Xing; STANFORD UNIV CA
|
| The goal of this project is to develop innovative inverse treatment planning techniques for prostate radiation therapy. In the last funding period significant progress has been made toward the goal of the project. We have established the voxel-based dose optmization framework for lMRT treatment planning. Realizing that current radiation therapy does not adapt to inter-fraction organ movement and dosimetric errors caused by inaccurate patient setup or organ deformation during a ... |
|
| Tuberous Sclerosis Complex National Database |
OCT 2006 |
191 pages |
| Authors:
Steven P. Sparagana; TEXAS UNIV AT DALLAS SOUTHWESTERN MEDICAL CENTER
|
| A Consortium was formed in July 2002 by the Tuberous Sclerosis Alliance (TSA) and tuberous sclerosis (TS) clinic personnel nationwide to begin discussions of natural history studies and the development of a comprehensive clinical database (DB) to be used for both research and clinical purposes. The Consortium proposed to characterize the natural history of tuberous sclerosis complex (TSC) through the development of an internet-based DB to collect comprehensive data on ... |
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| Development and Evaluation of Different Versions of the Decision Board for Early Breast Cancer |
AUG 2006 |
11 pages |
| Authors:
Timothy J. Whelan; MCMASTER UNIV HAMILTON (ONTARIO)
|
| The main objective of this study is to further enhance information transfer between the doctor and the patient, giving women with early stage breast cancer an opportunity to more fully participate in treatment decision making. To accomplish this, the authors developed a decision aid, called the Decision Board (DB), for women regarding choices in breast cancer with respect to surgical treatment and adjuvant chemotherapy. The study compares three versions of ... |
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| Hot Flashes and Quality of Life Among Breast Cancer Patients |
AUG 2006 |
19 pages |
| Authors:
Linda A. Jacobs; PENNSYLVANIA UNIV PHILADELPHIA
|
| This prospective study examined hot flashes and quality of life (QOL) in BC patients undergoing initial treatment. The medical and complementary and alternative medicine (CAM) interventions used by patients were also examined. One hundred and ninety-six women were recruited to the study and data for several time-points continues to be collected on women who were recruited to the study 12 months ago in order to complete their 15 and 18 ... |
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| Descriptive Analysis of Air Force Non-Fatal Suicide Events |
JUL 2006 |
13 pages |
| Authors:
Tiffany A. D'Mello; OAK RIDGE INST FOR SCIENCE AND EDUCATION TN
|
| As a component of the Air Force Suicide Prevention Program, the Suicide Event Surveillance System (SESS) was developed in response to a peak in 1994 in the number of Active Duty Air Force (ADAF) suicides (16.4 per 100,000). The Suicide Event Surveillance System serves as the primary suicide event surveillance mechanism and is used to track all fatal and non-fatal suicide events (NFSE) that occur among Active Duty Air Force ... |
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| Information Technology Management: Acquisition of the Armed Forces Health Longitudinal Technology Application |
18 MAY 2006 |
40 pages |
| Authors:
INSPECTOR GENERAL DEPT OF DEFENSE ARLINGTON VA
|
| The Armed Forces Health Longitudinal Technology Application (AHLTA) is a medical and dental clinical information system that will generate and maintain a comprehensive, lifelong, computer-based patient record for every soldier, sailor, airman, and marine; their family members; and others entitled to DoD military health care. The AHLTA program is expected to support 9.2 million beneficiaries. As of September 30, 2005, there were 7.01 million patients with records on-line at 51 ... |
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| Psychosocial and Patient Education Needs of Prostate Cancers Selecting Watchful Waiting |
MAY 2006 |
41 pages |
| Authors:
Sara J. Knight; David M. Latini; CALIFORNIA UNIV SAN FRANCISCO
|
| While watchful waiting is an accepted disease management strategy for localized prostate cancer there is little information available on the impact of the disease and the expectant management on men's well-being. The few studies that have focused on these issues suggest that anxiety about untreated cancer and urologic and sexual impacts of the disease are important considerations in the selection of this approach to disease management. We propose to gather ... |
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| Affects of Provider Type on Patient Satisfaction, Productivity and Cost Efficiency |
25 APR 2006 |
66 pages |
| Authors:
Timothy Foster; TRICARE SOUTHWEST SAN ANTONIO TX DOD HEALTH SERVICE REGION 6
|
| The purpose of this one year retrospective quantitative study is to determine if the type of provider (physician, nurse practitioner, and physician assistant) influences patient satisfaction and productivity. 104,013 Army beneficiaries who visited their Primary Care Managers (PCM) from January 2004 to December 2004, were surveyed and their results were used as the sample for this study. Provider productivity and cost efficiency within CONUS Military Treatment Facilities (MTFs) was evaluated ... |
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| Analysis of Patient Information: An Empirical Modeling Approach |
MAR 2006 |
78 pages |
| Authors:
Tony A. Murphy; AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH SCHOOL OF ENGINEERING
|
| With rising costs and increasing complexities, many hospitals seek to better understand the intricate details of their operations. Increasingly, these organizations have a strong desire to accurately predict the resources required to effectively treat their patient load. This research investigates patient length-of-stay in a hospital neurological unit using an empirical modeling approach. Factors significantly affecting patient length of stay were identified and used to construct a regression model. The predictive ... |
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| Fatigue Impacting Patient Safety: Literature Review and Local Perceptions |
07-Feb-2006 |
17 pages |
| Authors:
Shannon Grant; MARINE CORPS UNIV QUANTICO VA
|
| Physicians and nurses must make split-second, critical decisions that often have life or death implications for the patient and the provider. Dr. Sophy Wong recalls the following: A third-year Brown medical student, working at the hospital for 26 hours straight, I was paged to assist in an emergency cesarean section. I started to nod off, still holding the retractor. The next thing I remember was water hitting my chest and ... |
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| REVEAL: Reconstruction, Enhancement, Visualization, and Ergonomic Assessment for Laparoscopy |
FEB 2006 |
31 pages |
| Authors:
W. B. Seales; KENTUCKY UNIV RESEARCH FOUNDATION LEXINGTON
|
| The goal of this work is to develop and test new technologies that will break down the barriers that block more surgeons from attaining and continuing to practice (without injury or pain) high levels of skill in minimally invasive surgery (MIS). This project will develop new technology by concentrating on three major research thrusts: Smart Image: the project will develop and evaluate new approaches for extracting, fusing, and presenting information ... |
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| Field Testing of the Battlefield Medical Information System - Telemedicine |
01 DEC 2005 |
9 pages |
| Authors:
Jeffrey Augenstein; MIAMI UNIV FL
|
| The stand alone level-1 Ryder Trauma Center in Miami, Florida sees over 3,000 admissions of seriously injured patients on an annual basis. The Ryder Trauma Center is a vertical representation of the battlefield. This living laboratory parallels the same process as the military battlefield. Dr. Augenstein has been a leader in the areas of development, research and implementation for trauma informatics for over well over 25 years. Recently technology has ... |
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| A Treatment Stage Specific Approach to Improving Quality of Life for Women with Ovarian Cancer |
OCT 2005 |
7 pages |
| Authors:
Nancy E. Avis; Brigitte Miller; WAKE FOREST UNIV WINSTON-SALEM NC
|
| This study focuses on quality of life among women with ovarian cancer. The primary objective of the study is to identify the issues that are of greatest concern to women in each of three treatment stages: newly diagnosed with ovarian cancer, in-treatment, and post-treatment. A longitudinal, repeated measures design will be used to assess changes in problem areas and quality of life from diagnosis to recurrence among women newly diagnosed ... |
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| Quantitative Studies of Sublingual PCO2 as a Resuscitation End-Point in the Diagnosis and Treatment of Hemorrhagic Shock |
30 SEP 2005 |
6 pages |
| Authors:
Pao Ivatury; VIRGINIA COMMONWEALTH UNIV RICHMOND
|
| This clinical study is examining the relationship between sublingual PCO2 (PslCO2) to real-time changes in microcirculatory blood flow of the sublingual mucosa in victims of traumatic and hemorrhagic shock. This relationship will assist in understanding the direct effects of blood loss on sublingual perfusion and thus PslCO2 as a reflection of this. The study is also comparing the sensitivity and specificity of PslCO2 to detect compensated shock states and the ... |
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| Identifying Barriers to the Success of a Reporting System |
31 AUG 2005 |
14 pages |
| Authors:
Michelle L. Harper; Robert L. Helmreich; AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD
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| Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profession has seen an increase in event reporting systems at the international, national, and institutional levels. Aviation, with its long history of reporting systems, has shown that these systems can yield previously unknown, but safety-critical information for developing a proactive approach to managing human error. Despite many similarities ... |
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