Current Search: surgery (x)
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Title
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THE IMPACT OF PRE-OPERATIVE MUPIROCIN PROPHYLAXIS ON SURGICAL SITE INFECTIONS IN SAME-DAY ADMISSION OPEN HEART PATIENTS.
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Creator
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Gerry, Joanna, Wink, Diane, University of Central Florida
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Abstract / Description
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ABSTRACT The CDC estimates that one in 20 patients admitted to the hospital is a carrier of methicillin-resistant Staphylococcus aureus (MRSA). Staphylococci are commonly found on the skin and mucous membranes within the anterior nares, which provides the principle reservoir for this organism. These organisms can go on to cause surgical site infections in hospitalized patients. Mupirocin is an effective topical medication used to eliminate nasal carriage of Staphylococcus aureus (S. aureus)....
Show moreABSTRACT The CDC estimates that one in 20 patients admitted to the hospital is a carrier of methicillin-resistant Staphylococcus aureus (MRSA). Staphylococci are commonly found on the skin and mucous membranes within the anterior nares, which provides the principle reservoir for this organism. These organisms can go on to cause surgical site infections in hospitalized patients. Mupirocin is an effective topical medication used to eliminate nasal carriage of Staphylococcus aureus (S. aureus). Based on Level A evidence, the 2007 Society of Thoracic Surgeons has made a Class I recommendation for the use of mupirocin for all patients undergoing cardiac surgery in the absence of documentation of a negative culture for staphylococcal colonization. The purpose of this before-and-after study is to examine the rates of surgical site infections (SSI) for cardiac surgery patients who came through the pre-admission testing unit prior to same-day admission (SDA) for surgery before and after providing 2% mupirocin nasal ointment. Specific aims: 1. To examine the relationship between providing mupirocin to the SDA cardiac surgery patient and the prevalence of SSI. 2. To examine the cost-effectiveness of providing mupirocin to the SDA cardiac surgery patient and SSI. 3. To examine the adherence of SDA preoperative cardiac surgery patients and the use of mupirocin preoperatively, if the medication is provided at no cost to the patient. Retrospective chart reviews were completed on 330 patients: 175 patients in the pre-provision of mupirocin and 150 in the mupirocin provided group. Chi Square and studentsÃÂÃÂÃÂÃÂ' t-tests were used to analyze the data. There were five SSIs in the pre-provision of mupirocin group and no SSIs in the mupirocin provided group. This was a significantly statistical difference between the groups (X2 = 4.497, p < 0.5) Continued provision of 2% nasal mupirocin to prevent SSI in the cardiac surgery patients is recommended.
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Date Issued
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2010
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Identifier
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CFE0003342, ucf:48461
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Format
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Document (PDF)
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PURL
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http://purl.flvc.org/ucf/fd/CFE0003342
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Title
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The Effect of Videogame Play on Robotic Surgery Skill Acquisition.
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Creator
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Tanaka, Alyssa, Hughes, Charles, Kincaid, John, Cendan, Juan, Smith, Roger, University of Central Florida
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Abstract / Description
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Robotic surgery uses innovative technology to transcend a surgeon's skills when performing complex procedures. Currently, the only FDA approved robotic system is Intuitive's da Vinci Surgical System. While this system offers many advantages over other minimally invasive techniques, it also introduces a need for specialized training. Virtual reality simulators have emerged as valuable tools for standardized and objective robotic surgery skill training and assessments. In recent years, the idea...
Show moreRobotic surgery uses innovative technology to transcend a surgeon's skills when performing complex procedures. Currently, the only FDA approved robotic system is Intuitive's da Vinci Surgical System. While this system offers many advantages over other minimally invasive techniques, it also introduces a need for specialized training. Virtual reality simulators have emerged as valuable tools for standardized and objective robotic surgery skill training and assessments. In recent years, the idea of using video game technology in surgical education for laparoscopy has also been explored; however few have attempted to make a connection between video game experience and robotic surgical skills. Thus, the current study aims to examine the performance of video gamers in a virtual reality robotic surgery simulator. Furthermore, the video gamers' performance was compared to that of medical students, expert robotic surgeons, and (")laypeople.(") The purpose of this study is to examine the hypothesis that video gamers acquire perceptual and psychomotor skills through video game play, similar to those used by robotic surgeons.Subjects completed a demographic questionnaire and performed three computer-based perceptual tests: a Flanker compatibility task, a subsidizing task, and a Multiple Object Tracking test. Participants then performed two warm-up exercises on the Mimic dV-Trainer to familiarize themselves with the system and eight trials of two core exercises to test their skills. After completing all trials, participants completed a post-questionnaire regarding their experience with the system.Expert video gamers (n=40), medical students (n=24), laypeople (n=42) and expert robotic surgeons (n=16) were recruited. Medical students and gamers were significantly faster than experts in the Flanker Task. The experts were significantly slower than the all other groups in the subsidizing task. Experts scored significantly higher, were significantly more efficient, and were significantly faster than laypeople, medical students, and gamers in the first trial of Ring (&) Rail 1 and Suture Sponge. In trial eight of Ring (&) Rail 1, experts scored significantly higher and were more efficient than laypeople. Experts were also significantly faster than all other groups. Experts scored significantly higher than laypeople and gamers in trial Suture Sponge. Experts were significantly more efficient and significantly faster than all other groups. Contrary to prior literature in laparoscopy, this study was unable to validate enhanced abilities of video gamers in a robotic surgery simulator. This study does further demonstrate that the transfer of skills developed through video game play is relevant to the surgical technique. This may be due to the differences of the systems and how the users interact within them. In a society where video games have become an integral past time, it is important to determine the role that video games play in the perceptual and psychomotor development of users. These findings can be generalized to domains outside of medicine that utilize robotic and computer-controlled systems, speaking to the scope of the gamers' abilities and pointing to the capacity within these systems.
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Date Issued
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2015
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Identifier
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CFE0006010, ucf:51002
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Format
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Document (PDF)
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PURL
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http://purl.flvc.org/ucf/fd/CFE0006010
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Title
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WHAT DO YOU THINK OF OTHERS WHO PURSUE COSMETIC SURGERY? INFLUENCES ASSOCIATED WITH PERCEPTIONS OF COSMETIC SURGERY.
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Creator
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Vergara, Angela, Negy, Charles, University of Central Florida
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Abstract / Description
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In the current climate in which it seems like popular media determines normality, it is not surprising to find that reality television, especially programs geared towards elective cosmetic surgery, are correlated with the decision making processes associated with actually pursuing cosmetic surgery. Research suggests that attitudes towards cosmetic surgery have changed dramatically due to the public's exposure to reality makeover shows; these shows have increased the popularity of such...
Show moreIn the current climate in which it seems like popular media determines normality, it is not surprising to find that reality television, especially programs geared towards elective cosmetic surgery, are correlated with the decision making processes associated with actually pursuing cosmetic surgery. Research suggests that attitudes towards cosmetic surgery have changed dramatically due to the public's exposure to reality makeover shows; these shows have increased the popularity of such procedures and have highlighted and implied that cosmetic surgery is associated with little pain and risk. In this study, I sought to determine if attitudes toward cosmetic surgery vary as a function of ethnicity and gender, as well as examine the influence of the media on openness to pursuing cosmetic surgery. Examining how others view those who pursue elective cosmetic surgery and the variables associated with those who obtain cosmetic surgery will shed light on the processes associated with the decision to pursue the procedures.
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Date Issued
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2012
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Identifier
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CFH0004137, ucf:44887
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Format
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Document (PDF)
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PURL
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http://purl.flvc.org/ucf/fd/CFH0004137
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Title
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Psychomotor Skill Measurement of Video Game Players.
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Creator
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Carbone, Thomas, Hughes, Charles, McDaniel, Rudy, Smith, Peter, Smith, Roger, University of Central Florida
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Abstract / Description
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Psychomotor skills are a combination of innate abilities as well as skills developed because of repeated actions. Researchers have dedicated many studies to understand the extent to which past videogame play contributes to psychomotor skills and fine motor control dexterity. However, not all gamers are created equal. With today's proliferation of platforms, many people are gamers who never pick up a controller. Grouping all gamers together forms dangerous confounds when trying to generalize...
Show morePsychomotor skills are a combination of innate abilities as well as skills developed because of repeated actions. Researchers have dedicated many studies to understand the extent to which past videogame play contributes to psychomotor skills and fine motor control dexterity. However, not all gamers are created equal. With today's proliferation of platforms, many people are gamers who never pick up a controller. Grouping all gamers together forms dangerous confounds when trying to generalize across a population as diverse as today's gamers.The current study aims to study a population comprised only of gamers to see if there are significant differences in their psychomotor skills. A psychomotor skills test has been developed, which is designed to simulate proven physical tests, with the express purpose of exposing differences between gamers. After filling out an extensive survey of gaming habits, participants completed the psychomotor skills test.Participants were then grouped by measured psychomotor ability and a selection of high and low performing gamers completed four tutorial exercises on the dV-Trainer by Mimic Technologies, a validated robotic laparoscopic training device.The study shows that the number of hours reported per week using analog controllers is correlated with the psychomotor score as measured by the newly developed simulation. In particular, the Purdue Pegboard and Finger Tapping simulation software is the best discriminator among members of the gamer population.
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Date Issued
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2018
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Identifier
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CFE0007316, ucf:52131
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Format
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Document (PDF)
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PURL
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http://purl.flvc.org/ucf/fd/CFE0007316
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Title
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Evaluation of Postoperative Air Leak and Chest Tube Drainage Systems after Pulmonary Resection.
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Creator
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Jacobsen, Kristina, Talbert, Steven, Sole, Mary Lou, Guido-Sanz, Francisco, Bittner, Hartmuth, University of Central Florida
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Abstract / Description
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Postoperative air leaks are the most common complication after a pulmonary resection. There is no data in the literature comparing the traditional and digital chest drainage system after a robotic-assisted pulmonary lobectomy. In 182 eligible patients, this retrospective study evaluated the association between digital and traditional drainage systems with postoperative chest tube days, hospital length of stay, chest tube reinsertion during hospitalization, and 30-day readmission for...
Show morePostoperative air leaks are the most common complication after a pulmonary resection. There is no data in the literature comparing the traditional and digital chest drainage system after a robotic-assisted pulmonary lobectomy. In 182 eligible patients, this retrospective study evaluated the association between digital and traditional drainage systems with postoperative chest tube days, hospital length of stay, chest tube reinsertion during hospitalization, and 30-day readmission for pneumothorax following a robotic-assisted lobectomy. The groups did not differ significantly in terms of age, gender, BMI, smoking, adhesions or neoadjuvant therapy. Patients with the digital drainage system had a mean chest tube duration of 2.07 days compared with 2.73 days for the traditional drainage system (p = 0.003). Hospital length of stay was also significantly reduced with the digital drainage system. Patients using the digital drainage system had a mean hospital length of stay of 4.02 days compared with 5.06 days with the traditional drainage system (p = 0.010). Although chest tube reinsertion occurred four times more frequently with traditional drainage system, the difference did not achieve the level of statistical significance (p = 0.059). The frequency of readmission due to pneumothorax was very low (1 patient per group), which prevented comparative statistical analysis. In the digital drainage system there are shorter chest tube days and hospital length of stay after a robotic-assisted lobectomy. The decision to remove chest tubes in the traditional drainage system is burdened with uncertainty. The digital drainage system reduces intraobserver variability allowing for improved decision making in chest tube removal.
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Date Issued
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2019
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Identifier
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CFE0007893, ucf:52771
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Format
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Document (PDF)
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PURL
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http://purl.flvc.org/ucf/fd/CFE0007893
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Title
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The Effects of Viewing Sexually Explicit Materials on Men's Body Image Satisfaction, Interest in Pursuing Cosmetic Surgery, and Body Change Behaviors.
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Creator
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Schuster, Elizabeth, Negy, Charles, Renk, Kimberly, Beidel, Deborah, University of Central Florida
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Abstract / Description
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This study examined the effects of viewing sexually explicit media on men's body image, body change behaviors, and esteem in a randomized experimental study. The purpose was to determine if a cause and effect relationship exists between viewing sexually explicit media and body image dissatisfaction in men. Participants were randomized to one of four conditions. They were asked to view a short media clip and then answer a series of questionnaires assessing their current body change strategies ...
Show moreThis study examined the effects of viewing sexually explicit media on men's body image, body change behaviors, and esteem in a randomized experimental study. The purpose was to determine if a cause and effect relationship exists between viewing sexually explicit media and body image dissatisfaction in men. Participants were randomized to one of four conditions. They were asked to view a short media clip and then answer a series of questionnaires assessing their current body change strategies (e.g., pathogenic weight control practices), interest in risky body behaviors (e.g., cosmetic surgery), esteem (i.e., genital, sexual, and self-esteem), and overall body image satisfaction. It was hypothesized that men exposed to the sexually explicit media condition would evidence more dissatisfaction with their bodies, utilize more body change strategies, and have more interest in risky body change behaviors. It was also hypothesized that men exposed to the sexually explicit condition would evidence poorer self-esteem, sexual esteem, and genital esteem relative to participants in the other conditions. The hypotheses were not supported. There were no significant differences among any of the conditions, including a more specific analysis between the control and sexually explicit conditions. As this differs from findings of similar studies with female participants, it is important for future studies to further examine this topic and to identify protective factors that may exist for men who view sexually explicit materials.
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Date Issued
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2014
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Identifier
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CFE0005413, ucf:50429
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Format
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Document (PDF)
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PURL
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http://purl.flvc.org/ucf/fd/CFE0005413
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Title
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THE EFFECTS OF PREOPERATIVE EDUCATION ON STRESS IN THE PEDIATRIC POPULATION.
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Creator
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Howard, Amy, Allred, Kelly, University of Central Florida
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Abstract / Description
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The purpose of this research was to critically analyze relevant literature regarding the effects of preoperative education on levels of stress in the pediatric population. The goal of this research is to review and analyze the available literature to determine best practice as it relates to educating the pediatric preoperative patient in order to relieve stress. Research was retrieved from Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and MEDLINE-EBSCOhost databases...
Show moreThe purpose of this research was to critically analyze relevant literature regarding the effects of preoperative education on levels of stress in the pediatric population. The goal of this research is to review and analyze the available literature to determine best practice as it relates to educating the pediatric preoperative patient in order to relieve stress. Research was retrieved from Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and MEDLINE-EBSCOhost databases using keywords pediatric, preoperative, anxiety, stress, fear, children, hospitalized child, education, play therapy, and surgery. Inclusion criteria included research that focused on relieving anxiety or stress in the pediatric surgical patient. Seven research-based articles were found that met the inclusion criteria. Findings indicate surgery is stressful in pediatric patients at all developmental stages. Preoperative education was found to reduce this stress. Verbal, written, and visual means of education all led to a decrease in stress prior to surgery. More research is needed to determine the best developmentally appropriate educational program to relieve stress in the pediatric patient.
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Date Issued
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2011
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Identifier
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CFH0003809, ucf:44738
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Format
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Document (PDF)
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PURL
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http://purl.flvc.org/ucf/fd/CFH0003809
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Title
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Unicondylar Knee Arthroplasty in the Inpatient vs Outpatient Setting: Impact on Process Time, Quality Outcomes, and Patient Satisfaction.
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Creator
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Zeini, Ibrahim, Ramirez, Bernardo, Noblin, Alice, Liu, Albert Xinliang, Sivo, Stephen, University of Central Florida
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Abstract / Description
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The implications of rising healthcare expenditures are of great concern nationally and internationally. Performing procedures in the outpatient setting can be one solution to this crisis. However, there is a lack of research on systematic approaches for transitioning procedures to the outpatient setting. Unicondylar knee arthroplasty (UKA) presents an opportunity, as it is already in the early stages of transitioning to the outpatient setting. The key step in facilitating an effective...
Show moreThe implications of rising healthcare expenditures are of great concern nationally and internationally. Performing procedures in the outpatient setting can be one solution to this crisis. However, there is a lack of research on systematic approaches for transitioning procedures to the outpatient setting. Unicondylar knee arthroplasty (UKA) presents an opportunity, as it is already in the early stages of transitioning to the outpatient setting. The key step in facilitating an effective transition to the outpatient setting is comparing outpatient UKAs with inpatient UKAs with a focus on process time, quality outcomes, and patient satisfaction. This study retrospectively compares 400 UKA patients in the outpatient setting with 675 UKA patients in the inpatient setting. The primary analytical tools for this study are Ordinary Least Squares Regression, Logistic Regression, and Ordinal Regression adjusting for comorbidity, social history, demographics, and surgery related characteristics. Outpatient UKAs outperformed inpatient UKAs across 11 of 18 variables analyzed. Process Time will be less for outpatient UKAs in all phases with the exception of Surgery Breakdown Time. The risk-adjusted quality outcomes of UKAs in the outpatient setting were better across Non-Surgery Related Complications, Follow-Up Pain, and Follow-Up Functional Range of Motion Limitation. Patient Satisfaction was higher for outpatient UKAs. There was a lack of consistent and appropriate information to conduct a substantial statistical analysis of the costs. These findings point towards outpatient UKAs being a viable option in the future. This research serves as a platform to launch a system-wide effort of transitioning procedures to the outpatient setting across different specialties.
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Date Issued
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2015
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Identifier
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CFE0006427, ucf:51489
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Format
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Document (PDF)
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PURL
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http://purl.flvc.org/ucf/fd/CFE0006427
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Title
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The Challenges of Young-Typed Jobs and How Older Workers Adapt.
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Creator
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Reeves, Michael, Fritzsche, Barbara, Dipboye, Robert, Matusitz, Jonathan, University of Central Florida
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Abstract / Description
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This study sought to explore the challenges faced by older workers who do not fit the age-type of their jobs and how older workers adapt to overcome those challenges. Specifically, I surveyed a national sample of 227 workers 50 years of age and older, in a wide variety of jobs, on measures of perceived age discrimination and adaptation behaviors. I found that fit, as determined by career timetables theory, but not prototype matching theory, successfully predicted perceived age discrimination....
Show moreThis study sought to explore the challenges faced by older workers who do not fit the age-type of their jobs and how older workers adapt to overcome those challenges. Specifically, I surveyed a national sample of 227 workers 50 years of age and older, in a wide variety of jobs, on measures of perceived age discrimination and adaptation behaviors. I found that fit, as determined by career timetables theory, but not prototype matching theory, successfully predicted perceived age discrimination. Specifically, more age discrimination was perceived when fewer older workers occupied a job. Additionally, multiple regression analysis showed that career timetables theory, prototype matching theory, and measures of perceived discrimination interacted to predict adaptation behaviors. That is, older workers made more efforts appear younger at work when they perceived age discrimination in jobs occupied by fewer older workers and older women expressed greater desires to appear younger at work when they perceived age discrimination in jobs viewed as more appropriate for younger workers. Although older workers made a wide variety of efforts to appear younger at work, from changing the way they dressed to undergoing surgical procedures, the adaptation efforts believed to be the most effective against age discrimination were more oriented toward enhancing job performance than one's appearance. It is especially troubling that greater perceived age discrimination was found in young-typed jobs (than in old-typed jobs) given that the number of older workers occupying young-typed jobs is expected to rapidly grow in the near future and perceived discrimination is associated with mental and physical consequences for older adults. Understanding effective adaptations to age discrimination is a valuable first step in helping older workers overcome the disadvantages they may face in the workplace, especially when they occupy young-typed jobs. Implications for theory and research are discussed.
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Date Issued
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2013
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Identifier
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CFE0005050, ucf:49947
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Format
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Document (PDF)
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PURL
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http://purl.flvc.org/ucf/fd/CFE0005050