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You searched for +publisher:"Boston University" +contributor:(" J. Fernando"). Showing records 1 – 2 of 2 total matches.

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Boston University

1. Goulding, Melissa Marie. Caregiver identification of delirium: an argument for the implementation of FAM-CAM training.

Degree: MS, Medical Sciences, 2017, Boston University

BACKGROUND: Delirium is an “acute change in cognition” prevalent in the elderly population (9). It is a clinical diagnosis which results from complex relationships between patient vulnerability and precipitating medical factors (2,9). Delirium has a complex relationship with dementia and often these two cognitive impairments occur together. While delirium occurrence is exceptionally high in dementia patients, it’s recognition by physicians is unfortunately low (10). Delirium prevalence in dementia patients can be as high as 80% and failure to recognize occurs in as many as 75% of cases (10). Recognition of delirium is important due to its association with poor outcomes and potential for prevention by avoiding precipitating causes. Common poor outcomes associated with delirium include, prolonged cognitive and physical impairment, longer hospital stays, institutionalization and death. With the increasing aging population and the rising cost of healthcare in the United States more attention has been focused on better detection of costly conditions including delirium. Efforts have been made to develop tools for universal screening to aid in the recognition of delirium; however, these are not widely used outside of research. One of the challenges in recognizing delirium is that providers lack knowledge of the patient’s baseline cognitive status, making it difficult to determine whether an acute change has occurred. Caregivers are an untapped resource, holding this key piece of information, in the early recognition of delirium. SPECIFIC AIMS: The goal of this study is to build an argument for the implementation of a training program which would teach caregivers to complete the Family Confusion Assessment method (FAM-CAM) interviews on their loved ones at home in an effort to aid in the early recognition of delirium. This will be accomplished through the followings specific aims. Aim 1: Complete a comprehensive literature review to assess the need for family based screening for delirium. An attempt will be made to identify a gap in the literature for efficient and effective delirium screening and utilization of family caregivers. Aim 2: Data collected in a completed prospective observational study “Family Member Identification of Delirium in the Emergency Department” will be analyzed to assess family caregivers’ role in recognition of delirium, and family caregivers’ receptiveness and interest in a training program. METHODS: The information in this thesis used to build the argument for FAM-CAM training was found through a comprehensive review of published literature on delirium. Resources were found mainly through Pub Med and the Hospital Elder Life Program’s Delirium Bibliography. The study; “Family Member Identification of Delirium in the Emergency Department” enrolled 63 patients for CAM only and 108 Dyads for CAM and FAM-CAM with a total N of 171. RESULTS: Results showed that in 60% of cases of delirium that were recognized by physicians, a caregiver was present and provided information on the patient. Without… Advisors/Committee Members: J. Fernando (advisor).

Subjects/Keywords: Medicine; Aging; Caregiver; Delirium; Dementia; FAM-CAM; Emergency medicine

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Goulding, M. M. (2017). Caregiver identification of delirium: an argument for the implementation of FAM-CAM training. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/28984

Chicago Manual of Style (16th Edition):

Goulding, Melissa Marie. “Caregiver identification of delirium: an argument for the implementation of FAM-CAM training.” 2017. Masters Thesis, Boston University. Accessed September 17, 2019. http://hdl.handle.net/2144/28984.

MLA Handbook (7th Edition):

Goulding, Melissa Marie. “Caregiver identification of delirium: an argument for the implementation of FAM-CAM training.” 2017. Web. 17 Sep 2019.

Vancouver:

Goulding MM. Caregiver identification of delirium: an argument for the implementation of FAM-CAM training. [Internet] [Masters thesis]. Boston University; 2017. [cited 2019 Sep 17]. Available from: http://hdl.handle.net/2144/28984.

Council of Science Editors:

Goulding MM. Caregiver identification of delirium: an argument for the implementation of FAM-CAM training. [Masters Thesis]. Boston University; 2017. Available from: http://hdl.handle.net/2144/28984


Boston University

2. Shin, Jane Hae Soo. A soft electronic-instrumented cardiac patch for minimally invasive delivery and tissue healing.

Degree: MS, Medical Sciences, 2019, Boston University

Engineering cardiac tissues has attracted increasing attention in regenerative medicine. Human cardiac tissue has a complex and unique structure with intricately embedded vasculature network, making engineering cardiac tissue a challenge. This work aims to ultimately use three-dimensional (3D) extrusion bioprinting to engineer a myocardium that closely mimics the structure of its native counterpart with an embedded sensor for monitoring. We have specifically optimized the bioprinting parameters and the bioink composition. We also modified surface chemistry in order to bind two different materials. This provides a way to chemically attach the sensor mesh to a bioprinted cardiac construct. The developed cardiac patch can be used to replace the damaged or diseased cardiac tissues with the potential for non-invasive monitoring. Advisors/Committee Members: Garcia-Diaz, J. Fernando (advisor).

Subjects/Keywords: Biomedical engineering

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Shin, J. H. S. (2019). A soft electronic-instrumented cardiac patch for minimally invasive delivery and tissue healing. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/36626

Chicago Manual of Style (16th Edition):

Shin, Jane Hae Soo. “A soft electronic-instrumented cardiac patch for minimally invasive delivery and tissue healing.” 2019. Masters Thesis, Boston University. Accessed September 17, 2019. http://hdl.handle.net/2144/36626.

MLA Handbook (7th Edition):

Shin, Jane Hae Soo. “A soft electronic-instrumented cardiac patch for minimally invasive delivery and tissue healing.” 2019. Web. 17 Sep 2019.

Vancouver:

Shin JHS. A soft electronic-instrumented cardiac patch for minimally invasive delivery and tissue healing. [Internet] [Masters thesis]. Boston University; 2019. [cited 2019 Sep 17]. Available from: http://hdl.handle.net/2144/36626.

Council of Science Editors:

Shin JHS. A soft electronic-instrumented cardiac patch for minimally invasive delivery and tissue healing. [Masters Thesis]. Boston University; 2019. Available from: http://hdl.handle.net/2144/36626

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