WorldCat Identities

Evans, Kevin D. 1958-

Overview
Works: 17 works in 17 publications in 1 language and 22 library holdings
Genres: Academic theses  Case studies 
Roles: Author
Publication Timeline
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Most widely held works by Kevin D Evans
Knowledge of breast self-examination and other determinants relationship on the self-rated health status of elderly women by Kevin D Evans( )

1 edition published in 2004 in English and held by 4 WorldCat member libraries worldwide

Abstract: An urgent need exists to reduce elderly women's risk for breast cancer by promoting a health behavior that could lower this threat. The knowledge of breast self-examination could represent a health behavior that leads to the detection of advanced breast cancer and could influence elderly women's self-rated health status. The focus of this study was to determine if the knowledge of breast self-examination (BSE) as an adaptive health behavior can influence the self-rated health status of elderly women. Additional factors were also considered for the extent of their potential influence on an elderly woman's estimate of health. The purpose of this research was to study the relationship of breast cancer risk, knowledge of BSE, environmental press, and individual competence factors on the self-rated health status of women, age 75 years and older, residing in a group of assisted living facilities. This study looked at whether BSE knowledge could be a significant contributor to these women's self-rated health status. This research was conducted with a quasi-experimental design and used random assignment to place assisted living facilities in either treatment or control groups. On the participant level, older women were provided with their risk of breast cancer prior to the intervention. In addition, the experimental group of older women received BSE instruction and then 8 weeks later were surveyed as to their health. Likewise, the control group provided the same data, except BSE instruction was withheld. A t-test was done to check for differences between the groups as well as a correlation to gauge relationships between the independent variables and the dependent variable for each of the groups. Finally, a step-wise linear regression was preformed to find which of the independent variables best explained the most variance in the dependent variable for each of the groups. BSE knowledge was shown to contribute statistically to the experimental older women's self rated mental health scores. Independent activities of daily living were statistically significant for both groups at explaining variance in their physical health scores. Independence also was indicated as being important in explaining variance in the mental health score of the experimental group
Utilizing a high-fidelity computer-based sonography simulator to enhance sonographic knowledge and psychomotor skills among OB/Gyn residents by Sundus Hashem Mohammad( )

1 edition published in 2020 in English and held by 2 WorldCat member libraries worldwide

Results: Motion analysis revealed excessive transducer movements made by PGY2 residents when acquiring images, particularly in terms of angular movement. The median score for PGY2 residents on the assessment template was 33 out of 66 points (IQR, 26.75 - 42.5), where residents had difficulty acquiring all required criteria for first trimester dating and biometry views/measurements, determining fetal situs, and identifying landmarks to ensure intended anatomy is visualized. In contrast, PGY1 residents scored a median 64 out of 66 points on the assessment form (IQR, 62 - 66) and had higher psychomotor skills compared to PGY2 residents. Statistical analysis performed on the sum of each of the TCP metrics between PGY1 and PGY2 cohort revealed a statistically significant difference in each of the four metrics gathered Furthermore, the interquartile ranges of PGY1s’ scores were smaller than PGY2s, revealing a decrease in the gap of knowledge and skills among residents within the PGY1 cohort
Lower patient-reported function at 2 years is associated with elevated knee cartilage T1rho and T2 relaxation times at 5 years in young athletes after ACL reconstruction by Matthew P Ithurburn( )

1 edition published in 2018 in English and held by 2 WorldCat member libraries worldwide

Hospital Patient Room Design( )

in English and held by 1 WorldCat member library worldwide

Objective: The aim of this study was to learn from a wide range of hospital staff members about how the design of the patient room in which they work adversely affects their ergonomics or hinders their job performance. Background: In addition to providing a healing space for patients, hospital patient rooms need to serve as functional workplaces for the people who provide clinical care, to clean, or to maintain room functions. Therefore, from a design perspective, it is important to understand the needs of all the users of hospital patient rooms with regard to room design. Method: One hundred forty-seven people, representing 23 different occupational stakeholder groups, participated in either focus groups or interviews in which they were asked to identify room design issues that affect the performance of their work tasks. Results: Key issues shared across multiple stakeholder groups included an inability to have eye contact with the patient when entering the room, inadequate space around the bed for the equipment used by stakeholders, the physical demands experienced as stakeholders move furnishings to accomplish their activities or access equipment, and a lack of available horizontal surfaces. Unique issues were also identified for a number of stakeholder groups. Conclusions: There are a number of issues that should be addressed in the next generation of hospital patient rooms, or when refurbishing existing facilities, so that all occupational stakeholder groups can work effectively, efficiently, and without undue physical stress
Exploring the Use of Sonographic Evaluation of the Glenohumeral Labrum( )

1 edition published in 2015 in English and held by 1 WorldCat member library worldwide

Glenohumeral (GH) dislocations of the shoulder are prevalent in young male subjects and appear to be increasing in incidence. The classic diagnostic evaluation of labral injuries such as this involves the use of clinical testing as well as imaging modalities such as computed tomography, magnetic resonance imaging, and radiography, none of which provides a dynamic evaluation. This study was done to replicate sonographic evaluation of the glenoid labrum in a preclinical model and use the axillary scanning approach to specifically assess the integrity of the anterior inferior labrum. Using sonographic guidance, minimal amounts of differently colored dyes were injected into regions of the glenoid labrum. This replication was able to image only the posterior superior, posterior inferior, and anterior inferior aspects of the GH labrum. Bankart lesions were identified in two shoulders, confirmed on dissection. The presence of dyes in the target areas within and around the labrum was visually confirmed. These findings suggest that the concept of using an axillary scanning approach for detecting labral tears and Bankart lesions in patients with acute and chronic shoulder dislocation may be worthwhile to incorporate into a shoulder-scanning protocol
The Diagnosis and treatment of osteoporosis by Kevin D Evans( Book )

1 edition published in 2012 in English and held by 1 WorldCat member library worldwide

Effectiveness of a sonography distance learning event for continuing medical education credit by Kevin D Evans( )

1 edition published in 2000 in English and held by 1 WorldCat member library worldwide

Ultrasonography assessment of ankle/foot pain : a biopsychosocial model by Kathryn E Zale( )

1 edition published in 2014 in English and held by 1 WorldCat member library worldwide

The results of this study found several significant independent variables to help identify patients with ankle/foot pain in this population. An increase in MTrPs and sonographic abnormalities were found to be statistically significant when correlated with painful limbs, while the predictive value of these independent variables to the VAS, while still significant, was lower. Questionnaire components, including the VISA-A and Physical SF-12 surveys also provided statistically significant correlations. The VISA-A, however, was the single best predictor for ankle/foot pain, when compared to the VAS, accounting for nearly 60 percent of the variation. This screening protocol offers salient independent variables (including the VISA-A, SF-12, palpable MTrPs, and a modified sonographic screening) to help holistically identify patients with ankle/foot pain. More rigorous studies, utilizing these variables in combination, are needed to provide support for its use as a good alternative to more expensive diagnostic screenings, such as magnetic resonance imaging (MRI)
Meeting Patient Expectations During Hospitalization: A Grounded Theoretical Analysis of Patient-Centered Room Elements( )

in English and held by 1 WorldCat member library worldwide

Objectives: To identify patient needs and expectations that can be utilized to inform the design or renovation of medical-surgical patient rooms in a hospital. Background: There is an increased interest in supportive room design to increase patient satisfaction and improve the healing process. Methods: Patients' and family caregivers' reactions were elicited to intentional room elements embedded in a set of five full-scale simulated room prototypes. Small groups of patients and caregivers toured two of the five rooms and provided verbal and written evaluations of room features. A grounded theory approach was employed to generate a codebook, identify the frequency of codes, and to group codes and memos into emerging themes. Insights from emergent themes were compared with findings from written surveys on the importance of various room design elements completed at the beginning of each session. Results: A theoretical design framework was generated, showing patients expect a hospital room that provides them with the core components of comfort to support healing, facilitates a strong sense of connection to people and the outside world, enables quick and independent access to the patient's things, and offers suitable levels of control to the patient throughout their hospital stay. Conclusions: The implications for assisting architects, healthcare planners, and interior space designers are described using this framework, as well as its potential for design guidance. In addition, the connection between patient-centered room elements and relevant survey questions in publicly reported patient satisfaction scores for hospitals is discussed
Utilizing sonographic measurements to assess abdominal adiposity by A. Nicole Stigall( )

1 edition published in 2018 in English and held by 1 WorldCat member library worldwide

These measures demonstrated moderately positive association and were statistically significant. A Type III Test of Fixed Effects demonstrated a highly significant change over time for BMI, DMS measures of subcutaneous fat, visceral fat, and mesenteric fat. WC measures and the DXA (android % body fat, subscores) showed no significant change over time. Pearson's correlation coefficients indicated a mostly moderate to high association between the DXA (android % body fat, subscores) and DMS measurements of visceral fat, subcutaneous fat, and mesenteric fat layers. The visceral minimum measures did not demonstrate a high correlation to the DXA (android % body fat, subscores). DMS is an indirect imaging tool that could be used in correlation with other measures to help determine an individual's risk for metabolic syndrome. The value of DMS for gauging abdominal obesity and the risk for metabolic disease is that it is relatively inexpensive, noninvasive, and valid indirect assessment tool
Molecular ultrasound imaging for the detection of neural inflammation by Kevin R Volz( )

1 edition published in 2016 in English and held by 1 WorldCat member library worldwide

A review of the TCEUS literature revealed multiple preclinical studies demonstrating its success in detecting inflammation in a variety of tissues. Although, a gap was identified in the existing evidence, as TCEUS effectiveness for detection of neural inflammation in the spinal cord was unable to be uncovered. This gap in knowledge, coupled with the profound impacts that this TCEUS application could have clinically, provided rationale for its exploration, and use as contributory evidence for the molecular ultrasound body of literature. An animal model that underwent a contusive spinal cord injury was used to establish preclinical evidence of TCEUS to detect neural inflammation. Imaging was performed while targeting three early inflammatory markers (P-selectin, VCAM-1, ICAM-1). Imaging protocols and outcome measures of previous TCEUS investigations of inflammation were replicated to aid in comparisons of outcomes. Signal intensity data was used to generate time intensity curves for qualitative and quantitative analysis of contrast agent temporal behavior
Work-related musculoskeletal disorders in radiation therapists: an exploration of self-reported symptoms by Haley Michelle Griffin( )

1 edition published in 2018 in English and held by 1 WorldCat member library worldwide

This study explores the self-reported symptoms of musculoskeletal disorders in Radiation Therapists (RTT) registered by the American Registry of Radiologic Technologists (ARRT), in the United States. There was a gap in the literature focusing on RTTs unique set of workplace injuries. Utilizing a nationwide survey the anatomical areas where the most RTTs experienced pain were discovered along with other demographic factors in order to seek relationships between this demographic data with the occurrence of musculoskeletal symptoms. Different aspects of perceived physical and mental demand will also be discussed. Suggestions for possible future directions to ameliorate this problem will also be discussed, such as ergonomic training. The multivariate interaction theory describes how injury causation is due to biomechanical hazards in the workplace. This explains how movements while transferring or positioning patients for treatment has the potential for RTTs to incur musculoskeletal injuries. Data was collected by administering a nationwide online survey to a large convenient sample of RTTs. The instrument contained questions about what common work related symptoms are encountered in the profession. Data analysis allowed for exploring some relationships between different variables, their occurrence, and the anatomical site of musculoskeletal symptoms
Barriers to Infection Control due to Hospital Patient Room Factors( )

1 edition published in 2014 in English and held by 1 WorldCat member library worldwide

Infection control is of central importance when designing hospital rooms, particularly to reduce hospital-acquired infections. Existing room design standards include private rooms, toilets, and showers, ample space between a patient's bed and a family member's bed, and separate spaces for clean and dirty nursing activities. We investigated various hospital room factors that make it challenging for staff to reduce hospital-acquired infections. Focus groups and interviews were conducted with multiple stakeholder groups as part of a larger research effort to generate guidelines for hospital room design. Transcripts were generated for eight of these stakeholder groups, including housekeeping staff, and qualitatively analyzed for emerging themes. The insights suggest additional areas for consideration during the design of hospital rooms, in particular the need for standardized, dedicated locations for supplies brought into the patient room and inclusion of the perspective of housekeeping staff in the design process
A strategy for equipping men of Valley Creek Church for effective spiritual leadership by Kevin D Evans( )

1 edition published in 2008 in English and held by 1 WorldCat member library worldwide

Molecular Ultrasound Imaging of the Spinal Cord for the Detection of Acute Inflammation( )

in English and held by 1 WorldCat member library worldwide

Molecular ultrasound imaging provides the ability to detect physiologic processes non-invasively by targeting a wide variety of biological markers in vivo. The current study investigates the novel application of molecular ultrasound imaging for the detection of neural inflammation. Using a murine model with acutely injured spinal cords (n=31), subjects were divided into four groups, each being administered ultrasound contrast microbubbles bearing antibodies against various known inflammatory molecules (P-selectin, vascular cell adhesion protein 1 [VCAM-1], intercellular adhesion molecule 1 [ICAM-1], and isotype control) during molecular ultrasound imaging. Upon administration of the targeted contrast agent, ultrasound imaging of the injured spinal cord was performed at 40MHz for seven minutes, followed by a bursting pulse. We observed significantly enhanced signals from contrast targeted to P-selectin and VCAM-1, using a variety of outcome measures. These findings provide preclinical evidence that molecular ultrasound imaging could be a useful tool in the detection of neural inflammation
Teaching a series of mind-body techniques to address the risk of work-related musculoskeletal disorders among sonography students : a pilot study by Angela N Butwin( )

1 edition published in 2016 in English and held by 1 WorldCat member library worldwide

A pre-post experimental design was employed and longitudinal data were collected from a cohort of first year sonography students at The Ohio State University (n=12). In order to measure variables of self-reported health influenced by micro-and macro-ergonomic factors, a set of surveys was administered to participants at study baseline and upon completion of the interventions: the Short-Form Health survey, the Perceived Stress Scale, and the Visual Analog Scale for upper extremity pain. Students who participated in the study were exposed to two types of interventions: ergonomics education and mind-body techniques. As ergonomics education is a curricular requirement of accredited sonography programs, this intervention was delivered to all participants. The two mind-body techniques employed were biofeedback and mindful sonography yoga and cueing. Participants were randomly assigned to a level of experimental treatment: ergonomics education + biofeedback (BF, n=4), ergonomics education + biofeedback + mindful sonography yoga and cueing (BFYM, n=4), or ergonomics education + mindful sonography yoga and cueing (YM, n=4). These interventions were delivered in a series of six sessions. Additional postural analysis was performed and muscle activity measures were collected for groups who received the biofeedback intervention
 
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English (17)