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Medicine and Health Sciences

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2006

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Gabapentin For Treatment Of Neuropathic Pain In Patients With Spinal Cord Injury, Chao-Min Wang, Yen-Ho Wang Dec 2006

Gabapentin For Treatment Of Neuropathic Pain In Patients With Spinal Cord Injury, Chao-Min Wang, Yen-Ho Wang

Rehabilitation Practice and Science

The patients with spinal cord injury suffer from motor and sensory impairment with bowel and bladder dysfunction. However, chronic neuropathic pain is also a common complaint after spinal cord injury and is usually refractory to many therapies. The exact mechanism of relieving hyperalgesia and allodynia is still unknown, but most believed it is related to N-methyl-D-aspartate (NMDA) receptor and voltage-dependent calcium channel. Gabapentin is supposed to be an antagonist of NMDA receptor complex which mediates an influx of calcium ions when activated. In addition, gabapentin inhibits neuronal calcium influx in a calcium channel by binding to the α2δ subunit of …


Comparison Of Thermal Effect With Ultrasound In Rat Calf Muscles After The Application Of Five Non-Steroidal Anti-Inflammatory Drugs, Yueh-Ling Hsieh, Chen-Chia Yang, Hui-Wen Kuo Dec 2006

Comparison Of Thermal Effect With Ultrasound In Rat Calf Muscles After The Application Of Five Non-Steroidal Anti-Inflammatory Drugs, Yueh-Ling Hsieh, Chen-Chia Yang, Hui-Wen Kuo

Rehabilitation Practice and Science

Background and Purposes: Phonophoresis has been defined as the migration of drugs through the skin under influence of ultrasound (US). The phonophoresis of nonsteroidal anti-inflammatory drugs (NSAIDs) was studied in vivo through hairless rat skin to determine the temperature changes in superficial and deep tissues in response to NSAID phonophoresis.Study Design and Objectives: To measure and compare the temperature changes in tissues in response to five NSAIDs under phonophoresis. Methods: Male Wistar rats weighing 250 to 350 g had one of five drugs; i.e., piroxicam (Feldene), indomethacin (Indocin), etofenamate (Rheumon), methylsalicylate (Salomethyl), or diclofenac (Voren) applied to one hindlimb followed …


Survey Of Spinal Cord Injuries Due To Diving Accidents In Taiwan, Ya-Wen Tu, Huey-Wen Liang, Yen-Ho Wang, Jiunn-Horng Kang, Liu-Ing Bih, Fuk-Tan Tang Dec 2006

Survey Of Spinal Cord Injuries Due To Diving Accidents In Taiwan, Ya-Wen Tu, Huey-Wen Liang, Yen-Ho Wang, Jiunn-Horng Kang, Liu-Ing Bih, Fuk-Tan Tang

Rehabilitation Practice and Science

Objective: To examine the clinical characteristics of diving-related spinal cord injuries (SCI) in Taiwan.Methods: This study is a retrospective reviewarticle of all hospitalized patients with spinal cord injuries due to diving accidents in three rehabilitation centers between January 1982 and July 2002. Demographic data and clinical features were presented and analyzed. Results: A total of 1216 spinal cord injuries were reviewarticleed, and 16 cases (1.3%) met the inclusion criteria. Their mean age at the time of injury was 26.8 years and 15 (94.0%) of the cases were male. All of the injuries resulted in tetraplegia and 11 (69.0%) were neurologically …


Ultrasonographic Diagnosis Of An Intramuscular Hemangioma In The Thigh: A Casereport, Jau-Jia Lin, Hsien-Hua Liao, Su-Ju Tsai, Chien-Wen Chou, Liu-Ing Bih Dec 2006

Ultrasonographic Diagnosis Of An Intramuscular Hemangioma In The Thigh: A Casereport, Jau-Jia Lin, Hsien-Hua Liao, Su-Ju Tsai, Chien-Wen Chou, Liu-Ing Bih

Rehabilitation Practice and Science

We reported a case of a 21 years old male with left distal medial thigh pain and palpable mass after sports injury. The symptoms persisted for four years even with several kinds of treatment. He was referred to our hospital for ultrasonographic examination and we found a cystic lesion with blurred margin and hypoechoic texture, which was highly suspecious of intramuscular hemangioma within left rectus femoris muscle. After further confirmation by magnetic resonance images, he was referred to our plastic surgeon and then received surgical excision. A cavernous hemangioma was demonstrated by the pathologic stain. He got obvious relief of …


Rehabilitation Problems In An Adult Patient After Acute Disseminated Encephalomyelitis: A Casereport, Hsiao-Huei Chen, Lin-Fen Hsieh, Feng-Chu Tseng Dec 2006

Rehabilitation Problems In An Adult Patient After Acute Disseminated Encephalomyelitis: A Casereport, Hsiao-Huei Chen, Lin-Fen Hsieh, Feng-Chu Tseng

Rehabilitation Practice and Science

Acute disseminated encephalomyelitis is a monophasic disorder of unknown pathogenesis, characterized by demyelination of the central nervous system. The possible T-cell immune-mediated inflammatory process, affecting mainly children and young adults, typically follows a recent infection or immunization. Meningeal symptoms are common early in the course and often begin 1-3 weeks after infection. Abnormalities of motor, sensory, gait, visual, and cognitive function are variable and depend on the location (cerebral white matter, brainstem, cerebellum, or spinal cord) of the most severely damaged areas of the nervous system. Acute disseminated encephalomyelitis is unusual in middle-aged or elderly adults. The mortality rate is …


Spontaneous Intracranial Hypotension With Multiple Ischemic Stroke: A Casereport, Won-Jean Lin, Wai-Keung Lee, Yau-Wai Wai, Li-Rong Chen, Cheng-Chih Liao Dec 2006

Spontaneous Intracranial Hypotension With Multiple Ischemic Stroke: A Casereport, Won-Jean Lin, Wai-Keung Lee, Yau-Wai Wai, Li-Rong Chen, Cheng-Chih Liao

Rehabilitation Practice and Science

The causes of cerebrospinal fluid leakage leading to intracranial hypotension are generally iatrogenic or due to trauma. Postural headache is usually a characteristic symptom of intracranial hypotension, although other presenting neurologic symptoms occur, such as cranial nerve injury, vomiting, dizziness, photophobia, ataxia, dementia, coma, or death. A spontaneous cause for intracranial hypotension is uncommon. Intracranial hypotension with ischemic stroke, as described herein, has not been previously reported.A 43-year-old man complained of intermittent headaches for approximately one year, but the symptoms remitted with bedrest. He was ultimately sent to the hospital due to a severe headache. Although there were no significant …


Effect Of Kinesio Taping Over Frontal Region On The Attention Of Normal Subjects, Wei-Chi Hsieh, Su-Hsien Lin, Hung-Chih Hsu, Alice May-Kuen Wong, Ka-Kit Siu, Yu-Cheng Pei Dec 2006

Effect Of Kinesio Taping Over Frontal Region On The Attention Of Normal Subjects, Wei-Chi Hsieh, Su-Hsien Lin, Hung-Chih Hsu, Alice May-Kuen Wong, Ka-Kit Siu, Yu-Cheng Pei

Rehabilitation Practice and Science

”Kinesio taping” is a newly developed technique frequently used for the treatment of soft tissue lesions. The Kinesio Tex tape has the skin like elastic property and can be applied with tension at the soft tissue lesion site. This study was designed to assess the effectiveness of ”Kinesio taping” on the attention in normal subjects. In several ways that can be used to assess attention, the well-known Posner paradigm was chosen. This paradigm can assess visual spatial attention by presenting the target participants with cues that direct attention to regions of the visual space within which an imperative stimulus may …


Be Headsmart® Seniors! -- The Effectiveness Of A Psychoeducational Fall And Consequential Injury Prevention Program Dec 2006

Be Headsmart® Seniors! -- The Effectiveness Of A Psychoeducational Fall And Consequential Injury Prevention Program

Florida Public Health Review

This study tested the utility of the Be HeadSmart® Seniors! fall prevention intervention, HeadSmartz, a Cranium Challenge, in the promotion of safety improvement behavior change. It employed a quasi-experimental two-group design. Of the 106 individuals included in this study, 64 received the intervention and 42 only received the safety brochure. The Cranium Challenge is an interactive, visual, and auditory program based upon the popular board game CraniumTM. This game stimulated various parts of the participant’s brain verbally, through trivia questions and word games, visually, or by humming, whistling, or playing charades. The presentation included trivia questions created in a PowerPoint …


Faktor Kesehatan Reproduksi Ibu Hamil Dan Hubungannya Dengan Kejadian Bayi Berat Lahir Rendah Di Kota Sukabumi Tahun 2005-2006, Etna Saraswati Dec 2006

Faktor Kesehatan Reproduksi Ibu Hamil Dan Hubungannya Dengan Kejadian Bayi Berat Lahir Rendah Di Kota Sukabumi Tahun 2005-2006, Etna Saraswati

Kesmas

Di Indonesia, bayi berat badan rendah (BBLR) merupakan salah satu faktor utama yang berpengaruh terhadap kematian perinatal dan neonatal. Di Propinsi Jawa Barat dilaporkan 6,4% bayi lahir dengan berat badan kurang dari 2,5 Kg. Tujuan penelitian adalah mengetahui berbagai faktor kesehatan reproduksi yang berhubungan dengan kejadian. Penelitian yang menggunakan disain kasus kontrol ini dengan menggunakan formulir kohort ibu hamil di Dinas Kesehatan Kota Sukabumi. Kasus adalah bayi dengan BBLR yang lahir pada tahun 2005 sampai Juni 2006, sedangkan kontrol adalah bayi bukan BBLR yang lahir pada periode yang sama. Pengambilan variabel independen dilakukan melalui wawancara dengan ibu bayi pada kunjungan …


Faktor-Faktor Yang Mempengaruhi Kematian Pasien Penyakit Jantung Koroner Di Pusat Jantung Nasional Harapan Kita Tahun 2004, Fatmah A. Gobel, Renti Mahkota Dec 2006

Faktor-Faktor Yang Mempengaruhi Kematian Pasien Penyakit Jantung Koroner Di Pusat Jantung Nasional Harapan Kita Tahun 2004, Fatmah A. Gobel, Renti Mahkota

Kesmas

Menurut estimasi WHO, sekitar 50% dari 12 juta penduduk dunia meninggal akibat penyakit jantung dan pembuluh darah. Faktor prognosis pasien PJK dapat diubah dan dikendalikan, dan memungkinkan untuk mencegah kematian akibat PJK. Penelitian ini bertujuan mengetahui faktor prognosis yang berhubungan dengan terjadinya kematian pasien PJK di PJN Harapan Kita Tahun 2004, menggunakan data sekunder (data rekam medik pasien). Variabel-variabel yang diteliti meliputi variabel independen (jaminan pembayaran, asal daerah/kawasan, penyakit penyerta hipertensi, diabetes melitus, dislipidemia dan riwayat PJK sebelumnya) dan variabel kovariat (umur, jenis kelamin, pendidikan dan pekerjaan). Desain epidemiologi yang digunakan adalah analitik kasus kontrol dengan jumlah kasus 130, kontrol …


Praktik Budaya Dalam Kehamilan, Persalinan Dan Nifas Pada Suku Dayak Sanggau, Tahun 2006, Edy Suprabowo Dec 2006

Praktik Budaya Dalam Kehamilan, Persalinan Dan Nifas Pada Suku Dayak Sanggau, Tahun 2006, Edy Suprabowo

Kesmas

Menurut WHO, kematian ibu masih menjadi masalah kesehatan masyarakat utama di berbagai negara di dunia dengan angka kematian rata-rata 400 per 100.000 kelahiran hidup. Angka kematian ibu di Kalimantan Barat adalah 442/100.000 kelahiran hidup berada di atas angka rata-rata dunia tersebut Tujuan umum penelitian ini untuk mengidentifikasi dan menganalisa praktek budaya masyarakat Suku Dayak Sanggau yang berpengaruh terhadap kehamilan, kelahiran, dan nifas. Penelitian ini merupakan penelitian kualitatif, pengambilan data dilakukan dengan metoda wawancara mendalam, diskusi kelompok terarah, dan observasi. Analisis yang digunakan adalah analisi tema. Penelitian diadakan di wilayah kerja Puskesmas Sanggau pada bulan Mei 2006 dengan informan ibu hamil, …


Penggunaan Obat Yang Tidak Rasional Pada Balita Dengan Diare Di Kalangan Bidan, Di Kabupaten Sumedang Tahun 2006, Uyu Wahyudin, Besral Besral Dec 2006

Penggunaan Obat Yang Tidak Rasional Pada Balita Dengan Diare Di Kalangan Bidan, Di Kabupaten Sumedang Tahun 2006, Uyu Wahyudin, Besral Besral

Kesmas

Pengobatan diare pada balita di Puskesmas Kabupaten Sumedang dilaksanakan di Poli KIA yang sehari-harinya ditangani oleh bidan. Tujuan penelitian ini adalah untuk mengetahui tingkat kepatuhan bidan dan faktor-faktor yang berhubungan dengan kepatuhan bidan dalam penggunaan obat secara rasional pada balita diare akut non spesifik. Desain penelitian yang digunakan adalah cross-sectional dengan jumlah sampel 109 bidan yang berasal dari 18 puskesmas yang dipilih secara random. Pengukuran kepatuhan dilakukan dengan pengamatan terhadap resep yang ditulis oleh bidan untuk balita penderita diare akut non spesifik. Hasil penelitian memperlihatkan tingkat kepatuhan bidan adalah 69,7%. Hasil analisis regresi logistik ganda memperlihatkan bahwa faktor yang berhubungan …


American Journal Of Medical Quality Dec 2006

American Journal Of Medical Quality

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Acpe And Jefferson Medical College Team Up On New Book Dec 2006

Acpe And Jefferson Medical College Team Up On New Book

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Department Publications And Presentations Dec 2006

Department Publications And Presentations

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Seeking: Program Director, Master Of Science In Public Health Dec 2006

Seeking: Program Director, Master Of Science In Public Health

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Jefferson Scale Of Physician Empathy Dec 2006

Jefferson Scale Of Physician Empathy

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


New Senior Scholars Dec 2006

New Senior Scholars

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Health Policy Forum: Spring 2007 Dec 2006

Health Policy Forum: Spring 2007

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Health Policy Forum: September 13, 2006, Sara L. Thier Dec 2006

Health Policy Forum: September 13, 2006, Sara L. Thier

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Jeff-Ispor Student Chapter Chartered Out Of The Department Of Health Policy, Seina P. Lee Dec 2006

Jeff-Ispor Student Chapter Chartered Out Of The Department Of Health Policy, Seina P. Lee

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Personal Health Records And Electronic Health Records: Navigating The Intersections, Megan J. Hartman Dec 2006

Personal Health Records And Electronic Health Records: Navigating The Intersections, Megan J. Hartman

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Web 2.0 And Podcasting: Implications For Health Care, Rodney B. Murray Dec 2006

Web 2.0 And Podcasting: Implications For Health Care, Rodney B. Murray

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Delaware Valley Schweitzer Fellows Program Seeking Sponsors, Sara L. Thier Dec 2006

Delaware Valley Schweitzer Fellows Program Seeking Sponsors, Sara L. Thier

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


The Childhood Obesity Epidemic: Rebalancing The Scales, Kristy Alvarez, Christopher Sciamanna Dec 2006

The Childhood Obesity Epidemic: Rebalancing The Scales, Kristy Alvarez, Christopher Sciamanna

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


International Medical Graduates (Imgs): Building Cultural Competence Into The Curriculum , Harriet P. Bernstein Dec 2006

International Medical Graduates (Imgs): Building Cultural Competence Into The Curriculum , Harriet P. Bernstein

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Ahrq Action, Karisa Walker, David B. Nash Dec 2006

Ahrq Action, Karisa Walker, David B. Nash

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


The Influence Of Age On Knowledge And Medication Usage By Persons Attending Rural North Florida Clinics Dec 2006

The Influence Of Age On Knowledge And Medication Usage By Persons Attending Rural North Florida Clinics

Florida Public Health Review

Medication therapy is an important component of the comprehensive treatment plan designed to maintain or improve health. If patients do not take prescribed medications correctly or are non-adherent, less successful therapy occurs. Reasons given for noncompliance include cost, misunderstanding the therapy, side effects, forgetfulness, or a belief that the medication is not effective or necessary. This study had two goals, the first was to evaluate medication use while simultaneously assessing knowledge, compliance, tolerance, and perceived efficacy. Drug-related problems, if any, were also identified. The second goal was to develop methods to improve patient outcomes based upon identified problems. For eight …


Social Support Indicators That Influence Breastfeeding Decisions In Mothers Of North Florida Dec 2006

Social Support Indicators That Influence Breastfeeding Decisions In Mothers Of North Florida

Florida Public Health Review

To examine whether a mother’s social support system influences decision to breastfeed, pregnant women and women who had children, from six north Florida counties, were asked to participate in this study. Women were recruited from local lactation support groups and agencies serving mothers and children. Participants were administered a 34-item questionnaire that asked about motivation, social support and intention. Mothers breastfed because they believed breast milk was healthier for the baby. These mothers identified the baby’s fathers as being most supportive, but felt they needed more support from the fathers. Interestingly, most women strongly agreed that whereas the support system …


Download The Pdf Of The Full Issue Dec 2006

Download The Pdf Of The Full Issue

Jefferson Journal of Psychiatry

See full text.