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A Pilot Study Of An Automated Voice Response System And Nursing Intervention To Monitor Adherence To Oral Chemotherapy Agents, Veronica Decker, Sandra L. Spoelstra, Emily Miezo, Renee Bremer, Mei You, Charles W. Given, Barbara A. Given

Peer Reviewed Articles

This study was designed to develop and test a system to monitor adherence with non-hormonal oral chemotherapeutic agents using an automated voice response (AVR) system plus nursing intervention. Participants received the Symptom Management Toolkit then participated in an interview for symptom severity, satisfaction, and beliefs about oral agents. Patients received weekly AVR calls, which assessed adherence to oral agents and severity of 15 symptoms. Patients who reported adherence of < 100% of prescribed oral agents or symptoms of 4 or greater (0-10 scale) for three consecutive weeks, were called by a nurse for assistance with symptom management and adherence to oral chemotherapy medications. Following the 8 weekly AVR calls, patients participated in a follow up interview and medical record review. Subjects were 30 oncology patients who were ambulatory and treated at two cancer centers in Midwest USA. The results indicate 23.3% non adherence rate to oral chemotherapy medications due to symptoms and forgetting to take the medication. An association between symptom management and adherence was found. Symptom severity and beliefs about medications were not significantly different between adherent and non adherent patients. This pilot study demonstrated the ability to accrue patients for a longitudinal trial and informed intervention design, while providing guidance for future interventions and research studies.

This study was designed to develop and test a system to monitor adherence with nonhormonal oral chemotherapeutic agents using an automated voice response (AVR) system plus nursing intervention. Participants were patients …

Progress Toward The Synthesis Of A Truncated Ergoline, Ryan D. Enck, Matthew Hart

Student Summer Scholars Manuscripts

Many people are diagnosed with thyroid related disorders, and many more are unaware of their existing thyroid problems. T1AM, a naturally occurring metabolite of the thyroid hormone (TH), has been shown to activate the Trace Amine Associated Receptor 1 (TAAR1) and exhibits effects that oppose those of the TH. It is, therefore, likely that there is regulatory relationship between T1AM and the TH. In order to better understand this relationship, a compound must be developed that will effectively block TAAR1. Previously our lab has examined the two different mirror images of apomorphine. One of the mirror images inhibited and the …

A Study Of The Effect Of Splinting On Pain During Tip Pinch For Osteoarthritis Of The First Carpometacarpal Joint, Leana Tank

Masters Theses

The following research project focused on the effect of a prefabricated neoprene first carpometacarpal splint on osteoarthritis pain with tip-pinch, strength measurements of tip-pinch and functional performance. The following questions were explored throughout this study:

1. There will be a significant decrease in mean pain levels when the subject’s hand is splinted as compared to mean pain levels when the hand is not splinted.

2. There will be a significant decrease in mean pain levels for the second session as compared to the first.

3. There will be a significant increase in mean tip pinch strength measurements when the subject’s …

Functional Conservation Of Asxl2, A Murine Homolog For The Drosophila Enhancer Of Trithorax And Polycomb Group Gene Asx, Heather A. Baskind, Lucy Na, Quanhong Ma, Mayur P. Patel, David Geenen, Q Ting Wang

Peer Reviewed Articles

Background: Polycomb-group (PcG) and trithorax-group (trxG) proteins regulate histone methylation to establish repressive and active chromatin configurations at target loci, respectively. These chromatin configurations are passed on from mother to daughter cells, thereby causing heritable changes in gene expression. The activities of PcG and trxG proteins are regulated by a special class of proteins known as Enhancers of trithorax and Polycomb (ETP). The Drosophila gene Additional sex combs (Asx) encodes an ETP protein and mutations in Asx enhance both PcG and trxG mutant phenotypes. The mouse and human genomes each contain three Asx homologues, Asx-like 1, 2, …

Factors Affecting Occupational Therapists’ Decisions To Join Their State Association, Shawn Thomas Ross

Masters Theses

The following research focused on the factors affecting occupational therapists’ decisions to join, withdraw from, or never join their state association. Data was collected using a mixed methods design consisting of a survey that included quantitative questions and a qualitative question. The survey was sent to 1,908 occupational therapists in Michigan and 497 (26%) were returned and usable. Occupational therapists consistently reported dissatisfaction with their state association. Three themes developed regarding reasons occupational therapists’ decisions about membership: prioritization, interpersonal and group communication, and benefits. State and national association memberships were found to be associated. The greatest predictor of membership was …

Exploring Possibilities: Virtual Reality In Nursing Research, Rebecca L. Davis

Peer Reviewed Articles

This paper describes the use of virtual reality (VR) as a method of measurement in nursing research. VR refers to the use of computerized displays to display a life-like environment in which the user interacts. Although many disciplines are beginning to use VR environments in research, nursing has yet to embrace this technology. Nursing, as a profession which values the interaction between the environment, individual, and health, can benefit from the use of VR in research. Establishing reliability and validity of the VR tool selected for research is important and requires special consideration. VR testing can produce side effects, such …

Geografía Social De Zonas Críticas En México Su Contexto Económico Político: 1982-2005, Jose Antonio Roldan Amaro, Gabriel Saucedo Arteaga, Marsela Alvarez Izazaga, Richard Meindl, Cynthia Thompson, Tremaine Gregory

Peer Reviewed Articles

Resultaría muy difícil entender los problemas sociales en México, sin ubicarlos en el contexto económico-político del que forman parte y del que son una consecuen-cia. México se encuentra inserto en el sistema económico propuesto por el bM y el fMi. El modelo neoliberal marca como prioridad el crecimiento económico, la inversión privada y la exigencia al Estado para desvincularse cada vez más de las actividades económicas, y no tiene como objetivo el bienestar social. Por consiguiente ha tenido lugar la depauperización del campo y la migración rural a las ciudades. La consecuencia más importante en el ámbito social del modelo …

Evidence-Based Nursing Practice In Local Public Health, Naomi E. Ervin, Sue Ellen Bell, Joan T. Bickes

Michigan Journal of Public Health

Purpose: The purpose of this study was to identify the extent to which public health nursing in Michigan local health departments (LHDs) has based services and programs on research and other evidence. Method: The study was conducted using a descriptive survey design. The sample was composed of the 45 chief administrators of public health nursing services in each of the 45 Michigan LHDs. Data were analyzed using descriptive statistics. Narrative answers to open-ended items were examined to determine patterns. Findings: Thirty-six (80%) of the chief nursing administrators of the LHDs responded to the survey. Of these nursing administrators, 28 (77.8%) …

Using Card Matching Games To Reinforce Health Concepts At A Public Health Event, George W. Dombi

Michigan Journal of Public Health

Colorectal cancer is the second most common cancer for males and females combined, after lung cancer. A diet rich in fruits and vegetables may play a role in colorectal cancer prevention. During March 13-18, 2009, the Colorectal Cancer Awareness Network (CRAN) of Southeastern Michigan, in partnership with Get Your Guts in Gear presented CoCo the Colossal Colon®, a 40-foot long, human colon model at the Detroit Science Center. Healthyfood card matching games were played to reinforced the message of fruit and vegetable consumption for good colon health. The goal of this report is to show how to make and use …

Front Matter

Michigan Journal of Public Health

No abstract provided.

Editorial, Greg Cline

Michigan Journal of Public Health

No abstract provided.

Public Health Perspectives On The 2009 Novel H1n1 Influenza Pandemic And Population Health, Julie Gleason-Comstock, Walter Davis, Melinda Dixon, Allen Heimann

Michigan Journal of Public Health

No abstract provided.

Michigan’S Families Deserve Access To Timely, Affordable And The Most Up-To-Date Health Care, Fred Upton

Michigan Journal of Public Health

No abstract provided.

Changes In Immunization Practices, Knowledge And Beliefs Of Michigan Obstetrician-Gynecologists Since 2000, Meaghan A. Leddy, Bernard Gonik, Stanley A. Gall, Britta A. Anderson, Jay Schulkin

Michigan Journal of Public Health

No abstract provided.

Keep Your Rear In The Clear: Colorectal Cancer Prevention Education Through Collaboration, Andrea Layman, Megan Holt, Julie Williams

Michigan Journal of Public Health

No abstract provided.

An Effective Alcohol Prevention Program In Kent County, Michigan, Donald Tex Bryant

Michigan Journal of Public Health

Over a two year period the “Making Sobriety Attractive” program directed by Alert Labs has significantly decreased the use of alcohol and marijuana at a high school in Kent County, Michigan. The program uses an environmental approach by placing posters with messages that correct students’ misperceptions of alcohol and drug use at their school with the correct data about the actual use of these substances. The figures for the actual use are drawn from an annual survey of the students. As students begin to accept the messages about the actual use of illegal substances, their own use declines as they …

Table Of Contents

Michigan Journal of Public Health

No abstract provided.

The Beginning Of Public Health In Michigan Michigan State Board Of Health Reports, 1873-1900, G. Elaine Beane, Robert E. Mosher

Michigan Journal of Public Health

No abstract provided.

Front Matter

Michigan Journal of Public Health

No abstract provided.

Table Of Contents

Michigan Journal of Public Health

No abstract provided.

Editorial, Greg Cline

Michigan Journal of Public Health

No abstract provided.

H1n1 And Michigan, Violanda Grigorescu

Michigan Journal of Public Health

No abstract provided.

Using Motivational Interviewing In Public Health Practice To Prevent Fetal Alcohol Syndrome, Lisa J. Ficker, Cheryl Lauber, Sandra L. King, Jewell Akins, Dranoel Knox, William Ridella

Michigan Journal of Public Health

Background: Surveys of women in prenatal care at busy clinics in Detroit, Michigan have reported 12.5% continue to drink during pregnancy (Flynn et al, 2003) and women in substance abuse treatment programs in Wayne County, MI have an incidence rate for Fetal Alcohol Syndrome (FAS) of 4 in 1,000 births, double the national prevalence rate of FAS. The goal of the current study was to intervene with women at high risk for an alcohol-exposed pregnancy using techniques of Brief Motivational Interviewing (BMI) in a verbal and written format. Methods: One third (33%) of 1,784 women screened at Detroit Department of …