Digital Commons Network^™

Attitudes As Barriers In Breast Screening: A Prospective Study Among Singapore Women, Paulin Tay Straughan, Adeline Seow

Research Collection School of Social Sciences

Health care systems do not exist in isolation, but rather, as part of the larger social and cultural mosaic. In particular, perceived attitudes are major obstacles in health promotion exercises. This problem is especially true for non-white populations where little is known about the prevailing social and cultural perceptions towards western biomedical prescriptions. To further our understanding of Asian women's acceptance of mammograms, three attitudinal indexes are conceptualised, constructed and validated. Data fi om a prospective survey showed the significance of fatalistic attitudes, perceived barriers and perceived efficacy of early detection in predicting women's acceptance of a free mammogram at …

Retinoblastoma Tells The Story Of Our Health Care System, Irshad Soomro, Muhammad Nadeem Khan, Suhail Muzaffar, Naila Kayani, Shahid Pervez, Akbar Shah Hussainy, Rashida Ahmed, Sheema H. Hasan

Department of Pathology and Laboratory Medicine

Objective:

To review cases of retinoblastoma.

Setting:

Department of Pathology Aga Khan University Hospital Karachi.

Method:

Twenty three specimens from cases of retinoblastoma received over a period of eight years were routinely processes and stained with haematoxylin and Eosin stain Other stains were used for tuberculosis and melanin. Immunochemistry was resorted to in undifferentiated tumors.

Results:

Over 60% cases of retinoblastoma were diagnosed after 5 years and nine cases showed involvement of opti-nerve.

Conclusion:

Late diagnosis of retinoblastoma effects the stage of the tumors and the prognisis.

Distributive Justice And Perceptions Of Fairness In Team Sports, Leslie Specht

Masters Theses & Specialist Projects

Distributive justice refers to the perceptions of fairness of outcomes received by individuals for their efforts in organizational settings. Punishment is frequently used to eliminate offensive or undesirable behavior in organizations. The present study was based on distributive justice theory and assessed the effects of severity of punishment and the application of distributive justice rules in a sports team setting. Eight scenarios were developed combining two levels of distribution of punishment (consistent or conditional), two levels of severity of misconduct (severe or moderate), and two levels of severity of punishment (severe or moderate). It was hypothesized that consistent punishment across …

Antidepressent Treatment For Depression: Total Charges And Therapy Duration, Deborah G. Dobrez, Catherine A. Melfi, Thomas W. Croghan, Thomas J. Kniesner, Robert L. Obenchain

Center for Policy Research

Background: The economic costs of depression are significant, both the direct medical costs of care and the indirect costs of lost productivity. Empirical studies of antidepressant costeffectiveness suggest that the use of selective serotonin reuptake inhibitors (SSRI) may be no more costly than tricyclic antidepressants (TCA), will improve tolerability, and is associated with longer therapy duration. However the success of depression care usually involves multiple factors, including source of care, type of care, and patient characteristics, in addition to drug choice. The cost-effective mix of antidepressant therapy components is unclear.

Aims of the Study: Our study evaluates cost and antidepressant-continuity …

Justice In Health Care Access Measuring Attitudes Of Health Care Professionals, Sandra Blanton

Masters Theses & Specialist Projects

To measure attitudes toward justice in access to health care services in managed care plans in a convenience sample of medical professionals at Clark Memorial Hospital in Jeffersonville, Indiana. Methods. A sixteen item, self-administered instrument based on Morreim's four concepts of justice in health care access was administered to 147 health care professionals, representing physicians, allied health, and hospital administration. SPSS was used to analyze the results. Results. The attitudes of the respondents were negative toward managed care. They did not feel that managed care had been a positive development in the United States or that managed care had improved …

Risk Factors And Gender Differentials For Death Among Children Hospitalized With Diarrhoea In Bangladesh, Amal K. Mitra, Mohammad M. Rahman, George J. Fuchs

Faculty Publications

To identify risk factors for death among children with diarrhoea, a cohort of 496 children, aged less than 5 years, admitted to the intensive care unit of a diarrhoeal disease hospital in Bangladesh, was studied during November 1992-June 1994, Clinical and laboratory records of children who died and of those who recovered in the hospital were compared, Deaths were significantly higher among those who had altered consciousness, hypoglycaemia, septicaemia, paralytic ileus, toxic colitis, necrotizing enterocolitis, haemolytic-uraemic syndrome, invasive or persistent diarrhoea, dehydration, electrolyte imbalances, and malnutrition, Females experienced a 2-fold higher risk of death than males (p=0.003). Several indices of …

Gender Differences In Brazilian Street Youth’S Family Circumstances And Experiences On The Street, Marcela Raffaelli, Silvia H. Koller, Caroline T. Reppold, Mateus B. Kuschick, Fernanda M. B. Krum, Denise R. Bandeira, Carson Simões

Department of Psychology: Faculty Publications

Objectives: It has been proposed that homeless street girls are more likely to be from dysfunctional families and exhibit psychological distress than homeless street boys, reflecting cultural factors that result in differential norms for male and female behavior. The current analysis examined whether male and female street youth in a mid-sized Brazilian city differed in their family circumstances and day-to-day functioning on the street.

Methods: The opportunity sample consisted of 33 male (mean age 14.3, range 10-17 years) and 33 female (mean age 14.6, range 11-18 years) street youth who participated in a sentence completion task and structured interview examining …

Information Interface - Volume 28, Issue 5 - November/December 2000, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users.

The Use Of Uniaxial And Triaxial Accelerometers To Measure Children's "Free-Play" Physical Activity, Alise E. Ott, Russell R. Pate, Stewart G. Trost, Dianne S. Ward, Ruth P. Saunders

Faculty Publications

In order to effectively measure the physical activity of children, objective monitoring devices must be able to quantify the intermittent and nonlinear movement of free play. The purpose of this study was to investigate the validity of the Computer Science and Applications (CSA) uniaxial accelerometer and the TriTrac-R3D triaxial accelerometer with respect to their ability to measure 8 "free-play" activities of different intensity. The activities ranged from light to very vigorous in intensity and included activities such as throwing and catching, hopscotch, and basketball. Twenty-eight children, ages 9 to 11, wore a CSA and a heart rate monitor while performing …

Attitudinal Outcomes Of Punishment Events In Team-Sporting Settings, Jason Tapp

Masters Theses & Specialist Projects

The organizational justice perspective suggests that procedural and distributive justice evaluations of a specific punishment event will affect an individual's reactions to the punishment. A 3 (decision-making procedure: autocratic, participative, group) X 3 (punishment severity: low, moderate, high) factorial design was utilized to develop punishment scenarios in team-sport settings which were evaluated by 205 participants. Decision-making procedure and punishment severity both produced significant main effects on evaluations of the fairness of the procedure. Only punishment severity produced a significant main effect on perceptions of the fairness and appropriateness of the punishment, as well as on perceptions of the likelihood of …

Alternatives To Incarceration For Substance Abusing Female Defendants/Offenders In Massachusetts, 1996-1998, Carol Hardy-Fanta, Sylvia Mignon

Publications from the Center for Women in Politics and Public Policy

In July 1997, the Massachusetts State Legislature, recognizing the challenge presented by the problem of substance abuse for women in the criminal justice system, authorized funds to the Department of Public Health’s Bureau of Substance Abuse Services for a study of substance using female offenders to be conducted by the John W. McCormack Institute at the University of Massachusetts Boston. Since March 1998, a group of researchers at the McCormack Institute and the Criminal Justice Center at UMass Boston has gathered and analyzed a wealth of quantitative and qualitative information on women offenders in Massachusetts.

This information includes data from …

Clinical Spectrum Of Systemic Lupus Erythematosus At The Aga Khan University Hospital., K. Sulaiman, N. Sohail, A. A. Sheikh, F. Raza, F. Shahzad, A. Siddique, T. Shakir, Fauziah Rabbani

Community Health Sciences

BACKGROUND:

Systemic lupus erythematosus is a disease of unknown etiology, which at onest may involve only one organ system or be multisystemic. The aim of our study is to determine the clinical presentation of SLE patients presenting to AKUH to establish whether guidelines laid down about this disease are in agreement with our experience.

METHODS:

A retrospective log review was carried out at AKUH, based on data obtained from 165 files of individuals admitted to the hospital over a period of 12 years with a confirmed diagnosis of SLE.

RESULTS:

From the sample size of 165, 143 (86.7%) were females …

Why Has So Little Changed In Maternal And Child Health In South Asia?, Z A. Bhutta

Department of Paediatrics and Child Health

No abstract provided.

The Asthma Epidemic: Prospects For Controlling An Escalating Public Health Crisis, Richard Hegner

National Health Policy Forum

This background paper examines the dimensions of the recent asthma epidemic and what could be done to contain it. Information about the prevalence and consequences of asthma across demographic groups is presented. Factors that impede the control of asthma are also identified. The paper also examines the possible causes of asthma and the asthma epidemic as well as new theories about the relationship of asthma to overall advances in health care and economic development. It also discusses the economic implications of asthma and possible cost avoidances linked to better asthma management. The paper concludes with discussions of asthma and public …

Helicobacter Pylori Serology And The Diagnosis Of H. Pylori Infection In Children, Yoram Elitsur, Rafah Aflak, Cheryl Neace, W. E. Triest

Biochemistry and Microbiology

Serological screening accuracy rate may be dependent on clinical and pathological determinants. The aim of this study was to evaluate the accuracy of Hp serology test (Roche Biomedical Lab., Labcorp), In the diagnosis of Hp infection in 121 children who were seen in the Pediatric Gastoenterology Clinic at the Marshall University Joan C. Edwards School of Medicine In Huntington. Positive serology detected children with Hpassociated gastritis with a sensitivity of 51.6%. Positive serology significantly correlated with the degree of gastric inflammation and density of Hp organisms in the gastric mucosa (ANOVA p < 0.001). The Labcorp. Hp-ELISA test had a poor accuracy rate for the detection of Hp-gastritis in children. Gastric biopsies should always be performed to establish the diagnosis of Hp infection in children.

Contingencies Governing The Production Of Fricatives, Affricates, And Liquids In Babbling, Christina E. Gildersleeve-Neumann, Barbara L. Davis, Peter F. Macneilage

Speech and Hearing Sciences Faculty Publications and Presentations

Studies of early-developing consonants (stops, nasals, and glides) in babbling have shown that most of the variance in consonants and their associated vowels, both within and between syllables, is due to a "frame" produced by mandibular oscillation, with very little active contribution from intrasyllabic or intersyllabic tongue movements. In a study of four babbling infants, the prediction that this apparently basic "frame dominance" would also apply to late-developing consonants (fricatives, affricates, and liquids) was tested. With minor exceptions, confirming evidence for both the predicted intrasyllabic and intersyllabic patterns was obtained. Results provide further evidence for the frame dominance conception, but …

Social Anxiety Scale For Adolescents: Normative Data And Further Evidence Of Construct Validity, Heidi M. Inderbitzen-Nolan, Kenneth S. Walters

Department of Psychology: Faculty Publications

Replicates and extends prior work with the Social Anxiety Scale for Adolescents (SAS– A) by providing psychometric data, further evidence of construct validity, and largesample based normative data. Participants were 2,937 students (1,431 boys and 1,506 girls) in Grades 6, 7, 8, 9, and 11. Students completed the SAS–A, the Revised Children’s Manifest Anxiety Scale (RCMAS), and the Children’s Depression Inventory (CDI). Results replicated a three-factor structure for the SAS–A, with good internal consistencies for its subscales. Normative data were subdivided by sex and grade group. Construct validity included replication of prior relations with general anxiety (RCMAS) and depressive symptomatology …

Children Of Alcoholics: An Update., D Z Lieberman

Psychiatry and Behavioral Sciences Faculty Publications

One of four children in the United States lives in a family in which the child is exposed to alcoholism. Children of alcoholics (COAs) are two to ten times more likely to develop alcoholism than non-COAs. This paper reviews studies that have attempted to identify risk factors that mediate the increased vulnerability and the protective factors that moderate the risk. Factors discussed include parental antisocial personality disorder, externalizing behavior, internalizing symptoms, differential response to the effects of alcohol, and positive and negative alcohol-related expectancies. The heterogeneous nature of COAs is emphasized, and some of the challenges related to treatment and …

Information Interface - Volume 28, Issue 4 - August/September 2000, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users.

Prognostic Impact Of P53 Status In Ewing Sarcoma, E. De Alava, C. Antonescu, A. Panizo, Denis H. Y. Leung, P. Meyers, A. Huvos, F. J. Pardo-Mindan, J. Healey, M. Ladanyi

Research Collection School Of Economics

Disease stage at the time of diagnosis and response to therapy are the main prognostic factors for patients with Ewing sarcoma or peripheral neuroectodermal tumor (ES/PNET). The primary genetic alteration in ES/PNET, the fusion of the EWS gene with FLI1 or ERG, is diagnostically highly specific for these tumors, and molecular variation in the structure of the EWS-FLI1 fusion gene also is of prognostic significance. In contrast, secondary genetic alterations, such as P53 alterations, are relatively uncommon in ES/PNET, and their prognostic impact has not been extensively studied. METHODS: Prechemotherapy, paraffin embedded, nondecalcified, primary tumor material in a well-characterized series …

Children's Understanding Of The Concept Of Physical Activity, Stewart G. Trost, Angela M. Morgan, Ruth P. Saunders, Gwen A. Felton, Dianne S. Ward, Russell R. Pate

Faculty Publications

This study evaluated 4th-grade students' understanding of the concept of physical activity and assessed the effects of two interventions to enhance the students' understanding of this concept. Students were randomly assigned to 1 of 3 conditions: the video group (n=40) watched a 5-min video describing physical activity; the verbal group (n=42) listened to a generic description of physical activity; the control group received no instruction (n=45). Students completed a 17-item checklist testing their understanding of the concept of physical activity. Compared to controls, students in the verbal and video group demonstrated significantly higher checklist …

Relationship Between Personality Hardiness And Critical Care Nurses' Perception Of Stress And Coping In The Critical Care Environment, Catherina Ivette Chang

FIU Electronic Theses and Dissertations

The purpose of this study was to determine the relationship between critical care nurses' perception of stress, their ability to cope with stress, and the hardiness personality they possess while working in the critical care environment. A non-experimental, descriptive, correlational survey design was applied to a convenience sample of 50 registered nurses employed in the critical care units of a South Florida health care facility. The data collection methods included a demographic survey, the Perceived Stress Scale, the Health-Related Hardiness Scale, and the COPE inventory. The results of this study demonstrated that critical care nurses are able to cope effectively …

Anticipating Adulthood: Expected Timing Of Work And Family Transitions Among Rural Youth, Lisa J. Crockett, C. Raymond Bingham

Department of Psychology: Faculty Publications

This study examined family and individual processes influencing the future expectancies of adolescents (N = 345) from an economically stressed rural community. The anticipated timing and sequencing of key role transitions (school completion, job entry, marriage, and parenthood) were examined for each gender. In addition, factors contributing to individual differences in expected timing were examined, and gender differences in predictors were tested. Results indicated that rural adolescents' expectancies about adult role transitions diverged somewhat from societal norms with respect to timing. Family background and relationships, adolescents' attitudes and behaviors, and educational aspirations all contributed to individual differences in expected …

Parental Monitoring And Adolescent Adjustment: An Ecological Perspective, Kristen C. Jacobson, Lisa J. Crockett

Department of Psychology: Faculty Publications

This study uses an ecological framework to examine the associations between parental monitoring and a variety of indicators of adolescent adjustment. Specifically, investigators examined whether higher levels of parental monitoring were associated with higher adolescent grade point average, lower levels of adolescent depression, and lower levels of adolescent sexual activity and minor delinquency, and whether these relations were moderated by gender, grade level, or mothers’ work status. Participants were 424 7th to 12th graders from a single rural school district in central Pennsylvania. Bivariate correlations indicated that parental monitoring had strong associations with all indicators of adjustment for both boys …

Angiotensin Ii Promotes Atherosclerotic Lesions And Aneurysms In Apolipoprotein E-Deficient Mice, Alan Daugherty, Michael W. Manning, Lisa A. Cassis

Gill Heart & Vascular Institute Faculty Publications

Increased plasma concentrations of angiotension II (Ang II) have been implicated in atherogenesis. To examine this relationship directly, we infused Ang II or vehicle for 1 month via osmotic minipumps into mature apoE^–/– mice. These doses of Ang II did not alter arterial blood pressure, body weight, serum cholesterol concentrations, or distribution of lipoprotein cholesterol. However, Ang II infusions promoted an increased severity of aortic atherosclerotic lesions. These Ang II–induced lesions were predominantly lipid-laden macrophages and lymphocytes; moreover, Ang II promoted a marked increase in the number of macrophages present in the adventitial tissue underlying lesions. Unexpectedly, pronounced abdominal …

Social Change And Adolescent Development: Issues And Challenges, Lisa J. Crockett, Rainer K. Silbereisen

Department of Psychology: Faculty Publications

Determining the consequences of such societal-level changes for adolescent development presents formidable challenges. Social change on one or more dimensions must be documented, the complex processes through which social change may affect adolescents must be identified, and the hypothesized causal processes must be linked empirically to adolescent outcomes. In this chapter, we discuss these challenges and the conceptual issues they raise. We begin with one example of social change and use it as a springboard for discussing four questions:
1. What kinds of contextual changes are produced by social change?
2. How (through what mediating processes) do these changes affect …

Rural Youth: Ecological And Life Course Perspectives, Lisa J. Crockett, Michael J. Shanahan, Julia Jackson-Newsom

Department of Psychology: Faculty Publications

Drawing on the themes of social change, ecological risk, and their implications for the life course, this chapter is intended as a point of departure for future research on rural adolescents. We begin by considering the basic but difficult issue of defining the ecology of rural youth, noting possible sources of risk and resilience. We then examine research on psychosocial adjustment among rural youth, identifying how they are advantaged and disadvantaged relative to other youth. Third, we turn to a central challenge facing contemporary rural youth: the need to reconcile attachments to family and place with a desire for educational …

Prevalence And Risk Factors For Potentially Avoidable Hospitalization Of Medicaid-Enrolled Assisted Living Residents, Marion Becker, Timothy Boaz, Ross Andel, Joshua Digennaro

Mental Health Law & Policy Faculty Publications

No abstract provided.

Choosing A Doctor: An Exploratory Study Of Factors Influencing Patients’ Choice Of A Primary Care Doctor, Brian H. Bornstein, David Marcus, William Cassidy

Department of Psychology: Faculty Publications

We assessed the relative importance healthcare consumers attach to various factors in choosing a primary care doctor (PCD) in a cross-sectional, in-person survey. Three survey locations were used: doctors’ offices, a public shopping area, and meetings of a women’s organization. A total of 636 community residents, varying across major demographic categories, participated. Participants completed a 23-item survey, designed to assess which factors consumers perceive as most relevant in choosing a PCD. Participants perceived professionally relevant factors (e.g. whether the doctor is board certified, office appearance) and management practices (e.g. time to get an appointment, evening and weekend hours) as more …

Clinician Perceptions Of Factors That Enhance Patient Compliance In Physical Therapy, Victoria R. Benea

FIU Electronic Theses and Dissertations

The purpose of this study was to determine physical therapists utilization of methods to increase compliance with home exercise programs, and to determine their perceptions of barriers patients have to completing exercise programs. The secondary purpose of this study was to describe the association, if any, between therapists' age, participation in exercise and/or lifestyle changes and the utilization of methods to increase exercise compliance. A sample of 73 physical therapists attending the American Physical Therapy Association Combined Sections Meeting were surveyed for this study. This study found that barriers listed by patients were similar to those found in the literature. …