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Medical Education Digest, Vol. 1 No. 3 (December 15, 1999), Nova Southeastern University

Medical Education Digest

No abstract provided.

Stress Experienced By Respite Care Workers And Family Caregivers When Caring For Alzheimer's Patients, Monica D. Minewiser

Theses & Dissertations

Changing demographics and cost containment in health care in caring for the Alzheimer's Disease (AD) patient has given birth to a growing need for respite care workers. The purpose of the study was to determine whether the stress level of a respite care worker who works with an AD patient in a noninstitutionalized setting on a daily basis will be significantly less than that of a family caregiver when caring for an AD patient. The Revised Memory and Behavior Problem Checklist (RMBPC) was the instrument used to measure stress. This is a questionnaire consisting of 24 questions and allows 5 …

The Validity Of The Adhd Section Of The Diagnostic Interview Schedule For Children, Ann M. Mcgrath

Dissertations

The purpose o f this study was to learn more about the validity o f the ADHD portion of the NIMH-DISCIV. In order to accomplish this goal, 58 youth participants were divided into three groups: (1) subjects who met criteria for ADHD based upon both the youth and the caretaker versions of the DISC; (2) subjects who met criteria for ADHD based upon the caretaker DISC, but not according to the youth DISC; and (3) subjects who did not meet criteria for ADHD according to either the youth or the caretaker DISC. Subjects in these groups were compared across parent …

Sterilization In The United States: Prevalence And Controversies, Carey Brown

Masters Theses & Specialist Projects

There have been many breakthroughs in birth control technologies, many of which have been beneficial for women. However, many feminists who advocate reproductive freedom also warn that freedom for some might lead to further oppression for others. The case in point is the practice of tubal ligation in the United States. Conflict theory indicates that the field of medicine is a social structure that is based upon capitalistic ideology and serves to perpetuate inequality. Feminist theory argues that medicine systematically disempowers women and that notions of family are very narrowly defined. This study examined the prevalence of tubal ligation among …

The Utilization Of Outpatient Laboratory Resources At Ireland Army Community Hospital After Implementation Of Tricare, Susan Seeley

Masters Theses & Specialist Projects

The purpose of this study was to compare out patient laboratory utilization patterns of active duty and retired military personnel and their dependents before and after the implementation of TRICARE. A stratified random sample was taken of patient test results over a two year period resulting in a sample size of 104 observations. The Complete Blood Count (CBC) results were used as indicators for the study. Data was gathered on the patient's rank, active duty/retiree status, age, dependent status, and gender. Additionally, the total number of tests were recorded for the year prior to the introduction of TRICARE and after …

Social Identity And Substance Abuse In The Lesbian Community, Molly Kerby

Masters Theses & Specialist Projects

The purpose of this study was to determine the degree of substance use (alcohol, tobacco, and other drugs) among members of the lesbian community. Additionally, the investigator attempted to determine if there was a relationship between negative social identity and low selfesteem that is reflected in higher rates of substance abuse. The data collection method employed in this study was a type of nonprobability sampling procedure referred to as a purposive sample. The questionnaire was derived from instruments used by other researchers and validated by an expert panel. In order to select respondents from the lesbian population to be included …

Differentiation In Roles Of School Nurse And Unlicensed Assistive Personnel, Lynn Shieh

Master's Projects

School nurses provide a vast number of health services for students, teachers, and staff. Despite school nurses' important contributions to the health status of students, through the years their positions have been gradually supplemented by Unlicensed Assistive Personnel (UAP)/ Health Clerks. With the number of UAPs increasing in the school setting, roles and responsibilities of school nurses and UAPs need to be clearly differentiated in order to utilize the UAP's services legally and efficiently. This research used a descriptive survey to investigate the perceptions that differentiate the role of school nurses and UAPs among school administrators, nurses, UAPs, secretaries, and …

Comparing Outcome O F Residential And Intensive Outpatient Treatment Services For Substance Dependence, Shawn E. Channell

Dissertations

The past 20 years have witnessed a significant increase in the number of published studies comparing inpatient with outpatient substance dependence treatment The majority of these studies have reported no benefit for those recipients receiving more intensive treatment However, the outpatient treatment investigated in these studies has typically been day treatment often involving 27 hours a week of participation, and not intensive outpatient treatment (IOP), which involves 12 or fewer hours of participation per week. Additionally, few published studies have compared alcohol and cocaine dependent populations. This study was designed to compare effectiveness of the residential and intensive outpatient levels …

Diagnostic Issues With Attention Deficit Hyperactivity Disorder: Conditional Probabilities And A Measure Of Symptom Ratings, Margo Adams Larsen

Dissertations

Current assessment taxonomy, including the DSM -IV and the International Classification of Diseases (ICD) (World Health Organization, 1990) editions, have provided semistructured criteria sets to aid professionals in making a diagnosis of ADHD or ADD. The diagnostic taxonomy criteria, however, have resulted in a very heterogeneous population of Attention Deficit Hyperactivity Disordered (ADHD) individuals. Several studies have attempted to assess the behavioral syndromes— Attention Deficit Hyperactivity Disorder (ADHD)/Conduct Disorder (CD)/ Oppositional Defiant Disorder (ODD)—in terms of test or symptom sensitivity, specificity, positive predictive power, and negative predictive power (Landau, Milich, & Widiger, 1991; Milich, Widiger, & Landau, 1987; Waldman & …

Psychological Correlates Of Pain Perception: An Assessment Of False Biofeedback, Tobie Jay Escher

Theses and Dissertations - UTB/UTPA

Effects of suggestion and placebos in pain therapy have become a modern theme in pain management. This study was designed to investigate whether suggestive false biofeedback, compared with a true biofeedback control condition, would have an effect on pain perception ratings in a simplified version of a cold pressor task (CPT). Psycho-physiological measures of electrical cortical activity (EEG) and muscle tension (EMG) combined with psychological correlates (verbal and visual pain ratings) were also assessed.

A separate 2 (gender) x 2 (feedback condition) x 6 (time segment) mixed-design ANOVA was performed for (a) EEG frontal and (b) parietal lobe alpha activity, …

The Perceived Level Of Autonomy Among Drivers With Spinal Cord Injuries, Alice Mary Giron

FIU Electronic Theses and Dissertations

The purpose of this study was to determine how autonomy is affected among individuals with spinal cord injuries by being able to drive again or for the first time, after participating in a driving rehabilitation program. Information was collected using a survey originally designed for the purpose of this study on driving-related autonomy. Fifty two surveys were included in this study and met the inclusive criteria. Analysis of the responses indicated that the majority of individuals in this study experienced a high level of autonomy after going through a driving rehabilitation program. The results showed that there was an increase …

Why Are Girls Less Physically Aggressive Than Boys? Personality And Parenting Mediators Of Physical Aggression, Gustavo Carlo, Marcela Raffaelli, Deborah J. Laible, Kathryn A. Meyer

Department of Psychology: Faculty Publications

The primary goal of the present analysis was to determine whether the commonly observed gender difference in physical aggression could be accounted for by gender differences in selected personality and social contextual factors. Eighty-nine adolescents (M age = 16.0; 52% female; 53% European-Americans, 38% Latinos) completed self-report measures, including sympathy (empathic concern and perspective taking) and parental involvement (support and monitoring). Mediation analyses revealed that relatively high levels of both empathic concern and parental monitoring accounted for relatively low levels of physical aggression. In addition, sympathy (for males) and parental involvement (males and females) were negatively related to physical aggression. …

Do Mothers And Teens Disagree About Sexual Communication? A Methodological Reappraisal, Marcela Raffaelli, Lori A. Smart, Sarah C. Van Horn, Angela D. Hohbein, Jennifer E. Kline, Wei-Lik Chan

Department of Psychology: Faculty Publications

This study investigated whether parent-teen disagreement in reports of sexual discussions is due to methodological factors. Forty-four mothers and their 12- to 15-yearold daughters (n = 18) and sons (n = 26) completed parallel questionnaires including measures of communication about 18 different sexual topics during the teen’s entire life and during the past year. Analyses examined whether congruence rates were infl uenced by the use of global as compared to specifi c items, assessment of conversations during the teen’s entire life as compared to the past year, and use of forced-choice as opposed to continuous-response categories. Taken as a whole, …

Ethnic Variability In The Treatment Of Pain, Rafael A. Ortega, Benjamin A. Youdelman, Richard C. Havel

Department of Surgery Faculty Papers

Ethnicity has been shown to be an important determinant of behavior during illness, particularly when a painful condition is present. Studies have shown that pain may be undertreated among different ethnic groups of patients. Whereas individual variations in the reaction to pain occur, available data do not support racial and/or ethnic differences in the perception of pain, leaving no justification for this discrepancy in treatment. Regardless of ethnicity, inadequate treatment of pain has been known for some time and has been referred to in recent literature as "oligoanalgesia." Lack of understanding of different ethnic and cultural groups can lead to …

A Longitudinal Examination Of The Consequences Of Sexual Victimization For Rural Young Adult Women, Janine Zweig, Lisa J. Crockett, Aline Sayer, Judith Vicary

Department of Psychology: Faculty Publications

This longitudinal study examined the consequences of sexual victimization in a sample of 237 young adult women from a rural community. Of the total sample, 71 (30%) reported experiencing some type of unwanted sex. Multiple regression was used to examine the effects on psychosocial adjustment of unwanted sex that occurred through nonviolent coercion and violent coercion, respectively, controlling for prior psychological adjustment. Results indicated that women who reported physically violent sexual coercion exhibited poorer psychological and social/relational adjustment than either nonvictimized women or women who had experienced nonviolent forms of sexual coercion. Additionally, nonviolent sexual coercion was associated with higher …

Tracking Of Physical Activity, Physical Inactivity, And Health-Related Physical Fitness In Rural Youth, Russell R. Pate, Stewart G. Trost, Marsha Dowda, Alise E. Ott, Dianne S. Ward, Ruth P. Saunders, Gwen A. Felton

Faculty Publications

This study examined the tracking of selected measures of physical activity, inactivity, and fitness in a cohort of rural youth. Students (N=181, 54.7% female, 63.5% African American) completed test batteries during their fifth- (age=10.7±0.7 years), sixth-, and seventh-grade years. The Previous Day Physical Activity Recall (PDPAR) was used to assess 30-min blocks of vigorous physical activity (VPA), moderate-to-vigorous physical activity (MVPA), TV watching and other sedentary activities, and estimated energy expenditure (EE). Fitness measures included the PWC 170 cycle ergometer test, strength tests, triceps skinfold thickness, and BMI. Intraclass correlation coefficients (ICCs) for VPA, MVPA, and after-school EE …

Validity Of The Previous Day Physical Activity Recall (Pdpar) In Fifth-Grade Children, Stewart G. Trost, Dianne S. Ward, Ben Mcgraw, Russell R. Pate

Faculty Publications

This study evaluated the validity of the Previous Day Physical Activity Recall (PDPAR) self-report instrument in quantifying after-school physical activity behavior in fifth-grade children. Thirty-eight fifth-grade students (mean age, 10.8 ± 0.1; 52.6%; female; 26.3% African American) from two urban elementary schools completed the PDPAR after wearing a CSA WAM 7164 accelerometer for a day. The mean within-subject correlation between self-reported MET level and total counts for each 30-min block was 0.57 (95% C.I., 0.51-0.62). Self-reported mean MET level during the after-school period and the number of 30-min blocks with activity rated at > 6 METs were significantly correlated with the …

Correlates Of Suicide Risk In Adolescent Inpatients Who Report Histories Of Childhood Abuse, Carlos M. Grilo, Charles A. Sanislow, Dwain C. Fehon, Deborah S. Lipschitz, Steve Martino, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

The study objective was to examine correlates of suicide risk in psychiatrically hospitalized adolescents with a reported history of childhood abuse. Predictors of suicide risk were examined in 74 subjects who reported a history of childhood abuse and 53 depressed subjects who did not report a history of childhood abuse. Subjects completed a battery of psychometrically well-established self-report instruments to assess childhood abuse, suicide risk, and internalizing and externalizing psychopathology. Correlational analyses showed that higher levels of depression, self-criticism, and hopelessness were significantly associated with suicide risk in both study groups and violence was significantly associated with suicide risk in …

What's Happening: October 13, 1999, Maine Medical Center

What's Happening

No abstract provided.

Facilitating And Disinhibiting Prosocial Behaviors: The Nonlinear Interaction Of Trait Perspective Taking And Trait Personal Distress On Volunteering, Gustavo Carlo, James B. Allen, Dion C. Buhman

Department of Psychology: Faculty Publications

Prior theorists and researchers have suggested that multiplicative models of prosocial behavior may account for weak and inconsistent relations between traits and prosocial behaviors. This study examined the multiplicative relations of trait personal distress, trait sympathy, and trait perspective taking on prosocial behaviors. Nonlinear, 2-way interactions were hypothesized, such that as trait personal distress decreased from moderate to low levels, and trait perspective taking or trait sympathy increased, volunteering would increase. One hundred and eighty-two undergraduate students completed a battery of trait measures that included trait perspective taking, trait sympathy, and trait personal distress. Approximately 6 weeks later, the students …

Yale Nursing Matters Fall 1999 Issue 1 Volume 1, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

"I hope that as you read through this first issue of Yale Nursing Matters, you will realize how exquisitely Yale faculty discharge tile responsibility to advance nursing science while also contributing as leaders in practice and educating the next generation of nursing leaders." - Catherine Lynch Gillis, Dean and Professor

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1999 Scholars And Artists Bibliography, Michael Schwartz Library, Cleveland State University, Friends Of The Michael Schwartz Library

Scholars and Artists Bibliographies

This bibliography was created for the annual Friends of the Michael Schwartz Library Scholars and Artists Reception, recognizing scholarly and creative achievements of Cleveland State University faculty, staff and emeriti

In The Affirmative, Vol.6, No.8 (Mid-September / Mid-October 1999), Mike Martin, The Aids Project

In the affirmative (1993-1999)

No abstract provided.

Update - September 1999, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Christianity and Contraception: Seventh-day Adventist Ethical Guidelines
-- Can Christian Bioethics be Based on Reason Alone?

Patient Preference For The Management Of Mildly Abnormal Papanicolau Smears, Marta Meana, Donna E. Stewart, Gordon M. Lickrish, Joan Murphy, Barry Rosen

Psychology Faculty Research

The article provides information on a study that investigated management preference and desire for decision-making involvement in women who have received a first mildly abnormal Papanicolaou smear. The majority of women in this highly educated sample preferred active management of their mildly abnormal Pap smears, although a substantial minority either opted for the surveillance strategy or reported no strong preference. Furthermore, management preference in this sample was not related to knowledge but rather to level of state anxiety. This indicates that these decisions may be guided more by emotions than by facts. Research has shown repeatedly that abnormal Pap smears …

The Effect Of Mandibular First Molar Tip Back On Mandibular Incisor Long-Term Stability, Barton L. Soper

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study is to determine if mandibular first molar distal tip back during orthodontic treatment will result in improved long-term alignment of mandibular incisors. Our pre and posttreatment sample consisted of 57 Class I and Class II patients (40 female and 17 male). Incisor irregularity was recorded at T2 and T4 (average of 12.9 years postretention at T4). Molar tipback was evaluated T1 to T2 and T2 to T4. The sample was divided into 3 groups - molars tipped distally 1 degree or more during treatment, molars essentially not tipped, and molars tipped mesially 1 degree or …

Various Presentation Styles For Informing Parents About Pediatric Dental Procedures, Tracy Dean Walker

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The treatment of pediatric dental patients can only be as effective as the degree to which the parent consents to treatment. This study was designed to A) determine the most effective method of communicating a dental procedure to the parent of a pediatric patient and B) determine the impact that various presentation methods would have on a parent's willingness to give informed consent.

Methods: A Pulpotomy procedure was explained to each parent by one of the following methods; 1) written, 2) written and model, 3) verbal or 4) verbal and model.

Results: A statistically significant relationship was shown between …

Ada News - 08/23/1999, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Race, Gender, And Partnership In The Patient-Physician Relationship, Lisa Cooper-Patrick, Joseph J. Gallo, Junius Gonzales, Hong Thi Vu, Neil R. Powe, Christine Nelson, Daniel E. Ford

Publications from Provost Junius J. Gonzales

Context Many studies have documented race and gender differences in health care received by patients. However, few studies have related differences in the quality of interpersonal care to patient and physician race and gender.

Objective To describe how the race/ethnicity and gender of patients and physicians are associated with physicians' participatory decision-making (PDM) styles.

Design, Setting, and Participants Telephone survey conducted between November 1996 and June 1998 of 1816 adults aged 18 to 65 years (mean age, 41 years) who had recently attended 1 of 32 primary care practices associated with a large mixed-model managed care organization in an urban …

Self-Trust And Reproductive Autonomy, Carolyn Mcleod

Philosophy Publications

In this thesis. I give a theory of the nature of self-trust and an explanation of its role in autonomous decision-making. We tend to think of trust as essentially interpersonal which casts doubt on the coherence of the concept of self-trust. Drawing on patients' experiences in reproductive medicine. I argue that self-trust is a meaningful as well as a useful concept. I provide autobiographical sketches of a number of women's experiences. supplemented by my own observations made while doing a clinical practicum in reproductive medicine, to illustrate that what many women feel toward themselves in a variety of reproductive health …