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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 …

The Effects Of Psychotropic Medication Therapy On The Behaviors Of The Institutionalized Alzheimer's Disease Patient, Mary Beth Mckinneu

MSN Research Projects

Alzheimer's disease is a devastating illness that is common among the nursing home population. Treatment for Alzheimer's disease is usually palliative and consists of using psychotropic medications to control aggressive and agitated behaviors exhibited by its victims. The purpose of this descriptive study was to identify behaviors exhibited by Alzheimer's disease patients before and after receiving psychotropic medications. Johnson's Behavioral System Model was used as the theoretical framework for this study. The sample (N = 33) consisted of nursing home residents with a diagnosis of Alzheimer's disease who were treated with one psychotropic medication. The researcher used chart review to …

Self-Efficacy In Type 2 Diabetics, Joan M. Hyett

Theses & Dissertations

There are 1.2 million diagnosed diabetics in Texas, 10 % of whom live in Bexar County, Texas. Diabetes is rated as the fifth leading cause of death in the same county. In addition to the diagnosed cases, it is estimated that 125,000 adults in Bexar County have undiagnosed diabetes (Foy, 1999). Diabetic education may prevent complications in some individuals, but sometimes knowledge alone is not enough. Patients often lack motivation or self-confidence in their capacity for self- management of their diabetes. Diabetic educators are often faced with the challenge of not only educating but also motivating patients to be compliant …

Update - December 2000, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- The Rule of Double Effect: A Valuable Contemporary Resource
-- Vision of Justice and the Healing of Nations
-- Learn to minister in the clinical setting

Assessment Of Anthropometric Factors Of Hand And Wrist In Patients With Carpal Tunnel Syndrome, Hui-Wen Chen, Chein-Wei Chang, Yi-Jane Wu, Keng-Yu Chao

Rehabilitation Practice and Science

Carpal tunnel syndrome is a common entrapment neuropathy. It has been associated with many conditions, including age, gender, work and body mass index etc. The aim of the study is trying to ass-ess the anthropometric factors and range of motion of hand and wrist in patients with carpal tunnel syndrome. Twenty-one patients with carpal tunnel syndrome approved by clinical and electrophysiol-ogical studies, and eighteen normal controls attended this study. Anthropometric factors includling hand width, hand length, palmar length, palmar thickness, wrist width, wrist thickness and range of motion of wrist joints were assessed in the patient and control groups.The results …

The Utilization Of Spirituality In Occupational Therapy: Beliefs, Practices, And Barriers, Jennifer S. Collins

Masters Theses

Spirituality has become an increasingly important topic in healthcare and specifically in occupational therapy. Previous studies of spirituality in occupational therapy indicated that while therapists believed spirituality was important to health and rehabilitation potential, few therapists reported incorporating spirituality into treatment (Engquist, Short-DeGraff, Gliner, & Oltjenbruns, 1997; Howe, 1996; Rose, 1999). This study utilized a survey design to examine occupational therapists' current beliefs and practices regarding spirituality, as well as asking therapists to identify barriers to the use of spirituality in treatment.

The results of this study indicate that beliefs and practices regarding spirituality in occupational therapy may be changing. …

Professional Expertise Of Community-Based Occupational Therapists, Lori Ann Madaus Lemorie

Masters Theses

Occupational therapists are increasingly practicing in community-based settings. Due to changes in the health care system, the need for defining roles, and explaining what a profession can contribute to health care has been highlighted. The major goal of this study was to identify job roles, job skills, and professional expertise of community-based therapists. The Community Practice Project survey was mailed to 200 AOTA registered community-based therapists. A response rate of 42% was achieved. The results provided a profile of the typical community-based therapist. Principal roles, job skills, and areas of professional expertise were also identified. The adequacy of educational preparation …

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 …

Review Of Counseling And The Therapeutic State. James J. Chriss (Ed.). Reviewed By Daniel Harkness., Daniel Harkness

The Journal of Sociology & Social Welfare

Book review of James J. Chriss (Ed.), Counseling and the Therapeutic State. Hawthorne, NY: Aldine de Gruyter, 1999. $48.95 hardcover, $24.95 papercover.

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 …

Slouching Toward Barbarism--The Quest To Limit Partial Birth Abortion After Stenberg V. Carhart, Todd Goudy

West Virginia Law Review

No abstract provided.

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 …

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 …

Gender Differences In Presenting Symptoms, Treatment, And Outcome In Myocardial Infarction, Alona Dalusung-Angosta

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purposes of this study were to compare the presenting symptoms, treatment, and outcome between men and women with MI. The study sample consisted of 300 patients (N = 300) who were diagnosed with MI in a county hospital in the Southwest area of the United States.

Chest pain, shortness of breath, sweating, and left arm pain were the most common symptoms reported by both genders. Men had more chest pain than their women counterparts (p = .022). No significant difference was found in the cardiac enzyme levels between both genders. Men had more Q wave changes during MI than …

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.

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 …

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 …

Yale Nursing Matters Fall 2000 Volume 2 Number 1, Yale University School Of Nursing

Yale School of Nursing Alumni Newsletters and Magazines

Please contact the Medical Historical Library if you need a higher resolution version.

Santa Clara Magazine, Volume 42 Number 2, Fall 2000, Santa Clara University

Santa Clara Magazine

10 - I WANT MY IPO! By Susan Vogel. With so much venture capital available out there, why do women have to sprint to catch up with men in the race for funding?

14 - ON THE THRESHOLD OF A NEW ERA By George F. Giacomini, Jr. A long-time SCU professor offers his opinion of the most pivotal moments in the University's 150-year history, from wars to the admission of women.

18 - OF HEADHUNTERS AND SOLDIERS By Renato Rosaldo. Living with a headhunting Filipino tribe taught this author to be open to the possibility that other cultures have valid, …

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 …

Patients With Irritable Bowel Syndrome : Possiblehypersensitivity To Capsicum, D. Thong-Ngam, S. Treeprasertsuk, A. Sriatanaban

Chulalongkorn Medical Journal

No abstract provided.

Determinants Of Health Promoting Behaviors In Older Adults, Kay Wallace

Masters Theses

The purpose of this study was to examine relationships between Health Locus of Control, selected demographic variables, and the Health Promoting Behaviors of Physical Activity and Nutrition in older persons. Pender’s (1996) Health Promotion Model (HPM) was used as the conceptual framework to guide this study.

The sample consisted of 48 subjects, aged 65 years and older, who resided in senior living centers. The subjects were predominantly Caucasian (94%) and female (81%). Research instruments were self-administered questionnaires that consisted of demographic data, the Health Promoting Lifestyle Profile II, and the Multidimensional Health Locus of Control Scale.

No significant relationships between …

Gender Differences In Demographics, Treatment And Outcomeof Thai Patients With Acute Myocardial Infarction Atking Chulalongkorn Memorial Hospital, S. Sangwatanaroj, S. Indrabhakti, S. Srimahachota, S. Boonyaratavej, T. Suthichaiyakul

Chulalongkorn Medical Journal

No abstract provided.

Stress In Mexican-American Adolescence And Its Relations To Family Structure And Socioeconomic Status, Diana Villanueva

Theses and Dissertations - UTB/UTPA

While previous research has demonstrated the importance of studying adolescence, few studies have explored the determinants of Mexican-American adolescent stress. Studies have shown that individual differences exist among adolescents that help determine adolescent stress. Individual differences such as family structure and socioeconomic status among Mexican-American adolescents may help to better understand adolescent stress. This study investigated incidence of Mexican-American adolescent stress in a public high school and middle school composed of 2,686 students from the Edinburg Consolidated Independent School District. Data was obtained from the Teen Life Survey administered in the spring of 1998 by Dr. Israel Cuellar. The relations …

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 …

Induction Of Apoptosis In Human Prostate Cancer Cells By Resveratrol, Gary Zulfikar Morris

Chemistry & Biochemistry Theses & Dissertations

Recently attention has been brought to trans-resveratrol's {TR) anticancer activity, as determined through a number of cultured cancer cell models. This activity was attributed to TR behaving as an estrogen, and the orientation of TR' s hydroxyl groups. Based on this work it was of interest to determine whether TR would also be toxic in prostate cancer cells; if toxic, did TR induce necrosis or apoptosis in the cells; was it toxic through hormone mediated pathways; and were TR's hydroxyl groups responsible for its biological activity. To this end, cellular viability was assessed in two different prostate cancer cell …

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.

Rubella Vaccine And Medical Policymaking: Fetal Rights And Women's Health, Jacob Heller

New England Journal of Public Policy

U.S. vaccine policies, to all appearances, are based on assumptions about cost effectiveness, safety, and public health needs. Analysis of the peer review health professions’ discourse about rubella vaccine between 1941 and 1999 challenges this view. There were four justifications for the development of the vaccine: (1) cost-benefit projections about vaccine use versus anticipated birth defects; (2) the desire to prevent “fetal wastage” by vaccinating women; (3) a professional imperative to ensure healthy babies; and (4) a bias among vocal vaccine advocates against “unnecessary” abortion. The role of a fifth consideration, the “cultural provenance” of vaccines for American medicine, though …