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An Investigation Of The Interest For A Nurse Re-Entry Program In Southeastern Ohio, Marsha K. Rodgers

Theses, Dissertations and Capstones

In the United States and throughout the world there is a serious concern in the growing nursing shortage. Many recruitment and retention techniques are currently being used to ease the nursing shortage. One such avenue is a nurse re-entry program. The primary purpose of this study was to determine the interest for a RN re-entry program in southeastern Ohio.

The data collected during the investigation used both qualitative and quantitative research techniques. Information was received through two survey questionnaires and two focus groups. The instruments were designed with the purpose of determining how many registered nurses were not working in …

Dose-Response Effects Of Lithium On Spatial Memory In The Black Molly Fish., Thomas Kyle Creson

Electronic Theses and Dissertations

Lithium continues to be widely prescribed for the management of bipolar disease, yet cognitive impairment-related side effects promote noncompliance of the treatment regimen. We have introduced a novel animal model, the black molly fish, to study dose-response effects of lithium on short-term (STM) and long-term (LTM) memories. We developed a method utilizing capillary ion analysis (CIA), to measure plasma and brain lithium levels employed in our behavioral studies. We then developed an appropriate testing environment to ascertain learning capacities of these fish. We established that black mollies could adequately perform a forced-choice spontaneous alternation (SA) task used extensively in rodents …

“Private” Crime In Public Housing: Violent Victimization, Fear Of Crime And Social Isolation Among Women Public Housing Residents, Claire M. Renzetti, Shana L. Maier

CRVAW Faculty Journal Articles

Although public housing is typically associated with high crime rates, little research has been done on fear of crime or violent victimization experiences among public housing residents. Moreover, there are few studies that look specifically at women’s fear of crime or violent victimization experiences in public housing, despite the fact that women constitute the majority of public housing residents. These issues were examined in the present study through interviews with female public housing residents in Camden, New Jersey (NJ). The interviews reveal high rates of violent victimization, especially at the hands of intimates and acquaintances. Fear of crime is also …

Innovation In Occupational Therapy Practice: Evidence In Working With Families Caring For Persons With Dementia, Laura N. Gitlin

Center for Applied Research on Aging and Health Research Papers

No abstract provided.

The Effectiveness Of Heart Failure Disease Management: Initial Findings From A Comprehensive Program, Janice L. Clarke, David B. Nash

College of Population Health Faculty Papers

A prevalent, chronic condition among members of the mushrooming elderly population in the United States, heart failure (HF) is a logical focus for population-based disease management. Evidence supporting the premise that multidisciplinary interventions can significantly improve clinical outcomes while decreasing the cost of medical care for people with HF is steadily mounting. A growing number of controlled and observational studies focus on the effects of HF disease management on re-admission rates, length of stay, and improvement in appropriate diagnostic testing and prescribing. This paper describes a large-scale, comprehensive HF program and reports on clinical quality, utilization, and financial outcomes observed …

Predicting High Utilization Of Emergency Department Services Among Patients With A Diagnosis Of Psychosis In A Medicaid Managed Care Organization, Tammy K. Girts, Albert G. Crawford, Neil I. Goldfarb, Mark Bachleda, Amy Grogg

College of Population Health Faculty Papers

Studies have demonstrated increased utilization of medical services for patients with behavioral health diagnoses. Medicaid managed care organizations (MMCOs) that operate under behavioral health carve-outs face the challenge of effectively targeting disease management initiatives in the absence of information on behavioral diagnoses. This study sought to develop a predictive model of emergency department (ED) utilization for patients where a diagnosis of psychosis could be identified from a claim associated with a medical service provider visit. A retrospective cohort analysis was performed using medical and pharmacy claims from an MMCO in Philadelphia, Pennsylvania, to identify patients known to have a diagnosis …

Prevalance Of Neural Axis Abnormalities In Patients With Infantile Idiopathic Scoliosis, Matthew B. Dobbs, Lawrence G. Lenke, Deborah A. Szymanski, Jose A. Morcuende, Stuart L. Weinstein, Keith H. Bridwell, Paul D. Sponseller

Open Access Publications

No abstract provided.

Psychosocial Predictors Of Survival In Persons With Hiv Or Aids, Carlos A. Escoto

Loma Linda University Electronic Theses, Dissertations & Projects

The HIV pandemic is in its second decade of existence. HIV has distinguished itself by effecting every part of the globe. It is estimated that there are currently over 40 million people living with HIV or AIDS diagnoses in the world today. Great strides have been made in the treatment of HIV and AIDS. Combination therapy of drugs has been shown to keep viral replication at very low levels. The result of drug therapies has resulted in keeping persons with HIV from progression to full blown AIDS. Also, drug therapies are responsible for a significant drop in mortality rates from …

Jefferson Alumni Bulletin – Volume 52, Number 1, December 2002

The Bulletin (formerly the Jefferson Medical College Alumni Bulletin)

Jefferson Alumni Bulletin – Volume 52, Number 1, December 2002 Dean's Column by Dean Thomas J. Nasca ’75, page 4 New Chairman of Medicine Art Feldman, page 6 Rao, Buchheit, Siegman, Wender Are Appointed Chairs, page 9 Emergency Medicine Is Made a Department, page 11 Hospital Is Named as the Best in Philadelphia, page 11 Technology Transfer in the 21st Century, page 12 In Kenya, Jeff Students Reach the Underserved, page 14 African Americans' Satisfaction with Medical Careers, page 15 Ana Maria Lopez '88: Reaching Out via Telemedicine, page 22 New Consolidation Rates for Student Borrowers, page 23 Monica Morrow …

Cancer Patterns In Quetta (1998-1999), Yasmin Bhurgri, Hadi Bhurgri, A. Ajam, Shahid Pervez, S. H. Hasan, A. Usman, J. A. Khan, Q. Kasi, I. Kasi, A. G. Rasool, A. Bhurgri, N. Faridi, J. Malik

Department of Pathology and Laboratory Medicine

Introduction: Quetta, the capital of Baluchistan, is located at latitude 30,25; longitude 67.00. It has a population of 759,245; 425,474 males (56%) and 333,771 females (44%); Census 1998. The majority of residents are Persian or Baluchi speaking Baluchs.

Methodology: The cancer cases from Quetta reported to the Karachi Cancer Registry were reviewed. The data included cases from the Aga Khan University Hospital (AKUH), Pathology Department (Quetta collection point) and health care facilities in Karachi. The residents of Baluchistan were ascertained and cancer cases residents of Quetta identified with the help of recorded addresses and retraceable telephone numbers.

Results: During a …

Co-Occurring Disorders And Selective Substance Use In Females Ages 10 To 25 Diagnosed With Attention Deficit Hyperactivity Disorder, Nancy A. Clinton

Dissertations

The paucity o f research on females diagnosed with attention deficit hyperactivity disorder (ADHD) precipitated this exploratory investigation into co-occurring disorders and selective substance use in females (n = 70), ranging in age between 10 and 25, diagnosed with ADHD and substance use disorder (SUD). Data extracted from archived substance abuse treatment center records were tested via chi-square analyses to determine proportional differences between frequencies in predetermined co-occurring disorder groups (disruptive behavior disorders, moodanxiety disorders, and learning disorders) and predetermined substance groups (stimulant, depressant, and cannabis) for the total ADHD cohort and for specific diagnoses (inattentive, hyperactive-impulsive, combined, and with …

The Development And Psychometric Testing Of An Instrument Measuring The Use Of Intuition By Nursing Students, Anita Joel Smith Phd, Mn, Rn

Dissertations

Measurement of intuition use among nursing students has not occurred because developed intuition measures have been designed specifically for experienced nurses. The purpose of this study was to develop and psychometrically evaluate an intuition instrument for nursing students. An intuition instrument can provide the means to (a) determine if students use intuition in care providing activities and (b) measure intuition use over time. Instrument development included (a) concept clarification, (b) item development, and (c) psychometric testing. Intuition was defined as a nonlinear process of knowing perceived through physical awareness, emotional awareness, and/or through physical or spiritual connections. Content experts established …

Getting Back: Successful Rehabilitation After A Hip Fracture, Carole Florek Hair Phd, Ms, Rn

Dissertations

Fracturing a hip is a devastating experience for the older adult, and mortality and morbidity following a hip fracture are high among this vulnerable population. Mortality rates from 12 to 37 percent have been reported within one year after a hip fracture. It is estimated that 50 percent of individuals who experience hip fractures become partially dependent in activities of daily living, and 33 percent become totally dependent in activities of daily living. Reducing morbidity by improving rehabilitation outcomes is an important healthcare goal for older adults. Motivating participation in rehabilitation activities poses a challenge for professional caregivers. The purpose …

Subsets More Likely To Benefit From Surgery Or Prophylactic Cranial Irradiation After Chemoradiation For Localized Non-Small-Cell Lung Cancer, Bruce Keith, Mark Vincent, Larry Stitt, Anna Tomiak, Richard Malthaner, Edward Yu, Pauline Truong, Richard Inculet, Michael Lefcoe, A. Dar, Walter Kocha, Ian Craig

Edward Yu

After chemoradiation for localized non-small-cell lung cancer, surgery and prophylactic cranial irradiation (PCI) have been used as additional therapies. Less than a third of patients develop brain recurrences, or have local recurrence as their sole initial site of recurrence; these are groups that would benefit from PCI or surgery, respectively. Pretreatment identification of patients more likely to benefit from surgery or PCI would be useful. A retrospective analysis of 80 patients was performed to determine prognostic factors for such patterns of failure. Twenty-nine patients were subsequently selected for surgery in a nonrandomized manner. Seventeen patients had isolated local initial recurrence …

Dietary Folate Intake Of Firefighters In Metro-Dade County And Their Risk For Cardiovascular Disease, Kathrine Berdebes

FIU Electronic Theses and Dissertations

The purpose of this study was to show variations of folate intake, folate food sources, and diet by age, gender, and ethnicity in Metro-Dade Firefighters and to also determine the prevalence of obesity, physical inactivity and history heart disease. Low folate status may play a role in cardiovascular risk via its effect on homocysteine metabolism. Firefighters (n=127) recruited from randomly selected fire stations completed food-frequency and socio-demographic questionnaires.

Significantly (p<.05) more African-Americans failed to meet at least 75% of the dietary reference intake (DRI) for folate than whites or Hispanics. There were significant differences in protein, vegetable, and meat intakes between age groups. Almost 78% of firefighters were overweight (BMI≥25). There were significant (p<.001) differences in BMI among ethnic groups. Older firefighters reported significantly (p<.05) more CVD risk factors than younger firefighters. Metro-Dade firefighters were found to be similar to the general US population in that most of the risk factors, overweight and obesity, high fat intakes, and low folate intake were modifiable and diet related.

Depression: A Decade Of Progress, More To Do, Veronica V. Goff

National Health Policy Forum

This issue brief discusses the most recent findings on depression prevalence and cost; examines trends in outpatient treatment, including the dramatic growth in antidepressant use; discusses efforts to improve treatment in primary care; and explores possible public policy avenues for improving treatment access and quality.

Leiomyosarcoma Presenting As A Spontaneously Ruptured Renal Tumor-Case Report, Mohammad Moazzam, M Hammad Ather, Akber S. Hussainy

Department of Pathology and Laboratory Medicine

Background:
Ruptured renal neoplasms can be a catastrophic clinical presentation. Angiomyolipoma is the commonest renal tumor which presents in this fashion. Renal sarcomas are rare renal neoplasms. Renal leiomyosarcomas are the most common histological subtype of renal sarcomas, accounting for approximately 50-60% of the reported cases. These tumors are usually peripherally located and appear to arise from either the renal capsule or smooth muscle tissue in the renal pelvic wall.
Case presentation:
A 70 years old male, with hypertension and ischemic disease, developed acute left flank pain. The general physician evaluated this using ultrasound, which showed a solid left renal …

Flight Physician - November, 2002, Civil Aviation Medical Association

Browse all Civil Aviation Medical Association Newsletters

A sixteen page newsletter of the Civil Aviation Medical Association. The newsletter provided news about civil aviation medicine and information related to the organization.

Endogenous Gonadal Hormone Exposure And Bone Sarcoma Risk, Dawn M. Cooley, Benjamin C. Beranek, Deborah L. Schlittler, Nita W. Glickman, Lawrence T. Glickman, David J. Waters

Endocrinology Collection

Although experimental and clinical evidence suggest that endogenous sex hormones influence bone sarcoma genesis, the hypothesis has not been adequately tested in an appropriate animal model. We conducted a historical cohort study of Rottweiler dogs because they frequently undergo elective gonadectomy and spontaneously develop appendicular bone sarcomas, which mimic the biological behavior of the osteosarcomas that affect children and adolescents. Data were collected by questionnaire from owners of 683 Rottweiler dogs living in North America. To determine whether there was an association between endogenous sex hormones and risk of bone sarcoma, relative risk (RR) of incidence rates and hazard ratios …

Comparisons Of American, Israeli, Italian And Mexican Physicians And Nurses On The Total And Factor Scores Of The Jefferson Scale Of Attitudes Toward Physician-Nurse Collaborative Relationships, Mohammadreza Hojat, Joseph S. Gonnella, Thomas J. Nasca, Sylvia K. Fields, Americo Cicchetti, Alessandra Lo Scalzo, Francesco Taroni, Anna Maria Vincenza Amicosante, Manuela Macinati, Massimo Tangucci, Carlo Liva, Gualtiero Ricciardi, Schmuel Eidelman, Hanna Admi, Hana Geva, Tanya Mashiach, Gideon Alroy, Adelina Alcorta-Gonzalez, David Ibarra, Antonio Torres-Ruiz

CRMEHC Faculty Papers

This cross-cultural study was designed to compare the attitudes of physicians and nurses toward physician–nurse collaboration in the United States, Israel, Italy and Mexico. Total participants were 2522 physicians and nurses who completed the Jefferson Scale of Attitudes Toward Physician–Nurse Collaboration (15 Likert-type items, (Hojat et al., Evaluation and the Health Professions 22 (1999a) 208; Nursing Research 50 (2001) 123). They were compared on the total scores and four factors of the Jefferson Scale (shared education and team work, caring as opposed to curing, nurses, autonomy, physicians’ dominance). Results showed inter- and intra-cultural similarities and differences among the study groups …

What Will My Parents Think? Relations Among Adolescents’ Expected Parental Reactions, Prosocial Moral Reasoning, And Prosocial And Antisocial Behaviors, Jennifer M. Wyatt, Gustavo Carlo

Department of Psychology: Faculty Publications

Prior researchers confirmed socialization models depicting parenting practices and social cognitions associated with prosocial and antisocial behaviors. However, little research has focused on processes underlying the link between parenting and these behaviors. Per Grusec and Goodnow’s internalization model, children and adolescents develop expectancies regarding their parents’ reactions to their behaviors. Adolescents’ expected parental reactions to prosocial behaviors were hypothesized to predict prosocial behaviors; expectations regarding antisocial behaviors were expected to predict antisocial behaviors. For this study, 80 adolescents and their parents reported adolescents’ antisocial and prosocial behaviors. Adolescents completed a measure of prosocial moral reasoning and an assessment of how …

Adolescent Risk Factors For Sexual Victimization: A Longitudinal Analysis Of Rural Women, Janine M. Zweig, Aline Sayer, Lisa J. Crockett, Judith R. Vicary

Department of Psychology: Faculty Publications

Longitudinal data were used to examine risk factors for sexual victimization among 237 young adult rural women. In this sample, 8% reported experiencing forced sex (i.e., physically violent experiences) and a separate 22% reported experiencing coerced sex (i.e., external psychological manipulation, substance-related coercion, or internal psychological pressure.) Women who had more educated mothers had a greater probability of reporting forced sex. In addition, mothers’ education moderated the relationship between individual risk factors and the probability of reporting forced sex. For women with less educated mothers, higher frequency of sexual activity during adolescence was related to an increased probability of reporting …

A Comprehensive Study Of Patients With Surgically Treated Lumbar Spinal Stenosis With Neurogenic Claudication, Yasutsugu Yukawa, Lawrence G. Lenke, Keith H. Bridwell, K. Daniel Riew, Kathy Blanke

Open Access Publications

No abstract provided.

Activity Patterns And Correlates Among Youth: Differences By Weight Status, Wendell C. Taylor, James F. Sallis, Marsha Dowda, Patty S. Freedson, Karen Eason, Russell R. Pate

Faculty Publications

The purposes of the study were to assess differences in physical activity levels and correlates of physical activity among overweight (‡ 85th percentile of body mass index for their sex and age) and non-overweight (< 85th percentile) youth. The sample included 509 seventh through twelfth graders. Activity was measured by a 7-day, 46-item activity checklist. Overweight girls were more sedentary than non-overweight girls (p<.03), and non-overweight girls engaged in more vigorous physical activity than overweight girls (p<.03). For boys, there were no significant differences in activity. The regression analyses for vigorous activity yielded the largest total R²'s (R²=.049 for overweight and R²=.27 for non-overweight.) The significant factor for overweight youth was greater athletic coordination (p<.01). For non-overweight youth, the significant factors were greater family support (p<.05), greater peer support (p<.001), fewer barriers (p<.03), and greater athletic coordination (p<.01). Correlates of physical activity vary by weight status of young people.

Medical Students' Personality Characteristics And Academic Performance: A Five-Factor Model Perspective, Filip Lievens, Pol Coetsier, Filip De Fruyt, Jan De Maeseneer

Research Collection Lee Kong Chian School Of Business

Objectives: This study investigates: (1) which personality traits are typical of medical students as compared to other students, and (2) which personality traits predict medical student performance in pre-clinical years. Design: This paper reports a cross-sectional inventory study of students in nine academic majors and a prospective longitudinal study of one cohort of medical students assessed by inventory during their first pre-clinical year and by university examination at the end of each pre-clinical year. Subjects and methods: In 1997, a combined total of 785 students entered medical studies courses in five Flemish universities. Of these, 631 (80.4%) completed the NEO-PI-R …

The Influences Of Culture, Socioeconomics, And Migration On The Mexican Immigrant Experience, Jean M. Gunderson

Theses and Graduate Projects

During the past eight years, there has been an increase in the migratory patterns offtamilies from Mexico to a rural community in Minnesota, served by Maternal Child public health nurses. Many of these families are undocumented or are of Mixed Citizenship status, citizens and undocumented residing together, and live in poverty. This ethnographic study examines the migratory experiences of these immigrants and the interconnection to the socioeconomic and cultural influences of community.

The primary tools of poetry, cultural stories, and photography, are incorporated in this field project. Understanding the cultural and socioeconomic context of migration for Mexican immigrants may strengthen …

An Empirical Study Of Marginal Structural Models For Time-Independent Treatment, Tanya A. Henneman, Mark J. Van Der Laan

U.C. Berkeley Division of Biostatistics Working Paper Series

In non-randomized treatment studies a significant problem for statisticians is determining how best to adjust for confounders. Marginal structural models (MSMs) and inverse probability of treatment weighted (IPTW) estimators are useful in analyzing the causal effect of treatment in observational studies. Given an IPTW estimator a doubly robust augmented IPTW (AIPTW) estimator orthogonalizes it resulting in a more e±cient estimator than the IPTW estimator. One purpose of this paper is to make a practical comparison between the IPTW estimator and the doubly robust AIPTW estimator via a series of Monte- Carlo simulations. We also consider the selection of the optimal …

The Influence Of Warning Label Presentation In Memory Recognition Of Aging Adults, Brian J. Call

Master's Theses - Daytona Beach

Research indicates that hundreds of thousands of people are injured each year as a result of poor communication between medical personnel, warning label information, and consumers when taking over the counter or prescription medication. Typically, as adult's age, they are increasingly responsible for remembering the hazards of taking medications. If inadequate information exists in memory in regards to side effects, dosage, and other warnings, the likelihood of improper usage will increase. Because aging adults typically have a reduction in cognitive resources, it was hypothesized that older adults would require the aid of additional warning information to assist in the retrieval …

Friendship Quality In Youth Disability Sport: Perceptions Of A Best Friend, Jeffrey J. Martin, Kerry Smith

Kinesiology, Health and Sport Studies

The purpose of the current investigation was to examine friendship quality with a best friend in youth disability sport with an international sample of moderately experienced athletes with disabilities ages 9 to 18 years. Participants were 85 males and 65 females from four countries who competed in track and field and swimming. Data were collected with the Sport Friendship Quality Scale (Weiss & Smith, 1999). An exploratory factor analyses indicated that participants viewed their friendship quality with a best friend in disability sport as having both positive and negative dimensions. The latter focused exclusively on conflict experiences. Females reported stronger …

Unlv Magazine, Barbara Cloud, Bill Glovin, Andy Grossman, Mae Flennoy, Jennifer Vaughan

UNLV Magazine

No abstract provided.