Digital Commons Network^™

Canadian Medical Officers In The Royal Navy--World War Ii, Vivian C. Mcalister

Vivian C. McAlister

Untrained Volunteers Are Marginally Effective In Delivering Public Access Defibrillation, Richard N. Bradley, Lynda J. Schoenstein, Mohhamad Alshanti

Richard N Bradley

Study objectives: This study analyzed the behavior of untrained volunteers when presented with a simulated cardiac arrest and an automated external defibrillator (AED). The primary hypothesis of this study was that volunteers could, with no advance training, operate an AED to deliver a defibrillation to a mannequin in 3 minutes or less at least 75% of the time. The secondary hypothesis was that this population would perform all of the tasks considered essential in AED use (establish unresponsiveness, check for breathing, give 2 rescue breaths, check for pulse, apply electrodes correctly, clear patient, activate emergency medical services (EMS) response, and …

7. Richard S. Stein, Otto Vogl, Judith Balise Stein

Otto Vogl

No abstract provided.

Factor Analysis Of The Dsm-Iii-R Borderline Personality Disorder Criteria In Psychiatric Inpatients, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Objective: The goal of this study was to examine the factor structure of the DSM-III-R criteria for borderline personality disorder in young adult psychiatric inpatients.

Method: The authors assessed 141 acutely ill inpatients with the Personality Disorder Examination, a semistructured diagnostic interview for DSM-III-R personality disorders. They used correlational analyses to examine the associations among the different criteria for borderline personality disorder and performed an exploratory factor analysis.

Results: Cronbach’s coefficient alpha for the borderline personality disorder criteria was 0.69. A principal components factor analysis with a varimax rotation accounted for 57.2% of the variance and revealed three homogeneous factors. …

Drug Combo Winning War On Rejection: Qeii Doctors Getting Amazing Results With Fk506, Rapamycin, Ann Graham-Walker

Vivian C. McAlister

Abdominal Fluid Collection After Laparoscopic Cholecystectomy, Vivian C. Mcalister

Vivian C. McAlister

Measuring The "Managedness" And Covered Benefits Of Health Plans, Paula Diehr, David Grembowski

Paula Diehr

STUDY AIMS: (1) To develop indexes measuring the degree of managedness and the covered benefits of health insurance plans, (2) to describe the variation in these indexes among plans in one health insurance market, (3) to assess the validity of the health plan indexes, and (4) to examine the association between patient characteristics and the health plan indexes. Measures of the "managedness" and covered benefits of health plans are requisite for studying the effects of managed care on clinical practice and health system performance, and they may improve people's understanding of our complex health care system. DATA SOURCES/STUDY SETTING: As …

Outdoor Allergens, H A. Burge, Christine A. Rogers

Christine A. Rogers

Outdoor allergens are an important part of the exposures that lead to allergic disease. Understanding the role of outdoor allergens requires a knowledge of the nature of outdoor allergen-bearing particles, the distributions of their source, and the nature of the aerosols (particle types, sizes, dynamics of concentrations). Primary sources for outdoor allergens include vascular plants (pollen, fern spores, soy dust), and fungi (spores, hyphae). Nonvascular plants, algae, and arthropods contribute small numbers of allergen-bearing particles. Particles are released from sources into the air by wind, rain, mechanical disturbance, or active discharge mechanisms. Once airborne, they follow the physical laws that …

Chemical & Biological Weapons Reference Chart, Richard N. Bradley

Richard N Bradley

Health Care Providers' Quick Reference Chart to Biological and Chemical Weapons. Includes symptoms and treatment for Nerve Agents (Tabun, Sarin, Soman, and VX), Cyanides, Vesicants (Blister Agents including Mustard and Lewisite), Pulmonary Intoxicants (including chlorine and phosgene), and Riot Control Agents (pepper spray and Mace). Also includes information on detection and treatment for Biological Agents, including Anthrax, Cholera, Plague, Tularemia, Q Fever, Smallpox, Viral encephalitides, Viral hemorrhagic fevers, Botulism, Staphlococcus enterotoxin B, and Ricin.

Race, Gender, And Status: A Content Analysis Of Print Advertisements In Four Popular Magazines, Melvin E. Thomas, Linda A. Treiber

Linda A. Treiber

Polymorphic Repeat In Aib1 Does Not Alter Breast Cancer Risk, Haiman Christopher, Susan Hankinson, Donna Spiegelman, Graham Colditz, Walter Willett, Frank Speizer, Myles Brown, David Hunter

Susan E. Hankinson

We assessed the association between a glutamine repeat polymorphism in AIB1 and breast cancer risk in a case-control study (464 cases, 624 controls) nested within the Nurses' Health Study cohort. We observed no association between AIB1 genotype and breast cancer incidence, or specific tumor characteristics. These findings suggest that AIB1 repeat genotype does not influence postmenopausal breast cancer risk among Caucasian women in the general population.

Polymorphic Repeat In Aib1 Does Not Alter Breast Cancer Risk, Haiman A. Christopher, Susan E. Hankinson, Donna Spiegelman, Graham A. Colditz, Walter C. Willett, Frank E. Speizer, Myles Brown, David J. Hunter

Graham Andrew Colditz

We assessed the association between a glutamine repeat polymorphism in AIB1 and breast cancer risk in a case-control study (464 cases, 624 controls) nested within the Nurses' Health Study cohort. We observed no association between AIB1 genotype and breast cancer incidence, or specific tumor characteristics. These findings suggest that AIB1 repeat genotype does not influence postmenopausal breast cancer risk among Caucasian women in the general population.

Social Work Practice In The Real World: An Argument For Evidence Tested Practice, Tomi Gomory

Tomi Gomory

This chapter explores the relevance of practice guidelines for the advancement of clinical social work by attempting to explicate the current epistemology of empirical social work practice, Justificationism, and contrasting it with an alternate epistemology, Fallibilism (Karl Popper’s Critical Rationalism). The chapter asserts the superiority of fallibilism for the advancement of knowledge and recommends its implementation. It is further argued that whether or not clinical practice guidelines are essential to practice depends on whether guidelines can be more explanatory (helpful) than some other alternative such as Falibilitic Critical Thinking (Fa.C.T.) when critically assessed against it. Examples and arguments are offered …

Mental Health Parity: National And State Perspectives 2000: A Report To The Florida Legislature, Bruce Lubotsky Levin, Ardis Hanson, Richard Coe, Sara A. Kuppin

Ardis Hanson

By failing to appropriately treat adults and children with severe mental illness, we incur enormous social costs through payments for disability benefits (Medicaid, SSI, SSDI), increased medical expenses, accidents and suicides, avoidable criminal justice proceedings, lost productivity, and increased need for homeless shelters and services. People who are underinsured are forced by arbitrary caps and limits to increasingly rely on the public sector. By providing parity for mental health, Florida will bring mental health into the mainstream of health care and become a leader in dispelling the prejudice that surrounds treatment of persons with severe mental illness.

How Much Asthma Is Occupationally Related?, David M. Mannino

David M. Mannino

Asthma is a chronic respiratory disease that is increasing in both prevalence and mortality in developed countries around the world. Occupational exposures to sensitizers and irritants are causes of both asthma cases and asthma exacerbations in adults. The determination of how many cases of asthma may be caused or worsened by occupational exposures is highly dependent on how asthma is defined, what constitutes work-relatedness, and what specific methodology is employed. Surveillance-based methods generally have found the lowest proportion of work-related asthma, ranging from 1-8% of cases. Other types of studies, using exposed-unexposed methodology or interviews of incident asthma cases, have …

The Collaborative Longitudinal Personality Disorders Study: Reliability Of Axis I And Ii Diagnoses., Mary C. Zanarini, Andrew E. Skodol, Donna S. Bender, Regina T. Dolan, Charles A. Sanislow, Elizabeth Schaefer, Leslie C. Morey, Carlos M. Grilo, M. Tracie Shea, Thomas H. Mcglashan, John G. Gunderson

Charles A. Sanislow, Ph.D.

Both the interrater and test-retest reliability of axis I and axis II disorders were assessed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and the Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV). Fair-good median interrater K (.40-.75) were found for all axis II disorders diagnosed five times or more, except antisocial personality disorder (1.0). All of the test-retest K for axis II disorders, except for narcissistic personality disorder (1.0) and paranoid personality disorder (.39), were also found to be fair-good. Interrater and test-retest dimensional reliability figures for axis II were generally higher than those for their categorical …

The Measurement Properties Of Fitness Measures And Health Status For Persons With Spinal Cord Injuries, Malcolm W. Stewart, Sandee L. Melton-Rogers, Sarah Morrison, Stephen F. Figoni

Sarah Morrison, PT, MBA, MHA

Verpleegkundiges Se Kommunikasie-Stimulasie Van Hoë-Risiko Babas In Die Neonatale Sorgeenheid : Oorsig, Elmien Kraamwinkel, Brenda Louw

Brenda Louw

Black Athletes At The Millenium, Keith Harrison

Dr. C. Keith Harrison

No abstract provided.

Cloning And Sequencing Of The Iss Gene From A Virulent Avian Escherichia Coli, Shelley M. Horne, Samantha J. Pfaff-Mcdonough, Catherine W. Giddings, Lisa K. Nolan

Lisa K. Nolan

Control of colibacillosis is important to the poultry industry. We have found that the presence of a gene for increased serum survival, iss, is strongly correlated with Escherichia coli isolated from birds with colibacillosis. Therefore, the iss gene and its protein product, Iss, are potential targets for detection and control of avian colibacillosis. The iss gene was amplified from a virulent avian E. coli isolate and sequenced. The sequences of the gene and the predicted protein product were compared with those of iss from a human E. coli isolate and lambda bor. The iss gene from the avian E. coli …

Iss From A Virulent Avian Escherichia Coli, Steven L. Foley, Shelley M. Horne, Catherine W. Giddings, Michael Robinson, Lisa K. Nolan

Lisa K. Nolan

No single characteristic of virulent avian Escherichia coli has been identified that can be exploited in colibacillosis detection protocols. Research in our lab suggests a strong association between the presence of an iss DNA sequence with an isolate's disease-causing ability. The study presented here focuses on the techniques used in the expression, purification, and characterization of avian E. coli Iss protein. In brief, iss was cloned into an expression vector, the construct was transformed into a protease-deficient E. coli, and expression was induced. The protein was expressed as a glutathione-S-transferase (GST) fusion and purified by affinity chromatography. The GST portion …

Complement Resistance-Related Traits Among Escherichia Coli Isolates From Apparently Healthy Birds And Birds With Colibacillosis, Samantha J. Pfaff-Mcdonough, Shelley M. Horne, Catherine W. Giddings, Jessica O. Ebert, Curt Doetkott, M. Herbert Smith, Lisa K. Nolan

Lisa K. Nolan

In this study, 294 Escherichia coli isolates from birds with colibacillosis were collected from disease outbreaks throughout the United States and were compared with 75 fecal E. coli isolates of apparently healthy chickens by their possession of several purported virulence genes, resistance to rough-lipopolysaccharide-specific bacteriophages (rLPSr), and elaboration of capsule. Traits were selected for study on the basis of their association with complement resistance. The genes targeted in this study included those encoding colicin V (cvaC) and the outer membrane proteins TraT (traT), OmpA (ompA), and Iss (iss). No significant differences were found between the two groups of isolates in …

A Comparison Of Service Delivery Models: Effects On Curricular Vocabulary Skills In The School Setting, Rebecca Throneburg, Lynn K. Calvert, Jennifer J. Sturm, Alexis A. Paramboukas, Pamela J. Paul

Rebecca Throneburg

The present study evaluated the effectiveness of three service delivery models in the elementary school setting. Differences were investigated between (a) a collaborative approach, (b) a classroom-based intervention model with the speech-language pathologist (SLP) and classroom teachers working independently, and (c) a traditional pull-out model for children in kindergarten through third grade who qualified for speech or language services. The same curricular vocabulary targets and materials were used in all conditions. This study also examined the vocabulary skills of regular education children who participated in the collaborative approach, the independent classroom-based model, or received instruction from only classroom teachers, without …

Relation Of Therapeutic Alliance And Perfectionism To Outcome In Brief Outpatient Treatment Of Depression, David C. Zuroff, Sidney J. Blatt, Stuart M. Sotsky, Janice L. Krupnick, Daniel J. Martin, Charles A. Sanislow, Sam Simmens

Charles A. Sanislow, Ph.D.

Prior analyses of the National Institute of Mental Health Treatment of Depression Collaborative Research Program demonstrated that perfectionism was negatively related to outcome, whereas both the patient's perception of the quality of the therapeutic relationship and the patient contribution to the therapeutic alliance were positively related to outcome across treatment conditions (S. J. Blatt, D. C. Zuroff, D. M. Quinlan, & P. A. Pilkonis, 1996; J. L. Krupnick et al., 1996). New analyses examining the relations among perfectionism, perceived relationship quality, and the therapeutic alliance demonstrated that (a) the patient contribution to the alliance and the perceived quality of the …

The Development Of Aids Federal Civil Rights Law: Anti-Discrimination Law Protection Of Persons Infected With Human Immunodeficiency Virus, Donald H. J. Hermann

Donald Hermann

No abstract provided.

Terminology Work: Tools And Processes That Make A Difference, Uwe Muegge

Uwe Muegge

Technical texts, i.e., technical literature proper (data sheets, user documentation, scientific publications, etc.), as well as the whole range of medical and legal texts, have one feature in common: Their authors make generous use of: a) words not in common usage, e.g., dongle (a computer hardware device that prevents unauthorized use of protected software); and/or b) words that are in common usage but have a slightly, or even totally, different meaning in the special language, e.g., bug (in the general sense, this means a small insect, but in the computer software field, this is a small defect in the code …

The Ethics Of Caring And Medical Education, William T. Branch Jr. Md, Macp

William T.Branch Jr.MD

The ethics of caring, though the subject of much recent discussion by philosophers, has hardly been applied to medical ethics and medical education. Based on receptivity (that is, empathy and compassion) toward and taking responsibility for other persons, the ethics of caring has particular relevance to medicine. Caring guides the physician always to remain the patient's advocate and to maintain the therapeutic relationship when dealing with and resolving ethical dilemmas. This article discusses the philosophy behind the ethics of caring and then explores three issues that arise within its context: receptivity, taking responsibility, and creating an educational environment that fosters …

Supporting The Moral Development Of Medical Students, William T. Branch Jr. Md, Macp

William T.Branch Jr.MD

Philosophers who studied moral development have found that individuals normally progress rapidly in early adulthood from a conventional stage in which they base behavior on the norms and values of those around them to a more principled stage where they identify and attempt to live by personal moral values. Available data suggest that many medical students, who should be in this transition, show little change in their moral development. Possibly, this relates to perceived pressures to conform to the informal culture of the medical wards. Many students experience considerable internal dissidence as they struggle to accommodate personal values related to …

Unusual Tooth Sensation Due To Maxillary Sinusitis--A Case Report, W.C. Ngeow

Wei Cheong Ngeow

Maxillary sinusitis can cause pain or discomfort to the maxillary dentition but no report of patients complaining of a "jumping tooth sensation" during sinusitis has been recorded in the literature. This article presents a case of an unusual localised sensation from a maxillary right second premolar experienced while undergoing root canal treatment. This sensation was felt during walking while the patient was suffering an episode of influenza. This sensation first occurred following debridement of the root canal. However, it persisted even after the root canal had been sealed. A hypothetical explanation of this manifestation is proposed.

Red Man Syndrome During Administration Of Prophylactic Antibiotic Against Infective Endocarditis, W.C. Ngeow, W. L. Chai, A. B. Moody

Wei Cheong Ngeow

Red man syndrome (RMS) is the occurrence flushing, pruritus, chest pain, muscle spasm or hypotension during vancomycin infusion. It usually happens as a result of rapid infusion of the drug but may also occur after slow administration. The frequency and severity of this phenomenon diminish with repeated administration of vancomycin. A case is presented whereby RMS occurred while prophylactic antibiotic against infective endocarditis was administered.