Medicine and Health Sciences Commons^™

Training Examiners For A National Epidemiological Survey Of Oral Mucosal Lesions, Rosnah Binti Zain, Razak I. A., Ikeda N., Axéll T., Downer M. C.

Prof. Dr. Rosnah Binti Zain

Ensuring the validity and reliability of data collected in epidemiological surveys is an important consideration. The purpose of the present report is to describe a training and calibration programme for 16 examiners taking part in a national survey of oral mucosal lesions and to present an evaluation of the results. The programme included the distribution of a pictorial manual to participants and a series of lectures followed by three diagnostic sessions, two using slides and the last involving patients. At the final session, the trainees classified 88 per cent of 16 patients correctly in comparison with the definitive diagnoses of …

Sport For All Programs For Health Improvement In Greece, Yanni D. Afthinos

Yanni D Afthinos

No abstract provided.

Unilateral Comminuted And Complicated Fracture Of The Mandible Due To Dog Attack, W.C. Ngeow, C. B. Lian

Wei Cheong Ngeow

Fractures of the mandible and their management are discussed in detail in textbooks and articles dealing with facial trauma. This paper presents the management and treatment of a case of a unilateral comminuted and complicated fracture of the mandible due to dog attack on a geriatric patient. The attack also severed the patient's right arm. Due to the severity of the trauma, an emergency surgery was performed on the mandible and arm.

Premature Mortality From Chronic Diseases In Brazil. [Portuguese], Paulo A. Lotufo

Paulo A Lotufo

This thesis evaluated the pattern of chronic diaseases mortality in Brazil during the 1980´s. We studied the age strata from 35-years-old to 64-years-old to analyze the chronic disease-related premature deaths. The questions are the following: 1. Are chronic disease-related premature deaths higher in Brazil than abroad? 2. Is premature mortality higher in males than in females? Which is the best indicator for premature mortality, age-adjusted rates or the impact of deaths elimination by Chiang’ method? Are there geographic or temporal differences in chronic diseases mortality rates among Brazilian metropolitan areas? 5. Which are the social and economics determinants of chronic …

Deadly Targeting Of Women In Promoting Cigarettes, Richard W. Pollay

Richard W. Pollay

No abstract provided.

The Last Straw? Cigarette Advertising And Realized Market Shares Among Youths And Adults, 1979-1993,, Richard W. Pollay

Richard W. Pollay

No abstract provided.

Will Unininsured People Volunteer For Voluntary Health Insurance? Experience From Washington State, Paula Diehr

Paula Diehr

OBJECTIVES: In national and local discussions of health care reform, there is disagreement about whether a national health insurance plan should be mandatory or voluntary. This study describes characteristics of low- income people who were more likely or less likely to be covered by a voluntary plan. METHODS: Survey data were available from an evaluation of Washington State's Basic Health Plan, which offered subsidized health insurance to low-income residents. For those subjects who were eligible and uninsured at baseline, those who joined were compared with those who did not join on a variety of demographic and health-related characteristics. RESULTS: There …

Clinical Parameters For Australian Practice: Modes Of Care., Dennis M. Richards

Dennis M Richards

This document presents, describes, defines, classifies and rates, according to published evidence, procedures commonly used by Australian chiropractors in the care of their patients.

An Unusual Dilacerated Root Of A Second Maxillary Molar, W.C Ngeow

Wei Cheong Ngeow

An unusual case of a second maxillary molar with a dilacerated root visible clinically is described. Apicectomy followed by retrograde amalgam filling was performed whereby gingival coverage and gingival seal was achieved.

Prevalence Of Oral Precancerous And Cancerous Lesions In Elderly Malaysians, Ali T. B., Jalalluddin R. L., Abdul Razak I., Rosnah Binti Zain

Prof. Dr. Rosnah Binti Zain

A house to house survey on elderly subjects aged 60 years old and above was undertaken in a large district in Malaysia. A total of 486 subjects in randomly selected Enumeration Blocks were interviewed and examined. The prevalence of oral precancerous lesions was recorded at 3.3%, of which leukoplakia was the most common. When the ethnic distribution of these oral precancerous and cancerous (OPC) lesions was compared, 72% of those inflicted were Indians. Oral cancer was detected in two subjects (0.4%), both of whom were of Indian origin. Among subjects with OPC lesions, 4.2% were smokers, 12.7% were betelquid chewers, …

Proliferating Cell Nuclear Antigen (Pcna) And P53 In Epithelial Dysplasia And Squamous Cell Carcinoma Of Oral Mucosa - A Marker For Poor Tumor Differentiation, Increasing Nuclear Atypia And Invasiveness?, Lan H. A., Rosnah Binti Zain, Saitoh M., Muramatsu Y., Shrestha P., Mori M.

Prof. Dr. Rosnah Binti Zain

The immunohistochemical expression of proliferating cell nuclear antigen (PCNA) and p53 was investigated in 9 cases of epithelial dysplasia and 38 cases of squamous cell carcinoma of the oral cavity. The intensity of immunoreactivity for each marker was assessed using a semiquantitative grading system, and was correlated with tumor differentiation, nuclear atypia and the patterns of invasive margins in the underlying connective tissue. PCNA expression, in dysplastic epithelium, was observed in the suprabasal and lower spinous layers; and the labeling grade and intensity of staining increased along the degree of cellular atypia. In 2 cases of dysplasia, weak positive immunoreactivity …

Student's T-Test And The Glasgow Coma Scale, Joseph Lucke

Joseph Lucke

Study Objective: To explore how Student's t test, which assumes normal errors, is affected by the nonnormal distribution of Glasgow Coma Scale (GCS) scores.

Methods: A sample of 145,295 GCS scores from the Pennsylvania Trauma Systems Foundation was assumed to represent the true GCS distribution. Four Monte Carlo simulations, each based on 40,000 replications, were conducted to approximate the distribution of t values arising from samples drawn from the GCS distribution, using sample sizes of 10, 30, 60, and 100 per group.

Results: The histograms of t values derived from the GCS distribution resembled the corresponding Student t distributions for …

Knowledge Of Risk Behaviors Of Persons Seeking Hiv Antibody Testing At A Community Site, R.L. Sowell, B. Seals, Kenneth D. Phillips

Kenneth D. Phillips

People seeking HIV antibody testing at a community-based AIDS service organization (N = 342) were asked to complete a self- report questionnaire to determine knowledge of HIV transmission, source(s) of HIV-related knowledge, and recent risk behaviors. The overall knowledge level of risk for transmitting HIV associated with 16 related behaviors was relatively high. Yet, 69% of the participants reported engaging in unsafe sex during the previous six months. Poorly informed subjects tended to overestimate their level of knowledge. In a multiple regression analysis, knowledge, age, and gender were the only significant predictors of engaging in unsafe sex in this cohort. …

Extrapunitive And Intropunitive Anger Of Hiv Caregivers: Nursing Implications, Kenneth D. Phillips, S.P. Thomas

Kenneth D. Phillips

The purpose of this qualitative study was to investigate the anger of individuals who have provided direct patient care to loved ones who are living with or who have died from AIDS. The sample consisted of eight individuals who are currently involved in an AIDS service organization in northeast Tennessee. Data were collected using semistructured taped interviews. At the beginning of the study, two group interviews were conducted. Subsequently, each of the participants was interviewed privately. Extrapunitive and intropunitive anger were predominant themes in each of the interviews. Participants also reported ways of coping with their anger. Nurses can suggest …

Protease Inhibitors: A New Weapon And A New Strategy Against Hiv, Kenneth D. Phillips

Kenneth D. Phillips

Until recently, reverse transcriptase inhibitors have been the mainstay for treating HIV infection. Now, three protease inhibitors have been approved. Early evidence suggests that triple therapy delays the progression of HIV infection. An understanding of these new drugs and treatment strategies is imperative for clinicians. This article (1) reviews HIV's structure and replication process, (2) discusses currently approved reverse transcriptase and protease inhibitors, (3) describes the antiretroviral drugs" modes of action, (4) discusses important nursing implications for monitoring clients on these drugs, and (5) presents current scientific evidence regarding the effectiveness of combination therapy strategies.