Medicine and Health Sciences Commons^™

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.

Predictive Factors Of Persistence And Recovery: Pathways Of Childhood Stuttering, Ehud Yairi, Nicoline G. Ambrose, Elaine P. Paden, Rebecca Throneburg

Rebecca Throneburg

This article presents broad preliminary findings from a longitudinal study of stuttering pertaining to differentiation of developmental paths of childhood stuttering, as well as possible early prediction of High Risk, Low Risk, and No Risk for chronic stuttering. More than 100 preschool children who stutter have been closely followed for several years from near the onset of stuttering using a multiple data collection system, with 45 nonstuttering children serving as controls. Thirty-two stuttering and 32 control subjects who have progressed through several stages of the investigation were identified for the present indepth analyses. They represent four subgroups: I. Persistent Stuttering; …

How Do Children Tell: The Disclosure Process In Child Sexual Abuse, April Bradley, James M. Wood

James M. Wood

Children's disclosure of sexual abuse has been described as a quasi-developmental process that includes stages of denial, reluctance, disclosure, recantation, and reaffirmation (Sorenson & Snow, 1991, Summit, 1983). It has been reported that nearly 75% of sexual abuse victims initially deny abuse and that nearly 25% eventually recant their allegations (Sorenson & Snow, 1991). The present study examined disclosures in 234 sexual abuse cases validated by Protective Services in El Paso, Texas. Denial of abuse occurred in 6% of cases, and recantation in 4% of cases in which a child had already disclosed abuse. Four of the eight victims who …

Placebo Orthodoxy In Clinical Research I: Empirical And Methodological Myths, Benjamin Freedman, Charles Weijer, Kathleen Glass

Charles Weijer

No abstract provided.

Empowerment Of Graduate Nursing Students: A Dialogue Toward Change, Genevieve Chandler, S. Roberts

Genevieve E. Chandler

This article represents the first phase in exploration of empowerment of graduate advanced practice nursing students. This phase includes a review of the relevant literature on empowerment and discusses the applicability of this literature to current educational practice. The authors suggest that creating an empowering environment for learning necessitates dramatic change in teaching methodology and in faculty-student perspective about their roles. An ongoing dialogue among faculty and between students and faculty is proposed to begin to conceptualize this change. This article also presents a synopsis of a dialogue between the two authors intended to stimulate further discussion.

Do The Right Thing, Charles Weijer

Charles Weijer

McGill ethicists help ensure that medical research conforms to the highest scientific and ethical standards.

Analysis Of The Origins Of Nurse Practitioner Regulations In Pennsylvania, 1970-1980, Pg, Investigator, $15,000, Pew Foundation (Linda Aiken, Ph.D., Rn, Faan, Principal Investigator), Julie Fairman

Julie A Fairman

No abstract provided.

Frozen Festivals: Ceremony And The Carnaval In The Montreal Winter Carnivals 1883-1889, Don Morrow

Donald Morrow

No abstract provided.

The Harmonic Scalpel, Christopher Michetti, D Alvear

Christopher P. Michetti, M.D., F.A.C.S.

No abstract provided.

Review Of Passion And Reason: Making Sense Of Our Emotions By Richard And Bernice Lazarus, Louis Charland

Louis C. Charland

No abstract provided.

Placebo Orthodoxy In Clinical Research Ii: Ethical, Legal, And Regulatory Myths, Benjamin Freedman, Kathleen Glass, Charles Weijer

Charles Weijer

No abstract provided.

Epilepsy, Michael Rogawski

Michael A. Rogawski

No abstract provided.

Oral History Of Nurse Educator Florence Downs, Ph.D., Rn, Faan, Pg, Principal Investigator, $900, Sigma Theta Tau, Xi Chapter (Margaret Mahon, Ph.D., Rn, Co-Principal Investigator), Julie Fairman

Julie A Fairman

No abstract provided.

Interviewing As A Teaching Strategy For Promoting Cultural Sensitivity, Ida Slusher, C. Newel-Withrow

Ida Slusher

Interviewing was found to be an excellent teaching strategy in the promotion of cultural sensitivity in the course described in this article. Students were active learners in the acquisition of knowledge and critical thinkers in the analysis of the knowledge. Leininger (1991) emphasized the need for cultural sensitivity and cultural specific care in assisting supporting, facilitating, and/or enabling "individuals or groups to maintain or regain their well being (or health) in culturally meaningful and beneficial ways, or to help people face handicaps or death" (p.47). The need for further research on teaching strategies for promoting cultural sensitivity and on interviewing …

Gastroschisis: Delayed Vs. Primary Closure, Christopher Michetti, D Alvear

Christopher P. Michetti, M.D., F.A.C.S.

No abstract provided.

Adenovirus-Mediated Gene Transfer Of The Tumor Suppressor, P53, Induces Apoptosis In Postmitotic Neurons, R. Slack, Daniel Belliveau, M. Rosenberg, J. Atwal, H. Lochmuller, R. Aloyz, A. Haghighi, B. Lach, P. Seth, E. Cooper, F. Miller

Daniel J. Belliveau

Programmed cell death is an ongoing process in both the developing and the mature nervous system. The tumor suppressor gene, p53, can induce apoptosis in a number of different cell types. Recently, the enhanced expression of p53 has been observed during acute neurological disease. To determine whether p53 overexpression could influence neuronal survival, we used a recombinant adenovirus vector carrying wild type p53 to transduce postmitotic neurons. A control consisting of the same adenovirus vector background but carrying the lacZ reporter expression cassette was used to establish working parameters for the effective genetic manipulation of sympathetic neurons. We have found …

An Improved Diagnostic Test For Rod Cone Dysplasia 1 (Rcdl) Using Allele-Specific Polymerase Chain Reaction, Kunal Ray, Maria Lara Tejero, Victoria Baldwin, Gustavo Aguirre

Gustavo D. Aguirre, VMD, PhD

With Craft And Guile: Canada's Jimmy Mclarnin And The Business Of Welterweight Boxing During The Great Depression, Don Morrow

Donald Morrow

No abstract provided.

Contemporary Cardiac Rehabilitation Patient Characteristics And Temporal Trends Over The Past Decade- Richardson 2000.Pdf, Laura Richardson

Dr. Laura Richardson, RCEP

No abstract provided.

Informed Consent And Patients' Rights In Japan, Robert B. Leflar

Robert B Leflar

This article analyzes the development of the concept of informed consent in the context of the culture and economics of Japanese medicine, and locates that development within the framework of the nation's civil law system. Part II sketches the cultural foundations of medical paternalism in Japan; explores the economic incentives (many of them administratively directed) that have sustained physicians' traditional dominant roles; and describes the judiciary's hesitancy to challenge physicians' professional discretion. Part III delineates the forces testing the paternalist model: the undermining of the physicians' personal knowledge of their patients that accompanies the shift from neighborhood clinic to high-tech …

The Ball Mill As A Means Of Investigating The Mechanical Failure Of Dental Materials, Noor Hayaty Abu Kasim Abu Kasim N.H.

Noor Hayaty Abu Kasim Abu Kasim N.H.

Objective: The main purpose of this paper is to present a new method of predicting clinical performance using mechanical loading in a ball mill. Methods: A series of four experiments (two involving a hybrid composite and one each on orthodontic brackets and bands) is described in which the ball mill was used to subject specimens to mechanical fatigue. Results: A reproducibility study using composite beam specimens showed no significant difference between the Mean Survival Time (MST) in all the three experimental runs (P = 0.42). When subjected to thermal cycling, the MST of the cycled group was 155.0 min compared …

Medical Investigation Of Suspects By The Police, Jack Tsen-Ta Lee

Jack Tsen-Ta LEE

Suffering, Ethics, And The Body Of Christ: Anointing As A Strategic Alternative Practice, M. Therese Lysaught

M. Therese Lysaught

No abstract provided.

Why I Am A Psychiatric Scientist, Kevin J. Black

Kevin J. Black, MD

No abstract provided.

Characteristics Of The Effective Therapist: Further Analyses Of The Nimh Tdcrp, Sidney J. Blatt, Charles A. Sanislow, David C. Zuroff, Paul A. Pilkonis

Charles A. Sanislow, Ph.D.

Analyses of the data of the National Institute of Mental Health-sponsored Treatment of Depression Collaborative Research Program have primarily examined the effects of types of treatment and patient characteristics on outcome, but scant attention has been directed toward evaluating the contributions of the therapist. With an aggregate of residualized therapeutic change scores of the 5 primary outcome measures for each patient at termination as an overall measure of improvement, an average therapeutic effectiveness measure was derived for each of the 28 therapists based on the outcome of the patients they saw in active treatment. The distribution of the therapists was …