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Full-Text Articles in Medicine and Health Sciences

Information Interface - Volume 32, Issue 3 - August/September 2004, George Washington University, Himmelfarb Health Sciences Library Aug 2004

Information Interface - Volume 32, Issue 3 - August/September 2004, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users. Includes articles on digital microscopes, Ovid OpenLinks and PubMed Linkout, library liaisons, and database search tips.


The Effects Of Music Preference And Exercise Intensity On Exercise Enjoyment And Perceived Exertion, Allison Dyrlund Aug 2004

The Effects Of Music Preference And Exercise Intensity On Exercise Enjoyment And Perceived Exertion, Allison Dyrlund

Masters Theses & Specialist Projects

In spite of the well-known physical and psychological benefits of exercise roughly 50% of people who start an exercise program will have dropped out within six months. Therefore, it is important to examine the determinants of exercise adherence. Past research has shown that enjoyment is an essential factor in exercise adherence. Additionally, music has been shown to influence exercise enjoyment. The music and enjoyment literature has generally included most preferred and no music conditions, yet no one has considered a least preferred music condition. Therefore, the purpose of this study is to examine the effects of music preference and exercise …


Examining The Meaning And Experience Of Self-Determination And Its Impact On Quality Of Life For Individuals With Cognitive Disabilities, Carol Marie Sundberg Aug 2004

Examining The Meaning And Experience Of Self-Determination And Its Impact On Quality Of Life For Individuals With Cognitive Disabilities, Carol Marie Sundberg

Dissertations

There is a national agenda for advancing self-determination for persons with disabilities. Broadly defined, self-determination means having control over ones own life. The purpose of this research was to gain a better understanding of self-determination and its effect on the quality of life of persons with cognitive disabilities. A qualitative, phenomenological approach was selected. Ten individuals from a community mental health system in southwest Michigan participated in the study. Participants had a developmental disability and were dependent on others for their care. The research combined qualitative interviews with behavioral observations and proxy interviewing, and included the audiotaping of those interviews. …


Temporal Coherence Of Criteria For Four Personality Disorders, Leslie C. Morey, Andrew E. Skodol, Carlos M. Grilo, Charles A. Sanislow, Mary C. Zanarini, M. Tracie Shea, John G. Gunderson, Thomas H. Mcglashan Jul 2004

Temporal Coherence Of Criteria For Four Personality Disorders, Leslie C. Morey, Andrew E. Skodol, Carlos M. Grilo, Charles A. Sanislow, Mary C. Zanarini, M. Tracie Shea, John G. Gunderson, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

This study sought to investigate the coherence of changes observed in diagnostic criteria for borderline, schizotypal, obsessive-compulsive, and avoidant personality disorders. Five hundred, forty-nine patients were independently evaluated 2 years apart, and correlations of observed changes in each diagnostic criterion with changes in other criteria were examined to determine if there was within-syndrome consistency in these changes. The observed changes in criteria were consistent within syndrome (median alpha = 0.72 across 4 disorders), and reasonably specific to that syndrome relative to the other disorders. The results support the validity of these criterion sets as representing coherent syndromes.


Agribusiness Sheep Updates - 2004 - Part 1, Mark Dolling, Len Stephens, David Thomanson, Norm Adams, Shimim Liu, Peter Buchman, Mike Paton, Dianne Evans, John Edwards, Scott Champion, Alan Langford, A. C. Schlink, J. C. Greeff, M. E. Ladyman, Kimbal M. S. Curtis, John Stanton, Stuart Adams, Neal Fogarty, Matthew Kelly, James Skerritt, Ian Mcfarland Jul 2004

Agribusiness Sheep Updates - 2004 - Part 1, Mark Dolling, Len Stephens, David Thomanson, Norm Adams, Shimim Liu, Peter Buchman, Mike Paton, Dianne Evans, John Edwards, Scott Champion, Alan Langford, A. C. Schlink, J. C. Greeff, M. E. Ladyman, Kimbal M. S. Curtis, John Stanton, Stuart Adams, Neal Fogarty, Matthew Kelly, James Skerritt, Ian Mcfarland

Sheep Updates

Proceedings of the Agribusiness Sheep Updates - 2004 Forward Dr Mark Dolling Manager, Sheep Industries and Pasture, Department of Agriculture Western Australia Keynotes Australian Wool Innovation Limited DR LEN STEPHENS AUSTRALIAN WOOL INNOVATION LIMITED (AWI) Commercialisation of Sheepmeat Eating Quality Outcomes, David Thomason, General Manger Marketing Meat & livestock Australia Limited PLENARY The Fitness of the Future Merino, Norm Adams and Shimin Liu, CSIRO Livestock Industries Ovine Johne’s Disease – Managing the Disease, Managing the Issues, PETER BUCKMAN, CHIEF VETERINARY OFFICER, DEPARTMENT OF AGRICULTURE WESTERN AUSTRALIA Animal Welfare – Changes in Latitudes Changes in Attitudes, Michael Paton and Dianne Evans, …


Social Support Protects Against The Negative Effects Of Partner Violence On Mental Health, Ann L. Coker, Paige H. Smith, Martie P. Thompson, Robert E. Mckeown, Lesa Bethea, Keith E. Davis Jul 2004

Social Support Protects Against The Negative Effects Of Partner Violence On Mental Health, Ann L. Coker, Paige H. Smith, Martie P. Thompson, Robert E. Mckeown, Lesa Bethea, Keith E. Davis

CRVAW Faculty Journal Articles

Objectives: Social support for abused women may reduce the impact of abuse on mental health, yet few studies have addressed this issue. We wish to determine associations between intimate partner violence (IPV) and mental health outcomes and to assess the protective role of abuse disclosure and support on mental health among abused women.

Methods: A cross-sectional survey was conducted of 1152 women, ages 18–65, recruited from family practice clinics from 1997 through 1999. They were screened for IPV during a brief in-clinic interview, and physical and mental health status was assessed in a follow-up interview.

Results: IPV, defined as sexual, …


Neuroanatomical Structure Of The Spinner Dolphin (Stenella Longirostris Orientalis) Brain From Magnetic Resonance Images, Lori Marino, Keith Sudheimer, William A. Mclellan, John I. Johnson Jul 2004

Neuroanatomical Structure Of The Spinner Dolphin (Stenella Longirostris Orientalis) Brain From Magnetic Resonance Images, Lori Marino, Keith Sudheimer, William A. Mclellan, John I. Johnson

Veterinary Science and Medicine Collection

High-resolution magnetic resonance (MR) images of the brain of an adult spinner dolphin (Stenella longirostris orientalis) were acquired in the coronal plane at 55 antero-posterior levels. From these scans a computergenerated set of resectioned virtual images in the two remaining orthogonal planes was constructed with the use of the VoxelView and VoxelMath (Vital Images, Inc.) programs. Neuroanatomical structures were labeled in all three planes, providing the first labeled anatomical description of the spinner dolphin brain.


Research In Home-Care Telemedicine: Challenges In Patient Recruitment, Usha Subramanian, Faith Hopp, Julie Lowery, Peter Woodbridge, David Smith Jul 2004

Research In Home-Care Telemedicine: Challenges In Patient Recruitment, Usha Subramanian, Faith Hopp, Julie Lowery, Peter Woodbridge, David Smith

Social Work Faculty Publications

This study reports challenges in recruiting patients for a randomized controHed trial of home-care telemedicinae. Descriptive statistics on patient eligibility for home-care telemedidne services and patient refusals for participation are provided. Frequency counts of reasons for study exclusion and participant refusal and Chi-square tests to compare race and age-related differences are given. Of 302 home-care patients reviewed, 197 (65.2%) did not meet inclusion criteria. The most common reasons for study exclusion were patients either needing <2 visits per month (n = 59, 30%) or >3 skilled nurse visits per week (n = 46, 23.4%). Of the eligible patients (n = 105), 79 …


Inside Unlv, Holly Ivy De Vore, Carol C. Harter, Stuart Mann Jul 2004

Inside Unlv, Holly Ivy De Vore, Carol C. Harter, Stuart Mann

Inside UNLV

No abstract provided.


Unlv Magazine, Carol C. Harter, Holly Ivy De Vore, Andy Grossman, David G. Schwartz, Mayumi Itoh, Tascha Boychuk-Spears, Hal K. Rothman, John F. Gallagher, Lori Bachand, Gian Galassi, Doug Mcinnis, Erin Auerbach, Gillian Silver, Laurie Fruth Jul 2004

Unlv Magazine, Carol C. Harter, Holly Ivy De Vore, Andy Grossman, David G. Schwartz, Mayumi Itoh, Tascha Boychuk-Spears, Hal K. Rothman, John F. Gallagher, Lori Bachand, Gian Galassi, Doug Mcinnis, Erin Auerbach, Gillian Silver, Laurie Fruth

UNLV Magazine

No abstract provided.


Universal Coverage And The American Health Care System Crisis (Again), Rick Mayes Jul 2004

Universal Coverage And The American Health Care System Crisis (Again), Rick Mayes

Political Science Faculty Publications

Ten years after President Clinton’s ambitious attempt at comprehensive health care reform died, several old and new issues with the health care system have emerged. First, the number of uninsured Americans rose to 43.6 million in 2002—and the numbers have since increased. Also, the costs for those who do not have insurance are rapidly increasing. In addition health care related problems are one of the leading causes of personal bankruptcy in the United States. Finally, the government’s two primary health insurance programs—Medicare and Medicaid—are experiencing considerable financial strain. Dr. Mayes examines these problems in depth before and revisits President Clinton’s …


Santa Clara Magazine, Volume 46 Number 1, Summer 2004, Santa Clara University Jul 2004

Santa Clara Magazine, Volume 46 Number 1, Summer 2004, Santa Clara University

Santa Clara Magazine

8 - A PUZZLING PROFESSOR By Adam Breen. Byron Walden, an assistant professor of mathematics at SCU, draws on his knowledge of numerical analysis to create crossword puzzles for The New York Times.

10 - THE LAUNCHING PAD By Larry Sokoloff J.D. '92. Top government agencies, other universities, and companies are relying on the University's Robotics Systems Lab-and its students-to build and monitor satellites.

16 - A NOVEL TEAM By Kristin Lenore '04. The University's publishing partnership with Heyday Books aims to help preserve California's cultural legacy.


Major Depressive Disorder And Borderline Personality Disorder Revisited: Longitudinal Interactions, John G. Gunderson, Leslie C. Morey, Robert L. Stout, Andrew E. Skodol, M. Tracie Shea, Thomas H. Mcglashan, Mary C. Zanarini, Carlos M. Grilo, Charles A. Sanislow, Shirley Yen, Maria T. Daversa, Donna S. Bender Jun 2004

Major Depressive Disorder And Borderline Personality Disorder Revisited: Longitudinal Interactions, John G. Gunderson, Leslie C. Morey, Robert L. Stout, Andrew E. Skodol, M. Tracie Shea, Thomas H. Mcglashan, Mary C. Zanarini, Carlos M. Grilo, Charles A. Sanislow, Shirley Yen, Maria T. Daversa, Donna S. Bender

Charles A. Sanislow, Ph.D.

BACKGROUND: This report investigates the longitudinal association of changes in major depressive disorder (MDD) and borderline personality disorder.

METHOD: A DSM-IV-diagnosed sample of 161 patients with borderline personality disorder who have been followed with repeated measures at 6, 12, 24, and 36 months are investigated to see whether those with co-occurring MDD differ at baseline and in their course. Proportional hazard regression and cross-lagged panel analyses are used to demonstrate whether changes in the course of either disorder have predictable effects on the course of the other.

RESULTS: The rate of remissions of borderline personality disorder was not affected by …


Longitudinal Diagnostic Efficiency Of Dsm-Iv Criteria For Obsessive–Compulsive Personality Disorder: A 2-Year Prospective Study, Carlos M. Grilo, Andrew E. Skodol, John G. Gunderson, Charles A. Sanislow, Robert L. Stout, M. Tracie Shea, Leslie C. Morey, Mary C. Zanarini, Donna S. Bender, Shirley Yen, Thomas H. Mcglashan Jun 2004

Longitudinal Diagnostic Efficiency Of Dsm-Iv Criteria For Obsessive–Compulsive Personality Disorder: A 2-Year Prospective Study, Carlos M. Grilo, Andrew E. Skodol, John G. Gunderson, Charles A. Sanislow, Robert L. Stout, M. Tracie Shea, Leslie C. Morey, Mary C. Zanarini, Donna S. Bender, Shirley Yen, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Objective: To examine the longitudinal diagnostic efficiency of the DSM-IV criteria for obsessive–compulsive personality disorder (OCPD).

Method: At baseline, criteria and diagnoses were determined using diagnostic interviews, and blinded assessments were performed 24 months later with 550 participants. Diagnostic efficiency indices (conditional probabilities, total predictive power, and kappa) were calculated for each criterion determined at baseline, using the independent OCPD diagnosis at follow-up as the standard.

Results: Longitudinal diagnostic efficiencies for the OCPD criteria varied; findings suggested the overall predictive utility of preoccupied with details, rigid and stubborn, and reluctant to delegate.

Conclusion: These findings suggest the predictive validity of …


Double Dissociation Between The Effects Of Peri-Postrhinal Cortex And Hippocampal Lesions On Tests Of Object Recognition And Spatial Memory: Heterogeneity Of Function Within The Temporal Lobe., Boyer D Winters, Suzanna E Forwood, Rosemary A Cowell, Lisa M Saksida, Timothy J Bussey Jun 2004

Double Dissociation Between The Effects Of Peri-Postrhinal Cortex And Hippocampal Lesions On Tests Of Object Recognition And Spatial Memory: Heterogeneity Of Function Within The Temporal Lobe., Boyer D Winters, Suzanna E Forwood, Rosemary A Cowell, Lisa M Saksida, Timothy J Bussey

Brain and Mind Institute Researchers' Publications

It is widely believed that declarative memory is mediated by a medial temporal lobe memory system consisting of several distinct structures, including the hippocampus and perirhinal cortex. The strong version of this view assumes a high degree of functional homogeneity and serial organization within the medial temporal lobe, such that double dissociations between individual structures should not be possible. In the present study, we tested for a functional double dissociation between the hippocampus and peri-postrhinal cortex in a single experiment. Rats with bilateral excitotoxic lesions of either the hippocampus or peri-postrhinal cortex were assessed in tests of spatial memory (radial …


Racial Discrepancies In The Association Between Paternal Vs. Maternal Educational Level And Risk Of Low Birthweight In Washington State, Christina Nicolaidis, Cynthia W. Ko, Somnath Saha, Thomas D. Koepsell Jun 2004

Racial Discrepancies In The Association Between Paternal Vs. Maternal Educational Level And Risk Of Low Birthweight In Washington State, Christina Nicolaidis, Cynthia W. Ko, Somnath Saha, Thomas D. Koepsell

School of Social Work Faculty Publications and Presentations

Background: The role of paternal factors in determining the risk of adverse pregnancy outcomes has received less attention than maternal factors. Similarly, the interaction between the effects of race and socioeconomic status (SES) on pregnancy outcomes is not well known. Our objective was to assess the relative importance of paternal vs. maternal education in relation to risk of low birth weight (LBW) across different racial groups.

Methods: We conducted a retrospective population-based cohort study using Washington state birth certificate data from 1992 to 1996 (n = 264,789). We assessed the associations between maternal or paternal education and LBW, adjusting for …


Risk Factors For Pre-Post Monsoon Cholera Epidemics In Bangladesh From 1992-1994, Rhonda Rae Robb Jun 2004

Risk Factors For Pre-Post Monsoon Cholera Epidemics In Bangladesh From 1992-1994, Rhonda Rae Robb

Dissertations and Theses

The primary objective of this thesis is to differentiate between the risk factors for pre-and post-monsoon cholera epidemics in rural Bangladesh by analyzing the complex interaction between select environmental, cultural/behavioral, and socioeconomic variables over space and time. In rural Bangladesh, cholera epidemics correspond with the annual monsoon: the first, and smallest, occurs between March and June, while the larger cholera peak occurs between September and December. The differences between the spatial and temporal patterns of seasonal cholera are analyzed, and the risk factors are calculated for pre-and post-monsoon cholera epidemics.

The theoretical approach that underlies this medical geographical study is …


Brighter Noise: Sensory Enhancement Of Perceived Loudness By Concurrent Visual Stimulation, Yoav Arieh, Eric C. Odgaard, Lawrence E. Marks Jun 2004

Brighter Noise: Sensory Enhancement Of Perceived Loudness By Concurrent Visual Stimulation, Yoav Arieh, Eric C. Odgaard, Lawrence E. Marks

Department of Psychology Faculty Scholarship and Creative Works

Two experiments investigated the effect of concurrently presented light on the perceived loudness of a low-level burst of white noise. The results suggest two points. First, white noise presented with light tends to be rated as louder than noise presented alone. Second, the enhancement in loudness judgments is resistant to two experimental manipulations: varying the probability that light accompanies sound and shifting from a rating method to a forced choice comparison. Both manipulations were previously shown to eliminate a complementary noise-induced enhancement in ratings of brightness. Whereas noise-induced enhancement of brightness seems to reflect a late-stage decisional process, such as …


Review Of The Loss Of A Life Partner: Narratives Of The Bereaved. Carolyn Ambler Walter. Reviewed By Amanda Smith Barusch., Amanda Smith Barusch Jun 2004

Review Of The Loss Of A Life Partner: Narratives Of The Bereaved. Carolyn Ambler Walter. Reviewed By Amanda Smith Barusch., Amanda Smith Barusch

The Journal of Sociology & Social Welfare

Book review of Carolyn Ambler Walter, The Loss of a Life Partner: Narratives of the Bereaved. New York: Columbia University Press, 2003. $52.50 hardcover, $26.50 papercover.


Spousal Congruence On Disability, Pain, And Spouse Responses To Pain, Annmarie Cano, Ayna B. Johansen, Michael Geisser Jun 2004

Spousal Congruence On Disability, Pain, And Spouse Responses To Pain, Annmarie Cano, Ayna B. Johansen, Michael Geisser

Psychology Faculty Research Publications

We examined congruence between chronic pain patients and their spouses on their reports of patient pain severity, patient disability, and spouse responses to pain. Patients reported that they were more physically and psychosocially disabled than their spouses reported them to be. However, spouses reported that the patients’ pain was more severe than patients reported. Depressive disorders in the patient and gender interacted with patient–spouse ratings. For physical and psychosocial disability, depressed patient couples reported significantly larger differences in disability ratings than nondepressed patient couples. In addition, female patients’ disability was rated as more severe by the female patients than by …


Inside Unlv, Holly Ivy De Vore, Caryn Key, Carol C. Harter, Richard Morgan Jun 2004

Inside Unlv, Holly Ivy De Vore, Caryn Key, Carol C. Harter, Richard Morgan

Inside UNLV

No abstract provided.


Update - June 2004, Loma Linda University Center For Christian Bioethics Jun 2004

Update - June 2004, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Examining the Ethics of Praying With Patients
-- Editorial
-- Agape and the Deeply Forgetful
-- Congratulations to this year's clinical ethics graduates


Medicaid Prescription Drug Spending And Use, Brian Bruen, Arunabh Ghosh Jun 2004

Medicaid Prescription Drug Spending And Use, Brian Bruen, Arunabh Ghosh

Health Policy and Management Issue Briefs

No abstract provided.


Predictors Of Participation In Premarital Prevention Programs: The Health Belief Model And Social Norms, Kieran T. Sullivan, Lauri A. Pasch, Tara Cornelius, Ellen Cirigliano Jun 2004

Predictors Of Participation In Premarital Prevention Programs: The Health Belief Model And Social Norms, Kieran T. Sullivan, Lauri A. Pasch, Tara Cornelius, Ellen Cirigliano

Psychology

The development of effective programs to prevent marital dysfunction has been a recent focus for marital researchers, but the effective dissemination of these programs to engaged couples has received relatively little attention. The purpose of this study is to determine which factors predict couples' participation in premarital counseling. Predictive factors were derived from the health prevention literature, with a particular focus on the health belief model (HBM). Couples' beliefs and attitudes about premarital counseling were assessed at least six months before their wedding, and participation was assessed after their wedding. Results indicate that the strongest predictors of couples' participation were …


Review Of Refusing Care: Forced Treatment And The Rights Of The Mentally Ill. Elyn R. Saks. Reviewed By Kai J. Bentley., Kia J. Bentley Jun 2004

Review Of Refusing Care: Forced Treatment And The Rights Of The Mentally Ill. Elyn R. Saks. Reviewed By Kai J. Bentley., Kia J. Bentley

The Journal of Sociology & Social Welfare

Book review of Elyn R. Saks, Refusing Care: Forced Treatment and the Rights of the Mentally Ill. Chicago: University of Chicago Press, 2003. $35.00 hardcover, $24.50 papercover.


The Association Of Blood Type On The Five Factors Of Personality In Chinese Adolescents, Kunher Wu Jun 2004

The Association Of Blood Type On The Five Factors Of Personality In Chinese Adolescents, Kunher Wu

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify the number of personality factors in Chinese adolescents using the Chinese Revised NEO Personality Inventory (NEO-PI-R) and to determine whether blood type is associated with personality. It is widely accepted by psychologists that the five-factor model can provide an adequate representation of adult personality dimensions, but there is less agreement on the number of factors observable in adolescence. A total of 3,396 11th graders from the city of Kaohsiung, Taiwan completed the Chinese NEO-PI-R. Principle component analysis with varimax rotation showed five factors of personality in these Taiwanese adolescents, which clearly …


Review Of Handbook Of Drug Abuse Prevention: Theory Science And Practice. Zili Sloboda & William J. Bukowski (Eds). Reviewed By Sean R. Hogan., Sean R. Hogan Jun 2004

Review Of Handbook Of Drug Abuse Prevention: Theory Science And Practice. Zili Sloboda & William J. Bukowski (Eds). Reviewed By Sean R. Hogan., Sean R. Hogan

The Journal of Sociology & Social Welfare

Book review of Zili Sloboda and William J. Bukoski (Eds.), Handbook of Drug Abuse Prevention: Theory, Science, and Practice. New York: Kluwer Academic Publishers, 2003. $150.00 hardcover.


Pain Experienced By Patients Using Thinner Vs. Thicker Probes During Probing, Mohamed A. Hassan Jun 2004

Pain Experienced By Patients Using Thinner Vs. Thicker Probes During Probing, Mohamed A. Hassan

Loma Linda University Electronic Theses, Dissertations & Projects

The aim of the present study, performed during periodontal recall visits, was to compare the levels of pain experienced by patients during periodontal probing using probes with tip diameters of either 0.40 mm or 0.63 mm.

Prior to the maintenance procedures, three groups of 20 adult patients were examined by 3 different therapists. Diagonal maxillary/mandibular quadrants were probed with a 0.40 mm and a 0.63 mm probe, respectively. At the completion of probing of each quadrant, the patients were asked to describe their pain using a Visual Analog Scale (VAS).

The results were as follows: Most patients showed low VAS …


Pain Experienced By Patients During Periodontal Examination, Mohammed A. Al-Ajmi Jun 2004

Pain Experienced By Patients During Periodontal Examination, Mohammed A. Al-Ajmi

Loma Linda University Electronic Theses, Dissertations & Projects

The aims of the present study were to determine the level of pain experienced by patients from probing during periodontal examination, and to find out to what extent the examining periodontist and the dental assistant could estimate the degree of pain experienced by the patients.

For each of three periodontists, 20 patients referred for periodontal diagnosis and treatment were selected. The periodontist carried out his examination, which included probing at six sites per tooth. Following probing, the patients rated the pain using a Visual Analog Scale (VAS). The periodontist and the dental assistant who helped out during the examination independently …


Multiple Testing To Establish Superiority/Equivalence Of A New Treatment Compared With K Standard Treatments For Unbalanced Designs, Koon Shing Kwong, Siu Hung Cheung, Wai-Sum Chan Jun 2004

Multiple Testing To Establish Superiority/Equivalence Of A New Treatment Compared With K Standard Treatments For Unbalanced Designs, Koon Shing Kwong, Siu Hung Cheung, Wai-Sum Chan

Research Collection School Of Economics

In clinical studies, multiple superiority/equivalence testing procedures can be applied to classify a new treatment as superior, equivalent (same therapeutic effect), or inferior to each set of standard treatments. Previous stepwise approaches (Dunnett and Tamhane, 1997, Statistics in Medicine 16, 2489–2506; Kwong, 2001, Journal of Statistical Planning and Inference 97, 359–366) are only appropriate for balanced designs. Unfortunately, the construction of similar tests for unbalanced designs is far more complex, with two major difficulties: (i) the ordering of test statistics for superiority may not be the same as the ordering of test statistics for equivalence; and (ii) the correlation structure …