Medicine and Health Sciences Commons^™

Research Domain Criteria (Rdoc): Toward A New Classification Framework For Research On Mental Disorders, Thomas R. Insel, Bruce N. Cuthbert, Marjorie A. Garvey, Robert K. Heinssen, Daniel S. Pine, Kevin J. Quinn, Charles A. Sanislow, Philip S. Wang

Charles A. Sanislow, Ph.D.

Current versions of the DSM and ICD have facilitated reliable clinical diagnosis and research. However, problems have increasingly been documented over the past several years, both in clinical and research arenas (e.g., 1, 2). Diagnostic categories based on clinical consensus fail to align with findings emerging from clinical neuroscience and genetics. The boundaries of these categories have not been predictive of treatment response. And, perhaps most important, these categories, based upon presenting signs and symptoms, may not capture fundamental underlying mechanisms of dysfunction. One consequence has been to slow the development of new treatments targeted to underlying pathophysiological mechanisms.

On The Statistical Accuracy Of Biomarker Assays Of Hiv Incidence, Ron Brookmeyer

Ron Brookmeyer

Objective: To evaluate the statistical accuracy of estimates of current HIV incidence rates from cross-sectional surveys, and to identify characteristics of assays that improve accuracy.

Methods: Performed mathematical and statistical analysis of the cross-sectional estimator of HIV incidence to evaluate bias and variance. Developed probability models to evaluate impact of long tails of the window period distribution on accuracy.

Results: The standard cross-sectional estimate of HIV incidence rate is estimating a time-lagged incidence where the lag time, called the shadow, depends on the mean and the coefficient of variation of window periods. Equations show how the shadow increases with the …

The Meaning Management Challenge: Making Sense Of Health, Illness, And Disease, Thomas Lawrence Long, Zhenyi Li

Thomas Lawrence Long

No abstract provided.

Descending Branch Of The Lateral Circumflex Femoral Artery - Arterial Genicular Anastomoses, Maher Sabalbal

Vivian C. McAlister

Work Transition Tips 3-2010 Developing A Network Of Supports, Lynn Shaw Dr.

Lynn Shaw

No abstract provided.

Prevalence And Correlates Of Physical Disability And Functional Limitation Among Community Dwelling Older People In Rural Malaysia, A Middle Income Country, Awang Bulgiba

Awang Bulgiba Awang Mahmud

Background: The prevalence and correlates of physical disability and functional limitation among older people have been studied in many developed countries but not in a middle income country such as Malaysia. The present study investigated the epidemiology of physical disability and functional limitation among older people in Malaysia and compares findings to other countries. Methods: A population-based cross sectional study was conducted in Alor Gajah, Malacca. Seven hundred and sixty five older people aged 60 years and above underwent tests of functional limitation (Tinetti Performance Oriented Mobility Assessment Tool). Data were also collected for self reported activities of daily living …

The Modified Ncep Atp Iii Criteria Maybe Better Than The Idf Criteria In Diagnosing Metabolic Syndrome Among Malays In Kuala Lumpur, Moy Foong Ming, Awang Bulgiba Awang Mahmud

Moy Foong Ming

Background. Metabolic Syndrome is associated with increased risk for type 2 diabetes and cardiovascular diseases. However, different diagnostic criteria have been recommended by different expert groups. In Malaysia, there is a lack of research comparing these different diagnostic criteria. Therefore, it is our aim to study the concordance between the IDF and the modified NCEP ATP III definitions of Metabolic Syndrome among a Malay cohort in Kuala Lumpur; and to demonstrate if all participants have the same cardiometabolic risks. Methods. This was an analytical cross sectional study. Ethics approval was obtained and informed consent was given by all participants. Anthropometric …

Work Transition Tips 1-2010, Lynn Shaw Dr.

Lynn Shaw

No abstract provided.

Applicability Of A Video Intervention To Increase Informed Decision Making For Prostate Specific Antigen (Psa) Testing Among African-American Men With Different Levels Of Health Literacy, Levi Ross, Alicestine D. Ashford, Sherese J. Bleechington, Tyra Dark, Deborah C. Erwin

Levi Ross

Purpose: To evaluate the applicability of an evidence-based video intervention to promote informed decision making for prostate cancer (CaP) screening among African-American men with different levels of health literacy.

Methods: Forty nine African-American men participated in interviewer-administered, pretest-posttest interviews between January and March 2008. Health literacy status was assessed with the Test of Functional Health Literacy in Adults (TOFHLA). Repeated measures analysis of covariance (ANCOVA), McNemar or binomial distributions were computed to assess pretest/posttest differences in knowledge. Descriptive statistics were produced to describe participants’ perceptions of the information presented in the video.

Results: Results indicated that men with functional health …

Semiparametric Analysis Of Recurrent Events: Artificial Censoring, Truncation, Pairwise Estimation And Inference, Debashis Ghosh

Debashis Ghosh

The analysis of recurrent failure time data from longitudinal studies can be complicated by the presence of dependent censoring. There has been a substantive literature that has developed based on an artificial censoring device. We explore in this article the connection between this class of methods with truncated data structures. In addition, a new procedure is developed for estimation and inference in a joint model for recurrent events and dependent censoring. Estimation proceeds using a mixed U-statistic based estimating function approach. New resampling-based methods for variance estimation and model checking are also described. The methods are illustrated by application to …

Falls, Fall Sequale, And Healthcare In Aging Community Dwelling Elderly Cancer Survivors, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

The Influence Of Medications On Falls In Community Dwelling Elderly, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Frailty And Falls In Commuity Dwelling Elderly Cancer Survivors, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Judicial Decision Making About Forensic Mental Health Evidence, Richard E. Redding, Daniel C. Murrie

Richard E. Redding

Judges play a central role in decision making in the justice system. This chapter reviews the extant empirical research on judicial decision making in criminal, juvenile, and civil cases. We discuss judges’ decision making about forensic mental health evidence introduced in these cases, judicial receptivity to various kinds of evidence, and their understanding of clinical and scientific evidence as well as the ways they make rulings about such evidence. We focus on decision making at the trial court level, in those arenas that are most relevant to the forensic mental health practitioner (psychiatrist, psychologist, or social worker) who is called …

Vite Svuotate. Per Una Critica Dell’Impatto Psicosociale Del Capitalismo Contemporaneo, In "Costruzioni Psicoanalitiche", X, N. 20 (2010), Pp. 71-81., Marco Solinas

Marco Solinas

Il saggio mira a individuare e delucidare alcuni nessi causali tra il concomitante incremento dei fenomeni depressivi, non solo in senso strettamente clinico, e l’affermazione del nuovo modello capitalistico avvenuto nei paesi occidentali dai primi anni settanta ad oggi. Oltre che sul meccanismo della flessibilità del mercato del lavoro, si insiste in particolare sulle dinamiche paradossali delle istanze etiche e morali della nuova configurazione ideologica. Ricorrendo anche alla categoria di egemonia, vengono da ultimo approntati degli strumenti teorici finalizzati a riattivare i potenziali emancipativi frustrati nella sofferenza sociale di natura depressiva e regressiva. The paper aims to single out and …

Speech-Language Therapists Supporting Foundation Phase Teachers With Literacy And Numeracy In A Rural Township Context, Anna Maria Wium, Brenda Louw, Irma Eloff

Brenda Louw

Mercury And Autism: A Review, Jie Zhang, John J. Wheeler

John J. Wheeler

Invitation To Mapping: How Gis Can Facilitate New Discovering In Urban And Planning History, Amy Hillier

Amy Hillier

No abstract provided.

An Intervention To Prevent Symptoms Associated With Hepatitis C: A Pilot Study, Donna M. Zucker

Donna M. Zucker

The objectives of this study were to (a) pilot test instruments measuring fatigue and quality of life (QOL); (b) pilot test an exercise intervention; and (c) estimate the effect size of this intervention relative to completion of combination therapy, fatigue, QOL, and walking distance in 20 patients with chronic hepatitis C about to begin interferon alpha and ribavirin treatment. Alpha reliabilities for both the Schwartz Cancer Fatigue Scale and Hepatitis Quality of Life Questionnaire were moderately high. Power analyses of all outcome measures indicated a small effect size and sample size estimate of 30–40 per group to achieve power of …

Vidalista-20-Mg.Jpg, Robby Hampton

Robby Hampton

Safety Culture As A Contemporary Healthcare Construct: Theoretical Review And Research Assessment, Patrick Albert Palmieri

Patrick Albert Palmieri

GOAL. To analyze the theoretical underpinnings of safety culture and to provide an assessment about the state of safety culture research in healthcare. METHODS. First, we reviewed the concept of safety culture, including its origination, disciplinary influences, and associated theoretical tenets. By describing the literature and discussing the interchangeable use of the terms “safety attitude,” “safety climate,” and “safety culture,” we are able to present the conceptual attributes associated with safety culture and present a definition of safety culture. Then, we discuss the psychometric properties for the most widely used instruments in healthcare. The article concludes with a discussion of …

Safety Culture As A Contemporary Healthcare Construct: Theoretical Review, Research Assessment, And Translation To Human Resource Management., Patrick Albert Palmieri

Patrick Albert Palmieri

Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that healthcare organizations develop safety cultures in order to align delivery system processes with the workforce requirements to improve patient outcomes. Until health systems can provide safer care environments, patients remain at risk for suboptimal care and adverse outcomes. Health science researchers have begun to explore how safety cultures might act as an essential system feature to improve organizational outcomes. Since safety cultures are established via modification in employee safety perspective and work behavior, human resource professionals need to contribute to this developing organizational domain. The IOM …

Gender Work In A Feminized Profession: The Case Of Veterinary Medicine., Leslie Irvine, Jenny R. Vermilya

Leslie Irvine, PhD

Physical Activity And Women With Breast Cancer: Insights From The Expert Patients., Siew Yim Loh Assoc Prof

Assoc Prof Dr Siew Yim Loh

Introduction: Physical activity participation amongst cancer survivors is low. This potent modifiable host factor has been disregarded in the cancer treatment plan for decades, despite its role in cancer control. The purpose of this study was to explore perception of physical activity among women with breast cancer. Methods: Focus group with purposive sampling methods were conducted on women at different cancer trajectory - ie. completed treatment (n=6) and undergoing treatment (n=8). The taped discussions were transcribed verbatim and analyzed using a grounded theory approach. Concepts were identified as unique or shared between the two groups, and ordered into subcategories. Results …

Near-Vision Acuity Levels And Performance On Neuropsychological Assessments Used In Occupational Therapy, Carl Bassi, Linda A. Hunt

Carl Bassi

Be More Naughty With Your Partner Using Kamagra Chewable.Pdf, Ashly Jorden

Ashly Jorden

Tender Point Count, Pain, And Mobility In The Older Population: The Mobilize Boston Study, Suzanne G. Leveille, Laura H.P. Eggermont

Suzanne G. Leveille

Abstract: Prevalence of tender points (TP), and widespread pain and fibromyalgia, as well as the relationship between TP and widespread pain and mobility, was examined in 585 community-dwelling older adults (mean age 78.2 years, 63.4% female). Pain was based on location (none, single site, multisite, widespread). Mobility was measured by the Short Physical Performance Battery (SPPB), gait speed, and self-reported (S-R) mobility difficulty. Tender-point count and health characteristics (ie, BMI, chronic conditions, analgesic use, number of medications, depression, and blocks walked per week) were assessed. Several participants had 3 or more TP (22.1%) although prevalence of criteria-based fibromyalgia was low …