Medicine and Health Sciences Commons^™

Creating Equal Opportunities: The Social Accountability Of Medical Education, Trevor Gibbs, Michelle Mclean

Michelle McLean

As new developments in medical education move inexorably forward, medical schools are being encouraged to revisit their curricula to ensure quality graduates and match their outcomes against defined standards. These standards may eventually be transferred into global accreditation standards, which allow ‘safe passage’ of graduates from one country to another [Educational Commission for Foreign Medical Graduates (ECFMG) 2010. Requiring medical school accreditation for ECFMG certification—moving accreditation forward. Available from: http://www.ecfmg.org/accreditation/rationale.pdf. Gaining much attention is the important standard of social accountability – ensuring that graduates’ competencies are shaped by the health and social needs of the local, national and even international …

Decision-Making Capacity And Responsibility In Addiction, Louis Charland

Louis C. Charland

No abstract provided.

The Role Of Research In Art Therapy Master's Degree Programs, Cecile Brennan

Cecile Brennan

Art therapy master's degree programs are required to provide instruction in research theory and methodology, in accordance with art therapy and professional counseling education standards. Although the art therapy standards outline broad, general principles regarding the study of research, the professional counseling standards are more comprehensive and focused on educating graduate students to be adept evaluators and consumers of research. This viewpoint discusses the role of research in the master's degree curriculum and whether it is pedagogically appropriate to require graduate students, who are in the early stages of mastering clinical skills, to conduct independent research. Recommendations are offered based …

Psychology, Sports, Alan Kornspan

Alan S Kornspan

No abstract provided.

The Relationship Between Social Networks And Pathways To Kidney Transplant Parity: Evidence From Black Americans In Chicago, Teri Browne

Teri Browne

No abstract provided.

Mental Health Screening And Coordination Of Care For Soldiers Deployed To Iraq And Afghanistan., M Hicks

Madelyn Hsiao-Rei Hicks

No abstract provided.

Bucindolol: A Pharmacogenomic Perspective On Its Use In Chronic Heart Failure, Neil Smart

Neil Smart

Bucindolol is a non-selective ß-adrenergic receptor blocker with a-1 blocker properties and mild intrinsic sympatholytic activity. The Beta-Blocker Evaluation of Survival Trial (BEST), which is the largest clinical trial of bucindolol in patients with heart failure, was terminated prematurely and failed to show an overall mortality benefit. However, benefits on cardiac mortality and re-hospitalization rates were observed in the BEST trial. Bucindolol has not shown benefits in African Americans, those with significantly low ejection fraction and those in NYHA class IV heart failure. These observations could be due to the exaggerated sympatholytic response to bucindolol in these sub-groups that may …

Medical Device Patents, 2011 Edition, Lawrence Sung

Lawrence M. Sung

This product addresses the unique aspects of U.S. medical device patents, specifically durable medical equipment, and examines their grant and enforcement. Coverage includes information on prosecution, transfer, and litigation, including settlement. Patents for specific types of devices are addressed. The comprehensive treatment of patents in the medical specialties of orthopedics, cardiovascular disease, dentistry, ophthalmology, radiology, and surgery, among others, is a useful resource for readers, whether they seek competitive business insight or are curious about the history of medical technology development

The 411 On Epileptic Drugs, Bridget Roberts

Bridget R. Roberts

Epilepsy is a neurologic disorder that causes hyperexcitability of the neurons and subsequent seizure activity that ranges from mild alterations in consciousness and muscle twitching to severe tonic-clonic muscle activity, respiratory symptoms, and even death. According to the National Institute of Neurological Disorders and Stroke, approximately 2 million people in the United States have experienced a seizure or been diagnosed with epilepsy. Fortunately,approximately 70% of those affected by epilepsy experience a significant improvement of or even complete cessation of seizures when appropriate therapy with anti-epileptic drugs (AEDs) is maintained.

Medical Care In The Nursing Home, Debbie Tolson, J Morley

Professor Debbie Tolson

No abstract provided.

The "Occupy" Movement: What's It All About?, Richard Philp

Richard B. Philp

The Occupy Wall Street movement has spread around the world and despite criticism that it lacks clear goals it has raised awareness of many of the societal problems afflicting the middle and working classes including increasing disparity of income between the very rich and the rest of the populace. This paper discusses many of these concerns and speculates on the evolution of the movement.

Using The Research Process To Develop Group Services For Older Persons With A Hearing Disabilit, T Kelly, Debbie Tolson, T Day-Smith, G Mccolgan, W Maclaren

Professor Debbie Tolson

No abstract provided.

Characteristics Of Creative Expression Activities: The Links Between Creativity, Failure-Free, And Group Process With Levels Of Staff-Participation Engagement And Participant Affect In An Adult Day Center, J. Rowe, Marie Savundranayagam, J. Lang, R. Montgomery

Marie Y Savundranayagam

No abstract provided.

Storycorps Memory Loss Initiative: Enhancing Personhood For Storytellers With Memory Loss, Marie Savundranayagam, L. Dilley, A. Basting

Marie Y Savundranayagam

StoryCorps’ Memory Loss Initiative was designed to gather oral histories of people with memory loss. This study investigated the StoryCorps interview experience for storytellers who self identify with early stage memory loss and the persons who interviewed them. StoryCorps interviews took place in Milwaukee, Chicago, and New York. Follow-up interviews were conducted with 42 persons with memory loss, along with 27 family members who participated in the StoryCorps interviews. Results revealed that the StoryCorps experience was a meaningful activity that allowed participants to acknowledge the beauty of the present moment, to reflect and engage in meaningful conversations, to re-affirm both …

Pharmacology, Pharmaceutical Technology Sections, Sharon Leslie

Sharon Leslie

No abstract provided.

Comparison Of Maternal Milk (Breastmilk) Expression Methods In An African Nursery, Ida Slusher, Tina Slusher, Elizabeth Keating, Beverly Curtis, Eleanor Smith, Elizabeth Orodriyo, Sussane Awori, Margaret Nakakeeto

Ida Slusher

Objective: This study compares maternal milk volumes (MMVs) of Ugandan mothers whose infants were in a special care nursery and who used one of three maternal milk expression techniques: double electric breast pump, single non-electric manual breast pump, and hand breastmilk expression.

Subjects and Methods: A convenience sample of 161 Ugandan mothers of infants who were either too immature or ill to independently feed from the breast yet healthy enough to survive in an environment without ventilator support (birth weights, 0.84–3.8 kg) were assigned to one of three maternal milk expressions: Group 1, double electric breast pump (n = 55); …

Risk Communication And College Students: The 2009 H1n1 Pandemic Influenza, Francisco Soto Mas, Chiehwen Ed Hsu

Chiehwen Ed Hsu

No abstract provided.

Mobilisation With Movement: The Art And The Science, Bill Vincenzino, Wayne Hing, Darren Rivett, Toby Hall

Wayne Hing

An authoritative text and accompanying DVD presenting the growing evidence base for Mobilisation with Movement techniques.

Developed over the past 26 years, Mobilisation with Movement (MWM) remains a relatively new form of manual therapy. It is, however, becoming one of the most popular approaches for the management of musculoskeletal disorders.

Mobilisation with Movement: The art and the science introduces the concept of Mobilisation with Movement, describes basic Mobilisation with Movement techniques and outlines its principles of application.

The book summarises the emergent evidence base underpinning Mobilisation with Movement techniques, including randomised controlled trials, and shows how far the technique has …

Bringing Studer To The Classroom: Teaching Tools For Graduate Programs, Amer Kaissi

Amer A Kaissi

No abstract provided.

Specific, Sensitive And Rapid Detection Of Human Plasmodium Knowlesi Infection By Loop-Mediated Isothermal Amplification (Lamp) In Blood Samples, Lau Ling

lau yee ling

Background: The emergence of Plasmodium knowlesi in humans, which is in many cases misdiagnosed by microscopy as Plasmodium malariae due to the morphological similarity has contributed to the needs of detection and differentiation of malaria parasites. At present, nested PCR targeted on Plasmodium ssrRNA genes has been described as the most sensitive and specific method for Plasmodium detection. However, this method is costly and requires trained personnel for its implementation. Loop-mediated isothermal amplification (LAMP), a novel nucleic acid amplification method was developed for the clinical detection of P. knowlesi. The sensitivity and specificity of LAMP was evaluated in comparison to …

Using The Alter-G Treadmill System With An Extremely Obese Female: A Case Study, Shawn Simonson, Jane Shimon, Elaine Long, Brooke Lester

Elaine M. Long

PURPOSE: The present case study examined the potential use of the AlterG Anti-Gravity Treadmill as treatment modality for extreme obese individuals. The special effect of the treadmill reduces ground reaction forces during walking through the use of lower body positive pressure. METHODS: One extremely obese (BMI 69.2) Caucasian 44 year-old female utilized the AlterG Anti-Gravity Treadmill during a 14 wk walking program to pilot test the protocol. RESULTS: At the conclusion of the study, exercise tolerance time increased 3-fold (initially 20 min increased to 65 min) while caloric expenditure increased 4-fold (initially 91.0 kcal/session increased to 442.7 kcal/session) without an …

Myelopoiesis Related To Perinatal Spleen, Rebecca Hinton, Sawang Petvises, Helen O'Neill

Helen O'Neill

Adult murine spleen is known to have a major role in the development of dendritic cell (DC) subsets, including conventional DC and plasmacytoid DC. In this lab, long-term cultures (LTCs) established from murine spleen support continuous production of novel dendritic-like cells, termed LTC-DC. An in vivo equivalent subset also exists in spleen, namely L-DC. As co-cultures using LTC-derived splenic stroma support the outgrowth of L-DC from spleen and bone marrow sources, it is likely that spleen represents an important niche for DC development. To investigate the appearance of L-DC during ontogeny, spleen was isolated from embryonic and neonatal mice of …

Concentration Of Folate In Colorectal Tissue Biopsies Predicts Prevalence Of Adenomatous Polyps, Andrew Flood, Joel Mason, Zhenhua Liu, Brooks Cash, Arthur Schatzkin, Philip Schoenfeld, Amanda Cross

Zhenhua Liu

Background and aims—Folate has been implicated as a potential etiologic factor for colorectal cancer. Prior research has not adequately exploited concentrations of folate in normal colonic mucosal biopsies to examine the issue. Methods—We used logistic regression models to estimate odds ratios (ORs) and 95% confidence intervals (CIs) of adenoma according to tissue concentration of folate using asymptomatic average-risk women (40–70 years) in a colorectal cancer screening study. Of the 1,593 eligible women who were offered enrollment, 1,483 (93%) participated. Colonoscopy was complete to the cecum in 98.7% (1,463/1,483) of the subjects and normal colonic tissue biopsies were obtained from 813 …

Spleen As A Distinct Site For Dendritic Cell Haematopoiesis, Jonathan Tan, Helen O'Neill

Helen O'Neill

No abstract provided.

Economic Status And Coping Mechanisms Of Individuals Seeking Hiv Care In Uganda, Sebastian Linnemayr, Brooke Stearns Lawson, Peter Glick, Glenn Wagner

Sebastian Linnemayr

This study uses novel data to conduct a comprehensive evaluation of the demographic and economic circumstances facing HIV-positive individuals who have just entered HIV care in Uganda. While the provision of HIV care and ART may improve physical health, to achieve the broader goal of improving the quality of life and socioeconomic viability of people living with HIV/AIDS, appropriate social and economic programs may need to complement treatment. We report results from baseline data of a longitudinal, prospective cohort study with a 12-month follow-up period in two Ugandan HIV clinics. We use t-tests to examine differences across sample subpopulations and …

Transferable Skills Of Incoming Medical Students And Their Development Over The First Academic Year: The United Arab Emirates Experience, Michelle Mclean, Sami Shaban, Deborah Murdoch-Eaton

Michelle McLean

Increasingly, it is being recognised in higher and medical education that learners should be adequately prepared for the unpredictable nature of professional practice. Several generic or transferable skills or capabilities (e.g., communication, information handling) that will enable graduates to function in an ever-changing professional world have been identified. Using a validated inventory comprising six categories of transferable skills, three cohorts of incoming male and female medical students at a Gulf university documented their level of practice and confidence for 31 skills. The exercise was repeated a year later. New medical students identified computer and organisational skills and the ability to …

Caregiving Styles: A Cognitive And Behavioral Typology Associated With Dementia Family Caregiving, Mary Corcoran

Mary A Corcoran

Purpose: An increasing number of elderly individuals

are diagnosed with Alzheimer’s disease and

related disorders (ADRD), many of whom receive

daily caregiving from spouse or adult child. Caregiving

is a “cultural activity,” and as such it is strongly

influenced by sociocultural beliefs about caregiving

and how it should be enacted. Understanding this

thinking–action process has important implications

for future research and service. Reasoned action theory

provides empirical evidence that attitudes and

beliefs, as they are influenced by the social environment,

predict intentions to act. In turn, behavioral

intentions can reliably predict behaviors. This

grounded theory study describes a typology of …

Advanced Practice Nurses And Attending Physicians: A Collaboration To Improve Quality Of Care In The Nursing Home, C Philpot, Debbie Tolson, J Morley

Professor Debbie Tolson

No abstract provided.

Relationships Between Appraisals Of Caregiver Communication Strategies And Burden Among Spouses And Adult-Children, Marie Savundranayagam, J. Orange

Marie Y Savundranayagam

Background: The purpose of this study was to investigate the impact of caregivers’ appraisals of the effectiveness of their own communication strategies on caregiver burden when caring for family members with Alzheimer's disease (AD).

Methods: Family caregivers (N = 84) of participants with AD completed questionnaires appraising communication strategies, problem behaviors, and levels of three types of burden.

Results: Hierarchical linear regression models revealed that effective strategies and kinship status were significantly linked with stress burden, whereas effective strategies and problem behaviors were significantly related to relationship burden. Cognitive status of participants with AD significantly predicted objective burden. Caregivers who …

Casualties In Civilians And Coalition Soldiers From Suicide Bombings In Iraq, 2003—10: A Descriptive Study., M Hicks, H Dardagan, P Bagnall, M Spagat, J Sloboda

Madelyn Hsiao-Rei Hicks

BACKGROUND:

Suicide bombs in Iraq are a major public health problem. We aimed to describe documented casualties from suicide bombs in Iraq during 2003-10 in Iraqi civilians and coalition soldiers.

METHODS:

In this descriptive study, we analysed and compared suicide bomb casualties in Iraq that were documented in two datasets covering March 20, 2003, to Dec 31, 2010--one reporting coalition-soldier deaths from suicide bombs, the other reporting deaths and injuries of Iraqi civilians from armed violence. We analysed deaths and injuries over time, by bomb subtype and victim demographics.

FINDINGS:

In 2003-10, 1003 documented suicide bomb events caused 19% (42,928 …