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Our Adolescents--Our Future, Hatim A. Omar

Pediatrics Faculty Publications

No abstract provided.

Oncolog, Volume 48, Number 01, January 2003, David Galloway, Stephanie Deming, Heather Russell

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• Putting an End to the Waiting: Diagnosis Clinic Finds Answers for Patients When Cancer Is Suspected
• The Center for Research on Minority Health: Working with the Community to End Health Disparities
• Collaboration Between M. D. Anderson, University of Puerto Rico to Address Cancer in Minority Populations
• House Call: Diagnostic Imaging Tests: How They Work and What to Expect

Digest Of The Philadelphia College Of Osteopathic Medicine (Winter 2003), Philadelphia College Of Osteopathic Medicine

Digest

The Winter 2003 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• Opening Remarks
• PCOM Updates
• Student Research Prominent on PCOM Campus
• The Man who Launched a Thousand Careers
• The Next Generation of PCOM Leadership Emerges
• Alumni Association Revitalization
• Cover Story: Reaching Out
• Class Notes
• 56th Annual Alumni /Survivors Dinner Dance Awards
• In Memoriam
• My Turn
• PCOM Alumni Weekend 2003
• PCOM Events

Sex Education In The Schools: What Role Does It Play?, Darby H. Mcelderry, Hatim A. Omar

Pediatrics Faculty Publications

Information regarding pubertal development, sex, pregnancy, and contraception should be provided to children and adolescents in an age-appropriate manner from parents, health care providers, and schools. This article reviews the medical literature on school sex education programs, adolescents' perception of these programs, and the role played by the media, parents, and health care professionals in sexual education of teens.

Parenting Adolescents, Sandra L. D'Angelo, Hatim A. Omar

Pediatrics Faculty Publications

The period of adolescence is often thought to be one of intense stress and turmoil. Yet many parents and teens negotiate this developmental stage without extreme family conflict and without sacrificing close relationships. This review summarizes a portion of the literature on parent-adolescent relationships, focusing on monitoring and control of adolescent behavior and parenting style. Basic principles to emphasize when working with adolescents and parents are also included.

Accessibility And Effectiveness Of Healthcare Providers, Waris Qidwai

Department of Family Medicine

No abstract provided.

Pre-Verbal Trauma, Dissociation And The Healing Process, Dorothy Dreier Scotten

Educational Studies Dissertations

This qualitative research study examines some of the ways in which the healing process takes place in adults who have experienced dissociation, and who have most likely been psychologically traumatized before full language development. The impact of early trauma on human cognitive, socio-emotional, and spiritual development are explored within the context of participant narratives in order to develop an understanding of what may be helpful in developing effective teaching strategies for clinical and teacher education. In-depth interviews were conducted with four adult persons who had been diagnosed with Dissociative Identity Disorder. All had histories of infant psychological trauma and all …

Quality Improvement: Physician Providers, And The Women Health Connection Program, In The Provision Of Breast And Cervical Cancer Screening Services In Nevada., Salome K. Kapella

UNLV Theses, Dissertations, Professional Papers, and Capstones

Quality Improvement is one of the best solutions to the performance of healthcare services. The purpose of this study is to identify areas that need to be improved in relationship between physician providers and the Women Health Connection Program (WHC) in the provision of breast and cervical cancer screening services in Nevada. An assessment of how physicians view the program, their cooperation with the WHC program, an analysis of areas for improvement and the value of services to WHC clients have been discussed in order to improve the quality of breast and cervical cancer in the state. Comparisons have been …

All In Due Time: Perspectives On Childbirth From Deaf Parents, Rsa Region V Project

Course Materials

Six Deaf couples discuss their experiences of giving birth. The stories they share represent a variety of factors and complications that occurred before, during, and after the births of their children.

Communication Skills Of Family Physicians In A Doctor-Patient Consultation, Waris Qidwai, Si Karim, Fm. Irfan

Department of Family Medicine

No abstract provided.

Physical Exercise As A Key Health Determinant Among Patients, Waris Qidwai, Danish Saleheen, Sadia Saleem, Marie Andrades, Iqbal Azam

Department of Family Medicine

No abstract provided.

Paternalistic Model Of Medical Practice, Waris Qidwai

Department of Family Medicine

No abstract provided.

Implications For The Practice Of A Patient Expectation And Satisfaction Survey, At A Teaching Hospital In Karachi, Pakistan, Waris Qidwai, R. H. Dhanani, F. M. Khan

Department of Family Medicine

Objective: To study the expectations and satisfaction of patients visiting Family Practice Clinics, at the Aga Khan University Hospital, in Karachi, Pakistan. Methodology: A cross sectional survey of 316 patients was carried out. A questionnaire, based on the study objectives was developed and administered. The participating patient signed a consent form, after assurance of confidentiality was provided. Data on the demographic profile of the patients was collected.
Results: The mean age was 33.81 years, with 105 (33.2%) women, and 211 (66.8%) men. The majority were married, with education above intermediate level and were in private or government service or were …

Prenatal Chromosomal Diversification Of Leukemia In Monozygotic Twins, Helena Kempski, Karen A. Mensa- Bonsu, Lyndal Kearney, G. Reza Jalali, Ian Hann, Mohammad Khurshid, Mel Greaves

Section of Haematology/Oncology

Previous studies on concordant acute lymphoblastic leukemia (ALL) in identical twins have identified the leukemia as monoclonal with MLL or ETV6-RUNX1 gene fusion as early or initiating events in utero. In the latter case, postnatal latency is associated with secondary genetic events such as ETV6 deletion. We describe here a pair of infant twins with concordant acute monoblastic leukemia (AML). They are a unique pair in that their leukemia blasts display extensive intraclonal chromosomal diversity. Comparison of the leukemic cells between the two twins by karyotype and fluorescence in situ hybridization identifies a common or shared stem line …

Role Of Neuropoietic Cytokines In Development And Progression Of Diabetic Polyneuropathy: From Glucose Metabolism To Neurodegeneration, Dusanka S. Skundric, Robert P. Lisak

Neurology Faculty Publications

Diabetic neuropathy develops as a result of hyperglycemia- induced local metabolic and microvascular changes in both type I and type II diabetes mellitus. Diabetic neuropathy shows slower impulse conduction, axonal degeneration, and impaired regeneration. Diabetic neuropathy affects peripheral, central, and visceral sensorimotor and motor nerves, causing improper locomotor and visceral organ dysfunctions. The pathogenesis of diabetic neuropathy is complex and involves multiple pathways. Lack of success in preventing neuropathy, even with successful treatment of hyperglycemia, suggests the presence of early mediators between hyperglycemia-induced metabolic and enzymatic changes and functional and structural properties of Schwann cells (SCs) and axons. It is …

Prostate Cancer: Some Clinical And Scientific Dilemmas., Paul D. Abel, El-Nasir Lalani

Department of Pathology and Laboratory Medicine

No abstract provided.

Clarifying The Lower Incidence Of Birth Defects In The Midwest Of Western Australia : A Study Using Capture Re-Capture Methodology, Donna Baker

Theses: Doctorates and Masters

In April 2000 the Western Australian Birth Defects Registry held its 20th Anniversary Scientific Symposium to signify the first 20 years of the Birth Defects Registry in Western Australia. At the Symposium, significant trends and occurrences in birth defects within Western Australia over the past 20 years were addressed. One factor highlighted in the Registry's 1980-1999 report was that birth defects were reported less frequently in rural regions compared with metropolitan areas. Data collected from the metropolitan area is considered by the Birth Defects Registry to be the most accurate. Therefore, incidence rates of birth defects in this area arc …

Storying The Body : Women's Narratives Through The Lens Of Breast Cancer, Janet A. Griffin

Theses : Honours

What can women's narratives contribute to our understanding of breast cancer and to feminist theories of the body? This thesis explores the meanings women construct to make sense of embodied experiences of breast cancer, and the profound experience of breast loss. Rich contextual data was elicited from in depth, guided conversations with five premenopausal women who have undergone mastectomy. Adopting feminist methodology, biographic-narrative was used to place the body at the heart of inquiry. This thesis explores the personal and theoretical meanings of mastectomy, embedded in the larger story of how these five women experience their breasts, throughout their lives. …

A Comparison Between Conventional And Holistic Exercise Interventions On Physiological Function In The Elderly, Gavin R. Mccormack

Theses: Doctorates and Masters

Aging is characterised by a decline in physiological function. The rate of this decline can depend on certain lifestyle factors, genetics, and the environment. Although life expectancy is slowly increasing, there is a need to reduce the time spent in debilitated, and non-independent states by elderly individuals. Preventive measures need to be implemented to reduce dependency and improve the quality of life for elderly individuals. One such preventive and remedial measure is the use of exercise and physical activity. Because limited exercise prescription exists for the elderly population, there is a need to determine the effectiveness of exercise interventions that …

Fall Risk Assessment : A Prospective Investigation Of Nurses' Clinical Judgement And Risk Assessment Tools In Predicting Patient Falls In An Acute Care Setting, Helen Myers

Theses: Doctorates and Masters

Falls are a significant problem in acute care, hospital settings, and can have serious consequences, especially for older patients. Fall prevention has therefore been recognised as an important area for research and intervention. In order to target interventions and use resources effectively, a major strategy of many fall prevention programmes has been the development and/or use of risk assessment tools to identify patients who are at high risk of falling. Although many tools have been developed, few have been rigorously tested, and there is currently no evidence to support the clinical utility of fall risk assessment tools. There is a …

District Hospital Based Injury Data-Are They An Option In A Developing Country?, Junaid Abdul Razzak, David Marsh, S. Stansfield

Department of Emergency Medicine

No abstract provided.

Medical Education Digest, Vol. 4 No. 6 (November 15, 2002), Nova Southeastern University

Medical Education Digest

No abstract provided.

Comparisons Of American, Israeli, Italian And Mexican Physicians And Nurses On The Total And Factor Scores Of The Jefferson Scale Of Attitudes Toward Physician-Nurse Collaborative Relationships, Mohammadreza Hojat, Joseph S. Gonnella, Thomas J. Nasca, Sylvia K. Fields, Americo Cicchetti, Alessandra Lo Scalzo, Francesco Taroni, Anna Maria Vincenza Amicosante, Manuela Macinati, Massimo Tangucci, Carlo Liva, Gualtiero Ricciardi, Schmuel Eidelman, Hanna Admi, Hana Geva, Tanya Mashiach, Gideon Alroy, Adelina Alcorta-Gonzalez, David Ibarra, Antonio Torres-Ruiz

CRMEHC Faculty Papers

This cross-cultural study was designed to compare the attitudes of physicians and nurses toward physician–nurse collaboration in the United States, Israel, Italy and Mexico. Total participants were 2522 physicians and nurses who completed the Jefferson Scale of Attitudes Toward Physician–Nurse Collaboration (15 Likert-type items, (Hojat et al., Evaluation and the Health Professions 22 (1999a) 208; Nursing Research 50 (2001) 123). They were compared on the total scores and four factors of the Jefferson Scale (shared education and team work, caring as opposed to curing, nurses, autonomy, physicians’ dominance). Results showed inter- and intra-cultural similarities and differences among the study groups …

Com Outlook Fall 2002, College Of Osteopathic Medicine

COM Outlook

No abstract provided.

Oncolog, Volume 47, Number 10, October 2002, Sunni Hosemann, Mariann Crapanzano, Stephen P. Tomasovic Phd

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• A Natural Progression: M. D. Anderson Cancer Center Promotes the Study and Integration of Complementary Therapies
• New AJCC Staging System for Hepatocellular Carcinoma Reflects Patient Prognosis After Surgical Resection
• DiaLog: Complementary Medicine: Research, Education, and Communication, by Stephen P. Tomasovic, PhD, Professor of Molecular and Cellular Oncology and Vice President for Educational Programs
• House Call: Making the Cancer Journey Easier

Electrically Mediated Delivery Of Vector Plasmid Dna Elicits An Antitumor Effect, L. Heller, D. Coppola

Bioelectrics Publications

In vivo electroporation is an efficient means of increasing plasmid DNA delivery to normal tissues, such as skin and muscle, as well as directly to tumors. In the experiments described here, plasmid DNA was delivered by in vivo electroporation to B16 mouse melanomas using two very different pulsing protocols. Reporter expression increased 21- or 42-fold, respectively with electroporation over injection alone. The growth of experimental melanomas with an approximate diameter of 4 mm on the day of treatment was monitored after electroporation delivery of reporter plasmid DNA. Remarkably, short-term complete regressions using one of these pulsing protocols occurred in up …

Medical Education Digest, Vol. 4 No. 5 (September 15, 2002), Nova Southeastern University

Medical Education Digest

No abstract provided.

Physician Empathy: Definition, Components, Measurement, And Relationship To Gender And Specialty, Mohammadreza Hojat, Joseph S. Gonnella, Thomas J. Nasca, Salvatore Mangione Md, Michael Vergare, Michael Magee

CRMEHC Faculty Papers

OBJECTIVE: There is a dearth of empirical research on physician empathy despite its mediating role in patient-physician relationships and clinical outcomes. This study was designed to investigate the components of physician empathy, its measurement properties, and group differences in empathy scores.

METHOD: A revised version of the Jefferson Scale of Physician Empathy (with 20 Likert-type items) was mailed to 1,007 physicians affiliated with the Jefferson Health System in the greater Philadelphia region; 704 (70%) responded. Construct validity, reliability of the empathy scale, and the differences on mean empathy scores by physicians’ gender and specialty were examined.

RESULTS: Three meaningful factors …

Oncolog, Volume 47, Number 09, September 2002, Kerry L. Wright, Dawn Chalaire, Karyn Hede, Martin L. Smith Std, Anne J. Flamm Jd

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• Is Hormone Replacement Therapy an Option for Women with a History of Breast Cancer?
• Breast Cancer Survivor Devotes Life to Helping Those at High Risk for Hereditary Cancers
• "I Have Something to Tell You." Counselors Support Family Communication about Genetic Susceptibility to Cancer
• DiaLog: Bigger than a Blood Test: Ethical Cautions about Genetic Testing, by Martin L. Smith, STD, and Anne J. Flamm, JD
• House Call: Just a Phase: Understanding Clinical Trials
• Discovery Sheds Light on How Breast Cancer Cells Progress to More Aggressive Forms

Digest Of The Philadelphia College Of Osteopathic Medicine (Fall 2002), Philadelphia College Of Osteopathic Medicine

Digest

The Fall 2002 Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• Opening Remarks
• PCOM Updates
• Alumnus Marks 100th Birthday
• Cover Story: College Moves Forward with Strategic Plan
• Aging and the Immune Response
• Class Notes
• In Memoriam
• My Turn
• 2003 Annual Fund
• PCOM Events