Digital Commons Network^™

Penetration Of Piperacillin/Tazobactam Into Gynecologic Tissues Following A Single Loading Dose Prior To Hysterectomy, William F. O'Brien, Shelley George

Obstetrics & Gynecology Faculty Publications

Objective: This study was undertaken to determine plasma and pelvic tissue concentrations of piperacillin/tazobactam following a single intravenous administration.Methods: Plasma and tissue samples were obtained following administration of 3 g of piperacillin and 0.375 g of tazobactam. Concentrations of these agents were determined by chromatography.Results: Plasma concentrations (mean ±SD) for piperacillin/tazobactam were 208 ± 87/27 ± 8 and 95 ± 53/14 ± 2, respectively, at 30 and 60 min after the start of the infusion. The 8:1 ratio between piperacillin and tazobactam in plasma remained constant for up to 96 min. Tissue concentrations yielded a broader range, but …

Social Security Reform: A Budget Neutral Approach To Reducing Older Women's Disproportional Risk Of Poverty, Richard V. Burkhauser, Timothy M. Smeeding

Center for Policy Research

Perhaps the single greatest achievement of social policy in the United States over the last three decades has been reducing poverty in old age. The transition from work to retirement is no longer economically perilous for the vast majority of older American workers. For most married couples, the risk of falling into poverty even several years after retirement is small. But when one partner of the marriage dies, the survivor faces another much more risky economic transition. The single greatest risk of falling into poverty in old age now comes after the death of a spouse, as the survivor faces …

Clients' Perceptions Of Preparedness For Discharge Home Following Total Hip Or Knee Replacement Surgery, Cindy H. Nicholson

Masters Theses

This study used a descriptive design to evaluate discharge planning by examining the clients' perception of preparedness for discharge home following total hip or knee replacement surgery. The conceptual framework was based upon the Betty Neuman Systems Model.; This study used Lawton's (1991) "Discharge Preparation Questionairre" to ascertain the clients' perceptions of preparedness in 10 discharge categories. Perceived preparation was measured using a 5 point summated rating scale. The study site was a 42-bed orthopedic unit in a 119 bed acute care hospital in Southeast Michigan. The convenience sample, of 46 adult clients, were interviewed by phone 3 days following …

Integrative Theories Of Medicine: A (W)Holistic Vision, Kathryn B. Forestal

Master's Theses

No abstract provided.

Ms211: Letter To Dennis Sokol From Armin Weinberg, Armin Weinberg

Works on Radiation Effects: 1990-2020

This an early note to Dennis Sokol who Armin met with at the request of Ambassador Robert Strauss during his first trip to Russia (the meeting with the ambassador was facilitated also by Billy Goldberg). Dennis was a US entrepreneur who was establishing Western style clinics in the former USSR and the ambassador thought we could help especially based on his knowledge of the BCM/TMH affiliation with the Admiral Bristol Hospital that became the American Hospital of Istanbul. See more at Armin Weinberg, PhD Papers and its finding aid.

The Effect Of The Cooper Wellness Program In Promoting Long- Term Lifestyle Behavior Changes, Ernesto P. S. Medina Jr.

Loma Linda University Electronic Theses, Dissertations & Projects

Most research on health behavior change programs examines their effectiveness in producing initial behavior changes, but fails to evaluate long-term maintenance of those changes. This study examined the effectiveness of the Cooper Wellness Program (CWP) in Dallas, Texas, in promoting maintenance of lifestyle behavior changes for one year or longer in the areas of diet, exercise, and stress management.

The CWP offers an intensive live-in lifestyle behavior modification program in four-, seven-, or 13-day formats. Data were collected from 223 individuals who attended the CWP between January, 1989, to February, 1992. The study addressed the following areas: 1) long-term maintenance …

The Diagnosis Of Poncet's Disease, K Hameed, M Karim, N Islam, T Gibson

Section of Internal Medicine

Two cases of polyarthritis in young people with extra-articular tuberculosis are described. The clinical features were consistent with the concept of Poncet's disease. After synovial biopsy one patient proved to have tuberculous peripheral arthritis. This observation raised doubts about the diagnosis in the other patient. Multiple joints may be simultaneously infected with Mycobacterium tuberculosis and Poncet's disease, if it exists, should not be entertained in the absence of synovial biopsy.

Suppressive Effects Of Transforming Factor-Β And Interleukin-10 On The Cytolytic Activity Of Murine Macrophages And Reversal By Cytokines, Chin-Hung Lin

Loma Linda University Electronic Theses, Dissertations & Projects

In this study, the suppressive effects of transforming growth factor-β (TGF-β) and interleukin-10 (IL-10) on peritoneal macrophage killing of H238 target cells and the potential for reversal of the immunosuppressive effect by IL-4 and interferon-γ (IFN-γ) were investigated. The responsiveness of naive and peptone-activated macrophages was compared. The cytolytic activity for tumor cells of these effector cells was measured by percent lysis of ³H-thymidine labeled Herpes simplex virus type 2-transformed tumor cells (H238). After 18-24 hours of incubation with TGF-β or IL-10, the cytolytic activity of macro-medium alone. The immunosuppressive effect of TGF-β or IL-10 on non-activated macrophages was …

Diet And Colon Cancer Risk In The Population Of Thailand, Nithat Sirichotiratana

Loma Linda University Electronic Theses, Dissertations & Projects

Epidemiological studies have emphasized environmental influences, especially a diet high in animal fat and low in fiber, as major risk factors for colon cancer. In order to examine the relationship between dietary fat and fiber and occurrence of colon cancer, patient medical records from the National Cancer Institute between 1981-1991 were used for the first hospital-based case-control study of diet and colon cancer in Thailand. These records included a total of 168 cases and 357 controls. Data on the frequency consumption of various food items were obtained by using an existing food frequency questionnaire, completed as part of patient’s history …

Ms211: Dbase For The Invitational Conference In Houston, Armin Weinberg

Works on Radiation Effects: 1990-2020

This appears to be the master database of the folks invited to our International Conference hosted by TMH, BCM, THMRF etc. in 1993? It is a treasure trove of those we initially invited from both Israel, Japan, former USSR (Russia, Ukraine, etc.) and of course USA! It has phone and institutional affiliations, flights, etc. See more at Armin Weinberg, PhD Papers and its finding aid.

Self-Efficacy And Self-Care In The Hypertensive Female Patient, Robert Davis Lutz

Loma Linda University Electronic Theses, Dissertations & Projects

This study focused upon physician/patient interaction as it pertains to patient involvement in personal health-care planning decision making, and self-care. The study was a multi-intervention trial that allowed for testing the effectiveness of two instruments used separately or simultaneously, in combination. Participants were 73 female patients, ages 41 to 76, diagnosed with essential hypertension and requiring medication for control.

Patients were randomly assigned to four groups: 1) a control group that was given no intervention, 2) a Pre-Knowledge Intervention (PKI) group that was given an interactive treatment plan with foreknowledge of what their physicians would probably do at their next …

Southeastern University Of The Health Sciences Catalog 1993-1995, Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Ms211: News Clipping From 1993 Relevant To Our Interest In Chernobyl, Armin Weinberg

Works on Radiation Effects: 1990-2020

example of one news story ... "Belarus plagued by lingering Chernobyl radiation, UPn 8/29/93 11:00 PM Belarus plagued by lingering Chernobyl radiation, infectious illnesses UPI NewsFeature (800) Adv. Mon. Aug. 30 or thereafter By VALENTINA STAROVA MOSCOW (UPI) -- The government of the former Soviet republic of Belarus recently issued chilling statistics that confirmed the worst fears of its readers about the legacy of the 1986 Chernobyl nuclear accident. The figures showed that thyroid cancer -- a rare but deadly illness often linked to radiation exposure -- is on the rise in Belarus, with almost as many new cases recorded …

Polymers, Encapsulation, And Artifical Organs (Report On Session 26.0), Paul R. Sanberg, Thomas B. Freeman, David W. Cahill

Neurosurgery and Brain Repair Faculty Publications

No abstract provided.

Neural Basis Of Behavior: Pharmacological Effects In Brain Injury And Degenerative Syndromes, Paul R. Sanberg

Neurosurgery and Brain Repair Faculty Publications

No abstract provided.

A Study To Determine The Effects Of Client Participation In Care On Perceived Control/Powerlessness And Morale, Janis Marie Ormond

Master's Theses

No abstract provided.

Rethinking Postpartum Health Care, Martha Brady, Beverly Winikoff

Reproductive Health

These proceedings come from papers and discussions as part of the Population Council invitational seminar entited "Rethinking Postpartum Health Care," in 1992. The seminar on postpartum reproductive health was the fifth in a series of seminars convened by the Population Council as part of its Robert H. Ebert Program on Critical Issues in Reproductive Health and Population. The program focuses on four topics: 1) improving and devising new approaches to postpartum care; 2) improving the quality of care in family planning and reproductive health services; 3) managing unwanted pregnancy and preventing the consequences of unsafe abortion; and 4) bringing attention …

Persistent Emotional Disorder In Children With Neurological Soft Signs, Daniel Pine, David Shaffer, Irvin Sam Schonfeld

Publications and Research

Provides clinical details in the form of 11 case vignettes from a prospective epidemiological study that found the combination of childhood 'soft' signs and anxious behavior to be a strong risk factor for adolescent emotional disorders. The original study conducted a neuropsychiatric assessment of 180 African-American adolescents (aged 16–18 yrs) who had been followed through childhood. The at-risk Ss exhibited a persistent and specific pattern of both motor abnormalities and anxiety, obsessional compulsive, or depressive symptoms over time. The form of at-risk Ss' neurological and psychiatric abnormalities is consistent with a link between motor system abnormalities and …

Comparison Of Primiparous Women's Expected And Experienced Pain In Labour, Shelagh Lawrence

Theses : Honours

Pain is a subjective phenomenon and is, in varying degrees, an inherent part of the childbirth experience. However, most Western societies view suffering as unacceptable and as such, regard analgesia as a necessity. Many women do not anticipate the intensity of pain experienced in childbirth and are, therefore, not ready to manage this amount of pain when it occurs. This prospective study compared the expected and experienced labour pain of 99 primiparous women, aged 17-40 years. The relationship between expected and experienced pain and acceptance of pregnancy; identification with the motherhood role; relationship with mother; relationship with husband/partner; preparation for …

Digest Of The Philadelphia College Of Osteopathic Medicine (Winter - December 1992), Philadelphia College Of Osteopathic Medicine

Digest

The Winter - December 1992 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• President's Perspective: Strengthening Our Future - Annual Report
• PCOM Names New Dean
• New Chairman and Members Elected to Osteopathic Medical Center Boards
• Founders Day '93
• No Boundaries For Healing: Alumni Serve Worldwide
• Major General Blanck Comes Home to Walter Reed Command
• Alumnus Co-Authors Federal High Blood Pressure Report
• Just Published
• Class Acts
• In Memoriam
• Coming Events

Ms211: Trip Report On Initial Consortium Visit To Areas Effected By Chernobyl Accident, Armin Weinberg

Works on Radiation Effects: 1990-2020

Armin's impressions of first visit to former USSR Russia, Ukraine and Israel by our group at that time referred to as International Consortium for Research and Treatment of Radiation... sent to Admiral Zumwalt (who also traveled to Moscow and Bryansk but not to Ukraine where Armin went with Boris Yoffe, also Larry Laufman and Phil McCarthy went from Russia to Israel with our Hadassah colleagues.) See more at Armin Weinberg, PhD Papers and its finding aid.

Ms211: Bryansk Early If Not Initial Visit, Armin Weinberg

Works on Radiation Effects: 1990-2020

This may be my (Armin) initial trip notes/report from Bryansk and Kyiv. See more at Armin Weinberg, PhD Papers and its finding aid.

Ms211: Notes About Early Contacts With Russian And Israel Investigators, Armin Weinberg

Works on Radiation Effects: 1990-2020

Text includes key names from Russia Institute of Medial Radiology, and from Hadassah that surfaced as we held the Bryansk symposium. See more at Armin Weinberg, PhD Papers and its finding aid.

Ms211: Gotto Update 10-29-1992 From Adw(Armin), Armin Weinberg

Works on Radiation Effects: 1990-2020

A note providing an update on the proposal to DOE and upcoming visit by Admiral Zumwalt and social events including Mayor Lanier and refers to my(Armin) planned trip to Russia and Ukraine. See more at Armin Weinberg, PhD Papers and its finding aid.

Ms211: Agenda Thmrf For Oct 1992 Board Meeting, Armin Weinberg

Works on Radiation Effects: 1990-2020

Board meeting that refers to DOE proposal, Visit to Russia, Israel and Ukraine. See more at Armin Weinberg, PhD Papers and its finding aid.

Hyperparathyroidism With Normal Albumin-Corrected Total Calcium In Patients With Multiple Endocrine Neoplasia Type 1, J. J. Shepherd, Bin Tean Teh, V. Parameswaran, R. David

Henry Ford Hospital Medical Journal

In the largest reported family of patients with multiple endocrine neoplasia type 1 (MEN 1), hyperparathyroidism was expressed at first screening in 33 patients by elevation of ionized calcium (IC) (30 cases) or parathyroid hormone (three cases) without elevation of albumin-corrected total calcium (ACTC). Three of these 33 patients have shown a progressive rise in IC and later an elevation of ACTC. However, the age distribution suggests that in others the level of IC may remain stable at a minimally elevated level throughout life with ACTC remaining normal except for transient rises at the times of intercurrent illness or surgical …

Development Of Periapical Lesions In Immunosuppressed Rats, Phillip A. Waterman Jr.

Loma Linda University Electronic Theses, Dissertations & Projects

The pathogenesis of periapical lesions is the interaction of the oral flora with the existing host defenses. The role of bacteria has been established in endodontic disease but the contribution of the host defenses in periapical lesion formation is less clear. The purpose of this study was to compare periapical lesion development in immunosuppressed rats with that in normal rats. Thirty-five, eight-week old Sprague-Dawley rats were equally divided into seven groups. Groups 1, 2, and 3 were given weekly injections of Cytoxan, an immunosuppressive agent. Groups 4, 5, and 6 received no immunosuppressive therapy. Group 7 served as a control, …

Renal Angiomyolipoma: An Uncommon Tumour, Zafar Nazir, Jamsheer J. Talati

Section of Urology

No abstract provided.

Cortisol In The Ovine Fetus : Its Regulation And Role In Parturition, Ede Marie Apostolakis

Loma Linda University Electronic Theses, Dissertations & Projects

In fetal sheep, circulating cortisol increase during late gestation to abruptly rise 72 hours preceding birth. Although the surge in cortisol is thought to initiate the endocrine cascade which triggers parturition, it is not known what drives the prepartum rise in fetal cortisol. The first study tested the hypothesis that basal cortisol secretion is regulated by adrenocorticotropin (ACTH) which in turn, is controlled by arginine vasopressin (AVP). The fetus challenged with AVP increased plasma ACTH and cortisol concentrations. Pretreatment with an AVP V₁ receptor antagonist blocked AVP-induced plasma ACTH cortisol but failed to alter basal ACTH or cortisol. To …

Shared Responsibility For Medication Use : An Experiment, Marjorie Tessner

Loma Linda University Electronic Theses, Dissertations & Projects

Medication adherence is an important part of effective therapy for gastrointestinal disease. Theory has suggested that the more involved the individual is in their care the more adherent they will be to their medication regime. However, such management is often complicated by patient psychological factors, health beliefs, self-efficacy, and lack of knowledge about medication.

In this experimental study of the impact of shared responsibility for medication use: an experiment, 60 patients from four ethnic groups were randomly assigned to three groups of 20 each: 1) routine discharge medication group, 2) formal education group, and 3) self medication and shared responsibility …