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Perceived Barriers And Perceived Motivators To Receiving Prenatal Care, Christine M. Davis

Masters Theses

The Health Belief Model served as the conceptual framework for this retrospective descriptive study that identified women's perceived barriers and perceived motivators to obtaining prenatal care. A 50 item questionnaire, including both forced-choice and open-ended questions, was administered to 29 women who had delivered a healthy infant within the previous 6 to 8 weeks. The sample was predominantly white (82.2%), {dollar}>{dollar}19 years of age (62.1%), single (62.1%), unemployed (51.7%), and receiving Medicaid insurance (69%). Univariate statistics were calculated for each item. Each item was then compared to the timing of the start of prenatal care. The most important motivators …

Our Hearts Were Once Young And Gay: Health Care Rationing And The Elderly, George P. Smith Ii

Scholarly Articles

Although there exists no rigid guideline delineating society's obligation to provide health care, at a minimum Americans are entitled to an adequate level of care without excessive burdens being placed upon them. Fulfilling this ostensibly simple mandate, however, presents an enormous challenge. The need to allocate limited financial and human resources increasingly clashes with the moral desire to provide health care resources to elder Americans beyond their years of economic productivity. As a result, health care professionals face the difficult task of weighing against society's other priorities the efficiency of distributing limited health care resources to the elderly. This demand …

Nutritional Problems And Information Needs Of Patients Receiving Chemotherapy And Radiation Therapy, Margaret Joan Robinson

Theses : Honours

Nutritional status is a major factor in determining the successful outcome of treatment for cancer. The combined effect of cancer, and the treatment for cancer, has the potential to severely impair nutritional status. The purpose of this study was to investigate the incidence and severity of treatment-related side-effects which affect nutritional status in cancer patients and to determine the sources and helpfulness of information about nutrition which had been utilised by patients. A descriptive study was used to investigate two groups of patients, one group who was receiving chemotherapy, and the other, radiation therapy. A questionnaire developed by the researcher …

The Role Of Social Support Networks In The Independent Functioning Of Elderly Persons, Maree Gabbedy

Theses : Honours

There is conclusive evidence which highlights the importance of physical and mental health in the ability of elderly persons to function within society, and elderly persons who require services to maintain their independence, are assumed to have lower levels of functioning than persons who do not apply for, or require assistance. Individuals, however, are rarely totally independent, as most people are involved in social networks, where the reciprocal exchange of money, emotional support, goods and services are exchanged with friends family and neighbours. This study, examined the role of social support networks in the independent functioning of the elderly, in …

The Lived Experience Of The Aged Care Nurse, Christine Martin

Theses: Doctorates and Masters

The purpose of this phenomenological study was to describe and interpret the common, shared meanings of the experience of aged care nursing from the perspective of the registered nurse working in a nursing home. There are insufficient registered nurses being attracted into aged care, with resulting difficulties in maintaining regular staffing levels in nursing homes. Previous studies conducted in Australia have predominantly used quantitative research methods to investigate various influences QD the recruitment and retention of aged care nurses. These studies do not take into account the practitioners' perceptions of their experience of aged care nursing. A purposive sample of …

Ms211: News Clippings, Armin Weinberg

Works on Radiation Effects: 1990-2020

News clippings related to Chernobyl and other radiation events. See more at Armin Weinberg, PhD Papers and its finding aid.

Digest Of The Philadelphia College Of Osteopathic Medicine (Fall 1995), Philadelphia College Of Osteopathic Medicine

Digest

The Fall 1995 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• PCOM Begins New Era of Research Development
• Alumni Board Profile
• College Board Profile
• PCOM Makes a Splash at Fall Conventions
• Annual Report 1995
• Foundations for Leadership
• Academic Update
• The PCOM Mission
• Master Facilities Plan
• PCOM Financial Review
• PCOM Board of Trustees
• Students Get Involved
• PCOM Tees off for Cambria Street Healthcare Center
• PCOM’s Ever-changing Campus
• A Call for Action in Pennsylvania
• Morris Named Family Medicine Chairman
• Ambulatory Care Network Expands
• Capital Campaign Developments
• Class Acts
• In Memoriam
• PCOM Mail Order Catalog

Vital Signs, Fall 1995, Boonshoft School Of Medicine

Vital Signs

A twenty four page newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, alumni profiles, class notes, and more.

Evaluation Of Oral Midazolam As Pre-Medication In Day Care Surgery In Adult Pakistani Patients, N Ahmed, F A. Khan

Department of Anaesthesia

A placebo controlled randomized double blind study was designed to assess the suitability of oral Midazolam as a premedication in day care surgery in adult Pakistani patients. Fifty ASA I and II patients aged between 20-60 years received either Midazolam 7.5 mg or a placebo approximately one hour prior to surgery. Midazolam 7.5 mg produced significant anxiolysis and sedation (p < 0.001) in comparison to placebo after one hour of premedication. There was a significant difference (p < 0.001) in the mean heart rate and blood pressure in both groups after 1 hour of premedication with a lesser rise in blood pressure and heart rate in the Midazolam group. Psychomotor performance assessed by 'n' deletion test was impaired by Midazolam (p < 0.001) and recall of pictures revealed differences (p < 0.05) in the groups at one hour after premedication. However, at four hours after surgery there were no differences in both groups. These findings indicate that rapidly acting oral Midazolam in doses of 7.5 mg provided safe and effective premedication in terms of anxiolysis, sedation, amnesia and psychomotor performance and is suitable for day surgery.

The Health Belief Model As A Predictor Of Gynecological Exams: Does Sexual Orientation Matter?, Lynn Elizabeth Kunkel

Dissertations and Theses

Screening and early detection are essential for the management and control of most diseases. It is important for women to practice routine health care that includes both clinical and self examinations. Today, many women go without health care due to barriers which prevent them from obtaining adequate care. The present study was designed to investigate, using the Health Belief Model, whether there is a difference between heterosexual and lesbian women in obtaining gynecological exams. Responses from 238 participants, 70 heterosexuals and 168 lesbians, indicated that the Health Belief Model was a significant predictor of whether women complied with recommended guidelines …

Posttraumatic Stress Disorder In Parents Of Traumatic Brain Injury Patients, Carol Farr

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic Brain Injury (TBI) produces cognitive, behavioral, and affective deficits with resulting problems such as improper social behavior, increased aggression, emotional, personality and characterological changes. The impact upon the survivor, the sibling, as well as the parental subsystem has been well documented in the literature. Post-Traumatic Stress Disorder (PTSD) has been diagnosed in several different types of trauma survivors, although rarely have individual psychological symptoms been studied in parents.

This research examined the possible vulnerability factors that are associated with TBI and their potential influence upon PTSD symptomology. Questionnaires were mailed to 266 parents of TBI patients with a response …

Persistent Oral Dyskinesias Induced By Long-Term Haloperidol Treatment Is Dissociated From Changes In Neostriatal B(Max) And Mrna Content For Dopamine D(2) Receptors, Nuoyu Huang

Electronic Theses and Dissertations

Due to the presumed associations of dopamine (DA) receptor supersensitivity phenomena in both long-term neuroleptic-treated tardive dyskinetic rats and neonatal 6-hydroxydopamine (n6-OHDA)-lesioned rats, we studied the influence of haloperidol on n6-OHDA-lesioned rats. At 3 days after birth rats received 6-OHDA-HBr (200 $\mu$g, bilateral intracerebroventricularly; desipramine pretreatment, 20 mg/kg, 1h) or vehicle. Two months later haloperidol (1.5/kg/day $\times$ 2 days/week for 4 weeks, then 1.5 mg/kg/day, every day for 10 months) was added to the drinking water. Spontaneous oral activity of intact and n6-OHDA-lesioned rats receiving haloperidol was reached and maintained at significantly higher levels after 15 weeks of haloperidol treatment. …

Thrombolytic Therapy In Acute Myocardial Infarction In Pakistan., M. Asad Karim, Ata Ata-Ur- Rehman Qureshi, Syed Faisal Mahmood, J. Akhter

Department of Medicine

To characterize features of acute myocardial infarction (AMI) in a Pakistani population, and assess the role of thrombolysis in our country, we studied 194 consecutive admitted patients with enzyme positive AMI. Males were affected three times more frequently; women, although affected less, had a higher incidence of complications than men. Premature coronary artery disease (CAD) was present in 50% patients presenting with AMI. An unusually high incidence of anterior wall myocardial infarction (39%) was seen. Complications were frequent with a predominance of LV failure symptoms. Cardiogenic shock was associated with a very high mortality, in excess of 93%. Streptokinase (SK) …

Ms211: Initial Thoughts About Aiha Kazakhstan Partnership In Semipalatinsk, Armin Weinberg

Works on Radiation Effects: 1990-2020

Notes by Armin that look at issues and opportunity for us with this AIHA partnership in Kazakhstan. The core of course with our internal BCM, TMH, TCH, TMC benefits. Obviously with possible links to our work in Chernobyl and even the AMC business as well. See more at Armin Weinberg, PhD Papers and its finding aid.

Health Professions Division Catalog 1995-1996, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Ms211: News Clipping From 1994 Relevant To Our Interest In Chernobyl, Armin Weinberg

Works on Radiation Effects: 1990-2020

News coverage that could inform our work in Chernobyl and USA... eg, "CLINTON WEIGHS NEXT STEP ON RADIATION TESTSRTw 1/1/94 9:42 AM HILTON HEAD, SC, Jan 1 (Reuter) - President Clinton said Saturday he supports Energy Secretary Hazel O'Leary's release of documents disclosing secret Cold War radiation tests on people and said the next step is to decide what to do with the information. " See more at Armin Weinberg, PhD Papers and its finding aid.

Oncolog, Volume 40, Number 04, October-December 1995, Kathryn L. Hale, Vickie J. Williams

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

• Psychiatry at M. D. Anderson: Helping patients learn to live with cancer
• Technology and cooperation powerful tools in locating genes
• Second opinion clinic helps patients get the best treatment

Oncolog, Volume 40, Number 01, January-March 1995, Stephanie P. Deming, Kathryn L. Hale, Linda N. Eppich

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

• Genetic testing: a new paradigm for medullary thyroid carcinoma
• Bone marrow transplantation now available as an outpatient procedure
• Adjuvant chemotherapy for breast cancer: 20 years of progress at M. D. Anderson

Diagnosis Of Genetic Defects By Chromosomal Analysis, Farooq Ghani, Siddiqua Maniac, Zahida Khilji, Mohammad Azim, Mohammad Khurshid

Department of Pathology and Laboratory Medicine

Of 901 karyotypes performed over a period of 4 years, genetic anomalies were detected in 162 cases. Down’s syndrome (trisomy 21) was the most common (168.8%) genetic disorder followed by Turner’s syndrome, Philadelphia chromosome, Klinefelter's syndrome, Edward’s syndrome (trisomy 18) and Patau’s syn­drome (trisomy 13). All the three trisomies were detected very early in life. Mean age at the time of diagnosis for Turner’s syndrome was 13.3 years, allowing a timely hormone replacement therapy to improve secondary sexual characters. Patients with Klinefelter's syndrome were diagnosed late (mean age 23.6 years), which greatly reduced their chances of an effective therapy to …

Vital Signs, Winter 1995, Boonshoft School Of Medicine

Vital Signs

A twenty three page newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, alumni profiles, class notes, and more.

Low Income Women's Perception Of Preparedness For Self Care And Infant Care Following Discharge From A Less Than Forty-Eight Hour Hospitalization For Birth, Patricia M. Ritola

Masters Theses

The purpose of this study was to describe perceptions of preparation for self care and infant care of new mothers of low income following a short hospitalization for childbirth. Orem's nursing model was used as the conceptual framework for the study. A descriptive correlational, cross sectional design was used to examine preparedness for self care and infant care. The sample (N = 50) consisted of women who were served by Michigan Medicaid, 18 years or older and were hospitalized less than 48 hours. A telephone interview was conducted seven days after discharge.; Data were analyzed using descriptive statistics. Findings identified …

Perceptions Of Control And Satisfaction With Hospital Birth Experiences For First-Time Mothers, Clelia Tedeschi

Theses : Honours

Satisfaction with childbirth is associated with women's future emotional wellbeing. This study examined whether first- time mother's antenatal expectations, postnatal evaluations of control during labour and delivery, and the discrepancy between expectations and evaluations were significant predictors of women's satisfaction with their childbirth experiences. The effect of medical interventions (e.g., obstetrical interventions and pain relief medication) on women's perceptions of control and satisfaction was also examined. The purposive sample of eighty first-time mothers, mean age 26 years (excluding women who had caesareans) delivered at the public hospital where they attended antenatal classes. During their fourth antenatal class women completed a …

The Importance Of Religion For Parents Coping With A Chronically Ill Child, Carolyn M. Rutledge, Jeffrey S. Levin, David B. Larson, John S. Lyons

Ellmer School of Nursing Faculty Publications

This study examines differences in the stability and consequences of religious coping among parents (N = 102) of chronically ill children. Analyses revealed that changes in religious patterns due to a child's illness were reflected in changes in other, non-religious coping resources. Specifically, parents whose pre-illness religious patterns were satisfactory did not alter their use of other coping resources, whereas parents who reported changes in their religious patterns also made changes in their use of familial financial and social support systems.

A Phenomenological Study Of Infertility : The Couple's Perspective, M. Imeson

Theses: Doctorates and Masters

The purpose of this phenomenological study was to describe and interpret the experience of infertility from the perspective of infertile couples, in order to gain an in-depth understanding of how it affects their lives. Ten to twenty per cent of the global population share the experience of infertility, however, little is known of their experiences and perceptions related to infertility. Literature to date mainly focuses on the physiological effects of infertility and does not take into account the context in which the experience takes place, or the meanings that people assign to this experience. To be effective, health carers need …

Long Term Restoration Of Peak Torque, Endurance And Muscle Activation Post Anterior Cruciate Ligament Reconstruction, Darryl Alan Turner

Theses : Honours

In recent years, Accelerated Rehabilitation (A.R.) protocols have been used following Anterior Cruciate Ligament (A.C.L.) reconstructions, the longer term effects of these programs are seldom analysed. This study examined musculoskeletal mechanisms that might affect long term functional restoration, the control subjects (n = 19) of mixed age and gender, had no previous knee deficiencies and were recreationally fit. The experimental subjects (n = 17) had undergone intra-articular A.C.L reconstruction, using bone patellar-tendon bone grafts performed by the same surgeon and had also participated in the A.R. protocol, similar to that described by Shelbourne and Nitz (1990). The experimental group attended …

Psychosocial Determinants Of Age-Appropriate Immunizations Of Infants In Norfolk, Virginia, Hoda Youssef Atta

Health Services Research Dissertations

This study represents an investigation of psychosocial factors affecting age-appropriate immunizations of infants in Norfolk, Virginia. A household survey was conducted in Norfolk, Virginia, from 4/93-8/93, to assess immunization coverage of children 12-30 months of age. This survey included a total of 389 children in the target age range. A subset of 201 mothers were randomly selected and reinterviewed to assess their knowledge and attitudes and the relationships of these factors to age-appropriate immunizations at 12 months of age. Sixty-two percent of children were not age-appropriately immunized at 12 months of age. Almost all mothers (99%) considered vaccines to be …

An Assessment Of Personal Characteristics, Job Satisfaction And Semantic Descriptors Of Virginia Acute And Tertiary Care Hospitals' Chief Executive Officers, Justin C. Matus

Health Services Research Dissertations

The purpose of the study was to identify the determinants of job satisfaction of Virginia Hospital CEO's and to identify those descriptors that best characterize the role of the hospital CEO as defined by the CEO's themselves. The study sample consisted of all hospital CEO's in Virginia as listed by the Virginia Hospital Association. The study employed a four part survey instrument that investigated four major areas: (1) personal and hospital demographics; (2) self rated performance; (3) a semantic scale measuring the concept of Hospital CEO; and (4) The Minnesota Satisfaction Questionnaire. A survey was mailed to 119 CEO's. The …

Ms211: Liquidators Of The Chernobyl Diaspora, Armin Weinberg

Works on Radiation Effects: 1990-2020

The text of my presentation at the WHO meeting in St Petersburg Russia held at the former KGB Sanatorium to address the problems of those involved in the cleanup after the accident at Chernobyl. My wife Karen came with me on this trip. From here we went on to Moscow, Bryansk and Kiev (with a stop in Germany) where we were joined by Drs Tom Wheeler and Rhida Arem who gave a series of lectures on fine needle biopsy techniques of the thyroid with our collaborators in each location. See more at Armin Weinberg, PhD Papers and its finding aid …

Vital Signs, Spring 1994, Boonshoft School Of Medicine

Vital Signs

A twenty four page newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, alumni profiles, class notes, and more.

Tyrosine As A Countermeasure To Performance Decrement During Sleep Loss, Douglas A. Wiegmann, David F. Neri, Robert R. Stanny, Scott Shappell, Andrew M. Mccardie, David L. Mckay

Publications

The fatigue and cognitive performance deficits associated with sleep loss and stress have motivated the search for effective nonpharmacological countermeasures. The purpose of the present study was to examine the potential behavioral effects of tyrosine, an amino-acid presursor to dopamine and norepinephrine, during an episode of continuous nighttime work involving one night of sleep loss.