Digital Commons Network^™

Environmental Health Practitioners In Alabama: An Assessment Of The Practice Of The Ten Essential Services And Abilities In The Fourteen Core Competencies., Christie Mccullum-Hill

All ETDs from UAB

No abstract provided.

Applying The Information-Motivation-Behavioral Skills Model Of Hiv- Risk To Youth In Psychiatric Care, Geri R. Donenberg, Rebecca Moss Schwartz, Erin Emerson, Helen W. Wilson, Fred B. Bryant, Gloria Coleman

Psychology: Faculty Publications and Other Works

This study examined the utility of cognitive and behavioral constructs (AIDS in-formation, motivation, and behavioral skills) in explaining sexual risk taking among 172 12–20–year-old ethnically diverse urban youths in outpatient psy-chiatric care. Structural equation modeling revealed only moderate support for the model, explaining low to moderate levels of variance in global sexual risk taking. The amount of explained variance improved when age was included as a predictor in the model. Findings shed light on the contribution of AIDS informa-tion, motivation, and behavioral skills to risky sexual behavior among teens re-ceiving outpatient psychiatric care. Results suggest that cognitive and behavioral factors …

Design And Cloning Of A Hammerhead Ribozyme Targeted Tohiv-1p7fmrna, Katherine L. Anderson, William H. Jackson

Journal of the South Carolina Academy of Science

No abstract provided.

The Experience Of Decision Making In Adolescent Females And Young Women With Mobility Limiting Disorders, Bernice Balzer Allen

Theses and Dissertations

Young women with mobility limiting disorders face many challenges as they move through adolescence into young adulthood. In addition to the challenges of this developmental period, they must consider their disability as they manage their lives. Competent decision making is a foundational skill for self-management and for transition in adulthood. It is also a protective factor for resilience.There is little research on decision making in adolescents with disabilities. Therefore, the purpose of this qualitative study was to explore the decision making experiences of female adolescents and young women with mobility limiting disorders. Theoretical underpinnings for the study included Resilience Theory …

Palm Is Expressed In Both Developing And Adult Mouse Lens And Retina., Meryl Castellini, Louise V Wolf, Bharesh K Chauhan, Deni S Galileo, Manfred W Kilimann, Ales Cvekl, Melinda K Duncan

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

BACKGROUND: Paralemmin (Palm) is a prenyl-palmitoyl anchored membrane protein that can drive membrane and process formation in neurons. Earlier studies have shown brain preferred Palm expression, although this protein is a major water insoluble protein in chicken lens fiber cells and the Palm gene may be regulated by Pax6. METHODS: The expression profile of Palm protein in the embryonic, newborn and adult mouse eye as well as dissociated retinal neurons was determined by confocal immunofluorescence. The relative mRNA levels of Palm, Palmdelphin (PalmD) and paralemmin2 (Palm2) in the lens and retina were determined by real time rt-PCR. RESULTS: In the …

Fractal Dimensions In Red Blood Cells, Alina Rapa, Servilia Oancea, Dorina Creanga

Turkish Journal of Veterinary & Animal Sciences

We studied the erythrocyte aggregability for different animals using fractal analysis. Red blood cell aggregation is an important component of whole blood viscosity and is the major cause of the non-Newtonian flow properties of blood. To understand the aggregation process many models have been proposed in the literature. Since aggregates formed by aggregation have a fractal structure, mathematical descriptions of their irregular structure can be obtained using fractal geometry. For this purpose, blood samples were prepared from cows, sheep, rabbits, roosters, horses and humans by diluting 1:200 and mixing for 3 min in adequate reactives. A Turk room, microscope system …

El Niño Causes Dramatic Outbreak Of Paederus Dermatitis In East Africa, Ingeborg M.C.J. Van Schayk, Ruben O. Agwanda, John I. Githure, John C. Beier, Bart G.J. Knols

All Peer-Reviewed Publications

An outbreak of Paederus sabaeus rove beetles in Kenya during the 1997-1998 El Niño resulted in a dramatic increase of vesicular dermatitis in its capital Nairobi. The beetle, popularly called ‘Nairobi Fly’, contains a potent toxic fluid that causes epidermolysis and acute conjunctivitis. A cross-sectional epidemiological study involving 1,208 Nairobi residents was conducted to determine the health impact of this outbreak. The results showed that one-third of the Nairobi population were infected during this period. The majority of the respondents reported lesions on exposed body parts above the shoulders. Disfiguring, painful blisters and skin rashes in and around the facial …

Evolving The Psychological Mechanisms For Cooperation, Jeffrey R. Stevens, Fiery A. Cushman, Marc D. Hauser

Department of Psychology: Faculty Publications

Cooperation is common across nonhuman animal taxa, from the hunting of large game in lions to the harvesting of building materials in ants. Theorists have proposed a number of models to explain the evolution of cooperative behavior. These ultimate explanations, however, rarely consider the proximate constraints on the implementation of cooperative behavior. Here we review several types of cooperation and propose a suite of cognitive abilities required for each type to evolve. We propose that several types of cooperation, though theoretically possible and functionally adaptive, have not evolved in some animal species because of cognitive constraints. We argue, therefore, that …

Students' Knowledge Regarding The Dynamics Of Hpv At Secular And Christian Colleges, Joann Timberlake, Sarah Mayer, Stephanie Callister, Sheri Cook, Kim Hamilton

Loma Linda University Research Reports

Purpose: No studies have been identified that analyze the association between religious affiliation and college students' awareness of human papillomavirus (HPV) and its possible consequences. The purpose of this study was to investigate the relationship between knowledge of HPV and the type of college (Christian or secular) a student attends. Methods: The study sample included 195 college students, 18 years of age or older, attending either La Sierra University, Loma Linda University, San Bernardino Valley College, or University of La Verne. The survey assessed six areas of know ledge of HPV including general know ledge, natural history and symptoms, risk …

Obesity And The Struggle Within Ourselves, Maxwell Gregg Bloche

Georgetown Law Faculty Publications and Other Works

The author argues that we ought to treat our eating, exercise habits, and girth as personal matters, for the most part, but that law can and should make a contribution, as an ally of our longer-term will against our immediate cravings. Law can be our ally in this fashion without command-and-control intrusion into our private lives. Such intrusion is at odds with our core beliefs and unlikely to produce public health success. It is more likely to provoke popular backlash--one reason why some who stand to gain from our unhealthy dining choices try to cast government efforts to inform these …

A Nomogram For Valproic Acid And The Effect Of Missed Doses, Alaa M. Ahmad

Theses and Dissertations

Background. Clinicians are divided on dosing recommendations when a dose is delayed or missed. For a neuropsychiatric agent like valproic acid (VPA), rational dosing recommendations are of particular importance. VPA is subject to therapeutic monitoring using total concentrations. Due to non-linear binding of VPA to plasma proteins, current dose titration schemes for VPA are empirical. The objectives of this research were to 1- study the effect of missed/delayed doses on steady state concentrations of VPA and 2-design a nomogram that can be used for dose titration based on total VPA concentrations. Methods. 1- A simulation study was conducted to test …

Stability Study Of Phoslactomycin B And Analysis Of Degradation Products, Choudhuri Suparna Das

Theses and Dissertations

Phoslactomycin B (PLM-B), a potent and selective inhibitor of serine threonine phosphatase is of interest for its antitumor, antifungal and antiviral activity. The objective of this study was to evaluate the stability of phoslactomycin B at various pH and temperature conditions. Phoslactomycin B was produced from the mutant strain NP1 of Streptomyces sp.HK-803 and was purified by semi-preparative HPLC . A study of PLM-B degradation was carried out in the pH range of 2-10 at 30ºC and 50°C using HPLC. The PLM-B decomposition was observed to exhibit a U-shaped pH profile and demonstrated both acid and base-catalyzed decomposition. The decomposition …

A Web Services Architecture For Umls Knowledge Sources, Parsa Mirhaji, Narendra Kunapareddy, Yanko Michea, Arunkumar Srinivasan

Faculty, Staff and Student Publications

A web service is a collection of industry standards to enable reusability of services and interoperability of heterogeneous applications. The UMLS Knowledge Source (UMLSKS) Server provides remote access to the UMLSKS and related resources. We propose a Web Services Architecture that encapsulates UMLSKS-API and makes it available in distributed and heterogeneous environments. This is the first step towards intelligent and automatic UMLS services discovery and invocation by computer systems in distributed environments such as web.

Using Incomplete Citation Data For Medline Results Ranking, Jorge R Herskovic, Elmer V Bernstam

Faculty, Staff and Student Publications

Information overload is a significant problem for modern medicine. Searching MEDLINE for common topics often retrieves more relevant documents than users can review. Therefore, we must identify documents that are not only relevant, but also important. Our system ranks articles using citation counts and the PageRank algorithm, incorporating data from the Science Citation Index. However, citation data is usually incomplete. Therefore, we explore the relationship between the quantity of citation information available to the system and the quality of the result ranking. Specifically, we test the ability of citation count and PageRank to identify "important articles" as defined by experts …

Persuasive Email Messages For Patient Communication, Muhammad Walji, Kathy Johnson-Throop, Todd Johnson, Elmer Bernstam, Jiajie Zhang

Faculty, Staff and Student Publications

To improve health and reduce costs, we need to encourage patients to make better health care decisions. Since email is widely available, it may be useful for patient-directed interventions. However, we know little about how the contents of an email message can influence a health-related decision. We propose a model to understand how patients may process persuasive email messages.

Interruptions In Workflow For Rns In A Level One Trauma Center, Juliana J. Brixey, David J. Robinson, Zhihua Tang, Todd R. Johnson, Jiajie Zhang, James P. Turley

Faculty, Staff and Student Publications

An understanding of interruptions in healthcare is important for the design, implementation, and evaluation of health information systems and for the management of clinical workflow and medical errors. The purpose of this study is to identify and classify the types of interruptions experienced by Emergency Department(ED) nurses working in a Level One Trauma Center. This was an observational field study of Registered Nurses (RNs) employed in a Level One Trauma Center using the shadowing method. Results of the study indicate that nurses were both recipients and initiators of interruptions. Telephones, pagers, and face-to-face conversations were the most common sources of …

Using Technology To Teach Technology: Design And Evaluation Of Bilingual Online Physician Education About Electronic Medical Records, Sarah R. Edmonson, Adol Esquivel, Pallavi Mokkarala, Craig W. Johnson, Cynthia L. Phelps

Faculty, Staff and Student Publications

The "EMR Tutorial" is designed to be a bilingual online physician education environment about electronic medical records. After iterative assessment and redesign, the tutorial was tested in two groups: U.S. physicians and Mexican medical students. Split-plot ANOVA revealed significantly different pre-test scores in the two groups, significant cognitive gains for the two groups overall, and no significant difference in the gains made by the two groups. Users rated the module positively on a satisfaction questionnaire.

Setting Fires To Stem Cell Research, Roxanne Greitz Miller

Education Faculty Articles and Research

The goal of this lesson is to present the basic scientific knowledge about stem cells, the promise of stem cell research to medicine, and the ethical considerations and arguments involved. One of the challenges of discussing stem cell research is that the field is constantly evolving and the most current information changes almost daily. Few science texts contain stem cell information, and those that do are generally written at a reading level above that of a typical middle grade student. In the lesson, students are introduced to the FIRES strategy and given an opportunity to evaluate stem cell information from …

Implementing Best Practice Protocols For Occupational Hygiene Monitoring, Hayden Wing

Theses: Doctorates and Masters

This thesis outlines the results of an occupational hygiene monitoring program implemented at Minara Resources' Murrin Murrin mine site. The research was conducted as part of a collaborative agreement between Edith Cowan University and Minara Resources, the title of which was "Establishing best practice protocols in the management of occupational and environmental health in a high risk mining and ore processing environment". To form the basis of this research it was hypothesised that chemical hazards had not been adequately identified, that existing occupational hygiene monitoring programs did not adequately quantify employee exposures to these hazards, and that the implementation of …

Development Of Dose Conversion Coefficients For Radionuclides Produced In Spallation Neutron Sources: Quarterly Progress Report 9/1/04 – 12/31/04, Phillip W. Patton, Mark Rudin

Transmutation Sciences Physics (TRP)

The research consortium comprised of representatives from several universities and national laboratories has successfully generated internal and external dose conversion coefficients for twenty radionuclides produced in spallation neutron sources. In addition, the group has identified twenty radionuclide that are missing electron capture files and eighteen additional radionuclides missing substantial physical data.

Estimating Percentile-Specific Causal Effects: A Case Study Of Micronutrient Supplementation, Birth Weight, And Infant Mortality, Francesca Dominici, Scott L. Zeger, Giovanni Parmigiani, Joanne Katz, Parul Christian

Johns Hopkins University, Dept. of Biostatistics Working Papers

In developing countries, higher infant mortality is partially caused by poor maternal and fetal nutrition. Clinical trials of micronutrient supplementation are aimed at reducing the risk of infant mortality by increasing birth weight. Because infant mortality is greatest among the low birth weight infants (LBW) (• 2500 grams), an effective intervention may need to increase the birth weight among the smallest babies. Although it has been demonstrated that supplementation increases the birth weight in a trial conducted in Nepal, there is inconclusive evidence that the supplementation improves their survival. It has been hypothesized that a potential benefit of the treatment …

A Hybrid Newton-Type Method For The Linear Regression In Case-Cohort Studies, Menggang Yu, Bin Nan

The University of Michigan Department of Biostatistics Working Paper Series

Case-cohort designs are increasingly commonly used in large epidemiological cohort studies. Nan, Yu, and Kalbeisch (2004) provided the asymptotic results for censored linear regression models in case-cohort studies. In this article, we consider computational aspects of their proposed rank based estimating methods. We show that the rank based discontinuous estimating functions for case-cohort studies are monotone, a property established for cohort data in the literature, when generalized Gehan type of weights are used. Though the estimating problem can be formulated to a linear programming problem as that for cohort data, due to its easily uncontrollable large scale even for a …

Ranking Usrds Provider-Specific Smrs From 1998-2001, Rongheng Lin, Thomas A. Louis, Susan M. Paddock, Greg Ridgeway

Johns Hopkins University, Dept. of Biostatistics Working Papers

Provider profiling (ranking, "league tables") is prevalent in health services research. Similarly, comparing educational institutions and identifying differentially expressed genes depend on ranking. Effective ranking procedures must be structured by a hierarchical (Bayesian) model and guided by a ranking-specific loss function, however even optimal methods can perform poorly and estimates must be accompanied by uncertainty assessments. We use the 1998-2001 Standardized Mortality Ratio (SMR) data from United States Renal Data System (USRDS) as a platform to identify issues and approaches. Our analyses extend Liu et al. (2004) by combining evidence over multiple years via an AR(1) model; by considering estimates …

Referent Selection Strategies In Case-Crossover Analyses Of Air Pollution Exposure Data: Implications For Bias, Holly Janes, Lianne Sheppard, Thomas Lumley

UW Biostatistics Working Paper Series

The case-crossover design has been widely used to study the association between short term air pollution exposure and the risk of an acute adverse health event. The design uses cases only, and, for each individual, compares exposure just prior to the event with exposure at other control, or “referent” times. By making within-subject comparisons, time invariant confounders are controlled by design. Even more important in the air pollution setting is that, by matching referents to the index time, time varying confounders can also be controlled by design. Yet, the referent selection strategy is important for reasons other than control of …

Quality Improvement In Maryland: Partnerships And Progress, Judith D. Moore, Lisa Sprague

National Health Policy Forum

This one-and-a-half-day site visit to Easton, Maryland, explored the activities of the Delmarva Foundation, the Quality Improvement Organization (QIO) for Maryland and the District of Columbia. The program reviewed Delmarva’s responsibilities under their Medicare contract and the initiatives they have undertaken with hospitals and other providers to improve health care outcomes and to define, collect, and report quality data. Local hospital officials added their perspective on quality programs and working with Delmarva. Topics of particular interest were health information technology, patient safety, and quality reporting both to government agencies and to consumers.

Semi-Parametric Single-Index Two-Part Regression Models, Xiao-Hua Zhou, Hua Liang

UW Biostatistics Working Paper Series

In this paper, we proposed a semi-parametric single-index two-part regression model to weaken assumptions in parametric regression methods that were frequently used in the analysis of skewed data with additional zero values. The estimation procedure for the parameters of interest in the model was easily implemented. The proposed estimators were shown to be consistent and asymptotically normal. Through a simulation study, we showed that the proposed estimators have reasonable finite-sample performance. We illustrated the application of the proposed method in one real study on the analysis of health care costs.

Mcnair Scholars Program, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Message From The Provost, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Full Issue, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

The Effect Of Rapid Maxillary Expansion On Nasal Cavity Volume And Nasal Airway Resistance, Todd Ehrler

Loma Linda University Electronic Theses, Dissertations & Projects

This study examined the effects of Rapid Maxillary Expansion (RME). Using Cone Beam CT scanning technology and Rhinomanometry, the volume and nasal airway resistance (NAR) of the nasal cavity was measured immediately before and after RME.

27 subjects (16 female, and 11 male), ages 9-18 were enrolled in the study. After RME all subjects had a statistically significant increase in nasal cavity volume. The pre expansion group experienced a statistically significant reduction in NAR when compared to the post expansion group. Individuals with a high pre expansion NAR experienced the greatest reduction in NAR. The correlation between change in volume …