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Associations Among Hospital Capacity, Utilization, And Mortality Of Us Medicare Beneficiaries, Controlling For Sociodemographic Factors., E. S. Fisher, J. E. Wennberg, T. A. Stukel, J. S. Skinner, S. M. Sharp

Dartmouth Scholarship

To explore whether geographic variations in Medicare hospital utilization rates are due to differences in local hospital capacity, after controlling for socioeconomic status and disease burden, and to determine whether greater hospital capacity is associated with lower Medicare mortality rates.

The Phantom Burster Model For Pancreatic Β-Cells, Richard Bertram, Joseph Previte, Arthur Sherman, Tracie A. Kinard, Leslie S. Satin

Pharmacology and Toxicology Publications

Abstract

Pancreatic β-cells exhibit bursting oscillations with a wide range of periods. Whereas periods in isolated cells are generally either a few seconds or a few minutes, in intact islets of Langerhans they are intermediate (10–60 s). We develop a mathematical model for β-cell electrical activity capable of generating this wide range of bursting oscillations. Unlike previous models, bursting is driven by the interaction of two slow processes, one with a relatively small time constant (1–5 s) and the other with a much larger time constant (1–2 min). Bursting on the intermediate time scale is generated without need …

Abstracts Of Student-Faculty Publications

The Corinthian

Abstracts of Student-Faculty Publications

The Effects Of A Functional Derotational Knee Brace On The Single-Leg Hop, Timed-Hop, And Stability Of Ncaa Division Ii Athletes, Heidi E. Moran

Theses, Dissertations and Capstones

Functional knee braces are often used by athletes following an injury to their anterior cruciate ligament (ACL). However, few athletes are given information as to whether the knee brace will hinder their ability. The purpose of this study was to examine the effects of a functional derotational knee brace on the single leg hop for distance, timed hop, and overall stability index of athletes. Twelve healthy knees were tested with and with out an off-the-shelf DonJoy Legend knee brace. A matched T-test showed a significant difference between the single leg hop (T = 2.71, p<.05) and timed hop (T=3.23, p<.05) while wearing the knee brace. There was no significance found when examining the stability index while wearing the brace. It was concluded that the functional knee brace decreased the distance of a single leg hop and increased the time it took to perform a timed hop.

Isolation Of Current Components And Partial Reaction Cycles In The Glial Glutamate Transporter Eaat2, Thomas S. Otis, Michael Kavanaugh

Biomedical and Pharmaceutical Sciences Faculty Publications

The kinetic properties of the excitatory amino acid transporter EAAT2 were studied using rapid applications of l-glutamate to outside-out patches excised from transfected human embryonic kidney 293 cells. In the presence of the highly permeant anion SCN⁻, pulses of glutamate rapidly activated transient anion channel currents mediated by the transporter. In the presence of the impermeant anion gluconate, glutamate pulses activated smaller currents predicted to result from stoichiometric flux of cotransported ions. Both anion and stoichiometric currents displayed similar kinetics, suggesting that anion channel gating and stoichiometric charge movements are linked to early transitions in the transport cycle. …

An International Cross-Cultural Study Of The Role Of Chief Informational Officers In Healthcare, Wallace Saunders

Faculty Dissertations

The introduction and utilization of Information Systems (IS) in the hospital environment has had a significant and lasting impact on the practice of medicine. The development of this dissertation will attempt to explore a widely overlooked area: The comparison of Chief Information Officers (CIOs) in the United States and the United Kingdom.

Aspects of CIO experiences relating to assumed roles, CIO challenges, skills, frustrations, success, failure, leadership, management, involvement and perceptions about the role of Information Technology (IT) in healthcare are discussed with a comparative global model. This study investigates the managerial roles of the Chief Information Officer based on …

Incidence Of Rocky Mountain Spotted Fever Among American Indians In Oklahoma, Jennifer H. Mcquiston, Robert C. Holman, Amy V. Groom, Stephen F. Kaufman, James E. Cheek, James E. Childs

Zoonotics and Wildlife Disease: Publications

Althought he state of Oklahoma has traditionally reported very high incidence rates of Rocky Mountain spotted fever (RMSF) cases, the incidence of RMSF among the American Indian population of the state has not been studied. The authors used data from several sources to estimate the incidence of RMSF among American Indians in Oklahoma.

Fish Health For Fish Farmers - 2nd Edition, Tina Thorne

Fisheries Published Reports

2nd edition.

Disease is a departure from the normal state of health of a fish or any other animal. Diseases have no doubt occurred among fishes since these animals have occupied a place on the earth. Scientific efforts to understand the causes of disease in fishes, and to attempt to control them however, have only been made during the last sixty years.

Fishes, crustaceans and molluscs, as with other animals are subject to a wide spectrum of diseases, that can be classified as infectious or non-infectious. The vast majority of disease problems in the intensive farming of aquatic animals can …

Lessons Learned In Applying The U.S. Epa Proposed Cancer Guidelines To Specific Compounds, Melvin Andersen, M. Elizabeth Meek, Gary Boorman, David Brusick, Samuel Cohen, Yvonne Dragan, Clay Frederick, Jay Goodman, Gordon Hard, Ellen O'Flaherty, Denise Robinson

United States Public Health Resources

An expert panel was convened to evaluate the U.S. Environmental Protection Agency’s “Proposed Guidelines for Carcinogen Risk Assessment” through their application to data sets for chloroform (CHCl₃) and dichloroacetic acid (DCA). The panel also commented on perceived strengths and limitations encountered in applying the guidelines to these specific compounds. This latter aspect of the panel’s activities is the focus of this perspective. The panel was very enthusiastic about the evolution of these proposed guidelines, which represent a major step forward from earlier EPA guidance on cancer-risk assessment. These new guidelines provide the latitude to consider diverse scientific data …

Male Circumcision And Hiv Prevention: Directions For Future Research, Johannes Van Dam, Marie Christine Anastasi

HIV and AIDS

A growing body of scientific publications suggests that male circumcision is associated with reduced risk of HIV infection in sub-Saharan Africa. Thus, male circumcision is being considered as a potential intervention in the prevention of sexually transmitted HIV infection, even though this procedure has profound cultural implications and carries the risk of complications, and its benefits are realized only many years later. This report presents the findings of a meeting of international researchers, organized by the Horizons Project to explore the programmatic and research implications of the association between male circumcision and HIV prevention. Most studies on male circumcision and …

Application Of Ai In Medicine, Tarmizi Amirul Hisyam

Student Works (2000-2009)

From the beginning of human civilization, mankind have been trying to fins solution on how to make life easier. They create, modify and adapt, as they would please their need. From the smallest things in our life to the biggest part of all technologies, has improved our life tremendously. Computer technology nowadays has an important role in education, communication, medicine, and many more. In the field of medicine, we have seen many support systems had been developed and use to help human in their daily lives. Application of AI in medicine was proposed in this reason in mind, as a …

Sistem Maklumat Perubatan Tradisional Melayu, Omar Rosfazila

Student Works (2000-2009)

Sistem Maklumat Perubatan Tradisional Melayu adalah merupakan satu sistem makumat berkomputer yang dibangunkan di halaman web. Ia bertujuan untuk membantu pengguna mencapai maklumat mengenai (ubatan tradisional serta tumbuhan berubat yang) diamalkan oleh orang Melayu. Sistem ini akan menceritakan serba sedikit tentang sejarah penggunaan perubatan tradisional. Pengguna sistem juga dijangka dapat mengemukan pertanyaan dan memberi sebarang komen yang berkaitan dengan sistem. Bantuan kepada pengguna sistem tentang cara menggunakan sistem turut dipaparkan dalam pembangunan system ini nanti. Sistem ini juga membolehkan pihak pentadbir membuat pengemaskinian maklumat mengikut kesesuaian semasa dan pembaharuan. Ia adalah sejajar dengan matlamat untuk memastikan penyimpanan maklwnat yang lebih …

Web-Based System On Pregnancy - Giving Birth (Sistem Kehamilan - Kelahiran Anak), Hoi Yen Siow

Student Works (2000-2009)

From pregnancy until childbirth, it is always a process of tiring, joy and tribulations. Pregnancy women experience great changes in mentality and physically. They need to learn the related information to minimize their anxiety, to help them discover the danger signs earlier and to be well prepared for their baby's arrival. In Malaysia, pregnancy women tend to get the knowledge on pregnancy from their relatives, friends and books. An online system on pregnancy - giving birth could be developed as a good alternative of their information resources. The information could be delivered via World Wide Web (WWW). With the features …

Physical Activity: Essential Component In Primary And Secondary Curricula For Lifelong Health, Maril Mccord

Physical Therapy Scholarly Projects

Chronic disease, preventable illness and injury, and growing trends of sedentary behaviors have currently been associated with the American population. It is estimated that 70% of all deaths in America are attributable to chronic disease of a preventable nature. Childhood disease has declined only to be replaced by new waves of social, environmental, and behavioral factors which manifest as health risks. At least 68 million Americans suffer from some form of heart disease while nearly 60% of adults lead sedentary lifestyles. The challenge in the nation is to counter these trends by implementation of policy and programs for healthier habits …

Predicting Milk And Soft Drink Consumption Among Female Adolescents Using The Theory Of Planned Behavior, Nada Osman Kassem

Loma Linda University Electronic Theses, Dissertations & Projects

A total of 756 female adolescents, aged 13 to 18 years, from five public high schools in Antelope Valley Union High School District located in North Los Angeles County participated in this study between February 1999 and March 1999. The ethnic composition was 53.3% White/Anglo Americans, 19.3% Hispanics or Latinos and 10.2% Black/African Americans. The constructs of the Theory of Planned Behavior (attitude, subjective norm, and perceived behavioral control and their underlying beliefs) were assessed to determine the predictors of low-fat milk and regular soda consumption. A cross-sectional design with group-administered questionnaires was utilized.

Most participants (89.6%, n = 636) …

Women Street Vendors: The Road To Recognition, Monique Cohen

Poverty, Gender, and Youth

This issue of SEEDS explores the experience of women working and organizing as urban street vendors at a time when both the volume of demand and the number of vendors are expected to grow. As municipalities seek to change laws that affect how street vendors ply their trade, it is clear that vendors must have a seat at the table. Local-level organizational efforts need to be consolidated at the national level to cement vendors’ hard-earned gains as rights in national laws and policy. A 1995 meeting in Bellagio conceived an international alliance of street vendors—StreetNet—which aims to promote the exchange …

Decision-Making In Ryan White Care Act Planning Bodies: An Analysis Of The Decision-Making Process Of The Joint Committee Of The Jacksonville Hiv/Aids Planning Council And Consortium, Andrea Clarkson Davis

UNF Graduate Theses and Dissertations

The purpose of this study was to determine which factors and the degree to which these factors influenced the Joint Committee when deciding how much money should be allocated to the different services funded by the Ryan White CARE Act. This study focused on the possible explicit and implicit factors influencing the decision-making process and interactions of the members of the HIV/AIDS Joint Prioritization & Allocation Committee in the decisions that were being made on behalf of the people who are infected and affected by this disease.

The methodology included a combination of quantitative and qualitative data, utilizing surveys, coding …

The Effects Of The Lower Extremity Joint Motions On The Total Body Motion In Sit-To-Stand Movement, Bing Yu, Nicole Holly-Crichlow, Paul Brichta, Gordon R. Reeves, Cynthia M. Zablotny, Deborah A. Nawoczenski

Faculty Publications - College of Physical Therapy

Objective. The purpose of this study is to investigate the effects of lower extremity joint angular motions on the whole body linear motions in a sit-to-stand movement using a biomechanical model that describes the whole body linear velocity vector as functions of lower extremity joint angular velocities.

Design. Two-dimensional video analysis of whole body and joint kinematics.

Background. A biomechanical model that describes the whole body linear motions as functions of lower extremity joint angular motions is needed to provide clinically relevant information in clinical services and scientific research.

Methods. The linear velocity vector of the whole body motion during …

Gas Chromatographic-Mass Spectrometric Analysis Of Captopril And Its Application In Pharmacokinetic Studies In Healthy Subjects, Zamri Chik

Student Works (2000-2009)

Captopril is a highly specific competitive inhibitor of the angiotensin-convening enzyme (ACE). This enzyme converts angiotensin I, a relatively inactive decapeptide, to angiotensin II , a potent endogenous vasoconstrictor substance. Captopril is widely used for the treatment of hypertension and congestive heart failure. This drug, which contains a sulphydryl group binds readily to albumin and to other plasma proteins. Captopril is unstable in blood and plasma ex vivo because of the reactivity of sulphydryl group which results in oxidation and rapid formation of disulphides. Therefore a fixative or a stabiliser must be added to each blood sample immediately following collection. …

Clinical Waste Management In The Northern States Of Peninsular Malaysia, Sabah And Sarawak, Abdul Hai Akbar Ali

Student Works (2000-2009)

Clinical waste management and disposal methods are quite unique due to their infectious and harmful nature. Unlike municipal waste, clinical waste is pathogenic which jeopardizes the biotic community including human beings, if not quelled of its pathogenic effect.. However, shortcomings or drawbacks are still possible in areas of source separation. inappropriate containment and labeling. Improper incineration may also lead to incomplete combustion ultimately leading to air pollution. Though existing system of clinical waste disposal and management in Malaysia seem adequate, still efficient and cost effective mechanisms are needed. The focus of this research is to survey and study the administrative …

Whole Body Momentum During Gait: A Preliminary Study Of Non-Fallers And Frequent Fallers, Guy G. Simoneau, David E. Krebs

Physical Therapy Faculty Research and Publications

The importance of momentum in compensating for elderly individua ls ' strength deficits to achieve activities of daily living. such as rising from a chair ha.!o been demonstrated in earlier studies. Here we present a case control study of three healthy "non-fallers" and two "frequent fallers," All 5 elders were community-living and were tested in the gai l laboratory. A four-camera Selspot system was used to obtain whole-body momentum from an 11-segment kinematic model. Ground reaction forces and kinematics were used 10 calculate lower extremity join! moments. With the exception of the whole-body's angular momentum about the vertical axis, linear …

Nutritional Therapies For Ulcerative Colitis: Literature Review, Chart Review Study, And Future Research, Joel S. Edman, William (Bill) H. Williams, Robert C. Atkins

Publications and Research

Few clinical studies suggest a significant influence of diet or nutritional supplementation on ulcerative colitis. One reason is that ulcerative colitis, like many chronic diseases, is multifactorial. This article reviews the relevant literature and presents the results of a retrospective chart review study that was done at a complimentary medicine office.

Managing Population-Environment Systems: Problems Of Institutional Design, Geoffrey Mcnicoll

Poverty, Gender, and Youth

In population–environment systems human activity is inherently part of the system rather than something to be minimized in order to maintain or restore “natural” environmental conditions. Issues arising in managing such systems are discussed in this paper. The system’s boundaries must be identified, defining its human participants and its ecological content. Procedures for monitoring demographic and environmental change in the system must be set up and consensus must be reached on how to evaluate that change.

Sistem Maklumbalas Bagi Sistem Maklumat Kesihatan, Abu Bakar Siti Fatimah

Student Works (2000-2009)

Perkembangan teknologi dan industri komputer yang semakin pesat, kini menjadi medan utama untuk setiap pihak bersaing. Penyediaan aspek mudah dan pantas menjadi pilihan utama dalam menghasilkan kerja yang lebih produktif dan berkualiti serta hasil kerja yang terbaik. Perkembangan yang positif ini membantu meningkatkan mutu pengurusan termasuklah pengurusan sistem. Sistem maklumbalas bagi sistem maklumat kesihatan, iaitu Sistem MBK yang akan dibangunkan ini bertujuan untuk membantu pihak yang terlibat da1am melicinkan urusan dan membantu mengatasi masalah yang dihadapi jika sistem manual digunakan. Tujuan pembangunan Sistem MBK ini adalah supaya pengguna dapat memberikan maklumbalas kepada pusat kesihatan dengan lebih mudah dan cepat. Sistem …

Sistem Inventori Farmasi, Embong Jamilah

Student Works (2000-2009)

Pada hari ini kemajuan Teknologi Maklumat semakin pesat berkembang. Organisasi kerajaan mahupun swasta menggunakan sistem komputer untuk: melicinkan lagi kerja yang dilakukan tiap hari Sistem lnventori Farmasi diperkenalkan bagi memudahkan kerja penyimpanan maklumat di kedai-kedai farmasi supaya kerja yaang dijalankan berjalan dengan lancar. Laporan ini bertujuan memberi penerangan serta gambaran tentang projek yang dijalankan ini. Kajian literasi memberi penerangan bagaimana kajian yang dilakukan sebelum dan sewaktu projek dijalankan. la juga menggambarkan tentang proses pembangunan perisian di mana ia diceritakan secara terperinci dalam bab analisis sistem rekabentuk, pengkodan dan pengujian. Akhir sekali, tentang operasi dan penilaian terhadap sistem di mana diberi …

Risk Factors Associated With Infant Mortality Among Very Low Birthweight Infants Of Teenage Mothers In San Bernardino County, C. Letitia Henry

Loma Linda University Electronic Theses, Dissertations & Projects

Background. Typically, infant mortality decreases as maternal age increases in teenagers. In contrast to these national data, San Bernardino County (SBC) experienced a different phenomenon in 1989-1994 among very low birthweight (VLBW) infants. The infant mortality rate (IMR) of VLBW infants born to mothers under 17 years old (283 per 1000 live births) was significantly lower than the IMR of VLBW infants born to mothers between the ages of 17-19 years old (430 per 1000 live births) (p = .02).

Purpose. The purpose of the study was to explain the discrepancy between IMRs of VLBW infants of younger teenage mothers …

Outlook Magazine, Fall 2000

Outlook Magazine

No abstract provided.

Applications Of The Atomic Force Microscope Within The Fields Of Haematology And Cytogenetics, Margaret O'Reilly-Crowley

Theses

Atomic force microscopy [AFM] has become a rapidly developing interdisciplinary field of research in recent years. The technique, including instrumentation and specimen preparation methods, is now more sophisticated and its application has increased dramatically. The key advantage of AFM is in providing three-dimensional images of samples imaged. Both size and shape of samples imaged can be obtained allowing their subsequent quantification. Red blood cells [RBCs] and chromosomes were imaged in this work. A brief overview of the current status of biomedical AFM, has been presented in the review.

Measurement of mean cell volume [MCV] of immobilised red blood cells with …

Lds Life Tables: A Comparison Of Long-Lived Populations, Christopher R. Layton

Theses and Dissertations

This research estimates the life expectancy of members of the Church of Jesus Christ of Latter-day Saints (LDS) in Utah. We create gender-specific life tables for four groups: total Utah, active LDS, less-active LDS, and non-LDS. Male life tables are based on data from 1991-1995; female life tables are based on data from 1994-1998. Life expectancy at birth is 75 years for all utah males, 79.8 years for active LDS Utah males, 71.6 years for less active LDS Utah males, and 71.5 years for non-LDS Utah males. Female life expectancy at birth is 80.4 years for all Utah females, 83.9 …

Teleradiology As A Foundation For An Enterprise-Wide Health Care Delivery System, John David N. Dionisio, Ricky K. Taira, Usha Sinha, David B. Johnson, Benjamin Y. Dai, Gregory H. Tashima, Stephen Blythe, Richard Johnson, Hooshang Kangarloo

Computer Science Faculty Works

An effective, integrated telemedicine system has been developed that allows (a) teleconsultation between local primary health care providers (primary care physicians and general radiologists) and remote imaging subspecialists and (b) active patient participation related to his or her medical condition and patient education. The initial stage of system development was a traditional teleradiology consultation service between general radiologists and specialists; this established system was expanded to include primary care physicians and patients. The system was developed by using a well-defined process model, resulting in three integrated modules: a patient module, a primary health care provider module, and a specialist module. …