Digital Commons Network^™

A Quantitative Study Of Parental Drug Use And Its Effects On Attachment, Kathern Ruth Lowe

Theses Digitization Project

This research project will examine, from the social worker's perspective, parental substance abuse and its effects on attachment.

Lateral Hypothalamic Nmda Receptor Subunits Nr2a And/Or Nr2b Mediate Eating: Immunochemical/Behavioral Evidence, Arshad Khan, Margarita Curras, Jennifer Dao, Faizi Jamal, Rishi Goel, Elizabeth Gillard, Stefany Wolfsohn, B. Stanley

Selected Works Temporary Series

No abstract provided.

Wellness Center Healthletter - January 1999, Nova Southeastern University

Wellness Center Healthletter

No abstract provided.

Long-Term Studies Of Hantavirus Reservoir Populations In The Southwestern United States: A Synthesis, James N. Mills, Thomas G. Ksiazek, C.J. Peters, James E. Childs

Zoonotics and Wildlife Disease: Publications

A series of intensive, longitudinal, mark-recapture studies of hantavirus infection dynamics in reservoir populations in the southwestern United States indicates consistent patterns as well as important differences among sites and host-virus associations. All studies found a higher prevalence of infection in older (particularly male) mice; one study associated wounds with seropositivity. These findings are consistent with horizontal transmission and transmission through fighting between adult male rodents. Despite very low rodent densities at some sites, low-level hantavirus infection continued, perhaps because of persistent infection in a few long-lived rodents or periodic reintroduction of virus from neighboring populations. Prevalence of hantavirus antibody …

Measured Energy Expenditure Of Tube-Fed Patients With Severe Neurodevelopment Disabilities, Roland N. Dickerson, Rex O. Brown, Jane M. Gervasio, Emily B. Hak, Lawrence J. Hak, John E. Williams

Scholarship and Professional Work – COPHS

Objective: To determine measured resting energy expenditure (REE) of nonambulatory tube-fed patients with severe neurological neurodevelopmental disabilities.

Methods: Twenty patients were prospectively studied. Only steady state indirect calorimetry measurements were taken. All measurements were conducted using a canopy system. Nutritional needs were met entirely by enteral feedings via a permanent ostomy.

Results: REE was widely distributed from 16 kcals/kg/day to 39 kcals/kg/day. The mean REE (888 ±176 kcals/day) of the patients was significantly (p < 0.01) lower than predicted as estimated by the Harris-Benedict equations (1081 ± 155 kcals/day) and World Health Organization equations (1194 ± 167 kcals/day). Fat-free mass (FFM) was the best parameter for predicting REE. Two predictive equations were developed that are not significantly biased and more precise (≤ 15% error) than conventional predictive formulas.

Conclusion: Conventional formulas for estimating energy expenditure are inaccurate and generally overestimate measured energy expenditure of nonambulatory patients with severe developmental …

Lateral Hypothalamic Nmda Receptor Subunits Nr2a And/Or Nr2b Mediate Eating: Immunochemical/Behavioral Evidence, Khan, Margarita Curras, Jennifer Dao, Faizi Jamal, Rishi Goel, Elizabeth Gillard, Stefany Wolfsohn, B. Stanley

Departmental Papers (Biology)

No abstract provided.

Literature Review: Challenging Hiv-Related Stigma And Discrimination In Southeast Asia: Past Successes And Future Priorities, Joanna Busza

HIV and AIDS

Pervasive stigma has surrounded HIV/AIDS since the beginning of the pandemic. In Southeast Asia, as elsewhere, it has been accompanied by discrimination, affecting transmission patterns and access to care and support. This paper describes the regional experience of stigma and discrimination and offers a review of community-based interventions that have attempted to reduce them. The evidence presented comes primarily from unpublished literature and anecdotal evidence gained through interviews with project staff throughout the region.

Status Of Trace Elements Level In Blood Samplesof Different Age Population Of Karachi (Pakistan), Majid Mumtaz, Azhar Siddique, Nadia Mukhtar, Tabassum Mehboob

Turkish Journal of Medical Sciences

No abstract provided.

Pharmacists, Physician-Assisted Suicide, And Pain Control, Alan Meisel

Journal of Health Care Law and Policy

No abstract provided.

The Role Of The Physician In End-Of-Life Care: What More Can We Do?, Dewitt C. Baldwin Jr.

Journal of Health Care Law and Policy

No abstract provided.

Medicaring: Quality End-Of-Life Care, Anne M. Wilkinson, Janet Heald Forlini

Journal of Health Care Law and Policy

No abstract provided.

Caring For The Dying: The Importance Of Nursing, Patricia A. Grady

Journal of Health Care Law and Policy

No abstract provided.

Book Review: Wesley J. Smith, Forced Exit: The Slippery Slope From Assisted Suicide To Legalized Murder, Julie A. Finegan

Journal of Health Care Law and Policy

No abstract provided.

The Catholic Merger Crusade, Hollie J. Paine

Journal of Health Care Law and Policy

No abstract provided.

Stroke Rehabilitation: A Case Study, Darrin Goyn

Physical Therapy Scholarly Projects

Stroke is the largest single cause of neurologic crippling in the United States, with approximately 550 000 Americans having a new or recurrent stroke each year. The costs associated with strokes are estimated at $30 billion annually. Due to the continuing decline of the health care dollar, stroke rehabilitation units must be designed to reduce functional limitations and disabilities in both a timely and cost effective manner.

The goals of stroke rehabilitation are to reduce functional limitations, prevent complications, educate the patient and family, and improve the patient's quality of life. A proper rehabilitation setting and active participation by the …

Holistic Medicine: Therapeutic Touch And Implications For Physical Therapy, Lea Hoff

Physical Therapy Scholarly Projects

Alternative therapies and holistic medicine have been gaining popularity recently. It is important that health care providers have a general knowledge of holistic medicine and some of the approaches being used. Being informed will help health care providers make wise treatment choices.

Therapeutic touch (TI) is a holistic treatment approach which claims to induce physiologic effects through modulating the "human energy field ." Proponents of TI claim that healing is facilitated through conscious intent of practitioners to help the patient and rebalance the patient's energy field. TI research findings are controversial. Much of the research is based on qualitative data, …

Diet And Exercise-Induced Menstrual Dysfunction In The Female Athlete, Roberta Welp

Physical Therapy Scholarly Projects

In recent years there has been an overwhelming increase in the number of females participating in athletic activities. As members of the sports medicine team, physical therapists must be able to recognize afflictions unique to the female athlete. A cluster of increasingly common disorders has been titled the "female athlete triad." By definition, it is the inter-relatedness of disordered eating, amenorrhea, and osteoporosis. Clinically, it may include other factors such as excessive exercise, various degrees and forms of menstrual dysfunction, and additional issues such as fractures, scoliosis, and general musculoskeletal injury.

The purpose of this study is to provide information …

Vital Signs, Winter 1999, 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.

Perceived Social Support And Exercise Compliance Of Phase Iii Patients In Cardiac Rehabilitation Programs, Rana M. Smith

Masters Theses

The purpose of this study was to determine if there was a difference in the level of perceived social support from family, friends, and program staff in Phase III patients who comply and patients who do not comply to cardiac rehabilitation programs.

Staff of 22 cardiac rehabilitation programs in ten different states, distributed 10 surveys to compliers and 10 surveys to non-compliers. A three-part questionnaire was designed to gather information regarding demographics, perceived staff social support and perceived family social support. Independent t-tests were used to determine if there were differences in perceived social support between compliers and non-compliers.

Of …

Struggle, Aspiration, And Obsession: The Discourse Of Diet, Emily K. L. Jahn

Masters Theses

Research has shown that members of society are generally dissatisfied with their current weight. This study examines how individuals socially construct meanings of the word diet and the dieting process. Participants (n=443) were males and females who ranged in age from 7 to 68. Each were given a diet questionnaire to complete. The older groups were given the Multidimensional Health Locus of Control (MHLC) Scale in addition to the survey. The text for analysis was obtained by the surveys and four focus groups. The resulting data indicated that both males and females perceive the word diet means "to lose weight." …

The Relationship Between A Functional Throwing Performance Test And Strength Of Various Scapular Muscles, Karen L. Bos, Kellie S. Gehrs, A. Louise C. Hester

Masters Theses

The purpose of this study was to determine the relationship between the strength of the upper trapezius, middle trapezius, lower trapezius, and serratus anterior, and overhead throwing accuracy in 52 female collegiate softball players. The correlation between manual muscle testing (MMT) and hand-held dynamometry (HHD) was also examined. The Functional Throwing Performance Index (FTPI) was used to measure throwing accuracy. Spearman’s correlation analysis demonstrated no correlation between the strength assessments and throwing accuracy, as measured by the FTPI. Moderate correlations were found between MMT and HHD strength assessments of the lower and middle trapezius and serratus anterior muscles. A poor …

Neutrophil Chemotaxis In Acutely Infected Andclinically Stable Cystic Fibrosis Patients, Burçi̇n Şener, Gülşen Hasçeli̇k, Uğur Özçeli̇k, Ayfer Günalp, Ayhan Göçmen

Turkish Journal of Medical Sciences

Brochopulmonary infection in cystic fibrosis (CF) patients is associated with chronic progressive lung disease. The role of host factors, such as neutrophil functions, in the progressive pathologic processes in the respiratory tract of these patients, is poorly defined. Neutrophil chemotaxis is one of the first mechanisms of host defense to become activated after bacterial invasion has occurred. This study was aimed to evaluate the role of neutrophil chemotaxis in CF and also to determine whether an acute bacterial infection and the nutritional status can affect neutrophil chemotaxis or not. Twelve acutely infected and 12 clinically stable CF patients and 10 …

Perceived Concerns Surrounding The Utilization Of Physical Therapy Aides In Michigan, Jill Bydalek, Greta Swasey-Hadlock

Masters Theses

Utilization of support personnel to perform physical therapy treatments has been a controversial topic in the physical therapy profession for many years. As Managed Care and other health care changes emerged, physical therapists have been pressured to cut costs while maintaining productivity. The use of non-licensed personnel became common place to meet these demands. The purpose of this study was to investigate five research questions. First, to what extent do physical therapists delegate patient treatment and utilize physical therapy aides in Michigan? Secondly, does aide utilization differ based on: the ways in which aides are identified to patients, various settings …

Examination Of The Reliability And Validity Of Rancho Los Amigos Observational Gait Analysis, Heather Groth, Sarah Novak

Masters Theses

The Rancho Los Amigos Observational Gait Analysis system (Rancho OGA) is a standardized approach utilized to assess gait impairment for various diagnoses. Physical therapists, orthotists, and physicians utilize Rancho OGA for clinical decision making and recommending treatment interventions for gait disability. This study examined the reliability and concurrent validity of Rancho OGA from gait files obtained from the GVSU/Mary Free Bed Center for Human Kinetic Studies. Comparisons were made between computerized 3-D gait analysis and Rancho OGA data from videotaped records of cerebral palsy gait to determine the level of agreement utilizing the Kappa statistic and percent agreement. Results indicated …

The Relationship Between A Functional Throwing Performance Test And Strength Of Various Scapular Muscles, Karen L. Bos, Kellie S. Gehrs, A. Louise C. Hester

Masters Theses

The purpose of this study was to determine the relationship between the strength of the upper trapezius, middle trapezius, lower trapezius, and serratus anterior, and overhead throwing accuracy in 52 female collegiate softball players. The correlation between manual muscle testing (MMT) and hand-held dynamometry (HHD) was also examined. The Functional Throwing Performance Index (FTPI) was used to measure throwing accuracy. Spearman’s correlation analysis demonstrated no correlation between the strength assessments and throwing accuracy, as measured by the FTPI. Moderate correlations were found between MMT and HHD strength assessments of the lower and middle trapezius and serratus anterior muscles. A poor …

Plyometrics: A Look At The Biomechanical Basis Of Its Use In The Realm Of Sports Performance Enhancement And Physical Rehabilitation, Sara C. Fetsch

Physical Therapy Scholarly Projects

Plyometrics is a rather new and somewhat foreign concept that is becoming more popular in athletic training programs in the hopes of providing optimal gains in power, which is difficult to obtain by other means of exercise. With its increasing acceptance in the athletic environment, it is also being incorporated into rehabilitation programs as a means of providing strength and proprioceptive feedback.

Little is currently known about the principles that govern the use of plyometrics and the efficacy that has been demonstrated with this training method. The purpose of this independent study is to analyze the basic concepts underlying plyometrics …

The Use Of Baclofen In The Management Of Spasticity In Children With Cerebral Palsy, Anne E. Olson

Physical Therapy Scholarly Projects

Cerebral palsy is one of the leading developmental disabilities amongst children. The majority of children with cerebral palsy experience some degree of spasticity. This spasticity can be very painful and disabling to the child. It can affect their posture, movements, and their mobility.

Currently, baclofen is one of the most common medications used for the treatment of cerebral spasticity. It can be administered either orally or intrathecally through an implanted pump.

The purpose of this literature review is to discuss the use of oral and intrathecal baclofen in the management of spasticity in children with cerebral palsy. Included is a …

Psychosocial Risk Factors In Cardiac Disease, Brenda Jill Rooney

Physical Therapy Scholarly Projects

Acute myocardial infarction is responsible for an extraordinary number of deaths per year in the adult population. Both traditional risk factors (ex., smoking) and non-traditional risk factors (ex., hostility) have been studied for many years in regard to cardiac disease prognosis and progression. Based on past studies, the area of potential psychological cardiac risk factors includes a broad range of characteristics. Difficulties in interpreting and comparing results include a lack of consistent and objective grading criteria and standardized measurements. The problems in this area of study are confounded by difficulties in identifying the definite biological mechanisms through which psychosocial factors …

The Effects Of Personality Characteristics And Stress On Physical Illness, Carly A. Andersen

Honors Projects

Recent research has indicated that personality characteristics and stress may influence the incidence of illness (Dreher, 1995). The majority of studies have examined personality characteristics and stress in acutely and chronically ill populations. However, this phenomenon has not been extensively studied in healthy populations. The purpose of this study was to examine the relationships among personality characteristics, subjective stress, and physical illness in a sample of undergraduate students. This study tested a moderator model in which personality characteristics interact with stress to influence the incidence of physical illness using hierarchical multiple regression. Study participants included 55 undergraduate students selected from …

Oncolog, Volume 44, Number 01, January 1999, Stephanie Deming, Lewis Foxhall M.D., Sunni Hosemann, Beth W. Allen

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

• Innovative PET Camera Readied for Tumor Detection Trials
• House Call: How to Talk With Your Doctor
• Community Physicians: Important Partners With M. D. Anderson
• DiaLog: Liaison Program Strives to Enhance Access, by Lewis Foxhall, MD, Associate Vice President for Health Policy
• Fatigue: The Multidimensional Side Effect
• High Resolution, High Sensitivity, and Variable Field of View Set MDACAM Apart