Digital Commons Network^™

An Analysis Of Risk Factors Associated With High Rates Of Cesarean Births In Three Selected Northeast Tennessee Hospitals., Karen Stewart-Hall

Electronic Theses and Dissertations

This study consists of an analysis of hospital discharge data from three Northeast Tennessee hospitals to identify maternal demographic factors that may be linked to higher rates of cesarean sections in this region of Appalachia. Maternal age, race, insurance status, length of stay, and birth weight were evaluated to identify regional trends in the prevalence of these factors over a two-year period.

There were 1,678 (23.3%) singleton live births by cesarean section of which 7.6% were repeat cesarean section deliveries. Less than one percent of the 7,181 births were vaginal births after cesarean (VBAC) delivery. Overall, insurance and maternal age …

The Asia-Pacific In The U.S. National Security Calculus For A New Millennium, Andrew Scobell Dr., Larry M. Wortzel Dr.

Books, Monographs & Collaborative Studies

The authors of this monograph survey the challenges to U.S. national security that confront this diverse and dynamic region, highlighting the particularly volatile situation that continues on the Korean peninsula. Beyond continued U.S. attention to maintaining a robust military presence and steadfast U.S. alliances, they argue that the United States, without ignoring the key dimensions in the U.S. National Security Strategy of responding and preparing now, should give a greater emphasis to shaping the Asia-Pacific region. They contend that the time is ripe for the United States to launch a major shaping initiative to help ensure that the positive trends …

Proteolytic Enzymes In The Marine Bacterium Pseudoalteromonas Atlantica: Post-Secretional Activation And Effects Of Environmental Conditions, Monica Hoffman, Alan W. Decho

Faculty Publications

Production and activities of cellular and extracellular proteolytic enzymes associated with the marine bacterium Pseudoalteromonas atlantica were examined in response to physiological state and changing environmental variables under laboratory conditions. Enzymes evidenced by zymography were metalloproteases, as defined by substrate preference and susceptibility to inhibitors (EDTA and 1, 10-phenanthroline). Distinct bands (i.e. molecular-weight [MW] size classes) of enzymes were isolated from within cellular and extracellular compartments. Susceptibility of extracellular enzymes to environmental stressors was related, in part, to the MW size classes of the enzymes. While all bands of enzymes showed some degree of inhibition when pH was decreased, the …

Effects Of Roadside Transect Width On Waterfowl And Wetland Estimates, Jane E. Austin, H. Thomas Sklebar, Glenn R. Guntenspergen, Thomas K. Buhl

United States Geological Survey, Northern Prairie Wildlife Research Center: Publications

Strip transects located along roads are commonly used to estimate waterfowl populations and characterize associated wetland habitat. We used data collected in May and early June, 1995, on forty-five 40-km² plots in North Dakota to evaluate bias of 800-m and 400-m wide roadside transects for sampling wetlands relative to a larger (40-km²) scale and to compare duck abundance at the two widths. Densities of all basins combined and of seasonal basins considered alone were biased high for both transect widths, but mean bias did not differ from zero for temporary or semipermanent basins. Biases did not occur …

Rift Valley Fever, Sherine Shawky

Saudi Medical Journal

Rift Valley fever is a viral disease that affects domestic animals and humans. In humans, Rift Valley fever causes a flu-like disease but occasionally leads to high morbidity and mortality. The disease is generally known in the African continent. However, cases started to appear in Saudi Arabia and Yemen. The objective of this review is to give a general briefing about the epidemiology, ecology and management of the disease.

Antibiotic Resistance. An Impending Crisis, Manuel W. Mah, Ziad A. Memish

Saudi Medical Journal

The global emergence of antimicrobial resistance has become a pre-eminent concern in medicine and public health. Antimicrobial resistance is of particular concern because the problem is widespread, the causative factors are uncontrolled, and national strategies to address the problem are lacking. The persisting burden of infectious diseases makes elimination of antibiotic use unethical, but dramatic overuse and misuse of antimicrobial agents around the world must be reduced to extend the useful lifetimes of these drugs. Population genetic models suggest that resistance emerges rapidly under the selective pressure of antibiotics, but decays slowly once that pressure is removed. Hence, measures to …

An Attempt To Estimate Gestational Age Of Newborns Using Physical Characteristics, Muhammed A. Al-Mansoob, Afrah S. Al-Nuzeili

Saudi Medical Journal

OBJECTIVE: To investigate the validity of using some physical characteristics to estimate gestational age of the Yemini newborn babies and to compare the results with the findings of other similar studies. METHODS: By using the definitions of 12 physical characteristics and the simple and multiple regression methods, the gestational ages of 184 Yemeni newborns were estimated. RESULTS: The study has proved that, with reasonable estimation precision, only 5 physical characteristics namely skin texture, skin opacity, plantar creases, ear firmness and skull hardness can be used to estimate the gestational age of the Yemeni newborn babies. Further, estimation precision will be …

Knowledge And Practices Of Mothers About Infants' Diarrheal Episodes, Salma A. Moawed, Abdalla A. Saeed

Saudi Medical Journal

OBJECTIVE: To study the socioeconomic correlates of infants9 diarrhea as well as infants9 mothers9 knowledge and practice concerning diarrheal diseases. METHODS: Study subjects included 300 infants (150 from Sulaimania Pediatrics Hospital and 150 from the Maternal and Childrens Hospital) with diarrheal episodes during the study period selected by systematic random sampling. Data was collected via a structured open ended pilot tested modified questionnaire filled in by trained Arabic speaking research assistants who interviewed mothers about the diarrheal aspects of their infants, assessed their knowledge and practices concerning diarrheal diseases in children as well as collecting the necessary sociodemographic characteristics of …

Seroepidemiology Of Hepatitis B Virus Markers Among Hospital Health Care Workers. Analysis Of Certain Potential Risk Factors, Mohamed A. Daw, Ismail M. Siala, Mansour M. Warfalli, Mohamed I. Muftah

Saudi Medical Journal

OBJECTIVE: To determine, the prevalence of hepatitis B virus markers among hospital health care workers, to determine the influence of some risk factors on such prevalence and to outline the specific policies to tackle such problems among hospital health care workers. METHODS: Hepatitis B virus markers including hepatitis B surface antigen, anti-hepatitis B surface antigen and anti-hepatitis B core antigen were determined from sera samples collected from 459 hospital health care workers at different hospital departments. The prevalence of hepatitis B virus among these employees was correlated by a variety of risk factors such as gender, age, blood transfusion, and …

Depot Antipsychotics. Patient Characteristics And Prescribing Pattern, Mohammed A. Al-Sughayir

Saudi Medical Journal

OBJECTIVE: To determine the prescribing pattern of depot neuroleptics and the clinical characteristics of patients attending depot clinic. METHODS: A case series of chronic psychotics attending the depot clinic in the day care center at King Abdulaziz University Hospital in Riyadh, over 10 years. Data was obtained from hospital records, patients interview and contact with patients9 relatives and social workers. RESULTS: The total number of patients was 69 (55% were males). The majority were single schizophrenics between 25 and 45 years. Fifty-one percent of patients lost contact with the service. The Chlorpromazine equivalent depot dose was 188.5 mg/day. CONCLUSION: Patients …

Obstetric Handling Of A Deaf Patient, Mohamed S. Mustafa, Mohamed H. Addar

Saudi Medical Journal

We report our experience of obstetric handling of a deaf pregnant patient antenatally, in labor and postpartum. The patient was deaf from childhood. The attending obstetrician had no training in the necessary skills for communication with the deaf. Fortunately, the patient could read and write English very well and communication was carried out through pen and paper. This proved to be difficult, time-consuming and required a lot of patience. The clinical, psychological and human aspects of the management were gratifying. The patient brought up interesting aspects that need to be considered when dealing with similar patients. Experience of deaf mothers …

Clinical Approach To Patient Treatment By Traditional Cauterization., Latif A. Khan, Sarosh A. Khan

Saudi Medical Journal

No abstract provided.

Multiple Choice Questions In Sudan Medical Schools., Elbagir A. Elfaki, Awad M. Ahmed

Saudi Medical Journal

No abstract provided.

Symbolic Racism In The 1995 Louisiana Gubernatorial Election, Jonathan Knuckley, Byron D. Orey

Department of Political Science: Faculty Publications

In this paper we explore the effects of symbolic racism on the intended vote choice of whites by examining a white-on-black statewide election. It is argued that symbolic racial attitudes will be activated in a white-on-black election simply because of the mere presence of a black candidate. Methods. The white prospective vote for a white racially conservative candidate is examined using survey data from the 1995 Louisiana gubernatorial runoff conducted by the University of New Orleans Survey Research Center. Results. Symbolic racism was a strong predictor of intended vote choice, even after controlling for partisan identification and self-identified political philosophy. …

Ornithological Literature, Robert C. Beason

United States Department of Agriculture Wildlife Services: Staff Publications

BABY BIRD PORTRAITS BY GEORGE MIKSCH SUTTON.

COLLINS ILLUSTRATED CHECKLIST: BIRDS OF SOUTHERN AFRICA.

BIRDS OF AFRICA: FROM SEABIRDS TO SEED-EATERS. By Chris and Tilde Stuart.

HARMONY AND CONFLICT IN THE LIVING WORLD. By Alexander F. Skutch.

HOPE IS THE THING WITH FEATHERS. By Christopher Cokinos.

STURKIE’S AVIAN PHYSIOLOGY. Edited by G. Causey Whittow.

STARLINGS AND MYNAS. By Chris Feare and Adrian Craig.

BIRDING IN THE AMERICAN WEST. By Kevin J. Zimmer.

TAKING WING: ARCHAEOPTERYX AND THE EVOLUTION OF BIRD FLIGHT. By Pat Shipman.

Biomedical Research Leaders: Report On Needs, Opportunities, Difficulties, Education And Training, And Evaluation, Samuel H. Wilson, Deborah Brown, Jay Moskowitz, Dan Hurley, David Brown, David Brown, Byron J. Bailey, Michael Mcclain, Marilyn Misenhimer, Judith Buckalew, Thomas Burks

Faculty Publications

The National Association of Physicians for the Environment (NAPE) has assumed a leadership role in protecting environmental health in recent years. The Committee of Biomedical Research Leaders was convened at the recent NAPE Leadership Conference: Biomedical Research and the Environment held on 1–2 November 1999, at the National Institutes of Health, Bethesda, Maryland. This report summarizes the discussion of the committee and its recommendations. The charge to the committee was to raise and address issues that will promote and sustain environmental health, safety, and energy efficiency within the biomedical community. Leaders from every important research sector (industry laboratories, academic health …

Interview With Thomas Lickona, Mary Peter Travis

Journal of Catholic Education

No abstract provided.

Organizing The Unorganizable: Private Paid Household Workers And Approaches To Employee Representation, Peggie R. Smith

North Carolina Law Review

No abstract provided.

Evangelical Episcopalians And The Church Of Jesus In Mexico, 1857–1906, John Steven Rice

Theses and Dissertations - UTB/UTPA

Shortly after the adoption of the 1857 Constitution in Mexico, a small group of Mexican priests left the Roman Catholic Church and attempted to establish a national catholic apostolic church in Mexico. This movement became known as the Church of Jesus. With the help of the Protestant Episcopal Church in the United States it continued until 1906 when it ceased to be independent and officially became a mission project of the American Episcopal Church. Historians have placed the burden of failure of the Church of Jesus on factors in Mexico and have not taken into account the party strife within …

Advance Directives And Communication Styles In A Lower Rio Grande Valley Health Facility, Armando G. Dominguez

Theses and Dissertations - UTB/UTPA

This study explores physicians' decision-making communication styles at end-of-life and advance directives in a hospital. Participant observation, case studies and a survey questionnaire are used. Egalitarian communication style is found to have moderate reliability. A .6969 coefficient, is measured by Cronbach's Alpha model. Authoritative communication style, yields a less than moderate alpha coefficient of .4278. Regression analysis using these two variables as the independent variables obtains insignificant results. However, sixty-three percent of the respondents speak Spanish moderately or very little. Eighty percent of the surveyed sample do not have training to administer advance directives. Twenty-two percent of the respondents have …

What Makes A Pastor Effective?, Roger Dudley, H. Peter Swanson

Faculty Publications

No abstract provided.

Concerns And Recommendations On Implementation Of The Workforce Investment Act Of 1998 In Boston: Summary Of The "Policy Roundtable: Local Implementation Of The Workforce Investment Act And Its Impact On Latinos And Other Communities", Luz Rodriguez, Kevin Whalen, Mary Jo Marion, Rita Lara, Claudia Green

Gastón Institute Publications

The primary public funding vehicle for employment training and workforce education is in the midst of radical change. The transition from the Job Training Partnership Act of 1982 to the Workforce. Investment Act of 1998 (WIA) will have a dramatic impact on providers and clients alike. This impact is likely to be especially challenging for programs targeted to the hardest to serve populations. For example, many practitioners are worried that members of certain groups will be more likely to be "lost" and not receive needed services under the voucher system that will be the primary payment method under WIA. Linguistic …

Puppies Antibody Titre Response To Canine Distemper Virus Before And After Vaccination With A Cdv-Combined Vaccines, Woraporn Sukhumavasi, Boonlert Leephong, Silasak Kaewmaneerat, Suwit Gumtrontip, Monkon Trisiriroj, Pravina Kitikoon, Sumittra Watanodorn, Kanisak Oraveerakul

The Thai Journal of Veterinary Medicine

Puppies antibody titer response to Canine Distemper virus (CDV) before and after vaccination with a CDV-combined vaccine was studied using a serum neutralization test (SN). A total of 201 samples were obtained from puppies at the Small Animal Hospital, Faculty of Veterinary Science, Chulalongkorn University. The result showed that 100%(82/82) of the puppies, before vaccination, had no detectable SN titre (CDV SN-titer <2). Puppies 14 days after the first and second vaccination had a log2 (geometric mean titer, GMT) of 5.2 and 7.8. A group of 20 puppies in which the antibody response was followed after vaccination for a period of time showed the comparable results (log2 [GMT] = 5.3 and 8.5, respectively). There was no difference in the CDV SN-titers among puppies of different ages at vaccination, nor those with a vaccination history for their mothers (p>0.05).

Ultrasound Diagnosis, Phiwipha Kamonrat

The Thai Journal of Veterinary Medicine

No abstract provided.

A Profile Of School-Age Care Programs, Barbara Vandenbergh, Eddie Locklear

Journal of Extension

This study provides a profile of school-age care (SAC) programs in North Carolina. The purpose was to determine the characteristics of school-age care programs and staff. A survey instrument of 22 questions was mailed to 3,052 school-age care providers in North Carolina; 486 surveys (16%) were returned. Responses were received from 89 of the 100 counties in North Carolina. Major characteristics identified by the study include sponsoring agencies; number and ages of children served; staff size, educational level, and income; and operational functions of the programs. School-age care programs can be improved through a partnership of parents, communities, employers, and …

The Oregon Master Woodland Manager Program: Comparison Of 1991 And 1998 Questionnaire Results, Steve Bowers

Journal of Extension

Comparisons of a 1991 and 1998 questionnaire were performed to determine whether Oregon's Master Woodland Manager (MWM) training program continued to adequately assist participating woodland owners in meeting the demands placed on them in the management of their woodland property and in successfully performing volunteer service. Results indicated an increasing amount of volunteer service per MWM, and, while the adequacy of training and materials was deemed satisfactory, there was an increasing demand from MWMs for expanded training in several areas. Results of the questionnaire revealed that lack of knowledge remained the primary barrier in managing woodland property, thus indicating the …

Patriarchy And Pragmatism: Ideological Contradictions In State Policies, Lily Kong, Jasmine S. Chan

Research Collection School of Social Sciences

Theories concerning the state sometimes treat it as a rational system. This paper raises questions about this assumption by examining the coherence of the ideological frameworks underlying state policies in Singapore. The contradictions are shown most clearly when state policies deal with gender issues, especially where they concern women. Through an examination of such policies, we show that, under some conditions, state patriarchy may be subverted by the state's capitalistic developmental considerations. We are aware that patriarchy does not stand or fall by state policies alone, but the following article illustrates how such policies can limit the space for negotiation …

Parents' Perceptions Of Their Involvement In Selected North Dakota Public Schools, Patricia Groven

Theses and Dissertations

No abstract provided.

Alternative Solutions For The Use Of Outdated Computer Hardware, Benjamin Erickson

Theses and Dissertations

No abstract provided.

Who Wants To Be Healthy?, Joyce V. Fetro, David W. Hey

Kinesiology and Public Health

No abstract provided.