Digital Commons Network^™

Bickerstaff's Brainstem Encephalitis Combined With Guillain-Barré Syndrome: A Casereport, Yi-Ping Cheng, Jo-Tong Chen, Ta-Shen Kuan

Rehabilitation Practice and Science

Bickerstaff's brainstem encephalitis is a post-infectious brainstem inflammatory disorder of unknown etiology. The characteristic symptoms include: acute ophthalmoplegia with diplopia, ataxia, disturbed consciousness, and extensor plantar response. In this report we describe a 33-year-old woman with Bickerstaff's brainstem encephalitis combined with Guillain-Barré syndrome that presented 25 days after a Cesarean section. After five treatments with plasmapheresis and intravenous immunoglobin for 5 days, the patient's muscle strength recovered to MRC 4/5. The ophthalmoplegia and bilateral extensor plantar responses also disappeared. The patient then was transferred to the PM&R department for persistent slurred speech, ataxia, and diplopia. The rehabilitation program included training …

Bone Mineral Density In Subjects With Cerebral Palsy: A Preliminary Study In Taiwan, Hsin-Chi Wu, Ming-Chuan Lin, Yi-Shiung Horng, Hong-Yi Chen, Kwang-Hwa Chang

Rehabilitation Practice and Science

Objective: Children with cerebral palsy (CP) have complicated disabilities, and also have the tendency to suffer from osteoporotic fractures. The aim of this study was to explore the bone mineral density (BMD) and to estimate the fracture rate in Taiwanese CP subjects.Materials and methods: To study the BMD and its related factors in 28 Taiwanese CP subjects (16 males, 12 females; age range, 2-24 years; mean age, 9.8 years), we evaluated their BMD in the lumbar spine (LS-BMD) with dual energy x-ray absorptiometry, clinical characteristics, biochemical bone metabolism-related factors, and nutritional status. The fracture rate was evaluated during a three-year …

Analysis Of Hospitalization-Related Factors Among Nursing Home Residents: A Preliminary Report, I-Chun Chen, May-Lien Liu, Cheng-Hsiu Lin

Rehabilitation Practice and Science

There are increasing numbers of elderly people spending the last years of their lives in a nursing home (NH) or other long-term care institution, mostly because of physical and/or mental disabilities. NH residents may have a variety of acute illnesses; hospitalization is an important treatment option for the frail NH resident owing to the insufficient resources of NHs. The purpose of this study is to investigate the cause of hospitalization, and to analyze the correlation between the NH residents’ characteristics and hospitalization.Residents staying in the participating NH for more than one year were recruited into this study, and from September …

Effects Of Residence On Physical Fitness Among Adults In Taiwan, Jih-Rong Lin, Yin-Chou Lin, Cheng-Hsiu Lai, Chia-Hua Kuo, Shih-Wei Chou, Alice M. K. Wong

Rehabilitation Practice and Science

Health-related physical fitness can be assessed using four principal attributes: body composition; muscular strength and endurance; flexibility; and cardiorespiratory endurance. Factors such as the lifestyle behaviors or dietetic habits can affect physical fitness. The aim of this study is to investigate the differences in physical fitness among adults residing in different areas of Taiwan. The study was conducted between April and November 2002. In total, 19638 subjects aged 18-65 years were recruited and divided into the following three groups: (1) urban group (subjects living in Taipei and Kaohsiung City); (2) rural group (subjects living in Yunlin County, Chiayi County, Chiayi …

Quality Of Life And Peak Oxygen Consumption In Patients With Congestive Heart Failure, Chen-Liang Chou, Chia-Ling Chang, Chantelle Wu, Su-Ying Hung, Shun-Ping Chen, Tcho-Jen Liu

Rehabilitation Practice and Science

Although the physical consequences of congestive heart failure are well known, its effects on patient well-being, severity of exercise intolerance, and quality of life are largely unknown. The purpose of this study was to examine the relationship of physical fitness (as measured by O2 peak), quality of life (as measured with the WHOQOL-BREF in Taiwan), and severity of left ventricle dysfunction (as measured by left ventricle ejection fraction) in patients with congestive heart failure.Twenty patients were enrolled in this study, but only 11 had completed the ”WHOQOL-BREF”. We used the Statistical Package for Social Science (SPSS14.0) for statistical analysis. The …

Modified Constraint-Induced Movement Therapy In Spastic Cerebral Palsy: A Pilot Study, Hsuan-Ju Lin, Ching-Yi Wu, Chia-Ling Chen

Rehabilitation Practice and Science

Children with spastic cerebral palsy (CP) usually exhibit motor deficits and limited daily activities. Studies in recent years indicated that constraint-induced movement therapy (CIMT) might improve motor performance in CP patients. Combining kinematic analysis with clinical assessments, this study investigated the effect of modified CIMT (mCIMT) in four children with spastic CP immediately and one month after treatment. During the 3-week intervention, subjects underwent task-related training using the affected hand with restraint of the unaffected hand.The experimental results revealed significant improvements of the affected hand in use frequency, movement quality, grasping pattern, and bimanual coordination, both immediately and one month …

Effects Of A Lateral Wedged Insole In Patients With Medial Compartment Osteoarthritis Of The Knee, Li-Wei Chou, Mu-Jung Kao, Pey-Yu Yang, Nai-Hsin Meng, Sui-Foon Lo, Hong-Wen Wu, Horng-Chaung Hsu

Rehabilitation Practice and Science

Background: Medial compartment osteoarthritis (OA) of the knee is one of the most prevalent and disabling chronic conditions affecting older adults. This study assesses the efficacy of an inserted lateral wedged insole for the conservative treatment of medial compartment knee OA.Methods: Thirteen outpatients (9 females and 4 males with a mean age of 71.0 and a standard deviation of 5.5) with medial compartment knee OA were prospectively treated with an inserted lateral wedged insole with an elevation of 12 mm for three months. The baseline and three-month visual analog scale (VAS) scores for subjective knee pain and the remission score …

Exploring The Relationship Between Body Build And Pressure Under The Ischial Tuberosity, Li-Ru Chen, Kuo-Hu Chen, Chia Lee, Ming-Shin Wang, Ting-Chang Chen, Cheng-Hsun Hsieh

Rehabilitation Practice and Science

Pressure ulcers usually occur over the ischial tuberosity of the people bound in wheelchairs. The objective of the study is to make a comparison between age, genders, and different factors of body build, including height, weight, body mass index, body fat percentage, waist circumference, buttock circumference, and mid-upper arm circumference, on their influences upon pressure under the ischial tuberosity.This experiment is a cross-sectional comparison study. We recruited 38 participants, including twenty-five males and thirteen females aged from 24 to 57. Our results showed that there were no differences on pressure under the ischial tuberosity among people of different age and …

Macroh2a1 Knockdown Effects On The Peg3 Imprinted Domain, Jung Ha Choo, Jeong Do Kim, Joomyeong Kim

Faculty Publications

Background: MacroH2A1 is a histone variant that is closely associated with the repressed regions of chromosomes. A recent study revealed that this histone variant is highly enriched in the inactive alleles of Imprinting Control Regions (ICRs). Results: The current study investigates the potential roles of macroH2A1 in genomic imprinting by lowering the cellular levels of the macroH2A1 protein. RNAi-based macroH2A1 knockdown experiments in Neuro2A cells changed the expression levels of a subset of genes, including Peg3 and Usp29 of the Peg3 domain. The expression of these genes was down-regulated, rather than up-regulated, in response to reduced protein levels of the …

Changing The Narrative: Convincing Courts To Distinguish Between Misbehavior And Criminal Conduct In School Referral Cases, Marsha L. Levick, Robert G. Schwartz

University of the District of Columbia Law Review

No abstract provided.

Why The No Child Left Behind Act Needs To Be Restructured To Accomplish Its Goals And How To Do It, Gershon M. Ratner

University of the District of Columbia Law Review

The No Child Left Behind Act ("NCLB" or the "Act") 1 has created a once in a lifetime opportunity to improve American public education. NCLB has embraced vital goals for the new Information Age: academic proficiency for virtually all public school students and elimination of the severe racial/income "achievement gap." The Act provides four pillars on which states and localities might build a bridge to reach the goals: higher standards; periodic testing to measure the extent to which the standards are being met; disaggregating test results by student subgroup; and reporting to the public. The critical question is "how to …

Charter Schools And Special Education: Part Of The Solution Or Part Of The Problem?, Rebekah Gleason

University of the District of Columbia Law Review

The Individuals with Disabilities Education Act (IDEA)1 provides each child with a disability the opportunity to receive educational benefit in an appropriate program. The individual needs of the child drive the often resource intensive programs. On the other hand, public charter schools focus on providing more choices for education by aiming to do a better job with less money. Public Charter Schools accountability for progress and fiscal responsibility means that schools focus on doing more with less resources for the school as a whole. Public Charter schools' mission of unique innovative instruction, free from local and state regulations that would …

Private Finance Initiative (Pfi) In Malaysia: The Need For And Issues Related To The Public Sector Comparator (Psc), Suhaiza Ismail, Khairuddin Abdul Rashid

Jurnal Akuntansi dan Keuangan Indonesia

The Concept of Private Finance Initiative (PFI) or Public Private Partnership (PPP) has been internationally implemented over the last two decades. In Malaysia, eventhough the involvement of the private sector in assisting with the provision of public services and facilities is not new, only recently under the Ninth Malaysia Plan the government officially announced the implementation of projects using PFI scheme in order to promote greater involvement of the private sector in delivering public services (Ninth Malaysia Plan, 2006). Consequently, a series of PFI projects is now being implemented including some already under construction. However, little is known on the …

A Growing Gap Between The Integrated Systems On The Bridge And The End Users : An Approach Considering Safety And Risk Management, R. Cavalleri

World Maritime University Dissertations

No abstract provided.

The Role Of An Education In The Behavioural Sciences Towards Contributing To The Safety Culture Of The Maritime Industry, Carolyn A E. Graham

World Maritime University Dissertations

No abstract provided.

Effective Implementation Of The International Convention For The Safe And Environmentally Sound Recycling Of Ships, Ji Hoon Suk

World Maritime University Dissertations

No abstract provided.

Lake Mead National Recreation Area Vegetation Monitoring And Analysis: Quarterly Progress Report, October 1, 2007 To December 31, 2007, Margaret N. Rees

Vegetation Monitoring

Executive Summary

• The Weed Sentry program surveyed more than 750 miles of federal lands in Clark County for invasive, exotic plant species.
• Weed Sentry also removed more than 600,000 individual invasive plants from federal
  lands. These removals represent pro-active efforts that may have forestalled large
  infestations difficult and costly to eradicate.
• In response to a request by the manager of the Fish and Wildlife Service Desert National
  Wildlife Refuge, a major effort of surveying springs for plant community composition
  and invasive plants provided unique knowledge services by the Weed Sentry program.
  No such baseline information existed for the Sheep Range. …

Chemical Engineer, Daughter Write Biomedical Textbook, Edwin Smith

University of Mississippi News

OXFORD, Miss. - After years of writing critically acclaimed scholarly publications, University of Mississippi faculty member Ajit Sadana says his latest effort has to be his proudest literary accomplishment to date. The professor of chemical engineering has co-authored the textbook "Fractal Analysis of the Binding and Dissociation Kinetics for Different Analytes on Biosensor Surfaces" with his eldest daughter, Neeti, a post-graduate (year three) anesthesiology resident at Jackson Memorial Hospital associated with the University of Miami Miller School of Medicine.

Frbny Summary Of Supervisory Activity And Findings On Jpmorgan, Barbara J. Yelcich

Documents

Heading this summary is a letter from Barbara J. Yelcich to the JPMorgan's Board of Directors to preface the summary.

Nodular Lymphocyte Predominant Hodgkin’S Lymphoma Presenting As Severe Hypercalcaemia: A Case Report, Ikram A. Burney, V Nirmala, Mansour S. Woodhouse, Nicholas J.

Sultan Qaboos University Medical Journal

Nodular lymphocyte predominant Hodgkin’s lymphoma (NLPHL) is a recently described type of Hodgkin’s lymphoma (HL) and accounts for 5-6% of all the cases of HL. Here we report the case of an elderly man who presented to Sultan Qaboos University Hospital, Oman, with severe hypercalcemia, and was diagnosed to have stage IV NLPHL. Although the incidence of hypercalcemia is estimated to be between 1-5% in classical HL, to our knowledge this is the first report of NLPHL presenting with severe hypercalcemia. The patient responded to the anti-CD20 monoclonal antibody, Rituximab, and has been in clinical remission for more than 3 …

Evidence-Based Pediatric Oncology, Yasser Wali

Sultan Qaboos University Medical Journal

No abstract provided.

Of Breaches Of The Peace, Home Invasions, And Securities Fraud, A. Christine Hurt

Faculty Scholarship

No abstract provided.

The Icj's Uganda Wall: A Barrier To The Principle Of Distinction And An Entry Point For Lawfare, Eric Talbot Jensen

Faculty Scholarship

The intermixing of combatants with civilians while engaging in hostilities violates one of the most fundamental principles of the law of armed conflict: the principle of distinction. This bedrock principle of the law of war requires those involved in conflict to mark themselves so they can be distinguished from those who are not involved in combat. The most common method of compliance is for combatants to wear a uniform. By requiring distinction, both combatants and civilians know who is involved in the combat and who is not. Derogation from the principle of distinction is among the most serious issues facing …

Illness Stories: From Recognizing The Significance In Care To Planning My Own Storied Practice, Jane Lachance

Critical and Creative Thinking Capstones Collection

In this paper, stories of illness are identified as belonging to a specific genre of story that represents an ill person's interpretation of experience and hence the meaning(s) of illness. The ill person is recognized as member of a family embedded in a social setting with cultural mores that contribute to experience and meanings. The meaning of illness is significant because it affects the care of illness. This paper focuses on chronic illness, an illness without cure that is managed over a lifetime and is characterized by remission and exacerbation of symptoms. Our current bio-medical health care system reframes the …

Identifying Methods Nurse Managers Can Implement To Foster A Supportive Environment For Staff Where Disruptive Behavior Exists, Kathleen Leavitt

Critical and Creative Thinking Capstones Collection

We can all imagine the ideal work environment, where you are respected, empowered, and provided with the resources to perform to the best of your ability everyday. Your skills would be acknowledged and the challenging work that is accomplished each day would be appreciated by peers, team members, and managers. However, in my work environment, an operating room, a phenomenon called "disruptive behavior" often interrupts the ability of achieving this desired state. Initially I was focused on this behavior being displayed by physicians but was awakened to the fact that they are not the only offenders and that many caregivers …

From Humor In The Workplace To Humor As A Means Of Healing From Loss, Sheryl Savage

Critical and Creative Thinking Capstones Collection

The role of humor in promoting a climate of creativity in organizations has been the focus of this synthesis. Developing a program to add humor to an organization's culture can open up and encourage people's creativity. In this environment of creativity, effective problem solving can occur and thus lead to needed positive change. This paper explores lay and scholarly research findings on the role of humor in the workplace. There exists both anecdotal and empirical evidence to support the theory of humor's ability to be a tool for creative problem solving and stress reduction, as well as humor's positive effect …

An Interdisciplinary Discussion Of Poverty, Class & Economic Justice, Frances Fox Piven, Stephen Loffredo

City University of New York Law Review

No abstract provided.

The Tainted Grail Of Brazilian Ethanol: Achieving Oil Independence But Who Has Borne The Cost And Paid The Price?, Sandra Dos Santos

City University of New York Law Review

No abstract provided.

The "Crossroads" And Beyond, David B. Nash

College of Population Health Faculty Papers

No abstract provided.

Healing The Health Care System: Summaries From The Department Of Health Policy Summer Seminar, David B. Nash, Nora Dowd Eisenhower, Rosemarie Greco, Deborah C. Meiris

College of Population Health Faculty Papers

Editorial Introduction:
The disease management field continues to evolve. The range of chronic diseases treated has expanded to include such conditions as obesity and pain management, and the care continuum now encompasses wellness, prevention, and population health. One population that is an ideal candidate for our collective efforts is that of older adults. Global and national population projections reveal the impending staggering increase in the age 65+ cohort, which will cause a sharp increase in the demand for health care and other services due to such age-related issues as multiple chronic conditions, falls, and depression.

To begin to address these …