Medicine and Health Sciences Commons^™

Focusing Feedback On Interpersonal Skills: Practice Makes Perfect A Web-Based Tutorial For Standardized Patients, Tamara Owens, Zhong Xie, Peggy Gregg, Cynthia Phelps, Craig W. Johnson

Faculty, Staff and Student Publications

Focusing Feedback on Interpersonal Skills: Practice Makes Perfect is a Web-Based learning environment enabling standardized patients (SPs) to develop, practice and enhance constructive feedback skills. The Web-based training environment for SPs features realistic professional healthcare provider/patient video scenarios, graphics, audio and immediate feedback in a student-centered self-instructional environment. SPs, who are trained to simulate an illness and portray a patient in a realistic and consistent way, subsequently provide feedback from a patient's perspective to students undergoing communication and interpersonal skills training in health science fields like medicine and nursing.

The Semantic Web And The Integration Of Health Data Resources, Rachel L. Richesson, James P. Turley, Mark S. Tuttle

Faculty, Staff and Student Publications

No abstract provided.

Cognitive Differences In Chart Reading: A Comparison Of Nurses And Physicians, Todd R. Johnson, Vimla L. Patel, James P. Turley

Faculty, Staff and Student Publications

This pilot study compares the mental models of a patient constructed by nurses and physicians while reading an electronic medical record. Preliminary results suggest that the participants' summaries were both quantitatively and qualitatively different. The physician made more inferences and focused on deeper relationships in the record, whereas the nurse focused on the descriptive surface structure of the record.

Dental Postgraduates Prefer Hypertutorial Statistics Lessons In Randomized Web Course Comparisons, Craig W. Johnson

Faculty, Staff and Student Publications

No abstract provided.

Focus Group Evaluation For Web-Based Courses, James P. Turley, Meena Hussein, Doris L. Ross

Faculty, Staff and Student Publications

No abstract provided.

Preliminary Evaluation Of A Guideline Classification System, Elmer Bernstam, Nachman Ash, Mor Peleg, Samson Tu, Edward H. Shortliffe, Robert A. Greenes

Faculty, Staff and Student Publications

In a previous paper, we presented a proposed expansion of the National Guideline Clearing-house (NGC) classification1. We performed a preliminary evaluation of the classification based on 100 guidelines randomly selected from the NGC collection. We found that 89 of the 100 guidelines could be assigned to a single guideline category. To test inter-observer agreement, twenty guidelines were also categorized by a second investigator. Agreement was found to be 40-90% depending on the axis, which compares favorably with agreement among MeSH indexers (30-60%)2. We conclude that categorization is feasible. Further research is needed to clarify axes with poor inter-observer agreement.

A System To Keep Track Of Medical Expertise (Medix), Kasthuri Subaramaniam

Student Works (2000-2009)

This dissertation presents a system for keeping track of medical expertise as well as demonstrates the integration of different tools in a single application. MediX, a system to keep track of medical expertise, maintains the records of medical expertise, medical centres and specialties. MediX uses reporting, statistical, database, and authoring tools that are integrated in a programming package running under an operating system. MediX is a client/server-based system that has many significant features. MediX provides the tools necessary to view existing information in new forms and combinations. These include generation of reports. charts and graphs as well as statistical computing, …

A System For Analysing Patient History (Az-Phis), Kemalatha Krishnasamy

Student Works (2000-2009)

The improvement of health care service has a great effect on patient satisfaction. In order to improve the health care service, effective processing of patient history and analysis on the respondent is necessary. The results of the statistical analysis performed on patient history eases the decision making of physicians and other related medical staff. Therefore, this dissertation mainly investigates information pertaining to patient history, statistical analysis, and development of a system for analyzing patient history. The study employs the questionnaire survey method to gather data and make analyses using the Spreadsheet; Microsoft® Excel 97. The survey was done in government …

The Web-Based Interactive Family History Questionnaire, Rita Torkzadeh, Constance M. Johnson, Craig W. Johnson

Faculty, Staff and Student Publications

No abstract provided.

Controlled Comparison Of Emergency Department Charting Software With A Case Simulation Comparator Model, Kirt Walker, Sridhar Rajappan, Todd R. Johnson

Faculty, Staff and Student Publications

No abstract provided.

Comparison Of Abbreviated Injury Scale (Ais) And International Classification Of Diseases In Severe Trama Patients, Noriaki Aoki, Molly C. Shek, Todd R. Johnson, Martin A. Shreiber, John B. Holcomb, Matthew J. Wall, Richard W. Cone, Robert Beck

Faculty, Staff and Student Publications

No abstract provided.

Health Informatics Research & Evaluation Design Students Overwhelmingly Prefer Hypertutorial Web-Based Instruction In Randomized Comparison, Craig W. Johnson

Faculty, Staff and Student Publications

No abstract provided.

Java-Based World Wide Web Clinical Trial Data Management, Vinod Aggarwal, Venkatesh Rudrapatna, Craig W. Johnson

Faculty, Staff and Student Publications

No abstract provided.

Predicting The Risk Of Obesity Using A Bayesian Network, Christopher C. Bunn, Min Du, Keyi Niu, Todd R. Johnson, Walker S. Poston, John P. Foreyt

Faculty, Staff and Student Publications

No abstract provided.

Intelligent Support Of Gait Analysis, Kathy A. Johnson, Sheldon R. Simon, Philip J. Smith, Jack W. Smith

Faculty, Staff and Student Publications

No abstract provided.

Web Browser Implements Unobtrusive Randomized Comparisons Of Instruction In Health Informatics Classroom, Craig W. Johnson

Faculty, Staff and Student Publications

No abstract provided.

Web Browser As Medical Educator/Researcher Using Html & Javascript, Craig W. Johnson, George Oser, Allan J. Abedor

Faculty, Staff and Student Publications

No abstract provided.

Phosphorylation Of Elongation Factor 1 And Ribosomal Protein S6 By Multipotential S6 Kinase And Insulin Stimulation Of Translational Elongation, Y W Chang, J A Traugh

Faculty, Staff and Student Publications

Stimulation of protein synthesis in response to insulin is concomitant with increased phosphorylation of initiation factors 4B and 4G and ribosomal protein S6 (Morley, S. J., and Traugh, J. A. (1993) Biochimie 75, 985-989) and is due at least in part to multipotential S6 kinase. When elongation factor 1 (EF-1) from rabbit reticulocytes was examined as substrate for multipotential S6 kinase, up to 1 mol/mol of phosphate was incorporated into the alpha, beta, and delta subunits. Phosphorylation of EF-1 resulted in a 2-2. 6-fold stimulation of EF-1 activity, as measured by poly(U)-directed polyphenylalanine synthesis. The rate of elongation was also …

Dexamethasone Decreases Cell-Cell Adhesion In The 235-1 Pituitary Tumor Cell Line, Phillip Richard Spangler

Theses, Dissertations and Capstones

Physical contacts between cells are known to influence a broad range of biological activities. Investigations into the regulation of prolactin gene expression have shown that cell behavior within the pituitary may also be affected by adhesive contacts. To better understand the mechanisms that regulate cell-cell adhesive contacts in these endocrine cells, we developed a procedure that quantitatively assays homotypic aggregation in the rat pituitary tumor cell line, 235-1. We observed that treatment of 235-1 cells with dexamethasone (Dex), a synthetic glucocorticoid, not only reduces prolactin production but also decreases the reformation of cell-cell contacts. In two independent experiments, control cells …

Relationship Between The Menstrual Cycle, Mood And Overeating In Women, Veronica Lynne Broussard

Honors Capstones

No abstract provided.

Estimation Of The Incidence Of A Rare Genetic Disease Through A Two-Tier Mutation Survey, R Chakraborty, M R Srinivasan, S Raskin

Faculty, Staff and Student Publications

Recent attempts to detect mutations involving single base changes or small deletions that are specific to genetic diseases provide an opportunity to develop a two-tier mutation-screening program through which incidence of rare genetic disorders and gene carriers may be precisely estimated. A two-tier survey consists of mutation screening in a sample of patients with specific genetic disorders and in a second sample of newborns from the same population in which mutation frequency is evaluated. We provide the statistical basis for evaluating the incidence of affected and gene carriers in such two-tier mutation-screening surveys, from which the precision of the estimates …

Can An Anesthesia Machine Flush Valve Provide For Effective Jet Ventilation?, S D Gaughan, J L Benumof, G T Ozaki

Faculty, Staff and Student Publications

Transtracheal jet ventilation (TTJV) using a percutaneously inserted intravenous (IV) catheter for the patient who cannot be ventilated or tracheally intubated or, using a jet stylet for changing endotracheal tubes (ETT) in patients for whom subsequent ventilation and/or tracheal reintubation may be difficult, are extremely valuable therapeutic options. The jet ventilation system must have a sufficiently high pressure-oxygen source to drive oxygen through noncompliant tubing and through relatively small IV catheters and/or jet stylets in order to achieve adequate ventilation and oxygenation. There is no evidence that using the common gas outlet of an anesthesia machine by activating the flush …

Statistical Interpretation Of Dna Typing Data, R Chakraborty

Faculty, Staff and Student Publications

No abstract provided.

Inclusion Of Data On Relatives For Estimation Of Allele Frequencies, R Chakraborty

Faculty, Staff and Student Publications

No abstract provided.

Population Amalgamation And Genetic Variation: Observations On Artificially Agglomerated Tribal Populations Of Central And South America, R Chakraborty, P E Smouse, J V Neel

Faculty, Staff and Student Publications

The interpretation of data on genetic variation with regard to the relative roles of different evolutionary factors that produce and maintain genetic variation depends critically on our assumptions concerning effective population size and the level of migration between neighboring populations. In humans, recent population growth and movements of specific ethnic groups across wide geographic areas mean that any theory based on assumptions of constant population size and absence of substructure is generally untenable. We examine the effects of population subdivision on the pattern of protein genetic variation in a total sample drawn from an artificial agglomerate of 12 tribal populations …

Characterization Of The K Variant Of Encephalomyocarditis Virus, Delie Roselyn Cerutis

Biomedical Sciences Theses and Dissertations

Serologically identical variants of encephalomyocarditis (EMC) virus produce different disease syndromes in mice. For instance, in ICR Swiss male mice, the B variant (EMC-B) produces no overt illness, EMC-MM produces death accompanied by eevere neurological signs, and EMC-0 destroys beta cells, thus producing a disease syndrome that resembles insulin-dependent diabetes mellitus. These apparently identical viruses provide excellent models to investigate the molecular basis of disease. Recently, we isolated a lethal variant (EMC-K) from the EMC-B virus stock and compared its characteristics to three other EMC virus variants, EMC-B, D, and MM. The present study was done to determine (i) the …

Genetics And Epidemiology Of Gallbladder Disease In New World Native Peoples, K M Weiss, R E Ferrell, C L Hanis, P N Styne

Faculty, Staff and Student Publications

Native peoples of the New World, including Amerindians and admixed Latin Americans such as Mexican-Americans, are highly susceptible to diseases of the gallbladder. These include cholesterol cholelithiasis (gallstones) and its complications, as well as cancer of the gallbladder. Although there is clearly some necessary dietary or other environmental risk factor involved, the pattern of disease prevalence is geographically associated with the distribution of genes of aboriginal Amerindian origin, and levels of risk generally correspond to the degree of Amerindian admixture. This pattern differs from that generally associated with Westernization, which suggests a gene-environment interaction, and that within an admixed population …

A Study Of Antimicrobial Use In A Community Hospital : The Influence Of Corrective Interventions, John Greg Pech

University of the Pacific Theses and Dissertations

tudies in teaching and non-teaching hospitals have shown that one- quarter to one-third of all patients receive an antimicrobial (AMC) drug during their hospital stay." 1-30 Many of these patients (ranging from 30 to 60%), particularly those on the surgical services, have no definite evidence of infection.

Inquiry regarding the use of AMC drugs can be traced back more than two decades. In 1961, the Commission on Professional and Hospital Activities in its Professional Activity Study (CPHA-PAS) surveyed 24 hospitals." They found that approximately 27% of all patients were given an AMC drug; however, it was estimated by PAS that …

In Vitro Incorporation Of Molybdate Into Demolybdoproteins In Escherichia Coli, Randolph H. Scott, George T. Sperl, John A. Demoss

Faculty, Staff and Student Publications

When Escherichia coli was grown in the presence of tungstate, inactive forms of two molybdoenzymes, nitrate reductase and formate dehydrogenase, accumulated and were converted to their active forms upon incubation of cell suspensions with molybdate and chloramphenicol. The conversion to the active enzymes did not occur in cell extracts. When incubated with [(99)Mo]molybdate and chloramphenicol, the tungstate-grown cells incorporated (99)Mo into protein components which were released from membranes by procedures used to release nitrate reductase and formate dehydrogenase and which migrated with these activities on polyacrylamide gels. Although neither activity was formed during incubation of the crude extract with molybdate, …

Influence Of Temperature Of Incubation And Type Of Growth Medium On Pigmentation In Serratia Marcescens, Robert P. Williams, Cora L. Gott, S M. Qadri, Randolph H. Scott

Faculty, Staff and Student Publications

Maximal amounts of prodigiosin were synthesized in either minimal or complete medium after incubation of cultures at 27 C for 7 days. Biosynthesis of prodigiosin began earlier and the range of temperature for formation was greater in complete medium. No prodigiosin was formed in either medium when cultures were incubated at 38 C; however, after a shift to 27 C, pigmentation ensued, provided the period of incubation at 38 C was not longer than 36 hr for minimal medium or 48 hr for complete medium. Washed, nonpigmented cells grown in either medium at 38 C for 72 hr could synthesize …