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2003

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Articles 1981 - 2003 of 2003

Full-Text Articles in Medicine and Health Sciences

The Contribution Of Enactments To Structural Family Therapy: A Process Study, Stephanie Fellenberg Jan 2003

The Contribution Of Enactments To Structural Family Therapy: A Process Study, Stephanie Fellenberg

Psychology Theses & Dissertations

In an era where the effectiveness of many forms of psychotherapy has been thoroughly examined, the focus of many researchers has shifted from investigating outcome to exploring therapeutic processes. Process studies serve to identify the active ingredients of therapy—that is, those interventions that bring about in-session changes. This process study examines the relationship between the use of enactments, a structural family therapy intervention, and in-session change as observed over the course of the session. Change was measured by the amount of change that occurred in the core problem dynamic, that is, the most prominent pattern of dysfunctional family …


Drug Misuse Should Always Be Considered In Young People With Impaired Consciousness, K R. Whelan, Alison L. Jones, Paul I. Dargan Jan 2003

Drug Misuse Should Always Be Considered In Young People With Impaired Consciousness, K R. Whelan, Alison L. Jones, Paul I. Dargan

Graduate School of Medicine - Papers (Archive)

We agree with Ikeda et al that the absence of systolic hypertension may provide some discriminatory power towards exclusion of brain lesions, be they ischaemic, haemorrhagic, or space occupying in nature.1 However, we disagree with them that neurological examination of patients with impaired consciousness is often a waste of time and resources and can delay diagnosis.


Rain, Smog, Fog And Printed Educational Material, Judy Mullan, Patrick A. Crookes, Heather Yeatman Jan 2003

Rain, Smog, Fog And Printed Educational Material, Judy Mullan, Patrick A. Crookes, Heather Yeatman

Graduate School of Medicine - Papers (Archive)

Patient education is central to the practice of all health professionals. Pharmacists often use printed educational material, such as consumer medicine information, as adjuncts to verbal communication and education of patients about their medications. A relatively large proportion of the Australian population have low literacy skills and cannot read or understand written patient educational materials which are typically written at levels equivalent to year 9 and above. By using simple readability assessment tools such as RAIN, SMOG or FOG and the UK's Department of Health 'Toolkit for producing patient information' health professionals can ensure that printed educational materials are simple …


Emergency Operations Rural Household Food And Livelihood Security Baseline: Midland And Masvingo Provinces, Zimbabwe. Care., John Mazzeo Dec 2002

Emergency Operations Rural Household Food And Livelihood Security Baseline: Midland And Masvingo Provinces, Zimbabwe. Care., John Mazzeo

John Mazzeo, Ph.D.

No abstract provided.


Lesotho Vulnerability Assessment. Care., John Mazzeo Dec 2002

Lesotho Vulnerability Assessment. Care., John Mazzeo

John Mazzeo, Ph.D.

No abstract provided.


Factors Influencing Women’S Use Of Health Services For Sexually Transmitted Infections In Eastern Nepal, Kalpana Poudel-Tandukar, Krishna Poudel, Colin Macdougall Dec 2002

Factors Influencing Women’S Use Of Health Services For Sexually Transmitted Infections In Eastern Nepal, Kalpana Poudel-Tandukar, Krishna Poudel, Colin Macdougall

Kalpana Poudel-Tandukar

This paper explores low levels of women’s health service utilization for Sexually Transmitted Infections (STIs) in Nepal.
We interviewed 120 women individually and 53 in focus groups. Predictors of lower utilisation were self-medication, consultation with faith healers, inadequate knowledge of STIs, beliefs about causes, fear, social taboos and stigmatisation, women’s secondary status, and presence of male health professionals. Results indicate the importance of people’s beliefs in their decisions about health care. Strategies to improve access to health services in Nepal should
systematically investigate the role of all these factors to improve access to and utilisation of health services for STIs.


The Physiologic Health Care Needs Of Hiv-Infected Black Men On Admission To An Aids-Dedicated Nursing Home., Sheldon Fields Dec 2002

The Physiologic Health Care Needs Of Hiv-Infected Black Men On Admission To An Aids-Dedicated Nursing Home., Sheldon Fields

Sheldon D. Fields

The purpose of this study is to describe the physiologic health care needs of HIV-infected Black men on admission to an AIDS-dedicated nursing home. Participants were 68 Black men aged 26 to 60 years who were admitted to an AIDS-dedicated nursing home in the southern New England area between 1995 and 1999. The participants were very ill and weak on their admission to the nursing home, with most having diagnoses of AIDS (n = 65), an average Karnofsky Performance Scale score of 44 (SD = 14.90), and some degree of mental impairment. The late-stage of disease of the participants was …


Environmental Planning, R. Steven Konkel Dec 2002

Environmental Planning, R. Steven Konkel

Steve Konkel

Our understanding of the importance of healthy ecosystems and the impact of people on the natural and the built environment continues to grow. The need for stewardship to preserve, protect, and enhance the natural environment and promote healthy populations is increasingly seen as a universal responsibility of environmental health and safety (EHS) professionals.


What Injuries Occur At Australian Mass Gatherings?, David N. Reid Dec 2002

What Injuries Occur At Australian Mass Gatherings?, David N. Reid

David N Reid

This thesis, prepared as part of a Masters Degree (Honours) examines the medical care required at mass gatherings. The thesis specifically focussed on three of Sydney's largest stadia. Data was collected for one year and coded to review the types of injuries and illnesses, their severity and treatment required.


Hiding In Plain Sight: A Practical Guide To Identifying Victims Of Trafficking In The United States, Donna M. Hughes Dr. Dec 2002

Hiding In Plain Sight: A Practical Guide To Identifying Victims Of Trafficking In The United States, Donna M. Hughes Dr.

Donna M. Hughes

This practical guide focuses on identifying victims of sexual trafficking, meaning they have been
trafficked for commercial sex acts, such as prostitution or other forms of sexual exploitation, such as
stripping, lap dancing, or production of pornography. Although there are commonalities between
victims of sexual and labor trafficking, there are sufficient differences to require separate focus.
Therefore, this guide does not describe ways to identify victims who have been trafficked for forced
labor, such as domestic servants and sweat shop or migrant farm workers.


The Maturing Of Hormesis As A Credible Dose-Response Model, Edward J. Calabrese Ph.D. Dec 2002

The Maturing Of Hormesis As A Credible Dose-Response Model, Edward J. Calabrese Ph.D.

Edward Calabrese

Hormesis is a dose-response phenomenon that has received little recognition, credibility and acceptance as evidenced by its absence from major toxicological/risk assessment texts, governmental regulatory dose-response modeling risk assessment, and non-visibility in major professional toxicological society national meetings. This paper traces the historical evolution of the hormetic dose-response hypothesis, why this model is not only credible but also more common than the widely accepted threshold model in direct comparative evaluation, and how the toxicological community made a critical error in rejecting hormesis, a rejection sustained over 70 years.


Hormesis At The National Toxicology Program (Ntp): Evidence Of Hormetic Dose Response In Ntp Dose-Range Studies, Edward J. Calabrese Ph.D., Linda A. Baldwin Dec 2002

Hormesis At The National Toxicology Program (Ntp): Evidence Of Hormetic Dose Response In Ntp Dose-Range Studies, Edward J. Calabrese Ph.D., Linda A. Baldwin

Edward Calabrese

The National Toxicology Program (NTP) dose-ranging studies typically employ five dosages and a concurrent control and are conducted for 2- and 13-week exposure periods. Because five doses are employed it suggested the possibilities of the occurrence of sub-NOAEL dose in many of these bioassays and of evaluating the occurrence of hormesis within the NTP bioassay. As a result, 59 environmentally relevant agents in the NTP toxicity database were assessed for their capacity to affect hormetic dose responses for growth as measured by change in weight gain. Hormetic effects were observed with 51 (88%) of the 58 agents evaluated. When considered …


Hormesis And Stage Specific Toxicity Induced By Cadmium In An Insect Model, The Queen Blowfly, Phormia Regina Meig., Marc A. Nascarella, John G. Stoffolano, Jr., Edward J. Stanek, Iii, Paul T. Kostecki, Edward J. Calabrese Dec 2002

Hormesis And Stage Specific Toxicity Induced By Cadmium In An Insect Model, The Queen Blowfly, Phormia Regina Meig., Marc A. Nascarella, John G. Stoffolano, Jr., Edward J. Stanek, Iii, Paul T. Kostecki, Edward J. Calabrese

Edward Calabrese

No abstract provided.


Underlying Causes Of Livelihood Insecurity Among The Poor In Malawi: The Testing Of Five Hypotheses. Care., John Mazzeo Dec 2002

Underlying Causes Of Livelihood Insecurity Among The Poor In Malawi: The Testing Of Five Hypotheses. Care., John Mazzeo

John Mazzeo, Ph.D.

No abstract provided.


Livelihood Monitoring For Southeast Bangladesh. Care., John Mazzeo Dec 2002

Livelihood Monitoring For Southeast Bangladesh. Care., John Mazzeo

John Mazzeo, Ph.D.

No abstract provided.


African American Student Athletes' Perceptions Of Career Transition In Sport: A Qualitative And Visual Elicitation, Keith Harrison Dec 2002

African American Student Athletes' Perceptions Of Career Transition In Sport: A Qualitative And Visual Elicitation, Keith Harrison

Dr. C. Keith Harrison

This study focuses on 26 African American athletes and explores their perceptions of athletic career transition. Participants consisted of student athletes from a United States National Collegiate Athletic Association (NCAA) Division IIA institution in the Southeastern region. Participants completed the Life After Sports Scale (LASS), a 58-item inventory utilized to qualitatively and quantitatively examine seven different domains which influence perceptions of the career transition process. The scope of this inquiry examines the qualitative domain of the LASS in which participants were visually primed with a narrative description of a student athlete that has made transition out of sport successfully. Five …


Aggressive, Multifocal Oral Verrucous Leukoplakia: Proliferative Verrucous Leukoplakia Or Not?, Ghazali N., Bakri M. M., Rosnah Binti Zain Dec 2002

Aggressive, Multifocal Oral Verrucous Leukoplakia: Proliferative Verrucous Leukoplakia Or Not?, Ghazali N., Bakri M. M., Rosnah Binti Zain

Prof. Dr. Rosnah Binti Zain

Background: Some oral verrucal lesions may constitute parts of the clinicopathological spectrum of proliferative verrucous leukoplakia (PVL). Because of its idiopathic yet sinister nature, it is possible that PVL may exist in other populations. The aim of this study was to review the clinicopathological features of persistent, multifocal, oral verrucal lesions in Malaysian population. Methods: Patients with multifocal oral verrucal lesions were selected from surgical and histopathological records. Results: Nine patients of diverse ethnicity with 43 biopsies were reviewed. The mean age at the presentation was 62 years. The most frequent sites affected were gum, sulci, cheek and tongue. Indulgence …


Dengue, Aedes Aegypti, And Hurricane Reconstruction In The Caribbean And Central America: Prevention And Control Following A Natural Disaster, Frank Cortez Flores Dec 2002

Dengue, Aedes Aegypti, And Hurricane Reconstruction In The Caribbean And Central America: Prevention And Control Following A Natural Disaster, Frank Cortez Flores

Frank Cortez Flores

Abstract: Dengue is currently the most important vector-borne viral disease affecting people, in terms of both morbidity and mortality. Repeated epidemics of dengue and dengue hemorrhagic fever afflicting millions of individuals occur annually in tropical and subtropical areas of the world, including The Caribbean and Central America, inhabited by the Aedes aegypti mosquito.

Accordingly, the main purpose of this study was to identify and address the dominating factors influencing the resurgence of dengue fever following a natural disaster such as a hurricane.

This study also depicted an arguable approach to dengue surveillance as well as described existing efforts to prevent, …


Black Men Who Have Sex With Men And The Hiv Epidemic: Next Steps For Public Health, David J. Malebranche Dec 2002

Black Men Who Have Sex With Men And The Hiv Epidemic: Next Steps For Public Health, David J. Malebranche

David J Malebranche

No abstract provided.


Crisis Intervention Services In Juvenile Detention Centers, Charles A. Sanislow, John Chapman, Thomas H. Mcglashan Dec 2002

Crisis Intervention Services In Juvenile Detention Centers, Charles A. Sanislow, John Chapman, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

The prevalence of mental disorders among juvenile detainees is estimated to be as high as 60 percent, and reports suggest that adolescents who are detained have a three- to fourfold risk of suicide. The transfer of juveniles who commit serious offenses to the adult legal system and the problems of overwhelmed child care agencies appear to have precipitated a shift in the composition of populations in juvenile detention centers. Adolescents are often detained for minor legal charges that occur in the context of severe behavioral problems and family stress. We report on a collaborative venture between a state juvenile justice …


A Measure Of Internal Noise Based On Sample Discrimination, Walt Jesteadt, Lance Nizami, Kim Schairer Dec 2002

A Measure Of Internal Noise Based On Sample Discrimination, Walt Jesteadt, Lance Nizami, Kim Schairer

Kim S. Schairer

Internal noise is often inferred from the difference between observed performance and optimum performance in detection and discrimination tasks. It can be measured directly in some cases by observing the extent to which a change in external variability impacts performance. In the studies reported here, external variability was added to an intensity discrimination task by adding a Gaussian random variable with zero mean to the overall level presented in each interval of a two-interval forced-choice task. The standard deviation of the random variable was set to half the mean difference between the levels in the two intervals, resulting in d'(ideal) …


Plausibility And Possible Determinants Of Sudden 'Remissions' In Borderline Patients, John G. Gunderson, Donna S. Bender, Charles A. Sanislow, Shirley Yen, Jennifer Bame Rettew, Regina Dolan-Sewell, Ingrid R. Dyck, Leslie C. Morey, Thomas H. Mcglashan, M. Tracie Shea, Andrew E. Skodol Dec 2002

Plausibility And Possible Determinants Of Sudden 'Remissions' In Borderline Patients, John G. Gunderson, Donna S. Bender, Charles A. Sanislow, Shirley Yen, Jennifer Bame Rettew, Regina Dolan-Sewell, Ingrid R. Dyck, Leslie C. Morey, Thomas H. Mcglashan, M. Tracie Shea, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

THIS STUDY documents dramatic improvements in patients with borderline personality disorder (BPD) and explores their possible determinants. From a sample of the 160 carefully diagnosed borderline patients on whom prospective follow-along data was collected, a subsample of 18 was identified whose DSM-IV criteria count fell to two or fewer during the course of the first 6 months of the study and retained that improvement for the next 6 months. Follow-along data including month-by-month ratings of BPD criteria; week-by-week ratings of Axis I disorders, medication changes, and life events were then used to establish concensus ratings on four hypothesized causes: Axis …


Validation Of The Lognormal Model For Prediction Of Long-Term Survival Rates From Short-Term Follow Up Data In Stages Iii And Iv Breast Cancer, P. Tai, E. Yu, D. Skarsgard, J. Tonita Dec 2002

Validation Of The Lognormal Model For Prediction Of Long-Term Survival Rates From Short-Term Follow Up Data In Stages Iii And Iv Breast Cancer, P. Tai, E. Yu, D. Skarsgard, J. Tonita

Edward Yu

No abstract provided.