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The Histological Effects Of Mandibular Distraction Osteogenesis On Rabbit Condyles, Eunice Jungmin Hong

Loma Linda University Electronic Theses, Dissertations & Projects

The present study is a histological evaluation of condyles taken from rabbits that underwent either a midline or paramedian distraction osteogenesis procedure on the mandibles. Fifteen rabbits were originally operated on and eight of these fifteen successfully made it through both the distraction osteogenesis procedure and the 1 month holding period that followed. There was one control animal.

In the present study, the condyles from these nine rabbits (1 control, 2 midline distraction osteogenesis, 6 paramedian distraction osteogenesis) were prepared for histological evaluation (18 total). Step serial sections were cut along the coronal plane and the sections from the anterior …

Healing Following Placement Of A Subperiosteal Orthodontic Anchoring Device, Oliver Hoffmann

Loma Linda University Electronic Theses, Dissertations & Projects

Background: A method to accomplish orthodontic anchorage using a hydroxyapatite-coated disk that is placed below the periosteum in the mid-palatal area has been developed (OnPlant, Nobel Biocare, Yorba Linda, CA, USA). This report describes the early to 8-month healing events of the first 8 consecutive cases of placement of the OnPlant device at the Advanced Periodontics Clinic at Loma Linda University School of Dentistry. In addition, it presents the results of a questionnaire on how the patients experienced the various procedures. A radiographic analysis of the side of placement of the device was performed.

Methods: At 2 weeks and at …

Serotonergic Agents And Alcoholism Treatment: A Simulation, Scott F. Stoltenberg

Department of Psychology: Faculty Publications

Background: Those with early-onset alcoholism may better respond to ondansetron (a 5-HT3 receptor antagonist) than to selective serotonin reuptake inhibitor (SSRI) treatment, whereas those with late-onset alcoholism may present the reverse response pattern. Johnson and colleagues proposed a model that attempts to explain the observed treatment response patterns of those with early and late alcoholism onset by focusing on the influence of a common genetic variant in the serotonin transporter regulatory region (5-HTTLPR) on serotonin (5-HT) and dopamine (DA) system function.
Methods: The present study formalizes and extends Johnson’s descriptive model into a computer simulation consisting of differential equations. For …

Nursing Students' Perceptions Of Their Summer Clinical Practicum, Elizabeth Scott

Graduate Research Projects

The purpose of this study was to discover associate degree nursing students' perception of their summer clinical practicum. The university was located in rural southeast Tennessee. A qualitative method of phenomenological design was used with an unstructured interview to ask the question: "please tell me about your summer clinical practicum and how it affected you?" The framework was Imogene King's Systems of Transaction in Gqal Attainment. Themes identified were communication, mentoring, interpersonal relationships, prior learning, and growth and development. The study findings supported the use of a summer clinical practicum, revealed that nursing students' perceived an increased self confidence and …

Bacteriolytic Activity Of Selected Vertebrate Sera For Borrelia Burgdorferi Sensu Stricto And Borrelia Bissettii, Amy J. Ullmann, Robert S. Lane, Klaus Kurtenbach, Michael Miller, Martin E. Schriefer, Nordin Zeidner, Joseph Piesman

Public Health Resources

An in vitro assay to evaluate the bacteriolytic activity of the complement pathway was applied to 2 strains of Borrelia bissettii, CO501 and DN127, and compared with that of B. burgdorferi sensu stricto B31. Sera from mule deer ( Odocoileus hemionus) and the Western Fence lizard ( Sceloporus occidentalis) were completely borreliacidal for B. burgdorferi and for both strains of B. bissettii. Serum from Bobwhite quail ( Colinus virginianus) was nonlytic for B. burgdorferi and partially lytic for B. bissettii strains, CO-501 and DN127. Serum from a New Zealand White rabbit ( Oryctolagus cuniculus) …

What's Happening: December, 2003, Maine Medical Center

What's Happening

No abstract provided.

Inadequate Physician Knowledge Of The Effects Of Diet On Blood Lipids And Lipoproteins., Mary M. Flynn, Chris N. Sciamanna, Kevin C. Vigilante

College of Population Health Faculty Papers

BACKGROUND:To assess the nutrition knowledge of physicians on the basic effects of diet on blood lipids and lipoproteins.

METHODS:Anonymous mailed dietary knowledge surveys to 6000 randomly selected physicians in the United States licensed in either Internal Medicine or Cardiology.RESULTS:Response rate: 16% (n = 639). Half of the physicians did not know that canola oil and 26% did not know olive oil were good sources of monounsaturated fat. Ninety-three percent (84% of cardiologists vs. 96% of internists; p < 0.001) did not know that a low-fat diet, in general, would increase blood triglycerides. Approximately three-quarters (70% of cardiologists vs. 77% of internists; p < 0.01) did not know a low-fat diet would decrease HDL-c and almost half (45%) thought that a low-fat diet would not change HDL-c.

CONCLUSIONS:If physicians are to implement dietary and cholesterol management guidelines, they will likely need to become more knowledgeable about nutrition.

Analysis Of Customer Costs Forlaboratory Investigations, V. Wiwanitkit

Chulalongkorn Medical Journal

No abstract provided.

Occupational Therapy Job Satisfaction In The Geriatric Setting, Dawn Doctor

Masters Theses

This study examined the level of job satisfaction among occupational therapists working in the geriatric setting in the state of Michigan. The purpose of this study was to determine if burnout exists among occupational therapists working in a geriatric setting. Questionnaires from 29 therapists who work in a·geriatric setting were analyzed. The majority of the respondents reveled they are not burned out, but do report at least one sign of stress within their job. The most common forms of stress were treating difficult diagnoses, excessive paperwork, excessive caseload, increased productivity expectations, the lack of respect for occupational therapy, and the …

Production Indicies For Evaluating Production Efficiency Of Cows And Farms In Dairy Herd Health Management Programs, Witaya Suriyasathaporn, Tanu Pinyopummintr, Kwankate Kanistanon, Porntip Prasarnwong, Pitakpong Maneeratanaruangroj, Sunchai Takong, Veerasak Punyapornwittaya, Khwanchai Kreausukon

The Thai Journal of Veterinary Medicine

The goal of this study was to generate production indicies for evaluating cow and farm production efficiency. The milk yields from cows on 10 farms in the Khonkaen province were recorded. The data were transformed into a value depicting standard milk production and subsequently calculated to show the average standard milk production of each farm and an average for all farms. These data were used to calculate 2 production indecies: 1) a cow production index, calculated by dividing the cow standard milk production figure with the average standard milk production for the farm, and 2) a herd production index, calculated …

Recurrence And Metastases Of A Basal Cell Carcinoma In A Variable Squirrel (Callosciurus Finlaysoni Floweri): A Case Report, Sawang Kesdangsakonwut, Anudep Rungsipipat, Nopadon Pirarat, Komkrich Teankum, Wijit Banlunara

The Thai Journal of Veterinary Medicine

A dead, 9-year-old, female, Variable squirrel, weighing 190 g, had a skin swelling in the left inguinal area. Surgical excision of a similar skin mass in the right inguinal area had taken place 87 days previously. The squirrel had showed signs of severe dyspnea and inappetence for 7 days prior to death. At necropsy, as well as the skin mass in the left inguinal area, metastases were found in the inguinal lymph node and the lung together with a hemothorax. The tumor based on the clinical data, macroscopic and microscopic lesions was diagnosed as a basal cell carcinoma, Immunohistochemistry showed …

Exercise And Dehydration In The Horse, Prawit Butudom

The Thai Journal of Veterinary Medicine

The intensity and duration of exercise has a major impact on fluid levels, electrolytes and acid-base balance in the horse. The changes range from rapid fluid and electrolyte shifts which accompany high-intensity exercise (VO2 max ≥ 100%) (i.e., racehorse) to substantial fluid and electrolyte depletion during Speed and Endurance Tests as seen at Three-day events. Depletion is also seen during prolonged endurance exercise, in which the horse performs a low-intensity form of exercise (30-60% VO2max). These fluctuations of fluid and electrolyte homeostasis have been implicated in the development of fatigue and can lead to medical problems when exercise is continued …

Immunohistochemical Studies Of The Estrogen Receptor Alpha In The Ovaries And Uteri Of The Domestic Cat At Different Stages Of The Oestrous Cycle, Damri Darawiroj, Kongkiat Srisuwatanasagul, Sinchai Pianchop, Sayamon Sukjumlong

The Thai Journal of Veterinary Medicine

The expression of the estrogen receptor alpha (ERα) was investigated in domestic cat ovaries and uteri by mean of immunohistochemistry, using monoclonal antibody against ERα. The stages of the oestrous cycle were determined by vaginal cytology and serum steroid levels which were taken before operation. In the uterus, positive staining was found in the nuclei of all uterine cell types in different proportions and staining intensity. During oestrous, the staining intensity and the proportion of positive cells were highest in the epithelium (both the surface epithelium and the glandular epithelium) as well as in the myometrium. At dioestrous, ERα expression …

A Morphological Study And Diagnotic Ultrasonography Of Asian Elephant Kidney, Wimon Pothiwong, Phiwipha Kamonrat, Pawana Uthaichotiwan, Pakorn Prachammuang, Sumolya Kanchanapangka

The Thai Journal of Veterinary Medicine

Kidneys from a forty year old, female, Asian elephant (Elephas maximus) were subjected to a gross anatomical study (measurements, dissection, parasagittal sections and photography), histological examination, and ultrasonographic images. The kidney had an elliptical to ovoid shape with a size of 32x21x12 centimeters (length, width, and thickness). It was of multilobar or multipyramidal type, composed of 8 lobes, closely placed and separated by interlobar septae, some of which were perforated by minor interruptions. Each lobe had one calyx, connected to its secondary infundibulum which converged into two primary infundibula, one each on end of the renal sinus. The 2 primary …

Spectrum Of Complications And Mortality Of Bacterial Meningitis: An Experience From A Developing Country, M. A. Rabbani, A. A. Khan, S. S. Ali, B. Ahmad, Mohammad Asim Beg, M. A. Khan, Mohammad Wasay

Department of Medicine

Objective:

The aim of this study was to obtain data on predisposing factors, causative organisms and their associated mortality and complications related to acute bacterial meningitis.

Methods:

The chart review of all patients in whom acute bacterial meningitis was diagnosed at The Aga Khan University Hospital from January 1995 through December 2001.

Results:

One hundred ninety-four patients were included in study. There were 146 males and 48 females. The mean age of our study population was 41±12.3 years. One hundred and ninety (97.9%) patients had community acquired meningitis; only 4 (2.0%) patients developed meningitis nosocomially. The two most common predisposing …

Effect Of Neuromuscular Electrical Stimulation On Postural Hypotension In Patients With Cervical Cord Injury, Max J. L. Chen, Pao-Tsai Cheng, Mei-Yun Liaw, Alice M.K. Wong, Wei-Shung Wong, Tshe-Shun Shie

Rehabilitation Practice and Science

Postural hypotension is often observed in patients with cervical spinal cord injury. It may cause syncope, and interfere with sitting and standing trainings. Neuromuscular electrical stimulation (NMES) was reported to be able to alleviate and even prevent postural hypotension. The exact mechanism is not certain yet, but it may be related to vagal reflexes or muscle pumping actions. To investigate the effect of NMES on tetraplegic patients, we have recruited 10 patients with acute cervical spinal cord injuries (American Spinal Injury Association Impairment Scale A and B) suffering from postural hypotension. These patients were randomly divided into 2 groups: four …

Effects Of Aerobic Exercise Training On Insulin Sensitivity, Serum Lipids, And Cardiorespiratory Fitness In Patients With Type 2 Diabetes, Shang-Lin Chiang, Chia-Huei Lin, Cheng-Wen Ho, Kao-Chung Tsai, Chou-Ping Chiou

Rehabilitation Practice and Science

Little is known about the relation of planned exercise to insulin sensitivity in type 2 diabetes in Taiwan. Thus, the purpose of this study was to explore the effects of a 12-week aerobic exercise program on insulin sensitivity, serum lipids, cardiorespiratory fitness, and blood pressure in patients with type 2 diabetes. This study had a quasi-experimental design and used purposive sampling. The samples consisted of 13 eligible patients with type 2 diabetes. Each subject underwent a 12-week exercise program (30 minutes a day, 3 days a week, and at 60% maximum oxygen uptake). Wilcoxon signed rank test was performed to …

Acute Inflammatory Demyelinating Polyradiculoneuropathy: A Casereport, Ya-Fang Lee, Nai-Chiung Huang, Ta-Sen Wei

Rehabilitation Practice and Science

Acute inflammatory demyelinating polyradiculoneuropathy (AIDP), also known as Guillain-Barre syndrome (GBS)，the most common illness that causes acute and generalized paralyzing condition in the post-polio era, is diagnosed dependent on the base of clinical manifestations with supportive evidence of electrophysiologic study and cerebrospinal fluid examination. GBS often begins with the distal part of four limbs followed by a progressive course as ascending weakness and may even involve respiratory , facial or oropharyngeal muscles. Spinal fluid examination often reveals elevated protein concentration without associated increase in cells. Plasma exchange has become the gold standard of GBS treatment; in patients contraindicated for plasma …

Ischemic Stroke Subtypes In Pakistan: The Aga Khan University Stroke Data Bank, N. A. Syed, B. A. Khealani, S. Ali, A. Hasan, H. Brohi, T. Mozaffar, N. Ahmed, A. Hameed, S. M. Baig, M. Wasay

Department of Medicine

Objective: Frequency of ischemic stroke subtypes is influenced by ethnic and geographic variables. Our objective was to identify various stroke subtypes and its determinants at a tertiary care hospital.

Methods: We prospectively collected data on ischemic stroke subtypes admitted to The Aga Khan University Hospital in Karachi.

Results: A total of 596 patients were enrolled in 22 months in the Aga Khan Universtiy Stroke Registry. These included 393 patients with Ischemic stroke, 126 patients with intracerebral hemorrhage, 50 patients with subarachnoid hemorrhage and others. The ischemic stroke group was classified according to the TOAST criteria and comprised of lacunar 168/393 …

Maine Employer Experience And Perceptions Related To Providing Health Insurance: 2003 Summary Report, Gino Nalli, Elizabeth Kilbreth

Disability & Aging

No abstract provided.

Status Epilepticus In Children: A Five-Year Experience At Aga Khan University Hospital, S H. Ibrahim, M A. Yezdan, S Q. Nizami

Department of Paediatrics and Child Health

Objective: Status epilepticus is an under diagnosed entity in Pakistan. It is a potentially reversible condition but has a high mortality, if it is not recognized and managed on time. The purpose of this study was to determine the clinical profile and the relationship of mortality of status epilepticus with its known risk factors.
Methods: This was a retrospective study. Medical records of all the patients admitted in the last five years (1998-2002) with a diagnosis of status epilepticus (ICDcode 345.30, 345.31) were reviewed. Data was recorded on a Performa and analyzed by using the statistical programme SPSS, chi square …

Ultrasound Diagnosis, Phiwipha Kamonrat

The Thai Journal of Veterinary Medicine

No abstract provided.

What Is Your Diagnosis?, Pranee Tuntivanich

The Thai Journal of Veterinary Medicine

No abstract provided.

A Scanning Electron Microscope Study On Porcine Zona Pellucida Stored In A Salt Solution For Different Periods Of Time, Adisorn Adirekthaworn, Kriengyot Sajjarengpong, Bangon Wattanaaumpi, Wimon Pothiwong, Mongkol Techakumphu

The Thai Journal of Veterinary Medicine

The scanning electron microscope features of the zona pellucida of immature porcine oocytes, preserved in hypertonic salt solution, for 7, 14, 28 and 56 days, were compared with the features of fresh immature oocytes. The outer zona pellucida layer showed two principal patterns. The first showed a network, with a spongy appearance and containing numerous pores, while the other had a more compact and smooth structure, with fewer pores. The diameter and the number of outer pores within a 100 μm2 area was evaluated. The mean diameters were 0.55±0.40, 0.47±0.32, 0.42±0.26, 0.40±0.26 for the 7D, 14D, 28D and 56D salt-stored …

The Effect Of An Iron Glycine Chelate Supplement On The Haemoglobin And The Haematocrit Values And Reproductive Traits Of Sows, Padet Tummaruk, Rachod Tantilertcharoen, Somchai Pondeenana, Pathompol Buabucha, Prachin Virakul

The Thai Journal of Veterinary Medicine

The present study was performed to investigate, whether or not, iron glycine chelate given to sows, in late pregnancy and lactation, could enhance reproductive traits. A supplement of 62.5 g/ton of iron glycine chelate given in the sows feed for 0 (control), 2, 4, 6 or 8 weeks prior to farrowing was provided. The haemoglobin (Hb) and haematocrit (Hct) values of sows and their piglets, the litter size at birth and at weaning, the birth weight, %stillborn, %mummified fetuses, the growth rate of the suckling piglets, the weaning weight of the piglets and the proportion of anemic sows and piglets …

Understanding Occupational Therapy: Medical Doctors And Doctors Of Osteopath’S Knowledge About Occupational Therapy In An Acute Care Hospital, Shereen A. Metwalli

Masters Theses

The purpose of this study was to discover whether medical doctors (MD) and doctors of osteopath (DO) at two large hospitals in the Midwest have adequate knowledge about the roles and functions of occupational therapy, its services and benefits to patients and its implications on interdisciplinary team success. Increasing the knowledge in these three areas could influence occupational therapy referral rates and, as a result, impact the quality of patient care. This study used a descriptive survey to collect data from 55 physicians. Respondents acquired their knowledge of occupational therapy through secondary sources within informal sources of information. A statistically …

Should Carotid Endarterectomy Be Performed For Symptomatic Carotid Stenosis Pakistan?, N. A. Syed, A. Zakaria, B. A. Khealani, M. Wasay, S. M. Baig, Z. Sophie

Department of Medicine

Objective: The risk of stroke and death associated with carotid endarterctomy is operator dependant. Data regarding risks of this procedure are not available in Pakistan and therefore it is difficult to make accurate risk benefit analysis for individual patients. Our objective was to determine safety of carotid endarterectomy at an academic tertiary care center in Pakistan.

Methods: Patients who underwent carotid endarterectomy (CEA) at our hospital during a ten-year period were identified through ICD-9 coding system of the hospital medical records. Demographic features. associated medical problems and immediate postoperative complications were recorded and analyzed.

Results: Sixty-three carotid endarterectomies were performed …

Neurological Care In Pakistan: Actions Are Needed, M. Wasay

Department of Medicine

No abstract provided.

Jefferson Alumni Bulletin – Volume 53, Number 1, December 2003

The Bulletin (formerly the Jefferson Medical College Alumni Bulletin)

Jefferson Alumni Bulletin – Volume 53, Number 1, December 2003 The Dean’s Column by Thomas J. Nasca ’75, Page 4 Early Anesthesia Research and Jeffersonians, Page 6 Grunwald Appointed Chair of Anesthesiology, Page 7 Marone Honored for His Involvement in Establishing the Spinal Cord Injury Center, Page 8 Alumni Are Involved in the Search for the Next University President, Page 9 The Fortunate Beneficiaries of Our Education, by Richard Wenzel ’65, Alumni Achievement Award Winner, Page 14 Reunions, Clinic Talks, the Alumni Banquet, Pages 15–32

Moyamoya Disease In Children: A Casereport, Chung-Li Tseng, Chia-Ying Chung, Chia-Ling Chen, Pao-Tsai Cheng, Simon F. T. Tang, Alice M. K.Wong

Rehabilitation Practice and Science

This work describes motor, cognition and emotional problems in a child with Moyamoya disease before and after rehabilitation. Following comprehensive rehabilitation, the girl achieved improved gross motor, fine motor, cognition and emotional control. Moyamoya disease is an important cause of childhood ischemic stroke. Moyamoya disease has a bimodal age distribution, with one group of pediatric age (around first decade of life), and a second group of adults in the 30 to 40-year-old age range. Moyamoya disease involves progressive idiopathic stenosis and eventual occlusion of the large cerebral arteries at the circle of Willis. The pathogenesis of Moyamoya disease remains unclear. …