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Full-Text Articles in Medicine and Health Sciences

Methadone For Treatment Of Pregnant Opiate Addicted Women: Is There A Safer Alternative? A Review Of Literature, Holly L. Tichelkamp, Thomas G. Parish Oct 2008

Methadone For Treatment Of Pregnant Opiate Addicted Women: Is There A Safer Alternative? A Review Of Literature, Holly L. Tichelkamp, Thomas G. Parish

Internet Journal of Allied Health Sciences and Practice

Methadone is commonly used for the treatment of pregnant opiate-addicts. But, it can have severe effects on the neonate including Neonatal Abstinence Syndrome, increased length of stay in the neonatal intensive care unit, and intrauterine growth retardation. Neonatal Abstinence Syndrome includes neurological excitability, gastrointestinal dysfunction, and autonomic signs. Because of these adverse effects, studies have been conducted to determine what can help reduce the severe complications caused by methadone. Varied dosages of methadone and alternative medications, such as buprenorphine, slow-release morphine, and others have been studied. Most of the alternative medications, especially buprenorphine, are gaining popularity in Europe where there …


Undergoing Venipuncture In Healthcare Education: The Psycho-Biological Effect On Students, Orly Sarid, Ofra Anson, Dagan Schwartz, Arich Yaari Oct 2008

Undergoing Venipuncture In Healthcare Education: The Psycho-Biological Effect On Students, Orly Sarid, Ofra Anson, Dagan Schwartz, Arich Yaari

Internet Journal of Allied Health Sciences and Practice

Venipuncture training is an integral part of healthcare educational programs. Despite its extensive use, no previous studies have evaluated the psychobiological impact of this procedure among health-care students. Participants were 26 healthy students, practicing venipuncture on each other as part of their curricular activity. Self reported pencil and paper questionnaires aimed at assessing depression, anxiety and mood states were administered before and after venipuncture and saliva sample collection. Anti heat shock protein (Hsp) 70 and cortisol levels in blood and saliva were collected from the participants. A reduction in anxiety, anger and confusion mood states took place after venipuncture. All …


Future Implementation Of Adult Stem Cell Therapy In The Current Standards Of Care For Myocardial Infarction, Paul D. Bates Oct 2008

Future Implementation Of Adult Stem Cell Therapy In The Current Standards Of Care For Myocardial Infarction, Paul D. Bates

Internet Journal of Allied Health Sciences and Practice

Purpose: Adult stem cells are among the new methods of approaching the treatment of myocardial tissue damage. The purpose of this review is to clarify misconceptions about stem cell therapy efficacy in clinical trials and provide a thorough understanding of adult stem cells as a future treatment for patients with myocardial infarction. Methods: A comprehensive review of literature was performed analyzing and comparing 12 clinical trials involving the treatment of patients with acute and chronic myocardial infarction. Results: Stem cell treatments carry an excellent safety profile with the ease of one-time dosing, and have shown dramatic functional improvements while reducing …


The Reliability And Validity Of The Elderly Mobility Scale In The Acute Hospital Setting, Joanne Stacey Nolan, Lucinda Elaine Remilton, Margaret Mary Green Oct 2008

The Reliability And Validity Of The Elderly Mobility Scale In The Acute Hospital Setting, Joanne Stacey Nolan, Lucinda Elaine Remilton, Margaret Mary Green

Internet Journal of Allied Health Sciences and Practice

This study aimed to evaluate the psychometric properties of the Elderly Mobility Scale (EMS) in an acute hospital setting. Intra-rater (n=15) and inter-rater (n=18) reliability were investigated using physiotherapists who viewed and scored video-recorded mobility assessments using the EMS on two occasions, one week apart. Latent class analysis of EMS scores showed that neither the occasion of testing (intra-rater reliability) (R2=0.0035, p=0.72), therapist (inter-rater reliability (R2=0.0051, p=1.00), years of experience (R2=0.0058, p=1.00) nor number of EMS assessments previously completed (R2=0.0048, p=1.00) had any impact on the EMS scores. The only factor which impacted on clustering was the EMS score (R2=0.8263, …


Do Multiple Stroke-Related Educational Opportunities Enhance Stroke Knowledge Among Students Enrolled In Communication Sciences And Disorders Programs?, Kristen S. Lankford, E. Lauren Marshall, Amanda D. Pittman, Charles Ellis Oct 2008

Do Multiple Stroke-Related Educational Opportunities Enhance Stroke Knowledge Among Students Enrolled In Communication Sciences And Disorders Programs?, Kristen S. Lankford, E. Lauren Marshall, Amanda D. Pittman, Charles Ellis

Internet Journal of Allied Health Sciences and Practice

Purpose: Stroke education modules have been added to medical school curriculums to improve stroke knowledge in graduate physicians, and this has resulted in positive outcomes. These findings suggest that similar strategies may be successful in graduate programs such as Communication Sciences and Disorders (CSD). The purpose of this study was to examine the impact of multiple stroke-related education opportunities on students enrolled in CSD programs. Methods: Seventy-six first and second year students enrolled in a Communication Sciences and Disorders program completed a survey of stroke risk factors and early warning signs of stroke. Results: Risk factor knowledge - 97% identified …


Strategies For Facilitating Athletic Training Clinical Instruction, Pradeep R. Vanguri, Jeff Konim Oct 2008

Strategies For Facilitating Athletic Training Clinical Instruction, Pradeep R. Vanguri, Jeff Konim

Internet Journal of Allied Health Sciences and Practice

Purpose: Athletic training education programs ensure the training of clinical instructors through annual workshops designed to familiarize them with athletic training clinical standards and guidelines. An opportunity exists for these workshops to enhance education related to instructional strategies and development. Unfortunately, many clinical instructors lack sufficient time to attend workshops and classes. This research integrates on-line discussion boards as a supplemental tool with in-class workshop sessions. The purpose of this study was to investigate the interaction of clinical instructors through on-line discussion boards. Methods: This research component, in conjunction with a larger project incorporating an in-class clinical instructor workshop, utilized …


Implementing Ethically-Sound Research On Online Health-Related Support Groups, Elizabeth T. Kennedy Oct 2008

Implementing Ethically-Sound Research On Online Health-Related Support Groups, Elizabeth T. Kennedy

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this article is to review the benefits and dilemmas associated with ethically-sound literary research and to provide guidelines for qualitative research within the context of online health-related support groups.Summary of Key Points: The Internet is a significant resource for the acquisition of healthcare information for healthcare consumers. For those seeking assistance with health-related disabilities, online support groups provide opportunities to share information, to share experiences, and to obtain support. Healthcare professionals recognize the text-based communications used by these groups as a rich data source for client-centered qualitative research. This article highlights the possible risks arising from …


The "Goal Setting Approach" For Overweight And Obese Patients: Results Of A Retrospective Cohort Study In A Dietetic Consultation, Maaike Kruseman, Magali Volery, Patrick A. Bovier Jul 2008

The "Goal Setting Approach" For Overweight And Obese Patients: Results Of A Retrospective Cohort Study In A Dietetic Consultation, Maaike Kruseman, Magali Volery, Patrick A. Bovier

Internet Journal of Allied Health Sciences and Practice

Purpose: To describe the performance of a dietary procedure based on a cognitive behavioral approach among overweight or obese patients. Methods: Standardized 45 minutes consultations were conducted by a dietician to obese (n=139) and overweight (n=56) patients followed between 1998 and 2003 at the dietetic consultation of the Outpatient clinic of the University Hospitals of Geneva. Outcome measures were the proportion of eating behavior changes and weight change over time. Results: Patients attended a mean of 7 consultations and reached on average 57% of their dietary behavioral goals. At the end of follow-up, 36 (19%) patients had lost at least …


Breastfeeding Helps Prevent Two Major Infant Illnesses, Lysa Story, Thomas Perish Jul 2008

Breastfeeding Helps Prevent Two Major Infant Illnesses, Lysa Story, Thomas Perish

Internet Journal of Allied Health Sciences and Practice

Background: Breastfeeding has been shown to reduce morbidity and mortality rates due to gastrointestinal and respiratory illnesses in children worldwide. Components of breast milk give the breast milk its protective mechanism against childhood illnesses. Additionally, breast milk is economical, costing parents nothing financially. Objective: To provide evidence to healthcare providers regarding the protective effects of breast milk against the incidence of gastroenteritis and pneumonia in infants. Methods: Fifteen published studies were reviewed regarding the effect of breastfeeding on the incidence of gastrointestinal and/or respiratory illnesses. Studies ranged from six months to twelve years in length, comparing the incidence of illnesses …


Trigger Finger, Dewan S. Raja Jul 2008

Trigger Finger, Dewan S. Raja

Internet Journal of Allied Health Sciences and Practice

The patient is a 46-year-old male who developed resistance to flexion One morning at 4am the patient woke with severe pain and a locked finger in flexion of the metacarpophalangeal joint. There was pain in the ball of the finger as well as in the dorsal aspect of the distal interphalangeal joint. The patient rushed to the bathroom and placed his finger in hot water. He tried to manipulate the finger to straighten it. The hot water therapy and manipulation worked well and the patient was successful in unlocking his finger. Another episode occurred again within one month leading the …


Oral Piercing: An Overview, Kayla Marie Janssen, Brigette Rebecca Cooper Jul 2008

Oral Piercing: An Overview, Kayla Marie Janssen, Brigette Rebecca Cooper

Internet Journal of Allied Health Sciences and Practice

Oral piercing has become increasingly popular among young adults in recent years. This is of concern to dental and medical professionals because of the risks and complications to their health. This paper provides an overview of oral piercing and potential complications associated with piercings. Health care professionals are encouraged to educate their patients concerning risk factors, ways to reduce risk factors, and homecare to promote optimal oral health when piercings are present.


Learning Style Preferences Of Occupational Therapy, Physiotherapy And Speech Pathology Students: A Comparative Study, Ted Brown, Tessa Cosgriff, Glenys French Jul 2008

Learning Style Preferences Of Occupational Therapy, Physiotherapy And Speech Pathology Students: A Comparative Study, Ted Brown, Tessa Cosgriff, Glenys French

Internet Journal of Allied Health Sciences and Practice

Purpose: Educating future health care practitioners is an important role of universities. Optimal learning environments consider how students learn and utilise various teaching methods to tailor curriculum delivery to match specified student learning preferences. Method: This paper presents a comparative study examining the learning style preferences of first-year undergraduate occupational therapy (n = 116), physiotherapy (n = 60) and speech pathology students (n = 42) at one Australian university. Each student group completed the Kolb Learning Style Inventory (LSI) and the VARK Questionnaire during the first semester of year one of their courses. Results: Minimal significant differences were identified between …


African American College Freshman Students' Knowledge, Attitudes, Beliefs, And Behaviors Related To Hiv: A Preliminary Investigation, Marie St. Rose Jul 2008

African American College Freshman Students' Knowledge, Attitudes, Beliefs, And Behaviors Related To Hiv: A Preliminary Investigation, Marie St. Rose

Internet Journal of Allied Health Sciences and Practice

Purpose: To assess African American college freshman students’ knowledge, attitudes, beliefs, and behaviors related to HIV. Method: A descriptive exploratory design with survey methodology was used to carry out the study. The participants were a convenience sample of 222 African American college freshman students with an average age of 18 years. The Maine HIV Prevention Community Planning Group questionnaire was used to elicit information from participants. Results: The majority of respondents were knowledgeable about HIV prevention and transmission (M = 9.36 on a maximum of 10, SD = .951). Their knowledge score was positively and statistically associated with whether or …


Dental Hygiene Education And Hiring Practices Of Dentists In Ohio, James A. Lalumandier, Catherine A. Demko, Kate J. Burke Apr 2008

Dental Hygiene Education And Hiring Practices Of Dentists In Ohio, James A. Lalumandier, Catherine A. Demko, Kate J. Burke

Internet Journal of Allied Health Sciences and Practice

Purpose: As education and clinical preparation affect employment opportunities for entry-level dental hygienists, dentists’ perceptions of recent graduates should be considered when reforming education requirements. The purpose of this study is to examine general dentists’ preferences for employing entry-level dental hygienists from two-year versus four-year degree programs by surveying the opinions of dentists in Ohio. Method: A survey was distributed from June to September 2004, to a sample of 700 general dentists practicing in Ohio, all alumni of Case Western Reserve University School of Dental Medicine. The survey included questions on hiring preference, salary, value of work experience, and applicable …


An Exploration Of Athletic Trainers’ Perceptions Of The Continuing Education Process, Stacy E. Walker, William A. Pitney, Christine A. Lauber, David Berry Apr 2008

An Exploration Of Athletic Trainers’ Perceptions Of The Continuing Education Process, Stacy E. Walker, William A. Pitney, Christine A. Lauber, David Berry

Internet Journal of Allied Health Sciences and Practice

Purpose: Many health care professionals, including athletic trainers, utilize continuing education to maintain their certification or licensure status. Little is known about the perceptions of athletic trainers toward this educational process. The purpose of this study was to explore the perceptions of athletic trainers toward the continuing education process.Method: Data were collected from 2 sources: field notes from 6 focus groups with 43 individuals, and 6 hours of transcribed audiotape recordings from focus groups. Trustworthiness was established through member checks and multiple analyst triangulations. Results: Continuing education is valued and it is believed to advance the profession of athletic training …


Measurement Error Between A Goniometer And The Nih Imagej Program For Measuring Quadriceps Angle, James R. Roush, Karen Bustillo, Ellen Low Apr 2008

Measurement Error Between A Goniometer And The Nih Imagej Program For Measuring Quadriceps Angle, James R. Roush, Karen Bustillo, Ellen Low

Internet Journal of Allied Health Sciences and Practice

Purpose: Measurement error when determining the size of an angle is always an issue for clinicians. Computer assistance may help to decrease that error. The purpose of this study is to determine the amount of error when measuring Q-angles using a goniometer and the IMAGEJ program, a public domain program developed at the U.S. National Institutes of Health. Methods: Two investigators participated in data collection; one who is a licensed physical therapist who has over 25 years of clinical practice in orthopedic physical therapy and a second who is familiar and experienced with analyzing data using the National Institute of …


Drug Interaction Profile Of Posaconazole, Simon Leung, Mara Poulakos Apr 2008

Drug Interaction Profile Of Posaconazole, Simon Leung, Mara Poulakos

Internet Journal of Allied Health Sciences and Practice

Adverse drug events resulting from drug-drug interactions may lead to emergency department visits, hospitalizations, prolonged length of stays, increased medical care costs, and death. Despite the efforts of research, clinical studies, and active reporting to identify and explain these drug interaction pathways, clinicians are often unaware of such drug-drug interactions. Therefore, it is imperative for pharmacists to identify these potential drug-drug interactions and notify the clinicians as well as the patients so that appropriate safety measures and monitoring methods are implemented. Specifically, immunocompromised patients often receive multiple drug regimens which are associated with toxicities and are highly susceptible to drug-drug …


Phamacists’ Inter-Gender Differences In Behavior And Opinions: Is Work Input An Important Mediator?, Manuel J. Carvajal, Patrick C. Hardigan Apr 2008

Phamacists’ Inter-Gender Differences In Behavior And Opinions: Is Work Input An Important Mediator?, Manuel J. Carvajal, Patrick C. Hardigan

Internet Journal of Allied Health Sciences and Practice

Objective: Identify and assess inter-gender differences in pharmacists’ behavior and perceptions while controlling for number of hours worked. Design: Every respondent is classified into two independent categories: gender and work input. Behavior and opinion variables are studied. Behavior variables measure who the pharmacist is and what he/she does; opinion variables measure perceptions related to satisfaction with his/her professional life. Setting: Survey questionnaire mailed to 5,000 registered pharmacists throughout the U.S. in 2004. Results: Compared to their male counterparts, female pharmacists are younger, possess less experience and job longevity, and earn lower levels of income and wage rates. These patterns are …


The Acquisition Of Instructional Strategies Through A Four-Session Athletic Trainer Clinical Instructor Workshop, Pradeep R. Vanguri, Jeff G. Konin Jan 2008

The Acquisition Of Instructional Strategies Through A Four-Session Athletic Trainer Clinical Instructor Workshop, Pradeep R. Vanguri, Jeff G. Konin

Internet Journal of Allied Health Sciences and Practice

Athletic training clinical education combines didactic education with practical experiences. Athletic training education programs facilitate the development of this instruction by preparing the clinical instructors affiliated with the program. Primarily through one-time workshops, this effort provides limited delivery of content to prepare these clinical instructors. In an attempt to identify which method of content delivery would most benefit clinical instructors, this research creates a unique methods to further investigate this issue. This study compared the acquisition of knowledge between the traditional single session clinical instructor workshop to a modified four-session workshop on athletic training clinical education instructional strategies. Method: A …


Emotional-Social Intelligence In Health Science Students And Its Relation To Leadership, Caring And Moral Judgment, Jean Wessel, Helene Larin, Gerry Benson, Barbara Brown, Jenny Ploeg, Renee Williams Jan 2008

Emotional-Social Intelligence In Health Science Students And Its Relation To Leadership, Caring And Moral Judgment, Jean Wessel, Helene Larin, Gerry Benson, Barbara Brown, Jenny Ploeg, Renee Williams

Internet Journal of Allied Health Sciences and Practice

The purposes of this study were to describe and compare the emotional-social intelligence (ESI) of students in nursing, physical therapy and health science programs, and to determine the relationship between ESI and each of leadership, caring and moral judgment. Subjects were 154 students from nursing, physical therapy and bachelor of health science (BHSc) programs in a Canadian university and a physical therapy program in an American college. Data were collected by means of self-report measures of ESI, leadership, caring, and moral judgment. The measures included the Bar-On Emotional Quotient Inventory Short (EQ-i:S), the Self-Assessment Leadership Inventory (SALI), the Caring Ability …


Developing Interdisciplinary Team Competencies In A Blended Learning Course: Impact On Student Learning, Sharla King, Elizabeth Taylor, Franziska Satzinger, Mike Carbonaro, Elaine Greidanus Jan 2008

Developing Interdisciplinary Team Competencies In A Blended Learning Course: Impact On Student Learning, Sharla King, Elizabeth Taylor, Franziska Satzinger, Mike Carbonaro, Elaine Greidanus

Internet Journal of Allied Health Sciences and Practice

Purpose: Health science educators increasingly focus on preparing health science students to work in interdisciplinary environments. Interdisciplinary communication is often hindered by geographic distances, creating barriers to effective interdisciplinary practice. Information and communication technologies are tools that can help reduce these barriers. Therefore, it is critical to ensure that students learn to communicate and collaborate with other disciplines in both face-to-face and on-line settings. The purpose of this article is to describe students’ perceptions of developing team skills in an interdisciplinary team context using a blended learning format. Understanding the students’ experiences will help health science educators prepare students effectively …


Loop-Strap Type Does Not Affect Facemask Removal Using An Anvil Pruner, Jeff Seegmiller, Darcie Stechschulte-Musielewicz Jan 2008

Loop-Strap Type Does Not Affect Facemask Removal Using An Anvil Pruner, Jeff Seegmiller, Darcie Stechschulte-Musielewicz

Internet Journal of Allied Health Sciences and Practice

Purpose: To compare time and movement characteristics of four different brands of football facemask loop straps during a cutting task. Methods: Ten certified athletic trainers, age 24.8 ± 3.4, years of experience 2.4 ± 2.5, cut four different brands of football helmet loop straps (ShockblockerTM, ASI (Athletic Specialty), SchuttTM AG (Armourguard) Elite, and RiddellTM) with an anvil pruner. Task completion time was measured with a time code generator. Helmet movement was measured in the lateral flexion plane using 2-dimensional motion analysis. Results:Measureable but non-significant differences were observed between loop strap types (P < 0.05) for dependent variables (time, range movement, and mean movement). Conclusions: Emergency personnel can effectively cut through various brands of football helmet loop straps using an anvil pruner and do not need brand-specific tools for facemask removal. Similar movement characteristics were observed while cutting all four brands of loop straps. Movement occurring during facemask removal may increase cervical displacement and increase injury severity. Measureable differences in cutting time warrant further investigation.


The Language Of Dyspnoea: A Systematic Review, Ashleigh Garrard, Marie Williams Jan 2008

The Language Of Dyspnoea: A Systematic Review, Ashleigh Garrard, Marie Williams

Internet Journal of Allied Health Sciences and Practice

Dyspnoea is an uncomfortable conscious awareness of breathing. Since the late 1980s, studies on the language used to describe the sensation of breathlessness have emerged in order to understand mechanisms and differences between chronic diseases. This systematic review aimed to consider primary studies of the language of breathlessness in order to describe the evolution of this field, methodological approaches, key findings and, identify areas which require further investigation. A systematic search process was used to identify thirty-five primary studies. This field of study has evolved rapidly over the past eighteen years. Descriptions of the sensation of breathlessness have been acquired …


What Is The Effectiveness Of A Biopsychosocial Approach To Individual Physiotherapy Care For Chronic Low Back Pain?, Susan I. George Jan 2008

What Is The Effectiveness Of A Biopsychosocial Approach To Individual Physiotherapy Care For Chronic Low Back Pain?, Susan I. George

Internet Journal of Allied Health Sciences and Practice

A systematic review of randomized controlled trials was conducted to investigate the effectiveness of a biopsychosocial approach to management for chronic low back pain when applied by individual physiotherapists. Eight primary databases and three secondary databases were searched electronically. A manual reference search was also performed. To be eligible, trials had to provide treatment according to biopsychosocial principles in primary care or comparable settings. This approach is a holistic intervention that addresses social, psychological, and biological aspects of chronic pain. Included trials defined chronic low back pain as of greater than eight weeks duration. Primary outcome measures were reductions in …