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Medicine and Health Sciences Commons

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Sacred Heart University

Series

2004

Articles 1 - 9 of 9

Full-Text Articles in Medicine and Health Sciences

Autism In A 15-Month-Old Child, Ami Klin, Katarzyna Chawarska, Rhea Paul, Emily Rubin, L. Weisner, Fred Volkmar Nov 2004

Autism In A 15-Month-Old Child, Ami Klin, Katarzyna Chawarska, Rhea Paul, Emily Rubin, L. Weisner, Fred Volkmar

Communication Disorders Faculty Publications

Autism is a developmental disorder marked by severe deficits in reciprocal social interaction, communication, and imagination as well as repetitive and restricted patterns of interests and behavior. Klin et al describe the findings of an interdisciplinary developmental disabilities evaluation of a 15-month-old girl with autism.


Collaborative Management Of Hiv Infection In The Community: An Effort To Improve The Quality Of Hiv Care, Michael F. Parry, Julie G. Stewart, P. Wright, Gavin X. Mcleod Aug 2004

Collaborative Management Of Hiv Infection In The Community: An Effort To Improve The Quality Of Hiv Care, Michael F. Parry, Julie G. Stewart, P. Wright, Gavin X. Mcleod

Nursing Faculty Publications

Our hospital led a multidisciplinary community team to improve the quality of care delivered to HIV-infected clients utilizing a disease management approach in a US metropolitan community of 150,000 people. Community needs assessment and client and community surveys were used to define the problems. Patient care flowcharting and the creation of an electronic patient database facilitated patient tracking across the entire community. Clinical guidelines and a consultation and referral immunology clinic standardized care practices. Measurable improvements in the quality of care were noted in multiple areas. Flowchart completion rates rose from 44% to 100%; medication adherence assessment rose from 82% …


Linking Session Focus To Treatment Outcome In Evidence-Based Treatments For Adolescent Substance Abuse, Aaron Hogue, Howard A. Liddle, Sarah Dauber, Jessica Samuolis Jul 2004

Linking Session Focus To Treatment Outcome In Evidence-Based Treatments For Adolescent Substance Abuse, Aaron Hogue, Howard A. Liddle, Sarah Dauber, Jessica Samuolis

Psychology Faculty Publications

The relation between specific therapy techniques and treatment outcome was examined for 2 empirically supported treatments for adolescent substance abuse: individual cognitive–behavioral therapy and multidimensional family therapy. Participants were 51 inner-city, substance-abusing adolescents receiving outpatient psychotherapy within a larger randomized trial. One session per case was evaluated using a 17-item observational measure of model-specific techniques and therapeutic foci. Exploratory factor analysis identified 2 subscales, Adolescent Focus and Family Focus, with strong interrater reliability and internal consistency. Process–outcome analyses revealed that family focus, but not adolescent focus, predicted posttreatment improvement in drug use, externalizing symptoms, and internalizing symptoms within both study …


Designing And Implementing A Balanced Scorecard: Lessons Learned In Nonprofit Implementation, Andra Gumbus, Tom Wilson Jul 2004

Designing And Implementing A Balanced Scorecard: Lessons Learned In Nonprofit Implementation, Andra Gumbus, Tom Wilson

WCBT Faculty Publications

The balanced scorecard has been referred to as the management innovation of the century, and extensive articles have been written using case studies of organizations that use this performance measurement system. This article addresses the key issues of design and implementation with a step-by-step guide to how to design a balanced scorecard and lessons to avoid implementation problems in government and nonprofit settings.


Sjogren’S Syndrome: Recognizing And Treating An Autoimmune Disease, Susan M. Denisco, Linda Ferro May 2004

Sjogren’S Syndrome: Recognizing And Treating An Autoimmune Disease, Susan M. Denisco, Linda Ferro

Nursing Faculty Publications

Sjogren's syndrome, one of the most common autoimmune diseases, is characterized by cell-mediated lymphocytic infiltration of the exocrine glands, particularly the salivary and lacrimal glands. It receives little attention in the literature, and frequently goes unrecognized until progressive changes are apparent. This article aids nurse practitioners in diagnosing the disorder in its earliest stages and in initiating proper treatment.


A Comparison Of Hip Versus Ankle Exercises In Elders And The Influence On Balance And Gait, Laura Z. Gras, Pamela Levangie, Mary (Tina) Goodwin-Segal, Deborah A. Lawrence May 2004

A Comparison Of Hip Versus Ankle Exercises In Elders And The Influence On Balance And Gait, Laura Z. Gras, Pamela Levangie, Mary (Tina) Goodwin-Segal, Deborah A. Lawrence

All PTHMS Faculty Publications

Purpose: Reductions in hip and ankle strength and range of motion (ROM) in elderly subjects have been associated with decreased functional mobility and risk of falls. The purpose of this research was to determine if short duration hip or ankle interventions designed to increase ROM and strength could improve ROM and strength of those joints, as well as improve balance and gait outcomes. Methods: Well elderly volunteers recruited from retirement communities and a senior citizen center were randomly assigned to a hip or ankle intervention group. Both groups performed a home exercise program (HEP) of stretching 5 days a week …


Adaptive Behavior In Autism And Pervasive Developmental Disorder-Not Otherwise Specified: Microanalysis Of Scores On The Vineland Adaptive Behavior Scales, Rhea Paul, Stephanie Miles, Domenic Cicchetti, Sara Sparrow, Ami Klin, Fred Volkmar, Megan Coflin, Shelley Booker Apr 2004

Adaptive Behavior In Autism And Pervasive Developmental Disorder-Not Otherwise Specified: Microanalysis Of Scores On The Vineland Adaptive Behavior Scales, Rhea Paul, Stephanie Miles, Domenic Cicchetti, Sara Sparrow, Ami Klin, Fred Volkmar, Megan Coflin, Shelley Booker

Communication Disorders Faculty Publications

The purpose of this study is to provide a microanalysis of differences in adaptive functioning seen between well-matched groups of school-aged children with autism and those diagnosed as having Pervasive Developmental Disorder-Not Otherwise Specified, all of whom functioned in the mild to moderate range of intellectual impairment. Findings indicate that the major area of difference between children with autism and those with Pervasive Developmental Disorder-Not Otherwise Specified, was expressive communication; specifically, the use of elaborations in syntax and morphology and in pragmatic use of language to convey and to seek information in discourse. Linear discriminant function analysis revealed that scores …


Designing A Strategy To Effectively Communicate The Balanced Scorecard, Andra Gumbus, Bridget Lyons, Tom Wilson Mar 2004

Designing A Strategy To Effectively Communicate The Balanced Scorecard, Andra Gumbus, Bridget Lyons, Tom Wilson

WCBT Faculty Publications

As increasing numbers of organizations adopt the balanced scorecard (BSC) to align strategy with operations and measure progress toward meeting strategic goals, the importance of successful communication of the scorecard throughout the organization has become apparent. Successful implementation and effective use of the BSC occurs when organizational stakeholders recognize its role, use, and benefits. In the March/April 2003 issue of Cost Management, we detailed how Bridgeport Hospital, a member of Yale New Haven Health System (YNHHS), adopted the BSC and used the scorecard to align capital investment decisions with strategy.1 In this article, we will profile how the hospital designed …


Putting Humpty Dumpty Together Again: What's Right With Betsy, Elaine R. Silliman, Louise C. Wilkinson, Robin L. Danzak Jan 2004

Putting Humpty Dumpty Together Again: What's Right With Betsy, Elaine R. Silliman, Louise C. Wilkinson, Robin L. Danzak

Communication Disorders Faculty Publications

Betsy is a telling case of the struggles and victories of a youngster who has grappled with a language learning disability for most of her 17 years. Her story is a fitting way to conclude this volume because she represents how a child with motivation and resilience can confront the educational and interpersonal obstacles she has experienced. Her story, which predates the passage of the No Child Left Behind Act of 2001 and the 1997 Individuals with Disabilities Education Act, is a metaphor for the ongoing debates in theory and practice about the meanings of a learning disability versus a …