Medicine and Health Sciences Commons^™

Tobacco Control: Are We Appropriately Training Future Health Professionals, Francisco Soto Mas, Chiehwen Hsu

Francisco Soto Mas

Information on how health professionals perceive tobacco use as well as their attitudes toward tobacco control is scarce. This study assessed the attitudes and perceptions of public health students toward tobacco use and tobacco control, which constitutes a necessary first step in designing effective training strategies. Although the majority of respondents agreed that tobacco use constitutes a relevant public health problem, they did not perceive tobacco control to be a public health priority. Academic institutions may not be properly training public health students, and may therefore be missing the opportunity to advance tobacco control at the national and global levels.

Obat Penggugur Kandungan Mamuju Utara 082328881996 Jual Obat Aborsi Di Mamuju Utara, Dr Fitri

dr fitri

Hypocaloric Nutrition In The Critically Ill Patient. Move Over South Beach, Jane Gervasio

Jane M. Gervasio

No abstract provided.

Hypocaloric Feeding, Permissive Underfeeding, And The Use Of Anabolic Agents In The Critically Ill Patient, Jane Gervasio

Jane M. Gervasio

No abstract provided.

Differential Impairment As An Indicator Of Sex Bias In Dsm-Iv Criteria For Four Personality Disorders, Christina D. Boggs, Leslie C. Morey, Andrew E. Skodol, M. Tracie Shea, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan, Mary C. Zanarini, John G. Gunderson

Charles A. Sanislow, Ph.D.

The aim of the present study was to investigate the possibility of sex bias in the diagnostic criteria for borderline, schizotypal, avoidant, and obsessive-compulsive personality disorders. A clinical sample of 668 individuals was evaluated for personality disorder criteria using a semistructured interview, and areas of functional impairment were assessed with both self-report and semistructured interview. The authors used a regression model of bias to identify bias as differences in slopes or intercepts between men and women in the relationship between each diagnostic criterion and level of impairment. The results suggest that most of the diagnostic criteria examined do not seem …

Preliminary Evidence For Medication Effects On Functional Abnormalities In The Amygdala And Anterior Cingulate In Bipolar Disorder, Hilary P. Blumberg, Nelson H. Donegan, Charles A. Sanislow, Susan Collins, Cheryl Lacadie, Pawel Skudlarski, Ralitza Gueorguieva, Robert K. Fulbright, Thomas H. Mcglashan, John C. Gore, John H. Krystal

Charles A. Sanislow, Ph.D.

RATIONALE: Abnormal amygdala and frontocortical responses to emotional stimuli are implicated in bipolar disorder (BD) and have been proposed as potential treatment targets.

OBJECTIVES: The aim of this study was to investigate amygdala and frontocortical responses to emotional face stimuli in BD and the influences of mood-stabilizing medications on these responses.

METHODS: Functional magnetic resonance imaging was performed while 17 BD participants (5 unmedicated) and 17 healthy comparison (HC) participants viewed faces with happy, sad, fearful, or neutral expressions.

RESULTS: The group by stimulus-condition interaction was significant (p<0.01) for amygdala activation, with the greatest effects in the happy face condition. Relative to HC, amygdala increases were greater in unmedicated BD, but lower in medicated BD. Rostral anterior cingulate (rAC) activation was decreased in unmedicated BD compared to HC; however, BD participants taking medication demonstrated rAC activation similar to HC participants.

CONCLUSIONS: Although the sample sizes were small, these preliminary results suggest that …

Biosecurity And The Role Of Statisticians, Ron Brookmeyer

Ron Brookmeyer

No abstract provided.

Risk In Emergency Research Using A Waiver Of/Exception From Consent: Implications Of A Structured Approach For Institutional Review Board Review, Andrew Mcrae, Stacy Ackroyd-Stolarz, Charles Weijer

Charles Weijer

OBJECTIVE: To apply component analysis, a structured approach to the ethical analysis of risks and potential benefits in research, to published emergency research using a waiver of/exception from informed consent. The hypothesis was that component analysis could be used with a high degree of interrater reliability, and that the vast majority of emergency research would comply with a minimal-risk threshold.

METHODS: A Medline search and manual search were done to identify studies using a waiver of/exception from informed consent published between July 1996 and December 2000. A review panel of physicians and bioethicists independently classified nontherapeutic procedures in each study …

16s Rrna Gene Sequence And Phylogenetic Tree Of Lactobacillus Species From The Vagina Of Healthy Nigerian Women, Kingsley Anukam, Emmanuel Osazuwa, Ijeoma Ahonkhai, Gregor Reid

Kingsley C Anukam

Lactobacilli are ubiquitous in nature and in humans they play a very significant role in the general health maintenance of the host. Identification of Lactobacilli has previously been based on cultutre-dependent methods and recently molecular techniques involving gene sequencing are now the ‘gold standard’. Scarce information exists in Africa on the real identity of Lactobacillus species, albeit phylogenetic distances among the species present in the human vagina. 185 vaginal swabs were collected from healthy premenopausal women (18-48 years). Bacterial DNA was extracted, amplified using PCR, with group specific Lactobacillus primers, and processed by denaturing gradient gel electrophoresis (DGGE). DGGE bands …

The Changing Treatment Paradigm In Patients With Newly Diagnosed Multiple Myeloma: Implications For Nursing, Joseph Tariman

Joseph D Tariman PhD

No abstract provided.

Evaluation Of The Federal Government's Human Health Preparedness Plan Developed In Response To The H5n1 Threat., Chiehwen Ed Hsu

Chiehwen Ed Hsu

Dr. Hsu reacted to President Bush's Avian Flu Preparedness and Response Plan in a media briefing panel at the National Press Club, Washington DC.

Adolescent Peer Education Breast Cancer Awareness Project, Susan Schwartz, Janice Barlow

Susan C. Schwartz

The objective of this project is to create a peer-based, single-lesson module to communicate known and suspected risk factors for the development of breast cancer to an adolescent population. Marin Breast Cancer Watch has conducted a previous formative assessment. Results of teacher surveys, focus groups with adolescent girls and mothers, and community interviews have established local needs for this program. MBCW has developed a unique adolescent breast cancer awareness curriculum in partnership with the Tamalpais Union High School District and peer education experts. A Community Advisory Panel is contributing professional guidance and the advocate viewpoint. This project is designed to …

Assessing The Readiness And Training Needs Of Non-Urban Physicians In Public Health Emergency And Response, Chiehwen Ed Hsu

Chiehwen Ed Hsu

No abstract provided.

Hispanic Physicians' Tobacco Intervention Practices: A Cross-Sectional Survey Study, Francisco Soto Mas, Chiehwen Ed Hsu

Chiehwen Ed Hsu

Background: U.S. Hispanic physicians constitute a considerable professional collective, and they may be most suited to attend to the health education needs of the growing U.S. Hispanic population. These educational needs include tobacco use prevention and smoking cessation. However, there is a lack of information on Hispanic physicians' tobacco intervention practices, their level of awareness and use of cessation protocols, and the type of programs that would best address their tobacco training needs. The purpose of this study was to assess the tobacco intervention practices and training needs of Hispanic physicians. Methods: Data was collected through a validated survey instrument …

Spiroplasma Penaei Sp. Nov., Associated With Mortalities In Penaeus Vannamei, Pacific White Shrimp, Linda M. Nunan, Donald V. Lightner, Marietta A. Oduori, Gail E. Gasparich

Gail Gasparich

Short- And Long-Term Cause-Specific Survival Of Patients With Inflammatory Breast Cancer, Patricia Tai, Edward Yu, Ross Shiels, Juan Pacella, Kurian Jones, Evgeny Sadikov, Shazia Mahmood

Edward Yu

Background: Inflammatory breast cancer (IBC) had been perceived to have a poor prognosis. Oncologists were not enthusiastic in the past to give aggressive treatment. Single institution studies tend to have small patient numbers and limited years of follow-up. Most studies do not report 10-, 15- or 20-year results. Methods: Data was obtained from the population-based database of the Surveillance, Epidemiology, and End Results program of the National Cancer Institute from 1975-1995 using SEER*Stat5.0 software. This period of 21 years was divided into 7 periods of 3 years each. The years were chosen so that there was adequate follow-up information to …

Cara Alami Mengobati Gatal Di Selangkangan, Obatgataldi Selangkanganpaha

obatgataldi selangkanganpaha

Evaluating Clinical Rating Scales For Evidence-Based Dermatology: Some Basic Concepts, Madhulika Gupta, Andrew Johnson, Mary-Margaret Chren

Andrew M. Johnson

Evidence-based dermatology has necessitated the development of rating scales that measure multidimensional and abstract constructs, such as quality of life. This article discusses some basic psychometric concepts, such as reliability, validity, standardization, and measurement precision, which need to be considered when choosing a clinical rating instrument. Also discussed is the impact of these parameters on increasing the statistical power of a clinical trial.

Meaningful Work As Due Inducement, Charles Weijer

Charles Weijer

No abstract provided.

The Collaborative Longitudinal Personality Disorders Study (Clps): Overview And Implications, Andrew E. Skodol, John G. Gunderson, M. Tracie Shea, Thomas H. Mcglashan, Leslie C. Morey, Charles A. Sanislow, Donna S. Bender, Carlos M. Grilo, Mary C. Zanarini, Shirley Yen, Maria E. Pagano, Robert L. Stout

Charles A. Sanislow, Ph.D.

The Collaborative Longitudinal Personality Disorders Study (CLPS; Gunderson et al., 2000) was developed to fill gaps in our understanding of the nature, course, and impact of personality disorders (PDs). Here, we review published findings to date, discuss their implications for current conceptualizations of PDs, and raise questions that warrant future consideration. We have found that PDs are more stable than major depressive disorder, but that meaningful improvements are possible and not uncommon. We have confirmed also that PDs constitute a significant public health problem, with respect to associated functional impairment, extensive treatment utilization, negative prognostic impact on major depressive disorder, …

Dimensional Representations Of Dsm-Iv Personality Disorders: Relationships To Functional Impairment, Andrew E. Skodol, John M. Oldham, Donna S. Bender, Ingrid R. Dyck, Robert L. Stout, Leslie C. Morey, M. Tracie Shea, Mary C. Zanarini, Charles A. Sanislow, Carlos M. Grilo, Thomas H. Mcglashan, John G. Gunderson

Charles A. Sanislow, Ph.D.

OBJECTIVE: This study compared three-dimensional representations of DSM-IV personality disorders and standard categories with respect to their associations with psychosocial functioning.

METHOD: Six hundred sixty-eight patients with semistructured interview diagnoses of schizotypal, borderline, avoidant, or obsessive-compulsive personality disorders or with major depressive disorder and no personality disorder completed questionnaires assessing three-factor and five-factor dimensional models of personality. Personality disorder categories, dimensional representations of the categories based on criteria counts, and three- and five-factor personality dimensions were compared on their relationships to impairment in seven domains of functioning, as measured by the Longitudinal Interval Follow-up Evaluation-Baseline Version.

RESULTS: Both the categorical …

Protocol For Determining Fertility While Breastfeeding And Not In Cycles, Richard Fehring, Mary Barron, Mary Schneider

Richard J Fehring

A protocol was developed and evaluated for nonovulating breastfeeding women to determine potential fertility with an electronic hormonal fertility monitor. The amount of required abstinence (i.e., days of potential fertility) through the first menstrual cycle indicated by the fertility monitor was significantly lower (17% of the total days) compared with the amount of abstinence (50% of the total days) indicated by the self-observation of cervical mucus.

Analysis Of Chromosome 1 Microsatellite Markers And The Fhm2-Atp1a2 Gene Mutations In Migraine Pedigrees, R. Curtain, R. Lea, L. Tajouri, L. Haupt, M. Ovcaric, J. Macmillan, L. Griffiths

Lotti Tajouri

Objectives: The aims of the study were: (i) to extend our linkage analysis of chromosome 1q microsatellite markers in predominately migraine with aura pedigrees and (ii) to test the novel FHM-2 ATP1A2 gene for involvement in these migraine affected pedigrees and a previous pedigree (MF14) showing evidence of linkage of markers to C1q31.

Methods: A chromosome 1 scan (31 markers) was performed in 21 multiplex pedigrees affected predominately with migraine with aura (MA). The known FHM-2 ATP1A2 gene mutations were tested, by sequencing, for the involvement in MA and migraine without aura (MO) in these pedigrees. Sequencing was performed in …

Arrhythmia Knowledge: A Qualitative Study, Kathryn B. Keller, Deborah A. Raines

Deborah A. Raines, PhD, EdS, RN, ANEF, FAAN

No abstract provided.

Using Fmri To Investigate A Component Process Of Reflection: Prefrontal Correlates Of Refreshing A Just-Activated Representation, Marcia K. Johnson, Carol L. Raye, Karen J. Mitchell, Erich J. Greene, William A. Cunningham, Charles A. Sanislow

Charles A. Sanislow, Ph.D.

Using fMRI, we investigated the functional organization of prefrontal cortex (PFC) as participants briefly thought of a single just-experienced item (i.e., refreshed an active representation). The results of six studies, and a meta-analysis including previous studies, identified regions in left dorsolateral, anterior, and ventrolateral PFC associated in varying degrees with refreshing different types of information (visual and auditory words, drawings, patterns, people, places, or locations). In addition, activity increased in anterior cingulate with selection demands and in orbitofrontal cortex when a nonselected item was emotionally salient, consistent with a role for these areas in cognitive control (e.g., overcoming "mental rubbernecking"). …

Avoidant Personality Disorder And Social Phobia: Distinct Enough To Be Separate Disorders?, Elizabeth Ralevski, Charles A. Sanislow, Carlos M. Grilo, Andrew E. Skodol, John G. Gunderson, M. Tracie Shea, Shirley Yen, Donna S. Bender, Mary C. Zanarini, Thomas H. Mcglashan

Charles A. Sanislow, Ph.D.

Objective: Existing evidence from anxiety disorder research indicates that social phobics (SP) with avoidant personality disorder (AVPD) experience more anxiety and show more impairment than patients with SP alone. The purpose of this study was to examine whether in patients diagnosed with AVPD, the co-occurrence of SP adds to its severity. We hypothesized that the addition of SP will not add to the severity of AVPD alone.

Method: Two groups of patients (AVPD = 224; AVPD/SP = 101) were compared at baseline and 2 years later on multiple demographic and clinical variables.

Results: Patients with AVPD and an additional diagnosis …

Self-Collection Of Stool: An Alternative To Digital Rectal Examination For Fecal Occult Blood Testing In The Emergency Department, Paris B. Lovett

Paris B Lovett, MD, MBA, FACEP, FACHE

Study Objectives: Our objective was to evaluate a new technique for collection of stool for fecal occult blood testing (FOBT) in the emergency department (ED). We sought to compare the new approach, Self-Collection of Stool (SCS), against the traditional Digital Rectal Examination (DRE).

Methods: Patients were eligible for enrollment if they required stool sampling for FOBT, as judged by their physician. We excluded patients who required DRE for reasons other than stool collection: those requiring assessment of prostatic or rectal anatomy, rectal tone or sensation. Subjects were enrolled on a convenience basis and randomized to SCS or DRE. Blinded data …

Obat Gatal Di Selakangan, Caramenyembuhkan Gatalgataldiselangkangan

caramenyembuhkan gatalgataldiselangkangan

Workplace Organization, Labor Process Control And Occupational Health. Ph. D. Dissertation, Linda A. Treiber

Linda A. Treiber

Perioperative Beta-Blocker Therapy And Mortality After Major Noncardiac Surgery, Peter K. Lindenauer, Penelope Susan Pekow, Kaijun Wang, Dheeresh K. Mamidi, Benjamin Gutierrez, Evan M. Benjamin

Peter Lindenauer MD

Background: Despite limited evidence from randomized trials, perioperative treatment with beta-blockers is now widely advocated. We assessed the use of perioperative beta-blockers and their association with in-hospital mortality in routine clinical practice.

Methods: We conducted a retrospective cohort study of patients 18 years of age or older who underwent major noncardiac surgery in 2000 and 2001 at 329 hospitals throughout the United States. We used propensity-score matching to adjust for differences between patients who received perioperative beta-blockers and those who did not receive such therapy and compared in-hospital mortality using multivariable logistic modeling.

Results: Of 782,969 patients, 663,635 (85 percent) …