Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 11 of 11

Full-Text Articles in Medicine and Health Sciences

Pharmacokinetics Of Ceftibuten-Cis And Its Trans Metabolite In Healthy Volunteers And In Patients With Chronic Renal Insufficiency, Judy Shepard Kelloway, Walid M. Awni, Chin C. Lin, Josephine Lim, Melton B. Affrime, William F. Keane, Gary R. Matzke, Charles E. Halstenson Jan 1991

Pharmacokinetics Of Ceftibuten-Cis And Its Trans Metabolite In Healthy Volunteers And In Patients With Chronic Renal Insufficiency, Judy Shepard Kelloway, Walid M. Awni, Chin C. Lin, Josephine Lim, Melton B. Affrime, William F. Keane, Gary R. Matzke, Charles E. Halstenson

Pharmacotherapy and Outcomes Science Publications

The impact of renal insufficiency on the dispositions of 300 mg of orally administered ceftibuten-cis, a new broad-spectrum oral cephalosporin, and its primary metabolite ceftibuten-trans was characterized in 30 adult subjects. Subjects were divided into five groups of six subjects each on the basis of their 24-h ambulatory creatinine clearances (CLCR). The apparent total body clearance (CLP/F; where F is absolute bioavailability) and renal clearance of ceftibuten-cis were significantly lower in subjects with end-stage renal disease (on maintenance hemodialysis; group V) and in those with severe (CLCR, 5 …


Efficacy And Cost Effectiveness Of Adjuvant Chemotherapy In Women With Node-Negative Breast Cancer — A Decision-Analysis Model, Bruce E. Hillner , M.D., Thomas J. Smith , M.D. Jan 1991

Efficacy And Cost Effectiveness Of Adjuvant Chemotherapy In Women With Node-Negative Breast Cancer — A Decision-Analysis Model, Bruce E. Hillner , M.D., Thomas J. Smith , M.D.

Massey Comprehensive Cancer Center Publications

Abstract

BACKGROUND.

In 1988 the National Cancer Institute issued a Clinical Alert that has been widely interpreted as recommending that all women with node-negative breast cancer receive adjuvant chemotherapy. Acceptance of this recommendation is controversial, since many women who would not have a recurrence would be treated.

METHODS.

Using a decision-analysis model, we studied the cost effectiveness of chemotherapy in cohorts of 45-year-old and 60-year-old women with node-negative breast cancer by calculating life expectancy as adjusted for quality of life. The analysis evaluated different scenarios of the benefit of therapy: improved disease-free survival for five years, with a lesser effect …


Efficacy And Cost-Effectiveness Of Adjuvant Chemotherapy In Women With Node-Negative Breast-Cancer - A Decision-Analysis Model, Bruce E. Hillner , M.D., Thimas J. Smith M. D. Jan 1991

Efficacy And Cost-Effectiveness Of Adjuvant Chemotherapy In Women With Node-Negative Breast-Cancer - A Decision-Analysis Model, Bruce E. Hillner , M.D., Thimas J. Smith M. D.

Internal Medicine Publications

BACKGROUND.

In 1988 the National Cancer Institute issued a Clinical Alert that has been widely interpreted as recommending that all women with node-negative breast cancer receive adjuvant chemotherapy. Acceptance of this recommendation is controversial, since many women who would not have a recurrence would be treated.

METHODS.

Using a decision-analysis model, we studied the cost effectiveness of chemotherapy in cohorts of 45-year-old and 60-year-old women with node-negative breast cancer by calculating life expectancy as adjusted for quality of life. The analysis evaluated different scenarios of the benefit of therapy: improved disease-free survival for five years, with a lesser effect on …


Virginia Dental Journal (Vol. 68, No. 3, 1991) Jan 1991

Virginia Dental Journal (Vol. 68, No. 3, 1991)

Virginia Dental Journal

No abstract provided.


Virginia Dental Journal (Vol. 68, No. 4, 1991) Jan 1991

Virginia Dental Journal (Vol. 68, No. 4, 1991)

Virginia Dental Journal

No abstract provided.


Virginia Dental Journal (Vol. 68, No. 2, 1991) Jan 1991

Virginia Dental Journal (Vol. 68, No. 2, 1991)

Virginia Dental Journal

No abstract provided.


Virginia Dental Journal (Vol. 68, No. 1, 1991) Jan 1991

Virginia Dental Journal (Vol. 68, No. 1, 1991)

Virginia Dental Journal

No abstract provided.


Geriatic Nurse Practitioner's Health Promotive Behaviors: A Test Of Theory Of Reasoned Action, Sandra L. Venegoni Jan 1991

Geriatic Nurse Practitioner's Health Promotive Behaviors: A Test Of Theory Of Reasoned Action, Sandra L. Venegoni

Theses and Dissertations

The purpose of this investigation was to develop an instrument to test the theory of reasoned action (Fishbein & Ajzen, 1975) in a new behavioral domain the health promotive behaviors of geriatric nurse practitioners (GNPs). The two behavioral categories included in the study were health assessment and health teaching, each with its individual index of actions.

A questionnaire was developed to examine the beliefs of a sample of 200 certified geriatric nurse practitioners and to test the relationships of the theoretical model. Names of the subjects were randomly selected from the American Nurses' Association 1989 list of certified GNPs. Ninety-four …


Mechanisms Of Regulation Of The Human C-Myb Proto-Oncogene During Myelomonocytic Differentiation, Lawrence H. Boise Jan 1991

Mechanisms Of Regulation Of The Human C-Myb Proto-Oncogene During Myelomonocytic Differentiation, Lawrence H. Boise

Theses and Dissertations

Control of hematopoiesis is a complex set of events that is currently being dissected at the molecular level. To determine factors that may be crucial for commitment to terminal differentiation of myelomonocytic cells, a mutant of the HL-60 cell line was characterized at the cellular and molecular level. This clone, termed DMSOr, was shown to differentiate in a similar fashion as parental HL-60 in response to 1.3% DMSO at the morphologic and functional level. The anti-proliferative aspects of differentiation were also present in DMSOr as evidenced by decreased 3H-thymidine incorporation and an increased percentage of cells in the G0/G1 phase …


The Effects Of Concentric And Eccentric Contractions Performed At Equal Power Levels On Skeletal Muscle Fiber Hypertrophy, Thomas Philip Mayhew Jan 1991

The Effects Of Concentric And Eccentric Contractions Performed At Equal Power Levels On Skeletal Muscle Fiber Hypertrophy, Thomas Philip Mayhew

Theses and Dissertations

There are no data available as to whether training with eccentric contractions are more effective than concentric contractions for producing skeletal muscle fiber hypertrophy. To better understand the effects of training with different contraction types two related studies were performed.

In the first study a device which is frequently used by clinicians for concentric and eccentric exercise, the Kin-ComR, was tested for accuracy and reliability. The measurements obtained from the force, angle, and speed transducers of this device were found to be accurate and reliable between days.

The purpose of the second study was to determine if there …


Identification Of Dq Alpha Polymorphism Using The Polymerase Chain Reaction, Richard Mello Jan 1991

Identification Of Dq Alpha Polymorphism Using The Polymerase Chain Reaction, Richard Mello

Theses and Dissertations

This was a study of detection systems for DQ alpha HLA polymorphism that could be exploited for the demonstration of simulated chimerism. Polymorphic segments of DO alpha DNA were amplified by the polymerase chain reaction (PCR). Simulated chimerism was represented by a mixture of minor and major component DNA. The goal was to detect minor component DNA in the presence of major component DNA utilizing various laboratory techniques. Techniques studied included probe strip typing with the AmpliType HLA-DO Alpha test kit, allele-specific amplification, polyacrylamide gel electrophoresis, restriction enzymes, and Southern transfer combined with a peroxidase detection system.

The AmpliType HLA-DO …