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Full-Text Articles in Medicine and Health Sciences

The Urban Ecology Of Hospital Failure: Hospital Closures In The City Of Chicago, 1970-1991, Gunnar Almgren, Miguel Ferguson Dec 1999

The Urban Ecology Of Hospital Failure: Hospital Closures In The City Of Chicago, 1970-1991, Gunnar Almgren, Miguel Ferguson

The Journal of Sociology & Social Welfare

Abstract: Hospital closures occurred nationally with increasing frequency between 1970 and 1990. In particular, large urban areas experienced a dramatic number of closures. Of the 61 general hospitals operating in Chicago in 1970, 22 (36%) had closed by 1991. While a growing body of literature has examined the etiology and determinants of hospital closure over the last two decades, few empirical studies have focused on the neighborhood correlates of closure, and none have examined specific health outcomes associated with hospital failure. This study uses census and Chicago hospital closure data to compare and contrast different conceptual explanations of closure in …


Using Professionally Trained Actors In Social Work Role-Play Simulations, Helen E. Petracchi Dec 1999

Using Professionally Trained Actors In Social Work Role-Play Simulations, Helen E. Petracchi

The Journal of Sociology & Social Welfare

The literature available to social work educators contains limited discussion of the use of role play simulation in the classroom. This paper presents the experiences of first-year MSW students in a foundation generalist practice class who were evaluated using role play for their final examination. In a unique arrangement, clients in these simulations were role-played by firstyear acting students from the university's theater arts department. The reaction of the social work students to role play with professionally trained actors is described and discussed from voluntarily submitted descriptions of the experience.


If Deliberative Democracy Is The Solution, What Is The Problem?, Emily Hauptmann Nov 1999

If Deliberative Democracy Is The Solution, What Is The Problem?, Emily Hauptmann

Center for the Study of Ethics in Society Papers

Presented March 18, 1999 for the Center for the Study of Ethics in Society.


Gun Control, Hugh Lafollette Oct 1999

Gun Control, Hugh Lafollette

Center for the Study of Ethics in Society Papers

Presented October 22, 1998 for the Center for the Study of Ethics in Society.


Review Of Paradigms Of Clinical Social Work, Volume 2. Rachel Dorfman (Ed). Reviewed By Cynthia Franklin, University Of Texas, Austin., Cynthia Franklin Sep 1999

Review Of Paradigms Of Clinical Social Work, Volume 2. Rachel Dorfman (Ed). Reviewed By Cynthia Franklin, University Of Texas, Austin., Cynthia Franklin

The Journal of Sociology & Social Welfare

Book review of Dorfman, R.A. (Ed.) Paradigms of Clinical Social Work, volume 2. Philadelphia PA: Brunner/Mazel, 1998. $49.95 hardcover.


Review Of Clinical And Practice Issues In Adoption: Bridging The Gap Between Adoptees Placed As Infants And As Older Children. Victor Groza And Karen F Rosenberg (Eds.). Reviewed By Richard P. Barth, University Of North Carolina, Chapel Hill., Richard P. Barth Sep 1999

Review Of Clinical And Practice Issues In Adoption: Bridging The Gap Between Adoptees Placed As Infants And As Older Children. Victor Groza And Karen F Rosenberg (Eds.). Reviewed By Richard P. Barth, University Of North Carolina, Chapel Hill., Richard P. Barth

The Journal of Sociology & Social Welfare

Book review of Victor Groza and Karen E Rosenberg (Eds.), Clinical and Practice Issues in Adoption: Bridging the Gap Between Adoptees Placed as Infants and as Older Children. Westport, CT: Praeger Publishers, 1998. $55.00 (hardcover).


Review Of Social Work With Children And Their Families: Pragmatic Foundations. Christopher G. Petr. Reviewed By Dorinda N. Noble, Louisiana State University., Dorinda N. Noble Sep 1999

Review Of Social Work With Children And Their Families: Pragmatic Foundations. Christopher G. Petr. Reviewed By Dorinda N. Noble, Louisiana State University., Dorinda N. Noble

The Journal of Sociology & Social Welfare

Book review of Petr, Christopher G. (1998). Social Work with Children and their Families: Pragmatic Foundations. New York: Oxford University Press.


Coping Strategy And Social Support Differences Among Copd Patients: Effects On Psychological Well Being, Functional Status, And Health Care Utilization, Terri Belville-Robertson Aug 1999

Coping Strategy And Social Support Differences Among Copd Patients: Effects On Psychological Well Being, Functional Status, And Health Care Utilization, Terri Belville-Robertson

Dissertations

This descriptive study examined coping strategies and social support among thirty-three patients with moderate to severe Chronic Obstructive Pulmonary Disease (COPD) to assess relationships to psychological and functional status, and health care utilization. More specifically, the qualitative and quantitative differences in coping strategies and social support were examined in relation to anxiety, depression, activity level, and use of emergency and inpatient medical services. Subjects participated in a one-session screening that included a brief clinical interview, battery of questionnaires and exercise tolerance test. Health care utilization data were obtained from subjects’ medical records. Subjects' primary support persons also provided collateral data …


Evaluating The Social Acceptability Of Persons With Habit Disorders: The Effects Of Topography, Frequency, And Gender Manipulation, Douglas W. Woods Aug 1999

Evaluating The Social Acceptability Of Persons With Habit Disorders: The Effects Of Topography, Frequency, And Gender Manipulation, Douglas W. Woods

Dissertations

Literature suggests that children who exhibit habit disorders are less socially acceptable than children who do not exhibit such disorders. This series of studies investigated the social acceptability of adults who exhibit habit disorders. In Studies 1 and 2, undergraduate students rated the social acceptability of individuals who exhibited motor tics, vocal tics, hairpulling, and no habit. Results showed that the individuals with no habit were more socially acceptable than the individuals who exhibited either motor tics, vocal tics, or hairpulling.

In Study 3, videotapes were created in which actors simulated motor tics, vocal tics, Tourette’s Syndrome, and Trichotillomania. The …


The Effects Of Sibling-Implemented Training On Social Behaviors Of Autistic Children, Cristin L. Sullivan Jun 1999

The Effects Of Sibling-Implemented Training On Social Behaviors Of Autistic Children, Cristin L. Sullivan

Dissertations

The present study investigated the effectiveness of sibling-implemented pivotal response training (PRT) on the social behaviors of five children with autism. Using a multiple-baseline design across sibling pairs, participants were trained to use PRT while playing with their brother’s with autism. Measures of play skills and social behavior were assessed during baseline, training, sibling-independent play, and two-month follow-up sessions. Also, parents were asked to rate randomly selected video-tape segments from baseline and sibling-independent play sessions. The results indicated that siblings were able to learn effectively and implement PRT strategies following training. All of the children with autism demonstrated an increase …


Toys As Language Stimuli For Individuals With Alzheimer’S Disease, Cassandra M. Baer Apr 1999

Toys As Language Stimuli For Individuals With Alzheimer’S Disease, Cassandra M. Baer

Masters Theses

The study of the use of toys with institutionalized adults began in the field of gerontological nursing (Bailey, Gilbert, & Herweyer, 1992; Francis & Baly, 1986; Mayers & Griffin, 1990; Milton & MacPhail, 1985). Hopper, Bayles, and Tomoeda (1998) described the comforting qualities of plush animals for people with dementia and began to explore the effects of these toys on the language production of women with Alzheimer's Disease. Women were found to produce more information in fewer words when the toys were present.

This study builds on the work of Hopper et al. (1998), comparing language productions of two men …


Determining Cutoff Scores For The Mmpi-2 Substance Abuse Scales For An Inmate Population, Barbara A. Johnston Apr 1999

Determining Cutoff Scores For The Mmpi-2 Substance Abuse Scales For An Inmate Population, Barbara A. Johnston

Dissertations

The current research project examined the psychometric properties of the substance abuse scales of the Minnesota Multiphasic Personality Inventory, Second Edition (MMPI-2) with an inmate population. The scales of interest included the MacAndrews Alcoholism Scale Revised (MAC-R), the Addiction Potential Scale (APS) and the Addiction Acknowledgement Scale (AAS).

A total of 80 subjects were administered the MMPI-2 which resulted in 73 valid profiles. Of the valid profiles, 54 were chemically dependent and 19 were nonchemically dependent inmates. There were no differences between groups in regard to sociodemographic variables.

The data analyses indicated that the AAS and APS are efficient and …


The Identification Of Domains And Competencies For Community Practice Occupational Therapy, Lisa Anne Werner Dec 1998

The Identification Of Domains And Competencies For Community Practice Occupational Therapy, Lisa Anne Werner

Masters Theses

Literature shows evidence of a shift in occupational therapy from traditional institutional settings to community-based settings. As increasing numbers of new and expert occupational therapists enter community-based practice, the need for competency identification for practice, education, and reimbursement becomes paramount. This qualitative research study sought to identify domains and competencies of community-based occupational therapy practice by interviewing three expert occupational therapists using the critical incident method in which each therapist described one therapeutic intervention with a client. This method, as seen in nursing studies (Benner, 1982, 1984), serves to elicit competencies embedded in expert practice. Thirty-nine competencies were described in …


Characterization Of Metal-Regulated Genes In Pseudomonas Fluorescens, Melanie Pearson Aug 1998

Characterization Of Metal-Regulated Genes In Pseudomonas Fluorescens, Melanie Pearson

Honors Theses

One side effect of today's industrialized world is increased levels of heavy metals in the environment. Many of these metals are necessary for biological function as trace elements, but at higher concentrations are toxic. Other metals, such as cadmium, are not beneficial at any level, and have only deleterious effects on living organisms. Cadmium is primarily thought to interfere with normal biological function of proteins. Human exposure to cadmium appears to primarily damage the kidneys, but may also affect the liver, lungs, immune system, and central nervous system. Bacteria, however, have developed several methods for handling toxic heavy metals: cation …


Influence Of Psychiatric Diagnostic Training On Counseling Students’ Development Of A Model-For-Helping And Professional Identity, Jerry E. Mclaughlin Aug 1998

Influence Of Psychiatric Diagnostic Training On Counseling Students’ Development Of A Model-For-Helping And Professional Identity, Jerry E. Mclaughlin

Dissertations

Over the years, numerous proposals have been made in the counselor education (CE) literature about what counseling philosophy can best lead the profession to a distinctive professional identity (Bauman & Waldo, 1998; Fong & Lease, 1994; Guterman, 1994). An issue in this debate is whether psychiatric diagnostic training forms a part of a counseling philosophy (i.e., model-for-helping) and professional identity that is more focused on client psychopathology than on normal developmental issues. This study explored how training and experience in psychiatric diagnostic categories (PDCs) influenced counselors’ development of their counseling philosophy and professional identity.

Focus-group interviews were held at four …


Affirmative Action: Diverse Goals, Diverse Policies, Eric Wampler Jun 1998

Affirmative Action: Diverse Goals, Diverse Policies, Eric Wampler

Center for the Study of Ethics in Society Papers

Presented January 19, 1998 for Martin Luther King Jr. Day at Western Michigan University. Sponsored by the Center for the Study of Ethics in Society, the Department of Philosophy and the Wesley Foundation.


The Forgotten Factor: The Economic Principles Of Affirmative Action, Patrick Kinuthia Jun 1998

The Forgotten Factor: The Economic Principles Of Affirmative Action, Patrick Kinuthia

Center for the Study of Ethics in Society Papers

Presented January 19, 1998 for Martin Luther King Jr. Day at Western Michigan University. Sponsored by the Center for the Study of Ethics in Society, the Department of Philosophy and the Wesley Foundation.


Affirming The Affirmative Action Intention, Barbra Jotzke Jun 1998

Affirming The Affirmative Action Intention, Barbra Jotzke

Center for the Study of Ethics in Society Papers

Presented January 19, 1998 for Martin Luther King Jr. Day at Western Michigan University. Sponsored by the Center for the Study of Ethics in Society, the Department of Philosophy and the Wesley Foundation.


Introduction, Joseph Ellin Jun 1998

Introduction, Joseph Ellin

Center for the Study of Ethics in Society Papers

Presented January 19, 1998 for Martin Luther King Jr. Day at Western Michigan University. Sponsored by the Center for the Study of Ethics in Society, the Department of Philosophy and the Wesley Foundation.


Affirmative Action: A Vision For Today, Wmu Center For The Study Of Ethics In Society Jun 1998

Affirmative Action: A Vision For Today, Wmu Center For The Study Of Ethics In Society

Center for the Study of Ethics in Society Papers

Presented January 19, 1998 for Martin Luther King Jr. Day at Western Michigan University. Sponsored by the Center for the Study of Ethics in Society, the Department of Philosophy and the W.esley Foundation.


Affirmative Action: A Contradiction Of Theory And Practice, Kimberly Hellmers Jun 1998

Affirmative Action: A Contradiction Of Theory And Practice, Kimberly Hellmers

Center for the Study of Ethics in Society Papers

Presented January 19, 1998 for Martin Luther King Jr. Day at Western Michigan University. Sponsored by the Center for the Study of Ethics in Society, the Department of Philosophy and the Wesley Foundation.


University Policy, Affirmative Action, And The Principles Of Justice, Eric Wampler Jun 1998

University Policy, Affirmative Action, And The Principles Of Justice, Eric Wampler

Center for the Study of Ethics in Society Papers

Presented January 19, 1998 for Martin Luther King Jr. Day at Western Michigan University. Sponsored by the Center for the Study of Ethics in Society, the Department of Philosophy and the Wesley Foundation.


Disruption Of The Discriminative Stimulus Effects Of (+)-3, 4-Methylenedioxymethamphetamine (Mdma) By (± )-Mdma Neurotoxicity: Protection By Fluoxetine, Thomas B. Virden Iii Jun 1998

Disruption Of The Discriminative Stimulus Effects Of (+)-3, 4-Methylenedioxymethamphetamine (Mdma) By (± )-Mdma Neurotoxicity: Protection By Fluoxetine, Thomas B. Virden Iii

Dissertations

It is well established that repeated, high doses of 3, 4-methylenedioxymethamphetamine (MDMA) result in the long-term depletion of serotonin levels and destruction of serotonergic terminals in various locations in the brains of a variety of species. Further, it is also well known that concomitant injections of the serotonin reuptake inhibitor, fluoxetine, prevents this deterioration. It has recently been noted that such MDMA neurotoxicity disrupts stimulus control in rats trained to discriminate MDMA from saline in a drug discrimination procedure (Schechter, 1991a).

In order to extend Schechter's findings to the optical isomers of MDMA and to explore the potential of fluoxetine …


Political Correctness Revisited, Jan Narveson May 1998

Political Correctness Revisited, Jan Narveson

Center for the Study of Ethics in Society Papers

Presented February 19th , 1998 for the Center for the Study of Ethics in Society


Mental Health Policy And Practice Today. Ted R. Watkins And James W. Calicutt (Eds.). May 1998

Mental Health Policy And Practice Today. Ted R. Watkins And James W. Calicutt (Eds.).

The Journal of Sociology & Social Welfare

Ted R. Watkins and James W. Calicutt (Eds.), Mental Health Policy and Practice Today. Thousand Oaks, Sage Publications, 1997. $ 58.00 hardcover, $ 27.95 papercover.


Review Of The Impact Of Managed Care On The Practice Of Psychotherapy: Innovation, Implementation And Controversy. Richard M. Alperin And David G. Phillips. Reviewed By Steven Segal, University Of California, Berkeley., Steven Segal May 1998

Review Of The Impact Of Managed Care On The Practice Of Psychotherapy: Innovation, Implementation And Controversy. Richard M. Alperin And David G. Phillips. Reviewed By Steven Segal, University Of California, Berkeley., Steven Segal

The Journal of Sociology & Social Welfare

Richard M. Alperin and David G. Phillips, The Impact of Managed Care on the Practice of Psychotherapy: Innovation, Implementation and Controversy. New York: Brunner/Mazel, 1997. $31.95 hardcover.


Effects Of Zinc On Glucose-6-Phosphate Dehydrogenase In Buffalo Rat Liver Cells, Bryan G. Sauer Apr 1998

Effects Of Zinc On Glucose-6-Phosphate Dehydrogenase In Buffalo Rat Liver Cells, Bryan G. Sauer

Honors Theses

In recent years, interest has surfaced in the use of insulin-mimicking agents for diabetic therapies. Zinc has been shown to have insulin-like effects in vivo and in vitro but has never been studied for its ability to mimic insulin in the regulation of carbohydrate and fatty acid metabolism. Therefore, the author studied the effects of zinc on glucose-6-phosphate dehydrogenase (G6PDH), an enzyme stimulated by insulin that is imperative in both carbohydrate and fatty acid metabolism. Because G6PDH is highly regulated in liver cells, a stable rat liver cell line, Buffalo Rat Liver (BRL), was used. Endogenous G6PDH activity and G6PDH …


A Kinematic And Kinetic Analysis Of First, Fourth, And Fifth Positions In The Classical Ballet Method, Mary Sue Hill Apr 1998

A Kinematic And Kinetic Analysis Of First, Fourth, And Fifth Positions In The Classical Ballet Method, Mary Sue Hill

Masters Theses

The problem of the study was to compare electromyography (EMG) responses, ground reaction forces, and torques on female college-age dancers' knees in selected positions. Subjects were 18 female dancers, aged 18 to 30 years, with 6 subjects from each of three levels: Ballet Technique I, II, and III. The rectus femoris, vastus lateralis, and vastus medialis were analyzed in a grande plie in three positions, (1) first, (2) fourth, and (3) fifth, with two phases: (1) eccentric, and (2) concentric. No differences in force or EMG data were found for the concentric phases of the three positions. Significant differences were …


Direct Service Staff's Perceptions Of Psychotropic Medication In Noninstitutional Settings For Individuals With Developmental Disabilities, Leeann Christian Apr 1998

Direct Service Staff's Perceptions Of Psychotropic Medication In Noninstitutional Settings For Individuals With Developmental Disabilities, Leeann Christian

Dissertations

Approximately 35-55% of individuals with mental retardation who live in the community are prescribed psychotropic and/or antiepileptic medication (Aman, Saphare, & Burrows, 1995; Singh, Guernsey, & Ellis, 1992). As more individuals with severe behavior challenges are transitioned from institutions into the community, these rates are likely to increase. Given these prevalence rates, it is important to determine whether staff who serve people with mental retardation are adequately educated about psychotropic medications. Previous studies (Aman, Singh, & White, 1987; Gadow, 1983; Singh, Epstein, Stout, Luebke, & Ellis, 1994; Singh et al., 1996) surveyed a variety of service providers in school and …


The Relationship Between Leadership/Followership In Staff Nurses And Employment Setting, Elaine S. Vandoren Apr 1998

The Relationship Between Leadership/Followership In Staff Nurses And Employment Setting, Elaine S. Vandoren

Dissertations

This study tested the hypothesis that staff nurses in hospitals used different leadership and followership behaviors than staff nurses in home care settings. Leadership behaviors were measured using the Multifactor Leadership Questionnaire (Bass, 1995); followership was measured using Kelley’s Followership Style Questionnaire (1992). Three hospital and home care agencies belonging to a private nonprofit corporation in the Midwest provided data. A total of 136 surveys were used in data analysis; 57% of distributed surveys were returned.

Differences between the hospital and home care staff nurses were not found. Self-perception, difficulty in applying clinical behaviors to the MLQ, unknown aspects of …