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Information Interface - Volume 32, Issue 2 - May/June 2004, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users. Includes articles on medical publishing, AHEC summer program, a journals shift project, and database search tips.

The Relationship Of Job Satisfaction And Selected Demographic Characteristics Of Public Health Employees, Nettie Gerstle

Graduate Research Projects

The purposes of this study were (a) to determine the level of job satisfaction of public health department nurses (PHNs) and employees, and (b) to identify relationships between job satisfaction and demographic characteristics. A descriptive correlational / design was used. A sample of 181 was taken from a metropolitan public health department population. Job Descriptive Index and Job in General instruments were used. Employees were satisfied with the overall job, supervision with work, not satisfied with promotional opportunities, and neutral regarding pay and co-workers. PHNs were satisfied with the overall job, supervision, work and pay, not satisfied with promotional opportunities …

Differentiation Between Septic Arthritis And Transient Synovitis Of The Hip In Children With Clinical Prediction Algorithms, Scott J. Luhmann, Angela Jones, Mario Schootman, J. Eric Gordon, Perry L. Schoenecker, Jan D. Luhmann

Open Access Publications

No abstract provided.

Diversion Of The Inferior Vena Cava Following Repair Of Atrial Septal Defect Causing Hypoxemia, Ellen A. Thompson, Silvestre Cansino, Dennis Moritz, Romaine Perdue Perdue

Internal Medicine

Atrial septal defects (ASDs) are a common congenital abnormality, and operative repair is a routine, safe procedure. Diversion of the inferior vena cava (IVC) into the left atrium is an unusual complication following ASD closure. We report a case that illustrates the problem created by this right-to-left shunt. A middle-aged woman underwent ASD repair. She developed hypoxemia postoperatively. A transthoracic echocardiogram confirmed a right-to-left shunt, found only with agitated saline injected into the femoral vein, not into the basilic vein. Surgical reexploration revealed a residual ASD diverting IVC flow into the left atrium, which was repaired with a pericardial patch. …

The Effects Of Self-Monitoring And Religious Self-Discrepancies On Negative Affect, John Parker

Masters Theses & Specialist Projects

According to Higgins's (1987) self-discrepancy theory, an individual's selfesteem is based upon fulfilling one's self-expectations or the expectations of significant others (e.g., spouse or parent). Failure to live up to these expectations results in greater levels of depression, anxiety, and lower self-esteem. Previous research has also found that those low in Snyder and Gangestad's (1986) self-monitoring construct are more influenced by their own expectations, while those high in self-monitoring are more influenced by others' expectations. It was predicted that Christians who are low in self-monitoring will have greater levels of depression and anxiety and lower self-esteem if they fail to …

Black And White: Structural And Functional Aspects Of Dermal Chromatophores Of The Marbled Whiptail Lizard (Cnemidophorus Marmoratus), James Swan

Masters Theses & Specialist Projects

The skin of reptiles is a complex organ with many sensory, regulatory and behavioral functions. Desert reptiles face a suite of challenges as their skin contacts hot-dry environmental surfaces. The marbled whiptail lizard, Cnemidophorus marmoratus (Lacertilia: Teiidae), is found in hot deserts of southeastern New Mexico and western Texas and is often above ground during the hottest times of the day. When active, these lizards encounter a broad range and intensity of visible and infrared wavelengths. The role of the integument in temperature regulation, although poorly understood, is critically important for these diurnal animals. Albedo, coloration, pattern, and in some …

Deletion Of The Na/K-Atpase Alpha1-Subunit Gene (Atp1a1) Does Not Prevent Cavitation Of The Preimplantation Mouse Embryo., L C Barcroft, A E Moseley, J B Lingrel, A J Watson

Obstetrics & Gynaecology Publications

Increases in Na/K-ATPase activity occur concurrently with the onset of cavitation and are associated with increases in Na(+)-pump subunit mRNA and protein expression. We have hypothesized that the alpha1-isozyme of the Na/K-ATPase is required to mediate blastocyst formation. We have tested this hypothesis by characterizing preimplantation development in mice with a targeted disruption of the Na/K-ATPase alpha1-subunit (Atp1a1) using embryos acquired from matings between Atp1a1 heterozygous mice. Mouse embryos homozygous for a null mutation in the Na/K-ATPase alpha1-subunit gene are able to undergo compaction and cavitation. These findings demonstrate that trophectoderm transport mechanisms are maintained in the absence of the …

Trust And Health Service Use, Jen Chen Huey

Mental Health Law & Policy Faculty Publications

The emergence of managed care into the health care system was intended to change the behaviors of both providers and patients to contain rising health care costs. These management strategies raise concerns about interference with professional trust relationships and its impact on access to care and quality of care, especially for disabled individuals with severe mental illness. Due to their vulnerability, they are less likely to advocate for themselves in receiving proper quality health care. In addition, distrust of health care systems is a prominent feature of this population because of their past experiences with systems of care and providers …

Orbital Cellulitis Masquerading As Cavernous Sinus Thrombosis: A Case Report, M. R. Shaikh, Syed Muhammad Baqir, N. Zakir

Department of Emergency Medicine

No abstract provided.

Emergency Medicine: A Relatively New Specialty, Rifat Rehmani

Department of Emergency Medicine

No abstract provided.

Emergency Section And Overcrowding In A University Hospital Of Karachi, Pakistan, R Rehmani

Department of Emergency Medicine

Objective: To quantify the extent of Emergency Section overcrowding at a tertiary care hospital and to identify possible solutions.Methods: This was a retrospective chart review of all the patients presented to the Aga Khan University Hospital's (AKUH) Emergency Section (ES). The ES information system has an automatic patient log and generates daily report for patients who stay longer than 6 hours. The charts of all patients who stayed longer than 6 hours were reviewed.Results: Among 9630 patients, 1999 (20.8%) were held in the ES for more than 6 hours. Of those 134 (6.7%) were discharged from the ES, while 1535 …

Differences In Peripheral Noradrenergic Function Among Actively Drinking And Abstinent Alcohol-Dependent Individuals., Ashwin A. Patkar, Charles A. Marsden, Prakash C. Naik, David A. Kendall, Raman Gopalakrishnan, Michael J. Vergare, Stephen P. Weinstein

Department of Psychiatry and Human Behavior Faculty Papers

We examined whether excessive alcohol consumption was related to changes in plasma levels of noradrenaline (NA) and whether these changes recover following abstinence. We also explored whether there were differences in NA levels between Type I and Type II alcoholics and controls during active drinking and abstinence. Plasma concentrations of NA were determined in (1) 27 Caucasian men with alcohol dependence who were regularly drinking (active drinkers) within 24 hours of hospitalization, (2) 29 Caucasian alcohol-dependent men who were in remission (abstinent for a minimum of three months), and (3) 28 race- and gender-matched healthy controls. NA concentrations were significantly …

A Survey Of Floss Frequency, Habit, And Technique In A Hospital Dental Clinic And Private, Stuart Segelnick Dds, Ms

Individual Scholarship

The purpose of the study was to determine floss frequency, habits and techniques of patients entering a private periodontal office (office site) vs. a hospital dental clinic (hospital site). It was found that the flossing frequency in a hospital dental clinic is far less than in a private practice, and patients who do floss may not be using the proper flossing technique. Patients need more instruction and care with regard to their interproximal oral hygiene.

Identification Of A Novel Bovine Herpesvirus 1 Transcript Containing A Small Open Reading Frame That Is Expressed In Trigeminal Ganglia Of Latently Infected Cattle, Melissa Inman, Joe Zhou, Heather Webb, Clinton J. Jones

School of Veterinary and Biomedical Sciences: Faculty Publications

Bovine herpesvirus 1 (BHV-1), like other Alphaherpesvirinae subfamily members, establishes latency in sensory neurons. The latency-related (LR) RNA is abundantly expressed during latency, and expression of an LR protein is required for the latency reactivation cycle in cattle. Within LR promoter sequences, a 135-aminoacid open reading frame (ORF) was identified, ORF-E, that is antisense to the LR RNA. ORF-E is also downstream of the gene encoding the major viral transcriptional activator, bICP0. Strand-specific reverse transcription-PCR demonstrated that a transcript containing ORF-E was consistently expressed in trigeminal ganglia (TG) of latently infected calves, productively infected cultured cells, and acutely infected calves. …

Acetylcholine Protection Of Adult Pig Retinal Ganglion Cells From Glutamate-Induced Excitotoxicity, Erica Wehrwein, Sean A. Thompson, Sylvie F. Coulibaly, David M. Linn, Cindy L. Linn

Peer Reviewed Articles

PURPOSE. To determine which glutamate receptor (GluR) subtypes are responsible for glutamate-induced excitotoxicity in cultured adult pig retinal ganglion cells (RGCs) and to characterize the neuroprotective effect of acetylcholine (ACh) on pig RGCs.

METHODS. Adult pig RGCs were isolated from other retinal tissue by a modified panning technique using Thy 1.1 antibody. Isolated RGCs were cultured in control media and media containing: glutamate, NMDA, or KA; glutamate and CNQX, MK-801, or AP-7; ACh, nicotine or muscarine; ACh and α-bungarotoxin (Bgt) or methyllycaconitine (MLA); and glutamate and choline or glutamate, choline, and MLA. To determine cell viability, cells were …

Synthesis Of Nanocrystalline Nickel-Zinc Ferrites Via A Microemulsion Route, Vuk Uskoković, Miha Drofenik

Pharmacy Faculty Articles and Research

Nanostructured NiZn-ferrites were synthesized using a low-temperature co-precipitation method within the reverse micelles of ternary CTAB/1-hexanol/water microemulsions. The influence of pH on the precipitation reaction was investigated. It was found that a higher pH resulted in more crystalline particles. Subsequent oxidation of the ferrous ions precipitate, which leads to the formation of spinel ferrites, is discussed. Diffraction-lines broadening and specific surface area measurements yielded an average particle size of ~ 3 nm. The saturation magnetization of the samples was 20 times smaller than for traditionally synthesized NiZn-ferrites, while the coercivities were 10 - 100 times larger than bulk NiZn-ferrites, which …

Age-Related Hearing Loss And Its Association With Reactive Oxygen Species And Mitochondrial Dna Damage, Michael D. Seidman, Nadir Ahmad, Dipa Joshi, Jake Seidman, Sujatha Thawani, Wayne S. Quirk

All Faculty Scholarship for the College of the Sciences

Age-related hearing loss, known as presbyacusis, is characterized by the progressive deterioration of auditory sensitivity associated with the aging process and is the leading cause of adult auditory deficiency in the USA. Presbyacusis is described as a progressive, bilateral, high-frequency hearing loss that is manifested on audiometric assessment by a moderately sloping pure tone audiogram. Approximately 23% of the population between 65 and 75 years of age, and 40% of the population older than 75 years of age are affected by this condition. It was estimated in 1980 that 11% of the population was 76 years or older and this …

Characterization Of Hemoglobin, Water, And Nir Scattering In Breast Tissue: Analysis Of Intersubject Variability And Menstrual Cycle Changes, Brian W. Pogue, Shudong Jiang, Hamid Dehghani, Christine Kogel, Sandra Soho, Subhadra Srinivasan, Xiaomei Song, Tor D. Tosteson, Steven P. Poplack, Keith D. Paulsen

Dartmouth Scholarship

Near-infrared imaging was used to quantify typical values of hemoglobin concentration, oxygen saturation, water fraction, scattering power, and scattering amplitude within the breast tissue of volunteer subjects. A systematic study of the menstrual variations in these parameters was carried out by measuring a group of seven premenopausal normal women (aged 41 to 47 years) in the follicular (days 7 to 14 of the cycle) and secretory phases (days 21 to 28) of the cycle, for two complete menstrual cycles. An average increase in hemoglobin concentration of 2.6 μM or 13% of the background breast values was observed in the …

Risk Factors And Behaviours For Coronary Artery Disease (Cad) Among Ambulatory Pakistanis, S P. Iqbal, S Dodani, Riaz Qureshi

Department of Family Medicine

Objective: To determine the frequency and distribution of various risk factors and behaviours for coronary artery disease (CAD) among ambulatory Pakistanis.
Methods: It is a cross-sectional descriptive study carried out at the Aga Khan University Hospital, a teaching hospital in Karachi. All the subjects were adults (18-60 years) presenting at the general checkup clinic with no history or evidence of CAD by convenient sampling method. Demographic variables included risk factors and behaviors including diabetes, hypertension, dyslipidemia, family history of heart disease, obesity, smoking and sedentary lifestyle.
Results: Among 370 ambulatory Pakistanis, the proportions of major risk factors for CAD were: …

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 …

The Sexual Abuse Crisis In The Roman Catholic Church: What Psychologists And Counselors Should Know, Thomas G. Plante, Courtney Daniels

Psychology

Recent events regarding child sexual abuse committed by Roman Catholic priests in the Archdiocese of Boston and elsewhere have yet again resulted in a tremendous amount of media attention and frenzy regarding this topic. During 2002 alone, approximately 300 American Catholic priests, including several bishops, were accused of child sexual abuse. Many were forced to resign their positions while others were prosecuted and went to prison. Curiously, there still exist many myths and misperceptions about priests who sexually abuse children and their victims. Since psychologists and other mental health professionals are likely to interact with many who have been impacted …

Passing The Boards: Can Usmle And Orthopaedic In-Training Examination Scores Predict Passage Of The Abos Part-I Examination?, Gregg R Klein, Matthew S Austin, Susan Randolph, Peter F Sharkey, Alan S Hilibrand

Department of Orthopaedic Surgery Faculty Papers

No abstract provided.

Seize The Power: Librarian Roles In Developing And Implementing Enterprise-Wide Hipaa Training, Shelley Bader, Alexandra Gomes

Himmelfarb Library Faculty Posters and Presentations

Himmelfarb Health Sciences Library librarians collaborated to develop a web-based HIPAA training module for the medical center. Content was based on materials from an outside legal expert. Special attention was given to clinical scenarios illustrating key issues in HIPAA regulations. Librarians drafted the module which was then reviewed by legal consul, the George Washington University School of Medicine and Health Sciences, and the Graduate Medical Office. The final module was disseminated via the university's course management system. A corresponding module was developed for CME credit.

Mammary Echinococcosis: Two Cases And Literature Review, N Yaqoob, N Kayani, M S. Shamim

Department of Pathology and Laboratory Medicine

No abstract provided.

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.

Neurology In The 21st Century: Contemporary State Of Diagnostics And Therapeutics, Saad Shafqat, Mohammad Wasay

Department of Medicine

Although neurological disease has been recognized since antiquity, neurology as a systematic clinical discipline is less than 130 years old. Neurological practice has traditionally been constrained by the complexity of the human nervous system, which has been slow to yield its secrets. Over the last three decades, however, clinical neurology has been transformed in terms of both diagnostics and therapeutics and now marches in lockstep with the cutting edge of medicine. Efficacious treatments are now available for the majority of neurological diseases, including epilepsy, migraine, Guillain-Barre syndrome, Parkinson's disease, multiple sclerosis, and ischemic stroke. This neurological revolution has been enabled …

Simulation Of Drosophila Circadian Oscillations, Mutations, And Light Responses By A Model With Vri, Pdp-1, And Clk, Paul Smolen, Paul E. Hardin, Brian S. Lo, Douglas A. Baxter, John H. Byrne

Faculty, Staff and Student Publications

A model of Drosophila circadian rhythm generation was developed to represent feedback loops based on transcriptional regulation of per, Clk (dclock), Pdp-1, and vri (vrille). The model postulates that histone acetylation kinetics make transcriptional activation a nonlinear function of [CLK]. Such a nonlinearity is essential to simulate robust circadian oscillations of transcription in our model and in previous models. Simulations suggest that two positive feedback loops involving Clk are not essential for oscillations, because oscillations of [PER] were preserved when Clk, vri, or Pdp-1 expression was fixed. However, eliminating positive feedback by fixing vri expression altered the oscillation period. Eliminating …

A System For Monitoring Pressures And Spinal Curvature In Spinally Injured People Immobilised On A Spinal Raft, Ruairí De Fréin, Eoin Flinn, Ted Burke

Articles

We present a system designed to study the pressure at various ‘hot spots’ on the back of the body and the deformation of the spine experienced by a patient when strapped to a spinal board, and the potential alleviation of both by the addition of an inflatable “spinal raft” (or other similar device). In measuring pressure we devised a system of air-filled sacks interfaced with a PC. Each sack, placed under a particular key point on the body, is inflated until its faces just begin to separate and a switch thereby opens. The pressure reading is then captured and displayed …

Isolation And Characterization Of A Generalized Transducing Phage For Pseudomonas Aeruginosa Strains Pao1 And Pa14, Jonathan M. Budzik, William A. Rosche, Arne Rietsch, George A. O'Toole

Dartmouth Scholarship

A temperate, type IV pilus-dependent, double-stranded DNA bacteriophage named DMS3 was isolated from a clinical strain of Pseudomonas aeruginosa. A clear-plaque variant of this bacteriophage was isolated. DMS3 is capable of mediating generalized transduction within and between P. aeruginosa strains PA14 and PAO1, thus providing a useful tool for the genetic analysis of P. aeruginosa.

Integration Of Medical Informatics Curriculum Into Problem-Based Learning (Pbl) Course For 1st Year Medical Students, Laura E. Abate, Anne Linton, Patricia Wilson

Himmelfarb Library Faculty Posters and Presentations

Himmelfarb Health Sciences Library librarians developed and taught "Introduction to Medical Informatics" to first-year medical students through the 2002/03 school year. In 2003/04, this course was restructured and integrated into the "Problem-Based Learning" (PBL) course taken by all first-year medical students. The goal was to improve resource selection and search skills, provide point-of-use learning and instruction, and to enhance the student experience. Librarians were assigned to individual PBL groups to act as advisors and guided the students through the informatics-related curriculum.