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Articles 149161 - 149190 of 160729

Full-Text Articles in Medicine and Health Sciences

Medicaid Prescription Drug Coverage: State Efforts To Control Costs, Dawn Gencarelli May 2003

Medicaid Prescription Drug Coverage: State Efforts To Control Costs, Dawn Gencarelli

National Health Policy Forum

This paper provides a brief summary of the Medicaid prescription drug benefit. It explains the mechanisms being used by states to control their prescription drug spending within the Medicaid program. The paper also highlights some of the concerns that have been expressed with these mechanisms and the litigation that has been initiated in several states as a result of these efforts. It takes a closer look at three states with cost containment strategies that have been the focus of increased scrutiny.


The Legal And Political Future Of Physician-Assisted Suicide, Larry I. Palmer May 2003

The Legal And Political Future Of Physician-Assisted Suicide, Larry I. Palmer

Popular Media

No abstract provided.


Synthases, Joe Chappell, Kathleen R. Manna, Joseph P. Noel, Courtney M. Starks May 2003

Synthases, Joe Chappell, Kathleen R. Manna, Joseph P. Noel, Courtney M. Starks

Pharmaceutical Sciences Faculty Patents

Novel synthases and the corresponding nucleic acids encoding such synthases are disclosed herein. Such synthases possess an active site pocket that includes key amino acid residues that are modified to generate desired terpenoid reaction intermediates and products. Synthase modifications are designed based on, e.g., the three-dimensional coordinates of tobacco 5-epi-aristolochene synthase, with or without a substrate bound in the active site.


Ada News - 05/05/2003, American Dental Association, Publishing Division May 2003

Ada News - 05/05/2003, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.


Ncaa Needs More Than Rules, Rewards, Rick Burton, James Terbrogs May 2003

Ncaa Needs More Than Rules, Rewards, Rick Burton, James Terbrogs

Sport Management - All Scholarship

No abstract provided.


Single Versus Multiple Drug Focus In Substance Abuse Clinical Trials Research, Nancy M. Petry May 2003

Single Versus Multiple Drug Focus In Substance Abuse Clinical Trials Research, Nancy M. Petry

UCHC Articles - Research

Complex patterns of multiple substance use pose clinical and methodological challenges for substance abuse clinical trials research. To increase measurement precision and internal validity, the modal approach has been to target both treatment interventions and outcome assessment to a single class of abused substance. This strategy warrants reconsideration because it entails limitations in recruitment feasibility and generalization of study findings. This report reviews pros and cons of single versus multiple targeted drugs, suggests guidelines for choosing between these strategies and outlines methods for broadening the scope of substance abuse clinical trails to take abuse of multiple substances into account. We …


The Effect Of Ultra Low Dose Epidural Analgesia On Newborn Breastfeeding Behaviors, Sharon Radzyminski May 2003

The Effect Of Ultra Low Dose Epidural Analgesia On Newborn Breastfeeding Behaviors, Sharon Radzyminski

Nursing Faculty Publications

Objective: To determine whether a difference in breastfeeding behaviors could be observed between newborns whose mothers received epidural analgesia for labor pain relief and those newborns whose mothers received no pain medication in labor. Design: There were two groups of neonates in this study. One group was born to mothers who received epidural analgesia, and one group was born to mothers who received no pain medication for labor. Both groups were observed for initial breastfeeding behaviors using the Premature Infant Breastfeeding Behavior Scale following birth and at 24 hours. Central nervous system functioning in the newborn was measured with the …


Water Quality Assessment In Cypress Creek Nature Preserve, Jason Flora May 2003

Water Quality Assessment In Cypress Creek Nature Preserve, Jason Flora

Masters Theses & Specialist Projects

Swamps are unique ecological communities that provide many valuable ecosystem services. In Kentucky, however, many swamps were altered by cypress removal and land development in their watersheds. Cypress Creek Swamp, which lies near Paducah in western Kentucky, is a good example of a swamp whose ecological integrity may be threatened by past and current nearby land use practices. This study was conducted to assess the water quality and macro- and microinvertebrate communities in the swamp. Three sites were monitored for temperature, dissolved oxygen, pH, specific conductivity, depth, phosphorus measured as orthophosphate, nitrite (NO2") and nitrate (NO3", NOx collectively), and ammonia …


Genescene: Biomedical Text And Data Mining, Gondy Leroy, Hsinchun Chen, Jesse D. Martinez, Shauna Eggers, Ryan R. Falsey, Kerri L. Kislin, Zan Huang, Jiexun Li, Jie Xu, Daniel M. Mcdonald, Gavin Ng May 2003

Genescene: Biomedical Text And Data Mining, Gondy Leroy, Hsinchun Chen, Jesse D. Martinez, Shauna Eggers, Ryan R. Falsey, Kerri L. Kislin, Zan Huang, Jiexun Li, Jie Xu, Daniel M. Mcdonald, Gavin Ng

CGU Faculty Publications and Research

To access the content of digital texts efficiently, it is necessary to provide more sophisticated access than keyword based searching. GeneScene provides biomedical researchers with research findings and background relations automatically extracted from text and experimental data. These provide a more detailed overview of the information available. The extracted relations were evaluated by qualified researchers and are precise. A qualitative ongoing evaluation of the current online interface indicates that this method to search the literature is more useful and efficient than keyword based searching.


Rpe "Drift" In Fit And Unfit Males Cycling In A Hot And Cool Environment, Robert Pritchett May 2003

Rpe "Drift" In Fit And Unfit Males Cycling In A Hot And Cool Environment, Robert Pritchett

Masters Theses & Specialist Projects

The potential influence of aerobic fitness on RPE estimations during extended exercise bouts is not well understood. The current study compared RPE-Overall, RPE-Legs and RPE-Chest between fit (n=7) and unfit (n=6) males. Subjects completed a graded cycling test and then, in a counterbalanced order, on two separate days cycled for 60min (intensity~90% of the Onset of Blood Lactate Accumulation (OBLA) - determined via gas exchange indices) at 30}1 degrees Wet Bulb Globe Temperature (WBGT) and 18}1 degrees WBGT. Heart rate (HR), rectal temperature (Tree) and overall and differentiated RPE estimations were collected every 5 minutes. Repeated measures analyses of variance …


Patterns Of Cocaine Consumption: A Sub-Analysis Of The Drugnet Survey, Nivedita Seerpi May 2003

Patterns Of Cocaine Consumption: A Sub-Analysis Of The Drugnet Survey, Nivedita Seerpi

Masters Theses & Specialist Projects

The myths and misconceptions that surround cocaine use lead to the over-estimation of the prevalence of cocaine addiction in society. Health education curricula and drug policy do not differentiate between cocaine use and abuse. This study describes the cocaine consumption patterns in a nonclinical, non-incarcerated sample of cocaine users. The resulting patterns are compared to those found by Cohen (1989) and Cohen and Sas (1993, 1994, 1995). DRUGNET is an online survey of recreational drug use by nondeviant adults via the WWW. Self-selected subjects completed a survey over the Internet between February and October 1997 (N= 701). This sample was …


Distributive Justice: Perceptions Of Star Player Treatment In Work Team Settings, Nadim Zaidy May 2003

Distributive Justice: Perceptions Of Star Player Treatment In Work Team Settings, Nadim Zaidy

Masters Theses & Specialist Projects

The present study examined the effects of punishment given to the most valued team member who has committed a company rule violation. The team is working on an important project where the contribution by that valued member is critical to project completion. The study assessed the effects of the severity of rule violation, the severity of the punishment, the consistency of the punishment, and who is impacted by the punishment. The results indicated that when a valued employee has committed a rule violation, applying consistent punishment is perceived as more fair and appropriate by the teammates. However, when that valued …


Effects Of Ethanol On Anti-Saccade Task Performance., Sarah A Khan, Kristen Ford, Brian Timney, Stefan Everling May 2003

Effects Of Ethanol On Anti-Saccade Task Performance., Sarah A Khan, Kristen Ford, Brian Timney, Stefan Everling

Brain and Mind Institute Researchers' Publications

It has been shown that saccade-related neurons in the superior colliculus (SC) display an increased level of prestimulus activity and a higher stimulus-related burst in action potentials preceding direction errors in the anti-saccade task compared with correct anti-saccades. From this, it has been hypothesized that errors occur when the incoming visual signal in the SC passes a threshold and triggers a reflexive saccade. This hypothesis predicts that an attenuated visual signal will reduce the number of direction errors. Since ethanol has been shown to have a suppressive effect on cortical visual event-related potentials (ERPs), the purpose of the present study …


The Ignored Disease: The Aids Epidemic 1981–1987, Heather L. Graff, Heather Graff Bloom May 2003

The Ignored Disease: The Aids Epidemic 1981–1987, Heather L. Graff, Heather Graff Bloom

College of Journalism and Mass Communications: Theses

Less than six months after Ronald Reagan was inaugurated as the 40th president of the United States, the federal Centers for Disease Control in Atlanta reported pneumocystis carinii pneumonia, in five gay men. In the United States, AIDS was first diagnosed among gay men in New York City and San Francisco. There were several media trends for AIDS coverage in the 1980s. In the early 1980s, AIDS was mainly thought of as a gay-related disease. In the mid- l 980s, AIDS cases were found in hemophiliacs, intravenous drug users and "celebrities." Coverage in the late 1980s focused on heterosexuals and …


Association Of Borrelia Garinii And B. Valaisiana With Songbirds In Slovakia, Klara Hanincova, Veronika Taragelova, Juraj Koci, Stefanie M. Schafer, Rosie Hails, Amy J. Ullmann, Joseph Piesman, Milan Labuda, Klaus Kurtenbach May 2003

Association Of Borrelia Garinii And B. Valaisiana With Songbirds In Slovakia, Klara Hanincova, Veronika Taragelova, Juraj Koci, Stefanie M. Schafer, Rosie Hails, Amy J. Ullmann, Joseph Piesman, Milan Labuda, Klaus Kurtenbach

United States Public Health Resources

In Europe, 6 of the 11 genospecies of Borrelia burgdorferi sensu lato are prevalent in questing Ixodes ricinus ticks. In most parts of Central Europe, B. afzelii, B. garinii, and B. valaisiana are the most frequent species, whereas B. burgdorferi sensu stricto, B. bissettii, and B. lusitaniae are rare. Previously, it has been shown that B. afzelii is associated with European rodents. Therefore, the aim of this study was to identify reservoir hosts of B. garinii and B. valaisiana in Slovakia. Songbirds were captured in a woodland near Bratislava and investigated for engorged ticks. Questing I. ricinus ticks …


European Mistletoe/Iscador® Faq , Clinic Staff May 2003

European Mistletoe/Iscador® Faq , Clinic Staff

Topics in Integrative Medicine

Mistletoe (Viscum album) may be the most commonly used complementary cancer therapy in Europe today. Background information and important questions are presented.


The Ethics Of Apology And The Role Of An Ombuds From The Perspective Of A Lawyer, Sharan Lee Levine, Paula A. Aylward May 2003

The Ethics Of Apology And The Role Of An Ombuds From The Perspective Of A Lawyer, Sharan Lee Levine, Paula A. Aylward

Center for the Study of Ethics in Society Papers

Papers presented for the Center of the Study of Ethics in Society Western Michigan University, March 20, 2003.


Effects Of Tensioning Errors In Split Transfers Of Tibialis Anterior And Posterior Tendons, Stephen J. Piazza, Matthew F. Moran, Neil A. Sharkey, Robert L. Adamson, James O. Sanders May 2003

Effects Of Tensioning Errors In Split Transfers Of Tibialis Anterior And Posterior Tendons, Stephen J. Piazza, Matthew F. Moran, Neil A. Sharkey, Robert L. Adamson, James O. Sanders

All PTHMS Faculty Publications

Background: Split transfers of the tibialis anterior and posterior tendons are commonly performed to address hindfoot varus deformities in patients with cerebral palsy, stroke, or brain injury. Poor outcomes from these procedures are often attributed to a failure to tension the transferred tendon properly, but the mechanical effects of this aspect of the procedure have not been quantified, to our knowledge. The purpose of the present study was to use a cadaver model to examine changes in the actions of these muscles that occur when the tensions in the halves of the split tendon are intentionally balanced or unbalanced to …


Hdl-Associated Estradiol Stimulates Endothelial No Synthase And Vasodilation In An Sr-Bi–Dependent Manner, Ming Gong, Melinda E. Wilson, Thomas Kelly, Wen Su, James Dressman, Jeanie Kincer, Sergey V. Matveev, Ling Guo, Theresa Guerin, Xiang-An Li, Weifei Zhu, Annette M. Uittenbogaard, Eric J. Smart May 2003

Hdl-Associated Estradiol Stimulates Endothelial No Synthase And Vasodilation In An Sr-Bi–Dependent Manner, Ming Gong, Melinda E. Wilson, Thomas Kelly, Wen Su, James Dressman, Jeanie Kincer, Sergey V. Matveev, Ling Guo, Theresa Guerin, Xiang-An Li, Weifei Zhu, Annette M. Uittenbogaard, Eric J. Smart

Pediatrics Faculty Publications

Cardiovascular diseases remain the leading cause of death in the United States. Two factors associated with a decreased risk of developing cardiovascular disease are elevated HDL levels and sex — specifically, a decreased risk is found in premenopausal women. HDL and estrogen stimulate eNOS and the production of nitric oxide, which has numerous protective effects in the vascular system including vasodilation, antiadhesion, and anti-inflammatory effects. We tested the hypothesis that HDL binds to its receptor, scavenger receptor class B type I (SR-BI), and delivers estrogen to eNOS, thereby stimulating the enzyme. HDL isolated from women stimulated eNOS, whereas HDL isolated …


Inside Unlv, Gian Galassi, Richard Morgan, Carol C. Harter May 2003

Inside Unlv, Gian Galassi, Richard Morgan, Carol C. Harter

Inside UNLV

No abstract provided.


Comparison Of Written And Oral Examinations In A Baccalaureate Medical-Surgical, Patricia Rushton, Dennis L. Eggett May 2003

Comparison Of Written And Oral Examinations In A Baccalaureate Medical-Surgical, Patricia Rushton, Dennis L. Eggett

Faculty Publications

Nursing students traditionally have been evaluated with an objective written examination. This method has shown some benefits and disadvantages. This project examined the value of oral examinations in evaluating nursing students. Five groups of students were evaluated with different forms of testing, some with only written tests, others with only oral examinations, some with a combination of both types of evaluations. The results showed that oral examinations can effectively evaluate the student's comprehension and application of clinical information in a clinical situation, as shown in higher test results, compared with oral written examinations, and positive student comments. Oral examination can …


Parent-Adolescent Communication About Sex: Retrospective Reports By Latino College Students, Marcela Raffaelli, Stephanie Green May 2003

Parent-Adolescent Communication About Sex: Retrospective Reports By Latino College Students, Marcela Raffaelli, Stephanie Green

Department of Psychology: Faculty Publications

Latina female (n = 97) and Latino male (n = 69) college students (M age =21.4 years) completed self-report surveys regarding family of origin experiences, including sexual communication with parents while growing up. Latino parents of this comparatively highly educated sample tended to use direct rather than indirect strategies for communicating about sexuality with their children. Young women reported higher levels of sexual communication with mothers while growing up than did young men, and respondents reported less communication with fathers than mothers. Among young women, sexual communication with mother was positively associated with non-Mexican origin and negatively associated with having …


Addressing The Decline In Reproductive Performance Of Lactating Dairy Cows: A Researcher’S Perspective, William J. Silvia May 2003

Addressing The Decline In Reproductive Performance Of Lactating Dairy Cows: A Researcher’S Perspective, William J. Silvia

Animal and Food Sciences Faculty Publications

No abstract provided.


Genomic And Proteomic Profiling Of Responses To Toxic Metals In Human Lung Cells, Angeline S. Andrew, Amy J. Warren, Aaron Barchowsky, Kaili A. Temple, Linda Klei, Nicole V. Soucy, Kimberly A. O'Hara, Joshua W. Hamilton May 2003

Genomic And Proteomic Profiling Of Responses To Toxic Metals In Human Lung Cells, Angeline S. Andrew, Amy J. Warren, Aaron Barchowsky, Kaili A. Temple, Linda Klei, Nicole V. Soucy, Kimberly A. O'Hara, Joshua W. Hamilton

Dartmouth Scholarship

Examining global effects of toxic metals on gene expression can be useful for elucidating patterns of biological response, discovering underlying mechanisms of toxicity, and identifying candidate metal-specific genetic markers of exposure and response. Using a 1,200 gene nylon array, we examined changes in gene expression following low-dose, acute exposures of cadmium, chromium, arsenic, nickel, or mitomycin C (MMC) in BEAS-2B human bronchial epithelial cells. Total RNA was isolated from cells exposed to 3 M Cd(II) (as cadmium chloride), 10 M Cr(VI) (as sodium dichromate), 3 g/cm2 Ni(II) (as nickel subsulfide), 5 M or 50 M As(III) (as sodium arsenite), or …


Thoracoscopic Intradiscal Spine Fusion Using A Minimally Invasive Gene-Therapy Technique, K. Daniel Riew, Jueren Lou, Neill M. Wright, Su-Li Cheng, Kyongtae T. Bae, Louis V. Avioli May 2003

Thoracoscopic Intradiscal Spine Fusion Using A Minimally Invasive Gene-Therapy Technique, K. Daniel Riew, Jueren Lou, Neill M. Wright, Su-Li Cheng, Kyongtae T. Bae, Louis V. Avioli

Open Access Publications

No abstract provided.


Lysosomal Membrane Permeabilization Induces Cell Death In A Mitochondrion-Dependent Fashion, Patricia Boya, Karine Andreau, Delphine Poncet, Naoufal Zamzami, Jean-Luc Perfettini, Didier Metivier, David M. Ojcius, Marja Jäättelä, Guido Kroemer May 2003

Lysosomal Membrane Permeabilization Induces Cell Death In A Mitochondrion-Dependent Fashion, Patricia Boya, Karine Andreau, Delphine Poncet, Naoufal Zamzami, Jean-Luc Perfettini, Didier Metivier, David M. Ojcius, Marja Jäättelä, Guido Kroemer

All Dugoni School of Dentistry Faculty Articles

A number of diseases are due to lysosomal destabilization, which results in damaging cell loss. To investigate the mechanisms of lysosomal cell death, we characterized the cytotoxic action of two widely used quinolone antibiotics: ciprofloxacin (CPX) or norfloxacin (NFX). CPX or NFX plus UV light (NFX*) induce lysosomal membrane permeabilization (LMP), as detected by the release of cathepsins from lysosomes. Inhibition of the lysosomal accumulation of CPX or NFX suppresses their capacity to induce LMP and to kill cells. CPX- or NFX-triggered LMP results in caspase-independent cell death, with hallmarks of apoptosis such as chromatin condensation and phosphatidylserine exposure on …


Testing Search Skills In A Real-Time, Cased-Based Setting, Patricia Wilson, Alexandra Gomes, Anne Linton May 2003

Testing Search Skills In A Real-Time, Cased-Based Setting, Patricia Wilson, Alexandra Gomes, Anne Linton

Himmelfarb Library Faculty Posters and Presentations

Using the web-based course management system, Prometheus, the librarians of Himmelfarb Health Sciences Library gave a real-time skills testing exam to 48 medical students. This poster presentation explores the goals and results the exam.


Outbreak Of Sars, Ambreen Shakil, Muhammad Imran Omar, Saba Sohail May 2003

Outbreak Of Sars, Ambreen Shakil, Muhammad Imran Omar, Saba Sohail

Department of Radiology

No abstract provided.


Factors Influencing Treatment Patterns In Breast Cancer Patients Age 75 And Over, Arti Hurria, Denis H. Y. Leung, Kathleen Trainor, Patrick Borgen, Larry Norton, Clifford Hudis May 2003

Factors Influencing Treatment Patterns In Breast Cancer Patients Age 75 And Over, Arti Hurria, Denis H. Y. Leung, Kathleen Trainor, Patrick Borgen, Larry Norton, Clifford Hudis

Research Collection School Of Economics

To retrospectively determine the factors influencing treatment decisions in older breast cancer patients at a single center. Experimental Design: 216 patients age > or = 75 seen in post-treatment follow-up between January, 1997 and June, 2000 were identified in the Memorial Sloan-Kettering breast cancer database. Eligible patients were > or = 75 years old at diagnosis, had a diagnosis of stage I, II, or III breast cancer, and received their follow-up care at Memorial Sloan Kettering Cancer Center. A retrospective chart review was performed. Patients were stratified by: (1) prognostic factors (age (75-79 or > or = 80), Charlson comorbidity score, tumor size, …


Alpha-Toxin Is Required For Biofilm Formation By Staphylococcus Aureus, Nicky C. Caiazza, George A. O'Toole May 2003

Alpha-Toxin Is Required For Biofilm Formation By Staphylococcus Aureus, Nicky C. Caiazza, George A. O'Toole

Dartmouth Scholarship

Staphylococcus aureus is a common pathogen associated with nosocomial infections. It can persist in clinical settings and gain increased resistance to antimicrobial agents through biofilm formation. We have found that alpha-toxin, a secreted, multimeric, hemolytic toxin encoded by the hla gene, plays an integral role in biofilm formation. The hla mutant was unable to fully colonize plastic surfaces under both static and flow conditions. Based on microscopy studies, we propose that alpha-hemolysin is required for cell-to-cell interactions during biofilm formation.