Medicine and Health Sciences Commons^™

The Nursing Center In Concept And Practice: Delivery And Financing Issues In Serving Vulnerable People, Karen Matherlee

National Health Policy Forum

This issue brief looks at ways in which nurse-managed centers — with support from the Health Resources and Services Administration and private foundations — are carving a role in providing preventive and primary care to vulnerable populations. Two case studies — one in Philadelphia and the other in the Utah-Nevada border area — llustrate nursing centers' mission, outreach, services, workforce, payment concerns, and educational tie-ins.

Ada News - 09/06/1999, 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.

Community-Based Education: Health Promotion For Farmers At The Country Market, M. Susan Jones, Beverly Siegrist

Nursing Faculty Publications

This article describes a unique approach used by baccalaureate nursing students, enrolled in a two-semester community health course, to address the priority of health concerns of agricultural workers in their own rural communities.

Postprandial Glucose Response To Mango, Banana And Sapota, Z Contractor, F Hussain, A Jabbar

Section of Pulmonary & Critical Care

Objective: Mango and Sapota are two fruits indigenous to Indian subcontinent. The objective of this study was to evaluate postprandial blood glucose response to mango and sapota in comparison to banana in patients with diabetes mellitus Type 2.METHOD: The plasma glucose response to mango, sapota and banana were determined in ten diabetic patients. Blood was tested at 0, 30, 60, 120 and 180 minutes following the ingestion of test meal.Results: The results showed that the blood glucose response to these three fruits was not different in terms of area under the curve and postprandial change in blood glucose from baseline.CONCLUSION: …

Jefferson Alumni Bulletin – Volume Xlviii, Number 3, September 1999

The Bulletin (formerly the Jefferson Medical College Alumni Bulletin)

Jefferson Alumni Bulletin – Volume XLVIII, Number 3, September 1999 Commencement and Reunions, Page 4 A Class Day to Remember, Page 8 Seeking a Balance among the Three Legs of the Stool, Page 9 U.S. News Ranks Jefferson One of Best in Nation, Page 14 Smullens is Named Chief Medical Officer of JHS, Page 14 Gene Repair Molecules Are Created, Page 17 Mary Monteith Honored on Her Retirement, Page 18 Bacharach Appointed Associate Dean for Alumni Relations, Page 18 Annual Giving, Page 19 Heckman, Canale in National Orthopaedics Posts, Page 53 Morrow Directs Cancer Department of ACS, Page 59 Andriole …

Wellness Center Healthletter - September 1999, Nova Southeastern University

Wellness Center Healthletter

No abstract provided.

Patient And Care Giver Perceptions Of Cancer Pain Control, Patricia Rushton, Sherry Brown

Faculty Publications

PURPOSE: This study measured the perceptions of Utah cancer patients and cargivers concerning knowledge about and adequacy of pharmacologic cancer pain control. METHODS: A descriptive survey was used. Questionnaires were sent to cancer patients and caregivers surveying their knowledge about and perceptions of the adequacy of pharmacologic cancer pain control. RESULTS: The study had a 52% response rate (259 of 500). Eighty five percent (219 of 259) of the respondents stated they had no cancer pain. CLINICAL IMPLICATIONS: Cancer literature indicated that much cancer pain is not effectively controlled. The majority of the respondents of this study reported no pain. …

Occupational Therapy With Children With Pervasive Developmental Disorders, Jane Case-Smith, Heather Miller-Kuhaneck

Occupational Therapy Faculty Publications

Objective. Although the prevalence of children with pervasive developmental disorders (PDD) has increased, empirical data about the role and practices of occupational therapists have not been reported in the literature. This descriptive study investigated the practice of occupational therapists with children with PDD.

Method. A survey was mailed to 500 occupational therapists in the Sensory Integration Special Interest Section or School System Special Interest Section of the American Occupational Therapy Association in eastern and midwestern United States. The valid return rate was 58% (292 respondents). The survey used Likert scale items to measure frequency of performance problems observed in children …

Prise En Charge De La Sécurité Dans Les Petites Entreprises Des Secteurs De L'Habillement Et De La Fabrication De Produits En Métal : Résumé, Danièle Champoux, Jean-Pierre Brun

Rapports de recherche scientifique

No abstract provided.

Répertoire Des Produits Anti-Vibratiles Pour Le Système Main-Bras, Paul-Émile Boileau, Subhash Rakheja

Rapports de recherche scientifique

No abstract provided.

Phenotypic Expressions Of Ccr5-Δ32/Δ32 Homozygosity, Giang T. Nguyen, Mary Carrington, Judith A. Beeler, Michael Dean, Louis M. Aledort, Philip M. Blatt, Alan R. Cohen, Donna Dimichele, M. Elaine Eyster, Craig M. Kessler, Barbara Konkle, Cindy Leissinger, Naomi Luban, Stephen J. O'Brien, James J. Goedert, Thomas R. O'Brien

Biology Faculty Articles

Objective: As blockade of CC-chemokine receptor 5 (CCR5) has been proposed as therapy for HIV-1, we examined whether the CCR5-Δ32/Δ32 homozygous genotype has phenotypic expressions other than those related to HIV-1.

Design: Study subjects were white homosexual men or men with hemophilia who were not infected with HIV-1. In this study, 15 CCR5-Δ32/Δ32 homozygotes were compared with 201 CCR5 wild-type (+/+) subjects for a wide range of clinical conditions and laboratory assay results ascertained during prospective cohort studies and routine clinical care. CCR5-Δ32 genotype was determined by polymerase chain reaction, followed by single-stranded conformational polymorphism analysis.

Results: …

Isolation Of Cilia-Associated Respiratory (Car) Bacillus From Pigs And Calves And Experimental Infection Of Gnotobiotic Pigs And Rodents, Jerome C. Nietfeld, Barry L. Fickbohm, Douglas G. Rogers, Craig L. Franklin, Lela K. Riley

School of Veterinary and Biomedical Sciences: Faculty Publications

Filamentous, gram-negative bacteria morphologically similar to cilia-associated respiratory (CAR) bacillus of rodents and rabbits were isolated from the tracheas of 5 pigs and 4 calves. All pigs but none of the calves had histologic lesions of chronic tracheitis. In silver-stained histologic sections, CAR bacilli were adhered to the tracheal epithelium of each pig but were not found in the calves. Like CAR bacillus of rats, the bacteria displayed gliding motility and grew only in cell culture or cell culture medium supplemented with fetal serum. Initially, all isolates were contaminated by Mycoplasma spp. This contamination was eliminated from 4 pig isolates …

Patient Preference For The Management Of Mildly Abnormal Papanicolau Smears, Marta Meana, Donna E. Stewart, Gordon M. Lickrish, Joan Murphy, Barry Rosen

Psychology Faculty Research

The article provides information on a study that investigated management preference and desire for decision-making involvement in women who have received a first mildly abnormal Papanicolaou smear. The majority of women in this highly educated sample preferred active management of their mildly abnormal Pap smears, although a substantial minority either opted for the surveillance strategy or reported no strong preference. Furthermore, management preference in this sample was not related to knowledge but rather to level of state anxiety. This indicates that these decisions may be guided more by emotions than by facts. Research has shown repeatedly that abnormal Pap smears …

Dietary Practices And Beliefs Of Patients With Chronic Liver Disease, S H. Badruddin, S M. Jafri, A Ahmed, S Abid

Section of Diabetes, Endocrinology and Metabolism

Objective: To study of the dietary practices and beliefs of patients suffering from chronic liver disease.

Setting: Two private tertcary care hospitals.

Method: Fifty patients presenting to the Gastroenterology Clinics at the Aga Khan University Hospital and Baqai Hospital, with compensated liver disease and no other co-morbid condition which required dietary modifications, were enrolled in the study. Patients were interviewed regarding their current dietary practices using an open-ended questionnaire.

Results: The mean age of the patients was 48 years and the majority were in relatively poor nutritional status. Four had BMI's < 18; 58% had Hb < 12 g/dl and 36% had albumin levels < 3 gm/dl. The percentage of patients avoiding various foods is as follows: meats 72%, fats and oils 64%, salt 42%, spices 34%, milk and milk products 28%, rice 20%.

Conclusion: The most commonly cited reason for avoiding a …

Vacuole Acidification Is Required For Trans-Snare Pairing, Lma1 Release, And Homotypic Fusion, Christian Ungermann, William Wickner, Zuoyu Xu

Dartmouth Scholarship

Vacuole fusion occurs in three stages: priming, in which Sec18p mediates Sec17p release, LMA1 (low M_r activity 1) relocation, and cis-SNARE (soluble N-ethylmaleimide-sensitive factor attachment protein receptor) complex disassembly; docking, mediated by Ypt7p and trans-SNARE association; and fusion of docked vacuoles. Ca²⁺ and calmodulin regulate late stages of the reaction. We now show that the vacuole proton gradient, generated by the vacuolar proton ATPase, is needed for trans-SNARE complex formation during docking and hence for the subsequent LMA1 release. Though neither the vacuolar Pmc1p Ca²⁺-ATPase nor the Vcx1p Ca²⁺/H⁺ exchanger …

Spectrum Of Hodgkin's Disease In Children And Adults: Impact Of Combined Morphologic And Phenotypic Approach For Exclusion Of Look-Alikes, Tanya Siddiqui, Shahid Pervez

Department of Pathology and Laboratory Medicine

Objective:

To determine the prevalence of Hodgkin’s disease (HD) and its various subtypes in children and adults and assess the use of immunohistochemical (IHC) studies in confirming HD cases and excluding its close mimicries/look-alikes.

Material and Methods:

All 265 Hodgkin’s disease cases diagnosed at The Aga Khan University Hospital, Karachi over the last 6 years (July 1991 - July 1997) were included. Of these 219 were diagnosed on routine H&E examination while in the remaining 46 cases, diagnosis was made after a thorough IHC workup. (This group initially included 161 cases labelled as lymphoproliferative disorder with HD as one of …

Phosphoinositide-Ap-2 Interactions Required For Targeting To Plasma Membrane Clathrin-Coated Pits., I Gaidarov, James H. Keen

Department of Microbiology and Immunology Faculty Papers

The clathrin-associated AP-2 adaptor protein is a major polyphosphoinositide-binding protein in mammalian cells. A high affinity binding site has previously been localized to the NH(2)-terminal region of the AP-2 alpha subunit (Gaidarov et al. 1996. J. Biol. Chem. 271:20922-20929). Here we used deletion and site- directed mutagenesis to determine that alpha residues 21-80 comprise a discrete folding and inositide-binding domain. Further, positively charged residues located within this region are involved in binding, with a lysine triad at positions 55-57 particularly critical. Mutant peptides and protein in which these residues were changed to glutamine retained wild-type structural and functional characteristics by …

Insulin-Like Growth Factor Ii Signaling In Neoplastic Proliferation Is Blocked By Transgenic Expression Of The Metalloproteinase Inhibitor Timp-1, David C. Martin, John L. Fowlkes, Bojana Babic, Rama Khokha

Pediatrics Faculty Publications

Insulin-like growth factor (IGF) II is overexpressed in many human cancers and is reactivated by, and crucial for viral oncogene (SV40 T antigen, [TAg])-induced tumorigenesis in several tumor models. Using a double transgenic murine hepatic tumor model, we demonstrate that tissue inhibitor of metalloproteinase 1 (TIMP-1) blocks liver hyperplasia during tumor development, despite TAg-mediated reactivation of IGF-II. Because the activity of IGFs is controlled by IGF-binding proteins (IGFBPs), we investigated whether TIMP-1 overexpression altered the IGFBP status in the transgenic liver. Ligand blotting showed that IGFBP-3 protein levels were increased in TIMP-1-overexpressing double transgenic littermates, whereas IGFBP-3 mRNA levels were …

Ada News - 08/23/1999, 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.

Double Discounting: The Effects Of Comparative Negligence On Mock Juror Decision Making, Douglas J. Zickafoosel, Brian H. Bornstein

Department of Psychology: Faculty Publications

Two experiments were conducted to ascertain the effects of comparative negligence on damage awards. Participants awarded damages for a mock medical malpractice case in which the level of the plaintiff’s negligence was varied. Both experiments showed that damage awards were doubly discounted for partially negligent plaintiffs. Experiment 1 also found that the responses of college students did not differ from those of people who had been called for jury duty. Experiment 2 examined four components of the damage award and showed that the reduction due to the level of the plaintiff’s negligence occurred only in damages for bodily harm. Implications …

Method Of Protecting Against Neuron Loss, Philip W. Landfield

Pharmacology and Nutritional Sciences Faculty Patents

The present invention pertains to a method of protecting against neuron loss in a subject by administering a compound that protects against neuron loss by acting through a vitamin D receptor. Some of these compounds may prevent or retard neuron loss by regulating intraneuronal and/or peripheral calcium and phosphate levels. Other compounds of the invention act through a vitamin D receptor to protect against neuron loss through mechanisms not involving calcium or phosphate regulation. A preferred compound is a biologically active form of vitamin D, a precursor, metabolite, or analog of vitamin D. A preferred form of vitamin D is …

Polynucleotides Related To Monoclonal Antibody 1a7 And Use For The Treatment Of Melanoma And Small Cell Carcinoma, Malaya Chatterjee, Kenneth A. Foon, Sunil K. Chatterjee

Microbiology, Immunology and Molecular Genetics Faculty Patents

The present invention relates to monoclonal antibody 1A7. This is an anti-idiotype produced by immunizing with an antibody specific for ganglioside GD2, and identifying a hybridoma secreting antibody with immunogenic potential in a multi-step screening process. Also disclosed are polynucleotide and polypeptide derivatives based on 1A7, including single chain variable region molecules and fusion proteins, and various pharmaceutical compositions. When administered to an individual, the 1A7 antibody overcomes immune tolerance and induces an immune response against GD2, which comprises a combination of anti-GD2 antibody and GD2-specific T cells. The invention further provides methods for treating a disease associated with altered …

Ada News - 08/09/1999, 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.

Information Interface - Volume 27, Issue 4 - August/September 1999, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users.

The Effects Of Phosphorus Enrichment On The Dominant Phytoplankton Communities Of Chaney Lake, Kathy Tehrani

Masters Theses & Specialist Projects

Chaney Lake is a temporary karst wetland located in southern Warren County, Kentucky. Because of an impermeable chert layer between the surface and the porous limestone, Chaney Lake fills with water over the winter and spring and then gradually drains over the summer. Three experiments were conducted over the course of the 1998 flooding season to assess the effects of phosphorus addition on the phytoplankton community in Chaney Lake. Ten plastic-sided mesocosms were constructed and placed in the marsh area of the wetland at three different periods: early spring, early summer, and late summer. Phosphorus in the form of K2HPO4 …

Anger And Alcohol Use: A Model Of Coping Styles, Alcohol Expectancies And The Experience And Expression Of Anger, Shauna Willard

Masters Theses & Specialist Projects

The researcher investigated the relationship between anger experience and expression, coping styles, and expectancies regarding the effects of alcohol in a young male population. Anger experience and expression was measured using the State-Trait Anger Expression Inventory, coping styles were assessed using the Coping Response Inventory, alcohol expectancies were determined using the Alcohol Effects Questionnaire-2, and alcohol use was measured using the Alcohol Use Inventory. The results indicated that young males who abuse alcohol utilize less effective coping styles, such as cognitive avoidance. Alcohol abusing males also believe alcohol will increase their power and aggression. A linear regression demonstrated that males …

The Localization Of Gaba-Like Immunoreactivity In The Optic Lobe Neuropils And Optic Tracts Of The Cockroach Leucophaea Maderae, David Guffey

Masters Theses & Specialist Projects

Gamma aminobutyric acid (GABA) is a prominent neurotransmitter found in both vertebrates and invertebrates. The action of GABA has been accepted to be inhibitory in nature, but recent evidence suggests it is both inhibitory and excitatory, depending upon time of day. The amount of GABA measured in the brain of the cockroach Leucophaea maderae was discovered to fluctuate in a circadian pattern similar to the pattern of electrical output measured from the optic nerve in L. maderae. Considering the circadian oscillator for L. maderae has been localized to the optic lobes of the brain, the discovery of GABA-like immunoreactivity in …

Wellness Center Healthletter - August 1999, Nova Southeastern University

Wellness Center Healthletter

No abstract provided.

Self-Trust And Reproductive Autonomy, Carolyn Mcleod

Philosophy Publications

In this thesis. I give a theory of the nature of self-trust and an explanation of its role in autonomous decision-making. We tend to think of trust as essentially interpersonal which casts doubt on the coherence of the concept of self-trust. Drawing on patients' experiences in reproductive medicine. I argue that self-trust is a meaningful as well as a useful concept. I provide autobiographical sketches of a number of women's experiences. supplemented by my own observations made while doing a clinical practicum in reproductive medicine, to illustrate that what many women feel toward themselves in a variety of reproductive health …

An Investigation Into The Possibility Of Transmission Of Tick-Borne Pathogens Via Blood Transfusion, P. M. Arguin, J. Singleton, L. D. Rotz, E. Marston, T. A. Treadwell, K. Slater, M. Chamberland, A. Schwartz, A. Tengelsen, J. G. Olson, J. E. Childs, Transfusion-Associated Tick-Borne Illness Task Force

Zoonotics and Wildlife Disease: Publications

STUDY DESIGN AND METHODS: Donors and recipients were asked to complete questionnaires regarding symptoms and risk factors for infection and to provide blood samples for laboratory analysis.

RESULTS: Among National Guard personnel who donated blood, 12 individuals were found to have a confirmed or probable case of Rocky Mountain spotted fever or ehrlichiosis. A total of 320 units (platelets or packed red cells) from 377 donors were transfused into 129 recipients. Although 10 recipients received units from National Guard personnel with confirmed or probable infection, none became ill.

CONCLUSION: Transfusion-transmitted illness did not occur. Despite the awareness of the risk …