Medicine and Health Sciences Commons^™

The Diploma In Family Medicine Examination; A Scientific Exercise, Rukhsana Wamiq Zuberi, Naeem A. Jafarey, Fazal Elahi, Asma Fozia Qureshi

Department for Educational Development

The Diploma in Family Medicine (DFM) Examination Is a new certification offered by the College of Physicians and Surgeons of Pakistan, and its Department of Medical Education designed a scientific examination. First, the Expert Advisory Committee for Family Medicine was formed, relevant training objectives Were determined, a training programme to achieve the objectives was designed and a valid syllabus was chosen. Then the examination was designed, where the candidates must pass the objective theory papers before taking the clinical examination. The clinical examination consisted of an Objective Structured Clinical Examination (OSCE) and traditional case presentations. The candidates had to pass …

Life As An Intrinsic Rather Than Instrumental Good: The “Spiritual” Case Against Euthanasia, J. David Bleich

Articles

No abstract provided.

Sexual Practices And Attitudes Of Street Youth In Belo Horizonte, Brazil, Marcela Raffaelli, Regina Campos, Alice Payne Merritt, Eliana Siqueira, Carlos Mauricio Antunes, Richard Parker, Marilia Greco, Dirceu Greco, Neal Halsey, Elizabeth Bolt, Mauro Lucio Jeronymo, Carl Kendall, Zelia Ottoni, Jorge Andrade Pinto, Jon Rolf, Andrea Ruff, Walter Ude, Barbara De Zalduondo

Department of Psychology: Faculty Publications

Street youth are at risk of HIV infection worldwide. To develop effective prevention strategies, information about the meanings and functions of sexual activity for street youth is needed. In this paper, data from structured questionnaires, focus group discussions, in-depth interviews and field observations are used to build up a picture of the sexual culture of 9-to-18-year-olds living and/or working on the streets of a large Brazilian city. The findings reveal that these children and adolescents engage in sexual behavior that puts them at risk of sexually transmitted diseases, including HIV/AIDS, and reinforce that sex is a multi-determined and entrenched behavior …

Pregnancy Prevention In Early Adolescence: A Developmental Perspective, Lisa J. Crockett, Joanne S. Chopak

Department of Psychology: Faculty Publications

Although there is widespread interest in preventing teenage pregnancy, few interventions have been directed toward young adolescents. In part this neglect is understandable because adolescents under age 15 account for only a small percentage of teenage pregnancies (Pittman & Adams, 1988). At the same time, the lack of attention to younger adolescents is unfortunate on several counts. First, an increasing number of young adolescents are at risk. Rates of sexual activity have been rising in this group (Hofferth, Kahn, & Baldwin, 1987) and, because young adolescents are typically not consistent or effective contraceptive users, an increasing number of girls are …

Knowledge Synthesis - What Is It?, Judith A. Floyd

Nursing Faculty Research Publications

No abstract provided.

Ua12/12 Preston Center News, Vol. 2, Issue 1, Wku Intramural & Recreational Sports

WKU Administration Documents

Newsletter created by the Preston Center regarding services and intramural sports.

Why Does Utilitarianism Seem Plausible?, John Dilworth

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society - May 27, 1993.

Sweet's Syndrome, A Jabbar

Section of Pulmonary & Critical Care

No abstract provided.

Phyllocontin (Theophylline) Induced Esophagitis, Y M. Shaikh, A H. Khan, N Rao, I H. Rizvi, T A. Hameed, T A. Rana

Department of Radiology

No abstract provided.

Epa's Map Of Radon Zones, Nebraska, Sharon W. White, Lisa Ratcliff, Kirk Maconaughey, R. Thomas Peake, Dave Rowson, Steve Page, Linda C. S. Gundersen, R. Randall Schumann, James K. Otton, Doug Owen, Russell Dubiel, Kendell Dickinson, Sandra L. Szarzi

United States Environmental Protection Agency: Publications

Sections 307 and 309 of the 1988 Indoor Radon Abatement Act (IRAA) direct EPA to identify areas of the United States that have the potential to produce elevated levels of radon. EPA, the U.S. Geological Survey (USGS), and the Association of, American State Geologists (AASG) have worked closely over the past several years to produce a series of maps and documents which address these directives. The EPA Map of Radon Zones is a compilation of that work and fulfills the requirements of sections 307 and 309 of IRAA. The Map of Radon Zones identifies, on a county-by-county basis, areas of …

The Diagnosis Of Poncet's Disease, K Hameed, M Karim, N Islam, T Gibson

Section of Internal Medicine

Two cases of polyarthritis in young people with extra-articular tuberculosis are described. The clinical features were consistent with the concept of Poncet's disease. After synovial biopsy one patient proved to have tuberculous peripheral arthritis. This observation raised doubts about the diagnosis in the other patient. Multiple joints may be simultaneously infected with Mycobacterium tuberculosis and Poncet's disease, if it exists, should not be entertained in the absence of synovial biopsy.

Father’S Presence And Young Children’S Behavioral And Cognitive Adjustment, Lisa J. Crockett, David J. Eggebeen, Alan J. Hawkins

Department of Psychology: Faculty Publications

The impact of fathers on the development and well-being of their children has been the focus of much recent research and debate (e.g., Furstenberg, 1988; Hawkins & Eggebeen, 1991; Lamb, 1987). Traditionally, fathers have been assumed to play an important role in the socialization of their children and, consequently, father-absence has been hypothesized to result in a variety of cognitive and psychosocial vulnerabilities. The need to understand the influence of fathers becomes especially acute at a time when high rates of divorce and nonmarital childbearing lead to the prediction that the majority of children will experience some period of father-absence …

Physical Inactivity. Workshop V. Aha Prevention Conference Iii. Behavior Change And Compliance: Keys To Improving Cardiovascular Health, Steven N. Blair, Kenneth E. Powell, Terry L. Bazzarre, James L. Early, Leonard H. Epstein, Lawrence W. Green, Sally S. Harris, William L. Haskell, Abby C. King, Jeffrey Koplan, Bess H. Marcus, Ralph S. Paffenbarger Jr., Kimberly K. Yeager

Faculty Publications

No abstract provided.

Evidence For A Second Type Of Fibril Branch Point In Fibrin Polymer Networks, The Trimolecular Junction, Michael W. Mosesson, James P. Diorio, Kevin R. Siebenlist, Joseph S. Wall, James F. Hainfeld

Biomedical Sciences Faculty Research and Publications

Fibrin molecules polymerize to double-stranded fibrils by intermolecular end-to-middle domain pairing of complementary polymerization sites, accompanied by fibril branching to form a clot network. Mass/length measurements on scanning transmission electron microscopic images of fibrils comprising branch points showed two types of junctions. Tetramolecular junctions occur when two fibrils converge, creating a third branch with twice the mass/length of its constituents. Newly recognized trimolecular junctions have three fibril branches of equal mass/length, and occur when an extraneous fibrin molecule initiates branching in a propagating fibril by bridging across two unpaired complementary polymerization sites. When trimolecular junctions predominate, clots exhibit nearly perfect …

Mental Health Crises As A Regional Problem, Roger A. Lohmann

Faculty & Staff Scholarship

Mental health crises are often presented and thought about as individual problems, activities going on only within the minds of individuals. This presentation considers mental health crisis as a regional problem. It discusses the four county region of North Central West Virginia which is the catchment area for Valley Community Mental Health Center. It is based on a study conducted by the author of the need for a revised and integrated crisis management system for the region.

Information Interface - Volume 17, Issue 4 - August/September 1993, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

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

Ua66/14/4 Kentucky Partnership Newsletter, Vol. 1, No. 4, Kentucky Partnership For Farm Family Health & Safety

University Organizations

Newsletter created by and about the Kentucky Partnership for Farm Family Health & Safety.

A Measurement Of Productivity For Kentucky Home Health Care Registered Nurses Full-Time Equivalence By Organizational Type, Kathy Holderman

Masters Theses & Specialist Projects

In today's competitive home health industry, productivity has become a major concern, and establishing productivity expectations is necessary for survival. Productivity can be described as a relationship between the outputs produced by an organization and the inputs provided to create the outputs. This means that the outputs consist of the number of home visits performed and the inputs consist of the time, supplies, mileage, and administrative support necessary for producing home visits. In order to have a complete understanding of productivity, one must understand the importance of examining significant service delivery factors that are unique to the home health industry. …

The Relationship Between Meaning In Life & The Utilization Of Health Care Services: An Epidemiological Cross-Sectional Study, Matthew Eitutis

Masters Theses & Specialist Projects

The purpose of this study was to assess the relationship between meaning in life and utilization of health care services. An epidemiological, cross-sectional study was performed on a sample of 282 students at Western Kentucky University and 49 employees at the Barren River District Health Department. Study participants completed the Life Attitude Profile--Revised and the Participant Data Sheet. The data gathered and analyzed via correlation analysis showed no overall significant relationship between the two variables for this sample. The possible impact that overall mental health status has on the utilization rates of health care services rust be examined in the …

The Acute Effect Of Aerobic Exercise On Anxiety Levels, Toni Devolder

Masters Theses & Specialist Projects

The present study sought to determine whether or not state anxiety levels were significantly reduced when individuals participated in aerobic dance workouts of 15 minutes and 30 minutes. Undergraduate university students and faculty enrolled in an aerobic dance class were volunteers in this study. As hypothesized, subjects in the aerobic dance classes did reduce anxiety acutely following both their 15 minute and 30 minute workout as assessed by the STAI (Y-Form State Anxiety). Thus, results indicate that state anxiety may be reduced through aerobic dance with similar situations and individuals. In addition, the study also looked at the posttest state …

The Place Of Ethics Centers In Higher Education, Douglas Ferraro

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, September 28, 1995.

Documentation Of The Cancer Research Needs Of American Indians And Alaska Natives, Cancer Control Science Program, Division Of Cancer Prevention And Control, National Cancer Institute

Native Health Database Full Text

The purpose of this publication is to provide a resource and reference to assist in the formulation of culturally acceptable cancer prevention and control research projects or programs. Information in this publication may be of assistance to health care providers, tribal health planners, health educators, public health nutritionists, community health representatives, and health professionals working with AI/AN populations.

Molecular Cloning Of Infectious Ecotropic Murine Leukemia Virus Ak7 From An Emv-14-Positive Akxl-5 Mouse And The Resistance Of Ak7 To Recognition By Cytotoxic T Lymphocytes., Hillary D. White, William R. Green, Nuria R. Giné

Dartmouth Scholarship

The AKXL-5 recombinant inbred mouse strain is positive for the endogenous ecotropic murine leukemia virus emv-14, the only emv present in its germ line. emv-14 is of particular interest because spleen cells expressing emv-14 virus escape recognition by anti-AKR/Gross virus-specific cytotoxic T lymphocytes. We report here the isolation and characterization of a replication-competent emv clone, pAK7, derived from an AKXL-5 mouse. This clone is novel in that it encodes a variant ecotropic murine leukemia virus that, when expressed in SC.Kb target cells, fails to be recognized efficiently by anti-AKR/Gross virus cytotoxic T lymphocytes. The pAK7 clone can therefore be used …

Does Red Blood Cell Distribution Width (Rdw) Improve Evaluation Of Microcytic Anaemias?, Muhammad Sajjad Baqar, Mohammad Khurshid, A Molla

Department of Pathology and Laboratory Medicine

Abstract

The red cell distribution width (RDW) is an index of the variation in red cells size (anisocytosis). A study was conducted to examine the validity of using RDW in improving classification of microcytic anaemias. A total of 300 blood samples collected from a patient population aged 3 months to 55 years who were referred for haemoglobin electrophoresis were examined at The Aga Khan University Hospital (AKUH). On complete blood count, initially 200 patients (66.6%) were found to have hypochromic microcytic anaemia. Following haemoglobin electrophoresis 41% (821200) patients were diagnosed to have thalassemia minor and 59% (1181200) had hypochromic microcytic …

Ochrobactrum Anthropi Bacteremia In A Child., Joel D. Klein, Stephen C. Eppes

Department of Pediatrics Faculty Papers

Children undergoing chemotherapy for cancer are at increased risk of supervening infection, including bacteremia. This may be due to immunosuppression as well as the presence of intravascular devices such as central venous catheters. Bacteria responsible for these infections include those found in the child's endogenous flora as well as in environmental sources. We report the case of a child with acute lymphoblastic leukemia (ALL) who developed bacteremia secondary to Ochrobactrum anthropi. Details of this extremely rare infection are the focus of this report.

Brain Aneurysms, Aneurysm Research Inst.

The Dr. George M. Austin Neurology Research Collection

“Brain Aneurysms”

Single sheet of paper describing brain aneurysms. Addressed at bottom: “Aneurysm Research Inst, 1187 Coast Village road, Suite 114, Santa Barbara, CA 93108.”

Mid-Atlantic Ethics Committee Newsletter, Summer 1993

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

"Me 'N Susie" Manuscript, Shirley Gish

Louise Caudill Oral History Collection

Dr. Shirley Gish's original manuscript for her play, Me 'n Susie. The play is in two acts and is performed by one performer. Dr. Gish based this play off of her interviews with Dr. Louise Caudill, Susie Halbleib, and other members of the community in Morehead, Kentucky.

Simian Immunodeficiency Virus Mutants Resistant To Serum Neutralization Arise During Persistent Infection Of Rhesus Monkeys, Dawn P. Wooley, Catherine Collignon, Ronald C. Desrosiers

Neuroscience, Cell Biology & Physiology Faculty Publications

We previously described the pattern of sequence variation in gp120 following persistent infection of rhesus monkeys with the pathogenic simian immunodeficiency virus SIVmac239 molecular clone (D.P.W. Burns and R.C. Desrosiers, J. Virol. 65:1843, 1991). Sequence changes were confined largely to five variable regions (V1 to V5), four of which correspond to human immunodeficiency virus type 1 (HIV-1) gp120 variable regions. Remarkably, 182 of 186 nucleotide substitutions that were documented in these variable regions resulted in amino acid changes. This is an extremely nonrandom pattern, which suggests selective pressure driving amino acid changes in discrete variable domains. In the present study, …

Increased Collagen-Linked Pentosidine Levels And Advanced Glycosylation End Products In Early Diabetic Nephropathy, Paul J. Beisswenger, Lynn L. Moore, Truls Brinck-Johnsen, Thomas J. Curphey

Dartmouth Scholarship

RATIONALE: Advanced glycosylation end products (AGEs) may play an important role in the development of diabetic vascular sequelae. An AGE cross-link, pentosidine, is a sensitive and specific marker for tissue levels of AGEs. OBJECTIVES: To evaluate the role of AGEs in the development of diabetic nephropathy and retinopathy, we studied pentosidine levels and the clinical characteristics of 48 subjects with insulin-dependent diabetes mellitus. Diabetic nephropathy was classified as normal, microalbuminuria, or gross proteinuria, and retinopathy was graded as none, background, or proliferative. NEWLY OBSERVED FINDINGS: Significant elevation of pentosidine (P = 0.025) was found in subjects with microalbuminuria or gross …