Medicine and Health Sciences Commons^™

What's Happening: December 24, 1997, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: December 10, 1997, Maine Medical Center

What's Happening

No abstract provided.

The First Publicly Funded, Government Sponsored Natural Medicine Clinic: A Descriptive Case Study, Jennifer Lynne Schneider

Dissertations and Theses

The Natural Medicine Clinic (NMC) is the first publicly funded, government sponsored clinic of its kind in the United States to integrate natural medicine and conventional medicine at the public health level. The purpose of this thesis was to provide a holistic, contextually-based, in-depth, and meaningful description of the emergence and development of the NMC.

For the purposes of illuminating and understanding the formation of the NMC, a descriptive case study was chosen. The case study approach is considered an excellent strategy for describing in-depth a unique, real-life phenomenon such as the NMC, and when posing how or why research …

Examination Of Benefits Of Binaural Auditory Stimulation For Children With A Cochlear Implant And A Hearing Aid In The Contralateral Ear, Evonne Nicol Altesleben

Dissertations and Theses

Congenital or acquired hearing impairments put children at risk of delayed language development. Today the cochlear implant (Cl) is a viable amplification option for some children with profound hearing losses. Audiologists often recommend that children with hearing impairments be fitted with binaural hearing aids in the hope that maximum stimulation will occur and that auditory deprivation will be lessened. An area lacking investigation is whether binaural stimulation will be beneficial to the cochlear implant recipient.Controversy also exists regarding the use of a hearing aid in the non-implanted ear.

The focus of this study was to compare binaural auditory stimulation benefits …

Alterations In Calcium Homeostasis And The Insulin-Like Growth Factor Signaling Pathway Induced By Carcinogenic Polycyclic And Halogenated Aromatic Hydrocarbons In Human Mammary Epithelial Cells, Stacey L. Tannheimer

Pharmaceutical Sciences ETDs

Breast cancer is a major health concern for women, with only a small percent of the risk factors currently identified. It has been estimated that environmental factors may contribute to up to 80% of breast cancer cases. Many environmental carcinogens, such as polycyclic and halogenated aromatic hydrocarbons (PAHs and HAHs), are proven mammary carcinogens in animal models. Therefore, these studies were conducted to elucidate potential roles of PAHs and HAHs in alterations in known signaling pathways in human mammary epithelial cells (HMEC). Carcinogenic PAHs have previously been shown to produce sustained alterations in the calcium (Ca2') homeostasis of lymphocytes Therefore, …

A Comparative Study Of Nursing And Non-Nursing Majors Knowledge And Attitudes Toward Hiv And Aids At The Sophomore And Senior Level, Diana R. Lubandi

Electronic Dissertations and Theses

The primary purpose of this study was to examine the impact of a baccalaureate nursing program on the knowledge and attitudes of United States nursing students towards HIV/AIDS. Mathematics and engineering majors were used as a comparison group and to control the threats to internal validity of history and maturation. Data for this study was obtained using an AIDS Knowledge Scale and an AIDS Attitude Scale in the form of questionnaires. A convenience sample of 103 students comprised of 30 sophomore nursing students, 34 senior nursing students, 16 sophomore Non nursing students and 23 senior non-nursing students was utilized. The …

Dentalgram - Vol. 11, No. 12, Loma Linda University School Of Dentistry

Dentalgram

In this issue:

• Mt. Whitney trip
• Gallery
• In Memoriam
• Department news
• Student news
• For Your Information

Mutations In Yeast Proliferating Cell Nuclear Antigen Define Distinct Sites For Interaction With Dna Polymerase Δ And Dna Polymerase Ε, Joel C. Eissenberg, L. Rao Ayyagari, Xavier V. Gomes, Peter M.J. Burgers

Faculty Scholarship

The importance of the interdomain connector loop and of the carboxy-terminal domain of Saccharomyces cerevisiae proliferating cell nuclear antigen (PCNA) for functional interaction with DNA polymerases delta (Poldelta) and epsilon (Pol epsilon) was investigated by site-directed mutagenesis. Two alleles, pol30-79 (IL126,128AA) in the interdomain connector loop and pol30-90 (PK252,253AA) near the carboxy terminus, caused growth defects and elevated sensitivity to DNA-damaging agents. These two mutants also had elevated rates of spontaneous mutations. The mutator phenotype of pol30-90 was due to partially defective mismatch repair in the mutant. In vitro, the mutant PCNAs showed defects in DNA synthesis. Interestingly, the pol30-79 …

The Relationship Between Childhood Aggression And Impulsiveness, Mary Gail Glover

Graduate Theses

Previous research on the relationship between children's levels of aggression and impulsivity have been inconclusive. Studies of each of these behaviors independently have shown that they are correlated with many of the same factors. However, no studies have been found in which aggression and impulsivity have correlated specifically with each other. The purpose of the present study was to determine if a relationship exists between aggression and impulsivity in children. The participants of this study consisted of 115 children who had been tested at a center for behavioral analysis to determine diagnoses of Attention-Deficit/Hyperactivity Disorder. They had been referred for …

Patients' Attitudes Toward The Use Of Nurse Practitioners, Laurie Maxwell

Masters Theses & Specialist Projects

Since the advent of the role of nurse practitioner in the mid 1960s, nurse practitioners have practiced in traditional settings such as health departments, clinics, and physicians' offices. More recently, nurse practitioners have been utilized in non-traditional settings such as the emergency department. Some studies have been done that support the theory that nurse practitioners can function effectively in this setting; however additional studies are needed on this topic. The purpose of this study was to explore patients' attitudes toward the use of nurse practitioners and to determine what patient variables were related to these attitudes. More specifically, this study …

Interaction Of Gaba And Excitatory Amino Acids In The Basolateral Amygdala: Role In Cardiovascular Regulation, Robert P. Soltis, Jennifer C. Cook, Adam E. Gregg, Brian J. Sanders

Scholarship and Professional Work – COPHS

Activation of the amygdala in rats produces cardiovascular changes that include increases in heart rate and arterial pressure as well as behavioral changes characteristic of emotional arousal. The objective of the present study was to examine the interaction of GABA and excitatory amino acid (EAA) receptors in the basolateral amygdala (BLA) in regulating cardiovascular function. Microinjection of the GABA_A receptor antagonist bicuculline methiodide (BMI) or the E A A receptor agonists NMDA or AMPA into the same region of the BLA of conscious rats produced dose-related increases in heart rate and arterial pressure. Injection of the nonselective EAA receptor …

Maternal Age: Influence On Length Of Gestation And Birth Weight, Charlotte Bratcher

Masters Theses & Specialist Projects

The findings indicated no significant differences among the age groups in relation to infant birth weight nor in relation to the risk factors of smoking, maternal weight gain, trimester of first entry into prenatal care, or marital status They did indicate a significant difference [F(2,85) = 4.1364, p < .05] between the oldest and the youngest group (CD = 3.37, a = .05) in relation to gestational length. These findings are significant for healthcare providers in rural areas, since much of the previous research had been done in highly urbanized or inner city settings.

Characteristics And Resource Utilization Of Patients Of A Proprietary Home Health Agency In Rural South Central Kentucky, Linda Sewell

Masters Theses & Specialist Projects

The home health industry's introduction to managed care raises the prospect of reduced access to health care and poor outcomes for a vulnerable segment of our population—the rural elderly. Before effective intervention strategies can be accurately evaluated, a clearer picture of the sociodemographic features and home care service consumption is needed for this understudied group. The study was intended to provide a basis for future research into the evaluation of alternative methods of delivering effective care in terms of outcome and decreased cost for this population. A retrospective descriptive analysis was made of the patient record for the first six …

Personality Types Of Registered Nurses Employed In A Rural Community Hospital, Tina Snodgrass

Masters Theses & Specialist Projects

The purpose of this study was to identify the personality types of registered nurses in a rural community. An extensive literature review revealed that no studies, utilizing the Myers-Briggs Type Indicator (MBTI) to identify personality types, had been conducted with rural nurses. Jung's Psychological Type Theory was the theoretical framework for the study. The MBTI operationalizes Jung's theory and was utilized to determine the most frequently occurring personality types of the nurses. A descriptive study was conducted at a 68 bed acute care hospital. The sample consisted of 40 experienced registered nurses working in staff positions within the hospital. Sensing, …

A Test Of The Ecological Validity Of The Test Of Variables Of Attention In Screening For Attention-Deficit/Hyperactivity Disorder, Kenneth L. Hoffman

All-Inclusive List of Electronic Theses and Dissertations

Attention-Deficit Hyperactivity Disorder (ADHD) is a chronic disorder of childhood. The essential are developmentally inappropriate degrees of tures of it ttention, impulsivity, and hyperactivity. The current study tested the ecological validity of a continuous rformance test (CPT) that is commonly used to assess ADHD. Forty-·eiqht children between the ages of 6 and 14 were administered lhc Test of Variables of Attention (T.O.V.A.). The partic ' parents completed The Attention Deficit Di Evaluation Scale-Home Version (ADDES-HV) and the Child Behavior Checklist (CBCL). The children's teacher completed The Attention Deficit Disorders Evaluation ScaleSchool Version (ADDES-SV) and the Teacher's Repo Form (TRF). Pearson …

Bad Witches: A Cut On The Clitoris With The Instruments Of Institutional Power And Politics, Joan R. Tarpley

West Virginia Law Review

No abstract provided.

Dyslipidemia And Its Relation With Body Mass Index Versus Waist Hip Ratio, A Jabbar, A Irfanullah, J Akhter, Y K. Mirza

Section of Pulmonary & Critical Care

To study the magnitude of dyslipidemia in asymptomatic subjects and its relation to body mass index (BMI) and waist-hip-ratio (WHR), 88 subjects attending the health analysis programme were examined and their age, sex, BMI, WHR, fasting blood glucose and lipids were measured. The distribution of the lipid levels and the frequency of dyslipidemia were noted. Forty-eight percent had a total cholesterol of > 200 mg/dl and 50% had an HDL-cholesterol of < 40 mg/dl. On comparing the means of total cholesterol to BMI and WHR, it was found that total cholesterol level was statistically significant for WHR above and below 0.9 for males and 0.8 for females, whereas not so for BMI above and below 27 kg/m2. The prevalence of dyslipidemia in asymptomatic people in this group emphasizes the need for routine health screening for early institution of preventive measures. The correlation with WHR rather than BMI points towards importance of measuring parameters of central obesity rather than body weight and height only.

Full Issue, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Locus Of Control, Activity Level, And Living Situation Among The Elderly, Jennifer L. Birchenough

Masters Theses

The focus of this study was to investigate the relationships among locus of control, activity level, and living situation in the elderly. The participants in this study consisted of 62 elderly individuals who resided in one of three living situations: (1) independent living, (2) assisted living, and (3) comprehensive care centers. All participants were screened for cognitive status using the Mini-Mental State Assessment (Folstein, M., Folstein, S., & McHugh, 1975). Individuals who scored in the normal range then completed a Locus of Control Scale (Rotter, 1966) and the Index of Occupational Behavior (Gregory, 1983) to address the meaningfulness of, and …

Cultural Considerations In Clinical Reasoning: An Occupational Therapy Case Study, Sandra M. Winter

Masters Theses

This study looked at an occupational therapist's work with clients from varied cultural backgrounds. Qualitative research strategies and a phenomenological approach were used to gather data through interviews with a single respondent and observation of treatment. This methodology was used to examine the process utilized to acquire cultural knowledge and integrate that knowledge into treatment planning. Research focused on: (a) how the cultural background of a client influenced an occupational therapist as she planned and implemented treatment, (b) how the treatment process was influenced by cultural differences between the therapist and the client, and (c) how training or education helped …

The Effects Of Animal Assisted Therapy When Used As An Adjunct To Occupational Therapy In The Rehabilitation Of Persons Who Have Had Cerebral Vascular Accidents, Alice Arlene Briggs

Masters Theses

Occupational therapists can use animals to assist their clients in achieving goals in treatment. Most often dogs are used as they are more easily trained. The dog may fetch a ball thrown by the client or stand still and allow the client to brush it. These activities with the animal increase the client's range of motion, endurance and strength. Dogs as well as other animals are used in various ways to elicit the desired response from the client. No studies were found in the literature that examined the use of animals as adjuncts to, or as modalities in occupational therapy …

Jefferson Alumni Bulletin – Volume Xlvii, Number 1, December 1997

The Bulletin (formerly the Jefferson Medical College Alumni Bulletin)

Jefferson Alumni Bulletin – Volume XLVII, Number 1, December 1997 Annual Giving Celebrates a Half-Century of Strengthening Jefferson, Page 4 Screening for Breast Cancer: A Continuing Dilemma, Page 8 The McClellan house: A Link to the University’s Past, Page 12 The Bulletin Reaches its 75th Year, Page 17 Landmark Breast Cancer Meeting at Jefferson, Page 21 University and SmithKline Beecham Link Clinical Research, Page 22 Missing Cancer-Suppressor Genes May Have Deadly Effects, Page 23 Goldstein is Vice President for Research at JDFI, Page 27 Brezinski Develops Noninvasive Method to Detect Early Signs of Cancer and Heart Attacks, Page 29

Acknowledgements, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Electrodiagnosis Of Median-To-Ulnar Nerve Anastomosis And Anomalous Innervation Of The Intrinsic Hand Muscles, Chih-Liang Wu, Huann Chang, Pi-Chang Sun, Su-Fen Liao, Rai-Chi Chan

Rehabilitation Practice and Science

Communication between the median and ulnar nerves is a common anomaly in the forearm (Martin-Gruber anastomosis, MGA). The knowledge of these anastomoses and the resulting anomalous innervation patterns is of crucial importance to the clinicians and electromyographers in the performance of nerve conduction and electromyographic studies in normal patients and those with peripheral nerve lesions. One hundred forearms (fifty cases) were examined for median-to-ulnar or ulnar-to-median nerve anastomoses using surface electrodes. We found a motor median-to-ulnar nerve anastomosis occurring in 12% of forearms studied. The incidence of innervation of the different intrinsic hand muscles: abductor pollicis brevis (APB) 17%; abductor …

Direct Demonstration Of Retroviral Recombination In A Rhesus Monkey, Dawn P. Wooley, Randall A. Smith, Susan Czajak, Ronald C. Desrosiers

Neuroscience, Cell Biology & Physiology Faculty Publications

Recombination may be an important mechanism for increasing variation in retroviral populations. Retroviral recombination has been demonstrated in tissue culture systems by artificially creating doubly infected cells. Evidence for retroviral recombination in vivo is indirect and is based principally on the identification of apparently mosaic human immunodeficiency virus type 1 genomes from phylogenetic analyses of viral sequences. We infected a rhesus monkey with two different molecularly cloned strains of simian immunodeficiency virus. One strain of virus had a deletion in vpx and vpr, and the other strain had a deletion in nef. Each strain on its own induced low virus …

The Morality Of Intimate Faculty-Student Relationships, Nicholas Dixon

Center for the Study of Ethics in Society Papers

Presented September 19, 1996 for the Center for the Study of Ethics in Society

The Relationship Between Health Locus Of Control And Health Behaviors Of Women Who Have Undergone Coronary Artery Bypass Grafting, Heather Ferrillo

Nursing Master’s Theses and Projects

Due to the increasing number of women who are diagnosed with heart disease and who are undergoing coronary artery bypass grafting, it is important to explore the psychosocial aspects involved in the recovery process of these women. This study examined the relationship between locus of control and health behaviors of women who underwent coronary artery bypass grafting.

Ethical Dilemmas Faced By Independent Practitioners As A Result Of Managed Care, Caren Renee Debernardo

All-Inclusive List of Electronic Theses and Dissertations

This study surveyed licensed psychologists in private practice regarding their perceptions of ethical issues associated with managed care. Surveys addressing ethical issues were mailed to 1,000 members of the American Psychological Association's (APA) Division oflndependent Practice (Division 42). Forty-two percent of the surveys were returned. The responses were summarized using descriptive statistics and analyzed to compare opinions of psychologists as a function of theoretical orientation, geographical location, specialty, population of location area, years in practice, and level of state and national organizational involvement. The results of the study identified a number of ethical concerns including compromised confidentiality, inadequate diagnosis and …

Born In Relation To Law And Ethics, V. Kongmebhol

Chulalongkorn Medical Journal

No abstract provided.

Update - December 1997, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- "Spirituality and Ethics in Patient Care"
-- Mind Manipulation: A Christian Ethical Analysis
-- Hobergs, Silk Hose, and Hypnosis