Medicine and Health Sciences Commons^™

The Integration Of The Long Term Care Continuum Into A Seamless Health Delivery System, Viriginia E. Moseley

Theses

A seamless continuum of healthcare services is necessary to serve older adults, caregivers and the community. Personal knowledge and experience of the author, a nurse and skilled nursing facility administrator, is combined with a literature review to determine a vision for serving older adults and caregivers. A vertical integration of long term care into a health delivery network traditionally focused on acute and primary care is proposed.

The History Of American Health Care, Michael R. Niehaus

Theses

Health care in America has grown predominately in response to both social and religious need. All though historically social position was the primary determinant of a patients ability to receive health care, today insurance plays a major role in ones ability to receive that care. This thesis will examine some of the social changes which have effected American hospital and its relation to the patients ability to pay .

The Impact Of Community Violence On African American Children And Families, Simeon J. Williams

Theses

This thesis will attempt to increase awareness of the significant impact of community violence on the social and emotional development of African American children and families and to examine the role that mental health and maternal and child health agencies could play in the implementation of effective prevention and intervention strategies.

The purpose of the study is to give an overview of the scope of the problem, identifying the extent, prevalence, and nature of the community violence in African American communities. Additionally, the study will review the theoretical and conceptual frameworks that have guided research in the area of violence …

The Integration Of The Long Term Care Continuum Into A Seamless Health Delivery System, Virginia E. Moseley

Theses

A seamless continuum of healthcare services is necessary to serve older adults, caregivers and the community. Personal knowledge and experience of the author, a nurse and skilled nursing facility administrator. is combined with a literature review to determine a vision for serving older adults and caregivers. A vertical integration of long term care into a health delivery network traditionally focused on acute and primary care is proposed.

Management Needs And Development Of Nursing Administrators In The Long Term Care Industry, Myrtle Jean Darnell

Theses

This thesis will focus on the role of the nursing administrator in long-term care in the past, at present, and the requirements for the future. The major emphasis will be to focus on the educational needs required for the nursing administrators to function effectively in their role as top nursing leader of the facility.

There are many external forces affecting long-term care facilities: early discharges from hospitals result in sicker residents in the nursing home, a case mix prospective payment system is being piloted for rollout to all fifty states, and managed care enrollment is increasing for the Medicare population, …

Quality Assisted Living For Older Adults, A Study Of Three Single Family Homes, A Viable Housing Alternative To Institutionalization, Rhonda Lynn Dahlberg

Theses

Long-term care is one of the greatest threats to the financial security of older Americans and their families. People are living longer and because of this many are becoming frail, developing functional impairments and suffering from chronic illnesses. In the past, elderly people did not have many options when health problems made running a household too difficult to manage. It then became necessary to explore other housing alternatives. Previously, nursing homes were the traditional solution for individuals without the family resources to help them stay at home.

Today, new housing options are emerging. These housing options are gaining considerable attention. …

The Effects Of 50 Beat Per Minute Music To Decrease Anxiety And Lower Heart Rates In A Select Group Of College Students, Laura E. Burnell

Theses

The purpose of this study was to assess the affect of experimenter chosen 50 beat per minute music composed especially for stress and anxiety reduction on a select group of college students, and to examine its usefulness in promoting relaxation. The rationale for the study was based on research done in the area of using music to promote relaxation, and on the composer's claims that this music has been effective on a variety of populations for such purposes. Thirty subjects comprised of 17 males and 13 females ranging in age from 18 to 25 years participated in the study. This …

The P System: A Scheme For Organizing Pavlovian Procedures, Jose E. Burgos, Rick A. Bevins

Department of Psychology: Faculty Publications

The present paper introduces the P system as a scheme for organizing Pavlovian procedures in an orderly and comprehensive manner. The system is defined by three temporal variables and three restrictions on their possible values. It can be used to define all standard temporal variables—namely, stimulus duration, interstimulus interval, trace interval, and intertrial interval—as well as variables C and T of scalar expectancy theory. The system also permits the definition of new independent variables through combinations of the basic temporal parameters. We exemplify this possibility by defining two ratios of temporal intervals. These ratios lead to a space where traditional …

Trade And Health: The Global Spread Of Diseases And International Trade, David P. Fidler

Articles by Maurer Faculty

No abstract provided.

Controlling Infectious Diseases, David P. Fidler, William Lane Porter

Articles by Maurer Faculty

No abstract provided.

Influence Of A Mycorrhizal Fungus And/Or Rhizobium On Growth And Biomass Partitioning Of Subterranean Clover Exposed To Ozone, Joseph E. Miller, Steven R. Shafer, Michele M. Schoeneberger, Walter A. Pursley, Stephanie J. Horton, Charles B. Davy

United States Department of Agriculture, Forest Service / University of Nebraska-Lincoln: Faculty Publications

The influence of soilborne symbionts such as rhizobia or mycorrhizal fungi on plant response to ozone (O₃) has not been well defined. Leguminous plants in the field are infected by both types of organisms, which influence plant nutrition and growth. We studied the effects of infection with Rhizobium leguminosarum biovar trifolii and/or Gigaspora margarita on response of subterranean clover (Trifolium subterraneum L. cv Mt. Barker) to O₃. Exposures were conducted in greenhouse CSTR chambers using four O₃ concentrations [charcoal-filtered (CF), 50, 100, or 150 ppb; 6 h day^-1, 5 day wk^{-1 …}

Phosphorylation Within The Amino-Terminal Acidic Domain I Of The Phosphoprotein Of Vesicular Stomatitis Virus Is Required For Transcription But Not For Replication, Asit K. Pattnaik, Leroy Hwang, Tong Le, Nathan Englund, Manjula Mathur, Tapas Das, Amiya Banerjee

School of Veterinary and Biomedical Sciences: Faculty Publications

Phosphorylation by casein kinase II at three specific residues (S-60, T-62, and S-64) within the acidic domain I of the P protein of Indiana serotype vesicular stomatitis virus has been shown to be critical for in vitro transcription activity of the viral RNA polymerase (P-L) complex. To examine the role of phosphorylation of P protein in transcription as well as replication in vivo, we used a panel of mutant P proteins in which the phosphate acceptor sites in domain I were substituted with alanines or other amino acids. Analyses of the alanine-substituted mutant P proteins for the ability to support …

Parasite Biodiversity And Emerging Pathogens: A Role For Systematics In Limiting Impacts On Genetic Resources, Eric P. Hoberg

Harold W. Manter Laboratory of Parasitology: Faculty Publications

Emergence of pathogenic organisms continues as a threat to overall biodiversity and genetic resources. Macroparasites including helminths constitute a potential threat to economically important resources in agriculture and conservation biology. Limitation of this threat can be achieved through survey and inventory for biodiversity and the application of systematics to understand the host range , biogeography and history of faunas. Systematics constitutes the foundation for recognition of endemic and introduced elements of faunas and the basis for predicting the behavior of pathogens introduced to new ecological settings or host groups. The basis for emergence of pathogens has both a deep historical …

Return Of The Fourth Horseman: Emerging Infectious Diseases And International Law, David P. Fidler

Articles by Maurer Faculty

No abstract provided.

Selecting For Random Drug Testing At Union Pacific Railroad, Jennifer Meyer, Paul Savory

Department of Industrial and Management Systems Engineering: Faculty Publications

Many industries have recently implemented programs to detect and deter the use of recreational drugs in the workplace. The transportation industry has received careful government attention, particularly where the safety of the public may be seriously affected by employees who use drugs. Following federal guidelines, Union Pacific Railroad first implemented a random drug-testing plan in 1990. Because the assigned jobs, shifts, and work locations of many railroad employees change frequently, defining the selection population was particularly challenging. In its continuing efforts to validate and improve this plan, Union Pacific Railroad sought an external evaluation to determine the fairness of its …

Lactose Intolerance In Persistent Diarrhoea During Childhood: The Role Of A Traditional Rice-Lentil (Khitchri) And Yogurt Diet In Nutritional Management, Z A. Bhutta, S Q. Nizami, Z Isani

Department of Paediatrics and Child Health

Lactose intolerance is frequently encountered in children with persistent diarrhoea (PD). Selection of an appropriate milk-based formulation is a major management problem in the developing world. In a consecutive series of studies, we evaluated the role of feeding a traditional rice-lentil (khitchri) diet alone (KY) or in combination with either soy formula (KY-Soy) a dilute buffalo milk (KY-B), in children (age 6 months-3 years) with PD. Serial observations of stool output, caloric intake and weight gain of these children over a 14 day period indicated satisfactory tolerance of the KY diet with adequate weight gain. The weight gain and stool …

Retinoic Acid Syndrome Radiological Features, M. Umar Islam, Ikram A. Burney, Mohammad Khurshid

Section of Haematology/Oncology

No abstract provided.

Dedicatory Essay: Honoring Ian Mccoll Kennedy, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

Ian Kennedy is perhaps the best known and most important figure in health law and ethics in the United Kingdom, and probably one of the most significant in Europe and North America. How did his life and career evolve to the point where he would wield such influence? This essay examines the leadership, erudition, and passion Ian Kennedy has brought to the field of health law and ethics. It is perhaps not an overstatement to suggest that Professor Kennedy virtually invented the field in the United Kingdom. He did so through his scholarship, public advocacy, and influence in shaping institutions, …

The Epidemics Of Injecting Drug Use And Blood-Borne Disease: A Public Health Perspective, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

In this article, the author first examines the mechanism by which blood-borne disease is transmitted through sharing of injection equipment. Thereafter, he presents a public health strategy for reducing multi-person use of contaminated injection equipment. This strategy includes: repealing or modifying current laws and regulations making possession and distribution of sterile injection equipment a criminal offense; implementing syringe exchange programs to expand access to new syringes for users of injection drugs; and counseling, education, and treatment targeted to injecting drug users (IDUs), including those in the prison and health care system. The objective of a public health approach is not …

J Am Coll Dent 1997 64 4

Journal of the American College of Dentists

The Journal of the American College of Dentists (JACD) publishes scholarly articles, editorials, essays, and reflections addressing the ethical, professional, and social dimensions of dentistry. The Journal serves as a forum for advancing ethics, professionalism, leadership, and excellence within the dental community. By fostering dialogue across disciplines and perspectives, JACD provides readers with insights that encourage ethical, professional practice, lifelong learning, and service to the public, reinforcing dentistry’s commitment to advancing oral healthcare and the common good.

Paediatric Prescribing In Karachi, S Q. Nizami, I A. Khan, Z A. Bhutta

Department of Paediatrics and Child Health

To assess amount of drug overuse we studied drug prescribing for common childhood problems by 65 general practitioners (GPs) and 29 paediatricians. A total of 2433 encounters between GPs or paediatricians and children under five years of age were observed. The presenting complaints were fever in 18%, cough in 9%, both fever and cough in 21%, vomiting in 20% and diarrhoea in 41% of encounters. Antibacterials were prescribed in 49% of encounters, analgesics and antipyretics in 29%, antiemetics in 8% and injectables in 15%. Antidiarrhoeals were prescribed in 41% encounters with children reported to have diarrhoea. Ampicillin and cotrimoxazole were …

Differential Endometrial Responses Of Primates Vs Rodents: Screening For Antiproliferative Effects Of Antiprogestins, David Williams Burleigh

Theses and Dissertations in Biomedical Sciences

The antiprogestin, mifepristone, has previously been shown to noncompetitively inhibit estrogen-induced endometrial proliferation in nonhuman primates (van Uem et al., 1989; Wolf et al., 1989b; Neulen et al., 1990; Neulen et al., 1996). For both economical and ethical reasons, we are encouraged to identify comparative laboratory rodent models which can substitute the need to use primate models. In the following study, we compared capabilities of the rat uterine weight bioassay versus a primate uterine bioassay, to identify the noncompetitive antiestrogenic/antiproliferative effects of mifepristone.

Long-term ovariectomized monkeys were exposed to exogenous 17β-estradiol (E2) and mifepristone in doses and regimes already demonstrated …

Arterial Wall Hypertrophy And Pdgf-A Expression In One-Kidney, One-Clip Hypertension And Angiotensin Ii Infusion Are Mediated By Elevated Arterial Pressure, Sheri Blair Parker

Theses and Dissertations in Biomedical Sciences

These studies were designed to characterize the relative roles of angiotensin II (ANG II) and pressure in the structural alterations that occur in experimental hypertension. Two separate studies were performed in order to differentiate these two mechanisms. First, male Wistar rats were subjected to one-kidney, one-clip (1K1C) hypertension or sham operation. Losartan, an AT1 receptor antagonist, was administered chronically to half of each surgical group beginning one day before the operation and continued until the end of the study. In a second experiment, rats were implanted with osmopumps delivering either ANG II or saline. To maintain pressure in the normotensive …

Axotomy And Regeneration Of The Rat Facial Nerve: A Histomorphometric Study Of The Facial Nucleus, Nerve And Orbicularis Oculi Muscle In An Experimental Model Of Facial Paralysis, Peter Konstantinos Thanos

Theses and Dissertations in Biomedical Sciences

One of the most unsettling sequela of facial paralysis (FP) is the loss of eye sphincter function and the blink response, leading to functional, psychological and aesthetic deficits. A medley of restorative microsurgery approaches have been employed in treating these deficits, however full recovery of function remains elusive. The present research utilized the rat model of facial paralysis, and consisted of three stages. Stage I examined the facial motor neuron (FMN) pool of the eye sphincter (orbicularis oculi muscle=OOM) and identified the facial nerve branch which provides the majority of innervation to the OOM. II. Examined the efficacy of the …

Conflict Is Optional, Difference Is Not : Toward A Difference-Based Approach To Interpersonal Communication, James Arthur Gieseking Jr

Dissertations and Theses

An examination of the discussion of conflict in general, interpersonal and small group communication texts indicates that the conceptualization of conflict theory in the U.S. is increasingly dependent upon three theoretical pillars: the qualities of ubiquity, utility and necessity. A critical, deconstructive analysis of these operational characteristics in relation to the actual human experience of conflict reveals that they are more appropriately associated with the essential condition of difference, rather than conflict, and the concepts of conflict and difference are generally conflated in U.S. communication texts. The synergistic interaction of a variety of specific cultural constructs can be seen as …

Immune Responses To Final Exams In Healthy And Asthmatic Adolescents, Duck-Hee Kang, Christopher L. Coe, Donna O. Mccarthy, William B. Ershler

College of Nursing Faculty Research and Publications

Immune responses to an academic stressor were examined in healthy and asthmatic adolescents with regard to their illness symptom reports. Eighty-seven high school students completed a health diary for 2 weeks and provided three blood samples during midsemester, final-exam, and postexam periods. During exam week, all students showed significant immunological alterations from baseline: Natural killer cell activity was significantly lower, whereas lymphocyte proliferation and neutrophil superoxide release were significantly higher. These immune changes tended to return toward baseline during the postexam period, but the enhanced neutrophil reactivity continued to rise. Overall, immunological responses were similar between asthmatic subjects and controls. …

Developments In Client Information Systems, Marilyn Frenn

College of Nursing Faculty Research and Publications

No abstract provided.

Prism: Special Issue On Nursing Centers, Marilyn Frenn

College of Nursing Faculty Research and Publications

No abstract provided.

Many Voices: Medical Anthropologists Explore The Meaning Of Health, Illness, And Cure, Michael Hass

Education Faculty Articles and Research

Lindenbaum, Shirley and Margaret Lock, eds. Knowledge, Power and Practice: The Anthropology of Medicine in Everyday Life. Berkeley: University of California Press, 1993. xvii + 242 pp. including notes, references, and indices. $50.00 cloth, $15.00 paper.

Etkin, Nina L. and Michael L. Tan, eds. Medicines: Meanings and Contexts. Quezon city, Philippines and Amsterdam: Health Action Information Network and the University of Amsterdam, 1994. v + 305 pp. $15.00 paper.

Good, Byron J. Medicine, Rationality, and Experience: an Anthropological Perspective. Cambridge: Cambridge University Press, 1994. $54.95 Cloth, $17.95 paper.

Lymphoedema Following Surgery For Breast Cancer, Jacqueline Lord

Theses: Doctorates and Masters

Lymphoedema of the ipsilateral upper limb is one of the most significant long term complications of the surgical treatment of breast cancer and may be described as a life sentence of bodily disfigurement. The resultant cosmetic disfigurement, physical discomfort and reduced physical mobility combined with the psychological sequelae, far exceeds the original expectations of the breast surgery patient (Tobin, Lacey, Meyer, and Mortimer, 1993). It is estimated that one hundred thousand women in Australia have developed lymphoedema (or will develop it before they die) as a result of mastectomy and radiotherapy alone (Casley-Smith, 1992). In breast cancer patients, lymphoedema can …