Medicine and Health Sciences Commons^™

The Kinetic Assessment Of Sit-To-Stand In Stroke Patients And Its Relationship To Fall, Pao-Tsai Cheng, Shu-Hsia Wu, Mei-Yun Liaw, Pay-Shin Lin, May-Kuen Wong, Hsieh-Ching Chen, Fuk-Tan Tang

Rehabilitation Practice and Science

Fall has been reported as a major cause of morbidity, hospitalization and mortality of older people. Stroke patients are more prone to fall than non-stroke subjects, because of the pathological conditions inposing upon the physiological aging process. Since fall is so frequent, fall prevention strategies should therefore be developed and included in rehabilitation programs.Falls are associated with many physical and environmental factors. Excluding tripping, many of the falls in stroke patients occurred during the patients changing their positions, such as standing up, sitting down or initiation of steps. Therefore, the purpose of this study is focus on the kinetic analysis …

The Comparison Between Selective Posterior Rhizotomy And Phenol Intramuscular Neurolysis On The Treatment Of Children With Cerebral Palsy: Preliminary Report, May-Kuen Wong, Chia-Ling Chen, Tai-Ngar Lui, Wei-Pin Hwang, Hsing-Jung Tsai, Fuk-Tan Tang

Rehabilitation Practice and Science

Severe spasticity often causes functional impairment in children with cerebral palsy. It is theissue that professionals have been working on to reduce the spasticity effectively and permanently. This study wants to find out the comparative effectiveness between the selective posterior rhizotomy and phenol intramuscular neurolysis on the treatment of the children with cerebral palsy. We collected 31 children with spastic cerebral palsy, aged 3 to 17, and divided the children into three groups. Group A received selective posterior rhizotomy and rehabilitation. Group B received phenol intramuscular neurolysis and rehabilitation. Group C received rehabilitation only. The preoperative evaluations included muscle tone …

Finite Element Contact Stress Analysis Of The Diabetic Foot And Orthosis - A Two-Dimensional Analysis, Weng-Pin Chen, Yueh-Yun Hsieh, Fuk-Tan Tang

Rehabilitation Practice and Science

The objective of this research is to utilize the finite element method to analyze the contact stress between a diabetic plantar and the orthosis used in treating ulcers. It is desirable to understand the stress distributions between the plantar and the ordinary insole or the total contact insole made of three different insole materials. In this research, finite element models of the foot in contact with an ordinary insole and with a custom total contact insole were built and a commercial finite element analysis package - MARC was used to investigate the contact pressure distributions at the plantar. Deformable contact …

Lower Limb Length Discrepancy Caused By Lumbar Epidural Lipomatosis-- A Casereport And Review Of Literature, Mei-Hui Kuo, Chau-Peng Leong

Rehabilitation Practice and Science

Epidural lipomatosis is resulted from abnormal accumulation of unencapsulated fat in the epidural space. A case with idiopathic spinal lipomatosis is commonly seen in the following situations: steroid treatment, endocrinopathy, and obesity. Interestingly, a young male without the previous three conditions developed idiopathic spinal epidural lipomatosis. He was observed with lower limb length discrepancy and functional scoliosis.This patient was diagnosed by the method of magnetic resonance imaging and later received a variety of treatments according to his symptoms. Since there was no progressive neurological deficit, his problem of functional scoliosis was corrected by elevating his left heel by 2 cm. …

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

Flight Physician - December, 1997, Civil Aviation Medical Association

Browse all Civil Aviation Medical Association Newsletters

A fourteen page newsletter of the Civil Aviation Medical Association. The newsletter provided news about civil aviation medicine and information related to the organization.

Diabetes And Exercise: The Role Of The Athletic Trainer, Carolyn C. Jimenez

Sports Medicine Faculty Publications

No abstract provided.

Notes From The Director, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Narrative Development In Late Talkers: Early School Age, Rhea Paul, Rita Hernandez, Lisa Taylor, Karen Johnson

Communication Disorders Faculty Publications

Children with slow expressive language development (SELD) as toddlers and a control group of children with normal language development (NL) were followed to early school age. Children with SELD were, at that point, subdivided into two groups: those who had moved within the normal range of expressive language (the History of Expressive Language Delay [HELD] subgroup); and those who continued to score below the normal range in expressive language at school age (the Expressive Language Delay [ELD] subgroup). During their kindergarten, first, and second grade years, they were administered a narrative generation task. Narratives were analyzed for MLU, lexical diversity, …

A Cytochemical Evaluation Of Blood-Brain Barrier Sodium, Potassium- And Calcium-Adenosine Triphosphatase Polarity, Panya Steve Manoonkitiwongsa

Loma Linda University Electronic Theses, Dissertations & Projects

The blood-brain barrier (BBB) is formed by cerebral vascular endothelial cells. Brain ion and fluid homeotasis essential for proper neural functioning is due to the BBB. Sodium-potassium and calcium-activated adenosine triphosphatase (Na⁺, K⁺-ATPase and Ca²⁺-ATPase) serve as one of the main mechanisms controlling brain Na⁺, K⁺, and Ca²⁺ concentrations. The present accepted concept is that both of these enzymes are localized to the abluminal plasma membrane of endothelial cells although there have been contrary results from some studies. Because of these discrepancies, further work was needed. Various cytochemical procedures …

The Effect Of Systemic Doxycycline On Alveolar Bone Loss Following Periradicular Surgery, G. Reed Cummings

Loma Linda University Electronic Theses, Dissertations & Projects

Studies have shown an average of 0.5 mm to over 1.0 mm of bone loss following full thickness flap reflection. Recent investigations have revealed that the tetracycline family of antibiotics can prevent bone loss. The purpose of this study was to determine the effect of systemic Doxycycline on crestal alveolar bone loss following periradicular surgery in Beagle dogs.

The experiment was divided into two phases. The first phase served as the control (Non-Doxycycline), the second phase as the experiment (Doxycycline). Full thickness flaps were reflected in the mandibular left or right quadrant (control side) of five Beagle dogs. Using a …

The Effect Of Root End Demineralization On Cementogenesis : A Long Term Investigation, Hamid R. Abedi

Loma Linda University Electronic Theses, Dissertations & Projects

Craig and Harrison¹² examined the effect of demineralization of resected root ends on wound healing following periradicular surgery. Based on its microscopic evaluations from 4-45 days, it was proposed that demineralization of resected root ends enhances cementogenesis. The purpose of this study was to investigate the longer term effects of demineralization on cementogenesis using Mineral Trioxide Aggregate (MTA) or amalgam as root end filling materials. After completion of root canal therapy and endodontic surgery on seventy-two roots of mandibular second, third and fourth premolars of six beagle dogs, 32/72 of the root ends at random were etched with 50% …

Ossifying Fibroma Of Nasal Cavity, Abbas Zafar Abbas Zafar, Muhammad Shafi Muhammad Shafi, Shaukat Malik Shaukat Malik, Shahid Pervez

Department of Pathology and Laboratory Medicine

No abstract provided.

Anthroposophic Perspectives In Primary Care, Ira S. Cantor Md, Steven Rosenzweig Md

Department of Emergency Medicine Faculty Papers

A core challenge of contemporary medicine is to integrate the technological successes of biomedical science with a comprehensive under-standing of the physical, psychosocial, ecological, and spiritual dimensions of health and illness. Toward this end, bridges are being created between conventional medicine and alternative systems of healing which reflect a holistic model of the human being. Even when both conventional and complementary approaches are used side-by-side in the same patient, they remain separate in their basic assumptions and goals. Today's mechanistic disease model is cut off from such notions as life-energy, consciousness, and spirituality, so integral to many alternative paradigms. Anthroposophically …

Colorectal Cancer: Cellular And Molecular Pathogenesis, N. Wisedopas

Chulalongkorn Medical Journal

No abstract provided.

Intracranial Metastases From Prolactin-Producingpituitary Carcinoma, Yot Navalitloha, Supat O'Chareon, Sutida Ingkatanuvat, Vira Kasantikul

Chulalongkorn Medical Journal

No abstract provided.

Glucose-6-Phosphate Dehydrogenase (G-6-Pd) Activity Inthai Newborn And Adults: Normal Ranges And Incidence, Aranya Kittikalayawong, Chaweewan Jmpand, Panya Seksarn

Chulalongkorn Medical Journal

No abstract provided.

Gastric Cancer: Relation Between Histologic Subtypes,Location And Helicobacter Pylori Infection, Naruemon Wisedopas, Pisit Tangkitvanich, Phongpeera Suwangool, Rosarin Chantharochvong, Sutida Ingkatanuvat

Chulalongkorn Medical Journal

No abstract provided.

ปริทรรศน์แพทย์จุฬาฯ, บรรณาธิการ

Chulalongkorn Medical Journal

No abstract provided.

Recombinant Human Erythropoietin In The Treatment Of Cancer-Related Anemia, N. Charuraks, N. Voravud, J. Sutheesophon, W. Limpanasithikul

Chulalongkorn Medical Journal

No abstract provided.

Intralesional Injection Of 10% Sodium Chloride For Cutaneous Hemangiomas, V. Buranakitjaroen

Chulalongkorn Medical Journal

No abstract provided.

Effect Of Paracetamol On Central 5-Ht 2a Serotonin Receptors, Naovarut Tarasub, Anan Srikiatkhachom, Piyarat Govitrapong

Chulalongkorn Medical Journal

No abstract provided.

A Dichotomous Role For Nitric Oxide During Acute Toxoplasma Gondii Infection In Mice, Imtiaz A. Khan, Joseph D. Schwartzman, Tadashi Matsuura, Lloyd H. Kasper

Dartmouth Scholarship

Production of nitric oxide by macrophages is believed to be an important microbicidal mechanism for a variety of intracellular pathogens, including Toxoplasma gondii. Mice with a targeted disruption of the inducible nitric oxide synthase gene (iNOS) were infected orally with T. gondii tissue cysts. Time to death was prolonged compared with parental controls. Histologic analysis of tissue from infected mice showed scattered small foci of inflammation with parasites in various tissues of iNOS−/− mice, whereas tissue from the parental C57BL/6 mice had more extensive tissue inflammation with few visible parasites. In particular, extensive ulceration and necrosis of distal small …

Perceived Differences Between Male And Female Occupational Therapists’ Treatment And Other Related Gender Issues, Dennis Robert Jones

Masters Theses

This study explored how occupational therapy clients perceive the treatment they receive from male and female occupational therapists. The study was conducted in a qualitative manner. Occupational therapy supervisors who have supervised both female and male occupational therapists were interviewed to gain an initial understanding of the relevant issues. More structured interviews were then conducted with clients who have been treated by both a female and a male occupational therapist. Therapists and clients were also observed during four treatment sessions.

Analysis of the data collected through interviews revealed that supervisors and clients do notice some behavioral differences in male and …

Patient Satisfaction With A Nurse Managed Lipid Clinic, Memuna Ali

Master's Projects

The purpose of this study was to determine patient satisfaction with a nurse managed lipid clinic. This study investigated the effect of gender, age, level of education, and physical health on patient satisfaction. Measuring patient satisfaction has been regarded as the method of choice for obtaining patient views about their care. Fifty patients completed a survey rating various aspects of the lipid clinic. The results provided evidence that high level of satisfaction existed with the nurse managed clinic and there was no significant variation with gender, age, level of education or physical health of patients. Nurse Practitioners have been successfully …

Wheels At Camp, Judith A. Medlin

Master's Projects

Students with special needs are being included into regular education classrooms in increasing numbers. Teachers in these classrooms are often reluctant to include students with special needs on overnight field trips. This reluctance stems from the teacher's concern for the associated responsibilities. The purpose of this project is to demonstrate the process developed and used to successfully send a fully included student with disabilities to camp with his non-disabled peers. Dorthea Orem' s theory of nursing provided the conceptual framework for this case example. Overnight field trips (e.g., science camp) that are fun and safe learning experiences for the student …

การศึกษาผลการใช้โภชนบำบัดรักษานิ่วชนิดแมกนีเซียมแอมโมเนียม ฟอสเฟส 100% ชนิดปลอดเชื้อในสุนัขเพศเมีย, รสมา ภู่สุนทรธรรม, ไพวิภา กมลรัตน์, เดชฤทธิ์ นิลอุบล, ธนศักดิ์ บุญเสริม, ดุสิต จรุงวงศ์เสถียร

The Thai Journal of Veterinary Medicine

ศึกษาผลการใช้โภชนบำบัดรักษานิ่วชนิดแมกนีเซียม แอมโมเนียม ฟอสเฟต (Struvite) 100% ชนิดปลอดเชื้อในสุนัขพันธุ์ไทยผสม เพศเมีย จำนวน 8 ตัว เป็นระยะเวลา 50 วัน แบ่งสุนัขทดลองเป็น 2 กลุ่ม ๆ ละ 4 ตัว ในกลุ่มควบคุมซึ่งได้รับอาหารควบคุม พบ นิ่วในกระเพาะปัสสาวะของสุนัขจำนวน 3 ตัว อีก 1 ตัวไม่พบก้อนนิ่วหลังสิ้นสุดการทดลอง 1 ในกลุ่มทดลองซึ่งได้รับโภชนบำบัดอย่างต่อเนื่องเป็นเวลา 50 วันไม่พบก้อนนิ่วในกระเพาะ ปัสสาวะของสุนัข 3 ตัวหลังสิ้นสุดการทดลอง สุนัขอีก 1 ตัวมีก้อนนิ่วที่มีขนาดและน้ำหนักลดลง ผลการทดลองแสดงให้เห็นว่าการใช้โภชนบำบัดอย่างต่อเนื่องเป็นเวลา 50 วัน สามารถสลายหรือลดขนาดของนิ่ว แมกนีเซียม แอมโมเนียม ฟอสเฟต (Struvite) 100% ชนิดปลอดเชื้อได้ในสุนัข

ระดับของซีรั่มโปรตีนในสุนัขที่มีการติดเชื้อพยาธิหัวใจ หรือ เออร์ริเซีย เคนีส เมื่อตรวจด้วยวิธีอิเล็คโตรโฟรีซีส, สุพจน์ วัฒนะพันธ์ศักดิ์, มีนา สาริกะภูติ, บุญเลิศ ปรีชาตั้งกิจ, อธิภู นันทประเสริฐ

The Thai Journal of Veterinary Medicine

ศึกษาการเปลี่ยนแปลงของซีรั่มโปรตีนในสุนัขกลุ่มควบคุม 26 ตัว สุนัขที่มีพยาธิ หัวใจ 51 ตัว และสุนัขที่ติดเชื้อ เออร์ริเชีย เคนีส (Ehrlichia canis) 8 ตัว โดยวิธี Biuret และ Cellulose acetate electrophoresis สามารถแยกส่วนประกอบของซีรั่มโปรตีน ออกเป็น อัลบูมิน อัลฟ่า-1-กลอบูลิน อัลฟ่า-2-กลอบูลิน เบต้า-กลอบูลิน และ แกมม่า- กลอบูลิน ในสุนัขกลุ่มควบคุม เพศต่างกัน ไม่พบความแตกต่างของซีรั่มโปรตีน สุนัข อายุน้อยมีค่า อัลบูมิน อัลฟ่า-2-กลอบูลิน และอัตราส่วน อัลบูมิน:กลอบูลิน สูงกว่าสุนัขอายุมาก (p < 0.05) สุนัขที่มีพยาธิหัวใจปริมาณ อัลบูมิน อัลฟ่า-2- กลอบูลิน และอัตราส่วน อัลบูมิน:กลอบูลิน ต่ำกว่าสุนัขกลุ่มควบคุม แต่มีแกมม่า-กลอบูลิน สูงกว่าสุนัขกลุ่ม ควบคุม (p < 0.05) และพบว่า 40% ของสุนัขที่มีพยาธิหัวใจปริมาณ เบต้า-กลอบูลิน สูงกว่า สุนัขกลุ่มควบคุมมาก สุนัขที่ติดเชื้อ เออร์ริเชีย เคนีส ระดับของ อัลบูมิน และอัตราส่วน อัลบูมิน:กลอบูลิน ต่ำกว่าสุนัขกลุ่มควบคุม แต่มี อัลฟ่า-1-กลอบูลิน สูงกว่า (p < 0.05) และ มีเพียง 2 ตัวที่มีค่า แกมม่า-กลอบูลิน สูงกว่า สุนัขกลุ่มควบคุมมาก การศึกษาครั้งนี้ชี้ให้ เห็นว่ามีการเปลี่ยนแปลงส่วนประกอบของซีรั่มโปรตีนในสุนัขที่มีพยาธิหัวใจหรือมี เออร์ริเชีย เคนีส และไม่พบซีรั่มโปรตีนที่มีความจำเพาะต่อสภาพการมีปรสิตทั้งสองชนิด แต่ในสุนัขที่มี พยาธิหัวใจ มีแนวโน้มที่มีเบต้า-กลอบูลิน สูงกว่าปกติ