Medicine and Health Sciences Commons^™

Terminal Sedation As Palliative Care: Revalidating A Right To A Good Death, George P. Smith Ii

Scholarly Articles

Not everyone finds a “salvific meaning” in suffering. Indeed, even those who do subscribe to this interpretation recognize the responsibility of each individual to show not only sensitivity and compassion but render assistance to those in distress. Pharmacologic hypnosis, morphine intoxication, and terminal sedation provide their own type of medical “salvation” to the terminally ill patient suffering unremitting pain. More and more states are enacting legislation that recognizes this need of the dying to receive relief through regulated administration of controlled substances. Wider legislative recognition of this need would go far toward allowing physicians, in the exercise of their reasonable …

Complexities In Biomedical Decision-Making, George P. Smith Ii

Scholarly Articles

Within the contemporary debate over medical ethics, without question the most striking weakness found is the lack of a basic yardstick against which either the "rightness" or "wrongness" of a physician's actions may be measured. No general agreement is to be found among physicians or ethicists acknowledging what ethical determinant the physician should or should not follow in a particular case. Yet, despite this conflict of uncertainties, a framework for principled decisionmaking does exist and can be found within the rubric of medical ethics.

Concurrent Validity Of Mental Ability Screening Tools : A Comparison Of Normal Students’ Performance On The Kaufman Brief Intelligence Test And The Shipley Institute Of Living Scale-Revised, D. Melanie Peters

Dissertations and Theses

This study compared the Kaufman Brief Intelligence Test (K-BIT), a verbal and nonverbal mental ability screening tool, to the Shipley Institute Living Scale (SILS), a nonverbal screening tool of mental ability, as part of a larger, ongoing study which is examining the effects of orofacial clefts on early career maturity. In terms of general intellectual ability, the K-BIT and the SILS provide descriptive categories, percentile ranks, raw scores, standard error of measurement, standard scores, standardization and norms, subtest scores, and total scores. The K-BIT provides normative curve equivalents and stanines, which the SILS does not. The SILS provides abstract and …

The Spectrum Of Bacterial Infections In Febrile Neutropenic Patients: Effect On Empiric Antibiotic Therapy, Ikram A. Burney, Tariq Siddiqui, Badar J. Farooqui, Mohammad Khurshid

Department of Medicine

The aim of this retrospective analysis was to look at the spectrum of bacterial isolates and their resistance patterns to the commonly used antIbiotics in the settmg of febrile neutropenia. A total of 127 bacteria were isolated from patients with acute leukemias, lymphoproliferative disorders, aplastic anaemia and various solid tumours. Fifty-four percent organisms were gram negative; while the rest were gram positive. E. coli, pseudomónas aeruginosa, staphylococcus aureus, enterococcus and streptococci were the commonly isolated organisms. Forty-eight percent organisms were isolated from blood, 16% from urine, 13% from wounds and superficial abscesses and 11% from respiratory tract. E. coli exhibited …

Effectiveness Of Prevention Interventions With Youth At High Risk Of Drug Abuse, Richard F. Catalano, Kevin P. Haggerty, Randy R. Gainey, Marilyn J. Hoppe, Devon D. Brewer

Sociology & Criminal Justice Faculty Publications

A recent report describes three types of prevention programs: universal, selected, and indicated (Institute of Medicine 1994). Universal prevention approaches are those that serve the entire population who share a general risk to the disorder without regard to specific risk status. Selected prevention approaches serve those whose precursors of problem behaviors are elevated but who have not yet manifested the problem behavior to be prevented. Indicated prevention approaches serve those who have initiated the problem behavior to be prevented but have not yet developed a serious or chronic behavior problem and do not warrant at that time a clinical diagnosis …

Grandparents Today: A Demographic Profile, Maximiliane E. Szinovacz

Sociology & Criminal Justice Faculty Publications

This article presents a demographic profile of grandparents, using the National Survey of Families and Households. Specific dimensions of grandparenthood addressed include grandparents' survival, the timing of grandparenthood, grandparents' involvement in other roles, surrogate parenting, and stepgrandparents. The data indicate considerable heterogeneity among grandparents of different genders and races or ethnicities. They also suggest modifications in previous descriptions of modern grandparenthood.

Meperidine Attenuates The Secretion But Not The Transcription Of Il-1ss In Human Mononuclear Leukocytes, Donna O. Mccarthy, Susan Murray, Dawn Galagan, James E. Gern, Paul R. Hutson

College of Nursing Faculty Research and Publications

Background: The infusion of amphotericin-B (AmB) often produces clinically distressing rigors and chills, which promptly abate with intravenous injection of meperidine, although its mechanism of action is unknown.

Objective: To examine the effects of meperidine on the transcription or secretion of Interleukin 1β (IL-1β) in human mononuclear leukocytes (MNL) exposed in vitro to the lipopolysaccharide (LPS) contained inEscherichia coli endotoxin or to AmB.

Methods: Blood was drawn from eight healthy adult volunteers. The blood was centrifuged, and the layer containing MNL was separated; incubated with various combinations of medium, meperidine, and AmB; then tested for IL-1 content to determine …

Antley‐Bixler Syndrome: A Case Report And Discussion, Scott Lebard, Lisa Thiemann

College of Nursing Faculty Research and Publications

Antley-Bixler Syndrome (ABS) is an autosomal recessive trait disorder characterized by multiple bone and cartilaginous abnormalities. Primary features include significant craniosynostosis, midface hypoplasia with choanal stenosis or atresia, femoral bowing, radiohumeral synostosis, and multiple joint contractures. Cardiac, renal, and gastrointestinal malformations have also been described. This report describes the management of a four-month-old male who underwent cranial vault remodeling to relieve craniosynostosis and discusses the potential concerns of the anaesthetist during care of children with Antley-Bixler Syndrome.

Cardiorespiratory Fitness And Cardiovascular Disease Risk Factors In Postmenopausal Women, Bryan L. Haddock

Loma Linda University Electronic Theses, Dissertations & Projects

In spite of the reductions in cardiovascular disease mortality over the last several years, cardiovascular disease remains the number one cause of death in the U.S. Prior to menopause, women have approximately 2.5-4.5 times lower risk of cardiovascular disease than do men of a similar age. Within about 10 years following menopause, however, the rate in women becomes similar to that seen in men. Increased cardiorespiratory fitness and use of hormone replacement have been suggested as ways to improve the cardiovascular disease (CVD) risk profile. Unfortunately, very little is known about the effect of cardiorespiratory fitness on the CVD risk …

The Meaning Of Quality In Living Service Environments: An Analysis Of The Experiences Of People With Disabilities, Elderly People And Service Workers, Ruth Marquis

Theses: Doctorates and Masters

The purpose of the study was to examine the experiences of both people with disabilities and elderly people and to identify their perceptions of quality as it relates to living in a service or being supported by a service to live in the community. The study was naturalistic in design and used a phenomenological approach and inductive analysis. It involved immersion in living services for a two year period, in-depth interviews with people living and working in services and participant observation. Fifty service users between the ages of twenty-one and ninety-six, and twenty-six service workers between the ages of twenty-six …

A Systematic Evaluation Of Methods To Separate X- And Y- Bearing Sperm, Jacquelyn Irving

Theses: Doctorates and Masters

This project was initiated to determine if was possible to enrich either X- or Y- bearing sperm, and hence to preselect the sex of a child. Two of the possible reasons why couple might want to select the sex of a child are firstly because of a family history of an X-linked recessive genetic disorder, which usually only affect sons, and secondly families who have had several children of one sex. For this study, men with three or more children of the same sex were recruited following the publication of an article in The West Australian newspaper. The percentage of …

Validation Of The Barkemeyer-Callon-Jones Malingering Detection Scale: The Ability Of A Scale Differentiate Simulating Malingers From Controls And Prior Litigants From Those With No Litigation Experience Within A Sample Of Men Who Have All Suffered Chronic Low Back Pain, David Curnow

Theses: Doctorates and Masters

Chronic low back pain costs the community, and several authors have suggested that individuals often attempt to exaggerate chronic low back pain. Currently no reliable and valid scale for assessing malingering in chronic pain populations exists, and there is a large difference in opinion on the ability of experts using clinical judgment to detect malingering. The current study seeks to provide a validation for the BarkemeyerCallon-Jones Malingering Detection Scale (MDS) which has purported to be able to identify individuals attempting to malinger neurological conditions and pain. A simulation design was used, as in previous research, because it is difficult to …

Fitness To Stand Trial In Australia: The Investigation And Comparison Of Clinical Opinion And Legal Criteria, Miranda P. Hogg

Theses: Doctorates and Masters

The extent to which Australian psychologists and psychiatrists are cognisant of the legal standard for Fitness to Stand Trial (FST) was investigated. 198 psychologists from The Australian Psychological Society (APS), and 125 psychiatrists from The Royal Australian and New Zealand College of Psychiatrists (RANZCP) responded to a survey. Psychiatrists identified a greater number of legal criteria than psychologists. This finding extended across clinicians who had experience in the evaluation of fitness to stand trial and those who did not. No difference was found between psychologists and psychiatrists for mentioning irrelevant or insufficient considerations. However, a within-group analysis revealed that the …

Variabilidad En La Prueba De Boston Para El Diagnóstico De Las Afasias En Adultos Laboralmente Activos [Variability Of The Boston Test For The Diagnosis Of Aphasia In Active Working Adults], David Pineda, Silvia Mejia-Arango, Monica Rosselli, Alfredo Ardila, M. G. Romero, C. Perez

School of Medicine Publications

Introduction: The aim of this study was to analyze the influence of age, gender, socioeconomic status (SES), academic achievement (education), and type of occupation, on the performance of the Boston Diagnostic Aphasia Examination (BDAE) Spanish version.

Material and methods: The BDAE was administered to a group of 156, 19 to 60 years old, occupationally active normal subjects.

Results: A descriptive analysis showed that some subjects (1 to 3%) scored in the pathological range of the centiles and profiles of the BDAE. A MANOVA (p < 0.05) demonstrated a significant effect of education over most of the BDAE subtests. Females outperformed males on some reading and writing subtests. SES had an effect over body part identification and naming. Significant differences were observed between younger and middle age groups in confrontation naming, oral and word picture reading. The older group scored significantly lower than the younger group in serial writing and sentences to dictation. No differences were observed between the older and the middle groups. Only oral spelling was affected by the type of occupation but a significant interaction of occupation and level of education was found.

Conclusions: Language tests are influenced by demographic variables, particularly education. Normal variability on the BDAE should …

Nurse Practitioner Professional Autonomy: Relationship Between Structural Autonomy And Attitudinal Autonomy, Dolores C. Jones

UNF Graduate Theses and Dissertations

The purpose of this study was to identify and describe the possible components of structural autonomy that influence Nurse Practitioners' (NPs) perceptions of independence in practice. The components identified were NP state regulatory practices, educational background, and managed care environment. The study explored the relationship between NP structural autonomy as it relates to the above components and attitudinal autonomy as it relates to perceptions of independence in practice. A conceptual framework derived from a review of the literature demonstrated the possible relationships.

The investigator employed a mail survey to collect data from certified NPs in six eastern and mid-eastern states. …

Web Browser As Medical Educator/Researcher Using Html & Javascript

Faculty, Staff and Student Publications

No abstract provided.

Sense Of Effort Associated With Exercise In The Chronic Fatigue Syndrome, Karen E. Wallman

Theses : Honours

Investigations into the mediators of effort sensation have indicated that central mechanisms related to corollary discharges may be responsible for an increased sense of effort during fatiguing isometric exercise. The role for central mediators for sense of effort have been objectively demonstrated through use of contralateral limb matching tasks. Subjects diagnosed with chronic fatigue syndrome (CFS) often report prevalent fatigue associated with a greater sense of effort when involved in exercise. This study employed a fatiguing contralateral limb-matching task in order to determine if CFS subjects (n == 6) experienced an altered sense of effort associated with the task when …

Factors Which Influence Women's Decisions For Choice Of Primary Surgery For Stage I And Stage Ii Breast Cancer, Barbara Mastaglia

Theses : Honours

A descriptive correlational study was conducted to describe the factors that Western Australian women with either Stage I or Stage II Breast Cancer, perceived to be important considerations when deciding upon either Modified Radical Mastectomy (MRM) or Breast Conserving Treatment (BCT) for surgical treatment. The Conflict Theory of Decision Making (Janis & Mann, 1977) was used as the theoretical framework to guide this study. Ward, Heidrich and Wolberg's (1989) Factor List, the Multidimensional Health Locus of Control (MHLC) Scale (Wallston, Wallston & De Vellis, 1978) and a demographic questionnaire were used to measure variables. Questionnaires were mailed to a consecutive …