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1999

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Articles 1651 - 1656 of 1656

Full-Text Articles in Medicine and Health Sciences

Acoustic And Perceptual Improvements In Tracheoesophageal Voice Using A Neck Strap, Christopher Dromey, Carol Kapusta-Shemie Jan 1999

Acoustic And Perceptual Improvements In Tracheoesophageal Voice Using A Neck Strap, Christopher Dromey, Carol Kapusta-Shemie

Faculty Publications

Tracheoesophageal (TE) speech, which relies on pulmonary air directed through a one-way valve from the trachea to the esophagus, has become an effective means of voice restoration for many alaryngeal speakers. Whereas the success rate for TE speech has been reported to reach 80% to 90%, complications are not uncommon. In a few cases, pouching of the neck at the level of the neoglottis has been observed. This has previously been reported to negatively affect functional communication, and has been associated with a flaccid or hypnotic vibratory segment. The application of pressure, either manually or by way of a neck …


Autoimmune Hemolytic Anemia In Visceral Leishmaniasis, Salman Adil, Mohammad Khurshid, Lkram A. Burney Jan 1999

Autoimmune Hemolytic Anemia In Visceral Leishmaniasis, Salman Adil, Mohammad Khurshid, Lkram A. Burney

Department of Pathology and Laboratory Medicine

A case of an 8-month old male child, who presented with lgG mediated Coomb’s positive hemolytic anemia and visceral leishmaniasis is presented. The hemolytic anemia resolved following the treatment of leishmaniasis. Although various other mechanisms of anemia have been described, so far the association between IgG-mediated hemolytic anemia and visceral leishmaniasis has not been reported.


Needle Localization For Breast Biopsy: The Patient's Experience, Marian De Walt Morgan Jan 1999

Needle Localization For Breast Biopsy: The Patient's Experience, Marian De Walt Morgan

Psychology Theses & Dissertations

The needle localization procedure for breast biopsy (NLP) can be painful and distressing for some women. This study was carried out to learn what factors might increase or decrease NLP pain and distress, and to gain insight into possible interventions to make the procedure more comfortable for all patients. One hundred and thirty-eight women were surveyed following breast needle localization at two central Virginia hospitals. The influence of eight variables (lidocaine, self-regulation, anxiety, worry about breast cancer, breast tenderness, finding mammography painful, difficulty with surgery, and distress of blood drawing) on four outcome variables (pain incidence, pain intensity, pain unpleasantness, …


Classification Of Participants Into Two Health Resource Utilization Groups By The Health Enrollment Assessment Review (Hear) Survey, Jody W. Donehoo Jan 1999

Classification Of Participants Into Two Health Resource Utilization Groups By The Health Enrollment Assessment Review (Hear) Survey, Jody W. Donehoo

Health Services Research Dissertations

The study examined the ability of the Health Enrollment Assessment Review (HEAR) survey instrument to classify participants into one of two groups according to utilization of health resources anticipated in the following year. Developed by the U.S. Air Force, the HEAR survey is used worldwide by the Department of Defense for enrollees in TRICARE Prime, the military's adaptation of the HMO model of managed care. Individual HEAR reports are prepared for survey participants and their primary care providers in TRICARE Prime. Although it is currently administered worldwide to a majority of the 8.4 million health care beneficiaries of the Department …


Myelofibrosis In Severe Vitamin D Deficiency Rickets, Mehnaz Atiq, Zehra Fadoo, Fouzia Naz, Mohammad Khurshid Jan 1999

Myelofibrosis In Severe Vitamin D Deficiency Rickets, Mehnaz Atiq, Zehra Fadoo, Fouzia Naz, Mohammad Khurshid

Department of Paediatrics and Child Health

Vitamin D deficiency is prevalent in infants and children in the underdeveloped countries1. Infants with mild deficiency tend to present with complications like hypocalcemic seizures whereas occurrence of pathological features in advanced rickets is well elucidated2. Secondary myeloflbrosis has been reported as a complication of severe rickets and in these children anemia, myeloid metaplasia and bone marrow aplasia strongly suggested myelofibrosis. Despite the high prevalence of rickets in the Indo-Pakistan subcontinent, there has been no report on this complication.We present a case of severe clinical rickets who had developed secondary myelofibrosis with hepatosplenomegaly. The purpose of …


The Contribution Of Interaural Intensity Differences To The Horizontal Auditory Localization Of Narrow Bands Of Noise, Matthew H. Bakke Jan 1999

The Contribution Of Interaural Intensity Differences To The Horizontal Auditory Localization Of Narrow Bands Of Noise, Matthew H. Bakke

Dissertations, Theses, and Capstone Projects

Brief bursts of third-octave bands of noise (center frequencies at 0.5, 1.0, 2.0 and 4.0 kHz) and band pass noises with different degrees of low-frequency content (0.5 to 4.0 kHz, 1.0 to 4.0 kHz and 2.0 to 4.0 kHz) were recorded binaurally from 17 different horizontal locations (90 degrees on the left to 90 degrees on the right in 11.25 degree steps) one meter from the ears of an anthropomorphic mannequin (KEMAR) in an anechoic room and a reverberant room. The recorded sounds were processed by attenuating or removing interaural intensity differences and presented to five normally hearing subjects through …