Medicine and Health Sciences Commons^™

Interventions To Reduce Hiv/Aids Stigma: What Have We Learned?, Lisanne Brown, Lea Trujillo, Kate Macintyre

HIV and AIDS

Stigma is a common human reaction to disease. Throughout history many diseases have carried considerable stigma, including leprosy, tuberculosis, cancer, mental illness, and many sexually transmitted diseases. HIV/AIDS is only the latest disease to be stigmatized. This paper reviews 21 interventions that have explicitly attempted to decrease AIDS stigma both in the developed and developing countries and 9 studies that aim to decrease stigma related with other diseases. The studies selected met stringent evaluation criteria in order to draw common lessons for future development of interventions to combat stigma. This paper assesses published and reported studies through comparison of audiences, …

Acceptability Of The Female Condom After A Social Marketing Campaign In Campinas, Brazil, Horizons Program

HIV and AIDS

The female condom is a relatively new product that is intended to serve the dual role of protecting against unwanted pregnancy and sexually transmitted infections (STIs). Recent research has found moderate to high levels of initial trial and acceptance of the female condom among women. However, information is lacking about its continued use, particularly among women at high risk of HIV and other STIs. The female condom was registered in Brazil in January 1997 and since then has been available commercially through DKT, a social marketing organization. In addition to socially marketed female condoms, the Brazilian Ministry of Health has …

A Question Of Scale? The Challenge Of Expanding The Impact Of Non-Governmental Organisations' Hiv/Aids Efforts In Developing Countries, Jocelyn Dejong

HIV and AIDS

There are currently more than 36 million people living with HIV/AIDS globally, and in 1999 5.3 million individuals were newly infected with the virus. AIDS activities initiated by nongovernmental organizations (NGOs) have been highly influential on thinking and strategies found within the HIV/AIDS sector. Yet NGOs often experience particular difficulties in increasing the scale of their activities to reach larger numbers of people, to have an impact at levels higher than the community, and to address the broader social determinants of HIV/AIDS. Perceiving the urgent need for NGOs to expand the scale of their activities in the face of an …

Hiv And Partner Violence: What Are The Implications For Voluntary Counseling And Testing?, Carolyn Knapp

HIV and AIDS

Millions of women around the world face two great threats to their health and well-being: HIV/AIDS and violence by an intimate partner. One of the strongest associations between the two is the role that violence and the threat of violence play in limiting a woman’s ability to negotiate safer sex with a partner. A similar fear of violence also discourages women who receive HIV voluntary counseling and testing (VCT) from telling partners about test results. This study explored the links between HIV infection, serostatus disclosure, and partner violence among women attending a VCT clinic in Dar es Salaam, Tanzania. Researchers …

Reducing Hiv Infection Among Youth: What Can Schools Do? Key Baseline Findings From Mexico, South Africa, And Thailand, Holley Stewart, Ann P. Mccauley, Simon Baker, Martha Givaudan, Shegs James, Iwin Leenen, Susan Pick, Priscilla Reddy, Usasinee Rewthong, Patchara Rumakom, Dilys Walker

HIV and AIDS

Although many program planners see schools as a convenient location for HIV-prevention programs, there is controversy about whether school programs can ever be strong enough to go beyond improving knowledge and attitudes to increasing the adoption of safe sexual behaviors. Evaluations of school programs in Mexico, South Africa, and Thailand focus on this question: Can school HIV programs change behavior? In each country, local organizations have worked with educators on teacher training and course design to ensure high-quality school interventions. Researchers surveyed students’ knowledge, attitudes, norms, and reported behavior before the intervention, immediately after the intervention, and again several months …

Clinical Presentation And Treatment Outcome In Children With Nephroblastoma In Kenya, F.K. Abdallah, William Macharia

Paediatrics and Child Health, East Africa

Objective: To review the clinical presentation and management of children with nephroplastoma and the factors influencing the outcome at Kenyatta National Referral and Teaching Hospital (KNH).

Design: This was a retrospective case series study based on secondary data accumulated between 1990 and 1996.

Setting: The relevant data were extracted from records of all children aged 12 years and below, admitted for cancer at KNH, Nairobi.

Results: Out of 803 children with cancer, 71 (8.8% ) had histologically proven nephroblastoma. At presentation, 1.5% were in stage I, 13.2% stage II, 36.8% stage III, 41.2% stage IV and 7.4% stage V. Eighty …

Cationic Surfactant Mediated Hybridization And Hydrophobization Of Dna Molecules At The Liquid/Liquid Interface And Their Phase Transfer, Murali Sastry, Ashavani Kumar, Mrunalini Pattarkine, Vidya Ramakrishnan, Krishna N. Ganesh

Faculty Works

Hybridization of complementary oligonucleotides mediated by a cationic surfactant at the water/hexane interface leads to hydrophobic, double-helical DNA which may be readily phase transferred to the organic phase and cast into thin films on solid substrates.

Sustained Remission In A Case Of Lupus Nephritis With Cyclosporin Therapy, M A. Rabbani, S M. Shah, A Ahmad

Section of Nephrology

Systemic lupus erythematosus (SLE) in severe form still presents a major therapeutic challenge. Aggressive treatment of severe renal lesions has improved the prognosis of renal disease over the last decade. However, this benefit is quite frequently offset by the side effects and toxicity of the treatment. Moreover, the disease may appear to be poorly responsive to treatment with steroids and cytotoxic drugs. We report a case of lupus nephritis that relapsed despite having adequate steroid and cytotoxic therapy, but later was successfully treated with cyclosporin. Fifteen months after discontinuing the treatment with cyclosporin, the patient continued to remain in remission.

Using System Level Quality Measures To Improve Home And Community-Based Services In Maine, Julie T. Fralich Mba, Sue Nonemaker Rn, Ms

Disability & Aging

The purpose of this project was to identify a set of quality measures that could be used to profile the performance of Maine’s home and community based care (HCBS) system. The long term care system in Maine has been significantly restructured in the last five years. Funding for home care services has more than doubled and now represents approximately 20% of Medicaid and State funding for LTC. This has led to increased interest in assuring the quality of services that are being provided and developing ways to improve the delivery of services and outcomes for consumers.

Using assessment data from …

Alliances, The University Of New Mexico Health Sciences Center

Alliances

Semiannual magazine of the University of New Mexico Health Sciences Center.

Department Of Radiology-Annual Executive Summary Report-July 1, 2000 To June 30, 2001, David C. Levin , M.D.

Department of Radiology Administrative Documents and Reports

101 page Department of Radiology Annual Executive Summary Report, July 1, 2000 to June 30, 2001, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States.

Guanylyl Cyclase C (Gc-C) Inhibits Human Colon Carcinoma Cell Growth, Giovanni Mario Pitari

Department of Pharmacology and Experimental Therapeutics Faculty Papers

This is the presentation given for the 2001 Presidential Trainee Young Investigator Award, American Society for Clinical Pharmacology and Therapeutics. An abstract of the presentation has been published in Clin. Pharmacol. Ther., 69(2):P62, 2001. The presentation illustrates the role of the intestinal GC-C receptor as a negative regulator of cell proliferation and cell cycle kinetics in colorectal cancer. It suggests that paracrine GC-C hormones guanylin/uroguanylin are physiological inducers of the proliferation-to-differentiation transition along the intestinal crypt-villus axis. Importantly, the bacterial enterotoxin ST, a potent exogenous GC-C agonist, is offered as a potential cytostatic agent for the prevention and treatment of …

Assessment Of Clinical Partner Violence Screening Tools, Ann L. Coker, Brian O. Pope, Paige H. Smith, Maureen Sanderson, James R. Hussey

CRVAW Faculty Journal Articles

Objective: to compare the Women’s Experience with Battering Scale (WEB) with the Index of Spouse Abuse-Physical Scale (ISA-P) as screening tools to identify intimate partner violence (IPV).

Methods: We conducted a large cross-sectional survey of women age 18 to 65 attending one of two family practice clinics from 1997 to 1998. All women completed both the WEB and the ISA-P and a telephone interview. We figured agreement estimates between the two tools, used stratified analyses to evaluate attributes of those more likely to screen as battered or physically assaulted, and compared associations between the WEB and ISA-P and a range …

Hormonal And Barrier Methods Of Contraception, Oncogenic Human Papillomaviruses, And Cervical Squamous Intraepithelial Lesion Development, Ann L. Coker, Laura C. Sanders, Sharon M. Bond, Tsilya Gerasimova, Lucia Pirisi

CRVAW Faculty Journal Articles

We assessed the influence of hormonal (oral, injectable, or levonorgestrel [Norplant, Wyeth-Ayerst, Philadelphia, PA]) and barrier methods of contraception on the risk of cervical squamous intraepithelial lesions (SIL), while adjusting for high-risk (HR) HPV infection. Subjects were women receiving family planning services through the state health department clinics from 1995 to 1998. We selected 60 cases with high-grade cervical/SIL (HSIL) and 316 with low-grade cervical/SIL (LSIL) and controls (427 women with normal cervical cytology) and analyzed cervical DNA for HR-HPV, using Hybrid Capture I (Digene; Gaithersburg, MD).When assessing ever use, duration, recency, latency, and age at first use, neither oral …

Cerumen Composition By Flash Pyrolysis-Gas Chromatography/Mass Spectrometry, Craig N. Burkhart, Michael A. Kruge, Craig G. Burkhart, Curtis Black

Department of Earth and Environmental Studies Faculty Scholarship and Creative Works

Objective: To assess the chemical composition of cerumen by flash pyrolysis-gas chromatography/mass spectrometry.

Study Design: Collected earwax specimens were fractionated into residue and supernatant by means of deoxycholate. This natural bile acid produces significantly better disintegration of earwax in vitro than do presently available ceruminolytic preparations, and also has demonstrated excellent clinical results in vivo to date.

Patients: The sample for analysis was obtained from a patient with clinical earwax impaction.

Results: The supernatant is composed of simple aromatic hydrocarbons, C₅-C_{l 7} straight-chain hydrocarbons, a complex mixture of compounds tentatively identified as diterpenoids, …

Ada News Daily - 2001 Day 2, American Dental Association, Publishing Division

ADA News

The ADA News Daily (also called the ADA News Convention Daily) is a special edition of the ADA News published each day during American Dental Association Annual Sessions.

Hiv And Partner Violence: Implications For Hiv Voluntary Counseling And Testing Programs In Dar Es Salaam, Tanzania, Suzanne Maman, Jessie K. Mbwambo, Margaret Hogan, Gad P. Kilonzo, Michael D. Sweat, Ellen Weiss

HIV and AIDS

This study explored the links between HIV infection, serostatus disclosure, and partner violence among women attending a VCT clinic in Dar es Salaam, Tanzania. Men and women both perceive HIV testing as a way to plan for the future but are motivated to undergo testing by a number of different individual, relationship, and environmental factors. The women in our study described more barriers to HIV testing than did men, and women who have communicated with their partners about VCT before seeking services are significantly more likely to share their HIV test results than those who have not talked with their …

The Case For Microbicides: A Global Priority, Kathy Attawell

HIV and AIDS

The HIV/AIDS epidemic continues to spread, undermining development, reversing health gains, and exacerbating poverty. It will be some time before a vaccine is available and accessible, thus there is an urgent need to identify additional prevention options, in particular a method that women control, which could save millions of lives. This report from the Population Council and International Family Health presents the case for microbicides—products used vaginally to prevent infection from HIV and other STIs in women and their sexual partners—and discusses recent progress and developments, outstanding challenges, and the action required to ensure that products will be made available …

Making A Difference For Children Affected By Aids: Baseline Findings From Operations Research In Uganda, Laelia Gilborn, Rebecca Nyonyintono, Robert Kabumbuli, Gabriel Jagwe-Wadda

HIV and AIDS

Many organizations and programs have begun to provide services and support to AIDS-orphaned children in East and southern Africa. Typical program components include the provision of school fees and supplies, supplementary feeding, home-visiting programs in which community members visit and assist affected children, and vocational training. However, few of these programs have been formally evaluated for impact. This paper reports on baseline findings from a study of two programs for AIDS-affected children and their families implemented by PLAN International in the Luwero and Tororo districts of Uganda. One program, referred to as orphan support, provides educational, health, and nutritional assistance …

Setting Limits: Medical Technology And The Law, George P. Smith Ii

Scholarly Articles

The allocation and rationing of health care resources is, no doubt, one of the most pressing issues confronting contemporary society. These issues considered from a micro and a macro level of economic analysis are linked inextricably to utilitarianism which, in turn, relies upon a cost-benefit analysis which balances reasonable individual needs against the availability of medical resources within the larger community. From an ethical viewpoint, the cost-benefit approach to the distribution of health care resources is impractical because it seeks to reduce (or convert) all health benefits to dollar amounts, thereby seeking very awkwardly to convert quality of life benefits …

Effects Of Vestibular Rehabilitation Using The Dizziness Handicap Inventory, Jayme M. Bays

Physical Therapy Scholarly Projects

When individuals have an insult to the vestibular system they often experience symptoms including vertigo, decreased static and dynamic balance, and a decreased ability to participate in activities of daily living. The Dizziness Handicap Inventory (DHI) is a "dizzy-specific" questionnaire that was developed in 1990 to measure how dizziness and imbalance affect an individual's quality of life. It is an assessment tool, made up of physical, emotional, and functional sub-scales, that has reliability and is easy to administer and score. The purpose of this study was to measure the effectiveness of a vestibular rehabilitation program, using the Dizziness Handicap Inventory, …

Survey Of North Dakota Physical Therapists: Participation And Perceptions Of The American Physical Therapy Association (Apta) And The North Dakota Physical Therapy Association (Ndpta), Scott Cirks

Physical Therapy Scholarly Projects

The American Physical Therapy Association (APTA) is the professional association for physical therapists. The North Dakota Physical Therapy Association (NDPTA) is its section that serves the state of North Dakota. With tougher times falling upon the profession in recent years, therapist membership levels have dropped at an alarming rate. An attempt was made through this study to determine the role the APT A and NDPTA plays in member's and nonmember's lives and the role they would like it to play.

Surveys were sent to all of the 339 registered physical therapists in North Dakota. Each was asked to complete the …

An Electromyographic Analysis Study Of Forward And Backward Walking, Elizabeth Frye

Physical Therapy Scholarly Projects

Backward walking, a closed kinetic chain exercise, has become an increasingly popular intervention following lower extremity injuries secondary to suggested increases in muscle activity. Despite its use, there is limited research available relative to walking at inclines, forward or backward, above 24 and 15 percent respectively. For this study we recorded EMG activity in six muscles while walking forward and backward on a treadmill at 0, 25, and 35 percent inclinations.

In general, our results indicated a greater increase in muscle activity during BW than FW. BW at 35 percent inclination elicited the greatest EMG increase within the rectus femoris …

Analysis Of Wrist And Elbow Muscle Activity In Compound Versus Traditional Bows With Experienced Archers, Jesse Fuhrer

Physical Therapy Scholarly Projects

Archery is becoming more popular as a recreational sport, so it is likely that physical therapists will be seeing more archery-related injuries and will need to know how to treat these athletes. Few studies available specify which muscles are used when shooting compound or traditional bows. The purpose of this study is to identify the muscles around the wrist and elbow that are recruited from draw to release, the specific timing of this recruitment, and the differences in recruitment and muscle activity when using a compound bow compared to a traditional bow.

Six males between the ages of 37 and …

Physical Therapy Alumni Survey, Laurie Holte

Physical Therapy Scholarly Projects

This alumni survey on which this independent study is based was developed and distributed by the University of North Dakota Department of Physical Therapy (UND-PT) as an outcomes assessment tool for program evaluation. The results will be used by the faculty to determine the answer to these three research questions: who are the UND-PT alumni as related to their practice patterns, what is the future of physical therapy as a profession, and how effective is the UND-PT program in educating proficient entry-level therapists. With this information, the department will be able to make curriculum modifications and be better prepared to …

Determining The Need For Program Development For Women In Their Childbearing Years, Tami Kae Parker

Physical Therapy Scholarly Projects

The childbearing year for a woman is a time of physical change and adaptation that can potentially result in a variety of musculoskeletal problems. Acting as a clinician, educator, or consultant, physical therapists can offer a variety of services that would benefit women in their childbearing years. Despite the skilled services physical therapists have to offer, this population continues to display prevalent problems. As a result of these existing problems, a survey was constructed to provide direction for program development to promote the health and wellness of women in their childbearing years. The purpose of this study was to develop …

The Effects Of Elevated Shoe Heights On Static And Dynamic Balance In Healthy Younger Women, Rhett L. Randall

Physical Therapy Scholarly Projects

The purpose of this study was to determine the effects of elevated shoe heights on static and dynamic balance in healthy young women. The balance of 30 female volunteer subjects with ages ranging from 20 to 26 years (mean age = 22.3 years) was tested. Dynamic balance was tested using the limits of stability (LOS) test on the NeuroCom® Balance Master (NBM®), version 6.1 as well as the Functional Reach Test (FRT). Each subject's static balance was tested using the bilateral stance test on the NBM®. Subjects participated in a one time testing session which consisted of the performance of …

Yoga And The Effects On Balance, Hamstring Flexibility, And Blood Pressure, Katie M. Rood

Physical Therapy Scholarly Projects

Yoga is an ancient form of exercise and meditation that has recently gained popularity in the United States. Medical research regarding the benefits of yoga, however, continues to be in demand. The purpose of this study was to determine the effects of yoga on normal healthy individuals. The focus of this study revolved around balance, hamstring flexibility, and blood pressure changes after six weeks of yoga training.

Eighteen normal healthy individuals between 20-33 years of age participated in this study. Subjects were assessed using the NeuroCom®Balance Master test for rhythmic weight shift (RWS), the Functional Reach Test (FRT), the measure …

The Effects Of Plyometrics And Treadmill Training On Balance And Reaction Time In High School Aged Athletes, Marcus Sorenson

Physical Therapy Scholarly Projects

High school athletes' involvement in sports acceleration training has grown in recent years. Athletes use acceleration programs to help gain an edge over their competition. One way to gain that edge is by improving balance and reaction time. These two components are important in a wide variety of sports. Both help to minimize injury and increase the skill level and performance of the athlete. Although balance and reaction time are essential in sports, there is currently no research available involving these components.

The purpose of this study is to determine if the Altru Health Institute's Sports Acceleration plyometric and treadmill …

TʻAi Chi Chih And Its Effects On Balance And Blood Pressure, Anita Strand

Physical Therapy Scholarly Projects

Our society is faced with more stress, injury, and disease every year. Besides the traditional medicine that we know so well in the Western cultures, people are trying more non-traditional therapies to alleviate their aches and pains. One of these non-traditional therapies that is becoming popular is Tai Chi. The purpose of this study is to determine if balance can be improved and/or blood pressure can be reduced in adults ages 20-39 by practicing Tai Chi Chih three times a week for six weeks.

Eleven subjects participated in Tai Chi Chih, and seven subjects participated in a walking program, each …