Medicine and Health Sciences Commons^™

The Clinical Irrelevance And Scientific Invalidity Of The "Minority" Notion: Deleting It From The Social Science Vocabulary, Doris Wilkinson

The Journal of Sociology & Social Welfare

A systematic socio-linguistic and historical analysis of the minority label reveals its multiple irregularities and imperfections. These encompass a misleading array of vastly dissimilar nationality or group designations and the erroneous comparison of behaviors and life styles with racial status. As it is currently applied in U.S. political culture and in a variety of disciplines including sociology and social work, the concept has virtually no substantive meaning nor reality-linked usefulness. A thorough appraisal of the consequences of the perpetual reliance on the notion demonstrates that it eradicates ethnic cultural diversity and ignores historical antecedents and the "lived" experiences of oppressed …

Protein-Protein Interactions And Muscle Cell Signaling Via Syntrophin, Shilpa A. Oak

Theses and Dissertations (ETD)

Absence of dystrophin results in Duchenne muscular dystrophy (DMD), a lethal neuromuscular d isorder that afflicts 1 in 3500 live male births. In the sarcolemma, dystrophin is associated with a complex of proteins and glycoproteins, known as the dystrophin glycoprotein complex. The DGC constituents are dystrophin, a-dys troglycan, b-dystroglycan, syntrophin, a-sarcoglycan, b-sarcoglycan, g-sarcoglycan, d-sarcoglycan, and sarcospan. Not al l of these are single protein species. The syntrophins consists of a group of three homologous proteins composed of acidic (a) and basic (b) components. Syntrophins are known to self-associate to form oligomers.

In this dissertation, syntrophin's oligomerization and its interactions with …

Center For Professional Ethics, Volume 3, Issue 4, [2002], Case Western Reserve University

Center for Professional Ethics

Table of Contents:

• Theater and the Law: Periaktos Productions Unites Them Again
• Word of Mouth: A Workshop in Communication Ethics
• Quotable Quotes
• June 26, 2002, Cleveland Bar Association: A Panel Discussion on Ethics, Clarence Darrow and the Law
• From the Impeach Justice Douglas! Performance: Perspectives on Mr. Justice Douglas and the Constitution
• The CWRU Law-Medicine Center presents: Gaps and Inequity in America's Health Care System
• Director's Corner: Hard Questions for Dark Times by Robert P. Lawry

Pain Experienced By Patients During Periodontal Recall Treatment, Thu-Diem Chung

Loma Linda University Electronic Theses, Dissertations & Projects

The aims of this study were to determine; 1) the degree of pain experienced by patients during probing and debridement; 2) if the treating hygienists could estimate the degree of pain experienced by the patients; and 3) if the patients' pain responses could be predicted by factors such as the patients' age, gender, number of residual periodontal lesions, and the patients' answers to a questionnaire on dental anxiety.

Prior to the maintenance procedures, 2 groups of 20 adult patients to be treated by 2 hygienists completed an anxiety questionnaire. Subsequently, measurements of probing depths were performed, followed by pain ratings …

Inducible Gene Expression In Cell Cultures And In Microencapsulated Cells, Yong Yu

Loma Linda University Electronic Theses, Dissertations & Projects

The mifepristone-regulated transcriptional activation system provides a means to exogenously control gene expression in transformed mammalian cells in a temporal and spatial fashion. Such a promoter activation system consists of three components: The first of these is a steroidal inducer drug, mifepristone. This drug binds to the second component, a chimeric transcription factor complex, consisting of the mutant human progesterone receptor fused to the yeast GAL4 DNA-binding domain and the Herpes simplex virus protein VP 16 activation domain. The third component is a synthetic promoter, consisting of a series of GAL4 recognition sequences upstream of the adenovirus major late E1B …

The Role Of Psychologists In Primary Care: An Integrative Curriculum, Gary Charles Hawley

Loma Linda University Electronic Theses, Dissertations & Projects

Psychologists have been service providers in the health care sector for many years. They are consistently recognized as valued members of health care teams but are not frequently included as primary care providers. Integrated primary care services that include psychologists are a positive step toward achieving a comprehensive model of patient care. The biopsychosocial model is suggested to supplant the current biomedical model for health and wellness conceptualization. Psychologists are trained in the dynamic interplay between biological, psychological, and social domains. However, education at the graduate level for psychologists working specifically in primary care has not been well conceptualized, developed …

Effect Of Electrode Size, Shape, And Placement On Electrical Current And Subject Comfort During Electrical Stimulation, Bonnie J. Forrester

Loma Linda University Electronic Theses, Dissertations & Projects

Six healthy subjects were studied to determine the optimal size, shape and placement of stimulating electrodes during the application of electrical stimulation (ES) to the biceps, quadriceps, and tibialis anterior muscles. Subjects were recruited to allow for diversity in age, sex, and skin pigmentation. Subjects sat in a custom designed multi-positional chair, which allowed precise positioning of each extremity. After determining the maximal voluntary contraction (MVC) of the muscle and careful determination of the motor point, ES, with a biphasic square wave of 300 ms duration and a frequency of 30 Hz, was used to bring the muscle to 10% …

Microleakage Of Various Restorative Materials Used For Preventive Resin Restorations, Jenny Chung Lee

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: This research was designed to compare the microleakage of various restorative materials used for preventive resin restorations and two methods of cavity preparation. The purpose of this study was: (1) to compare microleakage of four different restorative materials using two different type of preparation methods (bur and air particle abrasion) and (2) whether the use of a pit and fissure sealant over the restoration decreases microleakage.

Methods: One hundred and twenty eight, permanent human molars were randomly divided into four groups and restored with four restorative materials. Each group had been randomly divided into two subgroups. The teeth in …

The Effects Of A Hypocaloric Diet Enriched In Oleic Acid Using Almonds Versus Complex Carbohydrates On Metabolic And Anthropometric Parameters During Weight Reduction, Michelle Ann Wien

Loma Linda University Electronic Theses, Dissertations & Projects

The purposes of this study were to determine the effect of almonds rich in oleic acid as an alternative to complex carbohydrates on metabolic and anthropometric parameters during weight reduction and to evaluate self-reported satiety and satisfaction. A convenience sample of 57 adults was recruited from the Diabetes and Cardiovascular Risk Reduction Program at City of Hope National Medical Center. Subjects were randomized to an almond-enriched hypocaloric diet or to a complex carbohydrate-enriched hypocaloric diet for twenty-four weeks. Mixed model analysis showed that the use of almonds more favorably influenced weight loss (p< 0.0001), body mass index (p = 0.0001), waist circumference (p = 0.0255) and fat mass (p = 0.0205) compared to complex carbohydrates. Additionally, blood ketone levels were statistically significantly higher in the almond group (p = 0.0230) than in the complex carbohydrate group. No significant difference was found in the total cholesterol:HDL ratio between the groups, however both groups had statistically improved ratios over time with resulting decreases in cardiovascular risk. The glucose (p = 0.0006), insulin (p< 0.0001), insulin:glucose ratio (p = 0.0008), HgbAlc (p

The Relationship Between The Osteonal Cement Line And Bone Strength, Avery Kazuhiro Egerer

Loma Linda University Electronic Theses, Dissertations & Projects

Bone includes many structural and chemical components which provide both flexibility and strength. One such structure is the cement line, a 1-5 μm-thin structure located primarily in compact bone. Past research has correlated the pathological condition of “shin splints” with the micro-damage of bone, which often follows cement lines. It has been suggested that cement lines have rather paradoxical properties. Upon fatigue fracture of bone, microcracks often travel along cement lines and become trapped. This trapping and subsequent dispersion of energy have been hypothesized to prevent a complete fracture from occurring, extending bone life. Cement lines have been implicated in …

What Do We Assess When We Assess A Big 5 Trait? : A Content Analysis Of The Affective, Behavioral, And Cognitive Processes Represented In Big 5 Personality Inventories, Lisa M. Pytlik Zillig, Scott H. Hemenover, Richard A. Dienstbier

Department of Psychology: Faculty Publications

What are personality traits? Are all “broad” traits equally broad in the constructs they encompass and in the pervasiveness of their effects? Or are some traits more or less affective, behavioral, or cognitive in nature? The present study examined these issues as they applied to the Big 5 traits of Neuroticism, Extraversion, Openness, Agreeableness, and Conscientiousness. Expert and novice raters judged the extent to which items from four popular Big 5 inventories contain behavioral, cognitive, or affective components. Traits and inventories were then compared in terms of their relative assessment of these components. Results indicate convergence among inventories but remarkable …

Evaluation Of A Comprehensive Diabetes Disease Management Program: Progress In The Struggle For Sustained Behavior Change, Janice Clarke, Albert Crawford, David B. Nash

College of Population Health Faculty Papers

The successful management of diabetes with a goal of achieving near-normoglycemia requires patients to make multiple lifestyle changes as part of an intensive, complex, and coordinated therapeutic regimen aimed at reducing the risk of complications associated with the disease. The difficulty in creating and sustaining these lifestyle behavior changes is a major stumbling block in achieving the desired therapeutic goal. An underlying assumption of comprehensive disease management is that regular, personal contact with nurses and ancillary health professionals will facilitate these lifestyle behavior changes for program participants. The results of a survey of self-reported data from 750 participants in a …

Respiratory Infectionss And Allergy In Children, N. Prapphal

Chulalongkorn Medical Journal

No abstract provided.

Dirofilaria Repens : A Minor Human Filarial Parasite, V. Wiwanitkit, C. Chongboonprasert

Chulalongkorn Medical Journal

No abstract provided.

Clinical And Laboratory Differences Between Childrenwith Primary And Secondary Dengue Infection, C. Pancharoen, S. Urupongpisarn, C. Thisyakorn, U. Thisyakorn

Chulalongkorn Medical Journal

No abstract provided.

The Causes Of Delayed Speech And Language Developmentin Children At Out Patient Clinic Of The Pediatric Department,King Chulalongkorn Memorial Hospital, P. Suntipraron, C. Pruksananonda

Chulalongkorn Medical Journal

No abstract provided.

The Many Faces Of Food Allergy, P. Chathcatee

Chulalongkorn Medical Journal

No abstract provided.

Nitric Oxide: A Mediator In The Gastrointestinal Tract, D. Thong-Ngam

Chulalongkorn Medical Journal

No abstract provided.

Cancer Patterns In Karachi Division (1998-1999), Y. Bhurgri, S. Naseeruddin, S. A. H. Zaidi, A. Bhurgri, Z. A. Zaidi, S. H. Hasan, A. Usman, N. Faridi, K. Z. Hashmi, H. Ahsan, J. Malik, M. Khurshid, Shahid Pervez, Naila Kayani, S. M. H. Zaidi, I. Bashir, Z. Isani, F. Sethna, S. M. Aiam

Department of Pathology and Laboratory Medicine

Objective: A minimal cancer incidence data for Karachi, the largest city of Pakistan, is being presented here, for the years 1998-1999. The city has a population of 9,802,134; males 5,261,712 (52.6%) and females 4,540,422 (47.4%); census 19981.

Methodology: A predominantly mixed (passive and active) registration system has evolved in Karachi, the data sources being the hospitals within the Karachi Division. The reported/retrieved cancer data sets at the Karachi Cancer Registry are checked, coded, computerised in an analytical format and analysed.

Results: The incident cancer cases registered in Karachi, during the 2-year period, 1st January 1998 to 31st December 1999 were …

The Impact Of Systematically Varying The Duration Of Breath Samples During Infrared-Based Alcohol Breath Testing, Chris C. Clatterbuck

Dissertations

The present study set out to investigate the reliability and performance of the BAC DataMaster®, an infrared-based alcohol breath testing instrument. The focus of this study was to determine: (a) the impact of varying breath sample duration during testing, (b) if Blood Alcohol Concentration (BAC) levels produced by the DataMaster® (BAC_DM) are significantly different from BAC levels produced by analysis of whole blood (BAC_WB), and (c) if the relationship between BAC_DM estimates and BAC_WB is influenced by the amount of alcohol an examinee has ingested. Each of 27 participants was randomly assigned to one …

An Electron Microscopic Study From Blood Cells And Platelets Of Swamp Buffaloes (Bubalus Bubalis), Wimon Pothiwong, Siripen Vethchagarun, Kriengyot Sajjarengpong, Adisorn Adirekthaworn

The Thai Journal of Veterinary Medicine

Blood cells and platelets from five swamp buffaloes, three males and two females, were studied by electron microscope. The blood cells could be categorized into red blood cells, white blood cells and platelets. The red blood cells were round and had neither nucleus nor organelles. The white blood cells were divided into two groups; one with granules and the other without granules. The granulocytes (neutrophil, eosinophil and basophil) were round or oval and their nuclei were lobulated. The cytoplasm contained free ribosomes, a few mitochondria and endoplasmic reticulum. Specific granules of various sizes were distributed in the cytoplasm and the …

Too Many Of A Good Thing? The Effects Of Multiple Motivations On Stress, Cost, Fulfillment, And Satisfaction , Marc T. Kiviniemi, Mark Snyder, Allen M. Omoto

Department of Psychology: Faculty Publications

Individuals engage in behaviors to satisfy motivations and can engage in the same behavior to satisfy a variety of different motivations. Previous research has examined how differences in the overall amount of motivation influence outcomes but has not addressed how differences in the number of conceptually distinct motivations one has for a particular action influence outcomes. In two longitudinal field studies, individuals with more than one motivation for volunteering experienced greater negative outcomes than did those who volunteered to satisfy a single motivation. A laboratory study manipulated the number of motivations individuals had for engaging in a volunteer activity. Individuals …

Stretch-Induced Calcium Release In Smooth Muscle., Guangju Ji, Robert J Barsotti, Morris E Feldman, Michael I Kotlikoff

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Smooth muscle cells undergo substantial increases in length, passively stretching during increases in intraluminal pressure in vessels and hollow organs. Active contractile responses to counteract increased transmural pressure were first described almost a century ago (Bayliss, 1902) and several mechanisms have been advanced to explain this phenomenon. We report here that elongation of smooth muscle cells results in ryanodine receptor-mediated Ca(2+) release in individual myocytes. Mechanical elongation of isolated, single urinary bladder myocytes to approximately 120% of slack length (DeltaL = 20) evoked Ca(2+) release from intracellular stores in the form of single Ca(2+) sparks and propagated Ca(2+) waves. Ca(2+) …

Crossed Aphasia : Report Of Two Cases, Chih-Hsiang Ho, Fan-Fei Tseng, Liu-Ing Bih, Shu-Fen Tseng

Rehabilitation Practice and Science

Crossed aphasia is defined as aphasia due to right hemisphere lesion in dextrals. It is a rare syndrome. It was reported first time in 1899, then it elicited much discussion and studies. Nowadays the pathophysiology of crossed aphasia is still unclear. According to the site of lesion and the characteristics of language, crossed aphasia can be divided into two types. Type I is ”mirror – image”, the features are similar to the left hemisphere lesions. Type II is ”anomalous”, the language features are different from the typical left hemisphere aphasia. The studies of this syndrome are very rare in our …

Effect Of Added Mass On Human Unipedal Hopping, Gary P. Austin, Gladys E. Garrett, David Tiberio

All PTHMS Faculty Publications

Although hopping is considered a children's activity, it can be used to provide insight into the neuromuscular and biomechanical performance of adults. This study investigated whether mass added during unipedal hopping altered the vertical stiffness, hopping period, and angular kinematics of the lower exteremity of adults. Measures of two-dimensional kinematics and vertical force were made from 10 healthy men during hopping at a preferred period under three conditions: Body Mass, Body Mass +10%, and Body Mass +20%. Adding mass significantly increased hopping period and hip flexion without significantly affecting vertical stiffness, ankle dorsiflexion, or knee flexion. Overall, the findings agreed …

Effect Of Frequency On Human Unipedal Hopping, Gary P. Austin, David Tiberio, Gladys E. Garrett

All PTHMS Faculty Publications

All mature forms of locomotion involve periods of unilateral stance. Unipedal hopping may provide useful information about the neuromuscular and biomechanical capabilities of a single lower extremity in adults. This study investigated whether hopping influenced vertical stiffness and lower extremity angular kinematics during human unipedal hopping. Vertical force and two-dimensional kinematics were measured in 10 healthy males hopping at three frequencies: preferred, +20%, and -20%. At +20%, compared to preferred, vertical stiffness increased 55% as hip flexion, knee flexion, and ankle dorsiflexion decreased, while at -20%, vertical stiffness decreased 39.4% as hip flexion, knee flexion, and ankle dorsiflexion increased. As …

A Problem-Based Learning Approach To Facilitate Evidence-Based Practice In Entry-Level Health Professional Education, Michelle M. Lusardi, Pamela Levangie, Beverly D. Fein

All PTHMS Faculty Publications

This article will provide an overview of the problem-based learning process, and an illustration of how problem-based learning can facilitate development of critical appraisal necessary for evidence-based practice. It will trace the development of problem-based learning as an educational methodology for entry-level health professional education. The information seeking and appraisal themes common to both problem-based learning and evidence-based practice will be examined, along with the roles and responsibilities of faculty and tutors who are part of problem-based learning courses or curricula. Examples of strategies for student assessment will be discussed, for both mastery of didactic content and for contribution to …

Jefferson Alumni Bulletin - Volume 51, Number 3, June 2002

The Bulletin (formerly the Jefferson Medical College Alumni Bulletin)

Jefferson Alumni Bulletin – Volume 51, Number 3, June 2002 New Appointments; Page 4 Gift of Health: Herbert Kean Endows Chair in Otolaryngology; Page 6 Investigations: Zebrafish: A Potential Community Outreach Program; Page 7 Hospital Appointments; Page 10 Match Day; Page 12 Profile: Urologic Surgery’s “Real Deal”; Page 14 Profile: When Terror Hit the Pentagon, Stephen Frost’s Reaction Was: Tend the Injured; Page 16 Profile: Searching for the Cause of the Rash That’s Itching Pupils; Page 17 In Memoriam; Page 18 Class Notes; Page 19 Building on Knowledge of Angiogenesis, Invention Provides Hope to the Obese; Page 22 Griffith Heads …

Acute Urinary Retention Associated With Herpes Zoster : A Casereport, Jyh-Yuh Ke, Chia-Ying Chung, Fuk-Tan Tang, Ming-Che Chao, May-Kuan Wong

Rehabilitation Practice and Science

Urinary retention is an uncommon complication of herpes zoster infection. It may happen secondary to a neurogenic bladder when the sacral dorsal root ganglia are involved. As a result, painful vesicular eruptions spreading over sacral dermatomes, such as buttock and perineum, may develop. Bladder and/or bowel dysfunction may occur as well, including urinary retention, constipation, and/or incontinence. The herpes zoster lesions usually have an unilateral dermatomal distribution. A 55-year-male patient with herpes zoster infection involving bilateral S2-S4 dermatomes is demonstrated. Acute urinary retention occurred 2 days before skin vesicular eruptions. His urine analysis revealed normal finding. Urodynamic study was taken …

The Disease Model Of Alcoholism: A Kuhnian Paradigm, Brian E. Bride, Larry Nackerud

The Journal of Sociology & Social Welfare

Despite the fact that the disease model of alcoholism has lost its status as paradigm in international circles, the alcoholism research and treatment community in the United States maintains steadfast allegiance to the tenets of the disease model. The disease model and the related treatment goal of abstinence continue to overwhelmingly dominate the treatment of alcoholism in the U.S. Critics have suggested that financial and political motives have served to maintain the dominance of the disease model, despite findings that violate its basic tenets. This paper presents an alternative explanation of the reluctance of the alcoholism treatment community to relinquish …