Medicine and Health Sciences Commons^™

What's Happening: June, 2003, Maine Medical Center

What's Happening

No abstract provided.

Welfare Reform: Adolescent Girls In Transition: A One-Year Follow-Up Study, Roger A. Boothroyd, Mary I. Armstrong, Angela Gomez, Haynes Diane

Mental Health Law & Policy Faculty Publications

The report summarizes the findings from a one-year follow-up study examining the current well-being and predictors of future hopes and aspirations of adolescent girls living in families receiving TANF. This mixed-method study includes two phases. Phase 1 involved face-to-face interviews using various standardized measures with 125 mothers who were receiving TANF in 2002 and their daughters while Phase 2 included in-depth qualitative interviews with a random sample of 20 adolescent girls participating in Phase 1. One year re-interview rates were 92% for Phase 1 interviews and 90% for Phase 2 interviews.

Statewide Penetration And Standard Costs Of Psychotropic Medications, Mary R. Murrin

Mental Health Law & Policy Faculty Publications

This study will examine differences in pharmaceutical utilization rates relative to financial risk arrangements of differing insurance plans. During the last four years we have noted consistent differences in utilization of expensive, psychotropic medications between individuals enrolled in Health Maintenance Organizations (HMOs), which are at financial risk for the provision of pharmaceuticals, and the MediPass program in which the state bears the risk of pharmacy expenses. Persons in HMOs had lower levels of utilization.

If Due Process Is A Big Tent, Why Do Some Feel Excluded From The Big Top, William S. Mattingly

West Virginia Law Review

No abstract provided.

Actinomyces Pyogenes Causante De Aborto En Bovinos, Mariluz Araínga, Nieves Sandoval Ch., Erik R. Zacharias, Hermelinda Rivera G.

Journal Articles: Pharmacology & Experimental Neuroscience

A case of fetal bovine abortion due to Actinomyces pyogenes in a dairy herd of Cieneguilla valley of Lima, Peru is reported. A bovine fetus of four months of gestation was aborted and submitted for laboratory examination. Macroscopic lesions in fetal tissues were not found with the exception of numerous white foci up to 1mm in diameter in the lungs. Various fetal tissue samples were collected for virologic, bacteriologic and histopathologic examinations. Bovine viral diarrhea virus (BVDV) and Neospora caninum antigen were ruled out by immunohistochemistry but, pure colonies of A. pyogenes were isolated from the lung and other fetal …

General Physicians' Perspective Of Sleep Apnea From A Developing Country, Syed Fayyaz Hussain, Sumaiya Zahid, Raana Haqqee, Javaid Ahmed Khan

Section of Pulmonary & Critical Care

To assess the knowledge of general physicians about the diagnosis and management of obstructive sleep apnea (OSA), a self-administered questionnaire, containing 15 questions, was distributed to 160 doctors attending a pulmonary CME program in March 2002. After 15 minutes of response time, the questionnaires were collected. The data were entered and analyzed using SPSS (Version 10.0) software. One hundred and twenty (75%) questionnaires were returned. Only 41% of responders had ever read an article about OSA and 36% had suspected it at least once in their practice. The majority (61-77%) of responders were aware of the common symptoms of OSA, …

Bridging Oceans: An Occupational Therapist's Journey Toward Client-Centeredness, Anna Liedberg Miron

Masters Theses

This study blends an autobiographical approach with a person's own narrative about her recovery experience to create an analytic framework for exploring how narratives of clients and practitioners can be used to inform occupational therapy practice. Beth and I shared 12 hours of audio-taped conversations about her recovery/rehabilitation experience one year after she had experienced a stroke. Beth was intimately involved in the process of editing her story during the research process. Narrative analysis that takes into account the flow of time was used in addition to identification of key stories that Beth felt were important in her recovery-process. Congruence …

Athletic Trainers' Perceptions Of Competence In Therapeutic Exercise, Christopher J. Jones

Masters Theses

As the athletic training profession continues to expand, it is necessary to evaluate the preparedness of the entry-level certified athletic trainer (ATC). The purpose of this research is to determine if entry-level certified athletic trainers perceive that they have the knowledge and skills necessary to perform specific tasks related to therapeutic exercise.

An online questionnaire was sent out to 450 entry-level certified athletic trainers in District Four. A total of 69 subjects returned the survey for a response rate of 15.3%. The questionnaire utilized a Likert-type scale consisting of questions derived in the area of therapeutic exercise of the NATA …

Effect Of Proprioceptive Input Combined With “Handwriting Without Tears” On The Handwriting Of Children With Learning Disabilities, Jodie M. Guy

Masters Theses

The purpose of this study was to investigate the effectiveness of"Handwriting Without Tears" on students' handwriting, and to explore if providing proprioceptive input before implementing "Handwriting Without Tears" has an effect on the legibility and accuracy of handwriting. Three first-grade and three second-grade students who received direct occupational therapy services were divided into two treatment groups. Those students in treatment group A received a combination of proprioceptive input and the "Handwriting Without Tears" program during their treatment session. Those students in treatment group B received only the "Handwriting Without Tears" program. Each student completed the Minnesota Handwriting Test (MHT) before …

Experience In 118 Consecutive Patients Undergoing Ct-Guided Stereotactic Surgery Utilizing The Cosman-Robert-Wells (Crw) Frame, G. R. Sharma, H. Siddiqui, Rashid Jooma

Section of Neurosurgery

Aims: To evaluate the efficacy of CT-guided neurosurgical procedures done on patients operated by this modality.
Methods: Between January 1997 and March 2000, 118 patients undergoing CT-guided stereotactic procedures were recruited to the study. The CRW III stereotactic system (Radionics, USA) and the TSX-00ZA CT Scanner (Toshiba, Japan) were used for all the procedures in the series. These procedures were directed to symptomatic brain lesions or for the treatment of Parkinsonian tremor.
Results: Of 118 patients, 109 had intra-cranial lesions and 9 had Parkinson's Disease. The stereotactic procedures performed on these patients were: biopsies in 62, guided mini-craniotomies in 22, …

Response To Craniosacral Therapy In An Infant With Plagiocephaly, Amy Taylor Johnson

Masters Theses

Objective

The purpose of this study was to examine the effect of utilizing craniosacral therapy (CST) techniques to influence head symmetry and motor skill development of an infant with plagiocephaly. The study is an ex post facto single case study, analyzing the results of data from previously conducted intervention utilizing a craniosacral therapy approach.

Method

The infant in this case study received gentle hands on treatment using the cranium and sacrum to influence the membrane system that encloses the cerebrospinal fluid. Developmental positioning, myofascial release, and sensorimotor techniques were incorporated. The student investigator treated the infant 8 times over a …

The Management For Myofascial Trigger Points, Chang-Zern Hong, Emerson Meng-Fong Jou, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen

Rehabilitation Practice and Science

Myofascial pain syndrome is very common in clinical practice. It is characterized by the existence of myofascial trigger points (MTrPs), which is a hypersensitive spot in a taut band of skeletal muscle fibers. In general, active MTrPs should be treated conservatively (non-invasive treatments including physical therapy) prior to the consideration of aggressive therapy (invasive treatments including injection and surgery). The most important strategy of MTrP therapy is to find out the etiological lesion that causes the activation of MTrPs and to treat the underlying pathology. If the treatment of underlying etiological lesion is not appropriate, the MTrP cannot be inactivated …

The Prevalence Of Scoliosis In The Institutionalized Non-Cerebral Palsy Mentally Retarded Patients, Chi-Hung Chiu, Li-Wen Liao, Young-Hue Yu, I-Chiun Lu, Ming-Fong Tsai, Chien-Hui Li

Rehabilitation Practice and Science

This study aimed to assess the prevalence, severity, and correlation between non-cerebral palsy mental retardation and scoliosis in a special education institute in Taipei. Adam's forward bending test was used to clinically screen 237 mental retardation non-cerebral palsy patients for scoliosis. Those patients with positive forward bending tests were referred for standing spinal radiographs, so that the Cobb angle could be quantified to allow evaluation of the severity of the scoliosis. Of the 237 students, 41 (17.3%) had positive signs in the screening test (female:16.19%, male:18.18%). All 41 patients then underwent standing spinal radiographs and the results revealed a scoliosis …

The Correlation Of Clinical Course And Magnetic Resonance Image Findings Of Radiation Myelopathy:A Casereport, Jiunn-Horng Kang, Yen-Ho Wang, Kou-Mou Huang

Rehabilitation Practice and Science

We described a case of radiation myelopathy (RM). The correlations of evolutional changes in magnetic resonance image (MRI) findings in three years with clinical symptoms and treatment responses in different stages of the disease were discussed. We also describe some special rehabilitative consideration for RM patients. Cord enlargement with contrast-enhancement showed in MRI findings corresponding to rapid neurological deterioration. Some neurological improvement after anti-coagulation and I steroid therapy was observed in this stage. Cord atrophy without contrast-enhancement was showed in following MRI. The neurological deficits still progressed slowly in this stage and almost did not response to the treatment. We …

Spontaneous Intracranial Hypotension: A Casereport, I-Chou Wang, Jue-Long Wang, Yuk-Keung Lo, Sung-Lin Yu, Shwu-Fen Sun

Rehabilitation Practice and Science

Spontaneous intracranial hypotension (SIH) is a syndrome with feature of low cerebrospinal fluid pressure (CSF) resulting from CSF leakage without any history of dural puncture, surgery, or penetrating trauma. The most characteristic feature of the syndrome is a postural headache. The headache is accentuated when the patient is in the upright position and relieved in the recumbent position. Associated symptoms include stiff neck, nausea, vomiting, tinnitus, hyperacusis, deafness, photophobia, diplopia, nystagmus, visual loss, vertigo, anorexia, malaise, and cranial nerves palsy. SIH is treated by bedrest with fluid supplementation, oral caffeine, intrathecal saline infusion or epidural blood patch. If postural headache …

An Evaluation Of Methylphenidate Preference In Adults Diagnosed With Attention-Deficit/Hyperactivity Disorder, Emily Kathleen Macdonald

Dissertations

Methylphenidate (MPH) is widely used in the treatment of ADHD, and is associated with positive effects across a wide range of domains. In spite of the clinical effectiveness of MPH, concern has arisen with respect to its abuse potential. The present study examined the reinforcing effects and participant-rated effects of MPH in adults diagnosed with ADHD. Participants included 10 volunteers (ages 18-22) diagnosed with ADHD who were receiving MPH treatment. The reinforcing effects were assessed using a double-blind choice procedure with 4 sampling and 8 choice sessions. During sampling sessions, participants completed a self-report questionnaire before receiving either placebo or …

A Genetic Evaluation Of Production Traits For Dairy Cattle In Thailand, Jureeratn Sanpote, Sayan Buaban

The Thai Journal of Veterinary Medicine

A study of genetic parameters, breeding values, genetic and phenotypic trends, 305-day milk, fat and protein yields was carried out using 6,357 pedigree and milk records of Holstein Friesian crossbreds, recorded between 1990-2002, in the Master bull project database, Artificial Insemination Division. First lactations, with a lactation length of more than 150 days, were adjusted to a 305-day yield and Restricted, Maximum Likelihood (REML), estimated, variance components. Genetic parameters and breeding values were estimated using the Best Linear Unbiased Prediction (BLUP). The results showed that the average 305-day milk, fat and protein yields were 3,651.87 ± 904.97, 138.32± 39.98 and …

Pharmacy Newsletter : June 2003, Pharmacy Department

Department of Pharmacy Archives

Content:

• Drug Induced Liver Injury
• Drug Expiration Date Clarification

Commencement Program 2003, Loma Linda University

Commencement Programs

CONTENTS

2 | 2003 Events of Commencement

3 | The Academic Procession

4 | Significance of Academic Regalia

5 | The Speakers

12 | The University Honorees

21 | The School Honorees

29 | The Programs

• School of Medicine, 30
• School of Dentistry, 37
• Graduate School, 45
• School of Nursing, 55
• School of Allied Health Professions - Physical Therapy, 60
• School of Allied Health Professions, 68
• School of Public Health, 77

Oncolog, Volume 48, Number 06, June 2003, Dawn Chalaire, Sunni Hosemann, Kate O'Suilleabhain, Kerry L. Wright, Daniel J. Booser Md

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• Largest-Ever NCI Trial to Study Lung Cancer Screening
• “What Choices Do I Have?” Breast Reconstruction Book and CD-ROM Help Patients Make Complicated Decisions
• House Call: Coping with the Adverse Effects of Cancer Treatment
• New Proton Therapy Center to Deliver Radiation with Precision, Few Side Effects
• DiaLog: Treating Breast Cancer with Hormone Therapy: Past, Present, and Future, by Daniel J. Booser, MD, FRCPC, Associate Professor, Department of Breast Medical Oncology

Identification Of Herpes Simplex Virus Type 1 Latency-Associated Transcript Sequences That Both Inhibit Apoptosis And Enhance The Spontaneous Reactivation Phenotype, Ling Jin, Weiping Peng, Guey-Chuen Perng, David J. Brick, Anthony B. Nesburn, Clinton J. Jones, Steven L. Wechsler

School of Veterinary and Biomedical Sciences: Faculty Publications

The herpes simplex virus type 1 (HSV-1) latency-associated transcript (LAT) gene is essential for the high spontaneous and induced reactivation phenotype of HSV-1 in the rabbit ocular model and for the high induced reactivation phenotype in the mouse ocular model. Recently we showed that LAT has an antiapoptosis function, and we hypothesized that LAT’s ability to inhibit apoptosis played an important role in LAT’s ability to enhance the reactivation phenotype. Expression of just the first 1.5 kb of the 8.3-kb LAT gene is sufficient for both inhibition of apoptosis in an in vitro transient-transfection assay and the high spontaneous reactivation …

Commencement, Philadelphia (2003), Philadelphia College Of Osteopathic Medicine

Commencements

Philadelphia Campus D.O. Commencement Program, 112th Class. Degrees include Doctor of Osteopathic Medicine.

Commencement Speaker: Edward G. Rendell, Governor, Commonwealth of Pennsylvania.

Center For Professional Ethics, Volume 4, Issue 3, 2003, Case Western Reserve University

Center for Professional Ethics

Table of Contents:

• Creating an Environment That Promotes Responsible Research Conduct by Dr. Caroline A. Whitbeck
• Director's Corner: Lying and Justification by Robert P. Lawry
• Leadership in the Global Perspective, Dr. Kazuo Inamori Speaks
• Ethnopsychiatry & American Immigration, Dr. Atwood Gaines Explores and Explains

Interaction Between Adrenergic And Nitric Oxide-Releasing Nerves In Cerebral Arteries, Emmanuel Ngu Mbaku

Loma Linda University Electronic Theses, Dissertations & Projects

Of all body tissues, the brain is the least tolerant of ischemia so much that interruption of cerebral blood flow by 5 sec can cause syncope, with irreversible tissue damage if the ischemia last a few minutes. In this respect, the body has an imperative duty of ensuring constant and adequate blood supply to the brain. It does so through a series of intrinsic and extrinsic control factors of which adrenergic and nitric oxide-releasing nerves are components. My research examined the interaction between these two nerve-types with emphasis on the mechanisms involved as well as on changes in their functions …

Effects Of Moral Sensitivity And Moral Climate On Moral Reasoning, Marita Louise Mahoney

Loma Linda University Electronic Theses, Dissertations & Projects

As healthcare professionals, psychology students and psychologists are expected to behave ethically and morally. It is assumed that moral and ethical reasoning in psychology students develops through exposure to ethical dilemmas within ethics classes and during clinical training experiences. Rest's Four Component Model of Moral Behavior, a neo-Kohlbergian approach to understanding moral development, posits an interaction of Moral Sensitivity, Moral Motivation, Moral Reasoning and Moral Character. Moral sensitivity, or awareness of a moral dilemma, is posited to cue the moral reasoning process, though little is known about how the training environment can facilitate or hamper such developments. Fifty".'two psychology-graduate students …

Effects Of Mtad On Some Physical Properties Of Enamel And Dentin, Tanya Kristina Machnick

Loma Linda University Electronic Theses, Dissertations & Projects

Recently, a Mixture of Tetracycline, an Acid, and a Detergent (MTAD) has been advocated to remove smear layer and disinfect canals. The purpose of this study was to evaluate the effect of MTAD the flexural strength and modulus of elasticity of dentin as well as its effect on the bond strength to enamel and dentin. In Part I, dentin bars were randomly assigned to eight groups treated either with various concentrations of NaOCl (5.25%, 2.65%, 1.31%, 0.66%), 17% EDTA, MTAD, saline, or according to a clinical protocol with 1.3% NaOCl and then 5 min of MTAD. …

Ultrasonic Removal Of Bacteria From Plated Cells, Cecilia Chi-Pei Kao

Loma Linda University Electronic Theses, Dissertations & Projects

Children often present with dental trauma to pediatric emergency departments and pediatric dental offices. There is a wide spectrum of types of dental trauma. Although research has been done concerning the treatment of avulsed teeth, the current recommendations in the published guidelines might still be improved for better long term prognoses. One may speculate that ultrasonification of an avulsed tooth prior to replantation may dislodge existing surface bacteria and improve the prognosis for the tooth. This was as an in vitro study to test this concept. Epithelial cells were grown in 6-well tissue culture plates. Standardized amounts of Staphylococcus aureus …

The Effect Of Ultrasonics On Fibroblast Cells, Sheila A. Harris

Loma Linda University Electronic Theses, Dissertations & Projects

The field of dentistry uses the debriding properties of ultrasonic vibration. It is unknown if this property is detrimental to the periodontal ligament (PDL) of an avulsed tooth. This information is important when a clinician is faced with a debris-covered avulsed tooth following a traumatic event. The purpose of this study was to determine the effect that ultrasonic vibration has on those PDL cells most numerous and most vital to a successful tooth replantation, namely, the fibroblasts.

Several fibroblast cell sources were exposed to varying ultrasonic times. These included a commercially available cell line of human foreskin fibroblast (HFF), a …

Distraction Osteogenesis In Edentulous Alveolar Bone With Rhbmp-2 Enhancement, Liviu F. Eftimie

Loma Linda University Electronic Theses, Dissertations & Projects

Distraction osteogenesis, a unique system of affecting rapid bone healing in fractures, realigning malformed bones, and lengthening congenitally short and traumatically shortened bones has become an increasingly utilized technique for the maxillofacial region. The use of distraction osteogenesis has been described for increasing the height of edentulous mandibular alveolar ridges while concurrently forming new bone within the ridge to allow for adequate reconstruction. A standard protocol for performing distraction osteogenesis in the maxillofacial region has been well documented in the literature. Standard distraction osteogenesis requires an initial surgery to place the distraction osteogenesis device and mobilize the segment to be …

Exploring The Physician’S Processes: Diagnosing Autism, Gwennyth Li Sze Palafox

Loma Linda University Electronic Theses, Dissertations & Projects

Physicians are customarily the first point of contact for parents who are concerned about a child’s development. Thus, it is important for physicians to be current and educated about childhood disorders and subsequent treatment for those disorders. Recently, empirical evidence has led to the proposal of early indicators of autism supporting that autism may be diagnosed accurately in children less than three years old. Furthermore, formal screening and assessment parameters developed by medical organizations have been proposed in order to identify autism as early as possible (American Academy of Neurology, 2000). While the proposed parameters and empirical evidence support early …