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Full-Text Articles in Medicine and Health Sciences

New Blood Pressure Guidelines For African Americans, Spiridon G. Karavatas Oct 2004

New Blood Pressure Guidelines For African Americans, Spiridon G. Karavatas

Internet Journal of Allied Health Sciences and Practice

No abstract provided.


Becoming A Carer For An Elderly Person After Discharge From An Acute Hospital Admission :, Karen Grimmer, John Moss, Julie Falco Oct 2004

Becoming A Carer For An Elderly Person After Discharge From An Acute Hospital Admission :, Karen Grimmer, John Moss, Julie Falco

Internet Journal of Allied Health Sciences and Practice

Objective: To describe the perceptions of people taking on a new or expanded caring role for an elderly patient recently hospitalised with a new or intensified health problem. Design: Observational study collecting qualitative data monthly for six months following patients’ discharge from hospital and attempted return to independent living in the community. Setting: Four South Australian acute hospitals (one metropolitan, three country). Subjects: 34 unpaid carers were nominated by 100 patients. 24 carers participated (17 elderly spouses, 3 younger family members, 4 neighbours and/ or friends). Results: The study highlighted carers’ perceptions of being unprepared for their new tasks, and …


Anatomy Of A Youngster's Suicide: Whose Problem Is It?, Robert C. Grosz Oct 2004

Anatomy Of A Youngster's Suicide: Whose Problem Is It?, Robert C. Grosz

Internet Journal of Allied Health Sciences and Practice

No abstract provided.


Interdisciplinary Program Designed To Prepare Student Health Professionals For The Cultural Aspects Affecting Medical Service Develivery In Rural Areas, Denise G. Bender, Brett R. Braziel Oct 2004

Interdisciplinary Program Designed To Prepare Student Health Professionals For The Cultural Aspects Affecting Medical Service Develivery In Rural Areas, Denise G. Bender, Brett R. Braziel

Internet Journal of Allied Health Sciences and Practice

Minorities are significantly underrepresented in the medical professions as compared to the US population as a whole. This discrepancy highlights the need to prepare students to practice in a culturally competent manner. This is especially true for those students who plan to practice in rural areas. Rural practice requires not only the skill of cultural competence, but also the ability to work with other disciplines as part of a team, due to the shortage of health professionals. This article outlines a month-long clinical rotation developed by the health professions programs in Oklahoma and funded through a grant to Oklahoma’s Area …


Learning Approaches, Learning Difficulties And Academic Performance Of Undergraduate Students Of Physiotherapy, Shreemathi S. Mayya, A. Krishna Rao, Ramnaryana K. Oct 2004

Learning Approaches, Learning Difficulties And Academic Performance Of Undergraduate Students Of Physiotherapy, Shreemathi S. Mayya, A. Krishna Rao, Ramnaryana K.

Internet Journal of Allied Health Sciences and Practice

A locally developed ‘Approaches to Learning Inventory (ALI)’ was administered to explore the learning difficulties and learning approaches of undergraduate students of Bachelor of Physiotherapy, College of Allied Health Sciences, Manipal. University examination marks of these students were also collected. Learning approach and learning difficulties were summarized by computing mean, standard deviation and percentage of students experiencing some of the academic and non-academic problems. Spearman’s correlation was computed between standardized scores of examination marks, learning approach and learning difficulty scale scores. Academic performance has shown significant negative correlation with surface approach and various problems of learners like fear of failure …


An E-Rehabilitation Team Helps Caregivers Deal With Stroke, Lisa Keaton, Linda L. Pierce, Victoria Steiner, Karen Lance, Michelle Masterson, Martin S. Rice, Julie L. Smith Oct 2004

An E-Rehabilitation Team Helps Caregivers Deal With Stroke, Lisa Keaton, Linda L. Pierce, Victoria Steiner, Karen Lance, Michelle Masterson, Martin S. Rice, Julie L. Smith

Internet Journal of Allied Health Sciences and Practice

Objective: The purpose of this report is to present the findings from a secondary analysis of email questions from adult caregivers of persons with stroke directed to a nurse specialist and members of an electronic (E)-rehabilitation team. This analysis explored what caregivers new to the role asked in dealing with the outcomes of stroke. Materials and Method:Thirteen caregivers submitted questions and had them answered through use of Caring~Web©, a web-based intervention for caregivers of persons with stroke. Data were gleaned from email messages on Ask-the-Nurse, a one-on-one discussion with the nurse specialist, and Caretalk, an email discussion with the entire …


An Introduction To Telemedicine And Email Consultations, Janet C. Struber Jul 2004

An Introduction To Telemedicine And Email Consultations, Janet C. Struber

Internet Journal of Allied Health Sciences and Practice

E-health, telehealth and telemedicine all describe the use of telecommunication and electronic information technology for the provision of health care at a distance. Interest in telemedicine has been heightened recently due to technological advances making equipment more effective and accessible, and increasing healthcare costs and client expectations creating pressures to find alternative modes of healthcare delivery. Although telemedicine suffers from a lack of conclusive evidence regarding its clinical effectiveness, primarily because it has not been adequately evaluated, its popularity and acceptance, particularly amongst lay persons, continues to increase. With the rapid increase in internet use, email, an electronic communication medium, …


Informing Discharge Plans. Assessments Of Elderly Patients In Australian Public Hospitals: A Field Study, Karen Grimmer, Esther May, Anna Dawson, Claudia Peoples Jul 2004

Informing Discharge Plans. Assessments Of Elderly Patients In Australian Public Hospitals: A Field Study, Karen Grimmer, Esther May, Anna Dawson, Claudia Peoples

Internet Journal of Allied Health Sciences and Practice

This paper describes assessment practices related to discharging elderly patients from Australian acute public hospitals. Common assessments were of cognition, continence, wound care, hygiene needs, nutrition, mobility and self-care. Nurses and social workers commonly took non-standardised assessment approaches, whilst therapists were more likely to use published assessment instruments. Patients’ perspectives were rarely incorporated into assessments. The relationship between many common assessment items and patients’ ability to manage safely after discharge from hospital was unclear. The validity of assessment items, the reliability with which assessments were taken, ‘normal’ variability in responses, and interpretation of instrument ‘scores’ with respect to post-discharge independence …


Bilateral Internuclear Ophthalmoplegia As A Presenting Sign Of Multiple Sclerosis: An Interdisciplinary Approach To Diagnosis And Management, Sherrol A. Reynolds, Joseph Pizzimenti, Albert D. Woods Jul 2004

Bilateral Internuclear Ophthalmoplegia As A Presenting Sign Of Multiple Sclerosis: An Interdisciplinary Approach To Diagnosis And Management, Sherrol A. Reynolds, Joseph Pizzimenti, Albert D. Woods

Internet Journal of Allied Health Sciences and Practice

Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system with various neurological and ocular manifestations. Ocular involvement occurs in approximately 80% of patients sometime during the course of the illness, and may be the presenting sign in about 50% of the patients with this disease. Bilateral internuclear ophthalmoplegia (BINO) is a common ocular complication of MS, occurring in up to one third of all MS patients. BINO is an ocular motility impairment characterized by a total or partial inability to adduct each eye accompanied by a concomitant nystagmus of the abducting eye on lateral gaze and …


Changing Attitudes - Health Sciences Students Working Together., Elizabeth A. Taylor, David Cook, Rosemarie Cunnigham, Sharla King, Jan Pimlott Jul 2004

Changing Attitudes - Health Sciences Students Working Together., Elizabeth A. Taylor, David Cook, Rosemarie Cunnigham, Sharla King, Jan Pimlott

Internet Journal of Allied Health Sciences and Practice

Is it possible to alter limiting stereotypic attitudes of health professionals toward each other? Perhaps a first step might be an undergraduate interdisciplinary course that brings students from different faculties together to work on scenarios of common interest? The Inter-professional Health Development, Education & Activities Group (IHDEA) at the University of Alberta believe that their innovative INTD 410 course addresses the goal of changing attitudes. Over a five-week period, more than 700 students attend this required course. They are supported by some fifty facilitators who are drawn from the community and from six different university faculties. Students interact in small …


Recruiting And Retaining Allied Health Professionals In Rural Australia: Why Is It So Difficult?, Janet C. Struber Apr 2004

Recruiting And Retaining Allied Health Professionals In Rural Australia: Why Is It So Difficult?, Janet C. Struber

Internet Journal of Allied Health Sciences and Practice

Rural communities in Australia have particular health needs, and the recruitment and retention of Allied Health Professionals (AHPs) is a significant concern. Despite the increasing number of AHPs being trained, vacancy and attrition rates in rural areas continue to rise. Professional and social isolation combined with rapidly changing health service delivery structures are identified as major deterrents to long-term rural practice. While strategies are now being implemented, endeavours to resolve the issues lag well behind initiates offered to Medical and Nursing staff. Given the wealth of political, professional and health related issues underlying the recruitment and retention of AHPs to …


Physical Therapists' Evaluation Of The Trunk Flexors In Patients With Low Back Pain., Shari A. Rone-Adams, Eric Shamus, Melissa Hileman Apr 2004

Physical Therapists' Evaluation Of The Trunk Flexors In Patients With Low Back Pain., Shari A. Rone-Adams, Eric Shamus, Melissa Hileman

Internet Journal of Allied Health Sciences and Practice

Study Design: This study utilized a single blind design in the observation of 20 initial low back evaluations performed by physical therapists. The physical therapists were blinded to what the researchers were observing. Objective: The objective of this study was to determine whether or not physical therapists were quantifying the strength of trunk flexors when the patient’s chief complaint was low back pain. Background: The literature has shown that there is a relationship between back pain and decreased strength in the abdominal muscles. Therefore, it appears important for physical therapists to evaluate the abdominal muscles in patients with low back …


Using Active Learning To Shift The Habits Of Learning In Health Care Education, Yolanda Griffiths, Kristina Ursick Apr 2004

Using Active Learning To Shift The Habits Of Learning In Health Care Education, Yolanda Griffiths, Kristina Ursick

Internet Journal of Allied Health Sciences and Practice

In order to prepare competent health care professionals, changes in health care education are necessary. Professionals must be more self-directed and ready to apply knowledge in a dynamic manner. Learning by doing and utilizing an active learning approach can be a successful avenue to meet the challenge of cultivating higher order thinking and application of knowledge. This article discusses the use of active learning as a promising method for increasing the effectiveness of teaching and learning within any professional health care curriculum.


Development Of A Prototype Computer-Based Instruction Module: Foundational Neuroscience For Physical Therapy Students, Gilbert M. Willett Apr 2004

Development Of A Prototype Computer-Based Instruction Module: Foundational Neuroscience For Physical Therapy Students, Gilbert M. Willett

Internet Journal of Allied Health Sciences and Practice

This paper details one faculty members approach to developing a prototype module for a computer based instruction (CBI) course in foundational neuroscience for physical therapy students. The process was based on the generic instructional systems design model, ADDIE. ADDIE is an acronym for Analysis, Design, Development, Implementation, and Evaluation. Each step has an outcome that feeds the subsequent step or results in modification of the prior step in order to reach the desired outcome. The analysis section summarizes the state of the global academic environment in health professions education and the environment at the University of Nebraska Medical Center (UNMC) …


Impact Of A Self-Help Intervention On Performance Of Headache Management Behaviors: A Self-Efficacy Approach, Dale S. Bond, Lynne Durrant, Kathleen B. Digre, Susan K. Baggaley, Carla Rubingh Jan 2004

Impact Of A Self-Help Intervention On Performance Of Headache Management Behaviors: A Self-Efficacy Approach, Dale S. Bond, Lynne Durrant, Kathleen B. Digre, Susan K. Baggaley, Carla Rubingh

Internet Journal of Allied Health Sciences and Practice

This study evaluated the importance of modeling and performance accomplishment of behavior on enhancing headache management self-efficacy and increasing acquisition and implementation of four headache self-management behaviors: headache diary use, limiting medication overuse, relaxation, and stretching. Primary headache disordered patients (n = 51) were randomly assigned to 3 conditions: self-efficacy videotape treatment (SET; education + modeling and performance of behavior), information-only videotape treatment (IOT; education only), or no-treatment comparison (NTC). The SET group reported higher self-efficacy scores than the NTC at immediate post-treatment. At 1-month follow-up, the SET group reported more headache diary use than the IOT and NCT groups, …


Considering Physical Inactivity In Relation To Obesity, Janet C. Struber Jan 2004

Considering Physical Inactivity In Relation To Obesity, Janet C. Struber

Internet Journal of Allied Health Sciences and Practice

Physical inactivity and obesity contribute enormously to the current burden of disease in Australia, as in all Western Countries. Although diet and exercise have been linked to health since antiquity, the connection has recently experienced a revival of interest. There is mounting evidence that the current prevalence of obesity is more closely related to decreases in energy expenditure than to the traditionally accepted imbalance between consumption and expenditure, and that physical activity is therefore crucial in maintaining weight loss. With overweight[1] and obesity[2] now the norm in Australia, physical inactivity is a major issue within and beyond the health sector, …


Preliminary Studies On Efficacy Of Prolonged Nasal Cul-De-Sac With High Pressure Speech Acts (P.I.N.C.H.) On Hypernasality, Helene Rosman Fisher Jan 2004

Preliminary Studies On Efficacy Of Prolonged Nasal Cul-De-Sac With High Pressure Speech Acts (P.I.N.C.H.) On Hypernasality, Helene Rosman Fisher

Internet Journal of Allied Health Sciences and Practice

Prolonged Nasal Cul-De-Sac with High Pressure Speech Acts (P.i.N.C.H.), a technique to treat hypernasality, was developed upon the basis of four physiological principles of velopharyngeal function. Preliminary experimental and clinical studies were conducted to determine the efficacy of P.i.N.C.H. in decreasing nasalance in 5 non-cleft palate subjects with velopharyngeal incompetence over a 3-week to 22 month period of time. Results revealed statistically significant decreases in nasalance for posttreatment measures immediately after treatment as well as over several months. It was concluded that P.i.N.C.H. warrants further investigation.


Self-Reported Versus Recorded Sleep Position: An Observational Study, Susan J. Gordon, Karen A. Grimmer, Patricia Trott Jan 2004

Self-Reported Versus Recorded Sleep Position: An Observational Study, Susan J. Gordon, Karen A. Grimmer, Patricia Trott

Internet Journal of Allied Health Sciences and Practice

Background: Patient reports of ‘usual’ and ‘recent’ sleep positions are used by allied health professionals to direct the management of waking and nocturnal musculoskeletal symptoms. However no published studies have determined if self reports of sleep position are valid, consistent or reliable. An observational study was conducted at the Centre for Sleep Research of the University of South Australia. Twelve subjects, four in each of the age groups 18 to 39 years, 40 to 59 years and 60 years and over, without any known sleep disorders or sleep-disturbing medical or emotional problems participated in the study. Subjects spent two non-consecutive …


Observations On Prayer As A Viable Treatment Intervention: A Brief Review For Healthcare Providers, Matthew R. Kutz Jan 2004

Observations On Prayer As A Viable Treatment Intervention: A Brief Review For Healthcare Providers, Matthew R. Kutz

Internet Journal of Allied Health Sciences and Practice

Prayer continues to gain much notoriety and attention as a medical intervention. There are many places now advocating spirituality as a form of health care. As clinical practices seek to enhance the quality of care given, attention should be given to the implementation of prayer into clinical practice. Family physicians have begun dialogue over how to take a spiritual history or inventory of their patients in order to assist in recovery and prevention if illness and disease.1 Larimore1 reports that 99% of surveyed family physicians (n=296) believe that religious beliefs can heal, 75% believe other people’s prayers (i.e., intercessory prayer) …


Financing Smoking Related Illness And Smoking Cessation In The United States: Can It Be Done?, Thomas G. Parish Jan 2004

Financing Smoking Related Illness And Smoking Cessation In The United States: Can It Be Done?, Thomas G. Parish

Internet Journal of Allied Health Sciences and Practice

A review of the literature was undertaken, exploring the tremendous economic burden that cigarette smoking places on the United States. The cost of medical care and lost productivity related to smoking is conservatively estimated to be $150 billion. These costs to smokers and non-smokers alike are funded at the state and national levels. The literature supports the idea that the single most important barrier to smoking cessation is the cost of medications and smoking cessation programs. In this article, it is proposed that millions of smokers could be assisted to quit by federal government intervention alone. A federal tax on …


Assimilating Intensive Writing Into Respiratory Therapy Instruction: One Baccalaureate Program’S Experience, Lynda Thomas Goodfellow, Meghana Patil Jan 2004

Assimilating Intensive Writing Into Respiratory Therapy Instruction: One Baccalaureate Program’S Experience, Lynda Thomas Goodfellow, Meghana Patil

Internet Journal of Allied Health Sciences and Practice

Writing is an important tool in the process of learning and communication. Many universities across the United States recognize the importance of implementing writing into respective learning disciplines through a number of approaches. A respiratory therapy program at a large urban university recently assimilated a writing intensive course into their baccalaureate curriculum over a two-year period. A faculty member and a graduate teaching assistant planned as co-instructors various writing assignments that would incorporate writing as an activity to promote critical thinking and learning. The instructors made a dedicated effort to improve professional communication skills through various writing-to-learn strategies and observed …


Ethical And Legal Analysis Of A Patient Case, Rolando T. Lazaro Jan 2004

Ethical And Legal Analysis Of A Patient Case, Rolando T. Lazaro

Internet Journal of Allied Health Sciences and Practice

As health care professionals encounter increasingly complex issues surrounding patient care, it is important to develop an effective approach in investigating the legal and ethical consequences of such scenarios. This paper presents a systematic process to analyze and solve the legal and ethical implications of a specific patient case. This procedure may be used by other practitioners as a template for analyzing practice issues involving their respective professions.


Necessity Of Leadership Development In Allied Health Education Programs, Matthew R. Kutz Jan 2004

Necessity Of Leadership Development In Allied Health Education Programs, Matthew R. Kutz

Internet Journal of Allied Health Sciences and Practice

Why should educational programs teach leadership, and why should universities and colleges who offer allied health care programs be concerned with training future clinicians to be leaders? Leadership development is a topic wrought with passion among business professionals and educators alike. Leadership is something everybody needs and it remains vague and ambiguous. Leadership is a mystical, almost ethereal, quality that you cannot define, yet know when you see. Advancing the allied health care professions and the members of the allied health care community is proving to be difficult without the necessary leadership skills.