Medicine and Health Sciences Commons^™

Chordoma Of The Axis Vertebra Presentedwith Snoring, P. Montriwiwatchai, R. Siwanuwatn, P. Chatrkaw

Chulalongkorn Medical Journal

No abstract provided.

Pain In Neonates (Part 1: Pathophysiology And Pain Assessment In Neonates), R. Burimsittichai, R. Leelanukrom

Chulalongkorn Medical Journal

No abstract provided.

Paediatric Palliative And Supportive Care: Caring For Life: The Needs Of Children And Families In Western Australia, Leanne Monterosso, Linda Kristjanson, Marianne Phillips, Sue Rowell

Research outputs pre 2011

Palliative care is the relief of symptoms, regardless of their impact on the underlying disease process. The philosophical underpinning of current international paediatric palliative and supportive care models is that palliative and supportive care should be offered to all children with life threatening or chronic illnesses/disabilities with complex care needs. This approach allows the integration of cure-directed treatment and palliative care. allowing children to benefit from both philosophies of care. In Australia, there is increasing recognition of the need for the development of appropriate paediatric palliative care services, especially in Western Australia where supportive care services for children with life-limiting …

The Lived Experience Of Rural Mental Health Nurses, Vicki Drury, Karen Francis, Geoffery Dulhunty

Research outputs pre 2011

The lived experiences of five registered mental health nurses employed in community settings in the southwest region of Western Australia were examined in this study. The study was generated in response to concerns of clinicians working in the area about their scope of practice. Study participants were interviewed concerning their everyday “lived experience.” Interviews were audio taped, transcribed and coded numerically to ensure participant confidentiality. Data was analysed using van Manen’s hermeneutic phenomenological approach. Five essential themes were identified. They were holistic care of clients; isolation, autonomy and advanced practice; professional development and status recognition; educational support; and caseload numbers …

The Effects Of A University-Based Academic Detailing Program For Primary Care Providers On Hemoglobin A1c Assessment Frequency In Type Ii Diabetics, Christopher Maloy

MPA/MPP/MPFM Capstone Projects

Diabetes is a serious illness affecting millions of people in the United States today. The disease is characterized by the chronic and acute complications of poorly regulated blood glucose concentrations. These complications lead to significant morbidity and mortality in the diabetic population. It is estimated that diabetes accounts for over $1.9 billion in Kentucky healthcare expenditure annually, a figure that continues to grow each year. In order to address this serious public health problem, many states have adopted healthcare initiatives to target increased diabetes awareness and care. The Commonwealth of Kentucky has implemented numerous such initiatives, including an innovative program …

Childhood And Adolescent Obesity: Nationwide Pediatric Healthcare Provider Practices And Their Role In Treatment And Prevention Of The Obesity Epidemic, Alison Farley

MPA/MPP/MPFM Capstone Projects

The purpose of this research is to explore screening and treatment patterns as well as the underlying provider confidence in their decision-making related to the overweight and obese child and adolescent patient. The screening and treatment of obesity in the child and adolescent population are affected by complex social implications and physical side effects. Without a clear consensus on screening, diagnosis and alternative treatment plans, healthcare providers will not maximize the opportunity to provide primary and secondary prevention to the growing epidemic.

Statistical analysis of secondary survey data was conducted to explore screening and treatment patterns as well as the …

Home And Community-Based Services: Quality Management Roles And Responsibilities [Appendices], Maureen Booth Mrp, Ma, Julie T. Fralich Mba, Taryn Bowe

Disability & Aging

Contents

Appendix A: Wisconsin Quality Management Concept ... A-1

Appendix B: Sample State HCBS Values and Principles... B5

Appendix C: Examples of State Templates for Mapping HCBS QM Activities... C9

Appendix D: Sample State HCBS Performance Indicators... D49

Appendix E: Oregon HCBS Contract Reporting Requirements ... E63

Appendix F: Georgia Performance Profile Statewide Summary ... F70

Appendix G. Sample Job Descriptions ... G76

Appendix H: Texas Health and Human Services Commission... H82

Appendix I: South Carolina First Health Services Partnership ... I86

Brucellosis In Alpacas (Lama Pacos) In Communities Of The City Ulla Ulla, Franz Tomayo Province, Department Of La Paz, Macario Suxo Blanco

Theses and Dissertations

This investigation was performed in the Altiplano Altoandino sub-humid region in the Ulla Ulla district, Pelechuco township, Franz Tomayo province, department of La Paz, Bolivia. The objective of this study was to quantify and compare the presence of Brucellosis in male and female alpacas (Lama pacos) at ages 2, 3, 4, 5, 6, and 7 years. Blood samples were taken from the jugular vein of 500 alpacas from the Hichucollo, Huacuchani, Ucha Ucha, and Ulla Ulla communities. The serum from each sample was separated and a serological diagnosis was performed by rapid agglutination with Rose Bengal chemical stain. In the …

A Systematic Review Of Existing National Priorities For Child Health Research In Sub-Saharan Africa, George Swingler, James Irlam, William Macharia, Felix Tietche, Martin Meremikwu

Paediatrics and Child Health, East Africa

Background: We systematically reviewed existing national child health research priorities in Sub-Saharan Africa, and the processes used to determine them.

Methods: Collaborators from a purposive sample of 20 WHO-AFRO Region countries, assisted by key informants from a range of governmental, non-governmental, research and funding organisations and universities, identified and located potentially eligible prioritisation documents. Included documents were those published between 1990 and 2002 from national or nationally accredited institutions describing national health research priorities for child health, alone or as part of a broader report in which children were a clearly identifiable group. Laboratory, clinical, public health and policy research …

Does My Identity Speak English? A Pragmatic Approach To The Social World Of An English Language Learner With Language Impairment, Robin L. Danzak, Elaine R. Silliman

Communication Disorders Faculty Publications

The case description provides a comprehensive picture of the complex social and linguistic factors that shape the social identity of an English language learner with the additional challenge of language impairment (LI). These issues were explored over 6 months with Fernando, an 8-year-old, Spanish-speaking male with LI in grade 3. A pragmatic, or practical, approach to problem solving was developed for two purposes: first, to obtain a multifaceted understanding of Fernando’s world at school, and second, to arrive at possible educational/clinical solutions that met a standard of cultural appropriateness and practicality. The patterns found that, contrary to teacher interpretations of …

The Effect Of Different Imagery Ratios On Learning And Performing A Gymnastic Floor Routine, Adrian Popescu

Master's Theses and Doctoral Dissertations

The purpose of this study was to observe the effect of different imagery ratios to physical practice needed to learn and perform a gymnastic floor routine. It was assumed that an increase in imagery ability would reflect positively on the floor routine performance. Twenty-seven school-aged, male and female, skilled gymnasts participated in the study. They were randomly separated into four experimental groups: two groups received three imagery sessions per week and two groups received one imagery session per week. The only delimitation was the use of proficiency levels, the imagery ability levels, and gender to ensure the homogeneity of the …

Replacement Of Fish Meal By Meal Worm (Eisenia Foetida) In The Feed Of Broilers As An Alternative Source Of Protein, Carlos ÁNgel Cervantes Cevallos

Theses and Dissertations

This investigation was conducted in the rural community of Cuambo, located in the northeast of Imbabura province, in the Mira river basin of Salina parish, at 1530 meters above sea level and with an average temperature of 19 C. The principal objective of this investigation was to evaluate the effect of four levels of substitution of fish meal for earthworm meal in broiler chicken diets. The fieldwork occurred in two stages over the course of 20 months: A. Creation of the feed: This step lasted from the installation of an earthworm culturing area through the cultivation, harvest, and drying of …

Biochemical And Molecular Nutrition Blocks As Dietary Supplements In Llamas (Lama Glama) In The Last Third Of The Gestation Period Of The Ceac, Janette Illanes Callejas

Theses and Dissertations

The present work consisted in the use of biochemical and molecular nutrition blocks (BMN) in llamas during the last third of the gestation period, at the Agricultural Experiment Center of Condori (CEAC), located 49 km north of the city of Oruro, and 12 km north of the Caracollo population, in the province of Cercado. For this research work, we used 20 pregnant llamas in the last third of their gestation period, between the ages of 2 and 3 years old, 10 of which belonged to the Khara breed, and 10 to the Thampulli breed. Two corrals of 7 x 7 …

A Legal Remedy For Homophobia: Finding A Cure In The International Right To Health, Michael Boucai

Journal Articles

This article argues that the international right to health obligates governments to combat homophobia. Part One presents the powerful evidence that stigma, prejudice, and violence directed toward lesbian and gay people drastically endanger their physical and mental well-being. Part Two defends an expansive interpretation of the international right to health. Applying this interpretation, Part Three proposes that gay men and lesbians are entitled to demand that their governments to eliminate all public and much private discrimination against gay men and lesbians, and requires them to combat homophobia through education and other positive efforts. Acknowledging that this obligation is unlikely to …

Management Outcome Of Residual Common Bile Duct Stones At Aga Khan University Hospital, Muhammad Rizwan Khan, Sameera Naureen, Dildar Hussain, Rizwan Azami

Department of Surgery Docs

Background: The frequency of residual common bile duct (CBD) stones in patients with previous cholecystectomy ranges from 2-10%, and a minimally invasive approach is generally recommended for these patients. This study reviews the experience in the management of residual CBD stones at the Aga Khan University Hospital.Methods: All adult patients diagnosed to have residual CBD stones, from 1993 to 2001, were identified and analyzed in terms of the treatment modality utilized and its associated complications. The role of endoscopic sphincterotomy was particularly analyzed in our set-up.Results: The study population consisted of 66 patients. The mean age was 52 (range:18-84 years) …

Interruptions In Workflow For Rns In A Level One Trauma Center, Juliana J. Brixey, David J. Robinson, Zhihua Tang, Todd R. Johnson, Jiajie Zhang, James P. Turley

Faculty, Staff and Student Publications

An understanding of interruptions in healthcare is important for the design, implementation, and evaluation of health information systems and for the management of clinical workflow and medical errors. The purpose of this study is to identify and classify the types of interruptions experienced by Emergency Department(ED) nurses working in a Level One Trauma Center. This was an observational field study of Registered Nurses (RNs) employed in a Level One Trauma Center using the shadowing method. Results of the study indicate that nurses were both recipients and initiators of interruptions. Telephones, pagers, and face-to-face conversations were the most common sources of …

Reliability Of The Concensus Auditory-Perceptual Evaluation Of Voice On Pediatric Voices With Trained And Untrained Listeners, Teresa Elizabeth Pitts

Electronic Theses and Dissertations

Rating scales are commonly used to study voice quality. The purpose of this study was to examine inter-rater reliability/agreement of graduate student clinicians with differing levels of experience in rating voice perception. The Consensus Auditory Perception Evaluation of Voice (CAPE-V) was used to asses 1.) overall severity, 2.) roughness, 3.) breathiness, 4.) strain, 5.) pitch and 6.) loudness from a sample of pediatric voices. Twenty-four graduate clinicians who had completed a graduate level course in voice disorders participated in the study. Twelve of the participants were randomly selected to complete a perceptual training course prior to the evaluation session. Voice …

Occupational Therapy Driving Protocol For The Elderly Population, Terra Nelson, Courtney Marrs

Occupational Therapy Capstones

No abstract provided.

Sexuality And The Initial Occupational Therapy Assessment For Adults With Physical Disabilities, Mandy Sherrick

Occupational Therapy Capstones

No abstract provided.

The Effectiveness Of Semi-Rigid Custom Made Foot Orthotics In Correcting Abnormal Foot Positions, Kimberly Austin, Chris Gietzen, Bonnie Nostdahl, John Sayler

Physical Therapy Scholarly Projects

Researchers have been trying to understand the complexity of foot biomechanics for over 100 years, and this has lead to an increase in more sensitive technology. Abnormal foot biomechanics are commonly corrected using orthotics. Pressure mapping systems, such as the Force Sensitive Application (FSA) and Teckscan, are becoming more prevalent in both clinical settings and in research to assist clinicians in making proper fitting orthotics. FSA allows clinicians the ability to measure the amount of pressure on patients' feet with and without orthotics. The purpose of this study is to determine the effectiveness of semi-rigid custom foot orthotics in correcting …

The Effect Of Participation In Organized Soccer On Fitnessgram Scores In 11-12 Year Old Girls, Gale G. Dockstader, Kristin R. Naplin, Keli N. Waterworth, Lyndsey M.R. Ziemer

Physical Therapy Scholarly Projects

Purpose: Childhood obesity is increasing at an alarming rate throughout the United States and has been associated with multiple health complications such as heart disease and diabetes. Due to these increasing rates and health effects, there is a need to determine effective methods to measure physical activity as well as promote physical activity. One form of determining a child's level of fitness is through the Fitnessgram. This study was designed to determine if formally testing fitness levels with the Fitnessgram in 11-12 year old girls participating in organized soccer is correlated with changes in fitness levels from pre-season to post-season, …

The Effects Of Hypermobility On Static And Dynamic Balance In Physical Therapy And Occupational Therapy Students, Laura Elbert, Teresa Tostenrud

Physical Therapy Scholarly Projects

A significant percentage of Physical Therapy and Occupational Therapy students have been found to exhibit signs of systemic hypermobility. Hypermobility can be defined as joints displaying excessive range of movement. Balance is an integral aspect of the job tasks of Physical Therapists and Occupational Therapists and involves collaboration of muscles, joints, ligaments, and the proprioceptive input they collectively provide. The purpose of this study is to assess the effects of hyper mobility on static and dynamic balance in a population of Physical Therapy and Occupational Therapy students at the University of North Dakota.

Seventy nine physical therapy and occupational therapy …

An Electromyographic Study Of The Quadriceps And Hamstrings Recruitment During Two Closed Kinetic Chain Activities, Linda K. Hanson, Shauna T. Salz, Suzanne L. Steffes

Physical Therapy Scholarly Projects

Knee pain and injury are a commonly seen diagnosis in physical therapy practice. Closed kinetic chain activities are frequently used to treat these diagnoses, because of their safety and functional properties. However isolation of specific muscles is difficult with closed kinetic chain exercises. The researchers chose to further study closed kinetic chain exercises in order to compare traditional closed kinetic chain exercises with a recently developed closed kinetic chain device. The purpose of this study is to assess EMG activity of the quadriceps and hamstrings during two different closed kinetic chain activities of the knee, one a traditional method and …

Virginia Dental Journal (Vol. 82, No. 1, 2005)

Virginia Dental Journal

No abstract provided.

The Evaluation Of Rectal Bleeding In Adults, Elizabeth Allen, Christina Nicolaidis, Mark Helfand

School of Social Work Faculty Publications and Presentations

Colon cancer is the third leading cause of cancer-related death in this country.5 The majority of medical societies recommend some form of colon cancer screening for asymptomatic adult patients over age 50. The evaluation of rectal bleeding is different from screening because the risk of serious disease is higher and it is unclear whether early diagnosis and treatment of serious disease results in improved mortality once gross bleeding has occurred. The optimal evaluation strategy for rectal bleeding is unknown. Neither historical information nor the presence or absence of hemorrhoids has been shown to reliably differentiate benign from serious disease.6–11 Fecal …

Factors That Influence Mammography Use Of Community Health Workers, Cynthia M. Kratzke

Health Services Research Dissertations

Community health worker (CHW) interventions promote early detection of breast cancer and mammography use to help eliminate health disparities for minority and low-income women. Data trends show lower mammography use among this population although CHW interventions have been shown to promote mammography use. However, CHW interventions have not been tested sufficiently to examine the factors that influence mammography use of CHWs.

This cross-sectional study examined the factors that influence mammography use of CHWs and the relationship of self-efficacy, social norms, and mammography use of CHWs. The PRECEDE model served as the framework combining social factors, beliefs, attitudes, behaviors, and accessibility …

Relationships Among Pre-Admission Characteristics In Associate Degree Nursing Programs As Predictors Of Nclex-Rn Success., Gloria J. Wacks

All ETDs from UAB

No abstract provided.

Global Gene Expression Profiling Of Cells Overexpressing Smc3., Giancarlo Ghiselli, Chang-Gong Liu

Department of Microbiology and Immunology Faculty Papers

BACKGROUND: The Structural Maintenance of Chromosome 3 protein (SMC3) plays an essential role during the sister chromatid separation, is involved in DNA repair and recombination and participates in microtubule-mediated intracellular transport. SMC3 is frequently elevated in human colon carcinoma and overexpression of the protein transforms murine NIH3T3 fibroblasts. In order to gain insight into the mechanism of SMC3-mediated tumorigenesis a gene expression profiling was performed on human 293 cells line stably overexpressing SMC3. RESULTS: Biotinylated complementary RNA (cRNA) was used for hybridization of a cDNAmicroarray chip harboring 18,861 65-mer oligos derived from the published dEST sequences. After filtering, the hybridization …

Dangerous Medications – Preventing Serious Side Effects, Joseph A. Woelfel, N. B. O'Mara

School of Pharmacy Faculty Articles

No abstract provided.

Seasonal Affective Disorder (Sad) Light Therapy, Joseph A. Woelfel

School of Pharmacy Faculty Articles

No abstract provided.