Medicine and Health Sciences Commons^™

Infant Mortality Trends Among Georgia Residents, 1995-2003: Targeting Healthy People’S 2010 Goals, Diana Sturges, Laura Gunn, Padmini Shankar, Shrikrishna Shroff

Journal of the Georgia Public Health Association

Population-based trends in infant mortality among Georgia Residents between 1995 and 2003 were assessed on characteristics such as race, birth weight, neonatal and post-neonatal periods, and cause of death. A statistical analysis was conducted to show that the Georgia infant mortality rate (IMR) remained constant throughout the study period and averaged 8.67 per 1,000 live births. The analysis revealed racial disparities, with an IMR ranging from 6.03 in white infants to 13.76 in black infants, with less than one percent (0.86%) change, on average, among the differences between black and white mortality rates across the nine-year period. The disparities were …

The Value Of A Promotora-Led Diabetes Education Program, Eric J. Gertner Md, Mph, Hannah D. Paxton Rn, Mph

Department of Family Medicine

No abstract provided.

Microfabrication Of An Optical Chamber For Exposing Living Cells To Pulsed Electric Fields, Saleh Sheikh

Electrical & Computer Engineering Theses & Dissertations

I have fabricated a chamber which enables the application of Nanosecond Pulsed Electric Fields (nsPEFs) to living cells while monitoring their real time fluorescence with an inverted microscope. The No. I thickness (150µm nominal) coverslip glass substrate used for fabrication allows the use of high numerical aperture oil immersion objectives for imaging intracellular organelles. Electrodes are fabricated by first evaporating a chromium adhesion layer, followed by a nickel seed layer. Subsequently, an ultra-thick positive photoresist is applied and patterned to create a 30µm thick electroplating mold. The electrodes are then electrodeposited into the mold from a nickel sulfamate plating bath. …

Job Satisfaction Among Practicing Pharmacists: A Rasch Analysis, Patrick Hardigan, Manuel J. Carvajal

Internet Journal of Allied Health Sciences and Practice

Purpose: through the application of a Rasch rating scale model, the researchers investigated the effect of gender, ethnicity, practice site, income, and age on levels of job satisfaction among practicing pharmacists. Method: The data consist of responses to a survey questionnaire mailed to a random sample of 5,000 registered pharmacists throughout the United States. A total of 820 individuals mailed back their completed form for a response rate of 16.4 percent. Results: Older, higher-wage earning pharmacists working at independent practice sites experience the greatest amount of job satisfaction.Conclusion: The most significant finding from this study is that age, income, and …

Effects Of Atomoxetine On Growth In Children With Attention-Deficit/Hyperactivity Disorder Following Up To Five Years Of Treatment., Thomas J. Spencer, Christopher J. Kratochvil, R. Bart Sangal, Keith E. Saylor, Charles E. Bailey, David W. Dunn, Daniel A. Geller, Charles D. Casat, Robert S. Lipetz, Rakesh Jain, Jeffrey H. Newcorn, Dustin D. Ruff, Peter D. Feldman, Amanda J. Furr, Albert J. Allen

Journal Articles: Psychiatry

OBJECTIVE: To examine the effects on growth of long-term pharmacological treatment for attention-deficit/hyperactivity disorder (ADHD), we present findings from an ongoing 5-year study of the efficacy and safety of treatment with atomoxetine.

METHODS: North American patients, 6-17 years old at study entry (N = 1,312) and with Diagnostic and Statistical Manual of Mental Disorders,4th edition (DSM-IV) ADHD, were studied under open-label atomoxetine treatment. Sixty-one were studied up to 5 years.

RESULTS: After 1 month's treatment, patients weighed less than expected from their starting percentiles relative to population norms, with a maximum shortfall at 15 months and a return to expected …

Effects Of Participation In An Aging Game Simulation Activity On The Attitudes Of Allied Health Students Toward Older Adults, Beverly W. Henry, Carolinda Douglass, Irene M. Kostiwa

Internet Journal of Allied Health Sciences and Practice

The Aging Game simulation activity was designed to improve medical students’ attitudes toward older adults. This study was conducted to determine if the Aging Game, adapted for use with allied health students, could yield positive results in the students’ levels of anxiety about aging and attitudes toward aging. The modified Aging Game was implemented at a large Midwestern university with 156 students from three allied health areas – nutrition and dietetics, physical therapy, and long-term care administration. All students actively engaged in the simulation activity and completed pre- and posttest questionnaires containing the Anxiety about Aging Scale (AAS) and the …

Knowledge, Attitudes, And Confidence Levels Of Dental Hygiene Students Regarding Teledentistry: A Pilot Study, Brigette Rebecca Cooper, Lynnette Marie Engeswick

Internet Journal of Allied Health Sciences and Practice

Teledentistry provides a viable option for dental professionals to increase care in underserved areas. Dental hygiene students at a state university completed a course in teledentistry that includes performing oral health screenings on children using intraoral cameras and electronic submission of dental images to an off-site dentist for diagnosis. Purpose: The objectives of this study were to examine student knowledge, attitudes, and confidence levels before and after completion of a course on teledentistry. Method: A 5-point Likert scale survey consisting of 10 items was administered to students ages twenty-two to twenty-five (N=24) in a teledentistry course the first and last …

Challenges Facing Physiotherapy Education In Africa, Jose Frantz

Internet Journal of Allied Health Sciences and Practice

Health care is changing and the demands put on health professionals are increasing. Physiotherapy education should reflect the health and social priorities of the nation. The World Confederation of Physical Therapy (WCPT) is committed to assisting physiotherapy associations in developing educational standards. Physiotherapy education in Africa however, seems to have a real need for assistance from the WCPT. The aim of this paper is to highlight the challenges facing physiotherapy education in Africa. The Delphi methodology was used to obtain information from key informants involved in the area of physiotherapy education from a variety of African countries. The majority of …

A Study Of The Self-Regulated Learning Inventory On A Hbcu Student Population In Allied Health, James E. Goodpasture, Reinhardt Lindner, Mathews Thomas

Internet Journal of Allied Health Sciences and Practice

Increased numbers of minorities in the allied health disciplines are sought for a number of reasons. One approach to increasing minority graduates in allied health sciences is to ensure that minority applicants have the learning behaviors necessary to succeed in the academic setting. In this study, we sought to determine if self-regulated learning, assessed via a self-report inventory, was significantly related to Grade Point Average (GPA) in undergraduate students enrolled in a historically black college or university (HBCU). The Self Regulated Learning Inventory V. 5 (SRLI V.5) was distributed to undergraduate HBCU students enrolled in allied health majors. The inventory …

Descriptive And Process Evaluation Of A Shared Primary Care Program, Evelyn Vingilis, Jann Paquette-Warren, Nick Kates, Anne-Marie Crustolo, Jaimi Greenslade, Sharon Newman

Internet Journal of Allied Health Sciences and Practice

Purpose: This study involved the conduct of a descriptive and process evaluation to examine the implementation and maintenance of an existing local shared care program: The Hamilton Health Service Organization Mental Health and Nutrition Program located in Hamilton, Ontario, Canada. The program was organized to strengthen links between mental health, nutrition, and primary care services, to improve access to mental health and nutrition care, and to realize the benefits of improved communication, collaboration and mutual support among multiple practitioners, increased continuity of care, and increased family physicians’ comfort and skill in handling more complex problems. Method: A mixed-method, multi-measures evaluation …

The Prevalence Of Incontinence Pre And Post-Lung Transplantation, Dianne White, Kathy Stiller

Internet Journal of Allied Health Sciences and Practice

An increased prevalence of urinary incontinence (UI) is reported in patients with chronic lung disease because of the stress that repeated coughing places on the pelvic floor. To date, it is not known if lung transplantation (LTx) affects the prevalence of UI. Purpose: to compare the prevalence, severity and impact of urinary / faecal incontinence in adult patients pre- and post-LTx. Method: patients registered with the Royal Adelaide Hospital Lung Transplant Unit were eligible for participation. The prevalence, severity, and impact of incontinence was measured using a questionnaire administered in a private interview. Results: Ninety-four patients (44 males, 50 females; …

Functional Balance Assessment Of Older Community Dwelling Adults: A Systematic Review Of The Literature, Felicity Anne Langley, Shylie F. H. Mackintosh

Internet Journal of Allied Health Sciences and Practice

Background: For allied health professionals wishing to assess the functional balance of older adults living in the community, the vast number of functional balance tests available makes it difficult to decide which assessment is most appropriate. Objective: To identify the reliability, concurrent validity and clinical practicality of functional balance tests with community dwelling older adults. Methods: A systematic review of published literature relevant to 17 functional balance tests was undertaken. The 17 functional balance tests were identified by a preliminary literature search and through consultation with an expert in the field of functional balance assessment. Studies published in English before …

What Is A D.O.? How Do Osteopathic Physicians Approach The Problem Of Pain, Katherine E. Galluzzi

PCOM Scholarly Works

No abstract provided.

Pharmacy Newsletter : October 2007, Pharmacy Department

Department of Pharmacy Archives

Content:

• Management of Scorpion Envenomation
• Managing Toxic Methanol Poisoning
• Facts on Therapeutic Drug Monitoring
• Adverse Drug Reaction Update

Dentalgram - Vol. 21, No. 10, Loma Linda University School Of Dentistry

Dentalgram

In this issue:

• School of Dentistry welcomes 137 dental and dental hygiene students
• Dentist from India completes three-month implant dentistry study program
• Department news
• Dr. Les Arnett earns pre-dental college degree
• NASDAD holds 65th Annual Convention in San Francisco
• Cost-benefit analysis of a mission trip
• Career in Dentistry Workshop help students choose a career path

Long-Term Effects Of A Physical Activity Intervention In High School Girls, Russell R. Pate, Ruth P. Saunders, Rod K. Dishman, Cheryl L. Addy, Marsha Dowda, Dianne S. Ward

Faculty Publications

Background - Physical activity decreases during childhood and adolescence, and physical activity levels are significantly lower in females than males, particularly during adolescence. Schools are attractive settings in which to implement interventions designed to promote physical activity in girls and young women, but few studies have tested the sustained effects of such interventions.

Design - Cross-sectional. Data were collected in 2002-2003 and analyzed in 2006-2007.

Setting/Participants - 1594 adolescent girls in 22 high schools.

Intervention - The intervention, Lifestyle Education for Activity Program (LEAP), was designed to increase physical activity in 9^th grade girls through two channels: changes in …

Professional Product Review Vol. 2 No. 4, American Dental Association, Council On Scientific Affairs

Professional Product Review

A user-friendly newsletter from the ADA Council on Scientific Affairs offering scientifically sound, unbiased, and clinically relevant information to member dentists about professional dental products tested by the ADA. This collection is historical and may not reflect current standards. For up-to-date information contact the ADA.

The Relationship Between Nurse To Population Ratio And Population Density: A Pilot Study In A Rural/Frontier State, Jeri L. Bigbee

Nursing Faculty Publications and Presentations

The purpose of this study was to evaluate the relationship between nurse to population ratio and population density. A secondary analysis was conducted, correlating nurse to population data with county-based population density data. The sample consisted of all 17 counties in the state of Nevada (3 urban, 4 rural and 10 frontier). County nurse to population ratios ranged from 178 to 861 per 100,000 population and population density ranged from 0.3 to 173.9 people per square mile (mean of 39.3). Correlational analysis indicated a significant positive relationship between nurse to population ratio and population density (r = .65 (p <.005). Mean nurse to population ratios were found to be significantly different between frontier (356/100,000), rural (682/100,000), and urban (587/100,000) counties (F = 7.53, p =.006). Not surprisingly, the results indicated that the lowest nurse to population ratios occur in areas with the lowest population density. These findings provide rural and frontier nurses with support in advocating for aggressive strategies to address the nurse to population disparity affecting rural and frontier communities.

Otk18, A Zinc-Finger Protein, Regulates Human Immunodeficiency Virus Type 1 Long Terminal Repeat Through Two Distinct Regulatory Regions, Masahide Horiba, Lindsey B. Martinez, James L. Buescher, Sinji Sato, Jenae Limoges, Yunquan Jiang, Clinton J. Jones, Tsuneya Ikezu

School of Veterinary and Biomedical Sciences: Faculty Publications

It has previously been shown by our laboratory that OTK18, a human immunodeficiency virus (HIV)-inducible zinc-finger protein, reduces progeny-virion production in infected human macrophages. OTK18 antiviral activity is mediated through suppression of Tat-induced HIV-1 long terminal repeat (LTR) promoter activity. Through the use of LTR scanning mutant vectors, the specific regions responsible for OTK18-mediated LTR suppression have been defined. Two different LTR regions were identifi ed as potential OTK18-binding sites by an enhanced DNA–transcription factor ELISA system; the negative-regulatory element (NRE) at –255/–238 and the Ets-binding site (EBS) at –150/–139 in the LTR. In addition, deletion of the EBS in …

Loma Linda Nurse - Vol. 16, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

3 | Message from the dean

4 | News from the school

6 | My Years at Loma Linda: Longtime faculty member Eva Miller shares her story

10 | Feature - Adeeba Evans

12 | LLUSN survey

13 | Letter from the alumni president

14 | Alumni homecoming

19 | Remembering Hazel Wood

20 | Alumni feature - Marjorie Whitney

Growth Environment And Sex Differences In Lipids, Bodyshape And Diabetes Risk, Mary Schooling, Tai Hing Lam, G. Neil Thomas, Benjamin J. Cowling, Michelle Heys, Edward D. Janus, Gabriel M. Leung

Publications and Research

Background
Sex differences in lipids and body shape, but not diabetes, increase at puberty. Hong Kong Chinese are mainly first or second generation migrants from China, who have shared an economically developed environment for years, but grew up in very different environments in Hong Kong or contemporaneously undeveloped Guangdong, China. We assessed if environment during growth had sex-specific associations with lipids and body shape, but not diabetes.

Methodology and Principal Findings
We used multivariable regression in a population-based cross-sectional study, undertaken from 1994 to 1996, of 2537 Hong Kong Chinese residents aged 25 to 74 years with clinical measurements of …

Genetic Disorders: Implications For Allied Health Professionals: Two Case Studies, Michaele Smith, Jerome V. Danoff, Mina Jain, Toby M. Long

Internet Journal of Allied Health Sciences and Practice

With advances in study of the human genome, increasingly accurate genetic testing has become available. Genetic-based birth defects may result in progressive dysfunction. Consequently, because of the negative associations, many people do not want to consider prognostication testing or accept the most appropriate treatments. The allied health practitioner may see this as counter to the goal of optimal health care. However, consideration must be given to the patient’s comfort with advanced knowledge. In this paper we discuss ethical, legal, and social implications of genetic testing and how these relate to patients seen in an allied health environment. First, background on …

Osteopontin Mediates Obesity-Induced Adipose Tissue Macrophage Infiltration And Insulin Resistance In Mice, Takashi Nomiyama, Diego Perez-Tilve, Daisuke Ogawa, Florence Gizard, Yue Zhao, Elizabeth B. Heywood, Karrie L. Jones, Ryuzo Kawamori, Lisa A. Cassis, Matthias H. Tschöp, Dennis Bruemmer

Internal Medicine Faculty Publications

Obesity is associated with a state of chronic, low-grade inflammation characterized by abnormal cytokine production and macrophage infiltration into adipose tissue, which may contribute to the development of insulin resistance. During immune responses, tissue infiltration by macrophages is dependent on the expression of osteopontin, an extracellular matrix protein and proinflammatory cytokine that promotes monocyte chemotaxis and cell motility. In the present study, we used a murine model of diet-induced obesity to examine the role of osteopontin in the accumulation of adipose tissue macrophages and the development of insulin resistance during obesity. Mice exposed to a high-fat diet exhibited increased plasma …

Glycaemic Index, Glycaemic Load And Ovarian Cancer Risk: A Prospective Cohort Study, Stephanie A. Navarro Silvera, Meera Jain, Geoffrey R. Howe, Anthony B. Miller, Thomas E. Rohan

Department of Public Health Scholarship and Creative Works

Background

There is some evidence that plasma insulin levels might influence ovarian cancer risk. The glycaemic index (GI) and glycaemic load (GL) are measures that allow the carbohydrate content of individual foods to be classified according to their postprandial glycaemic effects and hence their effects on circulating insulin levels. Therefore, we examined ovarian cancer risk in association with GI and GL, and intake of dietary carbohydrate and sugar.

Methods

The study was conducted in a prospective cohort of 49 613 Canadian women enrolled in the National Breast Screening Study (NBSS) who completed a self-administered food-frequency questionnaire (FFQ) between 1980 and …

Writing The World: Ursula K. Le Guin And Margaret Atwood’S Literary Contributions To Ecofeminism, Melissa Messer

Mahurin Honors College Capstone Experience/Thesis Projects

Along with the philosophical writings of ecofeminism’s greatest proponents and critics, the growth of ecofeminist philosophy has relied heavily on fiction writers. The term ecofeminism was coined in 1975, and the following year ecofeminism found fertile ground for exploration and growth in March Peircy’s science fiction novel, Woman on the Edge of Time (1976). The social, academic, and literary trends leading up to the emergence of ecofeminism, however, began well before 1975. Both Ursula K. Le Guin and Margaret Atwood are speculative fiction authors whose work before and after 1975 examines important ecofeminist topics and contributes to the growth of …

The Utilization Of Airway Pressure Release Ventilation As A Recruitment Strategy For Patients Who Develop Bilateral Atelectasis., Kenneth Miller Med, Rrt-Nps, Linda Cornman Bs, Rrt-Nps

Patient Care Services / Nursing

No abstract provided.

Rhabdomyolysis After Laparoscopic Nephrectomy., Deborah T. Glassman, William G. Merriam, Edouard J. Trabulsi, Dolores Byrne, Leonard Gomella

Department of Urology Faculty Papers

BACKGROUND AND OBJECTIVES: Laparoscopic renal surgery has become a widely applied technique in recent years. The development of postoperative rhabdomyolysis is a known but rare complication of laparoscopic renal surgery. Herein, 4 cases of rhabdomyolysis and a review of the literature are presented with respect to pathogenesis, treatment, and prevention of this dire complication. METHODS: A retrospective review of over 600 laparoscopic renal operations over the past 8 years was performed. All cases of postoperative rhabdomyolysis were identified. A Medline search was performed to find articles related to the development of postoperative rhabdomyolysis. Cases of rhabdomyolysis developing after laparoscopic renal …

Factors Influencing Medical Student Participation In An Obstetrics And Gynaecology Clinic, Ferha Saeed, Mahwash Kassi, Samia Ayub, Rabeea Rehman, Pashtoon M. Kasi, Javed H. Rizvi

Department of Obstetrics & Gynaecology

Objective: To identify factors influencing medical student participation in an obstetrics and gynaecology (OBGYN) setting.
Methods:This was a cross sectional study carried out on patients admitted in OBGYN wards of Aga Khan University Hospital, Karachi, Pakistan. A total of 250 patients consented to participate in this study.
Results: Eighty three percent of the people responded 'yes' to the question of being initially seen by a medical student. People who consented were 3.5 times more likely to know that their primary consultant was a teacher at a medical school i.e. they were initially aware that they were in a teaching …

Autistic Spectrum Disorders In Velo-Cardio Facial Syndrome (22q11.2 Deletion), Kevin M. Antshel, Alka Aneja, Leslie A. Strunge, Jena Peebles, Wanda Fremont, Kimberly Stallone, Nuria Abdulsabur, Anne Marie Higgins, Robert J. Shprintzen, Wendy R. Kates

Communication Disorders Faculty Publications

The extent to which the phenotype of children comorbid for velocardiofacial syndrome (VCFS) and autism spectrum disorders (ASD) differs from that of VCFS-only has not been studied. The sample consisted of 41 children (20 females) with VCFS, ranging in age from 6.5 years to 15.8 years. Eight children with VCFS met formal DSM-IV diagnostic criteria for autism based upon the ADI-R. These eight plus an additional nine participants met diagnostic criteria for an autistic spectrum disorder (VCFS + ASD). Ninety-four percent of the children with VCFS + ASD had a co-occurring psychiatric disorder while 60% of children with VCFS had …

Clinical Educators' Reactions To Ageing, Anne Mandy, Kevin Lucas, Lisa Hodgson

Internet Journal of Allied Health Sciences and Practice

Ageism and negative attitudes towards ageing have been identified within the literature as a cause for concern. Reactions to ageing are known to be strongly positively correlated with attitudes towards older people in general. Moreover, the link between ageist practice and quality of care is also established, but implications for education and training have not been explored. The aim of this study was to investigate the reactions to ageing of clinical and fieldwork educators of undergraduate students. Clinical and field work educators are largely responsible for all the clinical education received by these students and thus have the potential to …