Medicine and Health Sciences Commons^™

Department Of Health Policy Hosts Cms Presentation On Value-Based Purchasing

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Hospital Inpatient Capacity: Making Room For The Next Patient, Tracy L. Hanson Mha, Lnha, Douglas Hughes Rn, Bsn, Mba

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Health Care For Homebound Geriatric Patients: Perspective From The Front-Line, Alfred E. Stillman Md, Macp

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

The Hospital Bed Of The Future, David B. Nash Md, Mba

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Using Confirmatory Factor Analysis To Understand Executive Control In Preschool Children: I. Latent Structure, Sandra A. Wiebe, Kimberly A. Espy, David Charak

Developmental Cognitive Neuroscience Laboratory: Faculty Publications

*This article may not exactly replicate the final version published in the APA journal. It is not the copy of record. http://content.apa.org/journals/0012-1649 Although many tasks have been developed recently to study executive control in the preschool years, the constructs that underlie performance on these tasks are poorly understood. In particular, it is unclear whether executive control is comprised of multiple, separable cognitive abilities (e.g., inhibition and working memory) or whether it is unitary in nature. A sample of 243 normally developing children between 2.25 and 6 years of age completed a battery of ageappropriate executive control tasks. Confirmatory factor analysis …

Struggling With Disconnection: The Lived Experience Of Being Homeless And In Need Of Healthcare, Nonceba Mbangata

Theses and Graduate Projects

The intent of this field project was to study the disconnection that is experienced by homeless persons within the healthcare system. Homelessness is a growing concern that affects all age groups throughout the United States. It is not a secret that the increase in homelessness is stressing the health care system and limiting choices of becoming a healthy individual. The state of the health care system today and the nomadic habits of homeless persons make it impossible for those struggling with homelessness to stay connected to health care services. This project will illuminate the lived experiences of homeless persons as …

Health State Valuation In Mild To Moderate Cognitive Impairment: Feasibility Of Computer-Based, Direct Patient Utility Assessment, Neal V. Dawson, Mendel E. Singer, Marian B. Patterson, Susie A. Sami, Iahn Gonsenhouser, Heather A. Lindstrom, Kathleen A. Smyth, Melissa Barber Butson, Peter J. Whitehouse

Faculty Scholarship

Background. Most patients with dementia will, at some point, need a proxy health care decision maker. It is unknown whether persons with various degrees of cognitive impairment can reliably report their health-related preferences. Methods. The authors performed health state valuations (HSVs) of current and hypothetical future health states on 47 pairs of patients with mild to moderate cognitive impairment and their caregivers using computer-based standard gamble, time tradeoff, and rating scale techniques. Results. Patients' mean (SD) age was 74.6 (9.3) years. About half of the patients were women (48%), as were most caregivers (73%), who were on average younger (mean …

Accuracy Of Automated Analysis Of Language Samples From Persons With Deafness Or Hearing Impairment, Anne M. Hasting

Theses and Dissertations

Developmental Sentence Scoring (DSS) and the Language Assessment, Remediation, and Screening Procedure (LARSP) are among the more common analyses for syntax and morphology, and automated versions of these analyses have been shown to be effective. This study measured the accuracy of automated DSS and LARSP on the written English output of six prelingually deaf young adults, ranging in age from 18 to 32 years. The samples were analyzed using the DSS and LARSP programs on Computerized Profiling; manual analysis was then performed on the samples. Point-by-point accuracy for DSS and for each level of LARSP was reported. Characteristics of the …

Ada News - 03/17/2008, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Genetic Evidence For An Alternative Citrate-Dependent Biofilm Formation Pathway In Staphylococcus Aureus That Is Dependent On Fibronectin Binding Proteins And The Grars Two-Component Regulatory System, Robert M. Q. Shanks, Michael A. Meehl, Kimberly M. Brothers, Raquel M. Martinez, Niles P. Donegan, Martha L. Graber, Ambrose L. Cheung, George A. O'Toole

Dartmouth Scholarship

We reported previously that low concentrations of sodium citrate strongly promote biofilm formation by Staphylococcus aureus laboratory strains and clinical isolates. Here, we show that citrate promotes biofilm formation via stimulating both cell-to-surface and cell-to-cell interactions. Citrate-stimulated biofilm formation is independent of the ica locus, and in fact, citrate represses polysaccharide adhesin production. We show that fibronectin binding proteins FnbA and FnbB and the global regulator SarA, which positively regulates fnbA and fnbB gene expression, are required for citrate's positive effects on biofilm formation, and citrate also stimulates fnbA and fnbB gene expression. Biofilm formation is also stimulated by several …

The Effects Of Deep Brain Stimulation On The Speech Of Patients With Parkinson's Disease, Erin Suzanne Bjarnason

Theses and Dissertations

Deep brain stimulation (DBS) of the subthalamic nucleus (STN) has received more attention in recent years as a treatment option for regulating the symptoms of Parkinson's disease. Previous studies of DBS documented consistent improvements in motor function but more variability in speech outcomes. In the present study, six participants diagnosed with idiopathic Parkinson's disease who reported worsened speech with stimulation were recorded performing speech acoustic tasks with the stimulators on, and again with the stimulators off. Improvements were noted for most participants in measurements of formant slopes, long term average spectrum (LTAS) of a sustained vowel, and spirantization with stimulation …

Competition And Collaboration, Chicago-Style, Laura A. Dummit, Lisa Sprague

National Health Policy Forum

The National Health Policy Forum sponsored a site visit to Chicago, Illinois, March 16-18, 2008 to consider how competition and collaboration have shaped Chicago?s health care market. Chicago is a study of contrasts between wealth and poverty and between large, internationally known facilities and struggling community hospitals. The stressed state of the county health system concerned all of the stakeholders and may be an impetus for increased cooperation among the haves and the have nots. No longer waiting for state health reform efforts, key players were working to shore up needed providers and develop a more equitable distribution of resources, …

Keeping Calm In The Face Of Huntington's, Kenneth P. Serbin

At Risk for Huntington's Disease

No abstract provided.

Eco-Social Analysis Of An East African Agro-Pastoral System: Management Of Tsetse And Bovine Trypanosomiasis, Johann Baumgärtner, Gianni Gilioli, Getachew Tikubet, Andrew Paul Gutierrez

All Peer-Reviewed Publications

A key constraint for development of many East African agro-pastoral communities is African animal trypanosomiasis or nagana caused by Trypanosoma spp. and vectored by species of tsetse flies (Glossina spp.). Suppression of trypanosomiasis through trapping of tsetse fly populations was conducted from 1995 to 2005 at and near Luke, Southwest Ethiopia. Odor baited mass trapping technology was used to suppress adult fly populations to very low levels while tryponocidal drugs were used to treat trypanosome infections in cattle. Data on ecological, economic and social variables were collected and analyzed in the context of eco-social dynamics in the community. The bio-economic …

Completing The Recipe For Children's Health: New Variations On Key Ingredients: A Report From The Workshop On June 28, 2007, Jennifer Ryan

National Health Policy Forum

This paper offers a broad overview of the issues surrounding the social and environmental determinants of children’s health. These issues were explored during a discussion convened by the National Health Policy Forum on June 28, 2007, among a group of individuals concerned about the influences beyond medical care on the health of children. The paper considers the policy and financing tensions that exist across programs and populations that make addressing the full range of influences challenging. It also highlights some of the community-based initiatives that have been successful in providing services to children and families, as described during the workshop. …

Gastric Juice For The Diagnosis Of H Pylori Infection In Patients On Proton Pump Inhibitors, Javed Yakoob, Shahid Rasool, Z Abbas, Wasim Jafri, Shahab Abid, Muhammad Islam, Zubair Ahmad

Section of Gastroenterology

Aim:To determine the efficacy of gastric juice polymerase chain reaction (PCR) for the detection of H pylori infection in comparison with histology and gastric antral biopsy PCR in Patients on a proton pump inhibitor (PPI).

Methods:

Eighty-five consecutive Patients with dyspeptic symptoms were enrolled. Gastric biopsies for histology, PCR and gastric juice were collected at endoscopy for PCR of the H pylori urease C gene (ure C). Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), accuracy, positive and negative likelihood ratio for PCR of gastric juice for the H pylori ure C gene was compared to histology …

Event Related Potentials Of Syntactic Language Processing In Two Children With Specific Language Impairment: A Case Study, Melissa Ann Willes

Theses and Dissertations

This study examined the electrophysiological activity of two children with Specific Language Impairment (SLI) and two aged-matched peers while listening to syntactically correct sentences versus syntactically incorrect sentences. The study specifically analyzed the N400 and P600 components. The N400 component is a negative wave occurring approximately 400 ms post-stimulus and is elicited by semantically incorrect stimuli. The P600 component is a positivity that occurs approximately 600 ms post-stimulus and reflects processing of syntactically incorrect stimuli. The participants in the study included a 7-year-old child and a 9-year-old child with SLI and two age-matched peers with typically developing language. Each participant …

The Effect Of Regional Dialect On The Validity And Reliability Of Word Recognition Scores, Jamie Ann Garlick

Theses and Dissertations

The purpose of this study was to examine the effect of talker and listener dialect on the validity and reliability of word recognition scores from two sets of Mandarin speech audiometry materials. Four lists of bisyllabic words in Mainland Mandarin and Taiwan Mandarin dialects were administered to 16 participants of each dialect with normal hearing across two test sessions. The performance on materials presented in the native dialect was compared to performance on non-native dialect assessment to determine validity and reliability of test materials. Statistical analysis indicated significant differences between word recognition scores across test sessions, talker and listener dialect, …

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Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Revolution Health Group Clinical Strategies: Health Policy Forum

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Download The Pdf Of The Full Issue

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

The Effect Of Non-Native Dialect On Speech Recognition Threshold For Native Mandarin Speakers, Nathan Edward Richardson

Theses and Dissertations

Speech recognition thresholds are used for several clinical purposes, so it is important that they be accurate reflections of hearing ability. Variations in the acoustic signal may artificially decrease threshold scores, and such variations can result from being tested in a second dialect. Thirty-two native Mandarin-speaking subjects (sixteen from mainland China and sixteen from Taiwan) participated in speech recognition threshold testing in both dialects to see whether using non-native dialect test materials resulted in a significantly lower score. In addition, tests were scored by two interpreters, one from each dialect, to see whether the scorer's dialect resulted in a significantly …

Children Served By Mainecare, 2007: Survey Findings, Deborah Thayer Mba, Nathaniel J. Anderson Ms, Mph

Population Health & Health Policy

This report presents findings from a telephone survey of children currently enrolled in or recently disenrolled from MaineCare, the State‘s Medicaid and State Children‘s Health Insurance Program (SCHIP). The sample was randomly selected, and stratified to include children enrolled in MaineCare through the Medicaid eligibility category, and through two SCHIP eligibility categories, Medicaid Expansion and the Separate Child Health Program (CHP). 1 These three eligibility categories include children ages 18 or under living in households with income up to 200% of the Federal Poverty Level. Income eligibility limits are lowest for the Medicaid eligibility category, followed by the Medicaid Expansion …

Functional Imaging Of The Auditory Processing Applied To Speech Sounds, Roy D Patterson, Ingrid Johnsrude

Brain and Mind Institute Researchers' Publications

In this paper, we describe domain-general auditory processes that we believe are prerequisite to the linguistic analysis of speech. We discuss biological evidence for these processes and how they might relate to processes that are specific to human speech and language. We begin with a brief review of (i) the anatomy of the auditory system and (ii) the essential properties of speech sounds. Section 4 describes the general auditory mechanisms that we believe are applied to all communication sounds, and how functional neuroimaging is being used to map the brain networks associated with domain-general auditory processing. Section 5 discusses recent …

Hpr6 Mutants And Uses Thereof, Rolf Joseph Craven

Pharmacology and Nutritional Sciences Faculty Patents

Methods and agents that interfere with Hpr6 function in non-sarcoma tumor cells are disclosed. Anti-Hpr6 agents are used to enhance the killing effect of anti-cancer agents in non-sarcoma tumor cells and to teat non-sarcoma tumors.

Interview No. 1628, Ariel Rodriguez

Combined Interviews

Dr. Rodriguez recalls time while in the Army, went to Vietnam to work in a field hospital for a year, also worked in civilian ones; he describes later duties at Ft. Bragg, NC, then Puerto Rico; he mentions service during the invasion of the Dominican Republic; he recalls coming to El Paso in 1969, describes the conditions at William Beaumont Army Hospital during its building. He recounts how he became the Associate Dean at Texas Tech Medical; he goes over the interview process and his office; he describes the programs he developed, setting up clinicals for students; he states that …

Addressing Spirituality For Clients With Physical Disabilities, Laura Feeney, Susan Toth-Cohen

Department of Occupational Therapy Faculty Papers

Spirituality is acknowledged as a key influence in human life. However, occupational therapists do not necessarily address clients' spiritual needs in practice. This article describes ways that occupational therapists working in physical disabilities settings address spirituality in practice.

In Vitro Toxicity Of Aluminum Nanoparticles In Human Keratinocytes, Stephanie Mccormack-Brown

Theses and Dissertations

Nanotechnology promises to be the defining technology of the 21st century. At an annual investment of $1B, it provides significant contributions to manufacturing, medicine, energy conservation, and the environment. Nanoparticles are structures with at least one dimension in the 1 to 100 nanometer (nm) range. DoD and US Air Force interest in aluminum nanoparticles (AL NPs) stems from its ability to enhance combustion jet fuel, thus increasing fuel efficiency. The addition of AL NPs to JP-8 may pose a unique dermal hazard to aircraft maintenance workers. There is no published data on AL NP toxicity effects on human skin. This …

Based On The Evidence: Understanding The Core Components Of Evidence-Based Practice, Institute For Public Health And Justice, Evidence-Based Treatment And Services, Stakeholder Education And Awareness

Policy & Position Papers

No abstract provided.

Résistance Du Point D'Ancrage D'Un Système D'Arrêt De Chute Et De Positionnement Pour Les Poseurs D'Acier D'Armature, André Lan, Renaud Daigle

Rapports de recherche scientifique

Les structures de béton armé peuvent être divisées en deux grands groupes : soit les édifices à colonnes et dalles et les autres structures. Dans le premier cas, les poseurs d’acier d’armature (ferrailleurs) sont très peu exposés aux chutes parce que l'armature des colonnes est préposée au sol à l'horizontale et soulevée en bloc par un engin de levage alors que l'armature de la dalle du plancher est posée aux pieds du ferrailleur. Les garde-corps sur le périmètre de la dalle protègent les travailleurs contre les chutes. Dans le deuxième cas, les structures en cause sont des culées de pont, …