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2009

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Articles 1111 - 1140 of 4384

Full-Text Articles in Medicine and Health Sciences

Post-Traumatic Stress Disorder And Health Problems Among Medically Ill Canadian Peacekeeping Veterans, Don Richardson, Jordan Pekevski, Jon D Elhai Jul 2009

Post-Traumatic Stress Disorder And Health Problems Among Medically Ill Canadian Peacekeeping Veterans, Don Richardson, Jordan Pekevski, Jon D Elhai

MacDonald Franklin OSI Research Centre

OBJECTIVE:

The aim of the present study was to examine the relationship between post-traumatic stress disorder (PTSD) symptom severity and four significant health conditions (gastrointestinal disorders, musculoskeletal problems, headaches, and cardiovascular problems).

METHOD:

Participants included 707 Canadian peacekeeping veterans with service-related disabilities, from a random, national Canadian survey, who had been deployed overseas.

RESULTS:

PTSD severity was significantly related to gastrointestinal disorders, musculoskeletal problems, and headaches, but not to cardiovascular problems. Controlling for demographic factors did not affect PTSD's relationships with the three significant health conditions.

CONCLUSIONS:

The present study supports previous work in finding consistent relations between PTSD severity …


Perirhinal Cortex Contributes To Accuracy In Recognition Memory And Perceptual Discriminations., Edward B O'Neil, Anthony D Cate, Stefan Köhler Jul 2009

Perirhinal Cortex Contributes To Accuracy In Recognition Memory And Perceptual Discriminations., Edward B O'Neil, Anthony D Cate, Stefan Köhler

Brain and Mind Institute Researchers' Publications

The prevailing view of the medial temporal lobe (MTL) holds that its structures are dedicated to long-term declarative memory. Recent evidence challenges this position, suggesting that perirhinal cortex (PRc) in the MTL may also play a role in perceptual discriminations of stimuli with substantial visual feature overlap. Relevant neuropsychological findings in humans have been inconclusive, likely because studies have relied on patients with large and variable MTL lesions. Here, we conducted a functional magnetic resonance imaging study in healthy individuals to determine whether PRc shows a performance-related involvement in perceptual oddball judgments that is comparable to its established role in …


Explorer, Summer 2009, Nova Southeastern University Jul 2009

Explorer, Summer 2009, Nova Southeastern University

Newsletters

No abstract provided.


Teaching Professionalism: A Survey Of Physical Therapy Educators, D. Scott Davis Jul 2009

Teaching Professionalism: A Survey Of Physical Therapy Educators, D. Scott Davis

Physical Therapy Faculty Research

This study examined the opinions of physical therapy faculty relative to teaching and fostering professionalism in entry-level physical therapy education. A paper-and-pencil survey was mailed to a random sample of 318 physical therapy educators across the United States. Of the 318 surveys mailed, 166 participants (response rate, 52%) completed and returned the survey. Descriptive analysis revealed that 98% of the physical therapy educators view professionalism as an important component of a physical therapy curriculum. Eighty-nine percent of the respondents expressed concern about the professional behaviors of one or more of their entry-level students; however, based on the frequency of negative …


Incidence And Associated Factors Of Negative Appendectomy And Ruptured Appendicitis In Pmsmc, C. Rojratsirikul Jul 2009

Incidence And Associated Factors Of Negative Appendectomy And Ruptured Appendicitis In Pmsmc, C. Rojratsirikul

Chulalongkorn Medical Journal

No abstract provided.


What's Happening: July, 2009, Maine Medical Center Jul 2009

What's Happening: July, 2009, Maine Medical Center

What's Happening

No abstract provided.


Prevalence Of Rural Intimate Partner Violence In 16 Us States, 2005, Matthew J. Breiding, Jessica S. Ziembroski, Michele C. Black Jul 2009

Prevalence Of Rural Intimate Partner Violence In 16 Us States, 2005, Matthew J. Breiding, Jessica S. Ziembroski, Michele C. Black

United States Public Health Resources

Context: Intimate partner violence (IPV) is a public health problem that affects people across the entire social spectrum. However, no previous population-based public health studies have examined the prevalence of IPV in rural areas of the United States. Research on IPV in rural areas is especially important given that there are relatively fewer resources available in rural areas for the prevention of IPV.

Methods: In 2005, over 25,000 rural residents in 16 states completed the first-ever IPV module within the Behavioral Risk Factor Surveillance System (BRFSS). The BRFSS is a Centers for Disease Control and Prevention-sponsored annual random-digit-dialed …


Neuroradiology, Zafar Sajjad Jul 2009

Neuroradiology, Zafar Sajjad

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.


Central Role Of Tau Protein In Alzheimer»S Disease And Related Tauopathies, Khalid Iqbal, Omar Chohan, Inge Grundke-Iqbal Jul 2009

Central Role Of Tau Protein In Alzheimer»S Disease And Related Tauopathies, Khalid Iqbal, Omar Chohan, Inge Grundke-Iqbal

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.


Psychiatry, Syed Ahmer Jul 2009

Psychiatry, Syed Ahmer

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.


Cardinal Athletics Summer 2009, Otterbein University Jul 2009

Cardinal Athletics Summer 2009, Otterbein University

Cardinal Athletics Newsletter

No abstract provided.


Ace-I Induced Angioedema: A Case Report And Review Of Literature, Philip Adebayo, Olutayo Christopher Alebiosu Jul 2009

Ace-I Induced Angioedema: A Case Report And Review Of Literature, Philip Adebayo, Olutayo Christopher Alebiosu

Faculty of Health Sciences, East Africa

Although rare, angioedema has been documented to occur following the administration of angiotensin-Converting Enzyme Inhibitors. Angiotensin-converting enzyme inhibitors are the leading cause of drug induced angioedema. Angiotensin-converting enzyme inhibitors induced angioedema is a class effect that can affect between 0.1% and 0.5% of patients taking the drug. It is rarely documented in Nigeria. Lisinopril is a commonly prescribed angiotensin-converting enzyme inhibitors-I which is considered to be generally safe and well tolerated. We report a case of angioedema following the use of lisinopril.


The Effects Of An Acute Dose Of Rhodiola Rosea On Exercise Performance And Cognitive Function, Eric E. Noreen, James G. Buckley, Stephanie L. Lewis Jul 2009

The Effects Of An Acute Dose Of Rhodiola Rosea On Exercise Performance And Cognitive Function, Eric E. Noreen, James G. Buckley, Stephanie L. Lewis

Health Sciences Faculty Publications

Background: The purpose of this study was to determine the effects of an acute oral dose of 3 mg/kg of Rhodiola rosea (R. rosea) on endurance exercise performance, mood, and cognitive function.

Methods: A total of 15 recreationally active college women (21.3 ± 0.09 y, 56.1 ± 6.3 kg; mean ± SD) participated in this study. 2–7 d after a familiarization trial subjects ingested in a double blind, random crossover manner, either R. rosea or a carbohydrate placebo 1 h prior to testing. Exercise testing consisted of a 10 minute warm-up, standardized to 80% of the average …


Impact Of Change In Maternal Age Composition On The Incidence Of Caesarean Section And Low Birth Weight: Analysis Of Delivery Records At A Tertiary Hospital In Tanzania, 1999–2005, Projestine S. Muganyizi, Hussein Kidanto Jul 2009

Impact Of Change In Maternal Age Composition On The Incidence Of Caesarean Section And Low Birth Weight: Analysis Of Delivery Records At A Tertiary Hospital In Tanzania, 1999–2005, Projestine S. Muganyizi, Hussein Kidanto

Faculty of Health Sciences, East Africa

Background Previous studies on change in maternal age composition in Tanzania do not indicate its impact on adverse pregnancy outcomes. We sought to establish temporal changes in maternal age composition and their impact on annual Caesarean section (CS) and low birth weight deliveries (LBWT) at Muhimbili National Hospital in Tanzania.

Methods We conducted data analysis of 91,699 singleton deliveries that took place in the hospital between 1999 and 2005. The data were extracted from the obstetric data base. Annual proportions of individual age groups were calculated and their trends over the years studied. Multiple logistic analyses were conducted to ascertain …


Community Acquired Pneumonia: Risk Factors Associated With Mortality In A Tertiary Care Hospitalized Patients, Muhammad Irfan, Syed Fayyaz Hussain, Khubaib Mapara, Shafia Memon, Mohammed Mogri, Muniza Bana, Amna Malik, Sara Khan, Nadia A Khan Jul 2009

Community Acquired Pneumonia: Risk Factors Associated With Mortality In A Tertiary Care Hospitalized Patients, Muhammad Irfan, Syed Fayyaz Hussain, Khubaib Mapara, Shafia Memon, Mohammed Mogri, Muniza Bana, Amna Malik, Sara Khan, Nadia A Khan

Section of Pulmonary & Critical Care

OBJECTIVE: To evaluate risk factors associated with mortality in patients hospitalized with CommunityAcquired Pneumonia (CAP) from a developing country.

METHODS: An observational study was conducted on adult patients admitted with a diagnosis of CAP from January 2002 to August 2003 at Aga Khan University hospital, Karachi, Pakistan. Clinical records were reviewed for demographic characteristics, clinical and laboratory features, hospital course, and risk factors associated with mortality.

RESULTS: A total of 329 patients (187 males) were admitted with CAP. Two-third of patients had underlying co-morbid medical illnesses. Complications developed in 15.7% cases and the overall mortality rate was 11%. Risk factors …


Differential Live Mycobacterium Tuberculosis- , M. Bovis Bcg-, Recombinant Esat6-, And Culture Filtrate Protein 10-Induced Immunity In Tuberculosis, Zahra Hasan, Bushra Jamil, Mussarat Ashraf, Muniba Islam, Maqboola Dojki, Muhammad Irfan, Rabia Hussain Jul 2009

Differential Live Mycobacterium Tuberculosis- , M. Bovis Bcg-, Recombinant Esat6-, And Culture Filtrate Protein 10-Induced Immunity In Tuberculosis, Zahra Hasan, Bushra Jamil, Mussarat Ashraf, Muniba Islam, Maqboola Dojki, Muhammad Irfan, Rabia Hussain

Section of Pulmonary & Critical Care

The high prevalence of Mycobacterium tuberculosis makes it imperative that immune responses to evaluate could be predictive of infection. We investigated live Mycobacterium- and recombinant antigen-induced cytokine and chemokine responses in patients with active tuberculosis (TB) compared with those of healthy controls from an area where TB is endemic (ECs). M. tuberculosis-, M. bovis BCG-, ESAT6-, and culture filtrate protein 10 (CFP10)-induced responses were determined in peripheral blood mononuclear cells from patients with pulmonary TB (n = 38) and ECs (n = 39). The levels of the cytokines gamma interferon (IFN-γ) and interleukin-10 (IL-10) and the …


The Complete Genome Of Teredinibacter Turnerae T7901: An Intracellular Endosymbiont Of Marine Wood-Boring Bivalves (Shipworms), Joyce C. Yang, Ramana Madapu, A. Scott Durkin, Nathan A. Ekborg, Chandra S. Pedamallu, Jessica B. Hostetler, Diana Radune, Bradley S. Toms, Bernard Henrissat, Pedro M. Coutinho, Sandra Schwarz, Lauren Field, Amaro E. Trindade-Silva, Carlos A. G. Soares, Sherif Elshahawi, Amro Hanora, Eric W. Schmidt, Martha G. Haygood, Joanos Posfai, Jack Benner, Catherine Madinger, John Nove, Brian Anton, Kshitiz Chaudhary, Jeremy Foster, Alex Holman, Sanjay Kumar, Philip A. Lessard, Yvette A. Luyten, Barton Slatko, Nicole Wood, Bo Wu, Max Teplitski, Joseph D. Mougous, Naomi Ward, Jonathan A. Eisen, Jonathan H. Badger, Daniel L. Distel Jul 2009

The Complete Genome Of Teredinibacter Turnerae T7901: An Intracellular Endosymbiont Of Marine Wood-Boring Bivalves (Shipworms), Joyce C. Yang, Ramana Madapu, A. Scott Durkin, Nathan A. Ekborg, Chandra S. Pedamallu, Jessica B. Hostetler, Diana Radune, Bradley S. Toms, Bernard Henrissat, Pedro M. Coutinho, Sandra Schwarz, Lauren Field, Amaro E. Trindade-Silva, Carlos A. G. Soares, Sherif Elshahawi, Amro Hanora, Eric W. Schmidt, Martha G. Haygood, Joanos Posfai, Jack Benner, Catherine Madinger, John Nove, Brian Anton, Kshitiz Chaudhary, Jeremy Foster, Alex Holman, Sanjay Kumar, Philip A. Lessard, Yvette A. Luyten, Barton Slatko, Nicole Wood, Bo Wu, Max Teplitski, Joseph D. Mougous, Naomi Ward, Jonathan A. Eisen, Jonathan H. Badger, Daniel L. Distel

Pharmacy Faculty Articles and Research

Here we report the complete genome sequence of Teredinibacter turnerae T7901. T. turnerae is a marine gamma proteobacterium that occurs as an intracellular endosymbiont in the gills of wood-boring marine bivalves of the family Teredinidae (shipworms). This species is the sole cultivated member of an endosymbiotic consortium thought to provide the host with enzymes, including cellulases and nitrogenase, critical for digestion of wood and supplementation of the host's nitrogen-deficient diet. T. turnerae is closely related to the free-living marine polysaccharide degrading bacterium Saccharophagus degradans str. 2–40 and to as yet uncultivated endosymbionts with which it coexists in shipworm cells. Like …


Asset-Based Approaches For Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, And Two-Spirit (Lgbtqi2-S) Youth And Families In Systems Of Care, Peter E. Gamache, Katherine J. Lazear, Research And Training Center For Children's Mental Health Jul 2009

Asset-Based Approaches For Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, And Two-Spirit (Lgbtqi2-S) Youth And Families In Systems Of Care, Peter E. Gamache, Katherine J. Lazear, Research And Training Center For Children's Mental Health

FMHI Publications

No abstract provided.


Business Plan For Sleep Center, Mohammed Al Ghamdi Jul 2009

Business Plan For Sleep Center, Mohammed Al Ghamdi

Boise State Graduate Student Projects

A sleep disorder is a medical disorder of the sleep patterns of a person, and it is serious enough to affect normal physical, mental, and emotional function. Most sleep disorders can be diagnosed in a sleep center through the use of a common test known as the polysomnogram. The wide need of sleep medicine and the severe shortage of centers and technologists impact our understanding of sleep disorders, especially in the Kingdom of Saudi Arabia. Currently, several health service organizations have started to focus on the need to study the function of sleep, to understand and develop better treatments for …


Triptolide Is A Potential Therapeutic Agent For Alzheimer’S Disease, Matthew Allsbrook Jul 2009

Triptolide Is A Potential Therapeutic Agent For Alzheimer’S Disease, Matthew Allsbrook

Theses and Dissertations

Mounting evidence indicates an involvement of inflammation in the pathogenesis of Alzheimer’s disease. While there are other mechanisms involved, it is this role of inflammatory processes that we wish to investigate. Triptolide is the major constituent in the Chinese herb, Tripterygium wilfordii Hook F, and has been used for centuries as part of Chinese herbal medicine. The four ringed structure has close homology to drugs of the steroid class and it has been shown to be beneficial as an anti-inflammatory for rheumatoid arthritis and for treatment of certain cancers. The aim of this study was to evaluate the potential therapeutic …


Multiple Major Artery Compression By An Idiopathic Aortic Aneurysm: An Unusual Cause Of Hypertensive Encephalopathy, Shakeel Ahmed, Syed Rehan Ali, Husen Yousuf Jul 2009

Multiple Major Artery Compression By An Idiopathic Aortic Aneurysm: An Unusual Cause Of Hypertensive Encephalopathy, Shakeel Ahmed, Syed Rehan Ali, Husen Yousuf

Department of Paediatrics and Child Health

Multiple major artery compression by an aortic aneurysm is extremely rare in the paediatric population. Most arterial aneurysms in children are secondary to infections mainly mycotic, connective tissue disorder, vasculitis, collagen vascular diseases, and other causes. True idiopathic aneurysms are the least common and a few reports in children have been published. We describe an 8 year old boy who presented with hypertensive encephalopathy and later was found to have an idiopathic, symptomatic suprarenal aortic aneurysm compressing multiple major arteries of the abdomen. The child was subsequently managed on multiple antihypertensive medication and later required engraftment of the renal and …


Complexity, Cofactors, And The Failure Of Aids Policy In Africa, Eileen Stillwaggon Jul 2009

Complexity, Cofactors, And The Failure Of Aids Policy In Africa, Eileen Stillwaggon

Economics Faculty Publications

Global AIDS policy still treats HIV as an exceptional case, abstracting from the context in which infection occurs. Policy is based on a simplistic theory of HIV causation, and evaluated using outdated tools of health economics. Recent calls for a health systems strategy – preventing and treating HIV within a programme of comprehensive health care – have not yet influenced the silo approach of AIDS policy.

Evidence continues to accumulate, showing that multiple factors, such as malnutrition, malaria and helminthes, increase the risk of sexual and vertical transmission of HIV. Moreover, complementary interventions that reduce viral load, improve immune response, …


Brain Tumor Progression Assessment Using Multiple Mri Volumes, Yufei Shen Jul 2009

Brain Tumor Progression Assessment Using Multiple Mri Volumes, Yufei Shen

Electrical & Computer Engineering Theses & Dissertations

Predicting and assessing tumor progression is important in brain tumor treatment. We attempt to use machine learning techniques to achieve consistency in assessing brain tumor progression. This thesis presents a prediction method of brain tumor progression by exploring a large MR database, which contains two patients ' complete records covering all their visits in the past two years. All ten MRI series, namely, apparent diffusion coefficient (ADC) , diffusion tensor imaging (DTI) , fractional anisotropy (FA), fluid attenuated inversion recovery (FLAIR), max eigenvalue (MAX), mid eigenvalue (MID), min eigenvalue (MIN) , post-contrast T1-weighted, T1- weighted, and …


Effects Of Low-Temperature Atmospheric Pressure Plasma On Streptococcus Mutans, Margaret Farrer Lemaster Jul 2009

Effects Of Low-Temperature Atmospheric Pressure Plasma On Streptococcus Mutans, Margaret Farrer Lemaster

Dental Hygiene Theses & Dissertations

The recent emergence of low temperature atmospheric pressure plasma (LTAPP) technology has led researchers to explore biomedical applications. The present study set out to determine if LTAPP has the ability to inactivate dental caries causing bacteria, specifically Streptococcus mutans. Methods: A total of 90 samples were processed. Seventy-two samples of S. mutans at 1: 100 dilution in BHI broth were exposed to LTAPP for various time intervals (60, 120, 180, 300 seconds). Eighteen control samples were plated but not exposed to LTAPP. Samples were plated on Mi tis salivarius (MS) agar and incubated 48 hours at 37° C. Colony …


Inhibition Of Yeast Hexokinase By The Antimalarial Drug Artemisinin: Probing Mechanism Of Action With A Model Enzyme, Jennifer S. Spence Jul 2009

Inhibition Of Yeast Hexokinase By The Antimalarial Drug Artemisinin: Probing Mechanism Of Action With A Model Enzyme, Jennifer S. Spence

Biological Sciences Theses & Dissertations

A leading infectious cause of death, malaria threatens approximately half of the world's population, and drug-resistant strains of Plasmodium falciparum have created immense difficulty in chemotherapy of the disease. The artemisinin (ART) class of antimalarials may represent a powerful solution. In addition to their safety, effectiveness, and moderate cost, they are the only drugs in use for which there has been no widespread evidence of clinical resistance. The exact parasiticidal mechanism of ART is highly contested, but evidence suggests that protein alkylation may play a role in cytotoxicity. in vitro essays were performed using yeast hexokinase (HK) to demonstrate a …


Which Assessments And Interventions Do Physiotherapists Value In The Management Of Adults With Cystic Fibrosis In Australia?, Kathy Stiller, Dianne White, Marie Williams Jul 2009

Which Assessments And Interventions Do Physiotherapists Value In The Management Of Adults With Cystic Fibrosis In Australia?, Kathy Stiller, Dianne White, Marie Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: Evidence based practice involves the integration of three main components: best available research evidence, practitioner’s clinical expertise, and patient’s preferences. While the effectiveness of physiotherapy interventions for patients with cystic fibrosis (CF) has been extensively studied, no studies have explored physiotherapists’ perceptions and values concerning their management of patients with CF. The aim of this study was to document the opinions and values that CF physiotherapists in Australia have regarding their management of patients with CF. Method: A purpose-designed questionnaire addressing these issues was mailed to all 38 physiotherapists working with adults with CF on a regular/frequent basis in …


Provision Of Health Promotion Information By Physiotherapists To In-Patients In A Tertiary Hospital: A Pilot Study, Chris J. Macfarlane, Kathy Stiller Jul 2009

Provision Of Health Promotion Information By Physiotherapists To In-Patients In A Tertiary Hospital: A Pilot Study, Chris J. Macfarlane, Kathy Stiller

Internet Journal of Allied Health Sciences and Practice

Purpose: The provision of health promotion information is an important part of the management of hospitalised patients. Allied health practitioners are often involved in the provision of this information. No studies appear to have documented the rate of provision of health promotion material by physiotherapists to hospitalised patients. The aim of this pilot study was to measure the frequency with which health promotion information was provided to in-patients by physiotherapists and to evaluate patients’ perception of the effectiveness of this information. Method: Retrospective medical record audits and follow-up telephone interviews were undertaken over an 18 month period for patients who …


Translation And Alternate Forms Reliability Of The Visual Analogue Scale In The Three Major Nigerian Languages, Adesola C. Odole, Aderonke O. Akinpelu Jul 2009

Translation And Alternate Forms Reliability Of The Visual Analogue Scale In The Three Major Nigerian Languages, Adesola C. Odole, Aderonke O. Akinpelu

Internet Journal of Allied Health Sciences and Practice

Purpose: Our aims were to translate the anchors on the Visual Analogue Scale (VAS) into the three major Nigerian Languages and determine the adequacy of the alternate forms reliability of the VAS in these translations. Methods: The anchors on the VAS were translated into Yoruba, Igbo, and Hausa languages by linguistic experts and taken through back translation, clinical committee review, and pre–testing. Sixty–seven Hausa, 54 Igbo, and 165 Yoruba Knee/Hip OA patients were assessed on the original and translated versions of VAS. Scores on each translated anchor of the VAS were correlated with scores on the original VAS (anchors in …


Prevalence And Pattern Of Symptomatic Knee Osteoarthritis In Nigeria: A Community-Based Study, Aderonke Omobonike Akinpelu, Temitope Olugbenga Alonge, Babatunde Ayo Adekanla, Adesola Christiana Odole Jul 2009

Prevalence And Pattern Of Symptomatic Knee Osteoarthritis In Nigeria: A Community-Based Study, Aderonke Omobonike Akinpelu, Temitope Olugbenga Alonge, Babatunde Ayo Adekanla, Adesola Christiana Odole

Internet Journal of Allied Health Sciences and Practice

Purpose: Osteoarthritis (OA) is a leading cause of disability, affecting 60-70% of people aged ≥60 years. Community-based prevalence estimates of OA in Nigeria are not readily available for referencing. This study investigated the prevalence and pattern of knee OA in Igbo-Ora, a rural community in Southwestern Nigeria. Methods: A total of 1044 adults (487 males, 557 females) aged ≥ 40 years in Igbo-Ora were recruited into this door-to-door survey through multi-stage cluster sampling. Knee OA was diagnosed using the American College of Rheumatology (ACR) clinical criteria. Knee OA severity was assessed using the Lequesne Algofunctional Index and interference with role …


How Does One Become Spiritual? The Spiritual Modeling Inventory Of Life Environments (Smile), Doug Oman, Carl E. Thoresen, Crystal L. Park, Philip R. Shaver, Ralph W. Hood, Thomas G. Plante Jul 2009

How Does One Become Spiritual? The Spiritual Modeling Inventory Of Life Environments (Smile), Doug Oman, Carl E. Thoresen, Crystal L. Park, Philip R. Shaver, Ralph W. Hood, Thomas G. Plante

Psychology

We report psychometric properties, correlates and underlying theory of the Spiritual Modeling Index of Life Environments (SMILE), a measure of perceptions of spiritual models, defined as everyday and prominent people who have functioned for respondents as exemplars of spiritual qualities, such as compassion, self-control, or faith. Demographic, spiritual, and personality correlates were examined in an ethnically diverse sample of college students from California, Connecticut, and Tennessee (N=1010). A summary measure of model influence was constructed from perceived models within family, school, religious organization, and among prominent individuals from both tradition and media. The SMILE, based on concepts from Bandura's (1986) …