Medicine and Health Sciences Commons^™

Changes In Spinal Height Following Sustained Lumbar Flexion And Extension Postures: A Clinical Measure Of Intervertebral Disc Hydration Using Stadiometry, S. C. Owens, J. M. Brismée, P. N. Pennell, G. S. Dedrick, P. S. Sizer, C. R. James

Physical Therapy

No abstract provided.

Effects Of Neurotensin 1 Receptor And D2 Dopamine Receptor Antagonist In Amygdaloid Learning Mechanisms, K. Laszlo, K. Toth, A. Molnar, E. Kertes, L. Peczely, L. Lenard

Pharmaceutical Sciences

No abstract provided.

Nursing Annual Report 2008, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services at Children's Mercy Kansas City.

Cortical Training In The Management Of Acute Upper Limb Burns: A Pilot Randomised Controlled Trial, L M. Zorzi, D Edgar, Benedict M. Wand, F Wood

Health Sciences Conference Papers

The aim of this study is to examine the feasibility, safety and efficacy of a prophylactic cortical training programme in patients with an acute upper limb burn.

A randomised controlled pilot study is being carried out at the Royal Perth Hospital (RPH) Telstra Burns Outpatient Department. Subjects who have sustained isolated upper limb burns and presented to RPH within seven days of injury are randomised into experimental or control groups.

Subjects in the control condition receive usual physiotherapy care for four weeks; those in the experimental group receive usual care and the addition of a cortical training programme which includes …

Australian Adolescents' Motor Competence And Perceptions Of Physical Activity Outcomes, Elizabeth Rose, Dawne Larkin, Beth P. Hands, Helen Parker

Health Sciences Conference Papers

Benefits that are generally associated with physical activity include enjoyment of the activity, expectation of positive benefits, intention to exercise, perceived fitness or health self-efficacy, intrinsic motivation, and positive physical self-perceptions (Sallis & Owen, 1999). In the Australian context where motor skill is highly valued, the ability to participate in play, games, and sports is likely to be particularly important in the socialization process of adolescents, such as their opportunity for reaffirming friendships and gaining social support from significant others. To be competent at movement would seem a clear advantage in order to experience quality of life through physical activity. …

Nurse Anesthetists' Perception Of Their Rigorous Training Program A Grounded Theory Study, Joy Kieffer Phillips

Presidential Alumni Research Dissemination Award

There is no empirical understanding of the stressors that nurse anesthesia students encounter from their perspective as they negotiate a nurse anesthesia program. The initial research questions for this study examined what stressors these recent graduates encountered during their program and how they successfully negotiated those stressors. This study employed grounded theory methodology and the theory of symbolic interactionism. The data were collected from individual, semistructured, indepth interviews with 12 recent nurse anesthesia graduates who have been out of school for less than 2 years. The interview transcripts were analyzed using open, axial, and selective coding. The stressors discovered were …

In Silico Whole Genome Association Scan For Murine Prepulse Inhibition, Bradley Todd Webb, Joseph L. Mcclay, Cristina Vargas-Irwin, Timothy P. York, Edwin J. C. G. Van Den Oord

Biomarker Research and Personalized Medicine Publications

Background

The complex trait of prepulse inhibition (PPI) is a sensory gating measure related to schizophrenia and can be measured in mice. Large-scale public repositories of inbred mouse strain genotypes and phenotypes such as PPI can be used to detect Quantitative Trait Loci (QTLs) in silico. However, the method has been criticized for issues including insufficient number of strains, not controlling for false discoveries, the complex haplotype structure of inbred mice, and failing to account for genotypic and phenotypic subgroups.

Methodology/Principal Findings

We have implemented a method that addresses these issues by incorporating phylogenetic analyses, multilevel regression with mixed …

Dental Anatomy Carving Computer-Assisted Instruction Program: An Assessment Of Student Performance And Perceptions, Elizabeth T. Nance, Sharon K. Lanning, John C. Gunsolley

Periodontics Publications

The purpose of this study was to compare the performance of students exposed to two different instructional modalities for dental anatomy wax carving: CAI (computer-assisted instruction) using DVD technology, or traditional laboratory instruction. Students’ self-assessment scores were also compared to faculty scores, and students’ perceptions of their teaching modality were analyzed. Seventy-three first-year dental students (response rate 81 percent) participated in this randomized single blind trial, in which faculty graders were blinded to student group assignment. There were no statistical differences, as determined by the Wilcoxon non-parametric test and a t-test, between the faculty grades on the wax carving from …

Com Outlook Winter 2009, College Of Osteopathic Medicine

COM Outlook

No abstract provided.

Medical Education Digest, Vol. 11 No. 1 (January/February 2009), Nova Southeastern University

Medical Education Digest

No abstract provided.

How Can A Video Game Cause Panic Attacks? 1. Effects Of An Auditory Stressor On The Human Brainstem, Judith Lauter, Elizabeth Mathukutty, Brandon Scott

Faculty Publications

The auditory brainstem response (ABR) was recorded during simultaneous binaural presentation of two types of sounds: 1) condensation clicks presented through in-the-ear earphones at 43.1/sec, 60dB nHL; and 2) recordings of breathing sounds, presented through supra-aural headphones, at levels adjusted by participants to be equivalent to the clicks. In alternate blocks, the breathing sounds were either: 1) a recording of quiet breathing (blocks 1, 3, 5); or 2) a recording of erratic (stressed) breathing (blocks 2, 4). The erratic breathing was modeled on a video game soundtrack in which the character was represented as running, wounded, and frightened. Four 2048-sweep …

Feedyard Assessment: Assessor's Guide

Nebraska Beef Quality Assurance Program

The BQA Feedyard Assessment is an on-site educational tool that allows for assessing and benchmarking key indicators of animal care and well-being as well as feedyard conditions. The Feedyard Assessment focuses on three main areas – Animals, Records and Best Management Practices (BMP), and Facilities and Equipment.

Stocker And Backgrounding Self Assessment

Nebraska Beef Quality Assurance Program

Cattlemen in stocker operations have long recognized the need to properly care for livestock. Sound animal husbandry practices, based on decades of practical experience and research, are known to impact the well-being of stocker cattle, individual animal health and herd productivity. Stocker cattle operations are located in many diverse environments and geographic locations in the United States. A universal set of production practices can not be recommended for all stocker cattle producers in light of the divergent climate and geographic variations of the stocker and backgrounding segment. Personal experience, training and professional judgment can serve as a valuable resource for …

Resolving The Lateral Component Of Blood Flow Velocity Based On Ultrasound Speckle Size Change With Scan Direction And Speed, Tiantian Xu, Greg R. Bashford

Biomedical Imaging and Biosignal Analysis Laboratory

Conventional blood flow velocity measurement using ultrasound is capable of resolving the axial component (i.e., that aligned with the ultrasound propagation direction) of the blood flow velocity vector. However, these Doppler-based methods are incapable of detecting blood flow in the direction normal to the ultrasound beam. In addition, these methods require repeated pulse-echo interrogation at the same spatial location. In this paper, we introduce a method which estimates the lateral component of blood flow within a single image frame using the observation that the speckle pattern corresponding to the blood reflectors (typically red blood cells) stretches (i.e., is “smeared”) if …

Further Progress On Lateral Flow Estimation Using Speckle Size Variation With Scan Direction, Tiantian Xu, Gregory R. Bashford

Biomedical Imaging and Biosignal Analysis Laboratory

Conventional blood flow velocity measurement using ultrasound is capable of resolving the axial component (i.e., that aligned with the ultrasound propagation direction) of the blood flow velocity vector. However, these Doppler-based methods are incapable of detecting blood flow in the direction normal to the ultrasound beam. In addition, these methods require repeated pulse-echo interrogation at the same spatial location. In this paper, we report additional data on a new method recently introduced. This method estimates the lateral component of blood flow within a single image frame using the observation that the speckle pattern corresponding to the blood reflectors (typically red …

Single Molecule Diffusion Coefficient Estimation By Image Analysis Of Simulated Ccd Images To Aid High-Throughput Screening, Pengfei Song, Lloyd M. Davis, Greg Bashford

Biomedical Imaging and Biosignal Analysis Laboratory

Extension of one-dimensional signal analysis to two-dimensional image analysis could accelerate conventional methods of high-throughput screening in the discovery of new pharmaceutical agents. This work describes a first step taken towards this goal – the evaluation of image-analysis based estimation strategies of the diffusion coefficient of a single molecule transported within a microfabricated flowcell. A computer simulation of single-molecule imaging by a charge-coupled device (CCD) camera is used to determine if it is possible to distinguish three different types of molecules with different diffusion coefficients. The Gaussian fitting algorithm finds the variance of the transverse trajectory, which increases linearly with …

Optimal Thresholds Of Feature Tracking For Blood Velocity And Tissue Motion Estimation, Tiantian Xu, Gregory R. Bashford

Biomedical Imaging and Biosignal Analysis Laboratory

Feature tracking is an algorithm for estimating blood flow velocity and tissue motion using pulse-echo ultrasound. In contrast to cross-correlation speckle-tracking techniques, feature tracking identifies features at discrete locations and corresponds them from frame to frame. Prior studies have demonstrated that feature-tracking estimates exhibit lower variance than those obtained by the conventional autocorrelation method and require less computational complexity than either speckle tracking or autocorrelation. To date, not much attention has been paid to the process by which trackable features (normally local maxima) are selected from the set of all available features. In the selection process, it is desired to …

Cell Block Preparation From Cytology Specimen With Predominance Of Individually Scattered Cells, George M. Varsegi, Vinod B. Shidham

Department of Pathology

This article with accompanied video demonstrates Shidham's method for preparation of cell blocks from liquid based cervicovaginal cytology specimens containing individually scattered cells and small cell groups. This technique uses HistoGel (Thermo Scientific) with conventional laboratory equipment.

The use of cell block sections is a valuable ancillary tool for evaluation of non-gynecologic cytology. They enable the cytopathologist to study additional morphologic specimen detail including the architecture of the lesion. Most importantly, they allow for the evaluation of ancillary studies such as immunocytochemistry, in-situ hybridization tests (FISH/CISH) and in-situ polymerase chain reaction (PCR). Traditional cell block preparation techniques have mostly been …

Download Full Pdf Issue-Jefferson Translations, Vol. 4, No. 1, Winter 2009

Jefferson Translations

This issue includes the announcement of a prestigious $11.6M grant to study heart failure, a recap of the Center for Translational Medicine's 4th Annual Symposium, an update on hematology research in blood clots, a visit with Dr. Cheung the Nephrology Chief, faculty news, and the Leon Peris award winner.

Nurses Alumni Association Bulletin, Fall 2009, Paula Levine, Sally H. Wagner, Aileen Ish Macmillan, John J. Wagner

Nursing Alumni Bulletins

2009 - 2010 Meeting Date Calendar

2010 Annual Luncheon & Meeting Notice

Officers, Committee Chairs, Satellite and Volunteers

Bulletin Publication Committee

The President's Message

Treasurer's Report

Resume of Minutes

Office News

Committee Reports

Annual Giving Contributors

"Letter to Alumni"

Janet C. Hindson Award

Janet C. Hindson Award Qualifications

2009 Janet C. Hindson's Nominees

2009 Janet C. Hindson's Recipient's Acceptance Speech

TJUH's MAGNET Award

"Our MAGNET Journey"

News About and From Our Graduates

"JSN Nursing Alumni Celebration; 117 years of Nursing Education"

Memories

Ballad O'Brien

Happy Birthday- To Be 80 or More

Luncheon Pictures

50th Anniversary Class List for 1959

2009 …

Introduction-Spinal Cord Injury Manual, Thomas Jefferson University Hospital And Magee Rehabilitation

Spinal Cord Injury Manual (English)

About this Manual:

This Spinal Cord Injury Manual is designed for use by the person with a spinal cord injury or dysfunction and his or her family. It is a guide to provide information on the many aspects of spinal cord injury and dysfunction. This handbook will help you and your family prepare for discharge from our comprehensive rehabilitation program and supplement lifelong learning about spinal cord injury and dysfunction. The handbook is divided into topic sections and bound in loose-leaf form so that a member of the health care team may use each section in addition to teaching and …

Activities Of Daily Living-Spinal Cord Injury Manual, Thomas Jefferson University Hospital And Magee Rehabilitation

Spinal Cord Injury Manual (English)

Introduction

Activities of daily living (ADL) include eating, drinking, functional bathing, grooming, dressing and toileting. Also included are functional transfers, EADL (Electronic Aids for Daily Living) and home management.

As soon as it is appropriate, you will be encouraged to perform as many of your own ADLs as you can. You may need to learn new techniques, use assistive devices to compensate for decreased muscle strength and range of motion or to compensate for decreased endurance.

ADL training will begin when your therapist determines that you have enough strength, balance and skill to do these tasks. You may practice these …

Psychosocial Issues-Spinal Cord Injury Manual, Thomas Jefferson University Hospital And Magee Rehabilitation

Spinal Cord Injury Manual (English)

Introduction

A sudden trauma like a spinal cord injury will have a significant impact on you and the people close to you. You may see parts of your life change a great deal. Other parts of your life may not change at all. Regardless of the extent of your injury and disability, being hurt and having a disruption to your life may present unexpected problems or changes. This chapter provides information about services that are available at Thomas Jefferson University Hospital, Magee Rehabilitation Hospital and in the community to provide assistance.

Coping with a Spinal Cord Injury

After a spinal …

Prosecuting Doctors For Trusting Patients, Deborah Hellman

Faculty Scholarship

In an escalating phase of our country’s war on drugs, doctors treating patients in pain are being prosecuted for drug trafficking under the Controlled Substances Act. While doctors surely can be guilty of drug trafficking when they sell drugs for money, lately some doctors have been prosecuted for violations of a statute that requires knowingly distributing or dispensing controlled substances in an unauthorized manner for simply being willfully blind to the fact that their patients were reselling the drugs. While willful blindness may be an apt substitute for knowledge in the traditional drug courier scenario, doctors in these cases are …

Physicians Who Break The Law, Diane E. Hoffmann

Faculty Scholarship

This paper takes as its starting point a recent article by Prof. Sandra Johnson, Regulating Physician Behavior: Taking Doctors “Bad Law” Claims Seriously. In the article, Johnson focuses on doctors who comply with the law despite their belief that the law is “bad”, i.e., causes them to behave in ways that are harmful to their patients. In Physicians Who Break the Law, I explore cases where physicians break the law claiming that it is “bad”. In this exploration, I focus on two areas of physicians’ lawbreaking: (1) violations of business-related laws, in particular, insurance fraud; and (2) violations of laws …

Does Plasma Ss-Endorphin Influence Exercise-Induced Hypoalgesia In Healthy Adults?, Kathy Lemley

Maria Dittman Library Research Competition: Student Award Winners

Anecdotal reports can be found in the literature of athletes who suffer from an injury, yet continue to participate in their sport with little or no pain. These reports have resulted in an interest in the possible role of stress, including exercise, in analgesia. Exercise-induced hypoalgesia (EIH), a decrease in pain perception following exercise, has been found to occur in healthy adults. In the 1970’s opioid peptides with analgesic properties were discovered (Dalayeun, Nores & Bergal, 1993). One of these peptides, β-endorphin, is believed to be released from the anterior pituitary into the circulation under a variety of stressors, including …

The Role Of Nurse Practitioners In Meeting The Need For Child And Adolescent Services: A Statewide Survey, Lara Kaye, Lynn Alice Warner, Cathleen A. Lewandowski, Rose Greene, Janet Acker, Nancy Chiarella

Social Work Faculty Publications

The high prevalence of child and adolescent mental health disorders coupled with shortages in ageappropriate mental health services pose a significant problem likely to be exacerbated over time. A survey was designed to identify the current status of and need for child and adolescent psychiatrists (CAPs) and mental health services, as well as strategies and recommendations to address identified needs in the state of New York. Key informants from each county and New York City were surveyed by telephone (N = 58). Most respondents identified a shortage of child and adolescent psychiatry services and reported that when CAPs are unavailable, …

Peginterferon Alfa-2b Or Alfa-2a With Ribavirin For Treatment Of Hepatitis C Infection, John G. Mchutchison, Eric J. Lawitz, Mitchell L. Shiffman, Andrew J. Muir, Greg W. Galler, Jonathan Mccone, Lisa M. Nyberg, William M. Lee, Reem H. Ghalib, Eugene R. Schiff, Joseph S. Galati M.D., Bruce R. Bacon, Mitchell N. Davis, Pabak Mukhopadhyay, Kenneth Koury, Stephanie Noviello, Lisa D. Pedicone, Clifford A. Bass, Janice K. Albrecht, Mark S. Sulkowski

Internal Medicine Publications

Background

Treatment guidelines recommend the use of peginterferon alfa-2b or peginterferon alfa-2a in combination with ribavirin for chronic hepatitis C virus (HCV) infection. However, these regimens have not been adequately compared.

Methods

At 118 sites, patients who had HCV genotype 1 infection and who had not previously been treated were randomly assigned to undergo 48 weeks of treatment with one of three regimens: peginterferon alfa-2b at a standard dose of 1.5 μg per kilogram of body weight per week or a low dose of 1.0 μg per kilogram per week, plus ribavirin at a dose of 800 to 1400 mg …

The Importance Of Saccular Function To Motor Development In Children With Hearing Impairments, Mary S. Shall

Physical Therapy Publications

Children with hearing deficits frequently have delayed motor development. The purpose of this study was to evaluate saccular function in children with hearing impairments using the Vestibular Evoked Myogenic Potential (VEMP). The impact of the saccular hypofunction on the timely maturation of normal balance strategies was examined using the Movement Assessment Battery for Children (Movement ABC). Thirty-three children with bilateral severe/profound hearing impairment between 4 and 7 years of age were recruited from a three-state area. Approximately half of the sample had one or bilateral cochlear implants, one used bilateral hearing aids, and the rest used no amplification. Parents reported …

Chaotic Signatures Of Heart Rate Variability And Its Power Spectrum In Health, Aging And Heart Failure, Guo-Qiang Wu, Natalia M. Arzeno, Lin-Lin Shen, Da-Kan Tang, Da-An Zheng, Nai-Qing Zhao, Dwain L. Eckberg, Chi-Sang Poon

VCU Health Publications

A paradox regarding the classic power spectral analysis of heart rate variability (HRV) is whether the characteristic high- (HF) and low-frequency (LF) spectral peaks represent stochastic or chaotic phenomena. Resolution of this fundamental issue is key to unraveling the mechanisms of HRV, which is critical to its proper use as a noninvasive marker for cardiac mortality risk assessment and stratification in congestive heart failure (CHF) and other cardiac dysfunctions. However, conventional techniques of nonlinear time series analysis generally lack sufficient sensitivity, specificity and robustness to discriminate chaos from random noise, much less quantify the chaos level. Here, we apply a …