Medicine and Health Sciences Commons^™

Developmental Counseling And Psychotherapy: Applying The Theories Of Piaget, Perry, Kohlberg And Erikson, Toni Perior Gross

Dissertations

While developmental theories have been used as a diagnostic tool in counseling adults, they do not seem to have been used as a basis for treatment. The author reviews the theories of Piaget, Kohlberg, Perry and Erikson and abstracts from them a series of basic statements and corollaries that form the core of a theory of developmental counseling and psychotherapy.

With these statements as a background, the author discusses the persons involved in therapy, the purposes of therapy, and the stages of therapy. In the considerations on the initial stage of therapy, emphasis is placed on the responsibility of the …

The Prevalence Of Hopelessness In Hospitalized Alcoholics, J. Michael Mccarthy

Dissertations

This study investigated the psychological construct of hopelessness as a factor in hospitalized alcoholics. There is a high suicide rate for alcoholics, and previous research has shown hopelessness to be a key factor in suicide. There have been no previous studies of hopelessness in alcoholics.

The purposes of this study were to establish norms and reliability of the Hopelessness Scale, an instrument designed to measure hopelessness, and to gain more information about hopelessness by testing several hypotheses concerning the relationship between hopelessness and certain variables. These variables included severity of alcoholism, depression, age, length of problem drinking, number of hospitalizations …

The Effect Of Folic Acid Supplementation On Gingival Healing After Oral Hygiene Therapy, Marilyn J. Wankier

Loma Linda University Electronic Theses, Dissertations & Projects

To determine the effect of folic acid supplementation on gingival healing after oral hygiene therapy, eight teeth (#3, 4, 5, 6, 11, 12, 13, 14) of sixteen human subjects with moderate levels of gingival irritation were studied. Clinical parameters included measurement of gingival fluid, pocket depth, bleeding upon probing, and plaque. Serum and red blood cell folic acid levels were determined using radioimmunoassay (RIA). Based on clinical parameters and serum folate levels, two similarly matched groups were established. The teeth were scaled and polished. Brushing and flossing instructions were given.

After one week of oral hygiene therapy alone, the experimental …

The Effects Of Glucocorticoids On Gluconeogenesis In Diabetic And Normal Chinese Hamsters, Charles James Woody

Masters Theses

The objective of this study was to determine whether diabetic Chinese Hamsters maintained elevated endogenous cortisol concentrations and whether the previously reported elevation in gluconeogenesis in these diabetic animals was correlated with these cortisol concentrations.

It was found that nonketotic diabetic Chinese Hamsters maintained plasma cortisol concentrations similar to those of controls for the morning and evening time periods examined. Their rate of gluconeogenesis and absorption of injected pyruvate is much greater than that of controls in the morning. Furthermore, adrenalectomy increases gluconeogenesis and pyruvate absorption in both diabetics and normals and alleviates the difference seen in these parameters in …

An Analysis Of Behavioral Approaches To Obesity/Weight Reduction, Charlene Marie Curtis

Masters Theses

Behavioral technology has been applied to obesity/weight reduction. Three problems are identified: (1) the discrepancy between the measurement of, and the duration of time required for the acquisition and remediation of obesity and of weight; (2) the consensus of various reviewers that there are a number of methodological deficiencies in experimental studies termed behavioral approaches to obesity/weight reduction; (3) the absence of expressed methodological criteria stated by reviewers for their recommendations of certain procedures. There is compliance to some of the methodological c rite ria of the experimental analysis of behavior as adapted to obesity, and to weight in the …

A Behavioral Contracting Center For High School Students: Description, Research And Analysis, William K. Redmon

Dissertations

Most psychologists and educators agree that instructional procedures are most effective when individualized. Unfortunately, most approaches to individualization require that large institutional and training changes occur. Thus, educational programs most commonly apply group methods which focus on a hypothetical "average" learner. An alternative program, called the Guided Study Project, is described. This program is designed to augment group procedures without extensive change in current methods. The Guided Study Project is a school-wide contracting center available to all students of all classes. The procedures involve the use of a daily behavioral contract and the project is managed by students who serve …

What's Happening: March 25, 1981, Maine Medical Center

What's Happening

No abstract provided.

What's Happening: March 18, 1981, Maine Medical Center

What's Happening

No abstract provided.

Synthesis And Use Of Diagnostic Radio-Pharmaceuticals Comprising Radioactive Isotopes Of Bromine With Dyes, John W. Triplett, Randall B. Smith

Pharmaceutical Sciences Faculty Patents

A process for preparing bromine-containing dyes labelled with gamma-emitting isotopes of bromine, and the product thereof which is useful as an imaging agent for the hepato-biliary system, particularly in dynamic imaging methods. The dyes prepared are from the class of triarylmethane dyes, and also from the phthalein subclass of the class of xanthene dyes, and the labelling thereof is effected with ⁷⁶Br, ⁷⁷ Br or ⁸² Br. The process for preparing these dyes involves reacting the non-brominated dye precursor with either ⁷⁶ Br₂, ⁷⁷ Br₂ or ⁸² Br₂. This is a substitution type of …

What's Happening: March 11, 1981, Maine Medical Center

What's Happening

No abstract provided.

The Isolation Of Ecdysterone Inducible Genes By Hybridization Subtraction Chromatography, Michael P. Vitek, Susan G. Kreissman, Robert H. Gross

Dartmouth Scholarship

We have developed a procedure for selectively enriching a mRNA population for inducible sequences. Other than the induced mRNA species, the population of mRNA in control cells is approximately the same as the mRNA population in induced cells. Cytoplasmic mRNA from control cells is bound to oligo (dT)-cellulose and used as a template for reverse transcriptase, the oligo (dT) serving as a primer. After removing the template mRNAs, the cDNA-cellulose column is used to hybridize a population of mRNAs from induced cells. The non-hybridized poly A ⁺ RNAs are greatly enriched in the inducible sequences. We have used this technique …

An Analysis Of The Relationship Between The Degree Of Maintained Fluency Improvement Of Former Portland State University Stuttering Clients And The Overall Language Themes They Used, Karen F. Mathew

Dissertations and Theses

This research examined the relationship between the degree of maintained fluency improvement and the type of language used to respond to questions directly and indirectly related to speaking behavior. The subjects included sixteen former Portland State University stuttering clients who had participated in the Ginter (1979) study on fluency maintenance. The subjects responded to a thirteen item questionnaire dealing with themselves and their speaking behavior. Responses were recorded on the Modified Thematic Analysis Form developed by this examiner and analyzed according to guidelines set down by Stone and Casteel (1975) and this examiner.

What's Happening: March 4, 1981, Maine Medical Center

What's Happening

No abstract provided.

Clinical Thermoradiotherapy, H. I. Bicher, T. S. Sandhu, F. W. Hetzel

Henry Ford Hospital Medical Journal

A clinical trial is currently in progress to determine the efficacy of combined fractions of hyperthermia and radiation. The protocol consists of two parts. First, four fractions of microwave-induced hyperthermia (45.0° ± 0.5°C) are applied for 1 1/2 hours to the volume encompassing the tumor, each separated by 72 hours. After a one-week rest, a second series of four fractions is administered again at 72- hour intervals. Each fraction consists of a 400 rad dose of radiation followed within 20 minutes by hyperthermia (42.5 ± 0.5°C) for 1 1/2 hours. Currently, we have treated 62 patients with 82 fields with …

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Clinical Hyperthermia And Irradiation: Pilot Studies, John Fazekas, Ted Nerlinger

Henry Ford Hospital Medical Journal

Phase / (February 1979-May 1980) of our hyperthermia pilot study involved 26 carcinoma patients who participated in two treatment protocols: 20 patients received electron beam x-ray therapy plus an average of eight hyperthermia sessions (twice weekly at 42.5°-43.5°C intralesional temperatures for 40 minutes); 17 patients were heated with a 3450 microwave MHz generator in conjunction with surface heating (circulating water bag at 45°C). AGA thermograms assessed superficial blood flow to document heating patterns and forewarned of potential overheating as manifested by superficial burns (blisters). Although our study Is nonrandomized and our patient numbers are small, we noted a complete response …

Local Hyperthermia And Radiation: A Biologically-Oriented Clinical Scheduling, G. Arcangeli, A. Cividalli

Henry Ford Hospital Medical Journal

In a series of animal tumor studies, heat was directly delivered into the tumor mass with an interstitial applicator. After hyperthermia (44°-45°C for 45 minutes) or radiation alone (3x10 Gy), only a slight delay in tumor growth was observed, while the combined treatment, either simultaneous or sequential (i.e., heat delivered four hours after irradiation), appeared to be the most effective. The cure rate in the two combined treatment groups was 100%, in contrast to the lack of cure in the first two groups. The simultaneous use of heat and x-ray appeared to be slightly more effective than the sequential schedule; …

Glucose Metabolism In Mouse Tumor And Liver With And Without Hyperthermia, Christian Streffer, Siegelinde Hengstebeck, Peter Tamulevicius

Henry Ford Hospital Medical Journal

We measured levels of glycolytic metabolites in mouse tumor and liver after administering a glucose load of 6 mg/g of body weight and after hyperthermia for one hour at 43°C. Metabolites included glucose, glucose-6-phosphate, fructose-1.6-diphosphate, dihydroxyacetone-phosphate, glycerol-3-phosphate, pyruvate, and lactate, as well as acetoacetate and β-hydroxybutyrate. The combined treatment led to an increase of the lactate level and apparently enhanced glucose degradation. The redoxequilibria states were shifted to the reduced metabolites. It is possible that hypoxia was induced or enhanced, which could have significance for tumor therapy. At later periods after hyperthermia, metabolic alterations occurred that have also been observed …

Fight For Alternatives Gathers Momentum: Commitments To Help Lab Animals Are Extracted From Industry And Government

Close Up Reports

The Humane Society of the United States wants to see an eventual end to all pain and suffering inflicted on animals in the laboratory. We are working hard to make this happen, and the "alternatives" concept is basic to our program. We want scientists to find alternative methods of testing and experimentation that do not involve the use of animals.

Hyperthermia, F. K. Storm

Henry Ford Hospital Medical Journal

This report describes the history of hyperthermia and reviews current forms of treatment at both low (42°-43°C) and higher (<45°C) temperatures. Hyperthermia treatment at low temperatures includes fluid immersion and irrigation, regional perfusion with heated fluids, and electromagnetic radiofrequency waves. Low-temperature hyperthermia has also been combined with radiation therapy and with chemotherapy in recent clinical trials. At higher temperatures, we and other investigators have also had promising, preliminary results in treating tumors safely. With the specialized radiofrequency instrumentation we have developed to apply hyperthermia at any depth without preferential surface tissue heating, further clinical investigation of both superficial and deep internal solid tumors is now possible. Recent data suggest that hyperthermia may be an especially effective form of therapy for larger tumors that resist standard forms of treatment. Clinical trials are now underway to determine the most therapeutic dose/time regimen, to determine toxicity and therapeutic enhancement ratios of combined chemotherapy and x-irradiation with hyperthermia, and to evaluate any changes in the host immune system with such therapies.

Hyperthermic Perfusion 16 Years After Its First Clinical Applications, R. Cavaliere, G. Moricca, F. Di Filippo, L. Aloe, G. Monticelli, F. S. Sartori

Henry Ford Hospital Medical Journal

It is known that above-normal temperatures (42°-42.5°C) provoke selective damage to neoplastic cells. We used heated circulating blood as a method for heat transfer on patients with limb tumors. From October 1964 to December 1979, we treated a total of 198 patients with hyperthermic perfusion for melanoma of the limbs (91), osteosarcoma (57), and soft tissue sarcoma (50). For melanoma patients, the five-year survival rate, excluding Stage IV, was 60%. For patients with soft tissue sarcoma, the five-year survival rates were 53% and 56% for hyperthermic perfusion and hyperthermic antiblastic perfusion. respectively. For 29 patients with osteosarcoma, hyperthermic perfusion was …

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Local Microwave Hyperthermia In Cancer Therapy: Preliminary Report, Carlos A. Perez, Walter Kopecky, Robert Baglan, D. Venkata Rao, Richard Johnson

Henry Ford Hospital Medical Journal

This report summarizes our preliminary experience at the Mallinckrodt Institute of Radiology treating 26 patients with metastatic tumors with hyperthermia and irradiation. Patients received 400 rad fractions given every 72 hours (twice weekly) for a total of 2400, 2800, 3200, or 4000 rad followed by hyperthermia. In addition, 18 lesions were treated according to a protocol designed by the Radiation Therapy Oncology Group (RTOG) for superficial measurable tumors to receive three doses of 500 rad followed by hyperthermia (six lesions) or irradiation alone (three doses of 600, 700, or 800 rad) every 72 hours. Hyperthermia was administered with 2450 MHz …

Microwave Hyperthermia At 2450 And 915 Megahertz Frequencies, Kenneth H. Luk

Henry Ford Hospital Medical Journal

Microwave hyperthermia at frequencies of 2450 and 915 megahertz (MHz) was used to treat superficial measurable tumors of different histopathologies at various sites. Forty-seven patients received 59 courses of treatment; they were able to tolerate temperatures up to 42.5X1. Although hyperthermia alone (40°-42.5°C) did not produce an effective response, hyperthermia and radiation together (up to 2700 rad in nine fractions over three weeks) produced complete and partial responses in three-fourths of the treatment courses. The combination of hyperthermia and chemotherapy may have great potential, but confirmation of these clinical impressions will depend on a much larger series of patient data. …

Hyperthermia Treatment Of Experimental Tumors, J. Denekamp, S. A. Hill, F. A. Stewart

Henry Ford Hospital Medical Journal

The therapeutic advantage of combining hyperthermia with x-irradiation to treat tumors depends on whether or not it is possible to achieve greater thermal sensitization of tumors than of normal tissues. To determine such therapeutic gain factors (TGE), we assessed the response of mouse skin and seven transplantable mouse tumors to graded x-ray doses given alone or combined with moderate heat (42.5°C for 60 minutes). We constructed dose response curves for the average early skin reaction and for the induced delay in tumor regrowth to an arbitrarily chosen size. We studied the following areas: 1) the therapeutic gain of combining heat …

Vital Signs, March 1981, Boonshoft School Of Medicine

Vital Signs

An eight page newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, alumni profiles, class notes, and more.

ใครจะช่วยจุฬาลงกรณ์เวชสารได้, เสาวนีย์ จำเดิมเผด็จศึก

Chulalongkorn Medical Journal

No abstract provided.

เจตนคติของนิสิตแพทย์ภายหลังผ่านโปรแกรมเวชศาสตร์ชุมชน, ไพบูลย์ โล่ห์สุนทร

Chulalongkorn Medical Journal

No abstract provided.

Asymptomatic Neurosyphilis, ภิรมย์ กมลรัตนกุล

Chulalongkorn Medical Journal

No abstract provided.

ความผิดปกติของการเจริญเติบโตของผม, พิชิต สุวรรณประกร

Chulalongkorn Medical Journal

No abstract provided.