Browsing by Subject "Medical Specialties"
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Item 2011 Bibliography of Publications(2012-06-13) Mason, Tim; Lindsey, MarylouiseItem A Comparative Breast Cancer Study: Stage & Mortality in El Paso County's non-Hispanic white and Hispanic population(2003-05-01) Aravind, Raven; Russel HovermanAravind, Raven, A Comparative Breast Cancer Study: Stage & Mortality in El PasoCounty's non-Hispanic white and Hispanic population, 1990-2000. Master of Public Health (Epidemiology), May 2003, 17pp., 1 table, 3 figures, bibliography, 43 titles. This retrospective breast cancer study compares the stage of breast cancer diagnosis and mortality between Hispanic (HS) and non-Hispanic white women (NHW). The study includes 874 Hispanic women and 802 non-Hispanic white women diagnosed with breast cancer between January 1990 and December 2000 at the El Paso Cancer Treatment Center, El Paso Texas. The objectives of the study were: 1) to determine if this population of Hispanic women is being diagnosed at a later stage of breast cancer 2) to ascertain the relative survival of non-Hispanic white and Hispanic women 3) to verify if Hispanic women were being diagnosed at a younger age; and 4) to examine tumor size at diagnosis to determine if there is a need for more assertive screening measures in this population of women.Item A Text-book of Diseases of Women(W.B. Saunders, 1897-01-01) Penrose, CharlesItem A Textbook of Gynecology(D. Appleton and Company, 1901-01-01) Hopkins, R.; Reed, CharlesItem A Textbook of Obstetrics(W.B. Saunders and Company, 1906-01-01) Hirst, BartonItem Abortion and its treatment, from the stand-point of Practical Experience.(D. Appleton and Company, 1890-01-01) Porter, P.; Thomas, T.Item An Evaluation of an Interdisciplinary House Calls Program For the Frail Homebound Elderly(1999-05-01) Johs, Jennifer L.Johs, Jennifer L. An Evaluation of an Interdisciplinary House Calls Program For the Frail Homebound Elderly. Master of Public Health (Biomedical Sciences), May, 1999, 57 pp., 4 tables, references, 66 titles. The current study compared utilization markers of 87 frail elderly homebound patients prior to and subsequent to enrollment in an interdisciplinary, physician-led house calls program, as well as measured efforts to increase documentation of advance directives. After enrollment in the program the number of hospital admissions (p=0.047) and emergency department visits (p=0.030) were significantly decreased. The number of admissions to skilled nursing facilities (p=0.023) was also reduced, as was length of stay in skilled nursing facilities (p=0.018). The prevalence of advance directives increased from 26% to 74% (p [less than] 0.001) subsequent to enrollment. Patients who died were more likely to die at home (19) than in the hospital (6). All patients who died at home had documented advance directives.Item Anatomy in a Nutshell or Questions and Answers with Explanatory Notes(Democrat Print, 1899-01-01) Laughlin, WilliamItem Asthma Mortality and Toxic Release in Texas - An Ecological Study 1980-2001(2004-05-01) Maddipatla, Sreeram; Manuel BayonaMaddipatla, S., Asthma Mortality and Toxic Release in Texas - An Ecological Study 1980-2001. Master of Public Health (Environmental Health) April 2004, 97 pp., 4 tables, bibliography, 94 titles. There is a lack of literature examining how the spatiotemporal trend of asthma may have impacted different ethnic/racial compositions of Texans. The present study sought to evaluate the geographic-temporal variations in asthma mortality in Texans over a 22-year period, retrospectively, and examine whether the trend of environmental Toxic Release Inventory (TRI) concentrations and their spatiotemporal persistence might place an uneven burden on particular racial groups. The study concentrates on the time period between 1980-2001 and first evaluates geographic excess of asthma mortality in different racial groups at the county level and characterizes the excess burden by spatiotemporal variations. After this assessment, the impact of TRI on asthma mortality over this period of time is analyzed. Based on these two analyses, this would identify which racial/ethnic groups in which Texas regions might have been affected the most by regarding mortality over time, and suggested priority geographic areas for policy intervention. At the end of this study, it could be said that there might be an association between the TRI release and increased asthma mortality in the Black male population.Item Body Image, Depressed Mood, Weight Concerns, and Risky Sexual Behaviors Among Female Adolescents(2006-05-01) Marshall, Khiya J.Marshall, Khiya J., Body Image, Depressed Mood, Weight Concerns, and Risky Sexual Behaviors among Female Adolescents. Doctor of Public Health (Social and Behavioral Sciences), May 2006, 75 pp., 17 tables, bibliography, 90 titles. Adolescence is a time of self-discovery and growth, both emotionally and physically, particularly for adolescent females. The literature lacks specific research pertaining to female adolescent females. The literature lacks specific research pertaining to female adolescent’s body image and other concerns and their association with risky sexual behaviors. Using secondary data from the 2003 Dallas Youth Risk Behavior Survey (YRBS; 9th-12th grade), this study explored the relationship between body image, having a depressed mood, and weight control behaviors and how these may translate into risky sexual behaviors among Dallas Independent School District (DISD) adolescent females. Most respondents were African American and Hispanic. The main hypotheses were: a) African American and Hispanic adolescent females will be more likely to have a depressed mood, an unrealistic body image, or weight control behaviors compared to Caucasian adolescent females; and b) Adolescents with unrealistic body image, depressed mood, and weight control behaviors will be more likely to engage in risky sexual behaviors, regardless of race or ethnicity. As hypothesized, more African American and Hispanic adolescents had a depressed mood, and more Hispanics had an unrealistic body image compared to Caucasians. The hypothesis that depressed mood and unrealistic body image would be significant predictors of engaging in risky sexual behaviors was corroborated only for depressed mood. Engaging in weight control, although hypothesized as not a significant predictor, was a significant predictor for using alcohol/drugs before his last sexual intercourse. School-based sexual education programs that target adolescent females in DISD should focus on abstinence or consistent condom use if sexually active, weight control behaviors, and depressed mood and its implications.Item Calcium Sensitivy of β-cell Transcription Factor Binding to an Insulin Enhancer(1998-06-01) Scott, Gary Frank; Easom, Richard; Lacko, Andras G.; Wu, Ming-ChiGary Frank Scott, Calcium Sensitivity of β-cell Transcription Factor Binding to an Insulin Enhancer. Master of Science (Biochemistry and Molecular Biology), June 1998, 104 pp., 16 illustrations, bibliography, 94 titles. Insulin is an essential hormone and is produced exclusively in endocrine pancreas β-cells for the control of glucose homeostasis in mammals. The hypothesis tested in this thesis is that increased intracellular Ca2+ ([Ca2+]i) contributes to activation of glucose-induced insulin gene transcription. Glucose-induced insulin transcription has been mapped to binding of transcription factors by β-cell sequence motifs from -197 to -247, a glucose-response-enchancer (GRE), in the rat insulin1 gene (rINS1) promoter. Using oligonucleotide probes representing this glucose-response-enhancer (GRE) in electrophorectic mobility shift assays (EMSA), we have examined the Ca2+-sensitivity of transcription factor binding to nuclear extracts from cultured rat insulinoma β-cells (INS-1). In the presence or absence of kinase inhibitors, Ca2+ chelators, and Ca2+ channel blockers, binding was assayed for the following cell conditions: 1) in situ permeabilized cells exposed to Ca2+; 2) in vitro 32p-phosphorylated nuclear extracts; and 3) in situ glucose-stimulated and K+-depolarized intact cells. Binding was Ca2+-sensitive due to activation by K+depolarization as well as inhibition by a Ca2+-chelator, a Ca2+-channel blocker, and KN-93, specific for Ca2+/calmodulin kinases, suggesting a phosphorylation-dependent mechanism. Taken together, these findings identify a role for the Ca2+ second messenger in the glucose regulation of the insulin gene which points to novel treatments for type II diabetes.Item Case Histories in Obstetrics(W.M. Leonard, Publisher, 1914-01-01) DeNormandie, RobertItem Characteristics of Primary Care Physicians Serving in Texas Medically Underserved Areas(2006-08-01) Lancaster, Scott Bradley; Kristine Lykens; Russell Gamber; Jeffrey TalbertLancaster, Scott Bradley, Characteristics of Primary Care Physicians Serving in Texas Medically Underserved Areas, 2005. Master of Public Health (Health Management and Policy), May 2006, 63 pp., 13 tables, bibliography, 59 titles. Primary care physician demographics were examined to determine if subgroups differed in choice of practice location in urban and rural Medically Underserved Areas (MUAs) in Texas. Compared with the overall proportion of physicians practicing in rural MUAs (8.8%), subgroups that significantly differed were Dos (13.5%), males (10.6%), general practitioners (19.4%), family physicians (12.4%), and graduates of medical school prior to or during 1960 (18.8%) and from 1961-1970 (11.2%). Compared with the overall proportion of physicians practicing in urban MUAs (23.2%), subgroups that significantly differed were females (25%), Blacks (29.7%), and Latinos (38.7). Binary logistic regression showed that Asian ethnicity, general practice specialty, and graduate year of 1961-1970 predicted MUA practice location. The statistically significant differences observed underscore the importance of further study to examine potential differences between rural and urban MUAs. Public policy that provides incentives for more equitable physician distribution should be based on sound research.Item Characterization of Health Status and Modifiable Risk Behavior of United States Adults Using Chiropractic Care as Compared to General Medical Care(2007-08-01) Ndetan, Harrison Tatandam; Sejong Bae; Karan SinghNdetan, Harrison Tatandam, B.sc., M.Sc., Characterization of Health Status and Modifiable Risk Behavior of United States Adults Using Chiropractic Care as Compared to General Medical Care. Master of Public Health (Biostatistics), August 2007; 25 pp., 8 tables, 1 appendix, 49 titles. This study characterizes typical conditions of chiropractic patients and explores how chiropractic influences modifiable behavioral risk factors in the U.S. data from the Sample Adult Core component of the 2005 National Health Interview Survey (NHIS) was analyzed using SAS9.1.2. Statistical analyses included logistic regression, chi squared, and t test analyses. There were 31,428 respondents. Males comprised 43.79%. Those who saw/talked to chiropractors (DC’s), within the past 12 months were 8.73%. Among these 21.37% did not see the general medical doctor (MD). There was no significant difference in the smoking and alcohol consumption status of respondents who saw/talked to DC’s than MDs. DC patients were more likely to be physically active [OR=1.45(1.20, 1.75)] and less likely to be obese [OR=0.74(0.59-0.92)] than MD patients. Patients with acute migraine, neck, and low back pains were more likely to see DC’s but patients with arthritis and chronic conditions were more likely to see MDs.Item Common Infections of the Female Urethra and Cervix(Humphrey Milford, Oxford University Press, 1924-01-01) Simpson, A.; Western, George; Mayou, M.; Kidd, FrankItem Complications of Pregnancy(D. Appleton and Company, 1923-01-01) Davis, EdwardItem Contraception (Birth Control): It's Theory, History and Practice; A manual for the Medical and Legal Professions(John Bale, Sons & Danielsson, Limited, 1924-01-01) Stopes, MarieItem Cumulative Supplement and composite index(D. Appleton and Company, 1928-01-01)Item Descriptive Study of Non-Fatal Occupational Injuries Treated in the Emergency Department(2001-12-01) Sinha, Sony; Antonio A. ReneSinha, Sony, Descriptive Study of Non-Fatal Occupational Injuries Treated in the Emergency Department. Master of Public Health (Epidemiology), December, 2001, 18 pp., 10 tables, 6 titles. This study describes work-related injury visits to the emergency department. The data used for this study was the 1999 National Hospital Ambulatory Medical Care Survey emergency department subsection. The patterns of work-related injury visits by month, day of the week, gender, race/ethnicity, age, primary diagnosis and primary cause of injury are examined. The most common diagnoses for work-related injuries were sprains and strains, open wounds, and superficial injuries (71% of total visits). The Most common causes of work-related injuries were sharp objects, overexertion, being struck, and falls (69% of total visits).Item Development of an Osteoinductive Bone Graft(2010-12-01) Sule, Anupam A.; Slobodan Dan DimitrijevichBone is a unique tissue that serves multiple functions. One of its unique features is the ability to heal by formation of new bone, whereas most other tissues undergo the process of scar formation. When a large amount of bone is lost the only treatment available is the use of bone grafts. Multiple bone graft substitutes are being developed to address the shortage of autologous bone graft. 3-D models are being developed to further our understanding of the cellular processes taking place in vivo. In this study I examined the strategy of designing a 3-Dmodel of hard tissue and a potential bone graft substitute using collagen type I and several different porous scaffolds. Factors influencing collagen gel contraction by human mesenchymal stem cells (hMSC) during the process of osteogenic differentiation were studied and it was shown that collagen type I gels prepared in accordance with our patented technology contract far less than any other collagen gels reported in literature. The validity of MTT assay to track proliferation of hMSC in various 3-D matrices was established and allowed me to show that human mesenchymal stem cells (hMSC) proliferated, differentiated along an osteogenic lineage and mineralized the extracellular matrix (ECM). Higher cell seeding density and greater serum concentration in the culture medium, caused increased collagen type I gel contraction. Late passage cells and osteoblasts caused a greater collagen type I gel contraction than undifferentiated early passage hMSC. hMSC that had been transduced to constitutively express human telomerase reverse transcriptase (hTERT), and which had thereby acquired an extended in vitro life span (telomerized hMSC or TMSC), contracted the collagen gel lesser than hMSC. A Collagen type I Gel - Collagen type I foam Scaffold combination (CGCS) was investigated as a 3-D in vitro model to allow extrapolation of soft tissue results to those characteristic of hard tissue. Deep penetration of MSC into the CGCS with uniform distribution was achieved by the use of collagen type I gel, as the cell carrier. Collagen type I gel improved seeding efficiency and facilitated retention of cells that penetrated deep into the scaffold. Longterm survival, proliferation, viability and in situ osteogenic differentiation within the CGCS were demonstrated. A model that demonstrated migration of cells in and out of CGCS was assembled and tested. A need for the presence of fibrillar collagen gel for mineralization process to take place highlighted the benefit of adding collagen gel to the 3-D models. Porous Beta-tricalcium phosphate (-TCP) was used as the scaffold and impregnated with collagen gel to generate Collagen Gel Impregnated Porous Scaffolds (CGIPS). Highly efficient seeding of the cells throughout the porous scaffold was attained with collagen gel. hMSC proliferated in CGIPS without contracting the collagen gel. Cells could migrate into CGIPS and mineralized the ECM when cultured in vitro under osteogenic differentiation conditions. CGIPS allowed the application of pressure and hMSC responded to mechanical force by a change in proliferation. hMSC xenotransplanted into immunocompetent rats survived for a month and expressed markers of osteogenic differentiation. While cells alone improved vascularization of the implants, they did not improve mineralization. Presence of collagen gel alone allowed for faster invasion of cells into the implanted TCP and improved radiodensity but did not affect vascularization. A combination of cell and gel within the TCP (CGIPS) was necessary to improve all the measured varialbes (tissue invasion, vascularization, mineralization and radioopacity). Thus biocompatibility, greater vascularization and enhanced mineralization of CGIPS implants established the foundation to proceed with large animal bone defect model studies utilizing CGIPS in the future. I established that CGIPS could deliver small molecules into the surrounding milieu by a process of simple diffusion. A rapid intital burst followed by a slow sustained release was observed when collagen gel containing EphrinB2-Fc clusters was incorporated ointo CGIPS. The released EphrinB2-Fc was physiologically functional and increased hMSC proliferation and chemotaxis. CGIPS inhibited the growth of Methicillin resistant Staphylococcus aureus when vancomycin was incorporated into the CGIPS. Thus the potential of CGIPS to serve as a drug delivery device was demonstrated. This work has provided the scientific foundation for use of CGIPS as bone graft substitute and 3-D model of osteogenesis. In this research study, a number of challenges were solved and questions answered, and the applications of the proposed strategy formulated. However, as is frequently the case many more avenues of future research have been exposed and a variety of new questions posed to be pursued and answered in future.studies.