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Search Results: 1 - 10 of 467753 matches for " Elizabeth A; "
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Nintendo® Wii™ and a Physical Activity Routine: Effective Therapeutic Interventions in the Older Adult Population?  [PDF]
Elizabeth A. Fain, Brenda Kennell
Open Journal of Nursing (OJN) , 2014, DOI: 10.4236/ojn.2014.48060

Occupational therapists work with individuals across the lifespan to promote health and wellness. “Occupational therapy promotes health and wellbeing through active involvement in meaningful occupations. By helping clients eliminate barriers, enhance their self-management skills, improve their performance of daily activities and adopt healthy habits and routines, occupational therapy unlocks the door to participation across the lifespan” (AOTA, 2010). In today’s world, health and wellness-related services are in demand for those aged 65 and older. As life expectancy rates continue to rise, there is an increase in concern for the field of occupational therapy to find a successful and efficient way to meet the needs of the growing number of older adults (National Center for Health Statistics, 2006). The idea that physical activity can be a beneficial occupation in the elderly has been examined and proved effective as a means of enhancing the quality of life in this population. “Although functional impairments due to the aging process seem to be inevitable, functional limitations due to an inactive lifestyle might be reversed. Indeed, it has been suggested that physically active lifestyles may contribute to improving or maintaining health and wellness” (Fletcher, Gulanick, & Braun, 2005). The purpose of this study was to investigate the effects of two different physical activity programs on individuals aged 65 and older. The variables that were examined were functional skills (activities of daily living), balance skills, and overall upper extremity function. This study looked at two forms of physical activity to determine their individual effects on functional skills, balance, and overall upper extremity function in this population. The two physical activity interventions were the Nintendo Wii gaming system and a videotaped exercise routine.

Relevance, Rigor, and Relationships: Student Perceptions Following Participation in an Integrated Experiential Zoo-Based Academic High School Science Program  [PDF]
Elizabeth A. Mulkerrin, John W. Hill
Creative Education (CE) , 2013, DOI: 10.4236/ce.2013.44043

The purpose of this survey study was to compare students’ measured Likert scale perceptions of posttest school climate survey, relevance, rigor, and relationships domain scores following 11th- and 12th-grade participation in either an integrated experiential zoo-based academic high school science program (n = 18) or a same school district integrated experiential school-based academic high school science program (n = 18). Science coursework delivery site served as the study’s independent variable. ACT composite scores and science grade point average scores were equivalent for students participating in both science programs. Students participating in the zoo-based experiential academic high school science program completed real world, hands-on projects on-site at a nationally recognized zoo while same school district control group students participating in the integrated experiential school-based academic high school science program completed matched curriculum, real world, simulated projects in their classrooms. Students who completed the integrated experiential zoo-based academic high school science program compared to control group students had statistically greater posttest Likert scale perceptions of program relevance where independent t(34) = 4.13, p = .0002 (two-tailed), ES = 1.410; program rigor t(34) = 3.66, p = .0008 (two-tailed), ES = 1.237; and program relationships t(34) = 4.98, p < .0001 (two-tailed), ES = 1.690. The importance of these powerfully held beliefs for students’ successful participation in their future science studies is discussed.

Low Dose Total Skin Electron Beam Radiation in Cutaneous T-Cell Lymphoma: Review  [PDF]
Misty Gamble, Elizabeth Tocci, Jennifer A. DeSimone
Journal of Cancer Therapy (JCT) , 2014, DOI: 10.4236/jct.2014.514138
Abstract: The treatment of advanced stage MF is especially challenging as single agent overall response rates are in the 35% range and chronic recurrence is the rule. The treatment of CTCL across all stages of disease is aimed at the goal of achieving and sustaining remission. Increasingly, low dose total skin electron beam therapy (TSEBT) is being utilized as a skin directed component in combination therapy for advanced stage CTCL. Researchers are seeking to better define the utility of low dose TSEBT as a method of debulking skin disease while simultaneously treating other disease compartments and in combination with sustained maintenance therapies of both the skin directed and systemic varieties. Data exists showing the efficacy of low dose TSEBT in early and advanced disease. There is also data documenting prolonged treatment responses with TSEBT plus adjuvant skin directed therapies such as PUVA and topical nitrogen mustard. Emerging data examining the role of low dose TSEBT in the prestem cell transplant preparation is also promising. This brief review summarizes the utility of low dose TSEBT in multiagent treatment regimens in CTCL.
Development and Validation of Organizational Citizenship Behaviours Scale (OCBS) for the Nigerian Context  [PDF]
Elizabeth I. Olowookere, Grace A. Adejuwon
Psychology (PSYCH) , 2015, DOI: 10.4236/psych.2015.65051
Abstract: This study examined key dimensions of organizational citizenship behaviours in the Nigerian context and validated appropriate measure of the construct in Nigeria. One hundred (100) employees comprising of forty seven (47) males and fifty three (53) females from public and private organizations in Lagos State participated in this study. Consequent upon the cultural sensitivity of organizational citizenship behaviour dimensions, Organizational Citizenship Behaviours Scale (OCBS) was validated as a suitable measure of OCB in the Nigerian context. Factor analysis was used to identify the specific dimensions of the OCBS to include: Organizational Involvement (OI), Dutifulness (D) and Interpersonal Relationship (IR), consisting nine (9), nine (9) and twelve (12) items respectively. The KMO measure of sampling adequacy showed a value of .59. This value simply shows that the sample of 100 participants was adequate to conduct factor analysis on the OCBS. The Bartlett’s test of Sphericity showed a significant value (x2(1830) = 3578.981,p< .001). The 30 item OCBS scale has a Cronbach alpha of .86, the Dutifulness sub-scale .74, the Interpersonal Relationship .75 and the Organizational involvement .88. The convergent validity between OCBS and the Intrinsic Religiosity dimension of the Religious Orientation Scale developed by?Allport and Ross (1967)?was found to be significant at .01. This paper concluded and recommended that the dimension of generalized compliance is vital to the measure of organizational citizenship behaviours in the Nigerian context and should not be underplayed.
Supracervical Lymph Node Biopsy under Local Anesthesia: A Cautionary Tale!  [PDF]
Steven D. Boggs, Elizabeth A. M. Frost
Open Journal of Anesthesiology (OJAnes) , 2015, DOI: 10.4236/ojanes.2015.53009
Abstract: A middle aged woman was scheduled for supracervical lymph node biopsy under local anesthesia. A scheduling conflict caused a significant operating room delay and she became very nervous. A surgical resident asked for anesthetic assistance in calming the patient. Assured that the case was under local anesthesia only, the anesthesiologist gave the patient soda to drink. In the operating room, the lady could not tolerate the procedure but as she now was at risk for aspiration, the anesthesiologist suggested the case be terminated and rescheduled. The surgeon disagreed and continued but was confronted with substantial bleeding. Emergency induction of general anesthesia was required. Postoperatively bleeding continued requiring re-exploration and intensive care unit admission. The patient developed a compressive left brachial plexopathy. The anatomy of the area indicated that general anesthesia was the preferred technique. The importance of team work and communication is underscored. Complications are more frequent when perioperative changes are made.
Neurovascular Evaluation in Eugonadal Men with Type 2 Diabetes Mellitus and Erectile Disfunction: A Comparative Study between Responders and Not Responders to Phosphodiesterase 5 Inhibitors  [PDF]
Marcelo Rodriguez Pe?a, Elizabeth Ovando
Advances in Sexual Medicine (ASM) , 2015, DOI: 10.4236/asm.2015.54010
Abstract: The aim of our study was to evaluate functional alterations of the corpus cavernusum and its correlation with the lack of response to treatment with PDE5i in eugonadal patients with Type 2 Diabetes Mellitus and Erectile Dysfunction. In this prospective randomized study we included 157 patients. All were treated with 5 mg tadalafil daily and 100 mg sildenafil on demand and the response to treatment was assessed in 6 month by dividing them into 2 groups: G1: Good response. Significative improvement of erectile function according to IIEF-5, and G2: There was not an improvement with the treatment. At the end of the treatment we performed neurological and vascular studies to both groups. Also we performed CC-EMG in order to evaluate penile autonomic neuropathy. 82 patients were included in G1 and 75 in G2. The time evolution of the ED was 1.5 years for G1 and 5 years for G2. Average fasting glucose and glycosilated hemoglobin values were significantly higher in G2 than in G1. Also we observed significant differences in penile vascular parameters between both groups. Peripheral neuropathy parameters did not show differences between both groups. Cavernous smooth muscle electromyography showed asynchronous and asymetric potentials in G1 (minimal autonomic neuropathy) and denervation potentials in G2 characteristic of severe CC damage. It is concluded that vascular and autonomic alterations are causes of severe CC damage and lack of response to treatment with PDE5i in this population. Peripheral neuropathy is not part of this process.
Translation in Data Mining to Advance Personalized Medicine for Health Equity  [PDF]
Estela A. Estape, Mary Helen Mays, Elizabeth A. Sternke
Intelligent Information Management (IIM) , 2016, DOI: 10.4236/iim.2016.81002
Abstract: Personalized medicine is the development of “tailored” therapies that reflect traditional medical approaches with the incorporation of the patient’s unique genetic profile and the environmental basis of the disease. These individualized strategies encompass disease prevention and diagnosis, as well as treatment strategies. Today’s healthcare workforce is faced with the availability of massive amounts of patient- and disease-related data. When mined effectively, these data will help produce more efficient and effective diagnoses and treatment, leading to better prognoses for patients at both the individual?and population level. Designing preventive and therapeutic interventions for those patients who will benefit most while minimizing side effects and controlling healthcare costs requires bringing diverse data sources together in an analytic paradigm. A resource to clinicians in the development and application of personalized medicine is largely facilitated, perhaps even driven, by the analysis of “big data”. For example, the availability of clinical data warehouses is a significant resource for clinicians in practicing personalized medicine. These “big data” repositories can be queried by clinicians, using specific questions, with data used to gain an understanding of challenges in patient care and treatment. Health informaticians are critical partners to data analytics including the use of technological infrastructures and predictive data mining strategies to access data from multiple sources, assisting clinicians’ interpretation of data and development of personalized, targeted therapy recommendations. In this paper, we look at the concept of personalized medicine, offering perspectives in four important, influencing topics: 1) the availability of “big data” and the role of biomedical informatics in personalized medicine, 2) the need for interdisciplinary teams in the development and evaluation of personalized therapeutic approaches, and 3) the impact of electronic medical record systems and clinical data warehouses on the field of personalized medicine. In closing, we present our fourth perspective, an overview to some of the ethical concerns related to personalized medicine and health equity.
Seasonal Variation of Carbon and Nitrogen Emissions from Turfgrass  [PDF]
Said A. Hamido, Elizabeth A. Guertal, C. Wesley Wood
American Journal of Climate Change (AJCC) , 2016, DOI: 10.4236/ajcc.2016.54033
Abstract: The role of turfgrasses in C and N cycling in the southeastern U.S. has not been well documented. The objectives of this research were to determine the characterization of chemical quality, clipping decomposition rates, and C and N release from warm- and cool-season turfgrasses. The study was conducted for 46 weeks in 2012 in Auburn, AL. Four warm season turfgrasses were used included (bermudagrass [Cynodon dactylon (L.) Pers. × C. transvaalensis Burtt Davy], centipedegrass (Eremochloa ophiuroides (Munro) Hack), St. Augustinegrass (Stenotaphrum secundatum (Walter) Kuntze), zoysiagrass (Zoysia japonica Steud.), and one cool season turfgrass (tall fescue (Festuca arundinacea Schreb)). Litter was placed into nylon bags at an oven dry rate of 3.6 Mg?ha?1. Litter bags were retrieved after 0, 1, 2, 4, 8, 16, 24, 32, and 46 weeks, and analyzed for total C and N. A double exponential decay model was used to describe mass, C, and N loss. Results indicated that tall fescue decomposition occurred rapidly compared to warm season turfgrasses. Litter mass loss measured after 46 weeks was determined to be 61.7%, 73.7%, 72.2%, 86.8%, and 45.4% in bermudagrass, centipedegrass, St. Augustinegrass, tall fescue, and zoysiagrass respectively. Zoysiagrass litter had a higher lignin concentration, while tall fescue had the lowest lignin. Over 46 weeks’ release of C was in the order: zoysiagrass > bermudagrass = centipedegrass = St. Augustinegrass > tall fescue, and release of N was in the order zoysiagrass > centipedegrass > bermudagrass = St. Augustinegrass > tall fescue. Our study concluded that, zosiagrass is a better choice for home lawns.
Advances in Parasite Genomics: From Sequences to Regulatory Networks
Elizabeth A. Winzeler
PLOS Pathogens , 2009, DOI: 10.1371/journal.ppat.1000649
The Tragedy of Maldistribution: Climate, Sustainability, and Equity
Elizabeth A. Stanton
Sustainability , 2012, DOI: 10.3390/su4030394
Abstract: This essay is an initial exploration of the dimensions of the equity/sustainability linkage from the perspective of public goods analysis. Sustainability requires an abundance of public goods. Where these commons lack governance, sustainability is at risk. Equity is a critical component of sustainability that can itself be viewed as a public good, subject to deterioration (maldistribution) when left ungoverned. As is the case for so many forms of environmental degradation, the private benefits of maldistribution tend to overshadow the larger social costs, and the result is a degradation of equity. This article sketches out the analogy of equity as a public good by: examining the evidence regarding current and historical income equality within and between countries; introducing the characteristics of public goods and grounding equity in this idiom; reviewing several theories explaining the sub-optimal provision of environmental goods; applying these theoretical frameworks to the case of equity, with an examination of the potential causes of, and solutions to, maldistribution; and, finally, addressing equity’s critical role as a component of sustainability in the case of climate change, with implications for climate policy.
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