Global ETD Search

1	Measles and Measles Vaccine in Japan ISOMURA, SHIN 03 1900 (has links) No description available. Epidemilogy Immunization Measles vaccine Measles
2	Black populations in epidemiological Alzheimer's disease case-control and cohort studies : a discussion and review Downing, Christopher 01 January 2008 (has links) Epidemiological studies are the prototype for elucidating patterns of disease based on known exposures. In this thesis, study of both case-control and cohort epidemiological studies were analyzed in the sector of Alzheimer's disease. More specifically, the scope of research involved the exposure of race, black or white, and the onset of disease. This research is significant because white based studies are predominant in Alzheimer's disease and minimal research has been done that links the relationship between race and the disease. Several epidemiological studies which include a substantial portion of the black community were reviewed and discussed. Quantitative and qualitative research in this study determined that blacks have a much higher risk than their white counterparts for obtaining the onset of Alzheimer's disease, with some studies producing an RR of 2.9 when comparing the two races. The relative risks for elucidation of causation between this linkage produced in each study varied significantly. One study analyzed and presented provided results that were largely inconsistent with other data in this project. Studies presented allowed epidemiologists and physicians to concentrate on more elusive risk factors such as the apolipoprotein e4 allele after black populations that had more of a risk of the onset of Alzheimer's disease were isolated through epidemiological research found in this thesis. In short, this project explored and discussed a sector of Alzheimer's disease that is largely unexplored and fuels additional research centering race and the disease given the projected increase in black elderly populations in the community and need for advancements in the field. Molecular Biology
3	Clients' Service Expectations and Practitioners' Treatment Recommendations in Veterinary Oncology Stoewen, Debbie Lynn 18 May 2012 (has links) Service provision in veterinary oncology in Ontario was examined using a mixed methods approach. First, an interview-based qualitative study explored the service expectations of oncology clients at a tertiary referral centre. Next, a survey-based quantitative study established an understanding of oncology service in primary care practice and investigated the treatment recommendations of practitioners for dogs diagnosed with cancer. The first study, which involved 30 individual and dyadic interviews, identified “uncertainty” (attributable to the unpredictable nature of cancer and its treatment) as an overarching psychological feature of clients’ experience. Consequently, “the communication of information” (both content and process) was the foremost service expectation. For clients, it enabled confidence in the service, the ability to make informed patient care decisions, and preparedness for the potential outcomes of those decisions; it also contributed to creating a humanistic environment, which enhanced client resiliency. Findings suggest that services can support client efforts to manage uncertainty through strategic design and delivery of service, and incorporate intentional communication strategies to support clients’ psychological fortitude in managing the cancer journey. The second study, a vignette-based survey of primary care practitioners across Ontario (N=1071) which investigated veterinarian decision-making in relation to oncology care, determined that 56% of practitioners recommended referral as their first choice of intervention, while 28% recommended palliative care, 13% in-clinic treatment, and 3% euthanasia. Recommendations were associated with patient, client and veterinarian factors. Specifically, referral and treatment were recommended for younger dogs, healthier dogs, and dogs with lymphoma versus osteosarcoma; for strongly bonded clients, and financially secure clients; and by veterinarians who graduated from a North American college, had experience with treating cancer, felt confident in the referral centre, and believed treatment was worthwhile, with variation in relation to practitioner gender and the type of medicine practiced. The human-animal bond appeared to be the primary factor associated with practitioners’ advocacy for quality of medical care for patients. Through a blend of qualitative and quantitative methodologies, this thesis contributes to the evidence upon which best practices may be built so as to enhance the quality of patient and client care in veterinary oncology. / Ontario Veterinary College Pet Trust Fund 049406 and 049854 client expectations treatment recommendations veterinary oncology practitioner service expectations qualitative research quantitative research thematic analysis vignette-based vignette-based inquiry full factorial experiment vignette-based research specialty oncology service primary care practice veterinary client logistic regression analysis uncertainty client uncertainty interview cancer cancer care canine cancer lymphoma osteosarcoma veterinary communication communication communication skills information content and process veterinary cancer care Ontario survey questionnaire referral euthanasia in-clinic treatment palliative care quality of care quality of medical care illness uncertainty service provision oncology epidemiology tertiary referral centre social epidemilogy veterinary epidemiology client well-being human-animal bond practitioner attitude best practice information preferences preparatory information cancer journey communication process continuity of care clinical decision making decision making practice variation adaptation

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