Class of 2016 Abstract / Objectives: To explore the difference in patient satisfaction with pharmacy services between Public Health and Pharmacy students. Methods: We conducted a retrospective analysis of the results of a 20-item questionnaire regarding patient satisfaction with community pharmacy services that was administered to pharmacy and public health graduate students at the University of Arizona. Pharmacy students (n = 95) and Public Health students (n = 67) completed the questionnaire and a Chi Square test was utilized to compare the results. Scores of 4 and 5 (Very Good and Excellent, respectively) were compared against 1, 2, and 3 (Poor, Fair, and Good, respectively). Questions were stratified into domains of “Friendly Explanation” and “Managing Therapy.” Results: Sixty-two percent of pharmacy students answered “Excellent” and “Very Good” on all 20 questions compared to 37% of public health students (p<0.001). In the “Friendly Explanation” domain, 73% of pharmacy students answered “Excellent” and “Very Good” compared to 57% of public health students (p<0.001). The “Managing Therapy” domain also yielded a higher percentage of satisfied pharmacy students compared to public health students (48% vs 36%, p<0.001). Areas with the highest degree of difference involved availability of the pharmacist, professionalism of pharmacy staff, and promptness of pharmacy services. Conclusions: Pharmacy students were more satisfied with pharmacy services than public health students. Increasing the availability of the pharmacist to answer patient questions, improving professionalism of staff, and providing prompt services may improve patient satisfaction with community pharmacy services among the general public.

<p>Diss. (sammanfattning) Umeå : Umeå universitet, 1980 härtill 4 uppsatser</p> / digitalisering@umu

A research report submitted to the Faculty of Health Sciences in fulfilment of the requirements for the degree of Master of Medicine, in Internal Medicine at the University of Witwatersrand, Johannesburg. September 2017 / Differentiating ischaemic left ventricular dysfunction (ILVD) from non-ischaemic left ventricular dysfunction (NILVD) is crucial since appropriately selected patients may benefit from coronary revascularisation. The aim of this study was to evaluate the diagnostic utility of myocardial perfusion imaging (MPI) in patients presenting with left ventricular dysfunction using coronary angiography (CA) as the gold standard. Methods This single centre retrospective study was conducted in 52 patients with heart failure with a reduced ejection fraction (EF< 40%) who had both MPI as well as CA at CHBAH between January 2005 and December 2012. ILVD was diagnosed when the distribution and severity of coronary disease on CA was sufficient to account for the degree of left ventricular dysfunction. Results From a total of 52 patients, 33 (63%) had ILVD and 19 (37%) had NILVD. As compared to patients with NILVD, those with ILVD were more likely to be Indian and White (p=0.0014), have more coronary risk factors (5(2) vs 3(2), p < 0.0001) and more commonly have q waves on the ECG (0% vs 55%, p < 0.0001). MPI had a sensitivity of 100% (95% CI 66-100%) and specificity of 52.63% (95% CI 30.18 - 75.08) for the diagnosis of ILVD. The presence of fixed perfusion defects on MPI was the best predictor of ILVD. Conclusion MPI has high sensitivity but low specificity for the diagnosis of ILVD. This makes it a useful screening test for the exclusion of coronary artery disease in patients presenting with heart failure. / MT2018

Objective: To estimate the national prevalence and direct incremental expenditures of musculoskeletal disorders (MSD's) using the 2007 Medical Expenditure Panel Survey data. <br>Methods: A retrospective database analysis was conducted and individuals with MSD's (ICD-9-CM codes 274.00; 710.00-738.00) were identified. Dependent variables were total health care and other service category expenditures. The study utilized descriptive and regression analyses. <br>Results: In 2007, the national prevalence of MSD's was 33 million with incremental costs of $886.49 per person. The inpatient expenditures ($33,461.85) were the highest cost component in MSD's and the predictors of total health care expenditures were age, marital status, and presence of the disease condition. <br>Conclusion: The systematic assessment of MSD's and their associated incremental costs to the society is essential in increasing the awareness of decision makers to implement intervention strategies that are effective in lowering the disease incidence and in reducing the overall cost of disease management. / Mylan School of Pharmacy and the Graduate School of Pharmaceutical Sciences / Pharmacy Administration / MS / Thesis

L'objectif de cette thèse est l'étude rétrospective du développement de la couronne de quelques grands arbres de la forêt tropicale humide guyanaise. Nous avons retenu plusieurs espèces possédant des tempéraments écologiques, des modèles architecturaux et des cycles phénologiques variés, mais présentant toutes au moins un marqueur morphologique ou anatomique susceptible d'être utilisé dans le cadre d'une analyse rétrospective de l'appareil caulinaire. Nous avons décrit des branches sommitales représentatives de la croissance en hauteur et de la reproduction des individus. Parallèlement, nous avons mis en place un suivi phénologique mensuel afin de pouvoir confronter les résultats issus des descriptions rétrospectives aux résultats du suivi phénologique. L'analyse rétrospective de l'appareil caulinaire permet de reconstituer l'histoire des structures ramifiées sur 10 à 15 cycles de développement en moyenne, mais nous avons pu remonter jusqu'à 40 cycles chez certaines espèces. Les informations recueillies nous renseignent sur l'organisation intrinsèque du cycle phénologique de l'organisme ainsi que sur les modalités de construction et de reproduction de l'espèce. Le fait de pouvoir reconstituer l'histoire des différents méristèmes permet dans certains cas d'approcher les relations trophiques qu'ils entretiennent dans l'espace et dans le temps au sein des structures ramifiées. Finalement, le cadre temporel relatif dans lequel sont replacés les processus développementaux autorise la comparaison d'espèces dont les cycles phénologiques ont des dimensions temporelles absolues différentes dans un cadre temporel relatif identique, dont « l'unité » est l'expression morphologique du cycle phénologique dans son ensemble. L'analyse rétrospective de l'appareil caulinaire des arbres tropicaux apparait donc comme une méthode à la fois souple et robuste, complémentaire des suivis de croissance et de suivis phénologiques plus traditionnels. Les résultats obtenus sont originaux et nouveaux dans le domaine de l'écologie tropicale et ils ouvrent des perspectives intéressantes et prometteuses. / The aim of this thesis is to study retrospectively the crown development of large canopy trees of French Guiana. We choose several species expressing various ecological behaviors, architectural developments and phenologies which had at least one morphological or anatomical marker usable in retrospective analysis. We described well sun exposed branches that were representative of individuals' height-growth and reproduction. Simultaneously, we conducted a monthly phenological survey in order to compare our hypotheses from the retrospective analysis to the phenological data. The retrospective analysis allowed us to reconstruct the last 10 to 15 developmental cycles within the branches in mean, sometimes up to 40 cycles in some species. Data give information on the species' intrinsic phenological organization as on growth modalities and reproduction. We could access to the meristems history within the branches and in some case, we could approach meristems interactions on a trophic level. Finally, we could compare species with various phenological strategies within the same relative temporal frame given that is given by the retrospective analysis. The retrospective analysis appears to be a reliable complementary tool that gives access to new and original results in tropical tree study.

No description available.

<p>Individuals afflicted with childhood and adolescent mental disorders have an increased risk for poor outcome in adulthood. The progression of psychopathology from childhood to adult life may be influenced by a multitude of interacting variables, both biological and psychosocial. There is limited information on the relationships between child psychopathology and adult personality and personality disorders. The main aim of this thesis was therefore to gain better knowledge concerning adult personality outcome in patients with early onset of mental disorders. </p><p>Former child psychiatric patients as compared to controls had a significantly higher prevalence of all DSM-IV personality disorders (38.0 vs. 10.9 percent, p<0.001) and also a considerably higher personality disorder co-morbidity. They also had more psychosocial and environmental problems. This was exaggerated in those diagnosed with a personality disorder. Major depression, disruptive disorders and substance use disorders at a young age were strong predictors for adult personality disorder.</p><p>Patients with an early onset major depression had more personality disorders and more deviant personality traits than those with a late onset. </p><p>Forensic psychiatric male patients diagnosed with a previous conduct disorder as compared to those without had more cluster B personality disorders, and more repeated violent criminality and mixed abuse. They also exhibited more deviant personality traits and higher psychopathy scores.</p><p>The instrument "Child and Adolescent Psychiatric Screening Inventory-Retrospect" had acceptable sensitivity and specificity for assessment of child psychiatric disorders. Subscales demonstrated good internal reliability (Crohnbach´s alpha = 0.76-0.93).</p><p>The results suggest that adult personality disturbances are prevalent in individuals affected with mental problems at young ages. A better understanding of the transition of psychopathology from childhood to adulthood and a better identification of those at risk will be of help in attempts to prevent permanent impact on the adult personality.</p>

Individuals afflicted with childhood and adolescent mental disorders have an increased risk for poor outcome in adulthood. The progression of psychopathology from childhood to adult life may be influenced by a multitude of interacting variables, both biological and psychosocial. There is limited information on the relationships between child psychopathology and adult personality and personality disorders. The main aim of this thesis was therefore to gain better knowledge concerning adult personality outcome in patients with early onset of mental disorders. Former child psychiatric patients as compared to controls had a significantly higher prevalence of all DSM-IV personality disorders (38.0 vs. 10.9 percent, p&lt;0.001) and also a considerably higher personality disorder co-morbidity. They also had more psychosocial and environmental problems. This was exaggerated in those diagnosed with a personality disorder. Major depression, disruptive disorders and substance use disorders at a young age were strong predictors for adult personality disorder. Patients with an early onset major depression had more personality disorders and more deviant personality traits than those with a late onset. Forensic psychiatric male patients diagnosed with a previous conduct disorder as compared to those without had more cluster B personality disorders, and more repeated violent criminality and mixed abuse. They also exhibited more deviant personality traits and higher psychopathy scores. The instrument "Child and Adolescent Psychiatric Screening Inventory-Retrospect" had acceptable sensitivity and specificity for assessment of child psychiatric disorders. Subscales demonstrated good internal reliability (Crohnbach´s alpha = 0.76-0.93). The results suggest that adult personality disturbances are prevalent in individuals affected with mental problems at young ages. A better understanding of the transition of psychopathology from childhood to adulthood and a better identification of those at risk will be of help in attempts to prevent permanent impact on the adult personality.

Subject: The knowledge of the sport performance structure with individual identification of the sport training model is a prerequisite for the effective management of sport training. Achieving the sports top limit performance in sport is possible by adapting the training plan to the athlete's individuality by his physiological and psychological prerequisites. To achieve the highest sports performance, sports training analysis is an indispensable tool for international competitiveness. This case study deals with the description of sports training models identified by the composition and dynamics of the training load predictors. A retrospective longitudinal study provides with insights into the possibilities of influencing sports training, which made national, Czech, records on the course of 800 m men and 3,000 m of women's steeplechase. Probandé (n=2) at the age of 21 (runner 1) and 28 resp. 29 years old (runner 2) reached limiting sports performances. The track record dates originates from 1995 to 2012. Runners were participants or medalists from top world or European athletic competitions. Objectiv: The aim of the thesis is to identify retrospectively through the found predictors, by whom were reached limit sports performance and sporting performance in the middle distances run. Methods: The...

Subject: The knowledge of the sport performance structure with individual identification of the sport training model is a prerequisite for the effective management of sport training. Achieving the sports top limit performance in sport is possible by adapting the training plan to the athlete's individuality by his physiological and psychological prerequisites. To achieve the highest sports performance, sports training analysis is an indispensable tool for international competitiveness. This case study deals with the description of sports training models identified by the composition and dynamics of the training load predictors. A retrospective longitudinal study provides with insights into the possibilities of influencing sports training, which made national, Czech, records on the course of 800 m men and 3,000 m of women's steeplechase. Probandé (n=2) at the age of 21 (runner 1) and 28 resp. 29 years old (runner 2) reached limiting sports performances. The track record dates originates from 1995 to 2012. Runners were participants or medalists from top world or European athletic competitions. Objectiv: The aim of the thesis is to identify retrospectively through the found predictors, by whom were reached limit sports performance and sporting performance in the middle distances run. Methods: The...