...● To compare the scores obtained in studies of different patient population both before and after treatment ● To review the methodology of outcome measurement ● To consider what is actually measured by this and similar instruments ● Study Design. The Oswestry Disability Index (ODI) has become one of the principal condition-specific outcome measures used in the management of spinal disorders. This review is based on publications using the ODI identified from the authors’ personal databases, the Science Citation Index, and hand searches of Spine and current textbooks of spinal disorders. Objectives. To review the versions of this instrument, document methods by which it has been validated, collate data from scores found in normal and back pain populations, provide curves for power calculations in studies using the ODI, and maintain the ODI as a gold standard outcome measure. Summary of Background Data. It has now been 20 years since its original publication. More than 200 citations exist in the Science Citation Index. The authors have a large correspondence file relating to the ODI, that is cited in most of the large textbooks related to spinal disorders. Methods. All the published versions of the questionnaire were identified. A systematic review of this literature was made. The various reports of validation were collated and...
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...Kathryn Henry Vocal Pedagogy Term Paper 4/27/14 Is it Locked?: The Study of the Temporomandibular Joint and its Effects on Vocal Production In this research paper, I will discuss the temporomandibular joint and its effects on vocal production. The paper begins with a definition of what the temporomandibular joint is, where it sits in the skull, and what its functions are. Following this section will be disorders and treatments of disorders that one may encounter involving the temporomandibular joint. Finally, I will discuss how temporomandibular joint disorders can negatively affect a singer’s vocal production. The Temporomandibular Joint, or TMJ, is a joint located in front of one’s ears on each side of the face. ‘Temporo’ refers to the temple, the bone in the side of one’s head, and ‘mandibular’ refers to the mandible. The joint connects the mandible to the bone on the side of the head. The TMJ allows the mandible to move up and down as well as back when chewing, talking, or yawning. As the mouth opens, the rounded edges of the mandible, called condyles, glide along the socket of the temporal bone. As the mouth closes, the condyles slide back into their original resting positions. The TMJ is a ginglymo-arthrodial joint, meaning that the joint allows forward and backward movements, ginglymoid, as well as gliding movements within narrow limits, arthrodial.The TMJ has a combination of hinging and sliding motions, making this joint among the most complicated of the human...
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...is it that no one has found it expedient to warn me, about the malevolent peril these changes would bring, not only to my body but my mind! How long I been awake and how much sleep have I intermittently burned on my couch, I don’t know. The last I recall, was the piece of pastry in my hand, a cup of soda in between my knees and my son trying to ask me where the ketchup was stored in the refrigerator as I struggled to read through all the paper all four of my children, had brought from school for the day? My body began to sweat profusely and I could feel the heat of the ominous hand of age sliding down my spine with his unwelcome caress, and I cringed; bracing myself up for the onslaught of erratic sensation about to evade my senses. Although incoherent for a moment, I told myself, this time I am going to fight it and suppress this warm feeling and wetness soaking up the arch on my bosom. I spoke too soon, my blouse was the first to come off, then my pants and my crackled breathing and moans caved in as I suddenly jostled the heap of papers down the side table and stood to my feet. I blinked hard, trying to quickly recover from the slaps and itch in unusual places I was feeling. I was terrified but I could not imagine what was going on. My body which was once a casing I knew its every nook and cravis could not help me. The smile turned down the corner of my lips bending into a sad whimper as I stared into the stranger whose eyes locked into mine in an odd but heroic defiance;...
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...Research Paper Legalization of Medical Marijuana Beneficial or Harmful? By Britanii Hoeche American Government POLS101: AMER GOV 3196 Mr. Shawn Moore March 1st, 2012 Introduction Medical Marijuana usage and the effects it would have on the United States if it were legalized has been talked about and been a topic for years. The main question I will be trying to uncover is whether or not medical marijuana has helped, and if it would help stimulate the economy by being legal in all states. To find these answers I will also try to find out if statistics show that this drug has produced revenue in states it is legal in already and if marijuana is beneficial for medicinal purposes only. I will also uncover the medical benefits that users receive from being prescribed this drug, and how much revenue would this drug produce if legalized. What effects does THC have on the brain and its functions? All of these are questions I wonder myself and will attempt to answer with my research provided below. As we all know a large percentage of Americans smoke the forbidden plant already so should that make it legal? Many agree that legalization of this drug would help regulate the economy with its revenue and taxation. If grown by the government the country could grow, sell and tax this plant and make billions of dollars each year in profit while allowing people with medical needs to smoke it legally. Where is it legal so far? States that have recently allowed marijuana use for medicinal...
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...What are the physical and cognitive benefits of exercise on patients with multiple sclerosis? 1. Bayraktar D, Guclu-Gunduz A, Yazici G, et al. Effects of Ai-Chi on balance, functional mobility, strength and fatigue in patients with multiple sclerosis: a pilot study. NeuroRehabilitation. 2013; 33(3):431-7. This research study was designed to examine the effects of Ai-Chi exercises in a swimming pool on balance and mobility in patients with multiple sclerosis (MS). Poor balance and decreased mobility is a common issue with MS, and the decline often limits daily activities. Researchers recruited twenty-three females affected by MS, and divided them into two groups. The exercise group performed Ai-Chi exercises for a 60 minute session twice a week for eight weeks. The control group did a home exercise program that only involved abdominal breathing and active range of motion exercises. Upon conclusion of the program, subjects were tested on static balance, functional mobility, fatigue, and muscle strength. The exercise group showed significant improvements across all measures, but the control group did not. This shows that the aquatic exercise program is a viable option to combat the negative effects of MS. A strength of this study was the use of aquatic therapy. The researchers stated that although this therapy is widely used, more studies need to be performed to gain more knowledge. Recording results on patients is concrete evidence that these programs work. This study was published...
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...Arch Sex Behav (2011) 40:699–712 DOI 10.1007/s10508-010-9671-7 ORIGINAL PAPER Physiological and Subjective Sexual Arousal in Self-Identified Asexual Women Lori A. Brotto • Morag A. Yule Received: 27 October 2009 / Revised: 27 July 2010 / Accepted: 27 July 2010 / Published online: 21 September 2010 Ó Springer Science+Business Media, LLC 2010 Abstract Asexuality can be defined as a lifelong lack of sexual attraction. Empirical research on asexuality reveals significantly lower self-reported sexual desire and arousal and lower rates of sexual activity; however, the speculation that there may also be an impaired psychophysiological sexual arousal response has never been tested. The aim of this study was to compare genital (vaginal pulse amplitude; VPA) and subjective sexual arousal in asexual and non-asexual women. Thirty-eight women between the ages of 19 and 55 years (10 heterosexual, 10 bisexual, 11 homosexual, and 7 asexual) viewed neutral and erotic audiovisual stimuli while VPA and self-reported sexual arousal and affect were measured. There were no significant group differences in the increased VPA and self-reported sexual arousal response to the erotic film between the groups. Asexuals showed significantly less positive affect, sensuality-sexual attraction, and self-reported autonomic arousal to the erotic film compared to the other groups; however, there were no group differences in negative affect or anxiety. Genital-subjective sexual arousal concordance was significantly...
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...seemingly obvious meaning. The research literature contains many studies evaluating its effectiveness, but it is not clear how many different forms of SM exist and how efficacious they are for which target problem. One hundred and fifty-three studies on SM were analyzed to determine consensus in definitions and therapy protocols. Results showed that a typical delivery format exists (mostly group form, 8–10 sessions in length and multitechnique), but the number of techniques used was very large, techniques were inconsistently labeled are often poorly described. It is concluded that in outcome research, the term "stress management" is operationally defined with such variability that comparisons of SM outcome studies are not meaningful at this time. Author Keywords: Stress management; Arousal reduction; Coping; Therapy outcome [pic] Article Outline • Introduction • Methods • Results • Typical components of SM interventions • Imagery, relaxation and meditation • Cognitive–behavioral approaches • Systemic approaches • Discussion • Acknowledgements • References [pic] Introduction This paper questions whether or not stress management (SM) researchers agree on what SM is, what the necessary treatment ingredients are and whether or not comparisons of different studies using SM are possible and meaningful. Previous experience with the conduct of controlled studies of SM for health outcomes and the desire to continue this line of research motivated us to begin examining...
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...Stress management Abstract Stress management (SM) is a widely used term with a seemingly obvious meaning. The research literature contains many studies evaluating its effectiveness, but it is not clear how many different forms of SM exist and how efficacious they are for which target problem. One hundred and fifty-three studies on SM were analyzed to determine consensus in definitions and therapy protocols. Results showed that a typical delivery format exists (mostly group form, 8–10 sessions in length and multitechnique), but the number of techniques used was very large, techniques were inconsistently labeled are often poorly described. It is concluded that in outcome research, the term "stress management" is operationally defined with such variability that comparisons of SM outcome studies are not meaningful at this time. Author Keywords: Stress management; Arousal reduction; Coping; Therapy outcome [pic] [pic] Introduction This paper questions whether or not stress management (SM) researchers agree on what SM is, what the necessary treatment ingredients are and whether or not comparisons of different studies using SM are possible and meaningful. Previous experience with the conduct of controlled studies of SM for health outcomes [1 and 2] and the desire to continue this line of research motivated us to begin examining the efficacy of SM with the possible goal of conducting a meta-analytic review. A minimal, yet pivotal, requirement for considering meta-analysis...
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...Euthanasia Debate May 24, 2010 Professor Melissa Green, M.H.A. Euthanasia Debate Every day in the field of medicine professionals are faced with an ethical decision or problem. The advancements in medicine and technology are raising questions and concerns never once thought of. Controversy over euthanasia is on the forefront of today’s health care platform. With the present change occurring with the American Heath Care Reform health care providers and society need to be informed of the options available in end of life care. This paper will present a debate about human euthanasia. Euthanasia will first be defined. Support for each side of the debate will be presented. Each side will be provided with questions from the opposing side, with the opposing teams response presented. Each side will then present a closing statement, again to support their side from the result of the debate. Euthanasia defined Euthanasia is the practice of mercifully ending a person's life to free someone from a deadly disease. The word euthanasia comes from the Greek word "good death." The term euthanasia is being used synonymously with the term Physician Assisted Suicide (PAS), although they are not one and the same. PAS generally refers to a practice in which the physician provides a patient with a lethal dose of medication, upon the patient's request, which the patient intends to use to end his or her own life (University of Washington School of Medicine, 2010). Voluntary...
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...Research Proposal Melissa Robinson, Evan Acree and Arlington Neely CJA 334/ Research Methods in Criminal Justice Raymond Smith 1 May, 2015 Research Proposal This research paper we will be looking into violence within our homes. It is an important topic for anyone to be aware of as well as educated about for the safety of ourselves and our families. Specifically, we will be looking at childhood abuse and the ties to the abused children growing up to be domestic abusers. Understanding the ties between the two topics may give us a better understanding of the chances for children who are abused growing up to commit domestic violence acts. It will also give us a general idea as to how we may be able to help these children when they are younger as to prevent domestic violence in the future. According to "Child Welfare Information Gateway" (2010) The Federal Child Abuse Prevention and Treatment Act (CAPTA) (42 U.S.C.A. § 5106g), as amended by the CAPTA Reauthorization Act of 2010, defines child abuse and neglect as, at minimum: “Any recent act or failure to act on the part of a parent or caretaker that results in death, serious physical or emotional harm, sexual abuse or exploitation"; or "An act or failure to act which presents an imminent risk of serious harm." This definition of child abuse and neglect refers specifically to parents and other caregivers. A "child" under this definition means a person who is younger than age 18 or who is not an emancipated minor (para....
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...Over-prescribing of ADHD Medication to Children Lesley M. Thomas University of Houston- Clear Lake What is Attention Deficit Hyperactivity Disorder? According to the National Library of Medicine, Attention Deficit Hyperactive Disorder is defined as, “a problem of not being able to focus, being overactive, not being able to control behavior, or a combination of these.” (www.nlm.nih.gov) For a diagnosis of this disorder, generally referred to simply as ADHD, these issues must be out of the normal range for a person’s age and development. Although the majority of diagnoses are given to children and adolescents, there are also a vast number of ADHD cases diagnosed for adults. The purpose of my research paper is to offer background on this disorder, discuss the psychopharmacology of its treatment options, and to discuss whether ADHD medication is over-prescribed to children. The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) states that Attention Deficit Hyperactivity has three different subtypes. Those subtypes are Predominantly Inattentive, Predominantly Hyperactive-Impulsive, and a combination of the two. In order for the Predominantly Inattentive subtype to be used, at least six or more symptoms of inattention must be both present and persistent for at least six months. However, there must be fewer than six symptoms of hyperactivity-impulsivity. For usage of the Hyperactivity-Impulsivity subtype to be used, there must be a persistent presence of at least six...
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... Other reasons surrounding this lifestyle can be contributed to inactive living with such high demands for the work force and just being lazy. As much as technology has developed and contributed to the further advancement of the world, it has also been a curse when it comes to a sedentary lifestyle. Emotional factors such as depression can have a lot to do with sedentary lifestyle. “A study of physical activity in more than 7,000 teenagers found that inactivity is associated with emotional and behavioral problems. Teens with less than one hour of moderate to vigorous physical activity a week had more symptoms of anxiety, withdrawal, depression, sleep problems, rule-breaking behaviors, attention problems, and somatic complaints (body pain). Study author Marko T. Kantomaa stated in an American College of Sports Medicine news release, "Negative mental and emotional effects brought on by physical inactivity does not help young...
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...ACCEPTABILITY OF AVOCADO AND YOUNG COCONUT MEAT AS HEALTHY SMOOTHIE Jo V. Ambat Annie Grace A. Bustamante Nico Braselle Casaña Raymond M. de Taza Manche P. Pere A research study presented to the faculty of Home Economics, Vocational and Technical, Education Department, College of Education, Cavite State University, Indang, Cavite in partial fulfilment of the requirements in HRML 24- Research I. Prepared under the supervision of Dr. Editha G. Reyes 1. INTRODUCTION The avocado is colloquially known as the Alligator Pear, reflecting its shape and the leather-like appearance of its skin. Avocado is derived from the Aztec word "ahuacatl". Avocados are the fruit from Persea americana, a tall evergreen tree that can grow up to 65 feet in height. Avocados vary in weight from 8 ounces to 3 pounds depending upon the variety. There are dozens of varieties of avocadoes. The rich and creamy Hass variety is the most popular type of avocado in the United States, and 95% of all avocados grown in the United States are produced in California, original home of the Hass variety. They are generally available throughout the year, they are the most abundant and at their best during the spring and summer in California and in October in Florida. While avocados are technically fruits, we have categorized them here as vegetables since this is how they are usually considered from a culinary perspective. Avocados can make a great base for a high-energy smoothie that will satisfy you and...
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...Adolescence……………………………10. The impact of Culture on Adolescent Depression…………………………………………...10. Abnormal behaviours associated with Adolescent Depression….…………………………..11. Conclusion…………………………………………………………………………………...11. References…………………………………………………………………………………...12. DEPRESSION IN ADOLESCENTS 3. This research paper will address depression in adolescents. Depression is often labelled as ‘the sickness of our time’ due to its prolific nature. Some of the causes, symptoms, diagnosis and treatment of depression in adolescents as well as the contextualised issues, cultural implications and other abnormal behaviour associated with the disorder will be discussed. DEPRESSION IN ADOLESCENTS 4. Background of Depression in Adolescence Adolescence is the period of transition from childhood to adulthood, a stage of major growth and development in which significant physiological, cognitive, psychological and behavioural changes take place. Understandably then, adolescence is a time of excitement and of anxiety; of happiness and of troubles; of discovery and of bewilderment; and of breaks with the past and yet of links with the future (Schmied & Tully, 2009). Research has revealed that depression is occurring earlier in life today than in past decades (NIMH, 2009). In addition,...
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...Bavelier,1,* C. Shawn Green,2 and Matthew W.G. Dye3 of Brain and Cognitive Sciences, University of Rochester, Rochester, NY 14627, USA of Psychology, Center for Cognitive Sciences, University of Minnesota, Minneapolis, MN 55455, USA 3Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA *Correspondence: daphne@bcs.rochester.edu DOI 10.1016/j.neuron.2010.08.035 2Department 1Department Children encounter technology constantly at home and in school. Television, DVDs, video games, the Internet, and smart phones all play a formative role in children’s development. The term ‘‘technology’’ subsumes a large variety of somewhat independent items, and it is no surprise that current research indicates causes for both optimism and concern depending upon the content of the technology, the context in which the technology immerses the user, and the user’s developmental stage. Furthermore, because the field is still in its infancy, results can be surprising: video games designed to be reasonably mindless result in widespread enhancements of various abilities, acting, we will argue, as exemplary learning tools. Counterintuitive outcomes like these, besides being practically relevant, challenge and eventually lead to refinement of theories concerning fundamental principles of brain plasticity and learning. Introduction It is Monday morning at 7:58 a.m. when John enters the building. Immediately a dossier is uploaded to his iPad, complete...
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