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Biomedical subjects

E E Gulick

Publications and source records attributed to E E Gulick.

8 recordsLinked to original sources
PubMed1992

Holistic health patterning in multiple sclerosis.

Multidimensional health patterning of three groups of persons with multiple sclerosis (MS) was examined. Changing patterns over a 5-year period for each group also were examined. Serial self-assessments of the subjects' prevalence of MS-related symptoms (motor, brainstem, sensory, elimination, mental-emotional) and level of ADL functioning (fine and gross motor activities, sensory/communication, socializing/recreation, intimacy) were obtained by mail. The number of subjects grouped by years since diagnosis was: 69 (0-5), 49 (greater than 5-10), and 93 (greater than 10). Study findings indicated significantly higher levels of functioning in areas of fine and gross motor activities and intimacy among the more recently diagnosed group but no difference among the groups for sensory/communication, recreation/socializing, and symptoms. Significant increases in motor and brainstem symptoms and decline in fine and gross motor activities and intimacy occurred over the 5-year period particularly for the 0 to 5 year postdiagnosis group. Knowledge of symptom and ADL patterning is essential for nurses and other health care providers in anticipating the concerns and needed services of persons with MS and their families.

Activities of Daily Living↗
PubMed1989

Work performance by persons with multiple sclerosis: conditions that impede or enable the performance of work.

This study queried 508 persons diagnosed with multiple sclerosis (MS) regarding what conditions made performing their work or tasks 'difficult' and 'easier'. The subjects represented four groups: employed outside the home, homemakers, unemployed, and retired. Their written responses were content analysed. Conditions reported to impede the performance of work and tasks were related to three categories: physical restrictions, person-environment interaction, and MS-related symptoms. Conditions reported to enhance the performance of work and tasks were related to five categories: assistive devices, human support, personal attributes, health promotion behaviors, and person-environment adjustment. Study findings provide useful information for families, health service providers and employers of persons with MS in assisting them enhance their ability to perform work or tasks.

Activities of Daily Living↗
PubMed1989

Dietary practices and pregnancy discomforts among urban blacks.

In this prospective study, we investigated the relationship between dietary practices and pregnancy discomforts among 50 urban black American women during their first and third trimesters of pregnancy. Subjects were interviewed during their regular prenatal clinic visits for information about their previous 24-hour dietary intake, the presence and severity of pregnancy discomforts occurring in the previous month, and pertinent demographic data. Findings indicated that high intake of meat products but low or no intake of vegetables was correlated with nausea, little or no intake of milk products was correlated with heartburn, and low or no intake of citrus fruit but intake of vitamin and iron supplements was correlated with heartburn, constipation, and sleeping difficulty. Replication of the study with a larger sample is warranted so as to provide further validity to the findings.

Black or African American↗
PubMedDate not supplied

Model for predicting work performance among persons with multiple sclerosis.

A causal model was tested on a sample of 201 MS subjects for the purpose of examining the role of selected demographic factors, work impediments, and work enhancers as predictors of activities essential for performing outside employment, home making, and for personal care. The results showed a relatively good fit of the model to the data through a number of indicators. Explained variance included: 9.0% in work impediments from the direct effect of age; 32.3% in work enhancers--A (job and environmental adjustment, social support, healthful practices) through direct effects from MS duration and work impediments; 9.8% in work enhancers--B (personal attributes) through direct effects from MS duration and work impediments; 61.1% in work performance through direct effects from the antecedent variables (age, education), stress-appraisal variable (work impediments), and coping variables (work enhancers-A, work enhancers-B).

Activities of Daily Living↗
PubMedDate not supplied

Reliability and validity of the work assessment scale for persons with multiple sclerosis.

Reliability and validity of the Work Assessment Scale (WAS) was done on a sample of 551 subjects with multiple sclerosis. Work was defined as those activities performed in employment, homemaking and/or personal care. The WAS has two parts consisting of: Work-Impeding (WAS-I) and Work Enhancing (WAS-E) situations and conditions. Varimax rotated factor analysis of the WAS-I resulted in a seven-factor solution containing 33 of the 53 scale items. Theta reliability coefficients for the factors ranged between .73 and .90 and test-retest correlation coefficients (n = 51) ranged between .76 and .91. Varimax rotated factor analysis of the WAS-E resulted in a five-factor solution containing 19 of the 27 scale items. Theta reliability coefficients for the factors ranged between .66 and .81 and test-retest correlation coefficients ranged between .68 and .82. Concurrent validity was shown between WAS and both ADL and Symptom subscales.

Activities of Daily Living↗
PubMedDate not supplied

Smoking among women: a life cycle perspective on which to base prevention/cessation interventions.

Smoking among women continues at high rates despite the severe health consequences that may result for these women and for their children. A conceptual model identifying core factors that influence the onset and development of smoking and its cessation and continued abstinence was developed and provides a framework for understanding women's smoking behavior. This model examines a number of smoking-related health consequences that occur during the woman's life cycle and proposes suggestions for assessment and nursing intervention.

Attitude to Health↗
PubMedDate not supplied

Model confirmation of the MS-Related Symptom Checklist.

Data from a 26-item self-administered MS-Related Symptom Checklist (MS-RS), designed for persons diagnosed with multiple sclerosis (MS), were factored for the purpose of (a) providing further validity for the MS-RS Checklist, (b) determining structural relationships between and within MS symptom clusters, and (c) determining conceptual similarities between symptoms contained within the MS-RS model and those associated with eight neurological functional systems. Data analyses were based on 491 MS subjects. Principal component analysis and Varimax-rotated factor analysis were used to achieve scale parsimony. The resultant 22-item scale consisting of five factors was subjected to confirmatory factor analysis to determine relationships among factors, observed variables, and residual variance within the factor model. Modification of the initial factor model resulted in the inclusion of one additional relationship between an observed variable and a second factor and six paired relations among the residual variances. The modified factor model had a satisfactory GFI of .910. Signs and symptoms contained within the five-factor solution compared favorably with signs and symptoms assigned to the neurological functional systems which are used clinically in classifying MS disease impairment.

Adult↗