Biomedical subjects
I Newman
Publications and source records attributed to I Newman.
The effects of two educational methods and message themes on rural youth smoking behavior.
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Contemporary cardiac rehabilitation: patient characteristics and temporal trends over the past decade.
BACKGROUND: Recent and dramatic therapeutic advances, aggressive care of the elderly, and a heightened awareness of secondary prevention have had a significant, albeit incompletely described, impact on cardiac rehabilitation (CR) programs. The authors did a retrospective analysis on 1,848 patients from their phase II CR program that were treated over the past decade. The authors sought to identify and analyze how advances in cardiovascular care might be related to temporal changes in demographics, medical comorbidities, coronary artery disease risk factors, and cardiovascular history among individuals with cardiac disease who have completed the phase II CR program over a 10-year period. METHODS: Cardiac rehabilitation records were reviewed from 1986 to 1996 at Akron City Hospital. The data were compiled prospectively by nurses and exercise physiologists and were subsequently analyzed. The charts reviewed were from 1,848 patients who completed outpatient phase II CR. RESULTS: The program began in 1986 with 53 patients completing CR and evolved to 309 in 1996. There has been an increase in the number of elderly patients referred to and completing the program. The number of participants older than 65 years of age increased from 28.3% in 1986 to 52.1% in 1996. Cardiac rehabilitation participants reflect the known demographics of patients with clinical coronary artery disease. Men outnumber women and, on average, the female participants are older than the male participants. There has been a statistically significant increase in medical comorbidities over the course of the study. Although the absolute number of patients entering CR after coronary artery bypass graft survey has remained fairly constant, there has been a dramatic increase in the absolute number of patients entering CR after percutaneous tansluminal coronary angioplasty (with the latter recently comprising a majority of CR participants). CONCLUSION: There is a significant trend in the attendance and completion of CR programs by older individuals, which suggests a greater awareness of patients and their physicians. The growth of the program is fueled by high-risk patients with more comorbidities who potentially are the group of patients able to obtain the greatest absolute benefit from CR.
Dimensions of parental involvement in pre-school programmes.
This report describes an approach towards the clarification of the role of parent involvement in the decision-making process and assessment of preschool programmes. A model-placing involvement on a continuum is developed using as its endpoints high and low levels of parent involvement. The implications of this distinction in the decision-making process are examined from the viewpoint of practical consequences for all those concerned with maximizing the effects of various pre-school programmes. Finally, an example of a case of programme evaluation which actively sought high levels of parent involvement in the development of a behaviour rating scale is presented and an extension of the model to other aspects of a child's life is suggested.
Retention of four endodontic posts cemented with composite resin.
Retention was compared of an active post system (Flexi-Flange), a metal passive prefabicated post system (ParaPost), a passive prefabricated burnout post system (ExactaCast) with and without grooved dentin walls, and a zirconium oxide ceramic post design (Cerapost). The Flexi-Flange with Flexi-Flow Natural cement obtained the highest retentive value of 270.4 lb. The Cerapost cemented with Universal Cement had the lowest retention value of 23.4 lb. The ExactaCast with grooved dentin walls was significantly stronger than the ExactaCast without grooving, the ParaPost, and the Cerapost. The two ExactaCast groups and the ParaPost group had higher retention than the Cerapost group.