31 results on '"Cook TE"'
Search Results
2. Teacher Training for Teachers of Aborigines
- Author
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Cook, TE
- Published
- 1977
3. Observations of the Aboriginal Child in the School Environment: The Need for Parental Involvement
- Author
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Cook, TE
- Published
- 1974
4. Report: The Armidale Aboriginal Education, Health and Welfare Conference, 1978
- Author
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Cook, TE
- Published
- 1979
5. The role of the primary care physician on recognizing obstructive sleep apnea.
- Author
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Kramer NR, Cook TE, Carlisle CC, Corwin RW, and Millman RP
- Published
- 1999
- Full Text
- View/download PDF
6. Letters.
- Author
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Drinkwater, Spencer, Zander, Linda, Bleakley, Claire, Auld, Nicky, and Cook, Te Aroha
- Published
- 2019
7. Wisdom before knowledge--appraisal of the scientific evidence used to develop guidelines for the diagnosis of arrhythmogenic right ventricular dysplasia
- Author
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Cook Tessa S and Jha Saurabh
- Subjects
Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2013
- Full Text
- View/download PDF
8. Assessment of Medical Education on Transgender Health: A Scoping Literature Review.
- Author
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Dubin S, Kutscher E, Nolan I, Levitt N, Cook TE, and Greene RE
- Subjects
- Humans, Educational Measurement methods, Transgender Persons, Education, Medical organization & administration, Clinical Competence
- Abstract
Little is known about how physician learners are assessed following educational interventions about providing gender-affirming care to transgender and gender diverse (TGD) people. The inclusion of learner assessments with educational interventions is essential to understand and measure health professionals' knowledge and skills. We seek to describe how the medical literature has approached the assessment of learners following educational interventions about TGD health. A scoping literature review was done. The guiding research question was "What are the current learner-assessment practices in medical education pedagogy about TGD health?" A total of 270 manuscripts were reviewed. 17 manuscripts were included for data extraction. Miller's pyramid was used to categorize results. 15 used pre- and post-intervention knowledge questionaries to assess learners. Six used simulated patient encounters to assess learners. Most assessments of TGD knowledge and skills among physician learners are pre- and post-surveys. There is sparse literature on higher level assessment following educational interventions that demonstrate learner skills, behaviors, or impact on patient outcomes. Discrete, one-time interventions that are lecture or workshop-based have yet to rigorously assess learners' ability to provide clinical care to TGD patients that is both culturally humble and clinically astute., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2024
- Full Text
- View/download PDF
9. Setting a research agenda for examining early risk for elevated cognitive disengagement syndrome symptoms using data from the ABCD cohort.
- Author
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Wiggs KK, Cook TE, Lodhawala I, Cleary EN, Yolton K, and Becker SP
- Abstract
Background: Little research has examined early life risk for symptoms of cognitive disengagement syndrome (CDS) despite a well-established literature regarding co-occurring outcomes (e.g., attention-deficit/hyperactivity disorder). The current study estimated bivariate associations between early life risk factors and CDS in a large and representative sample of U.S. children., Methods: We conducted secondary analyses of baseline data from the Adolescent Brain Cognitive Development (ABCD) study (N = 8,096 children, 9-10 years old). Birthing parents reported early life risk factors on a developmental history questionnaire, including parental, prenatal, delivery and birth, and developmental milestone information. They also completed the Child Behavior Checklist, which includes a CDS subscale that was dichotomized to estimate the odds of elevated CDS symptoms (i.e., T -score > 70) in children related to risk indices., Results: We observed significantly elevated odds of CDS related to parental risk factors (i.e., unplanned pregnancy, pregnancy awareness after 6 weeks, teenage parenthood), birthing parent illnesses in pregnancy (i.e., severe nausea, proteinuria, pre-eclampsia/toxemia, severe anemia, urinary tract infection), pregnancy complications (i.e., bleeding), prenatal substance exposures (i.e., prescription medication, tobacco, illicit drugs), delivery and birth risk factors (i.e., child blue at delivery, child not breathing, jaundice, incubation after delivery), and late motor and speech milestones in children., Conclusions: Several early-life risk factors were associated with elevated odds of CDS at ages 9-10 years; study design prevents the determination of causality. Further investigation is warranted regarding early life origins of CDS with priority given to risk indices that have upstream commonalities (i.e., that restrict fetal growth, nutrients, and oxygen)., Competing Interests: Additional Declarations: No competing interests reported.
- Published
- 2024
- Full Text
- View/download PDF
10. Prospective association between evening circadian preference and academic functioning in adolescents: the role of daytime sleepiness.
- Author
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Fredrick JW, Cook TE, Langberg JM, and Becker SP
- Subjects
- Adolescent, Humans, Female, Male, Sleepiness, Sleep, Circadian Rhythm, Attention Deficit Disorder with Hyperactivity, Disorders of Excessive Somnolence, Sleep Wake Disorders
- Abstract
Background: There is growing evidence for the role of circadian factors in adolescents' sleep and academic adjustment, with greater evening preference being linked to poorer academic functioning. However, studies have yet to evaluate this association prospectively in adolescence, nor have studies examined daytime sleepiness as a putative mechanism linking evening preference to poor academic functioning. The current study used a multi-informant design to test the prospective association of evening circadian preference, daytime sleepiness, and academic functioning (e.g., global academic impairment and grades) across 2 years in adolescence. As evening circadian preference, sleepiness, and academic problems are elevated in adolescents with ADHD, we used a sample enriched for adolescents with ADHD and explored whether ADHD moderated effects., Method: Participants were 302 adolescents (M
age = 13.17 years; 44.7% female; 81.8% White; 52% with ADHD). In the fall of eighth grade, adolescents reported on their circadian preference, and in the fall of ninth grade, adolescents and parents completed ratings of daytime sleepiness. In the middle of 10th grade, parents and teachers reported on adolescents' academic impairment and at the end of 10th grade, adolescents' grade point average (GPA) was obtained from school records., Results: Above and beyond covariates (e.g., adolescent sex, ADHD status, medication, sleep duration) and baseline academic impairment, greater self-reported evening preference in 8th grade predicted increased parent ratings of academic impairment in 10th grade indirectly via adolescent and parent ratings of daytime sleepiness in 9th grade. Furthermore, evening preference in 8th grade predicted greater teacher ratings of academic impairment and lower average GPA in 10th grade via parent ratings of daytime sleepiness in 9th grade, controlling for covariates and baseline GPA. ADHD status did not moderate indirect effects., Conclusion: Findings underscore daytime sleepiness as a possible intervening mechanism linking evening preference to poor academic functioning across adolescence. Intervention studies are needed to evaluate whether targeting circadian preference and sleepiness improves academic functioning in adolescents., (© 2022 The Authors. Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.)- Published
- 2023
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11. An Online Training Program to Improve Clinicians' Skills in Communicating About Serious Illness.
- Author
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Gautier WC, Abaye M, Dev S, Seaman JB, Butler RA, Norman MK, Arnold RM, Witteman HO, Cook TE, Mohan D, and White DB
- Subjects
- Education, Distance, Education, Nursing, Humans, Communication, Intensive Care Units, Nurses
- Abstract
Background: Large-scale efforts to train clinicians in serious-illness communication skills are needed, but 2 important gaps in knowledge remain. (1) No proven training method exists that can be readily scaled to train thousands of clinicians. (2) Though the value of interprofessional collaboration to support incapacitated patients' surrogates is increasingly recognized, few interventions for training intensive care unit (ICU) nurses in important communication skills can be leveraged to provide interprofessional family support., Objective: To develop and test a web/videoconference-based platform to train nurses to communicate about serious illness., Methods: A user-centered process was used to develop the intervention, including (1) iteratively engaging a stakeholder panel, (2) developing prototype and beta versions of the platform, and (3) 3 rounds of user testing with 13 ICU nurses. Participants' ratings of usability, acceptability, and perceived effectiveness were assessed quantitatively and qualitatively., Results: Stakeholders stressed that the intervention should leverage interactive learning and a streamlined digital interface. A training platform was developed consisting of 6 interactive online training lessons and 3 group-based video-conference practice sessions. Participants rated the program as usable (mean summary score 84 [96th percentile]), acceptable (mean, 4.5/5; SD, 0.7), and effective (mean, 4.8/5; SD, 0.6). Ten of 13 nurses would recommend the intervention over 2-day in-person training., Conclusions: Nurses testing this web-based training program judged it usable, acceptable, and effective. These data support proceeding with an appropriately powered efficacy trial., (©2022 American Association of Critical-Care Nurses.)
- Published
- 2022
- Full Text
- View/download PDF
12. Adverse childhood experiences, sex, and cardiovascular habituation to repeated stress.
- Author
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Tyra AT, Cook TE, Young DA, Hurley PE, Oosterhoff BJ, John-Henderson NA, and Ginty AT
- Subjects
- Adult, Blood Pressure, Female, Habituation, Psychophysiologic, Heart Rate, Humans, Male, Stress, Psychological, Young Adult, Adverse Childhood Experiences, Cardiovascular System
- Abstract
Adverse childhood experiences (ACEs) are robustly associated with later cardiovascular disease. Alterations in cardiovascular responses to stress may be an underlying mechanism. The present study examined whether ACEs predicted habituation of cardiovascular responses across two acute laboratory stress tasks, and whether this differed between men and women. During a single laboratory visit, 453 healthy young adults completed two identical stress-inducing protocols, each involving a 10-minute baseline and 4-minute acute psychological stress task. Heart rate (HR) and systolic/diastolic blood pressure (S/DBP) were recorded throughout. Participants also completed the Adverse Childhood Experiences scale. Cardiovascular responses habituated from the first to second stress task on average across the entire sample. However, women-but not men-with higher self-reported ACEs displayed less habituation of HR and DBP, but not SBP, across the stress tasks. Results suggest that ACEs may alter the body's ability to adaptively respond to stress exposures in adulthood, specifically in women., (Copyright © 2021 Elsevier B.V. All rights reserved.)
- Published
- 2021
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13. Sexual Orientation Demographic Data in a Clinical Cohort of Transgender Patients.
- Author
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Dubin S, Cook TE, Radix A, and Greene RE
- Subjects
- Demography, Female, Gender Identity, Humans, Male, Sexual Behavior, Sexual and Gender Minorities, Transgender Persons
- Abstract
Background: There are specific issues regarding sexual orientation (SO) collection and analysis among transgender and nonbinary patients. A limitation to meaningful SO and gender identity (GI) data collection is their consideration as a fixed trait or demographic data point., Methods: A de-identified patient database from a single electronic health record (EHR) that allows for searching any discrete data point in the EHR was used to query demographic data (sex assigned at birth and current GI) for transgender individuals from January 2011 to March 2020 at a large urban tertiary care academic health center., Results: A cohort of transgender individuals were identified by using EHR data from a two-step demographic question. Almost half of male identified (46.70%, n = 85) and female identified (47.51%, n = 86) individuals had "heterosexual/straight" input for SO. Overall, male and female identified (i.e., binary) GI aggregate categories had similar SO responses. Assigned male at birth (AMAB) nonbinary individuals ( n = 6) had "homosexual/gay" SO data input. Assigned female at birth (AFAB) nonbinary individuals ( n = 56) had almost half "something else" SO data input (41.67%, n = 15). Individuals with "choose not to disclose" for GI ( n = 249) almost all had "choose not to disclose" SO data (96.27%, n = 232)., Conclusion: Current SO categories do not fully capture transgender individuals' identities and experiences, and limit the clinical and epidemiological utility of collecting this data in the current form. Anatomical assumptions based on SO should be seen as a potential shortcoming in over-reliance on SO as an indicator of screening needs and risk factors., Competing Interests: None declared., (Thieme. All rights reserved.)
- Published
- 2021
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14. How Do OSCE Cases Activate Learners About Transgender Health?
- Author
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Greene RE, Blasdel G, Cook TE, and Gillespie C
- Subjects
- Focus Groups methods, Grounded Theory, Humans, Problem-Based Learning standards, Professional-Patient Relations, Qualitative Research, Transgender Persons psychology, Transgender Persons statistics & numerical data, Problem-Based Learning methods, Transgender Persons education
- Abstract
Purpose: To describe the effect of transgender health-related objective structured clinical examination (THOSCE) case exposure on learner activation regarding gender-affirming care., Method: A modified grounded theory approach was applied to identify the educational value of THOSCE cases. Focus groups with current and former primary care internal medicine residents who participated in THOSCE cases were conducted in 2018-2019. Transcripts were analyzed and coded until saturation to identify themes., Results: Eighteen (72%) eligible learners participated in the focus groups. Themes were identified relating to gender-affirming care, and modified grounded theory analysis was used as a framework to organize the themes into 4 stages of learner activation: (1) believing the learner role is important, (2) having the confidence and knowledge necessary to take action, (3) taking action to maintain and improve one's skills, and (4) staying the course even under stress., Conclusions: Residents were grateful for the opportunity to practice the skills involved in transgender health in a simulation. Many felt unprepared and were concerned about how they were perceived by the standardized patient and faculty. Residents identified feeling more comfortable with gender-affirming language in the inpatient setting, which may provide an opportunity for learning in the future. Residents identified the psychosocial skills of gender-affirming care as more directly relevant while biomedical aspects of gender-affirming care seemed less accessible to residents, given the lack of outpatient experience. The authors propose a staged approach to teaching the skills of gender-affirming care using simulation to address learners of all levels.
- Published
- 2020
- Full Text
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15. Interrupting Microaggressions in Health Care Settings: A Guide for Teaching Medical Students.
- Author
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Acholonu RG, Cook TE, Roswell RO, and Greene RE
- Subjects
- Curriculum, Delivery of Health Care, Humans, Education, Medical, Undergraduate, Racism, Students, Medical
- Abstract
Introduction: Microaggressions are connected to broader conceptualizations of the impact of implicit bias and systems of inequity. The body of evidence supporting the need for more-open discussions in medical education about race, racism, and their impact on health disparities continues to grow. Some have advocated for the importance of bringing anti-racist pedagogy into medical education curricula, which involves explicitly attempting to move beyond people's comfort zones and acknowledging that discomfort can be a catalyst for growth. To discuss the intent and impact of microaggressions in health care settings and how we might go about responding to them, we developed a workshop for third-year undergraduate medical students within a longitudinal undergraduate medical education diversity and inclusion curriculum., Methods: This workshop occurred during a regularly scheduled clerkship intersession during the 2016-2017 academic year for third-year undergraduate medical students ( N = 154). Prior to the workshop, the students were asked to anonymously submit critical incident reports on any microaggressions experienced or witnessed to develop case studies for problem-based learning. Teaching modalities included lecture, problem-based learning with case studies, pair and share, and facilitated small- and large-group debriefs., Results: The session was evaluated using a 4-point Likert scale to assess students' comfort in learning about the information presented. Ninety-eight percent felt confident in identifying microaggressions, and 85% felt confident in interrupting microaggressions when they occur., Discussion: This personalized workshop exposes students to microaggressions personally experienced by colleagues with an attempt to interrupt them using empathy, awareness, and communication techniques., (© 2020 Acholonu et al.)
- Published
- 2020
- Full Text
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16. Gendered Expectations: Strategies for Navigating Structural Challenges in Support of Transgender and Nonbinary Trainees in Academic Medicine.
- Author
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Cook TE, Dimant OE, Novick R, Adegbola A, Blackstock U, Drake CB, Patenaude ME, Ravenell JE, Radix A, and Greene RE
- Subjects
- Cultural Diversity, Humans, Schools, Medical organization & administration, Schools, Medical trends, Sexual and Gender Minorities psychology, Sexual and Gender Minorities statistics & numerical data, Students, Medical statistics & numerical data, Sexism psychology, Sexual and Gender Minorities education, Students, Medical psychology
- Abstract
Members of the lesbian, gay, bisexual, transgender, and queer community experience marginalization, bias, and discrimination, including in the world of academic medicine. People who are transgender and nonbinary (TGNB) experience further marginalization compared with individuals who are lesbian, gay, bisexual, and queer. According to a recent survey, more than half of medical students who are TGNB chose not to disclose their gender identities during training due to fears of discrimination, feeling a lack of support, and concerns about future career options. Academic medicine has historically pathologized TGNB individuals, perpetuating discrimination structurally and reinforcing discriminatory behaviors of peers and faculty. In this Perspective, the authors provide a comprehensive overview of the challenges that administrators and educators face in creating a learning environment that is inclusive of TGNB trainees. They outline opportunities for change and provide strategies to address administrative and educational challenges, including those related to institutional climate, policies, data collection, physical spaces, health care, curriculum, mentoring, and the evaluation of TGNB trainees. Finally, the authors issue a call to action for medical educators and administrators to create environments in which trainees who are TGNB can fulfill their educational mission: to learn the practice of medicine.
- Published
- 2020
- Full Text
- View/download PDF
17. Barriers to Bottom Surgery for Transgender Men.
- Author
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Nolan IT, Daar DA, Poudrier G, Motosko CC, Cook TE, and Hazen A
- Subjects
- Adult, Age Factors, Female, Health Services Accessibility statistics & numerical data, Humans, Insurance Coverage economics, Insurance Coverage statistics & numerical data, Male, Plastic Surgery Procedures statistics & numerical data, Buttocks surgery, Health Services Accessibility economics, Plastic Surgery Procedures economics, Transgender Persons psychology
- Published
- 2020
- Full Text
- View/download PDF
18. Continued Barriers to Top Surgery among Transgender Men.
- Author
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Nolan IT, Poudrier G, Motosko CC, Cook TE, Saia W, Gothard MD, and Hazen A
- Subjects
- Adult, Humans, Male, New York, Retrospective Studies, Self Report, Health Services Accessibility statistics & numerical data, Healthcare Disparities statistics & numerical data, Sex Reassignment Surgery statistics & numerical data
- Published
- 2020
- Full Text
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19. Experiences of Transgender and Gender Nonbinary Medical Students and Physicians.
- Author
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Dimant OE, Cook TE, Greene RE, and Radix AE
- Abstract
Purpose: To explore the experiences of transgender and gender nonbinary (TGNB) medical students and physicians in the United States. Methods: The authors conducted a 79-item online survey using Likert-type and open-ended questions to assess the experiences of TGNB-identified U.S. medical students and physicians. Variables included demographic data, disclosure of TGNB status, exposure to transphobia, and descriptions of educational and professional experiences. Recruitment was conducted using snowball sampling through Lesbian, Gay, Bisexual, Transgender, Queer professional groups, list-servs, and social media. The survey was open from June 2017 through November 2017. Results: Respondents included 21 students and 15 physicians (10 transgender women, 10 transgender men, and 16 nonbinary participants). Half (50%; 18) of the participants and 60% (9) of physicians had not disclosed their TGNB identity to their medical school or residency program, respectively. Respondents faced barriers on the basis of gender identity/expression when applying to medical school (22%; 11) and residency (43%; 6). More than three-quarters (78%; 28) of participants censored speech and/or mannerisms half of the time or more at work/school to avoid unintentional disclosure of their TGNB status. More than two-thirds (69%; 25) heard derogatory comments about TGNB individuals at medical school, in residency, or in practice, while 33% (12) witnessed discriminatory care of a TGNB patient. Conclusion: TGNB medical students and physicians faced significant barriers during medical training, including having to hide their identities and witnessing anti-TGNB stigma and discrimination. This study, the first to exclusively assess experiences of TGNB medical students and physicians, reveals that significant disparities still exist on the basis of gender identity., Competing Interests: No competing financial interests exist.
- Published
- 2019
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20. Assessing Quality of Life and Patient-Reported Satisfaction with Masculinizing Top Surgery: A Mixed-Methods Descriptive Survey Study.
- Author
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Poudrier G, Nolan IT, Cook TE, Saia W, Motosko CC, Stranix JT, Thomson JE, Gothard MD, and Hazen A
- Subjects
- Female, Follow-Up Studies, Humans, Male, Patient Reported Outcome Measures, Personal Satisfaction, Plastic Surgery Procedures methods, Sex Reassignment Surgery methods, Time Factors, Treatment Outcome, Mastectomy methods, Quality of Life, Surveys and Questionnaires, Thoracic Wall surgery, Transsexualism surgery
- Abstract
Background: Masculinizing top surgery (bilateral mastectomy with chest wall reconstruction) is an important gender-affirming procedure sought by many transmasculine and nonbinary individuals. Current literature is focused primarily on details of surgical technique and complication rates, with limited data available on how top surgery affects subjective quality-of-life measures., Methods: An anonymous online survey was distributed to 81 of the senior author's former top-surgery patients. The survey response rate was 72 percent (58 respondents). Responses were analyzed to investigate quality of life, sexual confidence, mental health, satisfaction with top surgery, and patient attitudes toward top surgery's role in gender affirmation., Results: Following top surgery, measures of quality of life and sexual confidence improved significantly (p < 0.001). In addition, 86 percent reported improvement in gender dysphoria-related mental health conditions. All but one respondent reported that top surgery had an overall positive impact on their life., Conclusions: Top surgery had major positive effects on all mental health and quality-of-life metrics. The authors' findings contribute to a much-needed body of evidence that top surgery markedly improves the daily lives and functioning of transgender and nonbinary individuals who choose to undergo it.
- Published
- 2019
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21. How Should Clinicians Respond to Requests from Patients to Participate in Prayer?
- Author
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Christensen AR, Cook TE, and Arnold RM
- Subjects
- Decision Making, Female, Humans, Male, Physician's Role psychology, Religion and Medicine, Ethics, Medical, Physician-Patient Relations ethics, Physicians psychology, Religion and Psychology, Terminal Care psychology
- Abstract
Over the past 20 years, physicians have shifted from viewing a patient's request for prayer as a violation of professional boundaries to a question deserving nuanced understanding of the patient's needs and the clinician's boundaries. In this case, Mrs. C's request for prayer can reflect religious distress, anxiety about her clinical circumstances, or a desire to better connect with her physician. These different needs suggest that it is important to understand the request before responding. To do this well requires that Dr. Q not be emotionally overwhelmed by the request and that she has skill in discerning potential reasons for the request., (© 2018 American Medical Association. All Rights Reserved.)
- Published
- 2018
- Full Text
- View/download PDF
22. Meeting the Primary Care Needs of Transgender Patients Through Simulation.
- Author
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Greene RE, Hanley K, Cook TE, Gillespie C, and Zabar S
- Subjects
- Female, Humans, Internship and Residency, Male, Patient Satisfaction, Education, Medical, Graduate methods, Health Services Needs and Demand, Patient Simulation, Primary Health Care, Transgender Persons
- Published
- 2017
- Full Text
- View/download PDF
23. Interactions of Escherichia coli thioredoxin, the processivity factor, with bacteriophage T7 DNA polymerase and helicase.
- Author
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Ghosh S, Hamdan SM, Cook TE, and Richardson CC
- Subjects
- Bacteriophage T7 genetics, Crystallography, X-Ray, DNA biosynthesis, DNA Helicases genetics, DNA-Directed DNA Polymerase genetics, Escherichia coli chemistry, Escherichia coli genetics, Models, Molecular, Mutation genetics, Protein Binding, Protein Structure, Quaternary, Substrate Specificity, Thioredoxins chemistry, Thioredoxins genetics, Bacteriophage T7 enzymology, DNA Helicases chemistry, DNA Helicases metabolism, DNA-Directed DNA Polymerase chemistry, DNA-Directed DNA Polymerase metabolism, Escherichia coli metabolism, Thioredoxins metabolism
- Abstract
Escherichia coli thioredoxin binds to a unique flexible loop of 71 amino acid residues, designated the thioredoxin binding domain (TBD), located in the thumb subdomain of bacteriophage T7 gene 5 DNA polymerase. The initial designation of thioredoxin as a processivity factor was premature. Rather it remodels the TBD for interaction with DNA and the other replication proteins. The binding of thioredoxin exposes a number of basic residues on the TBD that lie over the duplex region of the primer-template and increases the processivity of nucleotide polymerization. Two small solvent-exposed loops (loops A and B) located within TBD electrostatically interact with the acidic C-terminal tail of T7 gene 4 helicase-primase, an interaction that is enhanced by the binding of thioredoxin. Several basic residues on the surface of thioredoxin in the polymerase-thioredoxin complex lie in close proximity to the TBD. One of these residues, lysine 36, is located proximal to loop A. The substitution of glutamate for lysine has a dramatic effect on the binding of gene 4 helicase to a DNA polymerase-thioredoxin complex lacking charges on loop B; binding is decreased 15-fold relative to that observed with wild-type thioredoxin. This defective interaction impairs the ability of T7 DNA polymerase-thioredoxin together with T7 helicase to mediate strand displacement synthesis. This is the first demonstration that thioredoxin interacts with replication proteins other than T7 DNA polymerase.
- Published
- 2008
- Full Text
- View/download PDF
24. Identification and modification of environmental noise in an ICU setting.
- Author
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Kahn DM, Cook TE, Carlisle CC, Nelson DL, Kramer NR, and Millman RP
- Subjects
- APACHE, Follow-Up Studies, Humans, Noise adverse effects, Sleep Wake Disorders etiology, Sleep Wake Disorders therapy, Behavior Therapy, Intensive Care Units, Noise prevention & control
- Abstract
Study Objectives: Noise levels in the hospital setting are exceedingly high, especially in the ICU environment. We set out to determine what caused the noises producing sound peaks > or = 80 A-weighted decibels (dBA) in our ICU settings, and attempted to reduce the number of sound peaks > or = 80 dBA through a behavior modification program., Design: The study was divided into two separate phases: noise identification and a trial of behavior modification. During the noise identification phase we simultaneously recorded sound peaks and the loudest noise heard subjectively by one observer in the medical ICU (MICU) and the respiratory ICU (RICU). During the behavior modification phase of the study we implemented a behavior modification program, geared toward noise reduction, in all of the MICU staff. Sound levels were monitored before and at the end of the behavior modification trial., Setting: The MICU and RICU of a 720-bed teaching hospital in Providence, RI., Participants: All ICU staff during the study period., Interventions: Once the noises that were determined to be amenable to behavior modification were identified, a behavior modification program was conducted during a 3-week period in our MICU. Baseline and post-behavior modification noise recordings were compared in 6-h intervals after sites were matched by number of patients in a room and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores., Measurements and Results: We identified several causes of sound peaks > or = 80 dBA amenable to behavior modification; television and talking accounted for 49%. We also significantly reduced the 24-h mean peak noise level (p=0.0001), as well as the mean peak noise level (p=0.0001) and the number of sound peaks > or = 80 dBA (p=0.0001) in all 6-h blocks except for the 12 AM to 6 AM period., Conclusions: We conclude that many of the noises causing sound peaks > or =80 dBA are amenable to behavior modification and that it is possible to reduce the noise levels in an ICU setting significantly through a program of behavior modification.
- Published
- 1998
- Full Text
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25. Media advisory.
- Author
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Cook TE
- Published
- 1992
- Full Text
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26. Epidemics and agendas: the politics of nightly news coverage of AIDS.
- Author
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Colby DC and Cook TE
- Subjects
- Attitude to Health, Health Policy, Humans, Mass Media, United States epidemiology, Acquired Immunodeficiency Syndrome epidemiology, Disease Outbreaks prevention & control, Politics, Public Relations
- Abstract
We examine why the exponential growth of AIDS cases or the wide-spread professional perception of a health crisis did not move the epidemic more quickly onto the agenda of public problems. One possible explanation focuses on how the national news media's construction of AIDS shaped the meaning of the epidemic for mass and elite audiences. An examination of nightly news coverage by the three major networks from 1982 to 1989 reveals considerable variability and volatility in their coverage. Topic-driven saturation coverage occurred only during three short periods in 1983, 1985, and 1987, when the epidemic seemed likely to affect the "general population". Only at such moments did public opinion shift and discussion and debate in government begin. Otherwise, the typical AIDS story tended less to sensationalize than to reassure, largely because journalists depended upon government officials and high-ranking doctors to present them with evidence of news. Such sources had interests either in avoiding coverage or in pointing toward breakthroughs; more critical sources, especially within the gay movement, had far less access to the news. In concluding, we considered the prospects and pitfalls of the news media's power to shape the public agenda.
- Published
- 1991
- Full Text
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27. Application of a vidicon spectrometer for simultaneous flame-emission analysis for sodium and potassium in serum.
- Author
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Cook TE, Milano MJ, and Pardue HL
- Subjects
- Cesium blood, Evaluation Studies as Topic, Humans, Photometry methods, Regression Analysis, Silicon Dioxide, Spectrum Analysis instrumentation, Potassium blood, Sodium blood
- Published
- 1974
28. A study of the degenerated disc.
- Author
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COOK TE
- Subjects
- Humans, Disease, Intervertebral Disc, Intervertebral Disc Degeneration, Intervertebral Disc Displacement, Spinal Diseases
- Published
- 1959
29. Recovery from virus type of infectious hepatitis.
- Author
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COOK TE
- Subjects
- Biological Phenomena, Hepatitis A, Physiological Phenomena
- Published
- 1948
30. The prognosis in infectious hepatitis.
- Author
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COOK TE
- Subjects
- Humans, Prognosis, Common Cold, Hepatitis A, Jaundice
- Published
- 1947
31. Reiter's disease, or spirochetosis arthritica.
- Author
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COOK TE
- Subjects
- Humans, Arthritis, Reactive, Spirochaetales Infections
- Published
- 1947
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