1,989 research outputs found

    Investigating Habituation to Premonitory Urges in Behavior Therapy for Tic Disorders

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    Behavior therapy is effective for Persistent Tic Disorders (PTDs), but behavioral processes facilitating tic reduction are not well understood. One process, habituation, is thought to create tic reduction through decreases in premonitory urge severity. The current study tested whether premonitory urges decreased in youth with PTDs (N = 126) and adults with PTDs (N = 122) who participated in parallel randomized clinical trials comparing behavior therapy to psychoeducation and supportive therapy (PST). Trends in premonitory urges, tic severity, and treatment outcome were analyzed according to the predictions of a habituation model, whereby urge severity would be expected to decrease in those who responded to behavior therapy. Although adults who responded to behavior therapy showed a significant trend of declining premonitory urge severity across treatment, results failed to demonstrate that behavior therapy specifically caused changes in premonitory urge severity. In addition, reductions in premonitory urge severity in those who responded to behavior therapy were significant greater than those who did not respond to behavior therapy but no different than those who responded or did not respond to PST. Children with PTDs failed to show any significant changes in premonitory urges. Reductions in premonitory urge severity did not mediate the relationship between treatment and outcome in either adults or children. These results cast doubt on the notion that habituation is the therapeutic process underlying the effectiveness of behavior therapy, which has immediate implications for the psychoeducation and therapeutic rationale presented in clinical practice. Moreover, there may be important developmental changes in premonitory urges in PTDs, and alternative models of therapeutic change warrant investigation

    Prospectus, March 16, 1992

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    https://spark.parkland.edu/prospectus_1992/1007/thumbnail.jp

    Comparison of mortality with home hemodialysis and center hemodialysis: A national study

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    Comparison of mortality with home hemodialysis and center hemodialysis: A national study. We sought to determine whether lower mortality rates reported with hemodialysis (HD) at home compared to hemodialysis in dialysis centers (center HD) could be explained by patient selection. Data are from the United States Renal Data System (USRDS) Special Study Of Case Mix Severity, a random national sample of 4,892 patients who started renal replacement therapy in 1986 to 1987. Intent-to-treat analyses compared mortality between home HD (N =70) and center HD patients (N = 3,102) using the Cox proportional hazards model. Home HD patients were younger and had a lower frequency of comorbid conditions. The unadjusted relative risk (RR) of death for home HD patients compared to center HD was 0.37 (P < 0.001). The RR adjusted for age, sex, race and diabetes, was 44% lower in home HD patients (RR = 0.56, P = 0.02). When additionally adjusted for comorbid conditions, this RR increased marginally (RR = 0.58, P = 0.03). A different analysis using national USRDS data from 1986/7 and without comorbid adjustment showed patients with training for self care hemodialysis at home or in a center (N = 418) had a lower mortality risk (RR = 0.78, P = 0.001) than center HD patients (N = 43,122). Statistical adjustment for comorbid conditions in addition to age, sex, race, and diabetes explains only a small amount of the lower mortality with home HD

    Orbital Debris Assesment Tesing in the AEDC Range G

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    The space environment presents many hazards for satellites and spacecraft. One of the major hazards is hypervelocity impacts from uncontrolled man-made space debris. Arnold Engineering Development Complex (AEDC), The National Aeronautics and Space Administration (NASA), The United States Air Force Space and Missile Systems Center (SMC), the University of Florida, and The Aerospace Corporation configured a large ballistic range to perform a series of hypervelocity destructive impact tests in order to better understand the effects of space collisions. The test utilized AEDC's Range G light gas launcher, which is capable of firing projectiles up to 7 km/s. A non-functional full-scale representation of a modern satellite called the DebriSat was destroyed in the enclosed range enviroment. Several modifications to the range facility were made to ensure quality data was obtained from the impact events. The facility modifcations were intended to provide a high impact energy to target mass ratio (>200 J/g), a non-damaging method of debris collection, and an instrumentation suite capable of providing information on the physics of the entire imapct event

    Prospectus, March 30, 1992

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    https://spark.parkland.edu/prospectus_1992/1010/thumbnail.jp

    Prospectus, April 6, 1992

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    https://spark.parkland.edu/prospectus_1992/1011/thumbnail.jp
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