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Creator: College of Public Health and Health Professions, University of Florida
Publisher: College of Public Health and Health Professions, University of Florida
Place of Publication: Gainesville, Fla.
Publication Date: Fall 2003
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University of Florida researchers to study obesity

treatment for women in rural areas


In the battle against obesity, people in rural areas face unique challenges.
Now with the help of a $2.6 million grant from the National Institutes of Health,
UF researchers will study the effectiveness of a treatment plan designed to help
women living in rural communities overcome limited access to health care and
cultural barriers in order to lose weight and keep it off.
Michael Perri, Ph.D., a professor in the department of clinical and health
psychology at the College of Health Professions, is leading the four-year study to
examine the effectiveness of a weight-loss maintenance program delivered through
in-person or telephone contact with women who are obese and live in the rural
North Central Florida counties of Bradford, Columbia, Dixie, Lafayette, Levy and
Putnam.
The UF researchers also will evaluate how well the special services affect the
participants' blood pressure, lipid profiles, blood sugar levels and physical
fitness -all important indicators of overall health.
Recent data show that the rates of obesity, sedentary lifestyle and heart disease
are higher in rural areas in the United States than in densely populated cities. Very
few studies have addressed the treatment of obesity in rural settings, Perri said.
A shortage of health professionals and lifestyle differences contribute to the
increased prevalence of obesity in rural areas.
"Compared to their urban counterparts, rural populations have been slower to
adopt lifestyle changes related to behavioral risk factors for heart disease, such as
reductions in fat intake and the adoption of active lifestyles," Perri said. "Rural
families traditionally have consumed high-fat, high-calorie diets that were offset to
some extent by vigorous physical labor necessary for farming, logging and other
activities. Increased mechanization of rural occupations has reduced these levels
of caloric expenditure, thereby contributing to higher rates of obesity in rural
areas."
Compounding these obstacles to healthy weight is the fact that people,
regardless of where they live, have trouble maintaining their weight after a suc-
cessful weight loss. In most weight-loss studies, participants gain back 50 percent
of the lost weight within 18 months after the completion of treatment.
Perri points to physiological factors such as decreased metabolic rate due to
dieting, exposure to an environment rich in fattening foods and psychological
issues to explain the difficulty people have when trying to maintain weight loss.
"Most people who are obese cannot on their own sustain the substantial degree
of psychological control needed to cope effectively with this unfriendly combina-


tion of environment and biology," said Perri, who has argued for the concept of
obesity as a chronic condition requiring continuous care. "Long-term success is
more likely to occur when patients who are obese are provided with extended care
regimens specifically designed to enhance long-term progress."
The UF study will include 300 women between the ages of 50 and 75 who are
considered obese (body mass index of 30 or higher, which usually means a person
is about 30 or more pounds overweight).
During the first phase of the study, the women will participate in a six-month
weight-loss program that combines a low-calorie, low-fat diet with daily 30-minute
walks and an emphasis on learning problem-solving
skills to overcome barriers to weight loss.
The women will meet in weekly group sessions at
Florida County Extension Offices, where family and
consumer sciences agents will provide counseling
on healthy foods, appropriate physical activity and
behavioral skills.
Following the weight-loss portion of the study,
participants will be randomly assigned to one of
three 12-month follow-up programs to help them
keep the weight off: office-based group counseling,
telephone-based counseling or a comparison group
that will receive written educational materials.
Researchers want to determine if participants Dr. Michael Perri
who receive office-based or telephone-based
follow-ups will be able to maintain their weight loss significantly better than those
women who will not receive follow-up care by a health provider. If telephone
contact proves to be just as effective as office-based visits, it could be a practical
solution to overcoming geographical constraints for rural residents.
The multidisciplinary team includes UF researchers Marian Limacher, M.D., a
cardiologist and professor at the College of Medicine, Danny Martin, Ph.D., an
associate professor of physical therapy at the College of Health Professions, and
Linda Bobroff, Ph.D., a registered dietitian and professor of family, youth and
community sciences at the College of Agricultural and Life Sciences. The research
project is associated with the National Rural Behavioral Health Center based at the
College of Health Professions.
Researchers plan to recruit participants this fall and begin treatment groups in
January 2004.























Message

5 rom Ai

the -De

In the United States, research universities have
become increasingly important, as they prepare
scientists for critical professions and create essential
knowledge. The quality of research universities in the
United States is so high that graduate education has
become a growth industry attracting students from all
over the world.
The College of Health Professions has mirrored this
trend, with our research funding now exceeding all
other sources of revenue for the college. In 1996, our
funding from the National Institutes of Health (NIH)
was $1.6 million. Last year, our NIH funding increased
Robe Fr k to almost $3.9 million, placing us first among all
Robert G. Frank,
Dean colleges of health professions. With research funding
from a number of other agencies, including the
National Institute on Disability and Rehabilitation Research, our research funding
now exceeds $8 million a year.
This growth in funding parallels our commitment to the empirical science
supporting the disciplines of our college. In 1997, our faculty assessed our own
Sand the university's strengths, and we determined we could achieve national
*eminence in the domains of education and science. The college's researchers are
now leaders in defining and measuring rehabilitation treatments.
As the depth of our knowledge has grown, it also has become apparent that
chronic conditions are rapidly increasing the burden of disability and health-care
costs. Integration and coordination of population interventions with individual
interventions is warranted to address this problem.
The College of Health Professions has concluded that this marriage of popula-
tion interventions, through the discipline of public health, is a natural partnership
with our historic emphasis on rehabilitation. To this end, we are in the process of
creating a broader foundation of courses that includes the five core areas of public
health: epidemiology, social and behavioral science, biostatistics, environmental
health and health services administration.
Undoubtedly, this expansion will be a watershed event for the college. Forty-
five years ago, UF established the first independent college of health professions.
As we now expand our vision to embrace the population and individual perspec-
tive, we believe our approach will again become the national model. At this early
stage, success is far from assured and is dependent upon the willingness of our
alumni to help us craft effective ways of integrating these historically divergent
approaches.
Over the next year, we will make many changes as we develop these concepts.
We need your support, involvement and ideas as we think through these issues.
Please contact me, or the chair of your program, and share your thoughts on how
we can succeed. We are very excited about these changes. One thing is certain
now, as always, Gators will lead the way!
Dr. Robert Frank, dean
rfrank@hp.ufl.edu

Dr. Ronald Rozensky, chair, clinical and health psychology
rrozensk@hp.ufl.edu

Dr. James Hall, chair, communicative disorders
jhall@hp.ufl.edu

Dr. R. Paul Duncan, chair, health services administration
pduncan@hp.ufl.edu

Dr. William Mann, chair, occupational therapy
wmann@hp.ufl.edu

Dr. Krista Vandenborne, chair, physical therapy
kvandenb@hp.ufl.edu

Dr. Horace Sawyer, chair, rehabilitation counseling
hsawyer@hp.ufl.edu


Student

News




Maria T. Baquero, a student in the public health program, has been
awarded a fellowship by the U.S. Department of Homeland Security. The fellowship
offers support for three years and includes a monthly stipend of $2,300 for 12
months, full payment of tuition and fees, and placement in a summer 2004 intern-
ship. In her research, Baquero is interested in developing biomarkers for the
detection of hazardous chemical agents, especially airborne agents, when their
release is suspected. She also is interested in the development of standardized kits
for hospitals and clinics that would contain a set of tests and remedies to quickly
and effectively test patients for exposure to a variety of hazardous biological
agents.

Lori Fitsimones, a student in the rehabilitation science program's
communication neuroscience track, received a $3,000 doctoral student scholarship
from the Florida Association of Speech-Language Pathologists and Audiologists.
The selection was based on an essay she wrote on the importance of evidence-
based treatments in clinical practice, as well as on her transcripts and letters of
recommendation. In her research, Fitsimones studies the role of breathing in voice
production and swallowing disorders.
























Health Professions

establishes its first

program at Shands

Jacksonville campus




The appointment of neuropsychologist Tannahill Glen, Psy.D., to the
Neuroscience Institute at Shands Jacksonville, marks the College of Health
Professions' first clinical and educational endeavor on the UF Health Science
Center's Jacksonville campus.
A clinical assistant professor in the college's clinical and health psychol-
ogy department, Glen is developing a new clinical neuropsychology service
that will incorporate inpatient and outpatient consultation, research, and
training opportunities for psychology students, medical students, interns and
residents.
"The addition of Dr. Glen to our department, and her new role at Shands
Jacksonville, brings the tradition of our high-quality neuropsychological
services to a broader range of patients and continues to open the door for
further research activities for our faculty and graduate students," said Ronald
Rozensky, Ph.D., clinical and health psychology department chairman.
For Glen, the chance to develop a clinical, educational and research
program on an urban campus is her idea of a dream job.
"I have the challenge of providing the highest quality clinical services to a
population that has not been able to benefit from customary neuropsycho-
logical care for some time, and I have to make the venture physician- and
customer-friendly and financially viable," Glen said. "Furthermore, this is a
teaching hospital with strong academic and scientific resources, which helps
me provide modem, empirically based evaluations and interventions."
As a neuropsychologist,
Glen evaluates memory,
problem solving, attention,
language, motor function,
academic skills and psychoso-
cial functioning in patients
who have sustained a trau-
matic brain injury or have been
diagnosed with stroke,
epilepsy, brain tumor,
Parkinson's disease, dementia
or other conditions that may
affect brain function.
Her patient evaluations are
used to provide a thorough
description of a patient's
strengths and needs, docu-
Dr. Tannahil Glen ment the course of illness or
recovery, chart the effects of treatment and determine a patient's ability to
return to work or school.
"Interventions we might propose to referring physicians include the
occasional medication recommendation, return-to-work rehabilitation pro-
grams, cognitive remediation, traditional psychotherapy for higher-function-
ing patients and behavior therapy," Glen said.
Glen said educational opportunities at the Jacksonville campus are nearly
limitless. She plans to provide lectures and presentations to medical and
psychology students and hopes to offer a research and training position to
an intern or postdoctoral fellow within the year.
"It is my goal to provide the most enthusiastic and encouraging learning
environment in the city," Glen said.


a!
services aminision



name


The College of Health Professions has
appointed a nationally known health
services researcher to head the college's
health services administration department.
R. Paul Duncan, Ph.D., is the Louis C. and
Jane Gapenski professor of health services
administration and has been a member of the
department's faculty since 1979. He suc-
ceeds Niccie McKay, Ph.D., who will ... i
continue to serve as a faculty member in the
department.
In his own research, Duncan examines
access to medical and dental care and issues
involving health insurance and the unin-
sured. He leads a team focused on estimat- Dr. Paul Duncan
ing the number of people without health
insurance in particular states and comparing the health insurance experiences
of various groups, including those identified by age, race, income, employment
circumstances, education, location and combinations of these factors.
In recent years, the team has studied uninsured populations in Florida,
Indiana and Kansas.
Duncan also is leading a three-year project to study the origin, design,
implementation and outcomes of Florida's Medicaid Provider Service Network,
an alternative health-care delivery program for the state's low-income popula-
tion.
Duncan believes that one of his department's greatest resources is the
faculty.
"The health services administration department has spectacularly good and
mostly very young and energetic faculty," he said. "A hallmark of the depart-
ment over the last five to six years has been the hiring of one or two new
faculty members almost every year."
The department also has expanded its educational programs. Faculty
members contribute expertise to the department's core professional degree
program, the Master of Health Administration (MHA). In recent years, the
department has added an MHA degree program for working health-care
professionals whose career obligations make it impossible for them to partici-
pate in the traditional program. The department actively participates in UF's
Master of Public Health program, and a Ph.D. program in health services
research was established in 1999.
Research in the health services administration department often focuses on
issues relevant to vulnerable or disadvantaged groups and their access to
health care. As the populations of Florida and the nation age, studies on access
to and utilization of care by elders, including services tied to rehabilitation, will
become increasingly important, Duncan said. These interests are manifested in
the department's close alliances with such UF research entities as the Florida
Center for Medicaid and the Uninsured and the Brooks Center for Rehabilita-
tion Studies.
"I am committed to all three of the traditional areas of university endeavor
teaching, research and service," Duncan said. "Activities in these areas will
continue to inform and influence each other as the department develops. The
current faculty and the mix of programs provide a wonderful context in which
that kind of synergy is possible."


3
em












































Ur. Hobert 6arrigues


Dr Robert Garrigues (standing), then director ot planning
and budgetforthe Health Science Center, is joined by UF
Budget Chief Dr Joe Stafford (left) and Institute or Food
and Agricultural Sciences Budget Chief Dr Vernon
McKee in this 1970s photo.


Dr. Kemker (standing) leads a UF adult
hearing aid orientation class inthis 1978
photo.


Health Professions

honors two recently

retired college leaders


When Robert Garrigues, Ph.D., and F. Joseph Kemker, Ph.D., arrived on the UF
Health Science Center campus in the 1970s, 3,000 students were working toward
degrees and certificates in health programs, faculty research was supported by
$15 million in funding, and about 250,000 patients were treated at Health Science
Center clinics and Shands Teaching Hospital.
At the time of Garrigues' and Kemker's retirement this past June, the Health
Science Center boasted nearly 6,000 students, $195 million in research funding
and more than 2 million patient visits. And there is no doubt in their colleagues'
minds that College of Health Professions faculty members Garrigues and Kemker
have played a significant role in the Health Science Center's growth and develop-
ment.
"There is no way for our college or the university to replace the knowledge
and class these two individuals displayed on a daily basis," said Dean Robert G
Frank, Ph.D. "Both men are remarkable in that each is widely respected and
valued as a colleague and a friend."
Garrigues' 32-year career at the Health Science Center has included two very
different, yet equally satisfying, leadership positions.
For 28 years, Garrigues held top financial appointments in Health Science
Center administration, including the post of associate vice president for finance
and operations, with responsibility for all of the center's financial, operational and
physical plant functions.
After a reorganization of the office of the vice president for health affairs,
Garrigues transitioned in 1997 to the position he held at retirement, associate dean
of administrative affairs and lecturer at the College of Health Professions. The
move led him to one of the most gratifying aspects of his career: teaching courses
for the college's undergraduate health science program.
Garrigues' success as an instructor is
evidenced by the stacks of letters he
receives from appreciative former
students and his recognition as the
college's teacher of the year in 2002.
"During my time here, I think all I've
really done is set a tone for how to treat
people at all levels, and in a university
setting, it's all about the people,"
Garrigues said.
Throughout his 26-year tenure as
UF's chief audiologist and a professor of
communicative disorders, Kemker has
played a significant role in the advance-
ment of new therapies for people with
hearing impairments.
In the mid-1980s, Kemker was a part of
a three-member UF team that participated
in a multicenter clinical trial to determine the effectiveness of cochlear implants,
surgically implanted devices that convert sound to electrical impulses and send
them to the brain, providing sound information for people with profound hearing
loss. UF has since implanted more than 350 patients with cochlear implants.
Kemker also led the department's efforts in a pilot study on hearing screening
for at-risk infants and was an outspoken advocate for state legislation to fund the
Universal Newborn Hearing Screening program, which became Florida law in
2000.
"I've had the privilege of working with outstanding audiologists, and as a team
we've put together the best clinical practice program in the country," Kemker
said.


































People who survive a stroke and receive therapist-supervised, progressive
therapy after completing in-hospital rehabilitation significantly improved their
endurance, balance and walking ability, according to a small study reported in
the August issue of Stroke: Journal of the American Heart Association.
This study goes beyond the commonly held therapy paradigm that patients
achieve their most dramatic recovery within the first 30 days after stroke, said
lead author Pamela W. Duncan, Ph.D., director of the UF Brooks Center for
Rehabilitation Studies and the Department of Veterans Affairs Rehabilitation
Outcomes Research Center in Gainesville.
"We demonstrated that by providing a home-based exercise program that's
much more aggressive than what is typically prescribed, stroke survivors can
improve their walking ability, balance and cardiovascular endurance," said
Duncan, who also is a professor of health services administration and physical
therapy at the College of Health Professions.
The study is the first to incorporate multiple components -strength,
balance, endurance and upper extremity function -into a comprehensive stroke
recovery program, she said.
"After hospital discharge, stroke survivors continue to improve," she said.
"But what therapy is available is highly variable. Additional therapy often lasts
only a few weeks and lacks progression in intensity and task complexity. We
investigated the effect of structured, progressive intervention on recovery."
Researchers studied
92 survivors (average
age 70) from the Kansas
City Stroke Registry one
to four months after their
stroke. Each had mild to
f-
moderate stroke deficits
and had completed in-
hospital rehabilitation.
Participants were
randomly assigned to
one of two groups. One
Dr. Pamela Duncan
received the structured,
progressive exercise program and was designated as the "intervention" group.
The "usual care" group had varied levels of therapies ranging from no additional
therapy to limited physical or occupational therapy.
Those in the intervention group performed progressively intensive exercises
in 36 supervised sessions during the 12-week study. Forty-six percent of
survivors in the usual care group did not receive any therapy. The remainder
received an average of 8.7 physical therapy visits and an average of 10.4
occupational therapy visits.
Both groups showed improvement when tested after three months. However,
those in the intervention group improved significantly more in several key areas:
balance, endurance and mobility. They scored 4.36 points higher on balance
tests compared to their baseline tests. Participants in the usual care group
scored 1.70 points higher than their baseline scores.
The intervention group bicycled during stress tests an average 1.39 minutes
longer than they could at enrollment, while the usual care group bicycled an
average 0.16 minutes longer than their enrollment times. Patients in the interven-
tion group walked an average 61.61 meters (about 200 feet) farther in six minutes
compared to their baseline, and usual care participants walked an average of
33.59 meters (110 feet) farther.
Duncan suggested that future studies should focus on determining whether
people could do similar exercise programs without therapist supervision, and if
the benefits are sustained or greater if continued beyond 12 weeks.


American Heart Association


Profiles in Leadership


Sawyer oversees nationally

recognized department

that is influencing the future

of rehabilitation counseling

As chairman of rehabilitation counsel-
ing at the College of Health Professions,
Horace W. Sawyer, Ed.D., leads a
department with a distinguished history
of setting educational standards for the
profession.
"The UF rehabilitation counseling
program has had a tradition of being a
national leader since it was established in
1954," Sawyer said. "As the first graduate
program in rehabilitation counseling in
the Southeast, the responsibility has
naturally flowed to this department to
develop leading-edge professional
training. In fact, the department has been
in a leadership role in every rehabilitation
counseling movement, including accredi-
tation and certification of counselors,
new curriculum development and Dr. Horace Sabvy
continued education."
The department's rank as ninth among national graduate programs in rehabilita-
tion counseling by U.S. News and World Report reflects this leadership reputation.
Serving as chairman since 1983, Sawyer's own training innovations as a pioneer
in the field of life care planning have contributed to the department's high standing.
A life care plan is prepared to project the future needs, services and equipment a
person with a catastrophic injury or illness will need for the rest of his or her life.
This can include medical care, rehabilitation, home care, medication, transportation
and structural renovations to the home.
In 1985, Sawyer and UF rehabilitation counseling alumnus Paul Deutsch pub-
lished "Guide to Rehabilitation," the first textbook to include life care planning.
"Everyone in this field knows the 'Guide to Rehabilitation,"' said Roger Weed,
Ph.D., a professor and coordinator of the graduate rehabilitation counseling
program at Georgia State University. "In this profession, the book is touted as the
one you have to have on your shelf."
In 1995, the College of Health Professions and the department of rehabilitation
counseling partnered with Intelicus and more recently, MediPro Seminars, both
national training companies, to provide education in life care planning to practicing
health-care professionals. This led to a national certification of life care planners,
initiated at UF and later transferred to a national accrediting agency, the Commission
on Health Care Certification.
Although he has received numerous awards from his peers, including the
Distinguished Career Award in 1994 from the National Council on Rehabilitation
Education and the 1999 Educator of the Year award from the International Associa-
tion of Rehabilitation Professionals, Sawyer is most proud of his work with families
in planning the long-term care needs of people who have experienced catastrophic
injuries and developing programs to train students in this area.
"If I reflected on a ministry in my life, my commitment to these families would
have to be part of it," he said. "Once you meet families with a loved one who has
experienced a catastrophic injury or serious illness, you understand the importance
of making a difference in other people's lives. Who better to do that than rehabilita-
tion counselors? They are trained to assist people with disabilities in all areas
home, work and life activities."
Sawyer leaves big shoes to fill when he steps down from his position as chairman
in June 2004 to serve as a faculty member in the department.
"He has an extraordinary ability to keep on top of the rehabilitation profession,
pushing for new horizons in the industry," Weed said of Sawyer. "He is extremely
well known throughout the profession. When Horace Sawyer speaks, people
listen."
























Alumni


spotlights


Occupational therapist sails

back into Gainesville with a

wealth of world experience



S r Carol Gwin, occupational therapy '69, her life
in Gainesville and love of UF have come full circle,
ii with plenty of stops around the world along the way.
As a student, Gwin was influenced by the late
Alice Jantzen, Ph.D., founding chairwoman of the UF
department of occupational therapy, whom Gwin calls
"one of the most honored people in the profession."
"Dr. Janzten taught us to observe people without
bringing our own prejudices," Gwin said. "One of her
most well-known assignments was to have us sit in
front of the elevators at Shands for half an hour and
CarolGwin write our observations about the people we saw. After
reviewing them with Dr. Janzten, we discovered while
we were busy making observations about people's appearances, such as skin
Color, there was probably a lot that we had missed."
Building on the foundation of her UF education and diverse clinical experiences
earned at therapist positions in New York, Minnesota and Maryland, in 1983 Gwin
accepted a leadership role with the American Occupational Therapy Association
(AOTA). A seasoned lobbyist on behalf of the profession, she currently serves as
the staff liaison for the association's congress, the Representative Assembly.
But it's Gwin's two-year stint
sailing with her husband Bob
that rises to the top of her list of
life accomplishments.
The Gwins began sailing while = ..
living near Maryland's Chesa- -
peake Bay and the idea of an "
extended sailing adventure began i i
to develop. After 20 years of
dreaming and planning, during
which they saved money,
researched the ideal boat to
purchase and perfected their
sailing skills, the Gwins quit their
jobs, sold their home and most of
their possessions, and set sail.
During their two years on the
water, the Gwins followed an Gwin and her husband spent 20 years
tlanti ean orse tt to preparingfortheirsailingtrip.Theirskills
Atlantic Ocean course that took weretested when a rogue wave
were tested when a rogue wave
them as far north as Nova Scotia, knocked their 36-foot boat on its side
Canada, and as far south as the during astorm, causing them to lose
Bahamas, the Virgin Islands and costly equipment, including their life raft.
the French Islands.
"I learned so much about myself and other people," Gwin said. "My experience
traveling to all those locations also made me a better occupational therapist. I'm
more aware of people and the different ways in which they live, including extreme
poverty. People are so special, and you need to be able to look past appearances
so you can see what really makes them tick."
Following their travels, the Gwins decided to settle in Gainesville in order to be
close to family and contribute to UF. Gwin is an enthusiastic ambassador of the
occupational therapy program among her peers in the profession, and she serves
on the College of Health Professions' Advisory Board.
"I have a chance to give back to the university that prepared me for a long and
successful career," she said.


On the surface, Maureen Brady's two
careers physical therapy and writing
popular fiction and nonfiction may seem
miles apart. But Brady, physical therapy
'65, has found that her years as a therapist
have provided her with rich experiences
that help shape the characters and stories
she creates.
Brady is the author of seven books,
including the novels "Folly," "Give Me
Your Good Ear" and "Ginger's Fire," as well
as a collection of short stories and three
books of nonfiction, including "Daybreak:
Meditations for Women Survivors of Maureen Brady
Sexual Abuse" and "Midlife: Meditations
for Women."
A resident of New York City and the Catskills, she also teaches creative writing at
New York University and the New York Writers Workshop at the Jewish Community
Center and works as a freelance editor and mentor to other writers.
And throughout her 30-year writing career, Brady has continued to work as a
physical therapist, currently in private home-care practice.
"Everything you do influences you as a writer, and my physical therapy career
Shas also been influenced by my writing," said Brady, whose first novel featured a
physical therapist as the main character.
"I enjoy home care, in part, because it gives me insight into people's lives, which
you need as a writer. In the hospital you can get to know a patient, but there's a
certain distance. When you enter patients' homes, you see how they live, how they
react to their families, the whole interior dynamic," she said.
Not long after graduating from UF, Brady moved to New York City at the urging
of friend Francine Pravda Herbitter, a UF occupational therapy graduate. She served
in chief therapist positions in Manhattan's St. Vincent's Hospital and Gouverneur
Hospital, where she built the program from scratch, hiring 11 staff members.
As her interest in writing developed, Brady moved to upstate New York in search
of fewer distractions. She opened her own practice in Glens Falls, N.Y., the first
private physical therapy practice in that area.
"It's hard to believe that so many years have gone by, and I'm still in physical
therapy," Brady said. "I believe it's an accomplishment to have sustained interest in
the field over that period of time. It demonstrates that physical therapy offers a lot
of possibilities."
Brady identifies several pinnacle moments in her two careers, including receiving
a grant in 1997 from the Virginia Center for the Creative Arts to attend an artists'
colony in Ireland for a month. More recently, she enjoyed a successful book launch
for her latest novel, "Ginger's Fire," that was attended by 70 people, including
Herbitter and several physical therapists she has worked with over the years.
Her next project is finding the right publisher for her recently completed novel
"Pray for Me," which, she says, is also informed by her experience in the health
field. The main character, a woman in her 80s and the matriarch of an Irish-American
family, is facing death. As her health fails, the family gathers around her and tries to
find the ghosts in her life. Instead they discover the ghosts in their own.
"There aren't many books with an 85-year-old protagonist," Brady said. "I'm
interested in writing about people who aren't the most common denominator."



























Dissertations



These College of Health Professions doctoral students successfully defended their
dissertations between September 2002 and August 2003.




Amy Baughcum
Maternal Efforts to Prevent Type 1 Diabetes in Genetically Screened Infants
Chair: Suzanne Johnson, Ph.D., and Alexandra Quittner, Ph.D.
Jason Burns
Measuring Patient Acceptance of Biomedical Devices in Cardiac Patients
Chair: Samuel Sears, Ph.D.
Sobha Fritz
Predicting Maternal Adherence and Child Health Status in Childhood Epilepsy: An
Exploratory Model
Chair: Robert Glueckauf, Ph.D.
Korey Hood
Maternal Response to Newborn Genetic Screening for Type 1 Diabetes: The Role of
Depression
Chair: Suzanne Johnson, Ph.D.
Steven Knauts
The Impact of Emotion on Memory and Misinformation Acceptance
Chair: Russell Bauer, Ph.D.
Brendan Rich
Memory Biases in Anxious Adolescents
Chair: Sheila Eyberg, Ph.D.
Tamara Warner
The Effects of Prenatal Cocaine Exposure on Attention and Reading: ALongitudinal
Analysis
Chair: Eileen Fennell, Ph.D., and Duane Dede, Ph.D.



Hsou Mei Hu
Effect of HMO Coverage on the Choice of Outpatient or Inpatient Surgery
Chair: Niccie McKay, Ph.D.



Hye Seon Jeon
Modulating the Soleus Hoffmann Reflex (H-Reflex) During Gait Initiation
Chair: Carl Kukulka, Ph.D.
Hyeong Dong Kim
The Effect of Direction Change and Dual Task on Stepping Behavior in Young and Elderly
Adults
Chair: Denis Brunt, Ed.D., P.T.
Cynthia Townson
Predictors of Acute Care Discharge Destinations of Patients with Primary Diagnosis of
Stroke: The Influence of Activities of Daily Living Skills and Behaviors
Chair: Mary Ellen Young, Ph.D.


Alumni

updates


Jane Kimbrell Davis, occupational therapy '67, is the clinical
director of the Outpatient Rehabilitation Center at John D. Archbold
Memorial Hospital in Thomasville, Ga. Another occupational therapist
will soon join the family when Jane's son Ryan weds therapist Lydia
Hughey Jane's son Matt is a veterinarian in Monticello, Fla.

Roy Wright, health services administration '83, was appointed
president and chief executive officer of Cape Canaveral Hospital in
Cocoa Beach, Fla. He previously served as vice president of strategic
planning and business at Health First.

Itza Toro-Bishop, rehabilitation counseling '91 and '93, resides in
San Juan, Puerto Rico, where she is a case management director for
Rosa Brown Consultants Inc. She married fellow Gator fan Scott Bishop
in December 2002, and they are expecting a baby in March 2004.

Rehabilitation counseling alumni Brooke Braman '03, Jill Castina
'00, Markus Dietrich '97, Frank Lane '00 and Andrea Melvin '00
joined Health Professions faculty members Gerben DeJong, Ph.D.,
Laura Perry, Ph.D., and Elizabeth Swett, Ph.D., as presenters at Rehabili-
tation Training Program 2003 on Sept. 11 and 12. Sponsored by North
Central Florida Rehabilitation Association and Florida Rehabilitation
Association, the training program for Florida rehabilitation profession-
als was held in Gainesville and featured information on current rehabili-
tation issues, job placement and evaluation techniques.




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