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L R Phillips

Publications and source records attributed to L R Phillips.

At least 37 records · Page 2Linked to original sources

The relevance of familism in cross-cultural studies of family caregiving.

Although familism has been studied in both Mexican American and Anglo families, there is controversy about whether familism in both groups is the same. Research has shown great within-group variability, and in addition, the kinship structure in the two groups is fundamentally different. This article explores the cross-cultural issues in conceptualizing familism and its relevance to caregiving among Anglo and Mexican American caregivers. Based on data obtained in an ongoing research program, the process of arriving at similarities and differences in the expression of familism is discussed using Berry's criteria for achieving cultural equivalence.

Aged↗

Uncovering the cultural context for quality of family caregiving for elders.

This article is part of a symposium exploring issues in developing cross-culturally equivalent conceptualizations and measures for a study of elder family caregiving. This article describes the development of an instrument to measure quality of elder family caregiving among Anglo and Mexican American caregivers. Following a review of typical approaches for evaluating quality of caregiving, a cross-cultural standard for excellence in elder caregiving is described. An instrument consistent with the United Nations Universal Declaration of Human Rights, the QUALCARE Scale, is identified as an appropriate cross-cultural instrument for assessing the quality of elder family caregiving. Refinement of the QUALCARE Scale using Berry's model for cross-cultural research, which necessitated identification of appropriate cross-cultural indicators of quality, is described. Examples of this process of indicator clarification are given for several basic human rights, based on the cross-cultural research team members' experiences with Anglo and Mexican American caregivers.

Aged↗

High-performance liquid chromatographic assay for genistein in biological fluids.

A specific, sensitive and technically convenient HPLC method for assaying genistein in biological fluids has been developed. The compound and 4-hydroxybenzophenone, added as an internal standard, were efficiently isolated from both plasma and urine by extraction with tert-butyl methyl ether. Following evaporation of the organic solvent, the extract was reconstituted with methanol-0.05 M ammonium acetate buffer, pH 4.7 (30:70, v/v), and loaded onto a 4 microns Nova-Pak C8 column (15 cm x 3.9 mm I.D.). Chromatography was performed at ambient temperature using a mobile phase of acetonitrile-0.05 M ammonium formate buffer, pH 4.0 (27:73, v/v), at a flow-rate of 1.0 ml/min, with UV detection at 260 nm. Mean values of the tR for the drug and internal standard, determined from chromatograms of the 1 microgram/ml plasma standard during a 6 month period, were 8.27 +/- 0.55 and 11.92 +/- 0.71 min, respectively (S.D., n = 29). With a sample volume of 50 microliters, the lowest concentration of genistein included in the plasma standard curve, 0.020 microgram/ml, was quantified with a 10.7% R.S.D. over a 5 month period. Plasma standards having concentrations of 0.050 to 1.02 micrograms/ml exhibited R.S.D. values ranging from 2.3 to 6.1%. The drug was quantified in urine with similar reproducibility. The sensitivity of the assay was adequate for characterizing the plasma pharmacokinetics of genistein in the mouse and dog. However, a 10-fold improvement in sensitivity was afforded by increasing the sample size to 250 microliters, without otherwise modifying the method. Thus, this procedure may prove suitable for determining plasma and urine levels of genistein in humans consuming dietary isoflavonoids in a much more convenient manner than permitted by existing methodology.

Animals↗

Effects of the situational context and interactional process on the quality of family caregiving.

A staged theoretical model designed to explain the quality of elder caring by family members was tested. The model posits how the situational context, interactional process, and caregiving burden perceived by the caregiver affect the quality of elder caring. The purpose was to determine the amount of variance explained by the interactional process beyond that explained by the situational context and caregiving burden. Data were collected from 209 elder-caregiver dyads using interviews, observations, and caregiver self-reports. The strongest predictors of caregiving burden were the caregiver's stressful negative life events (situational context) and discrepancy between past and present image of elder (interactional process). The strongest predictors of quality of elder caring were the caregiver's perception of subjective burden and a monitoring role definition on the part of the caregiver (interactional process).

Activities of Daily Living↗

Nursing intervention to promote functional feeding.

Results of this study suggest that specific nursing protocols can be designed to promote functional feeding for demented elders in nursing homes while enhancing the mealtime environment for both the demented elders and their caregivers. By nurses altering the feeding environment (context) alone, subjects received more food and drink, refused less food and showed more self-feeding. Major findings were that subjects demonstrated increased independence by refusing food more often and initiating self-feeding more frequently.

Activities of Daily Living↗

On becoming a caregiver. Default or election--& does it matter?

Family caregivers provide an enormous amount of care--often without being prepared for it. However, research has brought to light that family members may have been groomed from childhood to accept the role of caregiver. Insight into how family members become caregivers could help professionals work with and support these invaluable team members.

Caregivers↗

Pharmacokinetics of active drug metabolites after oral administration of perillyl alcohol, an investigational antineoplastic agent, to the dog.

The monocyclic terpene d-limonene, a major component in many citrus essential oils (1-3), has been used for many years as a flavoring agent, food additive, and fragrance (1, 2). It was recently demonstrated that limonene exhibits both chemopreventive and therapeutic effects against chemically induced mammary tumors in rats (4-10). Mechanistic studies revealed that limonene inhibits the posttranslational isoprenylation of 21-26 kDa cellular proteins implicated in cell growth and proliferation (11-13). Limonene is extensively metabolized by a variety of mammalian species (14-17). Its principal circulating metabolites identified in the rat, perillic acid and dihydroperillic acid, are also effective inhibitors of isoprenylation and cellular proliferation in vitro (17, 18). Furthermore, one of the metabolic precursors of these compounds, perillyl alcohol (16), is considerably more potent than limonene against the in vivo rat mammary tumor models (19). A preliminary report of an ongoing phase I clinical trial with limonene indicated that a single oral dose of 100 mg/kg is well tolerated (20). However, an extrapolation based upon the rat mammary tumor regression studies suggests that the minimum human dose requirement would be 1000 mg/kg/ day (6). The administration of such a large dose, which amounts to more than 80 ml of an oily volatile liquid, on a continuing basis may cause problems. Thus, perillyl alcohol is currently being developed as a clinical candidate at the National Cancer Institute because of its greater potency than limonene, which may enable potentially effective systemic concentrations of the active principals to be achieved at considerably lower doses.(ABSTRACT TRUNCATED AT 250 WORDS)

Administration, Oral↗

Synthesis, hydrolytic behavior, and anti-HIV activity of selected acyloxyalkyl esters of trisodium phosphonoformate (foscarnet sodium).

The synthesis and anti-HIV activity of selected (acyloxy)alkyl esters of trisodium phosphonoformate (foscarnet sodium) are described. The conversion of bis(trimethylsilyl) (alkoxycarbonyl)phosphonates 11a-d to the corresponding disilver salts 12a-d and their subsequent reaction with iodoalkyl acrylates 4a-c gave the desired bis(acyloxyalkyl) phosphonates 6-9(a-c). Of the analogs tested, only the dichlorophenyl analog 9a showed a dose-dependent inhibition of HIV activity in H9 cells. Using 31P-NMR, bioreversibility has been investigated in an attempt to rationalize these results.

Antiviral Agents↗

Strategies for achieving cultural equivalence.

The strategy used by a bicultural research team of Anglos and Mexican Americans to develop cultural equivalence in a cross-cultural study of family caregiving is described. Five sequential stages designed to address Berry's (1969) criteria for cross-cultural research (functional equivalence, a comparative descriptive framework, and language equivalence) are described, including (a) start-up, (b) preparation, (c) pilot testing for language equivalence, (d) pilot testing for operational equivalence, and (e) reevaluation.

Caregivers↗

Analysis of brefeldin A in plasma by gas chromatography with electron capture detection.

The National Cancer Institute (NCI) is pursuing preclinical development of Brefeldin A (BFA), a macrolide isolated from Penicillium brefeldianum, as an antitumor agent. BFA exhibits a unique spectrum of activity against the human tumor cell line panel that composes the NCI's recently established in vitro antitumor screen. A specific method to assay the compound in biological fluids has been developed in which BFA and 1-eicosanol, added as the internal standard, are extracted from plasma specimens with diethyl ether. The residue afforded by evaporation of the organic solvent is dried in vacuo and derivatized with heptafluorobutyrylimidazole prior to analysis by capillary gas chromatography with electron capture detection. Derivatization of both secondary hydroxyl groups of BFA is rapid and quantitative, as confirmed by mass spectrometry. The lowest concentration of BFA quantified with acceptable reproducibility in 50 microliters of plasma is 0.1 microgram/ml, for which a 5.6% coefficient of variation has been determined from six standard curves assayed on separate days. Detector response exhibits a positive deviation from linearity for samples with BFA concentrations greater than 2.5 micrograms/ml. The assay is shown by application to be suitable for preliminary investigations of BFA plasma pharmacokinetics in mice. These studies reveal that BFA is subject to rapid elimination from the mouse, with plasma levels declining in an apparent biphasic manner from an initial concentration of 33 to 0.2 micrograms/ml at 60 min after intravenous treatment with a 26.3 mg/kg dose.

Animals↗

Synthesis and antimuscarinic activity of 2-[N-(ethyl)-(N-beta-hydroxyethyl)]aminoethyl 2,2-diphenylpropionate, a metabolite of aprophen.

The preparation of 2-[N-(ethyl)-(N-beta-hydroxyethyl)]amino-ethyl 2,2-diphenylpropionate (1), a metabolite of aprophen [2-diethylaminoethyl 2,2-diphenylpropionate], is described. Hydrolysis of [2-(2-chloroethyl)ethylamino]ethyl acetate hydrochloride (2) in a basic solution, followed by acidic pH adjustment, gave the ethylcholineaziridinium ion (3) that upon treatment with 2,2-diphenylpropionic acid produced 1 in a 56% yield. Synthetic 1 was found to possess antimuscarinic activities, but was approximately 10-fold less potent than the parent compound aprophen.

Animals↗

Measurement of mealtime interactions among persons with dementing disorders.

Difficulty in eating and refusal to eat are common problems for severely demented persons. Feeding can be one of the most frustrating and complex daily tasks performed by caregivers of demented elders in institutional settings. This paper describes the development of a new method for measuring caregiver-elder feeding activities and interactions--the Feeding Traceline Technique (FTLT). The FTLT, which involves both the transcription of videotape recorded data and the coding of data for computer input, is designed to account for all mealtime behaviors of both feeders and elders, to account for the cyclic and repetitive nature of eating and to permit quantification of complex interactions between feeders and institutionalized residents. Data describing the reliability and validity of the method are presented. Issues discussed relate to the units of analysis, the time and energy expenditure of the method in comparison to the yield of information, and the effect of videotaping on measurement.

Aged↗

Isolation and identification of beta-hydroxyethylaprophen: a urinary metabolite of aprophen in rats.

The metabolism of the anticholinergic drug aprophen was studied in rats after oral administration via stomach intubation. beta-Hydroxyethylaprophen, a major urinary metabolite of aprophen, was isolated and identified by normal-phase high-performance liquid chromatography and electron ionization mass spectrometry. More than 22% of the parent drug was recovered and quantified over a 72-h collection period. Results show that 2,2-diphenylpropionic acid, another major metabolite of aprophen which lacks anticholinergic properties, was also isolated and identified in this study. Experiments are currently underway to synthesize and test the anticholinergic properties of beta-hydroxyethylaprophen in mammals.

Administration, Oral↗

The QUALCARE Scale: developing an instrument to measure quality of home care.

In previous research, the theoretical and methodological problems associated with operationalizing elder abuse have been multiple. The QUALCARE Scale was developed in response to the documented problems. The scale is an observational rating scale designed to quantify the quality of family caregiving to home-dwelling elders in six areas: physical, medical management, psychosocial, environmental, human rights and financial. The scale is a 53 item scale in a Likert type format. The QUALCARE Scale is completed by professional nurses after a nursing assessment of the degree to which the caregiver meets the needs of the elder in the six dimensions. The nursing assessment involves both observations and verbal data gathering. In this paper, the development of the scale and the methodological issues associated with scale development are discussed.

Aged↗

The QUALCARE Scale: testing of a measurement instrument for clinical practice.

This article continues the discussion of the theoretical and methodological issues associated with the use of measurement instruments in nursing such as the QUALCARE Scale. The QUALCARE Scale is an observational rating scale designed to quantify the quality of family caregiving to home-dwelling elders in six areas: physical, medical management, psychosocial, environmental, human rights and financial. This manuscript continues the discussion by reporting the psychometric properties of the scale. The QUALCARE Scale was tested in a descriptive correlational study with 249 caregiver-elder dyads. The results supported evidence of interrater reliability, internal consistency, and criterion and construct validity. Three issues in the use of measurement instruments in clinical practice are discussed: (i) quantification versus qualification, (ii) clinical relevance and (iii) the establishment of rating standards.

Aged↗

Causal modeling as a relevant approach to gerontological nursing.

Causal modeling involves the development of causal hypotheses to explain a particular phenomenon and the testing of causal assertions through systematic data collection and analysis procedures. Although more research is being conducted gerontological nurse scientists have generally failed to logically develop and systematically test theories that unify, organize, and consolidate knowledge into schemes that explain, describe, and predict. Causal modeling combines theory and research, and because the interpretation of data is possible only within the context of the proposed theory, it offers an important method for advancing the science while maintaining the specificity of the practice.

Causality↗