John Mulder

• Professor (Assistant) at Michigan State University

Objective: Little is known regarding the perceptions of parents about end-of-life care for their children. This study describes parental perceptions of the care of hospitalized, terminally ill children in the areas of (1) clinical management, (2) interdisciplinary support, and (3) pain and symptom management. Methods: Through a mixed methods des...

Communication with family members of patients in intensive care units is challenging and fraught with dissatisfaction. We hypothesized that family attendance at structured interdisciplinary family rounds would enhance communication and facilitate end-of-life planning (when appropriate). The study was conducted in the 26-bed medical intensive care u...

An increase in requests for volunteer services compounded by waning numbers of volunteers is a challenge to nonprofit organizations that are faced with the daunting task of recruiting and maintaining a large volunteer pool. This study explores alternate volunteer sources and suggests methods to be taken into account when recruiting male volunteers...

To examine hospice referral patterns among pediatric oncologists and identify barriers to referral. A self-administered survey was sent to 1,200 pediatric oncologists who are members of Children's Oncology Group. Two electronic mail messages followed by traditional mail surveys were sent to eligible physicians. Pediatricians and pediatric oncologis...

The importance of regular exercise activity in health maintenance has been continually emphasized. Family physicians, as the primary health care providers to many individuals, need a protocol for exercise prescription that is both practical for the physician to administer and reasonable for the patient to understand and follow. A practical protocol...

Of individuals prescribed individualized home exercise programs, 55.2 percent continued to achieve greater than 75 percent of thier exercising goal after 32 weeks of participation. A method of predicting compliance early in the course of an exercise program is presented. The parameters as outlined were successful in correctly predicting by four wee...

In the phospholipid fractions, arachidonic acid represented a several fold higher percentage of fatty acids from DMBA-induced tumors and in mammary glands from midpregnant rats when compared to mammary glands from virgin rats. Arachidonic acid was not present in measurable quantities in the neutral lipid fractions of mammary glands from virgin rats...

A comparison is presented of the levels of cyclic adenosine 3':5'-monophosphate, cyclic guanosine 3':5'-monophosphate (cycl ic GMP), adenylate cyclase, guanylate cyclase, cyclic adenosine 3':5'-monophosphate phosphodiesterase and cyclic GMP phosphodiesterase in 9,10-dimethyl-1,2-benzanthracene-induced mammary tumors of rats and in mammary glands fr...

Studies were carried out to determine whether the actions of prolactin on the metabolism of the mammary gland may involve polyamines. In mouse mammary gland explants that were preincubated for 2 days with insulin plus hydrocortisone, the rate of [3H]leucine incorporation into casein was enhanced in a prolactin-like manner during a further incubatio...

The capability of maternal and 18 day fetal liver and placental homogenates from CF-1 mice to catabolize corticosterone was measured. Tissues from pregnant animals treated with corticosterone 24 and 48 hours prior to sacrifice demonstrated no difference in the rate of hepatic catabolism of corticosterone in either maternal or fetal liver tissue sam...