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Impact Of Wisconsin Medicaid Policy Change On Dental Sealant Utilization, Christopher Okunseri, Elaye Okunseri, Raul I. Garcia, Cesar Gonzales, Alexis Vistocky, Aniko Szabo

School of Dentistry Faculty Research and Publications

Background

In September 2006, Wisconsin Medicaid changed its policy to allow nondentists to become certified Medicaid providers and to bill for sealants in public health settings.

Objective

This study examined changes in patterns of dental sealant utilization in first molars of Wisconsin Medicaid enrollees associated with a policy change.

Data Source

The Electronic Data Systems of Medicaid Evaluation and Decision Support for Wisconsin from 2001 to 2009.

Study Design

Retrospective claims data analysis of Wisconsin Dental Medicaid for children aged 6-16 years.

Principal Findings

A total of 479,847 children followed up for 1,441,300 person-years with 64,546 visits were analyzed. The …

The Role Of Spirituality And Religiosity In Persons Living With Sickle Cell Disease, Dora L. Clayton-Jones, Kristin Haglund

College of Nursing Faculty Research and Publications

Purpose: Sickle cell disease (SCD) is a serious debilitating chronic illness, affecting approximately 90,000 Americans and millions globally. Spirituality and religiosity (S/R) may ease the burden faced by persons living with SCD. The purpose of this study was to examine the role of S/R in adolescents and adults living with SCD in the research literature.

Method: The electronic databases Cumulative Index to Nursing and Allied Health Literature, Health Source Nursing/Academic, ProQuest Health Module, PsycINFO, Medline, PubMed, and the American Theological Library Association were searched from January 1995 to December 2014.

Findings: Of the 89 studies retrieved, 11 articles between 2001 …

Lubricin In Synovial Fluid Of Mild And Severe Temporomandibular Joint Internal Derangements, Rosalia Leonardi, Rosario E. Perrotta, Luis Eduardo Almeida, Carla Loreto, Giuseppe Musumeci

School of Dentistry Faculty Research and Publications

Background: To understand the molecular basis of temporomandibular joint (TMJ) pathologies, we aimed to investigate the lubricin levels in the TMJ synovial fluid (SF) of patients with mild to severe internal derangements (IDs). Material and Methods: A total, 34 joints were the study group. Only patients, with a Wilkes stage of III, IV and V were included, in this sample. Control group consisted of SF from eight joints, from patients undergoing to orthognatic surgery. Concentrations of lubricin in the SF from both samples were measured using ELISA system. Results: The mean lubricin concentration was 7.029 ± 0.21 µg/mL in stage …

The Relevance Of Sex Differences In Performance Fatigability, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Performance fatigability differs between men and women for a range of fatiguing tasks. Women are usually less fatigable than men, and this is most widely described for isometric fatiguing contractions and some dynamic tasks. The sex difference in fatigability is specific to the task demands so that one mechanism is not universal, including any sex differences in skeletal muscle physiology, muscle perfusion, and voluntary activation. However, there are substantial knowledge gaps about the task dependency of the sex differences in fatigability, the involved mechanisms, and the relevance to clinical populations and with advanced age. The knowledge gaps are in part …

Development And Psychometric Analysis Of The Patient Perceptions Of Patient-Empowering Nurse Behaviours Scale (Pppnbs), Teresa Jerofke-Owen, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Aim

To (1) develop and psychometrically test the Patient Perceptions of Patient-Empowering Nurse Behaviours Scale, which measures patient perceptions of empowering nurse behaviours during hospitalization; and (2) refine to a shorter, more useful form, for measurement in clinical settings.

Background

Although patient empowerment has been promoted as a way to engage patients in chronic illness care, there is not a measure reported by patients as recipients of empowering nurse behaviours during hospitalization.

Design

Psychometric evaluation of construct and predictive validity, reliability and item reduction.

Method

Data gathered during hospitalization and six weeks postdischarge between April 2012 - August 2014 were …

Autism Spectrum Disorder And The Child's Weight–Related Behaviors: A Parents' Perspective, Michele Polfuss, Norah L. Johnson, Susan A. Bonis, Fallon Apollon, Kathleen Sawin

College of Nursing Faculty Research and Publications

Purpose

To explore parent perspectives of how the attributes of their child's autism spectrum disorder(ASD) impact nutrition, physical activity, screen time behaviors and risk for obesity. Secondarily, we examined the parent's perception of the healthcare providers (HCP) influence on these weight-related behaviors.

Design and method

We conducted and audio-recorded telephone interviews with parents of children with ASD (n = 8) using a structured question guide. Data were transcribed and thematic analysis was conducted. Issues surrounding weight-related behaviors and parental strategies used were reported.

Results

Two overarching themes with eight subthemes emerged: (1) Challenges related to features of ASD (subthemes included …

Resilience In Adolescents Who Survived A Suicide Attempt From The Perspective Of Registered Nurses In Inpatient Psychiatric Facilities, Denise M. Matel-Anderson, Abir K. Bekhet

College of Nursing Faculty Research and Publications

The number of deaths by suicide has increased over the last few years. The purpose of this qualitative study is to explore components of resilience in adolescents who survived a suicide attempt from the perspective of nine psychiatric nurses. Resilience was used as a guiding conceptual framework which proposes that resilience is the interplay between risk and protective factors. Three categories emerged including risk factors, protective factors, and future recommendations of suicide prevention strategies. The perspectives gained from this study will help develop nursing interventions for adolescents to overcome risk factors and to build on their protective factors.

Anti-Müllerian Hormone Levels And Urinary Cortisol In Women With Chronic Abdominal Pain, Theresa M. Hardy, Donna O. Mccarthy, Nicolaas Fourie, Wendy Henderson

College of Nursing Faculty Research and Publications

Abstract

Objective

To explore the association of hypothalamic–pituitary–adrenal activity with ovarian functioning in women with and without chronic abdominal pain (CAP).

Design and Setting

A secondary data analysis was performed with data from female participants in a natural history protocol at the National Institutes of Health.

Participants

A total of 36 women (age range = 19–39 years, mean = 27.11 years) were included in the study.

Methods

This pilot study was conducted with a subset of participants enrolled in a natural history protocol conducted in the Hatfield Clinical Research Center at the National Institutes of Health. The parent study included …

Baby Dust To All! Identity Construction In Two-Week Wait Online Discussion Forums, Danielle R. Derose

Master's Theses (2009 -)

Women with a self-identified infertility status sometimes choose to address this status by seeking medical intervention. There are a variety of methods available when attempting to conceive using medical treatments, with the choice heavily dependent on the health of each partner. A common first approach by reproductive endocrinologists is that of intrauterine insemination, or IUI. Women undergoing IUI invest significant time and money into the process and often must undergo procedures or take medication that can be enormously distressing. Once the IUI is complete, the woman must wait an emotional two weeks before she finds out if she is pregnant …

A Systematic Review Of The Relationship Between Familism And Mental Health Outcomes In Latino Population, Esmeralds Valdivieso-Mora, Casie L. Peet, Mauricio Garnier-Villarreal, Monica Salazar-Villanea, David K. Johnson

College of Nursing Faculty Research and Publications

Background: Familismo or familism is a cultural value frequently seen in Hispanic cultures, in which a higher emphasis is placed on the family unit in terms of respect, support, obligation, and reference. Familism has been implicated as a protective factor against mental health problems and may foster the growth and development of children. This study aims at measuring the size of the relationship between familism and mental health outcomes of depression, suicide, substance abuse, internalizing, and externalizing behaviors. Methods: Thirty-nine studies were systematically reviewed to assess the relationship between familism and mental health outcomes. Data from the studies were comprised …

Disclosure Of Depression In Primary Care: A Qualitative Study Of Women’S Perceptions, Abiola O. Keller, Carmen R. Valdez, Rebecca J. Schwei, Elizabeth A. Jacobs

Physician Assistant Studies Faculty Research and Publications

Background

Health care providers are better able to diagnose depression and initiate treatment when patients disclose symptoms. However, many women are reluctant to disclose depressive symptoms. Little is known about the experience of disclosing depression symptoms in primary care among racially and ethnically diverse women across the life course. We qualitatively explore experiences of disclosure of depressive symptoms to primary care providers among self-identified African American, Hispanic and non-Hispanic White women.

Methods

Twenty-four women with depression were recruited for open-ended interviews. We recorded, transcribed, and coded interviews using inductive content analysis.

Findings

Two distinct domains emerged: participant factors that hinder …

Muscle-Specific Effective Mechanical Advantage And Joint Impulse In Weightlifting, Kristof Kipp, Chad Harris

Exercise Science Faculty Research and Publications

Lifting greater loads during weightlifting exercises may theoretically be achieved through increasing the magnitudes of net joint impulses or manipulating the joints’ effective mechanical advantage (EMA). The purpose of this study was to investigate muscle-specific EMA and joint impulse as well as impulse-momentum characteristics of the lifter-barbell system across a range of external loads during the execution of the clean. Collegiate-level weightlifters performed submaximal cleans at 65, 75, and 85% of their 1-repetition maximum (1-RM) while data from a motion analysis system and a force plate were used to calculate lifter-barbell system impulse and velocity, as well as net extensor …

A Dash To The Top: Educator Debriefing Standards As A Path To Practice Readiness For Nursing Students, Jenny W. Rudolph, Janice Palaganas, Mary K. Fey, Catherine J. Morse, Rachel Onello, Kristina Dreifuerst, Robert Simon

College of Nursing Faculty Research and Publications

No abstract provided.

Quiet Time For Mechanically Ventilated Patients In The Medical Intensive Care Unit, Natalie S. Mcandrew, Jane Leske, Jill L. Guttormson, Sheryl Talcott Kelber, Kaylen Moore, Sylvia Dabrowski

College of Nursing Faculty Research and Publications

Objective: Sleep disruption occurs frequently in critically ill patients. The primary aim of this study was to examine the effect of quiet time (QT) on patient sedation frequency, sedation and delirium scores; and to determine if consecutive QTs influenced physiologic measures (heart rate, mean arterial blood pressure and respiratory rate).

Method: A prospective study of a quiet time protocol was conducted with 72 adult patients on mechanical ventilation.

Setting: A Medical Intensive Care Unit (MICU) in the Midwest region of the United States.

Results: Sedation was given less frequently after QT (p = 0.045). Those who were agitated prior …

Current Medical Research Winter/Spring 2016, Richard Fehring

College of Nursing Faculty Research and Publications

No abstract provided.

The Effect Of Orthodontic Appliances On The Evaluation Of The Professionalism And Esthetics Of An Adult Employee, Laura Hanson Vaccariello

Master's Theses (2009 -)

This study explored the influence of fixed and removable orthodontic appliances on participants’ ratings of the job performance, intelligence, and attractiveness of an adult female. Ninety-four adult subjects were recruited from the Graduate School of Management at Marquette University. Each subject received an identical employee performance review with an attached photograph of a female employee. The smile of the photo was manipulated to represent one of four conditions: no orthodontic appliance, a metal orthodontic appliance, a ceramic orthodontic appliance, or a clear aligner. Subjects then rated the employee on three continuous Likert scales. Ratings of job performance, intelligence, and attractiveness …

The Effect Of Mechanical Vibration On Human Pdl Cell Differentiation And Response To Inflammation, Megan Desroches

Master's Theses (2009 -)

Low magnitude mechanical vibration is a therapeutic adjunct being investigated to alter bone remodeling and inflammation in areas such as osteoporosis, bone fracture healing, and muscle soreness after exercise. In orthodontics a device named AcceleDent has been marketed that claims to increase the rate of tooth movement and decrease pain. However evidence for these claims is lacking. In this study we looked at two potential cellular mechanisms for these claims: periodontal ligament (PDL) cell differentiation and inflammation under an orthodontic model of strain (IL-1β). Increased PDL cell differentiation into osteogenic cells could be an avenue of increasing orthodontic tooth movement. …

Submaximal Oxygen Uptake Kinetics, Functional Mobility, And Physical Activity In Older Adults With Heart Failure And Reduced Ejection Fraction, Scott L. Hummel, John Herald, Craig Alpert, Kimberlee A. Gretebeck, Wendy S. Champoux, Donald R. Dengel, Peter V. Vaitkevicius, Neil B. Alexander

College of Nursing Faculty Research and Publications

Background: Submaximal oxygen uptake measures are more feasible and may better predict clinical cardiac outcomes than maximal tests in older adults with heart failure (HF). We examined relationships between maximal oxygen uptake, submaximal oxygen kinetics, functional mobility, and physical activity in older adults with HF and reduced ejection fraction.

Methods: Older adults with HF and reduced ejection fraction (n = 25, age 75 ± 7 years) were compared to 25 healthy age- and gender-matched controls. Assessments included a maximal treadmill test for peak oxygen uptake (VO2peak), oxygen uptake kinetics at onset of and on recovery from a submaximal treadmill test, …

Lean Mass Predicts Conditioned Pain Modulation In Adolescents Across Weight Status, Stacy Stolzman, Marie K. Hoeger Bement

Physical Therapy Faculty Research and Publications

Background

There is a wide continuum of conditioned pain modulation (CPM) in adults with older adults experiencing an attenuated CPM response compared with younger adults. Less is known for adolescents and the role of anthropometrics.

Methods

Fifty-six adolescents (15.1 ± 1.8 years; 32 normal weight and 24 overweight/obese; 27 boys) completed in a CPM session that included anthropometric testing. Pressure pain thresholds were measured at the nailbed and deltoid muscle (test stimuli) with the foot submerged in a cool or ice water bath (conditioning stimulus). Weight status, body composition (Dual-energy X-ray absorptiometry scan), physical activity levels and clinical pain were …

Only Women Report Increase In Pain Threshold Following Fatiguing Contractions Of The Upper Extremity, Kathy J. Lemley, Jonathon Senefeld, Sandra K. Hunter, Marie K. Hoeger Bement

Physical Therapy Faculty Research and Publications

Purpose

The perception of pain in response to a noxious stimulus can be markedly reduced following an acute bout of exercise [exercise-induced hypoalgesia (EIH)]. Sex differences in EIH frequently occur after exercise but may be confounded by the sex differences in muscle fatigue. The purpose was to determine if sex differences in pain relief occur after an exercise protocol when muscle fatigue is similar for both young and older men and women.

Methods

Pain perception of 33 men (15 young) and 31 women (19 young) was measured using a pressure pain stimulus on the left index finger before and after …

Nurses' Own Birth Experiences Influence Labor Support Attitudes And Behaviors, Ann P. Aschenbrenner, Lisa Hanson, Teresa S. Johnson, Sheryl Talcott Kelber

College of Nursing Faculty Research and Publications

Objective

To describe the attitudes of intrapartum nurses about the importance of and intent to provide professional labor support (PLS); barriers to PLS, such as perceived subjective norms and perceived behavioral control; and relationships among attitudes, behaviors, and nurse and site characteristics.

Design

A cross-sectional, mixed-methods, descriptive design was guided by the Theory of Planned Behavior.

Setting

Three hospital sites in one region of a single Midwestern state.

Participants

Sixty intrapartum nurses participated.

Methods

The Labor Support Questionnaire and demographic questionnaire were administered online. The Labor Support Questionnaire is used to measure attitudes about the importance of and intended behaviors …

Parents’ Perspectives On Shared Decision Making For Children With Solid Organ Transplants, Stacee M. Lerret, Kristin Haglund, Norah L. Johnson

College of Nursing Faculty Research and Publications

Introduction

The Institute of Medicine prioritizes active family and clinician participation in treatment decisions, known as shared decision making (SDM). In this article we report the decision-making experiences for parents of children who had a solid organ transplant.

Method

We performed a prospective longitudinal mixed methods study at five major U.S. children's medical centers. Qualitative interview data were obtained at 3 weeks, 3 months, and 6 months after hospital discharge following the child's transplant.

Results

Forty-eight parents participated in the study. Three themes were identified: (a) Parents expect to participate in SDM; (b) parents seek information to support their participation …

Effect Of Sequence Of Simulated And Clinical Practicum Learning Experiences On Clinical Competency, Jamie Hansen

Dissertations (1934 -)

Delivery of clinical education using the traditional model involving faculty supervision of students in a hospital setting has become increasingly difficult for schools of nursing due to factors such as increased student enrollment and decreased clinical site availability. Simulated learning experiences (SLE) have increasingly been used as a supplement or replacement for a portion of nursing students’ traditional clinical learning experiences (CLE). There has been a call for research to ensure that new models for delivery of clinical education are built on a foundation of research. Although SLE have been increasingly used as a supplement to CLE, it is unknown …

Spirituality And Religiosity In Adolescents Living With Sickle Cell Disease, Dora L. Clayton-Jones, Kristin Haglund, Ruth Belknap, Jame Schaefer, Alexis A. Thompson

College of Nursing Faculty Research and Publications

This study purports to address paucity in the literature regarding how adolescents with sickle cell disease (SCD) describe and experience spirituality and religiosity (S/R). This was a qualitative descriptive study. Two semi-structured interviews were conducted with nine adolescents (M_age = 16.2 years). Data were analyzed using a template analysis style and a concurrent analysis process of data reduction. Three major themes encompassed the participants’ descriptions of the relationships between S/R, health and illness in their lives including S/R as sources for coping, influence of S/R beliefs on health and illness, and sharing S/R with Health Care Providers (HCPs). …

Outcomes Of Primary Endodontic Therapy Provided By Endodontic Specialists Compared To Other Providers, Jacob Burry

Master's Theses (2009 -)

Introduction: The objective of this study was to compare the outcomes of initial non-surgical root canal therapy (NSRCT) for different tooth types provided by both endodontists and other providers. Methods: Using an insurance company database, 487,476 initial NSRCT procedures were followed from the time of treatment to the presence of an untoward event indicated by Current Dental Terminology (CDT) codes for retreatment, apical surgery, or extraction. Population demographics were computed for provider type and tooth location. Kaplan-Meier survival estimates were calculated for 1, 5, and 10 years. Hazard ratios for provider type and tooth location were calculated using the Cox …

Can A Home-Based Cardiac Physical Activity Program Improve The Physical Function Quality Of Life In Children With Fontan Circulation?, Roni M. Jacobsen, Salil Ginde, Kathleen Mussatto, Jennifer Neubauer, Michael G. Earing, Michael E. Danduran

Exercise Science Faculty Research and Publications

Objective

Patients after Fontan operation for complex congenital heart disease (CHD) have decreased exercise capacity and report reduced health-related quality of life (HRQOL). Studies suggest hospital-based cardiac physical activity programs can improve HRQOL and exercise capacity in patients with CHD; however, these programs have variable adherence rates. The impact of a home-based cardiac physical activity program in Fontan survivors is unclear. This pilot study evaluated the safety, feasibility, and benefits of an innovative home-based physical activity program on HRQOL in Fontan patients.

Methods

A total of 14 children, 8–12 years, with Fontan circulation enrolled in a 12-week moderate/high intensity home-based …

Experiences Of Registered Nurses Who Were Not Initially Successful On The Nclex-Rn, Then Subsequently Passed, Tammy L. Kasprovich

Dissertations (1934 -)

In the past decade, there has been little research conducted regarding individuals’ stories about not initially being successful on the nursing licensure examination (NCLEX-RN). An unsuccessful licensure examination attempt may affect the individual personally and profoundly in ways that could influence their future success. Learning from registered nurses’ experiences may contribute to developing new strategies to promote graduate nurses’ initial success, which could help alleviate the nursing shortage. The purpose of this research study was to explore, using a narrative method, the experiences of registered nurses who were not initially successful the NCLEX-RN, then subsequently passed. Personal Construct Theory (PCT) …

Gardening/Yard Work And Depressive Symptoms In African Americans, Elisa R. Torres, Carolyn M. Sampselle, David L. Ronis, Harold W. Neighbors, Kimberlee A. Gretebeck

College of Nursing Faculty Research and Publications

Background

The purpose of this study was to examine the frequency of gardening/yard work in relation to depressive symptoms in African-Americans while controlling for biological and social factors.

Methods

A secondary analysis was performed on the National Survey of American Life (n = 2,903) using logistic regression for complex samples. Gardening/Yard work was measured by self-reported frequency. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression scale.

Results

Biological and social factors, not gardening/yard work, were associated with depressive symptoms.

Conclusions

Biological and social factors may need to be addressed before the association between gardening/yard work and depressive …

Injury Risk Assessment Of The Femur In Children With Osteogenesis Imperfecta, Jessica Marie Fritz

Dissertations (1934 -)

Osteogenesis imperfecta (OI) is a genetic disorder characterized by increased bone fragility and decreased bone mass, which leads to high rates of bone fracture. OI has a prevalence of 1/5,000 to 1/10,000 in the United States. About 90% of persons with OI have a genetic mutation in the coding for collagen type I, which is the major protein of connective tissues, including bone. While its prevalence classifies it as a rare disease, it is the most common disorder of bone etiology. Until recently, little was known about the mechanics and materials of OI bone or their impact on fracture risk. …

Influence Of Visual Feedback On Dynamic Balance Control In Chronic Stroke Survivors, Eric R. Walker, Allison S. Hyngstrom, Brian D. Schmit

Physical Therapy Faculty Research and Publications

Chronic stroke survivors have an increased incidence of falls during walking, suggesting changes in dynamic balance control post-stroke. Despite this increased incidence of falls during walking, balance control is often studied only in standing. The purpose of this study was to quantify deficits in dynamic balance control during walking, and to evaluate the influence of visual feedback on this control in stroke survivors. Ten individuals with chronic stroke, and ten neurologically intact individuals participated in this study. Walking performance was assessed while participants walked on an instrumented split-belt treadmill with different types of visual feedback. Dynamic balance control was quantified …