Digital Commons Network^™

Barriers To Domestic Violence Screening In The Emergency Department, Lisa Yonaka

Master's Projects

Are you in a relationship in which you're being abused? That is not an easy question to answer or ask. Identification of those who are victims of domestic violence is important to prevent further abuse and injury. The purpose of this non-experimental study was to determine barriers of Emergency Department Registered Nurses screening patients for domestic violence. 33 ED RNs completed a short anonymous questionnaire that was developed by Dr. Mary Lou Moore, Wake Forrest University, Winston-Salem, North Carolina. The most significant barriers to screening identified, were the lack of education on how to ask questions about abuse, language barriers, …

Occupational Therapy Job Satisfaction In The Geriatric Setting, Dawn Doctor

Masters Theses

This study examined the level of job satisfaction among occupational therapists working in the geriatric setting in the state of Michigan. The purpose of this study was to determine if burnout exists among occupational therapists working in a geriatric setting. Questionnaires from 29 therapists who work in a·geriatric setting were analyzed. The majority of the respondents reveled they are not burned out, but do report at least one sign of stress within their job. The most common forms of stress were treating difficult diagnoses, excessive paperwork, excessive caseload, increased productivity expectations, the lack of respect for occupational therapy, and the …

Understanding Occupational Therapy: Medical Doctors And Doctors Of Osteopath’S Knowledge About Occupational Therapy In An Acute Care Hospital, Shereen A. Metwalli

Masters Theses

The purpose of this study was to discover whether medical doctors (MD) and doctors of osteopath (DO) at two large hospitals in the Midwest have adequate knowledge about the roles and functions of occupational therapy, its services and benefits to patients and its implications on interdisciplinary team success. Increasing the knowledge in these three areas could influence occupational therapy referral rates and, as a result, impact the quality of patient care. This study used a descriptive survey to collect data from 55 physicians. Respondents acquired their knowledge of occupational therapy through secondary sources within informal sources of information. A statistically …

Antes: A Web-Based Acanthosis Nigricans And Other Obesity Related Information System, Chunyue Wang

Theses and Dissertations - UTB/UTPA

Acanthosis nigricans is a cutaneous marker associated with systemic disorders and may serve as an indicator for risk of Type 2 diabetes. Acanthosis nigricans screening can help identify children who have high insulin levels and who may be at-risk for developing Type 2 diabetes. The ANTES system is a computerization attempt for acanthosis nigricans control of the student population from elementary schools and secondary schools in Texas. A general description of the system and the medical and history background of the ANTES program is given. The technology applied to the system is demonstrated. An overview of the system operation status …

Data Analysis In The Antes System, Yavuz Tor

Theses and Dissertations - UTB/UTPA

Acanthosis nigricans is a skin condition that can be used as an indicator for the risk of developing type 2 diabetes in the future. Border Health Office, in University of Texas - Pan American, organizes screenings in schools for acanthosis nigricans. Screening results are, then, collected and evaluated in the Border Health Office. The ANTES System is a computer system that stores and manages the data collected in those screenings.

This study is on the analysis of those collected data to track the progress of data entry, to evaluate the progress on obesity and related problems, and to discover the …

Measured Effects Of Rapid Palatal Expansion On Nasal Cavity Volume Utilizing Cbct, Jon Neal Robinson

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to evaluate and predict the expected changes that occur in the nasal cavity volume following rapid palatal expansion. Eighteen subjects (11 female, 7 male), ages 9 to 18, requiring rapid palatal expansion in conjunction with comprehensive orthodontic treatment, were selected for the study. Rapid palatal expansion was accomplished using the standard, banded hyrax appliance. Three-dimensional cone beam computed tomograms using the NewTom 9000™ were acquired before and after expansion. Serial coronal slices of the nasal cavity were made using the QV9000™ software program. The resultant serial images were imported into 3-D Doctor™ for analysis …

Effects Of A Supportive-Education Nursing Intervention On Quality Of Life In Patients With Heart Failure, Melodee L. Vanden Bosch

Masters Theses

The purpose of this secondary analysis was to examine the difference in quality of life (QOL) in home-care patients with heart failure (HF) receiving nursing intervention. The specific nursing intervention of interest was supportive-education (SE), based on Orem's (1995) self-care deficit theory. The second intervention of general health teaching acted as a placebo effect. The convenience sample of randomly assigned patients with HF was from two home-care agencies. The paired t-test was used to analyze the difference in QOL within the SE group and the placebo group from baseline to six months. The independent t-test was used to compare the …

Validation Of A Serotonin Checklist In A Parkinson’S Disease Population, Kelly Diane Darby-Holder

Loma Linda University Electronic Theses, Dissertations & Projects

Although the distinctive pathological marker of Parkinson’s Disease is the progressive death of neurons that produce dopamine, there are also alterations in the production of quantities of other neurotransmitters, such as norepinephrine and serotonin that contribute to the disease. Parkinson’s Disease (PD) can be divided into two distinct classes based on the manifestation of motor symptoms, Type A and Type B Parkinson’s Disease. Type B PD patients often manifest symptoms in which serotonin deficiency plays an important role, which often includes a history of depression. Within the brain and spinal cord serotonin has wide spread projections, acting as an important …

Intensive Care Medical Procedure : Ptsd Symptoms In Children, Ludmila Zaytsev

Loma Linda University Electronic Theses, Dissertations & Projects

Studies indicate that medical procedures may cause post-traumatic stress (PTS) symptoms (fear, avoidance, sleep disturbances, irritability, concentration difficulties. hypervigilance). It has been suggested that administration of midazolam hydrochloride, a sedative/amnesic medication commonly used in the Pediatric Intensive Care Units (PICU), may help decrease if not prevent the development of PTS symptoms. This study examined if PTS symptoms were related to procedural invasiveness (PI) and whether midazolam had a moderating effect on the development and intensity of PTS symptoms in children. English-speaking children ages 8-16 (N=20) who had been in the PICU for at least 3 days were recruited at Loma …

The Psychological Characteristics Of Obese Children, Thomas Taylor Mitchell

Loma Linda University Electronic Theses, Dissertations & Projects

Several studies along with the surgeon general of the United States have identified obesity as a national health issue. Research indicates that adult obesity treatment has relatively poor long-term effects. Consequently increased attention has been given to addressing obesity in children. This focus is particularly vital due to the fact that children are one of the populations showing the most rapid increase in overweight and obesity. The purpose of this study was to identify the some of the unique psychological characteristics of obese children by analyzing the intake data of children and adolescents attending the Loma Linda University Growing Fit …

The Effectiveness Of A Congestive Heart Failure Teaching Program To Community-Based Elders, Debbie Meggs

MSN Research Projects

Heart failure affects more than 4.6 million people in the United States (Dahl & Penque, 2000). While mortality from myocardial infarction is on the decline, congestive heart failure numbers continue to rise. Statistics indicate that 550,000 cases occur each year, at an estimated cost of $21.4 billion a year (National Institutes of Health, National Heart, Lung and Blood Institute, 2002). Elders with congestive heart failure (CHF) do not always understand their disease nor do they recognize its symptoms. Recognition of CHF symptoms can lead to improved management and self-care. Therefore, the purpose of this study was to provide basic, low-literacy …

Returning Home And Leaving Again: A Phenomenological Investigation Of A Sojourner’S Experience, Victoria Christofi

Doctoral Dissertations

Two studies were conducted for this project. The goal of the first study was to describe the structure of the experience of individuals who have returned home after their stay abroad. The goal of the second study was to describe the structure of the experience of individuals who have returned to the country in which they studied, after having returned home. To accomplish these goals, phenomenological interviews were conducted with seventeen participants. In the first study, nine participants were interviewed in their own country after they had been abroad for their studies. In the second study, eight participants were interviewed; …

Identification Of Common Variables Among A Select Group Of Children With Autism, Angela Yarbrough

MSN Research Projects

Autism has become the topic of much recent debate. Autism is a serious, lifelong developmental disability characterized by significant impairments in reciprocal social interactions and communication skills, as well as a restricted and repetitive pattern of interests and or behaviors (American Psychiatric Association, 1994). Minimal information is available about the prevalence or causes of the disorder in the United States. The purpose of this descriptive study was to find and identify common variables among a select group of children diagnosed with autism. Roger's Science of Unitary Human Beings served as the theoretical framework for this study. Rogers (1980) states that …

The Relationship Among Lifestyle, Self-Esteem, And Body Mass Index In Children, Wanda Stroupe

MSN Research Projects

Current research demonstrated that childhood obesity has dramatically increased, especially in the rural South. Current research suggests that 25% of children are currently obese while there has been a 75% increase in relative obesity in children over the past three decades. A correlational, descriptive design was utilized to examine the following hypothesis : There will be a significant correlation among the variables of selfesteem, lifestyle, and body mass index in children. The purpose of this study was to determine if a significant correlation exists among body mass index, lifestyles, and self-esteem in children. Erickson, Tomlin, and Swain's Modeling-Role Modeling Theory …

Facilitators And Barriers To Compliance Of Middle-Aged Hypertensive African-American Adults, Monica Jones

MSN Research Projects

Hypertension is a major risk factor for cardiovascular disease, such as atherosclerosis, heart attack, and stroke. Surveys indicate that one out of four Americans has high blood pressure. It occurs more often in men than women and is most common in African-American males. Despite the fact that there are constantly improving treatments available, many hypertensive patients are noncompliant with prescribed treatment plans. The focus of this descriptive study was to identify facilitators and barriers to compliance in hypertensive middle-aged African American adults. Pender's Health Promotion Model served as the theoretical framework. The research question guiding this study was as follows: …

Primary Care Providers' Prescribing Practices Of Selective Serotonin Reuptake Inhibitors, Ginger Dowell

MSN Research Projects

The use of selective serotonin reuptake inhibitors (SSRIs) is rapidly growing among the general population. Researchers have identified only minimal empirical data regarding the SSRI-prescribing practices among primary care providers. The focus of this descriptive study was to explore SSRI-prescribing practices of primary care providers. Benner's (1984) Novice to Expert Model was the theoretical framework used to conduct this study. The research questions used to guide the research were as follows: What factors influence the prescribing practices of primary care providers regarding SSRIs? And what are the perceived competency levels of primary care providers in prescribing SSRIs? The research design …

Effects Of Mentholatum On Onychomycosis Of The Toenail, Susan Cappleman

MSN Research Projects

As many as 25% of the population age 60 years and older may be affected by onychomycosis, a chronic infection that is difficult to cure. Onychomycosis can cause pain and soft tissue injury that can lead to infection affecting gait from discomfort. Current oral medications available for the treatment of onychomycosis are costly and can pose the risk of serious side effects. The purpose of this study was to determine if the use of Mentholatum was an effective and cost-efficient means to treat onychomycosis of the toenail in elders. The Neuman Systems Model was used as the theoretical framework: specifically, …

Primary Care Family Nurse Practitioners’ Practices O F Assessment For The State O F Thriving Among Community-Based Elders, Judy Labonte

MSN Research Projects

The increasing life span of people within the developed world may produce major health problems for the elder. These health problems lead to premature declines in function and cognition. Many healthcare professionals do not recognize these declines until the need for institutionalized care is urgent. Research has demonstrated that healthcare professionals either fail to recognize or address these declines, contributing to poor outcomes for the elder and the exponential rise in healthcare expenses o f the Medicare and Medicaid funds. This exploratory, descriptive study was designed to examine the level of assessment by primary care family nurse practitioners (FNPs) for …

Knowledge Of Cardiovascular Disease Risk Factors And Perception Of Risk In Women, Kimberly Kuykendall-Marlar

MSN Research Projects

More women than men are dying of cardiovascular disease. The misconception persists that heart disease is a "man's disease" and not an urgent health care issue for women. In the United States, heart disease kills more women than all cancers combined. In 1997, 228,679 women died due to cardiovascular disease, and 41,443 women died from breast cancer. Yet, women are still not assessed effectively for their risk factors for cardiovascular disease; therefore, women are under-diagnosed and under-treated for this disease. The purpose of this study was to evaluate women's knowledge of cardiovascular disease risk factors, assess their perception of risk, …

United States Air Force Security Forces Merger And Career Satisfaction Relating To Retention, Clint A. Cantrell

Masters Theses

The relationship between the Air Force merger of Law Enforcement personnel, Security Police personnel, and Combat Arms Training and Maintenance personnel into the Air Force Security Forces Career Field; and job retention was investigated among 209 Air Force Security Forces Enlisted Personnel at five different Air Force bases (Columbus Air Force Base (AFB), MS, Keesler AFB, MS, Eglin AFB, FL, Hurlburt Field Air Base, FL, and Moody AFB, GA). Participants completed a 91-item survey designed to measure merger satisfaction, career and job satisfaction, life satisfaction, job involvement, job stress, turnover intentions and demographic data. The results showed only four items …

Prediction Of 1976 Diabetes Incidence From 1960 Animal Product Consumption Among California Seventh-Day Adventists, Arnold Vang

Loma Linda University Electronic Theses, Dissertations & Projects

The prevalence of diagnosed and undiagnosed diabetes in the US has been estimated at more than 16 million individuals (King, 1998). This has led to research into lifestyle practices (Astrup, 2001; Touomilehto, 2001), which has identified several of primary prevention. High fat diet and type 2 diabetes has been attributed to the wellareas known mechanisms of hyperglycemia, hyperinsulinaemia and insulin resistance (Ferrannini, 1999; Reaven, 1988).

We examined the association between all animal product consumption, specific animal product consumption and diabetes incidence among California Seventh-day Adventists who were cohort members of the Adventist Mortality Study (Kahn, 1984) and the Adventist Health …

Cultural And Psychological Influences On Diabetic Adherence, Keikilani Mcmillin-Williams

Loma Linda University Electronic Theses, Dissertations & Projects

Diabetes mellitus is a serious disease that poses a particular healthcare challenge because progression is considered controllable (Cox, et al, 1985; Vinicor, et al, 1996) yet treatment adherence, and thus outcome, is very poor (Gonder-Frederick, Cox, & Ritterband, 2002; Goodall, 1991). Culture is a lethal risk factor for diabetic contraction and treatment maintenance. Latinos within the United States are two-to-three times more likely to develop complications and die than non-Latinos (Haffner et al, 1996; Rubin, Peyrot, & Saudek, 1991) and are less likely to adhere to treatment (Lipton, Losey, Giachello, Mendez, & Girotti, 1998). Efforts to eliminate health disparities have …

Investigation Of Parental/Caregiver Concerns Of Children With Spasticity, Lynda Johnson-Cross

Masters Theses

Although there is capacious documentation on the concerns associated with parenting/care giving the disabled child, the concerns of parents/caregiver of children with the specific condition of spasticity is lacking. Therefore, the purpose of this study was to begin to determine the concerns of parents/caregivers of children with spasticity as they specifically relate to care giving. An extensive qualitative based survey interview was utilized to gather information from three informants. Analysis revealed clusters of concerns in the Nature of Caregiving, Spasticity Encounters, and Parental/Caregiver Comments.

Are Antinuclear Antibodies And Rheumatiod Factor Positivity More Prevalent In Apparently Healthy Smokers Compared To Ex-Smokers And Never Smokers?, Susan Nyanzi

Loma Linda University Electronic Theses, Dissertations & Projects

Context: There is now consistent evidence from population and epidemiological studies that cigarette smoking is an independent risk factor for Rheumatoid Arthritis (RA), via Rheumatoid Factor (RF) production (Deighton, 1997; Saag, 1997; Silman, 1996; Uhlig, 1999; Wolfe, 2000). Antinuclear Antibodies (ANA) are another collection of autoantibodies that are being associated with smoking and RA initiation. To our knowledge, no studies have examined the effects of smoking on both ANA and RF simultaneously in healthy subjects.

Objectives: To determine whether cigarette smoking has an effect on ANA and RF positivity in healthy blood donors.

Design, Setting, Participants: This was a cross-sectional, …

The Role Of Health Promotion In Physical Therapy, Brenda L. Rea

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to investigate physical therapy practice patterns in four focus areas of Healthy People 2010 (focus area #6, disability and secondary conditions by looking at psychological well-being; focus area #19, nutrition and overweight; focus area #22, physical fitness and activity; focus area #27, tobacco use) and identify self-efficacy and outcome expectations related to those practice patterns across California, New York and Tennessee using Bandura’s Social Cognitive Theory as a framework. It was hypothesized that physical therapists’ self-efficacy and outcome expectations in the four focus areas of Healthy People 2010 would be significantly associated with …

Bridging Oceans: An Occupational Therapist's Journey Toward Client-Centeredness, Anna Liedberg Miron

Masters Theses

This study blends an autobiographical approach with a person's own narrative about her recovery experience to create an analytic framework for exploring how narratives of clients and practitioners can be used to inform occupational therapy practice. Beth and I shared 12 hours of audio-taped conversations about her recovery/rehabilitation experience one year after she had experienced a stroke. Beth was intimately involved in the process of editing her story during the research process. Narrative analysis that takes into account the flow of time was used in addition to identification of key stories that Beth felt were important in her recovery-process. Congruence …

Athletic Trainers' Perceptions Of Competence In Therapeutic Exercise, Christopher J. Jones

Masters Theses

As the athletic training profession continues to expand, it is necessary to evaluate the preparedness of the entry-level certified athletic trainer (ATC). The purpose of this research is to determine if entry-level certified athletic trainers perceive that they have the knowledge and skills necessary to perform specific tasks related to therapeutic exercise.

An online questionnaire was sent out to 450 entry-level certified athletic trainers in District Four. A total of 69 subjects returned the survey for a response rate of 15.3%. The questionnaire utilized a Likert-type scale consisting of questions derived in the area of therapeutic exercise of the NATA …

Potential Mechanisms Explaining The Antitumor Effect Of Total-Body Irradiation, Glen Michael Miller

Loma Linda University Electronic Theses, Dissertations & Projects

While numerous reports have documented that radiation exposure increases the risk for malignancy and suppresses immune mechanisms, increasing evidence has suggested that low-dose total-body irradiation (TBI) may alter leukocyte composition and function leading to heightened immune responsiveness and long-term remission of certain cancers. Having observed that moderate-dose TBI produces an antitumor effect in the Lewis lung carcinoma (EEC) model, the major goal of this study was to determine whether changes in tumor growth could be correlated with radiation-induced alterations of immune system parameters. The governing hypothesis was that selective immune augmentation, i.e. upregulation of specific leukocyte subsets, is primarily responsible …

Managed Care: The Impact On The Physician / Patient Relationship, Robert H. Adams Jr.

Seton Hall University Dissertations and Theses (ETDs)

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Phonological Awareness Training In A Preschool Classroom Of Typically Developing Children., Sara Phelps

Electronic Theses and Dissertations

The purpose of the present study was to assess the effectiveness of phonological awareness (PA) training with typically developing preschool children in a classroom setting. The PA training incorporated a range of PA skills and the training outcomes were assessed along a broad spectrum of PA abilities, pre-literacy skills, and general language abilities.

This study consisted of 21 children (11 Experimental, 10 Control). The classroom PA training program was conducted with the Experimental class in one large group for 5 weeks with 20 minute sessions conducted three times a week. A variety of fun, play-based PA activities were used with …