When Birth Control Hurts You: An Essure Investigation, Mia A. Garchitorena

Capstones

Thousands of women report having suffered from injuries and malfunctions related to Essure permanent birth control, including chronic pain, heavy bleeding, migration, or perforation. Many of these women also claim that Essure has caused nickel allergies, hair loss, bloating, rashes, unintended pregnancies, and death. What was promised to be an easy solution has become a life-altering problem.

As patient complaints have increased, experts have gone back and studied the science behind the approval of the Essure device. Their findings are startling: There were flaws with the studies that supported the Food and Drug Administration’s approval of the device, the experts …

Neurologists Look At Causes Of Baffling Brain Condition, Maggie Freleng

Capstones

It can be hard getting help for someone with mental illness, but almost impossible when that person doesn't think they are sick. At at least half of people with schizophrenia, for example, insist that the voices they hear are real. People who do not know they are ill often refuse therapy and medication -- and their symptoms can spiral out of control. Doctors call this lack of awareness anosognosia. Neurologists are trying to discover what causes this baffling condition--and how to treat it.

Byrd, Maya Dangerfield

Capstones

In April 2015, William Byrd Wilkins or ‘Byrd’, 50, a theatre and television actor, was diagnosed with pancreatic cancer. In August, his friends crowd-funded an all expense paid trip to New York for Byrd who wasundergoing chemotherapy in his rural hometown of Louisburg, North Carolina. Originally described as ‘an opportunity to reconnect’ the trip soon developed into a ‘living funeral’ as Byrd and his friends grappled with Byrd’s terminal prognosis. As he visited his favorite New York haunts and met with friends, Byrd wrestled with the decision to end his chemotherapy upon his return home.

She's Having A Baby And Cancer, Ashley Lewis

Capstones

In October 2011, Megan Harris, a 38-year-old high school teacher from Atlanta, Georgia, found out she was pregnant with a new addition to her happy family of three. But she didn’t know until three months later that she’d be planning a funeral rather than a nursery.

Battle Echoes Never Fade: Soldiers' Trauma At The End Of Life, John E. Eller

Capstones

Soldiers suffer moral injuries when wartime experiences go against their own moral compass, such as killing innocent civilians or mutilating the bodies of enemies. Many soldiers bury the shame and guilt leftover from battle for years or decades, but these memories can surface unbidden as veterans near death.

The Sixty-Six Percent, Natalie Abruzzo

Capstones

The Sixty-Six Percent represent the percentage of women in the U.S. who are overweight. They are regarded as full-figured or “plus” size in the world of women’s apparel. Even though more than half of American women wear a “plus” size - size 14 and up - designs for these women account for a fraction of women’s apparel - Only 37% of women's wear is plus-size.

The Sixty-Six Percent is coming at an important time in a broader conversation about de-stigmatizing what it means to be a plus-size woman in America. Fat shaming has become taboo and mainstream media as well …

How N.Y.’S Biggest For-Profit Nursing Home Group Flourishes Despite A Record Of Patient Harm, Jennifer Lehman

Capstones

How N.Y.'s Biggest For-Profit Nursing Home Group Flourishes Despite a Record of Patient Harm

The state’s “character-and-competence” reviews are supposed to weed out operators with histories of violations and fines— but regulators don’t always act on the full story.

The Fight For Zadroga, Naeisha Rose

Capstones

The attack on the World Trade Center cost many first responders and volunteers, like Ken George, a retired highway crewmember who was part of the search and rescue, to lose their health. Ken had needs a respirator for his restricted airway disease, he is o n 33 medications and five years ago he had a heart attack. Bi- =weekly or monthly, he visits a doctor for his PTSD, his heart, his lungs and general healthcare. After seeing the devastating conditions that the responders like Ken worked in, Congresswoman C arolyn Maloney (D-12) worked tirelessly with many politicians, both Democrats and …

Beyond The Ring: Vegan Fighter, Bianca Silva

Capstones

Omowale Adewale, an amateur MMA fighter and boxer, spends his time outside the ring as director of Grassroots Artists MovEment (G.A.ME), an organization in the Bronx dedicated to provide resources to low-income residents like healthcare, access to healthy foods via means of gardening and youth incarceration prevention programs. He has been the director of G.A.ME since 2001 and routinely visits classrooms where he provides lectures on how to eat healthy foods-even incorporating vegan foods and implement after school physical programs like boxing where he occasionally serves as a trainer.

Special Muscles, Annamaria C. Scaccia

Capstones

Special Muscles is a documentary that explores living with Duchenne muscular dystrophy, a fatal degenerative disease that weakens the muscles at an aggressive rate. The film will give an uncensored look at how one family copes with inevitability of the disease and their journey chasing a promising experimental cure.

Special Muscles follows 7-year-old Pietro Scarso and his family as they face the challenges, complications and promise of treating Pietro’s progressive muscle disorder. The film travels from New York to Los Angeles to Philadelphia to document the Scarso family’s race against time as Pietro undergoes a 96-week clinical trial for Eteplirsen, …

The War At Home, Joseph A. Altobelli Mr.

Capstones

This site was made to show how the cuts to and politics behind the Veterans Affairs Hospital in New York affects the veterans it is set up to care for.

Testing Peplau's Theory Of Interpersonal Relations In Nursing Using Data From Patient Experience Surveys, Thomas Arthur Hagerty

Dissertations, Theses, and Capstone Projects

Patients' experiences in hospitals are important indicators of quality. Patients' opinions about their experiences in hospitals are significantly associated with their opinions of those hospitals' nursing services. Nurses in the US have traditionally focused on patients' experiences, and Peplau's (1952/1991) theory of interpersonal relations is early evidence of that focus. This study tested Peplau's (1952/1991) theory of interpersonal relations in nursing using confirmatory factor analysis (CFA) on data from 12,436 patient experience surveys. Two hypotheses were supported: (a) patient experience data (i.e. responses on the Consumer Assessment of Healthcare Providers and Systems - Hospital [HCAHPS] survey) collected from patients in …

Developmental Coordination Disorder: The Relationship Between Gait And Attention With Possible Implications For Early Identification And Intervention, Yocheved Bensinger-Brody

Dissertations, Theses, and Capstone Projects

The aim of this research was to evaluate how increased levels of challenge to attentional capacity would affect the motor planning and coordination in the gait of children at risk of Developmental Coordination Disorder (DCD) across developmental ages. The study incorporated a dual task paradigm requiring both motor and attention performance, with the primary hypothesis that children who are at risk of DCD across different ages (3- to 8 yrs.-of-age) would demonstrate an alteration in their motor strategies if they were simultaneously engaging in an attention task. A secondary hypothesis of this study was that there is an underlying deficit …

Effect Of The New York City Overdose Prevention Program On Unintentional Heroin-Related Overdose Death, 2000-2012, Anne Elizabeth Siegler

Dissertations, Theses, and Capstone Projects

Background: Drug overdose mortality is the leading cause of injury death in both the United States (US) and New York City (NYC). Heroin-related overdoses make up the majority of overdoses in NYC. Since 2006, when a law was passed that allowed for layperson administration of naloxone, an opioid antagonist, heroin-related overdose deaths have decreased in NYC. No studies to date have investigated a possible association between the implementation of this intervention and heroin-related overdose mortality.

Objectives: To investigate the possible association between overdose prevention programs (OPPs) and heroin-related overdose mortality in NYC, using interrupted time series and geospatial analytic …

The Audiometric Profile Of Young Adults Who Report Difficulty With Speech Perception In Noise, Michael R. Higgins

Dissertations, Theses, and Capstone Projects

This study examined speech perception abilities in young adults (18-24 years) who reported having difficulty perceiving speech in the presence of background noise despite clinically-normal hearing. The purpose of this study was to compare the audiometric profile of young adults with and without perceived difficulty with speech perception in noise. The Speech, Spatial and Qualities of Hearing Scale (SSQ) was administered to obtain a measure of how participants rate their speech perception in noise under different listening conditions. Audiometric tests included standard audiometric thresholds (250-8000 Hz), high frequency pure tone thresholds (9000-12,500 Hz), QuickSIN, distortion product otoacoustic emissions (DPOAEs), and …

Trauma, Mental Health, And Substance Use Among Homeless Families: The Importance Of Shelter Environment, Nisha Nicole Beharie

Dissertations, Theses, and Capstone Projects

Homelessness is at historical levels in the United States and New York City has not been immune to this nationwide trend. Homeless populations are not only increasing in number but are remaining in the shelter for longer periods of time. Homelessness, itself has been shown to have negative consequences on mental health and physical health, but its effects are particularly significant for families with children who have greater needs and who are more susceptible to negative experiences at early ages that can have lifelong impact. Despite this recent data there has been very little to no research on the potential …

Housing And The Environment: Smoking Triggers And Tobacco Smoke Exposure, Shannon Farley

Dissertations, Theses, and Capstone Projects

Background: Despite decades of smoking prevalence declines and more recent smoke-free indoor and outdoor air laws, smoking causes 400,000 preventable deaths and secondhand smoke (SHS) exposure leads to 40,000 deaths from respiratory and cardiovascular disease among non-smokers annually. Built and social environment factors linked to smoking include tobacco retailer density and neighborhood poverty. Housing environments including multiunit housing are linked to SHS exposure and adverse health outcomes.

Objectives: To investigate possible associations of different environmental factors with smoking, SHS exposure, and SHS-related health outcomes.

Methods: Many data sources were used: New York City Community Health Survey, Department of Consumer Affairs, …

Development Of Instructional Competencies For Assessing And Managing Suicide Risk For Baccalaureate Nursing Education, Abigail Kotowski

Dissertations, Theses, and Capstone Projects

Suicide is a major health problem and a leading cause of death throughout the world. Reforming health professional education has been identified as a primary goal for suicide prevention, and although nursing leadership is involved in this reform, nurses frequently lack the competence to care for patients in suicidal crisis. An identified gap in baccalaureate nursing education is instructional competencies for assessing and managing suicide risk. Instructional competencies are targeted components of knowledge, attitudes, and skills that nursing students need to know in order to assess and manage patients expressing suicidal ideation. This study aimed to develop a set of …

Attitudes Of Normal Hearing Listeners Towards Personal Sound Amplification Products: Sound World Solutions Cs50, Marisa Viets

Dissertations, Theses, and Capstone Projects

Over 23 million individuals in the United States have some degree of hearing loss but do not own hearing aids. Individuals may choose not to adopt hearing aid technology for an assortment of reasons, including the stigma associated with hearing aids, cost of the devices, or denying the effects of hearing loss. Prevalence of hearing aid usage remains low despite research indicating that untreated hearing loss is correlated with decreased quality of life and accelerated cognitive decline. In recent years, personal sound amplification products (PSAPs) have entered the market as simple, low cost, discreet devices in attempt to reach non-users …

Attitudes Of Normal Hearing Listeners Towards Personal Sound Amplification Products: Etymotic Bean, Jennifer Rhoades

Dissertations, Theses, and Capstone Projects

Despite the remarkable prevalence of hearing loss in the United States, only a small percentage of these individuals utilize hearing aids. Many factors have been associated with the non-adoption of hearing aids, including financial reasons and the stigma associated with hearing aid use. Personal sound amplification products (PSAP) have been recently introduced as a more discrete and less costly type of assistive listening technology. While the Food and Drug Administration does not approve these devices for individuals with hearing loss, they are advertised as being useful for boosting soft sounds and amplifying speech in the presence of background noise.

The …

An Electromyographic Comparison Of The Functional Performance Of The Gluteus Maximus Muscle In Prolonged Sitting Versus Standing Populations, Kerry Campagnola, Giusi Gerbino, Erica Johnson, Adrienne O’Keefe

Dissertations, Theses, and Capstone Projects

PURPOSE: A common clinical concern of Physical Therapists is the inexplicably weak gluteus maximus (GM) muscle; we hypothesized that this may be linked to the popular habit of prolonged sitting. The purpose of this study was to determine if surface electromyography (sEMG) output and timing of the GM and hamstrings muscles differed between people who sit for prolonged periods of time and people who stand for prolonged periods of time. METHODS: The design of our study was a single session case-control study. Subjects were 22 healthy adults (23-36 years old) who either sat or stood for 8-10 hours a day …

Development And Validation Of A Bangladeshi Pediatric Silhouette Scale (Bpss), Ana Mola

Dissertations, Theses, and Capstone Projects

There is no culturally congruent children's silhouette scale to understand how Bangladeshi mothers perceive their children's body sizes and weight categories. The purpose of this study was to develop and validate an ethnic congruent Bangladeshi Pediatric Silhouette Scale (BPSS) and a facial feature scale to assess the mothers' perceptions of their children's body sizes, weight categories and facial features. The study methodology was a quantitative, descriptive design with scale content validation. The sample was comprised of 29 Bangladeshis mothers ages 25-40 and their four-five year old children living in London, England and New York City. The Mola Facetool analyses revealed …

Age, Cognition, And Listening Effort, Sapna Mehta

Dissertations, Theses, and Capstone Projects

Older adults are reported to have more difficulty understanding degraded speech than younger adults. This may be due to greater recruitment of cognitive resources in adverse listening conditions. The purpose of this study was to examine the relationship between listening effort as measured by a dual task paradigm and cognitive abilities, specifically, working memory and selective attention, in normal-hearing older and younger adults in various background noise conditions. Results revealed that speech recognition scores were poorer for older adults, and speech recognition scores declined with decreasing signal-to-noise ratio. Stroop test scores suggested better selective attention ability in the younger participants, …

Assessment Of Physical Performance In Adolescents Of Varying Body Weight, Nicholas Dalonzo, Nicole Liquori, Nicole Savarese

Dissertations, Theses, and Capstone Projects

Fifty-one healthy adolescents of both gender without any neuromuscular, musculoskeletal or cardiopulmonary disorders and between the ages of 12 and 17 with a mean age of 14.09 years (SD: 1.45 years) were recruited to participate in the 6-minute walk test. Several measurements such as height, weight and leg length were taken before testing, along with heart rate, blood pressure and oxygen saturation (SPO2) before, after and 10 minutes post 6-minute walk test. Walk distance was also quantified and used as an outcome measure. The adolescents were divided into two groups prior to statistical testing. The first group was classified as …

Dancer Performance On The Lower Quarter Y Balance Test: A Longitudinal Study, Megan Dehey, Kelly Kaems, Molly Saunders, Gabrielle Schneider

Dissertations, Theses, and Capstone Projects

Purpose: There is a need in the current literature for further information regarding dancer performance on the Y Balance Test (YBT). This study tracked the test scores of a group of dancers to assess change over time and relationship of balance scores to injury risk. It is hoped that clinicians may be able to use the information found in this study to more accurately screen dancers for asymmetries, deficits, and changes over time using the YBT. Such screenings would allow for more effective care and better assessment of readiness to return to dance. Method: A group of 12 dancers between …

Attitudes Towards Music Levels At Orthodox Jewish Weddings, Evan Hirschhorn

Dissertations, Theses, and Capstone Projects

Noise induced hearing loss is a deficit in the sensorineural part of the hearing mechanism, produced by the damaging effects of overstimulation by high intensity sound levels, usually over a period of time. Much of the noise literature has focused on occupational noise; however, the noise levels measured at non occupational and recreational settings have been found to be notably high as well. Attitudes and behaviors may vary based on demographics as such hearing conservational practices may benefit by honing in on demographic information. In the Orthodox Jewish community, weddings have a central role in community life, attended by many …

The Effects Of Maximal Strength Training On Gait And Balance In Persons With Multiple Sclerosis: A Pretest Posttest Pilot Study, Janet Klein, David Park, Charles Wright, Michael Zervas

Dissertations, Theses, and Capstone Projects

Background: Physical Therapy strength training programs utilizing mild to moderate intensity are commonly prescribed to address many of the deficits found in multiple sclerosis, but studies examining the effectiveness of higher intensity strength training in gait and balance have not been performed. Maximal strength training (MST), which involves lifting nearly maximal weights (85-95% of an individual’s one repetition maximum [1RM]) with low repetitions, has been shown to improve functional abilities in both healthy and non-MS impaired populations. The higher intensity training used in MST may result in greater activation of the CNS, providing a greater stimulus to improvement than …

Interactions Between Descending And Somatosensory Inputs In Humans, Lisa Krivis, Ann Mackey, Maureen Mcdonough, Denise Uttaro

Dissertations, Theses, and Capstone Projects

In this study, we assessed the corticospinal integration in healthy people while seated. Corticospinal integration was assessed by establishing the latency and amplitude of motor evoked potentials (MEPs) evoked following transcranial magnetic stimulation (TMS) of the primary motor cortex area representing the leg muscles, and the latency and amplitude of spinally-mediated reflex responses. Further, the modulation pattern of the spinally-mediated reflex responses were determined following subthreshold and suprathreshold TMS. All compound muscle action potentials, descending motor or spinally-mediated reflexes were recorded from the leg muscles through surface electromyography. Both subthreshold and suprathreshold TMS induced a similar modulation pattern on the …

The Lived Experience Of Family Nurse Practitioners Performing Sexual Health Assessments, Madeleine Mary Lloyd

Dissertations, Theses, and Capstone Projects

Sexuality incorporates a multitude of feelings including beliefs, fantasies, and aspects of pleasure, intimacy, and reproduction. In addition, sexuality involves rights to gender identity and role, sexual acts and orientation. Sexual and reproductive health and rights is a global health, development, and human rights priority. Universal access to sexual and reproductive health is essential. Negative sexual health outcomes are increasing in the United States and sexuality is often a neglected area for health providers including nurses. With an increasing share of the primary care services nationally, family nurse practitioners (FNPs) have the means to provide quality sexual health care across …

Women Of Faith: Adaptation Of African American Women Breast Cancer Survivors, Pearline Lincoln Okumakpeyi

Dissertations, Theses, and Capstone Projects

The purpose of this study was to gain an understanding of the adaptation experience of African American women breast cancer survivors. The African American women's perception of the influence of faith on the breast cancer survivorship experience was explored.

This study utilized the directed qualitative content analysis method, which extracted themes and patterns that emerged in a narrative content. The 15 study participants were self-identified African American breast cancer survivors. The study was conducted using semi-structured interview questions that were derived from the modes of the Roy Adaptation Model (RAM). The discussion was framed within the context of the themes …