Medicine and Health Sciences Commons^™

Retaining The Next Generation Of Nurses: The Wisconsin Nurse Residency Program Provides A Continuum Of Support, Marilyn Meyer Bratt

College of Nursing Faculty Research and Publications

Because of the high costs associated with new graduate nurse turnover, an academic-service partnership developed a nurse residency program that provides a comprehensive support system that spans 15 months. Now in its fourth year, involving more than 50 urban and rural hospitals of varying sizes and geographic locations, the program provides formalized preceptor training, monthly daylong educational sessions, and mentoring by clinical coaches. Key factors contributing to the success of this program are a dedicated, cohesive planning team of individuals who embrace a common agenda, stakeholder buy-in, appropriate allocation of resources, and clear articulation of measures of success, with associated …

Increased Children’S Access To Fluoride Varnish Treatment By Involving Medical Care Providers: Effect Of A Medicaid Policy Change, Christopher Okunseri, Aniko Szabo, Scott Jackson, Nicholas M. Pajewski, Raul I. Garcia

School of Dentistry Faculty Research and Publications

Background. In 2004, the State of Wisconsin introduced a change to their Medicaid Policy allowing medical care providers to be reimbursed for fluoride varnish treatment provided to Medicaid enrolled children.

Objective. To determine the extent by which a state-level policy change impacted access to fluoride varnish treatment (FVT) for Medicaid enrolled children.

Data Source. The Electronic Data Systems of Medicaid Evaluation and Decision Support database for Wisconsin from 2002 to 2006.

Study Design. We analyzed Wisconsin Medicaid claims for FVT for children between the ages of 1 and 6 years, comparing rates in the prepolicy period (2002–2003) to the period …

Phonological Accuracy And Intelligibility In Connected Speech Of Boys With Fragile X Syndrome Or Down Syndrome, Elizabeth Barnes, Joanne Roberts, Steven Long, Gary E. Martin, Mary C. Berni, Kerry C. Mandulak, John Sideris

Speech Pathology and Audiology Faculty Research and Publications

Purpose: To compare the phonological accuracy and speech intelligibility of boys with fragile X syndrome with autism spectrum disorder (FXS-ASD), fragile X syndrome only (FXS-O), Down syndrome (DS), and typically developing (TD) boys.

Method: Participants were 32 boys with FXS-O (3–14 years), 31 with FXS-ASD (5–15 years), 34 with DS (4–16 years), and 45 TD boys of similar nonverbal mental age. We used connected speech samples to compute measures of phonological accuracy, phonological process occurrence, and intelligibility.

Results: The boys with FXS, regardless of autism status, did not differ from TD boys on phonological accuracy and phonological …

Current Medical Research Winter 2007/Spring 2008, Richard Fehring

College of Nursing Faculty Research and Publications

No abstract provided.

Relationships Among Perceived Burden, Depressive Cognitions, Resourcefulness, And Quality Of Life In Female Relatives Of Seriously Mentally Ill Adults, Jaclene A. Zauszniewski, Abir K. Bekhet, M. Jane Suresky

College of Nursing Faculty Research and Publications

Providing care and support to a seriously mentally ill (SMI) family member can have deleterious effects on one's health and quality of life. This study explored relationships among perceived burden, depressive cognitions, resourcefulness, and quality of life in 60 African-American and Caucasian women family members of SMI adults. Caucasians reported greater burden than African-Americans; the groups were similar in depressive cognitions, resourcefulness, and quality of life. In Caucasians and African-Americans, burden correlated with depressive cognitions and both correlated with poorer mental health. In African-Americans, burden also correlated with lower personal resourcefulness and both correlated with poorer mental health. The findings …

The Incidence Of Maxillary Sinus Retention Cysts In Orthodontic Patients, Jose A. Bosio

School of Dentistry Faculty Research and Publications

Maxillary sinus retention cysts are occasionally found on dental radiographs. The objective of this study was to verify the frequency of maxillary sinus retention cysts in consecutive panoramic radiographs from 173 patients (77 males, 96 females) in an orthodontic office. The chi-square test was used for statistical analysis. Ten patients (5.8%) of the total sample presented a maxillary sinus retention cyst. Males had a higher frequency (9.1%) than females (3.1%), but this difference was not significant (P > .05). Overall, the frequency of maxillary sinus retention cysts in orthodontic patients is rather low and does not differ from the general population.

The Roles Of Physical Therapists In Wound Management, Part Iii: Select Biophysical Technologies And Management Of Patients With Diabetic Foot Ulceration, Luther C. Kloth

Physical Therapy Faculty Research and Publications

No abstract provided.

Predictors And Outcomes Of Postpartum Mothers' Perceptions Of Readiness For Discharge After Birth, Marianne E. Weiss, Lisa Lokken

College of Nursing Faculty Research and Publications

Objective: To identify predictors and outcomes of postpartum mothers' perceptions of their readiness for hospital discharge. Design: A correlational design with path analyses was used to explore predictive relationships among transition theory-related variables. Setting: Midwestern tertiary perinatal center. Participants: One hundred and forty-one mixed-parity postpartum mothers who had experienced vaginal birth or Cesarean delivery of normal healthy infants. Methods: Before hospital discharge, patients completed questionnaires about sociodemographic characteristics, hospitalization factors, quality of discharge teaching, and readiness for discharge. Three weeks postdischarge, mothers were contacted by telephone to collect coping difficulty and health care utilization data. Main Outcome Measures: Readiness for …

The Catholic Physician And Natural Family Planning: Helping To Build A Culture Of Life, Richard Fehring

College of Nursing Faculty Research and Publications

This paper is based on the author's answer to a question from Theresa Notare, director of the Natural Family Planning Program of the U.S. Conference of Catholic Bishops, about what Catholic scientists and physicians can do to promote NFP and what the Catholic Church in the United States can do to help physicians and health professionals promote NFP. The paper reviews the Church's historical call for health professionals to study and to teach NFP methods, briefly analyzes the current state of NFP in Catholic health care, and provides an answer to Dr. Notare from the perspectives of research, education, and …

Elastic, Viscous, And Mass Load Effects On Poststroke Muscle Recruitment And Co-Contraction During Reaching: A Pilot Study, Tina M. Stoeckmann, Katherine J. Sullivan, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

Background: Resistive exercise after stroke can improve strength (force-generating capacity) without increasing spasticity (velocity-dependent hypertonicity). However, the effect of resistive load type on muscle activation and co-contraction after stroke is not clear.

Objective: The purpose of this study was to determine the effect of load type (elastic, viscous, or mass) on muscle activation and co-contraction during resisted forward reaching in the paretic and nonparetic arms after stroke.

Design: This investigation was a single-session, mixed repeated-measures pilot study.

Methods: Twenty participants (10 with hemiplegia and 10 without neurologic involvement) reached forward with each arm against equivalent elastic, viscous, and mass loads. …

Contributions Of Supportive Relationships To Heart Failure Self-Care, Margaret Sebern, Barbara Riegel

College of Nursing Faculty Research and Publications

Supportive relationships are known to improve outcomes for persons with heart failure (HF). Supporters may do so by improving self-care, but little is known about the influence of supportive relationships on HF self-care.

The purpose of this study was to explore background characteristics associated with supportive relationships, and the contribution of supportive relationships to HF self-care. The construct of shared care was used to operationalize supportive relationships. Shared care refers to a system of interpersonal processes (communication, decision making, and reciprocity) used in close relationships to exchange support. A cross sectional design was employed recruiting 75 HF dyads.

Older patients …

The Correlation Of Dental Arch Width And Ethnicity, Thomas W. Radmer, L Thomas Johnson

School of Dentistry Faculty Research and Publications

This study sought to demonstrate a correlation between arch width, ethnic background, individual height, weight, and whether orthodontic treatment had been rendered. Conclusions revealed that arch widths were significantly larger (p= 0.002 for the mandible and p= 0.008 for the maxilla) in non-Whites than in Whites. In addition, arch widths of the mandible were significantly larger in individuals who had had orthodontic treatment compared to those who had not (p=0.005). This did not carry through to those arch widths in the maxilla of orthodontic versus nonorthodontic care (p=0.258).

The Acrocallosal Syndrome: A Case Report And Literature Survey, Brian Hodgson, Lindsey Davies, Cesar Gonzales

School of Dentistry Faculty Research and Publications

Acrocallosal syndrome (ACS) is a rare, genetically transmitted disorder characterized by facial deformities. These include a large forehead, large anterior fontanelle, broad nasal bridge with increased intercanthal distance, partial or complete agenesis of the corpus callosum, polysyndactyly, polydactyly, and mental retardation. Limited information concerning the dental development and treatment has been published. In addition to the classic facial deformities aforementioned, the other most commonly reported oral findings are: short philtrum/upper lip (30%); high-arched palate (30%); cleft lip/palate (20%); micro/retrognathia (13%); open mouth (15%); thin lips (11%); and 1 report of over-retained primary teeth. Seizure disorders are also a common finding …

The Roles Of Physical Therapists In Wound Management, Part Ii: Patient And Wound Evaluation, Luther C. Kloth

Physical Therapy Faculty Research and Publications

No abstract provided.

Factors Associated With Receipt Of Preventive Dental Treatment Procedures Among Adult Patients At A Dental Training School In Wisconsin, 2001-2002, Christopher Okunseri, Ruta Bajorunaite, Jessica Mehta, Brian D. Hodgson, Anthony Iacopino

School of Dentistry Faculty Research and Publications

Background: Gender differences in oral health-related quality of life and the fear of dental pain in seeking and receiving preventive dental care have been recognized and documented. Preventive dental treatment procedures (PDTPs) are commonly accepted as the primary approach to prevent dental disease.
Objective: We examined whether the likelihood of receiving PDTPs differed by gender in adult patients receiving dental care at a dental training institution in Milwaukee, Wisconsin.
Methods: Data from the Marquette University School of Dentistry electronic patient management database for 2001 through 2002 were analyzed. Descriptive, bivariate, and multivariable analyses were performed. The preventive procedures used in …

Repairing An Implant Titanium Milled Framework Using Laser Welding Technology: A Clinical Report, Soni Prasad, Edward A. Monaco, Jr.

School of Dentistry Faculty Research and Publications

The application of laser welding technology allows titanium to be welded predictably and precisely to achieve accurate fit of a milled framework. Laser energy results in localized heat production, thereby reducing thermal expansion. Unlike soldering, laser energy can be directed to a small area, making it possible to laser weld close to acrylic resin or ceramic. This article describes the use of laser welding to repair an implant titanium milled fixed denture. A quick, cost-effective, accurate repair was accomplished, and the repaired framework possessed adequate strength and the same precise fit as the original framework.

Neuroadaptations In The Cellular And Postsynaptic Group 1 Metabotropic Glutamate Receptor Mglur5 And Homer Proteins Following Extinction Of Cocaine Self-Administration, M. Behnam Ghasemzadeh, Preethi Vasudevan, Christopher Mueller, Chad Seubert, John R. Mantsch

Biomedical Sciences Faculty Research and Publications

This study examined the role of group1 metabotropic glutamate receptor mGluR5 and associated postsynaptic scaffolding protein Homer1b/c in behavioral plasticity after three withdrawal treatments from cocaine self-administration. Rats self-administered cocaine or saline for 14 days followed by a withdrawal period during which rats underwent extinction training, remained in their home cages, or were placed in the self-administration chambers in the absence of extinction. Subsequently, the tissue level and distribution of proteins in the synaptosomal fraction associated with the postsynaptic density were examined. Cocaine self-administration followed by home cage exposure reduced the mGluR5 protein in nucleus accumbens (NA) shell and dorsolateral …

Erosive Tooth Wear Among Children In The United States: Relationship To Race/Ethnicity And Obesity, Jesse Mcguire, Aniko Szabo, Scott Jackson, T. Gerard Bradley, Christopher Okunseri

School of Dentistry Faculty Research and Publications

Objective.  The study aims were to estimate the prevalence of erosive tooth wear (ETW) in children and to specifically examine its association with race/ethnicity and obesity in the United States.

Design.  We analysed data from the National Health and Nutrition Examination Survey (NHANES), 2003–2004. ETW was measured using the modified Smith and Knight Tooth Wear Index derived from the 1998 United Kingdom Adult Health Survey.

Results.  This study shows that 45.9% of children aged 13–19 years had evidence of ETW in at least one tooth. The prevalence of ETW was bilaterally symmetrical in all teeth examined and was most prevalent …

Normal Breathing Pattern And Arterial Blood Gases In Awake And Sleeping Goats After Near Total Destruction Of The Presumed Pre-Bötzinger Complex And The Surrounding Region, Katie L. Krause, Hubert Forster, T. Kiner, S. E. Davis, Joshua M. Bonis, B. Qian, Lawrence Pan

Physical Therapy Faculty Research and Publications

Abrupt neurotoxic destruction of >70% of the pre-Bötzinger complex (preBötzC) in awake goats results in respiratory and cardiac failure (Wenninger JM, Pan LG, Klum L, Leekley T, Bastastic J, Hodges MR, Feroah TR, Davis S, Forster HV. J Appl Physiol 97: 1629–1636, 2004). However, in reduced preparations, rhythmic respiratory activity has been found in other areas of the brain stem (Huang Q, St. John WM. J Appl Physiol 64: 1405–1411, 1988; Janczewski WA, Feldman JL. J Physiol 570: 407–420, 2006; Lieske SP, Thoby-Brisson M, Telgkamo P, Ramierz JM. Nature Neurosci 3: 600–607, 2000; St. John WM, Bledsoe TA. J Appl …

Efficacy And Efficiency In Natural Family Planning Services, Richard Fehring

College of Nursing Faculty Research and Publications

Relatively few Catholic couples in the United States use modern methods of natural family planning (NFP). So too, few Catholic physicians and health professionals prescribe the use of NFP methods for their patients. Reasons for low use of NFP methods include their perceived low efficacy; the complexity of learning, using, and teaching these methods; and the prolonged (and often unnecessary) required abstinence. Newer and simplified methods of NFP have been developed by physicians and scientists that are less complex and use modern technologies of detecting fertility and communicating instructions. Catholic physicians and scientists need to continue to answer the call …

Environment And Obesity In The National Children's Study, Leonardo Trasande, Christine E. Cronk, Maureen S. Durkin, Marianne E. Weiss, Dale A. Schoeller, Elizabeth A. Gall, Jeanne B. Hewitt, Aaron L. Carrel, Philip J. Landrigan, Matthew W. Gillman

College of Nursing Faculty Research and Publications

Objective: In this review we describe the approach taken by the National Children’s Study (NCS), a 21-year prospective study of 100,000 American children, to understanding the role of environmental factors in the development of obesity.

Data sources and extraction: We review the literature with regard to the two core hypotheses in the NCS that relate to environmental origins of obesity and describe strategies that will be used to test each hypothesis.

Data synthesis: Although it is clear that obesity in an individual results from an imbalance between energy intake and expenditure, control of the obesity epidemic will require understanding of …

Evaluation Of An Intimate Partner Violence Curriculum In A Pediatric Hospital, Norah L. Johnson, Carol Klingbeil, Marlene Melzer-Lange, Candi Humphreys, Matthew C. Scanlon, Pippa Simpson

College of Nursing Faculty Research and Publications

OBJECTIVE. Intimate partner violence harms victims as well as families and communities. Many barriers account for limited intimate partner violence screening by nurses. The purpose of this study was to measure how participation in a curriculum about screening parents for intimate partner violence, at a pediatric hospital, affects a nurse's knowledge, attitudes, behaviors, and self-efficacy for intimate partner violence screening.

METHODS. In this interventional, longitudinal study, data were collected before participation in an intimate partner violence screening curriculum, after participation, and 3 months later. The measurement tool was adapted from Maiuro's (2000) Self-efficacy for Screening for Intimate Partner Violence Questionnaire. …

Are The Outcomes Of Immediate And Early Single Tooth Implants Comparable To Conventionally Placed Implants?, Gary L. Stafford

School of Dentistry Faculty Research and Publications

Data Sources

Medline, Embase, the Cochrane Central Register of Controlled Trials (Central) and references of relevant studies were searched.

Study selection

Longitudinal studies [randomised controlled trials (RCT), clinical trials, cohort-studies and case series] were considered for evaluation. Retrospective studies were excluded. Only case series that investigated at least five patients were considered for inclusion. Outcome measures considered were implant survival, radiographical assessment of marginal peri-implant bone levels, dental-professional-assessed aesthetics, peri-implant biological structures (level of marginal gingiva, papilla index, probing depth, presence of plaque, bleeding on probing), patient satisfaction, and biological and technical complications.

Data extraction and synthesis

Articles were screened …

Structure, Composition, And Mechanical Properties Of Australian Orthodontic Wires, Brian M. Pelsue, Spiros Zinelis, T. Gerard Bradley, David W. Berzins, Theodore Eliades, George Eliades

School of Dentistry Faculty Research and Publications

Objective: To investigate the surface morphology, structure, elemental composition, and key mechanical properties of various sizes and tempers of Australian wires.

Materials and Methods: Three types of Australian wire were used: 0.016″ regular, 0.018″ regular+, and 0.018″ special+ (A.J. Wilcock, Whittlesea, Victoria, Australia). Each type of wire was subjected to scanning electron microscopy (SEM) analysis, x-ray energy dispersive spectroscopy (EDS) investigation, Vickers hardness testing, and tensile testing. The modulus of elasticity and ultimate tensile strength were determined. Hardness, modulus, and strength data were analyzed with one-way analysis of variance (ANOVA) and Tukey testing at the .05 level of significance.

Results: …

Does Plasma Ss-Endorphin Influence Exercise-Induced Hypoalgesia In Healthy Adults?, Kathy Lemley

Maria Dittman Library Research Competition: Student Award Winners

Anecdotal reports can be found in the literature of athletes who suffer from an injury, yet continue to participate in their sport with little or no pain. These reports have resulted in an interest in the possible role of stress, including exercise, in analgesia. Exercise-induced hypoalgesia (EIH), a decrease in pain perception following exercise, has been found to occur in healthy adults. In the 1970’s opioid peptides with analgesic properties were discovered (Dalayeun, Nores & Bergal, 1993). One of these peptides, β-endorphin, is believed to be released from the anterior pituitary into the circulation under a variety of stressors, including …

Numerical Modeling Of Hemodynamics In The Thoracic Aorta And Alterations By Dacron Patch Treatment Of Aortic Coarctation, Ronak Jashwant Dholakia

Master's Theses (2009 -)

Coarctation of the aorta (CoA) is a major congenital heart disease, characterized by a severe stenosis of the proximal descending thoracic aorta. Traditionally, surgery has been the treatment of choice for CoA. Dacron patch aortoplasty gained increased popularity after its introduction in the mid-twentieth century due to its advantages over other surgical treatment methods available at the time. A major complication with Dacron patch aortoplasty has been the formation of late aneurysm with as much as 51% incidence reported in follow up studies. The change in aortic morphology and formation of aneurysms after Dacron patch surgery could lead to local …

Comparison Of Porcelain Surface And Flexural Strength Obtained By Microwave And Conventional Oven Glazing, Soni Prasad, Edward A. Monaco, Jr., Hyeongil Kim, Elaine L. Davis, Jane D. Brewer

School of Dentistry Faculty Research and Publications

Statement of problem. Although the superior qualities of microwave technology are common knowledge in the industry, effects of microwave glazing of dental ceramics have not been investigated.

Purpose. The purpose of this study was to investigate the surface roughness and flexural strength achieved by glazing porcelain specimens in a conventional and microwave oven.

Material and methods. Thirty specimens of each type of porcelain (Omega 900 and IPS d.Sign) were fabricated and sintered in a conventional oven. The specimens were further divided into 3 groups (n=10): hand polished (using diamond rotary ceramic polishers), microwave glazed, and conventional oven …

The Role Of Physical Therapy In Wound Management - Part One, Luther C. Kloth

Physical Therapy Faculty Research and Publications

No abstract provided.

Understanding Relationships In Health Related Quality Of Life For Parents Of Children With Autism Spectrum Disorder, Norah Louise Johnson

Dissertations (1934 -)

Nurses encounter many parents of children with autism spectrum disorder (ASD). Both parents are under stress that ultimately impacts their health related quality of life (HRQL). Few studies assess the mediators of parenting stress on HRQL for both parents. This study explored the relationship of parenting stress, family functioning and HRQL for parenting dyads of children with ASD. Lazarus and Folkman's (1984) Transactional Model of Stress and Coping and Lakey and Cohen's (2000) Social Support Theory framed the study.

Implementing a cross sectional, descriptive design, 387 parents (n=64 dyads) of ASD-affected children, from 46 states, completed web-based surveys. Demographics, the …

Pretreatment Client Characteristics And Treatment Retention In An Intensive Outpatient Substance Abuse Treatment Program, Shauna Elizabeth Fuller

Dissertations (1934 -)

The effectiveness and efficacy of substance abuse treatment is well established. At the same time, clients often prematurely drop out of substance abuse treatment, negatively impacting their chances of achieving favorable outcomes. Investigating variables associated with treatment retention has become increasingly important considering one of the most robust findings in substance abuse treatment outcome research is the positive relationship between the amount of time spent in treatment and post-treatment outcomes (e.g., decreased drug/alcohol use, decreased criminal activity, improved social functioning). This study examined the relationship between pre-treatment client characteristics and treatment drop-out among 273 adults who were admitted to intensive …