Medicine and Health Sciences Commons^™

Cultural Conflict In Medicine: A Moral Debate Between Paternalism And Patient Autonomy, Hannah Webb

Honors Theses

In today’s society filled with globalization and mass movement of people and ideas, there is an ever present question of how each individual society fits into the overall culture of a diversified country such as the United States. The idea of the US as a melting pot has triggered the inability to create a “one size fits all” style of living. In terms of medicine, westernized practices are typically accepted in a majority of the world. However, conflicting traditional practices as well as religious beliefs are still present in some areas of the world as well as in the US …

Differences Between Healthcare Systems In Costa Rica & The United States And How Those Differences Affect The Overall Quality Of Healthcare, Carlie Decker

Honors Theses

This thesis seeks to examine the similarities and differences between the healthcare system employed in Costa Rica and the healthcare system employed in the United States through a series of interviews and web-based research. Four healthcare system components will be examined in order to determine the success of each system. These components include health insurance coverage, access to pharmaceuticals, medical licensing requirements, and medical research.

Following the completion of the interviews and research, I found that United States citizens pay nearly four times the amount Costa Rican citizens do for health insurance coverage. This dramatic increase in price can be …

Physician Assistants: The Rise Of A Career From A Missed Opportunity In Nursing, Madeline Jary

Honors Theses

The implementation of the concept of mid-level providers in healthcare has undoubtedly contributed greatly to the solution of the physician shortage. This shortage of physicians had posed a problem in the delivery of health care for decades, particularly in rural areas. Nurse Practitioners and Physician Assistants as we know them today may not have existed without previous groundwork and inspiration. The introduction of the nurse clinician concept by Frances Reiter in 1943 led to the later development of a masters nurse clinician program at Duke University by Dr. Eugene Stead and Thelma Ingles. Despite the denial of accreditation of the …

A Holistic Approach To Therapy And Management Of Lower Back Pain, Lauren Ross

Honors Theses

My thesis project is focused on the concept of pain. It is a compilation of input from my intern advisor, a licensed physical therapist, and from my thesis advisor, a professor within the Integrative Holistic Health and Wellness department. It is an exploration of the origin, effects, development, types, perception, costliness and treatments of low back pain, through a holistic, anatomical, neurological and integrative approach. My research is expressed through a thorough power-point project with several diagrams, pictures and information, as well as a research paper containing significant detail.

This thesis project effectively defines what pain is in the body …

Secondary Analysis Of Adolescent And Young Adult Sexual Health In Kalamazoo And Jackson Counties, Kayla Bolter

Honors Theses

Based off of the Healthy People 2020 goals regarding sexual health behaviors and reduction in the proportion of gonorrhea infections among males and females ages 15-44, the purpose of this thesis to provide the necessary evidence that a sexual health education intervention needs to be implemented into the campus of Western Michigan University in order to reduce the rates of gonorrhea among college students aged 20-24 in Kalamazoo County. This is a secondary analysis that compared the reported gonorrhea rates in Kalamazoo County, Michigan to the reported rates of gonorrhea in Jackson County, Michigan. Several components were compared within each …

Secondary Analysis Of Adolescent And Young Adult Sexual Health In Kalamazoo And Jackson Counties, Jenna Moreau

Honors Theses

This secondary analysis is a comparison of two Counties, Kalamazoo and Jackson, to see if the presence of a university has impact on reported Chlamydia cases. Nationally, 20-24 year olds account for the highest number of reported Chlamydia infections. This age group also accounts for the large majority of college students that attend Western Michigan University found in Kalamazoo County. It is believed that by collecting this data, there will be an obvious need for implementation of an education intervention for students at Western Michigan University regarding sexual health.

It was proposed that there would be a higher prevalence of …

A Comparison Of Prostatic Acid Phosphatase With Testosterone And Prostate Specific Antigen For The Serodiagnosis Of Prostate Cancer In Adult Males, Hannah R. Rice

Honors Theses

Cancer is a hyperplastic cellular malignancy that affected 1,436,000 people (newly diagnosed cases) in the United States last year. The top three most frequent forms of cancer were lung, prostate, and breast. Oncogenesis is associated with both genetic predisposition and environmental onslaught, with a mixture of the two being required for the malignancy to progress. Tumor markers, circulating serum factors, are used in the diagnosis of cancer. Prostate cancer is one of the most prevalent forms of this malignancy, affecting 230,110 men in 2004 alone. Diagnosis of prostate cancer is currently performed using results of an assay for prostate specific …

Studying The Material Properties Of The Embryonic Chicken Heart, Kyra Burnett

Honors Theses

Congenital heart disease is the number one cause of birth defects in the United States, affecting approximately 40,000 newborns each year. Research has shown that serious structural defects of the heart can occur due to abnormal looping. Looping refers to the positional and morphological changes of the early embryo heart and is divided into different phases. Although progress has been made in identifying the genetic processes behind heart looping, the forces involved with the developmental process are still not fully understood. In this research, the chicken embryo heart was used as the experimental model and certain material properties were characterized. …

Physician Satisfaction: The Role Of E-Mail Communication In The Practice Of Medicine, Joaquin Alvarado

Honors Theses

Communication between a physician and a patient is an integral part to the healthcare delivery system. E-mail has the power to fully utilize a physician’s medical expertise for the good of the patient. However, many physicians do not offer this service to their patients in the United States. This study analyzes factors that impact e‐mail utilization among physicians and whether e-mail use contributes to career satisfaction of physicians using the 2008 Health Tracking and Physician Survey. Controlling for the effect of physician and practice characteristics, such as financial incentive for providing services, gender, specialty, practice type, and reliance on Medicaid …

Mental Illness: A History With Respect To The Care And Treatment Of The Mentally Ill Law And Public Policy And The Stigma Attached To The Affliction, Raisa Anwer

Honors Theses

This thesis contains the exploration of mental illness starting with how mental illness is defined today. The history of mental illness in America reveals a gross neglect of those afflicted with “madness,” as it was usually referred to. This thesis will focus on the treatment of the mentally ill from the 1900s to present day. There is an inherent stigma attached to mental illness and as modern and as civilized as the United States claims to be, it should be noted that mental illness is still as much taboo even today, rife with stories of the mentally ill being constantly …

The Effect Of Electronic Medical Record Sophistication On U.S. Hospital Emergency Department Efficiency, Imran Chaudhri

Honors Theses

A key concern in emergency departments (EDs) is their overall efficiency, One proposed solution to making EDs more efficient is the use of electronic medical records (EMRs). This paper seeks to determine if varying levels of EMR sophistication have an effect on measures of emergency department efficiency. Furukawa (2011) found that EMR sophistication had varying effects on ED efficiency. Fully functional EMRs significantly improved ED efficiency in multiple measures, while basic EMR varied on its effects on efficiency. Since Furukawa’s results are somewhat inconclusive, this study aims to see if these effects are longstanding. I hypothesize that as EMR became …

May The Best Person Not Lose, Nicholas Hayes

Honors Theses

Whereas previous research has investigated emotional reactions to positive and negative events and feedback, there is little evidence indicating which has a greater effect on individuals. The current research examined whether winning or losing has a stronger impact on individuals, focusing on if being labeled a “winner” or “loser” could enhance differences in emotion. Participants were randomly assigned to win or lose word search tasks, and were also randomly assigned to receive a “winner” or “loser” label after each task. Then, they completed a questionnaire that measured their current levels of positive and negative affect. Results indicated that people experienced …

History Of Concussion Research In American Football, Timothy Hersey

Honors Theses

Concussions have been the topic of discussion in the news and media in recent years for their profound impact on today’s sport industry. Athletes have become bigger, faster, and stronger then in the past, increasing the chance of injury. This can been seen in all sports. Contact sports specifically have seen a rise in mild traumatic brain injuries (MTBIs) over the years. Extensive research has been done to determine the causes of concussion, the short and long term effects of brain injury, and better ways to reduce the risk in sports. Concussion research in athletics has mainly focused on American …

Analysis Of Degenerative Cervical Spondylolisthesis And Corrective Orthopaedic Implants, Tyler Heck

Honors Theses

Back pain is often due to the degeneration of intervertebral discs, which can lead to a condition known as spondylolisthesis, whereby a vertebra slips out of position in the anteroposterior direction. There are numerous orthopaedic implants which are used by surgeons to correct this condition; however, there has been no conclusive research conducted in comparing the efficacies of these implants. In the cervical spine, this condition most commonly occurs over two levels. For the purposes of this study, an implant’s efficacy depends on its ability to return the slipped vertebra back into natural position immediately after surgery. To test these …

Investigating The Use Of Aptamers In Binding To The Human Follicle Stimulating Hormone Receptor, Ayon Ibrahim

Honors Theses

Oral contraceptive pills use high doses of hormone to suppress the reproductive arm of the endocrine system in women. However, these drugs can have harmful long term side effects such as increased risk of stroke, heart attack, and breast cancer. Therefore, it has become an important public health goal to look for alternative ways of providing contraception. Aptamers, oligonucleotides that bind to specific molecules due to their unique 3-dimensional structure, are one alternative that has yet to be explored. The goal of our research is to develop an RNA aptamer that will bind selectively to the hFSHR. We first incubated …

Reforming Primary Care In The United States: Analysis Of Deficiencies And Potential Solutions Based On Existing Models, Noah Joseph

Honors Theses

Primary care medicine is an essential component of the U.S. health care system, yet there is no other part of the health care system that is in greater trouble right now. Primary care is undergoing profound change in the United States, as evidenced by an increasingly sick population along with the concurrent decrease in the supply of doctors to care for that population. The passage and the Supreme Court’s upholding of the constitutionality of the Affordable Care Act (ACA) is but another confirmation of the need to improve upon primary care in the U.S. In this paper, the major deficiencies …

Maternal Stress And Support In Light Of Sibling Relationships For Families Of Developmentally Disabled Children, Olivia Joyce

Honors Theses

In the current research the role of sibling relationship in relation to caregivers’ stress and support levels in families of developmentally disabled children was investigated. Previous research has demonstrated the stresses and benefits both mothers and siblings of special needs children confront in raising and interacting with their child or sibling. Typically developing siblings have been shown to attenuate the disabled siblings’ problematic behaviors-the same behaviors that increase mothers’ stress levels the most (Rodrigue, Geffken, & Morgan, 1990). However, research regarding the effects of disabled siblings on typically developing siblings remains conflicted, such that both highly positive and highly negative …

The Role Of Relative Bmi Across Racial And Ethnic Groups: Impacts On Happiness Within The United States, Colin Knox

Honors Theses

Over the last generation, rising Body Mass Index (BMI) among Americans has had significant health and psychological impacts. My thesis uses data from over 1 million surveys from the Behavioral Risk Factor Surveillance System to examine the role of BMI in determining individual happiness. I specifically consider whether being surrounded by others who are overweight reduces the psychological cost of being overweight. Controlling for demographic factors, I create reference groups based on an individual’s state, sex, race and age. My thesis intends to show that individuals with a BMI higher than their reference group will be less happy.

The Design Of Patient-Specific Implants To Treat Bone Cancer, Shelby Marks

Honors Theses

Benign and malignant tumors often arise in bone due to metastasizing cancer. Thirty years ago limbs affected by tumors were treated with amputation, now with new technology, limb‐saving surgery is used most of the time; however, these surgical methods have limitations. Research shows a trend of using allografts and metallic implants to fill the bone gap once the tumor is resected. In some cases sections up to one third of the femur can be removed, sometimes disrupting the joint. There are many problems such as the integration and risk of failure in these implants. A more patient specific approach can …

The Effect Of Self-Esteem And Prosocial Tendencies On Helping Behavior In The Bystander Effect, Alexandra Napp

Honors Theses

While there has been considerable research on the bystander effect, little is known about how personality moderates the process. The current study examines the ways in which prosocial behavior and self-esteem moderate the bystander effect. In this study, participants were asked about their self-esteem and prosocial tendencies using the Rosenberg Self-Esteem Scale and the Prosocial Tendencies Measure, respectively. While completing their work, participants were exposed to an emergency situation in which the researcher apparently fell ill. The participants’ responses to the emergency were recorded. Surprisingly, participants lower in prosocial behavior were more likely to help than participants higher in prosocial …

Gender, Self-Esteem And Athleticism As They Predict Binge Drinking Behaviors Among College Students, Catherine O'Brien

Honors Theses

There is a plethora of research focusing on athleticism, self-esteem and alcohol consumption but few studies have aimed to find a connection between these three dimensions. While much of the previous research focused on just two of these dimensions, the present study aims to uncover how these dimensions influence and impact one another. Students from Union College participated in a survey-based study in which they were asked to complete three surveys, one for each dimension. These surveys were used to identify level of athleticism, self-esteem and binge drinking behaviors among athletes and non-athletes at Union College. Based on previous research …

Survival Processing And False Memories, Arielle Siniapkin

Honors Theses

Some researchers speculate memory systems are adaptations that arose to enable the storage of survival related information. Supporting this view, information processed for survival relevance and death relevance has been shown to produce a memory advantage that is superior to deep processing control conditions. While these procedures increase recall, the information retrieved is not necessarily accurate. The purpose of the present study was to investigate the effects of survival processing and death processing on the formation of false memories. In addition, through analyses of cumulative recall curves the extent of relational and item-specific processing was examined to explore the proximate …

Comparison Of Wild And Cultivated Extracts Of Cordyceps Sinensis Apoptotic Potential, Katelyn Staring

Honors Theses

Cordyceps sinensis is a mushroom which contains the compound cordycepin (3’-deoxyadenosine), an analogue of adenosine. In Traditional Chinese Medicine (TCM), cordycepin has multipurpose pharmacological uses including purported anti-tumor effects. In the present study, cordycepin was extracted from the wild mushroom as well as from various commercially available cultivated extracts. Previous research in this lab has demonstrated that cultivated extracts contain less cordycepin than the wild mushroom. However, it is unclear if the decrease in cordycepin correlates with decreased activity. To measure anti-tumor activity, extracts were used to treat human breast cancer cells (MCF-7 cells). In other labs, cordycepin has been …

The Right To Die, Samantha Steenburn

Honors Theses

In this thesis, I argue that, with certain procedural safeguards in place, physician‐assisted death (PAD) and euthanasia are morally permissible and should be an option for terminally ill patients. The first chapter introduces the history of PAD and euthanasia in the United States focusing on Oregon and Washington. Chapter two focuses on PAD in The Netherlands. Chapter three reviews philosophical arguments regarding PAD and details certain procedural safeguards such as medical friendships, consultations, and multiple opinions, which help to guarantee the moral acceptability of PAD and euthanasia. These safeguards also contribute to a relationship of beneficence from the physician to …

The Effect Of Trait Anxiety On The Fundamental Attribution Error, Eliot Tear

Honors Theses

Previous research has been conducted that suggests that those who have trait anxiety have lower working memory capacity. Lower working memory capacity has also been shown to increase the likelihood that one commits cognitive heuristics. In the current research, we examined the relationship between one’s level of trait anxiety and their chances of committing the fundamental attribution error (FAE). In the experiment participants were randomly selected into one of four different conditions. Then participants completed the Spielberger trait anxiety scale which was used to separate participants into low and high trait anxiety groups. In each condition participants read an essay …

Relations Between Oral Pharyngeal Size And Kinematic Measures Of Tongue Related Swallowing Movements, Danielle Monast

Honors Theses

Background: Though the tongue plays a critical role during the oral phase of swallowing, studies have found that the size and shape of tongue movements during swallowing can vary greatly among individuals. One factor that may contribute to this movement variability is oral-pharyngeal cavity geometry. A cavity with a different size and shape may require different movements for efficient swallowing. While there are a number of studies that have attempted to relate the oral-pharyngeal anatomy with features of orofacial movement, these studies focused on speech movements and no studies have directly evaluated the relation between swallowing related tongue movements and …

Understanding The Motivational Factors For College Students To Remain Non-Smokers, Chanler Hilley

Honors Theses

Cigarette smoking has long been recognized as a negative health behavior. Numerous studies have linked cigarette smoking to cancer, heart and circulatory problems, lung disease, and an array of other health issues, leading to lower quality of life and premature death. There is a wealth of knowledge relating to the negative outcomes of smoking behavior (USDHHS, 2010) and the factors leading to smoking behavior among adolescents (USDHHS, 2012). However, researchers have studied factors leading to nonsmoking behavior much less. The present study uses the Theory of Planned Behavior to understand the motivational factors that lead to a student's nonsmoking behavior, …

Female Division I Cross Country Runners: Is Balance An Issue?, Stephanie Taylor

Honors Theses

Injuries, including those resulting from falls, are virtually unavoidable in the sport of cross country. Due to the constantly changing terrains that cross country runners face, falls and injuries may be a more common aspect of the sport than previously thought. The strenuous nature of the sport and increased injury risk faced by runners are things that make being successful very difficult. Researchers have made connections between joint stability, muscle fatigue, proprioception, and muscle strength and injury/fall rate. Studies have found that balance abilities are lower in fatigued muscles. The frequent injury trends in distance runners show that many of …

A Beginner’S Guide To The Changing Male Voice, Brianna Connaughton

Honors Theses

No abstract provided.

Attitudes Of Clinically Practicing Registered Nurses In Southern Mississippi Toward Physician-Assisted Death, Robin E. Smith

Honors Theses

Problem

The purpose of this study is to discover unique themes related to the attitudes of nurses in Southern Mississippi toward physician-assisted death (PAD).

Methods

This study is a qualitative, inductive content analysis. The sample comprised three registered nurses currently practicing in Southern Mississippi. The researcher guided each participant’s one-hour interview with questions, then recorded and transcribed the texts for data analysis; and coded and analyzed data. Themes were selected if there was inter-rater agreement of 100% between the researcher and thesis adviser.

Results

The interview questions focused on (a) the presence or absence of support for legalization of PAD, …