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Full-Text Articles in Medicine and Health Sciences

Carpal Tunnel Syndrome: Risk Factors Among Hand Therapists, Suzanne Makielski Dec 1993

Carpal Tunnel Syndrome: Risk Factors Among Hand Therapists, Suzanne Makielski

Masters Theses

The following study examined the presence of risk factors among hand therapists for developing carpal tunnel syndrome. A review of the literature indicated a significant relationship between the incidence of carpal tunnel syndrome and manual workers whose occupational tasks involve repetitive wrist and hand movements. Hand therapists were characterized as manual workers while possessing specialized knowledge and skill in the evaluation and treatment of hand and wrist disorders. Biomechanical analysis of various "hands on" techniques revealed repetitive wrist and hand movements including the use of force and increased risk for injury associated with carpal tunnel syndrome. In order to determine …


The Effect Of Computer-Assisted Instruction On The Development Of Diagnostic Reasoning Skills Among Occupational Therapy Students, Judith Lynn Freeman Dec 1993

The Effect Of Computer-Assisted Instruction On The Development Of Diagnostic Reasoning Skills Among Occupational Therapy Students, Judith Lynn Freeman

Masters Theses

Diagnostic reasoning is an essential feature of the occupational therapy treatment process. Acquisition of diagnostic reasoning skills is difficult for students, however, because of paradoxical developmental limitations faced during transition from classroom to clinical learning environments. Educators in pre-professional occupational therapy curriculums are searching for educational methods to prepare students for diagnostic reasoning tasks inherent in practice.

This experimental study compared a computer-simulated diagnostic reasoning activity with a more traditional case study reviewing activity in terms of effect on accuracy of problem identification among occupational therapy students. Results found no significant difference between the effect of computer-assisted instruction and case …


The Biomechanical Analysis Of Two Types Of Place Kicks: The Toe And Instep Kicks, Kaylynn Albers Dec 1993

The Biomechanical Analysis Of Two Types Of Place Kicks: The Toe And Instep Kicks, Kaylynn Albers

Masters Theses

This study described the biomechanical differences between two styles of the place kick; the toe kick and instep kick. The biomechanical variables included joint angles, velocities, and displacements. Five high school age subjects kicked five trials of the toe kick and five trials of the instep kick at both 20 and 35 yards. The place kicks were filmed with a high speed camera, digitized and analyzed with peak 4.2 computer software.

The findings for joint angles were consistent with those found in the literature. The velocity for the kicking foot and the ball were lower in this study than found …


Adolescent Substance Use Patterns: Testing A Multidimensional Sociogenic Model, Eric O. Johnson Dec 1993

Adolescent Substance Use Patterns: Testing A Multidimensional Sociogenic Model, Eric O. Johnson

Dissertations

This dissertation begins with the understanding that behavior is a product of a variegated and complex web of social factors. Bringing this approach to the subfield of adolescent substance use, both substance use itself (alcohol, cigarettes and a broad range of illicit drugs) and the factors that influence such use are viewed as existing within the complex of demographic/structural, social contextual, attitudinal, and behavioral layers of adolescents' social worlds.

The Patterns of Adolescent Substance Use Typology, developed by Stanley S. Robin and me (1992a), is used to categories the overall level and kind of substance use, over time, that adolescents …


Access To Prenatal Care And County Size: Implications For Service Delivery, Ellen E. Whipple Dec 1993

Access To Prenatal Care And County Size: Implications For Service Delivery, Ellen E. Whipple

The Journal of Sociology & Social Welfare

The impact of population size across twenty-three west Michigan counties was examined to determine access to prenatal care, low birth weight, and infant mortality. Surveys were completed by forty-five managers of hospitals and county health departments. Service availability, sociodemographic, system-related and lifestyle factors were examined as contributors to perinatal support utilization. Low birth weight and infant mortality were highest in the small- and large-sized counties. Positive birth outcomes in medium-sized counties may have been due to greater availability of infant and child health services through health departments, and the targeting of resources to specific problem areas, such as smoking cessation. …


Comparative Effectiveness Of Therapeutic Strategies On Drug Knowledge And Drug Attitude In Inpatient Psychiatric Substance Abuse Population, Amber Haque Dec 1993

Comparative Effectiveness Of Therapeutic Strategies On Drug Knowledge And Drug Attitude In Inpatient Psychiatric Substance Abuse Population, Amber Haque

Dissertations

This study examined the effects of instructional strategies on the change of knowledge and attitude scores in mentally ill subjects with a history of substance abuse. Twenty subjects from a state psychiatric hospital were randomly divided into one control and three experimental groups. The study period was ten weeks with each session lasting forty five minutes, twice per week. Subjects studied issues relating to drug abuse outside scheduled sessions as they pleased. Pre- and post-test scores were measured by a drug abuse questionnaire developed at the Pennsylvania State University. Hypotheses formed were: (a) drug education improves knowledge and attitude in …


Can We Share Ethical Views With Other Religions?, Robert Hannaford Nov 1993

Can We Share Ethical Views With Other Religions?, Robert Hannaford

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, October 7, 1993.


Why Does Utilitarianism Seem Plausible?, John Dilworth Sep 1993

Why Does Utilitarianism Seem Plausible?, John Dilworth

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society - May 27, 1993.


Families Of People With A Severe Mental Illness: Role Conflict, Ambiguity And Family Burden, James G. Hanson Sep 1993

Families Of People With A Severe Mental Illness: Role Conflict, Ambiguity And Family Burden, James G. Hanson

The Journal of Sociology & Social Welfare

The perspective of families of people with a severe mental illness has become a focus of interest for mental health professionals. This paper reports the results of an ethnographic study of families' perceptions of dealing with a severe mental illness in their midst. The findings suggest that the families face continual role conflict and ambiguity as the illness moves through characteristic stages. Attention is given to the families' experience and needs and to social workers' responsibilities for involving and communicating with such families in order to reduce a portion of their burden.


Sds Non-Acrylamide Polymeric Gel-Filled Capillary Electrophoresis For Molecular Size Separation Of Protein, Devon Andres Aug 1993

Sds Non-Acrylamide Polymeric Gel-Filled Capillary Electrophoresis For Molecular Size Separation Of Protein, Devon Andres

Honors Theses

Sodium dodecyl sulfide (SDS) non-acrylamide gel-filled capillary columns are a new technology being used for analysis and separation of biotechnology-derived proteins. This research was to compare this new technology to the current methods of SDS polyacrylamide gel electrophoresis (SDS-PAGE) and high-performance size-exclusion chromatography (HPSEC). The molecular mass of four different recombinant proteins were determined by two commercialized SDS non-acrylamide gel-filled capillary columns, SDS-PAGE, and HPSEC. The data obtained showed that the SDS non-acrylamide gel-filled capillary columns were compatible with the SDS-PAGE technique for molecular mass determination. HPSEC was shown to be unreliable for molecular weight determination. SDS non-acrylamide gel-filled capillary …


The Use Of Activity Analysis By Occupational Therapists In Treatment Decisions, Hiromi Yoshikawa Aug 1993

The Use Of Activity Analysis By Occupational Therapists In Treatment Decisions, Hiromi Yoshikawa

Masters Theses

The use of activity analysis in occupational therapy daily practice was examined by survey. One hundred occupational therapists who serve as fieldwork educations received survey forms with thirty seven usable questionnaires being returned. The study found that all therapists were doing activity analysis as a mental process; however, only 2 therapists were using a written activity analysis form in their daily practice. Most subjects indicated that activity analysis is important to occupational therapy but that formal activity analysis is too time consuming. Several therapists recognized the benefits of completing formal activity analysis. The respondents identified selecting activities for treatment which …


The Place Of Ethics Centers In Higher Education, Douglas Ferraro Aug 1993

The Place Of Ethics Centers In Higher Education, Douglas Ferraro

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, September 28, 1995.


Attitudes Of Occupational Therapy Students Toward The Mentally Disabled, Patricia Mccarthy Aug 1993

Attitudes Of Occupational Therapy Students Toward The Mentally Disabled, Patricia Mccarthy

Masters Theses

Thirty-nine undergraduate occupational therapy and fifty-seven entry-level graduate occupational therapy students from eight randomly selected academic programs were surveyed using the Opinions About Mental Illness Scales ([OMI], Cohen and Struening, 1959) and the Mental Health Information Questionnaire ([MHIQ], Nunnally, 1961). Results revealed that both student groups’ knowledge toward the mentally disabled was more similar to the general public’s knowledge. Using a one-tailed t-test to compare the MHIQ factors revealed there was no statistically significant difference between the occupational therapy student groups.

Both student groups’ OMI factor scores were similar to an expert group for Factors A B, and D; however, …


The Acute Effects Of Cocaine In Pigeons Performing Under A Progressive-Ratio Schedule, Claudia Ann Jones Aug 1993

The Acute Effects Of Cocaine In Pigeons Performing Under A Progressive-Ratio Schedule, Claudia Ann Jones

Masters Theses

Although the progressive-ratio (PR) schedule has been used frequently to quantify the reinforcing effectiveness of self-administered drugs, it has seldom been used to examine the effects of drugs on food-maintained behavior and has never been used to evaluate the effects of cocaine on such behavior. In the present study, the effects of acute administrations of cocaine were evaluated in pigeons responding under a PR schedule of food delivery. Overall, cocaine produced a dose-dependent effect on food-maintained behavior. In general, acute administrations of cocaine at 0.56 to 3.2 mg/kg increased breaking points, whereas doses above 5.6 mg/kg decreased breaking points. Low …


Helping To Harm? The Ethical Dilemmas Of Managing Politically Sensitive Data, Sylvie C. Tourigny Jun 1993

Helping To Harm? The Ethical Dilemmas Of Managing Politically Sensitive Data, Sylvie C. Tourigny

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society - March 19, 1993.


Signal Processing With Neural Networks, Pero Smrzlic Jun 1993

Signal Processing With Neural Networks, Pero Smrzlic

Masters Theses

In this study, we introduce the Adaptive Back Propagation (ABP) learning algorithm, computationally superior to the standard Back Propagation. The ABP is based on the new activation function, with its corresponding adaptive learning parameter. By using the combination of computer simulations and analysis in the domain of activation function, the Method of One Hidden layer was developed for the effective utilization of units in one-hidden layer networks. A parallel version of the ABP was designed and implemented on a nCUBE-2 supercomputer with 128 processors.

The simulation results suggested a strong correlation between frequency of signals and the role of hidden …


Reasonable Children, Michael Pritchard May 1993

Reasonable Children, Michael Pritchard

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society - May 19, 1993.


Reformulation Of The Context Of Community Based Care, Phillip Fellin May 1993

Reformulation Of The Context Of Community Based Care, Phillip Fellin

The Journal of Sociology & Social Welfare

Community based care has traditionally been defined as residential location. An alternative is presented of including the patient's membership in multiple communities, both geographical and identificational. The literature on social supports is cited as a basis for social integration as a goal.


The Use Of Music Therapy To Influence The Self-Confidence And Hostility Of Adolescents Who Are Sexually Abused, Joy Clendenon-Wallen Apr 1993

The Use Of Music Therapy To Influence The Self-Confidence And Hostility Of Adolescents Who Are Sexually Abused, Joy Clendenon-Wallen

Masters Theses

The purpose of this study was to determine whether music therapy would be an effective therapeutic medium for reducing hostility and increasing the self-confidence of sexually abused adolescents. The study utilized an experimental and control group which is unique in the sexual abuse literature. Most studies are descriptive or quasi-experimental in nature. Some of the subjects increased their self-confidence and decreased their hostility although no statistical significance was achieved for either group. This study describes the treatment problems of sexually abused adolescents and offers examples of non-confrontational and goal directed treatment strategies which can be achieved through music therapy. Music …


Lounge Chair Criteria For The Elderly, Edna M. I. Bosco Apr 1993

Lounge Chair Criteria For The Elderly, Edna M. I. Bosco

Masters Theses

This study investigated relationships between lounge chair design, functional positioning and comfort for the elderly. Thirty-five elderly residents from two local congregate living residences were assessed utilizing lounge chairs located at the residence. Measurements of the chairs were taken, coded and compared to specific norms established by Harris and Mayfield (1983b). Measurements consisted of armrest dimensions, seat depth and height, seat slope, and backrest dimensions. Each chair was scored based on the number of recommended standards for comfort met in the Harris and Mayfield research (1983b).

Frequency counts were taken and descriptive data collected and analyzed to determine relationships between …


Correlates And Infant Mortality: Sudden Infant Death Syndrome Among Black Women In The United States, Paulette Aubrey Apr 1993

Correlates And Infant Mortality: Sudden Infant Death Syndrome Among Black Women In The United States, Paulette Aubrey

Masters Theses

Often referred to as "cot death" or "crib death," sudden infant death syndrome (SIDS) is the single leading cause of infant death in infants aged 28 days to 1 year of life. Although the exact etiology of SIDS remains unknown, epidemiological studies have identified risk factors associated with higher rates of SIDS. In this study, the relationship between sudden infant death syndrome and maternal education among black women who gave birth in the United States during 1983 was examined.

The population for this study consisted of black infants who were born in 1983 and died before their first birthday. Among …


Language Abilities Of Male Adolescents In A Juvenile Detention Center, Krista J. Klein Apr 1993

Language Abilities Of Male Adolescents In A Juvenile Detention Center, Krista J. Klein

Masters Theses

This study was designed to analyze the language abilities of male adolescents with delinquent behavior. It was based on the hypothesis that male adolescents with delinquent behavior would have lower language skills during expressive language tasks. Language skills of male adolescents in a juvenile detention center were examined by comparing 12 grammatical variables, four subtest scores, and one total score from the Screening Test for Adolescent Language (STAL; Prather, Ausdal-Breecher, Stafford & Wallace, 1980). Results indicated that the adolescents with delinquent behavior omitted significantly more words, but also produced significantly more secondary verbs in a narration task. Significantly lower results …


Language Skills Of Adolescents With Emotional Disorders, Diane T. Hardy Apr 1993

Language Skills Of Adolescents With Emotional Disorders, Diane T. Hardy

Masters Theses

The language abilities of adolescents with emotional impairments were examined to determine the differences that may occur between this population and that of a control group of similar age, race, and gender. Ten adolescents with emotional impairments and ten students in general education were examined using two procedures. The Screening Test of Adolescent Language (STAL) (Prather, Breecher, Stafford, & Wallace, 1980) includes four subtests: vocabulary, auditory memory span, language processing, and proverb explanation. A language sample was also gathered using a cartoon video narration task (Dollaghan, Campbell, & Tomlin, 1990) which examined for syntactic, semantic, and discourse variables.

Results indicated …


Story Writing By Students With Hearing Impairments, Lois A. Ketchum Apr 1993

Story Writing By Students With Hearing Impairments, Lois A. Ketchum

Masters Theses

Students with hearing impairments (N = 21) wrote a personal narrative each academic year from 1990 to 1992. These narratives were rated on maturity of the story as a whole and maturity of the language used in the story by senior undergraduate students in the education department at Western Michigan University. The method used for rating was a holistic magnitude estimation technique.

Significant change over time was found for story scores, but not language scores. Grade level was found to have no significant effect on change from first to last ratings for either story scores or language scores. Degree of …


Structuring Support For Volunteer Commitment: An Aids Services Program Study, Taryn Lindhorst, Ronald Mancoske Mar 1993

Structuring Support For Volunteer Commitment: An Aids Services Program Study, Taryn Lindhorst, Ronald Mancoske

The Journal of Sociology & Social Welfare

Since the AIDS epidemic began over a decade ago, the bulk of services for people living with HIV in the community setting have been provided by volunteers. Volunteers are confronted with the stigmatized status of people with HIV and must learn to manage multiple crisis issues. This paper describes research on volunteerism in a buddy program for people living with AIDS and the perceptions of volunteers about the structural supports of the volunteer program. Issues around perceptions of stress and the relationship between bereavement and volunteering are explored.