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Naloxone/Buprenorphine, Methadone, Naltrexone And Their Role In Medication Assisted Treatment, Robert Barrett 2021 Arcadia University

Naloxone/Buprenorphine, Methadone, Naltrexone And Their Role In Medication Assisted Treatment, Robert Barrett

Capstone Showcase

Abstract

Opioid use disorder (OUD) is an increasingly common diagnosis that has drastically increased in the last 5 years. Though multiple treatment modalities exist for treating OUD (naltrexone, buprenorphine, methadone), few studies have compared treatment outcomes in adults on long term therapy. This is an important topic to understand as providers as we will undoubtedly come into contact with patients either actively abusing opioid antagonists or in recovery from opioid abuse. Since the introduction of Oxycontin and subsequent over prescription of opioid analgesics, opioid overdoses have increased by over twelve-fold. Once providers began to realize a widespread pattern of abuse, …


How And Why Do People Value Nature? An Examination Of Nonmaterial Aspects Of Human-Nature Interactions., Tatiana Marquina 2021 University of Vermont

How And Why Do People Value Nature? An Examination Of Nonmaterial Aspects Of Human-Nature Interactions., Tatiana Marquina

Graduate College Dissertations and Theses

Nonmaterial benefits from nature, often labeled as cultural ecosystem services, represent a core dimension of human well-being. Yet despite their importance, these benefits and associated values remain overlooked in environmental assessments and decisions.

This dissertation applies insights from multiple disciplines to document nonmaterial dimensions of human-nature interactions across geographic contexts and user groups. As nonmaterial benefits can be hard to elicit and measure, this work uses multiple existing data collection methods and tests a novel data collection tool. First, I use a qualitative study design to explore values and stewardship practices associated with urban foraging in New York City, NY. …


The Origins Of Manufactured Dissent And The Efficacy Of Climate Change Narratives, Emma Elisabeth Giering 2021 University of Vermont

The Origins Of Manufactured Dissent And The Efficacy Of Climate Change Narratives, Emma Elisabeth Giering

Graduate College Dissertations and Theses

The year of 2020 revealed many things about the fragility of socially constructed institutions and the public trust which grants such entities legitimacy, which is perhaps what reinvigorated social discourse surrounding the existential threat posed by climate change. Amid a pandemic, Americans watched wildfires engulf much of the west coast, environmental regulations unravel in the hands of the Trump administration, and Wall Street begin trading futures contracts on the U.S.’s water supply. Given the ever-expanding record of environmental travesties, how are citizens to respond, and from where should they derive their inspiration for response?

This thesis answers the above question …


The Role Of Infralimbic Cortex In Switching Between An Instrumental Behavior’S Status As A Goal-Directed Action Or Habit, Matthew Broomer 2021 University of Vermont

The Role Of Infralimbic Cortex In Switching Between An Instrumental Behavior’S Status As A Goal-Directed Action Or Habit, Matthew Broomer

Graduate College Dissertations and Theses

In instrumental learning, extensive training of a response typically generates a habit. The transition from goal-directed to habitual behavioral control is often considered unidirectional; however, recent evidence suggests this is not the case. Under certain conditions, goal-directed control may be restored to a behavior that was previously habitual. We identify the infralimbic cortex (IL) as a participant in this process and draw on both instrumental learning and fear extinction literatures to further our understanding of IL function.

Four experiments explored the role of IL in flexible behavior. Experiments 1a and 1b were instrumental learning experiments. Experiment 1a used a previously …


Smart Homes For Smart Health: Developing An Interactive System To Reduce In-Home Secondhand Smoke, Christie Kika, Janice Han, Vincent Berardi 2020 Chapman University

Smart Homes For Smart Health: Developing An Interactive System To Reduce In-Home Secondhand Smoke, Christie Kika, Janice Han, Vincent Berardi

Student Scholar Symposium Abstracts and Posters

Smoke from any source is potentially harmful because it contains fine particulate matter that is associated with acute and chronic conditions. Second-hand smoke (SHS) is particularly unsafe for children due to biological characteristics (higher breathing rates, immature lungs and underdeveloped immune systems) that make it difficult to filter toxins.To address this concern, we recently completed Project Fresh Air (PFA), an NIH-funded R01 intervention that installed air particle sensors in the households of tobacco smokers who lived with children. The purpose of our research is to investigate and develop efficient smart home devices that monitor SHS in various living spaces to …


Historical Trauma Response Scores As A Function Of Unresolved Grief And Substance Use Disorder In American Indian Populations, Andrew R. Saunders 2020 University of Missouri-St. Louis

Historical Trauma Response Scores As A Function Of Unresolved Grief And Substance Use Disorder In American Indian Populations, Andrew R. Saunders

Undergraduate Research Symposium

Abstract

Researchers are interested in the outcomes of interventions, specifically, measuring historical trauma (HT) among American Indian/Alaska Native communities and the long-term distress and substance abuse as a result of historical trauma response (HTR). Previous literature has implicated limitations in the clinical conceptualization of the relationship between intergenerational transfer of HTR and substance abuse. The aim of the current study is to examine treatment efficacy of 50 homosexual, American Indian males randomized to a culturally-adapted juxtaposition of (1) Group Interpersonal Psychotherapy (IPT), (2) Cognitive Processing Therapy (CPT), and (3) Historical Trauma and Unresolved Grief Intervention (HTUG), or (4) waitlisted on …


Does An Empathic Pre-Visit Conversation With Another Team Member Improve Perceived Surgeon Empathy?, Lindy Derkzen, Janna S E Ottenhoff, Carrie Barron, David Ring 2020 Dell Medical School, University of Texas at Austin

Does An Empathic Pre-Visit Conversation With Another Team Member Improve Perceived Surgeon Empathy?, Lindy Derkzen, Janna S E Ottenhoff, Carrie Barron, David Ring

Patient Experience Journal

Orthopedic surgeon specialists can help alleviate symptoms and reduce self-reported activity limitations by addressing stress, distress, and unhelpful cognitive biases regarding pain (e.g., “hurt equals harm”). But noticing mental and social health opportunities in specialty care can harm the patient-surgeon relationship. This study evaluated the ability of an empathic pre-visit conversation by another team member to improve the patient-surgeon relationship measured as perceived empathy. Factors associated with pain intensity, magnitude of self-reported activity limitations, symptoms of depression, and satisfaction with the surgeon were also studied. We enrolled 100 patients visiting an orthopedic surgeon for the first time. Prior to the …


Determining The Effectiveness Of A Peer Support Person In Individuals With Depression Symptoms, Donna K. Reeves 2020 Abilene Christian University

Determining The Effectiveness Of A Peer Support Person In Individuals With Depression Symptoms, Donna K. Reeves

Electronic Theses and Dissertations

Abstract

This study’s aim was to evaluate the effectiveness of an existing peer support program as an adjunct treatment for patients with depression. This retrospective evaluation analyzed the total scores of 110 patients with depression on the PHQ-9 questionnaire at the initial assessment (Time 1), at 6-weeks (Time 2), and then at 12-weeks (Time 3). The participants were divided into two groups, those who enrolled in a peer support program (n = 55) and those without peer support (n = 55). PHQ-9 total scores for each time interval were compared for the two groups utilizing independent sample t-tests …


Mindfulness Therapy Is An Effective Adjunctive Treatment For Adolescents Living With Hiv, Samantha Rea 2020 Wayne State University School of Medicine, Detroit, Michigan

Mindfulness Therapy Is An Effective Adjunctive Treatment For Adolescents Living With Hiv, Samantha Rea

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Webb L, Perry-Parrish C, Ellen J, Sibinga E. Mindfulness instruction for HIV-infected youth: a randomized controlled trial. AIDS Care. 2018;30(6):688–695. https://doi.org/10.1080/09540121.2017.1394434


Inpatient Motivational Interviewing For Adolescent Type 1 Diabetics With Poor Glycemic Control Is Ineffective, Andrew L. Roberts 2020 Wayne State University School of Medicine, Detroit

Inpatient Motivational Interviewing For Adolescent Type 1 Diabetics With Poor Glycemic Control Is Ineffective, Andrew L. Roberts

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Wang Y-C, Mackenzie M, Nakonezny PA, et al. A randomized controlled trial comparing motivational interviewing in education to structured diabetes education in teens with type 1 diabetes. Diabetes Care. 2010;33(8):1741-1743. https://doi.org/10.2337/dc10-0019.


Elaia 2020, Stephen Case 2020 Olivet Nazarene University

Elaia 2020, Stephen Case

ELAIA

No abstract provided.


Empowering Nurses Of Minority In The Face Of Incivility And Bullying: Through The Lens Of Phenomenology, Corrine Floyd 2020 University of Missouri-St. Louis

Empowering Nurses Of Minority In The Face Of Incivility And Bullying: Through The Lens Of Phenomenology, Corrine Floyd

Dissertations

Abstract

Up to 85% of nurses have reported exposure to incivility in the workplace (Hunt & Marini, 2012). The often-subtle nature of incivility toward nurses in a minority population may partially explain why it remains a problem. Healthcare organizations realize the need for civility to counter the high turnover rate, staff shortages, and low job satisfaction reported by nurses, but lack understanding of how nurses of a minority population perceive incivility and bullying. This study aimed to answer the research question how do nurses with minority representation experience incivility and bullying versus empowerment in the workplace? A descriptive phenomenological design …


When Pandemic Hits: Exercise Frequency And Subjective Well-Being During Covid-19 Pandemic, Ralf Brand, Sinika Timme, Sanaz Nosrat 2020 University of Potsdam

When Pandemic Hits: Exercise Frequency And Subjective Well-Being During Covid-19 Pandemic, Ralf Brand, Sinika Timme, Sanaz Nosrat

Publications and Research

The governmental lockdowns related to the COVID-19 pandemic have forced people to change their behavior in many ways including changes in exercise. We used the brief window of global lockdown in the months of March/April/May 2020 as an opportunity to investigate the effects of externally imposed restrictions on exercise-related routines and related changes in subjective well-being. Statistical analyses are based on data from 13,696 respondents in 18 countries using a cross-sectional online survey. A mixed effects modeling approach was used to analyze data. We tested whether exercise frequency before and during the pandemic would influence mood during the pandemic. Additionally, …


Overcoming Challenges In The Assessment And Treatment Of Problem Behavior In Adults With Autism, Julia A. Iannaccone 2020 The Graduate Center, City University of New York

Overcoming Challenges In The Assessment And Treatment Of Problem Behavior In Adults With Autism, Julia A. Iannaccone

Dissertations, Theses, and Capstone Projects

Problematic behaviors, such as self-injurious behavior or aggression, demonstrated by adults with autism spectrum disorder (ASD), create many significant life complications, some life-threatening. Applied Behavior Analysis (ABA) is established as an evidence-based approach to treat problem behavior for children with ASD and shows promise as an effective treatment for adults, yet little research has been conducted within the adult population. Assessment and treatment of problem behavior with adults is often challenging due to funding limitations, increased severity and complexity of problem behavior, and underqualified staff. The purpose of the present study was to overcome these challenges by (1) identifying a …


Temporal Discounting And The Assessment And Treatment Of Academic Procrastination, Anthony Concepcion 2020 University of South Florida

Temporal Discounting And The Assessment And Treatment Of Academic Procrastination, Anthony Concepcion

USF Tampa Graduate Theses and Dissertations

Many individuals engage in procrastination at some point in their lifetime. Although procrastination is usually not detrimental, for college students, academic procrastination is correlated with adverse health effects (e.g., anxiety, depression, sleep hygiene) and poor academic performance (Akinsola, et al., 2007; Ferrari, et al., 1995). Furthermore, the prevalence of academic procrastination is high with reports of up to 95% of college students engaging in detrimental amounts of procrastination (Hussain & Sultan, 2010). Notably, students enrolled in online courses are likely to be at greater risk to experience adverse consequences associated with procrastination (Elvers, et al, 2003). Previous studies have focused …


Evaluating Public Posting, Goal Setting, And Rewards To Increase Physical Activity In Children, Bryon G. Miller 2020 University of South Florida

Evaluating Public Posting, Goal Setting, And Rewards To Increase Physical Activity In Children, Bryon G. Miller

USF Tampa Graduate Theses and Dissertations

In Experiments 1 and 2 we evaluated a pedometer-based intervention consisting of public posting between two teams of students, with additional self-monitoring, goal setting, and reinforcement components, to increase physical activity during school recess. In the absence of self-monitoring, performance feedback alone did not increase physical activity levels above those observed during baseline. Additionally, higher levels of physical activity were observed when goal-setting was introduced, with the highest levels of activity observed when raffle tickets could be earned for exceeding a specified step-total goal. In Experiment 3 we removed the team component and evaluated similar intervention components across an entire …


Evaluating Small-Scale Simulation For Teaching Abduction Prevention Skills, Jessica E. Ritzmann 2020 University of South Florida

Evaluating Small-Scale Simulation For Teaching Abduction Prevention Skills, Jessica E. Ritzmann

USF Tampa Graduate Theses and Dissertations

Approximately 1,600 attempted kidnappings occurred within 2018 (National Center for Missing & Exploited Children, 2019). In a 2016 report by Wolak, Finkelhor, and Sedlak, of the 105 stereotypical kidnappings that occurred in 2011, many resulted in sexual assault, the children are never found, or death. These dangerous circumstances warrant a method of teaching safety skills to children to avoid abduction. Research has shown that small-scale simulation is effective for teaching firearm safety to 3- to 5-year-olds children (Maxfield, Miltenberger, & Novotny, 2019). This research has not been applied to abduction prevention safety. The current study aimed to address this research …


Stress In Groups: Lessons From Non-Traditional Rodent Species And Housing Models, Annaliese K. Beery, Melissa M. Holmes, Won Lee, James P. Curley 2020 Smith College

Stress In Groups: Lessons From Non-Traditional Rodent Species And Housing Models, Annaliese K. Beery, Melissa M. Holmes, Won Lee, James P. Curley

Neuroscience: Faculty Publications

A major feature of life in groups is that individuals experience social stressors of varying intensity and type. Social stress can have profound effects on health, social behavior, and ongoing relationships. Relationships can also buffer the experience of exogenous stressors. Social stress has most commonly been investigated in dyadic contexts in mice and rats that produce intense stress. Here we review findings from studies of diverse rodents and non-traditional group housing paradigms, focusing on laboratory studies of mice and rats housed in visible burrow systems, prairie and meadow voles, and mole-rats. We argue that the use of methods informed by …


A Comprehensive Examination Of The Immediate Recovery Of Children Following Tonsillectomy And Adenoidectomy, Bryan K. Lao, Zeev N. Kain, Dina Khoury, Brooke N. Jenkins, Jeremy Prager, Robert S. Stevenson, Brenda Golianu, Jeannie Zuk, Jeffrey I. Gold, Qiu Zhong, Michelle A. Fortier 2020 Duke University

A Comprehensive Examination Of The Immediate Recovery Of Children Following Tonsillectomy And Adenoidectomy, Bryan K. Lao, Zeev N. Kain, Dina Khoury, Brooke N. Jenkins, Jeremy Prager, Robert S. Stevenson, Brenda Golianu, Jeannie Zuk, Jeffrey I. Gold, Qiu Zhong, Michelle A. Fortier

Psychology Faculty Articles and Research

Objectives

Using multiple well-validated measures and a large sample size, the goal of this paper was to describe the immediate clinical and behavioral recovery of children following tonsillectomy with or without an adenoidectomy (T&A) during the first two weeks following surgery.

Study design

Observational, longitudinal study.

Setting

Four major pediatric hospitals in the U.S. consisting of Children's Hospital of Orange County, Children's Hospital of Los Angeles, Lucile Packard Children's Hospital, and Children's Hospital Colorado.

Subjects

and Methods: Participants included 827 patients between 2 and 15 years of age who underwent tonsillectomy with or without adenoidectomy surgery. Baseline and demographic …


The Role Of Dopamine In Decision Making Processes In Drosophila Melanogaster, Michelle C. Bowers 2020 University of San Diego

The Role Of Dopamine In Decision Making Processes In Drosophila Melanogaster, Michelle C. Bowers

Undergraduate Honors Theses

Understanding the neural processes that mediate decision making is a relatively new field of investigation in the scientific community. With the ultimate goal of understanding how humans decide between one path and another, simpler models such as Drosophila Melanogaster, the common fruit fly, are often utilized as a way of determining the neural circuits involved in these decision-making processes. One of the most important decisions flies make is the decision of where to lay their eggs (oviposit). Choosing the proper substrate upon which to lay eggs is a crucial decision that can ultimately impact their fecundity. This paper investigates the …


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