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Iliotibial Band Length And Patellofemoral Pain Syndrome: Relationship Between Two Measurement Techniques, Duane Michael Scotti

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose: To determine the relationship between iliotibial band (ITB) length and the presence of patellofemoral pain syndrome (PFPS), compare the difference in ITB length between the painful knee and the non-painful knee in subjects with unilateral PFPS, determine the test-retest reliability, standard error of measurement, and minimal detectable change (MDC) of the Ober test and modified Thomas test, and explore the relationship between the Ober test and the modified Thomas test in measuring ITB length. Subjects: Forty-eight subjects were recruited (PFPS group n=24, control group n=24) from three different outpatient physical therapy clinics. Methods: The Ober test and modified Thomas …

Efficacy Of Kinesio Taping As An Adjunct Intervention To Traditional Physical Therapy In The Treatment Of Nonspecific Acute Low Back Pain: A Prospective Randomized Controlled Trial, Hossameldien Elkholy

Department of Physical Therapy Student Theses, Dissertations and Capstones

The Efficacy of Kinesio Taping as an Adjunct Intervention to Traditional Physical Therapy in the Treatment of Nonspecific Acute Low Back Pain: A Prospective Randomized Controlled Trial Background: Acute low back pain (LBP) is a significant health problem worldwide and is one of the leading causes of disability. Objective: The purpose of this study was to examine the effect of Kinesio Taping (KT) on disability, fear-avoidance beliefs, and pain intensity in patients with acute, nonspecific LBP. Research Design and Methods: A prospective, randomized controlled study of consecutive patients referred to physical therapy with a primary complaint of LBP. Seventy-eight patients …

Cost Of Physical Therapists Serving As A Musculoskeletal Providers Compared To Family Practice Providers In A Military Treatment Facility, Troy Edward Mcgill

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background. Physical therapists (PTs) in the U.S. military practice direct access and can order limited prescription medications, imaging studies. Military PTs function as autonomous primary care managers (PCMs) for patients with musculoskeletal (MSK) disorders. Objective. The study compared cost of PT management of patients with MSK disorders to management by traditional PCMs; medical doctors (MDs), doctors of osteopathic medicine (DOs), advanced registered nurse practitioners (ARNPs), and physician assistants (PAs). Methods. The researcher used a retrospective study of electronic medical records, using an exploratory, non-experimental, cross-sectional, and quantitative design method. Results. At an Air Force military medical clinic during an 18-month …

The Lived Experience In Relation To The Educational Needs Of Nurses Caring For Induced Hypothermia Patients, Marie Regina Hankinson

Student Theses, Dissertations and Capstones

Background: Ongoing educational development is essential to ensure the effectiveness of professional nurses’ learning experiences. Understanding the ways in which workplace learning occurs is fundamental to enabling nurse educators to deliver that knowledge. Induced hypothermia was introduced as a new treatment modality in 2005 and education surrounding the care of the hypothermia patient is lacking in the literature. Purpose: The purpose of this study is to illuminate how nurses learn new knowledge in the clinical setting. Theoretical Framework: The learning theory chosen for this study is the three dimensions of learning by Illeris (2004). Methods: Semistructured interviews were conducted with …

Transition To Practice Experience: The Impact On Newly Licensed Rn Performance, Patricia P. Lawson

Student Theses, Dissertations and Capstones

This quantitative non-experimental descriptive correlational design sought to answer the question if there was a difference in newly licensed RN (NLRN) performance at one-year post hire after participation in a nurse residency program that offers a formalized curriculum that extends throughout the entire year, one that offers a formalized curriculum that does not extend throughout the entire year, or one that does not provide a formalized curriculum. The study utilized the Six Dimension Scale of Nursing Performance (SDNP) and evaluated NLRN performance on six subscales: leadership, critical care, teaching/collaboration, planning/evaluation, interpersonal relations/communication, and professional development at one-year post hire. Benner’s …

Increasing Providers’ Adherence To Ordering Urine Microalbumin Tests, Florence Fadele

Student Theses, Dissertations and Capstones

Currently, a microalbumin urine test is an annual test for diabetic patients recommended by the American Diabetes Association, but primary care providers are not ordering the tests. This may be, in part, attributable to the fact that there are no guidelines for ordering microalbumin urine tests. The purpose of this capstone project was to assess providers' compliance in identifying the need for the microalbumin urine test for patients with diabetes, to develop evidence-based guidelines for monitoring and ordering microalbumin urine tests, and to evaluate providers' compliance. Rogers's theory of the diffusion of innovation provided the framework for this capstone project. …

Chemotherapy Side Effects At Home: A Nursing Impact, Gwendolyn E. Saint-Clarke

Student Theses, Dissertations and Capstones

Background: Approximately 32% of all lymphoma patients experience immunocompromised severe avoidable side effects of nadir at home after discharge postchemotherapy. The certified oncology nurses employed at a large metropolitan hospital in Atlanta, Georgia, lack standardized discharge guidelines that include regulatory organizations’ recommendations to assist patients/families with at-home self-management of the avoidable side effects. Purpose: The purpose of this quality improvement project was to utilize the institution’s existing postchemotherapy discharge protocol to assess certified oncology nurses’ knowledge of severe avoidable side effects of nadir; modify the existing healthcare institution’s postchemotherapy discharge protocol to reflect standardized practice for promoting clinical practice continuity …

Steroid-Induced Hyperglycemia In Patients With Malignancies: Healthcare Team Adaptation To A Paradigm Shift, Miriam Ingrid Silva

Student Theses, Dissertations and Capstones

Background: Caring for patients with malignancies and presenting hyperglycemia has been an ongoing problem that needed to be addressed. The Endocrinologist Society and the Joint British Diabetes Societies for Inpatient Care suggested a change in the process by which patients in this population are managed. Purpose: The purpose of this project was to implement evidence-based practice guidelines for managing steroid-induced hyperglycemia focusing on the interdisciplinary team and adaptation of nurses who care for patients with malignancies. Theoretical Framework: The theoretical framework selected for this project was Roy’s Adaptation Model. Methods: This project used a mixed method approach, with a triangulation …

Evidence-Based Diabetic Discharge Guideline: A Standardized Initiative To Promote Nurses' Adherence, Marjorie V. Scarlett

Student Theses, Dissertations and Capstones

Background: Diabetes mellitus (DM) affects more than 29.1 million Americans. Standardized clinical practice guidelines recommended by regulatory healthcare agencies are the standard of care for diabetic patients and must be adhered to by healthcare professionals providing care. Purpose: The purpose of this quality improvement project was to identify Centers for Medicare and Medicaid Services’, Joint Commission on Accreditation of Healthcare Organization’s, and other professional healthcare organizations’ guidelines for nurses’ knowledge of evidence-based discharge practices; determine level of nurses’ knowledge on evidence-based discharge practice process; develop a quality improvement plan, including development of an evidence-based guideline for diabetic discharge instructions; present …

Managing Diabetic A1c At A Primary Care Center: A Nurse Practitioner Perspective, Jacqueline Mcdonald

Student Theses, Dissertations and Capstones

Background: At a primary care center in Brooklyn, New York, approximately 27% of diabetic patients with abnormal Hgb A1C fail to return for follow-up appointments, as recommended by the Centers for Disease Control and Prevention (CDC). According to electronic medical records (EMR), healthcare providers demonstrated inconsistency in ordering and monitoring Hgb A1C and clinic follow-up appointments for patients.

Purpose: The purpose of this quality improvement project was to determine retrospectively the healthcare providers’ ordering, monitoring, and follow-up appointments for adult diabetic patients with abnormal Hgb A1Cs; to develop and implement astandardized process for healthcare providers to monitor and follow these …

Ocular Sensory Dominance And Viewing Distance, Karen Squier

Student Theses, Dissertations and Capstones

Abstract Purpose: It is not clear as to whether sensory dominance is affected by test distance. Jiang et al previously reported that that the sensory dominant eyes may be affected by refractive error; however this study was done at a near distance only (60 cm). In this study, we investigated the effect of two different test distances (near, 60 cm vs distance, 6 meters) on the laterality of ocular dominance. Methods: Ocular sensory dominance was quantified in 60 subjects with a technique that involves the dichoptic presentation of a Mondrian noise and a Gabor patch. The threshold to detect the …

The Current Volume Summer 2017, Nova Southeastern University

Student Newspapers

No abstract provided.

The Impact Of Parental Involvement On The Academic Success Of Urban Middle And High School Students: A Systematic Review, Tiffany Johnson

Abraham S. Fischler College of Education ETD Archive

The problem on which this study focused was the ambiguity of the impact of parental involvement strategies and programs used today that would appropriately address the academic needs of urban middle and high school students depending on their individual needs, including factors such as familial structures and socioeconomic status. The purpose of the study was to examine existing literature related to the involvement of parents of urban middle and high school students and its impact on academic success.

The research method used in this study was a systematic review of the literature following the protocol outlined by the Campbell Collaboration …

The Role Of Cognitive Disposition In Re-Examining The Privacy Paradox: A Neuroscience Study, Zareef Mohammed

CCAC Theses and Dissertations

The privacy paradox is a phenomenon whereby individuals continue to disclose their personal information, contrary to their claim of concerns for the privacy of their personal information. This study investigated the privacy paradox to better understand individuals' decisions to disclose or withhold their personal information. The study argued that individuals’ decisions are based on a cognitive disposition, which involves both rational and emotional mental processes. While the extended privacy calculus model was used as the theoretical basis for the study, the findings of cognitive neuroscience was applied to it to address its limitation in assuming individuals are purely rational decision-makers. …

A Novel Approach To Determining Real-Time Risk Probabilities In Critical Infrastructure Industrial Control Systems, Michael Elrod

CCAC Theses and Dissertations

Critical Infrastructure Industrial Control Systems are substantially different from their more common and ubiquitous information technology system counterparts. Industrial control systems, such as distributed control systems and supervisory control and data acquisition systems that are used for controlling the power grid, were not originally designed with security in mind. Geographically dispersed distribution, an unfortunate reliance on legacy systems and stringent availability requirements raise significant cybersecurity concerns regarding electric reliability while constricting the feasibility of many security controls. Recent North American Electric Reliability Corporation Critical Infrastructure Protection standards heavily emphasize cybersecurity concerns and specifically require entities to categorize and identify their …

The Effect Of Code Obfuscation On Authorship Attribution Of Binary Computer Files, Steven Hendrikse

CCAC Theses and Dissertations

In many forensic investigations, questions linger regarding the identity of the authors of the software specimen. Research has identified methods for the attribution of binary files that have not been obfuscated, but a significant percentage of malicious software has been obfuscated in an effort to hide both the details of its origin and its true intent. Little research has been done around analyzing obfuscated code for attribution. In part, the reason for this gap in the research is that deobfuscation of an unknown program is a challenging task. Further, the additional transformation of the executable file introduced by the obfuscator …

Investigating The Perceived Influence Of Data Warehousing And Business Intelligence Maturity On Organizational Performance: A Mixed Methods Study, Charles F. Perkins

CCAC Theses and Dissertations

Over the past two decades organizations have made considerable investment in implementing data warehousing and business intelligence to improve business performance through facts-based decision-making. Although many of these organizations reap the rewards of their investments, others find that realizing the full value proposition is elusive. While the literature is rich with studies regarding data warehousing and business intelligence, much of the existing research focused on the initial experiences of adoption and implementation, and few yielded empirical data that reflected post-implementation conditions that lead to mature capabilities and improved business performance. Sited at the Defense Intelligence Agency where data warehousing and …

A Retrospective Review Of The After-Hours Social Work Service In A Tertiary-Care Public Hospital In Australia, Manoj Pereira, Georgina Wire, Kathy Stiller

Internet Journal of Allied Health Sciences and Practice

Purpose: After-hours social work (SW) services seem to be provided in many major healthcare centres but there appear to be no data describing these services, in terms of the number of patients seen, their characteristics, types of problems, SW interventions provided, their effectiveness or the impact of providing after-hours services on the provider. The aim of this study was to investigate the patient characteristics and types of interventions provided to patients who received an after-hours SW service and the effect of providing these services on the service-provider. Method: A retrospective review of data collected on patients who had received after-hours …

Effectiveness Of A Wearable Fitness Tracker: Practice Implications In Allied Health -- A Single Case Study, Thomas William Miller

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: The purpose of this single case study was to examine the effectiveness of utilizing a wearable fitness tracker device in self-monitoring behavior change in complying with prescribed treatment. It was hypothesized that using a wearable self-monitoring device while involved in the treatment of multiple medical conditions will be beneficial to behavioral compliance and behavioral change in an overweight type 2 diabetic, geriatric subject being treated by a multidisciplinary health team utilizing an integrated treatment model.

Methods: An exploratory single case study research design is employed to explore those situations in which the intervention, a wearable monitoring device, is …

Community Engagement With Older Adults To Evaluate Interprofessional Education In Allied Healthcare Students, Scott Heinerichs, Mary Beth Gilboy, Stacie Metz, Melissa A. Reed, Barbara E. Harrison

Internet Journal of Allied Health Sciences and Practice

Purpose: To examine students’ perceptions of interprofessional education (IPE) as a result of their participation in a community engagement experience with older adults. Methods: Thirty-six students enrolled in the undergraduate majors of athletic training, exercise science, and nutrition participated in an 8-week fall prevention program in two community dwelling senior centers. A one-group pretest-posttest evaluation design was used to assess the IPE experience of the students. Students completed the University of the West England Interprofessional Questionnaire pre and post intervention. Results: Both pretest and posttest student self-assessments of communication and teamwork skills ranged from slightly positive to neutral (means from …

Patient Experiences When Preparing For Discharge Home After Total Knee Replacement, Renee Causey-Upton, Dana M. Howell

Internet Journal of Allied Health Sciences and Practice

Purpose: Following total knee replacement (TKR), patients must prepare quickly for discharge to home via education and rehabilitation. Patient needs may not fully be met prior to discharge after TKR surgery. The purpose of this descriptive study using transcendental phenomenology methods was to understand patients’ experiences when preparing to return home after TKR surgery. Method: Data was collected using semi-structured interviews that occurred 1 to 2 days prior to discharge in patients’ hospital rooms. Four participants were interviewed prior to discharge and interviews were transcribed verbatim for data analysis. Data analysis and data collection were concurrent, permitting subsequent interviews to …

Use Of The Kawa Model For Teambuilding With Rehabilitative Professionals: An Exploratory Study, Jennifer E. Lape, Brian D. Scaife

Internet Journal of Allied Health Sciences and Practice

Purpose: The KAWA model, a culturally-sensitive model of occupational therapy practice, can enhance patient-provider collaboration, but its use as a tool for teambuilding and collaboration among an interprofessional group has not been studied. Teambuilding has been positively correlated with job satisfaction, and quality of client care. The purpose of this exploratory qualitative study was to identify potential uses of the KAWA model and areas for future research related to teambuilding. Method: Trainings on the model, including a review of model components, its potential utility with clients, and an interactive activity, were provided to two rehabilitative teams (N=26) within two skilled …

A Physical Therapist And Physical Therapist Assistant Learning Activity To Examine Student Collaboration And Collaboration Readiness: An Intraprofessional Educational Process, Salome V. Brooks, Renae Gorman

Internet Journal of Allied Health Sciences and Practice

BACKGROUND: Workforce responsibilities in the clinical setting between the physical therapist (PT) and physical therapist assistant (PTA) emphasize the necessity to develop intraprofessional skills fostering discipline collaboration. These skills impact the team process and the achievement of interprofessional patient centered outcomes. Collaboration is a skill that is sought after in inter- and intraprofessional teams. Intraprofessionalism is occurring within teamwork and collaborative activities labelled or described in interprofessional terms and tools. Health science professional programs have received recent mandates to address interprofessional collaboration skills within curricula. But disciplines that contain multiple professional roles need to address the within discipline, prerequisite intraprofessional …

Knowledge And Behavioral Patterns Of Youth Ice Hockey Parents Regarding Sport Concussion: A Pilot Study, Jeff G. Konin, Delaney Horsley

Internet Journal of Allied Health Sciences and Practice

Purpose: There is an abundance of available concussion education programs for parents of youth ice hockey players. Parents play a vital role in recognizing signs and symptoms of a concussion sustained by a child, and therefore their knowledge and retention of such information is deemed to be very important. The purpose of the pilot survey is identify the general knowledge parents of youth ice hockey players possess regarding concussion. Methods: A survey of a sample of convenience was utilized. Forty-five parents (40 to 49 years of age) of youth ice hockey players were asked to complete a one-page survey to …

A Review Of The Use Of Massive Open Online Courses (Moocs) In Medical Imaging Education, Kevin R. Clark, Beth L. Vealé, Lynette K. Watts

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this review article is to describe the benefits and challenges associated with massive open online courses (MOOCs) and to discuss the implications specific to medical imaging education and training. Methods: Peer-reviewed journal articles pertaining to MOOCs in higher education were analyzed to identify commonalities, relationships, and possible gaps in the literature. Results: Analysis revealed several repetitive themes and concepts regarding the use of MOOCs in higher education: theory of connectivism, instructors’ and students’ perspectives, and benefits and challenges. Implications for medical imaging education and training were also discussed. Conclusions: As web-based education and technology integration continue …

An Investigation Of Service Providers’ Understanding, Perspectives And Implementations Of The Transdisciplinary Model In Early Intervention Settings For Children With Disabilities, Eimear Fitzmaurice, Janet E. Richmond Phd

Internet Journal of Allied Health Sciences and Practice

Purpose: The transdisciplinary practice model is currently being promoted as best practice in early intervention therapy for children with disabilities. However, supporting literature is limited. Thus, the question is asked, “What are service providers' understanding and perception of the transdisciplinary model in early intervention settings for children with disabilities?” Method: A systematic review was carried out using the Preferred Reporting Items for Systematic Reviews. An electronic search was conducted via six databases. Eight articles were selected. Results: Four studies predominantly focused on service providers’ perspectives of the model using semi-structured interviews or surveys. Many studies were of adequate to low …

The Influence Of Pre-Professional Curricula On Components Of The Physical Therapist Clinical Performance Instrument, Molly Goldwasser, Kyle Covington

Internet Journal of Allied Health Sciences and Practice

Background and Purpose: The purpose of this study is to investigate any association between pre-enrollment curricula and clinical performance in physical therapy professional schools. Specifically, does the type of undergraduate institution (as defined by Carnegie classification type) influence performance on components of the Physical Therapist Clinical Performance Instrument? Methods: The study methods include a retrospective quantitative review of student educational records from the Duke Doctor of Physical Therapy (DPT) classes of 2013 to present. Kruskal-Wallis tests were used to determine significance of the dependent variables. Results: Results indicated that when the Carnegie Classifications were consolidated to five categories, there was …

Identifying The Pathway To Conservative Pelvic Floor Physiotherapy In A Tertiary Public Hospital In Australia: A Retrospective Audit, Tara Beaumont, Kate Goode

Internet Journal of Allied Health Sciences and Practice

Introduction: Incontinence and/or pelvic organ prolapse symptoms are prevalent in women in Australia and the estimated healthcare cost is considerable. Internationally accepted best practice evidence supports a trial of conservative Physiotherapy treatment with a Physiotherapist trained in the management of pelvic floor dysfunction before surgical options should be considered. Existing referral pathways in the tertiary healthcare system to access conservative Physiotherapy treatment require direct referral from Gynaecology staff. Objective: To identify the pathway to conservative pelvic floor physiotherapy for women referred to a tertiary hospital in Australia with incontinence and/or pelvic organ prolapse symptoms following existing referral pathways. …

A Case Report Discussing The Options For Placement Of Glaucoma Drainage Devices In The Presence Of Corneal Decompensation, Marlon J. Demeritt, Beata Lewandowska

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case report is to discuss how the various placements of glaucoma drainage implants relate to corneal decompensation. Method: A 58-year Hispanic female presented for evaluation of decreased vision in the left eye for 2 years. This is a case report of a patient who underwent a secondary surgery to replace the anterior tube shunt implantation with a posterior shunt implantation following development of severe corneal decompensation. Results: Glaucoma tube shunt implants inserted into the ciliary sulcus of pseudophakic eyes shield the cornea offering protection against decompensation and avoid the risk of posterior …

A Novel Approach To The Safe And Effective Mobilization Of A Super-Obese Patient: A Case Report, Jessica Anaf, Amy Wigmore, Kathy Stiller

Internet Journal of Allied Health Sciences and Practice

Purpose: The incidence of obesity is rising worldwide, as is the presentation of these patients to the acute hospital setting. As a result of their complex nature, including medical co-morbidities, psychosocial issues, and healthcare resource limitations, management of these patients requires a coordinated and intensive multi-disciplinary approach. Although there are considerable data reporting the surgical management of obese patients, there is very limited literature regarding non-surgical interventions, including approaches to safe and effective mobilization. Methods: A case report is presented of a 55-year-old super-obese male transferred to a major tertiary referral healthcare centre for management of his overall medical condition …