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The Measurement Of Dental Disease In A Correctional Setting: The Importance To Functional Service Delivery, Walter S. Ormes

Dissertations

The purpose of this study was to describe the prevalence of decayed, missing and filled teeth and periodontal disease among male, non-camp, nonpsychiatric inmates in the Michigan Department of Corrections (MDOC) and to assess the impact of age, race, security level, and years of incarceration on these parameters of oral health. Additionally, this study was designed to determine the emergent, urgent or routine dental treatment needs of this same population and to compare the ability of the existing Michigan Department of Corrections dental program to meet these needs. A representative sample of 251 inmates was randomly selected from thirteen geographically …

The Impact Of The Patient Representative On Satisfaction, Diana L. Newman

Dissertations

As the cost of providing healthcare services continues to rise, hospitals and other healthcare provider organizations adopt businesslike approaches to increase efficiency and productivity. The satisfaction level of the individual patient may, however, be determined by how care is delivered rather than what services are provided.

In order to enhance patient satisfaction and prevent the consequences of dissatisfaction, many healthcare institutions have utilized the role of the patient representative. The primary function of the patient representative is to act as a liaison between the patients, their families, and the healthcare providers and staff.

The purpose of this study was to …

Young Adult Women's Responses To Undergoing Treatment For Early Breast Cancer, Donna Abrashoff Schutte Dnsc

Dissertations

In the nearly two decades of cancer research in the United States, there has been little emphasis on the experiences of young adult women with breast cancer. I therefore adopted a qualitative multicase study method to explore the experiences of five young adult women from the time of discovery of a breast mass through the first three months of recovery from mastectomy. Utilizing data collected via semi-structured interviews, this study sought to describe their concerns, the way in which their concerns changed over time, and the influence of contextual factors. Three themes were identified. These included: "I'm going to die!" …

The Association Of Five Therapist Characteristics With Therapists' Suspicion Of Childhood Sexual Abuse In Adult Client Cases, Sherri I. Terrell

Dissertations

One hundred and twenty-five doctoral level psychologists interning at university counseling centers throughout North America were surveyed to explore the association of therapists' suspicion of childhood sexual abuse (CSA) in adult client cases with five therapist characteristics: (a) gender; (b) having or not having had personal therapy; (c) having or not having professional experience with three or more clients who are survivors of CSA; (d) having or not having a close friend, family member, or significant other who is a survivor of CSA; and (e) being or not being a survivor of CSA.

Information was collected on interns' demographics and …

Helper Woman: A Biography Of Elinor Delight Gregg, Jacqueline S. Pflaum Dnsc, Mph, Ms

Dissertations

The intent of this investigation was to conduct an extensive study of the life and character of Elinor Gregg (1886-1970) in order to identify the contributions she made to professional nursing and to humanity. Nurse, educator, administrator, beloved relative, and friend, Elinor Gregg was an outstanding person whom nurses today might well emulate. Historical method provided the context for the study. Data were collected from the National Archives; National Library of Medicine Historical Section; Nursing Archives at Mugar Library, Boston University; Nursing Archives at Simmons College; National Headquarters of the American Red Cross; Archives of Colorado College; and Archives of …

Scaling Up Of Water-Based Organic Reactions, Chen Gu

Dissertations

Three water-based organic reactions, Diels-Alder, epoxidation of olefins, and free-radical bromination have been investigated as an approach to pollution prevention. The first two systems were scaled-up by at least a factor of 20. These reactions are of special interest to the pharmaceutical and speciality chemical industries. The photo-induced free-radical bromination of alkanes with bromine in water was studied in a two-phase system. Experimental results show that all reactions have advantages resulting from being conducted in water, such as reaction rate acceleration, reaction selectivity increase, and the absorption of water-soluble gas byproduct by solvent water.

The effects of stirring rates, temperature, …

Effect Of Vitamin Supplementation On Biodegradation Of Aliphatic Hydrocarbons And Diesel Fuel, Susmita Guptapal

Dissertations

Bioremediation of hazardous wastes is proven to be environmentally benign and most cost effective technology when proper conditions are provided. However, commercialization of this method still requires comprehensive research to enhance the degradation rate to make the technology more acceptable for implementation. In this research a unique approach to increase the rate of biodegradation by vitamins supplementation was studied.

Five vitamins, niacin, biotin, folic acid, thiamin and pantothenic acid were selected for the present study. Different short chain (C₈ and C₉), and long chain (C₁₆ and C₁₇) aliphatic hydrocarbons and diesel fuel (a mixture …

Behavior And Attitudes Related To The Prevention Of Sexually Transmitted Disease And Unplanned Pregnancy, J. Lee Hoover

Dissertations

A sample of 214 persons was tested to determine the impact of gender role orientation, neuroticism, extraversion, authoritarianism, race, gender, and sexual orientation on attitudes and behavior relevant to the prevention of sexually transmitted disease and unintended pregnancy. Specifically measured was the impact of these factors on attitudes toward the condom as contraceptive, attitudes toward the condom as prophylactic, and reported condom use.

Gender role orientation was measured using the short form of the Bern Sex Role Inventory (BSRI) (Bern, 1978), neuroticism and extraversion were measured using the NEO-Five Factor Inventory (NEO-FFI) (Costa & McCrae, 1992), and authoritarianism was measured …

Eye Movement Desensitization And Reprocessing Treatment Of Communication Anxiety: A Closer Look, Teresa Foley

Dissertations

The purpose of this study was to replicate the results of previous research with respect to EMD/R (eye movement desensitization and reprocessing) and of this researcher’s investigation of EMD/R treatment of public-speaking anxiety (Foley & Spates, 1995). The present study, however, included components to permit more extensive analysis of the elements of treatment that contribute to therapeutic effectiveness. The study investigated the contribution of assessment speeches to treatment effectiveness by using a two factor design in which one factor featured a condition of pre-treatment/post-treatment speeches vs. a condition of post-treatment speeches only. The other factor featured two treatment conditions, permitting …

Effects Of Exercise And Psychosocial Stress On Blood Glucose In Non-Insulin Dependent Diabetics, Lisa Renae Clemensen

Dissertations

Non-insulin dependent diabetes often has serious consequences for individuals if blood glucose is not maintained within relatively normal ranges. Exercise and stress have been enumerated as important variables for the control of blood glucose in non-insulin dependent diabetics.

This study compared blood glucose and stress for eight exercise and eight matched control non-exercise adult noninsulin dependent participants. A prospective home monitoring design was used to monitor daily blood glucose, stress, and physical activity via multiple measures for six days.

Results indicated that control participants had significantly higher average blood glucose readings and higher blood glucose variability. Daily stress measures did …

Training Nonconventional Autoclitic And Tact Relationships In Children, Ingolfur Bergsteinsson

Dissertations

To some extent, one understands a complex aspect of human language if one can produce that kind of language in children who have not already acquired it. Skinner’s (1957) concept of autoclitic secondary verbal behavior is the most complex of his various verbal units, and until recently has not been the subject of experimental analysis. Howard and Rice (1988) made the first attempt to generate an autoclitic repertoire in preschool children, and the present study is an attempt to corroborate and extend their findings. They worked with the autoclitic “like” which identifies the accompanying primary verbal behavior as a form …

The Effects Of Wraparound Services On The Adjustment Of Four Severely Emotionally Disturbed Youth: A Controlled Multiple Baseline Study, Michael J. Myaard

Dissertations

This naturalistic study employed a controlled multiple baseline design (Baer, Wolf & Risley, 1968; Poling, 1995) across subjects and behaviors to examine the effects of wraparound services on the adjustment of four Severely Emotionally Disturbed teenagers at risk o f long term residential placement. Subjects were selected on a clinical trials basis upon referral into a public sector interagency service system within a small rural county. The Vermont System For Tracking Client Progress served as the primary dependent measure and was sampled daily for one year, the Child and Adolescent Functional Assessment Scale and detailed financial data were also sampled. …

Cost Sharing Under Complex Federalism: Welfare Reform Cost Neutrality Calculations, Robert G. Lovell

Dissertations

The American system of welfare for families with children is a partnership between the federal and state governments. Under this partnership, the federal government establishes the basic eligibility policies for the Aid to Families with Dependent Children (AFDC) program, the principal program providing cash assistance to poor families. States determine payment levels and administrative policies. Costs are shared through a formula reflecting each state’s ability to pay.

To encourage policy experimentation by the states, a section of the act creating the AFDC program allows the Secretary of the Department of Health and Human Services to waive some provisions. This became …

Intergovernmental Cooperation In Metropolitan Grand Rapids, Michigan, James M. Kadlecek

Dissertations

This case study contributes to the understanding of governance in Metropolitan areas of the U.S. by examining cooperative activity among local units of government in the Grand Rapids, Michigan metropolitan area. A conceptual framework identifies the factors which impact cooperation, and displays a theoretical continuum of approaches to metropolitan governance.

The research methodology is qualitative and includes four years of participant observation, extensive records analysis, a survey of local government managers and 21 interviews with key informants.

The findings identify 151 examples of formal and informal cooperation occurring in Grand Rapids metro, as well as eight categories of factors which …

Culture-Specific Hiv/Std Prevention Programming For Lesbian And Bisexual Women, Kathleen M. Morrow

Dissertations

HIV/AIDS prevention research continues to target populations in which AIDS is already responsible for a significant number of deaths. Since an AIDS diagnosis often indicates the transmission of HIV several years earlier, targeting groups currently manifesting AIDS neglects those groups which may be at risk for transmission of HIV today. Among the lowest incidence in known cases of AIDS are women who have sex with women. Despite a preponderance of biomedical research which implicates vaginal secretions and blood products as vehicles in HIV transmission, there remains only a minimal effort to educate these w om en regarding their risk of …

Leader Attitudes And Leader Stress: Is There A Connection?, Earl B. Kaurala

Dissertations

In an era of technological innovation, information explosion, and state and national calls for educational reform, it seems important to adopt processes that will allow for rapid diffusion of knowledge and implementation of new technologies into classrooms. The leadership provided by the principal is extremely important to this process. Unfortunately, principals can be overwhelmed by the conflicting expectations that have become associated with their role within the educational community.

The purpose of this study was to investigate the leadership attitudes of Michigan secondary school principals and the relationship of these attitudes to the work-related stress the surveyed principals indicated they …

Children With Hiv: How They Feel About What Parents Say, Susan Pease Instone Dnsc, Msn, Cpnp

Dissertations

With improvements in diagnosis and care, children with HIV infection are living long enough to reach school age, a stage when they are capable of perceiving the stigmatizing, life-threatening nature of their illness. Many parents desire to protect them from this knowledge by avoiding an open dialogue about their disease, even though pediatric professionals advocate disclosure. Research-based guidelines about the risks and benefits of telling, however, have not been available in the literature. Using an innovative, qualitative approach through the use of grounded theory and projective drawing techniques, this investigation sought to explore what parents said about the illness and …

The Relationships Among Expectancy, Hypnotizability, And Treatment Outcome Associated With Eye Movement Desensitization In The Treatment Of Post-Traumatic Stress Disorder, Lisa Kimberly Largo-Marsh

Dissertations

A pre-test, post-test comparison group design was utilized to assess the effectiveness of two interventions on symptoms associated with Post-Traumatic Stress Disorder. Subjects were randomly assigned to one of two treatments: Eye Movement Desensitization and Reprocessing (EMDR) or structured writing sessions. A standardized diagnostic interview was used to screen subjects and provide diagnosis and symptom profile at intake and one-month follow-up. Standardized self-report measures were used to assess treatment outcomes. Repeated measures ANOVA revealed no significant differences between the two treatments. Both treatments were effective in significantly reducing post-traumatic symptoms at post-test and follow-up, although slightly different patterns were evident. …

Implementation Of An "Early Return To Duty" Policy Within The Michigan Civil Service: An Exploratory Study, James Patrick Hurren

Dissertations

In an effort to control rising Worker's Compensation costs and accommodate disabled employees, the State of Michigan initiated an "Early Return to Duty" policy which encourages injured workers to return to work prior to being fully recuperated. During the recovery period, injured workers are assigned restricted duties consistent with their medical limitation.

Despite legislative and administrative mandates, the Early Return policy has not been fully implemented by all departments within Michigan Civil Service. The lack of uniform acceptance and application of the policy presents serious complications for managing resources effectively and has a direct bearing on achieving expected policy outcomes. …

The Status Of Middle Level Schools In Berrien County, Michigan Following Michigan Public Act 25, Judith A. Burns

Dissertations

Michigan Public Act 25 of 1990 mandated public school reform. One of 4 components of Public Act 25 is the development of a 3 to 5 year School Improvement Plan (SIP). The purpose of this descriptive study was to examine middle level school improvement in Berrien County, Michigan, for evidence that developmentally appropriate middle level education is promoted.

This 2-part investigation involved analyzing SIPs submitted for 1992-93 school year using a content analysis format and interviews with each building principal or designee. The content analysis format was developed by Sweeney and Cooper in 1992 to analyze SIPs of Wayne County, …

Nursing Faculty Connecting With Students: A Heideggerian Hermenteutical Study, Debra I. Craig Dnsc, Msn, Rn

Dissertations

This study sought to gain an insight into the phenomenon of nursing faculty members connecting with students. Caring has been espoused as a key component of nursing education for many decades. In the last 10 years the terms caring and connecting are commonly found associated with each other, and yet there is no clear definition of connecting. It is important to understand a phenomenon from the point of view of those who are experiencing it. Therefore, a study which asked nursing educators to tell stories of the times they had connected with students was undertaken. Ten nurse educators in the …

The Effect Of Written Information And Reassurance On Patient Satisfaction, Anxiety, And Intent To Return For Emergency Care, June Andrea Dnsc

Dissertations

Patients' satisfaction is one of the primary goals of emergency department (ED) providers today. As emergency departments are overcrowded, stressful environments, anxious patients want to be kept informed. Nurses have the opportunity to meet these needs and possibly influence the patients' perception of the experience and intent to return for future care. This study examined the effects of providing written information and reassurance on patient satisfaction, anxiety, and intent to return for emergency care. The design was a posttest design involving a comparison between the control and three experimental groups. Two hundred and forty patients participated in the study, approximately …

Ethical Decision-Making Among Critical Care Unit Nurses, Mary Ellen Bowen Dnsc, Mn, Rn, Cnaa

Dissertations

The health care business has created complex relationships between consumers and health care institutions. Rising health costs, rationing of health care and medical technology have put critical care unit (CCU) nurses in complex environments where they must face ethical conflict. CCU nurses find themselves ill equipped to make sound decisions concerning ethical dilemmas. Nurses must ensure the patient's choices are respected and honored due to the duties inherent in the nurse-patient relationship. The purpose of this study was to explore the process of ethical decision making (EDM) as it is experienced by CCU nurses. Gaining an understanding of this process …

The Journey From Nonexerciser To Exerciser: A Grounded Theory Study, Keri Kuniyoshi Medina Dnsc, Ms, Rn

Dissertations

The physiological and psychological health benefits of regular physical exercise are well-documented; however, drop-out rates from both supervised and unsupervised exercise remain high. Many potential influences on exercise behavior have been studied, but with largely inconsistent results, making it difficult to identify key targets for intervention. The purpose of this study was to explore the process through which nonexercisers become exercisers, and the contextual factors which affect movement through this process, in order to enable nurses to more successfully assist clients to incorporate exercise into their lifestyles. The exercise experiences of 22 individuals who had successfully made the transition from …

The Relationship Between Principals' Length Of Administrative Experience And Organizational Leadership Behavior In Elementary Schools In Saudi Arabia, Hamad Adbulaziz Alkherb

Dissertations

The study examined educational leadership behaviors among elementary school principals in Qasim region of Saudi Arabia. Seven independent variables using a survey questionnaire among a randomly selected sample from the identified population. Self-reporting elicited, first, critical background information and, second, data concerning 60 specific leadership behavior items important to work issues, critical areas of educational administration, professional relationship situations, and leadership problems ordinarily confronted. Items were grouped according to five categories of twelve items each.

Ninety-six principals or 80% of the survey sample of 120 responded. Focus of the study derived importantly from an extensive and complex review of literature …

A Comparison Of Youth Living Environment In Small And Large Communities Of Michigan, Huilan Yang

Dissertations

This study compares youth living environment in small and large communities in Michigan. The comparison includes three areas of youth living environment: community environment, financial environment, and educational environment. Community in this study is defined as school district. Data are extracted from an existing database developed by the National Center for Educational Statistics titled School District Data Book (SDDB). Out of 560 Michigan school districts included in SDDB, 370 are used in the data analysis, excluding the Detroit City School District and 189 medium-sized districts. Fifteen variables are selected for comparison, categorized under the three areas of youth environment. The …

The Effects Of A Corporate Adventure Training Experience On Group Dynamics And Individual Self-Actualization Of Middle-Management Professionals, Scott A. Kelly

Dissertations

Adventure programming has been utilized in the corporate world for training and team building. The focus of this study was to examine the effects of a 2-day corporate Adventure Training program on the group and individual functioning of middle-level managers in a Midwestern manufacturing company. The training utilized ropes course and group activities to develop teamwork and increase group functioning.

A work team consisting of 34 individuals, who were divided into three groups, participated in the training. A control group of 12 individuals was utilized for comparison. Variables of interest included group functioning and self-actualization. Group functioning was measured with …

Lobbying In The Nonprofit Sector: A Study Of Practice And Values, Larry A. Buzas

Dissertations

Executive directors of nonprofit organizations were interviewed to determine their lobbying practices. Direct lobbying and grassroots lobbying, as defined by P. A. 94-455 were studied. Independent variables include: (a) formal organizational support, (b) organizational affiliation, (c) organizational characteristics, and (d) the executive directors' perceptions and demographic characteristics.

Data were collected during semi-standardized interviews. A random sample of 50 executive directors of nonprofit organizations in Michigan was selected. The research shows that executive directors of nonprofit organizations do lobby policy makers at the local, state, and federal levels using the following techniques: (a) face-to-face visits, individually or with coalitions, including providing …

Perinatal Loss: An Exposure Based Approach To Alleviating Feelings Of Grief In Bereaved Parents, Michele Lee Rosa

Dissertations

The efficacy of exposing bereaved parents to stimuli associated with their deceased child as a means of alleviating their grief reaction was explored. Three parents who had suffered a perinatal loss participated. Pre, post, and follow-up measures of depression, hopelessness, anxiety, marital functioning, daily stress, psychopathology, bereavement and grief were gathered.

Results showed clinically significant improvement for two of the three subjects on measures of depression and psychopathology. All subjects showed improved marital functioning. Negative change was seen on a measure of hopelessness for two of the three subjects. The treatment effects for symptoms of stress, anxiety, bereavement and grief …

Crises In The Regulation Of Long-Term Care, Randall Earl Phillips

Dissertations

This study reviews the history of the legislative process that led to the passage of the Nursing Home Reform Act of 1987 and the implementation of the regulations. The analysis uses the model of Masmanian and Sabatier to identify the variables and assess their impact on the implementation process. The content of the regulations in terms of various statutory and nonstatutory variables is assessed, and an estimate is made of their effect on the program.

Three aspects of the regulations are examined. First, the relative importance of how compliance is to be determined--subjectively, objectively, or clinically. Second, the design and …