Digital Commons Network^™

Simulating Motion Success With Muscle Deficiency In A Musculoskeletal Model Using Reinforcement Learning, Daniel Castillo

Theses and Dissertations

Humans possess an extraordinary ability to execute complex movements, captivating the attention of researchers who strive to develop methods for simulating these actions within a physics-based environment. Motion Capture data stands out as a crucial tool among the proven approaches to tackle this challenge. In this research, we explore the effects of decreased muscle force on the body's capacity to perform various tasks, ranging from simple walking to executing complex jumping jacks. Through a systematic reduction of the allowed force applied to individual muscles or muscle groups, we aim to identify the threshold at which the body's muscles tolerate the …

Dpc29 Promotes Mitochondrial Translation Post-Initation In Saccharomyces Cerevisiae, Kyle Andrew Hubble

Graduate School of Biomedical Sciences Theses and Dissertations

Although the cytosolic and bacterial translation systems are well studied, much less is known about translation in mitochondria. In the yeast Saccharomyces cerevisiae, mitochondrial gene expression is predominately regulated by translational activators. These regulators are thought to promote translation by binding the elongated 5’-UTRs on their target mRNAs. Since mammalian mitochondrial mRNAs generally lack 5’-UTRs, they must regulate translation by other mechanisms. As expected, most yeast translational activators lack orthologues in mammals. Recently, a mitochondrial gene-specific translational activator, TACO1, was reported in mice and humans. To better define its role in mitochondrial translation I examined the yeast TACO1 orthologue, DPC29. …

Probing The Role Of Astrocytes In The Pathology Of Fragile X Syndrome With Human Stem Cells, Baiyan Ren

Theses & Dissertations

Fragile X syndrome (FXS) is an X-linked neurodevelopmental disorder related to intellectual disability and the most common monogenic cause of autism spectrum disorder. FXS is mainly caused by an expansion of CGG repeats in the 5’-untranslated region of fragile X mental retardation 1 (FMR1) gene, leading to the loss of expression of fragile X mental retardation protein (FMRP). Astrocytes are the most abundant glial cells in the central nervous system (CNS). Loss of FMRP in astrocytes has been found to contribute to structural and functional synaptic deficits in the Fmr1-KO mouse model. The contribution of human astrocytes, however, to the …

Attitudes And Interactions Of Indigenous And Non-Indigenous People With Wildlife In The Northern Talamanca Mountains Of Costa Rica, Carolina Saenz-Bolaños

Doctoral Dissertations

In this study I investigated wildlife and human use of landscapes in the northern Talamanca Mountains of Costa Rica (Pacuare-Barbilla sector), including three contiguous protected areas (a national park, a forest reserve, and an indigenous territory), as well as surrounding unprotected areas. I describe and compare perceptions of wildlife by different social actors in the Pacuare-Barbilla sector, collecting information with a questionnaire as an instrument. I also inventoried and monitored the abundance and distribution of a variety of wildlife species occurring throughout the area using camera traps. The species with greater abundance or only occurrence in the national park were …

Reducing Patient Risk For Suicidal Behaviors With A Safety Bundle Of Best Practices With Non-Psychiatric Patients, Olayemi Akindele

Student Scholarly Projects

Practice Problem: Suicide is a public health condition that affects people globally. The increased suicidal behaviors of patients in a medical-surgical unit demanded an effective screening protocol to identify high-risk patients.

PICOT: In patients 18 years and older on a medical-surgical unit, does the implementation of the Columbia Suicide Severity Rating Scale (C-SSRS) tool and application of a Safety Bundle of Best Practices (SBBP) increase early identification of suicide risk with decreased patient self-harm behaviors, compared to the current standard practice of no assessment tool or safety bundle of best practices within 12 weeks?

Evidence: Ten studies served as evidence …

Patient Satisfaction With Noise, Robert W. Kentner Ii

Student Scholarly Projects

Practice Problem: Noise on hospital units can interfere with patient rest, timely recovery, and statisfacton with care. Improvements in the reduction of hospital noise levels lead to improved patient satisfaction and improved rest. Patients were surveyed on their satisfaction with noise during the day and at night.

PICOT: In Acute Care Patients (P), does the implementation of a noise reduction program (I) compared to no noise reduction program (C), affect patient satisfaction with noise (O) over a six-week period (T)?

Evidence: Studies show that many hospitals have noise levels that exceed the World Health Organization’s recommended standards for noise …

Development And Implementation Of A Healthcare Volunteer Retention Program, Sandra Gomez

Student Scholarly Projects

Practice Problem: Healthcare volunteer responders are an asset during disasters, and their retention is necessary to meet rising demands. This project aimed to develop and implement an evidence-based practice change using a healthcare volunteer retention program and evaluate its influence on retention.

PICOT: The PICOT question that guided this evidence-based practice project was: In healthcare volunteers, how does the participation in a formal healthcare volunteer retention program influence healthcare volunteer retention rate, intent to stay, and volunteer satisfaction 12 weeks after Healthcare Volunteer Retention Program introduction?

Evidence: The evidence from the literature supported mentoring, education and training, …

Evaluation Of A Blood Pressure Education Program On Knowledge And Self-Efficacy In Patient Care Associates ., Casey Prestigiacomo

Doctor of Nursing Practice Papers

The American College of Cardiology (ACC) and American Heart Association (AHA) revealed common errors made by healthcare professionals when measuring blood pressure (BP) in adult inpatients. These errors include using incorrectly sized cuffs, improper cuff placement, and inappropriate patient positioning. Inconsistent cuff sizes and position lead to underestimated and overestimated results, directly impacting patient care and outcomes. Additionally, the ACC/AHA identified patient position and talking during assessments as factors that directly impact the accuracy of the results. At Norton Healthcare facilities, a majority of BPs are obtained by patient care associates (PCAs). The purpose of this quality improvement project was …

Does Knowing The Mental Health History Of A Mass Shooter Heighten Stigma And Negative Attitudes Toward Mental Illness?, Lianna Artessa

PCOM Psychology Dissertations

Mass-shooting incidents are an ongoing epidemic that continues to take countless lives. Despite the prevalence of gun-related mass-shooting events, the research on this phenomenon is scarce. Following these events, individuals often receive news from differing media outlets and programs. The current media portrayal of mass-shooting events often appears to support a widely accepted connection between mass shootings and mental illness. This portrayal may reflect an existing and perhaps growing misunderstanding and negative stigma toward individuals diagnosed with a psychiatric disorder. This experimental study sought to determine the degree to which individuals’ attitudes toward and opinions of a perpetrator of a …

Do Faces Facilitate Or Distract Children From Attending To Threats?, Sarah A. Skidmore

Senior Honors Projects, 2010-2019

Threatening stimuli may produce an attentional bias in humans, capturing and holding attention to a greater extent than other types of stimuli. Humans rely on others to alert their attention to threats in their environment, and social stimuli, such as faces, have privileged processing compared to nonsocial stimuli. We wanted to explore whether task-irrelevant fearful or neutral faces facilitate, distract, or have no effect on the detection of threatening or neutral images (spiders and frogs, respectively). Three- to-five-year-old children (N=37) completed a visual search task in which they searched for threatening or neutral animals. Consistent with previous literature, we found …

Cross-Species Architecture: Developing An Architecture For Rehabilitative Learning Through The Human-Canine Relationship, Jake Porter

Masters Theses

Successful architecture is an engagement of space that fosters learning and growth. It is the space in which we are drawn away from the distractions around us, allowing us to focus on the present. It offers the opportunity to not only learn and grow relationships, but also to rehabilitate broken and fractured ones. Through this learning and growth, we become better understanding and loving toward each other. Thus, architecture stands as a true mediator of the relationships that exist around the world. Architecture is not exclusive toward human to human engagement. Architecture can extend beyond the understanding of human and …

Nature Of The Crescent: Humans And The Natural World In Genesis 1-11 And Mesopotamian Mythology, Bryton A. Smith

Honors Papers

This capstone thesis examines the human-nature relationship in the Genesis primeval history (Gen. 1-11) and compares it to the human-nature relationship in the Mesopotamian Enuma Elish, Atrahasis, and Epic of Gilgamesh myths. Despite common threads running in the two sources of mythology, I argue that Genesis is the only text that portrays humans in a religiously and royally authoritative position that includes responsibility for nature. To clarify, modern Jewish or Christian thought on Genesis in relation to the environment is not the focus of this study. Instead, this study examines Gen. 1-11 in the context of the ancient Near East, …

Exercise In The Treatment Of Major Depressive Disorder, Larissa Ann Haug

Physician Assistant Scholarly Project Papers

Objective

The purpose of this research and systematic literature review is to determine how exercise can be incorporated into the treatment of major depressive disorder (MDD) and its efficacy.

Methods

In this review, four databases were searched including SportDiscus, Pubmed, Cochrane Database of Systematic Reviews, and PsycInfo from October 1 to January 5, 2018. A variety of key terms were used when searching. Works chosen for review were published after the year 2000, were peer reviewed, and included randomized control trials (RCTs), pilot studies, systematic reviews, and meta-analyses. Sources that were excluded included those published prior to the year 2000, …

A Discussion Regarding Various Animals' Abilities To Make Music And Move Rhythmically To Songs, Emilie R. Bufford

Capstone Projects and Master's Theses

This project involves exploring the presence of music and rhythmic abilities in specific animal species. The main subjects are whales, sea lions, gorillas, elephants, birds, and mice. The goal of this project was to compare their abilities to those of humans, and overall, determine whether such abilities are considered musical. Cases where animals demonstrate the ability, both learned and innate, to move to a beat are analyzed, along with animals who demonstrate musical vocal abilities naturally in the wild. The previously unknown frequencies of whales, mice, and elephants, are brought to light. These findings bring up the possibility of even …

Coordination Between Autophagy And The Heat Shock Response: Evidence From Exercise In Animals And Humans, Nathan H. Cole

Health, Exercise, and Sports Sciences ETDs

Proteins play a critical role in nearly every biological activity. In consequence, organismal health and homeostasis often hinges on the ability of intracellular regulatory systems to sustain the quality and function of these diverse, structurally complex macromolecules. Correct protein function depends on correct form, and during periods of destabilizing cellular stress, protein quality is managed in part by the heat shock response, which acts to support, isolate, and reform new or damaged proteins, and in part by the autophagic recycling of abnormal proteins, cytotoxic protein aggregates, and terminally damaged organelles. We conducted a pooled analysis of available research in humans …

Meta-Analysis On Zoonotic Infectious Diseases Between Humans And Non-Human Primates, Madalyn R. Page

Undergraduate Honors Capstone Projects

Due to genetic similarity, non-human primates are often the focus of zoonotic infectious disease research. The objective of zoonotic disease research can vary depending upon whether the study is focusing on human health or the health of wild non-human primate populations. Research with non-human primates is often associated with their use in medical laboratories for the benefit of human health. However, other studies focus on both the health of wild non-human primate populations and human interactions. This study reviews zoonotic disease research published in three main primatology journals: American Journal of Primatology, International Journal of Primatology, and Primates. …

Dna Methylation In Humans And Dogs: Evaluating The Impact Of Nutritional And Particulate Exposures, Luke Benjamin Montrose

Graduate Student Theses, Dissertations, & Professional Papers

Asthma is among the most common chronic diseases in children, among the leading causes of hospitalization for children, and one of the leading causes of school absenteeism. Discovery of preventable factors and the underlying mechanisms that exacerbate asthma among prevalent cases is important for mitigating the health burden of this childhood disease. Environmental factors such as exposure to particulate matter (PM) or nutritional deficiencies can lead to poor respiratory health among susceptible children. Recent animal studies suggest that PM exposures and dietary nutrients may influence asthma pathways through epigenetic mechanisms. Epigenetic modifications are heritable changes that can regulate gene activity …

Bird Mortality In The Human Built Environment, Stacie Schwartz

Honors Theses

Human development is having a detrimental effect on bird populations around the world. One hundred million to one billion birds are killed every year from colliding with human-built structures. I explored factors influencing the inability of birds to avoid man-made structures. If we can better understand these reasons, we can find solutions to this problem. After a known bird avoidance method, fritted glass, was installed in the Wold building, I investigated whether this glass actually deters birds from striking windows. Strikes on windows were noted daily through observation of specific windows on campus. Results show that vegetation outside of windows …

Not Shut In By Any Fence, Anna Bullock Brown

Undergraduate Honors Capstone Projects

From their beginning in the mid-l 800s, zoos ( or zoological gardens as they were first known) were meant for both research and education. They offered viewers the opportunity to see animals that they otherwise would never have seen. These animals were kept in cages to protect the zoo-goers. The history of zoos demonstrates a conflicting desire between our human need to connect with animals as well as our fear (literal and metaphoric) of what that connection might mean. Informing this creative project are three main areas of research: primary research in the form of interview, place-based research conducted at …

Immunological Mechanisms Of Extracorporeal Photopheresis In Cutaneous T Cell Lymphoma And Graft Versus Host Disease, Lisa Shiue

Dissertations & Theses (Open Access)

IMMUNOLOGICAL MECHANISMS OF EXTRACORPOREAL PHOTOPHERESIS IN CUTANEOUS T CELL LYMPHOMA AND GRAFT VERSUS HOST DISEASE

Publication No.___________

Lisa Harn-Ging Shiue, B.S.

Supervisory Professor: Madeleine Duvic, M.D.

Extracorporeal photopheresis (ECP) is an effective, low-risk immunomodulating therapy for leukemic cutaneous T cell lymphoma (L-CTCL) and graft versus host disease (GVHD), but whether the mechanism(s) of action in these two diseases is (are) identical or different is unclear. To determine the effects of ECP in vivo, we studied regulatory T cells (T-regs), cytotoxic T lymphocytes (CTLs), and dendritic cells (DCs) by immunofluorescence flow cytometry in 18 L-CTCL and 11 GVHD patients before …

Discounting Of Hypothetical Monetary Outcomes That Are Both Delayed And Probabilistic, Ariana Mae Vanderveldt

All Theses and Dissertations (ETDs)

The value of an outcome is affected both by the delay until its receipt: delay discounting) and by the likelihood of its receipt: probability discounting). Despite being well described by the same hyperboloid function, delay and probability discounting involve fundamentally different processes, as represented by the opposite effect amount has on the degree to which delayed and probabilistic rewards are discounted. Most of the previous research has studied the discounting of delayed and of probabilistic rewards separately, with little research examining more complex situations in which the rewards are both delayed and probabilistic. In the present experiment, participants made choices …

Evaluation Of A Social Support Measure That May Indicate Risk Of Depression During Pregnancy, Lori Spoozak

Yale Medicine Thesis Digital Library

The objective of this study was to evaluate the psychometric properties of the Kendler Social Support Interview modified for administration to pregnant women and to assess the relationship between social support and depression in the first trimester of pregnancy. Subjects were administered the Modified Kendler Social Support Interview (MKSSI) and the Composite International Diagnostic Index to diagnose depression. Principal components analysis was employed to construct the MKSSI score. Cronbachs coefficient alpha and principal factor analysis were run for items included in the MKSSI score. The relationship between a depressive diagnosis and the MKSSI score and subscales was assessed by logistic …

The Utility Of Plain Radiography In The Evaluation Of Degenerative Spine Disease, Andrew Simpson

Yale Medicine Thesis Digital Library

Study Designs: Questionnaire, Retrospective chart review, Cadaver study, and cross-sectional study. Objectives: Assess current imaging practices; determine utility of accessory radiographic studies, including dynamic and oblique radiographs; calculate effective radiation doses of routine spine radiographs. Summary of Background Data: Plain radiography is generally considered the initial imaging modality for evaluation of degenerative spine complaints. In addition to anteroposterior (AP) and lateral views, dynamic and oblique views may also be obtained. There is currently no data on imaging practices of spine specialists, the utility of these accessory radiographic views, or the radiation exposure patients receive as a result of various spine …

Electrical Stimulation And Glutamate In The Hippocampus Of Epilepsy Patients, Gabriel Widi

Yale Medicine Thesis Digital Library

Electrical brain stimulation has been proposed as a promising treatment option for patients with medically resistant epilepsy disorder. Glutamate levels in the epileptogenic human hippocampus are elevated interictally and increase with seizures. Fifty Hz stimulation is a candidate therapeutic stimulation that is also used for clinical cortical mapping. We examined the effects of 50 Hz stimulation on glutamate efflux in the hippocampus of patients with medically refractory epilepsy. Subjects (n = 10) underwent intracranial EEG (icEEG) evaluation for possible therapeutic resection. Electrical stimulation was delivered through implanted hippocampal electrodes (n = 11) and microdialysate samples were collected every 2 mins. …

Bdnf Variants Influence Educational Attainment But Not Disease Characteristics In Alzheimers Disease, Kristina Frances Zdanys

Yale Medicine Thesis Digital Library

This study aimed to determine whether brain-derived neurotrophic factor (BDNF) variants are related to premorbid educational attainment, progression of cognitive and functional decline, and associated neuropsychiatric symptoms in patients with Alzheimers disease (AD). A sample of n = 341 AD subjects was genotyped for the BDNF polymorphisms val66met, C270T, and G-712A. Subjects received tests of cognition and daily function at baseline and at multiple subsequent time points during their participation in a variety of research protocols. Cognition was measured by the Mini-Mental State Examination (MMSE) and Alzheimers Disease Assessment Scale (ADAS-Cog). Functional performance was assessed using the Instrumental Activities of …

Influence Of A Serotonin Transporter Promoter Polymorphism (5-Httlpr) On Corticolimbic Abnormalities In Bipolar Disorder An Integrated Genetics And Functional Mri Study, Maulik Shah

Yale Medicine Thesis Digital Library

Bipolar disorder (BD) is associated with abnormalities of the subgenual anterior cingulate cortex (sgACC) and the amygdala, components of a corticolimbic neural system that subserves emotional regulation. The short s allele - as opposed to the long l allele - of a serotonin transporter promoter (5-HTTLPR) polymorphism is associated with more severe course features of BD and impaired functional connectivity between the sgACC and amygdala in healthy control (HC) individuals. This study tests the hypothesis that the s allele influences the dysfunction in the sgACC-amygdala neural system in BD. Twenty-six euthymic BD participants (17 s carriers, 9 ll) and 43 …

Differences In The Central Neural Activation Under Emotional Stress Across The Menstrual Cycle, Nayalya Lopushnyan

Yale Medicine Thesis Digital Library

The present study had several goals. First, we aimed to investigate the potential differences in the activation of the corticolimbic structures during emotional stress in healthy women across the menstrual cycle using stress imagery. Second, we searched for differences in the subjective anxiety under emotional stress across the menstrual cycle and tried to correlate the perceived level of anxiety to activation of the specific corticolimbic structures. Third, we attempted to compare central neural activation of women in follicular and in luteal phases of the menstrual cycle separately to that of men during emotional stress to investigate potential differences in neural …

Reproductive Desires And Intentions Among Hiv-Infected Individuals In Chennai, India, Elizabeth Houle

Yale Medicine Thesis Digital Library

Despite the personal and cultural importance of childbearing in India, limited information exists on the extent of childbearing desires and intentions among HIV-infected individuals in this setting. The purpose of this study was to measure the extent of childbearing desires among HIV-infected individuals in Chennai, India, thereby testing the hypothesis that HIV significantly influences the desire to have children. Three hundred HIV-infected individuals were interviewed about childbearing desires and intentions during routine visits for HIV care at an HIV specialty care clinic in Chennai, South India. Sixteen percent of participants expressed desire for childbearing, and 9% expressed intention to have …

Chronic Villus Sampling And The Risk Of Hypertensive Disorders Of Pregnancy: A Case Control Study, Sanaz Ghazal

Yale Medicine Thesis Digital Library

The purpose of this study was to determine whether there is an association between chorionic villus sampling for prenatal diagnosis and the development of hypertensive disorders of pregnancy. This study is a single-site retrospective case control study using medical records of patients seen at Yale-New Haven Hospital. A total of 448 patients in three groups (first trimester aneuploidy screening with nuchal translucency assessment, genetic amniocentesis, and chorionic villus sampling) were included and data on maternal characteristics, delivery outcomes, risk factors, and hypertensive outcomes were recorded. Unadjusted odds ratios and odds ratios adjusted for maternal age and race were calculated to …

Physiologic Effect Of Relaxation Therapies On Autonomic Tone Early After Acute Coronary Syndromes, Rachel Summer Claire Friedman

Yale Medicine Thesis Digital Library

Post-MI patients are at increased risk of arrhythmic sudden death. Stress and sympathetic activation are known to influence arrhythmogenesis. While relaxation therapies improve psychological well-being in multiple medical illnesses, whether these therapies can positively influence sympathovagal balance in the post-MI population is unknown. We explored the physiologic effects of Reiki, a light-touch relaxation therapy, and music on post-acute coronary syndrome (ACS) inpatients, using heart rate variability (HRV) to assess changes in cardiac autonomic function during treatment. Forty-eight patients with ACS within the last 72 hours were randomized to received a single 20-minute session of either Reiki, classical music, or a …