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2015

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Individual Responses For Muscle Activation, Repetitions, And Volume During Three Sets To Failure Of High- (80% 1rm) Versus Low-Load (30% 1rm) Forearm Flexion Resistance Exercise, Nathaniel D. M. Jenkins, Terry J. Housh, Samuel L. Buckner, Haley C. Bergstrom, Kristen C. Cochrane, Cory M. Smith, Ethan C. Hill, Richard J. Schmidt, Joel T. Cramer Dec 2015

Individual Responses For Muscle Activation, Repetitions, And Volume During Three Sets To Failure Of High- (80% 1rm) Versus Low-Load (30% 1rm) Forearm Flexion Resistance Exercise, Nathaniel D. M. Jenkins, Terry J. Housh, Samuel L. Buckner, Haley C. Bergstrom, Kristen C. Cochrane, Cory M. Smith, Ethan C. Hill, Richard J. Schmidt, Joel T. Cramer

Kinesiology and Health Promotion Faculty Publications

This study compared electromyographic (EMG) amplitude, the number of repetitions completed, and exercise volume during three sets to failure of high- (80% 1RM) versus low-load (30% 1RM) forearm flexion resistance exercise on a subject-by-subject basis. Fifteen men were familiarized, completed forearm flexion 1RM testing. Forty-eight to 72 h later, the subjects completed three sets to failure of dumbbell forearm flexion resistance exercise with 80% (n = 8) or 30% (n = 7) 1RM. EMG amplitude was calculated for every repetition, and the number of repetitions performed and exercise volume were recorded. During sets 1, 2, and 3, one …


Effects Of Eccentric Exercise On Tendon Loading And Ankle Power During A Single-Leg Heel Rise And Lowering Tank, Derek Palmer, Jordan Visser, Jason Beilstein Dec 2015

Effects Of Eccentric Exercise On Tendon Loading And Ankle Power During A Single-Leg Heel Rise And Lowering Tank, Derek Palmer, Jordan Visser, Jason Beilstein

Student-Faculty Research - College of Physical Therapy

No abstract provided.


What Are The Effects Of Wearing Shoes On Foot Pressure?, David Moran, Drew Stewart, Josh Farrester, Ryan Wiser Dec 2015

What Are The Effects Of Wearing Shoes On Foot Pressure?, David Moran, Drew Stewart, Josh Farrester, Ryan Wiser

Student-Faculty Research - College of Physical Therapy

No abstract provided.


Reliability And Validity Of The Modified Vestibular Disorders Activities Of Daily Living Scale In Older Adult Balance Examination, Ashley Berry, Jammie Hoberg, Tiffany Stevens, Kayla Taylor, Melissa Vetter Dec 2015

Reliability And Validity Of The Modified Vestibular Disorders Activities Of Daily Living Scale In Older Adult Balance Examination, Ashley Berry, Jammie Hoberg, Tiffany Stevens, Kayla Taylor, Melissa Vetter

Student-Faculty Research - College of Physical Therapy

No abstract provided.


Developing Lockdown Policies, Charles J. Russo Dec 2015

Developing Lockdown Policies, Charles J. Russo

Educational Leadership Faculty Publications

Hardly a week passes without reading or hearing about a school being locked down because of concerns for the safety of students, teachers, and staff. The increasing number of events that prompt lockdowns presents a sad commentary about today’s world. Aware of the very real possibility of threats of violence on campus, district leaders must ensure that they have current policies that cover the safety and risk management issues associated with imposed lockdowns.


The Nursing Documentation Dilemma In Uganda: Neglected But Necessary. A Case Study At Mulago National Referral Hospital, Grace Nakate, Diane Dahl, Pammla Petrucka, Karen B. Drake, Ruby Dunlap Dec 2015

The Nursing Documentation Dilemma In Uganda: Neglected But Necessary. A Case Study At Mulago National Referral Hospital, Grace Nakate, Diane Dahl, Pammla Petrucka, Karen B. Drake, Ruby Dunlap

School of Nursing & Midwifery, East Africa

In Uganda, nursing documentation still remains a challenge, in most of the government hospitals and some private hospitals, it remains at a manual (non-technology driven) level and omissions have been observed. Nurses continue to capture standard elements in their documentation. A mixed methods intervention study was conducted to determine knowledge and attitudes of nurses towards documentation, including an evaluation of nurses’ response to a designed nursing documentation form. Forty participants were selected through convenience sampling from six wards of a Ugandan health institution. The study intervention involved teaching nurses the importance of documentation and using of the trial documentation tool. …


A Synthetic Lethality Screen Using A Focused Sirna Library To Identify Sensitizers To Dasatinib Therapy For The Treatment Of Epithelial Ovarian Cancer., Harsh B Pathak, Yan Zhou, Geetika Sethi, Jeff Hirst, Russell J Schilder, Erica A Golemis, Andrew K Godwin Dec 2015

A Synthetic Lethality Screen Using A Focused Sirna Library To Identify Sensitizers To Dasatinib Therapy For The Treatment Of Epithelial Ovarian Cancer., Harsh B Pathak, Yan Zhou, Geetika Sethi, Jeff Hirst, Russell J Schilder, Erica A Golemis, Andrew K Godwin

Department of Medicine Faculty Papers

Molecular targeted therapies have been the focus of recent clinical trials for the treatment of patients with recurrent epithelial ovarian cancer (EOC). The majority have not fared well as monotherapies for improving survival of these patients. Poor bioavailability, lack of predictive biomarkers, and the presence of multiple survival pathways can all diminish the success of a targeted agent. Dasatinib is a tyrosine kinase inhibitor of the Src-family kinases (SFK) and in preclinical studies shown to have substantial activity in EOC. However, when evaluated in a phase 2 clinical trial for patients with recurrent or persistent EOC, it was found to …


The Effect Of The Patient Protection And Affordable Care Act On The Medicare Part D Coverage Gap As Reflected In Diabetes Medication Adherence., Jennifer A. Forristal Dec 2015

The Effect Of The Patient Protection And Affordable Care Act On The Medicare Part D Coverage Gap As Reflected In Diabetes Medication Adherence., Jennifer A. Forristal

Electronic Theses and Dissertations

This dissertation involves an evaluation of the effect of the Patient Protection and Affordable Care Act (ACA) on diabetic medication adherence for mail order utilizers over 6 years as the Medicare Part D coverage gap begins to close. The study had 3 objectives: 1) to evaluate diabetes medication adherence of health plan members before they reach the coverage gap and then while they are in the coverage gap, 2) to compare diabetes medication adherence between two similar groups with differing benefit structures, one group with a gap in coverage as opposed to a group with no benefit changes within the …


Mechanisms And Intervention Strategies For Alcohol And Hiv-Antiretroviral Therapy-Induced Liver Injury., Hridgandh Donde Dec 2015

Mechanisms And Intervention Strategies For Alcohol And Hiv-Antiretroviral Therapy-Induced Liver Injury., Hridgandh Donde

Electronic Theses and Dissertations

Chronic alcohol consumption is a leading cause of liver disease and liver-related death worldwide. Alcoholic liver disease includes, hepatic steatosis, steatohepatitis and ultimately fibrosis and cirrhosis. Emerging evidence has established the important role of the “gut-liver” axis in the development of alcoholic liver disease (ALD). Our recent work indicated that chronic alcohol induced perturbations in the gut microbiome and consequent changes in fatty acids have a major impact on the development of intestinal barrier dysfunction and ALD. The aim of this study was to investigate whether treatment with tributyrin - a butyrate prodrug results in protection against ALD in terms …


Atmospheric Nitrogen Assimilation In Ustilago Maydis., Michael Cooper Dec 2015

Atmospheric Nitrogen Assimilation In Ustilago Maydis., Michael Cooper

Electronic Theses and Dissertations

Nitrogen is an essential nutrient for all living creatures. Ammonium is one of the most efficiently used and thus preferred, sources of nitrogen. As with other dimorphic fungi, yeast-like cells of Ustilago maydis, a fungal pathogen of maize, switches to filamentous growth when starved for nitrogen/ammonium. U. maydis carries two genes, ump1 and ump2, encoding ammonium transporters that facilitate both uptake of ammonium and the filamentous response to its absence. While no obvious phenotype is observed when ump1 is deleted, cells without ump2 are unable to filament in response to low ammonium, although they can still grow. Surprisingly, …


Dietary Carotenoids And The Complex Role Of Redness In The Behavior Of The Firemouth Cichlid Thorichthys Meeki., Sarah Anne Fauque Dec 2015

Dietary Carotenoids And The Complex Role Of Redness In The Behavior Of The Firemouth Cichlid Thorichthys Meeki., Sarah Anne Fauque

Electronic Theses and Dissertations

This dissertation takes a comprehensive approach to the role of dietary carotenoids on redness and the subsequent behaviors in the firemouth cichlid, Thorichthys meeki. I start with a brief introduction into signaling, the importance of carotenoids, and mate choice. The dissertation is then divided into three data chapters which are designed to stand as independent manuscripts. Chapter II documents how altering the availability of dietary carotenoids affects redness in the integument of male and female T. meeki. I tracked how redness changed in color and distribution in individuals over the course of 12 weeks. I confirm that a dichotomy …


Comparison Of Digital Scanning And Polyvinyl Siloxane Impression Techniques By Dmd Students : Instructional Efficiency And Attitudes Toward Technology., Alexander M. Marti Dec 2015

Comparison Of Digital Scanning And Polyvinyl Siloxane Impression Techniques By Dmd Students : Instructional Efficiency And Attitudes Toward Technology., Alexander M. Marti

Electronic Theses and Dissertations

The aim of this research was compare the ability of dental students to learn an digital scanner (3M LAVA) and material-based (PVS) impression techniques and to determine attitudes and preferences towards each. D2 dental students (n=25) were recruited and instructed on the use of 3M LAVA and PVS techniques using three pedagogic methods: 1) video lecture (P1), 2) investigator-led demonstration (P2), and 3) independent clinical exercise (P3). The amount of time for each pedagogic method was measured, averaged (± s.d.) and compared using Wilcoxon Signed-Ranks tests. A pre- and post-test was administered assessing their attitudes towards both techniques using a …


Fall/Winter 2015: Presidential Legacy Continues At Marian University, St. Norbert College Dec 2015

Fall/Winter 2015: Presidential Legacy Continues At Marian University, St. Norbert College

St. Norbert College Magazine 2013-2018

The Marian University Board of Trustees has appointed Andrew Manion ’87 as the 16th president of the Catholic liberal arts university. Manion, who is expected to take office in March, is the son of St. Norbert President Emeritus Tom Manion and Maureen Manion (Political Science, Emerita).


Nutrinews, Volume 12, December 2015, Department Of Nutrition And Dietetics, University Of North Florida Dec 2015

Nutrinews, Volume 12, December 2015, Department Of Nutrition And Dietetics, University Of North Florida

NutriNews

This issue features Mixify, UNF DND 2014-2015 Highlights, and Recipes from Jessica's Table


Hybrid Diffuse Optical Techniques For Continuous Hemodynamic Measurement In Gastrocnemius During Plantar Flexion Exercise, Brad Henry, Mingjun Zhao, Yu Shang, Tim L. Uhl, D. Travis Thomas, Eleftherios S. Xenos, Sibu P. Saha, Guoqiang Yu Dec 2015

Hybrid Diffuse Optical Techniques For Continuous Hemodynamic Measurement In Gastrocnemius During Plantar Flexion Exercise, Brad Henry, Mingjun Zhao, Yu Shang, Tim L. Uhl, D. Travis Thomas, Eleftherios S. Xenos, Sibu P. Saha, Guoqiang Yu

Physical Therapy Faculty Publications

Occlusion calibrations and gating techniques have been recently applied by our laboratory for continuous and absolute diffuse optical measurements of foreann muscle hemodynamics during handgrip exercises. The translation of these techniques from the foreann to the lower limb is the goal of this study as various diseases preferentially affect muscles in the lower extremity. This study adapted a hybrid near-infrared spectroscopy and diffuse correlation spectroscopy system with a gating algorithm to continuously quantify hemodynamic responses of medial gastrocnemius during plantar flexion exercises in 10 healthy subjects. The outcomes from optical measurement include oxy-, deoxy-, and total hemoglobin poncentrations, blood oxygen …


In Honor And Memory Of Professor Lajos Takács, Aliakbar M. Haghighi, Sri G. Mohanty Dec 2015

In Honor And Memory Of Professor Lajos Takács, Aliakbar M. Haghighi, Sri G. Mohanty

Applications and Applied Mathematics: An International Journal (AAM)

This issue of AAM is dedicated to honoring and remembering Professor Lajos Takács. While wrapping up the manuscript of my book (co-authored by Dr. Dimitar Mishev): Delayed and Network Queues, I went back to celebrate his 1962 book, Introduction to the Theory of Queues, where he gives an example illustrating a waiting time paradox, where the waiting time of a passenger waiting for a bus at a bus stop is infinite, while, in reality, he will wait a finite unit of time before a bus arrive. I sent Professor Takács an e-mail on December 4, 2015, inquiring if he had …


A New Analytic Numeric Method Solution For Fractional Modified Epidemiological Model For Computer Viruses, Ali H. Handam, Asad A. Freihat Dec 2015

A New Analytic Numeric Method Solution For Fractional Modified Epidemiological Model For Computer Viruses, Ali H. Handam, Asad A. Freihat

Applications and Applied Mathematics: An International Journal (AAM)

Computer viruses are an extremely important aspect of computer security, and understanding their spread and extent is an important component of any defensive strategy. Epidemiological models have been proposed to deal with this issue, and we present one such here. We consider the modified epidemiological model for computer viruses (SAIR) proposed by J. R. C. Piqueira and V. O. Araujo. This model includes an antidotal population compartment (A) representing nodes of the network equipped with fully effective anti-virus programs. The multi-step generalized differential transform method (MSGDTM) is employed to compute an approximation to the solution of the model of fractional …


Seir Model Of Seasonal Epidemic Diseases Using Ham, Nirmala P. Ratchagar, S. P. Subramanian Dec 2015

Seir Model Of Seasonal Epidemic Diseases Using Ham, Nirmala P. Ratchagar, S. P. Subramanian

Applications and Applied Mathematics: An International Journal (AAM)

SEIR mathematical model of childhood diseases measles, chickenpox, mumps, rubella incorporate seasonal variation in contact rates due to the increased mixing during school terms compared to school holidays. Driven by seasonality these diseases are characterized by annual oscillations with variable contact rate which is a periodic function of time in years. Homotopy Analysis Method (HAM) is considered in this paper to obtain a semi analytic approximate solution of non-linear simultaneous differential equations. Mathematica is used to carry out the computations. Results established through graphs show the validity and potential of HAM for amplitude of variation greater than zero. Also, when …


When Clients Sue Their Lawyers For Failing To Report Their Own Malpractice, Benjamin P. Cooper Dec 2015

When Clients Sue Their Lawyers For Failing To Report Their Own Malpractice, Benjamin P. Cooper

Hofstra Law Review

What consequences should befall the lawyer who fails to disclose a significant error to his client? In a previous article, I examined the lawyer’s ethical duty to report his own malpractice to his client, a topic that had previously received little attention from courts and commentators, and concluded that the duty is well-grounded in Rules 1.4 and 1.7. Therefore the lawyer who fails to disclose his error to his client is subject to discipline. This Article addresses the client's ability to state an independent claim against the lawyer for failing to disclose his own malpractice -- a topic that has …


Associations Of Perfluoroalkyl Substances (Pfass) With Lower Birth Weight: An Evaluation Of Potential Confounding By Glomerular Filtration Rate Using A Physiologically Based Pharmacokinetic Model (Pbpk), Marc-André Verner, Anne E. Loccisano, Nils-Halvdan Morken, Miyoung Yoon, Huali Wu, Robin Mcdougall, Mildred Maisonet, Michele Marcus, Reiko Kishi, Chihiro Miyashita, Mei-Huei Chen, Wu-Shiun Hsieh, Melvin E. Andersen, Harvey J. Clewell Iii, Matthew P. Longnecker Dec 2015

Associations Of Perfluoroalkyl Substances (Pfass) With Lower Birth Weight: An Evaluation Of Potential Confounding By Glomerular Filtration Rate Using A Physiologically Based Pharmacokinetic Model (Pbpk), Marc-André Verner, Anne E. Loccisano, Nils-Halvdan Morken, Miyoung Yoon, Huali Wu, Robin Mcdougall, Mildred Maisonet, Michele Marcus, Reiko Kishi, Chihiro Miyashita, Mei-Huei Chen, Wu-Shiun Hsieh, Melvin E. Andersen, Harvey J. Clewell Iii, Matthew P. Longnecker

ETSU Faculty Works

Background: Prenatal exposure to perfluoroalkyl substances (PFAS) has been associated with lower birth weight in epidemiologic studies. This association could be attributable to glomerular filtration rate (GFR), which is related to PFAS concentration and birth weight.

Objectives: We used a physiologically based pharmacokinetic (PBPK) model of pregnancy to assess how much of the PFAS–birth weight association observed in epidemiologic studies might be attributable to GFR.

Methods: We modified a PBPK model to reflect the association of GFR with birth weight (estimated from three studies of GFR and birth weight) and used it to simulate PFAS concentrations in maternal and cord …


A 3d Radiographic Evaluation Of Crestal Bone Changes Around Immediately Loaded Endosseous Implants, Keerthi Senthil Dec 2015

A 3d Radiographic Evaluation Of Crestal Bone Changes Around Immediately Loaded Endosseous Implants, Keerthi Senthil

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this clinical investigation is to evaluate and compare the 3-dimensional radiographic crestal bone changes around 4 immediately placed and loaded implants supporting full arch fixed mandibular prosthesis in 2 groups of patients. The Test group comprises of patients with failing mandibular teeth needing extraction. ( due to caries, periodontal disease, fractures or prosthetic reasons).The Control group comprises of patients with a fully edentulous mandible presenting for fixed implant supported prosthesis with at least 6 months after the last extraction or bone grafting procedure. Stereolithographic bone model obtained from the patient’s DICOM files was used to fabricate the …


Getting To The Doctor: Bpss Factors Of Health Care Utilization In Fragile Families, Veronica P. Kuhn Dec 2015

Getting To The Doctor: Bpss Factors Of Health Care Utilization In Fragile Families, Veronica P. Kuhn

Loma Linda University Electronic Theses, Dissertations & Projects

The number of fragile families where a child is born to unwed parents has increased greatly over the past half-century and now represents a diverse population in the United States (Ventura, 2009). These families, who are predominantly African American and Hispanic (Hummer & Hamilton, 2010) and are more likely to live in poverty and experience poorer health, face significant barriers to access and utilize health care services (De Marco & De Marco, 2009; Williams, 2008). Limited research exists on how these facets of the illness experience might differ for fragile families whose resources are limited prior to illness. The Biopsychosocial …


Paternal Depression In The Peripartum Period: An International Delphi Study, Cassidy J. Freitas Dec 2015

Paternal Depression In The Peripartum Period: An International Delphi Study, Cassidy J. Freitas

Loma Linda University Electronic Theses, Dissertations & Projects

This dissertation aims to reach consensus on the defining factors of Paternal Peripartum Depression (PPPD) as well as identify research priorities through the Delphi method. Peripartum Depression is a major health issue for parents and their children. Fathers are at risk for peripartum depression due to the changes in identity, relationship, and biology they face during their transition to parenthood. A father’s mental health plays an intimate role in the overall health and outcomes of his family, but up until this point has been significantly overlooked. Due to the paucity of research and lack of clear consensus on the identifying …


Executive Dysfunction Is Predictive Of Clinical Symptomatology In 22q11.2 Deletion Syndrome, Chinonyere Kemdirim Bello Dec 2015

Executive Dysfunction Is Predictive Of Clinical Symptomatology In 22q11.2 Deletion Syndrome, Chinonyere Kemdirim Bello

Loma Linda University Electronic Theses, Dissertations & Projects

By adulthood, 25%- 30% of individuals with 22q11.2 deletion syndrome (22qDS) develop a psychotic disorder, often schizophrenia, and it is not understood why. Given the known genetic etiology of this disorder and the greatly elevated risk for development of schizophrenia, this group offers the possibility of defining a seemingly homogenous maturational pathway to psychosis. Neurocognitive deficits have been increasingly recognized as an important dimension of schizophrenia, particularly in the executive domain. Thus, we assessed multiple aspects of executive cognition in 22qDS, in order to: 1) characterize performance across this domain as compared to age-matched healthy controls; and 2) determine whether …


Online Psychoeducational Therapy For Chronic Pain, Cynthia Marie Nakoski Dec 2015

Online Psychoeducational Therapy For Chronic Pain, Cynthia Marie Nakoski

Loma Linda University Electronic Theses, Dissertations & Projects

The pain experience consists of many factors including biological, psychological, social and spiritual that can exacerbate and perpetuate it, often leading to chronic pain. Provision of an online psychoeducational course, inclusive of social networking capabilities, offers remote access to invaluable information for the enhancement of self-efficacy in the treatment of chronic pain. The focus of this doctoral project was the creation of a website that includes pain management lessons comprised of Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Family Therapy, and Spirituality modules. The website incorporates psychometrics, automated course tracking, and social network components allowing for research reporting, self-paced interactive …


Behavioral Assessment And Referral For Patients With Cardiovascular Disease, Sarah June Sadeghi Dec 2015

Behavioral Assessment And Referral For Patients With Cardiovascular Disease, Sarah June Sadeghi

Loma Linda University Electronic Theses, Dissertations & Projects

Cardiovascular disease (CVD) is the most frequent cause of death in the United States. CVD affects more than a third of the U.S. population translating to approximately $431.8 billion in direct and indirect costs (Rosamond et al., 2007 as cited in Hunter et al., 2009). Given the significant rates of mental health issues exhibited in cardiovascular patients coupled with the lack of standard screening practices of psychosocial risk factors implicated in cardiovascular disease, the introduction of adequate assessment and referrals to mental health providers could substantially benefit health outcomes of patients.

The aims of this project are to: 1) provide …


Effect Of Vestibular Adaptation Exercises On Chronic Motion Sensitivity, Danah Alyahya Dec 2015

Effect Of Vestibular Adaptation Exercises On Chronic Motion Sensitivity, Danah Alyahya

Loma Linda University Electronic Theses, Dissertations & Projects

Dizziness is one of the most common complaints reported to primary care physicians. It is often associated with vestibular dysfunction and typically impacts postural stability. Motion sickness, or motion sensitivity, is stimulated by abnormal spatial orientation and is a common symptom related to dizziness and postural instability. The main cause of the motion sensitivity is aberrant sensory input from the visual, vestibular and somatosensory systems. The aim of this study was to measure the effect of vestibular adaptation exercises on postural stability in young healthy adults with subjective awareness of chronic motion sensitivity.

Methods: Fifty healthy male and female …


Dialectical Behavior Therapy And Adolescent Patient Treatment Dropout, Danessa Mayo Dec 2015

Dialectical Behavior Therapy And Adolescent Patient Treatment Dropout, Danessa Mayo

Loma Linda University Electronic Theses, Dissertations & Projects

Attrition in mental health treatment is an area of concern among the adolescent population, especially with patients engaged in deliberate self-harm. The purpose of this study was to examine the treatment attrition rate for adolescents with deliberate self-harm in an adapted dialectical behavior therapy intensive outpatient program. A total of 141 adolescents previously enrolled in the program were available for the study. Results demonstrated a 31.9% dropout rate. Graduates indicated greater improvement of overall distress from baseline to post-treatment than dropouts. Dropouts attended an average of 12 treatment sessions. Several factors were examined to identify potential predictors of patient treatment …


To A Better Understanding Of Professional Practice: Provider Decision-Making When Delivering Hiv Services, Carizma Amila Chapman Dec 2015

To A Better Understanding Of Professional Practice: Provider Decision-Making When Delivering Hiv Services, Carizma Amila Chapman

Loma Linda University Electronic Theses, Dissertations & Projects

Over the last several decades an abundance of research has been conducted on HIV/AIDS. These studies have focused on the infection, impact of the disease on the health and quality of life of people living with the infection, and on treatment effectiveness. However, limited studies are available that explore the experiences of providers delivering HIV/AIDS services. Research demonstrates that providers have an important impact on treatment, shaping not only patient retention, but also treatment adherence. The critical role HIV/AIDS providers have in shaping treatment makes understanding provider experiences a pertinent area of inquiry to understand HIV/AIDS care. In this study, …


Access To Oral Health For Children On Mainecare In The Lakes Region Towns Of Bridgton, Casco, Sebago, And Naples, Carissa L. Parent Dec 2015

Access To Oral Health For Children On Mainecare In The Lakes Region Towns Of Bridgton, Casco, Sebago, And Naples, Carissa L. Parent

Muskie School Capstones and Dissertations

Although we know that children covered by Medicaid often do not receive needed dental services, the extent of the problem in Maine is not fully understood. In particular, rural communities in Maine may face challenges for families to access dental services for their children given low reimbursement rates and fewer available providers. This project addresses these gaps in knowledge by examining MaineCare- funded utilization and dental care access for children with MaineCare in four rural Maine towns in the Lakes Region.