Medicine and Health Sciences Commons^™

Neuropsychological Outcomes Of Children With Craniosynostosis, Marykathryn Strahle

Honors Theses

Craniosynostosis is the premature fusion of one or more cranial sutures. Previous research suggests that craniosynostosis is related to cognitive deficits, impairments, and delay, and that these impairments might be related to the age of surgical intervention or the location and severity of suture fusion (Kapp-Simon, 1998). The current research sought to further investigate such relationships using a sample of 177 pediatric patients from the University of Michigan Neuropsychology Clinic. The data included 56 intelligence quotient (IQ) scores from various neuropsychological tests [Bayley Scales of Infant Development (BSID), Wechsler Preschool and Primary Scale of Intelligence (WPPSI), and Wechsler Intelligence Scale …

Design Of A Medical Walker With An Integrated Crutch Mechanism, Harrison Bourikas

Honors Theses

Many elderly people and injured people suffer from physical complications that make it difficult or dangerous for them to perform everyday activities, thereby inhibiting their mobility. Some of these activities include walking, standing, and sitting. As a result, it is no surprise that many companies in the medical industry have already attempted to construct an array of options to aid these people, including basic medical walkers, and standing-assist furniture, poles, and machines. Although these options are fair choices, they fail to integrate portability, simplicity, and multi-functionality together. Therefore, this thesis focuses on designing and building a dual purpose machine that …

The Optimization Of Porosity And Pore Patterning For Patient-Specific Ti-6 Al-4v Femur Implants, Stephen Paolicelli

Honors Theses

Metastatic bone cancer often arises in the long bones of the body. Taking a patient specific approach by utilizing a customized implant is a superior method of treatment compared to today’s solutions, which often includes amputation. A titanium-alloy femur implant has been optimized by varying pore size, pore pattern, and porosity in order to maximize osseointegration. By maximizing osseointegration, the implant will remain firmly in place for a longer period of time because bone will grow throughout the implant, securing it. In addition, it is important for the bone to behave mechanically like bone. This requires the global elastic modulus …

Effects Of Playing Surface And Shoe Type Of Acl Tears In Soccer Players, Melissa Mansfield

Honors Theses

Anterior Cruciate Ligament injuries have become more common in athletes over the past decade which is believed to result from playing on more artificial turf surfaces. This study tested the playing surface theory by building upon a previous study conducted with Albany Medical Center which tested surface samples using an axial-torsion load frame located at Union College. The motion that causes most ACL noncontact injuries is replicated by the load frame which pushes and rotates a shoe against the playing surface and measures the torque it experiences. The foot position, normal load, degree of rotation and rate of rotation were …

Neuropsychological Effects Of Interactive Physical And Cognitive Exercise: Increasing The Mental Challenge, Shannon Crowley

Honors Theses

In the past decade there has been a strong desire to implement more enjoyable, interactive video game experiences to enhance an individual’s exercise performance. In addition, virtual reality exercise has been utilized to create a more pleasurable experience for older adults suffering from dementia. Best (2012) defined exergaming as, “a new generation of video games that stimulate a more active, whole-body gaming experience.” A recent study found that exergaming, when compared to stationary biking, can improve cognition among the older population suffering from cognitive decline (Anderson-Hanley et al., 2012). In addition, working memory training also leads to a significant improvement …

History Of Concussion Research In American Football, Timothy Hersey

Honors Theses

Concussions have been the topic of discussion in the news and media in recent years for their profound impact on today’s sport industry. Athletes have become bigger, faster, and stronger then in the past, increasing the chance of injury. This can been seen in all sports. Contact sports specifically have seen a rise in mild traumatic brain injuries (MTBIs) over the years. Extensive research has been done to determine the causes of concussion, the short and long term effects of brain injury, and better ways to reduce the risk in sports. Concussion research in athletics has mainly focused on American …

Reforming Primary Care In The United States: Analysis Of Deficiencies And Potential Solutions Based On Existing Models, Noah Joseph

Honors Theses

Primary care medicine is an essential component of the U.S. health care system, yet there is no other part of the health care system that is in greater trouble right now. Primary care is undergoing profound change in the United States, as evidenced by an increasingly sick population along with the concurrent decrease in the supply of doctors to care for that population. The passage and the Supreme Court’s upholding of the constitutionality of the Affordable Care Act (ACA) is but another confirmation of the need to improve upon primary care in the U.S. In this paper, the major deficiencies …

Analysis Of Degenerative Cervical Spondylolisthesis And Corrective Orthopaedic Implants, Tyler Heck

Honors Theses

Back pain is often due to the degeneration of intervertebral discs, which can lead to a condition known as spondylolisthesis, whereby a vertebra slips out of position in the anteroposterior direction. There are numerous orthopaedic implants which are used by surgeons to correct this condition; however, there has been no conclusive research conducted in comparing the efficacies of these implants. In the cervical spine, this condition most commonly occurs over two levels. For the purposes of this study, an implant’s efficacy depends on its ability to return the slipped vertebra back into natural position immediately after surgery. To test these …

Physician Satisfaction: The Role Of E-Mail Communication In The Practice Of Medicine, Joaquin Alvarado

Honors Theses

Communication between a physician and a patient is an integral part to the healthcare delivery system. E-mail has the power to fully utilize a physician’s medical expertise for the good of the patient. However, many physicians do not offer this service to their patients in the United States. This study analyzes factors that impact e‐mail utilization among physicians and whether e-mail use contributes to career satisfaction of physicians using the 2008 Health Tracking and Physician Survey. Controlling for the effect of physician and practice characteristics, such as financial incentive for providing services, gender, specialty, practice type, and reliance on Medicaid …

The Design Of Patient-Specific Implants To Treat Bone Cancer, Shelby Marks

Honors Theses

Benign and malignant tumors often arise in bone due to metastasizing cancer. Thirty years ago limbs affected by tumors were treated with amputation, now with new technology, limb‐saving surgery is used most of the time; however, these surgical methods have limitations. Research shows a trend of using allografts and metallic implants to fill the bone gap once the tumor is resected. In some cases sections up to one third of the femur can be removed, sometimes disrupting the joint. There are many problems such as the integration and risk of failure in these implants. A more patient specific approach can …

Development Of A Standard And Functional Tactical Emergency Medical Curriculum -- Tems Medic, Benjamin Hannon

Honors Theses

Violent crime causes death and injury regularly in the United States. Some events such as the Newtown shootings, the Oklahoma City bombings, or the Washington, DC sniper case acutely focus the entire nation’s attention while other, less contemporary events fade away. The public safety apparatus – police, fire, and emergency medical services – always respond to save lives. On December 11, 2012 a man opened fire at a mall in Clackamas County, Oregon. The 9-1-1 dispatchers sent units to a shooting at the mall and then quickly reported that the shooter was still firing in the mall. One of the …

End Of Life Decisions In The Nicu: The Value Of New Life And The Degree To Which Religion Plays A Role In These Ethical Decisions, Maria Battaglia

Honors Theses

This thesis explored the role of religion as a social variable affecting end of life decisions in the NICU. The existing literature has studied many factors that are a part of the tough ethical decisions made in the NICU with some reference to religion. However, there is not adequate attention given to religion specifically. In order to further expand upon religion, various members composing the medical teams of two hospitals were interviewed. The interviewees included neonatologists, nurses, chaplains, and a social worker. This thesis found that religion is a variable that matters more than the existing literature has claimed. Often, …

Does Being Cultured Pay? Racial And Language Concordance And Its Effect On Physician Income, Nayan Patel

Honors Theses

Issues surrounding race and ethnicity in healthcare have increased in number as racial disparities as well as minority physicians become more prevalent in the USA. One such issue is the concordance rate of race and language amongst physicians and their patients. The effect of racial concordance in physician patient relationships has been looked at to determine if it affects the perceived level of health quality. Saha et al. (1999) found that Black and Hispanic patients were more satisfied in their healthcare when treated by a physician of their own race. In this study, I establish whether or not the racial …

The Future Of Orthopedic Medicine, Brian M. Willie

Honors Theses

Orthopedic medicine is changing and advancing along with the rest of the medical field. There are new concepts developing in orthopedic trauma, tissue engineering, collagen, nano-orthopedics, biodegradable implants, robot-assisted surgery and more. The changes to orthopedics are focused on the changing needs of patients, and orthopedists are also changing their ways to keep up with the demand required of them. Advancements in fields such as stem cells, imaging technology, functional tissue engineering, and robotic assistance will further propel the diagnostic and treatment abilities of orthopedic medicine. In order to accomplish these advancements and provide for the needs of the future …

Neuropsychological And Neurophysiological Effects Of Low-Intensity Strengthening Exercise On Cognition, Vadim V. Yerokhin

Honors Theses

With the growing aging population, it’s becoming increasingly important to find ways to either deter or prevent dementia. To date, most research has concentrated on the effects of aerobic exercise on cognition. Unfortunately, a large portion of older adults are often contraindicated to perform aerobic exercise due to different risk factors, which increase with age. Alas, alternate ways of exercise are necessary. Low-intensity strengthening exercise is a type of exercise aimed at improving balance and strengthening muscles without requiring one to overstrain. The current 11-week long exercise study test neuropsychological effects of exercise with a neuropsychological battery and neurophysiological effects …

Public Opinions Of Schizophrenia, Amy Guiomard

Honors Theses

Schizophrenia is a psychotic disorder characterized by disturbances in thought, behavior, and communication that last longer than 6 months (American Psychiatric Association, 2000). The symptoms of schizophrenia are often so severe that the individual is unable to function normally in society. The resulting erratic behavior, combined with misinformation about the disorder in general, leads to the negative stigma now associated with the disorder. The research presented here evaluates public stigmatization towards schizophrenics; it also explores the similarities between behavior due to racial stereotyping and behavior based on stigmatization of schizophrenics.

Stuck Together: Searching For A Model Of Peritoneal Adhesions Using The August Rat, James W. Bathe

Honors Theses

Fibrous adhesions, a by-product of the healing process, often appear post-surgically as a result of peritonitis related to the surgery. These adhesions can be either primarily "scar tissue" or excess "healthy tissue," and are the leading cause of intestinal obstruction in modern medicine. Shockingly, adhesions occur in up to 96% of patients undergoing intra-abdominal surgery. Adhesions can lead to multiple complications other than obstructions such as inadvertent enterotomy at the time of adhesiolysis, chronic pain, and female infertility. Additional complications arise from the adhesions preventing the free movement of organs and causing strangulations. The causes of the peritonitis, and therefore …

Is There A Relationship Between Hopelessness And Religious Problem-Solving Skills?, Eroshini Goonesekera

Honors Theses

Students from a small liberal arts college completed the Beck Hopelessness Scale (81-JS) and the short form of the Religious Problem-Solving Scale. The Religious Problem-Solving Scale consists of three subscales: collaborative, self-directive and deferring. A Pearson Correlation was conducted between the BHS score and each subscale of the Religious Problem-Solving Scale. The Bl IS score and the self-directing score were positively correlated. However the correlation of the BHS score and the collaborative and deferring scales were non-significant.

Oral Cancer Screening, Damon Omar Watson

Honors Theses

Cancers of the oral cavity and pharynx have increased throughout the decades. Since oral cancer represents a small percentage of the total cancers in the United States, it is often overlooked. Though this is the case, the results of this cancer can be devastating. To address this issue, an Oral Cancer Screening was organized on August 14, 1996 at the West Michigan Cancer Center in Kalamazoo. This was a joint collaboration between the author, the West Michigan Cancer Center, and the Kalamazoo Valley Dental Society. This event allowed research to take place concerning the data obtained. Confidential results and information …

Medical Nutrition Therapy In The Management Of Preterm And Low Birthweight Infants, Wendy Elizabeth Foster

Honors Theses

In the past, infants born prematurely or of low birthweight simply did not survive. Improved medical care has increased infant survival, as well as subsequent growth and development. The man technological advances in neonatology bring to the forefront countless new challenges in developing nutritional care plans able to adequately meet the needs of extremely fragile and vulnerable infants. Increased knowledge of the nutrient requirements for high-risk infants is needed, along with a clear understanding of how to administer the nutrients in a safe and effective manner.

What exactly must registered dietitians know in order to practice effectively as nutrition experts …