Medicine and Health Sciences Commons^™

The Identification And Classification Of Flow Disruptions In The Operating Room During Laparoscopic Cholecystectomy And Open Hernia Repair Procedures, Sacha N. Duff

Doctoral Dissertations and Master's Theses

The operating room is one of the most complex work environments in healthcare; it is estimated that at least 7% of adverse events due to medical error occur in the operating room. Flow disruptions are events that cause a "break" in the primary surgical task, or the loss of any team member's situational awareness. An empirical link between flow disruptions and surgical errors in the OR has been established; therefore, identifying and classifying the specific flow disruptions present during different types of procedures should facilitate the development of evidence-based interventions. The goal of this study was to identify and classify …

Alaska Winter's Relationship To Domestic Violence And Alcohol Abuse, Jennifer Marie Read

Geography and the Environment: Graduate Student Capstones

Alaska is known for its long, dark, cold winter months. Daylight savings time exists to cope with months that have little sunlight, but that still leaves on average, five hours of daylight. Special light bulbs exist to help with the darkness by providing light that tricks the body into thinking it is getting more sun than it really is. As daylight decreases, the weather turns colder; depression, alcohol, and domestic violence begin to rise. Studies show alcohol related crime and domestic violence occur more during the winter months in Alaska. This research paper will analyze the data pertaining to alcohol …

A Prospective Examination Of Mindfulness Training On The Mitigation Of Postraumatic Stress Symptoms, Abby E. Blankenship

Dissertations

The current study investigated the ability of a one-session computerized mindfulness intervention to mitigate posttraumatic stress disorder (PTSD)-like symptoms in response to a trauma analogue. Ninety-two participants were randomly assigned to either mindfulness training or no treatment. Participants assigned to the mindfulness training completed a 1-hour computerized mindfulness training and practiced their skills for 1 week. All participants were exposed to an analogue for real-life trauma and were assessed at 1- and 2-week follow-up. Participants assigned to the mindfulness condition exhibited significantly lower levels of PTSD-like symptoms at 2-week follow-up in comparison to the no treatment condition. In addition, participants …

Motivational Interviewing Assessment And Behavior Therapy As A Stepped-Care Approach To The Treatment Of Adolescent Depression, Tanya N. Douleh

Dissertations

Depression is a significant public health concern with a lifetime prevalence of 24.01 for adolescents in grades 9-12 (Lewinsohn, Hops, Roberts, Seeley, & Andrews, 1993) and a point prevalence of 4-6% (Kessler, Avenevoli, & Ries, 2001). The risks associated with adolescent onset depression include comorbidity, depressive episodes continuing into adulthood, and suicidality. These risks make it imperative to develop effective treatments to address adolescent depression. Stepped care is an approach to treatment which involves treatment of illness using the least invasive measures first and moving toward more invasive treatment as indicated by ongoing assessment. Through a single-participant design, the current …

Exploring Parental Experiences And Decision-Making Processes Following A Fetal Anomaly Diagnosis, Ramona L. Fernandez

Electronic Thesis and Dissertation Repository

Often the first indication that something may be wrong in a seemingly normal pregnancy occurs during the first detailed ultrasound appointment between 16 and 20 weeks gestation. Even the most tentative suspicions of fetal anomalies is jarring. Parent’s default reality of a normal pregnancy and a ‘perfect child’ changes to one of risk factors and the possibility of an ‘unhealthy child’. This study begins with the realization of this first loss in a series of losses that follow for parents as they grapple with diagnostic information to be able to make informed medical decisions regarding their fetus and pregnancy. The …

The Olive Branch Program : A Proposal For Outreach To Survivors Of Trauma Highlighting The Restorative Potential Of Nature-Based Cultural Settings, Mariana I. Swick

Graduate Student Independent Studies

Addresses the long-term implications of sexual assault-related trauma on the lives of women survivors and demonstrates how nature-based cultural institutions can support the needs of this population throughout recovery. The study proposes the adoption of The Olive Branch Program (a hypothetical outreach program) by local nature-based cultural institutions in light of the long term needs of women survivors on various pathways towards recovery. In addition, the study proposes ways for cultural institutions to engage in interdisciplinary collaboration, address issues of accessibility, and offer socially relevant programming.

Late Effects Of Childhood Cancer : Implications For Child Life Specialists, Meghan Brewer

Graduate Student Independent Studies

No abstract provided.

Examination Of The Relationship Between Sport Concussion And Long Term Neurodegenerative And Psychological Disorders: A Literature Review, Vivian Rivera

HIM 1990-2015

Background: According to the Center for Disease Control and Prevention, approximately 1.6 to 3.8 million Americans suffer a sports related concussion each year. Concussion is defined as a transient alteration of the brain structure caused by a direct or indirect force. During the last decade, a vast amount of clinical research on the long term effects of repetitive head trauma has occurred, especially on the subject of chronic traumatic encephalopathy (CTE), depression and dementia. Objective: The purpose of this literature review is to examine the literature pertaining to multiple concussion and the long-term effects of multiple concussion such as neurodegenerative …

Homelessness: Relationships Between Program Completion At A Transformational Shelter And Mental Illness, Substance Abuse, And Trauma, Richard T. Mccutcheon

Theses & Dissertations

Each and every evening many people do not have a home to return to. Solving the epidemic problem of homelessness is an ongoing pursuit. Analyzing issues related to homelessness will help solve the problem of homelessness for some individuals and families. Data was gathered, prioritized and analyzed to determine correlations and relationships between completion of a transformational shelter’s program and mental illness, substance abuse, and trauma. Demographic variables were assessed as well. A person is more likely to complete the program if they have a substance abuse issue. Females are more likely than males to complete the program. Program completion …

Immediate Early Gene Expression In Medial Prefrontal Cortex And Hippocampus As A Function Of Aging, Megha Sehgal

Theses and Dissertations

Normal aging is accompanied by cognitive decline that differs from other aging-related pathological states like Alzheimer's disease. With an increasing proportion of the world population falling in an age group of 65 years and above, a preventive gerontological approach would improve the quality of life in the elderly. Especially important in this regard is the early detection of cognitive decline, so that appropriate measures can be taken to prevent development of cognitive deficits. Impairment in cognitive flexibility, the ability to modify a previously learnt behavior, is one such measure of impairment across species in aged animals. Previous work from our …

Early Life Stress, Drug Abuse, Exercise Effects On Bdnf And Sex-Influenced Excercise Differences, Karissa Dold

Honors College Theses

In 2011, the U.S. reported 3 million child maltreatment cases, an uncomfortably high but recurring figure each year. Research shows exposure to early life stress (ELS) increases an individual’s susceptibility to substance abuse, specifically of nicotine, alcohol, and cocaine. Increased susceptibility may result from dysregulation of the HPA axis sustaining activation into adulthood after ELS. Hyperactivation of the HPA axis significantly reduces hippocampal BDNF, a neurotrophin involved in neuronal growth and plasticity. Reduced hippocampal BDNF may be a factor in substance abuse vulnerability. Additionally, research shows exercise protects hippocampal BDNF from stress induced down-regulation. To explore these relationships, this study …

Explorations Into Continuity: An Heuristic, Artistic Inquiry Into The Interplay Between Work As A Dance/Movement Therapist And Service Within The Bahá’Í Community, Elena M. Rezai

Creative Arts Therapies Theses

The purpose of this thesis was to explore the concept of integration between two main aspects of my life: my professional career as a dance/movement therapist on an inpatient adolescent behavioral health unit, and service guided by Bahá’í teachings in a neighborhood-based setting. Literature reviewed encompassed instances of Rudolf von Laban’s Effort elements found in the Bahá’í Writings, as well as research on the integration between the mind, body and spirit, the history of religion and mental health, and the current relationship between religion and mental health. Both artistic inquiry and heuristic methodologies were used to guide my research. Through …

Relationship Between Hpv Vaccination And Sexual Activity, Sexual Health Care Utilization, And Perceived Risk, Danielle Lee Jirovec

Theses and Dissertations

The relationship between sexual activity, sexual health care utilization, and perceived risk for HPV-related outcomes was examined in sample of college women, to explore recent concerns that HPV vaccination may be related to an increase in risky sexual behaviors. Vaccinated and not vaccinated women completed an anonymous, online survey including age of vaccination, age at each sexual partner, condom use, use and intentions to use sexual health care services, and perceptions of risk. Vaccinated women also reported perceptions of change because of vaccination. Women were matched on age, race, and poverty status. Number of partners since vaccination was calculated among …

Does Emotion Invalidation Cause Emotion Dysregulation? Evidence From A Healthy Sample Of College Students And Implications For The Development Of Borderline Personality Disorder, Melissa Jean Zielinski

Graduate Theses and Dissertations

Linehan's BioSocial theory is a widely accepted model of the development of borderline personality disorder (BPD). However, the tenet that experiences of invalidation causally influence the development of the emotion dysregulation that characterizes BPD has been subject to relatively little empirical attention. The purpose of this study thus was to experimentally investigate the effects of validation and invalidation on indices of emotion dysregulation including self-invalidation, distress tolerance, and Social problem solving. The current study used a laboratory-based emotion induction procedure in which ninety college students participated in validating or invalidating conversations about emotional events with a peer confederate. Contrary to …

Activation And Suppression Of The Innate Immune System: Effects On Alcohol Intake, Marjorie Levinstein

Seton Hall University Dissertations and Theses (ETDs)

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Concurrent Neurological And Behavioral Assessment Of Number Line Estimation Performance In Children And Adults, Joseph Michael Baker

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Understanding the brain’s response to common math-learning activities may help improve math education. For example, by imaging the brains of typically developing children and adults throughout a number line estimation task, it is possible to establish a baseline of what “typical” brains do in such situations. Thus, comparisons may be made to determine the degree to which brain functioning differs between typical and atypical math learners. Moreover, by identifying methods that may increase the brain’s response to real-world math activities, it may be possible to improve the math learning process for typical and atypical learners alike.

Brain imaging devices such …

Faculty Assessments Of The Potential For Emergency Events On Their Campus And Their Perceived Preparedness To Respond, Craig A. Bishop

Ed.D. Dissertations

This study examined the perspectives held by college and university faculty regarding the risk and potential for emergency events to occur on their campus. The study also examined the faculty assessments of the extent to which they are prepared to respond to an emergency event. Most significant was the examination of the perspective held by faculty at public institutions of higher education in comparison to faculty at private institutions of higher education. The study encouraged the development of a culture of preparedness within institutions of higher education to best fulfill state and federal mandates while also proactively reducing the risk …

Diagnostic Interaction: First-Person Patient Narratives On Hacking's Looping Effects And The Normative Status Of Psychiatric Nosology, Corinne Jager

Honors College Theses

What is the interaction between a psychiatric patient and their diagnosis? How do they respond to being classified? A number of philosophical theories attempt to explain the interaction between the diagnosed patient and their classification. Ian Hacking develops an account of interaction which holds that objects of human science classification are influenced by the awareness of the classification in a way that changes both the classification and its object. Hacking thinks that psychiatric patients are “interactive kinds” whose awareness of their classification causes changes in the individuals' experience of themselves, and thus changes in their classification. Hacking claims that these …

Investigating The Relationship Between Goal- Oriented Strivings And Motives For Engaging In Physical Activity, Minakshi Raj

Honors Capstone Projects - All

Chronic psychological stress has been shown to increase risk for conditions such as obesity and cardiovascular disease. Social Action Theory (SAT) says that an individual's patterns of goal-oriented strivings influence his or her ability to manage stress responses as well as his or her overall exposure to stress. According to SAT, self-regulatory skills, which involve the ability to plan and maintain behavior with the intent of achieving goals, and goal motives influence an individual’s exposure and vulnerability to certain stressors. Using SAT as a framework, the present study explores the negative consequences of implicit motives on health via the body’s …

The Stigma Of Mental Illness, Ambivalent Attitudes, And Motivation To Learn, Jennifer Moore

Honors Capstone Projects - All

Prior research has demonstrated that much of the stigma of mental illness falls under the category of ambivalence. In other words, individuals hold both positive and negative impressions of mentally ill individuals and their attitudes tend to not be restricted to one side. On the positive end, they may feel sympathetic toward these individuals, as they understand they are not responsible for their illnesses. On the negative side, they may also believe these individuals are more unpredictable and dangerous than their mentally healthy counterparts. These ambivalent attitudes subsequently result in a feeling of uneasiness, as people feel more comfortable when …

The Effect Of Skeletal Muscle Mass On Basal Metabolic Rate In College-Age Males 2013, Chase Vaughn

Master's Theses

There are many misconceptions within the fitness community. One such misconception is that an increase in muscle mass will have a large increase in basal metabolic rate, yet this may not be the best way for successful weight loss. The purpose of this study was to determine the strength of the correlation between skeletal muscle mass and basal metabolic rate. The hypothesis tested was that basal metabolic rate is strongly correlated with skeletal muscle mass. The participants were college-aged males (n =17). Skeletal muscle mass (SMM) was estimated using the skin-fold circumference model (SFCM): SMM (kg) = Ht (0.00744 CAG2 …

Investigation Of Web-Based Motivational Interviewing To Increase Physical Activity Participation Among Adults, Sasha Karnes

Theses and Dissertations

Interventions to enhance physical activity (PA) participation are needed given the high prevalence of under-activity and inactivity (CDC, 2001) and related occurrence of negative health consequences among the general adult population (Kung, Hoyert, Xu, & Murphy, 2008). Preliminary support for a therapeutic technique called Motivational Interviewing (MI) suggests promise for application to enhance PA participation (Burke, Arkowitz, & Menchola, 2003). Given the need for interventions to enhance PA and the preliminary support for MI as an intervention to increase PA, the aims of the current study were to: (a) determine if web-based MI is effective in enhancing PA participation, and …

An Investigation Of Preferred Versus Imposed Exercise, Personality Traits, And Motivation On An Exercise Dependent College Aged Sample 2013, Chelsea M. Norton

Master's Theses

The purpose of this study was to: (a) investigate personality traits and motivation among an exercise dependent sample by using and examining theoretically based assessment tools and (b) measure feeling states under different types of physical activity among those who were considered to be exercise dependent. Four hundred twenty-three college students (54.4% male, 45.6% female) who met the inclusion criteria completed the Exercise Dependence Scale-Revised (EDS-R; Symons Downs, Hausenblas, & Nigg, 2004), Exercise Addiction Inventory (EAI; Terry, Szabó, & Griffiths, 2004), Exercise Identity Scale (EIS; Anderson & Cychosz, 1994), Behavioral Regulations in Exercise Questionnaire-2 (BREQ-2; Markland & Tobin, 2004), and …

Organized Camp And Character Development 2013, Veronica Ripp

Master's Theses

The purpose of this study was to examine the relationship between organized camp and character development. In particular, it looked to determine to what extent organized camp affected campers' character, including how much change in character campers' experienced in a week at camp, what aspects of character were most influenced, and what factors about camp had the most impact on campers' character. The study was multimodal in design, using the Values in Action Inventory for Youth (VIA-Youth) as a pre and posttest for quantitative analysis and camper interviews, staff interviews, and researcher observations for qualitative analysis. Seven completed VIA-Youth pre …

Resistance Training Behaviors In College-Aged Women 2013, Melanie Kornblatt

Master's Theses

The purpose of this study was to develop an understanding of women’s training behavior in the weight room. A secondary purpose was to determine what their beliefs and perceptions were in regards to lifting weights. Participants were college-aged females ranging in age from 17-29 years. Observations of weight lifting activities were conducted during peak hours of operation (Mondays, Wednesdays, and Fridays from 3- 6pm) in the fitness facility. A total of 60 hours of observations were conducted over a period of four weeks. In addition to observations, two focus groups were conducted. Participants were divided into two specific groups: I …

Characteristics Of Subjects Who Avoid Activities And Participation Due To A Fear Of Falling In Parkinson’S Disease, Russell Gourlie, Spencer Sorensen, Rithea Vong

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: The purpose of this study is to examine and identify key characteristics of and differences between people with Parkinson’s Disease (PD) who exhibit moderate/high fear of falling avoidance behaviors and those that exhibit low fear of falling avoidance behaviors.

Subjects: A total of 24 subjects (5 females, 19 males; mean age= 72.2, SD=9.1) participated in this study.

Methods: A cross-sectional design was used to identify descriptive characteristics of subjects with PD associated with moderate/high levels of fear avoidance behavior (MHA) or low levels of fear avoidance (LA) as measured by the Fear of Falling Avoidance-Behavior …

Predictors Of Resilience And Their Influence On Adaptation After Elective Abortion, Anna Marie Antonio

UNLV Theses, Dissertations, Professional Papers, and Capstones

The literature has inconsistent findings on the impact of an induced abortion on a woman's physical and psychological well-being. The purposes of this survey research design using correlation and multiple regression analyses were to determine the relationship between protective factors, risk factors, resilience, and outcomes (positive or negative). Additionally, this study investigated whether resilience, protective factors, and risk factors could be predictive of positive or negative outcomes following induced abortion. A convenience sample of 216 women was recruited nationally from hospitals, clinics, and various organizations. Inclusion criteria included women, 18 years of age or older, living in the United States, …

School Nurses' Recognition, Attitudes, And Educational Needs Regarding The Care Of Children With School Refusal Behavior, Heather Strasser

UNLV Theses, Dissertations, Professional Papers, and Capstones

School refusal behavior can prevent a child from attending school or staying in class for a full day of instruction. School nurses are often one of the first professionals in the school with the opportunity to interact with these children, recognize school refusal behavior and its debilitating impact, and positively intervene to assist these children to stay in school. Few studies have examined school nurse recognition and attitudes regarding school refusal behavior. The purpose of this study was to assess school nurses' recognition of school refusal behavior, their attitudes regarding the nursing care of children with school refusal behavior, and …

Use Of Social Media In Adolescent Obesity Intervention, Helen Hansen

Doctor of Psychology (PsyD)

Childhood and adolescent obesity strongly predicts adult obesity (Spruijt-Metz, 2011) and literature highlights the transitional period into college as a “high risk weight gain period” (Holm-Denoma, Joiner, Vohs, & Heatherton, 2008). Obesity is associated with poor physical outcomes (Freedman, Dietz, Srinivasan, & Berenson, 1999; Katz & D’Ambrosio, 2010) and psychological conditions are found in 34% of children and adolescents with an obesity-related condition, in comparison to 20% of the children in the general population (Wang & Beydoun, 2007). In the context of obesity programs, growing evidence supports the efficacy of increasing physical activity without calorie restriction to decrease body fat …

What Are The Relations Among Stress Perception, Health Perception And Activity Participation In School-Aged Children?, Allison Caplin

Honors Theses and Capstones

This correlational study examined possible relations among children’s activity patterns, perceived stress, and perceived health. A variety of self-report questionnaires were administered to a sample of 33 school age children. The Pediatric Activity Sort (PACS) was used to measure activity participation, a health questionnaire was used to assess health, and the Childhood Stress Questionnaire (CSQ) was used to measure perceived stress. Correlations showed no significant relationships between stress level and the amount of reported activity participation. The absence of significant relationships may be due to testing a sample of middle to upper class, Caucasian children, as there was a skewed …