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Application Of The Social Determinants Of Health To Geriatric Patients By Nurse Practitioner Students, Theresa Marie Gruenke Schnable Oct 2023

Application Of The Social Determinants Of Health To Geriatric Patients By Nurse Practitioner Students, Theresa Marie Gruenke Schnable

Dissertations (1934 -)

ABSTRACT APPLICATION OF THE SOCIAL DETERMINANTS OF HEALTH TO GERIATRIC PATIENTS BY NURSE PRACTITIONER STUDENTS Patient outcomes are influenced by the social determinants of health (SDOH), which influence differing exposures to opportunities or health risks. Holistic care of geriatric patients includes considering SDOH in patient assessment, diagnosis, and care delivery. Understanding how NP students care for geriatric patients using a SDOH lens provides insight into their practice behaviors and helps educators understand how to strengthen NP programs to achieve better patient outcomes and advance health equity for the geriatric population. The purpose of this study was to describe how NP …


Maxillary And Mandibular Incisor And Molar Dentoalveolar Heights In Untreated Subjects Presenting Class I And Class Ii Malocclusion, Samantha Zavada Cardinal Jul 2023

Maxillary And Mandibular Incisor And Molar Dentoalveolar Heights In Untreated Subjects Presenting Class I And Class Ii Malocclusion, Samantha Zavada Cardinal

Master's Theses (2009 -)

Objective : Class II malocclusion has been extensively studied, however there are many unanswered questions. This study analyzed the difference in incisor and molar dentoalveolar heights of untreated subjects presenting with Class I and Class II malocclusion. Dentialveolar heights are an aspect of the craniofacial complex that changes with growth and development and are manipulated by orthodontists. These changes hold important clinical implications for the development, maintenance and treatment of malocclusions. Methods : A sample of 96 untreated Class I and Class II subjects, with a total of 611 cephalograms was drawn from the archives of the University of Michigan …


Alveolar Bone Remodeling In Response To Orthodontic Tooth Movement, Matthew Raymond Mcgrady Jul 2023

Alveolar Bone Remodeling In Response To Orthodontic Tooth Movement, Matthew Raymond Mcgrady

Master's Theses (2009 -)

Objective: Dental protrusion and retrusion are common malocclusions in clinical orthodontics. When teeth are moved orthodontically, the alveolar bone surrounding the teeth remodels. In the past, incisor retraction-associated alveolar bone remodeling has been studied. However, less is known about the alveolar bone remodeling after incisors are proclined. This study aimed to assess the changes in alveolar bone thickness after proclination of maxillary incisors. The null hypothesis was that there is no difference in the surrounding alveolar bone thickness after orthodontic tooth movement. Materials and Methods: Patients were selected under the inclusion criteria of moderate-to-severe bimaxillary dental retrusion (U1-SN < 97°, L1-MP < 88.0°), absence of craniofacial anomalies, non-extraction, absence of missing teeth, with quality pre-and post-treatment lateral cephalometric images. Nineteen patients (10 males, 9 females; mean age 14.7 years) were selected, and their pre-treatment and post-treatment lateral cephalograms were digitally traced using a customized cephalometric analysis to compare changes in labial and lingual alveolar bone thickness (ABT) after orthodontic treatment. A two-sample t-test with R statistical software version 4.1.2 was used to measure the differences between the pre- and post-treatment cephalometric measurements. A p value less than 0.05 was considered statistically significant. Results: According to the SN-7° measurement method, ABT increased at the labial(b) SN-7 (0.27mm ± 0.70; p<0.05) and U1 labial(c) SN-7 (0.79mm ± 1.56; p<0.05) levels; however, ABT decreased at the U1 lingual (c) SN-7 (1.13mm ± 1.35; p<0.05) level. According to the perpendicular of the long axis of U1 root measurement method, ABT increased at the U1 labial(c) ⊥U1 (0.55mm ± 1.35; p<0.05) level while ABT decreased at the U1 lingual (b) ⊥U1 (0.79mm ± 1.03; p<0.05) and U1 lingual (c) ⊥U1 (1.61mm ±1.39; p<0.05) levels. Statistically significant changes were also found in post-treatment incisor angulation U1-SN° (8.05° ± 8.25; p<0.05), U1 – NA° (7.44° ± 8.08; p < 0.05) and post-treatment incisor position U1 – NA (mm) (1.64mm ± 2.63; p<0.05). Conclusion:The null hypothesis was rejected based on our results. There are statistically significant changes to the labial and lingual alveolar bone (ABT) after proclination of the maxillary incisors. Our data support previous findings in orthodontics literature. Further studies should be conducted that can employ larger sample sizes with imaging methods that overcome the limitations of conventional two-dimensional imaging.


Why We Work: Exploring The Relationships Between Work Rewards, Burnout, And Intention To Leave For Professional Nurses, Jacqueline Christianson Jul 2023

Why We Work: Exploring The Relationships Between Work Rewards, Burnout, And Intention To Leave For Professional Nurses, Jacqueline Christianson

Dissertations (1934 -)

Nurse burnout leads to attrition from hospital nursing positions and the nursing profession prior to typical retirement age. Yet some nurses choose to stay despite burnout. Previous research indicates that nurses stay due to the rewards they receive from work but the relationships between different types of work rewards, work-related burnout, and intention to leave are poorly described. The ability to implement or execute altruistic behaviors may also represent an under-recognized work reward. Thus, the purpose of this study is to investigate the relationships between work rewards, work-related burnout, and intention to leave nursing positions and the nursing profession and …


The Influence Of Peri-Cervical Dentin Conservation On The Propagation Of Cracks In Mandibular Molars, Hassanain Zaheer Apr 2023

The Influence Of Peri-Cervical Dentin Conservation On The Propagation Of Cracks In Mandibular Molars, Hassanain Zaheer

Master's Theses (2009 -)

Introduction: The objective of this study was to investigate the effect of peri-cervical dentin conservation during root canal treatment on the longitudinal propagation of cracks, utilizing the finite element method. Methods: Two 3D printed mandibular molars were subjected to a simulated root canal therapy protocol. The teeth were divided into two test groups: Group 1: Instrumented with using Protaper Gold (PTG) rotary files. Group 2: Instrumented with using TruNatomy. Each access was restored with composite at the level of the CEJ to the occlusal surface. The two teeth were digitized using a high-resolution micro–computed tomographic scan to create 3-D models …


A Digital Assessment Of Centric Relation Precision, Christine Roenitz Apr 2023

A Digital Assessment Of Centric Relation Precision, Christine Roenitz

Master's Theses (2009 -)

Objective: Recording the centric relation position is a critical step in diagnosis and treatment in prosthodontics. There are various methods that can be used to position a patient’s mandible into centric relation. Among these are: swallow technique (unguided closure), chin-point guidance, and bimanual manipulation. The precision of these methods has previously been studied by traditional methods. Data is lacking on the precision of virtual recordings of these methods taken by an intraoral scanner. The purpose of this study was to assess the digital precision of the swallow, chin-point guidance, and bimanual manipulation centric relation positioning techniques.Materials and Methods: Ten participants …


The Influence Of Peri-Cervical Dentin Conservation On The Propagation Of Cracks In Mandibular Molars, Hassanain Zaheer Apr 2023

The Influence Of Peri-Cervical Dentin Conservation On The Propagation Of Cracks In Mandibular Molars, Hassanain Zaheer

Master's Theses (1922-2009) Access restricted to Marquette Campus

Introduction: The objective of this study was to investigate the effect of peri-cervical dentin conservation during root canal treatment on the longitudinal propagation of cracks, utilizing the finite element method. Methods: Two 3D printed mandibular molars were subjected to a simulated root canal therapy protocol. The teeth were divided into two test groups: Group 1: Instrumented with using Protaper Gold (PTG) rotary files. Group 2: Instrumented with using TruNatomy. Each access was restored with composite at the level of the CEJ to the occlusal surface. The two teeth were digitized using a high-resolution micro–computed tomographic scan to create 3-D models …


Mechanisms Of The Age-Related Power Reduction In The Knee Extensor Muscles Of Men And Women, David Wrucke Apr 2023

Mechanisms Of The Age-Related Power Reduction In The Knee Extensor Muscles Of Men And Women, David Wrucke

Master's Theses (2009 -)

The mechanisms for the loss in limb muscle power output in old (60-79 years) and very old adults (≥80 years) and whether these mechanisms differ between older men and women are not well-understood. The aims of the thesis are to 1) compare peak power output of the knee extensor muscles between young, old, and very old adults and 2) determine the physiological mechanisms for the age-related loss of power in men compared with women. 31 young (22.9±3.0 years, 16 men), 83 old (70.4±4.9 years, 44 men), and 16 very old adults (85.8±4.2 years, 7 men) performed maximal isokinetic contractions at …


The Influence Of The Digitization Method On The Assessment Of Accuracy And Reliability Of Implant Placements, Ajitesh Singh Apr 2023

The Influence Of The Digitization Method On The Assessment Of Accuracy And Reliability Of Implant Placements, Ajitesh Singh

Master's Theses (2009 -)

Purpose: Studies investigating the accuracy of implant placement are utilizing different methods to digitize the post-operative implant position to compare it with the planned reference position. This study aimed to compare the influence on radiographic and digital methods in the accuracy of static computer-assisted and free hand implant placement.Methods: In total, n=40 implants were placed either fully guided (n=20) or free-handed (n=20) in standardized mandible replicas. A static surgical guide was planned for the fully guided surgery group (FG) for an implant at the lower right first molar site and 3D printed. In the free-hand group (FH) the implant surgery …


Immediate Postoperative Dimensional Changes Following Implant Placement, Juan Felipe Valencia Rincon Apr 2023

Immediate Postoperative Dimensional Changes Following Implant Placement, Juan Felipe Valencia Rincon

Master's Theses (2009 -)

Objective: Hard tissue outcomes after implant placement have been well documented. However, there is scarce evidence on immediate soft tissue and patient-centered outcomes. The aim of this prospective study is to quantify post-implant placement edema and to correlate it with oral health-related quality of life. Methods: Patients undergoing a standardized two-stage implant placement at a single tooth-bound site were recruited (n=26; 54.13.3 years, 14 males). Soft tissue edema was recorded by using intraoral scans immediately pre- (PS) and post-operatively (IP), at 2 (2D), 7 (7D) and 14 days (14D) and 2 months (2M). After scan registration, ridge width, maximum height, …


Generalized Joint Hypermobility And Lower Extremity Musculoskeletal Biomechanics In Female Athletes, Christopher F. Geiser Apr 2023

Generalized Joint Hypermobility And Lower Extremity Musculoskeletal Biomechanics In Female Athletes, Christopher F. Geiser

Dissertations (1934 -)

Generalized Joint Hypermobility (GJH), in lay terms being “double-jointed”, affects 5 to 43 percent of the general population. In severe forms, GJH impacts systems across the body, with cardiovascular, ocular, and musculoskeletal effects that can be quite debilitating. Most of the literature examining GJH is in this severely impacted group of people. However less severe forms of GJH are present in the athlete population in the same proportions, and athletes with GJH are more likely to be injured while participating in activities. They also experience greater time-loss injuries while participating in athletic activities. The movement biomechanics of those with severe …


Examining Relationships Among Nursing Students' Views Of Suffering, Positive Thinking, And Professional Quality Of Life, Ruth Anne Engbers Apr 2023

Examining Relationships Among Nursing Students' Views Of Suffering, Positive Thinking, And Professional Quality Of Life, Ruth Anne Engbers

Dissertations (1934 -)

Despite the association between nursing students’ exposure to suffering and the development of compassion fatigue, little research exists regarding promoting nursing students’ adaptation to caring for suffering patients and families. As a possible nursing shortage is projected, it is imperative to better understand the factors that impact this adaptation to ensure that nursing students can successfully transition into their nursing role. Although beliefs about the reasons for human suffering affect their ability to cope with their exposure to the suffering of others, there is no empirical data regarding nursing students’ views of suffering. Nursing students also report using positive reframing …