Medicine and Health Sciences Commons^™

Internet Based Interventions For Improving Mental Health On College Campuses: A Scoping Review Of Ibis, Caceti Dobrowolski

Honors Theses

BACKGROUND Over the past decade, Internet Based Interventions (IBI) have emerged as a possible mental health approach, reported to reduce cost and provide access to needed services. There is a dearth of literature that clearly defines the scope and components of IBIs and its efficacy. Moreover, little is known about the efficacy of IBI for college students, a population that reportedly underutilizes mental health services.

OBJECTIVE The purpose of this scoping review was to assess the efficacy of IBI as a mental health intervention for college students.

METHODS Three databases were used to initially identify 400 studies and through the …

The Effects Of Exercise On The Cognitive Function Of Patients With Alzheimer’S Disease, Amanda Savitski

Honors Theses

Alzheimer’s disease (AD) is America’s most common neurodegenerative disease affecting over 5.4 million Americans (Fernández et al., 2017). A literature review was completed to assess the possible relation between physical activity and the progression of AD. Articles were collected from various peer-reviewed, published journals using the available databases of Western Michigan University library which included PubMed, ClinicalTrials.gov, and the National Institute of Health (NIH). Keywords used for the database searches included “Alzheimer”, “Alzheimer’s Disease”, “neurodegeneration”, “aging brain”, “exercise”, and “physical activity”. Based upon the literature reviewed, aerobic exercise appears to slow the progression of AD and possibly reverses it slightly …

The Influence Of Predisposing, Enabling And Reinforcing Factors On The Solid Waste Management System. A Case Study On Kampala And Nairobi., Bethel Mwenze

Honors Theses

This study is a literature review on available research on the solid waste management issues that are overwhelming the cities of Kampala and Nairobi. The populations of these cities are growing as these cities attempt to fast track development in their cities. With this, means a multitude of issues that are too overwhelming for the current infrastructure. If these issues are not properly dealt with environmental and health problems are sure to ensue This study distributes these issues on the individuals, workers and policy makers in reference to their responsibilities. So, one can understand the predisposing factors such as knowledge …

Sexual Harassment Of Biology And Biomedical Sciences Undergraduates: A Study On The Effects Of Larry Nassar And William Strampel, Kathleen Ryan

Honors Theses

Sexual harassment amongst undergraduate women of science is a prominent issue, gaining much media attention. The goal of this study is to determine if, and how, major sexual harassment cases impact women pursuing science-related careers, and what the sexual harassment climate is like for these individuals. The study will examine prevalence of harassment, common types of sexual misconduct, perpetrators, and severity through an anonymous survey. Additionally, this study will look into the effects of the Nassar and Strampel cases regarding desire to report harassment, and students’ fear of experiencing harassment in their future educations and careers. It is hypothesized that …

The Use Of Neurologic Music Therapy And Rhythmic Auditory Stimulation As Treatment For Parkinson’S Disease, Shaima Shebrain

Honors Theses

Parkinson’s Disease (PD), a progressive, neurodegenerative disease, is common in people who are 50 years of age or older. It is characterized by the loss of function of the substantia nigra in producing dopamine, a neurotransmitter that allows for smooth and coordinated movement. Due to the lack of dopamine, an individual with PD experiences involuntary and stiff movements such as tremors, rigidity, bradykinesia, postural instability, and abnormal gait patterns along with other motor symptoms. Over the years, the motor symptoms that are associated with PD progressively worsen; thus, limiting the individual’s independency and ability to perform daily tasks. Those with …

The Effect Of Patterned Sensory Enhancement On Balance And Ambulation In Persons Diagnosed With Parkinson’S Disease, Brittany Barko

Masters Theses

One rehabilitation protocol effective in delaying the symptoms of Parkinson’s Disease (PD) is Lee Silverman Voice Training BIG (LSVT BIG), comprising pre-gait exercises and gait training. This study seeks to determine if combining Patterned Sensory Enhancement (PSE), a music therapy intervention, with LSVT BIG will improve quality of movement. During physical therapy sessions with three participants, a music therapist adapted the PSE stimuli to support each patient’s motor needs, which were then recorded on CD and sent with patients to exercise with at home. Results showed improved balance and ambulation comparing pre- and post- measures of the BERG balance scale …

Administrative Barriers To Compliance With The 2010 Ncaa Policy On Concussion Management, Tyler Norman

Dissertations

Concussions and concussion management in sport have become a polarizing public health issue. The best concussion assessment practices and “return-to-play” guidelines have been debated in both the scientific arena and in the media. At risk is the health of the athletes when proper diagnosis and treatment are not accurate for this potentially devastating injury.

Recent research estimates that approximately 1.6 – 3.8 million sport-related concussions occur each year in the United States (Brady, 2011), which can lead to chronic disease, swelling of the brain, cognitive impairment, chronic headaches, mood disorders, depression, blurred vision, double vision, cranial hemorrhaging and death if …

Photoreception And Eye Regeneration Mechanisms In Planarians, Taylor R. Birkholz

Dissertations

Although humans lack the ability to regenerate complete organs and limbs following amputation or injury, there are many other species (both vertebrates and invertebrates) that can. Significant advances have been made in understanding the genetic mechanisms that regulate organ regeneration in these species, including regeneration of eye tissues such as the lens and retina. Planarians are an established historical model used to study regeneration due to their ability to regenerate any organ, including the eye. With recent advances in molecular genetic analyses, planarians are now an emerging model for the specific study of eye regeneration mechanisms. Furthermore, regeneration of the …

Concussion In Student Athletes: Prevention, Assessment, And Recovery, Miriam A. Carroll-Alfano

Dissertations

The research presented in this study examines concussion among athletes from the perspectives of prevention, assessment, and recovery. The first study examines concussion education for high school athletes by surveying 157 collegiate athletes, who primarily attended high school in Illinois and Indiana, about the previous concussion education, including whether they received mandated education, the methods and providers of education, and their ability to name a variety of concussion symptoms. This study finds that despite legislative mandates in these states, 20% of student-athletes continue to report not receiving concussion education in high school, with females more likely to report not receiving …

Qualitative Analogue Study On Student Therapist’S Reactions To Client Suicidality, Cynthia A. Beevers

Dissertations

Suicidal clients are a reality for both professional and student therapists providing counseling (Chemtob et al., 1988; Dexter-Mazza & Freeman, 2003; Goodman, 1995; Howard, 2000; Jacobson, Ting, Sanders, & Harrington, 2004; Kleespies, Penk, & Forsyth, 1993; Kleespies, Smith, & Becker, 1990; Mackelprang, Karle, & Cash, 2014; McAdams & Foster, 2000). Previous research has investigated the experiences of professional therapists working with suicidal clients, but little is known about student therapists’ experiences with suicidal clients. Only two studies were found investigating the experiences of student therapists working with suicidal clients (Kleespies et al., 1993; Kleespies et al., 1990). However, in the …

Training Pediatric Primary Care Providers In Behavior Management Strategies, Kate Burger

Dissertations

Childhood mental health disorders are a significant public health concern in the United States. It is estimated that every year 13 to 20% of children living in the United States experience a mental health disorder (National Research Council and Institute of Medicine, 2009). Despite the clear need for mental health care, less than half (45.6%) of children with one or more emotional, behavioral, or developmental conditions receive treatment from a mental health professional (The National Survey of Children's Health, 2007). There is growing evidence that integrating mental health services into pediatric primary care can result in increased treatment access as …

Demonstrating Functional Analytic Psychotherapy As An Independent Variable In Efficacy Research: A New Measure Of Treatment Fidelity, Lindsey E. Knott

Dissertations

Functional Analytic Psychotherapy (FAP) is a contextual behavior therapy that takes an in session, in vivo focus to improve client outcomes. This in vivo (IV) focus is distinctive of FAP and involves the therapist utilization of contingencies in session to decrease problematic response classes and increase more adaptive response classes (i.e., a differential reinforcement procedure). This contingent responding is proposed to be FAP’s mechanism of action leading to client change. FAP efficacy research mainly consists of small n single-case studies or group designs combing FAP with another CBT intervention. Maitland & Gaynor (2012) offered recommendations for increasing FAP efficacy research, …

Beta-Testing Of An Interactive Multimedia Computer Program Of Exposure Therapy For Ptsd, Marie C. Barrett

Dissertations

Posttraumatic Stress Disorder (PTSD) results in significant impairment for the individual and substantial costs to society. Research indicates that cognitive behavioral psychotherapy (CBT) is the most effective treatment for PTSD and that among CBT treatments, exposure therapy is the treatment technique with the strongest evidence to recommend it for PTSD treatment. Computerized programs that deliver evidenced-based treatments offer a potential solution to barriers that prevent individuals from accessing and completing treatment. The present study evaluates the clinical and practical functionality of a computer-based program designed for the treatment of PTSD. Results indicate that completion of the program is associated with …

Primary Care Physician Delivered Brief Behavioral Intervention For Adult Obesity And Associated Health Conditions, Julia C. Huston

Dissertations

Obesity is a chronic health condition with prevalence rates that have continued to rise steadily over the past 30 years to the point that it has now been declared a global epidemic and a serious public health concern. Obesity is associated with significant physical and economic costs, primarily resulting from co-occurring health conditions that increase the risk of morbidity including type II diabetes, hypertension, dyslipidemia, stroke, coronary heart disease, and respiratory problems. Despite the dissemination of several obesity treatments, including pharmacotherapy, lifestyle modification, and bariatric surgery, the prevalence and severity of obesity continues to rise. Federal guidelines recommend the use …

Incidence Of Head Injury Among Synchronized Skaters: Rates, Risks, And Behaviors, Gretchen L. Mohney

Dissertations

Data regarding risk and rates for head injury and concussion specific to the sport of synchronized skating is absent from literature. This study investigated the rate and risk for head injury and concussion as a function of team level, identified behaviors to include education, neurocognitive baseline screening and protective equipment utilization, and the implementation of return to sport protocols.

An anonymous cross-sectional survey was implemented at the 2018 U.S. Synchronized Skating Championships. Participants were female members of a qualifying team, ages 13 and older, at the intermediate participation level and higher. The survey response rate was 42% (520/1232). Among the …

Tanapox: A Potential Oncolytic Virus For The Treatment Of Cancer, Joel Marty

Honors Theses

The National Cancer Institute defines cancer as a group of related diseases characterized by unimpeded cell division with metastatic abilities. Cells frequently mutate and potentially become cancerous, but generally these cells are cleared by the immune system. The disease state of cancer arises when the mutated cells evade the immune clearance, which indicates medical intervention is required. Current therapies most commonly utilize chemotherapy, radiation, or a combination of the two, however, alternative therapies are being developed such as immunotherapies and oncolytic viruses (OVs). OVs cause a viral infection, clearing cancerous cells through viral replication mechanisms, such as viral cytolysis, while …

Hybrid Model - Statistical Features And Deep Neural Network For Brain Tumor Classification In Mri Images, Mustafa Rashid Ismael

Dissertations

A brain tumor is the most common disease that affects the central nervous system (CNS), the brain, and spinal cord. It can be diagnosed using the safest and most reliable imaging modality, the Magnetic Resonance Imaging (MRI), by radiologists who may use the assistance of computer-aided diagnosis (CAD) tools. Automated diagnosis is sought because it is essential to overcome the drawbacks of the manual diagnosis, such as time and the stress of viewing MRI images for long hours, and the human error potential. Image analysis and machine learning algorithms are tools that can be used to build an intelligent CAD …

Facilitating Emotional Regulation In Adults With Developmental Disabilities Through Person-Centered Play Therapy, Otis Kemutambah

Honors Theses

Adults with developmental disabilities may employ maladaptive behaviors that stem from limited opportunities to interact with their community and non-nurturing interactions within their environment. This literature review explores the effects of play on maladaptive behaviors and provides a rationale that supports the use of PCPT to improve this population’s emotional regulation skills. More specifically, the sources indicate that activities containing exercise and games, improves the emotional regulation skills of this population. Based on the presented information, created cost effective activities will potentially improve these skills amongst adults with developmental disabilities. These activities that adhere to PCPT are basketball, water basketball, …

Examining Social Pragmatic Communication: Evidence From Parent And Professional Questionnaires, Katelyn Adams

Honors Theses

Hyter (2007) defined pragmatics as “daily interactions among groups of people with varying worldviews, each influenced by a history of social practices” (p.131). People use aspects of pragmatics in their everyday life depending on the context of their current social situation. For example, one’s pragmatic language could differ in a day from talking with a boss at work to having a conversation with a friend on the phone. These variations in conversational processes result in the assessment of pragmatics being a difficult task.

In this honors thesis, I examined results from Dr. Yvette Hyter’s assessment battery, the Assessment of Pragmatic …

How Does A 3-Week Nutrition Course Affect The Eating Behaviors Of Parents Among Migrant Farmworker Families In Michigan?, Keren Reyes

Honors Theses

Childhood obesity is a health concern in the United States, putting children at risk for serious health problems. Although there has been significant research of childhood obesity, less is known about how eating behaviors and parenting styles of Hispanic and Latino parents impact the health problems (e.g., obesity) of children. Literature demonstrates that Latina and Mexican American cultures shape parents’ feeding practices but most research fails to recognize the contexts of feeding practices within Latino community (Slusser, Neumann, Cumberland, Renenger, Fischer, & Frankel, 2012). As such, the purpose of this study is to identify the use of different parenting styles …

Analysis Of Opioid Hospitalizations In Michigan Counties, Stephanie George

Honors Theses

The escalating opioid epidemic has affected the United States on both national and local levels. In the state of Michigan, the opioid overdose death rate increased by 13.3% between 2014 and 2015 (Centers for Disease Control and Prevention, 2017). Due to a gap in the literature regarding opioid hospitalization rates, this study focused on the demographic correlates of unemployment, health insurance, and poverty level in relation to the Michigan counties that indicated the highest opioid hospitalization rates in the 2013-2015 time period. The five Michigan counties with the highest opioid hospitalization rates were Oscoda, Arenac, Roscommon, Clare, and Benzie County. …

Mechanisms Of Sleep And The Brain, Doungbagai Leo

Honors Theses

One of the most important homeostatic functions of the brain and body is sleep. This literary review analyzes the genes that are involved in sleep: Clock, Bmal1, Period, and Cryptochrome. It also explains the role of melatonin, GABA, orexin, and melanopsin during sleep regulation. The genes and neurotransmitters influence the suprachiasmatic nuclei and the circadian rhythm that our brain, and every cell of our bodies, have connections to. These connection help to ensure the homeostatic function of our bodies. The analysis of sleep-like states in other animals may show an evolutionary connection of sleep from non-mammals to mammals, but may …

Speech Naturalness Before And Following Treatment In Adults Who Stutter, Alexis Novelli

Honors Theses

Purpose: The speech of persons who stutter can often sound unnatural. This can be due to a variety of factors including the presence of stuttering itself and/or the unintended consequence of speech-altering treatment. Understanding factors that contribute to speech naturalness within the stuttering population can direct improved management approaches. This study examines associations between speech task, behavioral measures of stuttering, and selected acoustic measures on listener ratings of speech naturalness for a group of adults immediately before and after participation in an intensive fluency-shaping treatment program. A secondary aim of this study is to assess the use of a novel …

Effects Of Aging & Exercise On Production Of Glial Cell Line-Derived Neurotrophic Factor Protein By Fast & Slow Skeletal Muscle, Maria Jaramillo

Honors Theses

Exercise is a positive form of reinforcing positive lifestyle choices. There are many benefits to exercising such as decreased risk of cardiovascular disease and improved mental condition (Centers for Disease Control and Prevention). In addition, exercise can serve a protecting role for the nervous system. One form in which exercise can protect the nervous system is by increasing the production of neurotrophic factors, specifically glial cell line-derived neurotrophic factor. Another way by which exercise can protect the nervous system is by preserving muscle tissue due to actively recruiting it. The goal of this study was to explore the effects of …

Gdf-15 As A Biomarker For Glaucoma, Caylee Pattison

Honors Theses

Biomarkers are measurable substances in an organism that are indicative of some phenomenon. Examples of biomarkers in clinical settings are body temperature and blood pressure. Body temperature is indicative of a fever while blood pressure can be used to monitor someone’s risk of a stroke. Previous studies have investigated the possibility of there being a potential biomarker for glaucoma. One possible biomarker identified is growth differentiation factor 15 or GDF15. These studies prompted a study in our lab using a rat glaucoma model. The objective of this study was to show there is a biomarker present for the neurodegenerative disease, …

Effects Of Muscle Activation On Gdnf Protein Content In Skeletal Muscle, Ramsey Potter

Honors Theses

Impairment of neuromuscular function as a result of aging is primarily associated with degeneration of the peripheral nervous system and loss of type II muscle fibers (Lexell et al, 1988). Glial cell line-derived neurotrophic factor (GDNF) is a neurotrophic factor found in skeletal muscle that has been shown to rescue motor neurons from axotomy-induced cell death (Oppenheim et al., 1995) and to induce NMJ plasticity (Keller-Peck et al., 2001). The aim of this study was to examine GDNF protein content following muscle activation in vitro and in vivo models. GDNF protein content was measured in rat gastrocnemius muscles following differing …

Do Global Diets Affect The Rate Of Type 2 Diabetes?, Demetria Meyer

Honors Theses

The purpose of this study is to determine whether different global diets correlate with the increase in type 2 diabetes rates. Type 2 diabetes is the main diabetes type being looked at due to it being the one that can be maintained primarily by glycemic control, which is controlled by a good diet. Five different countries from different regions will be examined: Brazil, China, Micronesia, Nigeria, and the United States. The diets of these countries will be broken down into smaller pieces, like calories consumed each day and the percentage of macronutrients that make up the calories. Eleven food groups …

Vaccine Refusal Dilemmas, Yessica Garcia

Honors Theses

The topic of the thesis is vaccine refusal dilemmas. The focus is on the current issue of the decreasing immunization rates in children. Children are a vulnerable population and rely on their parents to make healthcare decisions for them. This thesis will address the parents’ standpoint on immunizations, the providers’ standpoint on the situation, and the sources of vaccination information available, then determine vaccine refusal dilemmas that may result. The main population of focus will be pediatric patients including their families and their providers. Dilemmas associated with vaccine refusal and/or hesitancy will include present and existing issues as well as …

Inter-Professional Education: A Literature Analysis And Description Of Pacer Study At Western Michigan University, Kari Scholten

Honors Theses

Inter-professional education is a topic that is widely gaining popularity throughout the healthcare field. Because inter-professional practice in the hospital and beyond has proven its value time and time again, universities must take it upon themselves to train their healthcare students to work efficiently and communicate effectively with other disciplines in the healthcare field. Through a thorough literature review, it was demonstrated that inter-professional education studies and simulations that were performed in a range of settings have had positive effects on a variety of factors, including communication, quality of care given, and perceptions of professional roles. A study performed at …

Exploring The Relevance Of Art Therapy In Public Education, Brandy A. Jarrell

Masters Theses

This thesis will explore art education as a therapeutic tool in a public education system. This topic will serve as a continuation of research that I conducted previously but will bring more focus upon bringing a certified art therapist into public school districts in West Virginia. Data will be collected through student surveys, interviews of professional art therapists, and administrative officials. Data will also be collected through a review of the literature surrounding the benefits of art therapy to children and adolescents. Through these sources I will explore the attitudes, beliefs, and practices of educational professionals, art therapists, administrators and …