Medicine and Health Sciences Commons^™

Assessing Cultural Competence In Nursing Students At A Small Private Liberal Arts University, Mikah K. Barrueta Ms

Undergraduate Honors Thesis Projects

Appropriate care across cultures can occur only when patient, family, and community expectations are aligned with provider knowledge, attitude, and behavior (Doorenbos et al, 2005). Because nurses treat patients from all types of backgrounds, a culturally competent approach should and must be used when educating and training future nurses. The purpose of this study is to assess various cultural competence components of senior nursing students at a small Midwestern University. In order to assess this sample population, two peer-reviewed surveys were chosen; the Quality and Culture Quiz and the Affective Racial Attitudes subscale from the Quick Discrimination Index. Three more …

Comprehensive Sexuality Education In Kentucky, Luciana D. Hockersmith

Theses and Dissertations--Community & Leadership Development

Discussions of sex education of any kind can be controversial in a given setting. Traditional approaches to sex education prompt debate regarding effectiveness. Key indicators central to the effectiveness of sex education continue to be rates of teen pregnancy and transmission of sexually transmitted diseases (STDs). With discontentment surrounding the effectiveness of “traditional approaches,” a more wide-ranging method is worthy of being explored. The curriculum approach of Comprehensive Sexuality Education (CSE) includes six key concepts, and subsequent sub-concepts, intended to provide a broad and even all-inclusive range of topics for a similarly broad and even all-inclusive range of ages of …

Reducing Depression Among Older Adults: Informal Helping Versus Volunteering, Salih Salihoglu

MPA/MPP/MPFM Capstone Projects

Volunteerism is an unpaid productive activity that is exercised within a formal organization to benefit others that are not part of family or friends (Musick & Wilson, 2008). Alternatively, individuals could engage in informal helping which would be an activity undertaken outside a formal, structured organization. This paper addresses whether informal helping is also effective in reducing depression for older adults alongside volunteering. I hypothesize that informal helping is effective in reducing depression only when exercised for short durations. On the other hand, I hypothesize that volunteerism is only effective when exercised for long periods of time. I try to …

When Nutrition Kills You: Malnutrition For Children In Saudi Arabia, Layla Alahmari

Masters Theses

In this thesis, the issues of Saudi children and their sick and malnourished are shown. Many Saudi's children suffer from anemia. Usually Saudi's children suffer from malnutrition because their parents do not instill healthy food habits. Saudi's children also, suffered due to nutritional inequality consequential from the appearance of poverty, and parent illiteracy. The purpose of this study was to determine most significant factors that result in malnutrition of children in Saudi Arabia.

The study was a quantitative, non-experimental design. It was a survey and correlational study. The hypotheses results were not significant. The researcher observed in particular results, which …

Do Smartphone Applications Aid In Weight Loss? A Study On The Efficacy Of Apps As A Supplemental Weight-Loss Aid, Elizabeth C. Fitzsimmons

Masters Theses

Over the past decade, mobile technology has been developed in the hopes of improving health outcomes, especially related to weight loss. The purpose of this study was to evaluate the effectiveness of a smartphone application as a supplementary weight loss tool among highly motivated individuals. Twenty-five individuals over the age of 18 were included in the study based on BMI and participation in a Midwest weight-loss clinic. Intervention group participants (n = 13) were instructed to use the MyFitnessPal app to monitor food intake and receive SMS-style nutritional messages. The control group (n = 12) received no mobile-based intervention, but …

Determinants Of An Individual's Suicide Intention In South Korea, Nam Keun Choi

MPA/MPP/MPFM Capstone Projects

This study has examined a variety of variables that influence an individual’ s suicide intention, and analyzed the impact of these variables. The data are from the 2014 wave of the Korea Welfare Panel Survey (KoWePS). I analyze data on 13,687 out of 17,134 survey participants.

The dependent variable of my study is suicide intention such as suicidal thoughts and behaviors. The independent variables are classified into three categories: socio-demographic, psychological and mental health. Socio-demographic variables are gender, age, education, marital status, and income. Psychological variables are self-esteem, satisfaction with life, and religion. Mental health variables are depression, alcohol use, …

Across The States: Do Long Term Services & Supports Policies Affect The Number Of Nursing Home Residents With Low-Care Needs?, Mary Otis

MPA/MPP/MPFM Capstone Projects

Long term care for the elderly has been steadily gaining salience in the public policy realm for many years. The federal government has been vigorously studying and exploring solutions, including the Centers for Medicare and Medicaid Services’ (CMS) efforts to expand access to home and community-based services (HCBS) in order to reduce dependence on institutional care. These federal efforts include various incentive programs and policies recently offered under the Affordable Care Act. However, data on the strength of each state’s long term services and supports system has not been easily accessible until recently. The report “Raising Expectations: A State Scorecard …

Role Of An Adenylyl Cyclase Isoform In Alcohol's Effect On Cyclic Amp Regulated Gene Expression In Mammalian Cells, Rebecca Ann Hill

LSU Doctoral Dissertations

Research suggests that the cyclic AMP (cAMP) signaling pathway including CREB-CRE regulated expression of various genes is implicated in the predisposition to and development of alcoholism in humans. Alcohol also induces changes in inflammatory and immune responses; these changes increase the incidence of pneumonias and other infections, which can negatively affect recovery from infections. Cyclic AMP (cAMP) is known for its immunosuppressive effects and is also required for proper development of the immune system. Previous work in our laboratory has demonstrated that ethanol enhances the activity of adenylyl cyclase (AC) in an isoform-specific manner; type 7 AC (AC7) is most …

Patterns Of Asthma Exacerbation Related To Climate And Weather In The Northeast Kingdom Of Vermont, Quincy Mckenzie Campbell

Graduate College Dissertations and Theses

Asthma is a chronic respiratory disease characterized by long- and short-term inflammation and bronchospasm susceptible to multiple triggers that affects patients across the lifespan. Asthma management is a primary care priority in Vermont, where there continues to be an above-average prevalence of asthma among both children and adults as compared to other states. However, many of Vermont's children and especially adults with asthma are not participating in regular check-ups for asthma management that would best prevent exacerbation of asthma symptoms. Several climate and weather elements including, but not limited to, extreme temperatures and particulate matter are known asthma triggers. Vermont's …

Correlates Of Adherence To An Adolescent Weight Management Program: A Secondary Data Analysis, Meredith Walker Hanson

Graduate College Dissertations and Theses

The aim of this study was to determine the relationship between HRQOL and

adherence to an adolescent weight management program and identify variables predictive of increased adherence which are critical to motivating engagement in weight

management. This study was a non-experimental, retrospective secondary analysis from

aggregate data collected as part of the REWARD Teens program, a weight management

program for overweight and obese adolescents. Data from 37 subjects were included in

this study. Subject adherence to the program was the primary outcome variable. There

was no significant relationship between baseline adolescent or parent-proxy sub-scale or total HRQOL scores with program …

Nurse Practitioners' Discussion Of Sexual Identity, Attraction And Behavior, Sarah J. Mclaughlin

Graduate College Dissertations and Theses

ABSTRACT

Background: Sexual orientation is comprised of distinct components, including sexual identity, sexual attraction and sexual behavior. Lesbian, gay and bisexual adolescents are at an increased risk of experiencing poor health outcomes compared to non-sexual minority youth. Health care professional organizations recommend that health care providers discuss each component of sexual orientation at every adolescent health supervision visits in order to best assess the adolescent's health risks and needs for intervention and education.

Objective: This survey assessed the frequency with which nurse practitioners (NPs) in the state of Vermont discussed sexual identity, attraction and behavior with adolescents during annual health …

Chronic Stress Potentiates The Response To Intra-Bed Nucleus Of The Stria Terminalis (Bnst) Pituitary Adenylate Cyclase Activating Peptide (Pacap) Infusion., Steven Bradley King

Graduate College Dissertations and Theses

Chronic or repeated exposure to stressful stimuli can result in several maladaptive consequences, including increased anxiety-like behaviors and altered peptide expression in brain structures involved in emotion. Among these structures, the bed nucleus of the stria terminalis (BNST) has been implicated in emotional behaviors as well as regulation of hypothalamic-pituitary-adrenal (HPA) axis activity. In rodents, chronic variate stress (CVS) has been shown to increase BNST pituitary adenylate cyclase activating polypeptide (PACAP) and its cognate PAC1 receptor transcript, and BNST PACAP signaling may mediate the maladaptive changes associated with chronic stress. In order to determine whether chronic stress would potentiate the …

Reducing Preventable Hospitalizations: A Study Of Two Models Of Transitional Care, Jessica Morrison

Graduate College Dissertations and Theses

Purpose: Transitional care is an emerging model of health care designed to decrease preventable adverse events and associated utilization of healthcare through temporary follow-up after hospital discharge. This study describes the approach and outcomes of two transitional care programs: one is provided by masters-prepared clinical nurse specialists (CNS) with a chronic disease self-management focus, another by physicians specializing in palliative care (PPC). Existing research has shown that transitional care programs with intensive follow up reduce hospitalizations, emergency room visits, and costs. Few studies, however, have included side-by-side comparisons of the efficacy of transitional care programs varying by health care providers …

Long-Acting Reversible Contraceptives In Vermont: A Survey Based Assessment Of Current Knowledge Of Providers Of Women Of Reproductive Age, Erin O'Brien

Graduate College Dissertations and Theses

Unintended pregnancies are a long-standing public health issue nationally, with percentages hovering around 50% for at least the last five years. Vermont is doing slightly better than the national average, but is faced with it's own challenges due to it's rural nature. Agencies and organizations, such as the World Health Organization, March of Dimes and the Vermont Department of Health have made decreasing unintended pregnancies one of their priorities to improve maternal and fetal health outcomes, as well as social and economic opportunities for families. Current evidence-based guidelines call for long- acting reversible contraceptives (LARCs), including intrauterine devices (IUDs) and …

The Regulation Of Alternative Pre-Mrna Splicing In Photoreceptor Cells., Daniel P. Murphy

Graduate Theses, Dissertations, and Problem Reports

Alternative pre-mRNA splicing provides an important mechanism for generating the diverse array of proteins required to generate complex tissue and cell types from a limited genome. Therefore, the proper regulation of alternative splicing is vital to shape cellular identity and function. As consequence, defects in alternative splicing are associated with disease phenotypes that can range from systemic syndromes to the dysfunction of single cell types. For example, heterozygous mutations in ubiquitously expressed components of the spliceosome lead to photoreceptor specific cell death. This suggests that the topography of alternative splicing in photoreceptors cells may be unique, a notion which is …

The Experience Of Health Care Providers Who Care For The Refugee Population, Ashley Patricia Macdonald

Graduate College Dissertations and Theses

Refugees resettling in the United States face many challenges; especially within the health care setting. The purpose of this research was to add to the increasing body of knowledge about improving health care for the refugee population through investigating providers' lived experience caring for them. This study utilized qualitative research methods with a descriptive phenomenological approach. Five healthcare providers, one Nurse Practitioner, three Pediatricians and one Family Medicine Attending, were interviewed face to face through semi-structured interviews, utilizing twelve questions about their lived experience caring for the refugee population. The data from the five participants interviewed revealed three themes that …

Telemedicine Enhances Communication In The Intensive Care Unit, Prema Ramachandran Menon

Graduate College Dissertations and Theses

Patients admitted to the Intensive Care Unit (ICU) are critically ill and often at extremely high risk of death. These patients receive aggressive interventions to prolong their lives. Despite these measures, many patients still succumb to their illness. Although ICU physicians are good at predicting which patients have a high risk of mortality, they are still offering interventions that do not prolong life, but potentially cause more suffering at the end of life. This is because there is a lack of high quality and early communication to discuss prognosis and establish patients' goals of care. This gap in communication is …

Preparation Of Speech-Language Pathologists To Provide Effective Services For Children With Cochlear Implants In New Hampshire Public Schools, Carolyn A. Babeu

Honors Theses and Capstones

No abstract provided.

Parent Perception Of Technology On Children’S Language Development, Lindsey E. Hanna

Honors Theses and Capstones

No abstract provided.

Risk Factors Associated With Osteoarthritis Post-Acl Injury: A Literature Review, Allison S. Barnes

Honors Theses and Capstones

Background: Anterior cruciate ligament ruptures are a relatively common injury in both contact and non-contact sports and are known to have a long rehabilitation process. In addition to a long recovery to get back to competitive sport levels, ACL tears are also associated with a high risk of early onset osteoarthritis, resulting in pain, functional limitations, and a diminished quality of life. There are many variables that have been studied that have a correlation to the occurrence of this condition.

Objectives: To examine peer reviewed literature to determine evidence based risk factors for developing osteoarthritis post-ACL injury.

Data …

Exploration In The Effectiveness Of Solid Lipid Nanoparticle Formulations In Enhancing Ocular Delivery Of Win 55, 212 In The Management Of Glaucoma, Emily Ann Nesbit

Honors Theses

Glaucoma is a progressive and degenerative ocular disease which, without proper treatment, can result in permanent blindness. Due to a complex organization of lipophilic and hydrophilic ocular membranes, topical delivery of therapeutic agents has also proved to be a challenging task. Cannabinoids, such as Δ9-Tetrahydrocannabinol (THC), have intraocular pressure (IOP) lowering and neuroprotective capabilities. Due to the unfavorable physiochemical characteristics of these molecules, delivery into the eye through a topical route is very difficult. Previous research has shown that prodrug derivatization and formulations such as solid lipid nanoparticles (SLNs) improve the physiochemical characteristics and ocular bioavailability of such molecules. WIN …

Autism Spectrum Disorder: How Does Transitional Planning From Preschool To Elementary School Benefit Educational And Social Success?, Shakeika K. Everett

Honors Theses

Autism Spectrum Disorder (ASD) is a disorder that impacts millions of people worldwide on a daily basis. While most adults with autism have received, and continue to receive, the proper assistance in engaging in everyday life, children with autism face more challenges that impacts their engagement socially. Many intervention methods have been researched and implemented to assist in communication and social involvement for children with ASD. However, little research exists on helping young children with ASD effectively transition, both academically and socially, from one educational environment to another. This research will contain a case study of a six-year-old child enrolled …

A Healthy Herd: Addressing The Justifications For Vaccine Denial And Applying The Health Belief Model To The Current Anti-Vaccination Movement, Sarah L. Mchugh

Honors Program Theses

The purpose of this thesis is to explore and analyze the existing literature regarding the refusal to receive vaccinations designed specifically to prevent Measles-Mumps-Rubella (MMR), which has spurred a serious public health issue that puts every unvaccinated person at risk. It will investigate the reasons people refuse to get vaccinations for themselves or their children. The analysis of the current situation and the application of the Health Belief Model to the related factors will provide potential explanations regarding how the decision-making process may strengthen efforts towards increasing vaccination rates.

A Follow-Up Of Patient Reported Outcomes In Chronic Plantar Heel Pain Participants Treated With Graston Technique: A Mixed Methods Approach, Troy Richard Garrett

Dissertations and Theses @ UNI

Chronic Plantar Heel Pain (CPHP), commonly known as “plantar fasciitis,” is a condition that is estimated to affect 10% of the American population. A treatment for CPHP and other soft tissue overuse conditions that is increasing in popularity is the use of metal instruments for deep tissue massage for 10 minutes, twice a week for six weeks, called the Graston Technique.

The purpose of this study is to longitudinally examine the foot pain and function of participants who received Graston Technique treatment approximately two years before this study. A mixed methods design where quantitatively, three self-reported survey instruments were utilized, …

An Analysis Of Western Medicine Mistrust Among Selected African Immigrant Women In Minnesota, Wanjiru Julie Gicheru

All Graduate Theses, Dissertations, and Other Capstone Projects

Mistrust in Western medicine contributes to many individuals noncompliance, avoidance of treatment, or seeking other outlets or alternative treatments. As a result, health outcomes are poorer for those individuals who proactively avoid treatment from health care professionals. Factors that contribute to racial and ethnic health disparities have been accounted for in research and literature; however, immigrant health disparities have not been well studied. The primary purpose of this study was to analyze factors that contributed to Western medicine mistrust among selected African immigrant women in Minnesota. Participants were recruited from community centers, churches, and by snowball sampling within the Minneapolis-Saint …

Speaking Through The Silence: Narratives, Interaction, And The Social Construction Of Sexual Selves, David Wayne Wahl

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research is to study the construction of sexual selves. The research entails understanding how sexual selves emerge, develop, alter, sustain, transform or deconstruct. In all cases of sexuality, sex is something we, as active agents, do. It is for this reason that I adhere, in this work and otherwise, to the tenets of symbolic interactionism as this activity involves; (1) active agents who are composed of many different categorizations of selves including sexual selves, (2) the reflexive nature between the individual and the social realm wherein sexuality, in causal terms, takes the position of a dependent …

Bullying In Senior Living Facilities: A Qualitative Study, Felicia Jo Vandenest

All Graduate Theses, Dissertations, and Other Capstone Projects

Resident-to resident bullying has attracted some attention in the popular press and is well-known to many who work with seniors in long-term care facilities. However, this is very little empirical literature that has address the topic of "senior bullying". The aim of the proposed qualitative study is to better understand the phenomenon of resident-to-resident bullying from the perspective of staff who work in long-term care facilities. Staff members (n=45) responded to a combination of open- and close-ended interview questions regarding their observations of senior-to-senior bullying. Results indicate that the majority of staff members (98%) have observed resident-to-resident bullying within senior …

A Cross-Sectional Study On Patients' Access To Healthcare In A Developing Nation, Pawan Bhandari

All Graduate Theses, Dissertations, and Other Capstone Projects

The objective of this research study was to gauge the current status of patients' access to health care services in a developing nation or least-developed country (as defined by the World Bank and United Nations), Nepal. Many patients are not privileged to have a hospital at a close proximity in Nepal. They are also forced to travel and wait for long hours due to their inability to pay for services offered by private healthcare institutions. A survey questionnaire was developed to get a snapshot of how long patients travel to get to a public hospital for an outpatient service. The …

Perceptions Of Female Sexual Pathology: The Role Of Racial Biases In Clinical Decision Making, Jerusha Sanjeevi

All Graduate Theses, Dissertations, and Other Capstone Projects

Diversity issues such as multicultural competence and sexual health competence have received increased but separate academic attention in recent years. Although empirical support has been found for the presence of racial biases in the diagnoses of mental health disorders, there is no evidence to date regarding the role of racial biases in the diagnoses of female sexual pathology. In the present study, 101 pre-doctoral psychology interns across the United States assessed the symptom severity of a fictional client via online vignettes in which client race was experimentally manipulated. Participants did not report significantly different symptom severity ratings between the vignettes …

Assessment Of The Knowledge And Skills Of School Personnel To Respond To Diabetic Emergencies In Georgia Public Schools, Alesha Wright

Electronic Theses and Dissertations

Diabetes is a common chronic disease that affects children in the United States. As children with diabetes attend school, the ability to appropriately manage their diabetes is essential to preventing life-threatening health complications. The purpose of the study was to assess school personnel’s knowledge of diabetes and perceived self-competence in performing diabetes management skills in response to a diabetic emergency. For the present study, a diabetic emergency was operationalized to include hypoglycemia, hyperglycemia, or diabetic ketoacidosis. A cross-sectional survey design, utilizing a fifty-two item self-administered questionnaire that accentuated the causes and symptoms of diabetes, definition of hypoglycemia and hyperglycemia, and …