Medicine and Health Sciences Commons^™

Identifying Optimal Composite Resin Depth To Maximize Fracture Resistance When Restoring Immature Endodontically Treated Teeth, David Poe

Master's Theses (2009 -)

Introduction: This study compared stress distribution of an immature central incisor restored with intracanal composite resin placed at different depths. Methods: Five pre-accessed models were prepared, to simulate immature central incisors, and endodontically treated using a mineral trioxide aggregate plug and different amounts of composite resin with gutta-percha in between the composite resin and mineral trioxide aggregate. (Group 1) Composite resin restored from the cemento-enamel junction, (group 2) composite resin restored from 2 mm apical to the cemento-enamel junction, (group 3) composite resin restored from 4 mm apical to the cemento-enamel junction, (group 4) composite resin restored from the mineral ...

Exploring Relationships Between Depression Self-Stigma And Trust In Primary Care Provider On Willingness To Seek Help, Tana Karenke

Dissertations (1934 -)

Depression is a mood disorder characterized by persistent feelings of sadness and/or loss of interest that effects an individual’s ability to carry out day-to-day activities. Depression can diminish one’s social functioning, interpersonal relationships, personal care, and work productivity. Despite the availability of various treatments for depression, roughly 34% of people suffering from depression symptoms do not seek treatment. Significant barriers for seeking help for depression symptoms include the stigma of mental illness and a lack of trust in healthcare providers; however, there is a paucity of research exploring the relationship between mental illness stigma and the role ...

Parents’ Pandemic Nicu Experience In The United States: A Qualitative Study, Ashlee J. Vance, Kathryn J. Malin, Jacquelyn Miller, Clayton J. Shuman, Tiffany A. Moore, Annella Benjamin

College of Nursing Faculty Research and Publications

Background

Prior to the COVID-19 pandemic, parents of infants in the Neonatal Intensive Care Unit (NICU) frequently reported high levels of stress, uncertainty, and decreased parenting confidence. Early research has demonstrated that parents have had less access to their infants in the hospital due to restrictions on parental presence secondary to the pandemic. It is unknown how parents have perceived their experiences in the NICU since the beginning of the COVID-19 pandemic. The purpose of this study was to describe the lived experience of parents who had an infant in the NICU in the context of the COVID-19 pandemic to ...

Interpersonal Violence And Contraceptive Method Use By Women Sex Workers, Jessica L. Zemlak, Rebecca Hamilton White, Danielle Friedman Nestadt, Kamila A. Alexander, Ju Nyeong Park, Susan G. Sherman

College of Nursing Faculty Research and Publications

Objective

More than one-half of women sex workers (sex workers) in the United States experience interpersonal violence, defined as physical or sexual violence, by sexual partners, including clients or intimate partners. Women experiencing interpersonal violence by intimate partners often choose hidden, woman-controlled contraception (e.g., intrauterine devices, pills, or sterilization) because fear of violence can impede condom negotiation. Yet, little is known about how interpersonal violence relates to contraception among sex workers who may have different sexual partner perpetrators (clients and intimate partners). The purpose of this study was to examine associations between interpersonal violence perpetrated by clients or intimate ...

Complementary And Alternative Medicine Mind-Body Approaches Used Among Racially And Ethnically Diverse Adolescents, Dora L. Clayton-Jones, Lee Za Ong, Mauricio Garnier-Villarreal, Lori Vick, Rachel Sawdy, Safiya George, Kristin Haglund

College of Nursing Faculty Research and Publications

Purpose

The aim of this paper is to examine complementary and alternative medicine (CAM) use among racially and ethnically diverse adolescents. Greater understanding of CAM use among this group is warranted to better inform health care providers in delivering a culturally relevant health promotion approach.

Design and methods

A secondary data analysis was conducted using the 2012 Child Complementary and Alternative Medicine Supplement of the National Health Interview Survey (CAM-NHIS) data, which was collected from a national sample of adolescents aged 12–17 years. A logistic regression test was employed to investigate the predictors associated with CAM use among racially ...

Community Engaged Scholarship Competency Assessment Rubric, Kristin Haglund, Kimberly Jenson Bohat, Dan Bergen

College of Nursing Faculty Research and Publications

This is a rubric that was presented on October 29, 2021 at the 2021 International Association for Research on Service-Learning and Community Engagement Virtual Gathering.

Processes Used By Mothers In Opioid Recovery To Manage The Needs Of The Maternal-Infant Dyad: A Grounded Theory Study, Nicole M. Mattson

Dissertations (1934 -)

Maternal opioid use during pregnancy and the postpartum period has significant impact on the mother and infant. Maternal well-being and early maternal-infant contact can impact the early attachment and bonding of the dyad. Additionally, the stigma surrounding opioid use in pregnancy can have detrimental effects on the dyad during pregnancy and in the postpartum period. Theory driven nursing interventions to promote mother-infant dyadic care for pairs impacted by maternal opioid use disorder (OUD) are needed. First, it was necessary to understand the current processes used by mothers with OUD to manage the unique needs of their dyad. The purpose of ...

Processes Used By Mothers In Opioid Recovery To Manage The Needs Of The Maternal-Infant Dyad: A Grounded Theory Study, Nicole M. Mattson

Dissertations (1934 -)

Maternal opioid use during pregnancy and the postpartum period has significant impact on the mother and infant. Maternal well-being and early maternal-infant contact can impact the early attachment and bonding of the dyad. Additionally, the stigma surrounding opioid use in pregnancy can have detrimental effects on the dyad during pregnancy and in the postpartum period. Theory driven nursing interventions to promote mother-infant dyadic care for pairs impacted by maternal opioid use disorder (OUD) are needed. First, it was necessary to understand the current processes used by mothers with OUD to manage the unique needs of their dyad. The purpose of ...

Telehealth And The Psychiatric Mental Health Nurse Practitioner: Beyond The Covid-19 Pandemic, Jessica L. Zemlak, Patty Wilson, Brigit Vangraafeiland, Tamar Rodney

College of Nursing Faculty Research and Publications

Objective:

Examine the advantages, disadvantages, and challenges of telehealth for the psychiatric mental health nurse practitioner (PMHNP) in practice and student education. Describe areas for future research and policy development regarding telehealth in PMHNP practice and training during and beyond the COVID-19 pandemic.

Methods:

Review current evidence, standards of practice, and education for the PMHNP.

Results:

Recent rapid pandemic-related shifts in utilization of telehealth for clinical practice and student education have highlighted the advantages, disadvantages, and areas in need of additional study.

Conclusions:

Postpandemic telehealth care delivery will likely persist or expand. PMHNPs must advocate for high practice and education ...

Examining The Course Of Transitions From Hospital To Home-Based Palliative Care: A Mixed Methods Study, Stephanie Saunders, Marianne Weiss, Chris Meaney, Tieghan Killackey, Jaymie Varenbut, Emily Lovrics, Natalie Ernecoff, Amy T. Hsu, Maya Stern, Ramona Mahtani, Kirsten Wentlandt, Sarina R. Isenberg

College of Nursing Faculty Research and Publications

Background:

Hospital-to-home transitions in palliative care are fraught with challenges. To assess transitions researchers have used patient reported outcome measures and qualitative data to give unique insights into a phenomenon. Few measures examine care setting transitions in palliative care, yet domains identified in other populations are likely relevant for patients receiving palliative care.

Aim:

Gain insight into how patients experience three domains, discharge readiness, transition quality, and discharge-coping, during hospital-to-home transitions.

Design:

Longitudinal, convergent parallel mixed methods study design with two data collection visits: in-hospital before and 3–4 weeks after discharge. Participants completed scales assessing discharge readiness, transition quality ...

In Vitro Study To Analyze Reverse Torque Values Of Prosthetic Screws With Multiple Loosening/Tightening Preload Cycles, Amira Alhameed

Master's Theses (2009 -)

Purpose: To determine the number of loosening/tightening preload cycles prosthetic retaining screws can withstand before fracture, and to record the reverse torque values on each of the 10 applications of screw tightening and loosening. Materials and methods: The testing assemblies consisted of 30 temporary cylinder/multiunit abutment/internal connection implants, 10 each from Biohorizons, Zimmer Biomet Dental, and Dentsply Sirona Astra; the specimens were inserted into resin blocks. Temporary cylinders were connected to the abutments with new prosthetic screws and torqued to the appropriate preloads. The first tests of repeated tightening/loosening preload cycles were applied using a Digital ...

Comparing Orthodontic Debonding Aerosol Production With Various High-Volume Evacuation Systems, Eric Moe

Master's Theses (2009 -)

Objective: The COVID-19 pandemic has placed a new emphasis on defining aerosol generating procedures and evaluating ways to reduce those aerosols. Both biocontaminants and particulate matter can potentially be transmitted with dental aerosols with negative health effects associated with each, especially aerosols with particulate matter of 2.5 micrometers or less (PM2.5). This study aims to evaluate the PM2.5 aerosol production from orthodontic debonding with a high-speed, air-driven handpiece without water coolant and assess the effectiveness of traditional four-handed high-volume evacuation (HVE) and two commercially available hands-free high-volume evacuation (HFHVE) systems. Methods: Orthodontic debonding was simulated using a ...

Effects Of Cleaning Agents On The Properties Of Two Different Thermoplastic Retainer Materials, Jennifer Brehove

Master's Theses (2009 -)

Objective: There are several different thermoplastic retainer materials and cleaning methods available to fabricate and clean clear retainers. Some studies have investigated the changes in properties of clear retainers after being exposed to different staining agents, varying levels of mechanical strain, and different cleaning agents. However, there are few studies that compare different thermoplastic materials to each other when being subjected to these different types of stresses. The aim of this study is to evaluate the changes in properties of two commonly used thermoplastic retainer materials, polyethylene terephthalate (PETG) and ethylene/propylene (EP), after exposure to different retainer cleaning agents ...

Effectiveness Of Home Health Care In Reducing Return To Hospital: Evidence From A Multi-Hospital Study In The Us, Danielle M. Siclovan, James Bang, Olga Yakusheva, Morris Hamilton, Kathleen L. Bobay, Linda L. Costa, Ronda G. Hughes, Jane M. Miles, Sarah J. Bahr, Marianne Weiss

College of Nursing Faculty Research and Publications

Background

Home health care, a commonly used bridge strategy for transitioning from hospital to home-based care, is expected to contribute to readmission avoidance efforts. However, in studies using disease-specific samples, evidence about the effectiveness of home health care in reducing readmissions is mixed.

Objective

To examine the effectiveness of home health care in reducing return to hospital across a diverse sample of patients discharged home following acute care hospitalization.

Research design

Secondary analysis of a multi-site dataset from a study of discharge readiness assessment and post-discharge return to hospital, comparing matched samples of patients referred and not referred for home ...

Securing Nasogastric Tubes In Children, Julie Ann Lavoie

Dissertations (1934 -)

Nasogastric tubes (NGTs) are commonly placed in children at risk for malnutrition in order to provide temporary nutrition support until the child achieves independent oral feedings or requires durable tube placement. Accurate securement of NGTs is necessary to safely provide nutrition, particularly in infants and toddlers who are at highest risk for dislodging their NGT. Dislodgement of an NGT has a cascade effect on the medical management, requiring increased exposure to the healthcare system with every replacement. Nasal bridles are widely used to secure NGTs in adults but are not widely used with children. The purpose of this retrospective, correlational ...

Neuromuscular Function In Achilles Tendinopathy, Lauren K. Sara

Dissertations (1934 -)

Midportion Achilles tendinopathy (AT) is a chronic, painful condition of the long tendon that attaches the triceps surae muscle group (the soleus, medial and lateral gastrocnemius muscles), which are the primary plantar flexor muscles, to the calcaneus bone. There is incomplete understanding of the underlying pathophysiology, pain, and role of plantar flexor function (strength and fatigability) in functional impairment in AT. Deficits in plantar flexor muscle function are assumed, but evidence is sparce and inconclusive. There is no understanding of whether people with AT have deficits in neural drive to the plantar flexor muscles or altered contractile function, or the ...

Pregnant Women's Experiences With Gastrointestinal Discomforts And Strategies They Use To Cope, Heidi Jo Paquette

Dissertations (1934 -)

Problem The experience of gastrointestinal (GI) discomforts of pregnancy is almost universal. Heartburn, constipation, nausea and/or vomiting are the most common, with variation in frequency and intensity by trimester. GI discomforts of pregnancy are understudied. Most research on GI discomforts of pregnancy has employed quantitative instruments, before and after specific therapeutic approaches. Little research has focused on women’s experiences of GI discomforts of pregnancy and self-management strategies. Women are experts in their experience of their own pregnancies and their voices are rich sources of data, but have been largely ignored in the study of GI discomforts of pregnancy ...

Electroencephalography Resting-State Networks In People With Stroke, Dylan B. Snyder, Brian D. Schmit, Allison S. Hyngstrom, Scott A. Beardsley

Biomedical Engineering Faculty Research and Publications

Introduction

The purpose of this study was to characterize resting-state cortical networks in chronic stroke survivors using electroencephalography (EEG).

Methods

Electroencephalography data were collected from 14 chronic stroke and 11 neurologically intact participants while they were in a relaxed, resting state. EEG power was normalized to reduce bias and used as an indicator of network activity. Correlations of orthogonalized EEG activity were used as a measure of functional connectivity between cortical regions.

Results

We found reduced cortical activity and connectivity in the alpha (p < .05; p = .05) and beta (p < .05; p = .03) bands after stroke while connectivity in the gamma (p ...

One Size Does Not Fit All: Discharge Teaching And Child Challenging Behaviors, Norah L. Johnson, Stacee M. Lerret, Michele Polfuss, Karen Gralton, Cori A. Gibson, Sheikh Iqbal Ahamed, Riddhiman Adib, Rosemary White-Traut, Kathleen Sawin, Roger L. Brown

College of Nursing Faculty Research and Publications

This study compares quality of discharge teaching and care coordination for parents of children with challenging behaviors participating in a nursing implementation project, which used an interactive iPad application, to usual discharge care. Unlike parents in the larger quasi-experimental longitudinal project, parents of children with challenging behaviors receiving the discharge teaching application (n = 14) reported lower mean scores on the quality of discharge teaching scale–delivery subscale (M = 8.2, SD = 3.1) than parents receiving usual care (n = 11) (M = 9.6, SD = 4.7) and lower scores on the Care Transition Measure (M = 2.44, SD = 1.09 ...

Root-End Surgery Or Nonsurgical Retreatment: Are There Differences In Long Term Outcome?, Enida Haxhia

Master's Theses (2009 -)

INTRODUCTION: The decision of which modality of secondary endodontic treatment to perform is multifactorial and clinician dependent. Literature surrounding the long-term survival of nonsurgical retreatment compared to root-end surgery remain equivocal and warrant further investigation. This 7-year retrospective study seeks to compare the outcome of nonsurgical retreatments with that of root-end surgeries performed on teeth without prior nonsurgical retreatments. METHODS: Insurance claims from 1021 teeth of 987 patients in the Delta Dental of Wisconsin database were analyzed from the years 2008–2017. Tooth survival was evaluated using Cox regression models and p-value was set at 0.05. Survival time was ...

Outcomes Of Nonsurgical Root Canal Therapy Completed In Children Aged 6-13 Years, Lauren M. Loney

Master's Theses (2009 -)

Introduction: Tooth survival following non-surgical root canal treatment (NSRCT) in adult populations has been documented as high as 97%. However, to our knowledge, no studies have examined tooth survival following NSRCT in children. The aim of this study was to determine the long-term outcomes of non-surgical root canal treatment in children aged 6-13 years provided by both endodontists and other providers.Methods & Materials: Insurance claims from the Delta Dental of Wisconsin Insurance database of 4927 anterior and molar NSRCT completed in children aged 6-13 years from the years 2002-2014 were analyzed. The teeth were followed during continuous insurance eligibility from ...

The Influence Of The Operator Experience On The Accuracy Of Implant Placement: An In Vitro Study, Jeffrey Garcia

Master's Theses (2009 -)

Purpose: The aim of this study is to evaluate the influence of operator experience in the fully guided placement of implants in dentate patients. Methods: Three different providers with different level of experience in implant surgery (unexperienced, moderate experienced = 2 years of experience, and experienced = more than 5 years of experience in implant surgery) placed each n=20 implants fully guided or free hand in identical replicas, produced from a CBCT of a partially edentulous patient case. The achieved implant position was digitized by using a laboratory scanner and compared with the planned position. Trueness (planned versus actual position) and ...

Correction Of Excessive Gingival Display: Lip Repositioning With/Without Myotomy, Austin Michael Dodge

Master's Theses (2009 -)

Background: Lip repositioning (LR) is a conservative and reversible surgical method for correcting excessive gingival display (EGD). Purpose: The study aims to compare two LR techniques. The objectives include 1) comparing the amount of gingival display reduction (GDR) after LR without (Group 1) and with (Group 2) myotomy, stratified in accordance with the etiology of the EGD 2) Comparing the gingival display rebound (GDRB) 3) compare subject satisfaction and morbidity. Methods: After obtaining IRB approval, 20 human subjects with EGD (measured apical to the CEJ of #9) were randomly allocated for surgery without and with myotomy. Pre-operative, diagnostic information were ...

Shear Bond Strength Characteristics On Surface Treatment Modalities Of Cad-Cam Resin Based Core Materials, Nikita Sinha

Master's Theses (2009 -)

Introduction: Innovations in computer aided design and computer aided manufacture (CAD-CAM) have made the manufacture of new restorative and prosthetic materials possible. They have enabled fabrication of complete arch implant supported fixed dental prosthesis (CAISFDP) in metals and polymers a reality. There are several materials which are available to fabricate a CAISFDP and it is important to find biologically, economically and aesthetically viable options for milled, cast and printed metal and non-metal structures. Objectives: The purpose of this in-vitro test was to analyze the shear bond strength of composite to Trilor material for CAISFDP restorations. Material and Methods: A total ...

The Incidence Of Root Canal Therapy Or Extraction After Orthodontic Treatment: A Ten-Year Retrospective Study, Thomas Korte

Master's Theses (2009 -)

INTRODUCTION: The impact of orthodontic treatment on anterior teeth specifically in relation to root canal therapy and extraction has not been previously described. The objective of this study was to evaluate the incidence of root canal therapy and extraction after orthodontic treatment in the anterior permanent dentition.Methods: We analyzed insurance claims and enrollment data for individuals enrolled with Delta Dental of Wisconsin from 2008 to 2017. A total of 63,720 teeth from 5310 patients who had Delta Dental insurance at age 10 were included in the study. The Cox Regression model was used to analyze the effect of ...

Swim Program Pilot For Children With Autism: Impact On Behaviors And Health, Norah L. Johnson, Abir K. Bekhet, Tana Karenke, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

The purpose of this mixed methods pre-/post-pilot intervention study was to assess parental psychological health and child challenging behaviors before and after a swimming program for children with autism. Participants were 10 parent–child dyads. Child’s challenging behaviors were lower in the post testing (Cohen’s d = 0.07–0.45). Mean scores were improved for parent perception of general health (Cohen’s d = 0.22). Three themes emerged from the post swim program focus group: (a) Parent satisfaction with instructors with sub themes (i) firmness (ii) creativity, and (iii) promotion of social interaction and sharing, (b) improved ...

Association Of Estrogen Receptor Alpha 1 And Tmj Dysfunction: A Pilot Study, Andrea Doetzer, Luis Eduardo Almeida, Flavio De Alcântara Camejo, Lucia De Noronha, Marcia Olandoski, Paula C. Trevilatto

School of Dentistry Faculty Research and Publications

Objective

Temporomandibular disorder (TMD) is a multifactorial condition and the most common cause of orofacial pain, affecting mostly women, which points to a female hormone predilection. Therefore, the aim of this study was to analyze the association between TMD and estrogen receptor alpha 1 expression in disks of patients with TMD and condyle fracture (CFx).

Study Design

Forty specimens (from 27 patients) included n = 8 CFx, n = 21 anterior disk displacement with reduction (ADDwR), and n = 11 anterior disk displacement without reduction (ADDwoR). Age, area, and intensity of immunostaining were statistically compared between CFx, ADDwR, and ADDwoR groups using analysis ...

Patients’ Experiences Of Recovery: Beyond The Intensive Care Unit And Into The Community, Kelly Calkins, Peninnah M. Kako, Jill L. Guttormson

College of Nursing Faculty Research and Publications

Aims

To understand barriers and facilitators of recovery for critical illness survivors’, who are discharged home from the hospital and do not have access to dedicated outpatient care.

Design

Multi-site descriptive study guided by interpretive phenomenology using semi-structured interviews.

Methods

Interviews were conducted between December 2017 -July 2018. Eighteen participants were included. Data were collected from interview recordings, transcripts, field notes, and a retrospective chart review for sample demographics. Analysis was completed using Interpretive Phenomenological Analysis which provided a unique view of recovery through the survivors’ personal experiences and perception of those experiences.

Results

Participants encountered several barriers to their ...

Examining The Relationship Of Physical Activity, Inflammation & Adiposity On Physical Function With Gender Differences, Jeanne Hlebichuk

Dissertations (1934 -)

Older adults are a rapidly growing segment of the population in the United States. The ability to maintain physical function declines with age and is a critical factor that contributes to living independently. Physical activity has been shown to slow declines in physical function and decrease chronic inflammation. Increases in adipose tissue and decreases in muscle mass are associated with aging. The increase in adipose tissue produces inflammatory markers that can negatively impact older adults’ health. Males and females’ biological changes with aging have been hypothesized to differ. The purposes of this study were to :1) examine the relationship between ...

Examining Social Factors In Self-Management For Older Adults Living Alone, Margaret Salinas

Dissertations (1934 -)

Older adults living alone are a rapidly growing and often vulnerable segment of the population. Patient activation is an established predictor of self-management engagement, ability, and behaviors, and may be impacted by many factors, including social factors such as loneliness, social isolation, and neighborhood conditions. However, relationships among these social factors and environmental factors and patient activation are unclear. Using the Individual and Family Self-Management Theory, the purpose of this cross-sectional study was to examine the factor structure and bivariate correlations of loneliness, social isolation, neighborhood conditions and to test the effect of these factors on patient activation using self-efficacy ...