Medicine and Health Sciences Commons^™

Psychometric Properties Of The Index Of Relocation Adjustment, Abir K. Bekhet, Jaclene Zauszniewski

College of Nursing Faculty Research and Publications

More and more American older adults are relocating to retirement communities, and they experience challenges in adjusting to new surroundings that may increase their depression and mortality. An instrument not previously tested in the United States, the Index of Relocation Adjustment (IRA), may help in early identification of poor relocation adjustment. This study examined the psychometric properties of the IRA using secondary data from a convenience sample of 104 older adults who relocated to 6 retirement communities in Northeast Ohio. Cronbach’s alpha was .86. The IRA was correlated with measures of positive cognitions (r = .48, p < .01) and relocation controllability (r = …

Inhibition Of Food Intake By Pacap In The Hypothalamic Ventromedial Nuclei Is Mediated By Nmda Receptors, Jon M. Resch, Brian Maunze, Kailynn A. Phillips, Sujean Choi

Biomedical Sciences Faculty Research and Publications

Central injections of pituitary adenylate cyclase-activating polypeptide (PACAP) into the ventromedial nuclei (VMN) of the hypothalamus produce hypophagia that is dependent upon the PAC1 receptor; however, the signaling downstream of this receptor in the VMN is unknown. Though PACAP signaling has many targets, this neuropeptide has been shown to influence glutamate signaling in several brain regions through mechanisms involving NMDA receptor potentiation via activation of the Src family of protein tyrosine kinases. With this in mind, we examined the Src-NMDA receptor signaling pathway as a target for PACAP signaling in the VMN that may mediate its effects on feeding behavior. …

An Investigation Into The Mechanical And Aesthetic Properties Of New Generation Coated Nickel-Titanium Wires In The As-Received State And After Clinical Use, T. Gerard Bradley, David W. Berzins, Nicholas Valeri, Jessica E. Pruszynski, Theodore Eliades, Christos Katsaros

School of Dentistry Faculty Research and Publications

The orthodontic profession is constantly seeking to improve and optimize the aesthetics of orthodontic wires since the introduction of aesthetic brackets. Nickel-titanium (NiTi) wires since their introduction to orthodontics (Andreasen and Hilleman, 1971) have been extensively researched in vitro and are used as an initial levelling and aligning archwire because of its properties of springback and superelasticity (Burstone et al., 1985; Miura et al., 1986; Leu et al., 1990; Bishara et al., 1995; Bradley et al., 1996; Biermann et al., 2007; Berzins and Roberts 2010). Aesthetic wires are usually either coated NiTi wires or composite wires of reinforced polymers. Shape …

The Electromagnetic Articulography Mandarin Accented English (Ema-Mae) Corpus Of Acoustic And 3d Articulatory Kinematic Data, Jeffrey J. Berry, An Ji, Michael T. Johnson

Speech Pathology and Audiology Faculty Research and Publications

There is a significant need for more comprehensive electromagnetic articulography (EMA) datasets that can provide matched acoustics and articulatory kinematic data with good spatial and temporal resolution. The Marquette University Electromagnetic Articulography Mandarin Accented English (EMA-MAE) corpus provides kinematic and acoustic data from 40 gender and dialect balanced speakers representing 20 Midwestern standard American English L1 speakers and 20 Mandarin Accented English (MAE) L2 speakers, half Beijing region dialect and half are Shanghai region dialect. Three dimensional EMA data were collected at a 400 Hz sampling rate using the NDI Wave system, with articulatory sensors on the midsagittal lips, lower …

Sensorimotor Adaptation Of Speech Using Real-Time Articulatory Resynthesis, Jeffrey J. Berry, Cassandra North, Michael T. Johnson

Speech Pathology and Audiology Faculty Research and Publications

Sensorimotor adaptation is an important focus in the study of motor learning for non-disordered speech, but has yet to be studied substantially for speech rehabilitation. Speech adaptation is typically elicited experimentally using LPC resynthesis to modify the sounds that a speaker hears himself producing. This method requires that the participant be able to produce a robust speech-acoustic signal and is therefore not well-suited for talkers with dysarthria. We have developed a novel technique using electromagnetic articulography (EMA) to drive an articulatory synthesizer. The acoustic output of the articulatory synthesizer can be perturbed experimentally to study auditory feedback effects on sensorimotor …

Feasibility Of Oral Prenatal Probiotics Against Maternal Group B Streptococcus Vaginal And Rectal Colonization, Lisa Hanson, Leona Vandevusse, Megan Duster, Simone Warrack, Nasia Safdar

College of Nursing Faculty Research and Publications

Objective

To examine the effect of an oral prenatal probiotic on group B Streptococcus (GBS) colonization and to demonstrate the feasibility of a larger randomized controlled trial.

Design

This pilot study was an open‐label, two‐group quasi‐experiment.

Setting

An urban central city nurse‐midwifery and wellness center serving a diverse population.

Participants

Ten pregnant participants received the oral probiotic (Florajen3) taken once daily, and 10 participants served as controls.

Methods

A questionnaire on dietary practices, vaginal cleansing, sexual history, and symptoms and GBS colony count samples were taken at 28‐, 32‐, and 36‐weeks gestation.

Results

Participants in the probiotic group reported no …

Psychometric Properties Of The Resourcefulness Scale Among Caregivers Of Persons With Autism Spectrum Disorder, Abir K. Bekhet, Jaclene Zauszniewski

College of Nursing Faculty Research and Publications

Caregiving for children with autism spectrum disorder (ASD) can be very costly to caregivers’ well-being. Resourcefulness interventions have shown increases in positive health outcomes. However, before delivering the intervention, there should be a reliable and a valid measure to test resourcefulness. The psychometric properties of the Resourcefulness Scale (RS) have not been examined among ASD caregivers. This study examined the psychometrics of the 28-item RS in a convenience sample of 204 ASD caregivers. A Cronbach’s alpha of .91 showed the internal consistency of the RS. Construct validity was supported by the emergence of two dimensions of resourcefulness (personal and social) …

Palliative And End-Of-Life Care: Precepts And Ethics For The Orthopaedic Population, Cheryl L. Petersen, Susan Breakwell, Margaret Callahan

College of Nursing Faculty Research and Publications

Since the emergence of reports such as the National Consensus Project for Quality Palliative Care (2013) and the National Association of Orthopaedic Nurses Palliative Care Consensus Document (2005), there continues to be a growing recognition of the multiple adverse effects of serious illness and chronic conditions, as well as the potential benefits of receiving palliative or end-of-life care. As modern technology expands its ability to support life, ethical dilemmas may be encountered in the provision of palliative or end-of-life care. Through integration of the precepts of palliative care and consideration of the relevant ethical principles, orthopaedic nurses may best meet …

Phd Preparation For Nurse Faculty And Nurse Scientists: Do They Have To Be The Same?, Donna O. Mccarthy

College of Nursing Faculty Research and Publications

No abstract provided.

Do You Use Your Professional Code Of Ethics?, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

Serum 25-Hydroxyvitamin D, Calcium, And Calcium-Regulating Hormones In Preeclamptics And Controls During First Day Postpartum, Ahmed Dalmar, Hershel Raff, Suneet P. Chauhan, Maharaj Singh, Danish S. Siddiqui

College of Nursing Faculty Research and Publications

The evidence for a link between vitamin D and preeclampsia is conflicting. There is a paucity of studies reporting simultaneous 25-hydroxyvitamin D (inactive form) and 1,25-dihydroxyvitamin D (biologically active form). We investigated if levels of serum 25-hydroxyvitamin D, calcium-regulating hormones (1,25-dihydroxyvitamin D, parathyroid hormone), and calcium differ significantly between preeclamptics and controls. On postpartum day one, 98 subjects (44 with preeclampsia, 54 controls) were recruited among women admitted to the postdelivery unit, and their serum 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D, parathyroid hormone, serum calcium, and serum albumin levels were prospectively measured. The majority of participants (70 %) had serum 25-hydroxyvitamin D …

Use Of Ovulation Predictor Kits As Adjuncts When Using Fertility Awareness Methods (Fams): A Pilot Study, Rene Letva, Ula Burban, Edmond Kyrillos, Richard J. Fehring, Robin Mclaren, Catherine Dalzell, Elizabeth Tanguay

College of Nursing Faculty Research and Publications

Purpose: Difficult clinical signs such as confusing cervical mucus or erratic basal body temperature can make the use of fertility awareness methods (FAMs) difficult in some cases. The goal of this study was to assess the feasibility of using a cheap urinary luteinizing hormone (LH)–surge identification kit as an adjunct to identify the infertile phase after ovulation when facing these scenarios.

Methods: The study used a block-allocation, crossover, 2-arm methodology (LH kit/FAM vs FAM only). Comparison of the 2 arms was done with regard to the accuracy of identification (yes/no) of the luteal phase in each cycle as confirmed by …

Cohort Efficacy Study Of Natural Family Planning Among Perimenopause Age Women, Richard J. Fehring, Qiyan Mu

College of Nursing Faculty Research and Publications

Objective: To determine the efficacy of using natural family planning (NFP) methods to avoid unintended pregnancy among women of perimenopause age (i.e., age 40-55 years).

Design: A secondary analysis of subset data from two prospective observational cohort studies.

Setting: A university based in-person and online NFP service program.

Participants: One hundred and sixty couples who used either a website or an in-person NFP service to learn how to avoid pregnancy from January 2001 to November 2012.

Methods: A prospective 12-month effectiveness study among 160 women (between ages 40-55) who used NFP to avoid pregnancy. The …

Use Of Audio Biofeedback To Reduce Tibial Impact Accelerations During Running, Claire M. Wood, Kristof Kipp

Exercise Science Faculty Research and Publications

Visual biofeedback of tibial peak positive acceleration (PPA) during running has been used successfully as a method of gait retraining to reduce PPAs. Audio biofeedback generated from PPA may present a novel, portable alternative. The purpose of this study was to investigate the feasibility of using PPA-generated audio biofeedback to reduce PPAs while running. Nine runners were fitted with a wireless accelerometer on their left tibia. PPAs were recorded and a custom LabVIEW program was used to emit a single beep once the PPA reached a preset threshold. The numerical difference between this threshold and peak PPA during running was …

Treatment Of Abscessed Primary Molars Utilizing Lesion Sterilization And Tissue Repair: Literature Review And Report Of Three Cases, David Burrus, Lori Barbeau, Brian D. Hodgson

School of Dentistry Faculty Research and Publications

Purpose: The purpose of this report was to review an emerging alternative treatment to pulpectomies and extractions for nonvital primary teeth called lesion sterilization and tissue repair (LSTR) and provide the results of three clinical case applications. LSTR is a noninstrumentation endodontic treatment that involves a triantibiotic mixture in a propylene glycol vehicle, which is used to disinfect root canal systems. This concept was developed by the cariology research unit of the School of Dentistry, Niigata University, Niigata, Niigata Prefecture, Japan. This article reviews the development of the technique, clinical procedures required for the technique, three clinical applications and radiographic …

Accuracy And Precision Of Die Spacer Thickness With Combined Computer-Aided Design And 3-D Printing Technology, Lisa Hoang

Master's Theses (2009 -)

Purpose: The purpose of this study was to evaluate the accuracy and precision of die-spacer thickness achieved by the combination of computer aided design and 3-dimension printing technology.

Materials and Methods: An ivorine maxillary central incisor was prepared for an all ceramic crown. The prepared tooth was duplicated by using poly (vinyl siloxane) duplicating silicone and 80 die-stone models were produced using type IV dental stone. Dies were randomly divided into 5 groups with assigned die spacer thickness of (25 μm, 45 μm, 65 μm, 85 μm, 105 μm) (n=16/group). The printed resin copings, obtained from 3D Systems ProJet DP …

Labor Down Or Bear Down: A Strategy To Translate Second-Stage Labor Evidence To Perinatal Practice, Kathryn Osborne, Lisa Hanson

College of Nursing Faculty Research and Publications

Scientific evidence supports spontaneous physiologic approaches to second-stage labor care; however, most women in US hospitals continue to receive direction from nurses and birth attendants to use prolonged Valsalva bearing-down efforts as soon as the cervix is completely dilated. Delaying maternal bearing-down efforts during second-stage labor until a woman feels an urge to push (laboring down) results in optimal use of maternal energy, has no detrimental maternal effects, and results in improved fetal oxygenation. Although most commonly used with women who are undergoing epidural anesthesia, laboring down is just one component of physiologic second-stage labor care that can be used …

Sensory Electrical Stimulation Improves Foot Placement During Targeted Stepping Post-Stroke, Eric R. Walker, Allison S. Hyngstrom, Brian D. Schmit

Physical Therapy Faculty Research and Publications

Proper foot placement is vital for maintaining balance during walking, requiring the integration of multiple sensory signals with motor commands. Disruption of brain structures post-stroke likely alters the processing of sensory information by motor centers, interfering with precision control of foot placement and walking function for stroke survivors. In this study, we examined whether somatosensory stimulation, which improves functional movements of the paretic hand, could be used to improve foot placement of the paretic limb. Foot placement was evaluated before, during, and after application of somatosensory electrical stimulation to the paretic foot during a targeted stepping task. Starting from standing, …

Influence Of Taper On The Flexibility Of Nickel-Titanium Rotary Files, Christopher J. Kingma

Master's Theses (2009 -)

Introduction: Modern nickel-titanium instruments have various tapers and have been marketed to have superior flexibility from previous generations. Current ISO standards require force measurements at a static point along the file. Unfortunately, root canal anatomy varies and produces multiple forces along the length of the file. The purpose of this study was to determine the influence of taper on the flexibility of various nickel-titanium files.

Materials and Methods: The flexibility of stainless steel hand files and nickel-titanium rotary files of various tapers was measured. The sample size was 10 for each type, taper and size. The files were measured at …

3d Visualization Architecture For Building Applications Leveraging An Existing Validated Toolkit, David A. Polyak

Master's Theses (2009 -)

The diagnostic radiology space and healthcare in general is a slow adopter of new software technologies and patterns. Despite the widespread embrace of mobile technology in recent years, altering the manner in which societies in developed countries live and communicate, diagnostic radiology has not unanimously adopted mobile technology for remote diagnostic review. Desktop applications in the diagnostic radiology space commonly leverage a validated toolkit. Such toolkits not only simplify desktop application development but minimize the scope of application validation. For these reasons, such a toolkit is an important piece of a company’s software portfolio. This thesis investigated an approach for …

A Comparison Of Two Methods To Articulate A Maxillary Cast With Lateral Cephalometry, Laura H. Lux

Master's Theses (2009 -)

The Kois Dento-Facial Analyzer, an arbitrary articulation system, is used by clinicians to articulate and evaluate clinical cases. There is, however, limited information for understanding how the Kois Dento-Facial Analyzer should be utilized. Dr. Kois and Dr. Lee originally patented the device in 2003 yet there is essentially no evidence-based research in the literature. The purpose of this study was to evaluate the outcomes of articulating the maxillary cast using the Kois Dento-Facial Analyzer in three-dimensions as compared to the position of the cast when using Panadent’s Pana-Mount Facebow. Fifteen dried human skulls were used as test subjects. Maxillary diagnostic …

Evaluation Of Effect Of 17% Edta And 5.25% Sodium Hypochloride Irrigating Solutions On Surface Hardness Of Brasseler Endosequence Root Repair Material, Himanshu Sharma

Master's Theses (2009 -)

Introduction: Root Perforation is an artificial communication between the root canal system and supporting tissue. Various endodontic researchers have published that sealing the perforation immediately has the best prognosis but this predisposes the repair material to come in contact with various root canal irrigants during the course of treatment. The aim of this study was to evaluate the effect of 17% EDTA and 5.25% sodium hypochlorite irrigating solutions on surface hardness of Endosequence Root Repair Material Putty (ERRM).

Method: ERRM, 5.25% Sodium Hypochlorite, 17% EDTA and Deionized water were used. 42 samples were prepared and divided into 2 groups. Each …

Flexibility Of Various Nickel-Titanium Rotary Endodontic Files, Chelsea Selin

Master's Theses (2009 -)

Introduction: Nickel-titanium rotary files were originally developed to allow for greater flexibility when instrumenting root canals. The increased flexibility of nickel-titanium instruments allowed operators to negotiate canal curvatures with greater ease. File design is continually changing. Manufacturers are trying to produce files that will work more efficiently and safely. Knowing the properties of files marketed is especially important in helping to choose an appropriate file system. Current ISO standards require force measurements at a static point along the file. The purpose of this study was to evaluate the flexibility of four different nickel-titanium files at three different points along the …

Supporting Labor Progress Toward Physiologic Birth, Lisa Hanson, Leona Vandevusse

College of Nursing Faculty Research and Publications

No abstract provided.

Factors Associated With The Emotional Distress Of Women Family Members Of Adults With Serious Mental Illness, Jaclene Zauszniewski, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Women family members of adults with serious mental illness are at great risk for emotional distress. This study examined associations between characteristics of 60 women (age, race, and education), their relatives with mental illness (age, diagnosis, and years since diagnosis), and the family situation (relationship, living arrangements, and care provided) and symptoms of emotional distress. Depressive symptoms were greater among those with younger, non-sibling relatives. Anxiety was greater among Caucasians and those with a recently diagnosed family member, particularly bipolar disorder. Anger was associated with providing direct care. The findings are informative for tailoring interventions to minimize emotional distress in …

Sex Differences In Human Fatigability: Mechanisms And Insight To Physiological Responses, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Sex-related differences in physiology and anatomy are responsible for profound differences in neuromuscular performance and fatigability between men and women. Women are usually less fatigable than men for similar intensity isometric fatiguing contractions. This sex difference in fatigability, however, is task specific because different neuromuscular sites will be stressed when the requirements of the task are altered, and the stress on these sites can differ for men and women. Task variables that can alter the sex difference in fatigability include the type, intensity and speed of contraction, the muscle group assessed and the environmental conditions. Physiological mechanisms that are responsible …

An Interprofessional Consensus Of Core Competencies For Prelicensure Education In Pain Management: Curriculum Application For Physical Therapy, Marie K. Hoeger Bement, Barbara J. St. Marie, Terry M. Nordstrom, Nicole Christensen, Jennifer M. Mongoven, Ian J. Koebner, Scott M. Fishman, Kathleen A. Sluka

Physical Therapy Faculty Research and Publications

Core competencies in pain management for prelicensure health professional education were recently established. These competencies represent the expectation of minimal capabilities for graduating health care students for pain management and include 4 domains: multidimensional nature of pain, pain assessment and measurement, management of pain, and context of pain (Appendix 1). The purpose of this article is to advocate for and identify how core competencies for pain can be applied to the professional (entry-level) physical therapist curriculum. By ensuring that core competencies in pain management are embedded within the foundation of physical therapist education, physical therapists will have the core knowledge …

Spirituality And Religiosity In Adolescents With Sickle Cell Disease: A Descriptive Qualitative Study, Dora L. Clayton-Jones

Dissertations (1934 -)

Sickle cell disease (SCD) is a serious debilitating chronic illness and global health problem. Spirituality and religiosity have been shown to have positive correlations with their health outcomes. Research addressing the spiritual and religious needs of adolescents living with SCD is limited.

The aim of this descriptive qualitative study was to examine how adolescents (Mage = 16.2 years) with SCD describe and experience spirituality and religiosity. Nine adolescents completed two semi-structured interviews. Sickle Cell Disease Interview Guides were developed using the Spiritual Development Framework developed by Benson & Roehlkepartain (2008) as a guide. The framework provided a foundation for conceptualizing …

The Stroke-Related Effects Of Hip Flexion Fatigue On Over Ground Walking, Megan M. Rybar, Eric R. Walker, Henry Kuhnen, Daniel R. Ouellette, Reivian Berrios, Sandra K. Hunter, Allison S. Hyngstrom

Exercise Science Faculty Research and Publications

Individuals post stroke often rely more on hip flexors for limb advancement during walking due to distal weakness but the effects of muscle fatigue in this group is not known. The purpose of this study was to quantify how stroke affects the influence of hip flexor fatigue on over ground walking kinematics and performance and muscle activation. Ten individuals with chronic stroke and 10 without stroke (controls) participated in the study. Maximal walking speed, walking distance, muscle electromyograms (EMG), and lower extremity joint kinematics were compared before and after dynamic, submaximal fatiguing contractions of the hip flexors (30% maximal load) …

Stressor-Induced Increase In Muscle Fatigability Of Young Men And Women Is Predicted By Strength But Not Voluntary Activation, Manda L. Keller-Ross, Hugo M. Pereira, Jaclyn Pruse, Tejin Yoon, Bonnie A. Schlinder-Delap, Kristy A. Nielson, Sandra K. Hunter

Psychology Faculty Research and Publications

This study investigated mechanisms for the stressor-induced changes in muscle fatigability in men and women. Participants performed an isometric-fatiguing contraction at 20% maximal voluntary contraction (MVC) until failure with the elbow flexor muscles. Study one (n = 55; 29 women) involved two experimental sessions: 1) a high-stressor session that required a difficult mental-math task before and during a fatiguing contraction and 2) a control session with no mental math. For some participants (n = 28; 14 women), cortical stimulation was used to examine mechanisms that contributed to muscle fatigability during the high-stressor and control sessions. Study two …