Medicine and Health Sciences Commons^™

Knowledge, Attitudes, Behavior, And Decision-Making Orientation Relating To Cardiovascular Health In High School Students, Patricia E. Bromfield

Masters Theses

Planning for cardiovascular health (CVH) education for adolescents

requires an awareness of students' cardiovascular knowledge and attitudes

toward "heart healthy" behavior, and an understanding of the dynamics

of health-related decision-making in this age group. This study attempted

to measure these parameters using an 81-item survey administered to 93

9th graders (45 females, 46 males, 2 undisclosed) and 107 12th graders (57

females, 47 males, 3 undisclosed). The survey was administered m a

suburban high school in southwest Michigan in the spring of 1994.

Results were evaluated descriptively for knowledge, attitudes, and

behavior, and for differences across grade and gender. ANOVA's …

Defining Success: The Politics Of Evaluation In Alcohol And Drug Abuse Treatment Programs, James L. Wolk, David J. Hartmann, William P. Sullivan

The Journal of Sociology & Social Welfare

Alcohol and drug abuse treatment programs must respond to several important stakeholders or beneficiaries of services who have an investment in how success is defined. Utilizing data from recent statewide studies of treatment outcomes of alcohol and drug abuse services, this paper concludes that a strict adherence to an abstinence-only model of success, rigidly adopted by many in the treatment industry is counterproductive. Multiple measures of success are essential to fully understand and assess a changing model of intervention in the chemical dependency field.

Effective Changes In Hospital Patient Accounting Since The Prospective Payment System (Pps), Carol L. Francke

Dissertations

This is a multiple case study that examined three hospital patient accounting departments since the adoption of the prospective payment system (PPS). The cases were chosen based on similarities such as their size and dependence on government programs for reimbursement, interviews were conducted and documents were reviewed from 1985 and 1990. Measures of gross revenue days in accounts receivable and the ratio of the number of full time equivalents (FTEs) to patient encounters were used to determine whether these patient accounting departments were more efficient in 1990 than in 1985.

Despite their selection of different forms of adaptation, all three …

A Clinical Trials Evaluation Of A Double-Blinded Protocol To Assess The Therapeutic Effectiveness Of Stimulant Medication Prescribed For Children Diagnosed Adhd, Ann V. Thompson

Dissertations

This clinical trials investigation developed and evaluated a protocol for determining the therapeutic effectiveness of medication prescribed for children diagnosed ADHD. The protocol included two separate baseline periods of two week durations, each of which were followed by four randomly assigned probes of one week duration, consisting either of Methylphenidate or placebo capsules. Baseline probes were unblinded, but medication and placebo probe trials were double-blinded. Therapeutic effect, expectancies, and integrity of the double-blind control were assessed through a battery of rating scales and forms completed by the parent, teacher and child at the end of each protocol week, including baseline …

Investigating The Influence Of Pre-Theoretical Assumptions On Clinical Reasoning, Barbara R. Hooper

Masters Theses

This study explored what internal beliefs a therapist holds about the nature of reality and how those beliefs influence how he/she delivers occupational therapy. A single-case study design was utilized. Data were collected from three in-depth interviews and observation of multiple treatment sessions.

The results suggest that this therapist's view of the world could be categorized into four areas: (1) What she believed about ultimate reality; (2) What she believed about life, death and eternity; (3) What she believed about human nature; and (4) What she believed about the nature of knowing. The study also suggests that this core world-view …

Kinematic Analysis Of Sprinting With And Without The Speed Chute, Douglas Roy West

Masters Theses

The problem under investigation was to determine if kinematic differences existed when sprinting with and without the speed chute. Eight Western Michigan University Track and Field Athletes were filmed at 100 frames per second as they sprinted two trials with and without the speed chute.

Three ANOVAs and descriptive statistics were used to evaluate the effects of sprinting with and without the speed chute. Descriptive statistics provided information for numerous dependent variables. Although statistically significant differences (R < .05) existed between sprinting with and without the speed chute, those differences may not be practical for the coach to use in terms of evaluation of sprinting technique, because the differences would be difficult for the human eye to see. Therefore, the speed chute may be a viable training tool as kinematics were only minimally affected.

Social Work, Social Science And The Disease Concept: New Directions For Addiction Treatment, Douglas Frans

The Journal of Sociology & Social Welfare

The perception of alcoholism and other substance abuse disorders as disease entities is a view ardently defended not only among chemical dependency professionals but, increasingly, by the general public as well. Over the past two decades, this perspective has also become so ensconced within the addiction treatment industry that alternative interventions are almost nonexistent even though evidence of their effectiveness is available (Miller & Hester, 1989). And yet, "no leading research authorities accept the classic disease concept" (Fingarette, 1988, p. 3). Competing views are generally characterized as irresponsible, and their sponsors summarily dismissed as dangerously uninformed by disease view proponents …

Client-Driven Advocacy And Psychiatric Disability: A Model For Social Work Practice, David P. Moxley, Paul P. Freddolino

The Journal of Sociology & Social Welfare

This paper presents an innovative advocacy model designed to assist people coping with psychiatric disabilities to fulfill their basic living needs. The model emphasizes the importance of clients defining their own needs for advocacy and then, with the support and assistance of an advocate, taking direct action to fulfill these needs. The model is elaborated in terms of its basic attributes, the interlocking roles of both clients and advocates, the importance of the advocacy relationship, and seven core processes of advocacy. The authors conclude with a discussion of possible effects of introducing the model into social work practice in mental …

The Effects Of Organizational Culture On Quality Of Life For Older Veterans, Michelle Diane Stone

Dissertations

The organizational culture in a Veteran's Administration Medical Center (VAMC) was described using triangulated methods which included both secondary quantitative survey data, and internal documentary data sources. The initial survey data collected, from staff and elder veterans revealed an overall positive perception from both samples regarding the quality of life for elder veterans living on extended care wards. The study investigated the extent to which the VAMC's organizational culture affected these perceptions of quality of life.

Documentary data were collected from a variety of VAMC sources regarding behaviors, ideologies, leadership trends, mechanisms of control, and the formal organizational structure. A …

Human Rights In The Social Sciences, Erika Loerner Friedi

Center for the Study of Ethics in Society Papers

This paper was originally presented as a Western Michigan University Faculty Scholar Lecture. The Ethics Center is grateful to the Faculty Scholars' Committee and to its chair, Prof. Ernst Breisach, for allowing us to publish it.

Narrative, Luck, And Ethics: The Role Of Chance In Ethical Encounters, In Literature And Real Life Experiences, Nona Lyons

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society - March 9, 1993.

The Biomechanical Analysis Of Two Types Of Place Kicks: The Toe And Instep Kicks, Kaylynn Albers

Masters Theses

This study described the biomechanical differences between two styles of the place kick; the toe kick and instep kick. The biomechanical variables included joint angles, velocities, and displacements. Five high school age subjects kicked five trials of the toe kick and five trials of the instep kick at both 20 and 35 yards. The place kicks were filmed with a high speed camera, digitized and analyzed with peak 4.2 computer software.

The findings for joint angles were consistent with those found in the literature. The velocity for the kicking foot and the ball were lower in this study than found …

The Effect Of Computer-Assisted Instruction On The Development Of Diagnostic Reasoning Skills Among Occupational Therapy Students, Judith Lynn Freeman

Masters Theses

Diagnostic reasoning is an essential feature of the occupational therapy treatment process. Acquisition of diagnostic reasoning skills is difficult for students, however, because of paradoxical developmental limitations faced during transition from classroom to clinical learning environments. Educators in pre-professional occupational therapy curriculums are searching for educational methods to prepare students for diagnostic reasoning tasks inherent in practice.

This experimental study compared a computer-simulated diagnostic reasoning activity with a more traditional case study reviewing activity in terms of effect on accuracy of problem identification among occupational therapy students. Results found no significant difference between the effect of computer-assisted instruction and case …

Comparative Effectiveness Of Therapeutic Strategies On Drug Knowledge And Drug Attitude In Inpatient Psychiatric Substance Abuse Population, Amber Haque

Dissertations

This study examined the effects of instructional strategies on the change of knowledge and attitude scores in mentally ill subjects with a history of substance abuse. Twenty subjects from a state psychiatric hospital were randomly divided into one control and three experimental groups. The study period was ten weeks with each session lasting forty five minutes, twice per week. Subjects studied issues relating to drug abuse outside scheduled sessions as they pleased. Pre- and post-test scores were measured by a drug abuse questionnaire developed at the Pennsylvania State University. Hypotheses formed were: (a) drug education improves knowledge and attitude in …

Adolescent Substance Use Patterns: Testing A Multidimensional Sociogenic Model, Eric O. Johnson

Dissertations

This dissertation begins with the understanding that behavior is a product of a variegated and complex web of social factors. Bringing this approach to the subfield of adolescent substance use, both substance use itself (alcohol, cigarettes and a broad range of illicit drugs) and the factors that influence such use are viewed as existing within the complex of demographic/structural, social contextual, attitudinal, and behavioral layers of adolescents' social worlds.

The Patterns of Adolescent Substance Use Typology, developed by Stanley S. Robin and me (1992a), is used to categories the overall level and kind of substance use, over time, that adolescents …

Carpal Tunnel Syndrome: Risk Factors Among Hand Therapists, Suzanne Makielski

Masters Theses

The following study examined the presence of risk factors among hand therapists for developing carpal tunnel syndrome. A review of the literature indicated a significant relationship between the incidence of carpal tunnel syndrome and manual workers whose occupational tasks involve repetitive wrist and hand movements. Hand therapists were characterized as manual workers while possessing specialized knowledge and skill in the evaluation and treatment of hand and wrist disorders. Biomechanical analysis of various "hands on" techniques revealed repetitive wrist and hand movements including the use of force and increased risk for injury associated with carpal tunnel syndrome. In order to determine …

Access To Prenatal Care And County Size: Implications For Service Delivery, Ellen E. Whipple

The Journal of Sociology & Social Welfare

The impact of population size across twenty-three west Michigan counties was examined to determine access to prenatal care, low birth weight, and infant mortality. Surveys were completed by forty-five managers of hospitals and county health departments. Service availability, sociodemographic, system-related and lifestyle factors were examined as contributors to perinatal support utilization. Low birth weight and infant mortality were highest in the small- and large-sized counties. Positive birth outcomes in medium-sized counties may have been due to greater availability of infant and child health services through health departments, and the targeting of resources to specific problem areas, such as smoking cessation. …

Can We Share Ethical Views With Other Religions?, Robert Hannaford

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, October 7, 1993.

Why Does Utilitarianism Seem Plausible?, John Dilworth

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society - May 27, 1993.

Families Of People With A Severe Mental Illness: Role Conflict, Ambiguity And Family Burden, James G. Hanson

The Journal of Sociology & Social Welfare

The perspective of families of people with a severe mental illness has become a focus of interest for mental health professionals. This paper reports the results of an ethnographic study of families' perceptions of dealing with a severe mental illness in their midst. The findings suggest that the families face continual role conflict and ambiguity as the illness moves through characteristic stages. Attention is given to the families' experience and needs and to social workers' responsibilities for involving and communicating with such families in order to reduce a portion of their burden.

Sds Non-Acrylamide Polymeric Gel-Filled Capillary Electrophoresis For Molecular Size Separation Of Protein, Devon Andres

Honors Theses

Sodium dodecyl sulfide (SDS) non-acrylamide gel-filled capillary columns are a new technology being used for analysis and separation of biotechnology-derived proteins. This research was to compare this new technology to the current methods of SDS polyacrylamide gel electrophoresis (SDS-PAGE) and high-performance size-exclusion chromatography (HPSEC). The molecular mass of four different recombinant proteins were determined by two commercialized SDS non-acrylamide gel-filled capillary columns, SDS-PAGE, and HPSEC. The data obtained showed that the SDS non-acrylamide gel-filled capillary columns were compatible with the SDS-PAGE technique for molecular mass determination. HPSEC was shown to be unreliable for molecular weight determination. SDS non-acrylamide gel-filled capillary …

The Place Of Ethics Centers In Higher Education, Douglas Ferraro

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, September 28, 1995.

The Use Of Activity Analysis By Occupational Therapists In Treatment Decisions, Hiromi Yoshikawa

Masters Theses

The use of activity analysis in occupational therapy daily practice was examined by survey. One hundred occupational therapists who serve as fieldwork educations received survey forms with thirty seven usable questionnaires being returned. The study found that all therapists were doing activity analysis as a mental process; however, only 2 therapists were using a written activity analysis form in their daily practice. Most subjects indicated that activity analysis is important to occupational therapy but that formal activity analysis is too time consuming. Several therapists recognized the benefits of completing formal activity analysis. The respondents identified selecting activities for treatment which …

The Acute Effects Of Cocaine In Pigeons Performing Under A Progressive-Ratio Schedule, Claudia Ann Jones

Masters Theses

Although the progressive-ratio (PR) schedule has been used frequently to quantify the reinforcing effectiveness of self-administered drugs, it has seldom been used to examine the effects of drugs on food-maintained behavior and has never been used to evaluate the effects of cocaine on such behavior. In the present study, the effects of acute administrations of cocaine were evaluated in pigeons responding under a PR schedule of food delivery. Overall, cocaine produced a dose-dependent effect on food-maintained behavior. In general, acute administrations of cocaine at 0.56 to 3.2 mg/kg increased breaking points, whereas doses above 5.6 mg/kg decreased breaking points. Low …

Attitudes Of Occupational Therapy Students Toward The Mentally Disabled, Patricia Mccarthy

Masters Theses

Thirty-nine undergraduate occupational therapy and fifty-seven entry-level graduate occupational therapy students from eight randomly selected academic programs were surveyed using the Opinions About Mental Illness Scales ([OMI], Cohen and Struening, 1959) and the Mental Health Information Questionnaire ([MHIQ], Nunnally, 1961). Results revealed that both student groups’ knowledge toward the mentally disabled was more similar to the general public’s knowledge. Using a one-tailed t-test to compare the MHIQ factors revealed there was no statistically significant difference between the occupational therapy student groups.

Both student groups’ OMI factor scores were similar to an expert group for Factors A B, and D; however, …

Helping To Harm? The Ethical Dilemmas Of Managing Politically Sensitive Data, Sylvie C. Tourigny

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society - March 19, 1993.

Signal Processing With Neural Networks, Pero Smrzlic

Masters Theses

In this study, we introduce the Adaptive Back Propagation (ABP) learning algorithm, computationally superior to the standard Back Propagation. The ABP is based on the new activation function, with its corresponding adaptive learning parameter. By using the combination of computer simulations and analysis in the domain of activation function, the Method of One Hidden layer was developed for the effective utilization of units in one-hidden layer networks. A parallel version of the ABP was designed and implemented on a nCUBE-2 supercomputer with 128 processors.

The simulation results suggested a strong correlation between frequency of signals and the role of hidden …

Reasonable Children, Michael Pritchard

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society - May 19, 1993.

Reformulation Of The Context Of Community Based Care, Phillip Fellin

The Journal of Sociology & Social Welfare

Community based care has traditionally been defined as residential location. An alternative is presented of including the patient's membership in multiple communities, both geographical and identificational. The literature on social supports is cited as a basis for social integration as a goal.

The Use Of Music Therapy To Influence The Self-Confidence And Hostility Of Adolescents Who Are Sexually Abused, Joy Clendenon-Wallen

Masters Theses

The purpose of this study was to determine whether music therapy would be an effective therapeutic medium for reducing hostility and increasing the self-confidence of sexually abused adolescents. The study utilized an experimental and control group which is unique in the sexual abuse literature. Most studies are descriptive or quasi-experimental in nature. Some of the subjects increased their self-confidence and decreased their hostility although no statistical significance was achieved for either group. This study describes the treatment problems of sexually abused adolescents and offers examples of non-confrontational and goal directed treatment strategies which can be achieved through music therapy. Music …