Medicine and Health Sciences Commons^™

Continuous Passive Motion After Knee Arthroscopy, Lisa Bauman

Masters Theses

The purpose of the study was to investigate the effect of continuous passive motion (CPM) after arthroscopy. A CPM machine was used one hour following knee surgery. Statistical analysis was performed to determine differences in knee range of motion (ROM), strength and circumference, at time intervals preoperatively, one, seven, and twenty-eight days following surgery. The analysis of variance revealed no significant difference between the CPM and control groups for any parameter. A significant interaction effect between treatment and time was demonstrated one day after surgery for extension, joint line circumference, and midthigh circumference; and 28 days after surgery for the …

Surrogate Parenting Legislation In Michigan: Background And Review, Lucille S. Taylor

Center for the Study of Ethics in Society Papers

This essay originated in symposium presentations made to the WMU Center for the Study of Ethics in Society, January 20, 1989.

Surrogate Parenting And Fundamental Rights, Paul J. Denenfeld

Center for the Study of Ethics in Society Papers

This essaya originated in symposium presentations made to the WMU Center for the Study of Ethics in Society, January 20, 1989.

Surrogate Parenting: The Michigan Legislation, Lucille Taylor, Paul Denenfeld

Center for the Study of Ethics in Society Papers

Surrogate Parenting: The Michigan Legislation essays by: Lucille Taylor Paul Denenfeld. These essays originated in symposium presentations made to the WMU Center for the Study of Ethics in Society, January 20, 1989. Lucille Taylor is Majority Counsel, Michigan State Senate Paul Denenfeld is Legal Director, ACLU Fund of Michigan

Effects Of Ro 15-4513 On Schedule-Induced Ethanol Intake In Rats And Schedule-Maintained Responding In Pigeons, Dawn D. Delaney

Dissertations

The partial inverse benzodiazepine receptor agonist, Ro 15-4513, is a recently synthesized compound with the ability to antagonize some of the biochemical and behavioral effects of low to moderate doses of ethanol and related CNS depressants. The present investigations sought to explore further the behavioral actions of Ro 15-4513. In Experiment 1, the effects of acute (0.6-5.4 mg/kg) and chronic (5.4 mg/kg) administrations of Ro 15-4513 on rats' schedule-induced consumption of water and 8% ethanol solution were examined. Acute and chronic administrations of Ro 15-4513 slightly reduced consumption of both liquids. No selective effects on ethanol consumption were observed.

In …

Cessation Of Chronic Ethanol Intake Reverses Ultrastructural Alterations In Ileal M Cells, Robert Rosback Eversole

Masters Theses

Membranous (M) cells of the dome epithelium of ileal Peyer's patches have been shown to serve an antigen uptake function for mucosa associated lymphoid tissue. Hypergammaglobulinemia is a frequent accompaniment of chronic alcoholism in humans and the elevated antibody titers have been shown to be due in part to bacterial and dietary proteins. This study was conducted to demonstrate the morphological changes induced by chronic ethanol exposure in the ileal M cells in the rat.

Chronic ingestion of ethanol produces marked changes in the ultrastructure of M cells. All experimental animals showed distinct mitochondrial swelling with loss of matrix density, …

Aids Prevention Through Printed Media: Knowledge And Communication Behaviors Of Gay College-Aged Males, Cheryl L. Knight

Masters Theses

AIDS prevention research has established the effectiveness of multiple component group interventions. It has not identified whether the effectiveness is due to the format of the intervention (i.e., rehearsal, feedback, etc.) or its instructional content. This study investigates the impact of instructional content delivered in the inexpensive and readily obtained printed medium. Thirteen gay or bisexual college-aged men received an information pamphlet and an AIDS-related communication skills training booklet. Subjects were evaluated on measures of knowledge, safe and risky behaviors, and communication behaviors in each of three assessment sessions. Visual analyses and repeated measures analyses of variance did not support …

Psychophysiological Assessment Of Panic Disorder, Kent A. Koehn

Masters Theses

This study compared physiological and psychological measures between 9 subjects meeting the DSM-III-R criteria for panic disorder (PD) and 9 control subjects to identify psychophysiological differences that might be relevant to the etiology and maintenance of panic attacks. The subjects were assessed through a number of self-report measures and across three laboratory sessions involving five experimental conditions: baseline, role play, relaxation, mental arithmetic, and cold pressor. We measured electrodermal (EDG) and electro-myographic activity (EMG), heart rate (HR), and blood volume pulse (BVP) in terms of absolute values, reactivity, and habituation. Both groups were also assessed in their ability to accurately …

Reliability And Validity Of The Body Mechanics Obstacle Course Evaluation, Louise Sinclair-Eastman

Masters Theses

A review of the literature suggests that the way in which an individual performs activities, or body mechanics, can affect the amount of stress placed on the low back. Several clinical programs treat patients with low back pain by teaching proper body mechanics. Although body mechanics obstacle course evaluations are used by occupational therapists to assess patients, there has been no published information regarding the reliability and validity of these evaluations. The purpose of this study was to establish the validity and reliability of one version, the Body Mechanics Obstacle Course (BMOC).

Content validity was established by reviewing the literature …

Depression In Alcohol And Other Drug Abusers: Prevalence, Nature, Assessment, And Relationship To Short-Term Relapse, Patricia Moulton Guilford

Dissertations

The prevalence of depression was evaluated in 168 inpatients being treated for alcohol and other drug abuse. Patients were divided into three groups according to their pattern of substance use: alcohol only, alcohol and other drugs, and other drugs only. After two weeks of sobriety, 35% of these patients met the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R) (American Psychiatric Association (APA), 1987) criteria for one of the Depressive Disorders based upon information from a structured interview using the Schedule for Affective Disorders and Schizophrenia-Change Version (SADS-C) (Endicott & Spitzer, 1978). Prevalence rates did not vary …

The Use Of Musical Wind Instruments As An Expiratory Therapy With Chronic Obstructive Pulmonary Disease Patients, Ellen R. Griggs Drane

Masters Theses

The use of musical wind instruments as an expiratory therapy with Chronic Obstructive Pulmonary Disease (COPD) patients was compared to the traditional inspiratory treatment of the Inspiratory Muscle Trainer (IMT) during a twelve week pre - posttest study. Sixteen subjects, attending an out patient respiratory rehabilitation program, were randomly assigned to either the experimental group, receiving musical wind instruments, or the control group, receiving the IMT.

Measures for the study were: Forced Expiratory Volume in one second (FEV1) and Forced Vital Capacity (FVC) as measured by the Pulmonary Function Test; physical endurance measured by the Twelve Minute Walk Endurance Test; …

Should I (Legally) Be My Brother's Keeper?, Gilbert Geis

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, October 27, 1987.

Smoking Cessation In Relapsed Smokers: A Competing Schedules Approach, Catherine E. Ellis

Masters Theses

Recent research in cigarette smoking reveals that social support and reinforcing alternative behaviors to smoking may be instrumental for sustained abstinence. This study examined the efficacy of these approaches with a group of relapsed smokers. Subjects were fifteen male and female Southwestern Michigan residents between the ages of 22-48. Both the treatment and control group attended two initial smoke-stopping sessions. The independent variable was a relapse-prevention package administered to the treatment group over the third through seventh sessions. Dependent variables were Carbon Monoxide (CO) levels, Saliva Thiocyanate (SCN) levels, and the daily number of cigarettes smoked. A two-way analysis of …

Codes Of Ethics In Business, Michael Davis

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, October 26, 1988.

Official Documentation Of A Sexually Transmitted Disease (Std): An Empirical Assessment, Dennis L. Peck, John W. Bardo

The Journal of Sociology & Social Welfare

Using data from clinic records of patients examined and treated at a public health facility, the reporting of unconfirmed cases is examined and the correspondence between public health profiles of patients at risk to sexually transmitted disease and the data are discussed. Implications relating to the findings and to public health policy are also discussed.

Do Professors Need Professional Ethics As Much As Doctors And Lawyers?, James W. Nickel

Center for the Study of Ethics in Society Papers

Papers Published by the Center for the Study of Ethics in Society, Western Michigan University.

Muscle Stress And The Use Of Body Mechanics, Kathleen Ann Keeler

Masters Theses

The purpose of this study was to examine the amount of lower back muscle stress produced during lifting tasks, using variations in weight and postures. Electromyographic activity of the erector spinae muscles at the L4-5 vertebral level was measured.

Thirty healthy female subjects participated in the study. Each subject lifted loads of two given weights using both the stooped and squat lifting postures. Electromyographic activity was recorded and averaged throughout each lift.

Results indicated that increased weight resulted in increased stress on the erector spinae muscles, regardless of posture. The squat lifting posture was found to be more stressful on …

The Psychological Needs Of Sex Offenders Of Children As Measured By The Personality Research Form, Shirley Anne Miller

Dissertations

Major contributors in the field of child sexual abuse have agreed that sex offenders who sexually abuse children are not primarily motivated by sexual desire and have proposed that the simultaneous satisfaction of a number of psychological needs is the prominent motivation of sex offenders of children. Few attempts have been made to empirically validate the clinical and theoretical impressions regarding the psychological needs of this group using psychological measures designed to assess needs or motives.

The purpose of this study was to investigate to what extent the assumptions about the psychological needs of sex offenders of children would be …

Pentylenetetrazol-Induced Seizures In Pigeons And The Effects Of Ethosuximide Thereon, James J. Jakubow

Masters Theses

Previous research has shown that ethosuximide in high enough doses will disrupt operant responding in pigeons. Whether or not these same doses will protect against seizure activity in this species has not been previously tested.

To test this question a system for scoring pentylenetetrazol-induced seizures in pigeons was developed and the effects of ethosuximide on such seizures were evaluated. In Experiment 1 pentylenetetrazol at 15, 27 and 47 mg/kg reliably induced seizures. In Experiment 2 non-behaviorally active and behaviorally active doses of ethosuximide were tested for their seizure controlling effectiveness.

Doses of 20, 40, 80, 160 and 320 mg/kg ethosuximide …

Effects Of Caffeine Consumption On Cardiovascular Reactivity To Social Stress, Suzanne L. Keller

Masters Theses

Several risk factors have been linked to cardiovascular diseases; among them are exposure to psychological stressors and caffeine consumption.

The objective of this study was to examine the effects of caffeine consumption on cardiovascular reactivity to role play simulations of social stressors. A double-blind alternating treatment design was employed. Eight subjects (five female and three male) received either caffeine-containing or placebo beverages. Each subject received four samples of each beverage over a total of eight sessions. The results include: (a) stressors increased systolic and diastolic blood pressure along with heart rate in baseline, placebo and drug conditions; (b) caffeine produced …

Recidivism And The Self Concept Of Male Juvenile Delinquents, Mary B. Stelma

Masters Theses

It is a common belief that a low self concept is related to deviant behavior. The purpose of this study was to compare the self concepts of juvenile recidivists with those of non-recidivists.

A sample of 162 subjects was taken from juveniles who had been treated at a Michigan detention facility. Measures of self concept, using the Tennessee Self Concept Scale (Fitts, 1965), were taken both prior to and following treatment. Point-biserial correlations were computed for pre-test scores, post-test scores, and changes in scores from pre-test to post-test.

The results showed some significant positive correlations between self concept and recidivism …

Effects Of Intervention On The Ability Of Students With Hearing Impairments To Write Personal Narrative Stories, Beth L. Miller

Masters Theses

This study was designed to determine whether students with hearing impairments could be taught to write more mature personal narrative stories. An experimental group of junior high students received intervention focused on teaching the elements of story grammar and their application to the students' written narrative stories. A matched control group of students spent equal time with the researcher and received intervention focused on improvement of basic language skills. Pretest, posttest-1, posttest-2, and generalization samples were taken. Students' metatextual skills for telling how to write a story were also probed.

A significant difference was found between the experimental and control …

Evaluation Of The Effectiveness Of An Educational Presentation In Increasing Chemically Dependent Males’ Report Of Sexual Abuse, Linda L. Hand

Masters Theses

Research has demonstrated several factors among sexually abused males such as males sexually abused as children becoming adult sexual abusers; one in four males reporting sexual abuse; and adult emotional trauma, drug abuse, and sexual dysfunction. To break this abuse pattern, we need to focus on increasing males' reports of sexual abuse and initiating treatment.

The present study evaluated the effectiveness of an oral educational presentation in increasing males' reports of sexual abuse. It also sought prevalence information and treatment needs. Subjects were 51 males from three chemical dependency treatment centers. One control and four experimental groups were used. The …

The Purposeful Use Of An Object In The Development Of Skill With A Prosthesis, Hon Keung Yuen

Masters Theses

Theoretically, perceptual information from the interaction with an object and its surfaces (an affordance) facilitates the development of motor skill. This study investigated the use of an affordance in learning control of flexion and extension of an above-elbow training prosthesis. Fifty-two male college students were randomly assigned to two training procedures: two, 1.5-minute periods of a joining dots activity with a flashlight attached to the hook of the prosthesis (affordance group), and practice moving the prosthesis at the elbow joint (no-affordance group) for the same amount of time. To assess generalization of skill to a different task, each subject traced …

A Cross-Cultural Analysis Of Psychiatric Symptom Expression Using Langner's Twenty-Two Item Index, Robert Nishimoto

The Journal of Sociology & Social Welfare

An analysis of psychiatric symptom response using Langner's twentytwo item index was conducted across three cultural settings. Respondents were Anglo-American, Vietnamese Chinese, and Mexican. Some similarities did exist in response patterns and in those symptom items highly correlated with the total psychiatric screening score. Close examination revealed between-group differences indicating that not all twenty-two items were valid indicators of psychological disorder across cultures. The study highlights issues in the development and use of symptom checklists to measure and assess mental health constructs across cultures.

Community Mental Health: A View From American History, Mary Ann Jimenez

The Journal of Sociology & Social Welfare

The limitations of the movement for deinstitutionalization of the chronically mentally disordered have been the subject of a repeated series of investigations and analyses in the last 10 years. These critiques can be summed up in the undeniable observation that the chronically mentally disordered have by and large failed to benefit from deinstitutionalization in the ways that the original advocates and planners of this policy had hoped. The promise of community mental health, at least as articulated by the scores of witnesses before Congressional committees in the early 1960's, has not been realized for this population.

Biomedical Ethics In The Soviet Union, Richard T. De George

Center for the Study of Ethics in Society Papers

*This is an abbreviated version of a paper presented first at a joint MIT-Harvard Faculty Seminar on the humanistic dimensions of Soviet Science on November 20, 1987, and then at the Western Michigan University Ethics Center on February 10, 1988. An expanded, fully documented version, under the title "Soviet Biomedical Ethics" will appear in a volume edited by Loren Graham, and tentatively entitled The Human Side of Soviet Science, Harvard University Press, 1989.

Mental Health Treatment Refusal In Correctional Institutions: A Sociological And Legal Analysis, Rudolph Alexander Jr.

The Journal of Sociology & Social Welfare

Recently, the courts have recognized the right to a minimum level of mental health treatment for individuals confined in both mental and correctional institutions, utilizing a different rationale for each system. As mental health administrators in state mental hospitals accepted that they were responsible for providing an increased level of mental health services, they were disappointed that courts had subsequently ruled that individuals in state hospitals had a right to refuse treatment. The purpose of this paper is to elaborate, sociologically and legally, upon treatment refusal in the correctional system since most of the attention on treatment refusal has focused …

Affirmative Action Defended, Laurence Thomas

Center for the Study of Ethics in Society Papers

This paper is based on a presentation made to the WMU Center for the Study of Ethics in Society October 14, 1987.

Parental Perceptions Of Neonatal Intensive Care Unit Discharge Teaching, Virginia A. Passero

Dissertations

The purpose of the study was to determine parental perceptions of Neonatal Intensive Care Unit (NICU) discharge teaching. Orem's (1985) self-care deficit theory was the conceptual framework. Fifty mothers and 15 fathers were interviewed in their homes following the infant's discharge to determine their perceptions of involvement, recall, need, satisfaction and importance of NICU discharge teaching.

The 50 infants in the sample were hospitalized an average of 41 days with a variety of neonatal diagnoses. The average age of the mothers was 27 years, and the sample of 50 included 82% married women, 42% primiparas, and 52% cesarean deliveries. Forty-two …