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Full-Text Articles in Medicine and Health Sciences

Comparison Of Emergence Behavior In Pediatric Dental Patients Undergoing General Anesthesia With Sevoflurane Versus Desflurane, Carla Lalande Jan 2008

Comparison Of Emergence Behavior In Pediatric Dental Patients Undergoing General Anesthesia With Sevoflurane Versus Desflurane, Carla Lalande

Theses and Dissertations

Purpose: To determine which maintenance gas (sevoflurane versus desflurane) resulted in a faster emergence from general anesthesia and investigate the patient's emergence agitation. Methods: One group was maintained during general anesthesia with sevoflurane and the other with desflurane. Upon emergence the patient's behavior was evaluated.Results: The average emergence time for desflurane was 9.8; while the average for sevoflurane was 13.98 minutes. Patients who received premedication had an emergence time of 15.43 minutes, while patients who received no premedication emerged after 8.34 minutes.Zofran® was a significant predictor of purposeful actions. Patients were more aware of their surroundings when they received Zofran® …


Characterization Of Yeast 18s Rrna Dimethyl Transferase, Dim1p, Nagesh Pulicherla Jan 2008

Characterization Of Yeast 18s Rrna Dimethyl Transferase, Dim1p, Nagesh Pulicherla

Theses and Dissertations

Eukaryotic ribosome biogenesis, a dynamic and coordinated multistep process which requires more than 150 trans-acting factors, has been intensely studied in the yeast Saccharomyces cerevisiae. This evolutionarily conserved process involves numerous cleavages of pre-rRNA, modification of nucleotides, and concomitant assembly of the ribosomal proteins onto the rRNA. Considerable information is available about the importance of conserved pre-rRNA cleavage events in ribosome biogenesis; however, very little is known about the exact role of modified nucleotides, which cluster within the functionally important regions of the ribosome. One conserved group of modifications is the dimethylation of two adjacent adenosines at the 3´ end …


The Use Of Implants Vs. Endodontics: Practitioner Attitudes In 2007, Gardiner Mckay Packer Jan 2008

The Use Of Implants Vs. Endodontics: Practitioner Attitudes In 2007, Gardiner Mckay Packer

Theses and Dissertations

The purpose of this study was to determine what factors influence dentists when deciding whether to place an implant or perform endodontic retreatment. Null hypothesis: Dentists today are no more likely to place an implant than to perform endodontic retreatment. A twelve-item questionnaire was mailed to 525 general dentists and specialists who are members of the Richmond Dental Society. Response rate was 61.9%. The questionnaire included items on demographics, practice profile and cases of failing endodontic therapy which participants were asked to consider and chose between endodontic retreatment or implant placement. The relationship between the treatment choices and the characteristics …


Examining The Behavioral And Molecular Aspects Of Adolescent Nicotine Dependence: Implications For Vulnerability To Drugs Of Abuse, Dena Heath Kota Jan 2008

Examining The Behavioral And Molecular Aspects Of Adolescent Nicotine Dependence: Implications For Vulnerability To Drugs Of Abuse, Dena Heath Kota

Theses and Dissertations

Approximately 200 million men and 100 million women smoke worldwide. In the United States, an estimated 25.9 million men (23.9 percent) and 20.7 million women (18.1 percent) are smokers. The commencement of smoking at a young age is thought to increase addiction liability, decrease the probability of successful cessation, and correlate with a higher number of cigarettes smoked per day. Studies from the World Health Organization indicate that between 80,000 and 100,000 children start smoking every day worldwide. These statistics suggest that adolescence is a critical phase for developing nicotine dependence. The work in this dissertation contributes to the further …


5-Ht3 Receptor Ligands And Their Effect On Psychomotor Stimulants, Jessica Nicole Worsham Jan 2008

5-Ht3 Receptor Ligands And Their Effect On Psychomotor Stimulants, Jessica Nicole Worsham

Theses and Dissertations

Drug abuse and addiction are considered to be a result, at least in part, of the rewarding effects produced by increasing dopamine levels. 5-HT3 serotonin receptors have been shown to indirectly affect dopamine levels. Therefore, the effect of the 5-HT3 receptor partial agonist, MD-354, on the actions of psychomotor stimulants was analyzed in mouse locomotor activity assays to determine whether MD-354 is working through a 5-HT3 receptor agonist or antagonist mode of action. Studies with (+)amphetamine and (+)methamphetamine in combination with MD-354 indicated MD-354 is either devoid of action or is behaving similar to the 5-HT3 receptor antagonist, ondansetron. This …


The Psychosocial Influence Of Dental Esthetics In Adolescents As Judged By Peers, Scott Thomas Henson Jan 2008

The Psychosocial Influence Of Dental Esthetics In Adolescents As Judged By Peers, Scott Thomas Henson

Theses and Dissertations

The purpose of this study was to determine if dental esthetics affects the perception of adolescents regarding their peer's social aptitude in specific areas such as athletics, popularity, leadership, and academics. Ten patient photographs (4 males, 6 females) from a private orthodontic practice in Richmond, VA were selected for inclusion in this study. The frontal smiling photographs were digitally modified with insertion of either an ideal smile (straight) or a non-ideal smile (crooked) to create an image identical to the original except for an altered dental complex. Laypersons rated the straight and crooked patient photographs for athletic performance, socialization skills …


A Capillary-Based Microfluidic System For Immunoaffinity Separations In Biological Matrices, Michael Peoples Jan 2008

A Capillary-Based Microfluidic System For Immunoaffinity Separations In Biological Matrices, Michael Peoples

Theses and Dissertations

The analysis of biological samples in clinical or research settings often requires measurement of analytes from complex and limited matrices. Immunoaffinity separations in miniaturized formats offer selective isolation of target analytes with minimal reagent consumption and reduced analysis times. A prototype capillary-based microfluidic system has been developed for immunoaffinity separations in biological matrices with laser-induced fluorescence detection of labeled antigens or antibodies. The laboratory-constructed device was assembled from two micro syringe pumps, a microchip mixer, a micro-injector, a diode laser with fused-silica capillary flow cell, and a separation capillary column. The columns were prepared from polymer tubing and packed under …


Enzymology And Molecular Biology Of Bile Acid 7alpha- And 7beta- Dehydroxylation By The Intestinal Bacteria Clostridium Scindens And Clostridium Hylemonae, Jason Michael Ridlon Jan 2008

Enzymology And Molecular Biology Of Bile Acid 7alpha- And 7beta- Dehydroxylation By The Intestinal Bacteria Clostridium Scindens And Clostridium Hylemonae, Jason Michael Ridlon

Theses and Dissertations

The collective microbial genomes within our gut(microbiome) represent a powerful metabolic force, leading many authors to call our GI flora an "organ within an organ", and the metagenomic sequencing of our microbiome, "the second human genome project". Bile acids, endogenously produced by the host liver, represent both a strong selective pressure for potential colonizers, aswell as substrates for microbial metabolism. Indeed, microbes have evolved enzymes to deconjugate bile salts, epimerize bile acid hydroxyl groups, and 7alpha-dehydroxylateprimary bile acids. The products of microbial 7alpha-dehydroxylation, secondary bile acids, are suggested by numerous lines of evidence to be involved in promoting colon carcinogenesis. …


Fluoride Varnish Use Among Dentists In Virginia, Amanda Bowen Kuhn Jan 2008

Fluoride Varnish Use Among Dentists In Virginia, Amanda Bowen Kuhn

Theses and Dissertations

Purpose: The purpose of this study was to asses fluoride varnish use by dental practitioners in Virginia. Methods: Using a cross sectional survey design, all dentists in Virginia who are members of the Virginia Dental Association (VDA) were sent an online survey about usage and knowledge of fluoride varnish. Results: The majority of the respondents were general dentists (79%) followed by pediatric dentists (12%). Fluoride varnish use increased with year of graduation from dental school. Dentists who thought fluoride varnish was more effective and less time consuming use it more than other topical fluorides. Dentists who thought their patients prefer …


Frontal Plane Pelvic Drop In Runners: Causes And Clinical Implications, Evie Neff Burnet Jan 2008

Frontal Plane Pelvic Drop In Runners: Causes And Clinical Implications, Evie Neff Burnet

Theses and Dissertations

Running is becoming an increasingly popular sport; however, runners have a high rate of injury and are therefore often treated in the orthopedic or sports medicine setting. One current focus of these patients' treatment is gluteus medius muscle (GM) strengthening and gait retraining, with the goal of decreasing frontal plane pelvic drop. Unfortunately, there is a research void assessing the role of GM function on pelvic drop, and the effect of an increased pelvic drop on running performance. The specific aims of this research were to investigate a link between frontal plane pelvic drop and (1) isometric GM torque, (2) …


Exploring The Experience Of Benefit Finding In Parents Of Children With Cancer: A Grounded Theory Study, Carol E. Zogran Jan 2008

Exploring The Experience Of Benefit Finding In Parents Of Children With Cancer: A Grounded Theory Study, Carol E. Zogran

Theses and Dissertations

The diagnosis of cancer in a child is one of the most significant stressors a parent can experience, and research in the area of stress-related effects of illness on parents has emerged in many areas. The majority of studies have focused on the potential or actual negative impact on parents during and after treatment of their child's illness. However, studies that initially set out to explore the difficulties associated with coping with childhood cancer found that parents often reported positive aspects about the experience. There is now increasing interest and support for the study of "positive-health" factors that contribute to …


The Effects Of Atomoxetine On Cognitive Performace And Neuroplasticity After Traumatic Brain Injury, Wendy Reid Jan 2008

The Effects Of Atomoxetine On Cognitive Performace And Neuroplasticity After Traumatic Brain Injury, Wendy Reid

Theses and Dissertations

Catecholaminergic neurotransmission is regionally altered following injury, and drugs aimed at these systems offer promising avenues for post-TBI pharmacotherapies. Atomoxetine is a selective norepinephrine transporter (NET) inhibitor currently indicated for treatment of attention-deficit hyperactivity disorder (ADHD). The studies in this dissertation were designed to test the efficacy of atomoxetine for treating cognitive deficits following experimental TBI and the potential mechanism for any beneficial effect. The first part of the study focused on behavioral recovery following atomoxetine treatment. Several important questions of dose, therapeutic window, and duration of treatment were addressed in these studies. Sprague-Dawley rats were subjected to lateral fluid-percussion …


Treatment Outcomes And Retention In Medicaid And Non-Medicaid Orthodontic Patients, Ashkan Ghaffari Jan 2008

Treatment Outcomes And Retention In Medicaid And Non-Medicaid Orthodontic Patients, Ashkan Ghaffari

Theses and Dissertations

Medicaid orthodontic patients have been shown to miss more appointments and break more appliances than self-pay patients, indicating a greater tendency toward non-compliance. Lack of compliance during the post-treatment phase can be detrimental to retention. The purpose of this study was to determine whether there is a difference in PAR score changes between Medicaid and non-Medicaid patients during and after orthodontic treatment. PAR scores were determined using study models of 43 Medicaid and 39 non-Medicaid patients before and at the end of active treatment, and 24 Medicaid and 42 non-Medicaid patients at the end of treatment and at an average …


Effects Of Delayed Auditory Feedback On The Bereitschaftspotential, Jennifer L. Johnson Nov 2007

Effects Of Delayed Auditory Feedback On The Bereitschaftspotential, Jennifer L. Johnson

Theses and Dissertations

This study examined the brain electrical activity of normal speakers in a non-delayed auditory feedback (DAF) condition and when experiencing DAF to determine the effect DAF would have on the Bereitschaftspotential (BP). The BP reflects the preparatory state of a person prior to motor execution of an act and can be observed 1500 to 500 ms prior to voluntary movement. The participants in the study included 10 adults with normal speech. Each read a series of 30 sentences, both without DAF and with DAF, while the BP was measured. Results indicate that the BP is present across the scalp in …


Split-Half Reliability Of Mlu And Mlu2 In Two Methods Of Utterance Segmentation, Alyse Diana Kemeny Nov 2007

Split-Half Reliability Of Mlu And Mlu2 In Two Methods Of Utterance Segmentation, Alyse Diana Kemeny

Theses and Dissertations

Concerns regarding Mean Length of Utterance (MLU) has led to adaptations of this method of analysis. A recent study by Johnston (2001) introduced an alternative to MLU called MLU2. The current study investigates the split-half reliability of MLU and MLU2 as well as another alternative, Median Length of Utterance (Med-LU). Split-half reliability was found for these methods when segmented into Phonological and Communication Units. Split-half reliability of MLU2 was generally higher than that of MLU, and both were higher than Med-LU. The study suggests that MLU2 may also be a valuable tool for clinicians in analyzing child language.


Psychometrically Equivalent Cantonese Bisyllabic Word Recognition Materials Spoken By Male And Female Talkers, Brooke Kristin Conklin Nov 2007

Psychometrically Equivalent Cantonese Bisyllabic Word Recognition Materials Spoken By Male And Female Talkers, Brooke Kristin Conklin

Theses and Dissertations

The purpose of this study was to create psychometrically equivalent word lists in the language of Cantonese for word recognition testing. Frequently used bisyllabic Cantonese words were recorded by a native female and male talker. The word lists were evaluated by administering the word recognition lists to 20 native speakers of Cantonese with normal hearing. Each list was presented at 10 different intensity levels ranging from -5 to 40 dB HL in 5 dB increments. Logistic regression was used to determine the words with the steepest logistic regression slopes. The 200 words with the steepest slopes were then formulated into …


Inter- And Intra-Subject Variability: A Palatometric Study, Marybeth Corey Sanders Oct 2007

Inter- And Intra-Subject Variability: A Palatometric Study, Marybeth Corey Sanders

Theses and Dissertations

Electropalatometry (EPM) has proven to be a useful clinical and research tool for measuring tongue-to-palate contact. The goal of this study was to determine whether the development of a database of standardized palatometric articulation files is feasible by examining the variability which exists within and between speakers. Twenty standard American English dialect speakers were fitted with palatometer pseudopalates. Test stimuli were VCV nonsense words using a schwa in the initial position, the 15 palatal consonants, and three corner vowels, /a/, /i/, /u/. From these palatometric recordings a variability index was created to examine intra- and interspeaker variability. Different aspects of …


The Effectiveness Of Prophylactic Eye Drops On The Reversal Of Uv-Light Induced Cataracts, Contessa Bly Bowman Oct 2007

The Effectiveness Of Prophylactic Eye Drops On The Reversal Of Uv-Light Induced Cataracts, Contessa Bly Bowman

Theses and Dissertations

Cataracts are a cloudiness of the lens within the eye which obstructs vision. They are found in many species including rats, dogs, and humans. Vision is hindered where this "cloudiness", made of water build up and broken crystalline, proteins take form. Oculvet is an eye medication, used by veterinarians, containing carnosine as its active ingredient. Topical application of carnosine is reported to be an effective treatment for the prevention and removal of pre-existing cataracts. For this experiment, Sprague- Dawley rats were anesthetized and exposed to ultraviolet radiation, UVB and UVC. They were divided into four groups (n = 32), three …


The Relationship Between Pragmatic Language And Behavior Subtypes In Typically Developing Children, Lisa Jeppson Christensen Aug 2007

The Relationship Between Pragmatic Language And Behavior Subtypes In Typically Developing Children, Lisa Jeppson Christensen

Theses and Dissertations

This study examines the relationship between syntactic and pragmatic language and reticence, solitary-active passive withdrawal, solitary-passive withdrawal, prosocial skills, and likeability. The Children's Communication Checklist (CCC-2), a language checklist, and Teacher Behavior Rating Scale (TBRS), a behavior checklist, were completed by three 2nd-grade teachers and three 4th-grade teachers about each of their students. Factor analysis was used to determine two composite language measures from the CCC-2 scales. The results of two hierarchal regression analyses indicated that social behaviors were significant predictors of pragmatic language, but not structural language. In particular, solitary-passive withdrawal and reticence were significant predictors of pragmatic language …


Social Outcomes Of Students With Language Impairment: An Eight-Year Follow-Up Study, Meghan A. Baldridge Jul 2007

Social Outcomes Of Students With Language Impairment: An Eight-Year Follow-Up Study, Meghan A. Baldridge

Theses and Dissertations

This study re-examined the language and social skills of four females with language impairment who were initially studied eight years ago (Brinton, Fujiki, Montague, & Hanton, 2000; Fujiki, Brinton, Isaacson, & Summers, 2001). Language measures included the Clinical Evaluation of Language Fundamentals-Fourth Edition (Semel, Wiig, & Secord, 2003) and a thirty minute language sample. Social measures included the UCLA Loneliness Scale-Version 3 (Russell, 1996), parent, teacher and student forms of the Social Skills Rating System (Gresham & Elliott, 1990), and an interview with each participant's teacher or speech-language pathologist. Results of the current assessment were compared to results from the …


Phlebitis Rates In Trauma Patients: Peripheral Intravenous Catheters Started In Or Outside The Emergency Department, Ligia J. Zarate Jul 2007

Phlebitis Rates In Trauma Patients: Peripheral Intravenous Catheters Started In Or Outside The Emergency Department, Ligia J. Zarate

Theses and Dissertations

Ligia J. Zarate College of Nursing Master of Science Peripheral catheter-related phlebitis is the inflammation of a superficial vein that can lead to infection or thrombus formation if untreated. About 150 million peripheral intravenous catheters (PIVC) are inserted in the United States each year with phlebitis rates reported between 5% and 70%. Many PIVCs are started on trauma patients, but the rate of phlebitis in trauma patients whether the PIVC is started outside the emergency department (ED) or inside the ED is unknown. Therefore, the purpose of this pilot study was to determine phlebitis rates in trauma patients when PIVC's …


Vocal Efficiency In Trained Singers Vs. Non-Singers, Kristi Sue Fulton Jul 2007

Vocal Efficiency In Trained Singers Vs. Non-Singers, Kristi Sue Fulton

Theses and Dissertations

Vocal efficiency is a measure of the efficiency of the energy conversion process from aerodynamic power to acoustic power. Few studies have been conducted to measure vocal efficiency in trained singers to determine whether "vocal athletes" are more efficient than non-singers. Data were collected from 20 trained singers (10 male and 10 female) and 20 non-singers (10 male and 10 female) to determine if there were any significant differences between the two groups. During the recording, each participant produced a series of syllables at combinations of three different levels of pitch and loudness. The acoustic and aerodynamic data were analyzed …


The Impact Of Vocal Function Exercises On Normal Voice Production, Karen Hart Thomas Jul 2007

The Impact Of Vocal Function Exercises On Normal Voice Production, Karen Hart Thomas

Theses and Dissertations

This study attempted to replicate and expand previously published research in order to increase our understanding of how Vocal Function Exercises (VFE) might improve vocal function in normal voices. Measures were made to reflect potential post-treatment changes in acoustic and aerodynamic variables, including a measure of vocal efficiency. The participants of the study included 35 adults with normal voices. Each completed a series of speech tasks (sustained vowels, maximum phonation time, reading of a standardized passage, and repetition of syllable strings) before and after a four-week treatment period. Testing of pre- and post-treatment data revealed no clear improvement in acoustic …


The Effect Of Language Ability Of Internalizing Students On Improvement In Strong Kids: A Social And Emotional Learning Curriculum For Students In Grades 4-8, Shelby Carrera Hansen Jul 2007

The Effect Of Language Ability Of Internalizing Students On Improvement In Strong Kids: A Social And Emotional Learning Curriculum For Students In Grades 4-8, Shelby Carrera Hansen

Theses and Dissertations

This study assessed the influence of language on the ability of children identified as being at risk for internalizing behavior disorders to successfully participate in a social skills intervention program. Fourth and fifth grade students participated in Strong Kids: A Social and Emotional Learning Curriculum in Grades 4-8, a program which promotes emotional resiliency. The Clinical Evaluation of Language Fundamentals-Fourth Edition (CELF-4) and Children's Communication Checklist-Second Edition (CCC-2) were both completed to obtain a global language score and pragmatic language score. The Teacher's Report Form (TRF), a shortened 10-item version of the Internalizing Student Symptom Scale (ISSC), and a 20-item …


Narrative Skills In Children With Spina Bifida And Hydrocephalus, Melissa Ann Halliday Jul 2007

Narrative Skills In Children With Spina Bifida And Hydrocephalus, Melissa Ann Halliday

Theses and Dissertations

This study examined how 22 children with spina bifida and hydrocephalus (SBH) and 22 matched control children with the same vocabulary age (VA) performed on story retelling and story generation tasks. The children were asked to retell two stories of different lengths (Stein and Glenn's Melvin, the Skinny Mouse and The Tiger's Whisker) and generate two stories from different stimuli (wordless picture book and verbal story starter). Analyses were conducted in terms of global narrative organization (story structure), local connection of ideas (cohesion), and productivity (number of words and utterances). Two-way ANOVAs were conducted to analyze how the stories and …


Patterns Of Anticipatory Coarticulation In Adults And Typically Developing Children, Kurtt R. Boucher Jun 2007

Patterns Of Anticipatory Coarticulation In Adults And Typically Developing Children, Kurtt R. Boucher

Theses and Dissertations

Coarticulation is the kinematic and spectral overlap between adjacent sounds during speech production. Coarticulation patterns in typical adults have been well established; however, the manner in which coarticulation is developed in children is still unclear. Research has provided conflicting views, showing that children exhibit more, less, or an equal degree of coarticulation when compared to adult speakers. Considering the divergent findings present in the literature regarding coarticulation in children, the purpose of the present study is to further investigate anticipatory coarticulation in typically developing young children between the ages of three and six years. This study focuses on the acoustic …


Psychometrically Equivalent Trisyllabic Words For Speech Reception Threshold Testing In Cantonese, Misty Noelani Kim Apr 2007

Psychometrically Equivalent Trisyllabic Words For Speech Reception Threshold Testing In Cantonese, Misty Noelani Kim

Theses and Dissertations

The purpose of this study was to develop, digitally record, evaluate, and equate Cantonese trisyllabic words which could then be used in the measurement of the speech reception threshold. A selection of 90 frequently utilized trisyllabic words were selected and then digitally recorded by male and female talkers of Standard Cantonese and presented to 20 subjects with normal hearing beginning at 6 dB below their pure-tone average (PTA) and ascending in 2 dB increments until one of the following criteria had been met: (a) the participant responded correctly to 100% of the test items, or (b) the presentation level reached …


Neurophysiologic And Behavioral Measures Of Phonetic Perception In Adult Second Language Speakers Of Spanish, Jaden D. Hellewell Jan 2007

Neurophysiologic And Behavioral Measures Of Phonetic Perception In Adult Second Language Speakers Of Spanish, Jaden D. Hellewell

Theses and Dissertations

Infants 6-8 months old are able to identify nearly every speech sound contrast on which they have been tested, regardless of whether that contrast represents an across-category (two different phonemes) phonetic change in their native language or not. A child's ability to identify non-native consonant contrasts greatly diminishes by 11-12 months of age. The present study examined speech sound discrimination in three groups of listeners. Adult second language (L2) listeners of Spanish were compared with native English listeners with no knowledge of Spanish and native Mexican listeners to determine if they would show the ability to discriminate phonetic distinctions that …


Telomerase Inhibition And Sensitization Of Breast Tumor Cells, Kennon R. Poynter Jan 2007

Telomerase Inhibition And Sensitization Of Breast Tumor Cells, Kennon R. Poynter

Theses and Dissertations

Telomerase, a ribonucleoprotein enzyme minimally composed of an RNA template (hTR) and a catalytically active protein subunit (hTERT), synthesizes telomeric repeats onto chromosome ends and is obligatory for continuous tumor cell proliferation, as well as malignant progression of breast cancer cells. Telomerase is an attractive anticancer therapeutic target because its activity is present in over 90% of human cancers, including more than 95% of breast carcinomas, but undetectable in most somatic cells. Traditions chemo- and radio-therapies lack the ability to effectively control and cure breast cancer, in part because residual cells are or become resistant to DNA damaging modalities.While various …


Effects Of Ankle Support On Time To Stabilization Of Subjects With Stable Ankles, Raquel Elise Martin Jan 2007

Effects Of Ankle Support On Time To Stabilization Of Subjects With Stable Ankles, Raquel Elise Martin

Theses and Dissertations

The purpose of this study was to determine if prophylactic ankle tape and/or ankle braces improve dynamic stability in TTS measure. All subjects were healthy and had no prior history of ankle injuries. Data collection consisted of each subject performing a single leg jump-landing with ankle tape, ankle brace, combination of the two, and control (no tape or brace) conditions. Dynamic stability was assessed with time to stabilization force plate measure. Significant plane by ankle tape interaction (p=0.045) was found. No significant plane by ankle tape by ankle brace interaction (p=0.637), no significant ankle tape by ankle brace interaction (p=0.483), …