Medicine and Health Sciences Commons^™

A Critical Analysis Of Infant Mortality In Kalamazoo County, Audrey Jensen

Honors Theses

The following is a review of the state of infant and fetal health in Kalamazoo County in the 21st century. Since infant health is a marker for the effectiveness of health care, this review will analyze the leading causes of infant mortality in Kalamazoo County. Statistical indicators show that Kalamazoo County falls below both state and national IMR averages. The leading causes of infant mortality in Kalamazoo are considered preventable infant deaths. Therefore, this review will make recommendations for the reduction of IMR through the improvement of preventative prenatal healthcare practices.

Lack Of Medicaid Funding For Occupational Therapy Serving The Autism Spectrum Disorder Population Ages 0-5 Years, Nadia Yala

Honors Theses

The prevalence of autism in the United States is currently 1 in 68 children (Autism Alliance of Michigan, 2014). This is considered an epidemic. There are a variety of treatments available in the state of Michigan for children with autism, such as occupational therapy, speech therapy, physical therapy, and applied behavior analysis (ABA). Effective April 1^st, 2013, Michigan increased their funding cap for ABA therapy for treating children with autism. However, there is a lack of knowledge within the community and amongst professionals in regards to the critical treatment occupational therapy practitioners provide and as a result, there …

Sailing As A Therapy Modality For Occupational Therapy; Requirements Prior To Participation, Carrie Bell

Honors Theses

Many outdoor activities are currently being utilized by recreational therapists to aid in the development of play and leisure skills, education, social skills training, and even therapeutic community. The process of using these outdoor activities can aid clients in emotional, physical, cognitive and social functions. Although these types of activities have been primarily utilized in recreational therapy intervention sessions, these activities carry the potential to also fit within the domain of occupational therapy. In order to engage in the recreational activity of sailing, persons must have specific cognitive, physical, emotional and social abilities. The purpose of this study is to …

The Impact Of Prenatal Stress On The Development Of Limbic System Structures, Alyssa Murray

Honors Theses

Stress in early life is well documented as detrimental for the brain’s developmental trajectory, while prenatal stress is minimally explored. In the prenatal period, the placenta prevents much of the mother’s cortisol from reaching the fetus, but the fetus is still exposed to some maternal cortisol, and exposure increases with increasing stress. One neural structure particularly susceptible to stress is the hippocampus. The goal of this review is to address the role prenatal stress may play in damaging the hippocampus, a structure integral to learning and memory functions. Correlations between prenatal stress and a reduction in volume and function of …

Use Of Mobility Devices In Developing Countries; A Comparative Literature Review Introducing The Contextual Factors Surrounding Accessibility And Use Of Mobility Devices In Ghana, Bangladesh, And Guatemala., Bethany Shadel

Honors Theses

Disability in the developing world encompasses 10% of the global population and much of that population requires the use of a mobility device in order to engage in meaningful occupation. The use and accessibility of mobility devices is shaped by the significance of the barriers surrounding mobility. This research looks comparatively at the factors affecting accessibility and the use of mobility devices in three developing countries; Ghana, Bangladesh, and Guatemala. Trends within literature revealed that economic, environmental, and cultural barriers all had an impact on accessibility. Overall, this study determines that accessibility solutions are not possible without removing barriers to …

Sensor Technology For Supporting Independence Among Cognitively Impaired Elders, Kelsey Wright

Honors Theses

Dementia is the most expensive disease in the United States and its prevalence is rapidly increasing as the older adult population grows. The number of older adults diagnosed with dementia living alone is also rising, which brings about numerous safety risks. Due to the declining cognitive skills and behavior changes seen with dementia, it is important find approaches for monitoring their safety. This literature review discusses commercially available monitoring systems and empirical studies using sensor technology with older adults. It also describes a current pilot study that is exploring the use of sensor technology in the homes of cognitively impaired …

An Examination Of The Mental Health Services Provided To Students At Western Michigan University, Melissa Rex

Honors Theses

Introduction: All college students will experience stress related to academic demands, changing social situations and new environments. For some students, these multiple stressors can create overwhelming challenges. Students who are not able to receive needed support may be unable to successfully navigate the world of higher education, and are at higher risk of developing mental illness. The purpose of this study is to assess mental health services available at Western Michigan University (WMU) in comparison to other similar size universities within the state.

Method: The information used in this study was collected via several methods. Information was gathered from …

Neuroprotective Effects Of Retinal Ganglion Cells By Specific Alpha 7 Nicotine Acetylcholine Receptor Agonists And An Acetylcholineesterase Inhibitor, Sara Kaliszak

Honors Theses

In previous studies from this lab, an alpha7 nACh receptor was found to successfully modulate retinal ganglion cell neuroprotection against glutamate assault when bound to nicotinic acetylcholine receptors, or if an alpha7 nicotinic acetylcholine agonist, such as PNU-282987 was used in in vitro models (Wehrwein et al., 2004; Iwamoto et al., 2013). These in vitro studies support the hypothesis that activation of alpha7 nicotinic ACh receptors triggers neuroprotection against loss of retinal ganglion cells normally induced by excessive glutamate insult. The results from these in vitro studies instigated an in vivo study in our lab using a rat glaucoma model. …

I Get By With A Little Help From My Friends: A Qualitative Study Of Nurse Close Work Friendship And Social Support, Jennifer Ptacek

Masters Theses

The nursing profession is laden with numerous job, emotional labor, and communication stressors, which come from both patients and healthcare organizations. These frequent and simultaneous pressures can result in nurse burnout and turnover (Tracy, 2009). Socially supportive workplace communication has been identified as a solution to reducing nurse stress, burnout, and turnover (Apker & Ray, 2003), but has not specifically considered social support in nurse work friendships. A mixed qualitative method study was conducted with five nurse best friend pairs, using job observations of participants’ work friendship communication and individual and joint interviews. Two major communication themes emerged from the …

The Efficacy Of Music As A Non-Analgesic Method Of Reducing Pain Perception During Cold Pressor Trials, Amanda Lynn Ziemba

Masters Theses

The purpose of this project was to investigate the impact of differentiated onset of self-selected music on pain perception and pain tolerance during a cold pressor test. Subjects participated in four trials during which music was presented at different points of time in relation to their exposure to the cold pressor test. Results indicated that listening to music prior to and concurrently with the onset of the pain resulted in lower self-reported pain (F(3, 66) :3.25, p < .05). Behavioral results indicated that subjects were able to tolerate an average of 25s longer (F(2.04,44.81): I.56,p > .05.) when music was presented after the onset of painful stimuli. Both results have positive implications for the clinical use of music as …

Meeting The Needs Of Students With Traumatic Brain Lnjury, Heather K. Koole

Dissertations

School reintegration following pediatric traumatic brain injury (TBI) presents a number of challenges. This dissertation comprises three studies exploring common themes of best practice, training, and supporting success for students with TBI in school settings.

Study 1 reports the results of a survey of 70 speech-language pathologists (SLPs) who responded to questions about their use of clinical activities that described more or less contextualized services. Current literature supports contextualized service delivery as best practice. Findings indicated that 98% of participants reported using at least one contextualized practice. Higher use of contextualized practices was associated with working in schools (compared to …

Gpu-Accelerated Influenza Simulations For Operational Modeling, Peter Holvenstot

Masters Theses

Simulations of influenza spread are useful for decision-making during public-health emergencies. Policy-makers use models to predict disease spread and estimate the effects of various intervention strategies. Effective modeling of targeted intervention strategies requires accurate modeling of individual-level behavior and transmission. However, this greatly increases the computational costs of these agent-based models. In addition, if the models are used as an outbreak progresses, some operational decisions must occur rapidly in order to contain the spread of the disease.

Graphics Processing Units (GPUs) are a type of specialized processor used to drive graphical displays. Many recent devices also allow users to write …

Comparison Of Dual- And Tri-Axial Accelerometer Accuracy, Lindsay Powell Toth

Masters Theses

The purpose of this study was to investigate the accuracy of the Omron HJ-720ITC and the Fitbit Zip activity monitors with regard to step count, energy expenditure, and distance traveled measurements. The importance of this research rests in the success rates of pedometer-based physical activity interventions which have been shown to increase physical activity while also enabling weight loss and lowering blood pressure in the adult population. Activity monitors available for retail sale must be found accurate for proper participation in exercise interventions especially low-cost devices as used in this study.

In order to test the accuracy of the Omron …

Effects Of Various Partial Body Cooling Techniques On Core Temperature During Recovery From Prolonged Cycling-Induced Heat Stress, Afton Danielle Seeley

Masters Theses

The purpose of this study was to investigate the effects of using an ice-vest and a palm cooling device on core and skin temperatures, heart rate, and perceived thermal comfort during a one hour recovery period following exercise in the heat. Ten recreationally active adults cycled for one hour at 50% V0₂ peak on a cycle ergometer while exposed to 36°C 45%relative humidity environmental conditions. Following exercise, each subjectwas exposed to an ice vest, a palm cooling device, or a non cooling control while seated in the environmental chamber for 60 more minutes. No significant differencewas found betweenany of …

Efficacy Of Parent-Child Interaction Therapy With The Use Of In-Room Coaching, Cassie Shacklett Reeve

Dissertations

One significant consequence of oppositional and defiant behavior is an increase in negative interactions between caregivers and the child exhibiting those behaviors (Greene & Doyle, 1999). Parent-Child Interaction Therapy (PCIT) is an empirically supported treatment that targets the development of a nurturing parent-child relationship along with teaching effective discipline strategies to decrease child noncompliance (Bodiford-McNeil & Hembree-Kigin, 2010). The purpose of the present study was to evaluate the efficacy of PCIT when modified by utilizing strictly in-room coaching. This type of research would allow for expanded use of this empirically supported treatment into community agencies and clinics which do not …

The Counselor Experience In Counseling Clients Who Have Been Sexually Assaulted, Carrie J. Tremble

Dissertations

Despite sexual assault being the second highest reported violent crime in the United States, the literature regarding the experience of counselors who counsel clients who have been sexually assaulted is limited. This qualitative study explored and described the lived experiences of 9 counselors who, in the last five years, have provided counseling services to at least five clients who had been sexually assaulted when they were at least 18 years of age. The phenomenological data analysis approach of Moustakas (1994) was utilized to guide the data collection and analysis. Through in-depth, semi-structured interviews, the participants were able to share their …

Correlating Periodontal Disease And Cardiovascular Disease: A Comparative Study Of Research Methodology, Alexandra Hensen

Honors Theses

This meta-analysis compares and contrasts three types of population-based research methodology currently used to analyze correlations between Periodontal disease and Cardiovascular disease, the most wide spread diseases in the Western industrialized world. The three studies that were analyzed in this thesis include: "Gender Differences in the Relationship Between Periodontal Disease, Tooth Loss, and Atherosclerosis," published in the Journal of Stroke and Cerebrovascular Diseases (2013), this was a cross-sectional population-based study; "Periodontal Disease and Mortality in Type 2 Diabetes" published in Diabetes Care (2005), this was a longitudinal population-based study; and "Identification of a Shared Genetic Susceptibility Locus for Coronary Heart …

Combined Effects Of Mdma And Ethanol On Locomotor Activity And Place Conditioning In Male And Female Adolescent Sprague-Dawley Rats, Keli A. Herr

Masters Theses

MDMA, ("Ecstasy") is commonly abused in combination with ethanol (EtOH). Relatively few preclinical studies have investigated sex differences in animal models of polysubstance use. The current study employed a conditioned place preference (CPP) procedure to assess the behavioral effects of the co-administration ofMDMA /EtOH in 32 male and 32 female adolescent Sprague-Dawley rats. Following a 15 min habituation trial, eight 30-min conditioning trials were conducted in two- compartment chambers with different environmental cues. Before each drug conditioning trials, rats were administered intraperitoneal (i.p.) injections of MDMA(6.6 mg/kg), EtOH (1.5 g/kg), MDMA (6.6 mg/kg) and EtOH (1.5 g/kg), or saline. Prior …

Testing A Model Of Maladaptive Perfectionism And Depression Symptoms: The Roles Of Emotional Disclosure, Emotion Regulation Strategies, Adult Attachment, And Shame, Angela M. Garrison

Dissertations

Previous research has supported a link between maladaptive perfectionism and higher levels of depression symptoms. However, researchers have not yet investigated the ways in which emotion regulation processes may mediate this relationship. Therefore, the primary purpose of this study was to evaluate emotional disclosure, emotional avoidance, and rumination as mediators of the relation between maladaptive perfectionism and depression symptoms. Additionally, this study also investigated the role that insecure attachment orientations play in the relationship between maladaptive perfectionism and use of particular emotion regulation strategies. Further, the role of shame in the emotion regulation processes of individuals with higher levels of …

Biophysical Characterization Of The First Four Metal-Binding Domains Of Human Wilson Disease Protein, Alia V.H. Hinz

Dissertations

Wilson disease protein (WLNP) is a P_1b-type ATPase crucial for maintaining copper homeostasis in humans. Mutations in this protein result in the autosomal recessive disorder Wilson disease, a condition characterized by copper accumulation in the liver and brain. WLNP provides copper for incorporation into cuproproteins and exports excess copper into the bile for excretion. There are six metal-binding domains (MBDs) in WLNP, found within the first 650 amino acids of this 1,465 amino acid protein. Though each MBD has a different amino acid sequence, all MBDs possess a similar ferredoxin fold with a conserved hydrophobic core and a …

A Cross-Cultural Study Exploring Structural Factors Of Men's Sheds, Kaitlyn Mcgrail

Honors Theses

The Men’s Shed program was developed in Australia in 2006 with the explicit goal of establishing a place for men to socially interact and to help maintain their health and well-being. The Men’s Shed program has grown tremendously and has continued their growth in many other countries. There is limited research conducted about the organizational and structural features of the Men’s Shed program. There has been no research to date conducted cross-culturally on the program. The aim of this study is to conduct a descriptive, cross-cultural study on Men’s Shed organizations and the characteristics of the Men’s Shed participants. By …

An Overview Of Sensory Processing Disorder, Heather Lonkar

Honors Theses

This thesis was done to evaluate the basic overview of the definition, diagnosis, comorbid conditions, symptoms, causes, and treatment, as it pertains to Sensory Processing Disorder. Although the research has been light on this subject, there have been studies done, that show the possible causes, and effectiveness of treatment in children. The purpose was to examine, more closely, the relationship between Sensory Processing Disorder and the outcome of occupational therapy based sensory integration (OT-SI) intervention. Controversy surrounding sensory integration exists, because of lack of fidelity in research. Researchers are currently interested in the fidelity of the treatment, and whether or …

“Additional Analysis Of Previously Collected Data: Food Choices In Children With Autism”, Kristin Crinion

Honors Theses

The objective of this study was to look at children with autism and their food choices based on previously collected data. The previously collected data includes a caregiver survey to determine food acceptance level (e.g. severe, moderate, typical), and a caregiver reported food inventory. The caregiver reported food inventory was used to see what specific foods children with autism are eating and in what food categories (e.g. dairy, fruits, vegetables, protein, and carbohydrate). Per previously literature, it is researched that children with ASD tend to have more food selectivity than typically developing children (Suarez, Nelson, & Curtis, 2012). There is …

Art And Aphasia: A Literary Review And Exhibition, Jessica Parrish

Honors Theses

My honors thesis explores aphasia, my primary topic of interest, through procedures spanning both of my degrees. Communication makes interaction possible for exchanging ideas, feelings, concepts, and events. Aphasia, an acquired disorder, impacts language areas that are responsible for expression, comprehension, literacy, and symbolic understanding. Aphasia interrupts the mental process responsible for converting thought to language. Literature involving both traditional speech and art therapy is discussed. Once the aphasia disorder type is assessed, a speech language pathologist designs a therapy plan. Art, which has been used in therapy and research for rehabilitation, shares a connection with language and symbolic thought. …

Walk-Training Increases Expression Of Gdnf In Pectoralis Muscle But Not Diaphragm From Mouse, Erin Donovan

Honors Theses

Neurotrophic factors are proteins that play an important role in the development and maintenance of neurons. Recent studies have shown that neurotrophic factors may hold promise for treating damage to the nervous system caused by trauma or diseases, such as amyotrophic lateral sclerosis or Parkinson’s disease. Glial cell line-derived neurotrophic factor (GDNF) is expressed in skeletal muscles and affects peripheral motor neurons. Results of previous studies have demonstrated that exercise can increase GDNF content in skeletal muscle of rat. The goal of the current study was to examine whether expression of GDNF in skeletal muscle of mouse is also regulated …

Labeling Of Retinal Ganglion Cells In A Rat Glaucoma Model, Lucia Rodriguez

Honors Theses

Glaucoma is a degenerative disease of the retina containing multifactorial structural and functional defects. There is a loss of retinal ganglion cells (RGCs) seen in this optic disorder. Cupping of the optic disk seen in glaucoma is a result of the loss of RGC axons at the optic nerve head where the nerve fibers connect. As a result of these factors, visual field loss is common among glaucoma patients.¹ In the United States, this visual field loss associated with glaucoma is one of the leading causes of blindness since glaucoma is difficult to detect.² Usually, increased intraocular pressure …

Undergraduate Students’ Knowledge About Applying To And Attending Graduate School In Speech-Language Pathology: The Effect Of A Panel Presentation On The Topics, Chelsea Swadling

Honors Theses

The researcher of the following study recognized that undergraduate students in the speech-language pathology and audiology program at Western Michigan University feel unprepared and anxious about applying to and attending graduate school. The following study was conducted in order to determine the effectiveness of a panel presentation in preparing undergraduate students for applying to and attending graduate school. A professional panel of five nationally certified speech-language pathologists was gathered to give a presentation to the speech-language pathology and audiology undergraduates aiming to expand the knowledge base and reduce the anxiety that undergraduates possessed about attending and applying to graduate school. …

Taboo Topics: Depression, Anxiety, Sexual Assault, And Ptsd; The Influence Of Stigma On Help Seeking, Kaitlyn Cichocki-Goss

Honors Theses

This review analyzes investigations into the stigma associated with depression, anxiety, sexual assault, and post-traumatic stress disorder (PTSD) and how stigma affects patients seeking treatment. The three disorders and the experience of sexual assault are examined for; prevalence, past and present stigma, and the history of the diagnosis. Each of the three disorders and sexual assault carry social stigma. Stigma can be described as a negative belief towards one group of people and in this case, stigma likely prevents people from seeking help. Researchers have found that one way to reduce stigma and the barrier that it has on help …

The Effects Of Pet Therapy On Undergraduate Nursing Students' Perceived Stress And Exam Performance, Kathleen Bajorek

Honors Theses

Pet therapy has been found to decrease anxiety and stress levels. Pets are becoming an increasingly more significant part of peoples’ lives and families in the American culture. Nurses need to be aware of the benefits that can come from holistic interventions such as pet therapy in various practice settings. An exploratory experimental research study was conducted to explore the effects of pet therapy on undergraduate nursing students’ (n=7) perceived stress and exam performance. Nursing student exposed to pet therapy reported lower levels of perceived stress compared to nursing student who did not experience pet therapy. Exposure to pet therapy …

Core Aspects Of Curriculum Development: A Literature Review And Development Of Program Handbook For Health Informatics And Information Management, Nicole Yon

Honors Theses

TIle purpose of this review was to determine the basic principles of curriculum design and to understand how they are used to develop a competent curriculum handbook. The findings were used to develop a handbook for the Health Informatics and Information Management major at Western Michigan University. This literature review focuses on a variety of web pages, articles and books that analyzed the topics of curriculum design and curriculum handbook development. A review of the Bronson School of Nursing Handbook and the Temple University - Health Information Management Department B.S. in Health Information Management (HiM) Student Handbook was also conducted. …