Medicine and Health Sciences Commons^™

Comparison Of Cardiac Muscle Between Male And Female Rats With Exercise And Aging: Analyzing Vitals, Gdnf Expression, Ngf Expression, Rna Expression, Sympathetic Innervation, Parasympathetic Innervation, And Sensory Innervation, Katelyn Kurrie

Honors Theses

The direction of my research-based thesis answers the question of how exercise affects the cardiovascular system with aging in male and female rats. My study would highlight the important differences of the cardiovascular system of both sexes which could lead to sex-specific insight on the cardiovascular disease epidemic which prevails as the most common cause of death in the United States. The studies completed will test the hypothesis: neurotrophic factor will be higher in females than males due to the higher presence of estrogen in females. The trophic factor is predicted to increase in both males and females with regular …

Implementing Askme3 Approach To Adult Learning Through The Kalamazoo Literacy Council, Hailey Beyer

Honors Theses

Background: Ask Me 3 was developed as a tool to help individuals successfully communicate with their healthcare providers (Institute for Healthcare Improvement, n.d.). This was designed to study the effectiveness of this tool in educating adult learners of Kalamazoo, MI, through the Kalamazoo Literacy Council (KLC) Virtual Learning Center.

Objective: The objective was to determine whether learners of the Kalamazoo Literacy Council gained confidence communicating with a healthcare provider through the implementation of a distance education Ask Me 3 program.

Methods: Learners associated with the KLC were sent a pre-lesson survey asking them to assess their confidence levels with using …

Providing A Safe Space For Children Who Have Experienced Trauma, Alexis Garcia

Honors Theses

Health care professionals are continuing to learn about childhood trauma and the implications on health and development. With time, there has become a better understanding of how to determine and provide the resources needed for families and children who have experienced childhood trauma. Additionally, information about childhood trauma is slowly being understood throughout public school districts. This allows teachers to better understand children and accommodate their needs. This honors thesis will discuss childhood trauma and the development of a resource that can be used to provide elementary school-aged students with a place to go when they need assistance with regulation. …

Neonatal Abstinence Syndrome: A Guide For Caregivers, Camryn Keane

Honors Theses

Neonatal Abstinence Syndrome (NAS) is a condition that affects infants who have faced exposure to certain drugs in utero. The incidence of NAS is dramatically rising in the United States. This increase is primarily due to the growth in opioid prescribing to pregnant women. NAS has an immediate effect on four primary areas of occupation: activities of daily living (ADLs), sleep, social participation, and play. This paper aims to review the background of NAS, then describe how this condition impacts an infant’s occupational performance. Moreover, this paper identifies models of occupational therapy intervention that can guide the treatment of NAS. …

An Examination Of Barriers And Determinates Impacting The Healthcare Of Kalamazoo County's Transgender And Non-Binary Young Adult Population, Tyler Signorella

Honors Theses

Historically non-binary and transgender individuals have faced and continue to face a unique set of obstacles and challenges in seeking and receiving general healthcare. Within the US this is well documented on a national level. In this exploratory study we will seek to understand the experience of young adults in Kalamazoo County comparing their perspectives to the already established pool of information. This will be accomplished through surveying emergent adults identifying as either transgender or gender non-binary within Kalamazoo County and then synthesizing this data into an analyzable collective format.

Atherosclerosis: Pathology, Role Of Sd-Ldl, Particle Size Characterization Of Sd-Ldl With Multiangle Light Scattering, Akshay Sudhakar Ukey

Masters Theses

Atherosclerosis is an inflammatory disease due to the accumulation of lipids in the inner wall of arteries. As per the report of Center of Diseases Control and Prevention (CDC), 1 in every 4 deaths is due to heart diseases each year. Atherosclerosis occurs when artery walls harden by the buildup of cholesterol, forming multiple atherosclerotic plaques within the aorta (4). Out of the modern medicines available to control cholesterol, statin is amongst the foremost widely used because it is both safe and effective in lowering high risk patients (9). However, usage of high statins dosage typically leads to some mild …

Towards Development Of A Remote Charting System For Connected Healthcare, Alex Bodurka

Masters Theses

Health Care Providers play a crucial role in a patients well-being. While their primary role is to treat the patient, it is also vital to ensure that they can spend adequate time with the patient to create a unique treatment plan and build a personal relationship with their patients to help them feel comfortable during their treatment. Health Care Providers are frequently required to manually record patient data to track their healthcare progress during their hospital stay. However, with hospitals continuously trying to optimize their workflows, this crucial one-on-one time with the patient is often not practical.

As a solution, …

A Signal Detection Framework For Evaluating The Effects Of Feedback On Stroke Recognition, Jordan D. Bailey

Dissertations

The impact of stroke on the lives of individuals and the healthcare system is considerable. Damage from stroke can be reduced if the treatment is administered at the appropriate time so early recognition is essential. One problem is that strokes present in a variety of ways that sometimes do not fit into the Facial drooping, Arm weakness, Speech difficulties and Time (FAST; American Heart Association, 2019) acronym. Signal detection is one way to measure decision making under conditions of uncertainty (e.g., discriminating stroke symptoms and risk factors from other symptoms, and non-risk factors). The methodology also allows us to consider …

Cardiac Electrophysiology: Exploring Racial And Gender Outcomes Of Treatment Of Paroxysmal And Persistent Atrial Fibrillation Using Sotalol And Dofetilide, Nicole Lanette Bradford-Love

Dissertations

Purpose

The purpose of this study is to explore the association between gender and racial lines in the conversion and sustainment of normal sinus rhythm (NSR) from paroxysmal atrial fibrillation (PAF) and persistent atrial fibrillation using the anti-arrhythmic drugs (AADs) sotalol and dofetilide.

Methods

A secondary data analysis was performed to assess the relationships of the independent and dependent variables listed above. Using SPSS v. 24 descriptive statistics were obtained and initially evaluated for accuracy with histograms. A cross-tabulation frequency table was produced to determine the number of variables that fell into each dependent category. Following this, the frequencies were …

A Phenomenological Study Of Faculty Members’ Experiences With Attempting To Integrate Religion And Spirituality Into Counseling Psychology Doctoral Training, Theresa M. Nutten

Dissertations

Religion and spirituality (R/S) are two of several multicultural variables salient to some clients seeking counseling, therefore psychologists are expected to be sensitive to and respectful of R/S in professional duties (APA, 2017a; APA, 2017b). However, research has shown that the integration of topics of R/S into the training of psychology graduate students has been minimal at best (Brawer et al., 2002, Hage et al., 2006, Saunders et al., 2014; Schafer et al., 2011; Schulte et al., 2002; Vogel et al., 2013). There are potential logistical and personal barriers to the inclusion of religion and spirituality into mental health training …

Acculturation, Psychological Well-Being And Substance Use Behaviors In Asian Indian Americans, Sonia Y. Amin

Dissertations

The American population is becoming more diversified with increases in the number of immigrants and refugees entering the country. These new Americans bring distinct cultural values, traditions, and worldviews. With this diversity, an important need has arisen to better understand the interplay of culture, physical, and mental health concerns that affect specific racial and ethnic populations. This increase in knowledge and awareness will aid in the development and provision of culturally-sensitive mental health services. The stress of immigration and the multifaceted sociocultural and psychological adaptations involved in adjusting to living in a new country with a Eurocentric dominant culture can …

Working As A Healthcare Professional On The Frontlines During A Pandemic, Lauren Hodlick

Honors Theses

The changes associated with the pandemic affected healthcare delivery, patient experiences in the healthcare system, and workflow for frontline workers. Pathophysiology, transmission, and infection control practices are reviewed connecting how the unique characteristics of COVID-19 influenced healthcare changes. This paper represents the basis for a video presentation on the lived experience in a Midwest U.S. hospital of a frontline healthcare worker during the summer of 2020. This lived experience video was developed to reinforce good infection control practices of first year nursing students.

Can A Brief Online Intervention Change Low-Income Caregivers’ Reported Use Of Spanking? A Randomized Controlled Trial, Hilary L. Richardson

Dissertations

Spanking is commonly used by parents (64-94%) in the United States as a strategy for managing undesirable child behaviors. Research has found that the use of spanking is particularly high among young mothers, low-income parents, and African American families. Decades of literature on the use of spanking has identified abundant detrimental outcomes for children such as increased externalizing behaviors, decreased long-term compliance, and less guilt following misbehavior, as well as serious outcomes in adulthood such as depressed mood and alcohol/drug use. There is also a risk for spanking to escalate to physical abuse. Thus, safer, more effective discipline strategies are …

The Assessment Of Co2 Exposures, Workload Demands, And Musculoskeletal Disorder Risk On Heart Rate For Select Craft Brewery Job Tasks, David L. Huizen

Dissertations

Americans have embraced craft beer, and the ensuing demand has resulted in an ever-increasing number of craft breweries opening over the past 20 years. Craft brewers are generally small employers and, as such, lack the resources necessary to address the safety and health of their employees adequately. Brewers face many safety and health hazards in their work environment. These hazards include exposures to carbon dioxide (CO₂), workload demand, and MSD risk. It is essential to evaluate these hazards in craft breweries as they handle carbon dioxide (CO₂) differently than large breweries by having the CO_{2 …}

The Opioid Crisis: Implications For Western Michigan University, Kennedy Koebbe

Honors Theses

The opioid epidemic has become a national crisis in the United States of America. The area of study for this paper, is how university students ages 18-25 are affected by the opioid crisis. This thesis will include a review of current literature pertaining to the opioid epidemic. The main goal of this thesis is to educate Western Michigan University students and faculty about the nationwide opioid epidemic. A PowerPoint will be created using the structure of a professional poster. The PowerPoint will be presented in an online face-to-face browser. Commonalities in the findings are discussed throughout the presentation. These include …

Occupational Therapy As Part Of A Team-Based Approach In Primary Care Settings, Lydia Royeen

Dissertations

The purpose of this project was to study issues related to occupational therapists integrating into primary care settings, as part of a team-based approach and to best meet the needs of the clients.

This is a mixed methods study that examined quantitative and qualitative data for members of the primary care team and occupational therapists working in primary care clinics. The Team Climate Inventory-14 (Kivimaki & Elovainio, 1999) was selected as the quantitative measure because it examines themes related to team functioning, which include vision, participative safety, task orientation, and mutual support. Participants completed a semi-structured interview that examined themes …

Methods For Improving Quality Of Care Within Acute And Post-Acute Settings, Kelly L. Vankoevering

Dissertations

According to the Centers for Medicare and Medicaid (CMS), over the next 7 years, U.S. national healthcare spending is projected to grow at an average of 5.7% per year, up from 4.8% in 2019. Additionally, personal health care cost is expected to increase by 2.7% per year. As a result, there have been increased efforts among healthcare systems and hospital organizations to improve quality of care while decreasing healthcare cost. The research reported in this dissertation builds upon the existing literature regarding interventions to improve hospital performance and quality metrics. Two of the most researched and effective strategies for improving …

Pinch Span And Force: Normative Data, Requirements For Functional Tasks And Life Roles, And The Influence Of Carpometacarpal Joint Osteoarthritis, Nancy Hock

Dissertations

The three studies that form this dissertation build knowledge related to functional pinch. Study 1 provides normative data for the Baseline® 5-Position Hydraulic Pinch Meter, which may be used in clinical practice. The data collected in this study demonstrate the relationship between lateral pinch strength and age and reveal that strength decreases with age in both males and females. Through examination of the lateral pinch force produced at the 5 different pinch spans, it was found that the strongest lateral pinch strength was produced at 4-5 cm of pinch span. This information can be used by clinicians as they modify …

Exploring Functional Health Literacy In Older Adults With Age-Related Macular Degeneration, Jennifer K. Fortuna

Dissertations

This three-paper dissertation explores functional health literacy (i.e., the ability to access, process and understand health information) in older adults with vision loss caused by age-related macular degeneration (AMD). This research builds scholarship that explores the unique patient education needs of older adults with AMD. The specific aims of this research are to: (1) explore associations between functional health literacy and severity of visual impairment; (2) determine the general readability, suitability and comprehensibility of online patient education materials (PEMs) designed for older adults with AMD; and, (3) assess the overall quality of one PEM that has been simplified based on …

Training Practitioners On The Effects Of Psychotropic Medication Via A Web-Based Platform, Anita Li

Dissertations

Many individuals diagnosed with autism spectrum disorders (ASD) receive multiple therapeutic services in an attempt to supplement behavioral therapy. These services include pharmacological interventions. Two drugs, risperidone (Risperdal) and aripiprazole (Abilify), are FDA-approved to treat “irritability” in children with ASD. Research shows that the effects of risperidone and aripiprazole on irritability varies greatly across treated individuals. Therefore, individualized monitoring and evaluation must be conducted to provide the physician with data to determine if the medication is resulting in desired changes and effects. Certified behavior analysts are trained in data collection and experience high levels of contact with individuals diagnosed with …

The Effects Of Involvement In Religious Practices On Recovering Substance Users., Taylor Currier

Honors Theses

This paper reviews empirical studies focused on spirituality and its effects on those in the recovery process from substance abuse. This paper will look at qualitative studies as well as quantitative research to see which form has derived the best results on how spirituality has affected substance abuse recovery. Prolonged recovery is the goal for those that struggle with substance use. Behavior change is an important in sustaining sobriety with those dealing with addiction. It is predicted that those who engage in spiritual growth within their community have a higher likelihood of prolonged recovery than those that do not believe …

Intervention Approaches And Potential Impacts Of Nutrition Education In Youth Ages 3-14, Lauren Barnhard

Honors Theses

This thesis explores the key factors impacting the health disparities associated with inadequate fruit and vegetable (FV) consumption in youth throughout America. Forms of nutrition education may be an effective means to increase FV consumption in youth, especially when utilizing specific teaching techniques such as taste education, experiential learning, enhanced curriculum, and adhering to age specific programming. According to the CDC, American students receive less than 8 hours of required nutrition education each school year, far less than the 40 to 50 hours that are indicated to affect behavior change. This signifies a need for increased program development and implementation …

Organized Caudal Photoreceptors In The Medicinal Leech, Baylee Bancroft

Honors Theses

Visual systems are essential to an organism’s survival. There are a wide range of photosensory organs across the animal kingdom, varying by means of structure, complexity, and the way in which they transduce information. Regardless of variation, visual systems provide the organism with information regarding external stimuli based on how light interacts with surrounding matter. The medicinal leech, Hirudo verbana, is one of the many important model organisms of neurobiology as this segmented annelid possesses a relatively simple nervous system and a rudimentary visual system. The leech also exhibits a restricted range of quantifiable overt behaviors and is capable of …

The Impact Of Vaccine Coverage And Exemptions On The Resurgence Of Vaccine Preventable Disease: A Review Of The Literature, Kara Costantino

Honors Theses

Vaccinations are a safe and effective way to prevent the spread of disease. In recent years, vaccine coverage rates have declined while nonmedical exemption rates have increased. These changes have contributed to increased prevalence of vaccine preventable diseases. Declining vaccine coverage and increasing nonmedical exemptions are a threat to public health and the relationship between these factors needs to be understood. Clusters and outbreaks of vaccine preventable diseases have occurred as a result of more people declining vaccination. Factors that may incline someone to refuse vaccination include safety concerns, lack of trust, freedom of choice, decreased understanding for the need, …

Biological Evaluation Of Fda-Approved Drugs As Mirna-31 Inhibitors Using Real Time Qrt-Pcr And A Luciferase Assay, Nicholas Sienkiewicz

Honors Theses

MicroRNAs (miRNAs) are a group of post-transcriptional, negative regulators of gene expression, consisting of ~19-24 nucleotides. Since their discovery in 1993, miRNAs have been found to be involved in a diverse amount of cellular and disease pathways, including certain types of cancer. Overexpression of certain oncogenic miRNAs, including miRNA-31, have been shown to play a role in cancer cell development. Recent findings have suggested that miRNAs play a significant role in every stage of colorectal cancer (CRC) initiation, progression, and development, as well as induce resistance to chemotherapy drugs like 5-FU. In particular, research has shown that increased levels of …

Self-Disclosure Of Stuttering To Various Social Referent Groups And Its Relationships With Psychological Distress, Katrina Rourke

Honors Theses

Purpose: Research has shown that there are benefits associated with verbal disclosure of stuttering. However, most of the existing literature on stuttering disclosure has focused on how it affects listener perceptions of people who stutter, and little is known about speaker-focused outcomes of verbal stuttering disclosure. The purpose of the current study was to investigate who people who stutter verbally disclose to (e.g. friends, co-workers, neighbors) and if relationships between extent of disclosure and distress vary depending on the confidant’s social referent group. The seven social referent groups of focus were family, friends, romantic partners, people in the workplace, healthcare …

Understanding Stem Instructors’ Experiences With And Perceptions Of Deaf And Hard Of Hearing Students: The First Step Towards Increasing Access And Inclusivity, Makayla Long

Honors Theses

Through an anonymous survey we analyzed Western Michigan University (WMU) STEM instructors’ experience with and understanding of teaching and interacting with Deaf and Hard of Hearing (HoH) students. The goal of this study was to capture the experiences of WMU STEM instructors and the resources available to them given their direct impact on Deaf/HoH students’ ability to succeed and receive a post-secondary education. The findings of this study support the claim that instructors are not well supported or aware of the needs of Deaf/HoH students, and do not have access to adequate resources to resolve the issue.

The first steps …

Mental Health Inpatient Hospitalization: What Nursing Can Learn From "Sensory Rooms.", Haley Wilson

Honors Theses

The purpose of this undergraduate thesis is to explore the use of sensory rooms in the psychiatric inpatient care setting. Mental illness is a serious issue, affecting millions each year. In 2018 the Substance Abuse and Mental Health Services Administration (SAMHSA) reported that one in five, or 19.6% of U.S. adults experienced some form of mental illness. Inpatient hospitalization is limited to those individuals posing a risk for serious harm to themselves or others. A census conducted by SAMHSA on April 30th, 2018, indicated 129,115 patients in the U.S. were receiving mental health care treatment in the inpatient setting. An …

Gender And Socioeconomic Disparities In Iatrogenic In-Hospital Torsades De Points, Bradley Reinoehl

Honors Theses

It has been well established for decades that women are at increased risk for torsades de pointes (TdP). Additionally, it has been well documented that patients of lower socioeconomic status (SES) tend to have inferior health outcomes compared to other patient populations. In this study we investigate the incidence of iatrogenic in-hospital TdP among these two demographic groups. Iatrogenic in-hospital TdP is a complex combination of medical issues and including danger from QT prolonging medications. In theory, a combination of identifiable, demographic risk factors coupled with specific clinical settings could be used to identify patients at high risk for iatrogenic …

Effects Of Maternal Chemotherapy On Fetal And Childhood Development, Payton May

Honors Theses

The diagnosis of cancer during pregnancy is uncommon. It is estimated that only 3,500 cases of cancer during pregnancy are diagnosed each year, which correlates to one case per 1,000 pregnancies (Pavlidis, 2000). The management of cancer during pregnancy is complex since it involves both the expecting mother and the fetus. Although there are several treatment options available, they are commonly aggressive. The diagnosis of cancer during pregnancy can create dilemmas for patients and health care providers. Pregnant women may be hesitant to receive cancer treatment due to the potential effects it may have on their developing fetus. On the …