Medicine and Health Sciences Commons^™

The Effects Of Motivational Interviewing In Pregnancy On Knowledge And Retention Of Infant Oral Health Information, Andrew Zima

Theses and Dissertations

THE EFFECTS OF MOTIVATIONAL INTERVIEWING IN PREGNANCY ON KNOWLEDGE AND RETENTION OF INFANT ORAL HEALTH INFORMATION By Andrew D. Zima, Jr., B.S., M.S., D.D.S. A thesis submitted in partial fulfillment of the requirements for the degree of Masters of Science in Dentistry at Virginia Commonwealth University. Virginia Commonwealth University, 2010 Major Director: Tegwyn H. Brickhouse, D.D.S., Ph.D Associate Professor, Department of Pediatric Dentistry Purpose: The purpose was to examine the effect of motivational counseling in pregnancy with readiness and acceptance of infant oral health information. Methods: The study used a prospective cohort design to examine the effect of prenatal education …

Differential Roles Of The Two Major Endocannabinoid Hydrolyzing Enzymes In Cannabinoid Receptor Tolerance And Somatic Withdrawal, Joel Schlosburg

Theses and Dissertations

While there is currently active debate over possible therapeutic applications of marijuana and cannabis-based compounds, consistently their primary drawbacks have been the psychoactive properties, dependence, and abuse potential. Prolonged administration of ∆9-tetrahydrocannabinol (THC), the primary psychoactive constituent in marijuana, demonstrates both tolerance and physical withdrawal in both preclinical and clinical studies. Repeated THC administration also produces CB1 receptor adaptations in the form of reduced activation of receptors, along with a downregulation of membrane surface receptors, in many brain regions involved in THC-associated behaviors. The increased need for drug to maintain therapeutic effects, and a withdrawal syndrome following discontinuation of use, …

The Eternal Flame: Politics Of The Olympic Games, Alyssa Gunstrom

Honors Capstones

Capstone submitted as a graduation requirement for the BSU Honors Program.

Proteasome-Dependent Entry Of Herpes Simplex Virus, Mark Delboy

Theses and Dissertations

Herpes simplex virus entry into cells is a multistep process that engages the host cell machinery. The proteasome is a large, ATP-dependent, multisubunit protease that plays a critical role in the maintenance of cell homeostasis. A battery of assays were used to demonstrate that proteasome inhibitors blocked an early step in herpes simplex virus entry that occurred after capsid penetration into the cytosol but prior to capsid arrival at the nuclear periphery. Proteasome-dependent viral entry was not reliant on host or viral protein synthesis. MG132, a peptide aldehyde that competitively inhibits the degradative activity of the proteasome, had a reversible …

Sensitivity Analysis – The Effects Of Glasgow Outcome Scale Misclassification On Traumatic Brain Injury Clinical Trials, Juan Lu

Theses and Dissertations

I. EFFECTS OF GLASGOW OUTCOME SCALE MISCLASSIFICATION ON TRAUMATIC BRAIN INJURY CLINICAL TRIALS The Glasgow Outcome Scale (GOS) is the primary endpoint for efficacy analysis of clinical trials in traumatic brain injury (TBI). Accurate and consistent assessment of outcome after TBI is essential to the evaluation of treatment results, particularly in the context of multicenter studies and trials. The inconsistent measurement or interobserver variation on GOS outcome, or for that matter, on any outcome scales, may adversely affect the sensitivity to detect treatment effects in clinical trial. The objective of this study is to examine effects of nondifferential misclassification of …

The Influence Of Organizational Culture On The Existence Of Systems Employed To Improve Quality Of Care In Medical Office Practices, Donna Dugan

Theses and Dissertations

A frequently cited reason for poor quality of care in the ambulatory care setting is the lack of optimally designed systems to address care for those with preventive or chronic care needs. Organizational theory suggests that culture plays an important role in the shaping of these types of programs. The purpose of this cross-sectional study is to understand through descriptive and regression analysis of secondary data, the relationship between the existence of cultural characteristics such as collegiality, quality emphasis and autonomy, and the systems employed to improve quality of care within primary care practices. The study uses an integrated theoretical …

Neuroprotection With Anesthetics In Two Models Of Cerebral Ischemia, Rafael Eduardo Chaparro Buitrago

USF Tampa Graduate Theses and Dissertations

Neuroprotection with anesthetics has been studied for many decades; important advances in this field have modified the way Anesthesiologists treat patients in the operating room. Animal models have played an important role in the study of ischemia in the operating room. Recent studies have demonstrated that the effect of anesthetics seems to be different in different animal models. We decided to evaluate anesthetics in a well-known model of cerebral ischemia and also in hypotensive models designed by us. We used a model of cerebral ischemia (MCAO) to test anesthetics neuroprotective effect in a two-week period. Then, we used a model …

Modulation Of Cocaine-Like Behavioural Activity By Serotonin Uptake Inhibition Relative To The Effects Of The Novel And Selective Dopamine Transporter Inhibitor, D-84, Angela Batman

Theses and Dissertations

Cocaine dependence is a major health concern worldwide, but despite this high rate of abuse there are currently no approved therapies for cocaine dependence. Replacement pharmacotherapies are one possible approach for treating cocaine dependence, and identification of such therapeutics for cocaine abuse is the long-term goal of this research. Cocaine binds to, and inhibits uptake at the dopamine (DAT), serotonergic (SERT) and noradrenaline (NET) uptake transporters, but studies have shown that cocaine produces its strong behavioural and positive reinforcing effects through inhibition of the DAT. To this end a great number of diverse, non-selective DAT-inhibiting compounds have been investigated as …

The Clinical Utility Of Molecular Typing Of Multiply-Resistant Pseudomonas Aeruginosa In Children With Cystic Fibrosis, Ruth Ann Luna

Theses and Dissertations

Chronic infection with P. aeruginosa is expected in patients with cystic fibrosis (CF), but the ability to delay, prevent, or better manage infection with multiply-resistant P. aeruginosa (MRPA) can potentially increase quality of life and extend survival. The Texas Children’s Hospital CF Care Center has identified an endemic MRPA strain (dominant clone), and this study aimed to identify risk factors for acquisition of the clone as well as determine differences in patient outcome associated with subsequent infection with the clone. The study included 71 patients with CF with documented MRPA infection. Designation of patients as members of the dominant clone …

Diagnosing Decisions: An Examination Of Medical Career Choices And Their Effects On The Health Care System, Nicole Craker '10

Honor Scholar Theses

With the passage of the new health care bill in March of this year, President Obama was able to promise health care coverage to millions of Americans (Health Reform, 2010). While this was a major step towards increasing the health of our nation, promise of coverage does not automatically equate with the promise of better health. Rather, the expanded coverage may more significantly correlate with expanded physician wait lists. As newly insured Americans attempt to make appointments, they may have a difficult time finding a physician who has the time to take them due to a shortage of available doctors. …

Living On Autopilot: How Your Brain Thinks For You, Andrea Stathopoulos '10

Honor Scholar Theses

One way in which humans are set apart from other animals is by our impressive intellectual capacities. Humans are commonly considered to be true masters of rational, conscious control over our actions. However, that feeling of control may be mostly illusory. Accumulating evidence suggests that unconscious cognitive processes can account for much of human behavior. Homeostasis is a clear example of the evolutionary benefit of automation, allowing valuable energy and limited attention to be diverted elsewhere. I instead want to focus on the automaticity of more complicated behaviors, ones that are typically thought to require a large amount of cognitive …

Perifosine, A Novel Akt Inhibitor Induces Apoptosis, Cell Cycle Arrest And Has A Chemo-Sensitizing Effect In Medulloblastoma Cell Lines, Anil Kumar

Theses and Dissertations

Primary central nervous system (CNS) tumors are the most common solid tumors found in children. While surgery and radiotherapy still remain the standard treatment modalities in pediatric brain tumors, chemotherapy also has an important part in the management of these tumors. However, most of the available chemotherapeutic drugs have suboptimal effectiveness. Deregulation of various pro-apoptotic and anti-apoptotic pathways has been cited as a major mechanism underlying this drug resistance. The role of various serine threonine kinases, including Akt kinases, in promoting drug resistance is being extensively studied in various cancers. A complete understanding of the molecular mechanisms that underlie drug …

All- Star Sports Honors Analysis, Daniel Reed

Undergraduate Theses and Capstone Projects

As requested, I have read and analyzed the case, “Decision Making at the Top: The All- Star Sports Catalog Division.” This case detailed an issue that many organizations face at some point as many organizations tend to make changes to its decision making process. The All-Star Sports Catalog Division (ASC) is one of three divisions within the All-Star Sports organization. Since its establishment in 1990, the division has performed well and expanded greatly. Much of this success resulted from the decision making process developed by ASC President, Don Barrett. The process is very fundamental and wellstructured, which has allowed the …

Sound Pressure Levels Measured At Preferred Listening Levels Of Ipod Users Using Knowles Electronic Manikin For Acoustical Research, Ahmad Brandelle Alexander

Doctoral Dissertations

The present study (1) examined the sound pressure levels (SPLs) of iPod users and nonusers at preferred listening levels measured on Knowles Electronic Manikin for Acoustical Research (KEMAR), and (2) determined if those SPLs exceeded the OSHA standards for acceptable hearing levels. Forty subjects, divided into one of the four following groups participated in this study: (1) inexperienced males, (2) experienced males, (3) inexperienced females, or (4) experienced females. Each participant was asked to set the music stimuli to their preferred listening level while in the presence of background noise, simulating a real world listening environment. SPL values were then …

The Effects Of Asymmetric Directional Microphone Fittings On Acceptance Of Background Noise, Jong Sik Kim

Doctoral Dissertations

The present study investigated the effects of asymmetric directional microphone fittings (i.e., an omnidirectional microphone on one ear and a directional microphone on the other) on speech understanding in noise and acceptance of background noise in 15 full-time hearing aid users. Subjects were fitted binaurally with four directional microphone conditions (i.e., binaural omnidirectional, asymmetric right directional, asymmetric left directional and binaural directional microphones) using Siemens Intuis directional behind-the-ear hearing aids and comply earmolds. The results revealed that speech understanding in noise improved when using asymmetric directional microphones compared to binaural omnidirectional microphone fittings and were not significantly hindered compared to …

Acceptable Noise Levels In Children Ages 10 To 11 Years And 14 To 15 Years, Krystal Sullivan Ware

Doctoral Dissertations

The present study measured acceptance of background noise in 35 children (age 10–11 and 14–15 years) with normal hearing sensitivity. Acceptance of background noise was measured using the acceptable noise level (ANL) procedure. To obtain an ANL, participants' MCL was first obtained using a running story. Then a competing stimulus (i.e., speech babble or speech spectrum noise) was introduced, and the listeners were asked to adjust the level of the background noise to the most he/she could put up with and follow the story for a long period of time. This level was called background noise level or BNL. The …

Dichotic Auditory Training In 6 To 15 Year Olds, Chasity M. Mccrum

Doctoral Dissertations

The purpose of this study was to determine if participants with normal auditory processing skills would improve after receiving the Dichotic Auditory Training (DAT) when compared to a group of normal participants who only received pre- and post-testing. Twenty participants, age 6:0 to 15:11 years, participated in this study. A standard audiological evaluation was completed for each participant. Pretest and posttest were completed that included (1) DAT testing, (2) SCAN-C/A, (3) Staggered Spondaic Word test, and (4) Dichotic Digits (Single/Double). The results were analyzed for statistically significant differences between pre- and post-testing results and between groups. Any significant results …

Subjective Versus Objective Hearing Screening Results Of Rural Elementary School-Aged Children, Meagan Chatelain Mcclure

Doctoral Dissertations

The present study compared the pass/refer results of traditional ASHA recommended hearing screenings to transient evoked otoacoustic emissions (TEOAEs), distortion product otoacoustic emissions (DPOAEs), and screening tympanometry among young students at a rural, medically underserved population at an elementary school. Sixty-seven students (31 boys and 36 girls) from kindergarten to 3rd grade participated in this study. Ten were Hispanic and had English as a second language. Each child had his/her hearing screened at 500 Hz and by the ASHA recommended method for pure tone screenings and by TEOAEs and DPOAEs. Tympanometry was also performed on 53 students. The results revealed …

Associative Pattern Mining For Supervised Learning, Harpreet Singh

Doctoral Dissertations

The Internet era has revolutionized computational sciences and automated data collection techniques, made large amounts of previously inaccessible data available and, consequently, broadened the scope of exploratory computing research. As a result, data mining, which is still an emerging field of research, has gained importance because of its ability to analyze and discover previously unknown, hidden, and useful knowledge from these large amounts of data. One aspect of data mining, known as frequent pattern mining, has recently gained importance due to its ability to find associative relationships among the parts of data, thereby aiding a type of supervised learning known …

Fleshing Out The Spirit Of Contention: Conflicting Preventative Approaches To The Aids Pandemic In Africa And The Promise Of A Scientific Narrative, Rachel Zimmerman

Honors Capstones

No abstract provided.

Accelerated Baccalaureate Nursing Students: Perceptions Of Success, Barbara B. Blozen

Seton Hall University Dissertations and Theses (ETDs)

Although there are a number of anecdotal reports on demographic characteristics and academic success of accelerated nursing students, few empirical studies have been undertaken to examine these students' success, despite this type of programs' existence for more than a decade, and only three studies have soughtto examine the perspective of the accelerated nursing student. Using Knowles' adult learning theory as a guiding framework, the purpose of this qualitative study was to explore, from the accelerated nursing students' perspective, the factors they reported as contributing to their success on the NCLEX-RN. This study also examined demographic characteristics of these accelerated students. …

Team-Based Learning: Engagement And Accountability With Psychometric Analysis Of A New Instrument, Heidi Ann Mennenga

UNLV Theses, Dissertations, Professional Papers, and Capstones

With calls for transformation, innovation, and excellence in nursing education from national bodies of nursing, nurse educators must determine the best possible teaching strategies to meet educational standards. Team-based learning, an innovative teaching strategy, offers educators a structured, student-centered learning environment and may be more effective than current teaching pedagogies in meeting the needs of nurse educators.

The purpose of this study was to (a) examine differences in student engagement between baccalaureate nursing students taught using team-based learning and those taught using traditional lecture, (b) examine how levels of engagement affected examination scores, (c) examine potential differences in student examination …

Stuck Together: Searching For A Model Of Peritoneal Adhesions Using The August Rat, James W. Bathe

Honors Theses

Fibrous adhesions, a by-product of the healing process, often appear post-surgically as a result of peritonitis related to the surgery. These adhesions can be either primarily "scar tissue" or excess "healthy tissue," and are the leading cause of intestinal obstruction in modern medicine. Shockingly, adhesions occur in up to 96% of patients undergoing intra-abdominal surgery. Adhesions can lead to multiple complications other than obstructions such as inadvertent enterotomy at the time of adhesiolysis, chronic pain, and female infertility. Additional complications arise from the adhesions preventing the free movement of organs and causing strangulations. The causes of the peritonitis, and therefore …

Bondable Lingual Spur Therapy To Treat Anterior Open Bite, Elissa Joy Mcrae

Master's Theses (2009 -)

The purpose of this study was to evaluate the effect of bondable lingual tongue spurs (BLTS; Tongue Tamers®, Ortho Technology, Tampa, FL) on measures of overbite and incisor position in a sample of anterior open bite subjects who had either a digit-sucking habit or an anterior tongue posture problem. Patient acceptance of the spurs was also evaluated. BLTS were placed on all maxillary and mandibular incisors of 12 subjects (mean age 13.9 years) with anterior open bite. Dental casts and lateral cephalometric radiographs were taken pre-treatment (T1) and after 6 months of lingual spur treatment alone (T2). Overbite and overjet …

An In Vitro Comparison Of The Setting Of Mta With And Without The Application Of A Moist Cotton Pellet, Craig Darrell Johnson

Master's Theses (2009 -)

Introduction: The purpose of this study was to compare the setting of MTA with and without the application of a moist cotton pellet. Methods: Fifty samples of MTA were mixed according to manufacturer’s instructions, placed with an amalgam carrier, and condensed with a plugger into a custom metal block with a well depth of 3.5 mm. Twenty-five of the MTA samples had a moist cotton pellet placed in contact with MTA mixture and twenty-five MTA samples had no moist cotton pellet in contact with the MTA mixture. The samples were placed in 100% humidity at 37°C and evaluated for penetration …

Incidence Of Removable Partial Denture Types In Eastern Wisconsin, Deo K. Pun

Master's Theses (2009 -)

Aim: This study was designed to investigate patterns of tooth loss in patients receiving removable partial dentures.

Materials and Method: A point and shoot digital camera was used to collect 1502 digital images of cases at 5 dental laboratories in the eastern portion of the state of Wisconsin. Any case presenting to one the dental laboratories requesting a RPD was included. Two photographs were taken of each case. The first photograph was taken immediately upon arrival to the lab while the second photograph was taken immediately prior its first departure. A calibrated investigator analyzed all the photographs for Kennedy classification, …

A Gis Analysis Of The Environmental Variables Related To Rift Valley Fever Outbreaks, Jacqueline Florette Jackson

Health Services Research Dissertations

Rift Valley fever is a mosquito-borne disease that causes widespread febrile illness and mortality in domestic animals as well as humans (Gaff, 2007). Rift Valley fever virus was first isolated in 1931 (Daubney, 1931), and since then, outbreaks have occurred in sub-Saharan Africa, southern Africa, Egypt, Saudi Arabia, Yemen and Madagascar, proving it to be a virus able to invade ecologically diverse regions (Gaff, 2007). The potential introduction of Rift Valley fever into the United States suggests the potential for human infection and major economic disruption. It is important to understand the role environmental variables have played in historical outbreaks …

Shared Presence: Caring For A Dying Spouse, Lana Sue Mclouth Kanacki Phd, Ms, Rn

Dissertations

There is limited research on female spouses and their end-of-life experience with their dying husbands. The purpose of this study was to explore wives' perceptions of hospital and hospice care at their husbands' end-of-life. The grounded theory method was used for this study. Data were collected over thirteen months and then transcribed and coded for meaning. Participants were 25 elderly widows (62-103 years of age) with 19 husbands' deaths in a hospice setting and 6 in the hospital. They were widowed from 6 months to 10 years after the death of their spouses. They were good informants with excellent recollections …

Neurodevelopmental Outcomes Of High Risk Infants, Lisa E. Miklush Phd, Msn, Rnc, Cns

Dissertations

Background: Infant developmental research has revealed amazing physical, cognitive, and social capacities of the human infant. Along with this knowledge is a growing appreciation of numerous factors that have the potential to impact the individual infant's developmental trajectory, either enhancing or compromising the eventual outcome. Enhanced understanding of those factors that shape infant developmental trajectories will provide an evidence base for the establishment of a supportive environment for the youngest members of society. Purpose: To determine the relationship between neurodevelopmental outcome and gestational age, birth weight, Apgar scores, NICU admission, infant gender, maternal depression, home environment, and parent-child interaction. Methodology: …

African American Women's Infant Feeding Choices: Analyzing Self-Efficacy And Narratives From A Black Feminist Perspective, Karen Marie Robinson

Dissertations (1934 -)

Breast milk is the optimal form of nutrition for infants up to six months of age. Commercial formula is unequal to breast milk nutritionally, economically, and psychologically. African American women (AAW) continue to breastfeed the least compared to other populations. Few researchers conducting research related AAW's infant feeding preferences have employed the Black Feminist philosophy or the theory of self-efficacy. This philosophy and theory may offer insight into factors that influence AAW's infant feeding choices.

The purpose of this mixed-method study was to examine prenatal breastfeeding self-efficacy (confidence) and actively listen to and analyze AAW's reports of factors influencing their …