Medicine and Health Sciences Commons^™

Relationship Between The Mind Map Learning Strategy And Crtitical Thinking In Medical Students, Anthony V. D'Antoni

Seton Hall University Dissertations and Theses (ETDs)

.

The Influence Of Concurrent Cognitive And Motortasks On Postural Sway In Adults, Muneera Alghanim

Seton Hall University Dissertations and Theses (ETDs)

.

A Longitudinal Examination Of How Hospital Provision Of Home Health Services Changed After The Implementation Of The Balanced Budget Act Of 1997: Does Ownership Matter?, Tiang-Hong Chou

Theses and Dissertations

By using a natural experiment approach and longitudinal national hospital data, this study sheds light on the objective functions of hospitals with different ownership forms by comparing their relative reductions in HH provision after the implementation of the BBA. The empirical findings reveal that for-profit hospitals behave differently as compared to public and private nonprofit hospitals, due to their different operational objectives. While the response of for-profit hospitals is consistent with the profit-maximizer model, both public and private nonprofit ownership types behave consistently in accordance with the model of two-good producers whose objective is to maximize market outputs for meeting …

Determinants Of Nursing Home Performance: Examining The Relationship Between Quality And Efficiency, Nailya Delellis

Theses and Dissertations

Determinants of nursing home performance: examining the relationship between quality and efficiency By Nailya O. DeLellis, MPH, Ph.D. A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University. Virginia Commonwealth University, 2010 Director: Dr. Yasar Ozcan, Professor, Department of Health Administration To assess the relationship between quality of care and efficiency of nursing homes this study used 10% random sample of non-hospital based nursing homes of size 20-360 beds and occupancy rate of 5-100% in OSCAR database 2008 (n=1430). Data Envelopment Analysis was used to calculate efficiency score and Structural …

Pulmonary Delivery Of Anorectic Gut Secreted Peptides For Appetite Suppression In Rats, Priya Nadkarni

Theses and Dissertations

This dissertation project aimed to demonstrate that pulmonary delivery of two anorectic gut secreted peptides, peptide YY (PYY) and oxyntomodulin (OXM) enabled food intake suppression and reduced body weight gain in rats via their systemic absorption from the lung and interaction with the brain. After PYY and OXM were administered to the lungs at varying doses, food intake and body weight gain were monitored in freely feeding rats. Significant 30-35 % food intake suppression was achieved for 4-6 h following pulmonary administration of endogenously active PYY3-36 and OXM1-37 at 0.80 and 0.50 mg/kg, respectively. Moreover, when administered daily for 7 …

Health Care In America: Historical Context, Current Issues, Future Reform, Emily Boevers

Honors Program Theses

In studying this topic, I used print resources from the last thirty years to investigate the history of the medical profession, including the ideals that shaped it and have bound it for more than 100 years. I studied the attempts at health care reform in the last 100 years, through numerous wars, economic crises, and political flux. I summarized health care systems from ten other developed nations to understand what is working - and what is not - in health care around the world. I surveyed issues plaguing the health care system in America today, and studied the trends that …

Predictors Of Situation Awareness In Graduate Student Registered Nurse Anesthetists, Suzanne Wright

Theses and Dissertations

ABSTRACT PREDICTORS OF SITUATION AWARENESS IN GRADUATE STUDENT REGISTERED NURSE ANESTHETISTS Suzanne M. Wright, Ph.D. A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University. Virginia Commonwealth University, 2009 Major Director: J. James Cotter, Ph.D. Situation awareness (SA) is defined as one’s perception of the elements of the environment, the comprehension of their meaning, and the projection of their status in the near future. Stated more simply, SA is knowing what is going on around you. The concept of SA is well known in the field of aviation which is …

Effect Of Load Reductions Over Consecutive Sets On Repetition Performance, Maureen Khairallah

Masters Theses

In order to achieve specific muscular adaptations, repetitions need to be maintained within a certain repetition range throughout consecutive sets; however, maintaining repetition performance can be difficult when using short rest intervals (i.e. :S I-minute). Therefore, purpose of this study was to determine whether a 0%, 5%, 10%, or 15% decrease in resistance would be the most effective in maintaining repetitions over consecutive sets in the squat, leg curl, and leg extension. Eleven male college students volunteered to participate in the seven week study. Each participant was tested over the first three weeks, with one testing session each week. During …

Perspective-Taking In Adolescents With Asperger Syndrome And Nonverbal Learning Disorder, Caitlin Scaliatine

Masters Theses

Theory of mind is the ability to attribute mental states to oneself and other individuals, allowing us to predict the thoughts and feelings of others based on their behaviors. Research has established that individuals with Asperger syndrome (AS) experience difficulty with advanced theory of mind tasks; however, theory of mind abilities have not been evaluated for individuals with nonverbal learning disability (NVLD). The following test battery was administered to four adolescents with AS, five adolescents with NVLD, and five adolescents with neurotypical development to examine their theory of mind abilities: the Pragmatic Judgment and lriferences subtests from the Comprehensive Assessment …

Antibiotics, Herbs, And Magic: Health Practices In Contemporary St. Petersburg, Christine Shu

Honors Theses

In St. Petersburg, Russia, two seemingly conflicting health doctrines, western medicine and alternative medicine, play significant roles in residents' health culture. I define alternative medicine as all health practices that use such natural products as herbs, natural honey, water, seeds, berries, and even animal products, and as such unobtrusive body therapies as acupuncture, massage, yoga, or animal therapies. I define western medicine as all treatments that involve the manipulation of ingredients in a chemistry laboratory (such as antibiotics, antiviral drugs, antihistamines. or pain killers) and all body therapies intrusive to the body (such as operations). Through interviews with St. Petersburg …

Cohort Study Of Pain Behaviors In The Elderly Residing In Skilled Nursing Care, Allison Burfield

Electronic Theses and Dissertations

An integral concern across care settings is the prompt intervention for patients suffering with pain. Long-term care (LTC) settings present with unique challenges to assess and manage pain in resident populations. Pain assessment is especially challenging, because residents have varying degrees of cognition to communicate their pain, and clinician/staff knowledge of pain symptoms may be lacking. The purpose of this research was to improve the measurement of pain and outcomes of care for the elderly residing in skilled nursing care, especially those with cognitive-impairment. The specific aims of this study were to: 1) Determine the magnitude of the relationship between …

Effects Of An Evidence-Based Intervention On Stress And Coping Of Families Of Critically Ill Trauma Patients, Sandra Knapp

Electronic Theses and Dissertations

Problem/Purpose: Critical care nurses are frequently exposed to the stress experienced by their patients' families, yet they often do not have the knowledge or skills to help family members cope with the stress of critical illness. While needs and stressors of families of the critically ill have been researched extensively, no prior studies have been conducted to determine the effects of an evidence-based nursing intervention for reducing family members' stress and improving their coping skills. The purpose of this study was to determine if an evidence-based nursing intervention designed to address the needs of family members would reduce stress and …

Categorical Perception Of Stop Consonants In Children With Autism, Laura Bourdeau

Electronic Theses and Dissertations

The purpose of this study is to determine whether children with autism recognize the same perceptual voicing boundaries of stop consonants as normally developing children of the same age group. This was explored using three groups of participants: ten children with autism between the ages of 8-14, five typically developing children between the ages of 8-14, and five typically developing seven-year-old children. Children in all groups listened to initial stop consonant syllables with voicing contrasts, with voiced and voiceless cognates presented. The initial consonants were altered along a voice onset time continuum within the typically perceived boundaries of each consonant. …

A Model Of Treating Hyperfunctional Voice Disorders For School Age Children Within A Serious Gaming Environment, Suzanne King

Electronic Theses and Dissertations

The purpose of the present study is to test the feasibility of implementing a video-game based intervention protocol as a means to improve therapy compliance in school age children with hyperfunctional voice disorders. Three levels of modification were made to an existing entertainment software program in order to implement the therapeutic protocol and test compatibility. The third level of modification included a two-phase quasi-experimental single subject design with a school age participant receiving the video game therapy protocol and traditional therapy for equal time. The independent variables for this study included the mode of voice therapy delivery (traditional vs. video …

Zinc-Finger Protein Mcpip In Cell Death And Differentiation, Craig Younce

Electronic Theses and Dissertations

Monocyte chemotactic protein-1 (MCP-1) plays a critical role in the development of cardiovascular diseases. How MCP-1 contributes to the development of heart disease is not understood. We present evidence that MCP-1 causes death in cardiac myoblasts, H9c2 by inducing oxidative stress, ER stress and autophagy via a novel Znfinger protein, MCP-1 induced protein (MCPIP). MCPIP expression caused cell death and knockdown of MCPIP, attenuated MCP-1 induced cell death. Expression of MCPIP resulted in induction of iNOS and production of reactive oxygen (ROS). It caused induction of NADPH oxidase subunit phox47 and its translocation to the cytoplasmic membrane. Oxidative stress led …

Epigenetic Control Mechanisms In Somatic Cells Mediated By Dna Methyltransferase 1, Bongyong Lee

Electronic Theses and Dissertations

DNA methylation regulates gene expression through a complex network of protein/protein and protein/DNA interactions in chromatin. The maintenance methylase, DNA methyltransferase 1 (DNMT1), is a prominent enzyme in the process that is linked to DNA replication and drives the heritable nature of epigenetic modifications in somatic cells. The mechanistic details that explain how DNMT1 catalytic action is directed in a chromatin setting are not well understood. We hypothesize that post translational modifications and a variety of protein-protein interactions processes are key regulatory elements that set the methylation of CpG elements essential for normal growth behavior in somatic cells. These fundamental …

Natural Medicine: Personal Responsibility And Self-Empowerment, Kimber Lopez

Pomona Senior Theses

Although most “alternative” medical practices have existed far longer than conventional healthcare, modern allopathic continues to be the dominant system of medicine used in the United States. Herbal medicine is one of the oldest healing practices known to humankind and continues to be practiced today despite the numerous challenges modern society poses. As Julie Stone and Joan Mathews illuminate in Complimentary Medicine and the Law, “Plant-based remedies have been the principal source of medicines in healing traditions around the world and, as the World health Organization is at pains to remind us, 80 percent of the world’s population still depends …

Developing Evidenced Based Practice For Social Emotional Screenings In Schools, Kim Anderson

All Graduate Theses, Dissertations, and Other Capstone Projects

The social problem being addressed through this project includes several challenges faced by our nation's schools, namely increasing numbers of disciplinary referrals, suspensions, and expulsions (Marchant, Anderson, Caldarella, Fisher, Young,Young, 2009). Further research states that "more and more children entering school are unprepared to learn, unable to cope with the social tasks involved in making friends and getting along with others, and unaware of their negative social effect on others," (Marchant et al., 2009, p.131). Only about 20% of children and adolescents with a psychiatric disorder in the United States receive any kind of mental health services (Fritz, 2007). Yet …

School Improvement Programs, Kimberly Barry

All Graduate Theses, Dissertations, and Other Capstone Projects

Teachers face a growing number behavior challenges that effect the delivery of classroom instruction (Center for Effective Collaboration and Practice , n.d). This affects how the teacher teaches and how the other students learn. Disruptions in the classroom force teachers to direct their attention to that student resulting in less time teaching. School wide programs help school staff develop expectations for behavior and allows for a common language amongst all staff and students. There are many school wide programs that claim to make behaviors decrease. It can be very cumbersome and time consuming for schools to go through all of …

Acute Psychiatric Group Therapy For Hospitalized Individuals With Serious And Persistent Mental Illness, Lindsey Bednar

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to identify group therapy interventions to be provided during a time limited acute psychiatric hospitalization for individuals with serious and persistent mental illness (SPMI) derived from evidenced-based research.

Research Question: What skills deficits and theory of practice are most efficacious with individuals with SPMI diagnosis served by ISJ Behavioral Health Unit?

Mental Health Relapse Prevention: What Does The Research Say?, Robin Bode

All Graduate Theses, Dissertations, and Other Capstone Projects

This Capstone Project researches evidenced-based literature in the area of mental health relapse prevention planning. The literature review explored best practices in providing mental health relapse prevention interventions and identified research study outcomes. The South Central Crisis Center of Mankato provides residential sub-acute care, crisis assessment, intervention, education and psychiatric urgent care to individuals that identify mental health issues as their primary concern (South Central Crisis Center, 2003). Within the 10 bed facility, clients participate in psycho-social educational groups and receive individual clinical services. Prior to discharge clients meet with the mental health professional to complete an In Home Treatment …

In Step With Our Parents: 3-Part Educational Series, Kate Boisen-Macdonald

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project is to educate adult children caring for their parents, so they can identify as caregivers so they can better cope with, identify with, and/or navigate the role of care giving, and be aware of the resources available to them.

Social Work Involvement In Supporting Survivors Of An Unexpected Death In An Emergency Department, Jennifer E. Buchanan

All Graduate Theses, Dissertations, and Other Capstone Projects

People occasionally present to a hospital’s emergency department (ED) after an event such as a heart attack or a motor vehicle accident that results in their sudden and unexpected death. Although members of the ED attempt to support the survivors as much as possible, due to the fast pace of the environment and responsibilities to other patients, the survivors may not always be provided with the necessary resources and support. This can leave survivors feeling isolated and confused about the appropriate course of action after this type of experience. A planned, organized approach delivered by educated and sensitive staff can …

Bring Mental Health Services Home: Meeting The Mental Health Needs Of Adolescents And Their Families In Rural Minnesota, Laura Filzen

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this project was to develop a program that addressed housing and therapeutic support to adolescents experiencing mental health issues, allowed adolescents to remain in the community, and promoted reunification with their families. “An important indicator of success for children in out-of-home care is a timely transition to reunification” (Park and Ryan, 2009). Based on the literature and practice, it is believed that intensive family therapy is needed to promote reunification and reduce recidivism of placement.

Increasing Referrals For Services Through Collaboration With Community Agencies, Benjamin Mohr

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of the project is to investigate how a non-profit organization can collaborate better with other agencies to increase referrals for services. Research was conducted to determine the best avenue of increasing utilization of services in southeast Minnesota by strategic planning. A survey was conducted of 15 southeast Minnesota counties to conduct a SWOT analysis of 3 key services offered by Family Focus that are currently underutilized. Information was compiled in order to support a more comprehensive marketing plan to build relationships with county agencies and increase awareness and use of the services provided by the agency. Recommendations and …

Assessment Of Parenting Skills Of Mothers In Court Ordered Substance Abuse Treatment, Barb Pieske

All Graduate Theses, Dissertations, and Other Capstone Projects

Objective of this project was for me to search for an assessment tool that gives an understanding of mothers who are court ordered to substance abuse treatment. Methods: Search scholarly literature and consult with field supervisor. Results: Adoption of an assessment tool that identifies the strengths and weakness of parenting skills. Conclusion: A structured interview assessment allows the therapist to gather data on the parent with a person centered perspective with a holistic approach.

Implementation And Data Tracking Of School-Linked Mental Health Services At A Rural Mental Health Agency, Jim Redmond

All Graduate Theses, Dissertations, and Other Capstone Projects

In late December of 2007 Tom McNeely, the clinical director for the Sioux Trails Mental Health Center, received a Request for Proposals (RFP) from the Minnesota Department of Human Services soliciting grant applications for a new school-linked mental health program. The school-linked program would provide students (K-12) attending public schools full therapeutic services in an effort to reduce mental health issues as a barrier to learning. This approach mirrored Sioux Trails’ belief that a holistic philosophy incorporating prevention and early intervention is the most effective healthcare service. Since the RTF seemed a good fit for the agency, Mr. McNeely, along …

Social Work Ethics Computer-Based Training Minnesota State University, Mankato Department Of Social Work, Rebecca Robinson-Wargelin

All Graduate Theses, Dissertations, and Other Capstone Projects

At the Community Behavioral Health Hospital, St.Peter (CBHH),a discussion was held regarding Ethics Continuing Education Hours(CEUs). The Minnesota Board of Social Work(MNBSW)and Minnesota State Statute 148D.130 require that Licensed Social Workers receive two hours of ethics-specific CEUsper licensure renewal. Through this discussion,it appeared that it would be beneficial to create an ethics computer-based training(CBT), which would be of no expense to State Operated Services(SOS)Social Workers.This option would also provide convenience for social workers, who as a majority,reside within rural areas.The CBT created is in accordance to requirements of the MNBSW and has an emphasis to include the National Association of …

From A Consumer’S Perspective: What Is Helpful For Residents Of Four Bed Group Homes To Maintain Good Mental Health, Ronna R. Severson

All Graduate Theses, Dissertations, and Other Capstone Projects

The population with mental illness has faced many changes in the services provided to them throughout the years. And fortunately, in recent years there has been many progressions in the field that have made the services even better. This transformation all began with the gradual process of closing mental health hospitals and the opening of community based alternatives, otherwise known as deinstitutionalization (Brunt & Hansson, 2002, p. 611). The main objective of the deinstitutionalization movement was to create more humane services for the individuals with mental illness (Searight& Handal, 1987, p. 8). Through this process one of the community based …

Pervasive Developmental Disorder, Electric Training Modules, Jennifer Stuehrenberg

All Graduate Theses, Dissertations, and Other Capstone Projects

The South Central Crisis Center is a State Operated Services mental health facility in Mankato, Minnesota. The center is designed to offer people suffering an acute mental health episode, such as suicidal thoughts, or who need a medication adjustment or other psychiatric services, up to a few days in a safe, secure environment. The center accepts referrals from law enforcement, county or health care professionals in these participating counties: Blue Earth, Brown, Faribault, Freeborn, Le Sueur, Martin, Nicollet, Rice, Sibley and Watonwan. Recently, the program has been serving a larger amount of clients who have a diagnosis of Asperger’s Disorder …