Medicine and Health Sciences Commons^™

Evaluating The Healthy States Initiative Policy Forums, Jessica Harmon

MPA/MPP/MPFM Capstone Projects

Since 2005, The Council of State Governments (CSG) has participated in a cooperative agreement funded by the Centers for Disease Control and Prevention (CDC) called the Healthy States Initiative. The initiative promotes public health by providing information resources to state legislators through publications and public health forums. CSG is interested in information about the impact of the public health forums on state legislators. More specifically, they would like to know if the forums have encouraged the participants to produce public health legislation, to support funding for public health projects, and to work closely with colleagues and various groups to improve …

The Influence Of Veterinary Schools On The Veterinary Labor Market, Kyle Bosh

MPA/MPP/MPFM Capstone Projects

Problem Statement:

Does the presence of a veterinary school in a state influence the supply of veterinarians practicing in that state? Citizens and animals in states without a veterinary school are at a disadvantage if the presence of a veterinary school significantly improves public health and access to medical services in those states that have a veterinary school.

Research Strategy:

The unit of analysis in this study is 50 states and the District of Columbia. The study is designed as a cross-sectional analysis of 2006 pet, 2002 livestock, 2006 human, labor, and economic data. The study uses simultaneous equations to …

Comparison Of Long-Term Care Residents' Food Intake, Body Weight, And Food Costs Between Two Meal Service Styles, Dee Murphy

Master's Theses and Doctoral Dissertations

The purpose of this study was to determine if residents (n = 26) living in an Iowa long-term care facility had differences in food intake at their noon meal and body weight when served traditional tray meal service for 10 weeks compared to being served restaurant-style meal service for 10 weeks. The study also evaluated the facility’s raw food costs of the two meal service styles.

Mean meal intake scale scores improved when residents were served restaurant-style meal service (0.4±0.3) compared to traditional tray meal service. Residents did not show a significant percent weight (1.1%±3.7%) change or percent BMI (0.9%±3.7%) …

The Effects Of Multiple Head Micro-Trauma On Cognitive Function In High School Football And Soccer Athletes, Jessica M. Cole

Master's Theses and Doctoral Dissertations

There are limited studies that deal with the acute and chronic effects that high collision sports have on neurocognitive function. This study used a standardized concussion assessment (SAC) test to examine the effects that participation in high school football and high school soccer has on athletes’ neurocognitive functions throughout a season.

Forty-six male high school athletes participated in this study: 30 football players, and 16 soccer players. Each athlete underwent baseline SAC testing and a variety of SAC tests three additional times throughout the duration of the season, approximately 3 weeks apart.

Data analyses of the SAC scores did not …

Osteoporosis Education In College-Age Women, Elizabeth Byrne Rodzik

Master's Theses and Doctoral Dissertations

Osteoporosis, a degenerative bone disease, is a preventable disease. The purpose of this study was to determine if an educational intervention would increase knowledge and influence women to change their behaviors (i.e., exercise and dietary calcium intake) related to osteoporosis.

A random sample of 149 college female students participated in this study. Participants completed two questionnaires consisting of the Osteoporosis Knowledge Test and the Osteoporosis Self-Efficacy Scale. Participants were surveyed to determine their knowledge of osteoporosis and their intent to change their health behavior before and after an educational intervention.

Statistical analysis indicated that an educational intervention increased the subjects’ …

Assessment Of Practitioner Intervention In Physical Activity, Kristin Thea Schley

Master's Theses and Doctoral Dissertations

Lack of physical activity is a serious epidemic that affects one’s health. Primary care physicians can play a key role in influencing and changing people’s behaviors. The objective of this study was to assess primary care physicians’ role in physical activity counseling and what if any guidelines they use. One hundred and forty-seven primary care physicians completed and returned the 23-item Physical Activity Counseling Questionnaire. Most of the respondents were over the age of 50 (58.5%), group practitioners (60.5%), male (59.9%), and have been practicing more than 20 years (50.3%). The majority of physicians “almost always” (47.6%) counseled their patients …

The Meaning Of Natural Environment Occupations: Exploring The Experiences Of Sierra Club Members, Tulin Roselynn Ture

Master's Theses and Doctoral Dissertations

Poets and writers have long lauded the beauty and necessity of nature. More recent literature and research has provided support for the healthful benefits of the natural environment. This literature spans the breadth of many disciplines. Yet, very little occupational therapy literature focuses on the natural environment. This is somewhat surprising given occupational therapy’s focus on space and place.

This thesis explores the experience of participation in natural environment occupations by adult members of the Sierra Club. Five Sierra Club members were interviewed and two local Sierra Club outings were observed. Qualitative data analysis revealed two major themes: childhood beginnings …

Dysphagic Patient Compliance With Thickened Liquid Recommendations, Carrie Potts

Master's Theses and Doctoral Dissertations

In light of the growing prevalence of dysphagic patients on Speech-Language Pathologists’ caseloads and the frequent prescription of thickened liquids as a treatment strategy (Garcia, Chambers & Molander, 2005; Low, Wyles, Wilkinson & Sainsbury, 2001; Robbins, Nicosia, Hind, Gill, Blanco, & Logemann, 2002), our limited understanding of the factors that contribute to patient adherence presents a significant challenge to the management of dysphagia. The purpose of this qualitative study was to better understand the decisions patients make regarding dysphagia recommendations. Drawing upon adherence/compliance research from the field of behavioral medicine, the results of this study revealed a complex interplay of …

Cognitive And Emotional Barriers To Colorectal Cancer Surveillance: Increasing Screening Rates Within The Community, Cari N. Krzyzaniak

Master's Theses and Doctoral Dissertations

Background: The rate of colorectal cancer (CRC) screening in the United States continues to be low, allowing colorectal cancers to remain undiagnosed and mortality rates to remain high. Current literature points to lack of education, healthcare access, and physician counseling as key barriers to screening, in addition to cognitive-emotional apprehensions.

Objectives: This study examined whether cognitive-emotional apprehensions are barriers to screening despite physician recommendation. Moreover, it examined what particular cognitive-emotional barriers inhibit participation and how these barriers can potentially be alleviated.

Methods: A convenience sample of 40 faculty members at Eastern Michigan University were surveyed about attitudes toward screening.

Results: …

Prevalence, Risk Factors And Outcome Of Acute Kidney Injury At The Aga Khan University Hospital Nairobi, Peter W. Munyu

Master of Medicine in Internal Medicine

Introduction: Acute kidney failure (acute kidney injury, AKI) is a group of syndromes that result in a decline in the glomerular filtration rate. In 2002, the Acute Dialysis Quality Initiative (ADQI) group proposed the RIFLE criteria to standardize the definitions of AKI severity and outcome. This criterion has been validated in several studies. AKI is frequently encountered in hospitalized patients; it has a negative impact on mortality and morbidity. A lot of work has been done to describe the epidemiology of AKI in developed countries. The same does not apply for developing countries. This study was designed to evaluate AKI …

Comparison Of Doppler Studies In Obstetrics With Fetal Outcome, Sheila Waa

Master of Medicine in Imaging and Diagnostic Radiology

Purpose: to compare umbilical artery and middle cerebral Doppler ultrasound values in normal and high risk pregnancies with fetal outcome. Method: 121 consecutive pregnancies (at or over 28 weeks gestation), stratified into low and high risk pregnancies based on clinician information were prospectively examined with doppler ultrasound of UA and MCA. Results: outcome was available for 100 of the 121 patients. 26% of pregnancies had poor outcome. Of these 73% (19) and 27% (7) were classified as high risk and low risk respectively. UA alone or in combination with MCA was shown to have 100% specificity for predicting fetal outcome. …

The Influence Of Health Inquiries On Clinical Governance Systems: A Case Study Of The Douglas Inquiry, Heather Gluyas

Theses

Major failures in patient safety often lead to high profile inquiries set up to establish the facts, and to identify areas of improvement to prevent further failures. In order to learn from inquiries, we need to be able to identify if, and how, the inquiry process influences improvements. Using a case study strategy, this research study examined the perceptions of external stakeholders in regards to the impact or influence of the Douglas Inquiry on KEMH’s clinical governance systems. The research focused on two areas that were highlighted in the final Inquiry report as requiring reform. These systems deal with the …

Effects Of Centrifugation On Equine Spermatozoa Immediately And After Cooling For 24 Hours, Jose Augusto Len

LSU Master's Theses

Len, Jose Augusto, MVZ, Universidad de Guadalajara, 1994 Master of Science, Summer Commencement, 2008 Major: Veterinary Medical Sciences Effects of Centrifugation on Equine Spermatozoa Immediately and After Cooling for 24 Hours Thesis directed by Professor Bruce Eilts Pages in thesis, 60. Words in abstract, 245. ABSTRACT The objectives of this study were to determine the effects of centrifugation on equine sperm progressive motility, plasma membrane integrity (viability), and acrosome integrity. We hypothesized that high centrifugation forces would be detrimental to equine sperm, yet recovery rates would increase. Ejaculates from six stallions were collected, extended (INRA96) to a concentration of 25 …

Validation Of Two Qualitative Occupational Expose Assessment Models For Particulates And Vapors, Leshan J. Elliott

All ETDs from UAB

o ensure industrial workers are not overexposed to hazardous chemicals, it is necessary to evaluate the magnitude of occupational exposures. Small and medium sized companies usually do not employ industrial hygienists or other professionals trained in occupational exposure evaluations. Thus, traditional quantitative air sampling methods are usually not feasible due to resource and budgetary limitations. Qualitative exposure assessment models have gained in popularity because they are simple, inexpensive, and less time consuming than quantitative methods. Models are available which predict exposure concentrations or categorize exposures as acceptable or unacceptable. Unfortunately, most models have not been validated or previous studies have …

A Comparison Of Morphophonic Faces And The Picture Exchange Communication System On The Production Of Verbal Communication In Preschoolers With Autism, Ashley Nicole Bourque

LSU Master's Theses

Children with Autism Spectrum Disorder (ASD) exhibit difficulties with both verbal and nonverbal language with approximately 50% of children diagnosed with autism remaining functionally mute into adulthood (Charlop & Haymes, 1994; Charlop-Christy, Carpenter, Le, LeBlanc, & Kellet, 2002). This study explored intervention using the Picture Exchange Communication System (PECS) for two nonverbal preschoolers with ASD. The effects of PECS using two picture systems, Picture and Words (P&W) and MorphoPhonic (MPh) picture word, was assessed in the communicative outcomes after 6 weeks of intervention. This study asked if MPh picture words would elicit more picture-exchange communication acts in functional contexts than …

Phenotypic Characterization Of Canine Cranial Cruciate Ligament Associated Synoviocytes, Sunil C. Vasanjee

LSU Master's Theses

Identification of synoviocytes surrounding the canine cranial cruciate ligament (CrCL) has not been investigated. Objectives 1) Develop and validate a technique to identify and quantify normal canine CrCL associated synoviocytes. 2) Compare synoviocyte phenotype proportions surrounding normal and abnormal canine CrCLs Design In vitro experimental Animals Cranial cruciate ligaments from 4 intact female and 6 intact adult male mixed-breed dogs (objective 1) and from 8 adult female hound dogs (objective 2) Methods Objective 1) Normal CrCLs - CD18 and HSP25 epitopes were colocalized using immunohistochemistry. Sagittal sections were quantified in the proximal, middle, and distal aspects of each section. Western …

Molecular Determinants Of Kaposi's Sarcoma-Associated Herpesvirus Tumorigenicity, Haixia Kong

LSU Master's Theses

A conditional silencing system using anti-gB siRNAs was devised to investigate the structure and function of the KSHV gB. Transient co-transfection of plasmids constitutively expressing gB and anti-gB siRNAs in 293 cells substantially inhibited gB mRNA levels and protein production. Similarly, transient expression of siRNAs into the basal cavity-based lymphoma cells (BCBL-1) caused substantial reduction of gB transcription and protein synthesis. TaqMan real-time PCR and infectivity assays showed that gB was essential for virion egress and infectivity. Transfection of a codon-optimized gB not recognized by the anti-gB siRNAs, efficiently rescued virion egress and infectivity in BCBL-1 cells in the presence …

A Comparison Of Five Radiographic Systems To D-Speed Film In The Detection Of Artificial Bone Lesions, David Lloyd Hadley

Theses and Dissertations

The purpose of this study was to compare three direct digital sensors (Kodak 6100, Schick CDR, and Dexis PerfectSize), a phosphor plate system (OpTime), and F-speed film to standard D-speed film in the detection of artificial bone lesions prepared in mandible bone sections. Multiple artificial bone lesions were prepared at varying depths in the cortical bone. Specimens were imaged with six different radiographic systems. Radiographs were randomly presented to nine different observers. A logistic regression analysis indicated that the ability of the different radiographic systems to detect the bone lesions was significantly different at the mean percentage of cortical bone …

Orthodontic Bracket Bond Strength Using Self-Etching Primer With Or Without Pumice Or Acid Etch Pretreatment, Ana Paula Decastro

Theses and Dissertations

The purpose of this study was to compare the shear bond strength of orthodontic brackets to enamel in four bonding protocols: SEP without prior pumicing (None), Pre-etch and SEP without prior pumicing (Pre-etch), control: SEP with prior pumicing (Pumice), and Pre-etch and SEP with prior pumicing (Both). 80 extracted bovine incisors were randomly divided into 4 groups of 20, and brackets were bonded under the different experimental conditions. Debonding force was measured with an Instron universal testing machine. A two-way ANOVA comparing the four groups indicated that there was a significant difference in debonding force (P = 0.001). The SEP …

Assessment Of Seminary Education On End Of Life Issues, Stefan Hakon Pomrenke

Theses and Dissertations

Background: The US health care system faces increased costs from end of life (EOL) care. The intensive approach to EOL treatment with greater use of procedures in ICUs has led to decedent spending six times greater than that of survivors in the hospital. Experts in ICU and Palliative care fields have called for greater utilization of end of life planning and education. To date, EOL education has been dominated by the technologically driven medical field and the church has been under-utilized. The US population relies on clergy support for many mental health and EOL issues. Clergy report feeling uncomfortable in …

Esthetic Posterior Stainless Steel Crowns And Their Relative Shear Strengths, Lonny Dale Carmichael

Theses and Dissertations

Purpose: The purpose of this study was to evaluate esthetic posterior stainless steel crowns (EP-SSC) and compare their relative shear strengths.Methods: Sixty EP-SSC were compared. 15 crowns from NuSmile® Primary Crowns, Kinder Krowns, and Dental Innovators 1UP and EC Crowns were studied. The crowns were cemented to a typodont tooth then thermally cycled in water baths to simulate oral conditions. Shear strengths were evaluated by subjecting these crowns to simulated forces of occlusion.Results: The force required to cause shearing of the esthetic facings was statistically significant. With the 1UP crown being significantly weaker than the other crowns tested. Conclusion: The …

How Well Does Spirituality Predict Health Status In People Living With Hiv-Disease?, Rachel Kidd Cobb

Theses and Dissertations

Problem: The United States of America has one of the highest number of HIV infections in the world; approximately 1.3 million people in North America were living with HIV in 2007. Factors influencing HIV survival are essential to disease management and care. Research findings suggest religion and spirituality may be essential components to health and well-being in individuals with HIV-Disease. Purpose: This study was designed to determine how well spirituality predicted health status in a convenience sample of 39 adults diagnosed with HIV-Disease. Procedure: A model building approach was used to explore relationships among the five variables of the Neuman …

The Relationship Between Nicotine Dependence And Symptoms Of Anxiety, Depression And Stress In A Therapeutic Community For Alcohol And Other Drug Rehabilitation, Thomas Hopkins

Theses : Honours

Smoking tobacco is the largest single risk factor for premature death in developed countries. It is also associated with the greatest economic cost of all drugs in Australian society. In addition to the health and economic consequences associated with smoking, it has also been associated with mental health problems. Smoking has been associated with anxiety, depression and stress, as well as more pervasive disorders such as panic disorder and agoraphobia. It is not clear whether smoking contributes to mental health problems or individuals with mental health problems smoke to alleviate symptoms. It may be there are genetic factors that contribute …

Randomized Controlled Trial Evaluating Adeno-Momp And Momp Dna Vaccines Against Chlamydophila Psittaci Challenge In Cockatiels (Nymphicus Hollandicus), David Sanchez-Migallon Guzman

LSU Master's Theses

Chlamydophila psittaci causes severe disease in birds and humans, and important economical losses in the avian companion and poultry industry. Vaccines are the most cost-effective measure to control and help prevent infectious diseases, but to date there is no commercial vaccine available. A randomized clinical trial was conducted to assess the efficacy of two recombinant DNA vaccines against C. psittaci in Cockatiels (Nymphicus hollandicus). The first recombinant DNA vaccine has a gene encoding MOMP and the immunostimulant chitosan (MOMP DNA vaccine). The second recombinant DNA vaccine, contained the gene encoding MOMP that was vectored by a replication defective human adenovirus …

A Guide To Training Therapists In Dealing With Difficult Patient Care Situations, Tegan Aymond, Andrea Kuhn

Occupational Therapy Capstones

A literature review was conducted on the difficult issues faced in occupational therapy to gain general information on how these issues and situations were being addressed. After reviewing the literature, it was noted that there is a high rate of over-involvement when working in occupational therapy that can lead to stress and burnout. It was found that defining the role of occupational therapy is difficult and trying to establish boundaries within that role is a constant challenge. The lack of knowledge on issues such as ethics, therapeutic relationship, and core values can be difficult when establishing a personal and professional …

Cardiac Rehabilitation: A Course For Occupational Therapy Students, Alison Cherney, Shauna Gregoire-Norrie

Occupational Therapy Capstones

There is limited information regarding the occupational therapists role in the cardiac rehabilitation setting. This lack of information may contribute to a limited amount of therapists working in this setting. Through the identification of this problem, the need for a course on cardiac rehabilitation for occupational therapy students was identified. The course was intended to expand the students’ knowledge of cardiac rehabilitation and the position of an occupational therapist within this setting.

A literature review was conducted utilizing several research databases which include PubMed, ERIC, and SCOPUS in order to determine the depth of information available regarding educational theories, educational …

An Occupational Therapy Guide For Entry-Level Therapists Not Specializing In The Treatment Of Upper Extremity Dysfunction: Three Common Cumulative Trauma Injuries, Ryan Edwards

Occupational Therapy Capstones

According to Kasch, Greenberg, and Muenzen (2003), occupational therapists (OTs) who are initiating entry into upper extremity orthopaedic therapy specialization do not have the knowledge and skills of experienced therapists; a concerning viewpoint considering the fairly high rate of cumulative trauma injuries each year in the United States. Carpal metacarpal osteoarthritis occurs in “approximately 8% of all adults” (Hunter, Schneider, Mackin & Callahan, 1990, p. 886), whereas ulnar neuropathy at the elbow occurs in “10 to 15 percent of adults” (Trumble, 2000, p. 327). “Tennis elbow occurs in approximately one third of the tennis population because of the requirements of …

Educational Class For Parents Of A Child Recently Diagnosed With Autism, Sarah Haugen, Marcie Sandeen

Occupational Therapy Capstones

The purpose of this scholarly project was to develop an education class for parents of children with autism. When discussing the term autism with parents it can lead to confusion, the term autism has changed greatly in the past few decades and today agreement on what the term means is still lacking. With a diagnosis of autism the parents are also going to face many challenges and added stress throughout their daily lives. These known problems helped to determine the need to create the product of this scholarly project. A review of literature and research was conducted to collect accurate …

The Impact Of Domestic Violence On Children: Implications For Professionals, Kelly Hughes, Brooke Kohler

Occupational Therapy Capstones

There are 3 million child abuse and neglect accounts reported to child welfare agencies across the United States every year, but researchers predict as many as 10 million children are exposed to domestic violence in the home (Christian, 2002). Children do not always show the physical signs of living in homes with domestic violence. Frequently the most prevalent impact can lie within the child’s mind, resulting in possible cognitive, emotional, and behavioral effects (Tri-State Rural Collaboration Project, n.d.). In order to provide the best possible care, it is imperative for professionals to understand the effects that domestic violence has on …

Home Modifications For The Elderly, Jennifer Samuelson, Kristyn Kurpius

Occupational Therapy Capstones

Purpose: The purpose of this project was to identify and present methods to increase a person’s ability to participate in occupations within their home. “Almost 50 million Americans - about one in five - live with a mental or physical disability, many of their homes are inconvenient, restrictive, or dangerous for them,” (McCullagh, 2006, p.54). As a result they are unable to participate in safe and functional occupations.

Methods: A literature review was conducted with the use of Pub Med, AJOT, textbooks, home modification handbooks, and the internet. The literature review determined the need for home modifications with the elderly …