Medicine and Health Sciences Commons^™

A Manual For Ot Educators And Ot Students In A Level Ii Fieldwork Experience In Hand Therapy, Adam J. Dewenter, Erik G. Peterson

Occupational Therapy Capstones

According to Leatherwood (1997), approximately 30% of all emergency room injuries are injuries of the upper extremity, amounting to 16 million hand injuries per year seen in the United States. According to the Arthritis Foundation (2008), an estimated 46 million adults in the United States (21 %) report having doctor diagnosed arthritis. Traumatic injuries and cumulative trauma such as arthritis are two of the diagnostic categories most commonly treated by hand therapists in the United States and Canada (Muenzen et aI., 2002). Often, occupational therapists who specialize in the treatment of clients with upper extremity disorders are responsible for treating …

Infant Positioning And Its Effect On Development And Head Symmetry, Marjorie Dvorak

Occupational Therapy Capstones

Parents that do not provide their babies with a variety of proper body positions throughout everyday activities may increase their infant's risk for motor development problems and abnormal head shaping. The purpose of this scholarly project was to create parental educational materials in order to increase parent awareness and prevention of common problems due to lack of proper infant positioning in everyday activities.

The methodology used was an extensive research literature review, review of current professional resources on this topic, and this therapist's clinical expertise. The clinical products developed from this evidence included: A parental Developmental Care Guide which is …

Proposed Process: Practice Analysis, Design & Implementation Of Occupational Therapy In Community Behavioral Health Hospitals (Cbhh), Jill Gill

Occupational Therapy Capstones

The Minnesota Department of Human Services has adopted the Illness Management and Recovery (IMR) Program, developed by the Substance Abuse and Mental Health Services Administration. The IMR Program is an evidence-based and recovery focused model of intervention. The primary aim of the IMR Program is to empower consumers with severe mental illness (SMI) to manage their illness, find their own goals for recovery, and make informed decisions about their treatment by teaching them the necessary knowledge and skills to do so. The first Community Behavioral Health Hospital (CBHH), operated by the Minnesota Department of Human Services, was opened in 2006. …

The Use Of Aquatic Therapy For Children With Neuromuscular Disorders, Chris Hydukovich, Troy Schmitz

Occupational Therapy Capstones

Purpose: The purpose of this literature was to determine the effects aquatic intervention has on children suffering from neuromuscular disorders compared to that of traditional land-based physical and occupational therapy services.

Method: A literature search was conducted using PubMed, OT search, AJOT online, CINAHL, the Mayo Clinic Triage, and various occupational therapy textbooks regarding the use of aquatic therapy in a neuromuscular population. Information was extracted from this literature to generate educational material for parents of child receiving aquatic occupational therapy.

Results: A review of literature presented cerebral palsy as the main neuromuscular disorder of study associated with aquatic therapy. …

Treating The Whole Child: Recognizing And Addressing Depression In Children With Physical Disabilities, Kathleen A. Koehn

Occupational Therapy Capstones

The purpose of this scholarly project was to develop a tool that would assist occupational therapy practitioners working with children with physical disabilities in recognizing and addressing symptoms of depression in that population. Ailey (2003) reported that symptoms of depression in children with developmental disabilities are frequently attributed incorrectly to a child's primary diagnosis, rather than depression. Because occupational therapists typically see these children more frequently than primary care physicians, they are in a prime position to assist in the screening and referral processes related to depression.

This project involved a comprehensive review of the literature, including data on the …

Managing Post-Stroke Fatigue: A Guide For Daily Living For Clients And Caregivers, Carolyn Krum, Heather Satrom

Occupational Therapy Capstones

Several research studies have determined that fatigue is a common symptom, that should be viewed as an independent consequence following a stroke: it interferes with an individual's engagement in activities of daily living. Fatigue can be misinterpreted as depression, therefore, may be treated inappropriately or remain untreated. Fatigue is not often addressed by health care professionals, therefore, clients and their families are not receiving the proper education and resources to manage fatigue challenges (Glader, Stegmayr, & Aspuland, 2002; Schepers, Visser-Meily, Ketelaar, & Lindeman, 2006). The purpose of this project was to develop a guide for daily living for clients and …

An Occupational Therapy Guide For Improving Social Performance In Adolescents Within The Juvenile Justice System, Missy Law, Ashle Hicks

Occupational Therapy Capstones

Occupational therapists believe social participation is an important aspect of adolescent development. Social participation problems can be linked to mental health diagnoses and delinquency. Adolescents who are court ordered into the juvenile justice system often do not receive the necessary treatment due to lack of resources within the community.

A comprehensive literature review was conducted to gather information regarding social participation aspects in relation to adolescent delinquency and placement within the juvenile justice system. The findings suggest there is more emphasis placed on punishment for adolescents rather than rehabilitation. Interventions used to support rehabilitation are primarily limited to counseling. A …

Constraint Induced Movement Therapy: An Educational Module For Occupational Therapy Students, Tamira Ott, Grant Basko

Occupational Therapy Capstones

The literature indicates that approximately 730,000 Americans experience a new or recurrent stroke each year. There are approximately 4 million Americans living with some type of disability as a result of having suffered a stroke. Due to the high incidence of stroke related disability and associated economic costs; stroke rehabilitation is a health care priority. Even with early intervention only 10% of stroke survivors will recover completely, 25% recover with minor impairments, 40% experience moderate to severe impairments, 10% require care in a nursing home, and 15% die shortly after the stroke. Since the highest categories range from minimal to …

Beyond Patient Satisfaction: Physician Ambivalence, Authenticity, And The Challenges To Patient-Centered Medicine, Kiera S. Levine

Yale Medicine Thesis Digital Library

Despite tremendous and increasing clinical opportunities for cure and comfort, patients often still feel dissatisfied in their relationship with their doctor. That patient dissatisfaction has endured, even in the face of increasing medical knowledge and capacity, suggests a failing not in the quality of medical treatment but in the way it is administered. Increasingly, the modern medical movement toward patient-centered medical care (and away from doctor-centered care) has attempted to address this failing, looking to patient-satisfaction as one of its primary measures of success in these efforts. However, its willingness to overlook the importance of the basis of reported satisfaction, …

Evaluation Of Suspected Renal Colic Patients With Unenhanced Low-Dose Multidetector Computed Tomography (Mdct), Nebayosi Twahirwa

Master of Medicine in Imaging and Diagnostic Radiology

Acute renal colic is probably one of the most excruciatingly painful event a person can endure. [1]. Though this is typical of urinary tract calculi, it’s important to note that non-calculus and non-genitourinary conditions can present in a similar manner. Unenhanced helical CT (CT KUB), originally described by Smith et al [2] in 1995, is one single radiological test that has proven successful in the valuation of patients presenting with renal colic. This technique has been shown to be more accurate compared to abdominal radiography [3,4], ultrasound and has replaced excretory urography in the detection of urinary tract calculi in …

A Manual Of Expected Milestones In Childhood And Occupation-Based Interventions, Laura J. Rabenberg, Chere L. Vosberg

Occupational Therapy Capstones

The purpose of this scholarly project was to develop a manual for parents of children ages birth to five years. The manual includes significant milestones and provides age-appropriate activities which can be used to facilitate development.

A literature review was conducted to identify how play is used to achieve developmental milestones. Resources included journal articles and textbooks from the disciplines of occupational therapy, psychology, education, and medicine.

A manual for parents was created and consists of a discussion on the importance of play in development, expected milestones, occupation-based interventions, and resources regarding child development. This manual is intended for distribution …

The Effectiveness Of Contextualization On Second Language Acquisition Using The Situational Discourse Semantic Model, Alice Marie Johnson

LSU Master's Theses

In traditional classrooms a second language is taught via thematic word sets, grammatical explanations, and patterned syntactic practice. This study compared the traditional teaching approach to a scaffolded teaching approach, consisting of words taught within a narrative context. Five fifth-grade students were taught Spanish as a second language during a ten-week intervention. Vocabulary learning and sentence generation were measured following each session, as well as a pre-posttest measure. Results showed that print was an important support used by participants in the traditional condition. However across time, vocabulary learning and sentence length increased significantly more in the scaffolded condition.

Baby Signs: Caregiver Perceptions Of Their Use And Benefit To Children, Leah Catherine Legere

LSU Master's Theses

Gesture use is a precursor to spoken language, and children who exhibit frequent use of gesture have higher rates of speech comprehension and production when tested between 13 and 15 months of age (Bates et al, 1989). The purpose of this study was to learn more about caregivers’ perceptions of the use and benefits of sign to their children. Fifty-three caregivers were recruited for the study, and 33 (62%) of these caregivers reported that they had used or were currently using baby signs with one of their children. Six (18%) of these caregivers also reported that their children presented developmental …

Comparative Roles Of Herpes Simplex Virus Type 1 (Hsv-1) Glycoproteins In Cytoplasmic Virion Egress, Hyuncheol Lee

LSU Master's Theses

HSV-1 acquires its final envelope by budding into cytoplasmic vesicles thought to be derived from Trans-Golgi Network (TGN) membranes. This process is facilitated by interactions among the carboxyl termini of viral glycoproteins and tegument proteins. To investigate the relative importance of different viral glycoproteins in cytoplasmic virion morphogenesis, a set of recombinant viruses were constructed silencing expression of the glycoprotein E (ΔgE), the carboxyl terminus of glycoprotein D (gDΔcp), and the membrane protein UL20 (ΔUL20). In addition, recombinant viruses were constructed having the ΔgE+gDΔcp, and the ΔgE+ΔgM (glycoprotein M) deletions. These recombinant viruses were constructed using the double-red, site-directed mutagenesis …

Examining The Effects Of Non-Intensive Therapy On Word Retrieval, Apraxic Errors And Quality Of Life Following Intensive Therapy, Erin Lofton Cain

LSU Master's Theses

The purpose of this study was to determine if given a period of intensive aphasia therapy a patient diagnosed with aphasia and an accompanying apraxia would maintain, gain, or lose skills during non-intensive therapy. A literature review revealed that intensive therapy has been shown to increase a patient's skill level in various areas. However, very little research was found that focused on how these patients' perform when reintroduced to typical aphasia therapy. This study proposed three specific questions: if the participant would retain her current level of word retrieval functioning evident after intensive therapy, if the participant would retain her …

Vocal Fold Vibratory Characteristics Pre And Post Phonosurgery Investigated By Stroboscopy, Brittany Anne Durand

LSU Master's Theses

The purpose of this study was to investigate voice audio perceptual outcomes and true vocal fold vibratory characteristics following surgery for removal of vocal fold polyp. The specific aims of this study were 1) to determine vocal fold vibratory changes following surgery and 2) to compare these changes to audio perceptual ratings and Voice Handicap Index (VHI) scores. It was hypothesized that significant vibratory changes would occur following surgery and that Voice Handicap Index scores and audio perception ratings would correlate 1 week before surgery, 1 week following surgery, and 1 month following surgery. The most improved structural, functional, and …

Exploring The Pap Smear Experiences Of Women Aged 18 To 25 : Moving From Intention To Action, Gemma Malatesta

Theses : Honours

The aim of this research was to explore the Pap smear experiences of young women aged 18 to 25. The effectiveness of Pap smear screening and the barriers to obtaining one have been well researched. However, there is limited information in the literature on young women's experiences of Pap smear screening and the context in which they move from intending to be screened to actually undertaking the screening. This qualitative study, underpinned by a constructivist paradigm informed by a feminist epistemology, consisted of eight semi structured interviews with young women who had participated in Pap smear screening. Data analysis using …

The Leadership Characteristics Registered Nurses Perceive As Important In Their Clinical Nurses, Linda May Aitken

Theses : Honours

Limited research exists about the leadership attributes registered nurses (RNs) want from their clinical nurses (CNs). This study explored the leadership attributes Western Australian RNs considered important in CNs and determine if there were differences in the choice of preferred CN attributes according to RNs years of experience; types of nursing education; level of seniority and nursing specialty. A modified version of the Emerging Workforce's Preference Survey was distributed to 403 RNs with a 30% response rate. The respondents ranked their top three preferences from 4 clusters of traits. S.P.S.S. 15.0 was used to summarise demographic data and then analyse …

Understanding The Relationship Between The Diligence Inventory-Higher Education Edition And The Myers-Briggs Type Indicator In The Admission Of College Students To An Orthopaedics-Based Honors Program, Michael A. Harstine

Dissertations

Problem. The Orthopaedic Scholar Institute (OSI) Team realized its need for a more objective selection and admission process that, as much as possible, quantified the characteristics desired in OSI students rather than relying solely on referral perception, intuition, and an interview, but it did not have a clear method or approach to do so. Administering standardized inventories that highlighted these desired characteristics and aided in the selection and admission process seemed to be an objective approach to obtain more quantifiable data. The problem for my study was, therefore, whether the Myers- Briggs Type Inventory (MBTI) alone could measure a student’s …

An Investigation Into The I-Stat Chem8+ System For The Measurement Of Sodium, Potassium, Urea & Creatinine., Gene Ferris

Theses

In the hospital environment Point of Care Testing (POCT) can be an invaluable tool in Emergency departments, Theatres, Intensive Care Units and Paediatric wards by providing rapid test results without the need for transport and laboratory processing. The study design included the collection and duplicate analysis of patient samples firstly using the i-STAT and then on the Architect c8000, a routine laboratory analyser. Statistical analysis was performed in order to determine if there is a statistically significant difference in results between the i-STAT POCT system and current laboratory instrumentation. The parameters analysed were the vital biochemical parameters Sodium (Na), Potassium …

Detection And Molecular Epidemiological Analysis Of Acute Gastroenteritis Viruses In The South Of Ireland, Grainne Lennon

Theses

Rotavirus infections are considered to be the most common cause of severe gastroenteritis in children under the age of 5 years, and are responsible for up to 611,000 deaths annually, mainly in developing countries. From 1997 to 1999, 16 hospital laboratories in the Republic of Ireland reported to detection of 4,643 cases of rotaviral disease, while in 2004 and 2005 and increase of 1,600 and 2,251 rotavirus cases were reported. These rotavirus cases have a significant impact on the healthcare system with the minimum cost per case being €728.40. A large percentage of the infections were reported in neonates, suggesting …

Gender Bias Of Cardiovascular Risk In Caucasian Type Ii Diabetics: A Haemostatic Explanation?, William Quirke

Theses

People with type II diabetes are disproportionately affected by cardiovascular disease compared to those without diabetes. The relative risk of cardiovascular disease caused by type II diabetes is higher in females than in males. This risk has not been fully explained by traditional risk factors and attention has turned to the possible role of haemostatic abnormalities in explaining the excess cardiovascular morbidity and mortality among diabetic females. We examined specific parameters of the coagulation (factor VII, factor VIII, von Willebrand factor, fibrinogen) and fibrinolytic (plasminogen activator inhibitor- 1, thrombin-activatable fibrinolysis inhibitor) system in 113 Irish Caucasian type II diabetics to …

Community Based Epidemiological Study Of Chagas Disease In Rural Peru, Paul Walker

Yale Medicine Thesis Digital Library

The purpose of this study was to evaluate the epidemiology of Trypanosoma cruzi infection, to valuate the TESA blot, and to characterize cardiac findings of patients with Chagas disease in a rural setting near Arequipa, Peru. The study site was the town of Quequeña, Peru with a population of 774 with 236 inhabitants under the age of 18 according to the 2005 census conducted by Peru. A fumigation/insect collection campaign was done in December of 2006 to quantify household infestation levels, document housing characteristics, and GPS household locations. Of the 602 people surveyed to be living in Quequeña, blood samples …

The Foundation, Education, And Practice Of Osteopathic Medicine, Anthony P. Salvador

Honors Theses

Osteopathic medicine has quickly grown into a successful and respectable branch of medical practice. It was created out of a necessity for change in the late 1800s, and continues to be a credible form of alternative medicine. After reviewing literary material, journal articles, and numerous osteopathic college sources it was seen that osteopathic medicine can be practiced in numerous settings and will become integral in the near future due to the shortage of physicians in the United States. Today, osteopaths work closely with all types of medical personal including medical doctors.

A Descriptive Study Of Parenting Styles, Parental Feeding Behaviors And Bmi Percentiles In School-Age Children And Adolescents, Stephanie Jane Smith

Browse all Theses and Dissertations

The rising rate of obesity in the pediatric population has demanded further investigation from members of the health care community. Numerous exercise and nutrition programs have been developed to help combat the growing rate of obesity within the pediatric population but many lack the family-centered approach needed to achieve increased compliance with the prescribed plan of care. Both parenting styles and parental feeding behaviors have been shown to play a contributing role in the weight of children. According to previous research, the authoritarian parenting style often leads to an increased BMI in children. Research examining parental feeding behaviors indicates that …

Effects Of Sepsis On Nerve Evoked Responses, Kevin Richard Novak

Browse all Theses and Dissertations

Sepsis and SIRS (systemic inflammatory response syndrome) have become two expensive and complicated problems seen in the intensive care unit (ICU). These two illnesses have been known to cause dysfunction with excitable tissues in the body. Encephalopathy, neuropathy, and myopathy are the three biggest. In this paper we discuss the development of an animal model of sepsis and the neurological complications sepsis brought about. Nerve conduction studies showed increased durations on compound muscle action potential, and decreased amplitude as well as increased duration and latency on sensory nerve action potentials. These results were not consistent with the two most common …

Oxidative Stress And Cell Death In Osmotically Swollen Glial Cells, Crystal Elaine Stuckey

Browse all Theses and Dissertations

Regulation of normal volume is an important aspect of cell homeostasis. Possible mechanisms which signal volume regulation are increasing the rate of reactive oxygen species (ROS) production and release of ATP for interaction with purinergic receptors. We examined whether an increase in ROS production during cell swelling also led to cell injury of C6 glioma cells. Cells were loaded with 5,6-carboxy-2,7-dihydrofluorscein diacetate (DCFDA) to fluoroscopically measure the rate of cellular ROS production and were perfused with phosphate-buffered saline solutions (PBS) containing 100 μM carbenoxolone to inhibit dye efflux. Cell death was determined cytometrically and by measuring the release of lactate …

Effects Of Subcutaneous Postnatal Choline Supplementation On Hippocampus-Mediated Learning And Memory In Rat Pups, Jeremy Alan Moore

Browse all Theses and Dissertations

The effects of postnatal injections of choline on the acquisition of two variants of eyeblink conditioning were examined in developing Long-Evans rat pups. Choline administration on postnatal days (PND) 15-27 was followed by evaluation of trace eyeblink conditioning (Experiment 1) and delay eyeblink conditioning (Experiment 2) on PND 28-29. The results of these experiments show that choline produced greater improvements in learning and memory during the trace condition than in the delay condition, presumably due to its effect on the hippocampus. Trace eyeblink conditioning relies heavily on an intact hippocampus but delay eyeblink conditioning does not, and it is understood …

Stress Reducing Effects Of Oxytocin In A Maternal Separation Paradigm, Keely Jane O'Connell

Browse all Theses and Dissertations

This study compared the effects of centrally and peripherally administered oxytocin (OT) on HPA axis activity and the presence of both stress-induced active and passive behaviors in female guinea pig pups (Cavia porcellus) after 180-min of isolation . In Experiment 1, one dose of oxytocin (10μg/.2ml) was injected subcutaneously into the periphery. Plasma cortisol levels were reduced after 180-min of isolation and two passive behaviors, eye-closure and crouch, were reduced as well with the administration of oxytocin. In Experiment 2, two different doses (10μg/.2ml and 20μg/.2ml) were injected into the periphery with no significant results. In Experiment 3 one dose …

Registered Nurse Leadership Style, Confidence Level, And Delegation Practices To Unlicensed Assistive Personnel: An Exploration Of Confidence, Scott J. Saccomano

Seton Hall University Dissertations and Theses (ETDs)

.