Medicine and Health Sciences Commons^™

Student Nurse Perceptions On Commuting Related To Ontime Arrival At Clinical Experiences, Paula Spencer

Theses Digitization Project

As a descriptive, pilot study utilizing an online survey, this study explores the perceptions of CSUSB student nurses related to their commute and ontime arrival at clinical sites, typically in the San Bernardino and Riverside Counties, and whether or not the commute is perceived as being stressful.

Chart Review: Identification Of Torticollis And Plagiocephaly In An Infant Toddler Screening Program, Kari Ell, Cara Mobley

Physical Therapy Scholarly Projects

As the incidence of torticollis and plagiocephaly have increased since the initiation of the Back to Sleep campaign in 1992, greater awareness of diagnosis and prevention for these conditions is imperative. The purpose of this study was to complete a chart review which identified the bIrth history risk factors and diagnostic indicators for torticollis and plagiocephaly that were documented, the variations in identification and referrals by discipline of screener, and the incidence of torticollis and plagiocephaly in infants and toddlers receiving services through a rural screening program of a midwestern state. A retrospective chart review of 125 children (birth to …

Uncovering The Methadone Counseling Process Among Recovering And Non Recovering Chemical Dependency Counselors, Sara-Amanda Mccarthy, Jennifer Ann Palmersheim

Theses Digitization Project

The purpose of this study was to uncover the methadone counseling process among recovering and non-recovering chemical dependency counselors by examining the concepts and techniques utilized throughout the counseling process. This study examined whether the recovery status of a counselor affected the counselor's theoretical addiction model and the concepts and techniques that were utilized throughout the counseling process.

A Feasibility Study For Establishing A Dedicated Breast Magnetic Resonance Imaging Center In The City Of Redlands, Hans Philip Saaty

Theses Digitization Project

This study is intended to determine the feasiblity of establishing a high-quality, free-standing MR imaging center dedicated to the breast in or about the City of Redlands.

Social Workers' Knowledge Of Substance Abuse, Mirta Escobedo Johnson

Theses Digitization Project

This study was designed to determine how knowledgeable child welfare social workers are of substance abuse when working with substance abusing clients. The results indicated that social workers within San Bernardino County have competent levels of knowledge in substance abuse which allow them to provide appropriate services to the community members they serve.

Using Therapy Dogs With Troubled Middle School Children To Improve Social Skills And Teach Environmental Sensitivity, Linda Sue Flanagan

Theses Digitization Project

The objective of this project is to impove the social skills of troubled middle school children by teaching them humane dog care as well as the handling and training skills of dogs. The hope is to use therapy dogs as a link to the local environment and the development of environmental sensitivity; and to improve the academic status and decrease any negative behaviors displayed by these children. Includes lesson plans.

Effects Of Retinoic Acid On Beta-Catenin Transcriptional Activity In Melanoma Cells, Fung Chan

Theses, Dissertations and Capstones

Melanoma is the most dangerous form of skin cancer and its incidence has been increasing in the United States. Most melanomas are resistant to current chemotherapies; therefore, understanding the mechanism of melanomagenesis is beneficial to treatment of the diseases. Accumulation of β-catenin has been shown in colon and other cancers, including melanomas, but the transcriptional role of β-catenin in melanomas is still unclear. All-trans retinoic acid (ATRA) is an anti-tumor agent that has an inhibitory effect on β-catenin, but this effect has not been studied in melanomas. It has been shown that Microphthalmia-associated transcription factor (MITF), a melanocyte specific protein, …

Addressing The Iadl Of Driving, R Brandon. Yancey

Occupational Therapy Capstones

Driving is an integral part of daily life. Discontinuing driving due to decreasing function can have serious effects on a person's life. Occupational therapists work to enhance or maintain a persons independence when they are faced with illness, disease or natural declines associated with aging. Driving is listed as an Instrumental Activity of Daily Living (IADL) by the American Occupational Therapy Association (2002). Occupational therapists have special training and skills which assist them to understand the person from a holistic perspective. The decision to discontinue driving should be made after careful consideration of the many aspects of cognitive, visual-perceptual, and …

Comparison Of Pilates And Hydraulic Circuit Training In Women, Shauna Differding, Sandra Hoff, Sara Murray

Physical Therapy Scholarly Projects

Introduction: Obesity continues to be a rising problem in the United States. Women typically are the majority of consumers in weight treatment programs. Due to conflicts with time and social roles, they struggle to remain committed to an exercise program. Most women enter into weight treatment programs not for health, but rather for appearance.

Purpose: The purpose of this study is to evaluate the effects of cardiovascular function, flexibility, strength and circumferential measurements between mat Pilates and hydraulic circuit training over a six-week period. The benefits of these comparisons will help women find an effective and efficient fitness program. As …

Electromyographic Analysis Of Abdominal And Low Back Musculature During Use Of An Experimental Stationary Bicycle, Bryce A. Kelly, Christopher L. Podoll, Kirk R. Van Slyke

Physical Therapy Scholarly Projects

Background and Purpose. Currently, stationary bicycles do not incorporate exercise for the abdominal and low back musculature. An experimental stationary bicycle, the Magnus Cycle, has been developed to increase trunk muscle activation and, at the same time, provide aerobic conditioning. The purpose of this study is to assess the activity of the rectus abdominus, external oblique, erector spinae, rectus femoris and biceps femoris muscles during a stationary cycling setting and during a tilt-in-space setting of the Magnus Cycle.

Subjects. Sixteen subjects, both men and women, between the ages of 18 and 30 participated in this study.

Methods. Surface electromyography (EMG) …

The Effects Of Lumbar Stabilization Exercises On Low Back Pain, Susie Mcgarry

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this article is to describe the six-week outpatient physical therapy treatment of a patient with acute low back pain due to a motor vehicle accident.

Case Description: The patient was a 34-year-old female who presented with decreased lumbar range of motion, pain, decreased abdominal strength, and muscle spasms. The treatment for this patient included lumbar stabilization exercises, stretching, manual therapy, and soft tissue mobilizations.

Outcomes: Following the physical therapy intervention, the patient exhibited full range of motion, decreased pain, and the ability to maintain a neutral pelvis without verbal or manual cues. The patient …

Manual Therapy Technique For Treating An Acute Lateral Ankle Sprain In A Female Athlete, Steven Wynia

Physical Therapy Scholarly Projects

Background and Purpose: Lateral ankle sprains are a very prevalent sports injury resulting in missed practice and competition. Several studies have shown manual therapy techniques to be effective in restoring normal active range of motion (AROM) and expediting return to activity compared to more traditional treatment approaches such as protection, rest, ice, compression, and elevation (PRICE). This article describes a unique manual therapy approach to treating an acute ankle sprain in an athlete.

Case Description: The patient is a 16 year-old female with an acute lateral ankle sprain. This article describes a physical therapy episode of care involving an aggressive …

An Investigation Of The Cognitive Processes That Contribute To Faculty Development Among Selected Nursing Educators In Michigan, Kate Walters

Master's Theses and Doctoral Dissertations

The purpose of this study was to provide insight into the issue of faculty development in nursing education. A qualitative, case-study research method was used to explore cognitive processes nursing faculty engage in for developing their student teaching/learning skills. Groups as well as individuals participated in this study, and data collection involved multiple methods, including group discussions, review of faculty education records at nursing schools, interviews with directors of nursing programs, multiple individual interviews with selected participants over a period of several months, focused journal writing, and electronic discussions.

Study participants consisted of 24 faculty and six administrators from six …

Association Of Smooth Muscle Myosin And Its Carboxyl Isoforms With Actin Isoforms In Aorta Smooth Muscle, Jason Edward Black

Theses, Dissertations and Capstones

The contraction mechanism of smooth muscle is not fully understood. The primary interaction that leads to the formation of tension, the myosin-actin crossbridge, has been studied extensively. However, even this aspect of the contraction has proven not to be as simple as it might seem. There are several isoforms of smooth muscle myosin and actin, and the differences in the activities of these isoforms and their interactions during the contractile process are largely unknown. The studies to be discussed are directed at the determination of the interaction of these isoforms during the contraction of rat aortic smooth muscle. Chapter II …

Physical Therapy Management For Chronic Neck And Intrascapular Pain With Upper Extremity Tingling And Headaches: A Case Report, Tonya Kunze

Physical Therapy Scholarly Projects

In the US, it is estimated that there are 1 million new cases of whiplash type injuries annually. There is plenty of discussion regarding the treatment for these injuries but there is limited research using Med-X spinal strengthening machines to treat this type of chronic spinal pain associated with these whiplash type injuries. The patient chosen for this study sustained these type of chronic symptoms due to a motor vehicle accident 13 years prior and had struggled with these symptoms on and off since the accident. The purpose of this study was to determine whether a 56 y/o female that …

Out-Patient Physical Therapy Rehabilitation Management Of A Patient With A Degenerated Knee Resulting In Total Joint Arthroplasty, Charles A. Long

Physical Therapy Scholarly Projects

Total knee arthroplasty (TKA) surgery is a common procedure performed for those patients seeking a return of knee function after substantial degeneration of the tibiofemoral joint. The TKA procedure is becoming increasingly popular as degenerative changes to the knee joints occurs at a younger age. The United States is facing an increasingly aging workforce. It is anticipated that there will be increasingly more members of the workforce seeking rehabilitation following TKA with goals of returning to work. The purpose of this article is to describe implementation of physical therapy in the recovery of a patient with degenerative joint disease of …

The Importance Of Range Of Motion, Strengthening, And Positioning Interventions In Infants With Congenital Muscular Torticollis, Theresa Wiederoder

Physical Therapy Scholarly Projects

Background and Purpose: Treatment of an infant with torticollis is most effective when the parents/guardians of the infant are instructed in stretching protocols as well as proper positioning of the infant in many positions This case report describes course of treatment of an infant with congenital muscular torticollis.

Case Description: The child was born with a right sided sternocleidomastoid tumor and associated limitations in cervical left lateral flexion and right rotation. His parents received written stretching instructions from the pediatric surgeon's office but were uncomfortable with stretching their child's neck required more one-on-one instruction. Intervention included cervical and scapular passive …

Effects Of The New Histone Deacetylase Inhibitor Pxd101 In Bladder Cancer, Hristos Zacharias Kaimakliotis

Yale Medicine Thesis Digital Library

Histone deacetylase inhibitors (HDACIs) mediate gene expression and chromatin assembly, and induce growth arrest and apoptosis of tumor cells, thus representing a new strategy for human cancer therapy. Changes in apoptosis signaling pathways and the effect on cell growth and cell-cycle arrest of a new HDACI, PXD101, on T-24 bladder cancer cells form the basis of this study. T-24 cells were incubated with PXD101 at varying concentrations and times, and viable cell count and proliferation curves were constructed. Cell cycle analysis was conducted with Fluorescent Activated Cell Sorting and changes in apoptosis signaling proteins that were previously found to be …

Cost-Effectiveness Of Hepatitis A And Hepatitis B Vaccination For Jail Inmates, Aditya Sharma

Yale Medicine Thesis Digital Library

Despite evidence that viral hepatitis poses a significant risk to public health, universal vaccination has not yet been implemented. The risk for viral hepatitis infection is particularly high among injection drug users and other individuals who do not attend regular health care visits. Jails provide a structural opportunity to vaccinate these high risk individuals. HAV and HBV vaccines administered on an accelerated three week schedule could dramatically decrease the lifetime risk for contracting viral hepatitis among jail detainees. Assuming that 75% of detainees would accept vaccination, 33% have previous exposure to HAV, 25% have previous exposure to HBV, and independent …

Stained Glass At The Cutter's Edge, Jocelyn Fitzgerald

Art Therapy | Master's Theses in Print

This thesis explored the personal experience of creating a stained glass window with five adolescents who had previously been identified as causing self-harm to themselves. The narratives of these five adolescents between the ages of thirteen to seventeen were collected in qualitative interviews. This study emphasized the importance of; self-object and transitional object, destructive and creative process, power and self-esteem. The literature illuminates; the history of self-mutilation, the current issues with self- mutilation, including the internet and cultures outside of the United States, the combination of narrative therapy with art therapy, the use of stained glass as an intervention, and …

Effect Of External Counterpulsation (Ecp) On Delayed Onset Muscle Soreness (Doms) In Long Distance Runners, Carly Catanese

ETD Archive

External counterpulsation (ECP) has previously been used in treating cardiac patients. Compression of the lower extremities during diastole increases venous return and coronary perfusion. Purpose: To determine if ECP affects delayed onset muscle soreness (DOMS) and markers of muscle inflammation and skeletal muscle damage. Methods: Ten trained runners, 5 males and 5 females, aged 30.5 ł 12.8 years ran 20 miles at 70 of their VO2 max on a pre-determined course on two different occasions, once under control conditions and once under ECP treatment conditions. Conditions were randomly assigned to eliminate order effect. Perceived leg pain and blood markers (creatine …

Evaluation Of A Behavioral Health Integration Program In A Rural Primary Care Facility, Tina W. Billmeyer

Theses, Dissertations and Capstones

Behavioral or mental health has historically been seen as a separate entity from medical or primary health care. With the increased utility of psychotropic medication, more and more patients are presenting to their primary care provider with behavioral health issues prompting the healthcare field to look for methods to integrate medical and behavioral health services. The current study examined the effectiveness of a pilot program that attempted to integrate services at a rural primary care clinic. The study asked whether participation in the program resulted in improved scores on a questionnaire of perceived health status and whether participating medical providers …

Age-Related Dgc Structure And Function In The F344/N X Bn Rat Heart, Sunil K. Kakarla

Theses, Dissertations and Capstones

Recent data has suggested that disruption of the dystrophin-glycoprotein complex (DGC) may be involved in mediating the progression of cardiac hypertrophy and failure. Here we examined the regulation of DGC proteins in the hearts of adult (6 months), aged (30 months), and very aged (36 months) F344/N X BN rats . Compared to adult animals, the content of α- and β-dystroglycan were 6.93 ± 5.16% and 58.36 ± 3.64% higher, respectively (P < 0.05) in very aged animals. Immunoblotting and immunhistochemical analysis suggested that aging appeared to diminish alpha-sarcoglycan, beta-sarcoglycan and delta-sarcoglycan content by 13.89 ± 3.1%,15.8 ± 2.8% and 18.63 ± 3.04%, respectively (P < 0.05). These alterations in the DGC occurred coincident with age- associated alterations in cytoplasmic anti-rat IgG immunoreactivity, TUNEL positive nuclei, alpha-fodrin cleavage, indices of caspase-3 activation and diminished AKT phosphoryation (Ser 308). Taken together, these data suggest that aging alters cardiac DGC structure and function.

The H.A.R.T. Model Holistic Action In Relationships For Transformation, Hazel Marie Barmore Wiegert

Theses and Graduate Projects

This paper describes a project to develop a parish nurse practice model incorporating a nursing theory. This model is entitled The H.A.R.T. Model, Holistic Action in Relationships for Transformation. The nursing theory involved in this project is Jean Watson's Theory on Human Caring and Transpersonal Caring.

Dietary Behaviors And Anthropometric Measurements Of Mexican Women And Second Generation Mexican American Women, Liane Fernyhough

Undergraduate Honors Theses

Risk for chronic diseases is higher among Mexican Americans than in the general American population. A high percentage of central Washington Mexican Americans (CWMAs) immigrated from Michoacan, Mexico. The purpose of this study was to determine if dietary behaviors differ between women living in these areas and if these differences were associated with physiological differences. Sixty-one women (ages 18-50) in Morelia Michoacan and 26 second-generation CWMA women (ages 18-50) participated. Body mass index tended to be higher in the CWMA women (32±7 vs. 29±6, p≤0.06) as was waist circumference (39±7 vs 36±5 inches, p≤0.06). those surveyed in both Michoacan and …

The Relationship Between Nurse Manager Leadership Attributes And Nurse Clinical Autonomy: Magnet Versus Non-Magnet Hospitals, Catherine A. Verkaaik Phd

Dissertations

Purpose: This research evaluated relationships among hospital types (Magnet versus non-Magnet), nurse manger leadership attributes, and staff registered nurse autonomy. Hypothesis: Magnet hospital status would be related to positive nurse manager leadership attributes which would be related to greater clinical nurse autonomy and nurse manager leadership would mediate relationships between hospital status and clinical nurse autonomy. Conceptual Basis and Background: Structural Contingency Theory modified in the Nursing Systems Outcomes Research model was the research model for conceptualizing the structure-environment-effectiveness relationship. Critical Social Theory (CST) provided the conceptual/motivational basis for this study, a lens through which to frame the question. Clinical …

Role Of Protein Kinase Phosphorylation On Sert Oligomerization: A Novel Mechanistic View, Eric Richard Buck

MUSC Theses and Dissertations

The serotonin transporter (SERT) is the primary mechanism for the termination of synaptic signaling. It is of clinical relevance because it is a high-affinity target for therapeutics such as anti-depressants (SSRIs) and drugs of abuse such as cocaine, amphetamine, and 3,4 methylenedioxymethamphetamine (ecstasy). It is also seen as a protein potentially involved in the etiology underlying disorders such as clinical depression, autism, anxiety-related disorders, obsessive compulsive disorder, and anorexia nervosa among others. SERT has also been found to be a target of protein kinases that exert their effects through phosphorylation. For example, activation of protein kinase C (PKC) decreases SERT …

Reducing Lung Disease In Cystic Fibrosis: Model Systems And Anti-Inflammatory Treatment, Scotty Mcglothlin Buff

MUSC Theses and Dissertations

Cystic fibrosis (CF), the most common lethal autosomal recessive disease in Caucasians resulting in a median life span of approximately 35 years, is caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR). The primary cause of morbidity and mortality is respiratory failure caused by progressive obstructive lung disease. CF airway disease is characterized by the abundance of pro inflammatory cells, chemokines and cytokines with a deficiency of regulatory/anti-inflammatory cytokine interleukin 10 (lL10). We hypothesized that CF airway obstruction originates from excessive inflammation and gene transfer of IL-I0 would decrease inflammation in the airways of mice infected with Pseudomonas …

Resiliency In Adolescent College Students, Nancy Ahern

Electronic Theses and Dissertations

The construct of resilience has gained considerable attention over the last four decades since researchers observed that children and youth could cope and adapt in spite of adversity. Resilience involves a dynamic process involving an interaction between both risk and protective processes, internal and external to the individual, that can modify the effects of an adverse life event. Adolescence is considered to be a period of vulnerability for most individuals as they often partake in high risk behaviors. Further, those individuals who are in their early college years are faced with the developmental challenges of this life phase which can …

Abstraction Of Dimensional Relevance Of Molecular Representation: Generation Of Novel Inhibitors Against Malarial Plasmodium Falciparum Plasmepsin Iv, Christopher B. Abdul-Wahid

Undergraduate Honors Theses

The malarial parasite Plasmodium falciparum is endemic to 50% of the world's population, killing three million people a year, many of whom are children under five years of age. Due in part to the development of malarial resistance to current drug therapies, novel drug targets are being sought. The malarial hemolytic aspartic protease Plasmepsins are such targets of rational drug design.

We are developing a methodology to rapidly generate combinatorial libraries of chemical structures using a one-dimensional representation (Simplified molecular input line entry specification (SMILES)) of a molecule, to automatically generate a minimized three-dimensional representation (SYBYLMOL2), and to screen this …