Medicine and Health Sciences Commons^™

Changes In Functional Status Of Home Health Cardiac Patients From Admission To Discharge, Mary Rita Mcgoldrick Phd, Mph, Msn, Rn, Anp-Bc

Dissertations

The purpose of this research is to examine the functional status (ADLs and IADLs) in patients with a primary/secondary diagnosis of cardiac disease in the home health setting. The independent variables of dyspnea and service were examined for the effect on discharge functional status while controlling for the effects of age, gender, race, admission functional status, primary and secondary diagnosis. A descriptive correlational, non-experimental study of cardiac patients in an urban home health agency from January 2003 to December 2004 was conducted using data collected through a retrospective chart review. Seventeen areas of OASIS (ADL and IADL) were assessed for …

The Study Of Nitric Oxide Synthase Expression, Function, And Regulation In The Renal Vasculature During Postnatal Renal Development, Brian Blake Ratliff

Theses and Dissertations in Biomedical Sciences

The newborn kidney is vulnerable to vasomotor acute renal failure (ARF) from adverse perinatal events or complications of prematurity. Nitric oxide (NO) vasodilation is vitally protective in this type of ARF, but its relationship with other vasoactive factors, such as angiotensin II (AII) has not been examined. In the immature kidney, nitric oxide synthase (NOS) isoforms, specifically eNOS and nNOS, are developmentally regulated, but their specific role and regulation are unknown.

The enhanced vasodilatory role of NO in the immature kidney was hypothesized to be attributed to regulatory, expressional, and functional differences in eNOS and nNOS isoforms from the adult. …

Traumatic Experiences Contributing To Juvenile Delinquency: A Look At Gender Differences, Alexis L. Correia

Sociology & Criminal Justice Theses & Dissertations

This study investigates the following two research questions: To what extent, if any, do traumatic experiences contribute to juvenile delinquency? To what extent, if any, does gender affect the relationship between trauma and juvenile delinquency? The extent of trauma was reviewed to include various studies relating to the impact trauma has on juveniles. Robert Agnew's General Strain Theory provided support for the differences that exist between males and females when it comes to trauma contributing to juvenile delinquency. Gender differences in emotional response to strain were reviewed, focusing on post-traumatic stress disorder (PTSD). The data that provided support for the …

A Framework For The Representation Of Cohesion In Small Combat Units, William Eugene Warner

Computational Modeling & Simulation Engineering Theses & Dissertations

Current combat simulations deal well with large unit formations, weapon systems, and physical effects such as attrition. Human factors such as morale, cohesion, and effects of stress are modeled much less adequately. Of the human factors affecting the psychology of a combat unit, military psychologists have identified cohesion as one of the most important. The concept of cohesion, referring to both the interpersonal relationships between soldiers in a military unit and to the morale solidarity of a military force, has been central to military analysis for many years.

A model framework has been developed that can operationalize the concept of …

Effectiveness Of Chlorhexidine-Coating In Controlling Bacterial Quantity On Toothbrush Filaments, Lisa A. Turner

Dental Hygiene Theses & Dissertations

The purpose of this study was to determine if a significant difference exists in the effectiveness· of chlorhexidine-coated nylon brush filaments as compared to uncoated nylon filaments in reducing the quantity of bacteria. Methods: An IRB-approved, two-group, double-blind, randomized, post-test only design was conducted. Sixty-four individuals were randomly assigned to two equal groups of 32. After using the control or experimental toothbrushes for 30-days, participants returned the toothbrushes to the researchers in sealed autoclave bags. In the laboratory, microorganisms were detached from the toothbrush filaments by sonification and vortexing, then plated on both selective and non-selective media at various dilutions …

Perceived Barriers To Care Among Hispanic Women Who Delay Prenatal Care, Gustavo A. Moretta

Masters Theses

The purpose of this study was to examine the relationships among selected demographic variables and the barriers to prenatal care perceived by English- Speaking, Hispanic women. The Health Belief Model was used as the theoretical framework to guide the development of this study.

The sample consisted of 20 participants aged 18 years to 38 years of age who had sought prenatal care at a primary care clinic in a midwest community. The participants had visited the provider for prenatal care after the twelfth week of gestation. Data were obtained using two instruments. Melnyk’s Perceived Barriers to Care Seale (1990) measured …

Clients' Expectations Of Public Health Nurses' Home Visits, Eva G. Miller Dnsc, Ms, Rn, Phn

Dissertations

Although there is considerable research on the relationship between client expectations and outcomes of care in acute care settings, less is known about clients' expectations for public health nurses' home visits. The aim of this study was to understand clients' expectations of public health nurses' home visits as a first step in making explicit how expectations affect client responses to, and ultimately, outcomes of public health nurses' care. Interviews were conducted with a convenience sample of 19 primary caretakers of high-risk infants admitted to a Neonatal Intensive Care Unit (NICU) and voluntarily enrolled in a High-Risk Infant (HRI) Program in …

Homeless Mothers' Perceptions Of Parenting In Shelters, Sarah E. Young Whitaker Dnsc, Msn, Rn

Dissertations

Descriptions of parenting in a homeless shelter were obtained from nine single mothers housed in one of two shelters in a major southwestern border metroplex. Case study methodology was used to obtain their perspectives on parenting in this unique context. Content analysis was used to organize and analyze emerging themes. Major themes that emerged from the study were (a) a lack of autonomy, (b) gaining access to material resources, (c) lack of privacy, (d) constant change and insecurity in the environment, (e) differing values, and (e) psychosocial support.

The Introduction Of The Importance Of Identifying Patient Priorities Into A Care Model, Susan Loushin

Theses and Graduate Projects

Nursing has a long history of developing care plans that address what nurses perceive as the problems and needs of the patients under their care. One of the greatest ironies in nursing is that the most important person, the patient, is often excluded from the planning process. The importance of soliciting input from the patient or family has been diminished in recent years, but is now acknowledged to be the key to high quality individualized care. Patient and family involvement is not just about organizational structures-it is a cultural change. lt is empowering patients and their families to have a …

Development Of An Evaluation Methodology For Hazardous Waste Training Programs, Ryan A. Crowley

Theses and Dissertations

The Purpose of this research was to develop a methodology to measure hazardous waste training programs. The Air Force Material Command (AFMC) hazardous waste training program was used to conduct this research. To measure the effectiveness of AFMC's hazardous waste training program, the research attempted to answer four research questions. These questions addressed correlations between hazardous waste training programs and Environmental Compliance Assessment and Management Program (ECAMP) findings, the understanding personnel have of hazardous waste principles and concepts, the effectiveness of hazardous waste training courses, and how personnel feel about the hazardous waste training they are receiving. In addition, the …

The Relationship Between Social Behaviors And Working Memory In School-Age Children With Language Impairment, Melanie Diane Javid

Theses and Dissertations

Children with language impairment (LI) have notable social problems (Brinton & Fujiki, 2004). Research has shown that children with LI often have deficits in working memory (Kirchner & Klatsky, 1985; Stark, Poppen, & May, 1987). The relationship between working memory and social behaviors has not been clearly defined. This study examined this relationship in children with LI and typical age-matched peers by asking participants to repeat nine nonwords and correlating these results with social behaviors as rated by teachers. The Teacher Behavior Rating Scale (TBRS; Hart and Robinson, 1996) was used to compare social behaviors of 19 school-age children with …

A Meaning-Based Instruction To Enhance Literacy Learning In A Dual-Language Kindergarten Classroom, Megan Melissa Fife

Theses and Dissertations

Concerns among educators continue to grow with the increased enrollment of Second Language Learners (SLL) in classrooms throughout the United States. This influx has stressed the boundaries of current methods of literacy instruction, which are not designed to meet the needs of these at-risk students. Literacy instructional methods need to be remediated through early intervention, followed by effective literacy instruction that is designed to meet the specific needs of SLL. Effective literacy instruction overcomes differences in culture and background by using meaning-based instruction coupled with engaging and varied contexts. This study evaluated the effectiveness of incorporating meaning-based instructional activities into …

Visual-Spatial & Visual-Motor Function In Pediatric Heart Transplant Recipients, Stephanine Dianne Griffone

Loma Linda University Electronic Theses, Dissertations & Projects

Heart surgery is commonly used to repair congenital heart defects and to perform heart transplantation. The associated hypoxia before or during the surgery may cause damage in the parasaggital area of the cerebral cortex, with resulting difficulty during tasks requiring visual-spatial and visual-motor skills. This study compares the performance of children who received a heart transplant during infancy to that of nonclinical children with no medical complications on three visual-motor measures, three visual-spatial measures, and two computerized visual-spatial tasks - a Block Design Matching task and a Mental Rotation task. The children who received a heart transplant achieved significantly lower …

Pnes: Neuropsychological Impairments & Psychological Symptomatology, Adriana Macias

Loma Linda University Electronic Theses, Dissertations & Projects

The present study utilized a standardized neuropsychological evaluation and self report measures to compare 52 female patients, 18 years of age and older with a video-electroencephalogram (V-EEG) confirmed diagnosis of psychogenic non-epileptic seizures (PNES) (n₁=29) to a group of left temporal lobe epilepsy (L-TLE) demographically matched patients (n₂=23). In an attempt to overcome methodological confounds of previously reported studies, participants were chosen based on stringent exclusion criteria, which barred mixed etiologies. The purpose of this study was to investigate possible differences in neuropsychological functioning, mood, and personality characteristics between individuals with PNES and those with L-TLE. …

Mineralized Bone Allograft In Maxillary Sinuses Histology And Histomorphometry, Sammy Stefan Noumbissi

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Demineralized freeze-dried bone allografts (DFDBA) and deproteinized bovine bone xenografts (DMBBX) have been used for sinus augmentation for many years with varying results, but very little has been reported on the clinical efficacy or the histological analysis of mineralized solvent dehydrated bone allografts (MSDBA) as sinus graft materials. This study histologically and histomorphometrically evaluated an MSDBA material called PUROS to augment atrophic human maxillary sinuses.

Materials & Methods: Seven partially and completely edentulous patients requiring unilateral (n=4) or bilateral (n=3) sinus grafts prior to implant placement were selected for this study. Test grafts consisted of MSDBA, and control …

Male Arab-Muslims Health And Health Promotion Perceptions And Practices, Abdel-Raheem O. Yosef Phd, Msn, Rn

Dissertations

The Arab Muslim population is one of the dramatically increasing minorities in the United States. In addition to other factors, gender, religion and cultural background influence individuals' beliefs, behaviors, and attitudes to health and illness. Little is known about Arab American male immigrants, how they perceive illness, how they promote their health, and the stressors they experience and barriers they face in accessing the American health care system. The purpose of this study was to develop knowledge about the male Arab-Muslims' health perceptions and health promotion perceptions and practices. This qualitative exploratory study used a grounded theory approach to gain …

Analysis Of Patient Information: An Empirical Modeling Approach, Tony A. Murphy

Theses and Dissertations

With rising costs and increasing complexities, many hospitals seek to better understand the intricate details of their operations. Increasingly, these organizations have a strong desire to accurately predict the resources required to effectively treat their patient load. This research investigates patient length-of-stay in a hospital neurological unit using an empirical modeling approach. Factors significantly affecting patient length of stay were identified and used to construct a regression model. The predictive model provides hospital decision makers with a compact tool to input what-if scenarios and predict future patient treatment lengths, thus, allowing the hospital to properly allocate resources.

Contemplating A New Model For Air Force Aerospace Medical Technician Skills Sustainment Training, Robert M. Corrigan

Theses and Dissertations

Two decades ago, Aerospace Medical Technicians received robust skills sustainment training through exposure to multifaceted patient treatment environments. Available training environments included inpatient care, outpatient care, and emergency services. This diverse training environment made possible through large operating budgets and an extraordinary infrastructure could not last. Today (after five separate base closure and realignment initiatives), medical funding and infrastructure is but a shadow of what it once was. Budget constraints and the rising cost of healthcare have necessitated a purposeful movement away from inpatient and emergency care, toward outpatient and preventative medicine. Although changes in Air Force health care delivery …

Do Industrial Back Support Belts Reduce Stress In Asymmetric Lifting?, Ryan Jamor Brown

Theses

The objective of this research is to determine the effects of wearing a back support belt during repetitive asymmetric lifting in terms of heart rate, blood pressure, static lift capacity, body discomfort rating and subjective rating concerning the effectiveness of a back support belt. The type of belt used in this study was of knit nylon and elastic construction designed for industrial use.

Eight female participants lifted a crate from the table to knuckle height at a rate of three lifts per minute for a period of 20 minutes; one set with wearing back support belt and one without back …

Navigating The Rules Of Clinical Practicum Work: An Interpretive Study Of The Experiences Of Associate Degree Nursing Students, Leonie L. Sutherland Phd

Dissertations

Responding to changes in technology, economics, and the demographics of society, nurse leaders incorporate new ideas and systems into clinical practice. Nurse educators are challenged to adopt these ideas and systems and make them part of the nursing curriculum. Educators develop tools and strategies to help students gain knowledge and skills to work with patients in the clinical setting. The ways in which students use these tools and perceive and manage their clinical work is not understood. The dearth of research related to what students actually do in clinical practicum settings provided the backdrop for this study. This is a …

Building Bridges In Diverse Communities, Susan S. Bjornsen

Theses and Graduate Projects

The communities we Iive in continue to become more culturally diverse which has significant implications for our health care systems. The purpose of this project was to develop a model to be used in bridging the gap between underserved racial and ethnic communities and mainstream healthcare. Nurses can play a seminal role in developing health promotion events in diverse communities directed at promoting healthy lifestyles, developing relationships and gaining new ways of viewing the world. Margaret Newman's theory of Health as Expanding Consciousness influenced the model development and gave insight to vital concepts of the project. Participating in health promotion …

Renal Dysfunction, Cardiovascular Risk, And The Response To Ace Inhibition In Patients After Myocardial Infarction, Powell Oliapuram Jose

Yale Medicine Thesis Digital Library

Background: Proteinuria is a known cardiovascular risk factor in hypertensive or diabetic patients as well as the general population. Worsening renal function (WRF) has been shown to influence outcomes in the heart failure population. The prognostic value of these markers for renal dysfunction in patients after myocardial infarction is unclear. Methods: The Survival and Ventricular Enlargement trial (SAVE) randomized 2231 patients with left ventricular dysfunction between 3-16 days (average 11 days) post-MI to receive captopril or placebo; those with a serum creatinine above 2.5mg/dl were excluded from SAVE. WRF was defined as an increase in creatinine greater-than 0.3mg/dl measured from …

The Effects Of Static Stretching On Vertical Jump Performance, Tom Evans

Theses, Dissertations and Capstones

The vertical jump can play a significant role for many athletes in various competitive sports. The purpose of this study was to determine the effect that passive static stretching has on various athletes from various sports. The athletes were asked to perform a certain amount of jumps with no stretching routine and a set of jumps with a stretching routine. The results calculated for this study did show to have a statistically significant difference between jumping with stretching and jumping without stretching.

The Zucker Rat As A Model Of Obesity-Hypertension, Ryan Morrison

Theses, Dissertations and Capstones

Hypertension is a serious health problem that affects approximately 1 in 4 American adults. Most cases are diagnosed as essential hypertension, meaning that the exact cause is unknown. In most patients, however, excess weight is a major contributory factor to the development of essential hypertension. The role of obesity in promoting hypertension is now well documented and has become the foundation for an entire field of research known alternately as obesity-hypertension, obesity-induced hypertension, or obesity-associated hypertension. In this field, rapid advances are being made in our understanding of how obesity and hypertension are linked. A plethora of related risk factors, …

A Mechanistic Study Of The Protective Effects Of S-Adenosyl-L-Methionine Against Hepatotoxicity Of Acetaminophen, Marcus V. Terneus Jr.

Theses, Dissertations and Capstones

Hepatic toxicity is known to be associated with excessive doses of the over-the-counter analgesic, acetaminophen (APAP). APAP overdose is the leading cause of drug-induced liver failure in the United States. APAP hepatotoxicity is dependent on the biotransformation of APAP by cytochrome P450 to the toxic metabolite, N-acetyl-p-benzoquinone imine (NAPQI). APAP, when taken in excessive doses, can lead to severe liver damage with the potential to progress to liver failure. Despite substantial efforts in past studies, the mechanism by which APAP induces such damaging effects is not completely understood. Recent discoveries suggest that glutathione (GSH) depletion, protein alkylation and reactive metabolite …

Protein Kinase C Activity In Mouse Eggs Regulates Gamete Membrane Interaction, Hiroto Akabane

Theses, Dissertations and Capstones

Every mammalian life develops from one cell after fertilization of an egg by the sperm. The molecular pathways governing this event are still poorly understood. Numerous reports indicate that mammalian eggs highly express various protein kinase C (PKC) isoforms. Accordingly, we hypothesize that PKC activity in the egg plays an important role during egg-sperm membrane binding and fusion. In this study, we tested our hypothesis in mouse gametes using two types of PKC inhibitors (calphostin c and staurosporine) and the typical PKC activator, phorbol ester 12-tetradecanoylphorbol-13 acetate (PMA). After treatment with the individual drug, eggs were inseminated with sperm. The …

Thimerosal-Induced Neuritoxicity: Apoptosis Occurs Through A Mitochondrial-Mediated Pathway Via The Jnk Signaling Pathway, Michelle L. Herdman

Theses, Dissertations and Capstones

Thimerosal is an organic mercurial containing an ethylmercury moiety attached to the sulfur atom of thiosalicylate. Since the 1930s, thimerosal has been used as an antiseptic and a preservative in a wide variety of products, including medicinal preparations administered to children and pregnant women. Past exposures to mercurials have indicated that mercury is a neurotoxin, and can also affect the kidney, skin, eyes, and immune system. Additionally, fetuses exposed to mercurials are more susceptible to toxicity because the nervous system is continuously developing. However, despite its widespread use, thimerosal was only studied on a limited basis until the end of …

Regulation Of Biofilm Formation Of Pseudomonas Aeruginosa, Nathaniel Edwards Head

Theses, Dissertations and Capstones

Cystic fibrosis (CF) is the most common, autosomal recessive lethal genetic disease in the Caucasian population, resulting from a malfunctioned cystic fibrosis transmembrane conductance regulator (CFTR) and leading to bacterial lung infections. P. aeruginosa, an opportunistic pathogen, establishes a chronic infection in CF with a phenotype of overproduction of an exopolysaccharide (alginate) due to host-directed mutagenesis. While free-floating planktonic bacteria can be properly cleared from the CF lung, P. aeruginosa, along with alginate production, establishes an infection in the form of a biofilm which supports its survival in nature and in vivo. As a result, genomic structure, …

Characterization Of The Dna-Binding Properties Of Silent Information Regulator 3 Protein, Cotteka Nichisha Johnson

Theses, Dissertations and Capstones

The eukaryotic genome is organized into distinct domains with discrete regulatory potential, influenced by the variation in local chromatin structure. An example of chromatin-mediated consequences on gene expression is mating type determination of yeast Saccharomyces cerevisiae, which depends on silencing of specific gene cassettes. Silencing in yeast involves key proteins, amongst which the Silent Information Regulator (Sir) proteins are essential. Sir1p, Sir2p, and Sir4p are recruited to nucleate silencing events, while Sir3p serves as the pivotal factor in spreading the silent state. This investigation characterizes the DNA binding properties of Sir3p using DNA fragments with varying degrees of inherent flexibility, …

Fourteen Years Of Silence: An Exploration Of Intimate Partner Violence In The Jewish Community, Rachel Rose Light

Yale Medicine Thesis Digital Library

With the background that Jewish women stay in abusive marriages twice as long as their non-Jewish American counterparts, we attempt to understand the religious and cultural factors that may inhibit Jewish women from leaving violent relationships, and examine Scriptural and Rabbinic texts as to Jewish beliefs regarding spousal violence. A variety of academic sources and primary scriptural texts were analyzed for religious and cultural attitudes towards Jewish intimate partner violence. Eight Jewish victims of spousal abuse, five Rabbis and seventeen community support workers were interviewed. Jewish women face a variety of unique issues with regard to how domestic violence is …