Medicine and Health Sciences Commons^™

Caring For Your Lymphedema: A Guide To Everyday Action, Beryl J. Olson

Occupational Therapy Capstones

The purpose of this scholarly project is to present a workbook that assists patients with lymphedema and their therapists to develop a home management program that can successfully be integrated into the patient's daily occupations. The workbook utilizes the principles of the Occupational Adaptation theoretical frame of reference to guide the patient through the steps of making an adaptive response to the occupational challenge of lymphedema management. A review of the literature describes the physical aspects, psychosocial aspects, and the lived experience of the person with lymphedema. The literature review also indicates that currently the preferred method of treatment for …

Variations In Emg Activity In Lower Leg Musculature With Use Of The Biomechanical Ankle Platform System (Baps), Carrie Carpenter, Andrea Lund, Jodi Sailer, Slinde Jessie

Physical Therapy Scholarly Projects

Ankle sprains account for 17% to 20% of all injuries in most sports. Other ankle conditions such as posterior tibialis tendon disorder and Achilles tendinosis are quite common in the nonathletic population and require many of the same interventions. Some of these interventions include range of motion, stretching, strengthening and proprioception. Many studies have shown that strength and proprioceptive training are the intervention of choice for those with lateral ankle instability. Many of these studies have supported the use of BAPS in improving proprioception among individuals with lateral ankle instability, however there is only one study examining the use of …

The Short-Term Effects Of Magnetic Insoles On Pain And Function In A Population With Lower Extremity Osteoarthritis: A Pilot Study, Janice Holth, Sarah Barendt, Jennifer Surma

Physical Therapy Scholarly Projects

No abstract provided.

Effects Of Feedback, Education, And Work Experience On Self-Efficacy, Hieu Chi Pham

Theses Digitization Project

Examines the contextual effects of social persuasion (represented by self, client, peer and supervisor's feedback) and mastery experiences (represented by formal level of education and work experience) on specific self-efficacy outcomes and perceived advancement potential in a sample population of nurses at a Southern California hospital. Results of the study suggest that self, client, peer, and supervisor's feedback consistently predict significant self-efficacy outcomes.

Clients In A Mandated Treatment Program: A Needs Assessment, Sabrina Gail Eisner, Adriana Vazquez

Theses Digitization Project

The purpose of the study was to acknowledge legally mandated client's needs in their substance abuse treatment. De Jong and Berg (2001) found that practitioners could begin to build cooperation with their mandated clients by focusing on what the clients want. However, there are no specific treatment modalities for legally mandated clients.

Motivational Levels And Abstinence Rates In Substance Abuse Clients, Stephen Sean Borchers

Theses Digitization Project

Analyzes the motivation of clients beginning a drug and alcohol treatment program to see if their level of motivation affects their success in the program, as measured by drug screens. Thirty-six participants from the Perris Valley Recovery Program (PVRP) in Southern California took a motivation for treatment questionnaire reflecting their levels of motivation for treatment. Results of the study found significant relationships between clients' motivation to be in substance abuse treatment and clean or dirty drug screens.

An Exploratory Study Of Barriers To Psychotropic Adherence From The Client's Perspective, Nicole Nanchy, Michelle Sereese Green

Theses Digitization Project

The purpose of this study was to identify barriers to psychotropic adherence regimens in clients with Severe and Persistent Mental Illness (SPMI). Medication non-adherence perpetuates the cycle of psychotic episodes, which leads to rehospitalization, incarceration, and homelessness.

Gender Differences In Anterior Cruciate Ligament Injuries, Carey Ann Balderrama

Theses Digitization Project

The purpose of this study is to examine the existing literature on ACL (Anterior Cruciate Ligament) injuries as it pertains to gender. The study identifies current strategies for prevention of such injuries and outlines existing thinking on injury prevention programs.

Muscle Activation During Simulated Patient Transfers: Preliminary Study Of Experienced Versus Novice Patient Handlers, Benjamin Mitchell, Patrick Septon

Physical Therapy Scholarly Projects

Purpose: Back injuries are a common problem in providing health care and manually transferring patients can be a cause of back injuries. Because of this fact, there has been a need for research looking into safe methods for manually transferring patients. The intent of this study was to compare muscle recruitment patterns of novice and experienced health care professionals during a simulated patient transfer. By comparing the muscle activity of the experienced group to that of the novice group, we hoped to see differences that could be used to refine training techniques, thus increasing the safety of novice health care …

Cultural Beliefs And Attitudes Among Latinos With End Stage Renal Disease, Guillermina Robles-Burgos, Ada Ocasio-PaŕE

Theses Digitization Project

The purpose of this study was to provide a quantitative analysis of beliefs and attitudes among Latinos who are diagnosed with end stage renal disease. This study explored the common attitudes and beliefs of this population, which may be both beneficial and harmful in their medical care.

Substance Abuse Services Battered Women: A Needs Assessment, Colleen Ann Murphy, Tammy Hunt

Theses Digitization Project

The goal of this study was to determine whether the directors of San Bernardino area substance abuse agencies saw a need to address women's dual needs for substance abuse and domestic violence treatment.

An Evaluation Of Client Satisfaction With The Services Provided By A Community-Based Mental Health Agency, Sheri-Lyn Kaye Fahlgren Romero, Sarah Elisabeth Hayes

Theses Digitization Project

The purpose of this study was to explore parent satisfaction with the services provided to their child by West End Family Counseling Services located in San Bernardino, California. It is hoped that the information obtained will enhance the quality of mental health offered for children and make others aware of the importance of intervention and prevention early in a child's life.

An Evaluation Of The Impact Of Maternal Substance Abuse On Infant And Child Attachment, Rachel Clare Caudillo

Theses Digitization Project

This study examined the impact and extent to which drugs and alcohol, consumed by mothers prenatally and perinatally, has affected their capacity to attach to their children. It examined the role the dependent variables measured (i.e. drug(s)/substance(s) abused, demographic information) played in the attachment process. Data was collected from mothers currently participating in the perinatal substance abuse treatment at the San Bernardino County Rialto program.

Effect Of Pyridostigmine On Heart Rate Recovery After Exercise In Trained Athletes And Sedentary Adults, Thomas Andrew Dewland

Yale Medicine Thesis Digital Library

Acetylcholinesterase inhibition with pyridostigmine has been previously studied in patients with congestive heart failure (CHF), but the effects of this medication on heart rate recovery after exercise and other indices of parasympathetic activity in populations with greater baseline vagal tone has not been fully characterized. Ten healthy, sedentary adults and ten aerobically trained athletes were enrolled in a prospective, double blind, randomized placebo controlled crossover trial. All study subjects were treated with a single dose of oral pyridostigmine 30 mg and matching placebo on separate days. Heart rate variability (HRV) at rest and heart rate recovery (HRR) at one minute …

Ethnic Differences In Intramyocellular Lipid Levels And Insulin Resistance In Obese Children And Adolescents, David Liska

Yale Medicine Thesis Digital Library

The prevalence of insulin resistance and type 2 diabetes mellitus (T2DM) in obese children and adolescents is growing at an alarming rate, especially in ethnic minorities. It is not clear whether young people of different ethnic backgrounds vary in their metabolic response to excessive adiposity. Differences in lipid partitioning in the abdominal fat compartments have been observed among different ethnic groups. The aim of this study was to evaluate whether there are ethnic differences in intramyocellular lipid (IMCL) levels that are related to differences in insulin sensitivity. Eighty-two obese children and adolescents underwent 1) 1H nuclear magnetic resonance (NMR) spectroscopy …

Post-Operative Concurrent Chemoradiation With Mitomycin-C For Advanced Head And Neck Cancer, Amar Rewari

Yale Medicine Thesis Digital Library

Purpose: Recent prospective randomized trials have shown concurrent chemo-radiation improves local-regional control in post-operative patients with squamous cell carcinomas of the head and neck (SCCHN) using cis-platinum based regimens. This report pools data from three randomized trials performed at Yale that employed mitomycin-C (MC), selecting those patients treated postoperatively, to evaluate the long term benefit of MC in the postoperative setting and to compare these results with other recently published randomized trials. Methods and Materials: Between 1980 and 1999, a total of 331 SCCHN patients from the three prospective trials were enrolled. Of those patients, 205 were post-operative of which …

Environmental Justice And The Role Of Social Capital In An Underserved Urban Community, Lorraine Ann Dillon

Community & Environmental Health Theses & Dissertations

The purpose of this qualitative study was to evaluate a community's beliefs, attitudes, and experiences regarding their neighborhood's environmental health issues and the ways in which individuals utilize social capital (the degree to which a community collaborates and cooperates) to improve their environmental health. Research correlating social capital with health status shows that the higher the level of social capital in a community, the better the health. An understanding of why some groups exhibit more social capital than others is important in improving the public health system. The study was accomplished by comparing a convenience sample of two specific groups …

Antibiotic Resistant And Coliform Bacteria In The Ohio River; 2002 To 2004, Lisa Marie Smith

Theses, Dissertations and Capstones

During 2002 and 2003 samples, collected every five miles along the Ohio River, were analyzed for total cultivable bacteria, ciprofloxacin resistant bacteria, erythromycin resistant bacteria, tetracycline resistant bacteria, and fecal coliforms. During 2004 samples were analyzed for total cultivable bacteria, ciprofloxacin resistant bacteria, sulfamethizole resistant bacteria, tetracycline resistant bacteria, Virginiamycin resistant bacteria, total coliforms, and Escherichia coli. The objectives of this study were to systematically collect data on fecal coliforms, E. coli, and antibiotic resistant bacteria in the Ohio River and its major tributaries; to determine if antibiotic resistance populations are correlated to each other or to coliforms; and …

Sensory Processing: A Guide For Parents And Community Professionals, Julie Yutrzenka

Occupational Therapy Capstones

Miller (2006) describes sensory processing as the way the nervous system receives sensory messages, processes the information, and responds to it. Sensory Processing Disorder is the inability to effectively process information received through the senses. This includes sensory information received through the five traditional senses of vision, hearing, touch, taste, and smell. It also includes information from the vestibular (movement) and the proprioceptive (muscle sense). Sensory Processing Disorder affects 1 in 20 children (Miller, 2006). Difficulties with sensory processing can negatively affect a child's participation in the daily occupations of play, learning, activities of daily living, and social interaction. Occupational …

Parent Skills Training For Individuals In Substance Abuse Treatment, Frances Quintana

Theses Digitization Project

This study examines the relationship between substance abuse and the need for parent skills training. Predicted is that adults in substance abuse treatment are likely to be in need of parent skills training. Previous research has associated the lack of parent skills with inept parenting practices that often leads to developmental problems in children.

Motion Analysis Of A Back Handspring, Sarah Knoll, Jaclyn Minar, Melissa Moos

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to analyze the joint angles and segmental motion of gymnasts during a back handspring in a tumbling series. The difference in lower extremity motion of the individual gymnasts with different levels of experience was compared.

Subjects: 13 gymnasts were recruited by gymnastics coaches at Red River Valley Gymnastics. Only subjects with qualifications of being competitive in USA Gymnastics program, varying in levels 5-10, were included. Subjects were required to be able to perform a tumbling series consisting of a round off, a back handspring, and a back tuck-salto on a floor exercise mat …

Using The Coopersmith Self-Esteem Inventory-School Form, House-Tree-Person And Person Picking A Mango From A Tree In Salvadorian Children, Ana Enosensia De Ocampo

Art Therapy | Master's Theses in Print

The purpose of this study is to investigate the validity of the House Tree Person and Person Picking a Mango from a Tree as measured by FEATS as measures of self-esteem by comparing the results to the Coopersmith Self- Esteem Inventory - School Form (SEI-SF). In addition, the researcher hopes to obtain a better understanding of Salvadorian children's self-esteem. Forty male and female Salvadorian student ages 8-11 years-old participated in this study. They were first administered the Coopersmith SEI-SF to determine levels of global self-esteem, followed by instructions to draw in pencil a House, Tree and Person. Lastly, participants were …

Diverse Roles Of Pkcα In Vascular Smooth Muscle Contraction, Ava Caudill Dykes

Theses, Dissertations and Capstones

A complete understanding of the mechanisms underlying smooth muscle contractility has proven elusive due to the many interacting factors thought to influence contractile behavior in this muscle type. One such factor, protein kinase Cα (PKCα), is proposed to play a central role in both the activation and modulation of smooth muscle contraction. PKCα is activated through a G-protein coupled receptor and is subsequently translocated to its site of action. Although the mechanisms regulating PKCα site specific translocation are not completely understood, it is thought that this process is essential for PKCα specificity of action within the cell. In chapter II …

Calpain 10: Mitochondrial Localization, Function, And Substrates, David Darrell Arrington

MUSC Theses and Dissertations

The calpain family of cysteine proteases has undergone intense study since its discovery in 1976. Although numerous functions and proteolytic substrates have been linked to this 14-member family, little is known about the five atypical calpain isoforms. Over the past 25 years, investigators have identified ‘calpain-like’ activities in mitochondrial fractions isolated from various tissues. The studies undertaken in this dissertation were designed to positively identify the mitochondrial calpain present in renal cortical mitochondria (RCM) and to elucidate its function and proteolytic targets under both basal and CA2- -challenged conditions. We identified the RCM calpain as calpain 10 by both immunoblot …

Investigation Of Cell Surface Phenotypes At Mucosal Sites In Response To Murine Cytomegalovirus Infection, Mary Esther Bruorton

MUSC Theses and Dissertations

The salivary gland is the predominant effector site of mucosal immune responses in the oral cavity. In mice, the salivary glands are known to receive immune lymphocytes stimulated in inductive sites such as the gut- and nasal-associated lymphoid tissues, thus, allowing the production of antigen-specific antibodies in saliva. However, the potential of the salivary gland as a mucosal inductive site has not been fully explored. In order to investigate this concept, we have developed a model resulting in a focused salivary gland infection using intraglandular delivery of tissue culture-derived murine cytomegalovirus (tcMCMV). Utilizing this route of infection, we were capable …

The Determinants Of Medicaid Participation Among Private Primary Care Dentists In Alabama., Dania E. Al Agili

All ETDs from UAB

No abstract provided.

Neprilysin: An Enzyme Candidate To Prevent Alzheimer's Disease, Salim Sabri El-Amouri

MUSC Theses and Dissertations

Alzheimer's disease is named after Alois Alzheimer, the German psychiatrist and neuropathologist who identified it in 1907. Alzheimer's disease (AD) is the most common form of dementia and accounts for at least half of all dementias (Owen et al., 1994). The disease moved from eighth to seventh place among the leading causes of death in 2004, with 65,829 deaths in the United States (Minifio et al., 2006). In an attempt to solve the mystery of this disease, scientists have discovered brain changes in people with AD that lead to dementia. Nerve cells die in areas of the brain that are …

Dual-Hit Hypothesis For Dopamine Neurodegeneration And Motor Dysfunction, Heather Anne Boger

MUSC Theses and Dissertations

Glial cell line-derived neurotrophic factor (GDNF) is a trophic factor for peripheral organs, spinal cord, and midbrain dopamine (DA) neurons. Studies have shown that GDNF levels decrease in the substantia nigra (SN) and striatum during normal aging and in patients with Parkinson's disease. Furthermore, exogenous GDNF infusion protects DA neurons against injury induced by 6-hydroxydopamine, MPTP, and methamphetamine (METH). A heterozygous mouse model was created to assess whether a chronic reduction in this neurotrophic factor impacts motor function and the nigrostriatal DA system during the aging process. In this dissertation, two models of dopaminergic loss and motor dysfunction were characterized. …

An Electromyographic And Electrogoniometric Study Of Stair Climbing With And Without The Use Of The Ez-Stepª And The Quad-Stepª, Rebecca Behrens, Catherine Gregoire, Tara Mathern, Jennifer L. Pederson

Physical Therapy Scholarly Projects

Purpose: The purpose of this study is to compare lower extremity muscle activity along with hip and knee ROM in an elderly population on stair ascent and descent using the EZ-StepTM and Quad-StepTM in comparison to traditional stair climbing.

Subjects: Twenty nine male and female adults volunteered for this study. Inclusion criteria included those 65 years of age and older, ability to climb three flights of standard stairs, and upper extremity strength to be able to manipulate the Quad-Step TM.

Instrumentation: The EZ-StepTM and Quad-StepTM are devices that decrease stair step height by one-half. The EMG activity and ROM was …

Effect Of Instruction On Emg Activity Of The Rectus Abdominis During A Crunch On A Swiss Exercise Ball, Tina J. Boyer, Suzanne S. Hammer, Tyler L. Jepson, Eric G. Thompson

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to assess the benefit of instruction from a physical therapist in participant performance of an abdominal crunch on a Swiss ball, determined through electromyography (EMG) of the rectus abdominis.

Subjects: Our subjects included male (n=15) and female (n=15) college students between the ages of 18-50 years old. Exclusion criteria included a history of low back pain, prior spine surgery, pregnancy, previous formal instruction of crunches on a Swiss ball, and an allergic reaction to rubbing alcohol. Instrumentation: EMG biofeedback was used to test rectus abdominis muscle activity. This activity was transmitted by a …