Medicine and Health Sciences Commons^™

Nurses Perceptions Of Barriers And Facilitators To Research Utilization In Their Nursing Practice, David Ray Renfro

Master's Projects

Today in nursing we are driven in the direction of evidence based practices. The nursing profession must continue to encourage nurses to ask "Why" when providing interventions. We must ensure that the interventions provided are both warranted, and the most efficacious intervention achievable. As a profession, we can no longer stand on our methods of practice simply because it is the way we have always practiced. It is a challenge for nursing leaders to implement a culture of evidence based practice, and to promote research utilization. The purpose of this study was to identify nurse's perceptions of barriers and facilitators …

Performance Intensity Functions For Digitally Recorded Japanese Speech Audiometry Materials, Tanya Crawford Mangum

Theses and Dissertations

The purpose of this study was to develop digitally recorded speech audiometry materials in the Japanese language to evaluate Speech Reception Threshold (SRT) and speech discrimination. Trisyllabic words were used to evaluate the SRT and bisyllabic words were used for speech discrimination. Words were recorded by one native female talker and one native male talker who were judged as having standard Japanese dialects. Twenty native Japanese speakers between the ages of 20 and 32 were used as subjects to evaluate 69 trisyllabic words across 13 different intensity levels. The 25 trisyllabic words with the steepest psychometric function (%/dB) were selected …

A Survey Of California Nurse Practitioners' Health Practices And Counseling Habits, Jessica Malone

Master's Projects

Morbidity and mortality due to obesity continues to rise in the United States despite well known Healthy People 2010 and American College of Sports Medicine guidelines on physical activity. In the U.S. today, more than 60 percent of Americans aged 20 years and older are overweight (Hedley et al., 2004). This study investigated the exercise practices of California nurse practitioners (NPs }, how their practices compare to recommended guidelines, and to what extent California NPs prescribe aerobic exercise and strength training to their clients. The California Nurse Practitioners Physical Activity Questionnaire was self-administered at the annual2005 California Association for Nurse …

Self-Efficacy And Sexual Transmitted Disease Prevention Among College Women, Dominique M. Ly

Master's Projects

According to the Center of Disease Control (2002), sexual transmitted diseases (STDs) are on the rise, especially among women. By far, women bear the greatest burden of STDs because they suffer more frequently and develop more serious complications than men. This study explored the relationship between self-efficacy and safe sex behaviors among college women. The data was collected by using questionnaires from the General Perceived Self-Efficacy Scale (GPSE) and the Condom Use Self-Efficacy Scale(CUSES). The sample was composed of 38 unmarried female college students between the ages of 18 and 25 years-of-age who had been sexually active within the last …

Evaluation Of Over-The-Counter Sales As A Syndromic Surveillance Method For Waterborne Disease In New Mexico, Camilla M. Bustamante

Health, Exercise, and Sports Sciences ETDs

This research evaluates the use of Over-the-Counter anti-diarrheal medications as a potential syndromic indicator and surveillance mechanism for waterborne disease in New Mexico. The purpose was to determine the usefulness of such data for either supplemental or stand alone use in a system for waterborne disease surveillance. The use of syndromic indicators for waterborne disease was elevated in 1993 after an outbreak of cryptosporidium was detected in Milwaukee Wisconsin by an alert pharmacist who noticed increased sales of over-the-counter medications over a period of time. In 2001, terrorist threats for anthrax exposure to U.S. populations further prompted funding and research …

A Virtual Model Of The Human Cervical Spine For Physics-Based Simulation And Applications, Hyung Soo Ahn

Theses and Dissertations (ETD)

Utilizing recent advances in computer technology, Our Biomechanics Laboratory have made an effort to integrate computer animation and engineering analysis software into biomedical research, specifically towards simulation and animation of in vitro experimentation of the human cervical spine in the virtual world. The objectives of this study were to develop a virtual model of the human cervical spine for physics-based simulation and to apply the virtual model to studies of different surgical procedures and instrumentation.

A process for creating an accurate virtual model of the human cervical spine was developed. The model consisted of seven vertebrae (C2-T1) connected with soft …

Characterization Of Cytokine Induction And Effects Of Antiviral Treatment In Four Murine Models Of Poxvirus Infection, Corinna W. Knorr

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Cytokine profiles during cowpox virus (CPV) strain Brighton and vaccinia virus (VV) strain Western Reserve infections were characterized in intranasal (i.n.) and intraperitoneal (i .p.) models in BALB/c mice. The time-course of induction and effects of cidofovir treatment on interferon (IFN)-γ, IFN-γ inducible protein (IP)-10, interleukin (IL)-6, and monocyte chemoattractant protein (MCP)-1 were determined. The four models have distinct patterns of cytokine induction. CPV i.p. and VV i.n. infections showed increased induction throughout the time studied. CPV i.n. infection resulted in delayed induction of IFN-γ and IP-10. Cytokine levels were fairly constant during VV i.p. infections. Cidofovir treatment (100 mg/kg/day …

A Review Of Temporomandibular Disorder And An Analysis Of Mandibular Motion, Shawn Patrick Lehman-Grimes

Theses and Dissertations (ETD)

This study quantified mandibular motion of asymptomatic subjects upon jaw opening and closing. Five males, mean age of 28 years, agreed to participate; they showed no sign or symptom of temporomandibular disorder (TMD) on clinical examination or by anamnestic history. Mandibular motion for each subject was measured with a tracking system and software utilizing the Screw Displacement Axis (SDA), which is a mathematical approach to analyzing and quantifying the movement of an object in three dimensions. Rotation and translation were calculated, as well as two- and three-dimensional charting of condylar path and sagittal condylar intercepts. Furthermore, analyses examined error propagation, …

Developing A Valid Screening Tool For Assessing Nutritional Adequacy And Osteoporosis Risk Among Vegans In The United States, Patricia Adelle Dyett

Loma Linda University Electronic Theses, Dissertations & Projects

The vegetarian lifestyle in the United States has increased significantly over recent decades. With this growth trend, it has become necessary to assess the pros and cons of vegetarian diet patterns, particularly with respect to nutrition adequacy and chronic disease concerns.

The vegan diet engenders more concern than other common vegetarian lifestyles because it seeks to replace all nutrient-rich animal food products with only plant foods. Consequently, there are concerns of compromised protein, calcium. vitamin D, vitamin B₁₂, n-3 fatty acid, zinc, and iron status. Moreover, because of typical vegan diet phenomena such as low BMI, low protein …

An Investigation Of Vocal Abuse In School Teachers, Jodi L. Franczak

Theses and Dissertations

The purpose of this study was to examine the effects of vocal abuse in school teachers and teacher's aides pre and post one academic term. Vocal abuse was defined as any of several behaviors, including long periods of talking, yelling, smoking, consuming alcohol, etc. that can result in damage to the laryngeal mechanism. Initially, the participants of the study included fifteen elementary school teachers and five elementary teacher's aides from two schools: the Red Lake Madsen Public School, and Golden Learning Center. Six participants were excluded from the study for various reasons. Participants were randomly assigned to either Group 1 …

Sexuality And The Aging Adult: The Attitude And Practice Of Physicians And Nurse Practitioners, Susan Runsvold

Master's Projects

Background: As the population ages, many quality of life issues will generate discussion. One such issue is sexuality of the aging adult. While there is substantial documentation related to the physiology and desires of the aging adult, little is known about medical practitioners' beliefs and practices regarding sexuality. Method: A 14 question survey with a comment section was developed and mailed to 269 physicians and nurse practitioners in Santa Clara County, California. The responses were evaluated using descriptive statistics. The comments received were grouped related to intent or topic. Results: There was no discernible difference between the beliefs and practices …

From Presence To “E-Presence” In Online Nursing Education, Lisa M. Kaiser Phd, Msn, Bsn, Rn

Dissertations

Online web-based course offerings are now common in many institutions of higher education In response to the current and severe nursing shortage, estimated to represent a 20% vacancy rate by the year 2015, (Tarkin, 2003) many more universities have created online nursing courses for registered nurses wishing to continue their education in nursing. The National League for Nursing (NLN) set research priorities that urged exploration of the impact that technology has on the content and nature of teaching and learning in nursing education (1999). Using a series of separate synchronous, online focus groups and 1:1 interviews with nurse educator experts …

Effects Of Sickle Cell Disease On Growth Of The Craniofacial Complexes, Timothy Charles Bandeen

Theses and Dissertations (ETD)

Sickle cell disease (SCD) is a genetic disorder affecting over 100,000 African Americans. While once lethal, medical treatment now allows those with SCD to lead comparatively normal lives, and these children are more frequently seeking orthodontic treatment. We report here on a cephalometric study of a contemporary cohort of 62 children with SCD (27 SC and 35 SS genotypes). This was a cross-sectional study of children from the MidSouth between 3 and 16 years of age, and results were co mpared to standards in Richardson’s Atlas of growth of American Black children in Nashville, TN. Raw values were converted to …

First Premolar Extraction Decisions And Effects, Ryan Gregory Bowles

Theses and Dissertations (ETD)

The most common method of resolving substantial tooth size-arch length discrepancies (TSALD) is to treat patients with the extraction of premolars. Not all of the extraction space, however, is needed to eliminate the patient's TSALD. Also, it is typical that some of the extraction space will be lost because the molars are used as anchorage units to retract the anterior teeth. OBJECTIVE: This study developed a method to measure changes in the positions of the canines and second premolars relative to the palatal rugae. These data were used to assess how the extraction space was used in resolving the malocclusion. …

Perceived Social Support Among Chinese American Hemodialysis Patients, Kaklam Wong

Master's Projects

Social support is linked to improved health outcomes both in Western and Asian societies and is a vital factor in a patient's adjustment to end-stage renal disease and its treatment regimen. This study explored perceived social support among 46 Chinese American hemodialysis patients in San Francisco's Chinatown using the Norbeck Social Support Questionnaire plus open-ended questions. Findings unexpectedly revealed low levels of perceived social support and lack of tangible support especially in elder patients. We can no longer assume that traditional family cultural values are providing adequate social support for this population.

Analysis Of Contraceptive Self-Efficacy In Clients Requesting Emergency Contraception, Jennifer L. Nordeen

Master's Projects

No abstract provided.

Practice Patterns Contributing To Positive Patient Outcomes By Nurse Practitioners, Kandice Bandy

Master's Projects

Purpose: The purpose of this study was to identify NP practice patterns most important for positive patient outcomes. Data Sources: A convenience sample (n = 93) of Nurse Practitioners attending the 2005 California Association for Nurse Practitioners Conference (N = 535) completed the survey. Conclusions: The most important practice patterns identified were associated with patient-centered care. When analyzed with years in practice, patient-centered practice patterns continued to be the most important. This study suggests that patient-centered practice patterns are most important to positive patient outcomes for NPs. Implications for practice: Identifying the practice patterns that are most important to positive …

Quality Of Life And Medical Compliance In The Adolescent Kidney Transplant Population ---A Pilot Study, Catherine Costaglio

Master's Projects

Introduction: Post renal transplant medical non-compliance is a leading cause of renal graft loss, in the adolescent population. The pwpose of this study was to determine if there was a relationship between quality of life and medical compliance. Method: A pilot study was conducted using a convenience sample of 10 post renal transplant adolescents during their routine transplant clinic appointment. Demographic data was collected and the KIND L Quality of Life questionnaire was completed by study participants. Medical compliance was measured by evaluating transplant clinic appointment attendance, laboratory appointment attendance, and immunosuppressant drug levels. Results: Despite positive correlations reported in …

"Bariatic Surgery For Obese Adolescents", Hilary Brooke Spooner

Undergraduate Honors Capstone Projects

With the rise of adolescent obesity, the need for treatment of this life-threatening disease is under consideration. There are several methods for the treatment of this disease, but a newer method is on the rise. Bariatric surgery for adolescents is a new technique that has been performed on adults for years, but the effects on the younger population are still unknown. There are certain criteria and guidelines for the patients undergoing this surgery, but the results seem to be promising. Nutritional and surgical complications are of great concern, but are the chronic disease health benefits brought on by weight loss …

The Adverse Health Effects Of Trans Fatty Acids, And Implications For Public Policy, Jonathan D. Atkin

Undergraduate Honors Capstone Projects

Subject: Trans fatty acids (TFAs) are produced either by the process of bacterial hydrogenation in the stomachs of ruminant animals, or the commercial method called industrial hydrogenation. The latter began early in the 20^th century based on purported health benefits and lowered costs. Alarming results from scientific studies in the early 1990's began to raise questions about whether TFAs should be regulated in our food supply.

Findings/Statistics: Scientific research initially discovered that TFAs raise the LDL/HDL ratio, thereby increasing the risk of coronary heart disease (CHD). Recent large, prospective, population-based studies have indicated a 25% increased risk of ischemic …

The Macrobiotic Diet May Have Benefits In Cancer Prevention, Brittany Lewis

Undergraduate Honors Capstone Projects

Macrobiotics is one of the most popular alternative or complementary approaches to fighting cancer. The diet is primarily plant-based, is centered on the idea of an all encompassing "yin-yang" concept in life, mind, environment and food. The dietary components of the macrobiotic diet, along with the many lifestyle implications are shown to have beneficial effects in cancer prevention and therapy. The diet has many anti-carcinogenic compounds, as well as a decrease in foods thought to promote cancer. A cause for concern is the vitamin deficiencies that may ensue in following a strict macrobiotic diet, which typically results from an all …

Investigation Of The Toxic Affect Of Manganese On Ruminal Microbial Digestion And Growth, Erin Dearing

Undergraduate Honors Capstone Projects

This research investigated the toxic effect of manganese, in a reduced chemical state, on rumen microbial metabolism and growth. The reduced form of manganese is the soluble state found in subsurface waters and has a high red-ox potential. In the study, we investigated the effects of reduced manganese at varying concentrations, on rumen microbial ability to replicate and metabolize carbohydrates. The hypotheses that we tested were as follows: (1) reduced manganese decreases the rate of pH drop associated with rumen culture fermentation of a com based diet and (2) reduced manganese decreases the bacterial growth in rumen culture, as measured …

The Composition And Comparison Of Essential Oils And Their Nutritional Benefits To Enhance And Decrease Risk For Chronic Disease, Heather Wollschleger

Undergraduate Honors Capstone Projects

This paper reviews the current status of our knowledge of essential oils and their nutritional contribution to our diet. The effects of dietary fats on our health differ markedly from the type and form of the fat. Special emphasis is placed on omega-3 and omega-6 fatty acids, and their dietary involvement. Specific oils increase our levels of vital vitamin E and the essential omega-3 and omega-6 fats humans need for mental and physical health. Chronic diseases remain a major cause of death and disability, and risk factors include diets high in saturated fatty acids and trans fatty acids. This risk …

Catabolism Of Amino Acids To Volatile Fatty Acids By Lactococcus Lactis, Balasubramanian Ganesan

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Lactic acid bacteria are essential as flavor producers of cheese and fermented products. They are capable of catabolizing aromatic, branched chain, and sulfur amino acids to flavor compounds. During cheese ripening the numbers of lactococcal colonies decrease, but lactococci survive without replication in culture. This prompted an investigation into possible mechanisms of catabolism of branched chain amino acids into branched chain fatty acids and the physiological relevance of amino acid catabolism to the bacteria. We hypothesized that lactococci catabolize branched chain amino acids to branched chain fatty acids during nonculturability.

Lactococci, lactobacilli, and brevibacteria catabolized both branched chain amino acids …

The Relationship Between Student Perceptions Of Faculty Support And Student Perceptions Of Clinical Competency, Linda Clark

Master's Projects

This study explored the relationship between student perceptions of faculty support and student perceptions of clinical competency in beginning and senior level nursing students. A total of 91 ethnically diverse, generic baccalaureate nursing students from a state funded university participated in the study. The participants completed Mozingo, Thomas, and Brooks' (1995) Perceived Competency Scale (PCS), Shelton's (2003) Perceived Faculty Support Scales (PFSS), and a demographic questionnaire. An independent t test determined that the observed mean difference between perceived competency scores in 46 beginning students (M=32.02) and 45 senior students (M=27.36) was statistically significant (t (89) =3.25,p<.05). The students demonstrated high scores of perceived faculty support and demonstrated no difference between the beginning (M=94.82) and the senior (M=95.61) nursing students (t (87) =-.25,p>.05). No statistically significant …

Somatostatin Regulates Intracellular Signaling In Human Bronchial Smooth Muscle Cells, Michael J. Alfonzo

Seton Hall University Dissertations and Theses (ETDs)

Somatostatin (somatotropin release inhibitory factor; SRIF), is an endogenous peptide family that controls cellular secretion and proliferation. While SRIF's cognate receptors and associated actions have been clearly identified in a range of tissues, such as the endocrine, gastrointestinal and immune systems, a role in human lung physiology remains unknown. Using primary human bronchial smooth muscle cells (hBSMC) as a model for studying SRIF's actions, we have investigated whether SRIF receptors are present and functional in human bronchial smooth muscle. Reverse transcriptase- polymerase chain reaction (RT-PCR) analysis ofhBSMC total mRNA demonstrated the presence of the sst, receptor subtype, providing a molecular …

Navigating The Change Of Life: The Menopausal Transition Of Thai Immigrant Women, Bulaporn Natipagon-Shah Phd, Msn, Rn

Dissertations

Given that women continue to live more than three decades after menopause and their health and well-being in later life are determined by quality of health during the menopausal transition, menopause has become an important issue in the healthcare arena. The growing number of immigrant women in the United States signifies a need for healthcare providers to develop cultural knowledge and sensitivity toward each immigrant group regarding the issue of menopause. The purpose of this qualitative study was to build a substantive grounded theory of the experiences of menopausal transition among Thai immigrant women in the United States. Data collection …

Juvenile Fear Of Crime And Attitudes Towards The Police: The Effect Of Implementing A School Resource Officer Program In Alaska High Schools, Sean A. Case

All-Inclusive List of Electronic Theses and Dissertations

This paper presents data concerning the effect uniformed police officers have on attitudes towards the police and fear of crime within the high school setting. Two identical surveys were administered to 522 high school students at two periods during a school year. The primary purpose was to determine whether placing uniformed police officers, called School Resource Officers, in high schools would improve attitudes towards the police and reduce the fear of crime. Although opinions towards the police were positively affected and the fear of crime was reduced, neither was affected significantly. The primary implication drawn from this research is that …

Mixing Motives: The Relationship Between College Students' Helping Behaviors And Alcohol Use, Randy Lee Halberda

All-Inclusive List of Electronic Theses and Dissertations

The present study investigates the relationship between volunteer helping and alcohol use and drinking problems in a sample of 396 college students. Two pilot studies were conducted to adapt a measure of helping behavior (Kaskutas, Oberste, & Zemore, 2002) for use with college students. The present study tests the hypothesis that students who help others are less likely to consume alcohol and subsequently less likely to suffer alcohol-related problems than their peers. Additionally, a path model specifying mediators between helping behaviors and drinking outcomes was examined. The proposed path model predicted that volunteer helping affects well being and perceived peer …

Physiological Determinants Of Rowing Performance, Chun-Jung Huang

All-Inclusive List of Electronic Theses and Dissertations

The aim of this study was to examine ten male rowers and seven female rowers on a number of physiological variables to determine which may account for variation in 2000m rowing performance. Male rowers' mean (±SD) age, body weight, and height were 17.4±0.7 years, 75.2± 11.2 kg, and 181.4±6.1 cm, and female rowers' mean (±SD) age, body weight, and height were 17.3±0.6 years, 72.4±14.9 kg, and 168.3±6.7 cm respectively. The participants were tested on 2000m rowing ergometer, vertical jump, inverted row, leg press, and back hyperextension. Height, vertical jump, inverted row, and leg press correlated with 2000m rowing performance time …