Medicine and Health Sciences Commons^™

A Descriptive Study Of The Organizational Attributes Of Exemplar Tennessee Hospitals., Sharron Rutledge Grindstaff

Electronic Theses and Dissertations

Tennessee's registered nurse vacancy rate is the highest in five years and the nursing shortage has dramatically impacted all portions of the state. The purpose of this study was to describe organizational attributes of exemplar Tennessee hospitals, as perceived by Chief Nurse Executives, which may influence the recruitment and retention of registered nurses.

In this study, 52 Tennessee hospitals were identified as exemplars of quality patient care, organizational policy, and administration. Their Chief Nurse Executive's were surveyed utilizing a Hospital Characteristics Questionnaire and the Organizational Support Subscale from the Nursing Workforce Index Revised (NWI-R). The hospital characteristics and organizational attributes …

Prenatal Maternal Attachment: The Lived Experience, Regina Ann Leva-Giroux Dnsc

Dissertations

Prenatal maternal attachment and the practice of health promoting behaviors during pregnancy are considered universal phenomena to women. Yet, the understanding of these phenomena from the lived experiences of pregnant women has not been well researched. The purpose of this phenomenological study was to describe the experience of maternal attachment to the unborn child and how that attachment might relate to the practice of these behaviors during pregnancy. The participants in this study were ten English speaking women, college educated, professionally employed, who were pregnant for the first time. Unstructured interviews were conducted with the participants at 14–16 weeks and …

The Effect Of Ginkgo Biloba On Alzheimer's Disease, Allison Marie Wozney

Undergraduate Honors Capstone Projects

Alzheimer's disease is a progressive dementia associated with increasing loss of memory, intellectual function, and disturbances in speech. It is the most common form of dementia. It is an incurable disease and has four stages which culminate in coma and death. The average survival rate for Alzheimer's is seven years. Presently, the only treatments approved in the United States for Alzheimer's are the drugs tacrine and donepezil. These drugs improve cognitive function in early Alzheimer's. However, Ginkgo biloba has recently been looked at as another treatment option and has been approved for use in Germany. Ginkgo Biloba was originally used …

Eating Trends In Childhood, Emily Willmore

Undergraduate Honors Capstone Projects

Children ages 6 through 11 years are progressing in many aspects of their life. Of interest, children are establishing eating patterns that will be carried throughout their lives. Some of these patterns can be considered problematic and need to be addressed, these include: overfeeding or obesity, adequacy of major minerals and establishing healthy eating patterns. We conclude that while some children's eating patterns are problematic, there are means to resolve these trends. They include counseling, family involvement, physical exercise and nutrition education in school at a young age.

Percutaneous Endoscopic Gastrostomy Placement Time In People With Cystic Fibrosis, Sarah Gunnell

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

A retrospective chart review was conducted on pediatric patients at the Intermountain Cystic Fibrosis Center who had a percutaneous endoscopic gastrostomy (PEG) placed between 1993 and 1999. Height velocity improved significantly in the group of patients with a PEG placed; however, pulmonary function declined more significantly over time.

Questionnaires regarding attitude toward PEG placement were sent to patients enrolled in accredited cystic fibrosis centers in the mountain west region and to their parents. The overall response rate was 54.25% for the PEG questionnaire and 24% for the non-PEG questionnaire. Ninety-six percent of the patients with a PEG reported that weight …

Four Case Studies Of Hispanic Children's Responses To A Videotaped Language Sampling Procedure, Adelaida E. Saenz

Theses and Dissertations - UTB/UTPA

This investigation was an examination of four Hispanic children's responses to a videotaped language sampling procedure, and was designed to determine bilingual (English/Spanish) and monolingual (English) children's expressive language development. Participants consisted of four normally developing Hispanic monolingual and bilingual males from the Rio Grande Valley between the ages of 8–6 and 9–2 years. Language samples were evoked using a videotape appropriate for children entitled Frankenweenie © . Following viewing of the videotape, children participated in a controlled conversation to explain what they had seen and to complete a twenty-one-item survey to measure their attitude toward the videotape. Total word …

A Case Study Of A School-Age Stutterer's Response To Delayed Auditory Feedback, Marcia Lynn Gonzalez

Theses and Dissertations - UTB/UTPA

Stuttering is a multidimensional disorder that is influenced by hereditary factors, as well as environmental. Numerous methods of treatment exist that address stuttering. However, the Smooth Talking Program (Radford 2001) is unique in its inclusion of mediated learning and delayed auditory feedback. The purpose of this study was to conduct a retrospective analysis of treatment data for a child with moderate to severe dysfluency that was gathered over three summer, five-week sessions with the inclusion of speech motor repatterning exercises during the last summer. The purpose of the analysis is to determine the effects of mediated learning combined with DAF …

Wordless Picture Books Versus Standard Stories For Language Assessment Of Spanish-Speaking Children, Yvonne De Anda

Theses and Dissertations - UTB/UTPA

Narrative samples from Spanish-speaking children will be analyzed using a wordless picture book and standard storybook. Ages of participants will be between 6.0 and 7.11 years and demonstrate: normal hearing and vision, no familiarity with books used in study, and receptive and expressive language skills 1.5 to 2 standard deviations below the mean as predetermined by a licensed Speech-Language Pathologist. The first story will be orally presented. Afterwards, children will respond to questions and retell the story. A silent presentation of the second story will follow, along with retelling of story and questions. Utterance length, sentence complexity, and vocabulary will …

Role Perceptions Of School Nurses Who Work With Medically Fragile Students, Cay Chapman Casey Phd

Dissertations

In 1999, the Supreme Court ruled that school districts were financially responsible to provide related services including nursing services, to medically fragile students. This decision applied to children attending public schools who have complex health problems and are tracheostomy dependent. The purpose of this grounded theory study was to explore role perceptions of eighteen school nurses caring for these children in classrooms. Six dimensions emerged from the data: Promoting Family/Nurse Connections, Adapting the Environment, Claiming Authority, “Standing Out There”, Striking a Balance and Experiencing Success. Promoting Family/Nurse Connections emerged as the central perspective, essential to implementing a plan of care. …

Resilience: The Lived Experience Of Elderly Widowers Following The Death Of A Spouse, Dorothy Battersby Crummy Phd, Msn, Rn

Dissertations

Aged widowers are at risk for increased incidence of health problems and higher mortality rates following the death of a spouse. Mens' abilities for dealing with loss have been questioned, but little research has been done with this group. Surviving widowers provided significant insights illuminating the experience of resilience and providing relevant information regarding this population. Utilizing interpretive phenomenology, a methodology advocated by van Manen, in-depth interviews were conducted researching the lived experience of resilience among nineteen elderly widowers between 71 years and 100 years of age. Participants, identified by network sampling, lived independently and had survived the death of …

Development Of The Postpartum Smoking Questionnaire (Ppsq), Cynthia J. Gantt Phd, Msn, C-Fnp, Rn

Dissertations

Cigarette smoking is the leading preventable cause of death in the United States. Smoking also accounts for significant morbidity for others exposed to environmental tobacco smoke. Many women stop smoking during pregnancy. Most women relapse to smoking following delivery, yet postpartum smoking issues have received little attention. The purpose of this study was to develop and test an instrument, the Postpartum Smoking Questionnaire (PPSQ) using Ajzen's Theory of Planned Behavior. The belief-based items of the PPSR-Q were developed following content analysis of 35 individual, structured elicitation study interviews with postpartum women in the military healthcare system. Beliefs that prevented women …

Protective Care: Mothering A Child Dependent On Parenteral Nutrition, Lorie H. Judson Phd, Mn, Rn

Dissertations

Home care of technology-dependent infants and children has become an accepted and expected consequence of higher survival rates among critically ill newborns and children who develop chronic illnesses. One of the high-tech modalities which foster dependence of these infants and children is parenteral nutrition. Parenteral nutrition, also called total parenteral nutrition (TPN), supplies life-sustaining nutrients through a central venous catheter and requires the use of machinery to pump this fluid directly into the bloodstream. Due to the tremendous cost of prolonged hospitalization for these children, and the deleterious effects to the child, home care is considered an obvious and viable …

Lake Mead Hospital Conversion To Complete Delivery System, Roger W. Noorda

UNLV Theses, Dissertations, Professional Papers, and Capstones

The objective of this case study is to determine the cost difference between using a conventional type of inventory system in the operating room versus using a pack system in the operating room. In this study three different ways of delivering disposables for a laminectomy procedure were considered: 1) multiple distributors of disposables, 2) single distributor of disposables, and 3) the pack system (CDS by Medline). The first comparison was of multiple distributors vs. a single distributor with a cost difference of $90.08 per procedure and $18,916.80 annually, multiple distributor costing less. The second comparison was between Medline as a …

The Reliability Of Emg Normalization Procedures For Three Muscles Invol Ved In Knee Extension, Gerrik J. Schepel

Masters Theses

This retrospective study analyzed the three muscles involved in knee extension: vastus medialis, rectus femoris, and vastus lateralis. lt was conducted to determine the reliability of normalization procedures when evaluating the EMG response detected from a muscle. During a maximal voluntary isometric contraction {MVIC), the EMG response of the muscle was recorded and the iEMG moment per unit area was determined. The iEMG response ofthe quadriceps muscles during dynamic exercise was normalized using the MVIC. Subjects (N = 44) performed two consecutive MVICs with a 2-min rest between trials at 110°, 90°, 70°, 50°, and 30° of knee flexion, …

Relationships Between A Quaternary Model Of Psychological Type Processes And Defense Mechanism Clusters, Kathryn Elizabeth Kelly

Doctoral Dissertations

This study examined the relationships between two psychological type dimensions (Extraversion-Introversion and Thinking-Feeling) and defense mechanism preferences. Psychological Type Theory was used as a conceptual framework for the generation of hypotheses. Specific hypotheses between the two psychological type dimensions and defense mechanism preferences were tested. Further, Extraversion-Introversion and Thinking-Feeling were combined, resulting in the formation of a quaternary personality model consisting of four groups (Introverted Thinking, Introverted Feeling, Extraverted Thinking, and Extraverted Feeling). Hypotheses that certain quaternary groups would display specific relationships with defense mechanism preferences were tested. To test hypotheses, 223 university students were administered the Myers-Briggs Type Indicator …

A Study Of Quality Of Life Issues In Community-Dwelling Elders, Kimberly S. Mcclane Phd

Dissertations

In the year 2000, there were approximately 35 million people in the United States who were 65 years of age or older, a ten-fold increase since 1900. The growth of this population has presented opportunities and challenges to American society. Health care needs, physical changes of aging, and the allocation of health care resources are several of the issues that need to be addressed (Federal Interagency Forum on Aging-Related Statistics, 2000). Quality of life measurement tools have been used to assess the health and social needs of aging people both in the United States and internationally since their conception in …

A Study To Examine The Attitudes And Perceptions Of Saudi Women In The United States And Canada Toward Exercise And Physical Activity, Tawfeeq E. Al-Bakry

Human Movement Studies & Special Education Theses & Dissertations

This study is an examination of the knowledge and perceptions of Saudi women in the United States and Canada in regard to exercise and physical activity. No studies on exercise, physical activity or sport for women in Saudi Arabia were found in the literature.

This study focused on ascertaining knowledge of Saudi women regarding physical and psychological benefits of exercise and physical activity. Furthermore, this study investigated the barriers that limit Saudi women from participating in exercise and physical activity. The population for this study included Saudi women who are associated with Saudi clubs and student organizations in the United …

A Naturalistic Investigation Into The Processes And Themes Of Recovery From Chemical Dependency, Mark Thomas Blagen

Theses and Dissertations in Urban Services - Urban Education

The research on recovery from alcoholism and drug addiction has generally focused on the causes of relapse. Although the study of the causes of relapse is an important endeavor, the results of this focus remain inconclusive. Understanding the process and themes of recovery is also an important question that remains a significant challenge.

This study attempts to explain, in part, why it is that one person can have many relapse indicators and still thrive in recovery, while another who has multiple layers of support and opportunity for recovery, succumbs to addiction. This study also attempts to determine if and how …

Managerial And Administrative Competencies For Dental Hygiene Program Administrators, Kelly Gale Tanner

Dental Hygiene Theses & Dissertations

The purposes of this descriptive study was to validate a list of managerial competencies that may guide administrative/management curricula within master of science in dental hygiene programs nationwide, and compile strategies for the development and implementation of the administrative and managerial competencies for future dental hygiene program administrators. Of the entire population of directors and chairpersons from accredited and accreditation eligible dental hygiene programs nationwide (N=262), 10 were randomly selected and used in a pilot survey. After establishing validity and test-retest reliability, a self-designed instrument, the Managerial and Administrative Competencies for Dental Hygiene Program Administrators Questionnaire, was mailed to …

Production Of A Monoclonal Antibody Against Benzo[Α]Pyrene Diol Epoxide Dna Adducts, Brian Peden Austin

Chemistry & Biochemistry Theses & Dissertations

Benzo[α]pyrene is a ubiquitous pollutant produced from the incomplete combustion of organic material such as fossil fuels. It is found in the workplace, urban air, drinking water, and the food supply. Recently, it has been proposed that benzo[α]pyrene may be the causative agent in the formation of lung adenocarcinomas among some Taiwanese women exposed to cooking oil fumes without adequate ventilation. In this study, calf thymus DNA was modified in vitro with benzo[α]pyrene-diol epoxide (BPDE) to a level consistent with that found in biological samples. This DNA of low modification was used as an immunogen in the production of a …

Determination Of Nuclear Factor-Kappa B Activation In Cultured Renal Epithelial Cells And Cardiac Myocytes Exposed To Cocaine And Morphine, David Angeles Tiangco

Biological Sciences Theses & Dissertations

Nuclear factor-kappa B (NF-kB) is an important transcription factor that participates in the genetic regulation of inflammation in many tissues. Cocaine and heroin are drugs of abuse associated with renal and cardiac pathology. The purpose of this study was to test the hypothesis that exposure to cocaine or morphine (a metabolite of heroin) would activate NF-kB in renal epithelial cells (COS-7) and cardiac myocytes (H9c2) grown in culture. COS-7 and H9c2 cells were co-transfected with an experimental reporter specific for NF-kB activation and a control reporter with constitutive activity. A dual-luciferase assay was used to determine levels of NF-kB activation …

Prostate Specific Membrane Antigen (Psma): Immunoassay Development And Characterization Of Transcriptional Regulation, Zhen Xiao

Theses and Dissertations in Biomedical Sciences

Prostate cancer (PCA) is the most common cancer and the second leading cause of death among American men. The high mortality is greatly attributed to the lack of early detection tools and effective treatment for metastasis and relapses. Biomarkers that can discriminate benign from malignant tumor and signal the development of androgen independent and metastatic tumor are needed. A biomarker designated prostate specific membrane antigen (PSMA) has the potential to fulfill this need. The objective of this study is to develop a clinically useful immunoassay for quantitation of serum PSMA and to study the molecular mechanism underlying the upregulation of …

Western Michigan University Occupational Therapy Department Web Page, Holly Pietrzak, Melissa Byrne

Honors Theses

Website designed for WMU's Occupational Therapy department.

A Novel Electrocardiogram Segmentation Algorithm Using A Multiple Model Adaptive Estimator, Gregory S. Hoffman

Theses and Dissertations

This thesis presents a novel electrocardiogram (ECG) processing algorithm design based on a Multiple Model Adaptive Estimator (MMAE) for a physiological monitoring system. Twenty ECG signals from the MIT ECG database were used to develop system models for the MMAE. The P-wave, QRS complex, and T-wave segments from the characteristic ECG waveform were used to develop hypothesis filter banks. By adding a threshold filter-switching algorithm to the conventional MMAE implementation, the device mimics the way a human analyzer searches the complex ECG signal for a useable temporal landmark and then branches out to find the other key wave components and …

Modulatory Effects Of Citrus Flavonoids Towards The Metabolism And Mutagenicity Of Environmental Carcinogens, Wayne L. Bear

Loma Linda University Electronic Theses, Dissertations & Projects

The environmental carcinogens classified as heterocyclic amines (HCA’s) and the tobacco-specific nitrosamine NNK generally require internal enzymatic activation. This activation occurs via cytochrome P450 (CYP) enzymes and leads to metabolites that bind to human DNA which may in turn cause mutations which may then in turn lead to carcinogenesis. Certain nonnutritive plant compounds termed phytochemicals may protect against HCA and NNK-induced mutagenesis and carcinogenesis. We investigated the potential protective effects of five different phytochemicals of the flavonoid class which naturally occur in citrus. These flavonoids were diosmin, naringin. naringenin, rutin, and quercetin. Our results suggest that naringenin and quercetin were …

Prevalence Of Various Upper Extremity Disorders In Patients With Carpal Tunnel Syndrome Versus Patients Without Carpal Tunnel Syndrome, Daniel C. Buda

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose: Increasingly larger numbers of patients present with repetitive strain injuries of the upper extremities, especially carpal tunnel syndrome (CTS). A large number of these patients appear to have more than one upper extremity condition. The purpose of this study was to determine the probability that a patient diagnosed with carpal tunnel syndrome will also be diagnosed with other upper extremity and/or cervical spine disorders.

Subjects: A group of 188 subjects diagnosed with carpal tunnel syndrome and a group of 203 subjects without carpal tunnel syndrome were selected through a chart review of patients at Loma Linda …

Enhancement Of Anti-Hiv-1 Ribozyme Activities By Rev Binding And Multimerization, Yuksel Yildiz

Loma Linda University Electronic Theses, Dissertations & Projects

To effectively apply hammerhead ribozymes as therapeutic agents it is necessary to co-localize them with the desired target. Human immunodeficiency virus type1 (HIV- 1) infectivity is dependent on env gene expression. HIV-1 Rev protein binds to a higher ordered RNA structure within the env transcript termed the Rev Binding Element (RBE). In anti-HIV gene therapy employing ribozymes to increase the co-localization of anti- HIV ribozymes with target HIV mRNAs, it has been proposed that when the native HIV- 1 RBE is appended to a ribozyme as a decoy molecule, simultaneous binding of Rev monomers to the RBE sequences in both …

Hard Tissue Healing Adjacent To Fresh Or Set Mta As Root-End Filling Material, Erol S. Apaydin

Loma Linda University Electronic Theses, Dissertations & Projects

Mineral trioxide aggregate (MTA) has been shown to promote regeneration of periradicular tissues when used as a root-end filling material. The purpose of this study was to compare the effect of fresh MTA with set MTA on hard tissue healing following periradicular surgery.

Under general anesthesia, the root canals of twenty-four mandibular premolars in four 2-year-old beagle dogs were filled with MTA. Two weeks later the root-ends of half of the samples were surgically exposed and resected to the level of set MTA within the canals. After exposing and resecting the other 12 root-ends, class I cavities were prepared in …

Holistic Approach To Mental Illnesses At The Toby Of Ambohibao Madagascar, Daniel A. Rakotojoelinandrasana

Doctor of Ministry Theses

The Church is to reclaim its teaching and praxis of the healing ministry at the example of Jesus Christ who preached, taught and healed. Healing is holistic, that is, caring for the whole person, physical, mental, social and spiritual. Healing is a part of the full salvation in Jesus Christ.

Mental illnesses or disorders affect one fourth of human beings in the world and their prevalence is far from declining. This thesis describes the model of Ambohibao and suggests it as a way for the church to do healing ministry, and particularly, as a way to approach the problems of …

West Virginia Registered Dietitians' Knowledge And Attitudes Of Diabetes Care, Marie R. Gravely

Theses, Dissertations and Capstones

This study addresses diabetes knowledge and attitudes of West Virginia dietitians as they relate to Medicare certified provider guidelines. A questionnaire was developed using the Diabetes Attitude Scale, questions from A CORE Curriculum for Diabetes Education, and demographic questions addressing length and type of practice, route to registration, and specialty credentials. Responses were analyzed to determine overall knowledge and attitude as well as how demographic information affects knowledge and attitude. Results indicated demographic information (except for specialty credentials and hours working with diabetes) did not have a significant effect on the dietitian’s diabetes knowledge and attitude. Specialty credentials did have …