Medicine and Health Sciences Commons^™

An Evaluation Of Germ City : Finding A Suitable Design, Suzanne Cherie Lusher

Theses, Dissertations and Capstones

Evaluations are used to determine a program’s merit. “Germ City” utilizes experiential learning of adequate hand washing skills. An elementary school in southwestern West Virginia served to determine if the evaluation design for “Germ City” would prove to be an effective assessment for the hand-washing program. Four hundred and eighty-four participants completed an eight-question pre/post test; one hundred and forty-nine students underwent a hand quadrant evaluation. In addition, a soap and paper towel usage log was recorded. Fifty-four percent of the participants were male, forty-six percent female (n=483) with a mean grade level of 3.6 (n=484). Post test results indicated …

The Relationship Between Leadership Styles Of Nurse Managers And Staff Nurse Job Satisfaction In Hospital Settings, Jan Warner Ramey

Theses, Dissertations and Capstones

The purpose of this study was to examine the relationship between leadership styles of nurse managers and job satisfaction of registered staff nurses in hospital settings in an Appalachian state. Names and addresses of 7,190 registered staff nurses were obtained from the state Board of Examiners for Registered Professional Nurses and 200 subjects were selected using simple random sampling. The Multifactor Leadership Questionnaire was used to measure leadership style of nurse managers as perceived by staff nurses. The Work Quality Index was used to measure job satisfaction of registered staff nurses. A positive, moderate correlation was found between job satisfaction …

Comparison Of Domestic Violence Outcomes Among Emergency Department Nurses, Pamela S. Neal

Theses, Dissertations and Capstones

Purpose: The purpose of this study was to examine the relationships between domestic violence education, organizational support, screening, danger assessment, safety planning, and referral practices among professional registered nurses in two ED settings.

Sample & Setting: A convenience sample of 63 professional registered nurses provided data from two EDs. An ED located in Kentucky where state mandated continuing education in domestic violence was required (n = 33) and an ED in West Virginia (n = 30) where mandated continuing education in domestic violence was not required was the setting for the study. The samples were separated based on nurses who …

Average Beverage Intake And Average Bmi In 2-5 Year Old Wic Children, Jenna Lynn Matthews

Theses, Dissertations and Capstones

Average Body Mass Index (BMI) and beverage intake were examined to determine if children who drank excessive amounts of beverages had a higher BMI than children who drank average amounts of beverages. Ninety-six WIC charts were reviewed. Average total fluid intake was 32.5 oz/day. For juice and total milk, the average intakes were 11.9 oz/day and 15.6 oz/day, respectively. The average intake of other drinks was 2.4 oz/day. Average BMI of children who drank excessive amounts and average amounts of total fluids was 16.143+1.60 and 16.457+1.90, respectively. No statistically significant differences were found between BMI and the consumption of total …

A Mechanistic Study Of Myoglobin Nephrotoxicity, Jennifer L. Minigh

Theses, Dissertations and Capstones

Myoglobin is an endogenous protein that can become nephrotoxic under certain conditions such as crush injuries, drug overdose, and seizures where prolonged contraction of muscle leads to cell death and leakage of myoglobin. The mechanism of myoglobin-induced nephrotoxicity is not fully understood. The purpose of this study was to characterize the sequence and mechanistic events associated with the in vitro toxicity of myoglobin in renal cortical slices. Renal tissue was isolated from Fischer 344 rats. Slices of renal cortex were prepared by freehand. These slices were then incubated for 60-180 minutes with myoglobin (0-12 mg/mL) pretreated with 4 mM ascorbic …

Pkcα Translocation And Actin Remodeling In Contracting A7r5 Smooth Muscle Cells, Chenwei Li

Theses, Dissertations and Capstones

Recent research indicates that protein kinase C (PKC) plays an important role in smooth muscle contraction. Because PKC activation and specificity of substrate phosphorylation is believed to be associated with the relocalization of the enzyme to specific cell sites, we first investigated the subcellular translocation of PKCα in A7r5 smooth muscle cells by confocal microscopy through use of standard immunohistologic staining and PKCα - enhanced green fluorescent protein (PKCα -EGFP) fusion protein expression. PKCα was diffusely distributed throughout the cytosol in the unstimulated A7r5 cell. Upon stimulation with phorbol 12, 13 dibutyrate (PDBu), PKCα was translocated primarily to either the …

A Survey Of Neonatal Suction Techniques Performed By Registered Nurses, Craig H. Register

Theses, Dissertations and Capstones

Purpose. The purpose of this study was to determine the suction practices of the registered nurse in the neonatal intensive care unit.

Design. A descriptive research design was used to describe the suctioning practices of the registered nurse providing care to the neonatal patient.

Method. Data were collected through the use of demographic and knowledge questionnaires. Frequency and percentages of responses were determined. The independent samples t test was used to determine what, if any, differences in practice existed based upon nursing education, nursing experience, or NICU experience.

Findings. The results of this study demonstrated that the current practices were …

Characterization Of Host-Bacteria Interactions Contributing To Group B Streptococcus Colonization, Jennifer Marie Smith

Theses, Dissertations and Capstones

Group B streptococcus (GBS) is the leading cause of life-threatening bacterial infections during the first three months of life. GBS is also a frequent cause of maternal postpartum infections. Both types of infections stem from maternal vaginal and/or rectal colonization with GBS in the perinatal period. Limited information is available concerning how the colonization process occurs and what role the host immune system may play in the establishment of persistent colonization by GBS. The complex interactions between the immune system and GBS normally should end in clearance of the bacteria. However, since colonization by GBS occurs in a large number …

Gravistimulation Of Pisum Sativum And Expression Of The Cell Membrane Expansin Proteins, Sherrine A. Ibrahim

Theses, Dissertations and Capstones

This thesis research investigates the regulation of gene expression in pea stems (Pisum sativum) after changes in orientation to gravity (gravistimulation). Specifically, this project examines the changes in extracellular soluble proteins due to gravistimulation in pea seedlings. This change in gravity alters the cellular growth pattern, which can be directly linked to enzymatic activity resulting in the expression of cell wall loosening proteins called expansins. This loosening of the cell wall matrix subsequently increases elasticity in growing cells, thus leading to an upward curvature of the stems. These changes in enzymatic activity and gene expression are crucial for …

Spanish For School Nurses: A Specialized Program For Use In Teaching Basic Spanish To Nurses Who Work In A Multicultural Environment, William Earl Wood Jr.

MA TESOL Collection

During the past twenty years, there has been a great influx of Spanish speaking people into the United States, especially the state of North Carolina. This increase of Spanish speakers has had an impact on all areas of society: employment, housing, health care, transportation, and education. This project focuses on language training for a specialized group who has a daily need to communicate in this new environment: school nurses. It examines materials that are currently available to teach nurses the Spanish language. It discusses the language requirements that nurses use to function in a multicultural environment. It looks at some …

The Effects Of The "Get Off Your Rocker" Exercise Class On Balance, Heather Bethard, Trish Magee, Susie Mcgarry, Sarah Mcguire

Physical Therapy Scholarly Projects

The purpose of this study was to determine if the six-week "Get Off Your Rocker" balance exercise class, promoted by HealthSouth®, had a significant effect on balance in the geriatric population. If proven to be effective, this class could be an additional tool for physical therapists to utilize to aid in improving a patient's balance.

A total of 22 subjects volunteered to participate in this study. They were randomly divided into two groups: a control group (n=1 0, 8 females and 2 males) and an exercise group (n=12, 8 females and 4 males). All subjects were high functioning and were …

Depot Medroxyprogesterone Acetate Discontinuation After Weight Gain In 17-19 Year Old Adolescent Girls, Donna Lea Church

Theses Digitization Project

Depot medroxyprogesterone acetate (DMPA) is a long acting progesterone only contraceptive agent. Side effects such as irregular bleeding patterns and weight gain are attributed to discontinuation. The purpose of this study was to describe depot medroxyprogesterone acetate discontinuation after weight gain in 17 to 19 year-old adolescent girls.

Drowning Prevention For Children In San Bernardino County, Joan Marie Williams

Theses Digitization Project

Drowning and near drowning is a significant problem nationwide and in San Bernardino County. Drowning in and around the home is the leading cause of accidental death of children under 5 years of age. In the United States, drowning is cited as the second most common cause of death for adolescents. This project was undertaken to help establish a funding source to develop a drowning prevention program in San Bernardino County. A request for assistance was obtained from the California Center for Childhood Injury Prevention and the California Kids' Plates Program.

Development And Coordination Of A Health Care Services Program For Foster Children In A Shelter Care Population, Rebecca Lynne Allen Spradling

Theses Digitization Project

The purpose of this project is to support health promotion of children entering foster care, ensure that children receive all health care services needed, prevent the trauma of duplication of immunizations, and reduce disruption of health care as children move through the foster care system.

Managed Healthcare And Integrated Delivery Systems: A Model For Getting Ahead Of The Change Curve, Philip Sheridan Carney

Theses Digitization Project

Managed care became the dominant model for moderating healthcare costs in the 1990's. The later half of this past decade witnessed early signs of a return to escalating premiums. Providers and consumers have reacted negatively to perceptions of health plan micro-management and restriction of choice.

Substance Abuse Treatment For Single Mothers: A Needs Assessment, Leslie Hoskin

Theses Digitization Project

This project assesses the feasibility of establishing a substance abuse treatment program that provides services to women and their children in the Morongo Basin area of the California Desert.

Constructivist Research Project Needs Assessment Of Rural Drug Court Clients: A Case Study, Patricia Miriam Gomez-Gillard

Theses Digitization Project

This constructivist research project qualitatively assessed the needs of both drug court clients and the treatment team in a rural California community utilizing the "hermeneutic dialectic process."

Providers Choices In Web-Medical Records: An Analysis Of Trade-Offs Made By Physicians In San Bernardino County, Jay Eriah Shankar

Theses Digitization Project

This thesis concluded that offering physicians an appropriate Web-based transcription service should be well received and improve their medical record management and patient care.

An Assessment Of Elderly Health Care Needs And Access In Three Urban San Bernardino Communities, De Anna Le Sabin

Theses Digitization Project

This project was an assessment of elderly health care needs and access. Three urban San Bernardino communities in zip codes 92405, 92410, and 92411 were targeted. The assessment was structured according to King's theoretical construction of community as a multilevel interaction between personal, interpersonal and social systems. The components of the assessment included digital photographs, web-based internet assessments, key informant interviews, and community business visits.

Cognitive Rehab Solutions: A Computer-Assisted Cognitive Training Program, Avani Rajnikant Patel

Theses Digitization Project

The purpose of this project is to offer a functionally comprehensive application, Cognitive Rehab Solutions (CRS), that is designed for neuropsychologists to deliver restorative cognitive training in areas of attention and memory of persons with brain impairment.

End Of Life Nursing Education Consortium Grant Implementation Project, Sheryl Ramona Terkildsen

Theses Digitization Project

This project addressed the continuing education needs of nursing staff and other health care professionals for delivering competent and compassionate palliative or end of life care. The scope of the project included, writing a grant application, training and certification by the end of life Nursing Education Consortium and implementing an education program for staff at the Loma Linda Veterans Affairs medical center.

A Retrospective Analysis Of Early Progressive Mobilization Nursing Interventions And Early Discharge Among Post Coronary Artery Bypass Patients, Millie Quan

Theses Digitization Project

This project offers evidence and data to measure how progressive and sustained mobilization strategies that are implemented by nurses impact early discharge on a single stay Cardiothoracic Intensive Care Unit for patients undergoing first-time Coronary Artery Bypass Surgery (CABG) surgery.

Chemical Dependency Treatment: An Examination Of Following Continuing Care Recommendations, Briar Lee Faulkner

Theses Digitization Project

The purpose of this study was to determine what influence scheduled phone contacts would have on the extent of follow-through of continuing care recommednations by participants after treatment. Continuing care recommendations associated with ongoing sobriety include going to another level of care (individual therapy, group therapy, outpatient treatment), attending twelve-step meetings and communicating with a sponsor. Continuing care recommendations are typically written and referred to as a continuing care plan.

Characteristic Differences Between Parents/Guardians Who Keep Immunization Records And Those Who Do Not, Rebecca Bonilla Mangual

Theses Digitization Project

No abstract provided.

Barriers To Initiation And Continuation Of Vision Care Among Diabetics, Jennifer Eilleen Werner

Theses Digitization Project

No abstract provided.

A Doctor-Patient Communication Tool (Dpct) Ryodoroku Application On The Web, Hongwei Bi

Theses Digitization Project

No abstract provided.

Delays In The Emergency Department And Their Effects On The Ambulance Provider, Simon Peter Moore

Theses Digitization Project

This thesis is a case analysis of the nature of delays in emergency room admissions and the effects on ambulance dispatching and availability as it occurred in Southern California.

Causes Of Substance Abuse Relapse Among Mexican American And Anglo Males, Carlos Alberto Mauriz

Theses Digitization Project

No abstract provided.

Gender Differences In Gross And Fine Motor Abilities In Preschool Aged Children In West Virginia, Kelly R. Pennington

Theses, Dissertations and Capstones

The purpose of this study was to investigate gender differences in gross and fine motor abilities in preschool aged children in West Virginia. Subjects consisted of 21 males and 16 females. Data was collected via the West Virginia Educare Initiative using the Carolina Curriculum for Preschoolers with Special Needs. Results of this study indicate that there are no significant gender differences in either gross motor or fine motor abilities in preschool aged children.

A History Of Quality Of Life Measurements, Jordan Matthew Prutkin, Alvan R. Feinstein

Yale Medicine Thesis Digital Library

Purpose: To review the origins and early development of quality of life measurements in the medical literature. Methods: A comprehensive literature review of Medline from 1966-1986 examining articles with quality of life as a subject heading. Studies were included if they were the original article describing a scales development or used scales developed in the social science literature. Results: The measurements have been derived from two separate sources: a transfer and expansion of medical appraisals for health status, and an application of sociometric and psychometric methods for populational assessment of happiness, well-being, and other affects. Neither source of measurements used …