Medicine and Health Sciences Commons^™

The Incidence Of Caregiver Reported Sensory Processing Disorders In Children Who Are Experiencing Traumatic Stress Reaction, Ann K. Viviano

Masters Theses

The purpose of this research project was to determine whether children who are experiencing traumatic stress reaction to childhood neglect· or abuse demonstrate sensory processing disorders. It was hypothesized that since neurodevelopment has been disrupted in children who have been exposed to trauma or neglect, sensory processing abilities may also be disrupted.

The Sensory Profile, a judgment-based caregiver questionnaire, provides a standard method to measure a child's sensory processing abilities and to profile the effect of sensory processing on a child's functional performance. A convenience sample of 25 children, with documented traumatic stress reaction due to abuse and/or neglect, …

Effect Of Relaxation On Neuro-Immune Responses Of Persons Undergoing Chemotherapy, Patricia K. Taylor Pothier Phd, Ms, Rn

Dissertations

Chemotherapy can be considered both a physiologic and a psychological stressor. Anxiety, nausea, emesis, and immunosuppression are commonly associated with chemotherapy, and may adversely affect the outcome or the process of treatment. Chemotherapy-related anxiety can exacerbate negative side-effects. Some psychological stressors, such as anxiety, can result in down-regulation of certain immune functions. Studies have demonstrated that behavioral interventions, such as specific relaxation strategies, can modify stress-related immune modulation. These behavioral interventions have also been shown to decrease the degree of nausea and vomiting associated with chemotherapy. The purpose of this study was to examine whether a relaxation intervention would result …

Advances In Dna Affinity Chromatography, William Himanshu S. Gadgil

Theses and Dissertations (ETD)

Different aspects of DNA affinity chromatography such as DNA complexity heparin elution, the Bi-column method and the oligonucluotide trapping method were studied. The complexity (length) of a DNA sequence attached to an affinity chromatography column affects column retention, and the purity of transcription factors obtained. T18: A18 tailed DNA affinity columns were better suited for purification of most of the transcription factors than either the discrete or concatemeric DNA affinity columns. A novel method using heparin for eluting transcription factors from DNA Sepharose columns was characterized. The amount of the lac repressor chimera which eluted from the column was shown …

Covenantal Ethics: A Living System For Living Systems, Matthew D. Viel

Loma Linda University Electronic Theses, Dissertations & Projects

Covenantal ethics is a living system for living systems. We humans are not simple, isolated individuals living stagnant, dead lives. Rather we are immersed in a complex system of living, glowing and developing interpersonal relationships with others. Philosophy in general and ethics in particular are often looked upon as dead or dormant entities. Covenantal ethics is neither. It is a living approach to the philosophy of ethics that recognizes the dynamic system in which we live. Our world recently welcomed a new millennium. We moved forward, leaving behind much of the old and eagerly anticipating what was to come. One …

The Effects Of Education On Fear-Avoidance Behavior Of Subjects With Work-Related Low Back Pain, Marie A. Anger

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. Fear-avoidance behavior contributes to chronic low back pain. The purpose of this study was to determine whether patient education on fear-avoidance behavior added to conventional physical therapy would have significant effects on return to work status in contrast to a comparison group with only physical therapy intervention. Return to work status was measured by the length of time from the initial injury to the subject’s return to work on regular duty.

Subjects. Thirty-four workers’ compensation subjects with low back pain who exhibited fear-avoidance behavior, according to their responses to the Fear- Avoidance Beliefs Questionnaire, were alternately assigned …

Disability Self-Assessment And Upper Quarter Muscle Balance In Females, Eric Glenn Johnson

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. This study compared upper quarter muscle balance of working female dental hygienists and non-dental hygiene females who had no history of upper quarter pathology. The upper quarter was operationally defined as the shoulder and neck region; and muscle balance, as muscular flexibility and muscular performance. Muscular performance was operationally defined as a combination of strength and endurance.

Subjects. The study group consisted of 41 working dental hygienists between the ages of 22 and 60 years with a mean age of 38 years. The control group consisted of 46 non-dental hygienists between the ages of 20 and 54 …

A Question Of Neutrality: Divorce Mediation Literature, The Role Of The Mediator, And Perspectives On Bias, Cory Michael Mathews

Dissertations and Theses

Research on mediation processes have addressed the role of the mediator, but often obliquely. In divorce mediation, the literature has sketched various approaches to the role, which diverge from each other in some significant ways. What is lacking is an integrated picture as to how these approaches to the field differ on key questions in the practice of divorce mediation.

This thesis is a preliminary attempt at such an integrated sketch, focusing on the question of whether or not the mediator is truly neutral in the process. Two major schools of thought of emerge from the literature, here referred to …

Alveolar Ridge Dimension Analysis Following Socket Preservation Using Clinical Assessment And Cone Beam Computed Tomography (Cbct)., Sayward Duggan

Theses and Dissertations

AIM: Extraction of a tooth can lead to alveolar ridge resorption which can be minimized by socket preservation. The aim of this study is to analyze vertical and horizontal alveolar ridge dimensions clinically and by CBCT immediately following extraction and 3-4 months following socket preservation. METHODS: The preserved group (P) consisted of 20 patients with1-2 non-molar teeth requiring extraction with socket preservation, while the control group (C) consisted of 5 patients requiring extraction alone. An acrylic stent was fabricated presurgically in order to measure vertical and horizontal ridge dimensions clinically and radiographically immediately following extraction and 3-4 months following socket …

An Analysis Of The Changing Forces Behind Health Insurance Coverage Of Homebirth, Christina Anne Gasbarro

Dissertations and Theses

The expansion of managed care, which is premised on containing costs while maintaining market share, represents a radical transformation of the U.S. health care system. A central question for medical sociologists is to determine how the changes brought by managed care influence health insurance and health care options. In evaluating the impacts of managed care, obstetrics is a particularly important site of study. Part of this agenda involves gathering baseline data on a specific transformation in obstetrics practice new to the managed care scene: the emergence of health insurance coverage for the option of home birth. The research project detailed …

Medlink, Nicolas Ehalt

Honors Capstones

Capstone submitted as a graduation requirement for the BSU Honors Program.

Neuromotor And Cognitive Development In Children With Cerebral Palsy In Relation To Neural Plasticity, Vaniecea Pollard

McCabe Thesis Collection

Infants with neurological disabilities, such as cerebral palsy (CP) and Down syndrome (DS), show severe delays in motor and cognitive development relative to chronological age. Involvement of neural plasticity as a treatment of such neurological disorders is increasingly being seen. Previous studies have found that interventions involving sensory linked motor performance have been critical in facilitating motor improvement. The purpose of this study was to compare self-initiated mobility in children with CP and DS. Three infants, ages 8, 9, and 22 months, with diagnoses of no CP, DS, and CP respectively, participated in the study. The infants were videotaped in …

Icam-1 Transmembrane Signaling: Involvement Of Taxreb107 In Icam-1-Mediated Signal Transduction, Brian Lee

Yale Medicine Thesis Digital Library

The role of membrane ICAM-1 in intercellular adhesion, through interaction with the leukocyte beta2 integrin receptors LFA-1 and Mac-1, is well established. However, until recently, ICAM-1 was widely regarded as being simply an "anchor" molecule, promoting, for example, firm adhesion of lymphocytes to vascular endothelial cells. The demonstration that ICAM-1 is connected to the actin-based cytoskeleton through interactions with subcortical actin-binding proteins, such as alpha-actinin, enhanced this concept. However, ICAM-1 has been increasingly shown to have signaling properties of its own. Engagement of ICAM-1 extracellularly, either through its natural counter-receptors, LFA-1/Mac-1, or through antibody mediated clustering, can produce numerous changes …

Comparison Of The Effectiveness Of The Dynamic Effort, Maximum Effort, And Repeated Effort Methods With Compensatory Acceleration, Eric W. Patterson

All-Inclusive List of Electronic Theses and Dissertations

Resistance training is being used to better sports performances worldwide. Increases in strength have been shown to enhance performance and decrease the incidence of injury. The optimum speed and load needed to increase strength in the least amount of time has yet to be determined. Researchers have categorized different methods used to increase strength including the Dynamic Effort, Maximum Effort, and Repeated Effort Methods and Compensatory Acceleration. However, the optimum combination of these methods has not been shown through scientific study. The purpose of this study was to examine the effects of a six week training program using the Dynamic …

The Effect Of Individual Counseling On Hope And Its Impact On The Utilization Of Services By Individuals With Hiv Disease, Barry Michael Vesciglio

All-Inclusive List of Electronic Theses and Dissertations

The interrelationships of participation in counseling, level of hope, and care service utilization in a sample of individuals with HIV disease was the focus of this study. It was hypothesized that individual counseling would improve an HIV-positive person's level of hope, and would increase participation in additional care services. It was also hypothesized that individuals with more hope would seek a greater number of care services. The Health Status Questionnaire, which contains the Hope Scale, and the Social Support Questionnaire were used to collect data. Participation in individual counseling was not related to level of hope. Additionally, stage of illness …

Exploring The Effects Of Guilt, Spousal Support, And Role Conflict On The Psychological Well-Being Of The Educated Full-Time Stay-At-Home Mother, Susan Donley Desimone Phd

Dissertations

The purpose of this study was to examine the effect of guilt, degree of spousal support, role conflict, and decreased psychological well-being experienced by educated stay at home mothers with young children. Social role theory is utilized as a basis for the development of a theoretical model. Relevant research literature does not identify a link between guilt, degree of spousal support, role conflict, and decreased psychological well-being in stay at home educated mothers. The significance of this study was to bring recognition to the phenomenon among educated stay at home mothers that little or no attention has been acknowledged. The …

A Preliminary Risk Analysis Of Environmental Tobacco Smoke And Lung Cancer Using A Cohort Of Mormons In New Haven County, Albert Abdul-Barr Wang

Public Health Theses

Environmental tobacco smoke exposure has been recognized as an important source of lung cancer morbidity and mortality. Measuring environmental tobacco smoke exposure for risk analysis depends much on the methodologies for determining ETS levels of nicotine and RSP.

The author decided to measure the linear multistage dose-response curve relating the level of ETS exposure to the lung cancer incidence. The research was conducted using human time-activity patterns and microenvironmental ETS measurements through a self-designed questionnaire. A cohort of New Haven Mormons was selected for a low-dose group and the subjects from the NHAPS study were utilized for the high-dose group. …

Attitudes And Practices About Weight, Weight Management, And The Association Of These Factors With The Development Of Chronic Disease In A Convenience Sample Of Dietetics Students, Karah Lynnette Lindbergh

Honors Capstones

No abstract provided.

The Description And Comparison Of Feature Retention Patterns For Children With Phonological Impairment Developmental Apraxia Of Speech And Typically Developing Children., Amanda N. Lambert

Electronic Theses and Dissertations

The purpose of the present study was to compare feature retention patterns between children developing speech typically (TD) and children with phonological impairment (PI) and to discuss these findings in terms of characteristics, severity, and implication for the identification of developmental apraxia of speech (DAS). A second purpose was to determine if a relationship exists between phonological knowledge and feature retention.

This study consisted of a PI group and a TD group of children, ages four to six. A 245-item speech sample was collected from each subject. Feature retention percentages as well as percent correct underlying representation (PCUR) were calculated …

Morphine Enhances The Permeability Across Vascular Endothelial Cell Barriers, Jenine Anday

Seton Hall University Dissertations and Theses (ETDs)

Using three types of in vitro endothelial cell barrier models, we investigated the direct effects and mechanisms of morphine on vascular permeability. Our current studies illustrate LPS induces permeability across these VEC barriers, and is significantly enhanced when co-treated with morphine, displayed using the [ 14 CJ-inulin paracellular marker. Incubation with morphine alone induces permeability in a concentration­ depeodent manner, and is not blocked by the addition of naloxone. Morphine enhances the detrimental effects of LPS on cell viability and alone also decreases endothelial cell viability, concentration-dependently, which is also not affected by naloxone, as demonstrated by the trypan blue …

Risk Factors Associated With Multiple-Gestation Pregnancies: Nutrition In Maternal And Infant Complications, Vallarie B. Nuttall

Undergraduate Honors Capstone Projects

This paper discusses the maternal and neonatal risk factors associated with multiple birth pregnancies. Nutrition implications associated with nutritional care of the high-risk infant and obstetric population are emphasized. Statistical information was gathered concerning the population growth of multiple births over the past twenty years. Literature to identify both maternal and neonatal risk factors associated with multiple gestation pregnancies was also reviewed. Studies conducted over the past twenty years have shown that there has been an increase (25%-50%) in the amount of twin births throughout the world. Studies indicate that this increase was actually greater in the U.S. when compared …

Phytochemicals And Health, Heather Rebecca Stone

Undergraduate Honors Capstone Projects

Objectives: Define phytochemicals as currently recognized in the United States and discuss food sources. Identify aims and challenges of current research. Review touted health effects of phytochemicals in cancer, cardiovascular disease (CVD), immune function, and other benefits. Present dietary recommendations. Methods: A literature search was conducted through Medline to find peer-reviewed journal articles from the past five years. Articles were found that identified the compounds and highlighted recent research relating phytochemicals to disease. The review of literature focused on an introductory understanding of phytochemicals. Results: Studies show that phytochemicals are undefined under current U.S. food regulations. They are biologically …

Psychosocial Factors And Their Relationship To Type-2 Diabetes Mellitus Outcome Among The Strong Heart Study Cohort, Brian O'Leary

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Diabetes mellitus is a serious problem that affects 15.7 million individuals in the United States. The complications of this disease are catastrophic and can lead to blindness, kidney disease, lower limb amputations, nerve damage, increased risk of heart disease, stroke, and death. Among Native Americans, diabetes has reached epidemic proportions. A variety of psychosocial variables has demonstrated relationships to diabetic outcome. Past research has shown a relationship between psychological variables and glucose control. The current study of Native Americans shows a similar pattern using the psychosocial instruments to measure the constructs of depression, anger, hostility, social support, and perceived stress. …

The Minnesota Multiphasic Personality Inventory-2 And Low Back Pain Surgery Outcome, David S. Shearer

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Chronic back pain is a serious problem in the U.S. for which about 10% of back pain sufferers will undergo elective surgery. Unfortunately, back surgery is not successful in alleviating back pain in a substantial number of surgery patients. Various psychological and psychosocial variables have a demonstrated relationship to back surgery outcome. The most widely used personality test used to predict back surgery outcome is the Minnesota Multiphasic Personality Inventory (MMPI). Past research has shown that elevations on three MMPI clinical scales (Hs, D, and Hy) are positively correlated with poor back surgery outcome. The current prospective study shows a …

Relational Aggression, Television Viewing, And Expectation Of Reward, Sarah Marie Money

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Children in contemporary society can access all manner of aggressive content via the media, including violent television fare, video games that literally hone children's sharpshooting skills, and abusive pornography on the Internet. Fortunately, governments and concerned citizens worldwide have endeavored to control children's access by implementing various rating systems and devising security for certain sites on the Internet.

Unfortunately, there is a type of aggression portrayed in the media and in various video games to which the public has paid little attention. In fact, many people are not even aware of its existence, yet it may negatively impact children (and …

The Impact Of Psychological Reactance And Desire For Control On Perceptions Of Common Elements Of Cognitive, Affective, And Behavioral *Change, Morgan Edward Williams

Doctoral Dissertations

The present study was designed to assess the impact of two dispositional variables, psychological reactance and desire for control, on individual perceptions of common elements of psychological change. These common elements represent cognitive, affective, and behavioral aspects of psychological change. The study tested whether individuals with different levels of psychological reactance and desire for control systematically differed in their perception of the importance of elements relevant to psychological change. Participants (N = 420) completed three self-report assessment instruments: (a) the Common Elements of Change Questionnaire, (b) Hong's Psychological Reactance Scale, and (c) the Desirability of Control Scale. As hypothesized, …

The Effects Of Reengineering On Hospital Performance Indicators, Linda Rutgers Albery

Dissertations

Reengineering was a management tactic designed to reduce costs and increase efficiencies in the work place. Although many hospitals reported reengineering efforts were a priority during the latter part of the 1990s, little research has been done to determine the effects of reengineering on cost and quality performance indicators.

This research studied a large regional medical center located in southwest Michigan, which implemented patient-focused care redesign. Within this medical center, ten separate and distinct patient care departments were studied over a 5-year period. These departments included critical care, medical, surgical, obstetric and pediatric areas. During the first year o f …

Patient Knowledge Of Their Care Providers In A University Teaching Hospital, Ron E. Samet

Yale Medicine Thesis Digital Library

No abstract provided.

Promoting Healthy Behavior Change In Skin Cancer Risk Reduction Using The Transtheoretical Stages Of Change Model, Sherry L. Pagoto

Dissertations

Skin cancer is the most commonly diagnosed cancer in the United States with 20% of people developing some form of skin cancer in their lifetime (American Cancer Society, 1999). In spite of the high incidence of skin cancer, it is highly preventable. Approximately 90% of the cases are caused by exposure to ultraviolet radiation from the sun (Skin Cancer Foundation, 1992). The effect of an intervention aimed at reducing skin cancer risk was compared to a survey only control group in 99 Chicago beach-goers. The intervention was based on the Transtheoretical Stages of Change Model (TTM) and included sun sensitivity …

Hand Intensive Leisure Activities And Repetitive Motion Injuries Of The Distal Upper Extremities, Marilyn Colvin Wright

Loma Linda University Electronic Theses, Dissertations & Projects

Background. The work-relatedness of repetitive motion injuries to the distal upper extremities (RMI-DUEs) has been well documented; however, human occupation extends beyond the job to include self-care and leisure activities. The effects of hand intensive leisure activities (HILAs) such as home computer use and needlework on RMI-DUEs have not been explored. These HILAs require hand usage similar to known work-related risk factors. Additionally, sedentary leisure contributes to obesity thereby increasing the disease burden of women. Health beliefs regarding leisure and fitness among women employed in hand intensive sedentary jobs have not been explored.

Purpose. The purpose of this study was …

How Peruvian Mothers Appraise Pneumonia And The Predictors Of Their Intention To Seek Medical Care When Their Children Have Signs Of Pneumonia, César Augusto Gálvez

Loma Linda University Electronic Theses, Dissertations & Projects

Pneumonia ranks first in health problems demanding attention, and second in the cause of mortality for children under five years old in Peru (Toledo, & Minaya, 1999). Studies about behavioral determinants that influence mothers to seek medical help for their child with signs of pneumonia do not focus on the contribution of the behavioral determinants to intention of seeking medical help.

Using the Theory of Planned Behavior (TPB) and a cross-sectional design, the objectives of this study were to know first, Peruvian mothers' perceptions about knowledge and recognition of pneumonia, and about the government pneumonia campaign (GPC). Second, mothers' attitudes, …