Medicine and Health Sciences Commons^™

Pain Management: South Dakota Advanced Prepared Nurses' And Physicians' Knowledge, Attitudes, And Perceived Barriers, Rebecca B. Reed

Electronic Theses and Dissertations

The most common reason patients seek health care is for the relief of pain. One of the most important roles health care providers serve is to assist patients in achieving comfort. The literature documents pain is inadequately managed as a result of inadequate knowledge, attitudes, and potential barriers. Advanced prepared nurses (APNs) and physicians engage in professions that demand safeguarding and protecting the health of patients. APNs and physicians have an ethical duty to provide collaborative, interdisciplinary pain management to patients.
This study described the knowledge, attitudes, and perceived barriers of South Dakota APNs and physicians in regard to selected …

Parental Knowledge Of Effective Parent-Infant Communication, Jana J. Sweeney

Masters Theses

Parental knowledge of parent-infant interaction and effective communication techniques was investigated to determine what parents know about parent-infant interaction and communication, to determine who provided them with the information, to determine if more information should be available, and to determine who should serve source of information to parents regarding as the primary parent/child communication. The study also examined the potentially crucial role of the speech-language pathologist in providing education. A questionnaire and survey was developed and completed by 27 parents in two-parent homes to provide a data base for the study. Results of the survey indicated that parents are not …

Characterization Of Two Endogenous Trophic Factors Involved In Regeneration Of The Goldfish Optic Nerve, Jason Matthew Schwalb

Yale Medicine Thesis Digital Library

Unlike mammals, lower vertebrates are able to regenerate injured pathways of the central nervous system throughout life. The factors responsible for initiating this process are unknown. We have shown that in dissociated cell culture, goldfish retinal ganglion cells regenerate their axons in response to two factors derived from goldfish optic nerve glia. Axogenesis factor 1 (AF-1) is a small, hydrophilic peptide (700-900 daltons) that is inactivated by treatment with proteinase K, but heat-stable. A second factor, AF-2, is a basic polypeptide of c. 12kDa. Dissociated retinal cells remain viable in serum-free defined media for at least a week, but show …

Special Recreation: A Manual For Theraputic Riding Programs, Robin R. Ryan

All Graduate Projects

Recreational opportunities are limited to individuals with disabilities. Recreation and learning how to utilize leisure time can be more important to individuals with disabilities than to others. Therapeutic riding was studied as a means to meet this perceived need. A manual was developed describing a professionally directed service designed to meet the recreational needs of individuals with disabilities in a therapeutic riding program.

A Discerning Heart: The Core Of Psycho-Spiritual Healing, Dudley Mendonca

Master's Theses

No abstract provided.

The Effect Of Intraarticular Injection Of Morphine Following Knee Arthroscopy, Chandel Dietz

Physical Therapy Scholarly Projects

Postoperative pam IS common following knee arthroscopy and has been typically controlled with opioids, the most popular of which is morphine. Morphine has been traditionally administered by intramuscular, intravenous, or epidural injections. These methods of administering morphine have been very effective in producing prolonged analgesia; however, they have also produce negative central nervous system side effects.

Recent research has suggested administering morphine via intraarticular injections to provide postoperative analgesia without the central nervous system side effects. However, there is little evidence to suggest that this method is effective. Therefore, the purposes of this randomized, double-blinded study were to 1) investigate …

Applications Of Iontophoresis And Phonophoresis, Craig Hahn

Physical Therapy Scholarly Projects

Many different drugs are used topically for treatment by the medical field. The benefit of some of these drugs can be enhanced by the use of ultrasound (phonophoresis) or electric current (iontophoresis). These methods have been used for many years by such disciplines as ophthalmology, dermatology, dentistry as well as physical therapy. With the inherent risks of blood borne pathogens, these methods are a great alternative to the injection of drugs into the system.

The purpose of this paper is to review the literature regarding iontophoresis and phonophoresis and present the results as a guide for the practicing physical therapist. …

The Effects Of Velocity On Force Production Of The Elbow Flexors During Eccentric Isokinetic Muscle Contraction, Tracie Hildre

Physical Therapy Scholarly Projects

The traditional eccentric force-velocity curve illustrates a continuous increase in muscle force production as velocity increases. Recently, this curve has been scrutinized by some researchers who have found a plateau or decline in eccentric force production at the higher velocities. The purpose of this study was to examine the eccentric isokinetic force-velocity curve of the elbow flexor muscles over a broad range of velocities to observe whether it follows the traditional force-velocity curve.

Fourteen healthy female and six healthy male volunteers were tested using. the Kinetic Communicator Dynamometer at velocities of 30, 60, 90, 120, 150, 180, and 210 degrees …

Concentric And Eccentric Isokinetic Normative Ratio Values Of The Quadriceps Muscle In Asymptomatic Knee Subjects, Donna Ho

Physical Therapy Scholarly Projects

Technological advances in isokinetic devices allow the clinician to objectively assess and rehabilitate injuries using concentric and eccentric contractions at different speeds. The purpose of this research project is to establish concentric and eccentric normative ratio values of the quadriceps muscle on the Kinetic Communicator (Kin-Com, Chattecx Corp., Chattanooga, TN) dynamometer. A sample of 19 females and 12 males aged 20-38 (mean for females = 24.32 ± 3.87, mean for males = 27.67 ± 5.80) were tested on the KinCom for maximum concentric and eccentric torque values during knee extension using a 70° range of motion at 90 and 1200/sec. …

Patellofemoral Joint Mechanics And Their Clinical Relevance, William S. Hokanson

Physical Therapy Scholarly Projects

Patellofemoral joint dysfunction is a common ailment affecting one in four of the general population and 30% of the athletic population. Patellofemoral dysfunction may stem from a number of different clinical diagnoses. The most common of these is chondromalacia patella. The term chondromalacia patella, however, refers only to a softening or fissuring of the retropatellar surface of the patella and cannot be used to diagnose all patellofemoral pain. Clinical diagnosis is sometimes very difficult because these patients present with a number of vague and nonspecific signs and symptoms.

The purpose of this literature review is to offer a clear, concise …

An Electromyographic Study Of Back And Lower Extremity Muscle Activity During Plyopress Exercises, A Squat Lift, And A Vertical Jump, Melissa K. James

Physical Therapy Scholarly Projects

The ongoing research in the evolution of athlete training continues to reveal new principles and training designs which strive to heighten athletic performance and maximize athletic ability. One example of the application of such research is the Plyo Press machine, a patented device used in the Frappier Acceleration Program for athletes. This device was specifically designed to combine strength training with plyometrics to enhance speed and dynamic muscle activity without the excessive low back stress of traditional training methods.

As the Plyo Press has been recently designed and incorporated into training programs, no research has yet been conducted on the …

Cardiac Rehabilitation: Patient Recall Of Exercise Guidelines And Implications For Physical Therapists, Mary Jones

Physical Therapy Scholarly Projects

The efficacy of a cardiac rehabilitation program depends on adequate patient compliance. Patients with coronary heart disease and those recovering from heart surgery may have a successful recovery from acute episodes of myocardial infarction or following operation. It must be recognized that they may require long-term supervision and support. The purpose of this study was to identify if diagnosis of myocardial infarction or heart surgery was a determinant of compliance with exercise guidelines once a patient has graduated from a level II cardiac rehabilitation program. A retrospective chart audit was performed for the years 1991-1994. A data sheet was used …

Vestibular Disorders And Rehabilitation, Stephanie Ann Jones

Physical Therapy Scholarly Projects

The management of patients with vestibular disorders is a formidable problem. Many individuals present to their physician with symptoms of loss of balance and dizziness. A major contributor to sustaining proper upright balance, the vestibular system, consists of a complex network of fluid-filled canals and organs which aid in orientation of the head to vertical and provide information on head movements. The vestibular system is also involved in the sensation and perception of motion and position. Peripheral vestibular dysfunctions, which involve the vestibular organs and/or nerve, can produce a variety of signs and symptoms.

Physical therapy is a key discipline …

A Wrist And Cervical Screening Of Grand Forks City Employees: A Pilot Study, William D. Jr. Kukuk

Physical Therapy Scholarly Projects

Cumulative Trauma Disorders (CTDs) developed at work are caused by repetitive movements or sustained postures. Carpal Tunnel Syndrome (CTS) and Cervical Radiculopathy (CR) are both CTDs resulting from repetitive wrist movements and sustained cervical postures respectively. Although both conditions can present with similar symptoms in the exact same hand and finger location, there has been no research comparing the prevalence of CTS and CR symptoms in a given population.

The purpose of this study was to identify hand and finger symptoms and correlate the severity of the symptoms with objective measures. Thirty employees of the City of Grand Forks, ND, …

An Overview In The Ergonomics Of An Office Computer Workstation, James H. Matetich

Physical Therapy Scholarly Projects

Ergonomics is an applied science concerned with adapting a workplace environment to match the capabilities of a worker and ensure the worker's safety. The study of ergonomics is one of increasing interest to American business. Specifically, the ergonomics of the office computer workstation has come under growing scrutiny due to a tremendous rise in the reported incidence of work related injuries. Workers, in this work environment, appear to be at a greater risk of injuries to the back, neck, shoulder, forearm, wrist, hand, and leg. These injuries, classified as cumulative trauma disorders or CTDs, can be attributed to ergonomic hazards …

A Review Of Treatment Methods For Patients With Patellofemoral Pain, Kristi Minter

Physical Therapy Scholarly Projects

There have been many therapeutic methods proposed for the treatment of patellofemoral pain, but there still remains some question as to which of these options is most beneficial to the patient. There are many steps to follow in order to find the most effective treatment method for an individual suffering from patellofemoral pain syndrome.

This paper is a review of the literature regarding patellofemoral pain syndrome. The paper begins with a discussion of the anatomy of the patellofemoral joint. Etiological factors of this common syndrome are also presented as well as the clinical presentation of this patient population. The focus …

An Overview Of The Prescription Of Orthotics For Abnormal Subtalar Joint Pronation, Kari Rafteseth

Physical Therapy Scholarly Projects

The foot and ankle are a complex set of joints that are susceptible to various types of dysfunction, including abnormal subtalar joint pronation. An option for treatment of this problem that may be used is the prescription of orthotics. An orthotic is used to assist the foot in functioning properly and to prevent damage due to malalignment.

In this literature review, the anatomy and biomechanical function of the subtalar joint are discussed. The structure of the other joints of the foot and ankle are also mentioned. Several etiologies of abnormal pronation are discussed. In addition, changes in structure and function …

Polypharmacy And Physical Therapy In The Geriatric Population, Cathy A. Reuer

Physical Therapy Scholarly Projects

Physical therapists are seeing more and more elderly individuals with acute, chronic, or multiple disease conditions. Many of these conditions are treated with medications. It is common for the geriatric patient to be taking multiple medications. Polypharmacy is a relevant concern for physical therapists as adverse effects are often revealed in the musculoskeletal and central nervous systems. These manifestations can cause adverse effects in evaluation, treatment, and outcomes.

The purpose of this study is to discuss the common non-prescription and prescription medications consumed by the elderly, describe the biologic and physiologic changes that occur with age and how these changes …

Trauma Rehabilitation Of Traumatic Brain Injury: A Physical Therapy Perspective In The Management Of Muscular Complications, Heterotopic Ossification, And Skin Breakdown, Erin N. Sabe

Physical Therapy Scholarly Projects

Traumatic brain injury (TBI) is any combination of focal and/or diffuse central nervous system dysfunction, both immediate and delayed, at the brainstem level and above. The dysfunctions, which, are not developmental or degenerative, are due to the interaction of any external forces and the body, violent movements of the body, infection, toxicity, surgery, and non-age related vascular disorders. In the United States, TBI has reached epidemic proportions and is the leading killer and cause of disability in children and young adults.

The TBI survival rate is increasing due to life-saving technology. Survivors will face extensive rehabilitation services, which have been …

A Comparison Study Of Cervical Range Of Motion Between Unilateral Breathers And Bilateral Breathers In Collegiate Swimmers During Freestyle Swimming, Nadine K.M. Takai

Physical Therapy Scholarly Projects

The purpose of this study was to determine if there is a difference in cervical rotation between unilateral breathers and bilateral breathers for freestyle swimmers. The sample consisted of 44 (23 males, 21 females) University of North Dakota Varsity swim team members. Among the swimmers there were 19 bilateral breathers, 21 right unilateral, and 4 left unilateral breathers. The CROM device was the tool used to measure cervical rotation. An ANOVA analysis showed no significant difference in right rotation (p=.6585) and total rotation (p=.0693) for any breathing style, however a significant difference existed for left rotation (p=.0078) between bilateral and …

Sacroiliac Joint: An Overview, Cheryl Walker

Physical Therapy Scholarly Projects

Low back pain is a common cause of limitation in daily activities. Sacroiliac joint (SIJ) dysfunction is often an overlooked cause of low back pain. The biomechanics of the SIJ is not well understood. There is controversy about how much movement is in the joint, but it is generally agreed that movement does occur. There are six ligaments in the SIJ that add to its stability and no muscles that act directly on the joint. SIJ dysfunction can be caused by direct trauma, indirect trauma, pregnancy, or muscle imbalances. Evaluation of the SIJ should include subjective and objective information. The …

Use Of Verb Inflections In The Oral Expression Of Agrammatic Spanish-Speaking Aphasics, Jose Gregorio Centeno

Dissertations, Theses, and Capstone Projects

Studies on agrammatic verb errors have basically addressed the production of verb forms as whole lexical units without looking at their inflectional affixes. There has been limited research assessing the possible role of the variables encapsulated in verbal inflections in verb access and retrieval. The purpose of this investigation was to, first, address the possible factors causing a hierarchy of sparing in Spanish verb inflections, and, second, extend the explanatory factors proposed by earlier cross-linguistic investigations on verb inflectional performance by agrammatic speakers. This investigation studied the production of verb inflections by agrammatic Spanish speakers in a sentence repetition task. …

The Relationship Between Spirituality And Depression In Family Caregivers Of The Elderly, Mary Jean Chappel

Masters Theses

The purpose of this study was to examine the relationship between spirituality and depression in family caregivers of the elderly. This study sought to test the following hypothesis: The level of spirituality will be negatively correlated with the level of depression for family caregivers of the elderly. A descriptive, correlational design utilizing Neuman's wholistic system theory was used with a convenience sample of 44 family caregivers aged between 32 and 88 years. Self-reporting questionnaires were mailed to clients (identified as caregivers) of a home care agency, a caregiver respite program, and a Parkinson's support group all providing services in Northern …

Site-Specific (Local) Delivery Of Antibiotics From Biodegradable Gms Based Implants For The Prevention Of Post-Operative Wound Infections, Saleh Allababidi

MUSC Theses and Dissertations

Systemic administration of prophylactic antibiotics has been reported to significantly decrease, but not eliminate postoperative infections mainly due to the failure in achieving adequate levels of antibiotics at the surgical wound. The local administration guarantees the delivery of adequate levels of antibiotics and is therefore advantageous as a prophylactic measure. Hence, the overall objective of this study was to develop a glyceryl monostearate (GMS) based biocompatible, bioerodible system to provide short term (1-3 days) local delivery of antibiotics. GMS based matrices were prepared by direct compression. Erosion enhancers were incorporated into the GMS matrix to facilitate the bioerosion and bioabsorption …

Cellular Expression Of Ionotropic Glutamate Receptor Subunits On Specific Striatal Neuron Types And Its Implication For Striatal Vulnerability In Glutamate Receptor-Mediated Excitotoxicity, Quan Chen

Theses and Dissertations (ETD)

No abstract provided.

Studies On Ara-C-Induced Dna Damage And Apoptosis In Acute Myeloid Leukemia Cells Which Overexpress P26bcl-2, Gloria Joan Bullock

MUSC Theses and Dissertations

High expression of p26Bcl-2 in patient-derived AML cells has been associated with poor response to chemotherapy including Ara-C. It has been well established that Bcl-2 over expression blocks apoptosis or programmed cell death induced by a wide variety of stimuli including chemotherapeutic drugs. However, the exact mechanism of action of Bcl-2 in promoting this blockade is still largely unknown. To determine the types of Ara-C-induced DNA damage with which Bcl-2 specifically interferes, HL-60/neo and HL-60/Bcl-2 cells were created via retroviral-mediated transfection of the bcl-2 gene. These transfectants served as in vitro AML cell models that expressed different levels of p26Bcl-2. …

Cultural Diversity, Desiree D. Whitlock

Theses

This thesis will focus on a historical view of cultural diversity. It will include a comprehensive overview of cultural diversity, discrimination, racism and reverse discrimination. This will include well known authors and spokespersons on the subject matter and the effects in the workplace.

People in the workforce have noted numerous concerns regarding racism, discrimination and the need for cultural diversity.

A review was conducted of a cultural diversity plan in a local healthcare organization. The subjects used to identify the strengths and weaknesses of the plan were healthcare managers. The subjects read a cultural diversity plan and were interviewed by …

The Effects Of Industrial Quality Management Of The Japanese And United States Health Care Systems, Mary Jo Sexton-Tosh

Theses

This thesis will focus on the effects of industrial quality management on the Japanese and United States Health Care Systems.

Research bas attributed the lack of quality management information in terms of the Japanese health care system to the closing of Japan's borders prior to the Meijing Restoration Era. Because of the isolation from the western world, Japan is behind the United States in its implementation of quality measurement standards to the provision and outcome of health care services.

Over the years the development of the health care industry in both the United States and Japan has taken different paths. …

Cost Efficiency Of Managed Care, Tammie M. Scott-Thorpe

Theses

This paper studies the role of health maintenance organizations in the health care market. Managed Care represents the growing wave of health care in the future by eliminating unnecessary and costly procedures. Vanishing are the repetitive tests that once victimized the consumer. By regulating fixed costs, the industry is forcing a change in testing and research.

Since Managed Care regulates costs, they appear particularly prominent in the elderly population. Financial efficiency helps provide the proper organized system of long term care brought by the aged. Also, complex paper work and bills should be eliminated or at least decreased to a …

The Development Of A Learning Resource Center In Response To The Changes In Health Care, Valerie J. White

Theses

This thesis will focus on the evolution of the health care system in the United States and how changes from multiple sources have impacted upon it. The manner in which some health care institutions have responded to those changes will also be explored.

The current health care system under which we operate has undergone some tremendous changes that have affected its development. In general, those changes include: scientific breakthroughs, implementation of governmentally-imposed policies, changes in the economy and transformations in personal lifestyles. The manner in which health care providers are reimbursed for their services has also undergone some dramatic changes …