Medicine and Health Sciences Commons^™

Specificity Of Discharge Exercise Programs And Behavioral Contracting For Physical Therapy Patients, Kevin L. Spooner

Physical Therapy Scholarly Projects

Adherence to discharge home exercise programs has statistically shown poor results. The purpose of this independent study is to review present-day discharge exercise programs for physical therapy, and to offer alternatives for better adherence (or compliance) and effectiveness.

A brief history of physical therapy and exercise programs is reviewed to outline the progression of the two topics. Behavioral contracting is a strategy used by health professionals to improve patient/client adherence to health regimes. The patient/client signs a contract indicating they will follow the guidelines outlined in their discharge exercise program.

Presently, the most optimal discharge exercise program involves specificity of …

Systemic Joint Hypermobility And Maximum Mandibular Opening, Ted D. Thomas

Physical Therapy Scholarly Projects

The purpose of this study was to determine whether people with generalized joint hypermobility also demonstrate hypermobility at the temporomandibular joint. In addition, an attempt was made to determine the relationship between general joint mobility, gender, temporomandibular joint symptoms, and oral parafunction.

Forty-seven physical therapy students worked in pairs under supervision to measure and record: 1) the Beighton hypermobility criteria, 2) maximum mandibular range of motion, and 3) a questionnaire of temporomandibular joint dysfunction and oral parafunctional habits.

The mean Beighton score for males was 1.21 and for females 2.14. Twelve out of the forty-seven subjects (15.5%) had a Beighton …

A Review Of Two Pelvic Osteotomies Used In The Management Of Congenital Hip Dislocation, Marcia A. Wehe

Physical Therapy Scholarly Projects

This paper is a literature search of two common pelvic osteotomies used in the treatment/management of congenital hip dislocation. The Chiari and Salter procedures are reviewed along with their use in restoring normal hip joint, congruency, indication for use, and success rates. The Chiari procedure displaces the acetabulum medially and has the best results in children over four years of age or when the acetabulum is too small for the femoral head. A Salter procedure redirects the entire acetabulum and is optimal for subluxations one and one-half years to adult or dislocations one and one-half to six years.

A Comparison Of Concentric And Eccentric Resistance Training On Muscle Hypertrophy, Mark A. Romanick

Physical Therapy Scholarly Projects

This study was undertaken to determine whether concentric or eccentric muscle action was more likely to induce muscle hypertrophy when exposed to a prolonged heavy resistance exercise program. Fifteen males and 14 females who were not currently or recently involved in a heavy resistance training program for the lower extremities were selected for the study. One group (n = 10) exercised in a concentric fashion, another group (n = 9) exercised in an eccentric fashion, and a third group (n = 10) served as a control group, performing no resistive exercise. The exercising subjects performed three sets of 10 repetitions …

Development, Validation, And Reliability Evaluation Of A Functional Classification System, Christine S. Eixenberger

Physical Therapy Scholarly Projects

Due to accountability, cost/benefit, and third party payers, it was necessary to develop an objective measurement of functional abilities of rehab patients. In Part I of the research, "Development of a Functional Classification System for a Rehabilitation Unit at St. Alexius Medical Center," a Functional Classification System (FCS) was developed and edited; however, the validity and reliability of the new FCS had to be justified.

Forty-seven patients admitted onto the St. Alexius Rehabilitation Unit between November 1992 and January 1993 were evaluated using version three of the FCS and objectively scored. Validity was tested between admit, discharge, and goal scores …

Mutuality And Intimacy In Attention Deficit Hyperactivity Disorder And Normal Boys' Friendship Relations, Anna Loring Tyler

Master's Theses

The present study explored both the frequency and patterns of affective expression, play duration, and communicative exchange among dyads of boys diagnosed with ADHD with their friend. As expected, few significant differences between the two groups were revealed through frequency analyses, but interesting findings resulted from the examination of the patterns of behaviors (through sequential analyses). Overall, the results supported the hypothesis of less mutuality and intimacy in the friendships of boys diagnosed with ADHD. The boys in the ADHD/friend dyads were found to spend more time in nonassociative play during free-play and to be less likely to return to …

Perceptions Of Physical Attractiveness And Attitudes Towards Hiv For Portrayals Of Gay, Straight, Hiv-Positive, And Hiv-Negative Individuals, Matt Hobson

Dissertations and Theses @ UNI

The purpose of this study was to determine if knowledge of a male or female individual's sexual orientation and HIV status was an indicator of perceived attractiveness and social acceptance by college students. A male and female actor were recruited to film short videos portraying either gay or straight and either HIV-positive or HIV-negative individuals. The eight separate videos were then observed by eight randomly selected groups of college students in human sexuality classes. It was hypothesized that the video subjects perceived to be either gay or HIV-positive would be perceived as being less attractive and that college students who …

The Role Of Sn-1,2-Diacylglycerol In Insulin-Stimulated Glucose Transport In Rat Skeletal Muscle, Kevin Paul Boggs

MUSC Theses and Dissertations

Insulin stimulates glucose transport into skeletal muscle upon binding to its cell surface receptor. The signals which stimulate transport are unknown. Studies of insulin's effects on muscle cell lines and adipocytes suggest that increases in sn-l,2-diacyglycerol (DAG) content may mediate insulin-stimulated glucose transport. To test this, the effect of insulin on muscle DAG content was measured. DAG increased in diaphragm and soleus muscles exposed to insulin in vitro and in diaphragm in vivo. However, the supraphysiologic insulin dose (60 nM) and incubation time required (10 min) are not consistent with a role for DAG as a mediator of insulin stimulated …

Flexible Time Management: Women Handling Responsibilities Of Multiple Roles To Implement Health-Promoting Activities., Nancy Merrill Magnuson

All ETDs from UAB

No abstract provided.

The Development Of A Project Management Handbook For St. John's Mercy Medical Center, Angela D. Matherne

Theses

The purpose of this study is the development of a project management handbook, as a guide for Information Systems (I.S.) projects at St. John's Mercy Medical Center. The need for this study was supported by inconsistencies in project management methods observed at St. John's.

A review of project management literature revealed that there has been very little empirical research in this area, and suggested that the nonspecific nature of project management literature may be contributing to the problem observed at St. John's. The literature review supported the view that a project management handbook should be developed, containing commonly accepted project …

Adding New Life To Years: A Senior Peer Exercise Program, Cynthia Lymm Pearl Nayer

Theses

The thesis "Adding New Life to Years: A Senior Peer Exercise Program" explores the development and impact of a peer-led exercise program aimed at improving physical, social, and emotional health among older adults. Recognizing the challenges associated with aging—such as decreased mobility, social isolation, and chronic health issues—the study focuses on engaging active seniors as volunteer leaders to conduct low-intensity exercise classes for frail elderly participants.

This program aims to foster mutual benefits: healthy senior volunteers experience enhanced self-worth, social engagement, and physical fitness, while the frail elderly improve in areas like blood pressure, mood, and perceived self-efficacy. Grounded in …

A Proposed New National Health Care Plan, Larry W. Pruett

Theses

Larry W. Pruett’s 1993 thesis, A Proposed New National Health Care Plan, explores the need for comprehensive reform of the U.S. health care system and outlines a detailed alternative model. Frustrated by inefficiencies, escalating costs, and limited access, Pruett evaluates the systems of Canada, Germany, and Japan, rating them on technology, public health, service, efficiency, and equity. He also reviews reform proposals from President Clinton, the American Medical Association, and the American Hospital Association.

Pruett’s plan shifts the primary point of care from hospitals to outpatient clinics, which would provide most non-emergency health services. Hospitals would retain a role …

Do The Experiences Of Other Health Care Systems Identify Incentives For A Cost-Effective Universal Health Care System In The United States?, R. Daniel King

Theses

Each health system used various incentives to achieve lower cost and better utilization of services. In some cases there was evidence that particular incentives demonstrated considerable success with no negative side-effects, while others were effective but introduced new problems.

The results of this analysis did support that other universal health care systems contained examples of proven incentives that if incorporated would benefit a universal health care system in the United states.

Training Manual For The Long Term Care Facility Quality Assessment And Assurance Committee, Kris S. King

Theses

This thesis addresses the need for a training manual for the federally required long term care Quality Assessment and Assurance Committee. The training manual has been designed to provide guidance to the Committee members, recognizing that effective leadership is essential for a successful quality and compliance program in any facility.

There have been numerous publications devoted to quality assurance in the long term care setting; however, few provide simplistic and meaningful explanations for conducting quality assurance and improvement activities. This manual has adopted a unique approach by correlating federal requirements to specific quality assurance and improvement processes.

The training manual …

Establishment Of A Program For The Education Of Cytotechnologists, Joan R. Kohrs

Theses

The Barnes Hospital School of Cytotechnology closed in 1977 as have many other programs tor the education of cytotechnologists. These programs were victims of hospital budgetary concerns, as well as a job market that had no demand tor new cytotechnologists.

Unfortunately with fewer and fewer graduates from accredited programs in the last 15-16 years there is, currently a shortage of these skilled laboratory professionals.

Faced with unfilled vacancies in the cytology laboratory many hospitals are considering re-evaluating the possibilities of sponsoring programs for the education of cytotechnologists.

Barnes Hospital, St. Louis, Missouri, long a leader in both health care· and …

Synaptic And Pathway Remodeling Of The Human Hippocampus In Temporal Lobe Epilepsy, Matthew Frank Philips

Yale Medicine Thesis Digital Library

No abstract provided.

Factors Associated With Patellofemoral Pain In Female College Track Athletes, Bradley Aaron Svoboda

Dissertations and Theses @ UNI

The purpose of this study was to determine if Q-angle, iliotibial (IT) band flexibility, hamstring flexibility, patellar mobility, and/or patellar height differed between subjects who reported patllofemoral [sic] pain and those who did not. Twenty-five female, college track athletes from the University of Northern Iowa served as subjects. Ages ranged between 18 and 22 years. A personal history questionnaire was used to determine whether or not the subjects were appropriate for the study. Measurements for the five variables were taken on both right and left legs. An Analysis of Variance (ANOVA) was used to determine the existence of any differences …

A Profile Of Susceptibility To Decompression Sickness Among Sport Divers In The Islands Of Micronesia, Timothy Lee Thompson

Dissertations and Theses @ UNI

The purpose of this study was to develop a profile of sport divers' susceptibility to decompression sickness in the islands of Micronesia. Results of this study are based on demographic data from accident reports related to decompression sickness that were collected and analyzed from January 1, 1988 to December 31, 1992. Data related to eight variables were analyzed to construct a divers' susceptibility profile which will assist dive instructors, charter operations, and dive industry personnel in briefing the diving public about safe diving practices. They included the gender of the divers, age of the divers, residence, computer or dive table …

Antihypertensive Medications And Salivation, Ivette Martinez-Plata

Master's Theses

No abstract provided.

A Study To Determine The Effects Of Client Participation In Care On Perceived Control/Powerlessness And Morale, Janis Marie Ormond

Master's Theses

No abstract provided.

St. Juan De Dios, 1495-1550 The Patron Saint Of Nurses, Christopher Churchouse

Theses : Honours

For any profession to develop, grow and plan for the future, it is imperative that all members know from whence they have come. Nurses', however, do not generally consider this to be an important aspect to their professional development, and hence have focused more on empirical or experimental research. Whilst much literature has been written on nursing history, it has focused primarily on its founding women and its inception from the mid nineteenth century when a more structured training evolved. This study, therefore, goes beyond this period of time and examines a man who played an equally important role in …

Effects Of A Topical Application Of Chlorhexidine 1 % Cream On Clinical Signs Of Infection In Newborn Infants, Fiona Christine Bottin

Theses : Honours

For the past 40 years midwives and neonatal nurses have been applying antistaphylococcal cream to newborns, to reduce the risk of Staphylocccus aureus (Staph. aureus) infections. The purpose of this study was to determine whether there was any· difference in the incidence of clinical signs of infection in newborns, untreated or treated with a topical application of the currently used antistaphylococcal cream chlorhexidine 1%. The experimental design compared two groups of randomly assigned newborns, using an observation chart based on indicators of infection. Observations were recorded twice ~ day for four days. Any specific or nonspecific signs of infection …

The Effects Of High And Low Repetition Resistance Training On The Force Profile Of The Rowing Stroke, Benjamin Tarbox

Theses : Honours

The effect of resistance training on the ability to generate force throughout the rowing stroke has to date been unreported. The purpose of this study therefore was to determine the changes that occur in the force profile of the rowing stroke, following low repetition strength (LRS) and high repetition endurance (HRE) resistance training. Eight female and 10 male sub elite heavy weight rowers matched according to gender, strength and anthropometric variables, completed 12 weeks of LRS or HRE resistance training. Pre and post testing was completed to determine changes in bench press and leg press repetition maximum (3RM) strength and …

Factors Influencing Dental Hygiene Job Retention In The Private Practice Setting, Kristin A. Hamman

Dental Hygiene Theses & Dissertations

The purpose of this study was to determine what role the following factors have in influencing dental hygienists to remain in a private practice employment setting for five or more years: (1) working conditions, (2) the employer and the organizational structure of the employment setting, (3) scope of practice, and (4) personal factors. A random sample of 1200 licensed dental hygienists in 12 states was surveyed (100/state). Only dental hygienists working in one private practice setting for a minimum of five years completed the questionnaire; nonpracticing dental hygienists returned the questionnaire unanswered. A 69.9 percent response rate was established. Of …

Pandemic Influenza: An Analysis Of The Spread Of Influenza In Kitchener, October 1918 (Ontario), Niall Phillip Alan Sean Johnson

Theses and Dissertations (Comprehensive)

Influenza remains one of the major killers in modern society. In addition to the mortality it causes, it exacts a huge medical, social and economic toll. Due to its propensity to undergo change, through antigenic drift and shift, this disease continues to torment humankind. These changes are the driving force that enables influenza to periodically become epidemic and pandemic. The study of past pandemics thus may provide useful insight to comb-it the disease now and in the future. The 1918-19 pandemic is one of the three worst outbreaks of disease in recorded history, with only the Justinian plagues and the …

Perceived Stress Levels Of Registered Nurses Employed In Medical-Surgical And Critical Care Units, Karen Snyder Keese

Masters Theses

The purpose of this research was to compare perceived stress levels of registered nurses employed in medical-surgical units to perceived stress levels of registered nurses employed in critical care units. A descriptive, correlational study was conducted using Wolfgang's (1988) Health Professions Stress Inventory. Perceptions of stress were measured and related to specialty, years of experience, years of nursing education, hours worked per week, and shift worked. A convenience sample of 102 registered nurses from two midwestern hospitals participated by a self administered questionnaire. Study findings included: medical-surgical nurses perceived significantly higher levels of stress than critical care nurses; stressors for …

Place-Identity And Homelessness : The Restorative Nature Of The Home, Marie Sadkowski

Theses: Doctorates and Masters

This research aims to address deficiencies in the Place-Identity literature and establish whether the home is a central and mediating environment within this theory. An exploration of the association between homelessness and Place-Identity provides a vehicle for clarifying the psychological role of the home and in doing so an increased awareness of this social problem is promoted. Korpela's (1989) and Kaplan's (1983) theories on place, accentuating active self-regulatory mechanisms and restorative environments, act as a catalyst and provide a solid foundation for this current research. The extensive literature on the home highlights the different conceptions that abound and the lack …

Preoperative Predictors Of Postoperative Pain, Robyn A. Paterson

Theses: Doctorates and Masters

The purpose of this study was to investigate five factors, which have been identified in the literature as having influence on the experience of postoperative pain. (1) Patient satisfaction with preoperative information, (2) Anticipated postoperative pain, (3) General self-efficacy, (4) Age, (5) Gender. These variables were examined to determine their relationship, if any with postoperative pain. Any relationship between these variables was also examined. Review of the literature revealed considerable research on pain, and that much of that research has been directed at the treatment of, rather than prediction of postoperative pain. Also, these studies have focused on patients who …

Art Therapy With Latency Period Boys Exhibiting Overt Anger And/Or Aggression, Sylvia Blades

Theses: Doctorates and Masters

The aim of this study is to determine the effectiveness of using art as therapy, with latency period boys, to develop anger management skills. The respondents for this study were male children selected by an outpatient psychiatric clinic, using the criteria of age (latency period) and problem (anger/aggression). The six subjects assigned to the group agreed to attend a therapy session for one hour per week for six consecutive weeks. Sessions involved the use of art to therapeutically achieve the aims of anger management and ego strength, while incorporating projective drawing tests as part of the evaluative process. The Achenbach …

A Comparison Of Three Midwifery Interventions On The Continuity And Knowledge Of Breast Feeding, Athalie Johnston

Theses: Doctorates and Masters

Although it is widely recognised that breast milk is biologically perfect to provide nutrition for the newborn infant many new mothers do not continue to breast feed throughout the postpartum period. A possible influencing factor is the decreased length of hospital stay, whereby new mothers are discharged home away from the supportive-educative role of the midwife before they are ready to learn the art of breast feeding. The purpose of this study was to determine the influence of three midwifery interventions on the continuity and knowledge of first time breast feeding mothers at 6 weeks postpartum. A convenience sample of …