Medicine and Health Sciences Commons^™

Differentially Diagnosing Stuttering In Young Children Using The Stuttering Severity Instrument, Brenda Pekkola Teich

Dissertations and Theses

Young children between the ages of two and six years often exhibit partword, whole word. and phrases repetitions as their language develops. This is also the age range when stuttering most frequently appears. Consequently. speech-language pathologists need diagnostic criteria and evaluation tools to distinguish between the incipient stutterer and the normally disfluent child.

Today a widely used evaluation tool is the Stuttering Severity Instrument (SSI) (Riley, 1972, 1980). The SSI is designed to provide a severity level based upon the parameters of frequency. duration. and physical concomitants. Riley (1972) first designed the SSI to not include monosyllabic word repetitions in …

The Regulation Of The Transferrin Receptor By Inducers Of Cellular Differentiation And By Antisense Phosphorothioate Oligodeoxynucleotides, Peter Tai-Ching Ho

Yale Medicine Thesis Digital Library

Modulation of surface transferrin receptor (TfR) activity has been associated with leukemia cell differentiation and proliferation. To examine the mechanisms involved in regulating this event, surface receptor protein and mRNA levels were measured in HL-60 promyelocytic leukemia cells induced to differentiate along the myelocytic and monocytic pathways. Surface TfR down-regulation which occurs during granulocytic differentiation by dimethylsulfoxide, retinoic acid, or aclacinomycin A appears to be kinetically compatible with reduced biosynthesis resulting from reductions in the level of steady-state mRNA. In contrast, biosynthetic modulation does not appear to mediate the intial surface receptor down-regulation seen during 12-O-tetradecanoylphorbol-13-acetate-induced macrophagic differentiation. However, a …

Job Satisfaction And Retention: Outcomes Since Implementation Of Three Scheduling Options, Katherine Marie Newnam

Ellmer School of Nursing Theses & Dissertations

The purpose of this descriptive study was to determine if flexible scheduling options influenced retention and job satisfaction of 109 full time registered staff nurses within a selected hospital setting. The Anticipated Turnover Model, developed by Hinshaw and Atwood (1984) provided the theoretical framework for the study. Perceived job satisfaction was measured by the Nursing Job Satisfaction Scale (Hinshaw & Atwood, 1984). The Anticipated Turnover Scale (Hinshaw & Atwood, 1984) measured the possibility of voluntary termination by sample respondents. The respondents were divided into three groups according to three schedule options: Group 1, 12 hour, weekend only (Baylor); Group 2, …

An Explanatory Study Of Maternal Stress And Coping With A Cystic Fibrosis Child, Leslie G. Potter

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to explore the concept of coping with a cystic fibrosis (CF) child and to define coping strategies from the perspective of the mother. The research design was based upon a phenomenological approach with analysis of transcribed, semi-structured interviews with mothers of CF children. A purposive sample of eight mothers with CF children were interviewed to explore the maternal CF experience. Each interview was tape recorded and followed up with a phone call to allow the mothers to add additional information, if so desired. Data analysis consisted of reviewing each typed, verbatim transcript to categorize …

Head Nurse Leadership Behavior And Head Nurse And Staff Nurse Job Satisfaction And Burnout In The Intensive Care Setting, Dianne Vick Benton

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to examine the relationship between head nurse (HN) leadership behavior and head nurse and staff nurse (SN) job satisfaction and burnout in the Intensive Care Unit (ICU). The two target populations for this study were: ICU HNs and ICU SNs. A sample of 10 HNs and 65 SNs completed four questionnaires. This study was conducted in eight community hospitals ranging in bed size between 150 to 700. Four research questions were tested. Utilizing t-tests. a significant difference was found between ICU HNs' and SNs' perceptions of the HN leader behavior of high task - …

Autonomy In Practice: Conceptualization, Construction, And Psychometric Evaluation Of An Empirical Instrument, Judith Smith Dempster Dnsc, Msn, Rnc, Fnp

Dissertations

The purpose of this research was to conceptualize, construct and establish psychometric properties of an instrument to examine unmeasured dimensions of autonomy in practice through a process of retroduction and triangulation. In the context of ongoing rapid change and increasing competition in the health care delivery arena there is valid reason for nursing and other health professions to be concerned with their autonomous practice status. However, research and instrumentation activities have been hindered by the abstract nature of autonomy with only limited theoretical dimensions empirically measured. There is need to develop new, original, useful, and generalizable tools with a wide …

The Nurse Manager: An Ethnography Of Hospital-Based First-Line Nurse Managers Practicing In An Expanded Role, Sally Everson-Bates Dnsc, Ma, Rn

Dissertations

The behaviors, beliefs and values that characterize everyday practice of first-line nurse managers role were analyzed. Ethnographic field research techniques were used including nine months of observation and in-depth interviews with practicing nurse managers. After reviewing historical events that shaped the role of the nurse manager, the role was then placed within the economic, social and health care context of the 1970's and 80's. Research and anecdotal descriptions of the manager role of the past twenty years were also explored. Research was conducted in two voluntary acute care, multi-service hospitals. One manager was observed intensively for two months to develop …

Health Locus Of Control, Sexual Self-Concept, Self-Efficacy And The Contraceptive Behavior Of College Students, Lorraine Kime Perkins

Ellmer School of Nursing Theses & Dissertations

The purpose of the following study was to determine whether contraceptive use could be predicted from health locus of control, contraceptive self-efficacy, and sexual self-concept scores in a selected group of single college students ages 18-24. In order to better understand contraceptive behaviors, it is desirable to determine which personality variables may influence contraceptive behavior in young adults. A sample of 122 single undergraduate college students, both male and female, ages 18-24, completed a self-reported questionnaire including tools to measure health locus of control, contraceptive self-efficacy, and sexual self-concept, as well as demographic data. The participants were divided into two …

The Effect Of A Multi-Component Treatment Package On Seat Belt Usage Among Hispanics, Senez Rodriguez-Charbonier

Masters Theses

This study analyzed the impact of a combination of approaches on the frequency of seat belt usage in a large Hispanic community in western Michigan. Subjects in either a treatment or a no-treatment control condition were observed weekly for seat belt usage while arriving at church over several months. They were observed for four weeks prior, during and after an intervention program. Subjects in treatment condition attended weekly group meetings where they viewed seat belt use promotion videos, publicly signed behavioral contracts agreeing to use their seat belts, and received permanent prompts which were installed on the dashboard of their …

Morphological And Physiological Examination Of A Demyelinating And Remyelinating Lesion, Paul Anson Felts

Theses and Dissertations in Biomedical Sciences

Multiple sclerosis causes demyelination of central nerve fibers, and it is this pathology which results in most of the symptoms of the disease. The repair of the fibers by remyelination has been advanced as a potential symptomatic therapy, but at present the conduction properties of remyelinated central fibers are not well understood. In this study the conduction properties of Schwannian or oligodendrocyte remyelinated central nerve fibers have been determined. In addition, the status of the blood-brain barrier has been examined in lesions characterized by Schwann cell remyelination. These lesions chronically lack astrocytes, a cell believed to be involved in the …

The Relationship Between Occupational Choice And Perceptions Of Professional Nursing Functions And Characteristics, Ellis Quinn Youngkin

Theses and Dissertations in Urban Services - Urban Management

This study identifies the occupational interests and predominant vocational personality types of freshmen students (undeclared majors, nursing majors, and non-nursing majors), explores perceptions about selected professional nursing functions and characteristics among the students, and examines perceptual differences between groups (majors).

A non-experimental ex post facto design is used to analyze data from 312 students in a large urban university. Descriptive and inferential statistics are applied in data analysis. The following findings support the hypotheses: (1) Nursing continues to attract the traditional student who has Holland's Social vocational personality type as measured by the Self-Directed Search, although many Social types are …

Self-Control In Children: The Impact Of Reinforced Commitment, Michael G. Winter

Masters Theses

The present study attempted to determine whether offering a reward to subjects for "commiting" to a large, delayed-reward task affected their degree of self-control as assessed by the "switch point." Two boys and two girls between the ages of three and five participated.

The results of this study indicate that providing a reward for making a commitment to a future behavior involving a large, delayed-reward task does have an effect on a child's degree of self-control as measured by the "switch point." In addition, the "switch point" has been shown to be a useful tool for assessing a child's degree …

Teacher And Student Discourse Variables In Academic Communication, Janet M. Sturm

Masters Theses

This study was designed to analyze the oral communication exchanges between first, third, and fifth grade teachers and their students. It was based on the hypothesis that discourse parameters of linguistic quantity and complexity and communication acts change over grade level, much as the discourse parameters of caregivers with young children have been found to do. The language of teachers and students in 15 classrooms was examined by measuring 6 form and quantity variables and 11 communication act variables. Results showed significant differences for some form variables (MLU, mazes, and Type-token ratio) and some communication acts (convey content, mark content, …

Survey Of Virginia Dental Practices To Determine Compliance With The Standards Of Risk Management Theory, Joanne Schade Boyce

Dental Hygiene Theses & Dissertations

The purpose of this survey was to determine selected areas of risk in dental practices within the Commonwealth of Virginia. A self-designed, 51 item questionnaire was sent to a random sample of 300 Virginia dentists to examine their risk management procedures in: (1) the medical record and related documentation, (2) infection control, (3) identification and classification of periodontally involved patients, (4) obtaining informed consent, and (5) emergency protocols. Data from 62% of the dentists were analyzed via the chi-square goodness of fit test, frequency and percentage of responses. Results suggest that Virginia dental practitioners are practicing some of the recommended …

Parallel Process: An Empirical Investigation, Thomas E. Pollack

Psychology Theses & Dissertations

The purpose of the present study was to conduct an empirical investigation of parallel process. The study used a cross-sectional design in which 30 therapy relationships and the corresponding supervision relationships were studied. The therapist assessed the behavior manifested by the patient during a targeted therapy session. Following the subsequent supervision session, the supervisor assessed the behavior manifested by the supervisee during the supervision session. In addition, each of the triad participants (patient, therapist, supervisor) rated the level of anxiety they experienced during the targeted therapy and supervision sessions. Measures of interpersonal style for each of the subjects were also …

A Comparison Of Two Methods For Measuring The Attenuation Provided By Insert-Type Hearing Protection Devices, Brenda Barrett Kabat

Dissertations and Theses

The need for hearing protection in industry has evolved from the growing awareness of the detrimental effects of noise on hearing and recent legislation enacted to protect the hearing of noise-exposed employees through the use of hearing conservation programs. In lieu of expensive or impractical engineering and administrative controls, personal hearing protection devices (HPDs) are considered to be the most practical and effective means of protecting employees from the damaging effects of noise in industry today.

Relationship Between Burden Of Caregiving And Level Of Coping For Spouses Of Elderly Persons With Advanced Rheumatoid Arthritis, R. Judson Williams

MSN Research Projects

This study was designed to ascertain the relationship between the burden of caregiving and coping strateagies for spouses of elderly persons with advanced rheumatoid arthritis.

Home Remedies In West Virginia, Lynne Heidsiek

Theses, Dissertations and Capstones

Traditional medicine (the use of home remedies) has long been practiced as a necessity in more Appalachians have gained access Appalachia. Recently, to established (or modern) medicine. Unfortunately, these two types of medicine each embrace very different philosophies, and there has been little in the way of interaction between the two. The independence found among Appalachians ensures that home remedies will continue to be used, since modern medicine is often mistrusted, ignored or simply never utilized. It thus behooves medical personnel serving the Appalachian culture to better understand the spirit behind the use of home remedies in order to facilitate …

Sex And Handedness Effects On Two Types Of Cognitive Ability Tasks, Randall Wayne Mccauley

Theses Digitization Project

No abstract provided.

Reference Groups And Ritualistic Behavior: A Cultural Perspective On Addiction, Doris Jean Smith

Theses Digitization Project

No abstract provided.

A Prospective, Double-Blind, Randomized, Placebo-Controlled Study To Evaluate The Effects Of Felodipine In Patients With Ischemic Cardiomyopathy And Congestive Heart Failure Already Receiving Maximal Medical Therapy, Roy B. Sauberman

Yale Medicine Thesis Digital Library

No abstract provided.

The Demand And Acceptance Of The Community Hospital Sponsored Satellite Clinic In The Southern California Area: A Feasibility Study, Genelda Annetta Tracy

Theses Digitization Project

No abstract provided.

Services Available To Alzheimer's Diseased Patients And Their Families, Ricky A. Fielder

Theses

The focus of this project is an overview of services that are available to Alzheimer's Disease clients. Since our society has seen an increase in the number of patients diagnosed with the disease, it's necessary to plan into the future and direct our goals in providing good health care.

One wants to be capable of handling every aspect of the disease we see today. One must also protect the client and health care professionals. The client must be allowed to live a productive and happy life. Unfortunately, because of the disease process, I feel it robs the client of the …

Glucose Oxidase As A Pharmaceutical Antioxidant, Thomas F. Berg

MUSC Theses and Dissertations

Oxygen sensitive drugs in aqueous solutions are very susceptible to oxidative degradation. Antioxidants are frequently used to protect these drugs from oxidation. A 2-level resolution VI factorial was used to evaluate a glucose oxidase-catalase-glucose system and compare it to commonly used aqueous antioxidants. The drug models used to test the effectiveness of the enzyme system were ascorbic acid, morphine sulfate, and isoproterenol hydrochloride. The glucose oxidase system successfully protected the isoproterenol hydrochloride and was significantly better than the other systems tested. The glucose oxidase system was just as effective as the other antioxidants in protecting morphine sulfate. None of the …

The Relationship Between Diet And Exercise And The Occurrence Of Headaches In Adolescents Aged 12 To 15 Years, Paula Hahnel

Theses : Honours

Headaches in adolescents present school nurses with a challenge. Al though separate research has focussed on headaches in children, and on dietary and exercises practices of adolescents, little attention has been paid to the relationship between the two. The purpose of this study was to investigate whether adolescents' dietary and exercise practices affect the occurrence of their headaches. The randomly selected sample consisted of 97 adolescents, aged 12 to 15 years, from a Perth metropolitan high school. Males accounted for 28%. Of respondents, and females 72%.. The average age was 13.5 years. All students taking part in the study were …

Nurses' Use Of Universal Precautions, Robin G.S. Jackson

Theses : Honours

Research into Acquired Immune Deficiency Syndrome, Hepatitis B., and other bloodborne pathogens has led to the current worldwide awareness that patients can be admitted to hospitals with potentially fatal diseases that can remain undetected in blood and certain body fluids. This has resulted in a change of emphasis in Infection Control, namely isolating the source of infection rather than isolating the diagnosed infectious patient. One such technique recommended to protect healthcare workers, and other patients from nosocomial disease, is Universal Precautions. This study, using a descriptive survey design and structured questionnaire examined nurses' stated compliance to this technique in a …

Assessing Joint Mobility Of The Lower Extremities When Walking In Water Through The Use Of Motion Analysis, Jennifer Evitts

Presidential Scholars Theses (1990 – 2006)

Despite the lack of any attempts to quantify the ROM while walking in water, several products have recently been introduced which utilize the concept of an underwater treadmill to harness the advantages of walking in water, one of which includes an increase in ROM. The purpose of this study is to utilize motion analysis to qualitatively and quantitatively analyze the ROM of the ankle, knee, and hip when walking in the water and to compare these results to those observed when walking on land .

A Study Of The Relationship Between Improvement In Physical Status And Self-Esteem In Geriatric Patients, Kate A. Hayner

Masters Theses

The improvement in physical abilities in the geriatric population after occupational therapy was investigated to determine whether self-esteem would also improve. Fifteen subjects from three different nursing homes were measured. All of the subjects were referred to occupational therapy by their physician.

Treatment was implemented by trained rehabilitation aides after an occupational therapist assessed each subject and determined the need for therapy. Measurable goals were set for each subject to improve dysfunctional areas and reviewed with each resident and rehabilitation aide responsible for implementing the treatment program.

Types of treatment consisted of active and passive range of motion, strengthening, retrograde …

The Effect Of Horseback Riding Activity On The Tibialis Anterior, Vastus Lateralis, And Rectus Abdominis Of A Paraplegic, Laurie A. Price

Masters Theses

Horses are now being used in various programs under various conditions. The use of horses for therapy and recreation for the physically and mentally disabled first began in Germany and Switzerland. The United States now has many schools and different riding programs as well.

Riding seems to be especially beneficial to those with neurological impairments. Treatment of paraplegia is very limited but recreational activities are advancing. The use of the horse is beneficial for paraplegics emotionally as well as physically. Measurements and evaluations of these benefits are lacking. This project analyzes and measures the physical benefits of horseback riding on …

Dimension Tolerance Of Ceramic Bracket, Yuan-Chun. Tseng

Master's Theses

No abstract provided.