Medicine and Health Sciences Commons^™

An Analysis Of The Relationship Between The Degree Of Maintained Fluency Improvement Of Former Portland State University Stuttering Clients And The Overall Language Themes They Used, Karen F. Mathew

Dissertations and Theses

This research examined the relationship between the degree of maintained fluency improvement and the type of language used to respond to questions directly and indirectly related to speaking behavior. The subjects included sixteen former Portland State University stuttering clients who had participated in the Ginter (1979) study on fluency maintenance. The subjects responded to a thirteen item questionnaire dealing with themselves and their speaking behavior. Responses were recorded on the Modified Thematic Analysis Form developed by this examiner and analyzed according to guidelines set down by Stone and Casteel (1975) and this examiner.

Toward A Seventh-Day Adventist Theology Of Health, Hedrick J. Edwards

Loma Linda University Electronic Theses, Dissertations & Projects

The Seventh-day Adventist Church espouses the Three Angels' Messages of Revelation 14 as its raison d'etre. In its view the special mission of its members is to take these messages to the entire world. Yet about twenty-five percent of the church's financial worth and a much higher percentage of its paid employees are involved in the healthcare enterprise. Does this fact represent a dichotomy in the church's mission, or is it theologically defensible?

This investigation submits that the denomination's involvement in healthcare and training in the healing arts is theologically defensible and does not represent a departure from or a …

External Versus Internal Locus Of Control In Longterm Drug Abusers, Heidi Knipe

Theses Digitization Project

No abstract provided.

Hepatitis B Virus Infection Among Native Inhabitants Of French Polynesia : A Seroepidemiologic And Genetic Analysis, B. Douglas Lewis

Yale Medicine Thesis Digital Library

No abstract provided.

Role Of The Arachidonic Acid Metabolites, Thromboxane A2 And Prostacyclin, In Shock Induced By Intraabdominal Sepsis, Robert Raymond Butler

MUSC Theses and Dissertations

A rat fecal peritonitis model of acute intraabdominal sepsis was investigated in order to evaluate the potential role of arachidonic acid metabolites in septic shock. Immunoreactive (i) Thromboxane (Tx) B2, the stable metabolite of TXA2' and i6-keto-PGF1α, the stable metabolite of prostacyclin, were measured by radioimmuonassay. plasma levels of iTXB2 rapidly increased from non-detectable (ND< 200 pg/ml) to 1,066 -/+ 194 pg/ml (N=14) 1 hour after feces injection. iTxB2 then increased to 1,695 -/+ 218 pg/ml (N=16) at 4 hours and remained unchanged through 6 hours. Plasma i6-keto-PGF1α increased from ND to 3,777 -/+ 414 pg/ml (N=16) at 1 hour. Four hours after feces, i6-keto-PGF1α levels rose to 6,945 -/+ 732 pg/ml (N=16) then continued to rise to 9,465 -/+ 792 pg/ml (N=7) at 6 hours. Either essential fatty acid deficiency (arachidonic acid depletion) or indomethacin pretreatment (cyclooxygenase inhibition) significantly decreased (P< 0.01) the elevations of plasma iTxB2 and i6-keto-PGF1α associated with fecal peritonitis. Thrombocytopenia occurred within 6 hours after injection of feces and was significantly improved (P< 0.05) by indomethacin. Elevated fibrin degradation products at 6 hours (18 -/+ 3 µg/ml) were significantly reduced in essential fatty acid deficient (7 -/+ 2 µg/ml; P< 0.05) and indomethacin treated (4 -/+ 0.7 µg/ml; P< 0.01) rats. Survival time (8.6 -/+ 0.2 hours) was significantly enhanced by essential fatty acid deficiency (10.2 -/+ 0.4 hrs; P< 0.01) or indomethacin pretreatment (13.3 -/+ 0.6 hrs; P< 0.01). These studies show that fecal peritonitis is associated with increased synthesis of thromboxane A2 and prostacyclin and suggest that these arachidonic acid metabolites may play a role in the pathophysiology of septic shock. To evaluate the pathogenic role of thromboxane (Tx) and prostacyclin (PGI2) in septic shock, the protective efficacy of the Tx synthetase inhibitor, 7(l-imidazolyl) heptanoic acid (7-IHA) and the cyclooxygenase inhibitor, ibuprofen, were assessed during fecal peritonitis in the rat. 7-IHA (60 mg/kg) administered ip 30 minutes prior to feces significantly reduced the plasma level of iTxB2 to ND (P< 0.01) at 1 hour and to 508 -/+ 56 pg/ml (P< 0.01) at 4 hours after injection of feces. In contrast, the levels of i6-keto-PGF1α, the stable metabolite of PGI2 were significantly elevated by 7-IHA pretreatment from septic control levels to 5,185 -/+ 467 pg/ml (P< 0.05) at 1 hour. Plasma i6-keto-PGF1α at 4 hours in 7-IHA treated rats (5,503 -/+ 665 pg/ml) was not different from untreated controls. Ibuprofen (5 mg/kg) administered ip 30 minutes prior to feces significantly decreased both iTxB2 and i6-keto-PGF1α plasma levels to 729 -/+ 99 pg/ml and 1,327 -/+ 251 pg/ml, respectively (P< 0.05) at 4 hours. Survival associated with fecal peritonitis was not altered by 7-IGA pretreatment, but was significantly improved (P< 0.05) in ibuprofen treated rates. Fibrin degradation products were also significantly decreased (P< 0.05) by 7-IHA pretreatment. These results suggest that TxA2 may contribute to the coagulopathies seen in septic shock and that PGI2 may be associated with terminal pathophysiologic events. The final phase of this project investigated the possible synergistic benefit between an antibiotic, gentamicin (GENT), and reduction of arachidonic acid metabolism by pre-administration of indomethacin (INDO) or essential fatty acid (EFA) deficiency. GENT significantly increased mean survival time to 23.8 -/+ 2.6 hours (N=16; P< 0.01). GENT + INDO or GENT + EFA deficiency further improved mean survival time and produced long term survivals (>48 hrs) of 35% (N=17) and 30% (N=7) respectively (P< 0.01 compared to GENT). GENT pretreatment did not significantly alter plasma iTxB2 levels, however, it selectively decreased i6-keto-PGF1α. For example, i6-keto-PGF1α decreased from 9,465 -/+ 792 pg/ml (N=7) to 2,096 -/+ 1174 pg/ml (N=5; P< 0.01) at 6 hours after induction of fecal peritonitis. GENT + INDO pretreatment significantly decreased both iTxB2 and i6-keto-PGF1α to ND (P< 0.01). Pretreatment with GENT alone did not reduce fibrin degradation products. These findings are consistent with the concept that TxA2 may play a role in consumptive coagulopathies and PGI2 may be associated with the terminal hypotension seen during septic shock. The effect of GENT on TxA2 and PGI2 production was investigated further. GENT had no observable effect on in vitro endotoxin stimulated production of these arachidonic acid metabolites by cultured rat peritoneal macrophages. GENT significantly reduced the plasma levels of iTxB2 and i6-keto-PGF1α during endotoxin induced shock in rats. These observations support a complex interaction of bacteria, endotoxin, host tissues, and gentamicin with the possible involvement of undescribed mediated factors.

An In Vivo Study Of Rabbit Oviductal Motility As Recorded Utilizing A Microminiature Extraluminal Force Transducer, William R. Anderson

MUSC Theses and Dissertations

A microminiature force transducer has been developed and used to record both acutely and chronically the motility of the rabbit reproductive tract. This device, which is comprised of two matched piezoresistive silicon sensors bonded to a titanium beam strip, is durable, physically stable, and highly sensitive to bending forces (gage factor, 140). The reproductive function of 26 rabbits in which two such devices were chronically implanted on the right isthmus was examined in detail. The animals in which these devices were implanted healed quickly with no evidence of infection or other pathological change. No alterations were noted between right (implanted) …

The Effect Of Chronic Ethanol Administration On Organelles Involved In Rna/Protein Synthesis In Mature And Immature Hamster Neurons, Carole R. Dunmire-Graff

Dissertations

No abstract provided.

Temperature Recordings In Neonates, Linda Marie Hestvik

Theses and Dissertations

Summary

The purposes of this ex post facto research study were to answer the following questions:

1. What is the length of time required for glass thermometers to register the temperature in neonates at the rectal and axillary sites?

2. Do significant differences exist between simultaneous axillary and rectal temperature recordings in neonates?

3. What is the relationship between axillary and rectal temperature recordings at specified time intervals in neonates?

A sample of 30, full-term neonates was obtained from the Newborn Nursery of a large teaching hospital in the Middle Atlantic region. All participants were over 24 hours of age …

An Investigation Of Central Nervous System Conduction Properties In Diabetes Mellitus Using Brainstem Auditory And Somatosensory Evoked Potentials, Randy L. Anderson

Theses and Dissertations

In this study brainstem auditory evoked potentials (BAEPs), median nerve conduction velocities (CV) and early somatosensory evoked potentials ( SEPs), were employed as indices of neural conduction properties in a group of young insulin dependent diabetics (five males and five females) and a group of nondiabetic controls (five males and five females). The median nerve CV was determined from 64 summated nerve responses recorded at the elbow. The nerve was stimulated at the wrist using 0.2 msec square wave electrical pulses. The SEP was recorded from scalp electrodes using the same median nerve stimulation technique as for the CV measure. …

The Relationship Between Type A Coronary-Prone Behavior Pattern, Achievement, And Life Satisfaction, Larraine A. Felland

Theses and Dissertations

This study examined the relationship between Type A coronary-prone behavior pattern, academic achievement and life satisfaction. The subjects were 87 undergraduates selected for their extreme scores on the Jenkins Activity Survey, Form T. There were 41 Type As and 46 Type Bs. Along with the Jenkins Activity Survey, Form T the participants were administered a life satisfaction survey similar to Soper's (1979) and their official academic gradepoint average was obtained from the Academic Records office. A point-biserial correlation indicated that there was a significant (p

The various relationships and their possible explanations and indications were discussed in depth. Significance of …

A Strain Gauge Comparison Of Torquing Forces Generated By Orthodontic Archwires, William R. Caryl Jr.

Master's Theses

No abstract provided.

Systems Approach To St. Louis State Hospital's Referral Program, Reza Vahidi

Theses

This thesis presents a systems approach to analyzing and redesigning referral and billing processes at St. Louis State Hospital in Missouri. Recognizing the growing complexity of hospital operations, the study applies systems theory to evaluate inefficiencies in the hospital’s referral program, particularly in its interactions with external agencies and community physicians. The hospital historically relied on manual procedures and fragmented communication methods that contributed to delays, inaccuracies, and underutilization of available resources.

The study examines the referral workflow from intake to admission, identifying systemic bottlenecks and proposing structured changes to improve coordination. Emphasis is placed on streamlining communication between hospital …

Synthesis And Biological Evaluation Of Sparsomycin Analogues, Scherer Preston Sanders

Theses and Dissertations

In 1962, Owen, Dietz, and Camiener reported the isolation of a new antitumor antibiotic from the culture filtrate of Streptomyces sparsogenes. The structure of the crystalline antibiotic, named sparsomycin, remained elusive until 1970, when Wiley and MacKellar reported results of spectroscopic and degradation studies which elucidated the structure. In addition to the molecular structure, investigators have examined the mechanism of action, toxicity, and related analogues, striving to establish sparsomycin or a synthetic analogue's usefulness as an effective chemotherapeutic agent.

The initial pharmacological evaluation of sparsomycin revealed it possessed activity against KB human epidermoid carcinoma cells, a variety of gram-negative and …

A Simulated Diet Interview For Use In Home Economics 306, Methods Of Home Economics Education, Patricia G. Shevac

Theses, Dissertations and Capstones

The necessity for nutrition education of the patient is becoming increasingly important in the health care system. This kind of education can aid the patient to select and practice a more desirable nutritional behavior in order to produce a favorable change in his health status. The dietitian's role in health care education is the application of nutritional knowledge to the individual situation of the patient. A dietitian must first establish rapport with the patient through verbal and non-verbal communication. He or she must be able to understand others' feelings and be warm, friendly, and put the patient at ease. The …

The Reogranization Of A Nursing Unit, Donna Jean Fischer

Theses

The change of management on a medical-progressive care unit will be observed for A) acceptance with a relatively favorable attitude by subordinates, B) a specific organizational plan designed to level and impose the nature the individual's ability and desire to behave in accord with new management 's positions.

A Descriptive Survey Of Rural Doctor Procurement Programs, J. H. Seitz

Theses

Various techniques have been used by many rural communities in an effort to recruit and maintain physicians. However, evidence indicates that if the doctor procurement program gets the community involved, results will surely follow. The community effort basically is the one factor that helps recruit and maintain physician manpower to their community. The doctor procurement committee is the foundation to form a solid structure that shows the physician that there is cooperation, dedication, desire and a sense or belonging. It is these factors, along with others discussed in this thesis that convinces the physician to relocate in the rural community.

Isolation Of ��₂-Microglobulin From Miniature Swine Area, Barbara A. Roach

Yale Medicine Thesis Digital Library

No abstract provided.

Health Beliefs And Health Locus Of Control As Predictors Of Cardiorespiratory Endurance In Adults Enrolled In Prescriptive Exercise Programs., Jo Ann Patterson

All ETDs from UAB

No abstract provided.

The Development Of An Assessment Form To Screen Preschool Children For Nutritional Referral, Donna Bond Phillips

Theses, Dissertations and Capstones

The Ten State Nutrition Survey (1968-1972) included West Virginia as a participant and provided data on the nutritional status of various age groups including preschool children. Information from biochemical tests, anthropometric measurements and a 24-hour dietary recall indicated that a significant number of children in West Virginia and the United States are malnourished or at nutritional risk. For this reason it is essential that nutritional evaluation of children be carried out during physical examinations. However, it may not be necessary for the evaluation to be completed by a nutritionist.

Some Observations On The Development Of Pharmacy And Recommendations For Improving The Allocation Of Resources At St. Joseph's Hospital, Ivy Ann D. Lee-Sharpe

Theses

It is the intent of this paper to trace the developmental history of pharmacy alluding to the profession as an integral part of medicine when treatment was simple, magically connected and filled with superstitions. It separated when medical knowledge expanded, technology advanced and regulations formalized pharmacy. Social and environmental factors established the needs for specialists to handle, compound, prepare and dispense drugs and medicines. The institutionalization of care and the entrance of the pharmacists in these institutions were influential in this separation and will be discussed. Although formally separated, pharmacy stayed intimately linked with medicine in literature and formal education …

Adaptation In Widowhood Among Older Women., Penelope Bradford Paul

All ETDs from UAB

No abstract provided.

An Evaluation Of A Coronary Education Program, Anne Broaddus Sydnor

Theses and Dissertations

This study was conducted to evaluate a Coronary Educational Program at a 350 bed community suburban hospital. The five year old program has never been evaluated. The evaluation was limited to one product of the program, the change in patient knowledge relative to their disease. Subjects also completed a subjective evaluation of the program, including the content areas, teaching methods, and competence of the instructors.

Twelve subjects participated during the 2% month study. They consisted of 10 males and 2 females; 11 Whites and 1 Black. The age range was 53 to 76 years, with a mean of 63.9 years. …

Comparative In Vitro Studies On Bond Strength And Sealant Polymerization, Gerald E. Sievers

Loma Linda University Electronic Theses, Dissertations & Projects

A comparison of two orthodontic sealants and two adhesives was made. An experimental adhesive was tested (Unitek*) also an experimental sealant (Unitek**) was evaluated for its ability to polymerize into a thin film. An established adhesive and sealant system (Concise***) was compared with the above products.

The factors which were considered important to the study were: the strength of the bond formed; the working efficiency; the ability for these materials to bond to the lingual of teeth; and the value of using contralateral teeth when testing bond strength.

An Instron testing machine was used to record the shear strength of …

Cineradiography Of The Temporomandibular Joint : A Research Entity And Diagnostic Modality, L. Albert Lewis

Loma Linda University Electronic Theses, Dissertations & Projects

Readily accessible equipment as utilized for cineangiography has been demonstrated to be useful in producing dynamic studies of the temporomandibular joint.

The reproducible studies have been obtained without adaptation of equipment. Methods used in this project were based on principles which have been advocated for the past thirty years for static radiographs of the temporomandibular joints.

Studies were made of a variety of subjects varying in size and joint integrity. Diagnostic views were obtained on all subjects showing normal osseous joint structures and typical joint function via the use of motion picture records. Changes in osseous joint structures were readily …

The Relationship Of Professional Educational Level And Experience On The Attitudes Of Nursing Personnel Towards The Alcoholic, Patricia Pruett Barnes

Loma Linda University Electronic Theses, Dissertations & Projects

The abuse of alcohol is the most serious and pervasive substance abuse program in the country, outranking heroin addiction in the number of people affected, in cost, and in psychological-social-familial upheaval. Health problems generated by the excessive consumption of alcohol require that the nurse play a significant role in the care and treatment of alcoholics and their significant others, such role de riving its importance from the direct professional relationship which develops between the nurse and the client. In order to provide meaningful and effective nursing care to alcoholics, the nurse must have a thorough understanding of the disease known …

In Vitro Percutaneous Penetration Of Methotrexate, Rajaram Vaidyanathan

University of the Pacific Theses and Dissertations

This research project was designed to investigate the effects of various physical and chemical parameters on percutaneous penetration of methotrexate. The potential of propylene glycol in water as a vehicle for topical delivery of methotrexate has been examined. A detailed examination of solubility, partition coefficient and pH parameters in the range of 2 to 6 pH units has been conducted with the goal of correlating their effects on skin penetration of methotrexate. The importance of physiochemical parameters such as solubility and partition coefficient and their aid in the development of a suitable delivery system for topical application has been explained. …

An Epidemiologic Study Of Toxoplasmosis In Pregnant Women, Joyce Moell Matzen

University of the Pacific Theses and Dissertations

Life Cycle and Transmission

Toxoplasmosis is a disease produced by infection with the protozoan Toxoplasma gondii, an intracellular parasite which was first isolated from the North African rodent, Cyterodactylus gondii, in 1908. Since that time, this organism has been shown to have worldwide distribution and is probably the most common parasite of mammals, birds and reptiles (Remington., 1960). In 1965, Hutchinson described toxoplasma oocysts in cat feces, but it was not until 1970 that the life cycle of the organism was disclosed. The felidae represent the primary host for toxoplasma and are the only animals known to harbor the intestinal …

A Study Of Self-Concept Of Hearing-Impaired Students As Compared To The Self-Concept Of Normal-Hearing Students, Wayne K. Wright

Dissertations

Problem

One of the important problems for the handicapped child is whether he can develop an adequate self-concept. This is a significant problem for the hearing-impaired child in a regular school setting. If the development of self-concept is contingent upon the ability to express needs, wants, and desires, what is the self-concept of a child who cannot describe his feelings? The present study attempts to measure the self-concepts of the hearing-impaired students and to compare them to the self-concepts of the hearing students.

Method

The Piers-Harris Children's Self-Concept Scale was used to evaluate the self-concepts of 926 students of the …

Health Problems Of Selected Lds Missionaries Throughout The World, Susan Jensen

Theses and Dissertations

The purpose of this study on Mormon missionaries was to determine the effect of health on missionary activity time, age, sex, months in field, laboring city population, monthly mission cost, living conditions, diet, pre-existing conditions, adequacy of medical care, nativity, effectiveness, emotional health, interpersonal relationships, and motivation and enthusiasm. In addition the research attempted to ascertain the effect of the selected independent factors on ill missionary lost time.

As an outcome of the statistical analysis performed on this study's sample the following results were obtained. Respiratory disorders, gastrointestinal difficulties and orthopedic injuries were the most common health problems. Well missionaries …

Mental Health Status Of Vietnamese Refugees In Utah County, Utah, David A. Acree

Theses and Dissertations

This study attempted to measure mental health status of Vietnamese refugees in Utah County, Utah. The test instrument used was the Cornell Medical Index (CMI). Two subproblems were considered: First, to see if refugee complaints on the CMI were predominantly physiological or psychological. Second, to see if there was a relationship between CMI scores and a related list of demographic variables.

Results showed the mean CMI score for the sample under study was well above the suggested score indicative of possible psychological dysfunction. For 80% of participants, psychological complaints were predominant over physical complaints. The only variables showing a relationship …