Medicine and Health Sciences Commons^™

How Engaged Are Infants And Toddlers While Picture Book Reading?, Zoe Lawless

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Introduction: Literacy is a very important skill that begins to be acquired at birth. Most children start to develop pre-literacy skills by being read to by their parents or other adults around them. Being read aloud to can occur at many different ages and can start as early as infancy. As children grow, they interact and engage with books in different ways. This thesis aims to investigate the read-aloud behaviors of two different groups of young children, to reveal differences in engagement interactions among infants and young toddlers when being read picture books by their teacher.

Methods: The …

A Revised Synthesis Of The Cationic Lipids Dmri And Mlri, Benjamin A. Kostic

College of Arts & Sciences Senior Theses

Lipid nanoparticles (LNPs) are an increasingly utilized method of intracellular delivery for nucleic acids. The COVID-19 vaccines from Moderna and Pfizer-BioNTech have used LNP technology to combat the recent global SARS-CoV-2 pandemic, saving millions of lives.^1,2 These vaccines consist of a lipid formulation that binds to the anionic phosphate groups of mRNAs and serves as an effective way to transport the nucleic acid across membranes into cells.⁹The mRNA encodes a viral protein. When introduced to cells, the viral protein is produced so that the immune system then can generate an appropriate antibody response.³ However, this approach …

Mathematics Majors In Medical School Admissions: A Comparative Evaluation Of Mcat And Gpa Performance, Morgan Baker

Theses/Capstones/Creative Projects

Choosing a major as an incoming undergraduate student can be very stressful. This study investigates the differences in success that come with choice of undergraduate major, particularly focusing on the performance of mathematics majors. A large majority of medical school applicants come from a biological sciences background. Despite this preference, there is evidence that students from nontraditional majors produce higher Medical College Admission Test (MCAT) scores and superior grade point averages (GPAs). Utilizing data visualization and analysis through R programming, this research examines public data from the Association of American Medical Colleges (AAMC) to understand the benefits of pursuing a …

Caregiver Engagement In Their Child's Mental Health Rehabilitation Services: Utilizing The Hoover-Dempsey And Sandler Model Of Parental Involvement (2005) In Mental Health Counseling, Andrew Q. Holmgren

LSU New Orleans Theses and Dissertations

Mental Health Rehabilitation (MHR) is a widely utilized community mental health service in Louisiana for low-income families. However, treatment adherence, including caregiver engagement for minor clients, is often low. There is still limited understanding of the barriers to caregiver engagement and few tools to assess these barriers and engagement behaviors. Clinicians, caregivers, and clients currently engaged in MHR services completed a modified version of the Parent Involvement Project Questionnaire (PIPQ) to determine if this scale and its associated theory, the Hoover-Dempsey and Sandler Model of Parental Involvement (2005), can be used in a mental health counseling format to assess for …

A Mixed Methods Exploration Of Interoceptive Awareness In Adults Who Stutter, Hazel Malcolm

Graduate Theses and Dissertations

Stuttering is commonly described as a disorder of speech fluency characterized by primary speech behaviors that are judged by external observers to be typical of stuttering, including part-word repetitions, prolongations, and blocks (i.e., silent prolongations or postural fixations). Despite wide use in the field of speech-pathology, definitions focusing on these ‘primary’ behaviors have also been criticized as ‘surface’ or ‘perceptual’ definitions that favor the experience of a listener over that of the speaker. Recent qualitative evidence suggests that, when asked, adults who stutter (AWS) instead define stuttering as an internal feeling or awareness of being ‘stuck’ that is surrounded by …

Using Aac To Build Young Beginning Communicators’ Inclusion In Song Routines, Sydney Miller

Graduate Theses and Dissertations

The present study examined the effectiveness of augmentative and alternative communication (AAC) on preschool-aged beginning communicators’ ability to participate linguistically during song social routines. The AAC used during the intervention phase were visual scene displays (VSDs). VSDs are color-realistic photos, often depicting real people, that are context-rich for the user. VSDs are less demanding and offer the user a way to communicate their thoughts, feelings, or emotions in a more contextualized way. The present study used a multiple-baseline across participants approach. The primary dependent measure was the linguistic participation of each participant using the VSD. The results indicated that each …

Comparing Children’S Engagement In Storybook Reading With And Without Access To Aac With A Literacy Supportive Feature, Brooke Zimmerman

Graduate Theses and Dissertations

Purpose: This thesis evaluates the effects of comparing children’s engagement in storybook reading with and without access to high-tech augmentative and alternative communication (AAC) with a literacy supportive feature. Literacy skills are a fundamental cornerstone for engagement in the lives of young children. Among these skills, the ability to decode words, or phonetically sound them out, plays a pivotal role in the acquisition of literacy. Proficiency in literacy also broadens the communication capabilities of individuals with developmental disabilities who rely on augmentative and alternative communication (AAC) methods. However, existing AAC technologies currently fall short in adequately strengthening literacy development, particularly …

Dyslexia Training: The Impact On The Perceptions And Knowledge-Base Of Pre-Professionals Preparing To Work In K-12 Educational Settings, Colby Fowler

Graduate Theses and Dissertations

This research explores the perceptions and understanding of dyslexia among first-year graduate students in speech-language pathology. Employing survey methodology, specifically a pre- and post-survey approach, this research investigates the attitudes and knowledge that the participants have in understanding and addressing dyslexia at the beginning of their graduate training. The study seeks to uncover the existing awareness, potential misconceptions, and the overall preparedness of these emerging professionals in dealing with individuals affected by dyslexia. Through a comprehensive survey analysis, the research aims to contribute valuable insights that can inform the development of targeted educational strategies and interventions within speech-language pathology programs, …

Speech-Language Pathologists' Experiences Diagnosing Swallowing Disorders, Katelyn Baxter

Honors Theses

This study explores the factors that inform a Speech-Language Pathologist’s (SLP’s) process for diagnosing dysphagia (disordered swallowing) and seeks to determine what barriers they perceive to performing their standard of care. To achieve a qualitative data set, 10 SLPs were interviewed using a semi-structured format and their responses were analyzed using Reflexive Thematic Analysis to produce four themes. Theme one gave insight into the SLPs prerogative to provide patient-centered care. Theme two expounded upon this, emphasizing how the SLPs treat dysphagia as part of a collection of disorders, and not in isolation. Theme three explained a lack of understanding as …

The Implementation Of Music Within Communication Intervention And Its Effect On Communication Development, Rebecca Dunn

Honors Theses

The purpose of this study was to evaluate how and under what circumstances licensed speech-language pathologists incorporate music within communication intervention and to better understand perceptions towards the incorporation of music within speech or language therapy. A survey was developed based on the review of related literature and then entered on the Qualtrics^ã server for data collection and analysis. Once IRB approval was secured, the survey was then disseminated via a Facebook group for licensed speech-language pathologists. The author used Qualtrics^ã to collect and analyze the data, which was then used to determine when and how music was …

Say Neigh To Poor Health: Exploring The Impact Of Equine Assisted Services On Children's Health, Courtney S. Barrus

Occupational Therapy Capstone Presentations

Background: Currently, in the United States, one in six children has a developmental disability (CDC, 2022). According to the US Department of Health and Human Services (2021), developmental disabilities negatively influence an individual's ability to solve problems, social skills, life skills, ability to form relationships, and ability to learn. Equine-assisted services are a group of services, including hippotherapy and adaptive riding, which have been shown to have a positive impact on physical, emotional, and social deficits (Haig & Skinner, 2022; Helmer et al., 2021; Madigand et al., 2023; Zoccante et al., 2021). Methods: The capstone was completed in two steps. …

My Daily Grounds: A Journal Of Creative Alchemy, Kathleen A. Donovan

Creativity and Change Leadership Graduate Student Master's Projects

My Daily Grounds: A Journal of Creative Alchemy is a project intended to renew artistic confidence and prepare a mindset for a writing retreat in Ireland in June 2024 by revisiting childhood memories and exploring the impact of early domestic abuse through a visual journaling process. This endeavor aims to stir up the creative voice and find authenticity in creation by gathering and clarifying personal data visually, following the Creative (CPS) approach to unlock new insights and ideas for writing. The resulting essays will illuminate the unseen effects of trauma and are intended for publication, reflecting a co-creative process between …

Mutational Landscape Of Noncoding Ultraconserved Elements In Human Cancers: Functional Relevance And Clinical Utility, Recep Bayraktar

Dissertations and Theses (Open Access)

The mutational landscape of phylogenetically ultraconserved elements (UCEs), especially those in noncoding DNA regions (ncUCEs), and their functional and clinical relevance in cancers remain poorly characterized. In this thesis, we perform a systematic analysis of whole-genome sequencing (WGS) data from the International Cancer Genome Consortium (ICGC) and in-house targeted sequencing of 13,736 UCEs and demonstrate that ncUCE somatic alterations are pervasive. Using a genome-wide multiplexed CRISPR knockout screen in colorectal cancer (CRC) cell lines, we show that the loss of several mutated ncUCEs impacts cancer cell proliferation. In-depth functional studies in vitro and in vivo further reveal that UCE_11311 is …

Developing An Ebook For First Responders: Exploring Arts-Based Interventions To Counter Burnout And Build Resilience, Taysia De Mesa, Baylor Duncan, Emmanuelle Evans, Ashley Herbinger, Hannah Kent, Olivia Waldorf

LMU Theses and Dissertations

The researchers in this project studied the prevalence and impact of burnout among first responders, after which they produced CRISP (Creative Resilience Initiatives for Service Providers), a groundbreaking art therapy-based program published in an electronic book format aimed at addressing burnout and fostering resilience among first responders. Our program aims to foster resilience by integrating art therapy's Expressive Therapies Continuum (ETC) model with Diversity, Equity, and Inclusion and anti-racism strategies. The ETC model aligns with inclusive and diverse practices as it emphasizes a system-focused approach in using creativity, self-reflection, and cultivation of effective body-mind empathy. The CRISP eBook features 18 …

The Effect Of Using A Meal Tracking Smartphone Application In Overweight And Obese Adolescents With Prediabetes Or Type 2 Diabetes To Improve Bmi And Hba1c, Lauren Torhorst

Evidence-Based Practice Project Reports

Obesity has become one of the most common chronic pediatric illnesses worldwide and is closely linked to the onset of prediabetes and subsequent Type 2 Diabetes (T2D); therefore, preventing and treating childhood obesity has become a high priority (Hampl et al., 2023). The purpose of this Evidence-Based Practice (EBP) project is to lower Glycosylated Hemoglobin A1c (HbA1C) and Body Mass Index (BMI) in overweight and obese youth with prediabetes and T2D using a meal tracking smartphone application. The Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) was utilized to pilot this project between two pediatric endocrinology offices located in Southeast Wisconsin. …

Evaluating Blood Pressure Methods In Non-Traumatic Intracerebral Hemorrhage: A Two-Site Prospective Observational Study, Desiree Cihelka

Theses and Dissertations (ETD)

Purpose. Blood pressure (BP) management is difficult and complex in the treatment of acute non-traumatic intracerebral hemorrhage (ICH). Despite mean arterial pressure (MAP) being the most reliable measure of noninvasive automatic oscillometric (NIBP) in clinical practice, clinicians instead rely on systolic and diastolic blood pressure (SBP and DBP) values to guide clinical practice. Given the widespread use of NIBPs for obtaining BP values in the acute care setting, we determine the agreement between SBP, DBP, and MAP measured by NIBP, manual cuff, and Arterial lines (A-lines) in patients with ICH. Study Aims. To understand the agreement between SBP, DBP, and …

Proteomic Identification Of Hemp (Cannabis Sativa) Seeds By Tandem Mass Spectrometry And Evaluation Of Cytotoxic Activity, Taran Harris

Pharmaceutical Sciences (MS) Theses

Hemp (Cannabis sativa) has a long history of use globally as a source of traditional medicine, spiritual enlightenment, and recreational enjoyment. While it was commonly consumed for both medical and recreational purposes in the United States, it was classified as a Schedule 1 drug in 1937, severely restricting its use and research opportunities. Although hemp itself lacks psychoactive properties, Cannabis sativa flowers contain THC, the compound responsible for its psychotropic effects. This restriction hindered quality research into cannabis and its constituents. The study employed techniques, including top-down proteomics, size exclusion chromatography, affinity chromatography, high-resolution ESI QTOF LC/MS/MS, and …

The Relationship Between Economic Status And Patient Retention In The Physical Therapy Setting In Selected Physical Therapy Clinics And Hospitals Of Negros Oriental: Perspective Of Filipino Physical Therapists, Rey Joshua P. Osorio, Zoscheele Monica G. Pal, Clarice M. Planteras, Raymon D. Ragay, Ginea Marydawn N. Roda, Rapunzel G. Santillan, Niña Mae B. Sequita, Ulrich Tristan Weber

Student Dissertations

Patient retention has always been part of the goals in the medical field, especially in the Physical Therapy setting; there were some studies that depicted a contingent effect on its likelihood with the patients’ economic status. However, the lack of evidence-based studies in PT surrounding these variables have made it difficult to pinpoint the relationship between the two. This study investigated how economic status influences patient retention in physical therapy settings in Negros Oriental, Philippines. It combined quantitative data from surveys on participant demographics, economic status, and patient retention with qualitative insights gathered through semi-structured interviews. The data collected suggested …

Investigating Pre-Health Students’ Science Identity And The Factors That Influence Them To Change Programs Or Tracks., Taylor Humphreys

College of Arts & Sciences Senior Theses

Retention is a particularly pressing issue for undergraduate students, specifically those in pre-health programs or tracks. This can be affected by a students’ science identity, which is referred to as viewing oneself as a “science person.” This study focused on investigating science identity and influencing factors that can cause program or track change of pre-health students. Previous studies have investigated these factors regarding pre-health students applying to medical school, but this study opened the investigation to a variety of pre-health students and focused on characterizing students’ experiences prior to their health professional school applications. The analysis of peer-led focus group …

Respiratory Illnesses In Women And Children From Ghana: Problem Identification And Intervention, Stephanie Dale

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Rural communities in the upper east region of Ghana currently cook with traditional coal pots that produce increased levels of smoke resulting in rapid fuel consumption, increased air pollution, and high levels of respiratory illness in the women and children who use them. New stoves have been developed that remain similar to the traditional ones in use but are designed to provide a variety of benefits such as lowering the cost of fuel, reducing air pollution, and decreasing rates of respiratory illness in women and children. The purpose of this research study was to identify why women have not begun …

Clinical Assessment Of Erosive Tooth Wear Objective Outcome Measures, Elizabeth Wewers

Biological Sciences Undergraduate Honors Theses

The purpose of this study was to determine whether enamel surface texture can be used as objective and quantitative measurements to detect and monitor erosive tooth wear (ETW) as an adjunct to the subjective Basic Erosive Wear Evaluation (BEWE) that is commonly used today. This longitudinal observational clinical study enrolled 32 subjects with a sample of n = 584 teeth. Conventional dental microwear surface texture parameters (surface complexity, roughness, and anisotropy - Asfc, Sa, Str, respectively) (were generated using white-light scanning confocal profilometry) from the buccal surfaces of each tooth accepted to the study. I personally scanned and analyzed n …

Social Influences On Quitting E-Cigarette Use: A Mixed Method Analysis, Olivia Peterson, Page Dobbs

Health, Human Performance and Recreation Undergraduate Honors Theses

Social Influences on Quitting E-Cigarette Use: A Mixed Method Analysis

Page Dobbs, Olivia Peterson, Erin Arthur, Jessica Seymore, Jenn Veilleux, Robert Davis, Mance Buttram, Mufazzela Tabassum

Words: 250/250

Introduction. Young adult e-cigarette users report peers as a reason for using these products; however, it is unclear how social influences are associated with attempting to quit e-cigarettes. The purpose of this mixed-methods study was to examine the relationship between social factors and quitting e-cigarettes.

Methods. E-cigarette users from a large southern university were recruited to take part in an explanatory, sequential mixed-methods study. First, participants (n=423) completed a cross-sectional survey about …

Lack Of Access To Healthcare And Neurology Within East Texas, Ashton Arlen

Health, Human Performance and Recreation Undergraduate Honors Theses

Within East Texas, there is a critical shortage of physicians and lack of access to healthcare that is taking a major toll on the health of residents. For Texas as a whole, almost 70% of their 254 counties are classified as a rural. Within the United States, Texas has the largest amount of hospital closures and rural areas including East Texas have lost over half of their hospitals since 1960 (Nevins et al. 2021). The area endures some of the highest rates of chronic health conditions such as obesity, diabetes, cancer, and mental health conditions.

In knowing about the many …

Exploring Occupational Therapy’S Role In Childcare Settings, Makayla Hamling

Occupational Therapy Capstone Presentations

This study focused on exploring the occupational therapist's role in childcare settings. The program development, observations, and hands-on activity allowed for first-hand experience of the role occupational therapists could play in a daycare setting. Incorporating meaningful participation, education, and environmental modifications were a part of this study. The study was conducted in Northeast Nebraska, with a total of 31 participants.

Early detection is key to addressing developmental delays in many areas (play, social, leisure, dressing, eating, etc). Developmental screenings can assist caregivers and specialists in knowing and understanding how a child is developing compared to his or her same-aged peers. …

Comparative Evaluation Of Clinical Presentation And Management Of Equine Asthma By Climate Region, Tacey Davis

Honors College Theses

Equine asthma, including both mild and severe forms, is a prominent respiratory disease impacting the health and performance levels of affected horses. The objective of this study was to conduct a comprehensive assessment of a broad equine population, analyzing various disease aspects in relation to prevalence and severity across the nine climate regions in the United States. The methodology followed a survey-based research design, utilizing convenience and voluntary response sampling methods. Data collection involved 86 respondents across these regions. Quantitative and qualitative questions explored prevalence rates, diseases manifestation, risk factor of age, seasonality components, and diagnostic and management strategies from …

Stem Cell Therapy For Canine And Feline Patients With Chronic Kidney Disease, Seth Clark

Honors College Theses

This research aimed to statistically analyze the relationship between stem cell therapy and chronic renal failure in a sample of canine and feline patients. Stem cell therapy is a burgeoning field in both human and veterinary medicine, seeking mainly to better understand disease incidence and repair damaged tissues, such as those involved in spinal cord injuries and Alzheimer’s disease. In relation to veterinary medicine, prior research suggests that stem cell therapy has potential to be an effective tool against diseases such as acute kidney injury and chronic kidney disease. This project examined how autologous adipose-derived mesenchymal stem cells affected the …

Evaluation Of Wogonin And Chrysin In Alleviating Mycophenolate-Induced Diarrhea And Its Pharmacokinetics Profile, Abasifreke Sunday Benson

Theses (2016-Present)

Medication-induced diarrhea is a common adverse effect experienced by patients taking immunosuppressant medications used in Organ transplants. However, Mycophenolate mofetil (MMF) is the first-line drug to prevent organ transplant rejection. (Van Gelder & Hesselink, 2015) . MMF’s mechanism of action involves inhibition of inosine-5'-monophosphate dehydrogenase. It is used for the treatment and management of a variety of autoimmune diseases as well as to prevent organ rejection in patients with bone marrow and solid organ transplants; however, over 50% of its adverse effects have been reported to be diarrhea. (Arslan et al., 2007; Farooqi et al., 2020). However, few options exist …

Evaluating Effective Communication Of Baccalaureate Nursing Students, Christine Brockway

Dissertations

Brockway, Christine. Evaluating Effective Communication of Baccalaureate Nursing Students. Published Doctor of Philosophy dissertation, University of Northern Colorado, 2024. The purpose of this mixed methods study was to determine how communication evaluation by clinical faculty compared in a clinical setting versus a simulation setting for Bachelor of Science in Nursing (BSN) students. Fifty (50) BSN students from three different schools of nursing were scored using the Interprofessional Situation, Background, Assessment, Recommendation Nurse to Physician Rubric in both clinical and simulation settings by seven nursing faculty. Scoring for each student occurred in both settings during one semester. Following the evaluation, students …

The Impact Of Healthcare Interprofessional Education On Collaboration., Mya Winjum

Theses/Capstones/Creative Projects

Interprofessional relationships are important to the productivity of healthcare teams, especially as collaborative approaches become increasingly common in the healthcare setting. This paper focuses on the impacts of interprofessionalism and interprofessional education on healthcare teams collaborations. Drawing from a mixed-methods approach, data was gathered through an online survey and interviews conducted at the UNMC GOODLIFE Clinic, a student-run clinic. Findings reveal differences in perceptions between post-graduate professionals and students regarding the role and importance of interprofessionalism. While professionals demonstrate an understanding of IP collaboration, students express a need for more comprehensive IPE. Barriers to effective teamwork, such as professional hierarchies …

Effect Of Progesterone On Cognition Among College Aged Women, Katelyn Helberg

Biological Sciences Undergraduate Honors Theses

Women who have a reoccurring menstrual cycle and do not take hormonal birth control naturally experience changes in the amount of sex hormones that their body produces. These sex hormones help promote sexual development, fertility, and mood regulation, but can be hard to study due to their conflicting effects on each other. One such hormone, progesterone, is produced in different concentrations throughout the menstrual cycle to prepare the uterus for a potential pregnancy. However, it also may have secondhand effects on how well women can complete everyday tasks involving memory, attention, processing speed, and more which is what we measured …