Medicine and Health Sciences Commons^™

Discovering The Recreational Interests Of South Florida's Youth For Use In The Expansion Of 4-H Programs In Broward County, Florida, Thomas W. Kehlhofer

Graduate Student Dissertations, Theses, Capstones, and Portfolios

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Sensitizing Students To Functional Limitations In The Elderly: An Aging Simulation, Sherry Allen, Viki Lorraine, Anne Lockett, Carolyn M. Rutledge

Ellmer School of Nursing Faculty Publications

Background and Objectives: Using activities of daily living (ADLs) and instrumental activities of daily living (IADLs) as a focus, faculty at Eastern Virginia Medical School provide an aging simulation exercise for a mandatory fouth-year clerkship in geriatrics. The specific aims of the simulation are to 1) experience the physical frailties of aging, 2) develop creative problem-solving techniques, 3) identify feelings regarding the experience of functional loss, and 4) develop proactive clinical approaches to the care of the elderly.

Methods: Students are assigned one of four diagnoses (Parkinson's disease, rheumatoid arthritis, advanced diabetes, or stroke) and are then impaired to simulate …

The Effect Of Fear On Myocardial Infarction Patients In Intensive Care Units., Geraldine Williams Allen

All ETDs from UAB

No abstract provided.

Effectiveness Of Prevention Interventions With Youth At High Risk Of Drug Abuse, Richard F. Catalano, Kevin P. Haggerty, Randy R. Gainey, Marilyn J. Hoppe, Devon D. Brewer

Sociology & Criminal Justice Faculty Publications

A recent report describes three types of prevention programs: universal, selected, and indicated (Institute of Medicine 1994). Universal prevention approaches are those that serve the entire population who share a general risk to the disorder without regard to specific risk status. Selected prevention approaches serve those whose precursors of problem behaviors are elevated but who have not yet manifested the problem behavior to be prevented. Indicated prevention approaches serve those who have initiated the problem behavior to be prevented but have not yet developed a serious or chronic behavior problem and do not warrant at that time a clinical diagnosis …

Grandparents Today: A Demographic Profile, Maximiliane E. Szinovacz

Sociology & Criminal Justice Faculty Publications

This article presents a demographic profile of grandparents, using the National Survey of Families and Households. Specific dimensions of grandparenthood addressed include grandparents' survival, the timing of grandparenthood, grandparents' involvement in other roles, surrogate parenting, and stepgrandparents. The data indicate considerable heterogeneity among grandparents of different genders and races or ethnicities. They also suggest modifications in previous descriptions of modern grandparenthood.

Eventration Of The Diaphragm, Suvit Sriussadaporn, Sukalaya Lerdlum

Chulalongkorn Medical Journal

No abstract provided.

Gene Therapy Of The Central Nervous System Diseases, Y. Navalitloha

Chulalongkorn Medical Journal

No abstract provided.

Current Trends In Designing A Therapeutic Milieu For The Victims Of Alzheimer's Disease, Nancy J. Allen

Theses

The increasing awareness of the need to appropriately manage victims of Alzheimer's disease has created an explosion of special care units across the country. This research project was designed to investigate the most current trends in caring for these individuals and the complex issues that are involved in the creation and operation of a therapeutic environment. Several existing Alzheimer's special care units in the St. Louis area are examined and compared. The results of this survey reveal the status of these units and how they compare to the desired therapeutic milieu described in this exercise.

Phenmedipham Process Development, Maura Byrne

Masters

The objective of this work was to investigate the process for the production of an organic herbicide, phenmedipham, utilising isobutylacetate as solvent and to scale up the reaction to one litre. This was carried out according to a technical bulletin received from Barclay Plant Protection Ltd. Difficulties were encountered in isolating the product, methyl N-(3-hydroxyphenyl) carbamate, from stage 1 with isobutylacetate as solvent. An investigation of the use of other solvents for the reaction process led to the use of ethyl acetate, in a modified version of the method used by Schering A-G, and resulted in a 93% yield of …

"Famous Persons" In Medline: Examination Of A Medical Subject Heading, Brenda R. Pfannenstiel Mals, Ma, Ahip

Manuscripts, Articles, Book Chapters and Other Papers

The "famous persons" Medical Subject Heading (MeSH) provides a unique perspective on the medical literature indexed in the Medline database. 3,745 Medline citations indexed with the term "famous persons" from 1966 through 1994 were examined. Discussions of possible diagnoses of creative artists, royalty, political leaders, and even fictional characters were a frequent preoccupation, as were assassinations. Publication dates of articles concerning a particular famous person are often clustered around an anniversary of the person's birth or death. A few famous persons account for a disproportionate number of citations.

Nurse Practitioner Utilization Of Computer Technologies In Practice, Jo Ann Dumas

Master's Projects

The research demonstrated that nurse practitioners (NP's) underutilized computer applications that would improve client care in their practice. Computer use by NP's in public clinics, private practice, health maintenance organizations (HMO 's) and other settings in the greater San Francisco Bay area was described. The descriptive research used a non-experimental design. Subjects were 200 nurse practitioners. The survey instrument was developed by the researcher. Of 104 respondents, 86 (83%) used computers at work. "Obtaining client records from other agencies or departments" was rated the most useful computer application for improving client care. "Internet searches" was rated the next most useful …

Does The Congestive Heart Failure Program Improve Patient's Functional Health Status?, Lily Lu

Master's Projects

Congestive heart failure (CHF) is a significant health problem in the U.S. There are over 2 million Americans diagnosed with CHF, with 200,000 CHF related deaths every year. A CHF Comprehensive Care Program in a Northern California medical center began in August, 1997 to case manage and educate CHF patients and their family members. The program educated CHF patients to self-manage the chronic condition by daily weight, low sodium diet, medication adherence, activity and rest balance, and daily exercise. This study used a one group. Pre and post test study design to evaluate the effectiveness of the CHF program. The …

The Effectiveness Of A Strength Training Program On Extremity Strength, Flexibility, And Balance Of Elderly Women, Patricia L. Murphy

Master's Projects

This quasi-experimental study, partially replicating that of Nelson and Wernick (1997), compares balance, flexibility, and extremity strength before and after an 8-week weight-bearing exercise class. Six women, aged 69 to 85, used 1-5 pound wrist weights and ankle weights up to 1 o pounds. Pre-and post-exercise measurements of biceps curls, seated leg lifts with weights, one leg stand, and seated stretches were gathered. Results showed improvement in every category, with the greatest improvement (41.6%) in balance and the least (8.3%) in trunk flexibility. Nursing is uniquely positioned to assist this population by promoting, developing, and implementing such exercise programs.

The Problem Of Verbal Reports In Recreation Research: Review, Recommendations, And New Directions, Bill Borrie

Society and Conservation Faculty Publications

Recent work of cognitive and social psychologists has questioned the ability of subjects to accurately remember and report their experiences. This has particular significance for recreation research as the survey questions we ask of visitors change from more stable visit and group characteristics to reports of conditions, experiences and feelings. Strategies exist to encourage accurate recall, particlarly by minimizing the delay between event and report such as is provided by the Experience Sampling Method.

School-Based Primary Prevention Programs For Eating Disorders, Suzanne D. Holmes

Graduate Research Papers

The primary purpose of this paper is to provide an extensive review of the literature and research related to anorexia nervosa, and to emphasize the importance of prevention programs in school settings and the role of school psychologists in the prevention and intervention process. Chapter two of this paper covers anorexia nervosa and the theories regarding its etiology, complications, co-morbidities, risk factors, and treatment. Because anorexia nervosa is a disorder which most frequently begins during adolescence, chapter three addresses the specific factors of adolescence that can lead to eating disorders.

Throughout the paper, there is an emphasis on the lack …

Cancer Prevention Behavior In Traditional College-Age Individuals, Michelle Renee Hartwig

Dissertations and Theses @ UNI

The purpose of this study was to describe cancer prevention behaviors practiced by traditional college-age individuals enrolled at a four year university. Specifically, the study was designed to determine what primary and secondary prevention behaviors the students were practicing and if there was a difference in prevention behaviors between males and females. Demographic information collected was limited to sex of the participant. The behavioral categories examined included tobacco use, early detection practices, alcohol use, nutrition, physical activity, ultraviolet radiation exposure, and sexual behavior. The distribution of the 210 respondents was almost equal with 102 males and 108 females participating. The …

Interventions For Children With Attention Deficit Hyperactivity Disorder, Justin M. Larson

Graduate Research Papers

Attention Deficit Hyperactivity Disorder (ADHD) continues to be widely studied within the literature and researchers continue to investigate interventions and environments which allow for success. Whalen and Renker (1991) argue that multiple intervention methods are needed for success of children and adolescents in social situations. The purpose of this paper is to review the literature, and review interventions used to facilitate appropriate behaviors in children, aged six to eleven, with a diagnosis of attention deficit hyperactivity disorder.

Adolescent Suicide : A Review Of Contributing Risk Factors And Issues Of Assessment, Joe S. Rich

Graduate Research Papers

Over the past decade, there has been an alarming increase in the rate of suicide among the adolescent population. It has been reported that among the 15 to 24- year-old population, the incidence of suicide has increased 200 percent since 1960. Suicide is now the third leading cause of death among adolescents and adults, ages 15 to 24- year-olds.

The purposes of this literature review are to (1) examine and identify factors that contribute to suicidal ideation in adolescents, (2) evaluate the adequacy of assessment measures of suicidal behavior including self-report, projective, and interviewing techniques, and (3) evaluate the general …

A Review Of Physical Therapy Intervention In The Healing Of Wounds, Stephanie Bertsch

Physical Therapy Scholarly Projects

Treatment of chronic wounds, such as pressure ulcers or arterial-insufficient ulcers, are commonly seen in health care today. Wound treatment is advancing and physical therapists are using modalities in the intervention to hasten wound healing. Electrical stimulation and ultrasound have been established through clinical studies as effective modalities for the treatment of wound healing. The purpose of this paper is to review and analyze current literature about physical therapy and wound care. This paper will discuss an overview of the anatomy of skin, physiology of wound healing, documentation of wounds, and physical therapy intervention with emphasis on electrical stimulation and …

Identification And Intervention Associated With Infants Exposed To Cocaine In Utero, Tracy Boehm

Physical Therapy Scholarly Projects

The recent epidemic of cocaine in all its various forms, including crack, has resulted in large numbers of infants being born after in utero exposure to cocaine. Since most substance abusing pregnant women choose not to receive prenatal care, the diagnosis is often missed or made late during labor because that is when the mother is first examined by medical professionals.

A well-defined "fetal cocaine syndrome" does not exist. However, attempts to characterize the fetal effects of cocaine exposure during pregnancy when attempting to define this syndrome have revealed a wide variety of fetal effects.

The purpose of this study …

Treatment Of Urinary Incontinence, Megan D. Boyd

Physical Therapy Scholarly Projects

Urinary incontinence is a condition in which involuntary loss of urine is a social and hygienic problem and is objectively demonstrable, affecting around 13 million adult Americans. In the past, many people suffering from incontinence never sought help. They may have been too embarrassed to speak out, and instead, ultimately restricted their lifestyle in order to accommodate their incontinence or they were unaware that there is help available in their community.

The Agency for Health Care Policy and Research (AHCPR) established guidelines for the treatment of urinary incontinence in 1992 with an update in 1996. These guidelines state that, except …

Differences Between Ultrasound And Electrical Stimulation In Wound Healing, Josette Bryngelson

Physical Therapy Scholarly Projects

When a patient enters a physical therapy clinic for wound therapy, a physical therapist must decide the best way to provide care. The therapy that is decided upon depends on the client, the therapist, and the goals that are trying to be achieved.

Through a literature review, I will compare two methods of wound care treatment: therapeutic ultrasound and electrical stimulation. This paper will look at the way these two treatments work and how these treatments are beneficial in wound healing.

The benefit of this literature review will be to provide a source of information in choosing an effective or …

Electromyographic And Kinematic Analysis Of Hockey Skating, Michelle M. Fox

Physical Therapy Scholarly Projects

A limited amount of research has been done on the hockey treadmill and on the response of hockey players to individualized exercise programs.

PURPOSE: To evaluate muscle activity and joint motion of the trunk and knee of hockey players skating on a hockey treadmill.

METHODS: Seven male subjects, ages 18 to 25 years, were tested skating at 8 Mph on 0 percent and 30 percent grades on the treadmill. Electromyographical (EMG) data was collected from the following muscles: Rectus femoris, biceps femoris, adductor longus, gluteus maximus, rectus abdominus, and erector spinae. Motion analysis equipment was used simultaneously.

RESULTS: There was …

An Electromyographic And Video Motion Analysis Study Of Elite Sprinters At Varying Speeds And Inclines, Erica Fretland

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this study is twofold 1) to describe muscle activity and joint motion while running on a treadmill at different speeds and inclines and 2) to examine whether or not running on a treadmill at high speeds and on an inline causes particular muscles to work harder or the sprinter to change their running technique to accommodate the increased workload.

Subjects and Methods: EMG and motion analysis data was collected from six subjects while they were running on a treadmill, first at twenty miles per hour at zero percent grade and then at thirteen miles …

An Electromyographic Study Of The Shoulder Musculature During Codman's Exercises, Myndi L. Frey

Physical Therapy Scholarly Projects

Codman's exercises are commonly used in physical therapy as a supposed passive shoulder activity to help increase range of motion without causing detrimental damage to the injured tissue or surgical graft. These mild shoulder exercises are often the first exercises used post- operatively. Some clinicians often add a weight to the hand or wrist with the assumption that the distraction will decrease the impingement between the acromion and the shoulder musculature while performing these exercises. The purpose of this study is to determine the level of muscle activity within the shoulder musculature during Codman's exercises with and without the addition …

Rheumatoid Arthritis: Minimizing Deformity And Preserving Function In The Hand, Cindy Gillespie

Physical Therapy Scholarly Projects

Rheumatoid arthritis (RA) is a chronic disease of the synovial joints. The hand and wrist are the most commonly involved. The disease is characterized by pain, inflammation, limited range of motion, and destruction of bone and articular structures. In the later stages of RA, the person usually exhibits deformity of the affected joints. This can result in the inability to use the hand in a functional manner.

Rheumatoid arthritis affects approximately one percent of the population. A person with RA usually has increased medical expenses. It is likely that the person will experience a loss of productivity and income due …

Physical Therapy Awareness And Referral Patterns Of Physicians In Wyoming, Gavin Green

Physical Therapy Scholarly Projects

The purpose of this study is to assess physicians' knowledge of and referral patterns for physical therapy. A questionnaire was developed using the scientific literature base as well as input from physical therapy faculty and practicing physicians. Subjects included Wyoming physicians from five specialty areas. Results were analyzed according to descriptive and analytical statistics and were shared with University of North Dakota faculty and the Wyoming chapter of the American Physical Therapy Association.

Results suggest that physicians as a group are unaware of a significant number of physical therapy services. This study further demonstrated that physicians with better knowledge of …

An Analysis Of Generalized Joint Hypermobility And Knee Pathology, Jan L. Gustafson

Physical Therapy Scholarly Projects

The purpose of this study is to evaluate if a relationship exists between generalized joint syndrome and knee pathology. Both of these have been found to be of increased prevalence in females. Sixty female high school seniors from eight northwestern North Dakota and northwestern Minnesota high schools were selected to participate in this study. Selection criteria consisted of prior testing for ligament laxity with a KT-IOOO and for generalized joint hypermoblity syndrome. Guidelines were established and a participation survey was approved by the Institutional Review Board at the University of North Dakota. The survey form required the completion of open-ended …

An Electromyographic Study Of Backward Walking In Normals And In Subjects Following Anterior Cruciate Ligament Repair, Matthew Johnson

Physical Therapy Scholarly Projects

Physical therapy strives to incorporate innovative and efficient protocols for rehabilitation of anterior cruciate ligament (ACL) surgeries. Research supports the benefits of closed kinetic chain exercises (distal segment of extremity is fixed) over the traditional open kinetic chain exercises (distal segment not fixed). It is theorized that backward walking on inclined surfaces will recruit the knee musculature to a greater extent than forward walking, but there is little research to support this theory. The purpose of this study was to utilize electromyography during treadmill walking to analyze the muscle activity in the lower extremity of individuals were normal and who …

Differential Diagnosis And Conservative Treatment For Cervical And Lumbar Radiculopathies, Scott Kurtz

Physical Therapy Scholarly Projects

Back and neck pain are common afflictions affecting millions of Americans every year. The economic impact of these impairments is billions of dollars annually. Although less than 5 percent of patients with pain in the lumbar spine experience radiculopathies, patients with radiculopathies still make up a considerable number of the clients seen by physical therapists. Correct diagnosis and treatment of these disorders is vital in limiting the length of time people are disabled. In order to improve the outcomes of conservative treatment, a proper understanding of the anatomy and biomechanics of the spine is requisite along with knowledge of the …