Medicine and Health Sciences Commons^™

Transformational Leadership, Job Satisfaction, Organizational Commitment, And Non-Supervisory Nurses' Intention To Leave, Audrey E. Gregory

Graduate Student Dissertations, Theses, Capstones, and Portfolios

The United States is currently experiencing a nursing shortage. To compound the problem, hospital nurses are leaving their organizations and executives are scrambling to figure out the reasons behind the increased turnover. Many factors are associated with nurses' intention to leave their current employment. Among these factors are job satisfaction, organizational commitment, work satisfaction, work setting, control over practice, salary, nurse-physician collaboration, job stress, and leadership style. Effective nursing leadership is an integral factor in the retention of hospital nurses and nurses who perceive their nursing leadership as participative and transformational may be more likely to be satisfied with their …

Cord Blood Collection In Pregnant Women For Stem Cell Research, Irene Carr Phd

Dissertations

Umbilical cord blood (UCB) stem cells form commonly banked types of human tissue. Confusion remains about sources of stem cells and their use. Birth is a once in a lifetime opportunity with 74 million births per year in the world and four million occur in the United States. Cord blood contains hematopoietic stem cells and pluripotent mesenchymal cells (Moise, 2005). There is a surge of interest in the clinical use and research investigation of umbilical cord blood for transplantation and regenerative medicine. Clinicians need increased awareness and education of options for private versus public donation and banking of cord blood …

Health Conditions And Health-Policy Innovations In Brazil: The Way Forward, Cesar G. Victoria, Mauricio L. Barreto, Maria Do Carmo, Carlos A. Monteiro, Maria Ines Schmidt, Jairnilson Paim, Francisco I. Bastos, Celia Almeida, Ligia Bahia, Claudia Travassos, Michael Reichenheim, Fernando C. Barros

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Application Of Pharmacometric Methods To Improve Pediatric Drug Development, Mallika Lala

Theses and Dissertations

Pharmacometrics is a quantitative science that is rapidly changing the landscape of drug development, and particularly so for the pediatric population. The motivation behind the research underlying this dissertation is to contribute towards the improvement of pediatric drug development by the astute application of pharmacometric methods. Two distinct research areas have been focused upon: 1- improving pediatric pharmacokinetic (PK) trial design and 2- improving pediatric dosing of warfarin by using a genetics-based dosing regimen. The first project examined in detail the feasibility of and simulation-based methodology for implementing a recent regulatory PK quality standard. The focus was on designing pediatric …

Medical School Watercooler Newsletter - May 8, 2011, Lindsey Lyle

Watercooler Newsletter

This is the May 8, 2011 edition of the Frederick P. Whiddon College of Medicine's newsletter - watercooler

Contents Include

• "Mother's Pride: Her Son Lives On"

• Faculty and Students to be Honored at Annual Honors Convocation

• USA Health System Launches New Website Design

• Med Students Express Gratitude to Donor Families

• Dr. Thomas Lincoln Awarded Research Grant

• Med School Café - Expert Advice for the Community

Individualized Healthcare And Health Disparities: An Examination Of Health Disparities Related To Short-Term Response To Food Insecurity In Low-Income, Urban Communities, Valen R. Diaz

Honors Scholar Theses

The U.S. has seen a spike in chronic diseases along with worsening health outcomes. There are many factors at play to create these circumstances, especially regarding the social determinants of health, like socioeconomic status, access to food, and geographic location. Another concern is health disparities, particularly regarding obesity, and the fact that food access and neighborhood food environments contribute to these disparities. This paper gives a broad overview of American food culture and then focuses on the local food environment in urban, low-income communities, regarding both food deserts and food swamps. There is also a discussion about the response of …

Frontiers Of Oncology: Biobanking Resources For The 21St Century, Jill Barnholtz-Sloan, Mark R. Chance

Faculty Scholarship

No abstract provided.

Language-Specific Tuning Of Audiovisual Integration In Early Development, Juliana Flynn

Honors Scholar Theses

According to the perceptual narrowing hypothesis, older infants look longer towards speech in a native language than towards a non-native language. We presented speech in English, Spanish, and mis-matched English and Spanish speech, and recorded looking-time towards the speech. Results suggest that the synchrony of speech plays a strong role in infants' attention to speech, whereas nativeness of language does not.

Moving United States Health Care Forward, Thomas R. O'Neill

Honors Scholar Theses

Substantive Health Care reform poses one of the greatest current challenges to the American political system. The Patient Protection and Affordable Care Act of 2010 marks the most recent attempt at approaching this daunting task. Charged with expanding coverage while controlling costs, it pursues a sundry number of legislative solutions to achieve these seemingly incompatible goals. Despite the strides the Patient Protection and Affordable Care Act has made, lingering educational, pharmaceutical, and legal concerns stand to derail progress made on fixing the health care system. If these goals are to be successful, a number of additional measures are needed to …

Predictors Of Elevated Depressive Symptoms In Pregnancy, Justine M. Kokoszka

Honors Scholar Theses

The purpose of this quantitative study was to examine factors that may place women at risk for developing depressive symptoms during pregnancy. It was part of a larger, randomized, double-blinded, placebo-controlled trial investigating the impact of docosahexaenoic acid

(DHA) in pregnancy as it relates to postpartum depression. Participants were women with a confirmed pregnancy(N= 45) who were administered the CES-D at two different times, 20-22 weeks gestation and 30-32 weeks gestation. Factors from a self-report of personal history were included in an analysis with the CES-D scores. A significant positive correlation was found between the first CES-D scores and body …

Residents' Perceptions Of Social Interaction And Social Activity In An Affordable Assisted Living Facility, Elena Garcia

Honors Scholar Theses

This study is a qualitative study looking at the social interactions and social activities in an assisted living facility, based on the residents’ perceptions. In this study I interviewed 20 residents of an affordable assisted living facility. The participants were male and female, 65 or older, and any ethnicity. Inclusion criteria include: (1) Residing in the assisted living facility at least 6 months and no more than 2 years; and (2) being mentally competent to give informed consent. I recruited the participants based on a list of who was eligible from the facilities administration and then asked the eligible participants …

Team Physicians’ Practice Beliefs Regarding The Recognition And Treatment Of Exertional Heat Stroke, Lindsey Mcdowell

Master's Theses

Recognition and Treatment of Exertional Heat Stroke: A Perspective from the Team Physician

McDowell LH, Mazerolle SM, Casa DJ, Pagnotta KD, Armstrong LE: University of Connecticut, Storrs, CT

Context: Rectal temperature assessment (T_re) and cold-water immersion (CWI) are the gold standards for the recognition and treatment of exertional heat stroke (EHS), but athletic trainers (ATs) are reluctant to implement them regularly into clinical practice. ATs work under the guidance of a physician, but little information is available regarding the perceptions of the aforementioned methods from the team physician’s perspective. Objective: To investigate team physicians’ practice beliefs regarding the …

Ohio Academy Of Medical History Annual Meeting Program, May 7, 2011, Ohio Academy Of Medical History

Annual Conference Programs

This tri-fold program is from the annual meeting of the Ohio Academy of Medical History held on May 7, 2011 at the Glen Helen Nature Preserve in Yellow Springs, Ohio. The program details the events and presentations of the meeting.

Robert Louis Stevenson's Dentist: Unsung Hero, Robert B. Stevenson

Annual Conference Presentations, Papers, and Posters

A presentation given at the May 7th, 2011 meeting of the Ohio Academy of Medical History on Robert Louis Stevenson and treatment by his dentist.

Robert Louis Stevenson suffered from many illnesses but his condition improved dramatically in 1880 after dental care. This paper describes his treatment, including instruments and materials available.

The Yellow Springs Water Cure, Jeffrey M. Wehmeyer

Annual Conference Presentations, Papers, and Posters

In the 1850s passengers traveling north from Xenia on the Little Miami Railroad would know that they were approaching the village of Yellow Springs when a three-story building came into view on the eastern side of the tracks. This was the Yellow Springs Water Cure, also sometimes known as the Glen Forest Water Cure Institution.

The PowerPoint presentation was presented at the 2011 Annual Meeting of the Ohio Academy of Medical History held on Saturday, May 7 at the Glen Helen Building in Yellow Springs, OH.

The Effect Of Total Work Performed During Acute Heavy Resistance Exercise On Circulating Lymphocytes In Untrained Men, Neil A. Kelly Jr

Master's Theses

Lymphocytes are one of many leukocytes which exert a biphasic response to acute intense resistance exercise. Exercise volume (i.e. total work) has been shown to have an immunomodulatory effect. This study evaluates the effect of total work performed during an intense resistance exercise protocol on lymphocyte concentrations in the circulation. Untrained, college-aged (18-35) males who performed high amounts of work (HW) were compared to those who performed low amounts of work (LW). Resistance exercise testing consisted of 6 sets of 10 repetitions of the squat exercise with 2 minutes rest between sets. Both HW and LW performed the same relative …

Individual And Combined Effects Of Dehydration, Hyperthermia, And Fatigue On Movement Patterns And Cognition, Rachel M. Karslo

Master's Theses

Individual and Combined Effects of Dehydration, Hyperthermia, and Fatigue on Movement Patterns and Cognition

Rachel M. Karslo, University of Connecticut

Purpose: The purpose of the study was to examine the individual and combined of effects of dehydration, hyperthermia, and fatigue on movement patterns and cognition.  Secondly, we wanted to see if the effects of dehydration, hyperthermia, and fatigue lead to a combined increase in injury risk.

Methods: 12 males completed a within-subject repeated measures design to study the effects of hyperthermia, dehydration and fatigue on movement and cognition.  Subjects completed 4 randomized test sessions in different conditions: hydrated normothermic, dehydrated …

Validity And Reliability Of The Paffenbarger Physical Activity Questionnaire Among Healthy Adults, Kathleen Simpson

Master's Theses

No abstract provided.

Investigation Of Emergency Medical Technicians Practice And Beliefs Regarding The Recognition And Treatment Of Exertional Heat Stroke, Kristin Applegate

Master's Theses

Context: Current Evidence Based Practice (EBP) supports the use of rectal thermometry (T_re) for an accurate diagnosis and cold water-immersion (CWI) for the treatment of Exertional Heat Stroke (EHS) for an optimal outcome. Emergency Medical Services (EMS) play a critical role for the diagnosis and treatment of EHS as they may be the first to arrive on scene, however there is limited data regarding their implementation of EBP.  Objective: Investigate current practice regarding EHS by EMS professionals and explore the relationship that exists between EMS and Athletic Trainers (ATs).  Design: A basic qualitative design using in-person focus groups. …

The Use Of Motion Analysis Technology As An Alternative Means Of Assessing Spinal Deformity In Patients With Adolescent Idiopathic Scoliosis, Matthew J. Solomito

Master's Theses

Adolescent Idiopathic Scoliosis (AIS) is a three dimensional deformity of the spine that causes abnormal curvatures in the coronal and sagittal planes and abnormal vertebral rotations. The gold standard for diagnosing and tracking the progression of the deformity is through the use of repeated radiography and a patient can receive upwards of fifteen radiographic series over the course of treatment, which exposes this population to an increased risk of radiation-dependent complications.

This thesis presents the necessary calculations and the marker set required to make the motion capture technology a viable alternative to radiographs, in an effort to reduce the patient’s …

The Effect Of Test Revision: Comparing The Performance Of Preschool Children With Sli And Typical Controls On The Ppvt-Iii And The Ppvt-Iv, Sabrina E. Jara

Master's Theses

Purpose: This study compared the performance of preschool children with SLI and controls on the PPVT-III and PPVT-IV to determine the effect of test revision on identification of language impairment.

Method: Twenty preschool children with SLI and 20 typically developing controls served as the exploratory group. The confirmatory group consisted of 5 children with SLI and 20 controls. Children were administered both test versions in counterbalanced order.

Results: As expected, children with SLI performed significantly worse than their TD peers on both test versions. The discriminate analyses identified an optimal cut-off of 103 for both tests. Using this cut-off, sensitivity …

Augmented Verbal Feedback And Its Effect On Power Output During A Counter-Movement Vertical Jump Protocol With Division 1 Collegiate Athletes, Joseph Staub

Master's Theses

No abstract provided.

Bitewing Radiographic Evaluation Of Interproximal Carious Lesions On Permanent First Molars In 6 And 12 Year-Olds In The Public Health System Of Chile, Rodrigo Alejandro Haristoy Dr.

Master's Theses

No abstract provided.

Examining Influences On Undergraduate Athletic Training Students Career Decisions Post Graduation, Kerri E. Gavin

Master's Theses

Context: Career opportunities for athletic training students (ATSs) have significantly increased over the past few years. However, it commonly appears that ATSs are opting for a more diversified professional experience after graduation. With the diversity in available options, an understanding of career decision is imperative. Objective: The purpose of our study was to investigate, using the theoretical framework of socialization, the influential factors behind the post graduation decisions of the senior ATS. Design: Qualitative design using internet-based, structured interviews and follow-up semi-structured phone interviews. Setting: Web-based management system. Patients or Other Participants: 22 ATSs (16 females; 6 males), who graduated …

Comparison Of An Ultrasonic And A Non-Ultrasonic Endodontic Irrigation Protocol: A Clinical Study, Christopher M. Beus

Master's Theses

The use of irrigation as a method of rendering canals bacteria free continues to be a source of investigation. Recent data suggests that an activated irrigation protocol such as passive ultrasonic irrigation can result in decreased intracanal bacteria. In addition, studies have shown that the activation of various irrigants such as NaOCl and Chlorhexidine can increase the sum antimicrobial effect. The purpose of this randomized, double blinded, prospective in-vivo clinical study was to compare the results of a non-activated irrigation protocol (NAI) using only NaOCl 1.5% to a passive ultrasonic irrigation protocol (PUI) using NaOCl 1.5%, EDTA 17% and Chlorhexidine …

The Effect Of Betaine Supplementation On Performance And Muscle Mechanisms, Jenna M. Apicella

Master's Theses

Background: Recent research has shown that betaine supplementation can increase strength and power performance. To further investigate the ergogenic effects of betaine supplementation a balanced, randomized, double-blind, repeated measures crossover study was designed to examine select hormonal and muscle signaling responses during supplementation.

Methods: Twelve recreationally active men (age, 19.7 ± 1.23 years; height, 172.6 ± 5.61 cm; weight, 84.27 ± 15.3 kg; body fat, 18.7 ± 7.0%; BMI, 28.2 ± 4.0) with a minimum of 3 months of resistance training including back squat and bench press participated in the study. A within crossover design was utilized and subjects were …

The Lived Experience Of Mothers Bereaved By The Suicide Death Of A Child., Cynthia Walker Lynn

Electronic Theses and Dissertations

Suicide has existed throughout recorded history. It is a phenomenon that has been both culturally and morally defined across time and civilizations. It is estimated that over 34,000 Americans deliberately take their own lives annually. Moreover, according to some experts, between 6 and 28 individuals are directly affected by each completed suicide. These individuals are referred to as suicide survivors. The consequences for suicide survivors are multidimensional in part because relationships to the deceased play a vital role in bereavement. Previous research studies in the areas of suicidology and bereavement have failed to explore the experience of mothers bereaved …

Conflict Management Education In Medicine: Considerations For Curriculum Designers, Jeffery Kaufman

Online Journal for Workforce Education and Development

It is important to address conflict in the medical field for a variety of reasons ranging from reducing turnover to increasing the quality of care received by patients. One way to assist with the management of medical conflict is by teaching resolution techniques to medical personnel. There is an opportunity for conflict management curriculum to address many of the issues facing physicians, administrators, staff and patients, however, it is also necessary for those developing that curriculum to understand the nature of the environment and appropriate conflict management tools to be used in that environment as part of the design process. …

Evaluating Pre-Service Teacher Workforce: Environmental Health Knowledge, Attitude, And Behavior, Dhitinut Ratnapradipa, Darson Rhodes, Stephen Brown

Online Journal for Workforce Education and Development

Abstract

Research has shown that personal health behaviors and actions established early in life are often carried through adulthood.  Thus, working with children to increase environmental health literacy may improve the environmental health literacy of future adults, potentially improving the health of the Nation.  Given the amount of time children spend in school, this setting could be an ideal place to address environmental health with children.  According to social cognitive theory, observation is one way in which learning takes place.  Consequently, the environmental behaviors and attitudes modeled by teachers would likely impact the environmental behaviors and attitudes learned by …

Objective And Subjective Evaluation Of Wind Noise Reduction In Digital Hearing Aids, Sheena Kate Jessee

Dissertations, 2014-2019

Wind noise is problematic for hearing aid users who enjoy outdoor activities. Not only is it annoying, it can create distortion by overloading the microphone and masking signals that hearing aid users desire to hear. Some hearing aid manufacturers offer wind noise reduction in addition to general noise reduction (WNR + NR) for clinicians to manipulate in their software. This study compares objective and subjective measures of wind noise reduction as well as subjective measure of intelligibility obtained using various hearing aid manufacturers and noise reduction settings while HINT sentences were played in the presence of constantly generated wind. Significant …