Medicine and Health Sciences Commons^™

Improving Community Participation Of The Inactive Elderly: Preferred Learning Style-Based Interventions, Catherine Bailey

Occupational Therapy Capstones

Occupational therapists believe social engagement is vital to the health and well-being of the older adult. Social isolation has been linked to loss of physical, cognitive and emotional health. Elders at risk of social isolation are not specifically addressed by community health programs due to lack of knowledge and resources. Social isolation and loss of meaningful activity are significant precursors to rapid decline in the health and well-being of elderly people living in their communities.

Literature indicates that use of personal learning style preferences to problem solve improves success in occupation. Older adults often lack awareness of their personal learning …

Strategies To Promote Oral Motor Skills And Progression Of Foods For Infants And Young Children With Feeding Concerns, Heather Davis, Anne Winter

Occupational Therapy Capstones

Eating is a primary occupation for individuals from birth through adulthood. However, some infants and young children experience difficulty and frustration as they begin to eat and transition to foods with texture. Field, Garland, and Williams (2003) determined that up to 80% of children with developmental disabilities experienced problems with feeding. There is a need for providing education and support for the families of these children (White-Traut & Norr, 2009). Pilkington (2006) conveyed that supporting and building the parent's capacity for caring for their child resulted in enhanced outcomes for the infant or child. Current resources may not be parent-friendly …

The Upside To Down Syndrome: An Educational Manual For Parents, Brittany Larson, Seth Luoma

Occupational Therapy Capstones

Parents of children with Down syndrome want their child to be as successful as other children in areas of development, specifically play. Play is crucial to a child's development as it assists with the progression through childhood developmental stages. This can help lay a foundation for learning daily life skills such as dressing, feeding, and social interaction. For children with Down syndrome, performing daily living tasks may be more difficult as fine and gross motor skills are affected by low-tone, cognition level, and coordination. Providing children with a variety of play activities to build both fine and gross motor skills …

An Afterschool Toolkit For Implementing Occupation-Based Activities, Kelsey Miller, Kayla Petersen

Occupational Therapy Capstones

"Each day in America, millions of kids go home to an empty house after school" (Afterschool Alliance, 2009, p.1). The Afterschool Alliance (2009) indicates that based on a 2009 survey of30,000 families, there are more children unsupervised each afternoon in the U.S. and the demand for afterschool programming is higher than ever. In the United States, 30% of middle school students and 4% of elementary aged children are responsible for taking care of themselves and only 15% currently participate in an afterschool program (Afterschool Alliance, 2009, pg. 4). Students are at particular risk during these hours, millions are unsupervised each …

Implementing The Integrated Dual Disorder Treatment Model In Occupational Therapy, Amber Jessen, Nicole Nelson

Occupational Therapy Capstones

The purpose of this project was to develop a resource manual for occupational therapists to guide treatment planning for persons with a co-occurring mental illness and substance use disorder, according to the stages and components of the Integrated Dual Disorder Treatment (IDDT) Model.

A comprehensive literature review of the issues facing persons with co-occurring disorders, the IDDT model, and the role of occupational therapy for persons with co-occurring disorders was conducted. The literature supported the effectiveness of the IDDT model, and indicated justification for occupational therapy’s implementation of the IDDT model.

A resource manual was developed to support occupational therapists’ …

Smart Grant Writing Project, Shannon L. Flegel

Occupational Therapy Capstones

“The estimated cost burden to the Minnesota K-12 system due to children entering kindergarten unprepared for school success is about $113 million annually” (Chase, Coffee-Borden, Anton, Morre, and Valorose, 2008, pg. 1). These delays in school readiness can lead to continued achievement gaps throughout a child’s academic career (Gonzali-Lee and Mueller, 2010). One way to decrease that achievement gap is through offering innovative early intervention programming to increase readiness skills before kindergarten. Hand in Hand Preschool, located in Northfield, MN is a preschool that is continuously looking for ways to increase all students’ readiness skills. One such program that increases …

Encontrando La Comida Saludable: Identifying Food Access Barriers For The Adams County, Pennsylvania Latino Community, Gwendolyn D. Brown, Olivia A. Haddad

Student Publications

Overwhelming research indicates that recent national trends in U.S. food systems have led to the increased prevalence of processed foods and associated diet-related diseases. The effects of unhealthy diets have been distributed unevenly across the country’s socioeconomic and ethnic groups. Certain socioeconomic and ethnic groups face greater geographic, financial and cultural barriers to healthy food access. In Adams County, Pennsylvania, Latinos comprise 5.6% of the population, making them the county’s largest minority group, yet little is known about the food access barriers they face. In this study, we used a combination of surveys and focus groups with Latino residents and …

Resource Guide About The Texas Medical Center For International Visitors: 2011-2012, Texas Medical Center

TMC Reports

Information and contacts for the multiple institutions in the Texas Medical Center. Created by the International Affairs Advisory Council (IAAC).

The History Of Urological Care And Training At Thomas Jefferson University, Max Koppel, Md, Patrick J. Shenot, Md, Dolores Bryne, Phd, Leonard G. Gomella, Md

Department of Urology Faculty Papers

The Department of Urology at Thomas Jefferson University and Thomas Jefferson University Hospital is generally acknowledged as the oldest formal Department of Urology in the US, formally designated as the Department of Genitourinary Surgery in 1904. The Department has been under the direction of 8 chairmen and has trained over 144 residents and 25 fellows with over 200 Jefferson Medical College graduates specializing in urology. Thomas Jefferson University was originally founded as Jefferson Medical College in 1824. Dr. George McClelland petitioned Jefferson College at Cannonsburg (now Washington and Jefferson College) to add a medical school to their institution. While technically …

Raman Spectroscopy Of Titania (Tio2) Nanotubular Water-Splitting Catalysts, F. D. Hardcastle

Journal of the Arkansas Academy of Science

The phase composition of nanotubular TiO2 films was correlated with photoelectrochemical activity as a function of O2-annealing temperature. TiO2 nanotubes have been shown to be more efficient than polycrystalline TiO2 for the photocatalytic splitting of water. Raman spectroscopy was used to identify and quantify the amorphous and crystalline TiO2 phases. The amorphous TiO2 nanotubular array was found to consist of TiO6 8- octahedra having the same average structure as those present in the anatase and rutile phases of TiO2. Results show that the anatase-to-rutile transformation on Ti metal initiates at much lower temperatures compared to polycrystalline TiO2 and this is …

Malaria, Intestinal Parasitic Infection, Anemia, And Malnourishment In Rural Cameroonian Villages With An Assessment Of Early Interventions, D. J. Richardson, K. R. Richardson, K. E. Richardson, J. Gross, P. Tsekeng, B. Dondji, S. Foulefack

Journal of the Arkansas Academy of Science

Malaria, water-borne diarrheal diseases, and geohelminth infections, combined with severe malnutrition ravage entire villages throughout subSaharan Africa. The Bawa Health Initiative (BHI) is a 501c(3) non-profit organization with the goal of implementing a comprehensive public health program in an attempt to address these problems in a series of rural villages located in the West Province of Cameroon, Africa. Interventions include the provision of permethrin-treated bed nets to reduce the transmission of malaria, the installation of biosand water filters to reduce the prevalence of water-borne diseases, and a geohelminth control program utilizing mass treatment with albendazole. This study details the results …

Pre-Nursing Club: Alleviating Secondary Admission Stress Amongst Pre-Nursing Students, Jenna Martens, Katherine Borum

Honors Projects

No abstract provided.

Should Pseudoephedrine (Pse) Be Moved From Behind The Counter To Prescription-Only? An Analysis Of Pse As An Otc Medication And A Precursor For Methamphetamine Production, Jerry Dillon

MPA/MPP/MPFM Capstone Projects

Kentucky State Senator Tom Jensen recently sponsored Senate Bill 45, which would change pseudoephedrine (PSE) from an over-the-counter to a schedule V prescription-only drug. The bill failed, but the debate continues as to whether Kentucky should make PSE, a precursor required to manufacture illicit methamphetamine, a controlled drug that is available by prescription only.

Methamphetamine abuse has been increasing in Kentucky as well as in the rest of the country, despite efforts to control the sale of PSE through federal and state legislation. The Combat Methamphetamine Epidemic Act (CMEA) of 2006 and Kentucky’s initiative to electronically monitor the sales of …

The Incidence Of Hip Fracture Associated With Proton Pump Inhibitor (Ppi) And/Or H2 Receptor Antagonist (H2ra) Use In The Kentucky Medicaid Population, Timothy C. Umeh

MPA/MPP/MPFM Capstone Projects

No executive summary.

Physical Examination Has A Low Yield In Screening For Carpal Tunnel Syndrome, Ann Marie Dale, Alexis Descatha, Justin Coomes, Alfred Franzblau, Bradley A. Evanoff

Occupational and Health Faculty Publications

No abstract provided.

Genetic Analysis Of Cortical Thickness And Fractional Anisotropy Of Water Diffusion In The Brain, Peter Kochunov, David C. Glahn, Thomas E. Nichols, Anderson M. Winkler, Elliot L. Hong, Joanne E. Curran, Rene L. Olvera, Matthew P. Johnson, Shelley A. Cole, John Blangero

School of Medicine Publications

Objectives: The thickness of the brain’s cortical gray matter (GM) and the fractional anisotropy (FA) of the cerebral white matter (WM) each follow an inverted U-shape trajectory with age. The two measures are positively correlated and may be modulated by common biological mechanisms. We employed four types of genetic analyses to localize individual genes acting pleiotropically upon these phenotypes.

Methods: Whole-brain and regional GM thickness and FA values were measured from high-resolution anatomical and diffusion tensor MR images collected from 712, Mexican American participants (438 females, age = 47.9 ± 13.2 years) recruited from 73 (9.7 ± 9.3 individuals/family) large …

Analysis Of Knee Flexion Angles During 2 Clinical Versions Of The Heel Raise Test To Assess Soleus And Gastrocnemius Function, Kim Hébert-Losier, Anthony G. Schneiders, S John Sullivan, Richard J. Newsham-West, José A. García, Guy G. Simoneau

Physical Therapy Faculty Research and Publications

STUDY DESIGN: Controlled laboratory study, using a repeated-measures, counterbalanced design. OBJECTIVES: To provide estimates on the average knee angle maintained, absolute knee angle error, and total repetitions performed during 2 versions of the heel raise test. BACKGROUND: The heel raise test is performed in knee extension (EHRT) to assess gastrocnemius and knee flexion (FHRT) for soleus. However, it has not yet been determined whether select knee angles are maintained or whether total repetitions differ between the clinical versions of the heel raise test. METHODS: Seventeen healthy males and females performed maximal heel raise repetitions in 0° (EHRT) and 30° (FHRT) …

Understanding The Development Of Tissue Engineered Blood Vessels, Rajendra Fernando Sawh Martinez

Yale Medicine Thesis Digital Library

Cardiovascular disease is the leading cause of death in the world. In the United States alone, the American Heart Association estimates the cost of treating CVD in 2009 to be $475.3 billion. Suitable autologous blood vessels are often scarce, especially for patients who require multiple procedures. There is a global demand for improved, biocompatible vascular conduits to address these shortcomings. Biodegradable tubular scaffolds are currently being evaluated as vascular grafts in the surgical treatment of cardiovascular disease. Seeding scaffolds with bone marrow-derived mononuclear cells (BMCs) prior to implantation has been shown to significantly improve outcomes. However, the role these cells …

Media-Smart Youth After-School Pilot Program For Parkway Elementary, Brenda Reed

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Refer to the document.

Diabetes And The Socioeconomic And Built Environment: Geovisualization Of Disease Prevalence And Potential Contextual Associations Using Ring Maps, John E. Stewart, Sarah E. Battersby, Ana Lopez-De Fede

Publications

Efforts to stem the diabetes epidemic in the United States and other countries must take into account a complex array of individual, social, economic, and built environmental factors. Increasingly, scientists use information visualization tools to "make sense" of large multivariate data sets. Recently, ring map visualization has been explored as a means of depicting spatially referenced, multivariate data in a single information graphic. A ring map shows multiple attribute data sets as separate rings of information surrounding a base map of a particular geographic region of interest. In this study, ring maps were used to evaluate diabetes prevalence among adult …

Microbial Community Analysis Of Lake Chillisquaque, A Small Water System In Central Pennsylvania, Allison Mayhew

Honors Theses

Cyanobacteria are photosynthetic organisms that require the absorption of light for the completion of photosynthesis. Cyanobacteria can use a variety of wavelengths of light within thevisible light spectrum in order to harvest energy for this process. Many species of cyanobacteria have light-harvesting proteins that specialize in the absorption of a small range of wavelengths oflight along the visual light spectrum; others can undergo complementary chromatic adaptation and alter these light-harvesting proteins in order to absorb the wavelengths of light that are mostavailable in a given environment. This variation in light-harvesting phenotype across cyanobacteria leads to the utilization of environmental niches …

Health Care Reform's Effect On Private Medical Practices, Spencer R. Clark

CMC Senior Theses

In March of 2010, the 44^th President of the United States, Barack Obama, signed into law a health care reform bill that will change the medical and business approach to healthcare that has been witnessed for quite some time. The Patient Protection and Affordable Care Act, aims to eliminate several inefficiencies encountered in our current health care system, as well as extend coverage by providing affordable care for the roughly forty six million Americans currently uninsured. Many of the changes will be implemented over the next several years, but hospitals, businesses, physicians, and insurance companies are no doubt planning …

Use Of A Human Patient Simulator To Improve Physiotherapy Cardiorespiratory Clinical Skills In Undergraduate Physiotherapy Students: A Randomised Controlled Trial, Anne Jones, Lorraine Sheppard

Internet Journal of Allied Health Sciences and Practice

To investigate whether additional training with a human patient simulator improves cardiorespiratory physiotherapy practice in undergraduate physiotherapy students. Method: A randomised controlled trial was undertaken with 50 third year physiotherapy students from James Cook University, Queensland Australia. Participants in the intervention group underwent two four hour sessions of patient simulator training in addition to their normal cardiorespiratory physiotherapy training prior to attending clinical placements. Participants in both the intervention and control groups were assessed weekly for six weeks on their clinical ability whilst on clinical placement. Results: Mann-Whitney was used to compare the training group with the control group. No …

The Dynamics Of Integrate-And-Fire: Mean Vs. Variance Modulations And Dependence On Baseline Parameters, Joanna R. Wares, Todd W. Troyer

Department of Math & Statistics Faculty Publications

The leaky integrate-and-fire (LIF) is the simplest neuron model that captures the essential properties of neuronal signaling. Yet common intuitions are inadequate to explain basic properties of LIF responses to sinusoidal modulations of the input. Here we examine responses to low - and moderate-frequency modulations of both the mean and variance of the input current and quantify how these responses depend on baseline parameters. Across parameters, responses to modulations in the mean current are low pass, approaching zero in the limit of high frequencies. For very low baseline firing rates, the response cutoff frequency matches that expected from membrane integration. …

A Pilot Study Assessing The Value Of An “Educational Hospitalist” In An Obgyn Residency Program, Joseph E. Patruno Md, Craig Koller M.Ed, Kara Coassolo Md, Meredith L. Rochon Md, Thomas Hutchinson Md

Department of Obstetrics & Gynecology

No abstract provided.

Overcoming Barriers To Implementation Of Evidence-Based Practice Concepts In Athletic Training Education: Perceptions Of Select Educators, Sarah Manspeaker, Bonnie Van Lunen

Rehabilitation Sciences Faculty Publications

Context: The need to include evidence-based practice (EBP) concepts in entry-level athletic training education is evident as the profession transitions toward using evidence to inform clinical decision making.

Objective: To evaluate athletic training educators' experience with implementation of EBP concepts in Commission on Accreditation of Athletic Training Education (CAATE)-accredited entry-level athletic training education programs in reference to educational barriers and strategies for overcoming these barriers.

Design: Qualitative interviews of emergent design with grounded theory.

Setting: Undergraduate CAATE-accredited athletic training education programs.

Patients or Other Participants: Eleven educators (3 men, 8 women). The average number of years teaching was 14.73 ± …

Anthropometric Measurements As A Risk For Hypertensive Disorders In Pregnancy: A Hospital Based Study In South Asian Population, Ferha Saeed, Ahmed Jawad, Asma Azmat, Iqbal Azam Syed, Safdar Kagazwala

Department of Obstetrics & Gynaecology

Objectives: To determine the relationship between pregnancy induced hypertensive diseases and obesity.

Methods: A retrospective case controlled study was performed at Aga Khan University Hospital including records from July 2000 to June 2005. All women developing hypertension with or without proteinuria after 20 weeks of pregnancy (n = 218) were included. Categories of pregnancy induced hypertensive diseases (PIHD) were defined according to National high blood pressure working group and ACOG committee bulletin. Controls were selected randomly with a ratio of 1:1.7 between cases and controls.

Results: The estimated prevalence of pre-eclampsia in our institution is 1.9%. Earlier reports suggested mostly …

A Qualitative Study: Why Prolonged Stay In The Recovery Room?, Sharifa B. Lalani, Fauzia Ali, Zeenatkhanu Kanji, Salma Jaffer, Mohammed Ali

School of Nursing & Midwifery, East Africa

There are a number of factors that prolong patients’ stay in the recovery room (RR), which are related to system or clinical issues. However, less has been discovered from the RR nurses about reasons for prolonged patient stay and recommendations to solve this issue. Prolonged patient stay of more than 2 hours in the RR interferes with the primary role of the RR nurse, which is to provide care to immediate postanaesthesia patients. Consequently, this could affect the operating room schedule, normal flow of patients to the RR and discharge to the nursing units.

The Neural Underpinnings Of Prosody In Autism, Inge-Marie Eigsti, Jillian Schuh, Einar Mencl, Robert T. Schultz, Rhea Paul

Communication Disorders Faculty Publications

This study examines the processing of prosodic cues to linguistic structure and to affect, drawing on fMRI and behavioral data from 16 high-functioning adolescents with autism spectrum disorders (ASD) and 11 typically developing controls. Stimuli were carefully matched on pitch, intensity, and duration, while varying systematically in conditions of affective prosody (angry versus neutral speech) and grammatical prosody (questions versus statement). To avoid conscious attention to prosody, which normalizes responses in young people with ASD, the implicit comprehension task directed attention to semantic aspects of the stimuli. Results showed that when perceiving prosodic cues, both affective and grammatical, activation of …

Duration Of Immunity Following The Administration Of Oil-Based Avian Influenza H_5n_1 Vaccine In Layers, Maryam Nisar, Anwar-Ul Haq, Asif Rashid, Muhammad Iqbal

Turkish Journal of Veterinary & Animal Sciences

Avian influenza (AI) occurs worldwide and causes tremendous economic losses. The disease is characterised by respiratory signs, depression, and reduced food and water intake. In the present study, an oil-based vaccine created by using Montanide ISA 70 MVG, was prepared and the duration of immunity checked at different time intervals. For this purpose, the cumulative mean titre (CMT) was calculated after employing haemagglutination inhibition test in 50 pullets at day zero before vaccination and then inoculated 0.3 mL of emulsified vaccine subcutaneously in 40 birds while 10 birds were kept non-vaccinated as a control group throughout the experiment. On day …