Medicine and Health Sciences Commons^™

The Parallel Experience Of A Bilingual Child With A Communication Disorder And A College Language Immersion Program, Kate Sussan Elahi

Honors Program Theses

For many speech-language pathologists, it is difficult to truly understand the experience a child goes through when they have a communication disorder. Especially when at the same time, a child is learning a new language in an unfamiliar culture. This thesis bridges that gap of understanding by comparing the experience of a bilingual child with a communication disorder and that of a college student studying abroad in a language immersion program. It reviews and compares various literature and studies describing the language characteristics (i.e., form, content, use, and behavior) of bilingual children with a communication disorder. These characteristics are then …

Incorporating Evidence In Clinical Education; Barriers And Opportunities In Allied Health, Clare Delany, Andrea Bailocerkowski

Internet Journal of Allied Health Sciences and Practice

Clinical education is a key component of health professional education. Clinical educators, like clinicians, are increasingly expected to access and apply evidence from clinical education theories to inform their teaching methods and approaches. Purpose: This study evaluated personal and organizational factors that influenced the ability to access and apply clinical education research evidence into clinical teaching in a group of allied health practitioners at one large metropolitan hospital in Melbourne, Australia. Method: A Cross-sectional survey based on a previously published survey of clinical physiotherapists was custom-designed to examine the factors that influence evidence based practices (EBP) of a range of …

Providing Care To Patients With Aids: How Prepared Are Nigerian Physiotherapists, Adetoyeje Y. Oyeyemi, Adewale L. Oyeyemi, Stanley M. Maduagwu, Abubakar Umar

Internet Journal of Allied Health Sciences and Practice

Adequate knowledge and core affective traits are important for effective management of patients with contagious diseases or conditions like AIDS. This study aimed to assess Nigerian physiotherapists’ cognitive and affective traits in providing care to patients living with AIDS (PWA). Methods: Physiotherapists across Nigeria (N=132) were surveyed using a 43-item questionnaire that elicited information on their demographic characteristics, knowledge of transmission, universal precaution and pathophysiology on AIDS, their feeling of preparedness, comfort, ethical disposition to care for PWA and their willingness to assess and provide intervention to PWA in different clinical scenarios.Results: The physiotherapists’ knowledge of AIDS pathophysiology was unsatisfactory, …

Access To Adequate Outpatient Depression Care For Mothers In The Usa: A Nationally Representative Population-Based Study, Whitney P. Witt, Abiola O. Keller, Carrisa Gottlieb, Kristin Litzelman, John Hampton, Jonathan Maguire, Erika W. Hagen

College of Nursing Faculty Research and Publications

Maternal depression is often untreated, resulting in serious consequences for mothers and their children. Factors associated with receipt of adequate treatment for depression were examined in a population-based sample of 2,130 mothers in the USA with depression using data from the 1996–2005 Medical Expenditure Panel Survey. Chi-squared analyses were used to evaluate differences in sociodemographic and health characteristics by maternal depression treatment status (none, some, and adequate). Multivariate regression was used to model the odds of receiving some or adequate treatment, compared to none. Results indicated that only 34.8% of mothers in the USA with depression received adequate treatment. Mothers …

The Influence Of Contraception On Abortion Among Women Of Reproductive Age In The United States, Richard J. Fehring

College of Nursing Faculty Research and Publications

There is a common notion that contraception is necessary for women (and couples) to avoid unwanted pregnancies and abortions. The thesis of this paper is that contraception actually will lead to more (not less) abortions. On the other hand, the use of natural family planning (NFP) and the acceptance of fertility lend itself to the openness to life. The specific purpose of the paper is to describe the influence of contraceptive use and NFP on the likelihood of having an abortion among United States (US) women of reproductive age as found in Cycle 7 of the National Survey of Family …

The Effects Of The "Combined Method" On Spanish Language Vocabulary Acquisition In English Speaking Participants, Allan Alva

Dissertations and Theses

No abstract provided.

Factors Predicting Physical Activity Among Older Thais Living In Low Socioeconomic Urban Communities, Phachongchit Kraithaworn, Yupapin Sirapo-Ngam, Noppawan Piaseu, Dechavudh Nityasuddhi, Kimberlee A. Gretebeck

College of Nursing Faculty Research and Publications

This study was conducted to determine if specific factors (physical activity self-efficacy, sense of community, social support, perceived physical and mental health, and neighborhood environment and facilities) predicted physical activity among 258 older Thais living in six registered, low-socioeconomic, urban communities across metropolitan Bangkok. The theoretical model was based on integrated concepts from Pender’s Health Promotion Model and the Social Ecological Model. The hypothesized model was tested using path analysis.

The final model explained 33%, 51% and 22% of the variance in physical activity, physical activity self-efficacy and sense of community, respectively. Physical activity self-efficacy was the most powerful predictor …

Prediction Of Vo2 Peak Using Sub-Maximum Bench Step Test In Children, Robert V. Topp, Dean E. Jacks, Justin B. Moore

College of Nursing Faculty Research and Publications

The purpose of this study was to develop a valid prediction of maximal oxygen uptake from data collected during a submaximum bench stepping test among children ages 8-12 years. Twenty seven active subjects (16 male and 11 female), weight 36.1 kg, height 144.4 cm and VO₂ 47.4 ± 7.9 ml/kg/min participated. Subjects completed a maximal oxygen consumption test with analysis of expired air and a submaximal bench stepping test. A formula to predict VO_2max was developed from height, resting heart rate and heart rate response during the submaximum bench stepping test. This formula accounted for 71% of the …

The Effects Of Positive Cognitions On The Relationship Between Alienation And Resourcefulness In Nursing Students In Egypt, Abir K. Bekhet, Mervat Elguenidi, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

Alienation is a subjective state, a feeling of being a stranger, as if one were not one's normal self. It is also a sense of homelessness; a feeling of uneasiness or discomfort, which signifies the person's exclusion from social or cultural participation. Alienation can adversely affect healthy functioning of nursing students. Nursing students are the adolescents of today and the nurses of tomorrow who will deal with human behavior, and their psychological well-being will be important in managing their clients’ conditions. Healthy nursing students are likely to become healthy nurses who can then model and promote healthy lifestyles for their …

An Evidence-Based Review Of Fat Modifying Supplemental Weight Loss Products., Amy M Egras, William R Hamilton, Thomas L Lenz, Michael S Monaghan

College of Pharmacy Faculty Papers

Objective. To review the literature on fat modifying dietary supplements commonly used for weight loss. Methods. Recently published randomized, placebo-controlled trials were identified in PubMed, MEDLINE, International Pharmaceutical Abstracts, Cochrane Database, and Google Scholar using the search terms dietary supplement, herbal, weight loss, obesity, and individual supplement names. Discussion. Data for conjugated linoleic acid (CLA), Garcinia cambogia, chitosan, pyruvate, Irvingia gabonensis, and chia seed for weight loss were identified. CLA, chitosan, pyruvate, and Irvingia gabonensis appeared to be effective in weight loss via fat modifying mechanisms. However, the data on the use of these products is limited. Conclusion. Many obese …

Effects Of Resistance Training On Functional Ability In Elderly Individuals, Mariane M. Fahlman, Nancy Mcnevin, Debra Boardley, Amy Morgan, Robert V. Topp

College of Nursing Faculty Research and Publications

Purpose. Determine the effects of 16 weeks of strength training on measures of functional ability in elderly who are functionally limited.

Design. Quasi-experimental trial in which elderly volunteers were assigned to either an exercise group or a control group.

Participants. Eighty-seven participants (65–93 years) living independently but with some functional limitations.

Intervention. Thirteen different strength training exercises using Thera-Band resistive bands (Hygenic Corporation, Akron, Ohio). The program was 16 weeks in duration, and the frequency was three times per week. Participants exercised in a group setting one time per week and were given a home exercise book to follow for …

Psychometric Properties Of The Pressure To Move Scale In Relocated American Older Adults: Further Evaluation, Abir K. Bekhet, Jaclene Zauszniewski, Wagdy E. Nakhla

College of Nursing Faculty Research and Publications

The number of elders who relocate to retirement communities is increasing exponentially, and their ability to exercise free choice, personal control, and autonomy has been associated with relocation adjustment and positive outcomes in regard to physical, emotional, and social well-being. Although a measure of relocation controllability (the degree of personal control associated with the move) exists, there is limited evidence of its psychometric adequacy. This study tested the reliability and validity of the Pressure to Move Scale (PTMS). A convenience sample of 104 American elders who relocated to six Northeast Ohio retirement communities was recruited. Study participants completed the nine-item …

Psychometric Properties Of A Measure Of Acceptance Of Long-Standing Health Problems, Patricia Mcdonald, Jaclene Zauszniewski, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Acceptance of chronic illness is important for health promotion and for improving the quality of life of elders with chronic conditions. Thus, a reliable and valid measure of acceptance is needed for this population. Currently available measures of acceptance do not focus specifically on accepting chronic conditions. This study of 176 elders with chronic conditions examined the psychometric properties of an adapted measure of acceptance—the Ideas About Long-Standing Health Problems (IALHP) questionnaire. Although the findings provided beginning evidence for internal reliability and construct validity to support its potential usefulness in elders, further scale development is recommended.

Measuring Use Of Resourcefulness Skills: Psychometric Testing Of A New Scale, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Highly resourceful individuals have been found better able to meet life's challenges and to experience more positive health outcomes. Although psychometrically sound measures of resourcefulness exist and resourcefulness training trials show that the intervention increases adaptive functioning and enhances quality of life, there is no direct measure of intervention fidelity. This study examined the reliability and validity of an 8-item Resourcefulness Skills Scale (RSS), which measures the frequency with which intervention recipients use specific resourcefulness skills. The RSS was found to have acceptable internal consistency (� = .78), criterion-related validity (�'s = .50 and .52 with other resourcefulness scales), and …

How To Win Jobs And Influence Interviewers: A Psychological Exploration Of Job Interview Best Practices, C. Diggory Rycroft

CMC Senior Theses

Navigating the formal employment interview has long been an imposing obstacle to acquiring gainful employment in the white-collar world, particularly that of the United States. Conventional wisdom offers a wide variety of suggestions for achieving the best possible outcomes from the interview, for instance smiling, having a firm handshake, demonstrating interest in the company, and “being yourself.” Much of this common knowledge is based primarily in intuition and carry-over from standard conversational best practices, rather than rigorous empirical testing. As such, this literature review sets out to bring together the various works of interview research that currently exist, with the …

The Dentist / Patient Relationship: The Role Of Dental Anxiety, Michael Liu

CMC Senior Theses

Dental anxiety is a common problem found in approximately 80% of the adult population in the United States. This study examined the role of dental anxiety within the dentist/patient relationship. Negative experiences were found to be the most significant contributor of dental anxiety. The negative experiences result largely from the relationship between the dentist and the patient. Both dentist and patient are affected from the effects of dental anxiety. Therefore it is important for the dentist to establish a trusting relationship with the patient to ensure that proper dental care can be provided.

Dr. Youtube Is Ready To See You Now! Health Benefits Of Medical Videos On Youtube, Jordan A. Rosenberg

CMC Senior Theses

Chapter 1 will cover who is uploading the videos and how individuals navigate from professional to amateur videos and visa versa. The discussion will be in context of YouTube as a public sharing space that can contain personal information. A central advantage of YouTube as a space for health information is health communication. Chapter 2 will focus on social networking and the comments section, where patients voluntarily share their voice in an online medical community.

Spicing Up School Lunch: A Look At One School District's Attempts To Remedy America's Convoluted School Lunch Policies, Case Study Analysis Of Claremont Unified School District, Allison Mcelwee

CMC Senior Theses

The United States possesses a well intentioned but misguided lunch program, leaving children overfed but malnourished. Currently, a revolution is under way to transform programs around the country by incorporating locally grown and fresh ingredients, as well as integrating hands-on educational experiences with gardening and nutrition. The Claremont Unified School District (CUSD) makes up a group of schools that once heavily relied on unhealthy processed foods for providing lunch. Through a series of modifications in the past three years, CUSD’s program has been remodeled to feature more local produce and fresh ingredients, independent of USDA commodities or large scale agriculture. …

Preventing Mother-To-Child Transmission Of Human Immunodeficiency Virus-1 (Hiv-1): Effects Of Intrapartum And Neonatal Single-Dose Nevirapine Prophylaxis And Subsequent Hiv-1 Drug Resistance At Antiretroviral Treatment Initiation, Amanda L. Harmon

CMC Senior Theses

The prevention of mother-to-child transmission is one of the most powerful tools in human immunodeficiency virus type 1 (HIV-1) prevention and has huge potential to improve both maternal and child health. In the absence of any preventative measures, infants born to and breastfed by their HIV-positive mothers have roughly a one-in-three chance of acquiring the infection themselves. HIV can be passed on from mother-to-child during pregnancy, during labor and delivery, and even after during breastfeeding.

Intrapartum and neonatal single-dose nevirapine (sd-NVP) is the foundation of preventing mother-to-child transmission in lower resource settings where it has been used alone or as …

Stop The Silence Of Elder Abuse, Elizabeth Richards

School of Nursing Faculty Publications

No abstract provided.

The Role Of Nursing Students At Two Rural Nurse-Managed Health Clinics, Elizabeth Richards, Elizabeth O'Neil, Carmen Jones, Lynn Davis, Loretta Krebs

School of Nursing Faculty Publications

With stiff competition for clinical sites, one Midwestern university partners nursing students with faculty who provide primary healthcare to clients in two rural nurse-managed clinics. Some students are also assigned to follow select clients during weekly home visit rotations for their public health clinical course. The result has been a successful faculty practice and preceptor model that benefits rural communities, a clinical setting which provides opportunities for students to experience client care needs of the underinsured or uninsured in small communities, and student exposure to the financial burdens and challenges of today’s healthcare environment in the United States.

Photodisruption In Ocular Tissue Near And At The Boundary Between The Anterior Chamber And Crystalline Lens, Richard Ty Olmstead

Electronic Theses and Dissertations

Lasers have been involved in Ophthalmology in the treatment of myopia and hyperopia for several years. Laser systems have transformed patients‟ quality of life, freeing them from the need for glasses, as in the case of LASIK. Ultrafast lasers have played an important role in surgery of the eye. In LASIK, they are used to cut the flap that is lifted to expose the stroma for UV Excimer laser treatment of this region. They are now being used for surgery deeper into the eye,for instance, treating the lens as part of treatments for cataract surgery. The use of ultrafast lasers …

Comparative Retrospective Analysis Assessment Of Extracellular Volume Excess In Hypertensive Hemodialysis Patients, Amma Serwaah-Bonsu

Electronic Theses and Dissertations

Cardiovascular disease, including hypertension, accounts for almost 50% of the deaths in patients with end stage renal disease (ESRD) on hemodialysis (HD) yet hypertension remains very poorly controlled in this population. The purpose of this study was to retrospectively compare control of hypertension in hemodialysis (HD) patients when extracellular volume (ECV) was assessed and managed by clinical parameters and physical assessment data alone with control of hypertension when data from blood volume monitoring (BVM) technology was also used to assess and manage ECV in a freestanding outpatient hemodialysis unit. The main cause of hypertension in the ESRD population has been …

Practice Characteristics And Lifestyle Choices Of Men And Women Physician Assistants And The Relationship To Career Satisfaction, Carol A. Biscardi

Seton Hall University Dissertations and Theses (ETDs)

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Adolescent Depression And Social Support, Religiosity And Spirituality In A Faith-Based High School, Angela P. Ekwonye

Seton Hall University Dissertations and Theses (ETDs)

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Microneedle-Assisted Transdermal Delivery Of Naltrexone Species: In Vitro Permeation And In Vivo Pharmacokinetic Studies, Mikolaj Milewski

University of Kentucky Doctoral Dissertations

Naltrexone (NTX) is a drug used primarily in the management of alcohol dependence and opioid dependence. Based on several drawbacks associated with the oral and injectable intramuscular dosage forms of naltrexone currently available on the market, there is substantial interest in delivering naltrexone transdermally. Although naltrexone does not permeate skin at the rate sufficient to reach therapeutic plasma concentrations in humans, novel flux enhancement methods such as microneedles help address this challenge. Earlier work in humans has demonstrated that the use of microneedles achieves plasma concentrations in the lower end of expected therapeutic values. Further flux enhancement is desired to …

"Out Of The Mouths Of Sibs"... A Phenomenological Study Of The Experience Of Being A Well School-Age Sibling Of A Child With A Traumatic Injury, Mary Jo Bugel

Seton Hall University Dissertations and Theses (ETDs)

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Evaluation Of Academic Scientists’ Responses To Situations That Pose A Conflict Of Interest, Joanna K. Sax

Faculty Scholarship

The industry-academy relationship has many benefits, but it also has potential drawbacks, including potential conflicts of interest (e.g., when the profit motives of a private company unduly influence academic responsibilities). To date, policies intended to regulate or manage financial conflicts of interest appear to be unsatisfying and inadequate. The present study examined predictors of the responses of academic scientists and clinicians to hypothetical situations in which financial and other conflicts of interest may arise. Academic scientists and clinicians at five medical schools completed an anonymous survey that included vignettes that posed a potential conflict of interest. Participants indicated the likelihood …

Using Cardiopulmonary Exercise Testing To Evaluate Fatigue And Post-Exertional Malaise In Me/Cfs, Christopher R. Snell, Staci R. Stevens, Todd E. Davenport, J. Mark Vanness

School of Pharmacy Faculty Articles

No abstract provided.

Mechanisms That Regulate Peripheral Immune Responses To Control Organ Specific Autoimmunity, Gerard F. Hoyne

Health Sciences Papers and Journal Articles

The immune system must balance the need to maintain a diverse repertoire of lymphocytes to be able to fight infection with the need to maintain tolerance to self proteins. The immune system places strict regulation over the ability of T cells to produce the major T cell growth factor interleukin 2 as this cytokine can influence a variety of immune outcomes. T cells require the delivery of two signals one through the antigen receptor and a second through the costimulatory receptor CD28. The immune system uses a variety of E3 ubiquitin ligases to target signaling proteins that function downstream of …