Medicine and Health Sciences Commons^™

Expanding Technology In The Icu: The Case For The Utilization Of Telemedicine, Stacie Deslich, Alberto Coustasse

Management Faculty Research

Introduction: Telemedicine has been utilized in various healthcare areas to achieve better patient outcomes, lower costs of providing services, and increase patient access to care. Tele-intensive care unit (ICU) technology has been introduced as a way to provide effective ICU services to patients with reduced access, as well as to decrease costs and improve patient care.

Materials and Methods: The methodology for this qualitative study was a literature search and review of case studies. The search was limited to sources published in the last 10 years (2003–2013) in the English language. In total, 55 references were used for this research …

Audio-Visual Speech Perception Training For A Child With Autism Spectrum Disorders: A Case Study, April Parkridge

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Children with Autism Spectrum Disorders (ASD) often have difficulty acquiring normal language skills, a deficit that may stem from an inability to integrate audiovisual (AV) information. Audiovisual information is important for language development and enhances language skills. When added to speech, visible facial movements are known to enhance speech perception in noisy environments, removing the equivalent of 20 decibels of auditory background noise. As such, AV integration is critical to the acquisition of an adequate vocabulary in natural, noisy environments. Due to weaker lip reading skills than typically developing children, it has been demonstrated that children with ASD are less …

The Differences In Spelling When Practice Utilizes A Word Processor Versus Writing By Hand; Parent Perceptions, Lauren E. Bleakley

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study was to investigate parent perceptions about how their children become successful spellers by asking about digital and hand written practice alignment with test taking. Thirty parents of children from the primary grades of school (1st to 4th grade) were sought as participants. There was no control for the type of school (e.g. private versus public). The materials of the study included a brief questionnaire developed from the literature that ask demographic information (age, grade, etc.) and specifics about spelling homework, spelling tests in school, and perceived benefits of types of practice for spelling success. The …

The Impact Of Fluency On Word Choices And Functional Vocabulary In Children Who Stutter, Caillouet M. Clark

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study is to determine if stuttering affects word selection and/or narrative word usage in school-age children. Ten school-aged children who are either active stutters or who have a history of stuttering will be sought as participants. A brief questionnaire will separate the participants into two groups, i.e. active vs. history of stuttering. Two vocabulary tests, one receptive and the other expressive, and a written and oral narrative will be used to gather data on word selection and usage. Each child will be seen individually for data collection. Audio recordings will be used throughout this collection and …

Molecular Chaperone Tools For Use Against Neurodegenerative Diseases, Matthew Tinkham

Senior Honors Projects

A noted characteristic found in several neurodegenerative disorders, including Alzheimer’s Disease, Parkinson’s Disease, Huntington’s Disease and bovine spongiform encephalopathy, is the accumulation of amyloid plaques in the brain. Amyloid plaques contain deposits of fibrillar aggregates of misfolded proteins that disrupt normal functionality in neurons. Certain variants of these misfolded proteins are self-replicating; these self-replicating amyloids are termed prions (for infectious protein). We are interested in how protein misfolding contributes to amyloid formation and how molecular chaperone proteins can change the formation of amyloid deposits. Chaperone proteins function by catalyzing the proper folding of other proteins, the refolding of misfolded proteins, …

Understanding Dysphagia: The Social And Emotional Impact, Savannah Learned

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study was to explore the social and emotional impact of dysphagia on the lives of adults with dysphagia and their caregivers. Four adults participated in this study. Five narratives were elicited, two from adult caregivers for children, two from an adult who assisted with family members, and one from an adult who experienced dysphagia. The semi-structured interviews conducted with these adults were audio taped and transcribed word for word. They were then member checked for accuracy. Themes were abstracted from the data set using narrative analysis. Emotional issues associated with dysphagia were the most common themes …

Spouse Perception Of Speech Therapy For Individual's With Parkinson's Disease, Emily Katherine Mclain

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study was to investigate the spousal perceptions of a partner with Parkinson’s disease undergoing speech therapy versus a partner with Parkinson’s disease (PD) without any form of therapy. A case study approach was used to complete this research project. Two couples with one spouse in each of the couples having a diagnosis of Parkinson’s disease were sought through nomination as participants. The gender, age, and length of time since diagnosis were matched for the individual with PD. One of the couples will have been enrolled in speech therapy while the other couple will have not. A …

The Complexity Of Diagnosis For Co-Occurring Minor Speech, Language And Hearing Problems: Perception Of Parents, Bethany Anderson

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study was to explore the understanding that parents have about the diagnostic process associated with co-occurring minor speech, language, and hearing problems in young children. The participants were 16 parents of young children between the ages of 2 and 5 years. The materials consisted of a questionnaire that delineated the diagnoses of the problem and referrals experienced by parents, which was electronically distributed by posting the link to social media sites. Results of the study indicate most parents reported only single issues such as ear infections or differences in oral structures/functions. Only 5 respondents indicated that …

Private Practice In Speech Language Pathology And Audiology: Experience, Preparation And Confidence Levels Of Practicing Professionals, Mary Kate Fortson

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study is to focus specifically on private practice in speech-language pathology by exploring the relationship between educational preparations and running a successful business that is also personally rewarding. Fifty speech-language pathologists and audiologists working in private practices will be given a questionnaire developed from the literature review. The questionnaire will include variables such as education, experience, and background as well as items specific to private practice. The questionnaire link will be sent to the Academy of Private Practitioners in Speech-Language Pathology and Audiology and current private practitioners across the state of Arkansas. Participants will complete the …

Parent Perceptions Of The Relationship Between Pacifier Use, Thumb Sucking And Speech Production, Kelsey Elizabeth Wendt

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study is to investigate the perceptions of parents about the relationship between speech production and the usage of pacifiers and thumb sucking. One hundred and twenty five participants with children below the age of ten completed a digital questionnaire sent out through social media. The results revealed that the parents who let their child use a pacifier or suck their thumb use a variety of sources to gain information and form opinions about this. These ranged from print materials to website to friends and family. Pacifier use was more frequent than thumb sucking. Most parents did …

Department Of Surgery Update, May 2014, Wright State University Department Of Surgery

Department of Surgery Updates

A five page newsletter created by the Department of Surgery documenting changes to the department. This issue contains news about students and faculty, a list of important dates, committee meetings, scholarly activity and more.

Zutrition: Analyzing And Evaluating Diets Fed To Captive Mammals At Capron Park Zoo, Briell M. Dzierga

Senior Honors Projects

Zoos provide both experiential and educational opportunities for the general public to learn about animals found in a variety of habitats around the world. A successful zoo must provide a safe and enjoyable environment for the visitors, in addition to the species living within the enclosures. Animal husbandry and welfare are crucial aspects to which close attention must be paid, and zoos have a responsibility to attempt to approximate the captive species’ natural habitats and life histories. An essential part of maintaining a captive zoo animal’s health and wellbeing is providing the animal with an appropriate diet. In addition to …

Safety Of Infliximab In Children With Ibd: The Experience Of An Academic Center In Wv, Michael Northcutt Md, Awni Al-Subu Md, Brooke Bella Rn, Yoram Elitsur Md

Biochemistry and Microbiology

BACKGROUND: The immune-modulating drug, infliximab, is approved for Inflammatory Bowel Disease (IBD) treatment in children. Chronic therapy with infliximab is associated with the development of early and delayed infusion reactions. We reviewed our experience with infliximab treatment and its side effects in a cohort of children diagnosed with IBD who were treated in our clinic.

METHODS: A retrospective analysis of all IBD children treated with infliximab in our center from 2006-2011 was performed. The demographic, chronological and clinical data were recorded. The infliximab infusion was given at 5mg/ kg according to a standard protocol after pre-treatment with low dose …

Preventing Falls With Vitamin D, Franklin D. Shuler Md, Phd, Thomas Schlierf, Matthew Wingate

Orthopaedics

Falls are the number one cause for injury-related morbidity and mortality in West Virginia’s seniors. Multiple independent variables contribute to the risk of a fall: previous falls, alterations in balance and vision, impairments in gait and strength, and medications most highly correlate with the risk for a fall. Vitamin D supplementation is emerging as an easy, safe and well-tolerated fall reduction/prevention strategy due to the beneficial effects on the musculoskeletal system with improvements in strength, function and navigational abilities. From meta-analysis data, maximal fall reduction benefit in seniors is achieved when correcting vitamin D deficiency and when using adjunctive calcium …

Compassion In Medicine, Lawrence M. Wyner M.D.

Surgery

“Doctor, you know this patient’s HIV-positive.” The scrub nurse’s words hit me like a ton of bricks. I had been called into the operating room to assist one of my colleagues, a good friend and a good surgeon, who had requested my help after he had inadvertently gotten into the bladder during a hernia repair. I scrubbed in and took a look – the bladder neck was almost completely detached from the bladder. A small papillary tumor was visible just lateral to the left ureteral orifice. I snipped off the tumor with the Metzenbaum scissors, fulgurated its base, and proceeded …

Differences In Strike Index Between Treadmill And Aquatic Treadmill Running In Experienced Distance Runners, James Paul Hoover Jr.

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Strike index (SI) quantifies how one’s foot contacts the ground at the beginning of the stance phase of gait. SI is reported as a percentage of the total foot length, with lower percentages indicating a more posterior point of contact, while greater percentages indicate a more anterior point of contact along the foot. Differences in SI may be related to running-related injuries, such that experienced distance runners who are rearfoot (posterior) strikers may have approximately twice the rate of repetitive stress injuries than forefoot (anterior) strikers. Previous research has shown that forefoot strikers, as opposed to rearfoot strikers, produce lower …

Progression Magazine, 2014 Spring, Coastal Carolina University

Progression Magazine

Magazine of the College of Science at Coastal Carolina University.

The Neural Correlates Of Regulating Positive And Negative Emotions In Medication-Free Major Depression, Steven G. Greening, Elizabeth A. Osuch, Peter C. Williamson, Derek G. V. Mitchell

Anatomy and Cell Biology Publications

Depressive cognitive schemas play an important role in the emergence and persistence of major depressive disorder (MDD). The current study adapted emotion regulation techniques to reflect elements of cognitive behavioural therapy (CBT) and related psychotherapies to delineate neurocognitive abnormalities associated with modulating the negative cognitive style in MDD. Nineteen non-medicated patients with MDD and 19 matched controls reduced negative or enhanced positive feelings elicited by emotional scenes while undergoing functional magnetic resonance imaging. Although both groups showed significant emotion regulation success as measured by subjective ratings of affect, the controls were significantly better at modulating both negative and positive emotion. …

Three Dimensional Dual Labelled Dna Fluorescent In Situ Hybridization Analysis In Fixed Tissue Sections, Kristin D Kernohan, Nathalie G. Bérubé

Paediatrics Publications

Emerging studies demonstrate that three-dimensional organization of chromatin in the nucleus plays a vital role in regulating the genome. DNA fluorescent in situ hybridization (FISH) is a common molecular technique used to visualize the location of DNA sequences. The vast majority of DNA FISH studies are conducted on cultured cells due to the technical difficulties encountered using fixed tissue sections. However, the use of cultured cells poses important limitations that could yield misleading results, making in vivo analysis a far superior approach. Here we present a protocol for multiplexed three dimensional DNA FISH in mouse brain sections, which is also …

Volume Of Carotid Artery Ulceration As A Predictor Of Cardiovascular Events, Mariya Kuk, Thapat Wannarong, Vadim Beletsky, Grace Parraga, Aaron Fenster, J David Spence

Medical Biophysics Publications

BACKGROUND AND PURPOSE: Previous studies have shown the presence of ulceration in atherosclerotic plaque either by categorizing the plaque as complex (irregular morphology with ulcers) or smooth or by quantifying the number of ulcers observed in a specific region of interest. The aim of this study was to quantify carotid total ulcer volume by 3-dimensional ultrasound to investigate the relationship of total ulcer volume to vascular events (strokes, transient ischemic attack, myocardial infarction, revascularization, or death because of cardiovascular reasons).

METHODS: In total, 349 at-risk subjects provided written informed consent to carotid 3-dimensional ultrasound and were analyzed for ulcerations. Ulcer …

Promoting Behavior Changes In Patients With Type 2 Diabetes Through Shared Medical Appointments, Shonda Lanette Williams

Doctoral Projects

Diabetes Mellitus (DM) is a chronic disease that affects many individuals in the United States. It was reported that a total of $245 billion is spent annually on both direct and indirect health care costs associated with the treatment of diabetes and diabetic related complications. Diabetes related complications can be prevented or delayed if proper education is done and individuals are willing to practice positive behavior changes and self-manage their disease. The purpose of this doctoral capstone project was to promote behavior changes in patients with diabetes through diabetes self-management education (DSME) in shared medical appointments (SMAs).

This project was …

An Evaluation Of The Effectiveness Of Providing Foot Care Education In A Rural Clinic Setting, Gloria Green-Morris

Doctoral Projects

Diabetes is one of the most frequently diagnosed metabolic disorders and is currently at pandemic magnitude. Approximately 1.4 million adults are diagnosed with diabetes each year. According to the American Diabetes Association (2011), the numbers of diagnoses will more than double by 2030. Because of the high prevalence of diabetes, the perceptions of risk factors and healthy behaviors are important. A good understanding of written and verbal healthcare instructions, healthcare accessibility, and socio-economic status have a direct effect on patient health outcomes and the overall health of the population (Jovic-Vranes, Bjegovic-Marinkovic & Marinkovic, 2009).

Diabetic foot complications are common concerns …

Maximizing Doctor-Patient Communication Of A Positive Hiv/Aids Test Result: A Best Practices Approach, Vikki Yashandra Spann

Dissertations

The purpose of this study was to examine healthcare practitioner (HCP) communication of a positive human immodeficiency syndrome/acquired immunodeficiency syndrome (HIV/AIDS) test result in an effort to find best practices. The population of this study included healthcare practitioners who had to disclose a positive HIV/AIDS status to a patient. Data from specific accounts recalled by the healthcare practitioners were analyzed using grounded theory approach. The first research question was concerned with the strategies used by healthcare practitioners. The results indicated that there are two primary strategies used in HIV/AIDS disclosure: strategic interactive facilitation and strategic interactive force. The second and …

The Role Of Executive Function In Children's Source Monitoring With Varying Retrieval Strategies, Kim P. Roberts, Becky Earhart

Psychology Faculty Publications

Previous research on the relationship between executive function and source monitoring in young children has been inconclusive, with studies finding conflicting results about whether working memory and inhibitory control are related to source-monitoring ability. In this study, the role of working memory and inhibitory control in recognition memory and source monitoring with two different retrieval strategies were examined. Children (N = 263) aged 4–8 participated in science activities with two sources. They were later given a recognition and source-monitoring test, and completed measures of working memory and inhibitory control. During the source-monitoring test, half of the participants were asked …

Fact Sheet #2: How Do Mainecare Providers Perform On Childhood Screening And Prevention?, Jean A. Talbot Phd, Mary Lindsey Smith Phd, Msw, Kimberley S. Fox Mpa

Population Health & Health Policy

The annual Survey of Children Served by MaineCare, which collects a wealth of data on the experiences of MaineCare families, examines the extent to which MaineCare providers follow Bright Futures guidelines during well-child visits. This fact sheet presents findings on Bright Futures adherence from the 2013 survey.

Fact Sheet #1: How Family-Centered Is Mainecare?, Jean A. Talbot Phd, Mary Lindsey Smith Phd, Msw, Kimberley S. Fox Mpa

Population Health & Health Policy

Parent reports on family experiences of care can provide health plans, systems and providers with crucial information on their performance in the domain of family-centeredness. The Maine Department of Health and Human Services (DHHS) conducts an annual survey to gather this kind of information for MaineCare, the state of Maine’s Medicaid and Child Health Insurance (CHIP) program.

Beyond Health: The Meaning Of Recreation Participation For Injured Service Members, Catherine Munroe

All Theses

The Global War on Terrorism and the ongoing contingency operations have resulted in a large number of service members returning home with life changing traumatic injuries. As a result, there has been a surge of programs designed to facilitate transition into life with a disability and promote recovery from injury, including programs providing recreation and sports. The purpose of this qualitative study is to examine the effects of recreation and sport participation on injured service members' recovery and enhancement of health. Health is investigated using the World Health Organization's definition which includes physical, mental, and social well-being. Interviews were conducted …

Characterizing The Chronic Toxicity Of Ion Mixtures To Ceriodaphnia Dubia Using Two Experimental Designs, Katherine Johnson

All Theses

Total Dissolved Solids, commonly referred to as TDS, is a measure of all organic and inorganic substances that pass through a 2-um filter and are naturally found in aquatic environments. Anthropogenic activities such as agricultural irrigation, road salt runoff, hydraulic fracturing, and coal-fired power plant effluents can increase TDS concentrations of freshwater ecosystems ultimately increasing salinity. Aquatic organisms actively manage the ion balance between their external and internal environments. Freshwater organisms use energy to pump sodium in from the environment, while losing it through passive diffusion. If the external ion concentration changes significantly, these organisms must allocate more energy towards …

Exploring The Utility Of The Children’S Kitchen Task Assessment For Use With Six-Year-Olds, Vanessa Mae Clemente Carzon, Charisa Justine Kelly, Alexandra Maria Rodriguez

Dissertations, Masters Theses, Capstones, and Culminating Projects

Objective The Children’s Kitchen Task Assessment (CKTA) is an ecologically valid assessment that was designed to assess executive functioning skills in children age 7-10. Currently there is a lack of ecologically valid assessments that test executive functioning in children under seven years of age. For this reason, this study explored the utility of the CKTA for use with six-year-olds.

Methods This study used an exploratory, qualitative, case study design to facilitate its implementation and used quantitative data to make qualitative inferences about the results. Children were given the CKTA and the Wechsler Intelligence Scale for Children (WISC-IV Digit Span), a …

Phthalates And Phthalate Alternatives: Effects On Proliferative And Estrogenic Target Genes In Ishikawa Cells, Ranjani Sundar '15, Ping Yin, Serdar E. Bulun

Student Publications & Research

Phthalates are used as plasticizers in many of the products found in medical, household, and industrial applications. Much research has not been completed on the effects of these phthalates as potential endocrine disrupting chemicals (EDCs). As these chemicals are ingested, the mechanism by which they affect the reproductive system is largely unknown. The purpose of this study was to observe how 2 phthalates, Di-n-butyl phthalate (DBP) and Diisononyl phthalate (DINP), and 2 phthalate alternatives, Dioctyl terephthalate (DOTP) and BHT (butylated hydroxytoluene)affect uterine cells in comparison to a vehicle treatment and 17β-Estradiol treatment. Changes in expression of mRNA were observed using …