Medicine and Health Sciences Commons^™

Prevalence Of Anxiety And Associated Factors In Grade Five Students In Bangkok, K Masaard, A. Watcharasintu

Chulalongkorn Medical Journal

Background : A lot of studies on depression in children and adolescents have been done. But anxiety in children is however an issue that has been so little studied. Objective : To study the prevalence of anxiety and associated factors among grade five students in Bangkok. Design : A cross – sectional descriptive study. Setting : Bangkok Metropolis Materials and Methods : Data were collected from 170 students in 37 primary schools in Bangkok by multistage random sampling. The instruments were: 1) General background: 2) Thai State-Trait Anxiety Inventory for children-Revised (STAIC-R). Univariate analyses (e.g. Chi-square and t-Test) were used …

Attitude Towards Sexuality Of Hiv Adolescents At The Thai Red Cross Aids Research Center, S Lakhonphon, P Laurujisawat, S. Lbibboon

Chulalongkorn Medical Journal

Background : HIV adolescents received a lot of pressure from their family and society about passing their HIV virus to their partners. Some care takers would like their children to be infertile. This causes distress and can create risk sexual behaviors. The attitude towards sexuality can predict sexual well being. Objective : The purpose of this study research was to study the attitude towards sexuality of HIV adolescents at the Thai Red Cross AIDS Research Center. Setting : The HIV Netherland Australia Thailand Research Collaboration (HIV-NAT) clinic located at The Thai Red Cross AIDS Research Center. Design : A cross …

Stress Of Custodians Of Disabled Children Who Attend Special Education Center Of The Central Region, Bangkok, P Jongpaisansakul, S. Suppapitiporn

Chulalongkorn Medical Journal

Background : Disabled children are a cause of stress in family, especially to custodians who are the closest and have most important roles for caring children with disabilities. However, stress in custodians with disabled children that attend at Special Education Center of the Central Region, Bangkok has not been studied. Objective : To study the stress and associated factors of custodians with disabled children who attend Special Education Center of the Central Region, Bangkok. Design : cross-sectional descriptive study Setting : Special Education of the Center region , Bangkok Materials and Methods : Study population were 118 custodians of disabled …

Development Of A Novel Vaccine Adjuvant System Utilizing An In Situ Implant System To Modified Release, Qiuye Zhang

Theses and Dissertations (ETD)

Pulsatile release formulations for single dose vaccines have been studied for many years because of the advantages that they may provide to vaccine administration with a single dose instead of prime and booster shots.

The aim of this work is to develop novel formulations based on an In Situ Implant (ISI) systems to provide a modified vaccine release and altered immune response, which could act as a booster administration. This type of system was selected because ISI systems are used for long acting administration of various drugs and ease of administration. A typical ISI system is comprised of hydrophilic organic …

Food, Meaning And Identity Among Aging Veterans At End Of Life, Cheryl Monturo, Neville E. Strumpf

Nursing Faculty Publications

No abstract provided.

Education For Pediatric Oncology Nurses On Fertility Preservation Of Pediatric Oncology Patients, Elyse Breit

HIM 1990-2015

Although the survival rate of childhood cancer is high, nearly two thirds of these survivors experience negative long-term secondary side effects from cancer treatments. Infertility is one such side effect that can have a prominent impact on quality of life as the patient ages. It is important for nurses working with pediatric oncology patients to provide the patient and family with education about risk for infertility and fertility preservation (FP) in order to allow families to make decisions about FP before cancer treatment starts. However, pediatric oncology nurses report being uneducated about FP guidelines and are hesitant to broach this …

Interventions For Childhood Obesity: Evaluating Technological Applications Targeting Physical Activity Level And Diet, Jessica Dipietro

HIM 1990-2015

Overweight and obese children have increased risks for multiple preventable diseases and conditions which can impair their physiological health and significantly increases the overall cost of their healthcare. Free mobile applications and technology for weight loss, dietary tracking, and physical activity may be quite useful for monitoring nutritional intake and exercise to facilitate weight loss. If so, nurses are well positioned to recommend such tools as part of their efforts to prevent childhood obesity and help children and parents better manage childhood obesity when it is present. However, there are no guidelines that nurses can use to determine what applications …

Exploring The Vicious Cycle Of Pediatric Asthma And Anxiety, Taylor Irwin

HIM 1990-2015

Asthma is the most common chronic disease of childhood. Children diagnosed with asthma are twice as likely to have a comorbid anxiety disorder as their non-asthmatic peers. The presence of both asthma and anxiety in the pediatric patient creates an environment of poor asthma control, and places them at risk for a variety of negative health events. Little is known about comorbid anxiety’s role in asthma health maintenance. Research has identified the link between these two conditions but causation is difficult to conclude. The aim of this thesis is to assess the current state of the science regarding pediatric asthma …

Factors That Influence Implementation Of Pain Management Strategies In The Neonatal Intensive Care Unit, Geraldine Martinez

HIM 1990-2015

In the United States, 10% to 15% of newborns are admitted to the neonatal intensive care unit (NICU). Painful procedures are unavoidable during NICU care; the neonate experiences approximately 12 painful procedures per day. Inconsistent and/or inappropriate pain management in the NICU remains a problem. The purpose of this study is to identify the prevalent factors that influence the implementation of pain management strategies among nurses who work in a NICU setting in a Central Florida hospital. This study was conducted using a voluntary and anonymous electronic survey. The survey was divided into two sections; the first section designed to …

Athletic Trainers' Knowledge And Perceptions Of Testicular Cancer And Testicular Cancer Prevention Practices, Christopher Mings

HIM 1990-2015

Context: Collegiate male athletes have a higher risk of testicular cancer due to their age group, an increased risk of testicular contusions, and a lack of secondary prevention education. As the athletic training profession increases emphasis on evidence-based practice, it is important for athletic trainers to understand testicular cancer and testicular-self examination as it is outlined within their scope of practice. A general understanding of testicular cancer and the prevention techniques will be important for athletic trainers to promote awareness and health behavior practices. Objective: To examine the athletic trainers' actual knowledge, concern, perceived responsibility, training, feeling of embarrassment, and …

Comparative Differences Between Traditional Chinese Medicine And Western Medicine In Treating Type Two Diabetes Mellitus, Neley Morales

HIM 1990-2015

In the United States alone, there were 25.8 million people suffering from diabetes in 2010. The prevalence of diabetes is expected to markedly increase worldwide over the next 30 years, an estimated 2.8% in 2000 and 4.4% in 2030. For individuals diagnosed with type 2 diabetes mellitus (T2DM), treatment is essential to control adverse effects such as hypertension and diabetic neuropathy. The focus of this study is to examine various approaches to maintain and improve the lifestyle of individuals suffering from T2DM. A comparative approach has been used to evaluate the differences in the treatment of T2DM with the use …

Use Of Complementary And Alternative Therapies: A Pilot Survey, Hector Ortiz-Cintron

HIM 1990-2015

Meeting patient expectations in relation to pain management is an essential component of palliative and end-of-life care. However, previous research has demonstrated that pain is highly prevalent, especially during the four months prior to death. Poorly controlled pain contributes to cognitive failure, depression and an inability to complete daily activities. Unfortunately, pain and symptom management are often inadequate for patients placed in hospice care. The purpose of this study is to evaluate the perspectives of hospice nurses on complementary and alternative therapies to determine if there is an educational need in order to aide in the management of chronic pain …

Addressing Need For Research-Focused Nurses By Increasing Interest And Socialization At The Undergraduate Level, Sarah Thomas

HIM 1990-2015

The U.S. shortage of qualified nursing teachers and researchers is affecting national health care outcomes. Methods such as fast-tracking Baccalaureate nurses into graduate programs and embedding leadership development early into nursing curricula have been proposed to address faculty and research shortages. Early interest in nursing research careers increases likelihood of enrollment in graduate education. One way undergraduate nursing students may develop an interest in research careers is through a mentored apprenticeship with research-active faculty. In this thesis, the author uses an autoethnography methodology to examine the benefits that a mentored research apprenticeship model brought to her undergraduate experience. Her experience …

Racial Disparities In Adherence To Cardiovascular Medications Among The Elderly In Medicare: Three Empirical Essays, Mustafa Hussein Muhammad Hussein

Theses and Dissertations (ETD)

This dissertation sought to explore the relatively understudied area of racial disparities in adherence to cardiovascular medication regimens among the elderly. Black and Hispanic seniors are well documented to have lower rates of adherence to their prescribed cardiovascular medications, relative to their white counterparts. This disproportionately lower adherence places these minority groups at higher risk for worse cardiovascular prognosis and premature cardiovascular death. The Medicare Program, which covers healthcare predominantly for elderly Americans, offers an interesting laboratory to study these disparities and their response to policy changes. Using nationally representative data from the Medical Expenditure Panel Survey on white, black, …

Interactions Between Human Neutrophils And Mycobacterium Smegmatis : A Comparative General Analysis., Irina Miralda

College of Arts & Sciences Senior Theses

Mycobacteria smegmatis is an abundant soil and water inhabitant with which humans are continuously in contact. Despite the fact that it is typically considered non-­‐pathogenic, a few rare cases of M. smegmatis-­‐caused infections have been reported and it has been shown that M. smegmatis is able to modulate inflammatory responses in macrophages. Neutrophils are the innate immune system’s first line of centralized defense against invading microbes, especially the frequently encountered M. smegmatis. However, very little information is known of the mechanism by which neutrophils eliminate environmental bacteria. In this study, the hypothesis that M. smegmatis regulates neutrophil functional responses, and …

Food Intake Of Hospitalized Older Adults After Exposure To Volunteer Feeding Program, Rebekah Grace Presley

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Context: Malnutrition proves to be a significant issue for hospitalized older adults. The number of physiological, social, and psychological problems they experience increases their risk for malnourishment, only worsening their admitting diagnoses. Research shows that social interaction is crucial to food intake. Many geriatric patients do not receive the interaction or encouragement they need while they eat. A hospital in Northwest Arkansas desired to prevent this negative cycle by implementing a volunteer program assisting older adults during meals. Objective: The purpose of this study was to evaluate this type of program for its effectiveness, determining if food intake increases with …

Is Chlorhexidine An Effective Antiseptic To Prevent Clabsi For Picc Line Maintenance In The Neonatal Population?, Lauren Blankenship

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Central venous catheters (CVCs) are inserted in order to administer fluids and medications. A peripherally inserted central catheter (PICC) is a type of CVC. While beneficial, central line associated bloodstream infection (CLABSI) is a risk for patients having a CVC inserted. Antiseptics are used for skin preparation when inserting a central line to prevent infection and during maintenance of the central line. Currently, the Center for Disease Control recommends the use of chlorhexidine for central venous catheter insertion in patients two months of age or older. Studies have found reduced CLABSI rates with the use of chlorhexidine for CVC insertion …

Factors Associated With Physical Activity In Kindergarten Children, Carol Hammonds

Dissertations and Theses (Open Access)

Background: Reversing obesity is an urgent public health need for children: worldwide, in 2011 more than 40 million children under the age of five were either overweight or obese. Increasing intensity and duration of physical activity is a strategy to aid in preventing and reducing obesity. A minimum of 60 minutes per day of moderate to vigorous physical activity is recommended for children. School settings, such as full-day kindergarten, where 74% of children in the United States are enrolled, provide opportunities for population-based interventions to increase physical activity, yet little objective data exist on current levels of physical activity in …

How Do Black Nulliparous Women Cognitively Construct Birth?, Marianne F. Moore

Dissertations and Theses (Open Access)

A focused ethnography was conducted to determine the cognitive constructions about birth described by nulliparous Black women in an urban area of the Southwestern US; also, during postpartum, how do these women reconcile expectations with the actual birth? Semi-structured interviews were conducted before birth and after birth.

Women, 16 or older, 17 - 33 weeks carrying a singleton fetus and without anomalies or problems like pre-gestational diabetes, NYHA Cardiac Class III/IV, cancer, renal failure, or sickle cell anemia that eliminated vaginal birth were sequentially recruited and sampled in an affiliated ultrasound clinic. Women scheduled for an anatomy scan were approached. …

Understanding The "Big Picture": End-Of-Life Decisions In The Picu, Amy J. Howells

Dissertations and Theses (Open Access)

Objective: Describe critical care providers' cognitive constructions or their interpretation of the process of decision-making that influences both the technique of conversations and the recommendations given to parents regarding limitation or withdrawal of life sustaining treatments from terminally ill children in the PICU. Design: Qualitative Medical Ethnography. Setting: Tertiary care children's hospital affiliated with a college of medicine. Participants: Eleven critical care providers in the department of pediatrics (attending physicians, critical care fellows, pediatric nurse practitioners, physician assistants). Interventions: In depth, semi-structured interviews designed to explore the experiences of providers in the participation of end-of-life care decision-making. Measurements and Main …

An Educational Intervention To Increase Clabsi Bundle Compliance In The Icu, Shelby Lane Holden

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Title: An Educational Intervention to Increase CLABSI Bundle Compliance in the ICU Context: “Forty-eight percent of patients in intensive care units (ICU) require central line placement for administration of fluids and medications” (How-to Guide, 2012). However these lines potentially pose serious complications for patients including central line-associated bloodstream infections (CLABSI). Hospitals have placed great emphasis on preventing CLABSI by use of evidenced based central line bundles. Objective: The purposes of this study were to evaluate nursing documentation compliance rates with central line bundle adherence, and to determine if the CLABSI rates significantly decreased post central line bundle educational intervention in …

Eeg Measurement Of Neural Oscillations At High And Low Frequencies Across Languages, Lauren Nicole Stewart

Health, Human Performance and Recreation Undergraduate Honors Theses

The comprehension and understanding of language depends upon two critical things: first, the acoustic integrity of the linguistic signal that is sent and received as well as the knowledge of the phonology and meaning that is in a given language. However, little is known about how brain rhythms that track these properties involved in comprehension and understanding. A 14 channel telemetric headset measuring electroencephalography (EEG) was used in this study to track the brain’s response at both high (30-50Hz) and low frequencies (3-30Hz) while language samples at varying levels of intelligibility were presented to a native Spanish speaker under the …

Nurses' Job Satisfaction In Northwest Arkansas, Kaitlin Mcdowell

The Eleanor Mann School of Nursing Undergraduate Honors Theses

During the month of October 2013, approximately 450 registered nurses working at a hospital in Northwest Arkansas were surveyed. All registered nurses were included in the study and were given the survey with instructions to complete it and return it within 30 days. A modified version of the McCloskey/Mueller Satisfaction Scale by Tourangeau was utilized, evaluating factors as they related to job satisfaction such as control and responsibility, scheduling, professional opportunities, praise and recognition, balance of family and work, relationship with coworkers, salary/vacation/benefits, maternity leave/child care, care delivery, social contact, research opportunities, and decision making. These variables were all rated …

Validity Of The Zephyr Bioharness For Vertical Power Output And Ground Reaction Forces, Fuad Haydar

Health, Human Performance and Recreation Undergraduate Honors Theses

Overtraining has become a major problem in college sports today and there is an increasing need for devices to track or measure the amount of stress is being put on the bodies of athletes. One such device is the ZephyrTM BioHarness, which is a puck-like device worn on the chest and is the centerpiece of this study. Researchers wanted to answer the question of whether the ZephyrTM was an effective and valid tool to measure the amount of force placed on the body during a single vertical jump. There were 20 male participants used in this study, 10 Division I …

Surgical Management Of Pheochromocytoma In A 13-Week Pregnant Woman, Mazhar Ali Memon, Wajahat Aziz, Farhat Abbas

Section of Urology

A 34-year-old 13-week pregnant woman presented with hypertension refractory to medical therapy and on workup was found to have a right adrenal mass. Due to her persistent increased blood pressure she was advised urinary vanillylmandelic acid (VMA) and its level was raised. MRI of the abdomen showed a well-circumcised lesion in the right adrenal of 3.0×2.5 cm suggestive of pheochromocytoma. The patient was started on antihypertensives including α-blockers and β-blockers and planned for right open adrenalectomy. Intraoperatively, blood pressure was raised up to 180/110 mm Hg on slight manipulation of adrenal gland which was controlled with glyceryl-trinitrate and volatile agents. …

Cyclic Nucleotide-Dependent Phosphorylation Regulates Bk-Ca Channel Activity In Human Coronary Artery Smooth Muscle Cells, Raeonda Williams

PCOM Biomedical Studies Student Scholarship

Cardiovascular diseases (CVD) can induce dysfunction in organ systems by attenuating normal blood flow. Gonadal steroids are vasoactive hormones, but their role in contributing to cardiovascular function remains controversial. We have demonstrated that gonadal steroids can relax coronary arteries by opening the large-conductance, calcium- and voltage-activated potassium (BKca) channel in smooth muscle cells by increasing cyclic nucleotide levels; however, the signaling pathways involved remain to be elucidated. The purpose of this study was to identify how phosphorylation (via cAMP- and cGMP-dependent protein kinases) I dephosphorylation (via phosphoprotein phosphatase 2A, PP2A) regulates BKca channel activity in human coronary artery smooth muscle …

Visions Of Living With Parkinson's Disease: A Photovoice Study, Danice Greer, Cheryl Cooper, Melinda Hermanns

Faculty Posters

This poster was presented at the May 2014 UT Tyler Faculty Awards.

The Impact Of The National Ems Curriculum In Florida's Emt-B Educational Programs, Ilia Y. Matos

Graduate Student Dissertations, Theses, Capstones, and Portfolios

The Florida EMS Program Office has implemented state-mandated changes to the EMT-B curriculum, which embed the development of critical thinking skills for students and the requirement of hiring faculty with degrees to teach courses. This is the first and only qualitative study to be conducted in Florida after the 2009 changes to the EMS rules, which mandated that instructors teaching EMT-B courses hold at least a 2-year degree from an institution whose accreditation is recognized by the United States Department of Education (S. Res. 645-1.012, 2008).

This study sought to verify how effective the curriculum is being delivered by credentialed …

The Effect Of Trigger Point Dry Needling To The Multifidus Muscle On Resting And Contracted Thickness Of Transversus Abdominis In Healthy Subjects, Sarah Buckingham, Crystal Montoya, Daniella Morton

UNLV Theses, Dissertations, Professional Papers, and Capstones

Study Design: Randomized, blinded, controlled cross-over trial with each subject receiving both interventions within a seven-day span.

Objective: To determine if differences occurred in resting- or contraction-thickness of the transversus abdominis (TrA) muscle following application of trigger point dry needling (TPN) of the lumbar multifidus (MF) muscle in asymptomatic subjects.

Background: Recent studies have shown TPN decreases pain in areas throughout the body. The effect of dry needling the MF on low back pain (LBP), and its effect on core stabilization have not been investigated.

Methods: Forty-three healthy individuals who had not experienced LBP in the previous six months were …

The Effects Of A Progressive Exercise Program On Functional Activity And Quality Of Life For Older Overweight Women With Knee Osteoarthritis, Ty Carlson, Devin Edvalson, Tyler Peck, Brad Robison

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose Osteoarthritis (OA) is a common symptomatic condition experienced by older adults, especially in the overweight population, that affects the knees in particular. This study compares the effectiveness of two progressive exercise protocols (walking and stepping) on function and quality of life in older, overweight women with OA. This study includes self-management training and assesses participant selfperceived efficacy in managing OA.

Subjects This is a quasi-experimental design utilizing 16 women ≥ 50 years of age (60.44 ± 6.04) with a BMI > 25 (34.21 ± 7.28) and radiographic diagnosis of OA in at least one knee.

Methods and Measures …