Medicine and Health Sciences Commons^™

Inventory Of Cognitive Distortions: Validation Of A Measure Of Cognitive Distortions Using A Community Sample, Michael B. Roberts

PCOM Psychology Dissertations

The purpose of this study was to examine and evaluate further the psychometric properties of a self-report inventory of cognitive distortions using a nonclinical, community sample. A group of 474 individuals were contacted via the social networking site, Facebook, and through a college list-serve and were asked to complete multiple measures and also to send the link to other individuals, thus utilizing a snowball sample. The measures used included the Inventory of Cognitive Distortions (ICD), Dysfunctional Attitude Scale (DAS), Perceived Stress Scale (PSS), and a brief questionnaire to collect demographic information on each participant. Results revealed positive psychometric properties for …

A Qualitative Study Of How Children Experience And Live With Long Qt Syndrome, Patrick Mcelwaine

PCOM Psychology Dissertations

Long QT syndrome (LQTS) is an inherited and potentially fatal disorder affecting approximately 1 in 2,000 people. Children often experience anxiety and a sense of loss of control as they try to manage the medical, social, and psychological stress that accompanies being diagnosed with LQTS. The present study utilized a qualitative research design to examine how children experience and live with long QT syndrome. Semistructured interviews were conducted with eight children between the ages of 7 to 12 who were diagnosed with LQTS. This period in a child’s life is very important for developing social skills and self-esteem as peers …

The Influence Of Positive And Negative Death Attitudes On Medical Students' Empathy And Attitudes Toward End-Of-Life Care, Elizabeth Palumbo

PCOM Psychology Dissertations

This quantitative study employed a cross-sectional survey research design in order to examine the relationships between medical students’ death attitudes, empathy, and attitudes toward end-of-life care. The participants were 206 medical students currently enrolled in the Doctor of Osteopathic Medicine program at the Philadelphia College of Osteopathic Medicine, Philadelphia campus. Results indicated that there were no significant differences in the level of empathy between medical students who held strong positive death attitudes and medical students with strong negative death attitudes. However, results indicated that significant differences existed in attitudes toward end-of-life care between medical students who held strong positive death …

Effectiveness Of Psychoeducation For Adult Survivors Of Sexual And Domestic Violence, Sophia Laun

PCOM Psychology Dissertations

The current study investigated psychoeducational programs for adult, female survivors of sexual violence and domestic violence in a community-based, nonprofit organization in the Northeastern United States. Participants’ trauma symptoms were measured by the Trauma Symptom Checklist-40 (Briere & Runtz, 1989) and knowledge of interpersonal violence was measured by a Client Questionnaire developed by the organization. The study used the intent-to-treat analysis, using paired-samples t-tests to examine changes from pretest to posttest. There were 35 participants in the sexual violence sample and 61 participants in the domestic violence sample. The results indicated that for participants in both the sexual violence psychoeducational …

The Psychometric Properties Of The Professionalism Assessment Rating Scale, Jennifer K. Olivetti

PCOM Psychology Dissertations

The issue of professionalism in the training of medical students has become a major focus within the field of medical education. For years, the Philadelphia College of Osteopathic Medicine (PCOM) has measured the quality of osteopathic medical students (DO students) interpersonal and communication skills through SP (SP) encounters in which SPs rate the DO students relative to eight criteria (items) which, in aggregate, are known as the Professionalism Assessment Rating Scale (PARS). These criteria are linked in the literature to patient outcomes, patient adherence, patient satisfaction, and malpractice. This study investigated the psychometric properties of the PARS, based on data …

The Effectiveness Of A Computer-Assisted, Cognitive-Behavior Program For Treating Anxiety Symptoms In Children With Autism Spectrum Disorder, Jennifer A. Zabel

PCOM Psychology Dissertations

Autism Spectrum Disorder (ASD) is a complex and multifaceted, neurodevelopmental disorder that severely impacts children and families across a variety of settings. Prevalence rates of ASD are continuing to increase rapidly, with sizeable intervention and treatment costs placed on families and society. Further complicating the matter, many individuals with ASD also evidence co-occurring anxiety symptoms or disorders and tend to be at a higher risk for developing such problems when compared to other clinical populations or typically developing children. This study investigated the effectiveness of a computer-assisted CBT program, Camp Cope-A-Lot (CCAL), in regards to reducing anxiety symptoms in four …

Impact Of Group Cognitive Behavior Therapy On Adolescents With Deficits In Inhibition, Jessica L. Morley

PCOM Psychology Dissertations

Existing literature connects impulse control dysfunction to high-risk behaviors and negative life outcomes. Evidence-based interventions for children and adolescents who are at-risk or who are displaying significant levels of impulsive behavior are necessary in order to promote self-control, and in turn, positive life outcomes. This study investigated the impact of an eight-week, school-based GCBT intervention on cognitive inhibition and behavioral impulsivity in adolescent participants. The intention of the study was to evaluate the trend in inhibition and impulsivity from baseline to post-intervention assessments across five middle school students dually enrolled in a residential treatment facility and a center-based emotional support …

Neurocognitive Patterns, Symptom Clusters, And Premorbid Factors That Predict Protracted Recovery From Concussion In Females, Sarah Pulaski

PCOM Psychology Dissertations

Concussion is an increasingly diagnosed injury that affects individuals of all ages. Although the underlying cause is unknown, research has demonstrated that females who sustain a concussion experience longer recoveries. Existing research has documented a relationship between age, gender, post-concussive headache and mental health conditions, and recovery; however, limited research has investigated the relationship between premorbid clinical variables and recovery. Research on post-injury neurocognitive declines and recovery has also demonstrated varied findings. Moreover, dizziness has been identified as significantly predictive of prolonged recovery, but no studies have investigated the effect of premorbid headache conditions on the development of dizziness. The …

Evaluation Of Purkinje Neurons And Endocannabinoid Receptors As A Potential Target Of Alcoholism Using Japanese Medaka (Oryzias Latipes) As An Animal Model, J. Ford Franklin

Honors Theses

Purkinje cells (PK) are neurons with large cell bodies found in the central nervous system and are mostly distributed in the cerebellar region of the hindbrain. Several novel markers for PK cells have been developed and are used for characterization of neurobehavioral disorders. The present study was aimed to identify endocannabinoid receptor 1 (CB1) as a potential marker of PK cells and evaluate them as a molecular target of alcohol and cerebellar functions using Japanese medaka (Oryzias latipes) as an animal model. Previously, we have observed that medaka genome consist three CB receptor paralogs; two of them (cnr1a and cnr1b) …

Immunization Perception And Education, Katie Day

Honors Theses

With vaccination rates in the United States falling, there is now a growing need for immunization education. This study aimed to survey a large group of students to determine the most beneficial method of educating the public and to evaluate the locations that individuals are more likely to receive vaccinations. The survey highlights the increasing demand for physicians and pharmacists to improve immunization education to prevent individuals from dying each year due to vaccine preventable diseases.

Measures Of Functional Performance And Their Association With Hip And Thigh Strength, Roger Kollack, Bonnie L. Van Lunen, Stacie I. Ringleb, James M. Oñate

Rehabilitation Sciences Faculty Publications

Context: Insufficient hip and thigh strength may increase an athlete's susceptibility to injury. However, screening for strength deficits using isometric and isokinetic instrumentation may not be practical in all clinical scenarios.

Objective: To determine if functional performance tests are valid indicators of hip and thigh strength.

Design: Descriptive laboratory study.

Setting: Research laboratory.

Patients or Other Participants: Sixty-two recreationally athletic men (n = 30, age = 21.07 years, height = 173.84 cm, mass = 81.47 kg) and women (n = 32, age = 21.03 years, height = 168.77 cm, mass = 68.22 kg) participants were recruited.

Intervention(s): During session 1, …

Patient-Reported Outcome Measures In Individuals With Chronic Ankle Instability: A Systematic Review, Megan N. Houston, Johanna M. Hoch, Matthew C. Hoch

Rehabilitation Sciences Faculty Publications

Context: A comprehensive systematic literature review of the health-related quality-of-life (HRQOL) differences among individuals with chronic ankle instability (CAI), ankle-sprain copers, and healthy control participants has not been conducted. It could provide a better indication of the self-reported deficits that may be present in individuals with CAI.

Objective: To systematically summarize the extent to which HRQOL deficits are present in individuals with CAI.

Data Sources: We searched for articles in the electronic databases of EBSCO Host and PubMed Central using key words chronic, functional, mechanical, coper, instability, sprains, and patient-assessed. We also performed a hand search of reference lists, authors, …

Perceptions Of Support Networks During The Graduate Assistant Athletic Trainer Experience, Stephanie M. Mazerolle, Stephanie Clines, Christianne M. Eason, William A. Pitney

Rehabilitation Sciences Faculty Publications

Context: The graduate-assistant position can be a highly influential experience because it is often the first time novice athletic trainers (ATs) are practicing autonomously.

Objective: To gain an understanding of how graduate-assistant ATs (GAATs) perceive professional socialization and mentorship during their assistantships.

Design: Semistructured phone interviews. Setting: Graduate-assistant ATs in various clinical settings.

Patients or Other Participants: Twenty-five GAATs (20 women, 5 men) studying in 1 of 3 academic tracks (postprofessional athletic training = 8, athletic training-based curriculum = 11, non-athletic training-based curriculum = 6). Median age was 24 years.

Data Collection and Analysis: Phone interviews were digitally recorded and …

Preparation Of The Professional Athletic Trainer: A Descriptive Study Of Undergraduate And Graduate Degree Programs, Julie M. Cavallario, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: The examination of the appropriate professional degree for preparation as an athletic trainer is of interest to the profession. Descriptive information concerning universal outcomes is needed to understand the effect of a degree change.

Objective: To obtain and compare descriptive information related to professional athletic training programs and a potential degree change and to determine if any of these factors contribute to success on existing universal outcome measures.

Design: Cross-sectional study.

Setting: Web-based survey.

Patients or Other Participants: We contacted 364 program directors; 178 (48.9%; 163 undergraduate, 15 postbaccalaureate) responded.

Intervention(s): The survey consisted of 46 questions: 45 questions …

Hip Strengthening Compared With Quadriceps Strengthening In Conservative Treatment Of Patients With Patellofemoral Pain: A Critically Appraised Topic, Chyrsten L. Regelski, Brittany L. Ford, Matthew C. Hoch

Rehabilitation Sciences Faculty Publications

Clinical Scenario: Patellofemoral pain is a common injury that affects both athletic and sedentary populations. Clinicians may treat patellofemoral pain more effectively through a comprehensive understanding of the most effective exercise protocols. Clinical Question: In patients with patellofemoral pain, are hip abductor and external rotator muscle strengthening exercises more effective in reducing pain and improving patient-reported function compared with isolated quadriceps strengthening? Summary of Key Findings: A comprehensive and systematic database search was conducted for studies of level 2 evidence or higher. The search yielded 253 studies; of these studies, four randomized control trials and one comparative control trial fit …

The Effect Of Music Therapy Interaction On Child And Parental Preoperative Anxiety In Parents Of Children Undergoing Day Surgery, Christopher R. Millett

Theses and Dissertations--Music

Young children who experience high levels preoperative anxiety often exhibit distress behaviors, experience more surgical complications, and are at a higher risk for developing a variety of negative postoperative consequences. A significant factor in pediatric preoperative anxiety is the level of anxiety present in their caregivers. Music therapy interventions addressing a variety of procedural outcomes have been met with success. The purpose of this study was to investigate the comparative effectiveness of two music therapy interventions on reducing preoperative anxiety in young pediatric surgical patients and their caregivers.

A total of 40 pediatric patient and caregiver dyads were included in …

Interdisciplinary Collaboration With Music Therapy During Routine Pediatric Dental Procedures, Austin S. Robinson

Theses and Dissertations--Music

The incorporation of integrative medicine into traditional treatment options has steadily increased during the past two decades. This has resulted in a change in the dynamics of interdisciplinary teams creating the need to better understand the roles and responsibilities of team members. The purpose of this study was to examine the perceptions of dental treatment team members regarding the role and responsibilities of music therapy during treatment.

A total of 10 participants were included in this study. Participants completed a pre-music therapy survey to establish prior knowledge, experience with, and perceptions of music therapy. Following an experiential intervention, participants completed …

Epic Failure Of Ebola And Global Health Security, David P. Fidler

Articles by Maurer Faculty

No abstract provided.

Letter From The Chair, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Letter From The Co-Editors, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Survey Of Current Articles Published On Total Ankle Arthroplasty And Ankle Fusion, Tony G. Pedri, Richard A. Miller

UNM Orthopaedic Research Journal

In the United States, ankle fusion is more commonly performed than total ankle arthroplasty (TAA) for treatment of degenerative joint disease of the ankle. However, recent advances in implant design and technique have led to a renewed interest in research on TAA. To shed light on current research trends and limited data rather than examine the merits between both methods, we performed a PubMed search of studies on TAA and ankle fusion between January 1, 2009, and January 1, 2015, published in both the American edition of the Journal of Bone and Joint Surgery (JBJS) and Foot & Ankle International …

The Pediatric Orthopaedic Trauma Season: Does It Exist?, Ava A. Boswell, Seth B. Mccord, Cole L. Paffett, Anthony Kallur

UNM Orthopaedic Research Journal

Background: It remains unclear whether pediatric trauma, including fracture, occurs more frequently at a certain time of the year. We developed a database based on the University of New Mexico orthopaedics consult log (OCL) with the aim of determining whether pediatric fractures have a seasonal predilection.

Methods: The OCL for 2009 and 2010, representing a total of 2385 patient visits, was reviewed, and data on patients who were 17 years of age or younger who were treated for trauma were collected. The months and seasons of the year in which the trauma occurred were recorded.

Results: The OCL for 2009 …

Motion-Tracking Drill System Using A Haptic Device For Evaluating And Training Motor Skills Of Orthopaedic Resident Physicians Outside The Operating Room: A Pilot Study, Ashkan Pourkand, Christina Salas, Deana M. Mercer, David I. Grow

UNM Orthopaedic Research Journal

Background: Although experience within the operating room can help surgeons learn simple bone-drilling techniques, outside training may be better suited for complex procedures. We adapted a rotary handpiece with dual trigger and drilling attachments to a haptic device to train and evaluate motor skills of orthopaedic resident physicians outside of the operating room.

Methods: A total of 7 participants with varying levels of skill in orthopaedic surgery were asked to perform a task three times: drill a hole (at 45° from the normal angle) through both cortices of a synthetic diaphysis of a distal radius. Acceleration and acoustic data were …

Removal Of Partly Threaded Cannulated Screws After Treatment Of Slipped Capital Femoral Epiphysis: A Pilot Study, Nathan T. Morrell, Ian A. Power, Dukens Labaze, Elizabeth A. Szalay

UNM Orthopaedic Research Journal

Background: Partly threaded cannulated screws (PTCS) are currently recommended for management of slipped capital femoral epiphysis (SCFE), but no advantage of these screws over fully threaded cannulated screws (FTCS) has been demonstrated. We investigated whether PTCS are more difficult to remove than FTCS.

Methods: The records of 33 patients who underwent implant removal after operative treatment of SCFE were reviewed, and the following data were collected: age and sex of the patient, type of screw used (partly or fully threaded), length of removal operation, and any comments on the difficulty of screw removal.

Results: Sixty-one percent of operative reports for …

Custom-Made Angled Polyethylene Insert Exchange For Treatment Of Valgus Malalignment In Revision Total Knee Arthroplasty: A Case Report, Reilly J. Kuehn, Ch Christopher R Hanosh

UNM Orthopaedic Research Journal

Single- and dual-component revisions have typically been used to correct coronal malalignment after total knee arthroplasty (TKA). However, realignment of well-fixed components can result in complications such as bone loss and the need for increasing constraint of implants. Exchange to a custom-made angled polyethylene insert, although primarily implemented in cases of osteolysis, has been described with low complication rates and minimal loss of motion. We describe a 74-year-old woman who underwent TKA in January 2006 and presented to our clinic in March 2013 with symptoms of pain and instability of the right knee. We performed a revision TKA using two …

Lipoma Of The Index Finger In A 64-Year-Old Man: A Case Report, Norfleet B. Thompson, Moheb S. Moneim

UNM Orthopaedic Research Journal

Lipomas are benign tumors composed of adipose tissue and typically encountered in middle-aged patients. Although the etiology remains unknown, this lesion can occur throughout the body. However, it is rarely seen in the finger. Typical treatment has often involved observation, but excision techniques have also reported successful outcomes. We describe a 64-year-old male patient who reported to our clinic with a painless soft-tissue mass in the index finger of his left hand, and we performed operative excision for treatment. The findings of physical examinations, radiographs, and magnetic resonance imaging tests had indicated the presence of lipoma, and results of pathological …

Commemorating Dr. Elizabeth A. Szalay’S Academic Accomplishments, Robert C. Schenck Jr

UNM Orthopaedic Research Journal

No abstract provided.

Using Servqualto Identify Gaps In Quality Care For Patients With Cystic Fibrosis: A Hospital-Based Quality Improvement Project, Alisha M. Nadeau

Master's Theses and Capstones

Background: Cystic Fibrosis (CF) Care Centers were established to centralize and integrate the knowledge and skills of pulmonary medicine, nutrition, gastroenterology, nursing, respiratory therapy, social work, and genetics to efficiently provide care for people living with CF. The high quality, specialized care that is given at CF Care Centers has led to the improved length and quality of life for people living with CF.

Aim: The aim of this quality improvement project was to identify any gaps in providing effective, high quality care to patients with CF to reduce the variability in nursing practices and improve their quality …

Contributing To A “Culture Of Safety” By Increasing Usage Of The Drug Library On Smart Infusion Pumps: A Quality Improvement Project, Heidi Armstrong

Master's Theses and Capstones

Background: Computerized infusion devices called smart infusion pumps or smart pumps are clinical tools capable of decreasing IV medication infusion calculation errors through the use of embedded drug libraries. These devices are now important tools contributing to a “culture of safety” defined by the Joint Commission. Reports from April 2015 indicated a 22% occurrence rate in which the devices were not correctly programmed before infusion.

AIM Statement: The global aim of this quality improvement project was to improve usage of the IV pump drug library by ensuring medication is correctly labeled before infusion. The specific aim was to increase the …

Prevention Of Icu Delirium Through Implementation Of A Sleep Promotion Bundle, Victoria Bennett

Master's Theses and Capstones

Background: Intensive care unit (ICU) delirium is the prevalence of delirium in ICU patientswho do not have a history of drug/alcohol abuse, an admission for a mental status change, or anadmission to the ICU for less than 24 hours. Serious adverse outcomes have been linked to thepresence of ICU delirium resulting in overall longer hospital lengths of stay, longer duration ofmechanical ventilation, higher rates of mortality, and long-term neuropsychological deficits afterdischarge. At the site of this quality improvement project, the prevalence of ICU delirium was92.3% in a population determined to be high risk using the PRE-DELIRIC screening tool. Aim: The …