Medicine and Health Sciences Commons^™

The Pupillometer In Practice: Identifying And Overcoming Barriers, Audrey Lee Paulson

Doctoral Projects

Problem: The pupillometer is an assessment tool that provides an accurate assessment of pupil reactivity. It is appropriate for patients who are neurologically impaired due to injury or illness. This tool, available and in use at a local community hospital, has minimal perceived importance in the Neuroscience Intensive Care Unit (NSICU), due to a disconnect experienced by the staff. The hypothesis was that understanding the pupillometer information was insufficient and that improving the knowledge would increase the perception of usefulness. Method: Conduct a survey to determine the cause of the lack of interest and use of the pupillometer. Once the …

Perceptions Of Incivility In Nursing Education: A Survey Of Associate And Baccalaureate Program Nursing Students, Kim Elaine Young Vickous

Dissertations

This study explored differences of nursing students’ perceptions of student and faculty incivility, measured using the Incivility in Nursing Education survey, across semesters and between Associate and Baccalaureate of Science nursing students. A sample of 262 Associate and Baccalaureate of Science nursing program students enrolled in second, third, and fourth semesters from a state university located in the mid-south participated in the study. Descriptive statistics, Analysis of Variance, and Independent t-tests were conducted to examine the research questions. These questions explored what student and faculty behaviors were perceived as uncivil and most frequently occurring (disruptive and threatening) uncivil behavior in …

Chhs May 2015 E-Newsletter,, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Student-Athletes’ Attitudes And Beliefs Towards Social Media, Emily Boissonneault

Graduate Theses

The purpose of this study was to identify the attitudes and beliefs of student athletes towards social media. To address this question, student athletes completed a survey focused specifically on: the image they present on social media profiles, content included, and their thoughts on the social media education provided by their athletic department. Student athlete (SA) responses were also compared to non-athletes (NA) for a better understanding of social media profiles. Frequencies showed strong similarities in a number of content shared or not shared, like humorous photos (SA 74.1% and NA 73.3%) and sexy photos (SA 82.4% and NA 82.6%). …

The Impact Of Educational Materials On Collegiate Student-Athletes’ Knowledge Of Sports Related Concussions, Ryan Johnson

Graduate Theses

The purpose of this study was to investigate the effectiveness of three different types of concussion education materials for collegiate athletes and to evaluate knowledge transfer. Three different types of educational materials were used to educate the athlete. The athlete completed a pretest, completed an educational module, and then completed a posttest. Two weeks later the athlete completed a retention test. A total of 51 subjects participated in the study. The subjects were evaluated on a pretest, posttest, and retention test. Data were analyzed based on an independent t-test to compare pretest scores between athletes who have been previously concussed …

A Correlation Of Strength, Range Of Motion, And Shoulder Pathology In The Dominant Arm Of Division I Athletes, Laura Carrell

Graduate Theses

Division I overhead athletes put themselves at risk for injury due to factors such as fatigue, instability, range of motion difficulties, and strengthening deficits and hypertrophies throughout their careers. Injuries that occur at the collegiate level can have a permanent effect on an athlete’s way of life. Because the shoulder is one of the most commonly affected by overuse in collegiate sports, the purpose of this study was to determine if strength and range of motion correlated with injury. Determining whether or not there are correlations to injury, strengthening and stretching programs could be valuable preventative treatments to implement on …

The Happy Secret To Better Work: Ted Talk Annotated Resource List, Logan Secrest

Undergraduate Research Award

No abstract provided.

Microhabitat Use Affects Brain Size And Structure In Intertidal Gobies, Gemma E. White, Culum Brown

Veterinary Science and Medicine Collection

The ecological cognition hypothesis poses that the brains and behaviours of individuals are largely shaped by the environments in which they live and the associated challenges they must overcome during their lives. Here we examine the effect of environmental complexity on relative brain size in 4 species of intertidal gobies from differing habitats. Two species were rock pool specialists that lived on spatially complex rocky shores, while the remainder lived on dynamic, but structurally simple, sandy shores. We found that rock pool-dwelling species had relatively larger brains and telencephalons in particular, while sand-dwelling species had a larger optic tectum and …

Bones Of Contention: Bone Mineral Density Recovery In Celiac Disease—A Systematic Review, Patricia Grace-Farfaglia

Nutrition Sciences Faculty Publications

Metabolic bone disease is a frequent co-morbidity in newly diagnosed adults with celiac disease (CD), an autoimmune disorder triggered by the ingestion of dietary gluten. This systematic review of studies looked at the efficacy of the gluten-free diet, physical activity, nutrient supplementation, and bisphosphonates for low bone density treatment. Case control and cohort designs were identified from PubMed and other academic databases (from 1996 to 2015) that observed newly diagnosed adults with CD for at least one year after diet treatment using the dual-energy x-ray absorptiometry (DXA) scan. Only 20 out of 207 studies met the inclusion criteria. Methodological quality …

The Effects Of A Four-Week Whole-Body High-Intensity Training Program On Female Athletes 2015, Lindsey Taylor

Master's Theses

Purpose: The purpose of this study was to examine the aerobic benefits and changes in running economy (RE) following a fourweek whole-body high-intensity interval training (HIIT) program on an athletic female population. Participants: Fourteen female student-athletes volunteered to participate in the study. Design: Participants reported on two occasions for VO2max and RE testing and were divided into two training groups based upon baseline VO2max: Endurance (END; n=6) and HIIT (n=8). Participants completed 12 total training sessions. During each session, END completed 30 minutes of vigorous-intensity running, while HIIT completed a total of four minutes of whole-body intervals. Measures: Maximal oxygen …

Support For Breastfeeding Mothers: Are You Violating The Law?, Phillip Atherton, Christine Buttrick

Nursing Student Publications

On March 23, 2010, President Obama signed the “Break Time for Nursing Mothers” law in the Patient Protection and Affordable Care Act that requires employers to provide an opportunity for nursing mothers to breastfeed while at work. The law necessitates employers give a “reasonable” amount of time and a private space that is not a bathroom for the first year of a new infant’s life. In order to help mothers have access to breastfeeding, awareness of this law must be expanded, and the implementation of lactation programs in every workplace must be enforced so that mothers can continue to breastfeed …

How The Phoenix Took Wing: An Examination Of The Humanities Canon As It Relates To The Psychology Of Posttraumatic Growth, Stephen Dalton

Senior Theses

The investigation of posttraumatic growth as a psychological principle is giving researchers new ways to understand how it is that some people seem to thrive following events that are normally perceived as tragic and wholly negative. These survivors do not just bounce back from their tragedies; the researchers describe these people as “bouncing forward” – that is, the survivors report that their lives now are profoundly better than they were before the trauma. While the psychological research into posttraumatic growth is relatively new, the field of Humanities has conducted this same inquiry for several thousand years. For example, Friedrich Nietzsche …

Madness: Schizophrenia, Then And Now, Diane W. Aldrich

Senior Theses

In examining the subject of mental illness, it is clear that diseases and disorders of the brain have not received the same degree of attention in the United States, over the years, as have acute and infectious diseases of the body. This thesis discusses the history of research and treatment of brain disorders, generally, with particular emphasis on schizophrenia, the most serious of mental disorders. The narrative includes the story of my aunt, who was schizophrenic. The objective of this thesis is to add another voice to the many who have asked that the bar on mental health research and …

Creative Expression And Dementia, Danielle A. Lavee-Dixon

Senior Theses

Art is the expression or application of human creative skills using that individual’s imagination. While most often taught amongst young people, I believe that art is a tool that can be used at all ages to promote reflection, pleasure, and personal passions. As a way to investigate the benefits of artistic expression amongst different groups of people, I have focused on the rewards achieved with art practiced by individuals living with dementia. Highlighting the difficulties a patient with dementia may encounter, and some of the benefits art can have on those patients; I was able to create art workshops that …

Psychometric Instrumentation: Reliability And Validity Of Instruments Used For Clinical Practice, Evidence-Based Practice Projects And Research Studies, Ann Mayo Rn, Dnsc, Faan

School of Nursing and Health Science: Faculty Scholarship

Clinical Nurse Specialists and other advanced practice nurses (APNs) are relied upon for their expert data based decision-making to ensure excellent clinical practice, high quality evidence-based practice projects, and efficacious research studies. Using measurement instruments to collect data that lack reliability and validity can compromise decisionmaking leading to deleterious results for patients, nurses, and healthcare organizations. The ultimate goal is to choose reliable instruments that produce valid data so that clinical trends, project evaluations, and research findings are trustworthy. Determining the quality of a given instruments is most often done through a critique process. Critiquing potential instruments for use is …

Interactions Between Sleep Habits And Self-Control, June J. Pilcher, Drew M. Morris, Janet Donnelly, Hayley B. Feigl

Publications

Good sleep habits and effective self-control are important components of successful functioning. Unfortunately chronic sleep loss and impaired self-control are common occurrences for many individuals which can lead to difficulty with daily self-control issues such as resisting impulses and maintaining attentive behavior. Understanding how self-control is depleted and how good sleep habits may help replenish and maintain the capacity for self-control is an important issue. A sleep-deprived individual who has expended the necessary resources for self-control is at an increased risk for succumbing to impulsive desires, poor attentional capacity, and compromised decision making. To date, few studies have investigated how …

Understanding Early Intervention Services For Hispanic Children With Autism Spectrum Disorders, Valeria Font Zorrilla

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Clear communication between speech-language pathologists and their clients and client’s families is essential for the success of therapy. A common language between therapist and client also facilitates the exchange of information, however this is not always possible. The purpose of this study was to develop a Fotonovela as an informative tool for Hispanic parents with children in the autism spectrum to use as an early intervention guide, to provide information on therapy services and to promote the understanding between professionals and culturally diverse populations. A Fotonovela is a pamphlet with photographs in the comic-book format that usually depicts a story …

The Inclusion Of Music Therapy In Speech-Language Interventions, Torry Farnell

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study was to investigate the inclusion of music in speech-language therapy. One hundred practicing speech-language pathologists (SLPs) participated in the study. There was no control for geographic location, length of time as an SLP, or work setting. A questionnaire devised from the research literature that gathered demographic information and the integration of music into speech-language therapy practices was used to gather data. It was electronically distributed via social media by means of a link that remained active for approximately six weeks. Data from the questionnaire was used descriptively to answer the questions of the study. The …

The Use Of Yoga For Chronic Pain Management In The Pediatric Population, Annabeth Huff

HIM 1990-2015

Chronic pain has an adverse impact on the quality of life in children and adolescents. It can impair a child’s physical, psychological, and social functioning, leading to lower satisfaction with life and poor self-image related to health status. Forty-five percent of children experience chronic pain related to either disease processes or idiopathic causes. Not all children who suffer from chronic pain respond to traditional therapies. The purpose of this literature review was evaluation of current research on the use of yoga as an integrative therapy for chronic pain management in the pediatric population. A database search of CINAHL, MEDLINE, and …

Divorce, Separation, Mental Health And Risky Behaviors Among Fathers: What Are The Connections And How Does It Affect Family Health?, Nicolas Resciniti

HIM 1990-2015

Due to the fact that approximately 50% of US first marriages ending in divorce, there is a growing need to identify and understand the causal mechanisms behind these separations and what effects this event has upon the family unit. This study employed secondary data analyses on the Fragile Families and Child Well-Being Study to identify the differences in the frequency of adverse health behaviors among fathers that are coupled with their partner and those who are divorced/separated. Trends of the fathers from the baseline survey to the five-year follow-up allowed us to observe the following: Differences in adverse health behaviors, …

Pharmacists In Primary Care, William H. Frishman

NYMC Faculty Publications

No abstract provided.

Industrial Production Manager [Career Paper], Wesley Osborne

Undergraduate Research Award

No abstract provided.

New Dentist News (May 2015), Ada Committee On The New Dentist

New Dentist News

New Dentist News offers timely information on scientific, social, educational, political and economic developments affecting new dentists. This collection is historical and items may not reflect current standards. For up-to-date information contact the ADA. The New Dentist News was alternately titled ADA Lifeline, 1997-June 2001.

Hepatitis B Vaccines And Hpv Vaccines Have Been Hailed As Major Public Health Achievements In Preventing Cancer--Could A Schistosomiasis Vaccine Be The Third?, Michael H. Hsieh, Julia M L Brotherton, Afzal A Siddiqui

Urology Faculty Publications

No abstract provided.

Digigogy: Toward A Pedagogy Of Connections, Chris Kirk, Patricia Hogan, Breanne R. Carlson

Conference Presentations

No abstract provided.

A Framework For Clinical Healthcare Process Design: Investigating Applicability To Lean, Samuel Blake Ellsworth

Masters Theses & Specialist Projects

Healthcare delivery is a process-driven sequence of patient care treatments and services. A prescribed method for process design is required in order for healthcare organizations of the future not just to innovate, but to safely provide highly-reliable patient care. Some healthcare organizations have established the utilization of lean methodologies as a tool for process improvement. Other philosophies and methods such as Six-Sigma have also been introduced into hospitals to guide quality. Many of these efforts have provided theories or perspectives of quality improvement without being firmly connected to a model of application relative to clinical process design, process formulation, or …

Adapting The Standard Sir Disease Model In Order To Track And Predict The Spreading Of The Ebola Virus Using Twitter Data, Armin Smailhodzic

Masters Theses & Specialist Projects

A method has been developed to track infectious diseases by using data mining of active Twitter accounts and its efficacy was demonstrated during the West African Ebola outbreak of 2014. Using a meme based n-gram semantic usage model to search the Twitter database for indications of illness, flight and death from the spread of Ebola in Africa, principally from Guinea, Sierra Leone and Liberia. Memes of interest relate disease to location and severity and are coupled to the density of Tweets and re-Tweets. The meme spreads through the community of social users in a fashion similar to nonlinear wave propagation- …

Frederic E. Mohs, M.D. (1910-2002): Physician And Innovator., Nicholas A. Ross, B.A., Nazanin Saedi, Md, Charles J. Yeo, Md, Scott W. Cowan, Md

Department of Surgery Gibbon Society Historical Profiles

Frederic “Fred” E. Mohs was an “honest and good man, a ferocious and courageous worker.”1 Husband, father of three, prolific writer, and speaker, Dr. Mohs was a pioneer in many fields. His desire to do good was fueled by his enthusiasm for scientific advancement (Frederic E. Mohs Jr., personal communication, 2014). He is most remembered for Mohs Micrographic Surgery, formerly chemosurgery, which allows visualization and examination of all tissue margins achieving skin cancer cure rates of 98 to 99 per cent.

Pthrp-Related Hypercalcaemia In Infancy And Congenital Anomalies Of The Kidney And Urinary Tract (Cakut), Nardeen Kodous, Guido Filler, Ajay Parkash Sharma, Tamara Angela Van Hooren

Paediatrics Publications

BACKGROUND: Severe hypercalcaemia is a rare but clinically significant condition in infancy and childhood. Parathyroid hormone-related peptide (PTHrP)-mediated hypercalcaemia resulting from a malignancy is rare and only a handful of case reports have outlined its incidence alongside a benign condition.

OBJECTIVES: To describe the diagnostic workup and management of an infant with hypercalcaemia, renal dysplasia, and elevated PTHrP levels.

DESIGN: Case report.

SETTING: The Victoria Hospital campus of the London Health Sciences Centre in London, Ontario, Canada.

PATIENTS: A child with congenital anomalies of the kidneys and urinary tract (CAKUT), stage 2 chronic kidney disease (CKD), and renal dysplasia who …

Uwomj Volume 84, Number 1, Spring 2015, Western University

University of Western Ontario Medical Journal

Schulich School of Medicine & Dentistry