Medicine and Health Sciences Commons^™

The Relationship Between Religiosity And Health-Promoting Behaviors In Pregnant Women At Pregnancy Resource Centers, Natalie Cyphers, Andrea D. Clements, Jody L. Ralph

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

The Interrelations Between Spiritual Well-Being, Pain Interference And Depressive Symptoms In Patients With Multiple Sclerosis, Sheri A. Nsamenang, Jameson K. Hirsch, Raluca Topciu, Andrew D. Goodman, Paul R. Duberstein

ETSU Faculty Works

Depressive symptoms are common in individuals with multiple sclerosis (MS), and are frequently exacerbated by pain; however, spiritual well-being may allow persons with MS to more effectively cope with pain-related deficits in physical and role functioning. We explored the associations between spiritual well-being, pain interference and depressive symptoms, assessing each as a potential mediator, in eighty-one patients being treated for MS, who completed self-report measures: Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, Pain Effects Scale, and Center for Epidemiologic Studies Depression Scale Revised. At the bivariate level, spiritual well-being and its subscale of meaning and peace were negatively associated …

Opioid Exposed Mothers And Infants In Delaware: Clinical And Legal Considerations, Michele K. Savin, Msn, Nnp-Bc, David A. Paul, Md

College of Nursing Faculty Papers & Presentations

Drug use is on the rise in Delaware, as demonstrated by the continued increase in infants born with neonatal abstinence syndrome. Thoughful, evidence based, and coordinated approaches are necessary to impact this problem. There is solid evidence that mothers and infants who remain together have improved outcomes. Professional medical and nursing societies are unanimous in support of non-punitive approaches to care. Medical Professionals, legislators, and society in general would benefit from ongoing education on the addiction disease process in order to best care for the increasing number of mother/baby dyads with neonatal abstinence syndrome.

Evaluation Of Die Trim Morphology Made By Cad/Cam Technology, Pratiksha Agrawal

Master's Theses (2009 -)

Purpose: The purpose of this vitro study was to evaluate the accuracy of the morphology of digitally trimmed dies in comparison with the subgingival contour of a prepared tooth to be restored with a single crown. Materials and Methods: 20 human extracted teeth, 10 incisors and 10 molars were disinfected, mounted on dentoforms. The teeth were prepared for a single all ceramic restoration. Digital impressions of the preparations were made using the 3M Lava COS. With the data, the SLA models were fabricated with removable dies. The prepared tooth and the corresponding dies were then compared with the Rhino software. …

Mitigating Distortion Of Light-Polymerized Composite Trial Bases, Jon Patrick Irelan

Master's Theses (2009 -)

Triad Visible Light Cure (VLC) Denture Base Material, a light-polymerizing resin material, is commonly used by clinicians to make trial bases during the fabrication of dentures and in planning the prosthetic and surgical rehabilitation of edentulous patients. A well-known drawback to this material, however, is its tendency to distort during the light-polymerization process. This distortion tends to occur most often towards the posterior aspect of the palate, and can negatively impact the bases ability to be retained through suction to the edentulous arch. The purpose of this study was to evaluate whether an experimental polymerization protocol can mitigate distortion during …

Mcat: Development Of A Generic Mhealth Tool For Continuous Assessment, Automatic Intervention, And Analysis, A B M Kowser Patwary

Master's Theses (2009 -)

Use of mobile health (mHealth) technology for behavioral and psychological studies through continuous assessment and intervention is found to be effective. Also, the use of smartphone has increased rapidly last few years, as well as its uses for health support. mHealth research is applied for smoking cessation, motivating cancer survivors and mentoring peers for social engagement. While in most settings researchers are developing their own intervention and assessment tool for each different research. In this study mHealth research is applied and generalized across a range of applications, including smoking cessation, motivating cancer survivors and mentoring peers to improve social engagement. …

Torsion And Bending Properties Of Edgeendo Files, Chad Hansen

Master's Theses (2009 -)

Introduction: One important step of root canal therapy is the process of cleaning and shaping each canal. This process involves using endodontic rotary files combined with chemical irrigants to remove pulpal remnants and infected dentin from the canal while eliminating pathogenic bacteria. It is essential to maintain proper canal anatomy while cleaning and shaping. The challenge for the practitioner is to select a rotary file system that will be flexible enough to maintain canal anatomy but strong enough to prevent breakage under normal use. File flexibility allows for better maintenance of canal anatomy. A file’s resistance to torsional fatigue reduces …

Least-Squares Mapping From Kinematic Data To Acoustic Synthesis Parameters For Rehabilitative Acoustic Learning, Xiangyu Zhou

Master's Theses (2009 -)

Thousands of people suffer from dysarthria resulting from neurological injury of the motor component of the motor-speech system, and need to rely on alternative methods to communicate in daily life, such as body language or text-to-speech [1] . However, there are currently very few effective rehabilitative therapies for helping these patients improve their speech. Because of this, research is needed to develop better rehabilitative therapies. One such area of research is the use of involuntary acoustic learning. The Speech and Swallowing lab at Marquette University has an Electromagnetic Articulography (EMA) system to collect kinematic data and a software system called …

Video Game Interventions To Improve Cognition In Older Adults, David E. C. Marra

Master's Theses (2009 -)

Cognitive abilities decline as part of the normal aging process. Various non-pharmacological interventions are being studied in an effort to ameliorate this cognitive decline. Some of these interventions include computerized cognitive training, such as neuropsychological software (i.e., brain training games) and video games. A previous study in our lab found that older adults who played a brain training game or a video poker game showed similar cognitive gains. The purpose of the present study was to follow the methodological procedures of our previous study to try and determine if the positive effects seen for the brain training program and video …

Outcomes Of Primary Endodontic Therapy Provided By Endodontic Specialists Compared To Other Providers, Jacob Burry

Master's Theses (2009 -)

Introduction: The objective of this study was to compare the outcomes of initial non-surgical root canal therapy (NSRCT) for different tooth types provided by both endodontists and other providers. Methods: Using an insurance company database, 487,476 initial NSRCT procedures were followed from the time of treatment to the presence of an untoward event indicated by Current Dental Terminology (CDT) codes for retreatment, apical surgery, or extraction. Population demographics were computed for provider type and tooth location. Kaplan-Meier survival estimates were calculated for 1, 5, and 10 years. Hazard ratios for provider type and tooth location were calculated using the Cox …

Viability Of Human Periodontal Ligament Fibroblasts After Storage In Save-A-Tooth, Emt Toothsaver And Hank's Balanced Salt Solution, Wonhee Lee

Master's Theses (2009 -)

Introduction: Viability of periodontal ligament (PDL) cells is a key prognostic factor fora replanted tooth following avulsion. Dehydration results death of PDL cells, which in turn causes ankylosis upon replantation, followed by replacement resorption. Hank’s Balanced Salt Solution (HBSS) has been recommended as the standard storage medium for an avulsed tooth. Save-A-Tooth and EMT Tooth saver (Dentosafe)are commercially available tooth storage media. With the best of our knowledge no study has yet compared these media for their effective tooth storage times. The aim of this invitro study is to evaluate Save-A-Tooth, EMT Toothsaver (Dentosafe), and HBSS for their effect on …

The Relationship Between The Poor Parenting In Childhood And Current Adult Symptoms Of Anxiety And Depression: Attachment As A Mediator, Kayla Lynn Burningham

Theses and Dissertations

Both anxiety and depression have been shown to be a result of early negative attachment experiences. The quality of parenting is one variable that affects attachment security, therefore correlating with the development of anxiety and depression in adulthood. The purpose of this study was to examine the mediating effect of attachment in the relationship between mother and father's parenting in childhood and adult symptoms of anxiety and depression. The study focused on 680 married or remarried heterosexual couples that took the RELATE questionnaire between 2011 and 2013. Results indicated insecure attachment mediates the relationship between poor parenting and symptoms of …

Paucity Of Trauma Literature From A Highly Burdened Developing Country, Rizwan Sultan, Hasnain Zafar

Department of Surgery Docs

Abstract Introduction: Trauma is the leading cause of death among a younger population not only in USA but in Pakistan as well. The high prevalence of disease should result in a larger amount of data and a larger number of publications resulting in the ability to explore improvements in the field. This study aimed to review the trauma literature generated from Pakistan. Methods: Journals indexed with PubMed from January 2010 to December 2014 were searched using the search term ‘‘Trauma AND Pakistan’’ filtering for relevant dates and human reports only. The abstracts and articles were reviewed by the authors to …

Predicting Externalizing Behaviors In Latino Adolescents Using Parenting And Educationalfactors, Sergio Benjamin Pereyra

Theses and Dissertations

Externalizing behaviors among adolescents continue to concern researchers and clinicians nationwide, especially among Latinos who are part of the largest and fastest growing minority population in the U. S. This dissertation begins by describing an eco-developmental model, which provides the theoretical framework used to conceptualize the systemic factors being studied and by reviewing the relevant literature regarding the influence of parental warmth, parental behavioral control, the adolescent-teacher relationship, and academic achievement on externalizing behavior among Latino adolescents. This study uses the National Longitudinal Study of Adolescent Health survey (Add Health) data to analyze direct and indirect effects of parenting and …

Medical Therapy For Inappropriate Sexual Behaviors In A Teen With Autism Spectrum Disorder., Loyal Coshway, Julia Broussard, Kruti Acharya, Karen Fried, Michael E. Msall, John Lantos, Leena Nahata

Manuscripts, Articles, Book Chapters and Other Papers

Teens with autism spectrum disorder often exhibit sexual behaviors in public that are disturbing to parents, teachers, and peers. Some have proposed that such behaviors can be curtailed with hormonal suppression. There is information on the Internet suggesting that such medications work, and some reports in the peer-reviewed medical literature support these claims. Such medications can have serious side effects. In this paper, we present a case in which parents requested such treatment of their teenage son with autism spectrum disorder.

Considering Decision-Making And Sexuality In Menstrual Suppression Of Teens And Young Adults With Intellectual Disabilities., Kruti Acharya, John D. Lantos

Manuscripts, Articles, Book Chapters and Other Papers

No abstract provided.

Inquiry Into The Implementation Of Bush’S Executive Order 13211 And The Impact On Environmental And Public Health Regulation, Elizabeth Ann Glass Geltman, Gunwant Gill, Miriam Jovanovic

Publications and Research

Executive Order 13211, promulgated in 2001, requires the federal government to consider the impact of federal action on energy independence as part of the George W. Bush’s National Energy Policy. This law review examines whether EO 13211 was used to curtail environmental protection and natural resource conservation. The article begins with a review of the procedure required of federal agencies under EO 13211 and its associated documents. The paper then examines case law and published federal rulemaking proceedings and examines how federal agencies apply tests to evaluate the potential energy effect. The study concludes that EO 13211 strikes a reasonable …

Neural Activity Reveals Effects Of Aging On Inhibitory Processes During Word Retrieval, Ranjini Mohan

Open Access Dissertations

Word retrieval difficulties are one of the most frustrating problems in older adults. Poorer access to phonological (speech sound) representation of the target word has been postulated as the underlying deficit, supported by findings of improvement in word retrieval after phonological priming. But the great variability in naming performance among older adults may reflect cognitive scaffolding or compensatory neurophysiological processes related to maintenance or decline of naming abilities. In order better understand aging effects in the underlying neurophysiological changes associated with phonological retrieval, the present study examined electrophysiological correlates of phonological priming and word retrieval in adults across the lifespan. …

A Model To Predict Pre-Hospital Endotracheal Intubation Success, Leigh Ann Diggs

Health Services Research Dissertations

Background: Pre-hospital endotracheal intubation (ETI) is one of the most critical skills performed by paramedics and is considered the “gold standard” of airway management. Pre-hospital ETI success rates are variable, ranging from 33% to 100% across EMS systems in the U.S. Previous investigative efforts have identified factors associated with pre-hospital ETI success, but the generalizability of findings is limited. Few researchers have controlled for the concurrent effects of multiple factors when examining pre-hospital ETI success. Methods: In this retrospective exploratory study, we used national data from the National Emergency Medical Services Information System (NEMSIS) and data from a four state …

Re-Inventing Adherence: Toward A Patient-Centered Model Of Care For Drug-Resistant Tuberculosis And Hiv, Max R. O'Donnell, A. Daftary, M. Frick, Y. Hirsch-Moverman, K. R. Amico, M. Senthilingam, A. Wolf, J. Z. Metcalfe, P. Isaakidis, J. L. Davis, J. R. Zelnick, J.C.M. Brust, N. Naidu, M. Garretson, David Bangsberg, N. Padayatchi, G. Friedland

OHSU-PSU School of Public Health Faculty Publications and Presentations

BACKGROUND—Despite renewed focus on molecular tuberculosis (TB) diagnostics and new antimycobacterial agents, treatment outcomes for patients co-infected with drug-resistant TB and human immunodeficiency virus (HIV) remain dismal, in part due to lack of focus on medication adherence as part of a patient-centered continuum of care.

OBJECTIVE—To review current barriers to drug-resistant TB-HIV treatment and propose an alternative model to conventional approaches to treatment support.

DISCUSSION—Current national TB control programs rely heavily on directly observed therapy (DOT) as the centerpiece of treatment delivery and adherence support. Medication adherence and care for drug-resistant TB-HIV could be improved by fully implementing team-based patient-centered …

The Scoop, Vol. 3 Issue1 1, April 2016, Health Sciences Library

Volume 3

Latest news and events from the Health Sciences Library in our monthly newsletter for April 2016.

Advancing The Knowledge Of Organic Farming Data In New Mexico: Health And Injury Surveillance Systems, Virginia Sedore

Population Health

While the concept and practice of organic farming has been around since the mid-1800s, there is little data currently being collected on injury, illness, or fatality within the organic farming population, leaving the health risks unknown. This paper intends to look at the surveillance systems currently in place to collect injury and illness data as it relates to organic farmers, and in particular, the New Mexico organic farmer. Evaluations of the current surveillance systems were conducted, and organic farmer demographics were analyzed using rate ratio comparisons of United States(U.S.), Texas, and New Mexico. The results show that the current surveillance …

2016 Spring Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2016 Spring Newsletter of the Department of Nursing at Morehead State University.

Three-Year Survey Of Abundance, Prevalence And Genetic Diversity Of Chlorovirus Populations In A Small Urban Lake, Cristian F. Quispe, Olivia Sonderman, Anya Seng, Brenna Rasmussen, Garrett Weber, Claire Mueller, David Dunigan, James L. Van Etten

James Van Etten Publications

Inland water environments cover about 2.5 percent of our planet and harbor huge numbers of known and still unknown microorganisms. In this report, we examined water samples for the abundance, prevalence, and genetic diversity of a group of infectious viruses (chloroviruses) that infect symbiotic chlorella-like green algae. Samples were collected on a weekly basis for a period of 24 to 36 months from a recreational freshwater lake in Lincoln, Nebraska, and assayed for infectious viruses by plaque assay. The numbers of infectious virus particles were both host- and site-dependent. The consistent fluctuations in numbers of viruses suggest their impact as …

Affix Meaning Knowledge In First Through Third Grade Students, Victoria Henbest

Victoria S. Henbest Publications

Purpose: We examined grade-level differences in 1st- through 3rd-grade students' performance on an experimenter-developed affix meaning task (AMT) and determined whether AMT performance explained unique variance in word-level reading and reading comprehension, beyond other known contributors to reading development.

Method: Forty students at each grade level completed an assessment battery that included measures of phonological awareness, receptive vocabulary, word-level reading, reading comprehension, and affix meaning knowledge.

Results: On the AMT, 1st-grade students were significantly less accurate than 2nd- and 3rd-grade students; there was no significant difference in performance between the 2nd- and 3rd-grade students. Regression analyses revealed that the AMT …

Current And Past Menstrual Status Is An Important Determinant Of Femoral Neck Geometry In Exercising Women, Rebecca J. Mallinson, Nancy I. Williams, Jenna C. Gibbs, Karsten Koehler, Heather C.M. Allaway, Emily Southmayd, M. J. De Souza

Department of Nutrition and Health Sciences: Faculty Publications

Menstrual status, both past and current, has been established as an important determinant of bone mineral density (BMD) in young exercising women. However, little is known regarding the association between the cumulative effect of menstrual status and indices of bone health beyond BMD, such as bone geometry and estimated bone strength.

Purpose: This study explores the association between cumulative menstrual status and indices of bone health assessed using dualenergy x-ray absorptiometry (DXA), including femoral neck geometry and strength and areal BMD (aBMD), in exercising women.

Methods: 101 exercising women (22.0 ± 0.4 years, BMI 21.0 ± 0.2 kg/m2, 520±40 min/week …

Urgent Care And Emergency Department Visits In The Pediatric Medicaid Population., Amanda Montalbano, Jonathan Rodean, Juhi Kangas, Brian R. Lee, Matt Hall

Manuscripts, Articles, Book Chapters and Other Papers

Background: Urgent care (UC) is one of the fastest growing venues of health care delivery. We compared clinical and cost attributes of pediatric UC and emergency department (ED) visits that did not result in admission.

Methods: Our study examined 5 925 568 ED and UC visits of children under 19 years old in the 2010 through 2012 Marketscan Medicaid Multi-State Database. Basic demographics, diagnoses, severity, and payments were compared. Between ED and UC visits, χ(2) tests were used for proportions and Wilcoxon rank-sum tests were used for continuous variables.

Results: The UC and ED had the same most common diagnoses. …

Quality And Context-Aware Smart Health Care: Evaluating The Cost-Quality Dynamics, Nirmalya Roy, Christine Julien, Archan Misra, Sajal Das

Research Collection School Of Computing and Information Systems

Many emerging pervasive health-care applications require the determination of a variety of context attributes of an individual's activities and medical parameters and her surrounding environment. Context is a high-level representation of an entity's state, which captures activities, relationships, capabilities, etc. In practice, high-level context measures are often difficult to sense from a single data source and must instead be inferred using multiple sensors embedded in the environment. A key challenge in deploying context-driven health-care applications involves energy-efficient determination or inference of high-level context information from low-level sensor data streams. Because this abstraction has the potential to reduce the quality of …

Humoral Hypercalcemia Of Twin Pregnancy: Not A Laughing Matter, Areeb Zamir Md, Angela Manglitz Do, Gretchen A. Perilli Md

Department of Medicine

Background: Humoral hypercalcemia due to high serum levels of Parathyroid Hormone-Related Protein (PTHrP) is very rare in the setting of benign disease. PTHrP has a significant impact on developmental stages of life and is expressed in a variety of tissues including placental tissue and mammary glands. Therefore, PTHrP has a large role in the homeostasis of calcium between the mother and fetus.

Clinical case: A 25 year old female presented to the emergency department six days post-partum of spontaneous vaginal delivery of twins at 28 and 4/7 weeks. Her chief complaints included bilateral leg pain, weakness, and difficulty ambulating …

Multicollinearity In Regression Analyses Conducted In Epidemiologic Studies, Kristina Vatcheva, Minjae Lee, Joseph B. Mccormick, Mohammad H. Rahbar

School of Mathematical & Statistical Sciences Faculty Publications

The adverse impact of ignoring multicollinearity on findings and data interpretation in regression analysis is very well documented in the statistical literature. The failure to identify and report multicollinearity could result in misleading interpretations of the results. A review of epidemiological literature in PubMed from January 2004 to December 2013, illustrated the need for a greater attention to identifying and minimizing the effect of multicollinearity in analysis of data from epidemiologic studies. We used simulated datasets and real life data from the Cameron County Hispanic Cohort to demonstrate the adverse effects of multicollinearity in the regression analysis and encourage researchers …