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2017

Dissertations (1934 -)

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Full-Text Articles in Medicine and Health Sciences

The Mediating Effects Of Positive Thinking And Social Support On Suicide Resilience Among Undergraduate Students, Denise Marie Matel-Anderson Oct 2017

The Mediating Effects Of Positive Thinking And Social Support On Suicide Resilience Among Undergraduate Students, Denise Marie Matel-Anderson

Dissertations (1934 -)

Suicide has been the 2nd leading cause of death for 18-24-year-olds in the US since 2011. The stress experienced by undergraduate college students has the potential to increase ones’ risk for suicide. Resilience theory was used as a theoretical framework to examine the interplay between risk and protective factors. A cross-sectional and correlational design was used to assess the mediating effects of positive thinking and/or social support on suicide resilience in 131 college students 18-24 years old who completed an online survey. An indirect effect of self-esteem on suicide resilience was found through positive thinking and social support indicating that …

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Motivational And Intervention Systems And Monitoring With Mhealth Tools, Golam Mushih Tanimul Ahsan Oct 2017

Motivational And Intervention Systems And Monitoring With Mhealth Tools, Golam Mushih Tanimul Ahsan

Dissertations (1934 -)

Use of mobile and telecommunication technologies has become widespread in the last decade. With this development, use of mobile devices in healthcare (mHealth) is also increasing. Mobile phones, smartphones, and other mobile devices are affordable tools for different health-related services. In my research, with my research team, I have helped to develop several mHealth tools to address the quality of life of cancer survivors, cancer patients, and individuals at increased risk for cancer. Tobacco smoking is the major cause of several types of often-fatal cancers and cardio-respiratory diseases. Optimally, we hypothesize that the most effective mHealth tools should be customized …

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Muscle Coordination Contributes To Function After Stroke; Proprioception Contributes To Control Of Posture, Movement, Maria Bengtson Oct 2017

Muscle Coordination Contributes To Function After Stroke; Proprioception Contributes To Control Of Posture, Movement, Maria Bengtson

Dissertations (1934 -)

More than half of stroke survivors experience persistent upper extremity motor impairments that can negatively impact quality of life and independence. Effective use of the upper extremity requires coordination of agonist/antagonist muscle pairs, as well as coordination of multiple control actions for stabilizing and moving the arm. In this dissertation, I present three studies in which I recorded isometric torque production, single joint movement and stabilization, and clinical measures of function and impairments after stroke to evaluate the extent to which changes in coordination of agonist/antagonist muscles and of sequential control actions contribute to deficits after stroke. In Aim 1, …

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Motion Artifact Evaluation Of Coronary Ct Angiography Images, Hongfeng Ma Oct 2017

Motion Artifact Evaluation Of Coronary Ct Angiography Images, Hongfeng Ma

Dissertations (1934 -)

The objective of this dissertation was to develop and validate an automated algorithm to quantify motion artifact level on coronary CT angiography (CCTA) images. Unlike existing motion artifact reduction techniques that evaluate the relative level of motion artifacts within one exam, this dissertation aims to quantify the absolute level of motion artifacts across exams from varying patients. The ability to quantify absolute motion artifact level enables several potential applications, for example, assessing and comparing two motion artifact reduction techniques. This dissertation includes three specific aims. Aim 1 investigated the absolute motion artifact quantification effectiveness of six motion artifact metrics using …

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Nucleotide-Dependent Preferential Localization Of Ras In Model Membranes With Lipid Raft Nanodomains, Anna Shishina Oct 2017

Nucleotide-Dependent Preferential Localization Of Ras In Model Membranes With Lipid Raft Nanodomains, Anna Shishina

Dissertations (1934 -)

Membrane proteins constitute a third of all proteins in the cell and more than 50% of drug targets. However, the analysis of membrane proteins has many challenges owing to their partially hydrophobic surfaces, flexibility and lack of stability. One example of an essential membrane protein is Ras superfamily. Ras is a small monomeric GTPase involved in regulation of cell growth, proliferation and differentiation. Therefore, Ras and its effectors are among the most important targets for cancer therapy. A detailed knowledge of the processes occurring during signal propagation via Ras might help to elucidate the mechanisms of the involved signal cascades. …

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The Neural Encoding Of Reward In The Striatal-Pallidal Circuitry, Chung Lung Chan Jul 2017

The Neural Encoding Of Reward In The Striatal-Pallidal Circuitry, Chung Lung Chan

Dissertations (1934 -)

Humans and animals are constantly exposed to external stimuli. The ability to process reward value of a stimulus is critical to guiding appropriate behavior and essential for survival. These processes are regulated by neuronal activity and neurochemical signaling in the reward circuitry, particularly in the nucleus accumbens (NAc). The NAc receives dopaminergic inputs from the midbrain ventral tegmental area (VTA) and sends GABAergic projections to the ventral pallidum (VP). Electrophysiological studies have characterized phasic neuronal responses in the NAc that differential encode appetitive and aversive taste stimuli. Exposure to an appetitive taste stimulus evoked predominantly phasic inhibitory responses in the …

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The Noncanonical Roles Of Two Primordial Molecules In Flagella, Xiaoyan Zhu Jul 2017

The Noncanonical Roles Of Two Primordial Molecules In Flagella, Xiaoyan Zhu

Dissertations (1934 -)

Motile cilia and flagella are ancient organelles that eukaryotic organisms today still rely on to thrive in their natural environment. Not surprisingly, accumulated evidence has shown that the intricate motility machinery, the microtubule-based axoneme, is evolutionarily conserved down to the molecular level. This notion is epitomized by the signature axonemal complex, the radial spoke (RS). The RS is part of a control center conferring the high frequency and tightly regulated movement. Key RS proteins discovered in biflagellate green alga, Chlamydomonas reinhardtii, are also generated by nearly all ciliated organisms, including Homo sapiens. Among them are two subunits from primordial protein …

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Markerless Kinematics Of Pediatric Manual Wheelchair Mobility, Jacob Robert Rammer Jul 2017

Markerless Kinematics Of Pediatric Manual Wheelchair Mobility, Jacob Robert Rammer

Dissertations (1934 -)

Pediatric manual wheelchair users face substantial risk of orthopaedic injury to the upper extremities, particularly the shoulders, during transition to wheelchair use and during growth and development. Propulsion strategy can influence mobility efficiency, activity participation, and quality of life. The current forefront of wheelchair biomechanics research includes translating findings from adult to pediatric populations, improving the quality and efficiency of care under constrained clinical funding, and understanding injury mechanisms and risk factors. Typically, clinicians evaluate wheelchair mobility using marker-based motion capture and instrumentation systems that are precise and accurate but also time-consuming, inconvenient, and expensive for repeated assessments. There is …

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Rediscovery Of The Microtubule System In Chlamydomonas, Yi Liu Jul 2017

Rediscovery Of The Microtubule System In Chlamydomonas, Yi Liu

Dissertations (1934 -)

Extensive studies have revealed the complex mechanisms underlying the roles of the microtubule system in fundamental cellular processes, the severe consequences in development and health resulted from its anomaly, and the irreplaceable therapeutic agents that perturbs this vital yet inherently unstable cytoskeletal system. Most of the concepts derived from a handful of model organisms become dogma of the field despite contrary observations. By overcoming a major limitation of biflagellate green alga Chlamydomonas - the intense autofluorescence common to photosynthetic cells - this dissertation discovered new phenomena of the microtubule system and conceived an invention. The microtubule system of the green …

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The Development And Psychometric Analysis Of The Mu- Fertility Knowledge Assessment Scale, Qiyan Mu Jul 2017

The Development And Psychometric Analysis Of The Mu- Fertility Knowledge Assessment Scale, Qiyan Mu

Dissertations (1934 -)

Young women between the ages of 18 to 24 experience disproportionally high rates of negative sexual and reproductive health outcomes. Inadequate and inaccurate fertility knowledge can hinder a young woman’s self-care abilities in managing her sexual and reproductive health. There is no validated instrument to assess young women’s fertility knowledge. The primary purpose of this study is to develop and evaluate the psychometric properties of the MU-fertility knowledge assessment scale (MU-FKAS) for young women. The secondary purpose is to explore the relationships among young women’s individual and contextual factors, self-perceived fertility knowledge, actual fertility knowledge, and fertility health risks. A …

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Neuromuscular Function In Women Postpartum, Rita Deering Jul 2017

Neuromuscular Function In Women Postpartum, Rita Deering

Dissertations (1934 -)

Efficient abdominal muscle function is important for functional mobility in men and women, and dysfunction of these muscles has been associated with impaired function such as low back pain. This dissertation explored abdominal muscle function in healthy young men and young women who have never been pregnant (nulligravid). As pregnancy and child birth also impact the tissues of the abdominal wall, this dissertation will also explore abdominal muscle function in postpartum women. This dissertation involved three primary aims. Aim1 compared abdominal muscle function and experimental pain perception in males and nulligravid females. Maximal strength over a range of trunk angles, …

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Examining The Durability Of Peers For Adolescents With Asd: Maintenance Of Neurological And Behavioral Effects, Bridget Kathleen Dolan Jul 2017

Examining The Durability Of Peers For Adolescents With Asd: Maintenance Of Neurological And Behavioral Effects, Bridget Kathleen Dolan

Dissertations (1934 -)

To date, there are no known published studies that have assessed the maintenance of treatment effects in the context of neurological changes and their relationship to behavioral outcomes following a social skills intervention for adolescents with Autism Spectrum Disorder (ASD). The few studies that have incorporated long-term assessment into their design have focused exclusively on sustained behavioral responses to treatment. Individuals with ASD across the lifespan exhibit aberrant neural activity, which is thought to underlie social skill deficits noted in persons on the spectrum. Thus, this study sought to examine the impact of a social skills intervention, the Program for …

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Aging, Executive Function, Fronto-Parietal Network Cortical Thickness: Insights From Cognitive Reserve, Katherine Reiter Jul 2017

Aging, Executive Function, Fronto-Parietal Network Cortical Thickness: Insights From Cognitive Reserve, Katherine Reiter

Dissertations (1934 -)

Cognitive reserve (CR) indexes the nonlinear relationship between neurological insult and behavioral change. CR is manifested in both static factors (e.g., childhood environment, education) and modifiable lifestyle factors, (e.g., leisure activities). Detailed investigation of the influence of CR on cortical thickness, which indexes neuropathology, and cognitive functioning could be particularly important in understanding the heterogeneity of Alzheimer’s disease (AD). While memory decline is the hallmark of AD, executive functioning (EF) decline often predates memory changes, making EF an important target for investigating CR influences. The current study examines the relationship of CR and genetic risk for AD (ε4) on EF …

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The Social And Historical Subject In Sartre And Foucault And Its Implications For Healthcare Ethics, Kimberly Siobhan Engels Jul 2017

The Social And Historical Subject In Sartre And Foucault And Its Implications For Healthcare Ethics, Kimberly Siobhan Engels

Dissertations (1934 -)

This dissertation explores Jean Paul Sartre’s and Michel Foucault’s view that subjectivity is socially and historically constituted. Additionally, it explores their corresponding ethical thought and how these viewpoints can be applied to ethical issues in the delivery of healthcare. Sartre and Foucault both hold the view that human beings as subjects are not just participants or spectators in social practices, rather, they become subjects with ontological possibilities through their interaction with these practices. In Chapter One, I trace Sartre’s views on subjectivity in his two major works Being and Nothingness and The Critique of Dialectical Reason, Volume 1, showing how …

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Relationship Of Exposure To Heart Failure Discharge Teaching To Readmission Within 30 Days, Becky Ann Pogacar Apr 2017

Relationship Of Exposure To Heart Failure Discharge Teaching To Readmission Within 30 Days, Becky Ann Pogacar

Dissertations (1934 -)

Heart Failure (HF) patients are at increased risk for higher rates of hospital readmission within 30 days. Previous studies have demonstrated educational interventions delivered by nurses reduce readmission but the relationship of the dose of teaching to HF readmission or ED utilization remains unclear. A retrospective correlational design framed by the General Outcomes Effectiveness Model was utilized to (1) establish a relationship between the dose of discharge teaching documented by acute care nurses and the outcomes of hospital readmission and ED utilization within 30 days of a previous hospital discharge and (2) identify the teaching components included in an evidence-based …

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The Cry Of The Poor: Anthropology Of Suffering And Justice In Health Care From A Latin American Liberation Approach, Alexandre Andrade Martins Apr 2017

The Cry Of The Poor: Anthropology Of Suffering And Justice In Health Care From A Latin American Liberation Approach, Alexandre Andrade Martins

Dissertations (1934 -)

This dissertation examines the connection between poverty and health inequalities from a liberation theological ethics perspective. It uses Simone Weil’s and Latin American liberation theology’s approaches to suffering and social justice as theoretical sources to address health inequalities and the suffering of the poor because of social injustice, vulnerability to diseases, and lack of healthcare assistance. First of all, these approaches are examined from how they shape an anthropology of suffering that enable us to understand the suffering of the poor and, at the same time, to recognize them as agents of their own liberation and struggle for justice in …

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Regulation Of System Xc-By The Neuropeptide Pacap: Implications For Glutamate Transmission In Drug Addiction, Linghai Kong Apr 2017

Regulation Of System Xc-By The Neuropeptide Pacap: Implications For Glutamate Transmission In Drug Addiction, Linghai Kong

Dissertations (1934 -)

Drug addiction is a chronic brain disorder characterized by heightened relapse susceptibility. Drug-induced aberrant glutamate signaling in corticostriatal circuitry contributes to behaviors in virtually every preclinical model of drug seeking and correlates with drug craving in human. Here, we propose that glutamate signaling is a product of integrated activity between neurons and astrocytes, such that disruptions within astrocytes can stem from abnormal neuronal signaling (e.g., altered corticostriatal firing) and be the source of additional disruptions in other neuronal circuits. The astrocytic mechanism studied in these experiments is system xc- (Sxc) since drug-induced changes to this non-vesicular glutamate release mechanism contribute …

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Pediatric Oncology Nurses' Experiences With Prognosis-Related Communication, Amy Rose Newman Apr 2017

Pediatric Oncology Nurses' Experiences With Prognosis-Related Communication, Amy Rose Newman

Dissertations (1934 -)

Health care providers (HCPs) in pediatric oncology are faced with the challenge of communicating the devastating news of a cancer diagnosis and prognosis. This type of communication can be referred to as prognosis-related communication (PRC). While the initial conversation with the patient and family regarding prognosis is generally considered the responsibility of the physician, patients and family members will subsequently turn to nurses for clarification of the information presented. If nurses are excluded from initial conversations, they may feel as though they are “working in the dark,” trying to answer questions while not contradicting what the physician said. This strained …

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