Medicine and Health Sciences Commons^™

Does The Type Of Dual Cognitive Task Impact Gait Variability Using The Quantitative Timed Up And Go (Qtug) In Community-Dwelling Adults?, Laurie G. Hiatt

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background and Purpose: The purpose of this study was to determine how different cognitive dual-tasks impact gaitvariability in community-dwelling adults using the Quantitative Timed Up and Go (QTUG).

Methods: Participants aged 65 and older were recruited from two communities in Iowa and Wisconsin. Inclusion criteria: theability to stand and ambulate without an assistive device, having no orthopedic surgical procedures in the previous six weeks, living independently in the community, demonstrating corrected vision and ability to read, sufficient auditory function to carry on a conversation and ability to follow directions. Participants needed to follow three step commands and have no history …

Heat Generation Of Bulk-Fill Composites Polymerized By Multipeak Versus Single Peak Light Curing Units, Fahad Baabdullah

Student Theses, Dissertations and Capstones

Background: Multipeak light-curing units (LCUs) are gaining popularity due to potential need to activate different photoinitiators. One of the risks associated with using LCUs is heat generation which can reach the pulp chamber through restorative materials and may cause an adverse pulp reaction. However, there is a limited data on heat generation potential of multipeak as compared to single peak LCUs.

Objective: Evaluate the difference in heat generation, and transmission from single peak versusmultipeak LED-LCUs through dentin and different bulk-fill resin-based composites (BFRCs) at pulpal wall (PW).

Materials and Methods: A single extracted sound human molar was used for standardized …

Identifying Attitudes And Knowledge Deficits Regarding Constipation In The Neurosurgical Patient: A Quality Improvement Project, Denise Trestyn Diaz

Student Theses, Dissertations and Capstones

Background: Constipation is a common problem in hospitalized patients worldwide. The providers’ lack of knowledge of the complications that can occur from constipation lead to increased discomfort and increased healthcare costs. Purpose: The purpose of this evidence-based practice education intervention was to improve neurosurgical health providers’ knowledge and attitudes on constipation prevention in neurosurgical patients. Theoretical Framework: Kolcaba’s Comfort Theory was used to guide this project. Methods: A pre- and post-test survey design guided this project. The physicians, nurse practitioners, and nurses completed a pre-test and post-test survey on prevention of constipation in the neurosurgical patient before and after the …

Pediatric Insomnia And Sensory Processing: Exploring The Role Of Occupational Therapy Practitoners In Sleep Medicine, Jason Browning

Occupational Therapy Program Student Theses, Dissertations and Capstones

Background. Since the founding of occupational therapy, the occupation of sleep has existed within the scope of practice for practitioners. Sleep disturbances in pediatric clients are estimated to be between 20% and 40% (Galland, Taylor, Elder, & Herbison, 2012; Mindell, Telofski, Wiegand & Kurtz, 2009; Meltzer, Johnson, Crosette, Ramos, & Mindell, 2010; Owens & Mindell, 2011; Sadeh, Mindell, & Owens, 2011). Deficits insensory processing of pediatric clients play a role in daily functioning and possibly in the ability to settle and transition to sleep (Dunn, 2001; Foitzik & Brown, 2018). Purpose. The purpose of this study is to explore the …

Oral Probiotic Supplementation As An Adjunct To Non-Surgical Therapy In Peri-Implantitis Lesions: A Pilot Study, Po-Ning Polly Huang

Student Theses, Dissertations and Capstones

Introduction: During the last decade, the results of several clinical studies suggested that oral probiotics may potentially improve oral health. The first study examining the effects of probiotics on oral health demonstrated that almost every patient with gingivitis, periodontitis or pregnancy gingivitis, had significant improvements in measurable periodontal indices when they were treated with a locally administered culture supernatant of a Lactobacillus acidophilus strain. This finding sparked several other studies to further examine the potential for treating oral diseases, such as, combating halitosis, oral candidiasis, and dental caries with probiotics. Of our interest, Fernandez et al. and Hollstrom et al. …

Implications Of A Multicomponent Sleep Program After Brain Injury: A Mixed Methods Study, Brandi M. Fulwider

Occupational Therapy Program Student Theses, Dissertations and Capstones

Decreased sleep can negatively affect mental and physical health and can significantly disrupt participation in daily occupations and leisure interests. Even though sleep is an area of occupation, there is limited evidence on the effectiveness of occupational therapy interventions for sleep. The purpose of this embedded mixed methods research study was to identify how disruptions in sleep affected daily occupational performance and to understand the effectiveness of occupational therapy- directed non-pharmacological sleep interventions for three participants in a community re-entry program for brain injury. This study utilized a single-subject research design during a 4- to 5-week multicomponent sleep program using …

Dentists’ Communication Skills As Determinants Of Patient Initiation Of Treatment, Nojoud Omar A Balubaid

Student Theses, Dissertations and Capstones

In the medical field literature, studies allude to the importance of interpersonal relationships between the caregiver and the patient. Communication has been highlighted as a key factor that mediates the doctor to patient relationship. This study investigated the relationship between patient initiation of treatment with the patients’ perceptions of the quality of the dentist-patient communication. A cross-sectional study that solicited from patients seeking services at Nova Southeastern University Post-Graduate Dental Programs responses to a questionnaire that measured patient’s perception of the quality of communication of the attending dentist. The participants of the study were patients of the NSU Post-graduate dental …

Transitioning From Individualized Pediatric Dental Care Of Children With Autism Spectrum Disorder At The Mailman Segal Dental Clinic To Traditional Dental Settings, Toni-Marie Small

Student Theses, Dissertations and Capstones

Background: Children with special healthcare needs (SHCN) such as Autism Spectrum Disorder (ASD) usually develop strong bonds with their pediatric dental care provider. However, as they mature, transitioning to other services or providers is necessary. Low rates of successful transition of children with SHCN have gained national attention especially since their lifelong conditions require continuous care. It is important to facilitate a smooth transition among providers; dental care providers specifically. These transitions are imperative to prevent these children from losing access to dental care as they mature. This pilot study seeks to describe the proportion of children with ASD seen …

Dental Visual Support Schedule App For Behavior Management Of Pediatric Dental Patients With Autism: Pilot Study, Ana Lina Gonzalez Caceres

Student Theses, Dissertations and Capstones

Background: Autism Spectrum Disorder (ASD) is a prevalent neurodevelopmental disorder in the U.S (about 1 in 54 children). Treating children with ASD in the dental office can be challenging due to their impairments in social interactions, communication and aversive behavior. Visual Support Schedules are visual aids or picture cues that have been beneficial for the behavior management of patients with ASD. There are limited studies regarding effective behavior management techniques that could help those patients have a better experience at the dentist. Methods: A Visual Support Schedule App was used for behavior management compared to Tell Show DO (TSD) on …

Relationship Between Alpha-1 Antitrypsin Deficiency And Obstructive Sleep Apnea, Lindsay Megenhardt

Health Sciences Program Student Theses, Dissertations and Capstones

Alpha-1 antitrypsin deficiency (AATD) is a genetic condition that causes inadequate production of the alpha-1 antitrypsin (AAT) protein, which is known to protect connective tissues in the body from destruction. The purpose of this dissertation study was to identify if individuals with mild to severe AATD are at higher risk for developing obstructive sleep apnea than the general population. The investigator hypothesized there would be a higher prevalence of OSA in the AATD population due to the etiology of disease. A seven-question sleep apnea risk assessment questionnaire, STOPBAG, was applied to the retrospective, de-identified, self-reported 2,338 participant responses from the …

College Of Pharmacy 2020, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Perspectives Winter/Spring 2020, Nova Southeastern University

Perspectives

Dr. Pallavi Patel College of Health Care Sciences

Does One Session Of Pre-Operative Pelvic Floor Muscle Training Aid In Improving Urinary Incontinence Immediately Following Robotic Assisted Radical Prostatectomy? A Retrospective And Pilot Study, Francine Noel-Ford

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: Despite advancements in surgical techniques through the use of robotic assisted radical prostatectomy, urinary incontinence remains the most common side effect following surgery affecting men’s quality of life.

Objective: To explore the role of a single pre-operative pelvic floor muscle training session. To determine if men who receive the training session have a decrease incidence of incontinence post-op, whether pelvic floor muscle strength pre-operatively is an independent predictor of urinary incontinence, and the impact of incontinence on quality of life in men following a robotic-assisted radical prostatectomy in the early stages post-operatively.

Design: A two part study with a …

Neck Muscle Composition In Persistent Whiplash Associated Disorder: A Relationship With Disability, Bradford G. Callan

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose/hypothesis: Neck pain and related symptoms following a motor vehicle collision (MVC) can significantly influence the quality of life for some people. While the MVC related mechanics of the head and neck gives rise to the term whiplash, the signs and symptoms of neck related disability are often complex and are clinically referred to as whiplash associated disorder(WAD). Muscle fatty infiltrate (MFI) has been associated with persistent WAD, but its influence on the generation and maintenance of WAD is largely unknown. The purpose of this study was to evaluate the relationship between MFI and baseline demographic variables related to persistent …

How 6-12th Grade Staff Support Students With Depression: A Pilot Study To Develop Measures Of Implicit Associations, Explicit Attitudes And Helping Behavior, Paul M. Thompson

Electronic Theses and Dissertations

Students with emotional disabilities are disproportionately suspended and expelled in K-12 schools. Attribution theory suggests individuals are less likely to provide assistance to others if they believe the individuals are responsible for their own difficulties. To test attribution theory, this study created new measures of explicit attitudes and implicit associations of licensed 6-12th grade staff regarding students with depression as well as a helping behavior measure of staff toward students with depression. The survey was distributed within a single school district in the western United States. A majority of the sample (N = 52) held a mental health license (60%), …

Cardiovascular: Outcomes And Innovations Report, Maine Medical Center

Annual Reports

2020 Annual Report

Service-Learning As Global Citizenship Education: Acting Locally On Global Challenges And Concerns, Genejane M. Adarlo

Health Sciences Faculty Publications

Service-learning is a method of teaching that is increasingly used in higher education. Studies are few though on how local placements in service-learning can bring about global citizenship and promote social justice. Hence, this study used multi-sited ethnography to examine the teaching-learning process of service-learning to better understand the construction of civic identity and sense of agency among students when this method of teaching was approached within the larger context of social justice. Study participants included students taking part in service-learning efforts for literacy and maternal health from Miriam College and Ateneo de Manila University, respectively. Data were gathered and …

Assessing Trends In Industry Payments To Orthopaedic Surgeons: A Sub-Specialty Analysis, Neil Pathak

Yale Medicine Thesis Digital Library

Background: The Open Payments Database (OPD), mandated by the Sunshine Act, is a listing of physician-industry payments. With the growing scrutiny of such transactions, the present study aims to characterize and investigate trends in industry payments to orthopaedic surgeons using four full years of data available. The study assessed payments to four orthopaedic sub-specialties: (1) pediatric surgery, (2) foot and ankle (F&A) surgery, (3) spine surgery, (4) adult reconstructive surgery. As the majority of industry payments were classified as General (other categories are Research and Ownership), the present study primarily focused on General payments.

Methods: Industry payments were characterized by …

Defining Psychological Resilience And Determining Long-Term Mental And Physical Health Outcomes In Male And Female West Point Graduates, Melissa Thomas

Yale Medicine Thesis Digital Library

We examined what defines psychological resilience in graduates of the United States Military Academy at West Point, a special population that was selected and trained to adapt and excel in the face of risk factors that can adversely affect mental and physical health. We also assessed self-reported mental and physical health in this population and compared these data to other veteran and civilian populations to lay the groundwork for further investigations into the relationship of resilience to health outcomes. The aims of this study were to: 1) employ a novel approach to operationalizing psychological resilience, defined as adapting well and …

Best Practice For Teaching Manual Therapy Techniques To Occupational Therapy Practitioners, Deana K. Jackson

Occupational Therapy Doctorate Capstone Projects

Abstract

Occupational therapy practitioners do not always know how to treat the painful shoulder and this may be due to a lack of education regarding manual therapy. This research project is designed to determine the best practice for teaching manual therapy techniques to occupational therapy providers by providing an in-service to teach new knowledge and skills regarding manual therapy to improve patient care by reducing client shoulder pain. Three types of learning styles were used which include: behaviorist theory, constructivism, and active learning strategies. The design was a two-tailed T test with a pretest/posttest to evaluate knowledge of the participants …

Promoting Writing Development In Preschoolers, Claudia M. Ortiz

Occupational Therapy Doctorate Capstone Projects

Background: Providing extended opportunities for early writing and early literacy for preschool children into the lessons will enhance their writing skills. Purpose: The purpose of this capstone was to examine the effectiveness of providing a structured early writing plan to the preschool children to promote writing development and early literacy skills.

Theoretical Framework. The Model of Human Occupation (MOHO) guided this study. Methods. This quasi-experimental research measured the emerging writing and early literacy levels of a selected group of 12 preschool students. The Learning Without Tears (LWT) Pre-k Assessments, the Readiness & Writing, and the Language & Literacy were used …

Ua25 Memoranda, Wku Strategy, Operations & Finance

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Memoranda issued by WKU Strategy, Operations & Finance to faculty & staff via email.

• Bookstore
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Ua12/4 Student Affairs Health Services, Wku Archives

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Records created by Health Services.

Bill Gatton College Of Pharmacy Viewbook - 2020, Bill Gatton College Of Pharmacy, East Tennessee State University

Bill Gatton College of Pharmacy Miscellaneous Publications

No abstract provided.

Dress Like Me: An Exploration Of Rural Graduate Social Work Attire, Jody Long, Jocelyn Martin, Audra Pierce, Sean Creech, Stephen Guffey

Contemporary Rural Social Work Journal

During graduate school internship training, some students wear more formal attire and others casual attire. This study’s purpose was to explore rural areas clients’ preference for graduate social work interns’ attire. Clients from internship sites located in a rural southern location were asked their attire preferences based on comfort and confidence levels, degree of warmth, returning appointments, and during a crisis. One hundred and twenty-six subjects participated in the study and responded that casual dress was preferred in terms of specific impressions. The results of the study were to build rapport; graduate social work interns should consider their clientele when …

Role Of Helicobacter Pylori Infection In Development Of Gastrointestinal Malignancy, Zilola Khashimova

Physician Assistant Studies | Faculty Scholarship

Introduction. Helicobacter Pylori (HP) infection has been associated with chronic inflammation of the stomach and may also be associated with the development of gastrointestinal malignancy.

Purpose of Study: This study will examine the literature related to HP infection associated with the cancers of the stomach.

Materials and Methods: A literature review was conducted on the reported research of HP infection associated with gastric cancer cases.

Results and Discussions: Helicobacter pylori is a gastric pathogen that colonizes approximately 50% of the world’s population. Infection with H. pylori causes chronic inflammation and significantly increases the risk of developing …

Sources And Toxicity Of Mercury In The San Francisco Bay Area, Spanning California And Beyond., Mietek Kolipinski, Mani Subramanian, Kristina Kristen, Steven Borish, Stacy Ditta

Natural Sciences and Mathematics | Faculty Scholarship

This report synthesizes and evaluates published scientific literature on the environmental occurrence and biomagnification of mercury with emphasis on the San Francisco Bay Area (SFBA), California. Mercury forms various compounds, well known for their toxicity in humans and environmental ecosystems. Elemental mercury is transported and distributed by air, water, and sediments. Through the metabolic processes of algae and bacteria, mercury is converted into organic compounds, such as methylmercury (MeHg), which then bioaccumulates up through trophic levels. In fish, it is found primarily in skeletal muscle, while in humans, the primary target organs are the brain and kidneys. Health concerns exist …

Growth Hormone Deficiency In Megalencephaly-Capillary Malformation Syndrome: An Association With Activating Mutations In Pik3ca, Shanlee Davis, Meredith A Ware, Jordan Zeiger, Matthew A Deardorff, Katheryn Grand, Adda Grimberg, Stephanie Hsu, Megan Kelsey, Shideh Majidi, Revi P Matthew, Melanie Napier, Natalie Nokoff, Chitra Prasad, Andrew C Riggs, Margaret L Mckinnon, Ghayda Mirzaa

Paediatrics Publications

Megalencephaly-capillary malformation syndrome (MCAP) is a brain overgrowth disorder characterized by cortical malformations (specifically polymicrogyria), vascular anomalies, and segmental overgrowth secondary to somatic activating mutations in the PI3K-AKT-MTOR pathway (PIK3CA). Cases of growth failure and hypoglycemia have been reported in patients with MCAP, raising the suspicion for unappreciated growth hormone (GH) deficiency. Here we report an observational multicenter study of children with MCAP and GH deficiency. Eleven participants were confirmed to have GH deficiency, all with very low or undetectable circulating concentrations of insulin-like growth factor-1 and insulin-like growth factor binding protein-3. Seven underwent GH stimulation testing and all had …

The Pancreas-Specific Form Of Secretory Pathway Calcium Atpase 2 Regulates Multiple Pathways Involved In Calcium Homeostasis, Melissa Fenech, Mckenzie M Carter, Peter B Stathopulos, Christopher Pin

Paediatrics Publications

Acinar cell exocytosis requires spatiotemporal Ca²⁺ signals regulated through endoplasmic reticulum (ER) stores, Ca²⁺ATPases, and store-operated Ca²⁺ entry (SOCE). The secretory pathway Ca²⁺ATPase 2 (SPCA2) interacts with Orai1, which is involved in SOCE and store independent Ca²⁺ entry (SICE). However, in the pancreas, only a C-terminally truncated form of SPCA2 (termed SPAC2C) exists. The goal of this study was to determine if SPCA2C effects Ca²⁺ homeostasis in a similar fashion to the full-length SPCA2. Using epitope-tagged SPCA2C (SPCA2C^FLAG) expressed in HEK293A cells and Fura2 imaging, cytosolic [Ca²⁺] was …

Intranasal Dexmedetomidine For Procedural Distress In Children: A Systematic Review., Naveen Poonai, Joseph Spohn, Ben Vandermeer, Samina Ali, Maala Bhatt, Shawn Hendrikx, Evelyne D Trottier, Vikram Sabhaney, Amit Shah, Gary Joubert, Lisa Hartling

Paediatrics Publications

CONTEXT: Intranasal dexmedetomidine (IND) is an emerging agent for procedural distress in children.

OBJECTIVE: To explore the effectiveness of IND for procedural distress in children.

DATA SOURCES: We performed electronic searches of Medline (1946-2019), Embase (1980-2019), Google Scholar (2019), Cumulative Index to Nursing and Allied Health Literature (1981-2019), and Cochrane Central Register.

STUDY SELECTION: We included randomized trials of IND for procedures in children.

DATA EXTRACTION: Methodologic quality of evidence was evaluated by using the Cochrane Collaboration's risk of bias tool and the Grading of Recommendations Assessment, Development, and Evaluation system, respectively. The primary outcome was the proportion of participants …