Medicine and Health Sciences Commons^™

The Impact Of Dynamic Furniture On Classroom Performance: A Pilot Study, Danielle M. Ivory

School of Occupational Therapy Master's Theses

The purpose of this study was to understand how dynamic classroom furniture may impact classroom performance such as attention, work neatness, and work completion in a second grade general education classroom of 19 students. All students in the classroom were included in this study to understand the implications of environmental modifications on the learning process in general education settings. A descriptive method provided information about the interaction of dynamic furniture on identified learning components. Three different dynamic furniture options were provided: Zuma chairs®, Disc‘O’Sits® (inflated seat cushions), and standing desks with the Original FootFidget®. The class was randomly divided into …

Experiences With A Service Dog Of An Adolescent With Spinal Muscular Atrophy, Sarah Onsager

School of Occupational Therapy Master's Theses

Adolescents with Spinal Muscular Atrophy (SMA) may receive occupational therapy services and may at times use service dogs. Literature suggests that service dogs can provide social and physical benefits to children and adults with physical disabilities, however little research has been published, especially with adolescents. A qualitative methodology was used to best gain insight on the daily life experiences with a service dog of a thirteen year old female adolescent with a diagnosis of SMA and her mother. Major themes that emerged from interviews included: A Process, A Special Bond, A Sense of Security, Increased Independence and Participation in Life, …

Adherence To Exercise In Phase Two Of Complete Decongestive Therapy, Melissa Giles

School of Occupational Therapy Master's Theses

Recent research has shown that most individuals with secondary lymphedema can safely engage in aerobic, resistive, and flexibility type exercises during Complete Decongestive Therapy (CDT) phase 2; however, adherence to exercise remains low for this population. Since lymphedema is a chronic disorder, strict adherence to CDT phase 2, or self-management of symptoms, is necessary. In general, it appears difficult for individuals to adhere to all components of CDT phase 2, namely wearing of the compression garment, nail and skin care, manual lymphatic drainage, and exercise. The current study sought to explore factors influencing follow through with the exercise routine prescribed …

Facilitating Psychosocial Adjustment To Traumatic Amputations: Perspectives Of Occupational Therapists, Jessica M. Malinowski

School of Occupational Therapy Master's Theses

The purpose of this qualitative study was to explore the perspectives and experiences of three occupational therapists in the United States in addressing psychosocial reaction and adjustment in the treatment of individuals with traumatic amputations. Occupational therapists with extensive experience working with clients with traumatic amputations were selected as participants. Data from the participant interviews revealed two major themes: (1) Individuals’ internal resources and response to amputation influence psychosocial adjustment and (2) Occupational therapists addressing psychosocial reactions in individuals with traumatic amputations in the context of treatment. The first theme “Individuals’ internal resources…” had two subthemes: (a) the influence of …

Effect Of Shoe Design And Gender On Valgus Angle, Mandy Warner

Summer Research

The purpose of this study was to determine the difference between genders in body position during jumping movements while wearing shoes with varying midsoles. Twenty-two apparently healthy female and seven males voluntarily participated in this study. Subjects were current or recently graduated NCAA division III athletes of weight bearing sports and familiar with plyometric jumping. Subjects performed plyometric jumps from three box heights (46 cm, 30.5 cm and 21.6 cm) while being filmed from both the front and side view. Each jump was completed wearing four different pairs of shoes. The subject was represented as digitized points designed to capture …

Assessing The Need For Occupational Therapy Services In Programs That Serve Youth Experiencing Homelessness In Washington State, Leanne Schaafsma

School of Occupational Therapy Master's Theses

The purpose of this descriptive study was to assess the potential role for occupational therapy with youth experiencing homelessness in WA state. Directors, of programs serving youth who have experienced homelessness in the past 12 months and were ages 13-19 years were surveyed. Twenty-two surveys were mailed out and 11 were returned, resulting in a response rate of 50%. Survey respondents were well educated and highly experienced, reporting 6-31 years of experience with youth who have experienced homelessness. Results revealed many life skills and performance areas that pose challenges for the youth as well as areas in which they likely …

“Clicked” Bivalent Multifunctional Ligands In Alzheimer’S Disease., Ronak Gandhi

Theses and Dissertations

Alzheimer’s disease (AD) is a neurodegenerative disorder characterized by beta-amyloid (Aβ) aggregation/oligomerization, biometal dyshomeostasis, oxidative stress, and neuroinflammation. The multifactorial nature of AD may indicate the therapeutic potential of multifunctional ligands that tackle various risk factors simultaneously as effective AD-modifying agents. This notion is further supported by the fact that while numerous AD-modifying agents targeting one single risk factor have been developed and a number of them entered clinical trials, none of them has been successfully approved by the FDA. Furthermore, neuronal cell membrane/lipid rafts (CM/LR) have been demonstrated to associate with all the indicated risk factors, indicating that this …

Hiv Protease Inhibitors Trigger Lipid Metabolism Dysregulation Through Endoplasmic Reticulum Stress And Autophagy, Beth Shoshana Zha

Theses and Dissertations

HIV protease inhibitors (PI) are core components of Highly Active Antiretroviral Therapy (HAART). HIV PIs are extremely effective at suppressing viral load, but have been linked to lipodystrophy and dyslipidemia, which are major risk factors for cardiovascular disease. Recent studies indicate that activation of endoplasmic reticulum (ER) stress is an important cellular mechanism underlying HIV PI-induced dysregulation of lipid metabolism. However, the exact role of ER stress in HIV PI-associated lipodystrophy and dyslipidemia remains to be identified. Hepatocytes and adipocytes are important players in regulating lipid metabolism and the inflammatory state. Dysfunction of these two cell types is closely linked …

Central Neural And Behavioral Correlates Of Voice Secondary To Induced Unilateral Vocal Fold Paralysis, Ashwini Joshi

University of Kentucky Doctoral Dissertations

Understanding the involvement of the central nervous system (CNS) in voice production is essential to incorporating principles of neuroplasticity into therapeutic practice for voice disorders. Early steps to attaining this goal require the identification of specific neural biomarkers of the changes occurring in the CNS from a voice disorder and its subsequent treatment. In the absence of an adequate animal vocalization model, the larynx has not been acutely and reversibly perturbed to concurrently examine the effect on both peripheral and central processing of the altered input/output.

Using a unique, reversible perturbation approach, it was the purpose of this study to …

The Effect Of Two Different Implant Systems On Bony Changes In Mandibular Implant Supported Overdenture, Fardos N. Rizk, Eatmad Elrekaby, Azza Farahat

Dentistry

objective: This study was conducted to evaluate the bone changes that may occur around Legacy I implants and NanoTite Tapered implants supporting mandibular overdentures utilizing cone beam computed tomography (CBCT). materials and methods: Fourteen completely edentulous male patients were randomly divided into two equal groups. Group I: Each patient received two Legacy I implants. Group II: Each patient received two NanoTite Tapered Implants. All implants were inserted bilaterally in the mandibular canine region. For all patients conventional complete dentures were constructed before implants placement. After complete osseointegration of implants, dome shaped healing collars were screwed to the implants upon which …

The Pulmonologist's Role In Caring For Pregnant Women With Regard To The Reproductive Risks Of Diagnostic Radiological Studies Or Radiation Therapy, Robert L. Brent Dr.

The Selected Works of Robert Brent

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The Role Of The Pediatrican In The Effort To Prevent Congenital Malformations, Robert L. Brent Dr.

The Selected Works of Robert Brent

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The Professonal Responsibility Model Of Obstetrical Ethics: Avoiding The Perils Of Clashing Rights, Robert L. Brent, Frank A. Chervenak, Md, Laurence B. Mccullough, Phd

The Selected Works of Robert Brent

Obstetric ethics is sometimes represented by polarized views. One extreme asserts the rights of the fetus as the overwhelming ethical consideration. Both assertions are overly simplistic. Such oversimplification is called reductionism. This article explains the fallacy of rights-based reductionism and 2 models of obstetric ethics based on it and explains why the fetal rights reductionism model and the pregnant woman's rights reductionism model result in conceptual and clinical failure and therefore should be abandoned. The article argues for the professional responsibility model of obstetric ethics, which emphasizes the importance of medical science and compassionate clinical care of both the pregnant …

The Impact Of Providing Rehab Mobility Equipment To Those In Need, Bruce Stelmack, Brian Leitten

Case Studies from Age in Action

Educational Objectives

1. Discuss the need to provide rehabilitation mobility equipment at no cost to those who have no other means to obtain it.

2. Assess the impact on a community when mobility equipment for underinsured impaired persons (“at risk”) cannot be secured.

3. Describe a successful recycling program that provides free rehabilitation mobility equipment.

4. Explain the importance of a community- based model to provide rehabilitation equipment.

Universal Design In Housing, Steve Hansler, Beth Glas

Case Studies from Age in Action

Educational Objectives

1. Show how an aging population increases the need for housing that is accessible and adaptable.

2. Define visitability, universal design, and accessible design.

3. Explain ways to approach universal design including key factors.

4. Illustrate how universal design can be used in both renovation and new construction.

Alcohol, Medications, And Older Adults, Mailtreyee Mohanty, Patricia Slattum

Case Studies from Age in Action

Educational Objectives

1. Describe patterns of simultaneous use of alcohol and Central Nervous System (CNS) - acting medications among older adults.

2. Understand the mechanisms of interaction between alcohol and CNS-acting medications and their consequences.

3. Identify strategies to prevent alcohol-medication interactions among older adults.

4. Recommend resources for older adults and service providers for identifying and managing problematic alcohol and medication use.

Habilitation Therapy In Dementia Care, Paul Raia

Case Studies from Age in Action

Educational Objectives

1. To describe the goal of Habilitation Therapy and how it differs from other methods of dementia care, including rehabilitation.

2. To identify areas or domains in which we have opportunities to bring about and sustain positive emotions.

3. To discuss four communication strategies to use with mid- to laterstage Alzheimer’s patients.

Baby Boomers And Stereotypes, Edward F. Ansello

Director's Editorials from Age in Action

With age we become more and more like ourselves. This would mean millions and millions of individual Baby Boomers, each with his or her own characteristics and life trajectory. Stereotyping would, therefore, be wrong, but it is happening.

Forever Young, Edward F. Ansello

Director's Editorials from Age in Action

Gerontologists theorize that each of us is shaped by the influences of cohort and historical time. If there's a oneness of who we were and who we are, then Bob Dylan's music is in many of us. Forever Young is not a paean to age denial. Rather, it seems to invoke virtues or characteristics that never grow old: charity to others, acceptance of kindness, hope, righteousness, courage, fortitude, industriousness, and joy.

Falls, Edward F. Ansello

Director's Editorials from Age in Action

Falls are common, affecting about one third of community-dwelling adults over age 65 and about half over age 80. The risk factors for falling are complex, and falls may themselves be a signal for other troubling conditions. When fear of falling emerges as an issue for some elders, they are likely to reduce their activities, thinking that this will reduce their risk, and isolation and depression can ensue. There are teaching roles for nurses, physicians, and physical therapists in sharing with other professions how to assess gait, vision, or dizziness.