Thesis (M.A.)--Northern Kentucky University, 2009. / Made available through ProQuest. Publication number: AAT 1467648. ProQuest document ID: 1850697981. Includes bibliographical references (p. 25-27)

Thesis (Ph. D.)--Duke University, 2008.

Thesis (Ph.D.)--Duquesne University, 2009. / Title from document title page. Abstract included in electronic submission form. Includes bibliographical references (p. 161-178) and index.

Thesis (M.A.)--Northern Kentucky University, 2006. / Made available through ProQuest. Publication number: AAT 1436701. ProQuest document ID: 1166591451. Includes bibliographical references (p. 30-32)

Please read the abstract in the section 00front of this document. / Dissertation (MMed)--University of Pretoria, 2006. / School of Health Systems and Public Health (SHSPH) / Unrestricted

Primary prevention in health care services has effected important economies through prevention of handicap in children and through the reduction of financial and time costs for expensive, often life-time care. An important recent development in education has been the application of the concept to the innovation of preventive practices. These emphasize the promotion of competencies and strengths in children, particularly during critical periods in development, rather than the treatment of emotional, behavioral and learning deficits. This research investigated the immediate effects of a preventive programme, a modification of the Bessell and Palomares Methods in Human Development (MHDP), upon the learning of competencies and coping skills associated with cognitive and ego development in kindergarten and first grade children. The literature suggested a critical period at this point in ego development. Using a sample of 103 metropolitan kindergarten and first grade children, the effects of the Bessell and Palomares programme were compared to the effects of another discussion group method, Show-and-Tell. A fully-crossed fixed-effects three-factor design was used to test eight hypotheses; treatment main effects, sex and grade-level effects and all possible interactions. The dependent variables selected as representative of cognitive and ego development were: cognitive performance competency as measured by (1) minutes spent in mature problem-solving behavior on the Keister Puzzle Box and (2) school achievement (for first grade pupils only); social competency as measured by scores received on measures of (1) teacher perception of dysfunctional behavior, (2) peer perception of observed socially positive or neutral behavior, and (3) peer affiliation; affective competency as measured by scores received on measures of (1) the child's predominant emotional response to life and (2) the child's feelings of independent security (for first grade pupils only). Results pertaining to hypotheses were: 1. A significant multivariate F revealed differences between the two treatments. These differences were accounted for by changes in two of the social competency measures, the teacher behavior rating and the peer perception measure. For both measures the students taught under the modified Methods in Human Development programme (MHDP) gained significantly more than those taught under Show-and-Tell (SAT). 2. A significant interaction was found between treatment and grade-level, with followup univariate analyses showing a significant F for the measure of teacher perception of dysfunction. For kindergarten students taught under MHDP there was a greater reduction than for students taught under SAT. There was no statistical difference for first grade pupils. 3. Informal results were also presented which gave additional support to the effectiveness of the MHDP programme, particularly at the kindergarten level. 4. All other null hypotheses were accepted. A discussion of results included the following points: 1. In spite of the relatively brief, treatment period (18 weeks), the substantive impact of the treatment upon overt social functioning was noteworthy. Such positive functioning had been identified in the literature as predictive of adult competence. 2. While the peer affiliation measure was not significant, some informal results suggested a modest increase in social effectiveness for the Bessell and Palomares participants. 3. Possible weaknesses in instrumentation and the programme omissions necessitated by time restrictions may have contributed to the lack of clear results, particularly for first grade students. 4. Informal results from the standardized problem-solving situation seemed promising in providing valuable information on the behavioral or temperamental and cognitive styles of children. It was conjectured that such observational data would be helpful in educational planning for young children. Suggestions were made for further research particularly with the full grade one programme and on the use of the problem-solving device. / Education, Faculty of / Graduate

Thesis (M.S.)--University of Michigan, 1979.

Thesis (M.S.)--University of Michigan, 1979.

The United States has experienced an increase in older workers as individuals born between 1946 and 1964 have remained in the labor force. Preventive health screening education, such as an immunization flyer, is necessary to avert preventable illness among older workers. Based on previous research, there is a gap regarding age-specific methods for educating the older worker about preventive health. Therefore, the purpose of this study was to explore the relationship between various media providing preventive health screening information and the assessed health literacy of the older worker. Based on the health belief model, a quantitative, cross-sectional method was used. A population of older workers (n = 159), starting at age 45, of diverse racial groups and job types, was surveyed to determine their health literacy, preventive health screening knowledge, and frequency of exposure to diverse types of media that facilitate preventive health education. Analysis of variance was used to evaluate the relationship between the various media providing preventive health screening used by the older worker and the health literacy of the older worker. According to the study, the 45-54 age group had the lowest health literacy scores, and all age groups possessed comparable knowledge of preventive health screening education. Finally, 2 types of media 'television and radio' were effective in improving health literacy by exposure, and 4 types of media 'television, radio, newspaper, and Internet' were perceived effective in providing preventive health education. Implications for positive social change included age-specific methods for educating the older worker about preventive health, which could, in turn, reduce morbidity and mortality caused by preventable diseases such as cancer and heart disease.

Bakgrund: Lymfödem är en besvärande komplikation efter bröstcancerkirurgi. Det kan leda till svullnad, smärta och rörelseinskränkningar i den drabbade armen. Det är ett kroniskt och svårbehandlat tillstånd. Syfte: Att sammanställa vetenskaplig litteratur som beskriver omvårdnadsåtgärder utförda av sjuksköterskan och metoder för egenvård utförda av patienter för prevention och behandling av lymfödem efter bröstcancerkirurgi. Metod: PubMed användes som databas för insamling av artiklar under februari 2016. Fyra kombinationer av sökorden “blood draws”, “lymphedema”, “self-management”, “nurse”, “breast cancer” samt “knowledge” användes. Artiklarna sammanställdes och kvalitetsgranskades. Resultat: Tio relevanta vetenskapliga originalartiklar identifierades; sju med kvantitativ metod och tre med kvalitativ metod. Blodprovstagningar, infusioner, blodtrycksmätningar, trauma och flygresor innebar inte en ökad risk för lymfödem trots rådande rekommendationer om att detta bör undvikas. Patientundervisning från sjuksköterskan och egenvård var viktigt för att förebygga och behandla lymfödem. Patientundervisningen upplevdes emellertid som bristfällig av flertalet patienter och sjuksköterskor måste utveckla sin kompetens inom detta område. Majoriteten av patienterna var medvetna om egenvårdens betydelse, men trots detta utfördes den inte av alla. Bristande kunskap och stöd var två svårigheter som identifierades. Regelbunden träning minskade risken för lymfödem. Slutsats: Vissa rekommendationer om omvårdnadsåtgärder relaterade till lymfödem bör ses över. Patientundervisning tycks vara en förutsättning för egenvård och bör få större utrymme. Egenvård har visat sig effektivt, och strategier för att hantera olika hinder behövs. Sjuksköterskan kan ses som en resurs i omvårdnaden av denna patientgrupp och har en viktig funktion som ansvarig för såväl medicinsktekniska procedurer som patientundervisning och stöd vid egenvård. / Background: Lymphedema is a feared complication after breast cancer surgery, causing swelling, pain and restriction of mobility in the affected arm. This condition is chronic and difficult to treat. Aim: To compile scientific literatur describing nursing activities and methods for self care performed by patients for prevention and treatment of lymphedema after breast cancer surgery. Methods: The PubMed database was used for data collection during february 2016. Four combinations of the search terms “blood draws”, “lymphedema”, “self-management”, “nurse”, “breast cancer” and “knowledge” were used. A quality review and an analysis of the results were conducted. Results: Ten relevant scientific original articles were identified; seven using a quantitative design and three using a qualitative design. Blood sampling, infusions, blood pressure measurements, trauma and air travel did not increase the risk of lymphedema despite current recommendations that this should be avoided. Patienteducation by nurses and self care were important to prevent and treat lymphedema. However, the education was perceived as inadequate by several patients, suggesting that nurses must expand their knowledge in this area. Although most patients were aware of the importance of self care, it was not performed by everyone. Lack of knowledge and support were two difficulties identified. Regular exercise decreased the risk of lymphedema. Conclusions: Some recommendations concerning nursing care related to lymphedema should be reconsidered. Patienteducation seems to be a condition for self care and should be given greater emphasis. Self care has been proven effective, and strategies for dealing with difficulties are needed. The nurse may be considered as a resource in nursing care for this group of patients and has an important function as responsible for blood sampling, injections and blood pressure readings as well as patienteducation and self care support.