Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Electronic Theses and Dissertations

Discipline
Institution
Keyword
Publication Year
File Type

Articles 1 - 30 of 1868

Full-Text Articles in Medicine and Health Sciences

Primary Cilia Of The Cardiac Neural Crest & Hedgehog-Mediated Mechanisms Of Congenital Heart Disease, Lindsey A. Fitzsimons May 2022

Primary Cilia Of The Cardiac Neural Crest & Hedgehog-Mediated Mechanisms Of Congenital Heart Disease, Lindsey A. Fitzsimons

Electronic Theses and Dissertations

Elimination of primary cilia in cardiac neural crest cell (CNCC) progenitors is hypothesized to cause a variety of congenital heart defects (CHDs), including atrioventricular septal defects, and malformations of the developing cardiac outflow tract. We present an in vivo model of CHD resulting from the conditional elimination of primary cilia from CNCC using multiple, Wnt1:Cre-loxP, neural crest-specific systems, targeting two distinctive, but critical, primary cilia structural genes: Intraflagellar transport protein 88 (Ift88) or kinesin family member 3A (Kif3a). CNCC loss of primary cilia leads to widespread CHD, where homozygous mutant embryos (MUT) display a variety of outflow tract malformations ...


Assessment Of Cellular Alignment And Proliferation On Cellulose Nanofibril(Cnf) Films, Sahar Roozbahani May 2022

Assessment Of Cellular Alignment And Proliferation On Cellulose Nanofibril(Cnf) Films, Sahar Roozbahani

Electronic Theses and Dissertations

Research on novel biomaterials to address current limitations associated with bone grafting is currently of high demand. Current treatment options for bone regeneration are facing challenges such as donor site morbidity and limited availability, immune rejection, and disease transmission. Research conducted on natural polymers to mimic Extracellular matrix (ECM)structure of bone tissue demonstrated their strong potential to spur bone regeneration. Engineered scaffolds that are inspired by oriented collagen/Hydroxyapatite (HA)structure in natural bone are promising biomaterials that can provide an ECM like structure for primitive mesenchymal cells to grow and differentiate to the bone cells. Cellulose nanofibril (CNF ...


Dental Students' Perceptions Of Dental Hygienists' Education And Scope Of Practice, Cynthia Metzger May 2022

Dental Students' Perceptions Of Dental Hygienists' Education And Scope Of Practice, Cynthia Metzger

Electronic Theses and Dissertations

Oral health is strongly correlated to systemic health in the United States. Dental professionals play a significant role in addressing the oral health and prevention of disease for populations in the United States. Because many areas in the United States lack access to dental care, the federal government considers dental hygienists part of the solution. It is now paying attention to restrictive dental hygiene scope of practice rules in each state. State dental boards, comprised mainly of dentists, make these rules based on their perception of dental hygienists' lack of education. This study explored fourth-year dental students' perceptions of the ...


Positive And Negative Deviant Counties: Identification Of Factors Associated With Health Outcomes, Olivia Egen May 2022

Positive And Negative Deviant Counties: Identification Of Factors Associated With Health Outcomes, Olivia Egen

Electronic Theses and Dissertations

Rural counties in the United States vary drastically on metrics related to socioeconomic status and dominant economic industry as well as health behaviors and outcomes. This study sought to understand the underlying structural reasons why some rural counties have better or worse than expected health outcomes using a positive deviance (PD) approach. The study aimed to: 1) create an area deprivation index and divide counties into quartiles using the index; 2) identify positive, negative, and non-deviant counties using health outcome metrics; 3) analyze differences between deviance on a variety of local public health system metrics; and 4) analyze differences between ...


Nurses Leading In Bridging The Culture Gap: Communicating With The Deaf Community, Veronica C. Leftridge May 2022

Nurses Leading In Bridging The Culture Gap: Communicating With The Deaf Community, Veronica C. Leftridge

Electronic Theses and Dissertations

Nurses provide patient care in clinics, hospitals, homes, churches, schools, communities, and military, as well as on emergency medical helicopters. When a nurse is assigned to care for a patient, the patient expects the nurse to be culturally competent, communicate effectively, and provide safe quality care. However, cultural incompetence is observed when nurses provide care for Deaf patients, but they are unfamiliar with Deaf culture. In addition, communication is a fundamental skill nurses learn in nursing school, but course content in nursing programs rarely touches on how to communicate effectively with Deaf patients. Of the approximately 325 million people in ...


Bedside Shift Report And Patient Satisfaction, Kasandra R. Johnson May 2022

Bedside Shift Report And Patient Satisfaction, Kasandra R. Johnson

Electronic Theses and Dissertations

Each year, millions of deaths worldwide are caused by medication errors in hospitals. Some of these errors are accounted for through miscommunication during the change of the nurse shift report. One of the Joint Commission’s 2019 national patient safety goals for hospital programs was to improve communication effectiveness among caregivers since mistakes in a caregiver’s communication accounted for 37% of severe patient injuries. Safety is threatened by patients not being included. Therefore, adopting the bedside shift report allows patients to be actively engaged, reinforcing nurse-patient communication. The bedside shift report enables nurses to provide safe, high-quality, patient-centered care ...


Caregiver-Child Conversations About Sex In African American Women, Hannah King May 2022

Caregiver-Child Conversations About Sex In African American Women, Hannah King

Electronic Theses and Dissertations

Using grounded theory methods, this study examines the experience of African American women during their caregiver-child conversations about sex and the impacts of the conversations on their sexual attitudes. The process of these conversations begins with an unplanned topic and progresses further to identify six essential themes of these conversations: gender differences, race and religion, protective/emphasis on protection, lack of knowledge, withholding knowledge, and sex negativity/shame. African American women’s description of the process included feelings of shame and negativity towards their sexuality. Caregivers promoted positive messages about sex by having open conversations that advocated for equality between ...


Double Consciousness And Unhealthy Weight Control Behaviors In Young Black And White Adults, Priscillia Ihionkhan Apr 2022

Double Consciousness And Unhealthy Weight Control Behaviors In Young Black And White Adults, Priscillia Ihionkhan

Electronic Theses and Dissertations

The present study examined the previously understudied notion that Black individuals are buffered against being dissatisfied with their bodies and in turn developing unhealthy eating and weight control behaviors. Double consciousness, a racially/ethnically sensitive measure of body dissatisfaction, was tested as a mediator of the relation between ethnic identity and unhealthy eating and weight control behaviors in Black and White adults. It was anticipated that unhealthy weight control behaviors would be more common in Black women compared to White women and that double consciousness would mediate the association between ethnic identity and unhealthy weight control behaviors among Black women ...


How Early Education And Pet Therapy May Help Nurses With Compassion Fatigue, Katie E. Clark Apr 2022

How Early Education And Pet Therapy May Help Nurses With Compassion Fatigue, Katie E. Clark

Electronic Theses and Dissertations

Abstract

Although there is a great deal of research on the causes of compassion fatigue, there is little research on prevention techniques or ways to combat compassion fatigue. The purpose of this qualitative phenomenological study was to discover if nurses are prepared to cope with occupational stress and compassion fatigue. A secondary purpose was to examine the perceived benefit that pet therapy can have as a possible stress reduction technique to decrease the effects of compassion fatigue. This research was conducted by gathering data via semistructured interviews. The researcher interviewed nurses who were currently practicing patient care and scored as ...


Diabetes Education With A Focus On Blood Glucose Self-Management: Impacting The Frequency Of Glucose Monitoring, Jennifer M. Young Apr 2022

Diabetes Education With A Focus On Blood Glucose Self-Management: Impacting The Frequency Of Glucose Monitoring, Jennifer M. Young

Electronic Theses and Dissertations

This quality improvement project was conducted to evaluate whether a focused educational session on self-management of blood glucose monitoring increased the frequency of monitoring for adult type II diabetics who were not taking insulin therapy. The purpose of this improvement project was to add to the body of research from this project. Currently, there are no recommendations for people with type II diabetes who are not taking insulin therapy regarding monitoring their blood glucose. This quantitative project was conducted online to reduce face-to-face contact during the COVID-19 pandemic. It was conducted online through diabetes support groups found on Facebook. Permission ...


Understanding How To Promote Healthy Dietary Habits Among Parents Of Adolescents, Jazmine D. Collins Apr 2022

Understanding How To Promote Healthy Dietary Habits Among Parents Of Adolescents, Jazmine D. Collins

Electronic Theses and Dissertations

Adolescents in the United States today have record-high prevalence rates for childhood obesity and overweight, which are conditions that have lifelong negative health consequences for individuals, and also carry high financial and social costs for the entire nation. The disproportionate burden of obesity and associated health conditions falls on adolescents of racial and ethnic minority group identities and from lower-income households. The increased risk that adolescents have for developing conditions like childhood obesity is closely associated with youth having diets that are unhealthier than in the past. Parents have a large influence on the eating habits and preferences of their ...


Facilitators To Becoming And Remaining Open Defecation Free In Uganda: Implications For Community-Led Total Sanitation Programming, Danette Lee Cagnet Apr 2022

Facilitators To Becoming And Remaining Open Defecation Free In Uganda: Implications For Community-Led Total Sanitation Programming, Danette Lee Cagnet

Electronic Theses and Dissertations

Poor sanitation behaviors, including open defecation, present risks for diarrhea, which is credited with 600,000 deaths a year in children under age five. Although CLTS is a solution to ending open defecation, more than half of the investment in producing open defecation free (ODF) communities is lost during the maintenance phase. The purpose of this qualitative, case study was to understand stakeholder perceptions of the facilitators and hindrances to becoming ODF certified and maintaining ODF status and sanitary behaviors in a small village community located in Uganda, East Africa. The researcher held individual interviews and in-person focus group discussions ...


The Impact Of Disruptive Physician Behavior On Support Staff And Patients: A Quantitative Secondary Analysis, Michael C. Marino Mar 2022

The Impact Of Disruptive Physician Behavior On Support Staff And Patients: A Quantitative Secondary Analysis, Michael C. Marino

Electronic Theses and Dissertations

In this quantitative secondary analysis, the purpose was to examine the nature of disruptive physician behavior (DPB) from the support staff and patient perspectives. Healthcare staffing shortages existed prior to the global pandemic and have increased, creating importance for employee retention and recruitment. I wanted to understand the impact of physician behavior on staff turnover rates in a private oncology practice, its effect on patient satisfaction rates, and to compare these rates of physicians that display DPB with physicians that do not display this behavior in a private hematology oncology community outpatient setting in the Southwest United States. To answer ...


Improving The Competency Of Nurse Educators In The Use Of Simulation, Pricilla H. Wyatt Feb 2022

Improving The Competency Of Nurse Educators In The Use Of Simulation, Pricilla H. Wyatt

Electronic Theses and Dissertations

Simulation in nursing education programs is widely used as an active clinical learning strategy. This teaching methodology is a standard supplement to clinical experiences for nursing students to meet the requirements of clinical components within their degree program; however, the faculty of a small liberal arts-based Bachelor of Science in Nursing program was not using simulation to its fullest potential. Therefore, the purpose of this DNP project was to introduce the use of evidence-based practice simulation guidelines recommended by the National Council of State Boards of Nursing. The study sample of 16 included 10 full-time faculty, five part-time adjunct faculty ...


Does Race Have An Influence On The Athletic Trainer-Coach Relationship, Cayce M. Sloan Jan 2022

Does Race Have An Influence On The Athletic Trainer-Coach Relationship, Cayce M. Sloan

Electronic Theses and Dissertations

Introduction: Interpersonal relationships are the most frequent types of relationships individuals maintain on a daily basis. Rapport provides the foundation necessary to build positive interpersonal relationships, specifically, collegial relationships such as the relationship between the athletic trainer and coach. However, facilitators and barriers exist that may hinder relationships. Specifically, race appears to influence relationships, but to date, it appears race has not been examined in the athletic trainer-coach relationship. Therefore, the purpose of this study was to examine the facilitators and barriers to building rapport in race-discordant athletic trainer-coach relationships and to examine the role race plays within the athletic ...


Stress, Stress Appraisal And Coping In Athletic Trainers During The Covid-19 Pandemic, Lawson Holton Jan 2022

Stress, Stress Appraisal And Coping In Athletic Trainers During The Covid-19 Pandemic, Lawson Holton

Electronic Theses and Dissertations

Introduction: There have been many studies conducted on the stress and mental health of frontline healthcare workers (HCWs) over the past months since the COVID-19 pandemic began. Very limited literature has examined the effect of the pandemic on athletic trainers (ATs). Objective: The aim of this investigation was to examine the stress, stress appraisal, and coping measures of ATs during the COVID-19 pandemic. Methods: Participants were recruited members from the National Athletic Trainers’ Association (NATA). The Perceived Stress Scale-10 was used to measure stress, the Stress Appraisal Measure was used to measure stress appraisal, and the Brief COPE was used ...


Exploring Bscn Recent Graduates’ Perceived Readiness To Practice, Robyn Marie Lapuz Jan 2022

Exploring Bscn Recent Graduates’ Perceived Readiness To Practice, Robyn Marie Lapuz

Electronic Theses and Dissertations

Assessing BScN recent graduates and their readiness to practice is of vital importance in the climate of high nursing turnover and nursing migration. The literature confirms that readiness to practice is a longstanding issue in nursing and the practice-education gap remains an issue to date. The purpose of this research was to explore BScN recent graduates’ perceived readiness to practice in nursing and make recommendations for nursing practice, education, and future research. A cross-sectional descriptive correlational mixed-methods research design was used for this research. The results confirm that the majority of BScN recent graduates from this study reported feeling ready ...


Polymeric Nanovaccine Delivery System For Influenza Vaccine, Chaitanya K. Valiveti Jan 2022

Polymeric Nanovaccine Delivery System For Influenza Vaccine, Chaitanya K. Valiveti

Electronic Theses and Dissertations

Vaccines are the most efficient and cost-effective method for preventing illnesses caused by infectious pathogens. Even though the great success of vaccines over decades, the development of safe and robust vaccines is still essential for emerging new pathogens, re-evolving old pathogens, and improving the insufficient protection given by existing vaccines. One of the most critical strategies for developing effective new vaccines is selecting and using a suitable adjuvant or immune stimulant. Immunologic adjuvants are essential for improving vaccine potency by enhancing the immune response of vaccine antigens. The amount of antigen could be spared with improved potency, especially during mass ...


Role Of Host Restriction Factors On Porcine Reproductive And Respiratory Syndrome Virus (Prrsv) Replication, Pratik Katwal Jan 2022

Role Of Host Restriction Factors On Porcine Reproductive And Respiratory Syndrome Virus (Prrsv) Replication, Pratik Katwal

Electronic Theses and Dissertations

In this study, the role of IFITM3 on PRRSV replication was studied in vitro by expressing exogenous IFITM3 in MARC-145 cells. An average of 31% reduction in PRRSV N protein expression and an average of 5.4 fold decrease in virus titer in the supernatant were observed in IFITM3 overexpressing cells as compared to vector control cells at 24 hours post infection (hpi). Moreover, there was a positive correlation between interferon- induced IFITM3 up-regulation and reduced PRRSV replication. To determine the role of endogenous IFITM3 in PRRSV replication, siRNA induced knockdown of IFITM3 was employed. RT-PCR validated the successful silencing ...


Characteristics And Regions Of Hospital Locations And The Risk Of Postpartum Hemorrhage., Zahra Shahin Jan 2022

Characteristics And Regions Of Hospital Locations And The Risk Of Postpartum Hemorrhage., Zahra Shahin

Electronic Theses and Dissertations

Background: Postpartum hemorrhage (PPH) is one of the contributing factors to maternal morbidity and mortality that in addition to maternal risk factors, may be related to other factors such as obstetric practice and clinical management of postpartum hemorrhage. Therefore, this study aimed to explore the association of postpartum hemorrhage with characteristics and regions of hospital locations across the United States, as the outcomes may create opportunities to improve policies and protocols regarding PPH management more effectively. Method: A retrospective study was performed using the 2018 National Inpatient Sample (NIS) database. Low-risk delivery hospitalizations involving the third stage of labor with ...


Factors Associated With Intention To Disclose Concussive Symptoms In Active Duty Soldiers, Carly Beck Jan 2022

Factors Associated With Intention To Disclose Concussive Symptoms In Active Duty Soldiers, Carly Beck

Electronic Theses and Dissertations

Background: Concussion disclosure is a heavily researched topic, and while previous literature has explored predictors of concussion disclosure in numerous populations, research within the active duty Soldier population is limited. This study further explored predictors of concussion disclosure to a medical professional or leadership in the active duty Solider population through the lens of the Theory of Planned Behavior. Methods: A cross-sectional electronic survey was distributed to 181 active duty Soldiers. Descriptive statistics were used to report frequency of high intention to disclose concussive symptoms among demographics, and a multivariate regression model was used to assess significant predictors of intention ...


Exploring Sport, Exercise, And Performance Psychology Practitioners’ Attitudes On Attire, Claire Harding Jan 2022

Exploring Sport, Exercise, And Performance Psychology Practitioners’ Attitudes On Attire, Claire Harding

Electronic Theses and Dissertations

Research has revealed that attire has an influence on one’s self-perceptions, self and socially prescribed adjective traits and behavior (Adam & Galinsky, 2012; Lubker et. al, 2008; Peluchette & Karl, 2007). The present study aims to explore the influence of attire on perceptions, attitudes, and experiences of SEPP (Sport, Exercise, and Performance Psychology) practitioners during their applied work. Specifically, these factors were investigated through various demographic lenses such as gender, experience level, and age in order to describe the population. SEPP graduate students (n = 49) and early career professionals (n = 82) were asked to participate in a questionnaire, based on previous research, that ...


Experiences And Perceptions Of Female Athletic Trainers Working With Male Coaches In Male Sports, Sierra Hobday Jan 2022

Experiences And Perceptions Of Female Athletic Trainers Working With Male Coaches In Male Sports, Sierra Hobday

Electronic Theses and Dissertations

Context: Female athletic trainers are making great strides in a previously male-dominated profession and are also becoming more prevalent in working with male sports teams. Female athletic trainers working within male sports often face gender bias and discrimination which has been found to come from male coaches of these sports. While previous studies have shown male coaches may demonstrate practices of gender bias towards female athletic trainers working in male sports, no studies have focused directly on the male coach and female athletic trainer relationship. Purpose: To examine the experiences and perceptions of female athletic trainers currently working with male ...


Seasonal Variation In Anthropometric And Performance Variables In American Professional Soccer Players, Hannah Elizabeth Ramirez Jan 2022

Seasonal Variation In Anthropometric And Performance Variables In American Professional Soccer Players, Hannah Elizabeth Ramirez

Electronic Theses and Dissertations

BACKGROUND: Preseason is an essential component of sport; it prepares players physiologically for the beginning of the competitive season by allowing for improvements in performance and fitness variables. As the season progresses, the need to maintain an ideal performance state may be difficult due to accumulating training load. PURPOSE: The purpose was to determine the seasonal variation of power, agility, and body fat percentage (BF%) via a series of tests throughout the competitive season of American professional soccer players. METHODS: 23 male United Soccer League (USL) One players underwent a performance battery (akimbo vertical jump (VJ), reactive strength index (RSI ...


The Tragedy Of Caspian: C. S. Lewis And His Trauma, Chandler Hanton Jan 2022

The Tragedy Of Caspian: C. S. Lewis And His Trauma, Chandler Hanton

Electronic Theses and Dissertations

This thesis reconsiders C.S.Lewis’ The Chronicles of Narnia as a type of scriptotherapy that enabled Lewis to process and come to terms with a life full of serious and significant traumatic events. Trauma theory offers a vehicle for us to consider the alignments and connections between Lewis himself and his fictional creation, Caspian. In the specifics of both characterization and incident, Lewis mirrors the events and relationships that instilled and healed the trauma in his own life. In situating Caspian as his alter-ego, Lewis allowed his writing to function as a gender-specific therapeutic process for addressing the effects ...


Generalization Of Net Benefit Of Diagnostic Tests Into Multi-Stage Clinical Conditions: A Collapsing Approach, Ferdous Ahmed Jan 2022

Generalization Of Net Benefit Of Diagnostic Tests Into Multi-Stage Clinical Conditions: A Collapsing Approach, Ferdous Ahmed

Electronic Theses and Dissertations

Evaluating diagnostic tests based on benefit-risk involves both the tests’ accuracy and the clinical implications of the diagnostic errors. Diagnostic tests are commonly classified into two stages: either positive or negative for a clinical condition (diseased or non-diseased). However, some diseases have more than two stages, such as Alzheimer’s. In diseases with more than two stages, the benefits and risks of the clinical consequences could differ from stage to stage. I could not find any investigations to account for the difference in benefits and risks of tests with more than two stages in the literature. The benefit to cost ...


The Relationships Between Sleep Quality, Health-Related Quality Of Life, And Injury In High School Student Athletes, Karleigh Kirsch Jan 2022

The Relationships Between Sleep Quality, Health-Related Quality Of Life, And Injury In High School Student Athletes, Karleigh Kirsch

Electronic Theses and Dissertations

Various physiological and lifestyle factors make shorter sleep durations more prevalent in young people, leaving them at risk of sleep deprivation. In addition to overall poorer health outcomes and decreases in well-being, lack of sleep has known effects on performance, neurocognitive functioning, and recovery from exercise. This creates a greater potential for sport-related injury to occur. The purpose of this study was to investigate the relationships between sleep quality, health-related quality of life, and injury in high school student athletes. The sample consisted of 100 high school athletes (M age = 15.86, SD = 1.25 years). Participants completed a survey ...


Correlates Of Risky Sexual Behaviors Among African American Females In Juvenile Detention Centers, Eghosa E. Asemota Jan 2022

Correlates Of Risky Sexual Behaviors Among African American Females In Juvenile Detention Centers, Eghosa E. Asemota

Electronic Theses and Dissertations

Introduction: In comparison to other demographics, research shows that African American female adolescents are over-represented in the United States Juvenile Justice System. Studies in this vulnerable population demonstrate higher rates of engagement in unsafe sex, and its attendant negative consequences of HIV infections, sexually transmitted diseases, and mistimed pregnancies. There is a paucity of studies that have specifically examined risky sexual behaviors amongst African American females in Juvenile Detention Centers. Objective: The aim of this study is to assess the relationship between the individual, family, peer, and societal factors, and engagement in risky sex among Black female detainees in Juvenile ...


The Relationship Between Physical Mobility And Firefighter Occupational Task Performance, Shelby Harbison Jan 2022

The Relationship Between Physical Mobility And Firefighter Occupational Task Performance, Shelby Harbison

Electronic Theses and Dissertations

BACKGROUND: Firefighters work in a dangerous profession with high injury rates. Mobility dysfunction in firefighters may impact performance and contribute to injury. The Functional Movement Screen (FMS) is commonly used to evaluate individuals for mobility dysfunction and compensatory movements. PURPOSE: Identify if mobility is related to firefighters’ occupational task performance. METHODS: This was a retrospective study assessing 29 career firefighters using FMS and occupational performance task scores. Statistical analyses consisted of a multiple linear regression assessing predictors on the occupational task performance and 21 point-biserial correlations ran to assess the relationship between each individual predictor and occupational task performance. RESULTS ...


Peer Recovery Support Specialists: Role Clarification And Fit Within The Recovery Ecosystems Of Central Appalachia, Angela Hagaman Dec 2021

Peer Recovery Support Specialists: Role Clarification And Fit Within The Recovery Ecosystems Of Central Appalachia, Angela Hagaman

Electronic Theses and Dissertations

The Peer Recovery Support Specialist (PRSS), a certified professional who self-identifies as being in recovery from a substance use disorder (SUD), mental illness, or co-occurring disorders, plays a key role in the ongoing transformation of SUD treatment from one of acute clinical service provision with documented short-term outcomes including symptom reduction, to a more holistic and comprehensive approach to long-term recovery. Empirical evidence specific to outcomes of PRSS working in the addiction treatment realm is sparse and equivocal, indicating the need for additional research and improved methods designed to explore the nature of the PRSS role and fit within the ...