Digital Commons Network^™

A Bundled Approach To Iv Site Care And Maintenance, Dawn A. Smith

Dissertations

Hospitalized patients receiving medications intravenously are at increased risk for developing hospital associated infections (HAIs), including MRSA if their peripheral intravenous catheters are not maintained appropriately. These HAIs pose a financial burden to both patients and institutions and increased morbidity and mortality for the patient. A bundled set of evidence-based interventions was implemented on three acute care units as part of a quality improvement project. The aim of the project was to ensure proper care and maintenance of intravenous catheter devices. Interventions included a) consistent use of a phlebitis infiltration scale; b) maintaining a clean, dry, and intact dressing with …

The Experience Of Puerto Rican Families Who Bring Their Children To The Emergency Department For Asthma Care, Jean Sheerin Coffey

Dissertations

The aim of the study was to describe the experience of Puerto Rican families who brought their child to the emergency department (ED) for asthma care. Asthma is the most common chronic pediatric disease, affecting 6.3 million children in the United States and accounting for 728,000 visits to the ED in the year 2000. Black and Hispanic children are frequent visitors; however Puerto Rican children use the services most often. The volume, patterns and populations of children who use the ED for asthma care have been extensively studied, although to date there are no known studies that have explored the …

An Investigation Of How Spirituality Supports Smoking Cessation, Lenora D. Follett

Dissertations

Smoking is a worldwide problem with major economic impact. Smoking cessation is difficult to attain, with the majority of smokers desiring to quit smoking. Religiosity has consistently shown some association with decreased smoking levels and increased smoking cessation, but little was known about how spiritual practice or religiosity could be incorporated into smoking cessation interventions. The purpose of this study was to describe the aspects of spirituality that were reported to be helpful by those who said that God or their spirituality supported them in smoking cessation, and to describe other factors that combine with spirituality to accomplish success in …

Between This World And The Next: The Lived Experience Of Having A Life-Threatening Illness, Janna C. Roop

Dissertations

Wonderings about hospice patients' experience of dying evolved into the question, "What is it like to have a life-threatening illness?" That question guided this interpretive phenomenological inquiry. Phenomenology is a philosophy that seeks to rediscover the rich meaning lying hidden beneath the surface of everyday. Phenomenology's quest is to coax that which has been concealed out into the light. It is a call to re-dis-cover what Martin Heidegger (1959/1966) might call the mystery of Being. What is it that anesthetizes us to the wonder of our everydays? What is it about the ordinary that blinds us to its depth? We …

The Development And Psychometric Analysis Of An Instrument To Measure A Woman's Experience Of Childbirth, Elizabeth V. Rini

Dissertations

This paper describes the development and testing of the Women's Experience in Childbirth Survey (WECS). Although many qualitative and quantitative studies of the childbirth experience have been published, there is no comprehensive instrument that measures the physical, emotional, cognitive, and social aspects of the experience. Forty nine Likert-type items were generated from review of the literature and feedback from mothers participating in two pilot studies. Content validity was analyzed with both pilot studies.

As Normal A Life As Possible: Mothers And Their Daughters With Congenital Heart Disease, Laura Tynes Gantt

Dissertations

This study utilized qualitative descriptive methodology to examine the impact of the chronic illness, specifically congenital or acquired childhood heart disease, on the mother-daughter relationship. Many studies have examined the effects of the child's illness on the mother-child relationship when the child is very young, but few have looked at the ongoing problems that chronic illness may cause. The investigator observed in her own clinical practice that the mother-daughter relationship when the daughter was chronically ill frequently appeared more antagonistic and ambivalent.

Effect Of A Preoperative Warming Intervention On The Acute Phase Response Of Surgical Stress, Vanda Doreen Wagner

Dissertations

When a patient is exposed surgical stress, the endocrine system secretes hormones in response to that stress. These hormones further activate the immune system to release cytokines and other acute phase reactions. These processes are supposed to protect the body by upregulating the innate immune system and producing an inflammatory response that acts to protect and heal. However, uncontrolled surgical stress may cause a weaker immune response that may lead to delayed wound healing. The phenomenon of unplanned perioperative hypothermia is known to expose patients to additional surgical stress. The purpose of this preliminary experimental study was to determine the …

An Evaluation Of Text Representation Techniques For Fake News Detection Using: Tf-Idf, Word Embeddings, Sentence Embeddings With Linear Support Vector Machine., Sangita Sriram

Dissertations

In a world where anybody can share their views, opinions and make it sound like these are facts about the current situation of the world, Fake News poses a huge threat especially to the reputation of people with high stature and to organizations. In the political world, this could lead to opposition parties making use of this opportunity to gain popularity in their elections. In the medical world, a fake scandalous message about a medicine giving side effects, hospital treatment gone wrong or even a false message against a practicing doctor could become a big menace to everyone involved in …

Drug Reviews: Cross-Condition And Cross-Source Analysis By Review Quantification Using Regional Cnn-Lstm Models, Ajith Mathew Thoomkuzhy

Dissertations

Pharmaceutical drugs are usually rated by customers or patients (i.e. in a scale from 1 to 10). Often, they also give reviews or comments on the drug and its side effects. It is desirable to quantify the reviews to help analyze drug favorability in the market, in the absence of ratings. Since these reviews are in the form of text, we should use lexical methods for the analysis. The intent of this study was two-fold: First, to understand how better the efficiency will be if CNN-LSTM models are used to predict ratings or sentiment from reviews. These models are known …

A Study To Investigate The Relationship Between Teacher Self-Efficacy, School Climate, And Student Behavior, Gegimara Fluelen-Ra-El

Dissertations

This quantitative study examined the relationship between teacher self-efficacy, student behavior, and school climate at a high school in Southern Illinois. The teaching staff, which consisted of 59 teachers, were invited to participate. The researcher utilized a teacher self-efficacy survey, school climate survey, and student behavior survey to collect data on a sample population of teachers. Participants completed the surveys in intervals. The surveys allowed the researcher to collect attitudinal data from participants for dissemination and analysis to develop statistical inferences and generalizations about the sample related to the hypotheses statements and based on the results. The Pearson Product-Moment Correlation …

Self-Management In Youth With Spina Bifida: Associations With Parent Factors In The Context Of A Summer Camp Intervention, Colleen F. Bechtel Driscoll

Dissertations

Achieving condition-related independence is an important developmental milestone for youth with spina bifida (SB) that can be impacted by a variety of parent factors. This study aimed to investigate (1) the cross-sectional associations between parent factors (adjustment, perceptions, attitudes, behaviors) and youth self-management (e.g., youth's condition-related responsibility and mastery), (2) relations between these same parent factors and changes in youth self-management following participation in a summer camp intervention for one summer, and (3) associations between parent factors and growth in self-management variables over two summers. Participants were 89 camper-parent dyads recruited at a summer camp for youth with SB (Myouth …

The Influence Of Dialecticism On Savoring Across Cultures, Soyeon Kim

Dissertations

The present study investigated the influence of dialectical thinking on the ways in which people savor positive experiences across culture. Although both the concept of savoring (i.e., the capacity to attend to, appreciate, and regulate positive experience) and the concept of dialecticism (i.e., a prevalent Eastern philosophy that values the interconnectedness of all things, constant changes in life, and coexistence of contradictory phenomena) are essential topics in contemporary psychology, there is a lack of theory and research that links together these two concepts within a cross-cultural framework. Literature has shown that emotion is a product of culture and norms; East …

Useful For Life: Women, Girls, And Vocational School Reform In Chicago, 1880-1930, Ruby Oram

Dissertations

This dissertation explores how the competing efforts of women to prepare girls for wage-earning and homemaking shaped the development of vocation programs for female students in Chicago schools between 1880 and 1930. Histories of vocational education have neglected the role of women as school reformers and suggested that boys rather than girls were the primary focus of new work-oriented classes in urban public schools. Using Chicago as a case study, this dissertation uncovers how groups of women social reformers, educators, and trade unionists promoted vocational programs to protect school-aged girls from dangerous working conditions, steer girls into "wholesome" occupations, and …

Engendering Empathy For Immigrants In Middle Grade Readers Through Culturally Relevant Young Adult Literature, Amy J. Cattapan

Dissertations

This dissertation uncovered the ways through which culturally relevant young adult literature (YAL) engenders empathy for immigrants in middle grade readers. Empathy was displayed through both affective and cognitive responses and resulted in mirror and window moments (Bishop, 1990) as well as crystallizing experiences. Their empathetic responses led students to apply critical literacy skills to issues related to stereotypes, racism, discrimination, and immigration policies.

I conducted a qualitative case study to examine the ways in which reading and discussing YAL about immigrants created empathy in eighth graders in a culturally and linguistically diverse middle school and in what ways it …

Black Males Accessing And Usage Of Sex Education In Mississippi, Devin D. Moss

Dissertations

in the United States, sex education curricula sponsored by public school districts varies from state-to-state. Nationally, this arrangement provides students with varied levels of exposure to critical sex education information. Sex education is mandatory in Mississippi, but is not required to be medically accurate, include HIV education, and be culturally appropriate or unbiased. Mississippi's sex education curriculum is mandated to be age appropriate and can promote religion. the parameters of sex education in Mississippi have led to sex information gaps for youth. Black males experience this lack of information and turn to other sources to fill in the resulting information …

Teacher And Principal Perceptions Of Principal Leadership Practices Having The Strongest Relationship To Student Achievement, Michael C. Conran

Dissertations

This qualitative case study examined the perceptions of high performing elementary, middle and high school teachers and principals, as evidenced by their students' high achievement levels, relative to the principal leadership practices having the strongest relationship to student achievement. The Marzano Focused School Leader Evaluation Model, which contains six domains and 21 elements identifying comprehensively researched and evidence-based principal leadership practices, was used as a conceptual framework. The identification of the specific principal leadership practices having the strongest relationship to student achievement hinged on the delineation of the perceptions of the teacher and principal study participants relative to the principal …

A Quantitative Comparative Study Of Employee Engagement Among Full-Time Seventh-Day Adventist Pastors In The North American Division Of Seventh-Day Adventists And Its Relationship To Level Of Participation In Annual Pastoral Continuing Education (Ce), Sharon Aka

Dissertations

Problem

Research was needed to determine the relationship between pastoral CE and employee engagement to guide policy implementation as well as future efforts for pastoral professional development within the Adventist organization.

Method

This study presents a new theoretical Adventist pastor development model integrating several theories and concepts including: the call, the Seven Core Qualities of an NAD pastor framework, andragogy, CE, SDT, and employee engagement. Employee engagement was measured using Herzberg's hygiene-motivation factor employee engagement theory. Comparisons were conducted on six groups of pastors related to selfreported participation in annual CE.

Results

Major research findings indicate that pastors, perhaps inevitably …

Function And Nature Of The Heavenly Sanctuary/Temple And Its Earthly Counterparts In The New Testament Gospels, Acts, And The Epistles: A Motif Study Of Major Passages, Leonardo G. Nunes

Dissertations

The present dissertation examines the function and nature of the heavenly sanctuary/temple and its relationship to the earthly counterparts in the major passages of the New Testament (NT) Gospels, Acts, Pauline and General Epistles where the sanctuary/temple motif is found (a total of twenty-two passages). After the introductory chapter, chapters 2, 3, and 4 are devoted to the exegetical analysis of these major passages following canonical order and divisions of the NT. This exegetical analysis has detected the relevance of the heavenly sanctuary/temple motif for NT studies, i.e., how its function, nature, and relationship to the earthly counterparts influence the …

Educational Leadership Model: An Historical Analysis Of Arne Duncan (2001-2015) As Chief Executive Officer Of The Chicago Public Schools And As Secretary Of Education Of The United States Of America, And Impact Of His Leadership Style On Implementation Of Educational Initiatives, Jodilyn Maria Pinkerton

Dissertations

This research is a historical examination of Arne Duncan's leadership styles as Chief Education Officer of the Chicago Public Schools and as U.S. Secretary of Education. This analysis highlights the correlation between Ronald Heifetz's Adaptive Leadership (2009) and Arne Duncan's leadership style as he implements initiatives to expand educational opportunities for students in the Chicago Public Schools and his national reform initiatives to improve college readiness among high school graduates. This research also presents Arne Duncan's challenges and successes in the implementation of the Renaissance 2010 program that closed 70 schools, Chicago Public Schools exit from the Consent Decree, the …

Reforming Sensory Disability In Early Modern England, Mary Lutze

Dissertations

Reforming Sensory Disability in Early Modern England traces early modern literary depictions of blindness and deafness during the Reformation. the project proposes an inherently dynamic early modern religious model of disabilities: first characterized by its initial rejection of England's prior faith tradition, then by doctrinal negotiation among reformed dissenters. It analyzes the shift in disability representation in popular literature of the sixteenth and seventeenth century before culminating in an examination of seventeenth-century deaf education. Finally, the project proposes that the seventeenth-century advent of deaf education should be read as a concrete ideological shift in English society's perception of the disabled.

Vigilance Of Certified Registered Nurse Anesthetists, Timothy Finn

Dissertations

Vigilance of certified registered nurse anesthetists (CRNAs) is an integral component of the care they provide patients under general anesthetic. the practice of CRNas is important as the official seal of the American Association of Nurse Anesthetists (AANA). on the seal, Morpheus, the god of dreams, is shown holding the Lamp of Learning, by the light of which he keeps vigil (Hirter & Van Nest, 1995). as the patients remain unconscious under general anesthesia, CRNas remain the patients' eyes and ears remains responsive to their needs. the CRNa must remain attentive to the patient's needs by continuously monitoring the patient …

Humanity In The Classroom: An Exploration Of Race In Teacher Behavior And Interaction With Students, Briellen Elizabeth Griffin

Dissertations

The hyper-surveillance of Black students has been well documented by educators and researchers across disciplines and reflects an increase in calls for research that examines the reproduction of racial inequality in educational spaces. To contend with the presence of antiblackness in the classroom is fundamentally about recognizing the humanity of Black students and interrogating the ways that they are dehumanized by racialized structures and social interactions. To examine antiblackness and humanity in the classroom, I conducted a critical collaborative case study with six teachers from an elementary school in a diverse Midwestern school district. I engaged BlackCrit Theory to examine …

Determining The Genetic And Phenotypic Profile Of Cord Blood Derived T Regulatory Cells And The Effect Of Calcitriol On Immune Suppression, Anya Nikolai-Yogerst

Dissertations

Recent outbreaks in vertically transmitted viruses, such as Zika virus and HIV, have rejuvenated interest in fetal and neonatal immune tolerance. Babies are susceptible to vertically transmitted viruses because fetal and neonatal immune systems are considered to be immune-privileged and will tolerate antigens presented to them by their mother. Thus, understanding the mechanisms of this tolerance is important to design effective treatments for infected mothers to protect their offspring. Here, I define a novel Treg, a type of T cell that mediates tolerance, named bidirectional T cells (BiT), found in human umbilical cord blood (UCB). These cells are induced by …

Factors Associated With Diabetic Peripheral Neuropathy And Quality Of Life Among Type 2 Diabetes Patients In Saudi Arabia, Awatef Ibraheem

Dissertations

Evidence has suggested that diabetic peripheral neuropathy (DPN) is associated with decreased quality of life (QoL) and impaired physical and emotional health. About 82% of the diabetic population in Saudi Arabia show signs of DPN. However, it is under-recognized and undertreated. Further, DPN is linked to several clinical and metabolic risk factors. However, there is minimal evidence from Saudi Arabia on the impact of DPN on the individual's QoL. The aims of this current study were to (1) examine the impact of DPN symptoms on functioning, health perception, and QoL and (2) explore the biologic and individual factors associated with …

Think Like A Teacher: How Reflective Educators Use Multiple Data Sources To Inform Their Practice, Jana Grabarek

Dissertations

Teacher data use has become an increasingly central feature of American education. Messages from the public policy, research, philanthropy, and professional development arenas assert that collecting, analyzing, and interpreting data€”particularly number-based achievement data€”will increase student achievement. in this dissertation, a review of literature exploring the link between data use and achievement yielded mixed results. While increased achievement was slightly more likely when data use involved multiple types of data and/or data use strategies, its effectiveness was not consistently supported, and least apparent when tied to marginalized students. to better understand what effective data use might look like at the micro …

The Phenomenology Of Accompaniment: A Journey Of Transformation, Siobhan O'Donoghue

Dissertations

Accompaniment is a humanitarian approach that seeks to ameliorate the suffering of individuals and communities that are vulnerable, and often struggling with the effects of collective traumas. Despite the fact that accompaniment models are being utilized in various parts of the world, the topic has seldom been explored in the literature. the purpose of this phenomenological study was to explore the lived experience of accompaniment for migrants. Purposeful sampling was used to identify 28 participants who represented both accompaniers and the accompanied. Data were collected through 13 interviews and 3 focus groups and analyzed using Moustakas' (1994) transcendental phenomenological method …

Transformer Neural Networks For Automated Story Generation, Kemal Araz

Dissertations

Towards the last two-decade Artificial Intelligence (AI) proved its use on tasks such as image recognition, natural language processing, automated driving. As discussed in the Moore’s law the computational power increased rapidly over the few decades (Moore, 1965) and made it possible to use the techniques which were computationally expensive. These techniques include Deep Learning (DL) changed the field of AI and outperformed other models in a lot of fields some of which mentioned above. However, in natural language generation especially for creative tasks that needs the artificial intelligent models to have not only a precise understanding of the given …

Identifying Online Sexual Predators Using Support Vector Machine, Yifan Li

Dissertations

A two-stage classification model is built in the research for online sexual predator identification. The first stage identifies the suspicious conversations that have predator participants. The second stage identifies the predators in suspicious conversations. Support vector machines are used with word and character n-grams, combined with behavioural features of the authors to train the final classifier. The unbalanced dataset is downsampled to test the performance of re-balancing an unbalanced dataset. An age group classification model is also constructed to test the feasibility of extracting the age profile of the authors, which can be used as features for classifier training. The …

Finetuning Pre-Trained Language Models For Sentiment Classification Of Covid19 Tweets, Arjun Dussa

Dissertations

It is a common practice in today’s world for the public to use different micro-blogging and social networking platforms, predominantly Twitter, to share opinions, ideas, news, and information about many things in life. Twitter is also becoming a popular channel for information sharing during pandemic outbreaks and disaster events. The world has been suffering from economic crises ever since COVID-19 cases started to increase rapidly since January 2020. The virus has killed more than 800 thousand people ever since the discovery as per the statistics from Worldometer [1] which is the authorized tracking website. So many researchers around the globe …

Evaluating Bert Embeddings For Text Classification In Bio-Medical Domain To Determine Eligibility Of Patients In Clinical Trials, Saurabh Khodake

Dissertations

Clinical Trials are studies conducted by researchers in order to assess the impact of new medicine in terms of its efficacy and most importantly safety on human health. For any advancement in the field of medicine it is very important that clinical trials are conducted with right ethics supported by scientific evidence. Not all people who volunteer or participate in clinical trials are allowed to undergo the trials. Age, comorbidity and other health issues present in a patient can be a major factor to decide whether the profile is suitable or not for the trial. Profiles selected for clinical trials …