Digital Commons Network^™

An Exploratory Study Of Functional Status In Post Cardiac Arrest Survivors Discharged To Home, John J. Whitcomb Phd

Dissertations

Cardiopulmonary arrest is a major health problem, claiming 350,000 to 450,000 lives per year in the United States, but survival has increased to 49% from the use of Automated External Defibrillators (AED) by lay personnel. Leidy's work on functional status is a comprehensive framework to describe functional status and has not been used in this population. The specific aims of the project were to describe perceived functional capacity, physical functional performance, mental health, symptom distress, and demographic factors in survivors of cardiopulmonary arrest after discharge to home and to examine the relationship among perceived functional capacity, mental health and physical …

Managing Susceptibility To Hereditary Breast And Ovarian Cancer, Cynthia E. Perry Phd, Msn, Rn

Dissertations

The recent identification of Breast Cancer 1 (BRCA1) and BRCA2 genes offers an opportunity for high-risk individuals to learn whether they may be genetically predisposed to develop breast and/or ovarian cancer. The purpose of this study was to examine how unaffected women, identified as BRCA positive and variant of uncertain significance (VUS) mutation carriers, managed their susceptibility to hereditary breast and ovarian cancer (HBOC). Thirty North American women ranging in age from 22 to 60 years responded to open-ended interviews. These interviews were analyzed using constant comparative method to generate a grounded theory. Managing Susceptibility was identified as the basic …

High School Seniors’ Perceptions Of Career And Technical Education And Factors Influencing Their Decision To Attend An Area Career Technical Center, David P. Gaunt

Dissertations

This study explored the profile of CTE students with regard to their academic standing and their socioeconomic background, examined high school seniors'perceptions of career and technical education, and identified the people and other factors that influence students in their decision-making about CTE enrollment. A 29-question survey was administered to 451 seniors from seven public high schools served by the Wexford-Missaukee Area Career Technical Center, operated by an intermediate school district in northern lower Michigan.

Significant findings indicate that the typical profile of CTE students with respect to socioeconomic status and academic standing would identify a CTE student as performing somewhat …

A Structural Analysis Of Law Enforcement Officer Deaths; 1995-1999, Kasey A. Tucker

Dissertations

Every year several officers die while serving the general public, protecting society from chaos and disorder of crime. Much conjecture surrounds the discussionof why law enforcement officers die in the line of duty and several different studies gave been conducted looking at the different aspects of law enforcement officer death, but limited literature exists exploring law enforcement officer death from a structural perspective.

This study examines in a preliminarily nature, the structural factors that precipitate law enforcement officer deaths between the years of 1995 and 1999 in the United States. In this analysis a theoretical framework reflective of the conflict …

The One-Stop Permit And Plan Review Center: Three Case Studies, Kenneth John Schilling

Dissertations

This study provides a detailed description of the one-stop permit and plan review center, an organizational innovation that is being introduced in numerous U.S. cities to improve governmental performance. The change represents a streamlining of local development review and code compliance functions.

Utilizing a qualitative methodology, the research records this one-stop application's diversity of form, contrasts it with the system it replaces, explores therationale and process that led to its adoption, and enumerates its useful features. The research is based on case studies of three Midwestern cities of comparable size: Grand Rapids, Michigan; Dayton, Ohio; and Des Moines, Iowa.

On …

A Leadership Model For Roman Catholic Social Service Agencies, Richard A. Ketrow

Dissertations

U.S. federal and state governments involve faith-based agencies in public administration by contracting with them to implement social service programs. How can Catholic social service agencies effectively compete in procuring these social service contracts and securing the program funds? To answer this question,a leadership model applicable to Catholic social service agencies was proposed. Four strategy constructs, evolving from the literature review, comprised theleadership model. The constructs providing a framework for the study were: performing service process reviews, utilizing a commitment to religious faith, entering valuable collaborations, and adhering to a consistent mission. Data were collected using a mail survey to …

The Effects Of The Michigan Transition Outcomes Project, Jane E. Finn

Dissertations

This study investigated whether the Transition Outcomes Project used in Michigan resulted in improved compliance with the transition components required by the Individuals with Disabilities Education Act of 1997 (IDEA 1997) and interviewed staff who have implemented this model to identify their perceptions ofhow it affected the transition planning process for students with disabilities. The study used qualitative and quantitative measures. The quantitative measures studied the effectiveness of the model, while the qualitative measures investigated the perceptions of the school personnel who implemented the model in their district.

Findings showed that the Michigan Transition Outcomes Project is an effective model …

The Relationship Of Race And Ethnic Identity To Perceptions Of Multicultural Counseling Competencies, Tonita C. Baines

Dissertations

Multicultural counseling competencies refer to the awareness, knowledge, and skills that are considered important for counselors to possess when working with culturally diverse clients (Constantine, 2002; Constantine & Ladany, 2001). Relatively few studies have looked at factors that may impact a client'sperception of a counselor's multicultural competence. The purpose of the present study was to investigate the relationship between a person's race, ethnic identity, and his/her ratings of the importance of 31 multicultural counseling competencies. A total of 304 undergraduate students (152 African-American and 152 White) from a large Midwestern university were surveyed to determine if there was a relationship …

Therapist Stress, Career Sustaining Behavior, Coping And The Working Alliance, Denise Broholm Briggs

Dissertations

Psychotherapists face many challenges in their work and are prone to experiencing stress. Their ability to cope and manage their stress may have the potential to affect their work with clients. The purpose of this study was to examine the relationship between therapist stress, coping styles, career sustaining behaviors, and therapist perceived working alliance. A sample of 160 psychologists, social workers, therapists, and counselors primarily from the Midwest participated in this study. Participants completed a demographic questionnaire, which included a rating of the stress they experienced in their work as a psychotherapist, the Perceived Stress Scale (Cohen, Kamarck, & Mermelstein, …

A Behavioral Model For The Assessment And Management Of Dehydration In Older Adults, Leilani Feliciano

Dissertations

Dehydration is a serious health concern in the elderly, constituting 1 of the 10 most common causes for hospitalization in this population (Sanservo, 1997). Previous research on dehydration has typically been conducted within nursing home settings (Chidester & Spangler, 1997; Holbren, Hassell, Williams, & Helle, 1999; Spangler, Risley, & Bilyew, 1984) without specific attention to the variables maintaining dehydration for any given individual. A functional behavioral approach to assessment and prevention or intervention for dehydration would involve identifying maintaining variables in the environment that can be altered to produce effective, non-intrusive interventions to increase healthy fluid consumption. The current project …

Starlight Drive, William R. Reynolds Jr.

Dissertations

Starlight Drive is a book-length manuscript of poems that reflects my abiding interest in how poetry can use the fiction writer's tools, such as characterization and setting, without sacrificing the beauty of the lyric. Like Rodney Jones, I write about my north Alabama childhood filtered through the lens of my adult life here in the Midwest. My field of perception does not begin in a cotton field like Jones', but on a cul-de-sac in a middle-class neighborhood of Huntsville, where my father was an engineer for NASA. The poems in my manuscript show my protagonist moving through a landscape peopled …

The Practice Of Continuous Improvement In Higher Education, Deborah M. Thalner

Dissertations

Studies on the use of Total Quality Management (TQM) within higher education have primarily focused on the implementation of TQM as an institutional initiative. While TQM has been successful in business and industry and has seen some limited success in higher education, the most recent studies on its usein higher education indicate that it has not been successful institution-wide, and in many cases has been abandoned after two to three years. The problem, therefore, is one of a perceived need for continuous improvement in coupled with mixed results from previous attempts at implementation. This research study focused on higher education's …

Essential Features Of Cultural Proficiency In American International Schools In Latin America: A Delphi Study, Rebecca Mcbride Bustamante Edd

Dissertations

American international schools in Latin America can play a vital role in preparing future leaders to effectively interact with people of diverse cultures. These schools provide ideal settings for exploring how policies, programs, and practices that reflect diverse perspectives and encourage intercultural learning might enhance global leadership development. Multidisciplinary reviews of the literature reveal a dearth of studies examining culture and leadership development in American international schools in Latin America. The model of cultural proficiency provides a comprehensive framework for exploring how these schools might proactively and effectively respond to diversity in a cross-cultural environment and develop globally competent leaders. …

Unintended Pregnancy Prevention And Active Duty Women, Min S. Chung-Park Phd, Msn, Whnp

Dissertations

Studies have shown that a structured education program for women decreases risky sexual behavior identified as vulnerable for AIDS. However, the outcomes from a structured, repeated, educational intervention in reducing the rates of unintended pregnancies have not been studied in military females who are considered as a high risk. The purpose of this quasi-experimental longitudinal study was to implement and evaluate the effects of a reproductive health educational program regarding knowledge, attitudes, decisional balance, self-efficacy, stages of change, and contraceptive use, and to identify independent variables most likely to predict behavior change in the use of contraceptives among single, active …

The Effects Of Dextromethorphan On Response Acquisition With Delayed Reinforcement, Thomas B. Morgan

Dissertations

The current study examined in 2-h sessions the effects of intraperitoneal injections of dextromethorphan (DM) (0.0, 40.0, 60.0, and 80.0 mg/kg) on the acquisition of lever-press responding in rats that were exposed to a two-lever procedure in which responses on the reinforcement lever (RL) were reinforced with food after a 15-s resetting delay and responses on the cancellation lever cancelled a scheduled reinforcer. Response acquisition was observed at all drug doses. A decrease in RL responses, food deliveries, and the number of subjects that acquired responding was observed at the highest dose of DM. All doses of DM increased latency …

Development Of Adsorption Filtration Process For Virus Removal For Drinking Water Treatment, Vishal Vijay Gawarikar

Dissertations

Recent monitoring studies have indicated that many ground water (GW) sources would benefit from the development of effective technologies for removing viruses. Although reverse osmosis can achieve high log removal it is not economical. The main objective of this study is to test and validate a novel adsorption filtration (AF) technology for removing viruses from GW sources for drinking water production in New Jersey.

The convective diffusion of viruses to adsorbent particle surfaces in flow packed beds (FPB) enhances their removal efficiency if the adsorbent particle size can be decreased to about 100 microns. The development of effective virus removal …

Modeling Of Flexible Drug-Like Molecules : Qsar Of Gbr 12909 Analog Dat/Sert Selectivity, Kathleen Mary Gilbert

Dissertations

The dopamine reuptake inhibitor GBR 12909 and related dialkyl piperazine and piperidine analogs have been studied as agonist substitution therapies acting on the dopamine transporter (DAT) to treat cocaine addiction. Undesirable binding to the serotonin transporter (SERT) can vary greatly depending on the specific substituents on the molecule. This study uses Comparative Molecular Field Analysis (CoMFA) and Comparative Molecular Similarity Indices (CoMSIA) techniques to determine a stable and predictive model for DAT/SERT selectivity for a set of flexible GBR 12909 analogs.

Families of analogs were constructed from six pairs of naphthyl-substituted piperazine and piperidine templates identified by hierarchical clustering as …

Fluid-Phase Thermodynamics From Molecular-Level Properties And Interactions Based In Quantum Theory, Steven G. Arturo

Dissertations

A methodology to predict the thermodynamics of macroscopic fluid systems from quantum chemistry and statistical thermodynamics has been developed. This work extends the group-contribution concepts most utilized in chemical engineering. Computational chemistry software is used to define the geometries and electron density profiles of target molecules. Atoms in Molecules theory and associated software packages are used to calculate rigorous properties of the functional groups within molecules of interest. These properties are incorporated into an intermolecular potential energy function which describes interactions between entire molecules as a set of interactions between functional groups. This information is applied to a lattice-fluid model …

Evaluating Rhizodegradation Of Petroleum Hydrocarbons And Polycyclic Aromatic Hydrocarbons In Wetland Sediments Containing Spartina Patens, Robert J. Lippencott

Dissertations

Biodegradation of petroleum hydrocarbons (PHC) and 16 polycyclic aromatic hydrocarbon (PAH) compounds was evaluated in sediments from a stormwater basin that was a former salt marsh at an active oil refinery. Spartina patens were grown in basin sediments during a field study and a greenhouse study over three consecutive growing seasons. Ninety percent (90%) survival was observed in field study plots containing sediments with <12% PHC. In the greenhouse study, planted and bulk sediments were monitored for PHC, PAH, microbial density, nutrients, pH, redox and root biomass at 2.5 and 7.5 cm in sediments with <12% PHC. The sediments contained on average 6.5% to 9.5% PHC and 56 to 124 parts per million (ppm) total PAH. The plants exhibited a 95% survival rate and added from 1% to 2% root biomass to the sediment. Microbial densities in planted sediments were significantly higher than in bulk sediments (p<0.05). Oxidizing conditions were prevalent in all treatments at both depths; however, reducing conditions developed in the planted sediments at 7.5 cm. PHC was 35% to 37% lower in the planted sediments vs. bulk sediment at the end of the study. Planted sediment PAH concentrations were generally lower than in bulk sediments. Low MW PAHs (2 and 3-Rings) were either absent or at relatively low concentrations in all treatments. Phenanthrene concentrations in bulk sediments did not change, but were reduced by 95% in planted sediments (p<0.01), with half-life estimates of 141 to 165 days at 2.5 cm. Temporal changes in high MW PAHs ( 4-Rings) were not observed over the greenhouse study period. Differences in PAH concentrations between planted and bulk sediments exhibited a decreasing trend with PAH molecular weight. Evaluation of differences in planted and bulk sediment PAH concentrations suggests that lower MW PAHs degrade better under oxidizing conditions, and higher MW PAHs under reducing conditions in the planted sediments. Comparison of planted and bulk sediment PAH concentrations links depth and redox conditions to decreases in PAH as a function of PAH MW. Therefore, it was concluded that spatio-temporal variations and cycling of redox conditions should be considered to properly evaluate biodegradation of PAH.

Omesubel A Ureor: Workforce Development In Palau From Pre-Contact To 1999, Patrick Ubal Tellei Edd

Dissertations

After being a ward of many nations for over 250 years, the Republic of Palau gained its independence on October 1, 1994. One of the many challenges facing this young nation is the workforce preparation of its people to engage in nation building. After many years of being subjugated by foreign governments, the people have developed a taste of material consumerism. This has driven people away from their subsistence way of life in favor of a market driven economy which calls for infrastructure development that cannot be accomplished if there is a nonexistent skilled workforce to undertake this challenge. To …

From Presence To “E-Presence” In Online Nursing Education, Lisa M. Kaiser Phd, Msn, Bsn, Rn

Dissertations

Online web-based course offerings are now common in many institutions of higher education In response to the current and severe nursing shortage, estimated to represent a 20% vacancy rate by the year 2015, (Tarkin, 2003) many more universities have created online nursing courses for registered nurses wishing to continue their education in nursing. The National League for Nursing (NLN) set research priorities that urged exploration of the impact that technology has on the content and nature of teaching and learning in nursing education (1999). Using a series of separate synchronous, online focus groups and 1:1 interviews with nurse educator experts …

How School Counselors Gain Support To Implement Comprehensive Guidance And Counseling Programs, Jo Ann Grant Edd

Dissertations

The school counseling field is evolving from a focus on ancillary activities to a commitment to comprehensive guidance and counseling programs. Understanding strategies school counselors have used in gaining support from key stakeholders to implement comprehensive guidance and counseling programs can be a valuable addition to the literature of school counseling. The present study investigated how elementary and secondary school counselors gained support when implementing comprehensive guidance and counseling programs based on the National Standards for School Counseling Programs. A qualitative methodology was used in the study. The findings revealed that: (a) counselors studied believed their role in gaining support …

Global Citizenship As A Function Of Higher Education: The Demographic And Institutional Determinants In A Graduate Student Population, Jade G. Winn Edd

Dissertations

Over the last twenty years, the explosive growth in information technologies, combined with the globalization and easy access to other cultures, has allowed people to think of themselves more as citizens of the world than of a particular nation. Although the notion of “global citizenship” is often discussed in the popular press, little scholarly attention has been devoted to its measurement. Less attention has been paid to the role higher education plays in creating global citizens. To address these problems, a survey instrument was created to measure three facets of global citizenship: environmentalism, social justice, and civic responsibility, and was …

To Be Or Not To Be: Status Of Guam's Middle Schools, Judith T. Won Pat Edd

Dissertations

In an effort to help middle school programs respond to the unique developmental needs of their students, in 1995 the National Middle School Association issued their influential list of twelve essential characteristics for a developmentally sound middle school. Although this paper spawned a significant amount of research regarding the importance of these essential characteristics, there has been little, if any, research in the last decade describing the extent to which these characteristics have been implemented in middle schools outside of the continental United States. To remedy this situation, this study surveyed all 471 middle school teachers on Guam as well …

Navigating The Change Of Life: The Menopausal Transition Of Thai Immigrant Women, Bulaporn Natipagon-Shah Phd, Msn, Rn

Dissertations

Given that women continue to live more than three decades after menopause and their health and well-being in later life are determined by quality of health during the menopausal transition, menopause has become an important issue in the healthcare arena. The growing number of immigrant women in the United States signifies a need for healthcare providers to develop cultural knowledge and sensitivity toward each immigrant group regarding the issue of menopause. The purpose of this qualitative study was to build a substantive grounded theory of the experiences of menopausal transition among Thai immigrant women in the United States. Data collection …

The Courage To Change: Striving For Magnet Hospital Recognition, Janet M. Jones Edd

Dissertations

In the ever-changing environment of health care, good leaders are of utmost importance to the effective functioning of the hospital. Leadership in the hospital setting requires innovativeness and courage. This means the passion to discover, create and experience the unknown. Until recently why some hospitals attract and retain good nurses while others do not was unknown. The magnet hospital concept identified attributes that supported the professional practice of nursing which, in turn increased nurse recruitment and retention. The objective of this study was to compare Chief Nursing Officer (CNO) and Chief Executive Officer (CEO) perceptions of their innovativeness and leadership …

The Interactive Roles Of Gender And Ethnicity In African-American Women's Mental Health, Dianna Nadine Moses-Nunley

Dissertations

Abstract For African-American women, female gender and African-American (AA) ethnicity combine to create experiences of discrimination, discrimination related stress, and mental health issues that are not encountered by individuals who occupy only one of these status variables. Gender and ethnicity also influence socioeconomic status, an additional variable affecting the experiences and issues that AA women uniquely encounter. The first goal of this study was to examine the ways in which the combined social statuses of gender and ethnicity influence the discriminatory experiences and mental health of AA women. The second goal was to determine the ways in which AA women¿s …

School Counselors' Perceptions About Female Participation In Non-Traditional Secondary Career And Technical Education (Cte) Programs, Rashida Khatoon Malik

Dissertations

The purpose of this study was to examine high school counselors' perceptions of female participation in nontraditional secondary Career and Technical Education (CTE) programs. The data for this study was collected from high school counselors in Michigan by sending them a survey containing 25 items. The first section of the survey covered the demographics of the participants. The second section consisted of eight belief statements about counseling femalestudents into nontraditional CTE programs. The third section of the survey had 12 belief statements about female participation in CTE nontraditional programs. The survey responses were based on five-point Likert scales. The belief …

The Three-Contingency Model Of Self-Management, Holly C. Harrison

Dissertations

The goal of this dissertation is to evaluate people's needs for self-management and the effectiveness of their use of the three-contingency model of self-management. This model prescribes a set of self-management procedures that can be applied to self-manage virtually any behavior. College students used these procedures to manage their own behavior as part of an extended psychology-course assignment.

This evaluation began with the Procrastination Survey, the results of which assessed the frequency of the students' self-management problems. The self-management interventions of up to 168 students were then evaluated using their self-reported performance data and an anonymous survey. The performance data …

Examining The Keyword Mnemonic Strategy As An Effective Academic Intervention For High School Students Labeled Emotional Or Behavioral Disordered, Karen A. Kleinheksel

Dissertations

This investigation explored whether keyword mnemonic strategies were effective for high school aged students labeled emotional or behavioral disordered(E/BD) in recalling the definitions of scientific vocabulary terms. Ten students labeled E/BD from a suburban public high school in a Midwestern state participated in this investigation. A demographic description of the subjects indicated the following information: (a) all students' ethnicities were Caucasian, (b) sixty percent of the subjects were male, (c) the average subject's age was 17 years 1 month, and (d) all students were in the tenth through twelfth grades.

In a multiple baseline across subjects design using a single …