Digital Commons Network^™

Use Of Dietary And Herbal Supplements In Older Adults With Osteoarthritis, Sharon Denise Mcdonald

Dissertations

Over the past several decades, older adults with Osteoarthritis (OA) have increasingly used more natural products in an effort to manage chronic pain. The theoretical framework for this study was the Lazarus and Folkman transactional theory of stress and coping. This framework was chosen based on the belief that older adults with OA are taking natural products as an active problem solving coping strategy to manage the pain, disability, and alterations they experience in their health related quality life including functional status, physical symptoms, emotional health, and social functioning. Older adults also take prescription medications for Osteoarthritis and a variety …

Novel Bioinformatic Approaches For Analyzing Next-Generation Sequencing Data, Yan Peng

Dissertations

In general, DNA reconstruction is deemed as the key of molecular biology since it makes people realize how genotype affects phenotypes. The DNA sequencing technology emerged exactly towards this and has greatly promoted molecular biology’s development. The traditional method, "Sanger," is effective but extremely expensive on a cost-per-base basis. This shortcoming of Sanger method leads to the rapid development of next-generation sequencing technologies. The NGS technologies are widely used by virtue of their low-cost, high-throughput, and fast nature. However, they still face major drawbacks such as huge amounts of data as well as relatively short read length compared with traditional …

Efficacy Of Behavioral Interventions In African-Americans With Type Ii Diabetes: A Comparative Effectiveness Analysis, Tangela Nicole Hales

Dissertations

Context: The efficiency and effectiveness of the healthcare system are prime foci for nursing research.

Objective:The purpose of this study was to review and critically appraise the current state of the evidence in the treatment of African American adults with type II diabetes. To address this objective, a systematic review was undertaken that investigated the comparative effectiveness of behavioral interventions in improving glycemic control.

Methods: Robust methodological approaches to comparative effectiveness research (CER) serve to improve the transparency, consistency, and scientific rigor of the research. The methods for this systematic review of literature followed those recommended in the Agency …

A Measure Of Soft Skill Gains Acquisition With Engagement In Baccalaureate Nursing Programs, Wendy J. Williams-Buenzli

Dissertations

This dissertation examined soft skill acquisition from engagement in baccalaureate nursing programs. Baccalaureate nursing programs prepare nurses to be the future leaders of nursing practice. Soft skills include critical thinking, interpersonal communications, and ethical decision-making. To explore the acquisition of soft skills, this research study analyzed data from the National Survey of Student Engagement to explore for gains in critical thinking, ethical decision-making, and critical thinking. After gains scores were identified, then correlations were run to identify key engagement indicators. The findings of the study found gains in soft skill behaviors from freshman year to senior year of baccalaureate education. …

Relationships Of Parental Homeschooling Approaches Including Technology Integration, Letitia Annette Walters

Dissertations

This study examined the factors influencing parental selection of homeschooling approaches for their children and the utilization of technology integrated. Factors explored were parental motivators for selecting homeschooling approaches, parental reasons for choosing to homeschooling, technology device usage, and instructional technology integration. The population consisted of parents with at least one year or more of experience in teaching homeschooling and the primary educator being involved in answering the survey. Participants in this study responded to items from a researcher-adapted questionnaire using. The majority of the participants were from Louisiana, Mississippi, and Kentucky. A Bachelor's degree was reported as the highest …

A Partial Replication Load Balancing Technique For Distributed Data As A Service On The Cloud, Klaithem Saeed Al Nuaimi

Dissertations

Data as a service (DaaS) is an important model on the Cloud, as DaaS provides clients with different types of large files and data sets in fields like finance, science, health, geography, astronomy, and many others. This includes all types of files with varying sizes from a few kilobytes to hundreds of terabytes. DaaS can be implemented and provided using multiple data centers located at different locations and usually connected via the Internet. When data is provided using multiple data centers it is referred to as distributed DaaS. DaaS providers must ensure that their services are fast, reliable, and efficient. …

Establishment Of A 3d Culture Model Of Gastric Stem Cells Supporting Their Differentiation Into Mucous Cells Using Microfibrous Polycaprolactone Scaffold, Sunitha Pulikkot

Dissertations

In the stomach, epithelial stem cells are responsible for glandular homeostasis and continuous production of four main cell lineages secreting mucus, acid, pepsinogen and hormones. While alteration in the proliferation and differentiation program of these stem cells is linked to the origin of gastric cancer, they represent an effective target for chemotherapy and a source for cell therapy or tissue engineering in cases of gastric mucosal damage or loss. The aims of this study were 1) to manufacture various forms of scaffolds using a biodegradable polymer (polycaprolactone), 2) to test the suitability of these scaffolds for growth of mouse gastric …

The Influence Of Texting And Virtual Peers On Adolescent Alcohol Use, Eric Steven Gregory

Dissertations

The Social Development Theory has guided substance abuse prevention planning and programming for the past two decades. One of the key risk factors cited in and targeted by Social Development Model strategies is that of the influence of peers on adolescent substance use. With the advent of modern cellular technology, the manner in which adolescents currently interact has shifted in preference from that of traditional face-to-face to interaction through text messaging. Recent research has suggested a link between the frequency of adolescent texting behavior and adolescent substance use. This shift in interaction may influence the mechanisms of peer influence and …

The Assessment Of Organizational Culture And Servant Leadership Within An African American Church: A Descriptive Study Of Behavioral Norms And Expectations, Walter Malone Iii

Dissertations

The lack of success in nonprofit organizations often is due to challenges in management (Drucker, 2008). Faith-based organizations are not immune to these problems. The church struggles to live out its mission, often due to ineffective practices (Barna & Jackson, 2004). Chand (2011) asserted that it is the culture of an organization that builds or erodes its effectiveness. In the context of the church, servant leadership practices are considered to be a contributing factor to organizational effectiveness. The purpose of this study was to examine organizational culture and servant leadership as perceived by the leadership team of an African American …

The Life And Academic Experiences Of Teenage Mothers And Expecting Teenage Mothers Attending High School In Missouri, Angelo R. Buchanan

Dissertations

The purpose of this study was to discover and understand the life and academic experiences of high school teenage mothers and expecting teenage mothers. The research questions was, How do these teenage mothers and expecting teenage mothers describe their life and academic experiences in a Missouri high school; What challenges do they face to successfully continuing their education; and What would they want and/or need in a high school-based child-care center if it were to be implemented as part of the high school’s intervention with this at-risk population? The study was conducted at a medium-sized Midwestern Urban High School. The …

Special Education Teacher Perceptions Of The Characteristics Of A Satisfactory Working Environment, David John Mccauley

Dissertations

The special education teacher is a part of any school district and with the position comes responsibility for the teacher, building administrators, and district administrators. These school district personnel must work together to create a safe environment for all students to be successful. In 1983, the U.S. Department of Education’s report, A Nation at Risk, brought attention to the issue of retention of schoolteachers, especially those that worked with special needs students. While working as a special educator, the researcher overheard many teachers express concern about poor working conditions within their respective school districts. They expressed a lack of adequate …

The Patient Experience As Rated By Consumers, Barbara Jean Kelley

Dissertations

The purpose of this research project is to identify the key drivers in patients’ satisfaction. Specifically, the factors that patients consider when assigning a numeric rating (0-10) to their overall hospital stay. The overall satisfaction question is significant because it is considered to be the “top box” question. The top box question is the patientrated experience measure reported to Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) in determining the compensation a facility receives for reimbursement in the Value Based Purchasing model. The results of this study have a financial implication for healthcare, as well as in the delivery …

Qualitative Study Of The United States Marine Corps Wounded Warrior Regiment, Webster F. Nicholson Jr.

Dissertations

Serious health care issues were discovered first at Walter Reed Army Medical Center in 2007 and later at U.S. Department of Veteran Affairs health care organizations in 2014 (Brady, 2012; Cohen, Griffin, & Bronstein, 2014; Wright, 2013). The continued success of the Wounded Warrior Program requires a system that will constantly assess and analyze health care quality from the patient’s experience. From a systems perspective, health care quality encompasses six dimensions, and the study involved examining the dimension and four core concepts of patient-centered care (Institute of Medicine, 2001; Lees, 2011; Wexler, 2002; World Health Organization, 2006). A qualitative, phenomenological …

American Indian Women’S Health Perceptions And Health Promotion Behaviors, Sharon Boothe-Kepple

Dissertations

Background: Most problems affecting the health of American Indian women are related to lifestyles and health-related behaviors (Carter, Morse, Giruad, & Driskell, 2008; Linsley, Kane, & Owen, 2011). Understanding health promotion behaviors could decrease or prevent a number of chronic diseases that afflict the American Indian population; however, little is known about how American Indian women perceive illness, how they promote their health within the context of their culture, and the barriers they face.

Purpose: This study was designed to develop knowledge about the health perceptions and health promoting behaviors of American Indian women residing within the Chickasaw …

An Investigative Study Into The Beneficial Use Of Seaweed In Bread And The Broader Food Industry., James A. Griffin

Dissertations

The primary objective of this research was to investigate the beneficial use of seaweed in bread and the broader food industry. The author began the thesis by reviewing Japan’s consumption of seaweed (the highest, per capita, in the world, with the lowest incidence of obesity and cancer). The author introduced a new Irish seaweed product and examined how seaweed could be integrated more effectively into the Western diet. Using the literature reviewed in Chapter Two, the author explored the nutritional aspects of how seaweed is used both in Asian cuisine and in Western culture, in addition to how seaweed use …

A Qualitative Case Study On Parental Involvement In A Midwestern Urban Charter School District: Perspectives Of Parents, Teachers, And Administrators, Amanda N. Aldridge

Dissertations

Research has shown that there can be a positive impact on the child’s academic achievement when parents are closely involved with the child’s schooling. When parents are involved in the school, they understand what is being taught in the classroom and are usually encouraged to extend the learning at home. When parents value education, students succeed. When parents are invested and show an interest in their child’s school, they develop a sense of pride for the school and tend to support the school and teachers in their decisions. This cooperative attitude allows for better, open communication and a team attitude …

Knowledge Of Stroke Symptom And Risk Factors And Acculturation Among Cambodian Immigrants Living In Southern California, Samantha N. Sangsanoi-Terkchareon

Dissertations

The purpose of this quantitative study was to describe and examine the relationships between age, gender, educational level, health insurance status, and income to level of acculturation and knowledge of stroke symptom and risk factors recognition among Cambodian immigrants (n=200) living in Southern California. The data were analyzed using Pearson correlation, Kendal Tau, Chi-Square, and multiple regression to the determine relationship between depend and independent variables. The results of this study were that Cambodian participants’ mean age was 46.07 (SD= 17.51), average years of education were 8.95 (SD=5.26) and the mean number of people in each household was …

A Case Study Of A Teacher-Student Mentor Adoption Program At The Elementary Level, Timothy Shane Benson

Dissertations

The purpose of this study was to determine if positive teacher-to-student relationships impacted student academic performance. This case study involved examination of the results of data collected from 43 students who participated in a mentor adoption program initiated with the intent to enhance positive teacher-to-student relationships for the 2013- 2014 school year. Archival data of students who participated in the mentor adoption program were compared to data from a stratified group of students who did not participate in the mentor adoption program. Data from English language arts (ELA) and mathematics (MA) Missouri Assessment Program (MAP) scale scores, attendance rate, and …

An Examination Of Middle School Readiness Variables For Students From Two K-5 Elementary Sending Schools In Missouri, Walter James Belcher

Dissertations

The transition process from elementary school to middle school has created numerous obstacles for all stakeholders. Early adolescents encounter emotional and physiological challenges as their bodies mature (Lester, Waters, & Cross, 2013). These challenges have a major impact on the academic achievement of the students (Musoleno & White, 2010). There is a direct connection between a student’s successes in middle school and how well the student will do in high school, making the transition process even more important (Andrews & Bishop, 2012). The purpose of this study was to identify predictors which could aid in easing the transition into middle …

The Impact Of Poverty On Elementary Academic Achievement In One Rural Elementary School In Missouri, Seth Allen Huddleston

Dissertations

The impact of poverty on one rural elementary school’s student achievement was measured based on formative and summative assessment data. Student assessment data were examined to determine if strong relationships can be linked between students living in poverty and academic achievement. Additionally, parental perceptions were addressed as to whether or not parents are engaged in their child’s education, and if so, does this engagement impact student achievement. The topic was chosen for the relevancy of determining students’ instructional needs and how best to move the elementary in a positive direction academically. The socio-economic levels of families in the area studied …

An Examination Of Chronic Absenteeism As Related To Performance On End-Of-Year Missouri State Assessments, John Wesley Collins

Dissertations

This study was designed to examine if a correlation exists between regular school attendance and academic success. As an outcome of concern for educational expectations in American schools, the government of the United States increased accountability for schools through the No Child Left Behind Act of 2001, requiring schools improve student achievement levels in designated core academic areas (Tyre, Feuerborn, & Pierce, 2011). Unlike the findings of Robert Balfanz and Vaughan Byrnes (2012) of Johns Hopkins University, which found most educational agencies do not keep detailed statistics regarding student attendance, Missouri public school districts do have an accountability structure in …

Retaining Rural Educators: Characteristics Of Teacher Retention Practices Of Rural School Districts, Joshua C. Phillips

Dissertations

The purpose of this study was to determine the reasons high-quality rural veteran educators choose to remain in small, rural district settings and to identify common factors among small rural school districts that have high numbers of highly qualified veteran teachers. The study is relevant to school leaders and school boards within small rural communities seeking to develop policies and encourage strategies to keep high-quality educators from leaving districts. The motivation-hygiene theory of job satisfaction developed by Herzberg, Mausner, and Snyderman (1993), coupled with Rosenholtz’s (1989) 10 essential components for working together were utilized throughout the study to evaluate the …

An Examination Of The Correlation Between Teacher-Assigned Standards-Based Grades And Teacher-Assigned Traditional Grades And Student Achievement, Ashley L. Tyree-Hamby

Dissertations

The relationship between teacher-assigned standards-based grades and teacher-assigned traditional grades and student achievement on the Missouri Assessment Program was examined for all students of the sample. The 120 participants for this study were third graders during the 2012-2013 school year transitioned to fourth grade during the 2013- 2014 school year. The students were enrolled in Elementary School A in rural Missouri. One hundred twenty students’ permanent traditional and standards-based grade cards and Missouri Assessment Program (MAP) scores provided the data to determine the relationship between teacher assigned standards-based grade cards or teacher-assigned traditional grade cards and student achievement. The findings …

A Study Of The Impact Of Retention On Student Achievement In Three Rural Missouri School Districts, Jon Thomas Johnson

Dissertations

A case study was performed using archival data from retained students in three rural Missouri school districts. The data were examined to determine if a correlation existed between grade level retention and improved student achievement in Math and English Language Arts. A t-test was used to determine the impact retention had on student achievement. Scores were collected from the Missouri Assessment Program (MAP) data from retained students the year before they were retained, as well as the year following when they were retained. Data were collected from 2006-2014. Data from this study revealed students who were retained showed significant gains …

Merit Pay For Educators: An Investigation Of Components Significantly Impacting Student Achievement, Lisa G. Carlon

Dissertations

With teacher evaluations, school ratings, and ultimately school funding being linked more and more to student achievement data, U.S. public schools are searching for new and effective ways to boost academic testing scores. This study examined teachers’ and administrators’ experiences with and perceptions of merit pay, with the goal of identifying key program components positively impacting student success. With this information, solid and successful merit pay structures could be implemented in schools across the nation. Professional educators from two Midwest states who were involved in performance pay programs participated in the study through both a survey instrument and personal interviews. …

Addressing The Achievement Gap In Pinellas County Schools: School Improvement Plan Compliance Of Listing And Implementing Interventions, Melissa Porter

Dissertations

The focus of this research revolved around the achievement gap which exists among Blacks and non-Blacks in Pinellas County Schools. The problem that I addressed was whether or not the strategies listed in the School Improvement Plan were actually being implemented within the classrooms and whether or not those strategies were academically effective to assist Black students. The method I used to determine implementation and effectiveness was through the use of surveys distributed to parents, students, teachers, and administrators. The results of the surveys revealed which strategies were being used and were the most effective within the classrooms. In conclusion, …

Transient Cardiovascular Hemodynamics In A Patient-Specific Arterial System, Jr Rodward Hewlin

Dissertations

The ultimate goal of the present study is to aid in the development of tools to assist in the treatment of cardiovascular disease. Gaining an understanding of hemodynamic parameters for medical implants allow clinicians to have some patient-specific proposals for intervention planning. In the present study a full cardiovascular experimental phantom and digital phantom (CFD model) was fabricated to study: (1) the effects of local hemodynamics on global hemodynamics, (2) the effects of transition from bed-rest to upright position, and (3) transport of dye (drug delivery) in the arterial system. Computational three dimensional (3-D) models (designs A, B, and C) …

Achievement Gap In Reading: A Study Of School Practices And Effectual Results, Christina S. Brown

Dissertations

While it is important to recognize the economic background of students and home factors contributing to their achievement, the purpose of this study was to discover what best practices schools were implementing with low socioeconomic students to narrow the achievement gap in communication arts (Darling-Hammond & Richardson, 2009; Gorski, 2013; Snell, 2003). The research design incorporated mixed-methods by employing data collected from surveys, interviews, and secondary data sources. A triangulation of data was used to increase the credibility and validity of the study (Fraenkel et al., 2012; Mills, 2014). For this study, the quantitative data were collected using a survey …

The Significance Of Response To Intervention (Rti) To Student Progress In Fourth Grade Students In Missouri, Merlyn W. Johnson

Dissertations

focus of this research is in the area of Response to Intervention (RTI) and its effect on academic achievement in elementary schools in rural Missouri. In light of the regulations within the Individuals with Disabilities Education Act of 2004 and its accountability requirements for schools, this study is important and timely in order to provide valuable examples of effective RTI processes. The research approach adopted in this dissertation was a quantitative approach; therefore, quantitative analysis was utilized during a statistical comparison of elementary schools in Missouri and a review of information from a survey distributed to elementary principals in Missouri. …

Perinatal Depression And Preterm Birth, Elizabeth C. Light

Dissertations

Purpose/Aims: Despite the notable 15 year low in overall preterm birth (PTB), a 10% improvement since the 2006 peak with declines for each of the largest race and Hispanic origin groups, the United States has the highest rate of PTB of any industrialized country with estimates of 11.5% or approximately 500,000 infants annually. The Institute of Medicine (2006) recommends researchers focus on PTB causes including reasons for health disparities. The purpose of this study was to identify factors associated with PTB among a sample of racially and ethnically diverse women with depressive symptomatology (Edinburgh Postnatal Depression Scale [EPDS], score …