Digital Commons Network^™

Effect Of Exercise Training On Circulating Cancer-Associated Immune Cells In Breast Cancer Patients, Lea Haverbeck Simon

Dissertations

Breast cancer (BC) is one of the leading causes of cancer deaths among females. It is well known that the presence of a tumor decreases robust anticancer immunity via immune-modulation and enhanced immunosuppression through a process called cancer immunoediting. However, it has yet to be determined if exercise-based rehabilitation can elevate the peripheral anticancer immune profile and reduce myeloid-derived suppressor cell (MDSC) mediated immunosuppression. Purpose: To assess the effects of a 12-week prescribed, individualized, supervised exercise-based rehabilitation program on selected circulating immune cells in BC patients at the University of Northern Colorado Cancer Rehabilitation Institute. Methods: 16 female BC patients …

‘Poor Hockey Behaviors’: Athletes’ Moral Acculturation Experiences In Youth Hockey, Zachary Colter Mccarver

Dissertations

Competitive youth sport requires athletes to persistently decide what the moral course of action is across situation (Boardley, 2020; Rest, 1984). Sport cultures that contain coaches who endorse a win at all cost mentality encourage athletes’ engagement in behaviors that are detrimental to their opponents to achieve competitive success (Boardley & Kavussanu, 2007). Bandura (1991) proposed that environmental processes can alter how an individual determines the moral course of action through the anticipation of behavior to produce self-referenced positive consequences, such as pride or satisfaction. The purpose of this study was to explore athletes’ moral acculturation experiences within hockey culture …

Fat And Queer: A Qualitative Exploration Of Womens' Experiences Of Fatphobia, Jaidelynn Keeley Rogers

Dissertations

A paucity of psychological research exists on the topic of fatphobia, a type of pervasive oppression that occurs for people with plus-size, large, and/or fat bodies. Much of the research that exists about fatphobia focuses on medical ideals, the associated weight stigma, and how these are related to fat people’s physical health. Medical researchers have determined that weight stigma is actually more harmful to fat people's health than being fat. Fatphobia impacts women at disproportionate rates. Plus-sized, queer, lesbian, bisexual, and pansexual (LGBTQ+) women may be at a heightened risk for experiencing marinization as a result of their intersecting identities …

Impact Of Coronavirus Disease 2019 On Secondary Market Ticket Price, Attendance Demand, And Fan’S Willingness To Pay: National Football League (Nfl), Yo Han Lee

Dissertations

This study explores how coronavirus disease 2019 (COVID-19) affected secondary market ticket prices, the number of attendees, and fans’ willingness to pay in the National Football League (NFL). The COVID-19 pandemic has significantly impacted the sport industry, affecting everything from the scheduling and delivery of games to the financial health of teams, leagues, and related businesses. One of the most visible impacts of the pandemic has been the suspension, delay, and cancellation of many sporting events, including entire seasons of some professional sport leagues. Sporting events require large gatherings of people in close proximity, which is precisely the opposite of …

Exploring The Effects Of Cannabidiol On Psychological Health, Cognitive Function, Neural Health, And Natural Killer Cells, Arjun Ramani

Dissertations

Cannabidiol (CBD), a non-psychotropic cannabis sativa derivative, is gaining attention as a potential promotor of neurological function and cognitive health and as a potential anti-inflammatory compound, although these claims lack evidence-based support from the scientific community. The purpose of this study was to determine whether 8 weeks of 2 doses, 40 mg (CB40) or 20 mg (CB20), of CBD containing beverages will improve psychological health, cognitive function, neural health as well as NK and NKT cell quantity and NK cell function when compared to a control vehicle beverage (CBDV) and a calorie-matched placebo beverage (PLAC) in a double-blind, randomized, placebo-controlled, …

Acting Locally: Vegetable Gardening In Southern Illinois, Aimee L. Trojnar

Dissertations

This dissertation explores the everyday practice of home and community vegetable gardening in a small southern Illinois city. The project engages with questions of how diverse elements of practice interact over time in the development of both gardens and gardeners, dwelling particularly on how the material agency of nonhumans contributes to what emerges. Combining a broad investigation of societal influences and constraints involved in gardening practices with a granular focus on material interactions in the garden, I consider the kinds of relationships individuals forge with the nonhuman environment in a modern, Western context and how they do so. Understanding such …

Examination Of A Measure To Assess Clients’ Perceptions Of The Client-Provider Relationship In Home Visiting Services, Bethelhem Belachew

Dissertations

Home visiting services are prevention-or intervention-based programs provided to caregivers during the prenatal period through the first few years of a child’s development (Shonkoff & Phillips, 2000). Engagement in services is documented to improve caregivers’ knowledge of child development and parenting practices (e.g., home safety, nutrition; Ammerman et al., 2006). Despite these benefits, programs are challenged with high levels of attrition (Gomby, Culross, & Behrman, 1999). One reliable predictor of client engagement in services is the client-provider relationship. However, measures that have been developed to assess the clients’ perception of their relationship with their home visitor relationship are limited (Girvin …

Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint

Dissertations

Burnout, a syndrome described as a state of mental and or physical exhaustion, impacts the workforce of hospice and palliative nurses where employees' behaviors and professional efficacy reflect poorly on their work. The prevalence of burnout among hospice nurses led to the development of this project. The Maslach Burnout Inventory (MBI) served as a reference guide for developing the content, which addressed whether a staff education program at this Southeastern United States facility, would affect a change in knowledge among hospice nurses reduce burnout. Knowles's theory of adult learning framed this education program on self-care and stress management. Focus was …

Missing Value Imputation For Single Omics And Multi-Omics Data, Meng Song

Dissertations

The integration analyses of multi-omics data have the advantages of extending our understanding of biological system across multiple omics layers, unraveling the functional mechanism of complex disease development, and refining the discovery of novel drug targets. However, multi-omics studies often face challenges such as data heterogeneity, missing values problem, interpretability, and imbalance classes. Among these challenges, the missing values problem is a critical issue for large cohort studies as not all samples will get a complete measurement for all the omics layers. To address the problem of missing values in multi-omics data, I focused on the imputation of completely missing …

An Analysis Of Capital Flow To Construct An Economic Typology In A Comparative Case Study Of Three Ancient Cities: Third Kingdom Of Ur, New Kingdom Of Thebes, And Classical Athens, Darrell Gremillion

Dissertations

This dissertation adds to the literature on Economic Development through the development of a Typology of Economy applicable to the earliest cities. Understanding the evolution of these early economies is a crucial step in understanding the past to assist in the establishment of policies for the future. This is especially important in the light of the environmental and sustainability challenges facing the globe today.

The cities in the comparative case study include the Third Dynasty of Ur in Mesopotamia, the New Kingdom of Thebes in Egypt, and Classical Athens in Greece. These cities are chosen for the case study for …

Tobacco Use And Secondhand Smoke Exposure Among Women In Aleta Wondo, Ethiopia: An Exploratory Study Of Knowledge, Attitudes, Beliefs And Behaviors, Anne Berit Petersen

Dissertations

By 2030, sub-Saharan Africa is projected to be the epicenter of the tobacco epidemic. In Ethiopia there is an opportunity to avert an increase in tobacco-induced diseases; however, local data is needed to inform proactive contextualized tobacco control interventions. This cross-sectional community-base study was conducted to assess the knowledge, attitudes, beliefs, and behaviors (KABs) related to tobacco use and secondhand smoke (SHS) exposure of women in the Aleta Wondo region.

Allied Health Faculty Members’ Perspective On Interprofessional Collaborative Practice: A Hermeneutic Phenomenological Study, Prajakta Khare-Ranade, Margaret Newsham Beckley, Mary Geders Falcetti

Dissertations

A framework for interprofessional collaborative practice (IPCP) was developed by the World Health Organization (WHO) (WHO, 2010) in response to the need to address the complicated conditions that exist in today’s health systems. Much of the focus of today’s health service delivery is predicated on the social determinants of health (Barzansky et al., 2019), which refer to the environmental conditions associated with where people are born, live, go to school, work, play, age, and worship that have an impact on health, function, quality of life, and risks (Healthy People 2030, n.d.). IPCP is thought to be the only approach effective …

Nicu Culture Of Care For Infants With Neonatal Abstinence Syndrome: A Focused Ethnography, Monica M. Nelson

Dissertations

The purpose of this ethnographic study was to describe the culture of care and nonpharmacological nursing interventions performed by NICU nurses for infants with NAS.

Evaluation Of The Efficacy Of A Telehealth Support Forum For Reducing Distress In Informal Caregivers Of Patients With Glioblastoma, Stacey D. Green

Dissertations

Glioblastoma is incurable, deadly, and disabling. Informal caregivers of glioblastoma patients face an unpredictable, laborious, costly, and distressing experience. Supported caregivers have less distress and improved caregiver mastery. Often times, caregivers are unable to attend support groups, increasing risk of adverse events for caregiver and patient. This increased risk highlights a need for increased access to support. The purpose of this project was to determine if distressed caregivers of glioblastoma patients at an academic medical center would report reduced distress after participating in telehealth support forums over a period of four weeks. The health belief model was used to implement …

The Experiences Of Black American Older Adults Managing Pain: A Nursing Ethnography, Sheria G. Robinson-Lane

Dissertations

Pain can negatively affect quality of life for Black elders. They are less likely to report pain concerns and have voiced pain needs adequately met. To better understand the pain management experiences and concerns of Black elders, an ethnographic study was completed within an urban, low-income, elder housing facility.

Predicting Outcomes In Early Treated Spinal Muscular Atrophy (Sma), Natalie Goedeker

Dissertations

Background:
Early treatment of infants with spinal muscular atrophy (SMA) improves outcomes. Newborn screening allows for early treatment of infants with SMA, even before signs of the disease are evident. In spite of early identification and treatment, newborn screen and prenatally-identified infants with SMA may still suffer effects of their disease. Approximately half of infants have significant gross motor developmental delays, while others meet developmental milestones on time. There is no current objective method to identify early-treated infants with SMA at risk for gross motor delays who might benefit from modifications to current treatment practices.
Objectives:
This multicenter project reports …

Screening For Food Insecurity In A Suburban Pediatric Urgent Care, Rachel Foutz

Dissertations

Problem: Screening for Social Determinants of Health (SDOH), including food insecurity (FI) should be done on a regular basis at a child’s pediatrician. Many children in the state of Missouri do not have a pediatrician or do not regularly see their pediatrician and are therefore never being screened for FI.

Methods: This observational descriptive quality improvement (QI) project utilized a prospective observational analysis to implement a voluntary FI screening tool in a pediatric only urgent care. The project sampled pediatric patients aged two days to 21 years of life. All participants were given local resources after completing the screening. The …

Prediabetic Screening Tool In Primary Care, Ashley Koon

Dissertations

Prediabetic Screening Tool in Primary Care

Problem: Diabetes mellitus is a chronic health condition that affects millions of individuals each year. In addition, it is known as the seventh leading cause of death. While guidelines recommend using evidence-based screening tools, many primary care practices do not implement them. Therefore, potentially resulting in delayed identification and implementation of primary and secondary prevention strategies.

Methods: This quality improvement (QI) pilot project utilized a descriptive, observational study design. The American Diabetes Association Risk Tool (ADART) was administered to a convenience sample of patients aged 18 to 44 years old without a previous diagnosis …

Implementing Obesity Management Guidelines In Rural Primary Care, Taylor Bell

Dissertations

Abstract

Problem: In the United States, obesity is one of the leading causes of death among Americans and rates of obesity continue to rise. Geographic location significantly affects the number of obesity cases, with rural areas being affected more than other locations. Despite this, obesity continues to be undertreated by rural primary care providers.

Method: This quality improvement (QI) pilot project utilized a descriptive, observational design to evaluate the implementation of an evidence-based clinical practice guideline algorithm for obesity management in a rural primary care clinic. An algorithm was implemented on patients aged 18-60 years and with a BMI of …

Attention-Deficit Hyperactivity Disorder: Improving Outcomes Through Early Identification, Tina Lusk

Dissertations

Problem: Failure to identify and treat attention-deficit hyperactivity disorder (ADHD) is associated with academic underachievement, social difficulties, negative physical and mental health effects. Evidence suggests approximately 3% of a broad-based population sample and roughly 13% of an at-risk population are undiagnosed despite significant symptomology (Downey & Zun, 2018; Madsen et al., 2018; Okumura et al., 2019). The United States (U.S.) has no structured screening system for ADHD. Consequently, children receive no referral for diagnosis or treatment to mitigate its effects.

Methods: The Institute for Healthcare Improvement (IHI) Model for Evidence-Based Practice using the Plan Do Study Act (PDSA) cycle guided …

Determinants Of Spiritual Well-Being In Adults Newly Diagnosed With Heart Failure: Primary Palliative Care Applied, Valerie Joy Smith

Dissertations

Guided by Roy's Adaptation Model (Roy, 2009) and using a descriptive, correlational, comparative design, sociodemographic characteristics (age, gender, race, marital status, income), coping, primary palliative care (PPC, spiritual needs, social support, decision-making [DM] engagement, psychological support, PPC information and education provision, goals of care discussion, and care coordination across settings and times), spiritual well-being (SWB), and advance directive (AD) completion in response to living with a HF diagnosis within the previous 12 months were described and the potential relationships and differences between the variables explored.

Baccalaureate Nursing Students' Experiences With Online Case-Based Learning (Cbl) During The Covid-19 Pandemic, Jessica Verplaetse

Dissertations

In spring 2020, in-person learning for nursing students was canceled in response to the Covid-19 pandemic. All courses, including clinical courses, abruptly transitioned to online formats. A significant gap in the literature exists regarding baccalaureate (BSN) nursing students' experiences with online learning during this timeframe. The purpose of this basic qualitative study was to explore BSN students' experiences with online learning during the spring 2020 semester.

Sociodemographic And Health-Related Risks For Loneliness And Outcome Differences By Loneliness Status In A Sample Of Older U.S. Adults, Laurie A. Theeke

Dissertations

Loneliness is a prevalent problem for older adults and has been shown to be associated with negative physical, psychological, and social variables. There has been limited research focusing on the relationship of loneliness to health. There is a gap in the literature when it comes to understanding how the problem of loneliness relates to the health of older adults in the United States.

The purpose of this study was to address this gap in the literature through the testing of two models, the first model represented the postulated risks for loneliness and the second model represented the postulated outcomes for …

Mating Burrows In The Fiddler Crab Leptuca Pugilator: How A Key Resource Is Contested, Constructed, And Shared, Zachary Michael Lane

Dissertations

The Atlantic sand fiddler crab, Leptuca pugilator, is found on sandy, vegetated beach across a large portion of the United States’ Atlantic and Gulf of Mexico coasts and is iconic in regions where dense populations of the species occur for its charismatic courtship, competitive, and foraging behaviors. The social dynamics of the species are complex. Reproductively active males maintain mating territories in the dangerous heat of the intertidal zone, away from their food source at the water’s edge, where they inhabit specialized mating burrows. These mating burrows are essential to successful female reproductive success, and when it is time …

Exploring The Fifth Quarter: An Enquiry Into Offal Eating In Contemporary Irish Food Culture, Its History, And Its Future, Niall Toner

Dissertations

Animal offal and organ meats seem to have all but disappeared from domestic cuisine in Ireland, despite the recent renaissance in the country’s food culture. This thesis has examined the extent and nature of the consumption of these comestibles in contemporary Irish food culture, and the perceived decline in offal’s popularity in Ireland in the past fifty years. It also sought to discover whether offal and organ meats might have a place in the future of our cuisine, and whether the consumption of more offal and organ meats in Ireland might contribute towards a more sustainable food production system, and …

Professional Development For Classified Managers Within The Business Services Departments At California Public School Districts, Juliet Castorena Orozco

Dissertations

Purpose. The purpose of this Delphi study was to identify and describe professional development topics required to prepare classified managers in California public school district business services departments as effective leaders as perceived by a panel of experts. This study also sought to identify the degree of importance of each professional development topic and the best strategies to address those topics as perceived by a panel of experts.

Methodology. A Delphi research design was used to identify and describe professional development strategies necessary to prepare classified managers in the business services division of California public school districts. The Delphi panel …

Home And Community-Based Service Utilization Patterns For Seniors With Alzheimer's Disease And Related Dementias, Margaret E. Saari

Dissertations

Half a million Canadians are living with Alzheimer's disease and related dementias. Approximately half these individuals live in the community, supported by informal caregivers. In this population, utilization of formal services is low and patterns of utilization are not well understood. Previous studies examining predictors of service use have examined services in isolation however, often multiple services are utilized, with little coordination between services.

The purpose of this study was to provide a better understanding of the community-based services utilized concurrently by seniors with dementia and their caregivers.

Telehealth Implementation At A Spinal Cord Injury Clinic Within One Veteran Affairs Medical Center In Pennsylvania, Kristina Tait

Dissertations

Patients with a spinal cord injury (SCI) often require follow-up care from a specialized provider to help reduce complications. The project sited noted that poor follow-up attendance was due to the distance the patients were from the specialty site and sought an evidence-based approach to manage follow-ups. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the American Academy of Family Physicians (AAFP) A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice would improve attendance rates for follow-up appointments among SCI patients.

Impact Of Covid-19 On Latinx And Black Communities, Carolina Zuluaga

Dissertations

This critical literature review project explored the impact of COVID-19 on Latinx and Black communities. According to the Centers for Disease Control and Prevention, as of September 28, 2022, around 16% of COVID-19 cases in the United States were among Latinx people, and 14% of cases were among Black people (Centers for Disease Control and Prevention, 2022). Since COVID-19 began, clinicians have become more conscious of the effects of health disparities within racial and ethnic minorities, which has warranted increased advocacy by educating health and mental health providers and creating and providing resources to these communities and clinicians. The review …

Heal The Hood: An Exploration Of Community And Organizational Assets In Chicago's Twentieth Ward, Jasmine James

Dissertations

This study seeks to expand upon Empowerment Theory (Rappaport, 1984) by utilizing Asset Based Community Development to better understand what community members and organizations deem as current strengths and needs of Chicago’s twentieth ward. The questions that this dissertation explores are What strengths exist in Chicago's 20th ward that can lead to empowerment for the community and What are community members' perspectives on what is needed in the 20th ward for community members to thrive? In order to explore these questions, this dissertation moves away from the terminology of “community needs assessment” and chooses to rather focus on Asset Based …