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Enhancing The Bioactivity And Functionality Of Camel Whey By Enzymatic Hydrolysis And Conjugation With Quercetin, Waqas Nabi Baba

Dissertations

This dissertation focuses on enhancing the bioactivity and emulsifying properties of camel whey through peptic hydrolysis and conjugation with quercetin, respectively. Peptic hydrolysis of camel whey using pepsin was performed using a general full factorial design (33) to study the effects of temperature (30, 37, and 45°C), times (120, 240, and 360 min), and enzyme concentrations (0.5, 1, and 2%) on antihypertensive and antilipidemic properties. The generated hydrolysates showed higher inhibition of pancreatic lipase (0.465 to 7.5 mg/mL), cholesterol esterase (0.240 to 1.243 mg/mL), and Angiotensin Converting Enzyme (ACE) (0.197 to 1.307 mg/mL) compared to control camel whey. Various bioactive …

Social Determinants Of Health And Health Confidence, Laura Truman

Dissertations

Purpose/Aims: The purpose of this study was to investigate the relationship among social determinants of health (SDOH), select sociodemographics, and health confidence level in adults receiving care at an urgent care center.

Background/Rationale: To improve overall health and reduce health inequities during a global pandemic and unprecedented rates of inflation, the relevancy and urgency of identifying how patient-level SDOH impact health confidence level are even greater. Extant research indicates a relationship between the number of unmet social needs and low health confidence. Low health confidence predicts poor involvement in self-care and is associated with an increased use of costly health …

Diabetes-Related Distress Experienced By Saudi Adults With Type Two Diabetes Mellitus, Ibtesam Alqahtani

Dissertations

Living with a chronic condition such as diabetes mellitus (DM) and adhering to its complex treatment regimen strongly affect patients' psychological well-being as well as their physical health. Diabetes-related distress (DRD) is a common issue, affecting 40% of DM cases, but it often goes unnoticed and untreated. Despite the high prevalence of DM in the Saudi population, DRD has received little research attention.

This study explored the lived experience of DRD among Saudi adults with type 2 diabetes mellitus (T2DM) in the Kingdom of Saudi Arabia.

Nursing Education In Complementary Alternative Modalities: A Case Study, Deborah Bird

Dissertations

Purpose: The purpose of this embedded case study was to describe the preparation for and utilization of complimentary alternative modality (CAM) interventions by an experienced Doctor of Nursing Practice (DNP) prepared nurse practitioner (NP) working in an outpatient setting.

Background: Given the widespread use of CAM by the American public and the potential complications involved in combining CAM and standard medical care, a lack of educational preparation in CAM interventions by NPs delivering primary care in outpatient health care settings represents both a potential risk and a missed opportunity to provide holistic patient care. Such a lack of knowledge also …

Voices From The Frontier: Stories Of Nurse Practitioners Working In Remote Settings, Lynn Jakobs

Dissertations

Frontier communities are the most sparsely populated and geographically remote areas in the United States. Residents of these communities often lack access to healthcare resources of any kind. Nurse Practitioners (NPs) are more likely than physicians to practice in these areas and provide a vital link in the frontier healthcare safety net.

This narrative inquiry into the practice experiences of frontier NPs informs the discipline of nursing regarding the significant contribution frontier NP practice makes to the delivery of frontier healthcare. This inquiry creates a repository of stories upon which nurse leaders, health care policy makers, and nurse educators interested …

An Examination Of Organizational Influences On Coach Decision Making, Arien Elizabeth Faucett

Dissertations

Sport coaching occurs in an ambiguous, complex, and dynamic environment bounded by rules, structures, and traditions unique to the context in which it occurs (ICCE et al., 2013; Jones & Wallace, 2005; Nash & Collins, 2006). Coaching is therefore not only pedagogical in nature but also features social and political elements (Abraham & Collins, 2011) focused on athlete development within a specific social and organizational context (ICCE et al., 2013). At the heart of this coaching practice is a constant process of decision-making (Abraham et al., 2006; Lyle & Vergeer, 2013; Vergeer & Lyle, 2009). However, research on the decision-making …

Weight Change In College Freshmen: Personal, Interpersonal And Situational Influences, Kristin L. Kuhlmann

Dissertations

Obesity has become the most significant noninfectious health risk in the United States, and the major causes of death and disability are shifting to chronic, non-communicable health conditions that are largely attributable to physical inactivity, overweight and obesity, and other diet-related factors. Among children and adolescents, the overweight/obesity rate is approaching 32%, with 17.9% of adolescents becoming obese. While the obesity rate has doubled in all age groups in the United States, it has tripled among young adults aged 18 to 28 years, and 70% of adolescents who are at a healthy weight will become overweight or obese as adults. …

Predicting Attrition Among Human Anatomy And Physiology I Students In Community Colleges, Benjimen Sessums

Dissertations

Anatomy and Physiology (A&P) courses are offered at almost every postsecondary educational institution in the United States enrolling over 450,000 students each year across the United States with an overall attrition rate between 30-40%. Approximately 150,000 of these students will not be successful the first time they attempt A&P. This constitutes one of the highest attrition rates of all undergraduate degree courses with this size of yearly enrollment.

A&P courses often serve as gateway course required for the continuation and completion of several biological degree fields. Many health-related professional programs such as nursing, paramedicine, and other allied health vocations require …

An Improvement Science Approach To Understanding Adaptive Leadership As A Tool For Diabetes Educators To Teach Patient Self-Efficacy, Allie Carter

Dissertations

Background: Worldwide diabetes is estimated at 415 million, and that number is expected to increase to 642 million by 2040 (Roberts et al., 2017). Certified Diabetes Care and Educational Specialists (CDCES) and other health care providers strive to teach patients with diabetes skills that assist them in developing and maintaining self-efficacy. Current education methods are not always enough to help a patient navigate effects of their diabetes. Using the adaptive leadership principles can provide educators an interventional practice that facilitates patient self-management. This study explores the effectiveness of adaptive leadership when applied to the diabetes education delivery and confirms the …

Technology Integration In School-Based Physical Activity, Taemin Ha

Dissertations

The purpose of this study was to understand the current practice of technology use for physical activity promotion in K-12 schools in the United States by conducting two studies. Using a quantitative research design, study one aimed to identify the current practice of technology use in school-based physical activity promotion. Study two investigated what attributes contribute to the use of technology in schools for physical activity facilitation and promotion. A sequential explanatory mixed-methods study design was used for study two, and Rogers’ (2003) diffusion of innovations theory served this study as a theoretical framework. A total of 367 registered Active …

A Mixed Methods Study On Urban Educators’ Feelings Of Preparedness To Implement Practices That Impact Social And Emotional Learning In A Mid-Pandemic Environment, Emily Dittmer

Dissertations

The purpose of the mixed methods study was to evaluate urban educators’ perceptions of their preparedness to implement social and emotional learning strategies in their classrooms/workspaces as well as to understand what the educators’ experiences were as their students returned to a five day a week school schedule after a year and a half of disruptions due to the COVID-19 pandemic. Those involved in the study included educators from four K-8 public charter schools located in an urban Midwestern environment. Quantitative data was obtained through the administration of two identical surveys that were completed by volunteer participants at two different …

An Exploration Of The Pathway From Childhood Neglect To School Bullying Victimization, Natalie D. Johnson

Dissertations

The objective of the current study was to explore the association between two widely prevalent sources of trauma occurring early in life, child neglect and bullying victimization (BV), via adult recollections of maltreatment experiences. One hundred and twenty participants, recruited from a mid-sized university in the Rocky Mountain region of the United States, were ultimately included in the sample. Of the total sample, 30 participants (25%) endorsed a history of moderate to severe neglect in childhood and 62 participants (52%) endorsed experiencing at least one form of BV in school. Childhood maltreatment, including various forms of neglect and abuse, was …

An Eye-Tracking Investigation Of Consumer’S Real-Time Behaviors In Professional Minor League Hockey, Alicia B. Romano

Dissertations

Minor league hockey provides a unique setting to investigate consumers’ marketingcontrolled activities in a natural environment. Consumers’ visual attention to sponsorship information has been shown to influence their explicit memory of sponsor brands and their purchase intentions. The current research builds on the sponsorship information processing framework of previous scholars by examining consumers’ real-time behaviors to sponsorship information in a natural setting. To analyze consumers’ behaviors at minor league hockey sporting events, qualitative and quantitative data were collected from 16 participants. The qualitative data related to the patterns and observations of consumers’ visual attention behaviors. The quantitative data measured consumers’ …

Effects Of Exercise Training On Objective Measures Of Sleep Quality And Markers Of Peripheral Circadian Rhythm In Cancer Patients Undergoing Treatment, Luke Michael Krynski

Dissertations

Poor sleep quality is a common side effect among cancer survivors, which could lead to a decrease in quality of life and worsen a variety of clinical outcomes for cancer patients including risk of infection and cancer recurrence. The detrimental effects of poor sleep quality are correlated with a disruption in circadian rhythm, which is a vital component of essential physiological processes. Exercise could improve sleep quality and circadian rhythm in an apparently healthy population but evidence was lacking in the cancer population. The purpose of this study, therefore, was to explore the effects of individualized, prescribed, supervised exercise on …

The Effects Of Puberty Blocking Treatment (Gonadotropin Releasing Hormone Agonist) On Physical Activity And Reproductive Health In Young Female Rats, Brandon Creed Jones

Dissertations

The number of adolescents identifying as transgender has been increasing with many transgender youth receiving treatment with a gonadotropin releasing hormone agonist (GnRHa) that suppresses sex hormone production (i.e., puberty blocker). Transgender individuals taking a GnRHa to block puberty have reported improved mental wellbeing, but the physiological impacts need to be examined. Purpose: To investigate the effects of puberty blocking treatment using GnRHa on physical activity, reproductive morphology, and reproductive function in young female rats. Methods: Four-week old female Sprague Dawley rats were given daily subcutaneous injections of the GnRHa triptorelin or saline as control. One group of rats was …

Course-Based Undergraduate Research Experiences: Science Practices And Science Identity, Alaina Buchanan

Dissertations

Course-Based Undergraduate Research Experiences (CUREs) have become more commonly incorporated in laboratory courses in undergraduate education. Because CUREs incorporate research within the context of a course, the benefits of mentored research (self-efficacy, science identity, persistence, and more) are extended to each student enrolled. CUREs are designed with five key components: discovery, relevance, iteration, collaboration, and science practices. However, the term science practices is broad and includes a diversity of student activities which can make it difficult to compare student outcomes across different CUREs. The first part of this work reviews the components and specific science practices included in all CUREs …

A Current Wave Of Development: Examination Of Positive Youth Development And Identity In The Junior Lifeguard Program, Danielle Nicole Wong

Dissertations

The Junior Lifeguard (JG) Program is a youth ‘serious leisure’ summer program that teaches children between the ages of 9 to 17 years ocean safety and education (United States Lifesaving Association [USLA], 2022). Though the program has been anecdotally regarded as beneficial for youth, it has never been formally evaluated for aspects of Positive Youth Development (PYD). Positive Youth Development programs are considered successful if they efficiently provide the appropriate context for youth to enhance their physical, cognitive, social, and emotional skills (internal assets) with supportive individuals, or significant others, (external assets) to help guide them for life skills transfer, …

Let’S Take This Outside: Utilizing Outdoor Classrooms As A Response To The Coronavirus-19 Pandemic, Cortney Leigh Lamb

Dissertations

The worldwide school closures due to the Coronavirus (COVID)-19 pandemic that began in the spring of 2020 caused a disruption to educational systems (Bao et al., 2020; Engzell et al., 2021; Masonbrink & Hurley, 2020; Munir, 2021; United Nations International Children’s Emergency Fund, 2020). The pandemic created a dilemma in which school leaders around the world and in the United States had to make challenging decisions about how to open schools in the fall of 2020 and how to best educate students (Honein et al., 2021). The majority of school leaders choose to reopen schools in the fall of 2020 …

Inviting The Outside In: Nature's Contribution To Counselor Wellness, Naomi Medina

Dissertations

The positive influence of nature on client wellness and psychological health (BonhamCorcoran et al., 2022) is well reflected in the emergence of nature-based counseling interventions such as wilderness therapy, walk talk therapy, and horticulture therapy, among other counseling modalities that involve aspects of the natural world (Lewis et al., 2022). This suggests that the inclusion of nature within the counseling session could also contribute to the wellness of the counselor. The purpose of this research was to determine the extent to which presence of nature contributes to counselor wellness and which of the five senses may play a greater role …

An Empirical Analysis Of Asylum-Seeking, Migration And International Trade, Olawale David Adisa

Dissertations

This paper aims to provide an empirical analysis of asylum seeking, migration, and international trade. These issues are among the most pressing challenges of our time and understanding the various factors that drive these phenomena and the relationships between them is crucial. Through rigorous analysis and examination of real-world data, this paper aims to contribute valuable insights into these topics. The paper is structured into three chapters, each focusing on a specific area of investigation. The first chapter explores the impact of asylum decisions on future asylum applications. Utilizing a panel data approach that covers 205 countries from 2000 to …

The Motherhood Crusade: Rural Low-Income Mothers, Support, And Empowerment, Christina Castellano

Dissertations

Previous research has shown that postpartum women with untreated mental health conditions are more likely to fail to manage their own health, have inadequate nutrition, abuse substances, experience abuse, be less responsive to their baby’s needs, have fewer positive interactions with their baby, experience difficulties breastfeeding, and question their abilities as a mother. Rural culture plays a complex role in the transition to motherhood, influencing whether mothers seek out and use resources. While more is known about location and access issues, less is known about how rural culture and, more specifically, how empowerment and social support impact postpartum experience. The …

Implementation Of A Validated Health Literacy Tool With Teach-Back Education In A Super Utilizer Patient Population, Maribeth Lebreton

Dissertations

As health care costs continue to rise in the United States, there are associated concerns over use of services and where the utilization is occurring. Consumption of large amounts of health care resources has been attributed to a specific patient population, called the Super Utilizer patient population. An evidenced-based practice improvement project was developed and implemented in Lancaster County, called Care Connections. The purpose of the practice improvement project was to design, implement and evaluate health literacy and teach-back education in a Super Utilizer patient population.

Effects Of Adaptive Expertise On Counseling Self-Efficacy: The Mediating Role Of Adaptive Performance, Jiaying Meyer

Dissertations

Counseling and psychotherapy expertise research have been focused on three major areas, namely, characterization of Master Therapists, performance of Healing Involvement, and application of Deliberate Practice. The constructs of adaptive expertise and adaptive performance have never been investigated in the context of counseling or psychotherapy. Therefore, the purpose of this study is to examine the relevance of adaptive expertise in psychotherapy by studying the relationships between adaptive expertise, adaptive performance, and counseling self-efficacy. A total of 460 psychotherapy practitioners from a variety of disciplines and experiences participated in the study, and they included counseling, psychology, social work, and others with …

The Lived Experiences Of Icu, Med-Surg, And Er Nurses In The United States Attempting To Breastfeed During The Covid-19 Pandemic, Amy Seay

Dissertations

Breastfeeding is important to promote the health of both mothers and babies (Centers for Disease Control and Prevention [CDC], 2021). Many mothers experience workplace barriers and stress which negatively impact breastfeeding duration (McCardel & Padilla, 2020; Nagel et al., 2022). However, a gap in the literature exists surrounding specific barriers and the impact of stress on U.S. nurses who breastfeed. Specifically, workplace challenges and stress among nurses resulting from the COVID-19 pandemic lack exploration.

This interpretive phenomenological study explored the lived experiences of ICU, Med-Surg, and ER nurses who attempted to breastfeed during the COVID-19 pandemic. Roy’s adaptation model was …

Assessing And Characterizing Marijuana Use Disorders (Dsm-5) — National Survey On Drug Use And Health, United States, 2020, Alejandro Azofeifa-Ujueta

Dissertations

Despite that marijuana (cannabis) is still considered, under federal law, an illegal Schedule I drug, marijuana is the most commonly used illicit substance in the United States. National trend data has shown that the prevalence of marijuana use has increased over time, particularly among those aged 18 years and older. Some individuals can use marijuana without harm; however, long-term and heavy marijuana users may experience health consequences, including marijuana use disorders (addiction). For the last 20 years, existing national and statelevel epidemiological, surveillance, and research data have analyzed marijuana use disorders (MUD) using previous diagnostic criteria (DSM-IV). There is limited …

Maternal Vitamin B12 And D Status, Depression, And Dietary Intake And Neonatal Outcomes Following Bariatric Surgery, Amna Salem Al Mansoori

Dissertations

Bariatric surgery is a more effective approach than dieting for women with morbid obesity and can reduce comorbidities, such as hypertension and gestational diabetes, while improving fertility. Vitamins B₁₂ and D have essential roles in ensuring a healthy pregnancy and favorable neonatal outcomes. However, pregnancies following bariatric surgery may be complicated by micronutrient deficiencies, particularly of vitamins B₁₂ and D. This study aims to investigate vitamin B₁₂ and D status and neonatal outcomes in pregnant women who underwent sleeve gastrectomy or Roux-en-Y gastric bypass compared with those of women who did not. Additionally, the dietary intake and …

Celiac Disease Prevalence And The Characteristics Of Celiac Patients In The United Arab Emirates, Two Centers Study, Asma Hamed Alnababteh

Dissertations

Celiac Disease (CD) is a chronic autoimmune gastrointestinal disorder caused by genetic susceptibility to gluten and affects around 1% of the population worldwide. CD can occur at any age and is diagnosed by detecting specific serological biomarkers and histopathological changes in the duodenal biopsy. In the United Arab Emirates, there is a lack of studies describing CD in children or adults; this thesis aimed at researching the epidemiology of celiac disease in among the populations in the United Arab Emirates.

Two Studies were conducted to achieve the research objectives, study one was conducted in Cleveland Clinic Abu Dhabi (CCAD) and …

Individual Perceptions Related To Fall Risk Among Older Adults In Acute Care Setting In A Saudi Arabian Hospital, Zuhar S. Altaymani

Dissertations

Despite a plethora of research examining fall risk, including numerous fall prevention strategies, falls remain the most common adverse event among the elderly. Frail older adults are at higher risk for falls. With the increase in the geriatric population and their risk for frailty, it is imperative to address the limitations of both diagnosis and treatment of frailty, and the concurrent fall risk for older adults in Saudi Arabia by examining self-perception of fall risk. In older Saudi Arabian adults, falls are a serious health issue affecting up to 49.9% of elderly people, often resulting in fractures, traumatic brain, and …

Objective Physical Activity And Sleep Characteristics Measurements Using A Triaxial Accelerometer In Eight Year Olds, Susan A. Harrington

Dissertations

Secular trends demonstrate that young children are less active and sleep less. Inequity in an individual's energy balance is known to have poor health outcomes. Academic achievement, academic behavior, and weight status are proxy indicators for health and psychosocial outcomes in this study. Current guidelines in place for sleep and physical activity in childhood are the result of data collected in the form of self-reports. Quantification and qualification of physical activity dimensions and sleep characteristics are essential not only for the purpose of clearly establishing parameters but also for the intent of verifying optimal health outcomes and evaluating interventions related …

Disease Risk Of Reintroducing Primates Confiscated From The Illegal Wildlife Trade, Ana Patricia Mendoza Becerra

Dissertations

Zoonotic infections are easily shared between human and other primates, and thus primate trafficking poses a high risk of introducing zoonotic pathogens into urban environments as well as spreading human-associated diseases into natural environments when infected primates are released. The magnitude of these risks has not been thoroughly studied in the context of primate trafficking and rehabilitation of Neotropical primates. In this dissertation, I address some knowledge gaps in disease risk analysis of reintroducing trafficked primates. In chapter 1, I describe the dynamics, diversity, and composition of live wildlife trafficking in urban markets in Peru. I found these markets are …