Digital Commons Network^™

The K-5 Teacher Experience Of Distance Instruction During School Closures Due To Covid-19, Rose Jenkins

Dissertations

The worldwide health emergency agency due to COVID-19 caused confinement of people and, with it, the closure of schools and the transfer of face-to-face instruction to distance instruction. With a lack of guidance from school crisis management plans, teachers had to adapt to new methodological approaches in confinement at a rapid pace. This study aims to gain knowledge of the experiences of K-5 teachers adopting online instruction during COVID-19 to assist in crisis planning.

A quantitative research design was used to collect and analyze data anonymously through an online survey of K-5 teachers. After statistical data analysis, there was a …

Impact Of Food Distribution Sites In Rural Neighborhoods At Risk For Food Insecurity In San Bernardino County, Lydia Garcia-Usry

Dissertations

Food security is an important element in the lifespan of individuals, and access to healthy food is important to the quality of life in communities. The significance of food insecurity is reflective of a community that does not have the resources to provide a consistent and stable intake of healthy and nutritious meals. Food insecurity has been linked to chronic illnesses such as heart disease, diabetes, hypertension, obesity, and the level of poverty in a community. The United States of America reports that 50 million people suffer from food insecurity, and it is reported as an urgent public health problem. …

An Exploratory Study To Shape A Disaster Nurse Practitioner Scope Of Practice, Frances Dunniway

Dissertations

The impact and devastation from national disasters pose imminent risk to large populations. If trained in disaster response and following evidence-based practice standards, the Nurse Practitioner (NP) could be prepared to adapt to any setting or surrounding, utilizing their full educational and health care training. Currently there are no written guidelines during disasters to manage the various clinical conditions. Using a Delphi technique, this exploratory study investigated the multidisciplinary understanding about the disaster NP role. Key findings included: 1. Across four groups of disaster responders, there was confusion about the disaster NP role, indicating a need for role clarity. 2. …

Characterization Of Tick And Host-Associated Factors Linked To Induction Of Alpha-Gal Syndrome., Surendra Raj Sharma, Surendra Raj Sharma

Dissertations

Alpha-Gal Syndrome (AGS) is a delayed allergic reaction caused by specific IgE antibodies to the oligosaccharide galactose-α-1,3-galactose (α-gal) present in red meat. AGS is a growing concern globally, with over 34,000 confirmed cases in the United States alone. Studies have linked AGS to tick bites, which sensitizes hosts against α-gal antigens and elevates α-gal specific IgE. This dissertation investigates the role of tick and host-associated factors in AGS development. Microbiome analysis of Am. americanum ticks revealed a comprehensive core microbiome profile and showed that new Fransiella-like endosymbionts dominate and outcompete conventional tick Coxiella endosymbionts. Ticks subjected to tetracycline treatment showed …

Improving Interventions On Cardiovascular Disease And Diet: A Policy Incentive Analysis, Sandra Hurst

Dissertations

Introduction: Various cardiovascular diseases (CVD) can be catastrophic and can lead to irreversible outcomes. There are limited, improved regulations on awareness of primordial and primary preventions that may decrease CVD progression and mortality. Before policies and recommendations can be set, policymakers should understand CVD and the importance of maintaining a healthy diet to decrease the risk of CVDs and improve patient adherence. Therefore, this project aims to analyze federal healthy food incentive policies to promote healthy diet behaviors that reduce CVD risk.

Method: The method used was existing data for a comparative policy analysis that included a policy proposal process: …

Interdependence Of Spirituality And Well-Being Among Korean Elders And Family Caregivers, Suk-Sun Kim

Dissertations

The purpose of this study was to explore the relationship of family spiritual interdependence to the well-being of elders and their family caregivers within Korean family caregiving situations. The correlation of spirituality and well-being between elders and caregivers and the actor and partner effect of spirituality on well-being were examined in terms of how family members' spirituality influences their own and partners' well-being.

Simulation Usage As A Partial Replacement Of Traditional Clinical: A Study Of Administrator And Faculty Perceptions In Practical Nursing Programs In Pennsylvania, Cynthia A. Cornelius

Dissertations

There has been a significant amount of research regarding simulation use in nursing education; however, there is limited research available regarding the replacement of traditional clinical with simulated clinical. This research included a mixed-method design formulated to determine Pennsylvania Practical Nursing Programs' current simulation usage and Pennsylvania Practical Nursing Directors', Assistant Administrators', and Faculty Members' perceptions regarding replacing a portion of traditional clinical with simulated clinical. An 18-item electronic questionnaire was delivered to 309 potential respondents via the Qualtrics electronic survey distribution system, with 191 responding.

South Asian Low Sodium Study (Salt): A Multi-Method Approach, Salima Hemani

Dissertations

Hypertension (HTN) is prevalent in South Asian Canadians (SAC), and dietary sodium is the primary contributing factor. The overall goal of the South Asian Low-sodium sTudy (SALT) is to describe contextual factors and determine the feasibility of implementing a six-week low sodium community-based dietary intervention to improve outcomes in SAC with stage one HTN.

SALT is a multi-method study consisting of a pilot randomized controlled trial (RCT) and a cross-sectional survey. Following ethics approval, participants with stage one HTN were randomized to a usual care group or an intervention group. Participants in the usual care group received the HTN Canada …

The Role Of County Offices Of Education In Supporting District Superintendent Effectiveness, Carol Tomeo

Dissertations

Purpose: The purpose of this parallel comparative Delphi study was to first identify the services provided by the County Office of Education (COE) to district superintendents that ensured their successful job performance from the perspective of both county superintendents/designees and district superintendents. Additionally, it sought to rate the importance of the identified services, identify the best methods of providing those services, and identify the rationale for each service provider method from both perspectives. The final purpose was to compare the results from both groups to determine alignment and efficacy.

Methodology: This study used a parallel comparative Delphi method that consisted …

The Impact Of School-Based Intervention For Overweight And Obese 9-13-Year-Olds On Anthropometry, Nutrition Knowledge, Attitudes, Selfefficacy And Dietary Behaviors, Sara Zuarub

Dissertations

Childhood obesity has emerged as a significant public health concern in the United Arab Emirates (UAE). The study evaluated the effects of school-based nutrition education on knowledge, attitude, dietary practices, self-efficacy, and anthropometric measurements of overweight and obese school children aged 9-13 years. Additionally, the parents' perceptions on factors contributing to childhood obesity were examined. A 6-month intervention program based on Social Cognitive Theory (SCT) was undertaken by children from 36 public schools located in Dubai and Sharjah emirates, UAE. The overweight/obese school children (n = 403) were classified into three categories, including two intervention groups (1 and 2) and …

Adherence To Antihypertensive Medications Among African Americans Adults, Obiageli Obah-Mbanefo

Dissertations

Purpose: To describe adherence to antihypertensive medications among African Americans adults aged 35 to 65 years in south Los Angeles.

Study Aims: Aim 1: Describe patient sociodemographic factors (age, gender, education, insurance, employment, living arrangement and income), clinical factors (history of current depressive symptoms, comorbidities, comorbidity Charlson score and number of comorbidities), health literacy level, and medication adherence to hypertension (HTN) medications. Aim 2: Describe the relationships between sociodemographic factors, clinical factors, health literacy level, and medication adherence. Aim 3: Compare medication adherence between patients with high health literacy level, low possible health literacy, and low health literacy level.

Background: …

An Analysis Of Cultural Values, Religiosity And Family Member's Caregiving On The Positive Appraisal Of Caring For The Elderly, Fayron R. Epps

Dissertations

The stress and burden experienced by the family caregiver during the caregiving experience has been widely researched and established among the literature. Limited research exists on the impact of cultural values, religiosity and family caregiving on the caregiver's positive appraisal of caring for a dependent elderly family member. Therefore, the purpose of this study was to examine the influence of cultural values and religiosity on the positive appraisal of caregiving among African American, Hispanic and Caucasian caregivers for dependent elderly family members. A predictive correlational study design was employed to examine the relationship amongst variables for 69 African-American, Hispanic and …

Self-Management By Adolescents And Young Adults Following A Stem Cell Transplant, Caroline F. Morrison

Dissertations

A grounded theory study was conducted to better understand the process AYA use to manage their care following a SCT. Specific aims included: 1) to explore self-management facilitators, barriers, processes and behaviors within individual, family, community and healthcare system domains using the pediatric self-management framework to develop initial interview guides; 2) to describe how AYA manage their care regimen post HSCT; and 3) to describe rates of oral medication adherence for AYA post HSCT and how they relate to patterns of self-management.

Experiences Of Food Insecure College Students During The Covid-19 Pandemic, Amy E. Kendrick

Dissertations

The aims of this qualitative descriptive study were to describe the experiences and needs of food insecure college students during the COVID-19 pandemic and to obtain foundational information about food insecurity during a public health crisis to provide guidance for the development of future interventions.

Impact Of Standardized Skin-To-Skin Protocol In The Operating Room On Breastfeeding Rates, Simone M. James

Dissertations

Skin-to-skin contact (SSC) is an evidence-based practice with many benefits for mothers and their newborns. The separation of mothers from their babies after cesarean birth delays SSC, which can adversely affect the initiation and the success of breastfeeding. The purpose of this quantitative, quasi-experimental project was to determine if or to what degree the implementation of Hung and Berg's evidence-based protocol for skin-to-skin in the operating room (OR) would increase exclusive breastfeeding rates at discharge for adult women status post a cesarean delivery in a rural Arizona hospital over four-weeks. The Iowa model and Lewin's planned change theory were utilized …

Cultivating Parental Participation And Community Engagement Through Building A Culinary Garden And Teaching Kitchen: Latinx Perspectives On Parental Participation In A Community School, Jaclynne Michelle Medina

Dissertations

This study researched how a school could increase parental participation and community engagement while building a new Culinary Garden and Teaching Kitchen project. This engagement was foundational for expanding parental participation opportunities and further developing the community school. The study explored ways to balance power relationships between the home and school to develop an implementation plan that better reflects the community being served. Theoretical lenses such as CRT and LatCrit were the basis for centering the voices of Latinx families and valuing their various forms of capital consistent with the Community Cultural Model. Participants influenced the design of the garden …

Hyperinsulinemic Lew.1wr1 Rats Develop Insulin Resistance And Nonalcoholic Steatohepatitis, Madushika M. Wimalarathne

Dissertations

The pathophysiological causes of nonalcoholic steatohepatitis (NASH) development are not fully understood but are often associated with hyperinsulinemia, insulin resistance and ectopic lipid accumulation. A subpopulation of type 1 diabetes patients develops the pathophysiological parameters to be termed “double diabetes,” which is associated with NASH. The objective of this work was to identify metabolic features of double diabetes and assess if LEW.1WR1 rats develop NASH. I assessed pathophysiologically relevant protein changes using proteomics and western blotting. I found that 17-week-old LEW.1WR1 rats showed protein changes related to non-alcoholic fatty liver disease, a precursor to NASH. We tested a second population …

Probability Expressions In Ai Decision Support: Impacts On Human+Ai Team Performance, Elias Spinn

Dissertations

AI decision support systems aim to assist people in highly complex and consequential domains to make efficient, effective, and high-quality decisions. AI alone cannot be guaranteed to be correct in these complex decision tasks, and a human is often needed to ensure decision accuracy. The ambition is for these human+ AI teams to perform better together than either would individually. To realise this, decision makers must trust their AI partners appropriately, knowing when to rely on their recommendations and when to be sceptical. However, research has shown that decision makers often either mistrust and underutilise these systems, or trust them …

Edible Learning: School Food Service Programming And Experiential Education That Promote Sustainable Agriculture And Better Nutritional Health, Kristina Grasty

Dissertations

The typical American diet, which involves the consumption of processed foods high in saturated fats, sodium, and refined sugar, is known to be unhealthy. Millions of students in the U.S. suffer from symptoms of malnutrition, making them susceptible to compromising health conditions such as type 2 diabetes that may persist into adulthood. Well-designed school nutrition programs and action learning that promotes sustainable agriculture have the potential to enhance students’ nutritional well-being as well as their understanding of the ecological systems needed to support good nutrition. This dissertation uses documentary film as an exploratory, qualitative research method to investigate approaches used …

Elucidating The Role Of A Staphylococcal Glucosaminidase In Host Innate Immune Responses, Zachary Resko

Dissertations

The peptidoglycan of Staphylococcus aureus is a critical cell envelope constituent and virulence factor that subverts host immune defenses and provides protection against environmental stressors. Peptidoglycan chains of the S. aureus cell wall are processed to characteristically short lengths by the glucosaminidase, SagB. It is well established that peptidoglycan is an important pathogen-associated molecular pattern (PAMP) that is recognized by the host innate immune system and promotes production of pro-inflammatory cytokines, including IL-1β. However, how bacterial processing of peptidoglycan drives IL-1β production is comparatively unexplored. Here, we tested the involvement of staphylococcal glucosaminidases in shaping innate immune responses and identified …

Implementation Of An Adverse Childhood Experiences (Ace) Screening Protocol For Adults At An Outpatient Medical Psychology Practice: A Dnp Project, Jennifer E. Allain

Dissertations

This DNP project aimed to educate and train staff and providers on ACE screening and implement an ACE screening policy and protocol at an outpatient medical psychology practice. The two expected outcomes of this project, provider knowledge after ACE training and provider compliance with the ACE screening protocol, were measured to determine if a clinical practice change occurred. A paired-samples t-test compared the participants' knowledge of ACEs before and after the ACE educational intervention with a pre/post-test. There was a statistically significant difference in the pre-test and post-test scores. These findings reflected a change in knowledge based on education …

Investigating The Involvement Of The Tick Vector In The Induction Of Alpha-Galactose Hypersensitivity (Alpha-Gal Syndrome, Red Meat Allergy) In The United States., Gary Crispell

Dissertations

Alpha-gal syndrome (AGS or sometimes called red meat allergy) is a result of the development of specific IgE antibodies to the oligosaccharide galactose-α-1,3-galactose (α-gal) after a person has had exposure to tick bites. This dissertation investigates four common tick species found in North America: the lone-star tick (Amblyomma americanum), the Gulf-Coast tick (Amblyomma maculatum), the American dog tick (Dermacentor variabilis), and the black-legged tick (Ixodes scapularis) for the presence of α-gal by utilizing a combination of immunoproteomic approaches and carbohydrate analysis techniques.

Anti-α-gal IgM antibodies (M86) were used in immunoblotting to detect …

Self-Efficacy, Knowledge, And Social Support On Self-Care Among Senior Korean Immigrants With Diabetes, Jung Eun Kim

Dissertations

Diabetes is a prevalent chronic disease that significantly affects morbidity and mortality among senior people. There are diverse ethnic populations in the United States, and Korean immigrants are one of the minority immigrant groups. Many senior Korean immigrants report language inadequacy, lack of social support, discrimination, anxiousness in an unfamiliar environment, and poor economic status. These barriers limit them from accessing adequate health care services and resources. Although self-care is the most important key part in managing diabetes, senior Korean immigrants with diabetes face challenges to perform effective self-care activities related to various barriers. However, studies about related factors on …

Biomarker, Treatment, And Socio-Demographic Factors Affecting Opioid Use Disorder Treatment Retention, Fernand A. De Los Reyes

Dissertations

Increasing mortality from opioid overdose and low treatment engagement are significant public health concerns. Along with increasing health care and criminal justice enforcement costs, there is an urgent need to study the factors associated with treatment retention in opioid use disorder. The study investigated the relative impact of the biomarker cholesterol on treatment retention in an opioid treatment program (OTP) clinic. Further, it examined the medical comorbidities, treatment, and socio-demographic variables that impact opioid use disorder treatment retention. This study was a secondary analysis of patient health records (n=267) in an opioid treatment program clinic. The study employed a hierarchical …

Algebraic Reasoning And Conceptual Understanding: A Mixed Methods Comparison Of In-Person And Virtual Classroom Strategies, Erneice J. Jackson

Dissertations

Algebraic reasoning is the beginning school of thought to critical thinking. Employers are looking for this 21st century skill. The purpose of this research was to investigate equity in mathematics education using the NCTM Teaching and Learnings Beliefs Survey. Four area were studied: the number of years in education, the degree earned, the grade level taught in education, and the number of years in an educator’s teaching position. A mixed methods inventory was used. Most results were not rejected in this study. Two statements in the survey warranted a discussion. Recommendations were made for further research.

Lifestyle Choices Related To Food Consumption And Their Relationship To Depression, Steven L. Jennings Jr.

Dissertations

Dieting, or the act of restricting oneself to small amounts or particular kinds of foods on the basis of health, spirituality, lifestyle, and moral decisions, is a practice that dates to 1066 A.D. However, with social media being as influential as it is, one might believe dieting is a new obsession or at least an obsession to which popular culture is returning. Despite this, it is only in recent years that researchers have begun to focus on the health benefits of such behaviors. The present study was designed to take this focus a step further by exploring the potential risks …

The Effect Of Hurricane Harvey On The Continuity Of Patient Care For Long-Term Care Patients Diagnosed With Dementia In Dallas And Harris Counties, Texas, Martin Mufich

Dissertations

The purpose of this study was to analyze adverse health outcomes resulting from a disruption caused by Hurricane Harvey in the continuity of patient care for two geographically distinct patient populations: long-term care patients diagnosed with dementia in Dallas County, Texas and Harris County, Texas. Review of the literature revealed three themes: patient transitions from one level of care to another, members of the healthcare team (healthcare professionals, caregivers), and policies and strategies. The research design was a retrospective, quantitative, comparative, quasi-experimental design. The population of study consisted of long- term care patients diagnosed with dementia, N = 5,539. The …

Person-Oriented And Variable-Oriented Statistical Approaches To Understanding At-Risk, Online High School Students: Predictions Of Academic Outcomes And The Moderating Role Of Protective Factors, Amanda Renee Atwater Jacobs

Dissertations

Many students come to school with risk factors that negatively impact their educational attainment and overall well-being. These risk factors may include but are not limited to abuse, poverty, teen pregnancy, low academic achievement, and learning disabilities. Other types of factors have been shown to provide a protective aspect against risk, and examples include social emotional skills such as grit, flexibility, and social-awareness. There is benefit in individualizing educational experiences for at-risk adolescents based on their specific risks and available protective factors, but knowing how these factors influence and interact with one another to predict academic outcomes is the first …

Minimizing Lapses For Weight Control: The Effects Of Cue Exposure And Response Prevention Combined With Distress Tolerance, Meredith Ayers Holland

Dissertations

The current study sought to replicate and extend research into cue exposure and response prevention. Extensions included the addition of a distress tolerance psychoeducation component, delivery of the intervention using videoconferencing technology, and having male and female participants. Daily self-report data was collected using a signal contingent ecological momentary assessment procedure, wherein participants responded to scheduled text messages that went out four times a day. During each exposure session participants responded to questions related to how strong their desire to eat the food was, to their conditioned stimulus-unconditioned stimulus expectancies (CS-US expectancies), and how able they were to tolerate their …

Universal Pre-K In Comstock Public Schools, Meadow A. Nuyen

Dissertations

In 1971, President Nixon vetoed legislation that would have created federal funding for the education of kids under age five. With the veto, President Nixon reaffirmed that, except for poor children, the education and care of the children is the responsibility of the family, not the government. Yet over 31 years later, 41 states and the District of Columbia provide state-funded preschool (Waxman, 2021). Preschool in the state of Michigan is not automatically provided as K-12 education is. This study examined the beliefs of staff in Comstock Public Schools regarding Universal Pre-K, tuition-free preschool for all 4-year-olds. Participants included district …