Digital Commons Network^™

Verification Methods Of Nasogastric And Orogastric Tubes: Improved Patient Outcomes Through Nurse Adherence To Practice Guidelines, Jennifer M. Kaple

Dissertations

Although there are various methods that are used to confirm the placement of nasogastric (NG) and orogastric (OG) tubes prior to the administration of any substance, there is none that is used universally and with certainty of safety. Unreliable and contradictory methods for confirming tube placement ultimately leads to misplaced tubes and causes considerable adverse events including pneumonia, lung collapse, and fatality. In adult patients within a northcentral Ohio community hospital, greater than 18 years of age, requiring the placement of an NG or OG feeding tube [P], how does implementation of a systems-wide approach to update adherence guidelines for …

Role Of The Interleukin-22 And Stat3 Signaling Pathway In Gut Barrier Maintenance Following Intoxication And Burn Injury, Adam M. Hammer

Dissertations

More than half of patients admitted to burn centers for treatment have measurable alcohol levels in their blood. Intoxication that precedes a traumatic burn injury leads to worsened patient outcomes, including higher rates of infection and sepsis. The intestines harbor the largest concentration of bacteria in the human host. Any disruption of the intestinal barrier as a result of intoxication and burn injury could contribute to infection and/or sepsis from gut-derived microbes. Previous work has demonstrated that the intestinal barrier becomes leaky, and that administration of interleukin-22 (IL-22) significantly reduces gut barrier leakiness following alcohol and burn injury. However, the …

Characterization Of The Effect Of Aeration On A Commercially Available Fibrin Sealant For Use In Wound Therapy, Adam Robert Marek

Dissertations

Wound care affects millions of people worldwide each year, and the need for an effective wound therapy still exists. The aim of this study was to characterize a novel, aerated biopolymer, fibrin foam, which is generated through a patented mixing process using a commercially-available fibrin sealant. This research developed a distinct preparation of fibrin foam that creates a porous environment with improved wound healing properties. With this fibrin foam, characterization assessments were performed, including evaluation of mixing parameters, biocompatibility, and biomechanical strengths.

Fibrin foam is created by performing six passes through a mixing device, which generates a foam matrix with …

Maintaining And Improving Academic Achievement In The Midst Of Significant Demographic Change: A Case Study Analysis, Aaron Raatjes

Dissertations

The research of Mei Jiun Wu (2013) indicates that demographic change greater than 1% has significant impact on the achievement performance of school districts. This study analyzes a single district that experienced an average of 1.25% demographic change per year consisting of an increase of non-White students from 2002 to 2015. Despite this compounding change, the district was able to maintain and improve academic achievement. This study utilizes Marzano and Waters' (2009) framework for school leadership as well as Lindsey, Nuri-Robins, and Terrell's (2009) Framework for cultural proficiency to better understand how the district was able to maintain and improve …

Friendship Selection Patterns Among Low Income Minority Girls/Adolescents: Links To Obesity Risk, Kimberly Anne Rosania

Dissertations

Research suggests interventions for pediatric obesity fail because they do not consider the broader social context in which adolescents spend their time: the adolescent friendship network. A critical step to address friendship network barriers to reducing child obesity is understanding contexts that promote friendship network patterns that promote healthy weight (i.e., social inclusion of overweight youth, friendship clusters that are diverse in weight status). This study sought to understand whether community-based summertime programming could facilitate healthier selection patterns for a demographic disproportionately at risk for obesity: low-income girls of color. Participants were 42 African American and Latina adolescent females (M …

Childhood Obesity Programming In Schools: A Mixed Method Program Evaluation Of The Cope Healthy Lifestyles Teen Intervention, Lindsay Viellieu

Dissertations

The current study was designed to evaluate the effectiveness of the COPE Healthy Lifestyles TEEN program with adolescent females within a suburban high school setting. The program assessed changes in Body Mass Index, knowledge and behaviors relating to nutrition and physical activity and self-concept. The study also focused on participants' perspectives on program components and how those components facilitate change. The results of this study indicate the program increased knowledge relating to nutrition and physical activity; behaviors relating to physical activity; and self-concept. Given the on-going nature of the childhood obesity epidemic worldwide and the relationship between mental health and …

The Lived Experience Of Intersectionality Among African American Women With Breast Cancer, Teri D. Armour Burton

Dissertations

African American women (AAW) continue to have breast cancer mortality rates that are 42% higher than White women (De Santis et al., 2015). Researchers suggest that an epistemological approach that integrates the biomedical and feminist models would be more effective in addressing health disparities. The concept of intersectionality, which grew out of the Black feminist movement, provides a lens in which to view the lived experiences of AAW with breast cancer. The intersectionality paradigm attempts to address the marginalized, oppressive, intersecting social existence of AAW through the examination of identity, social class, and power.

This qualitative study applied a descriptive …

Toward The “Better Than Well” Cultural Ideal: Understanding Changing Conceptualizations Of Illness And Wellness And North American Parenting, Pedagogy, And Education Policy (19th-21st C.), Nicole Ortegon

Dissertations

In the history of the United States, dominant conceptualizations of mental illness and wellness have been informed by scientific discourses situated in somatic and psychogenic-based paradigms – each affecting parenting, pedagogy, and education policy. From the late nineteenth through twentieth century, the field of psychiatry would come to endorse a primarily psychogenic rather than somatic-based approach to mental health, conceiving of the mind rather than body as the primary locus of illness and wellness. This resulted in a shift from a problem-focused paradigm of mental illness to prophylactic-focused paradigm of mental wellness. Secondary scholarship on the history of psychology and …

Human Rights And Global Justice: A Normative Critique Of Some Rawlsian Approaches., Ndidi Victoria Nwaneri

Dissertations

HUMAN RIGHTS AND GLOBAL JUSTICE: A NORMATIVE CRITIQUE OF

SOME RAWLSIAN APPROACHES

I hold the position that all forms of social injustice (including global injustice), result

from the intentions and actions of persons. Therefore, irrespective of intervening layers of

causation, such injustice must be understood as intersubjective violations. In this project, I

attempt to develop a global justice theory that takes the level of analysis beyond global

institutions and practices to the level of intersubjective relations between moral agents. My

project opens up the following question: How would a global justice theory look if we took the

expression of human …

Unavoidable Pressure Ulcers: An Ethnonursing Study, Catherine M. Clarey-Sanford

Dissertations

Catherine M. Clarey-Sanford

Loyola University Chicago

UNAVOIDABLE PRESSURE ULCER: AN ETHNONURSING STUDY

In an effort to improve patient safety and the quality of care in the acute care setting, there has been an increased focus on the prevention of adverse events believed to be avoidable. Hospital-acquired pressure ulcers (HAPU) have been listed as one of those adverse events, and hospitals are no longer reimbursed for related costs. However, there are patient conditions and clinical situations in which a pressure ulcer can be deemed unavoidable. In acute care, unavoidable means that the patient developed a pressure ulcer even though the provider …

We Can Do Better: Evaluating An Intervention Remedying Caseworkers’ Negative Racial Bias Towards African American Families Involved In Child Welfare, Adrianne Michele Fletcher

Dissertations

Given that U.S. history documents the severing of African-American family ties by isolating parents from each other and their children under slavery, it is imperative that the child welfare system be free of any echoes of that holocaust. Yet many scholars and practitioners who lament negative racial attitude, both implicit and explicit, may continue to contribute to the over-representation of African-American children in the U.S. child welfare system. This study proposes to examine a subcategory of practitioner attitudes, those about the caregivers’ race, and how those attitudes can be altered through a reflective educational experience. Drawing from pre-existing research about …

Mutual Regulation Of Crp And N(Epsilon)-Lysine Acetylation In Escherichia Coli, Robert James Davis

Dissertations

Post-translational modifications, such as N(epsilon)-lysine acetylation, are known to alter the behavior of transcriptional regulators in eukaryotes, but very little is known about the consequences of acetylation on transcriptional regulation in bacteria. Here, I provide evidence that a global transcriptional regulator of carbon metabolism, cAMP Receptor Protein (CRP), promotes both enzymatic and non-enzymatic lysine acetylation in E. coli. Non-enzymatic lysine acetylation occurs when cells ferment acetate, such as during growth on high concentrations of glucose. Intriguingly, CRP can be non-enzymatically acetylated on several lysines, including lysine 100 (K100). I provide evidence that neutralization of the K100 positive charge, as would …

Exploring The Implications For Educational Leadership: A Case Study Of Cristo Rey St. Martin College Preparatory High School, Julie Lynn Frey

Dissertations

This is a case study of Cristo Rey St. Martin High School, member of the Cristo Rey Network. Cristo Rey St. Martin has been able to make gains in closing the gap with regard to student entrance into college for low-income minority students, making it a unique and appropriate case to study. The purpose of this research was to study the formation of the leadership at Cristo Rey St. Martin College Preparatory High School.

The case study consisted of interviews, observations, shadowing of the principal, and document analysis.

Major finding include mission creation explicit to student achievement, a student centric …

The Health Of Human Trafficking Victims In San Diego, California: A Retrospective Study, Noelle Lipkin Leveque

Dissertations

Background/Purposes/ Aims: Human trafficking (HT) is a threat to human rights globally. Studies indicate between 28% and 87% of HT victims encountered a health care professional during their trafficking period. Nonetheless, little is known about the health care needs of victims of HT. The purpose of this study was to examine the health care needs of a self-identified group of trafficked women in San Diego County, California.

Conceptual Basis: The Model of Human Trafficking and Health by Zimmerman et al. (2011) was used to identify multiple determinates of health following the trafficking period including demographic factors (age at assessment, age …

Low-Fee Private Schools In West Africa: Case Studies From Burkina Faso And Ghana, Corinne Brion

Dissertations

Every year billions of dollars are spent on development aid and training around the world. However, only 10% of this training results in the transfer of knowledge, skills, or behaviors learned in the training to the work place. Ideally, learning transfer produces effective and continued application by learners of the knowledge and skills they gained through their learning activities. Some studies suggest that technology usage can serve as an effective post-learning intervention to enhance the transfer of learning.

Currently, there is a limited body of research examining the factors that hinder and promote learning transfer in professional development, particularly the …

Emotional Intelligence And Decision-Making As Predictors Of Antisocial Behavior, Melina Sample

Dissertations

Problem

Antisocial behaviors in the general population are not well understood and little studied, however, their acceptance is becoming more normalized and accepted by society. This present study intended to focus on the contributing factors of emotional intelligence and decision-making to the presence of antisocial behaviors, and how these contributions vary by gender.

Method

This study used the Levenson Self-Report Psychopathy Scale, the Trait Emotional Intelligence Questionnaire – Short Form, and the General Decision Making Style Inventory to explore the relationships between the three variables. A structural equation model was developed to examine the theoretical covariance matrix proposed in comparison …

Disrupting Poverty: The Impact Of Academic Optimism And Organizational Citizenship Behaviors On Student Achievement In California High-Poverty Secondary Charter Schools, Derek King

Dissertations

ABSTRACT

Disrupting Poverty: The Impact of Academic Optimism and Organizational Citizenship Behaviors on Student Achievement in California High-Poverty Secondary Charter Schools

by Derek King

One of the byproducts of the Civil Rights Act of 1964 was the commissioning of a study by the United States Department of Health, Education and Welfare to better understand the disposition of the nation’s educational system. By 1966, the most comprehensive educational study to date was completed, the Equality of Educational Opportunity (Coleman et al., 1966). The findings shocked the nation by concluding that familial poverty restricted a student’s academic achievement, rendering all school-based interventions …

Color-Mediated Foraging By Pollinators: A Comparative Study Of Two Passionflower Butterflies At Lantana Camara, Gyanpriya Maharaj

Dissertations

Colorful floral signaling and resulting insect foraging behaviors have only been extensively examined in hymenopteran pollinators, especially bees, in comparison to flies, beetles, and butterflies regardless of their ecological importance. Therefore, my study provides novel information by focusing on foraging behaviors of adult passionflower butterflies, Heliconius melpomene and Dryas iulia, to the color changing flowers of Lantana camara. My dissertation which is divided into four chapters, aims to explore various aspects of color mediate foraging in passionflower butterflies by combining observations in the wild with controlled field and laboratory experiments. In the first chapter I reviewed flower color development and …

Up In Smoke: Using In-School Tobacco Education And Media Literacy To Reduce Smoking Initation Among 7th Grade Students In A Suburban Setting, Cynthia Ford Pulley

Dissertations

ABSTRACT Purpose The uptake of smoking by youth under the age of 18 increases the likelihood that they will become lifetime smokers. The CDC recommends best practices regarding tobacco prevention. Among them are Community Policies for tobacco-free zones, community initiatives, anti-tobacco media campaigns, and access to quit-smoking resources. The last of these best practices is a recommendation to provide education in the schools. The subject of this research was the implementation of an in-school tobacco curriculum based on Media Literacy, which provides youth the ability to critically evaluate media messages that equate the “cool” smoking habit with beauty, confidence and …

Examining The Combined Effects Of Dissolved Oxygen, Temperature, And Body Size On The Physiological Responses Of A Model Macrobenthic Polychaete Species, Capitella Teleta, Kelsey Burns Gillam

Dissertations

While the scientific community is in consensus that coastal systems are threatened by climate change, few climate change studies test the effects of more than one variable directly related to climate change. The dissolved oxygen (DO) levels of the ocean are currently subject to both global warming and eutrophication; 94% of all hypoxia zones are expected to experience >2°C increase by 2035. This dissertation aims to examine how a model organism responds to simultaneous thermal and DO stress involving four levels of DO (100%, 70%, 50%, and 20%) saturation and three temperatures (15°C, 20°C, and 25°C).

The polychaete, Capitella teleta …

Identification Of Instructional Strategies Within Athletic Training Curricula And The Impact Of Best-Practices On First-Attempt Board Of Certification Pass Rate, Aedryan Cox

Dissertations

This purpose of this study was twofold: (1) investigate effective instructional strategies for athletic training education, and (2) investigate a correlation between research-based instructional strategies and first attempt success on the Board of Certification (BOC) examination. Research based instructional strategies exist within allied health education, however, no previous research set out to specifically identify instructional strategies which lead to first attempt success on the BOC examination. Therefore, a mixed-method investigation of research based instructional strategies was performed, and correlation data between instructional strategies and success on the BOC examination were collected. Data produced by the study revealed that instructional strategies …

Social Capital Made Visible: A Case Study Of Professional Learning Communities In Early Care And Education, Wendy Bickford Allen

Dissertations

Early care and education (ECE) services are necessary for a society because of a variety of ethical, economic, and developmental reasons. A well-developed field of practice is needed to ensure young children have access to high quality care and education settings. To promote a thriving profession, many are calling for the field of early care and education to increase the human capital, or the knowledge and skills gained through higher education and professional development, of those that work directly with young children and families. However, there exists a somewhat narrow theoretical basis for current professional development practices, particularly forms of …

Visual Impairment And Factors Associated With Difficulties With Daily Tasks, Anne T. Riddering

Dissertations

In the past 10 years, the number of American adults with visual impairments has increased from 1 million to 4 million and is expected to double to 8 million people by the year 2050 (The Eye Diseases Prevalence Research Group, 2004; National Eye Institute, 2013). Therapies to treat retinal diseases causing visual impairment, such as diabetic retinopathy and age-related macular degeneration (Massof, 2002; Mogk, 2011), have evolved in the past two decades (Gupta et al., 2013; Hooper & Guymer, 2003), but little research has examined recent population and difficulties with performing daily activities. Different types of professionals, including ophthalmologists, optometrists, …

Empowerment Of The Teen Parent: Policies And Practices Of An Urban School Based Teenage Parent Program, Selena Elizabeth Washington

Dissertations

This study documents the narrative of a long term urban high school based program (1978-2012) for pregnant and parenting students, and how this school based program has developed a model of support using Title IX federal law guidelines to construct policies and procedures within multiple contexts. This study examined the policies and procedures, implementation, effectiveness, and outcomes of this school based teenage parent program through the lens of a social justice and culturally relevant theoretical framework. As a qualitative case study, this inquiry used content analysis of documents, and open and axial coding of semi-structured interviews with administrative stakeholders, to …

The Effects Of One-To-One Technology On Students In Schools With A High Population Of Students From Low-Socioeconomic Households, Ryan J. Persinger

Dissertations

Low socioeconomic status is widespread throughout the United States (Makarewicz, 2013). Education is one factor to help people break the cycle of poverty (Payne, 2013). This study was designed to investigate the effectiveness of one-to-one technology on equipping students from low-income families with the education needed to break the cycle of generational poverty. A rural school district in southwest Missouri was selected for the study. Students, parents, and educators were surveyed to gain their perspectives concerning the efficiency of one-to-one technology. Data were gathered to assess the statistical differences in English II end-of-course exam scores, attendance rates, graduation rates, and …

Implementation Of A Mentor Led Physical Activity Program Among Disadvantaged Youth, Karen M. Martin

Dissertations

Physical activity is an integral part of the war on pediatric obesity. Pediatric obesity is a worldwide epidemic affecting children of all races, classes, and gender. According to the Ohio Youth Risk Behavior Survey of 2013 over one third of Ohio children in grades nine through twelve were considered overweight or obese and engage in more than three hours of screen time, television, computers or video games daily. The purposes of this project was to introduce physical activity in the classroom environment in the form of physical activity breaks, led by physical activity leaders (PALs) to achieve improved BMI category, …

An Examination Of The Long-Term Academic Impacts Of Students Who Participated In The Missouri Preschool Program In Rural Southwest Missouri, Clinton R. Hall

Dissertations

The focus of this mixed methods study was to examine the possible differences between students who participated in the Missouri Preschool Program (MPP) and peers who did not attend the program. Areas examined through quantitative data in the study included academic achievement in communication arts in kindergarten, first grade, and second grade. The qualitative piece of the study included examination of areas such as social development, emotional development, and school readiness. Quantitative data were collected from one school district in rural southwest Missouri. These data came from Aimsweb assessments conducted at the district for the kindergarten, first-grade, and second-grade levels …

An Exploration Of The Impact Of Animal Agriculture On Human Sustainable Development Index And The Child Health Indicator, Hithesan Pandian

Dissertations

Several studies have shown that animal agriculture is one of the major contributors to climate change due to greenhouse gas emissions, deforestation, land degradation, freshwater shortages, general environmental pollution and world hunger. Apart from this, meat consumption is strongly associated with certain fatal health conditions such as cancer, cardiovascular disease and diabetes (Wu, 2014). Although meat production and export could be economically beneficial in the short run, it could lead to over-exploitation of natural resources and in turn the destruction of the environment in the long run. Hence, it is essential for the leaders of a nation to make smart …

An Examination Of African Americans' Utilization Of Health Care, Brittany Powell

Dissertations

The study examined the relationship between perceptions of discrimination, social support, quality of health care received, and utilization of health care services among African Americans. Data was analyzed from 99 African American respondents that completed either an online or paper questionnaire. The responses demonstrated significant relationships existed between discrimination and quality of health care as well as social support and utilization of health care. Results concluded that the more discrimination one perceives, the lower quality of health care they are to expect, and therefore they are less likely to utilize services. However, the data also reflected that even in the …

More Than Me: The Voices Of African American Adolescent Mothers And Their Pursuit Of Post-Secondary Education, Chanel Phillips

Dissertations

Adolescent mothers are not a homogenous group. Like non-parenting adolescents they come from various educational and socio-economic backgrounds. Adolescent mothers are generally labelled to be at high risk of dropping out of school, making poor life choices, and ultimately living poor life outcomes. However, there is no substantial empirical data that supports this premise. Nor is there currently any national data which consistently tracks the triumphs, challenges, and general life experiences of adolescent mothers. Utilizing a sample of fifteen African American adolescent mothers, this qualitative study seeks to explore the life experiences of adolescent mothers leading up to their current …