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Biomechanical Assessment Of Ertl And Burgess Transtibial Amputation Techniques, Abbie Elthea Ferris

Dissertations

In this dissertation, a model was developed to predict the inertial properties of the shank and foot of persons with TTA and functional differences between Ertl and Burgess amputees during curb negotiation and the sit-to-stand tasks were evaluated. The developed inertial model was able to predict the shank and foot segment mass, COM location, and MOI more accurately than using the intact limb inertial properties. Used as inputs into inverse dynamics equations, the general model predictions produced joint moments which were also similar to the subject-specific measures. Thus, this model is a better predictor than the current method of using …

School Policy And Practice To Tackle A Public Health Problem: Sudden Cardiac Arrest, Leigh Lynn Mcgown-Kauffman

Dissertations

Sudden cardiac arrest (SCA) is a leading cause of death in the United States. While the medical research has exhaustively documented that immediate response directly impacts survival rates in SCA and that schools could be the best catalyst for creating change by bystanders, there is little to no educational research addressing school policy or practices in regards to cardiac emergencies in schools. The purpose of this dissertation was to identify and describe characteristics of the Colorado schools that offer cardiopulmonary resuscitation (CPR) training and onsite automated external defibrillators (AED). Two research questions were answered, Of respondents, what are the characteristics …

Predicting Coaching Efficacy In National Collegiate Athletic Association Assistant Coaches: A Social Psychological Analysis Of Coaching Goals, Commitment, And Values, Brett Allen Nichols

Dissertations

Coaching is a complex undertaking and understanding what it takes to be an effective coach is important for coaches and researchers in the field of sport and exercise science. Horn’s (2008) heuristic model of coaching effectiveness organizes and summarizes the previously established relationships among predictors and outcomes of effective coaching. The purpose of this study was to examine the heart of Horn’s model, specifically examining coaching goals, coaching commitment, and coaching values with the five dimensions of coaching efficacy (Feltz et al., 1999; Myers et al., 2008). Using intercollegiate assistant coaches (N=740) this study demonstrated initial reliability and factorial validity …

The Meaning Of Physical Activity From The Perspective Of Indonesian Immigrant Youth, Caly Setiawan

Dissertations

The purpose of this phenomenological study was to examine what constitutes the experience of physical activity for Indonesian immigrant youth. Fifteen Indonesian young people aged 13 to 18 participated in the study. Data were collected through two sets of interviews. During the first set of interviews, data were gathered about physical activity experiences and the meanings that the youth ascribed to their participation. A second set of interviews were conducted to collect information about the participants’ strategies for engaging Indonesian immigrants in physical activity. Seven purposefully selected participants were the respondents in these interviews. Data were analyzed using a three …

Sleep Disordered Breathing And Pregnancy: Prevalence And Outcomes At Delivery, Ryan Lyle Nations

Dissertations

Introduction
Sleep Disordered Breathing (SDB) during pregnancy is associated with maternal and neonatal morbidity, and in-hospital mortality. A recent prevalence study using the Nationwide Inpatient Sample reported an obstructive sleep apnea (OSA) prevalence of 7.3 per 10,000 in 2013, a rate of 24% per year over the last decade. The rise in prevalence mirrors the rise in obesity. Military Treatment Facilities (MTF) have seen an increase in obesity and related co-morbidities with an unknown prevalence of SDB. Most studies have been conducted in high-risk populations; the general prevalence of SDB and its association with adverse pregnancy outcomes in a military …

Planning For A Community Supported Farmers Market In A Rural Usda Food Desert, Carrie Lynn Engelbright

Dissertations

A community initiative to develop and sustain a farmer's market can address insufficient access to fresh and affordable fruits and vegetables for individuals working and residing in a United States Department of Agriculture (USDA) designated food desert. This project addressed a particular USDA food desert in South Wood County, Wisconsin. The purpose of this project was to develop and plan for implementation and evaluation of a community-supported farmers market in South Wood County, with the goal to increase access to fruits and vegetables. Project objectives included development of a sustainable community infrastructure to support the market, development of policies and …

Failing Ninth-Grade Students In A Missouri School District, And The Comparison To Inadequate Learning Resources, Eric Wayne Ramsey

Dissertations

This study involved a mixed design to generate the perceptions of students and teachers about failing ninth-grade students and the impact of learning resources. The participants in this study were a purposive selection of ninth-grade students and ninth-grade teachers in one Missouri school district. The conceptual framework of this study was based on the premise that ninth-grade students who failed multiple classes also lacked learning resources. The learning resources were categorized into cultural and physical resources. To determine if learning resources had an impact on the ninth-grade students’ academic performance, the perceptions of the failing ninth-grade students were analyzed through …

Catalyzing Change: Identifying Action To Accelerate Collective Impact Progress In San Bernardino County, Stephanie Houston

Dissertations

The purpose of this study was to identify the most important actions for the implementation of the San Bernardino County Vison using a Collective Impact approach. Collective Impact is a structured approach to problem solving that includes the five core conditions of, common agenda, continuous improvement, shared measurement system, mutually reinforcing activities, and backbone functions. The Delphi technique was used to gather data, perceptions, and opinions from 16 cross-sector leaders identified as experts responsible for the implementation of the San Bernardino County Vision. Survey participants were identified as experts based upon their responsibility as cross-sector leaders engaged in the San …

End Of Life Discussions In The Community, Elizabeth R. Houglan Adkins

Dissertations

Advance Care Planning (ACP) is a process of review and discussion between patients, family members, and healthcare providers that focus on goals of care rather than specific treatments. ACP should be initiated and implemented by the health care provider well before the patient is terminally ill or develops diminishing cognitive abilities. The PICOT question of this project is "In community dwelling residents age 50 or older, with a chronic medical condition, does having an ACP discussion with a healthcare provider increase the likelihood that a patient/surrogate decision maker will be comfortable stating his/her ACP wishes and filling out an Advance …

Assessing Injury Prevention And Intervention Protocols For High Schools Within The Gateway Athletic Conference, Michael Zacheis

Dissertations

This study was the result of a quantitative methods research design, which assessed: athletic training services, injury prevention at the time of the study, and intervention protocols for high schools within the Gateway Athletic Conference (GAC). This study explored the impact of injuries and concussions on student athletes. The study also examined the types of athletic training facilities, resources for rehabilitation, and procedures for athletic training programs available at the high school level in the GAC. The study uncovered some significant findings between the groups who were surveyed. The participants surveyed represented athletic trainers, athletic directors, and coaches. There were …

Achievement Despite Poverty: Testing The Effectiveness Of Timeless Principles, Nicole Leigh Wallace Keller

Dissertations

School districts composed of a large number of high-poverty students are generally not found to be high-achieving (Chenoweth & Theokas, 2013). In Missouri, districts are assessed in accordance with the fifth edition of the Missouri School Improvement Program (MSIP) which results in an Annual Performance Report (APR) score (Missouri Department of Elementary and Secondary Education [MODESE], 2014d). School administrators of districts having two consecutive years of APR scores over 95% while having a student population composed of a large number of students receiving free or reduced price meals were recruited for a qualitative study. Interview questions were developed based on …

Coping With Racial Discrimination: The Impact Of Substance Use, Emotional Eating, And Emotional Support On Mental And Physical Health, Maurice Endsley, Jr.

Dissertations

Racial discrimination is a likely contributor to disparate health outcomes for African-American and Hispanic-Americans. The current study elaborates on previous research by assessing the impact of three coping variables, substance use, emotional eating, and social support, which may explain the relationship between racial discrimination and poorer perceptions physical functioning and three health maladies, including hypertension, diabetes, and cardiovascular disease. Furthermore, the coping responses were hypothesized to serve as protective factors against the development of depression and anger symptoms. A total of 424 Hispanic, African-American participants between the ages of 18 and 65 completed an online survey. A six variable model …

An Exploration Of The Role Of Pre-School Breakfast Clubs In Supporting Early Childhood Development And Building Parent-Practitioner Relationships, Eilis Lothian

Dissertations

The scope of this study is located within the Early Childhood Care and Education sector. The study aims to investigate the role of pre-school breakfast clubs in relation to their effectiveness as a health promotion strategy, the ways in which attending such a club may support early childhood development and build solid parent-practitioner relationships also. Furthermore the study intends to discover the outlook of participants regarding the importance of good nutrition - breakfast specifically - for young children, and the possible barriers that may inhibit parents from providing children with their breakfast regularly.

Participants who took part in the study …

Understanding The History Of Institutionalization: Making Connections To De-Institutionalization And The Olmstead Act For Persons With Intellectual Disabilities In The State Of Illinois, Nancy A. Cheeseman

Dissertations

What is the historical connection between deinstitutionalization and the Olmstead decision? The purpose of this study was to examine and analyze policy within a historical perspective the connections between institutional care, deinstitutionalization, the Olmstead decision, and the effect on persons with intellectual disabilities lived experience, in the state of Illinois.

The data collected include, the transcripts of interviews with four participants, artifacts from policy documents and historical papers accessed from the Disability Museum online journals. The creation of a table for use in coding themes as associated with 5 (out of 18) core concepts for disability policy.

The Olmstead decision …

Attraction And Risk In Urban Bird Habitats, Megan E. Litwhiler

Dissertations

Urban expansion is an increasing threat to native bird populations. Consequently, maintaining and developing safe urban habitat space is necessary for conservation. Birds living in, or migrating through, urban areas utilize a variety of managed green-spaces such as parks, gardens, college campuses, and cemeteries. In addition to managed habitats, birds may use abandoned property that has been reclaimed by vegetation and associated spontaneous, biological communities. Such urban habitats may provide valuable resources for birds and other wildlife; however, these sites often contain high densities of non-native plants and can be polluted, potentially imparting a greater risk than benefit to the …

Teachers’ Perceptions On The Use Of Sheltered Instruction Observation Protocol As A Districtwide Professional Development Reform, Christina Portillo Dr.

Dissertations

The purpose of this mixed-methods study was to ascertain to what degree of application the K-5 elementary teachers in Learning First School District have transferred the 8 components of Sheltered Instruction Observation Protocol into their instructional practices. In addition, it was the purpose of this study to determine which conditions supported and limited the teachers’ successful implementation of the SIOP professional development trainings into daily classroom instruction, as perceived by teachers. Finally, it was the purpose of this study to determine whether Learning First School District’s professional development had an effect on student achievement, as perceived by teachers and archival …

Loss, Hope, And Redemption: The Consequences Of Methamphetamine Use In A Sample Of Incarcerated Women, Mikhial Vincent Gunderman

Dissertations

This dissertation examines the consequences of methamphetamine use in a sample of 40 incarcerated women who were court-ordered to participate in a correctional drug and alcohol treatment program in Missouri. Using interview data from this sample, I examine their perceptions of the consequences of their methamphetamine use. The negative consequences I focus on include experiences of violence, damage to interpersonal relationships, and more personal consequences related to health, employment, housing, and the criminal justice system. In this pursuit, I explore the following research questions: 1) What is the relationship between the accumulation of negative consequences and continued and/or increased involvement …

Public Relations In Government-Based Public Health: Testing Contingency Theory During H1n1 Response, 2009-2010, Terri Lea Sasser

Dissertations

The primary purpose of this study is to describe public relations programs in state and local government-based health departments nationwide. Using the H1N1 communications and public relations activities as a frame, or basis of comparison, this study will further seek to identify if Contingency Theory of public relations may be an apt descriptor of public relations activities during this particular response effort. This study uses Contingency Theory as a theoretical perspective to explain the strategic management of the organization-public relationships and add to the body of knowledge about Contingency Theory of public relations in the field of health communications. Contingency …

Philosopher's Stone: The Faustian Geist Of Development, Salikyu Sangtam

Dissertations

The present study juxtaposes scientific rationality with polyphonic rationality in respect to societal development. This is done to illuminate how scientific rationality provides a narrow and truncated view of development. In order to explicate the exclusion of polyphonic rationalities/knowledges in favor of scientific rationality, several development scholarships are examined along with an episode of developmental scheme and two episodes of development programs. This is done to expound (note: ‘→’ = influences) how scientific rationality → scholarships → organizational/institutional schemes, such as the MDGs → actual applications of development schemes, such as transmigration and compulsory villagization. The present inquest, …

Diet, Exercise, And Smartphones - A Content Analysis Of Mobile Health Applications For Weight Loss, Rajvee Subramanian

Dissertations

The recent proliferation and adoption of smartphones has resulted in the widespread use of mobile applications. Mobile applications, or apps, are small programs that are designed to run on smartphones and mobile devices for providing information on a wide range of topics addressing the varied needs of an individual. Health apps are one of the more popular categories of apps that are used extensively among people who are interested in health and fitness. Apps in this category focus on topics such as diet, nutrition, fitness, and weight loss. This study examined popular, free weight loss health applications available in Apple …

Behavior Analysis Program To Improve Habits Of Physical Activity, Eating, And Sleeping, Ivan Noe Martinez Salazar

Dissertations

An Internet-based five-week duration program to improve “health habits” using behavior analysis principles and eHealth technology was developed and evaluated. The “health habits” include recurring behaviors that impact health status such as eating, sleeping, and physical activity.

Ten adult participants were recruited online from Mexico. A multiple baseline design was used and participants were randomly assigned into two different groups (i.e., ABBAA and AABBA groups). Participants received online training using videos describing the characteristics of the program and its components. Each participant recorded selected health behaviors using a Microsoft Excel® tool designed specifically for this program’s goal achievements. Participants reported …

Relationships Among Self Direction In Learning, Health Promoting Behaviors And Physical Therapy Support For Autonomy In Older Adults, Lisa Gayle Latham

Dissertations

The purpose of this study is to examine the relationships among self-direction in learning, health-promoting behaviors, and physical therapy support for autonomy in older adults. Self-direction in learning was measured by the Oddi Continuing Learning Inventory, participation in health promoting behaviors was measured by the Health Promoting Lifestyle Profile II, and physical therapy support for autonomy was measured by the Health Care Climate Questionnaire. In addition, a questionnaire gathering demographic information about the participant's age, educational level, marital status, and gender was administered.

The 20 participants are community-dwelling older adults who participated in out-patient physical therapy for four weeks. The …

A Mixed-Methods Exploration Of Employee Attitudes, Awareness, And Satisfaction With Regard To The University Employee Wellness Program, Linda Ann Walters

Dissertations

While there was an abundant amount of research supporting the need for and benefits of a workplace health program (WHP), little empirical research existed regarding WHPs in a university setting (Watts, 1992). Compared to other WHP settings, the university setting is unique in that the employee population consists of both faculty and staff, with various work schedules, job responsibilities, and demographics. Universities also provide a unique setting for WHPs due to their access to various internal resources, such as employees with expert knowledge, campus food services, on-site facilities, and students studying health and wellness disciplines (RAND Corporation, 2013). As reported …

Life Balance In Nurse Educators: A Mixed Methods Study, Joan Marie Owens

Dissertations

No abstract provided.

Elementary Physical Educators’ Perspectives Of Curriculum And Instruction In The United States And Thailand, Udon Nampai

Dissertations

The purpose of this study was to explore the beliefs, perspectives, and opinions of physical education (PE) teachers regarding PE curriculum (the content and teaching styles, the purpose of PE, and the potential improvements related to PE curriculum) at the elementary level by: (a) examining current curricular and instructional practices and perspectives of exemplary Thai PE teachers; and (b) examining curriculum development and instructional practices of current exemplary PE teachers in the United States (U.S.). The participants were eight exemplary PE teachers. A semi-structured interview design was utilized in order to gather information of participants’ perspectives. Each interview lasted approximately …

The Perfect Formula: Benchmarks That Best Predict Retention In Selective Admissions Programs, Nadine Joy Menser

Dissertations

This study ascertained the admissions criteria utilized by Radiography programs with high graduation rates and determined whether a relationship exists between admissions criteria and graduation rates. With the high demands for healthcare professionals, preserving the number of students accepted into a cohort throughout the two-year program can be an overwhelming task. These programs should make every effort to admit and graduate those who meet the needs of the public, needs both diverse and subject to change. Radiography program directors and admissions committees are considered the “gatekeepers” of the profession. Yearly, more candidates apply than seats available. Therefore, the directors and …

Exploring How Older Adults Who Qualify For The Association On Aging With Developmental Disabilities (Aadd) Programs And Services Learn To Successfully Age In Place, Tina Grosso

Dissertations

This qualitative case study explored the ways in which older adults with developmental disabilities (DD) learn to successfully age in place. As more persons with DD reach old age and outlive their natural caretakers, such as parents, it is becoming apparent that there are a multitude of age-related challenges and educational needs that must be addressed. However, information pertaining to the unique learning needs of older adults with DD is scarce. Andragogy (the art and science of teaching adults) and geragogy (teaching the elderly) provided the theoretical frameworks for this study. The main research question in this study was: How …

Lnfluences Lmpacting The Development Of Entry-Level Master's Athletic Training Programs, Jennifer E. Deranek

Dissertations

Athletic training is an allied health profession in which individuals receive education in prevention, emergency care, clinical diagnoses, therapeutic intervention and rehabilitation for injuries and medical conditions. Currently, the route for an individual to become a certified athletic trainer is to graduate from an institution accredited by the Commission on Accreditation of Athletic Training Education (CAATE). Most commonly, entry-level education for athletic trainers is gained at the 331 institutions that host a bachelor’s level professional program. However, there is a recent desire to change the educational requirements and to require a professional master’s degree. If the degree change would occur, …

Identifying The Molecular Mechanisms Of Early Cachexia Using Whole Transcriptome Sequencing In Muscle And Fat Biopsies From Cancer Patients, Amal Hussain Al Hadad

Dissertations

Cancer cachexia is responsible for one third of cancer–related deaths and contributes to the death of many others. More than 80% of cancer patients are cachectic towards the end of life. Despite intensive research, the mechanisms of cancer cachexia are still poorly understood. It is our hypothesis that identification of early changes in gene expression in cachexia will lead to an improved understanding of the mechanism that trigger this important problem in cancer patients. Thus, to shed light on the mechanisms involved in the major cachexia target tissues, we investigated the entire transcriptome in muscle and fat to identify altered …

The Evaluation Of The Implementation Of A Shared Medical Appointment For Patients With Diabetes In A Rural Private Practice, Rebecca Rohrbach

Dissertations

Objective: This practice improvement project was designed to test the efficacy and feasibility of implementing Shared Medical Appointments (SMA) as an innovative approach to improve the care of diabetic patients while containing costs in a rural private practice associated with an Accountable Care Organization (ACO).

Methods: Five Medicare quality measures specific to diabetes were used as patient outcomes: hemoglobin A1C control.

Results: Fifteen patients participated in one or more monthly SMAs with groups ranging from two to five participants per appointment over 10 months. Participants indicated a high level of satisfaction with themes associated with social support. No significant difference …