Digital Commons Network^™

Exploration Of Patient Variables And Characteristics Best Suited For Medical Marijuana Treatment For Anxiety And Depressive Disorders, Corey Gazoo

Dissertations

Individuals with posttraumatic stress, anxiety and depressive disorders are currently being prescribed medical marijuana as a treatment in many states across the United States. However, marijuana is still considered a schedule one narcotic by the Drug Enforcement Administration and federal government, which provides several barriers and challenges to conduct research such as approval from the U.S. Food and Drug Administration and following guidelines from the National Institute on Drug Abuse issued by the DEA. Additionally, individuals prescribed medical marijuana for mental health disorders are not always thoroughly instructed on the type of medical marijuana, the dosage, and how frequently to …

Deeper Learning And District-Level Curriculum Leadership: A Case Study Of One Large Public School District, Jonathan Warren Cooney

Dissertations

A key element within school accountability frameworks across the United States is student performance as measured by standardized assessments. Scholars have argued that these types of assessments and accountability systems have narrowed the curriculum to emphasize students' development of discrete, specialized skills. Researchers have recently suggested that deeper learning approaches will better support students in building the skills and understanding needed for life and work. Unfortunately, deeper learning has not commonly been observed at the school-wide level. Recent research suggested that a prevailing culture of district-level curriculum leadership serves as a potential barrier to the enactment of deep learning in …

Synthesis And Characterization Of Novel Organic Ligands With Their Complexes Of Platinum, Copper And Uranium, Mustafa Adnan Yasin Aldulaimi

Dissertations

Transition metal complexes of symmetrical and asymmetrical Schiff bases have played a significant role in the field of coordination, inorganic, and bioinorganic chemistry as models for biological, analytical, industrial, and pharmaceutical applications. Over recent years a great deal of interest has developed in new transition metal complexes of Schiff base ligand. The preparation of novel organic ligands is the most important step in the development of metal complexes that exhibit unique properties and novel reactivity. To highlight the presentation of this dissertation and to provide more detailed investigations, the dissertation was separated into six chapters according to the sequence of …

Non-Affirmation As A Moderator Between Social Support And Quality Of Life For Transgender Populations, Michael Evitts

Dissertations

This research builds upon scholarship exploring the quality of life of transgender populations. Knowledge on quality-of-life (QOL) for transgender populations has been limited due to the fact that most studies have focused on gender affirming medical procedures as interventions (Nobili et al., 2018). Other protective factors, such as social support, have been identified in the literature but have been defined in broad terms. The purpose of the study was to better understand additional factors that promote QOL and psychological well-being, specifically social support. It is unclear how non-affirmation of gender identity affects the protective effects of social support for QOL. …

Exploring Generational Difference Of Acculturation, Ethnic Identity And Racial Identity In Liberian Immigrants And Their Children Living In The United States, Breezie J. Gibson

Dissertations

Prior literature on immigrants has focused on the impact of acculturation for groups such as Asians and Hispanic or Latinx immigrants (Orjiako & So, 2014; Sall, 2019). Compared to these two groups, the literature on Black immigrants’ experience of acculturation is scarce. In addition to the minimum visibility of Black immigrants in the acculturation literature, there is also limited knowledge relating to differences in the ethnic identity and racial identity of Black immigrants because these immigrants are often grouped monolithically with minimum attention to their diverse countries of origin. Understanding the influence of acculturation, ethnicity, and race is important because …

Género Y Sexualidad En Seis Novelas Del Siglo Xxi, Sandra Chang Raak

Dissertations

From its inception Latin American literature has used gender and sexuality as rhetorical devices to approach the topic of cultural identity. For instance, Hernán Cortés in his Cartas de Relación embodies a type of masculinity that overdetermined the lives of the Amerindian people. Centuries later, the modernismo movement headed by Rubén Darío reacted to a Latin American societal shift towards the prevalence of a materialistic culture brought about by the advent of industrial civilization. During the 1960s Latin American literature experienced a rapid blooming that has come to be known as El Boom. Both landmarks, modernism and El Boom …

Preclinical Behavioral Assessment Of Chronic, Intermittent Low-Dose Psilocybin In Rodent Models Of Depression And Anxiety, Harmony I. Risca

Dissertations

Recent studies have demonstrated the clinical efficacy of psychedelic-assisted psychotherapy for treatment-resistant depression and anxiety. Amidst the overall success of recent clinical trials using a single high dose of psilocybin, anecdotal reports indicate anxiolytic and antidepressant effects following a repeated low dose regimen. As therapeutic outcomes are often tightly intertwined with the individual’s subjective experience, animal models are used as objective measures to investigate the underlying mechanisms responsible for the putative antidepressant/anxiolytic effects of psychedelics. Three rodent models predictive of anxiolytic or antidepressant effects were used to evaluate effects of chronic intermittent low dose (CILD) psilocybin treatment; the Light/Dark conflict …

An Examination Of Types Of Health Insurance And The Reported Prevalence Of Autism In The United States, Jennifer L. Thompson

Dissertations

The prevalence of Autism Spectrum Disorders continues to rise despite barriers of changes to diagnostic criteria and lack of insurance coverage. Increases in prevalence affect costs associated with a disorder since cost of health care services are often estimated based on utilization of services. This can also affect an individual’s ability to access to health care services. To equitably distribute autism services to individuals an accurate estimation of the true prevalence of autism is needed.

Access to health care can be influenced by the type of insurance coverage a person holds. Other factors, such as socio-economic status, ethnicity, location of …

The Impacts Of Aging, Sedentarism, And Exercise On Neurotrophic Factor Expression And Innervation In The Heart And The Effects Of Treatment With Α-Cgrp On Heart Function, Gabriel Almeida Alves

Dissertations

Neurotrophic factors (NFs) are important molecules responsible for development, differentiation, regeneration, and maintenance of new and mature neurons. Neurotrophic factors act as neurocytokines and may assist with the regulation of axonal and dendritic arrangements and synaptic plasticity between neurons themselves or with other non-neural target tissues. In this study, we analyze the levels of two NFs: glial cell line-derived neurotrophic factor (GDNF) and nerve growth factor (NGF). Cardiomyocytes produce these neurotrophic factors which assist with the innervation pattern of the heart. The heart is innervated by the two branches of the autonomic nervous system; namely the sympathetic nervous system and …

Using Education To Improve Medication Adherence In Hypertension, Chinyere Oghide

Dissertations

Antihypertensive medication non-adherence is a common problem in healthcare. Currently, the project site has no program to increase medication adherence (MA) in their hypertensive patients. Therefore, the purpose of this quantitative, quasi-experimental quality improvement project was to determine if the implementation of the Million Hearts program impacted the adherence to antihypertensive medication among adult patients, with known hypertension (HTN) in a primary care clinic setting in New York, over a four week period. Orem's self-care theory and Ajzen's theory of planned behavior were the project's theoretical foundation. Data on MA was measured using the Hill-Bone Medication Adherence Scale HB-MAS scale …

Development And Evaluation Of A Nurse Practitioner-Directed Medication Adherence Program For Adults With Hypertension In An Academic Medical Center, Adrienne E. Thorne

Dissertations

Hypertension affects one in three American adults and is the leading modifiable risk factor of atherosclerotic cardiovascular disease deaths (Arnett et al., 2019). Medication adherence to antihypertensive medications plays an important role in controlling hypertension. Adherence is affected by multiple factors such as medication side effects, multiple medication regimens, and being asymptomatic, as well as social and economic factors, patient-related factors, therapy-related factors, comorbid conditions, and health care system factors (Egan, 2019). Frequent interactions between patients and providers and medication refill reminders have shown to improve medication adherence in cardiac patients (Lambert-Kerzner et al., 2015), thus this project focused on …

An Examination Of The Impact Of Student Loan Debt On Alumni Giving, Ashley N. Nickell, Molly B. Hurley

Dissertations

This study examined the effect of student loan debt on alumni’s willingness and ability to donate to their alma mater, including other identity-based motivating factors associated with an alumnus’ decision whether or not to donate. Participants of this study were recent (2015-2020) graduates of a doctoral program in the healthcare field in the Midwest, and were purposefully selected to answer questions regarding their income, loan debt, decision to give in monetary or non-monetary ways, and financial literacy education/financial preparedness. Data were gathered from virtual interviews that were transcribed and coded for emergent themes. The findings revealed that the majority of …

The Impact Of The Absent African American Father: Findings And Implications, Tambra Cross

Dissertations

This study focused on the difficulties and challenges experienced by sons who had absent fathers. The purpose of this qualitative study was to explore the lived experiences of sons who grew up with absent fathers and the effects on them as adults at home, in school, in their neighborhoods, and their decision-making processes. The sample consisted of eight men who grew up with absent fathers. Data were collected using face-to-face, structured and semi-structured interviews. Results indicated that participants' lived experiences of home life were characterized by financial and emotional hardships resulting from not having a father's earnings and care. The …

Complexation Of Glycoalkaloid Α- Tomatine With Sterols And Its Potential Application As An Anti-Cancer Drug, Bishal Nepal

Dissertations

Glycoalkaloids (GAs) are secondary metabolites found mostly in higher plant species and some marine invertebrates. They are known to form complexes with 3β-hydroxy sterols such as cholesterol causing membrane disruption. So far the visual evidence showcasing the complexes formed between glycoalkaloids and sterols has been mainly restricted to some earlier studies using Brewster angle microscopy. This study aimed to develop a method for topographic and morphological analysis of sterol-glycoalkaloid complexes. Langmuir-Blodgett (LB) transfer of monolayers comprising of glycoalkaloid tomatine, sterols, and lipids in varying molar ratios onto mica followed by AFM examination was performed. The AFM method used required minimal …

Academic Intensive Care Units: What Is The Impact On Student Achievement?, Brandi Compass

Dissertations

The purpose of this study was to determine if academic intensive care units along with no-zero grading policies at the high school level result in students having higher achievement levels on state EOC assessments. A mixed-methods approach was taken in order to obtain both qualitative and quantitative data from surveys and interviews. Additional quantitative data were analyzed from archival data. Two separate schools were chosen for the populations. High School A implemented academic intensive care units and no-zero grading polices while High School B did not. Participants in the study consisted of both teachers and students at High School A …

Thriving In Student Affairs Professionals: An Exploration Of Supporting Constructs, Shawn Brodie, Phillip Campbell, Gretchen Day Fricke, Kawanna Leggett, Norris Manning

Dissertations

Student affairs professionals provide vital services to college students while also facing various challenges that impact their ability to thrive at work. This study examined overall thriving, its constructs and a set of predictors that impact thriving in student affairs professionals. Seligman’s (PERMA) theory of thriving provided the conceptual foundation for this study. Understanding the constructs that support thriving for student affairs professionals will help institutional leaders and professional organizations develop work environments and strategies that promote thriving. A global pandemic occurred during the time of this research, allowing exploration of how COVID-19 impacted thriving. This study also included variables …

Stereocontrolled Mannosylation By Hydrogen-Bond-Mediated Aglycone Delivery, Catherine Alex

Dissertations

Stereocontrolled Mannosylation by Hydrogen-Bond-Mediated Aglycone Delivery

Carbohydrates are the essential bio-molecules of life as they form the forefront of interactions with receptors, proteins, pathogens, or neighboring cells. On cell-surfaces, carbohydrates are mostly found as linear or branched glycoconjugates, and a majority of them are linked via either 1,2-cis or 1,2-trans O-glycosidic linkages. There is no template-driven pathway for achieving the synthesis of glycans unlike other biomolecules like proteins and nucleic acids. The synthesis of 1,2-trans glycosides can be reliably achieved via the neighboring group assistance. The synthesis of 1,2-cis glycosides is difficult because, beyond weak anomeric effects, there are …

A Correctional Study Of Nursing Instructor Use Of Best Practice With Multiple Choice Questions, Diane Droutman

Dissertations

Multiple choice questions are used as evaluations in nursing schools. Nursing instructors and nursing book publishers develop exam questions. The specific problem addressed by the study was how best practice in multiple choice test items, item analysis, and revision of choice test items used by nursing instructors. Using a survey method, this correlational design research looked at the relationship of faculty use of best practice in test item construction, analysis, and revision of multiple choice test item in nursing programs in the United States. Even though a relationship was noted, the statistical effect level was minimal. There was no correlation …

Safe Opioid Prescribing Through Proper Screening, Joelle M. Carson

Dissertations

It is known in today's healthcare that opioid abuse is on the rise in the United States. The project site noted aberrant behaviors and the seeking of narcotics from certain clients in the occupational health clinic. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of Webster's Opioid Risk Tool (ORT) would impact the number of opioid prescriptions written for acute pain among patients seen an occupational health clinic in central Indiana over four-weeks. The theoretical frameworks utilized in the project included Skinner's behaviorist theory, Bandura's social cognitive theory, and Orem's self-care deficit theory. …

The Mother's Lived Experience Of Breastfeeding In The First 4 Weeks Postpartum: A Heideggerian Hermeneutic Phenomenological Analysis, Stacy Rosales

Dissertations

The purpose of this study was to more fully understand, in their own words, the experiences of mothers who began breastfeeding their infant after birth and may or may not have been breasting at four weeks postpartum. A single research question guided this study: What are the lived experiences of breastfeeding mothers during the first four weeks postpartum? Eight mothers who delivered in the past four to six weeks were interviewed. Data were analyzed using a Heideggerian hermeneutic phenomenological approach. This method was chosen because it allowed the researcher to conduct interviews and explore the lived experience of breastfeeding mothers …

The Effect Of Pre-Procedural Opioid Video Education On Pediatric Patients Undergoing Orthopedic Surgery, Amy Pham

Dissertations

Problem The opioid epidemic is a continuing public health threat, growing amongst the pediatric population. Contributing to the issue are their accessibility within the community, and lack of education on safe storage and disposal of opioids.

Methods For this quality improvement (QI) project, a descriptive observational study design was used to identify the opioid storage and disposal habits of patients and their caregivers at home. The participant and caregiver dyads were shown a brief opioid educational video pre-operatively and were followed up with via emailed survey two weeks post-operatively. The survey contained questions pertaining to disposal and storage habits of …

Primary Care Screening For Adverse Childhood Experiences (Aces) In The Adult Population, Carrie Plisco

Dissertations

Problem: Exposure to Adverse Childhood Experiences (ACEs) is associated with chronic diseases in adulthood. Several studies found over 60% of adults have had exposure to one or more ACEs. While guidelines for ACEs screening exist, most primary care practices do not perform screening at this time. This results in a lack of referrals for adults with history of ACEs for proper behavioral health (BH) intervention.

Methods: This quality improvement (QI) initiative utilized a descriptive observational design. The Centers for Disease Control and Prevention (CDC) ACEs screening tool was administered to a convenience sample of adult patients aged 18 years and …

Enhancing Communication Between Nurses And Physicians On Patients With Sepsis, Jayne Ehirim

Dissertations

Abstract

Problem: The condition of sepsis is life-threatening, and its severity increases when there are delays in interventions. Communication challenges exist on medical-surgical units and are major contributors to poor management of patients with sepsis. Ineffective communication among health care team members continues to threaten patients` health outcomes. The purpose of this project was to implement a standardized form of communication between nurses and physicians of patients with sepsis.

Methods: An observational descriptive design with a retrospective chart review. A quality improvement PDSA cycle was used to implement an SBAR communication instrument.

Results: A total of 16 …

Implementation Of Pediatric Adverse Childhood Experiences Screening In Primary Care, Alexzandra Hillyer

Dissertations

Implementation of Pediatric Adverse Childhood Experiences Screening in Primary Care

Problem: Over half of children worldwide have experienced abuse in the past year. In 2012, The American Academy of Pediatrics released a policy statement emphasizing the importance of primary care providers implementing Adverse Childhood Experience (ACE) screening into all well-child examinations.

Methods: This quality improvement project was a descriptive, observational pilot study in which Center for Youth-Well ACE Questionnaire (CYW-ACE-Q) was implemented into a large, metropolitan pediatric primary care clinic. A convenience sample was utilized composed of pediatric patients between the ages of 5 and 18 being seen for a …

Identification Of Veterans Experiencing Symptoms Of Mental Illness For The First Time After Covid-19 Diagnosis, Brittania Phillips

Dissertations

There has been a general increase in psychiatric symptoms since the COVID-19 pandemic began. Literature that has been published since the start of the pandemic has indicated there is an increased risk of depression, insomnia, altered mental status, new-onset psychosis, neurocognitive syndrome, and anxiety. The military veteran population is at higher risk for psychiatric illness than the general population, and should be screened accordingly. This quality improvement project was developed in collaboration with the mental health clinic at urban medical center in the Midwest to identify new symptoms of mental illness after COVID-19 diagnosis utilizing the PDSA model and descriptive …

Evaluation Of A Dirfloortime® Program For Autism Spectrum Disorder, Jennifer L. Pipitone

Dissertations

Problem. Parents with children who have neurodevelopmental disorders, such as autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) experience high levels of parenting stress. The prevalence of ASD is on the rise in the United States. As a result, there has been an increase in the use of treatment modalities, in effort to better understand which modalities have the most positive impact on children and their parents. DIRFloortime® is a developmental treatment modality used to help strengthen the parent-child bond and used to decrease parental-child stress. The Autism Parenting Stress Index (APSI) measures the impact of an intervention …

The Effects Of Race, Ethnicity, Education, Marital Status, And Family Size On Hysterectomy Rates, Zula Price

Dissertations

Decreasing disparities in hysterectomy rates have been a goal of the United States Department of Health and Human Services as a method of improving women's health. In the United States, hysterectomy rates remain high, particularly among Black women in contrast to other racial and ethnic groups (Qi et al., 2013). This study, using a descriptive research framework, utilized a sample of 1,921 women across the United States who participated in the 2012 National Health and Nutrition Examination Survey (NHANES).

Data were analyzed from the responses of subjects who reported having a hysterectomy in the 2012 NHANES, which is designed to …

Forty Years After The Larry P. Decision: School Psychologists’ Perceptions Of The Assessment Of African American Students With Specific Learning Disabilities, Shara Cabreros

Dissertations

Purpose: The purpose of this qualitative study was to identify and describe the assessment models school psychologists use to identify African American students with SLDs in three of the K-12 school districts in Riverside County. A second purpose of this study was to determine how school psychologists within three districts of Riverside County perceive the assessment model used in their school district affects the identification of SLDs in African American students. A third purpose of this study was to determine the assessment model school psychologists in three districts in Riverside County believe most accurately identifies SLDs in African American students. …

Examining The Effects Of A Curriculum-Based Professional Learning Community On Teacher Efficacy Toward Inquiry-Based Science Instruction, Samuel Joel Northern

Dissertations

Improving STEM education is pivotal to our country’s economic future and security. Unfortunately, most young students have limited access to standards-based science education. Science instruction is notoriously difficult to implement in the early grades. This dissertation explored the root causes for the lack of effective science instruction in elementary schools, including accountability testing, instructional time, historically weak standards, family factors, teacher efficacy, and professional development.

This study aimed to understand how elementary school teachers’ attitudes promote or hinder the implementation of science instruction. This study’s primary driver to improve science education in the early grades was a curriculum-based professional learning …

Respecting The Spectrum: Creating A Gender Inclusive Structured Diagnostic Intake Interview, Natalia Andino-Rivera

Dissertations

Transgender and nonbinary (TNB) people, more than ever, are in need of and actively seeking out services in order to cope with the reality of being transgender in the United States. This includes requiring assistance from local and federal governmental systems that do not provide protections for equal housing, workplace discrimination, and healthcare provisions, much less hate crime investigation and prosecution. In 2011, 75% of transgender people were or had been in therapy in the past, with a further 14% intending to participate in therapy in the future. Recently, the newly elected President Joseph Biden issued an executive order (EO) …