Digital Commons Network^™

Opioid Use Disorder: A Crisis Of Concern, Evangella Harville

Electronic Theses and Dissertations

According to a statement from the U.S. Centers for Disease Control and Prevention, between 2000 and 2017, approximately 700,000 people died from drug overdoses in the United States. Approximately 128 persons lose their life each day from an opioid overdose. The data for this study were collected by the vice president of operations at the study site from a preexisting database for 2019 and 2020. The participants were inpatient patients, 18 and older, both male and female, and were from all ethnicities. The study facility was located in Western New York and offered a 30-bed inpatient treatment center with 24-hour …

Reducing The Potential For Physical Harm In Student Nurses Caring For Clients Who Are Under The Influence, Hunter William Halford

Electronic Theses and Dissertations

This DNP project was conducted to identify gaps in knowledge and adequate preparation of nursing students in safely caring for a client who is behaving violently and is under the influence of illicit drugs. Student nurses are trained using a generalist approach, meaning they are taught the essentials of a variety of topics. It is not until these students enter the workforce that they are trained specifically for a certain position. Currently, the curriculum does not address specific measures to maintain client and personal safety. It is an almost unavoidable fact that a nurse will encounter a violent client or …

Improving Sexually Transmitted Infection Knowledge In Community College Students: A Path To Prevention, Rebecca F. Halford

Electronic Theses and Dissertations

This DNP project was conducted to identify gaps in knowledge focusing on sexually transmitted infections within Texas and Region one. The research study gathered data from first-year nursing students who have chosen to participate in a sexually transmitted infection-focused educational module. Participants were first-year nursing students and understood the research study was strictly voluntary with no forms of compensation. Currently, the curriculum in the nursing program at which the study took place does not focus on sexually transmitted infections and is directed to speak minimally on the subject. This is a contributing factor to why the rise in sexually transmitted …

Perceptions Of Classroom Management Coaching At District A Independent School District, Ashley L. Brittain

Electronic Theses and Dissertations

This study addressed teacher retention and research-to-practice gaps in the literature related to classroom management coaching and what types of teacher support are the best and why. The purpose of this qualitative case study was to explore the perceptions of teachers, campus administrators, and campus intervention coaches regarding District A Independent School District’s campus intervention coach model. This study attempted to understand better the perceptions of how the campus intervention coach model influences teachers’ decisions to remain in the profession; how teachers, campus administrators, and campus intervention coaches perceive the campus intervention coach model’s effectiveness in reducing the percentage of …

African American Teachers' Experiences Of Becoming A Teacher In Ohio: A Case Study, Feon M. Battiste

Electronic Theses and Dissertations

There has been a hiring discrepancy in the recruiting and hiring process of African American teachers in Ohio (Stein, 2019). The purpose of this descriptive case study was to explore African American teachers’ experiences of becoming teachers in Ohio and their suggestions for improving the hiring process. Five research questions guided the study: (a) What were African American teachers’ lived experiences of becoming a teacher in Ohio? (b) How do African American teachers perceive the obstacles and catalysts of becoming and remaining teachers in Ohio? (c) How do African American teachers view diversity in the teaching force? (d) What policies …

The Effect Of Postpartum Depression Screening Education For Postpartum Nurses, Shecarra S. Cook

Electronic Theses and Dissertations

Depression affects about 13% of pregnant women and about 10% of women after childbirth. Some cases are so severe, the mother may even commit suicide. If left untreated, postpartum depression (PPD) affects both the mother’s and the infant’s health as well as their quality of life. The gap in clinical practice is that currently, patients only complete a postpartum depression screening tool during their 6-week follow-up appointment with their OB/GYN, leaving a gap in PPD detection and care during the immediate postpartum period. Postpartum nurses are not usually given specialized training in postpartum depression. The purpose of this study was …

Decreasing Unintentional Pregnancies For Tennesseans, Paula M. Todd

Electronic Theses and Dissertations

In 2018, 49% of all pregnancies in the United States were unintended, with women with a lower- income status being five times more likely to experience an unplanned pregnancy. Tennessee has a high rate of unintended pregnancies, particularly among the uninsured, low-income, and rural teen populations; some 22% of these unintended pregnancies end in abortion. Oral or transdermal contraceptives that are affordable and accessible for women of childbearing age can reduce unintentional pregnancies. The addressed gap in clinical practice was that contraceptives are not currently available over the counter in Tennessee pharmacies without a prescription, which necessitates a costly medical …

An Evaluation Of An Integrated Multidisciplinary Early Identification And Triage Of College Students At Risk For Anxiety And Depression, Sarah J. Templeton

Electronic Theses and Dissertations

College students across the U.S. are experiencing an increasing prevalence of mental health concerns, such as anxiety and depression. Suicide is currently the second most common cause of death among U.S. college students. At the project site, the university health services report that mental health issues significantly impact the students’ academic progress, contributing to poor performance, inability to complete assignments, and sometimes forces attrition. Campus providers traditionally respond when students approach, often at the point of crisis or exacerbation. This Doctor of Nursing Practice (DNP) project evaluated the impact of a pilot program using an interdisciplinary approach to universal proactive …

Trauma Informed Care In Alternative Education Settings, Cydney V. Quinn

Electronic Theses and Dissertations

Schools are considered to be the primary location for providing children with prevention and treatment for mental health symptoms, however, it is well documented that children’s mental health needs remain underserved. Especially at risk are children who have experienced trauma and other adverse childhood experiences (ACEs). Many children in this group are subject to disciplinary action, and are often removed from primary classrooms to alternative education placements (AEP) in an effort to manage behaviors. Therefore, it is important that alternative education teachers are trained in trauma-informed care (TIC). While it may be presumed that AEP staff would be well-versed in …

The Role Of Mek1/2 And Mek5 In Melatonin-Mediated Actions On Osteoblasts And Osteoclasts Differentiation, Bone Formation, Bone Microarchitecture, And Bone Biomechanics, Fahima Akter Munmun

Electronic Theses and Dissertations

Melatonin, the main endogenous hormone to entrain the circadian system, is not limited to its role in regulating the sleep-wake cycle; rather, it affects a wide variety of systems involving antioxidant, anti-inflammation, blood pressure regulation, seasonal reproduction, ovarian physiology, and immune function. Driven by the diversity of its action, melatonin for a long time has also been studied in the field of bone and mineral research both clinically and pre-clinically. Exogenous administration of melatonin in clinical trials in perimenopausal women (MOPS; NCT01152580); or postmenopausal women with osteopenia (MelaOST; NCT01690000 and MOTS; NCT01870115) confirmed improvement of bone mineral density (BMD) (MelaOST; …

The Effects Of A Treatment Package Of Video Self-Modeling And Phrase Drill Intervention On Improving The Reading Fluency In Students With Asd, Maha Alghamdi

Electronic Theses and Dissertations

As the incidence rate of students with autism spectrum disorder (ASD) in Saudi Arabia appears to increase, the need for evidence-based reading interventions that focus on the reading development of students with ASD increases. Reading fluency has been identified as a critical component of reading development and has been consistently linked with reading proficiency. Interventions to promote reading fluency in schools in Saudi Arabia have focused on promoting the literacy attainment of typically developed students, disregarding students with disabilities. In this study, a treatment package of video-self modeling and phrase drill has been used to improve the students reading fluency …

Gravegoods: A Primer For Preservation, Mary E. Tucker

Electronic Theses and Dissertations

Deep East Texas is home to many historic cemeteries. The preservation of these cemeteries includes the care of gravemarkers and the management of cemetery grounds. Unfortunately, these practices often neglect gravegoods. The Caddo people have some of the earliest gravegood usage in Deep East Texas, dating back to the eighth century. European and white and black American settlers brought other funerary traditions and influences into the area beginning in the sixteenth century. Gravegoods in historic Deep East Texas cemeteries reflect these influences and traditions. This thesis led to the creation of a preservation brief that will educate the public and …

Identification Of Fluoxetine-Sert Interactions And Apo-Sert Studies Via Crosslinking Mass Spectrometry, Elizabeth Castellano

Electronic Theses and Dissertations

The serotonin transporter (SERT) is a member of the neurotransmitter sodium symporter family of transporters. SERT controls the magnitude and duration of serotonergic neurotransmission by facilitating the reuptake of serotonin back into the pre-synaptic neuron and is thus a target for antidepressants. Selective serotonin re-uptake inhibitors (SSRIs) such as fluoxetine, are commonly prescribed to treat depression. SSRIs act by blocking reuptake and prolonging serotonin signaling. However, significant problems regarding selectivity and mechanisms of action of these drugs remain unresolved. The structures of SERT and related transporters have been determined and serve as useful structural models. However, they are typically mutated …

Between Physicalism And The New Dualism: The Moral Relevance Of The Human Body For Catholic Ethics, David J. Demboski

Electronic Theses and Dissertations

One could argue the remarkable changes to the landscape of Catholic moral theology over the course of the twentieth century were unparalleled in the history of the Church. Animated by anthropological and pastoral concerns, competing schools of Catholic ethicists introduced novel interpretations of natural law that sought to do greater justice to the entirety of the human person, not merely the physical dimension that tended to be emphasized throughout the manualist era. These unique and competing perspectives that emerged in the middle of the 1900s, found in the revisionist school and the New Natural Law Theory school, shaped the topography …

Psychometric Synthesis Of The Drug Abuse Screening Test 20-Item Version (Dast-20), Erin Johnson

Electronic Theses and Dissertations

Numerous research articles have reported differing data on the psychometric properties of the 20-item version of the Drug Abuse Screening Test (DAST-20, Skinner, 1982a). Aggregating this diverse information can lead to a better understanding of how to use and interpret the instrument with clients and research participants. In this psychometric synthesis, evidence of reliability and validity of the DAST-20 scores was aggregated in order to provide a more comprehensive summary of the psychometric properties of the instrument to better inform counseling professionals when using the DAST-20. Overall, the available evidence indicates that the DAST-20 produces reliable and valid scores when …

Patient Portal Use, Health Information Technology Self-Efficacy, Electronic Health Literacy, And Self-Management Among Patients With Heart Failure: A Cross Sectional Study, Pamel Kallmerten

Electronic Theses and Dissertations

Background: By the year 2030, the prevalence of heart failure (HF) is anticipated to rise by 46%, impacting over 8 billion persons. Self-management of HF is key to maintaining a healthy lifestyle and quality of life. Yet many have sub-optimal self-management skills necessitating innovative strategies to enhance self-management. An innovative strategy to support the person with HF is the use of health information technology (HIT) such as a patient portal (PP). Additionally, self-efficacy and health literacy are important to self-management of HF. Further understanding is needed of the relationship between PP use, HIT self-efficacy (HIT SE), electronic health literacy …

Deception Of Resistance And The Effects On Muscular Fitness And Perceived Exertion, Tyler Mchenry

Electronic Theses and Dissertations

Resistance training has been a popular tactic that individuals have used to increase muscular fitness for decades. Muscular fitness includes muscular endurance, strength, and power. However, limitations such as self-efficacy and the Central Governor Theory may influence individual maximal performance ability. One training tactic that has been rarely researched is the deception of resistance during exercise, which is assumed to increase performances in all aspects of muscular fitness and improvements in perceived effort. Inconsistent results have been concluded from previous studies that have examined the same topic. Therefore, the purpose of this study was to investigate the effect of resistance …

Development Of A Combined Feedforward-Feedback Quality Control System For Extended-Release Granules Using A Quality By Design Approach, Yuxiang Zhao

Electronic Theses and Dissertations

Objectives

For a fluid bed film coating process to consistently deliver quality products, its control system needs to be robust against the variability of input materials and environmental disturbances. Presently, limited studies have been reported to understand the effects and interactions of the material attributes, environmental variables, and process parameters on the product in vitro drug dissolution. A control system can be developed with a proper understanding of the coating process, by adjusting the process parameters in feedback and feedforward manners to compensate for the undesired effect caused by disturbances, and ensure consistent product quality.

Methods

The control system was …

Development Of Standard Operating Procedure With Modified Method To Quantify Benzene And Other Volatile Organic Compounds In Air Samples Using Gas Chromatography, Heather Hall

Electronic Theses and Dissertations

Stephen F. Austin State University (SFASU) Department of Environmental Science has recently invested in a gas chromatograph which can be used to analyze air samples for volatile organic compounds (VOCs) such as benzene, toluene, ethylbenzene, and xylenes (BTEX). The goal of this project was to develop a standard operating procedure (SOP) and modify the current method for the detection of VOCs associated with oil and gas drilling activity to accommodate the equipment and capabilities of SFASU Environmental Assessment Lab. This study aims to provide the framework for future research in air quality monitoring in the Eagle Ford Shale area. An …

A Phenomenological Study Of The Perceptions Of Co-Teaching Through The Lens Of Special Education And General Education Teachers., Erin Seale

Electronic Theses and Dissertations

Co-teaching has become one of the most popular service-delivery models that school districts use to incorporate students with disabilities in the general education settings. This phenomenological study reports how special education teachers and general education teachers at one Central Kentucky high school describes their perceptions and experiences with co-teaching. This study uses semi-structured interview to explore general education and special education teachers’ perceptions of their experiences with co-teaching and being a part of a co-teaching team.

Wetting And Drying Dynamics For Tio2 With Pbs Quantum Dots., Kelly M. Lee

Electronic Theses and Dissertations

Initial solar cells utilized silicon and alloys for their economic viability. Photoelectrochemical photovoltaic cells were discovered with technological advancement which increased solar efficiency and further improved economic feasibility leading to quantum dot sensitized solar cells. Lead sulfide quantum dots and titanium dioxide were studied for wetting and drying effects. Zeta potential, pH values, SEM, and optical microscopes quantified or observed the colloidal suspension and dried sample behavior. Combined mixtures of lead sulfide and titania were dried at 3.6 pH and 12.56 pH values. This due to the observed zeta potential isoelectric point of titania, and behavior showed increased stability occurring …

The Study Of Copper Corrosion Mechanisms Using Electrochemical Experimental Techniques., Evan Grimm

Electronic Theses and Dissertations

The purpose of this study was to discover and thoroughly explain the corrosion mechanisms of copper in saltwater, tap water and deionized water, and to apply these methods and findings when testing the corrosion mechanisms of other materials. The experimental procedure consisted of measuring the open circuit potential, electrochemical impedance spectroscopy, linear sweep voltammetry, and Tafel analysis.

The copper was found to corrode at a greater rate in saltwater, followed by tap water then deionized water, with a larger difference between saltwater and tap water than between tap water and deionized water. Each reaction was found to be both kinetically …

Implicit Theories As A Moderator Between Religious Commitment And Forgiveness Among Muslims Experiencing A Religious Identity Offense., John Michael Hart Ii

Electronic Theses and Dissertations

A recurrent finding in the literature on the relationship between religion and forgiveness is that religious people tend to describe themselves as forgiving while reporting less forgiveness in response to actual offenses (Davis, Worthington, Hook, & Hill, 2013; McCullough & Worthington, 1999). Scholars have suggested moderating factors may explain this discrepancy (Worthington et al., 2010), though the existing literature has been criticized as limited because much of the research is based on Christian samples (Carlisle & Tsang, 2013; Davis et al., 2013). Implicit theories, which have previously been found to be associated with forgiveness and theorized to be related to …

Is Being Respectable Enough?: A Critical Investigation Of Code-Switching And The Lived Experiences Of Black Leaders Who Work At Nonprofits In Bridgertown, Ramona Crawford

Electronic Theses and Dissertations

The current literature on Black nonprofit leaders is scarce, causing little to be known about the experiences that they have encountered when navigating their roles and responsibilities. Even less literature is available on these Black leaders and their usage of code-switching strategies when attempting to navigate those same nonprofits. Based on themes uncovered during the literature review this study employs an in-depth narrative inquiry qualitative methodology. While using theories such as critical race theory (Delgado & Stefancic, 200; Ladson-Billings,1998), the politics of respectability (Higginbotham, 1993) and the theory of capital (Bourdieu, 1985; 1996) the researcher examines the leadership experiences of …

Servant Leadership And Conflict Adaptivity In Local Government Leaders, June F. Mighty

Electronic Theses and Dissertations

Government organizations’ focus on public service provides a fertile ground for conflict due to competing interests and goals. Conflicts exist and persist because of workplace pressures such as unstable political climates, budget restrictions, technological advances, a diverse workforce, disruptive change, and organizational transformation. Although typically risk-averse, these organizations need flexible and adaptive leaders who exhibit the appropriate behaviors in the best interests of the organization and the community. Servant-leaders seem likely to demonstrate conflict adaptivity due to their focus on serving the needs of followers and other stakeholders, which may require different conflict styles at different times and in different …

The Use Of Medical Marijuana For The Relief Of Chronic Pain, Jacquelyn M. Paylor

Electronic Theses and Dissertations

Abstract For thousands of years, medical cannabis has been used for relief of chronic pain and personal ailments. It changes users’ mental capacities and perceptions while treating and providing relief from pain and muscle spasms. As a recreational and spiritual substance, this Schedule I drug requires special consideration and certification to administer. Increasing complaints of chronic pain have led doctors to prescribe opioids for pain relief. As prescriptions for opioids have increased, the number of opioid-related mortality and morbidity incidents have also risen. The high rates of opioid-related near deaths and overdoses have led policy makers, clinicians, pharmacists, and providers …

The Impact Of Criminal Justice Involvement: Examining Experiences In A Housing First Program., Amanda N. Denton

Electronic Theses and Dissertations

Individuals who come into contact with the criminal justice system are more likely to experience housing instability and homelessness, which, in turn, increases the likelihood of subsequent criminal justice involvement. Due to a lack of federal funding, as well as disjointed and inconsistent policies regarding eligibility criteria, people with criminal records are unlikely to receive federal rental assistance. While the exclusion of people with criminal histories is presented as necessary to protect communities and residents from crime, improving access to stable housing may reduce recidivism, incarceration rates, and correctional costs and increase public safety. The present study examined the differences …

A Comparative Study Of The Organizational Culture Of A South Korean And Us High School Athletic Department., Youngjik Lee

Electronic Theses and Dissertations

In South Korea, many high school athletics practitioners are interested in adapting US high school athletics policies to South Korean high school athletics. However, due to the cultural differences in the overall systems and environments of high school athletics in each country, directly applying US high school athletic policies does not always fit in South Korea. The purpose of this study was to examine and compare the perceptions of principals and athletic directors of the organizational cultures of a high school athletic department in South Korea and in the USA. Also, this study examined the effect of the organizational culture …

Photophysics Of Substituted [1,4]Benzodioxino[3,2-B]Oxanthrene (Bdo) Chromophores And Their Macromolecules: A Spectroscopy And Density Functional Theory Study., Abdelqader M. Jamhawi

Electronic Theses and Dissertations

Chromophores and macromolecules containing [1,4]benzodioxino[3,2-b]oxanthrene (BDO) has attracted attention since the beginning of this century. Previous studies demonstrated their potential in wide range of applications including gas permeability, hydrogen and energy storage, sensing, and catalysis. Better understanding of the geometrical and electronic structure characteristics of BOD-based chromophores is vital to advance their employment in these applications. This work utilizes spectroscopy techniques coupled with density functional theory methods to provide this required understanding. Substituted BDOs exhibit red-shift of >1 eV in their electronic transitions compared to unsubstituted BDOs. This shift is explained by a molecular orbital reorganization induced by the substituents. …

The Food Truck Problem, Supply Chains And Extensions Of The Newsvendor Problem, Dennis Quayesam

Electronic Theses and Dissertations

Inventory control is important to ensuring sufficient quantities of items are available tomeet demands of customers. The Newsvendor problem is a model used in Operations Research to determine optimal inventory levels for fulfilling future demands. Our study extends the newsvendor problem to a food truck problem. We used simulation to show that the food truck does not reduce to a newsvendor problem if demand depends on exogenous factors such temperature, time etc. We formulate the food truck problem as a multi-product multi-period linear program and found the dual for a single item. We use Discrete Event Simulation to solve the …