Digital Commons Network^™

Medical Noncompliance In A Pediatric Patient Living In A Single-Parent Household, Lucy Obianuju Norrell

Electronic Theses and Dissertations

Abstract Noncompliance is a patient’s inability to comply with the recommended treatment for their complete recovery from an ailment, while compliance is the extent to which a patient adheres to the provider’s directive, such as medication and orders given. The purpose of this study was to determine if motivational interviewing when applied to noncompliant pediatric patients from single-parent households, would improve global medical compliance in this population as compared to the standard of care at the end of three months. Thirty-two participants were recruited using the homogeneous purposeful sampling. The project employed a mixed-method approach. Fred Kleinsinger’s noncompliant behavior tool …

The Relationship Between Exclusionary Discipline, Race, Socioeconomic Status, And Graduation Rates At 4a, 5a, And 6a High Schools, Ryan M. Cavazos

Electronic Theses and Dissertations

High school graduation is a significant predictor of future success. In most cases, a high school graduate will earn more money and live a healthier lifestyle than those who do not graduate from high school. The graduation rate in the United States is lower than the graduation rate of many other industrialized countries. Three known predictors of graduation rate are the number of exclusionary discipline assignments a student incurs, the race of the student, and the socioeconomic status of the student. The purpose of this study was to determine the relationship between graduation rate, exclusionary discipline, race (nonwhite), and low …

Academic Success And Curricular Structure: Exploring The Relationship Between Prerequisite Course Sequence And Grade Point Average In Community College Health Science Students, Patrick Carl Dupont

Electronic Theses and Dissertations

The current and ongoing shortage of healthcare professionals in the United States challenges educators and institutions to produce graduates of health professions programs in ever-increasing numbers. However, the current process typically used in community colleges is a cafeteria-style system of open enrollment, a model in which students pick courses from many choices without guidance or counseling. As a result, students often enroll in more advanced courses before taking the fundamental science courses. This may lead to poor performance, dropout, or failure. One potentially important variable in student success at a community college in the southwestern United States is student performance …

Underrepresentation Of Female And Minority Students In Science, Technology, Engineering, And Mathematics Academies In Texas, Darnisha Lanette Carreathers

Electronic Theses and Dissertations

Female and minority student groups are underrepresented in science, technology, engineering, and mathematics (STEM) programs and careers. Researchers have attributed this disparity to many factors; however, the primary factors are motivation and self-efficacy beliefs emerging during middle school. The purpose of this study was to examine why female and minority students enrolled and persisted in designated Texas-STEM academies by identifying themes related to Eccles’s expectancy-value model. In this qualitative case study, the researcher classified nine students from designated Texas Science, Technology, Engineering, and Mathematics (T-STEM) academies in a North Texas school district as persisters or nonpersisters. The researcher used interviews, …

The Impact Of Texas Aim On Academic Performance In Detx, Nicoli Morgan

Electronic Theses and Dissertations

School- and community-based after-school programs have evolved within the last 10 to 14 years, to accommodate and reinforce primary education (Mahoney, Larson, Eccles, & Lord, 2005). Students who are enrolled in after-school programs (e.g., Boys and Girls Club, Solid Foundation) have made higher grades in the classroom than their same age/grade peers who are not enrolled in after-school programs (Fredricks, Hackett, & Bregman, 2010). Additionally, after-school programs increase students’ self-esteem and confidence (Fredricks et al., 2010). The Boys and Girls Club organization has a strong devotion to their members’ academic success in the school setting (“Boys and Girls Clubs of …

Cystic Fibrosis Transmembrane Conductance Regulator Modulator Therapies In Cystic Fibrosis: A Retrospective Evaluation Of A Nationwide Specialty Pharmacy Database, Zumi Mehta

Electronic Theses and Dissertations

Background: Cystic fibrosis (CF) is a progressive, genetic disorder caused by a mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. Patients with CF experience excessive mucus build up and infections leading to complications in the pancreas, lungs, and other organs. There has been a paradigm shift in the treatment of CF with the introduction of CFTR modulator therapies and given their high acquisition cost, assessing their economic burden along with the adherence rate of patients is imperative. Objective: (i) To assess the utilization of CFTR modulator therapies in a specialty pharmacy CF patient population and (ii) to calculate …

Development Of A Pharmaceutical Tablet Authentication System Using Spectroscopic Techniques In Combination With Multivariate Chemometric Methods, Md Nayeem Hossain

Electronic Theses and Dissertations

The spread of falsified drugs is increasing worldwide. Currently, 10%-30% of drugs in the world are falsified. Unfortunately, the supply chain system of developing countries (from manufacturers to customers) is not well monitored and suffers the highest rates of fraudulent activities. Also, the rise of product procurement from the internet increases the chance of American consumers' exposure to poor quality drugs. To combat this horrendous activity, surveillance of pharmaceutical materials is required in the supply chain system. Spectroscopic techniques (e.g., Near-Infrared and Raman spectroscopies) can be a potential solution to authenticate samples in different locations; they are non-destructive, safe, rapid, …

Salt In The Deep Marine, Rachel Bollinger

Electronic Theses and Dissertations

ABSTRACT

Rachel Allison Bollinger: Salt in the Deep Marine

(Under the direction of Dr. Christine Butterworth-McDermott and Dr. John McDermott)

The surface tension present between liquid and air is due to the fact that liquid molecules are highly attractive to one another. Because of this, the surface of water acts like an elastic membrane, allowing human hands or light insects to sit or slide on its surface. For a moment or two, the hand or the insect seems to occupy both the water and the air simultaneously. This commonplace phenomenon is explored in the poetry collection, Salt in the Deep …

A Rhetoric And Philosophy Of Gifts, Mary Eberhardinger

Electronic Theses and Dissertations

This project synthesizes a selected scope of rhetorical and philosophical perspectives of the gift. The research question is what the relationship between gifts and rhetoric might be. In order to approach this question, this project offers a review of related literature on the topic of gifts. It then provides analysis and discussion that contextualize the question. The project finally concludes by offering implications. The implications address why the question concerning the relationship between gifts and rhetoric matters for the larger landscape of international relations.

British Eugenics Failure And Success, Angela Gallagher

Electronic Theses and Dissertations

The historical narrative of eugenics often focuses on those eugenic societies and movements that ‘succeeded’ in part or in full in achieving a eugenic society. Less studied are those societies that failed, whether due to social backlash or internal incoherence. The British Eugenic Educational Society as the foundational point of eugenics, has therefore been overlooked as a result of it’s perceived lack of contribution to eugenic thought and its failure to pass eugenic legislation. Founded by Francis Galton, the originator of the philosophy of eugenics, the British Eugenic Educational Society should have been successful given it’s reputation and the numerous …

Friendship In The Digital Age: Implications From A Philosophy Of Communication Approach, Tiffany Petricini

Electronic Theses and Dissertations

Friendship is a central relationship-style that grounds us. Much of the literature on the effects of technology on our relationships, especially friendship, has taken a skeptical approach. The notion of friendship is historically-situated, thus, it requires attention in each era and has prompted questions throughout human history. Our time is no exception. Changing cultures and redefinitions of basic human institutions have led us to our current moment, in which we are experiencing a loud and continuing debate on the effect of technology on our lives. Advancements in science have allowed us to understand our past and present in new ways. …

Evaluating An Evidenced Based Program: Ruling Our Experiences (Rox) For 9/10-Year-Old Girls In The Yough School District, Lisa Mumau

Electronic Theses and Dissertations

During elementary school years, girls experience social, emotional, and physical changes that affect their abilities to manage relationships and establish positive images of themselves. Given the aforementioned issues, girls need effective elementary school programming to support positive self-esteem and the development of girls’ Social Emotional Learning (SEL) Competencies. The purpose of this mixed-method study focused on evaluating the Ruling Our Experiences (ROX) program for 9/10-year-old girls. The methods used were designed to address the three research questions: Based on the implementation of the ROX program in Yough elementary schools, to what extent do participants exhibit a greater level of positive …

Mental Boundaries As A Moderator Of The Relationship Between Social Support And Self-Esteem, John Mathe

Electronic Theses and Dissertations

The purpose of the research was to explore the relationship between mental boundaries, self-esteem, and social support. With a sample of 295 participants, correlations and a moderation analysis were conducted to examine the relationships between mental boundaries, self-esteem, and social support. The study found that mental boundaries have a significant relationship with self-esteem and social support; however, mental boundaries do not moderate the relationship between self-esteem and social support. This study also examined the structure of the Boundary Questionnaire 18 (BQ18), utilizing an exploratory factor analysis. Suggestions for future research and implications for clinical work are offered, as well as …

Apparatgeist And Mobile Communication: Considering Interpersonal Communication Practices, Lisa Enright

Electronic Theses and Dissertations

Mobile communication is embedded into our daily life increasing our connection to social networks. The development of mobile communication occurred during the second half of the twentieth century and has become domesticated into everyday life. One consequence of the widespread adoption of mobile communication device use is an increase in connectivity. This increase in connection has led to a shift in interpersonal relationships. People now must be aware of when to connect and disconnect to develop meaningful relationships in private, public, and social realms. This project seeks an understanding of how the consequence of increased connectivity and the development of …

Risk Factors Associated With Pressure Injury In Pediatric Congenital Heart Disease Patients, Ashlee Shields

Electronic Theses and Dissertations

Pediatric congenital heart disease (CHD) patients have unique risk factors associated with the pathophysiology of abnormal heart function. This vulnerable population is likely at an increased risk of acquiring a pressure injury during hospitalization. There are limited studies that include congenital heart disease patients and more specifically, factors unique to these patients. The purpose of this study was to identify risk factors associated with development of pressure injury in pediatric CHD patients. This retrospective study used a convenience sample from hospital-acquired data including subjects with congenital heart disease. The results demonstrated an association between pressure injury development and variables both …

Pierre Hadot's Holistic Philosophy Of Communication, Jonathan Crist

Electronic Theses and Dissertations

Pierre Hadot’s holistic philosophy of communication attends to the health of the self and community through practice of spiritual exercises for the transformation of one’s entire being, working at the nexus of mind, body, soul, and cosmos. The task is ever-incomplete, works in an understanding of “human being as essentially an exposure that lacks a closed identity” and “keep[s] sight of the opening, wound, or lack that remains at the heart of any community and all communication” (Butchart 136). This is responsive to the present moment experiencing disjointed experience of time and space, increased anxiety, underdeveloped capacity for attention, and …

Characterization Of Photoacoustic Flow Cytometry Signals, Craig Benzinger

Electronic Theses and Dissertations

Photoacoustic flow cytometry has been utilized to clinically determine the presence of melanoma circulating tumor cells (CTCs). Further investigation was conducted into the morphology of detection signals and how they could be manipulated to allow for further classification. Novel features were extracted from waveforms that appear to have strong classification ability. Neural networks were also used to determine classification potential and the creation of feature mapping for future unsupervised classification. Detections were expanded from single waves to a time dependent multiwave event. Waveforms were also determined to be of non-parametric distribution, allowing for classification by neural network but not allowing …

Pilot Study Exploring The Effect Of Targeted Cox-2 Inhibition In Macrophages Responding To Neuronal Injury; Promoting Enhanced Axonal Regeneration, Alyssa Brauckmann

Electronic Theses and Dissertations

Celecoxib nanoemulsion (CXB-NE) has been developed as a macrophage targeted analgesics by Dr. Janjic and her team at Duquesne University, (Janjic et al, 2018; Liu et al, 2020; Saleem et al, 2019b; Vasudeva et al, 2014). The CXB-NE nanoemulsion carrying a Nonsteroidal Anti-inflammatory (NSAID) inhibitor of COX-2 activity result in a reduction in PGE2 expression in macrophages. Using CXB-NE in rats that have peripheral nerve injury constricting the sciatic nerve relieves hypersensitivity, a pain-like behavior. The treatment also decreases inflammation associated with this chronic constriction injury (Janjic et al, 2018; Saleem et al, 2019b; Stevens et al, 2019). In this …

Agency, Identity, And Authority In Rwanda: 1950s Political Rhetoric As A Bridge To Post-Colonial Genocide, Amanda E. Rollinson

Electronic Theses and Dissertations

During the Rwandan genocide, Hutu targeted Tutsi and allies. Interpreting this complex event requires examining the late 1950s. Analyzing Tutsi and Hutu in central Rwanda in 1957 improves understanding of political and social context preceding the genocide. This study rejects that the genocide occurred as an inevitable event. Instead, it layers domestic actors with international groups: the White Fathers missionaries; the United Nations; Belgium; and the United States. Analyzing each group and synthesizing their interactions elevates Rwanda’s history from the falsehood of ancient adversaries to a complex, modern narrative. Studying Rwandan rhetoric and responses to it provides an opportunity to …

Exploring The Relationship Between Dietary Self-Monitoring With A Mobile App And Weight Change, Jason Payne

Electronic Theses and Dissertations

Background: Approximately 70% of the adult population in the United States has overweight or obesity and increased risk for developing chronic diseases. Dietary self-monitoring adherence using a paper diary is associated with weight loss; however, few studies have examined this association with dietary self-monitoring apps. Objectives: 1) explore if an association exists between app-based dietary self-monitoring and weight change among adults with overweight or obesity and 2) explore the relationships between the frequency, consistency, and completeness of self-monitoring and weight change. Methods: Participants self-monitored dietary intake for 8 weeks using the app Calorie Counter by FatSecret. Participants were assigned …

Cultural Identity Salience, Individuation, And Life Satisfaction In Emerging Adulthood, Matthew L. Nice

Electronic Theses and Dissertations

This quantitative study examined emerging adults’ (18-29 years old) cultural identity domains of race/ethnicity identity, gender identity, sexual identity, spiritual identity, and socioeconomic class identity with their features of individuation from parents and life satisfaction. Additional emphases were placed on understanding the differences between college-going and non-college-going emerging adults and the differences between early (18-23 years old) and later (24-29 years old) emerging adulthood. This study supported both significant and non-significant relationships among the cultural identity domains salience with the features of individuation and life satisfaction. Emerging adults who attend college were revealed to have higher life satisfaction than those …

Exploring And Re-Envisioning The Significance Of Agrarian Consciousness In Theology With Specific Reference To Kerala, Jinto George

Electronic Theses and Dissertations

Globalization has a great impact on present-day society. Everything and everyone relates to each other based on market value. The commodification of agriculture and food has led the world into a situation where one lacks intimacy and bond in the relationship. The impact of globalization has influenced the present Kerala community. The monocultural systems of globalization have influenced the community which has led the Kerala society into a commodified society. The commodification of agriculture and food has influenced the patterns of relationships in the Kerala society, especially in their ecological, human, and spiritual relationship.

God did not create a world …

The Physiology And Evolution Of Selenite Respiration In Bacteria, Michael Wells

Electronic Theses and Dissertations

The selenium oxyanions selenate (Se(VI)) and selenite (Se(IV)) can be utilized by some bacteria and archaea as terminal electron acceptors in anaerobic respiration. Se(VI) and Se(IV) respiration is mediated by a phylogenetically and ecologically diverse array of organisms, suggesting that selenium respiration is ubiquitous in natural environments. Several respiratory Se(VI) reductases have been characterized in bacteria, revealing that Se(VI) respiration has evolved independently several times in this domain. Se(IV) respiration, in contrast, has yet to be characterized. I have purified and characterized the first respiratory Se(IV) reductase from Bacillus selenitireducens MLS10. The Se(IV) reductase appeared to purify as a single …

Gene Delivery To The Blood-Brain Barrier For Ischemic Stroke Therapy, Wanzhu Zhao

Electronic Theses and Dissertations

Stroke is a major cause of death in the United States. We aim to develop safe and efficient approaches for the treatment of stroke. Regenerative therapies have been identified as the major need for curing stroke [1]. We explored two different carriers (poly (ethylene glycol)_5k-poly (L-aspartate-diethylenetriamine)₄₈ (PEG-DET) / Pluronic P84 (P84) and exosomes (EXOs) / microvesicles (MVs)) to deliver brain-derived neurotrophic factor (BDNF) plasmid DNA (pDNA), a functional gene encoding a neurotrophin. In the first project, our data showed that DNA nanoparticles (NPs) with 0.03% P84 was a promising formulation to deliver Luciferase pDNA into immortalized human …

The In/Authentic Subject: Kierkegaard, Heidegger, And Selfhood, Joseph Tighe

Electronic Theses and Dissertations

This dissertation represents an attempt to understand the self, what it is, what it means, and how it provides subjective identity. These concerns are situated within a personal narrative that describes the loss of self and its rediscovery subsequent to that loss. In critically examining the work of both Soren Kierkegaard and Martin Heidegger on the concept of authenticity, I have attempted to come to terms with my experience of the loss of selfhood as well as the conditions of possibility for its return. I argue that Kierkegaard’s construction of the self, while problematically religious, convincingly describes the experience of …

Using Tandem Mass Spectrometry And Irmpd Spectroscopy To Determine The Intrinsic Reactions Of Uranyl-Containing Ions, Irena Tatosian

Electronic Theses and Dissertations

Developing a comprehensive understanding of the intrinsic reactivity of uranium-containing species remains an important goal, as it may influence future developments in areas ranging from new approaches to nuclear fuel processing to studies of the migration and fate of the element in the environment. At a more fundamental level, such studies contribute to the understanding of the role that 5-f electrons may play in chemical bonding, the so called “f-electron challenge”. Electrospray ionization (ESI) is an effective way to generate gas-phase complexes containing uranium and uranyl ions for subsequent studies of intrinsic structure and reactivity. Studies in the gas-phase are …

St. Ignatius' Quill Pen: Exploring The Orality-Literacy Difficulty In The Spiritual Exercises, Hongchao Qian

Electronic Theses and Dissertations

Informed by the work of Walter Ong, in the first prelude of the First Week in the Spiritual Exercises, St. Ignatius of Loyola used an emblematical image, the “prison-cage”, to provide phenomenological accounts for the exercitants to examine the existential situation within. This dissertation explores into the difficulty of being rhetorical in mediating on the existential situation emblematically. I try to understand the orality-literacy dynamic within the Exercises through the theoretical framework of semiotic phenomenology. The Ignatian emblematics can be understood as phenomenological descriptions that asked the exercitants to provide the parts of moral-phenomenological reductions and phenomenological interpretations within …

Caring For Victims Of Child Maltreatment: Pediatric Nurses’ Moral Distress And Burnout, Angela Karakachian

Electronic Theses and Dissertations

Background: Moral distress is a significant concern for nurses as it can lead to burnout and intentions to leaving the profession. Pediatric nurses encounter stressful and ethically challenging situations when they care for victims of suspected child maltreatment. Data on pediatric nurses’ moral distress in this situation are lacking, as most research in this field has been done in adult inpatient and intensive care units.

Aims: The purpose of this study was to describe pediatric nurses’ moral distress and determine the impact of caring for victims of suspected child maltreatment on nurses’ moral distress, burnout, and intention to leave.

Design …

Using Point Of View Video Modeling To Teach Math To Students With Autism Spectrum Disorder In Saudi Arabia, Hamad Hamdi

Electronic Theses and Dissertations

The utilization of academic skills plays a significant role in an individual’s function in society. For countries who are still developing an effective base of evidence-based practices, such as Saudi Arabia, single-subject research can be a powerful tool in discovering best practices for students with autism spectrum disorder (ASD). The purpose of this study was to determine the effectiveness of point-of-view video modeling (POVM) in improving the math skills (addition with regrouping) of elementary participants with ASD. A multiple baseline across participants design was used to examine the effectiveness of the intervention on each participant’s ability to solve two-digit by …

The Effects Of Teacher Professional Development And Self-Efficacy On Classroom Uses Of Information And Computer Technologies, Elif N. Gokbel

Electronic Theses and Dissertations

The uses of new technologies during mathematics instruction are essential for maintaining opportunities for students to gain better understanding of the content and become digital learners in the information age. Although scholars found technology integration is helpful in improving students’ mathematics achievement, the role of teachers’ preparedness for technology integration remains critical.

Technology professional development and self-efficacy are two major factors impacting teachers’ successful integration of instructional technologies. The purpose of this study was to provide a more in-depth look into (i) mathematics teachers technology uses during direct instruction, dialogic instruction, and assessment; (ii) the relationship between various types of …