Digital Commons Network^™

Heuristic Scheduling For Clinical Physicians., Dustin Banet

Electronic Theses and Dissertations

Personnel scheduling is a problem faced by many organizations in the healthcare industry, particularly in rapidly developing outpatient centers. The task of creating a schedule that adequately covers patient demand while satisfying the preferences of employees, observing work regulations, and ensuring a fair distribution of work is highly complex. Even though this highly complex task directly affects measures such as patient waiting time and employee satisfaction, many organizations still resort to the traditional and cumbersome manual solution methods. A large segment of prior research on personnel scheduling in healthcare focuses on nurse rostering and the development of automated tools to …

Perceptions Of Organizational Justice, Job Satisfaction, And Organizational Commitment In Intercollegiate Athletics : A Study Of Ncaa Men's Sport Coaches., Dustin Thorn

Electronic Theses and Dissertations

The purpose of the present study was to examine the relationship among organizational justice components, overall job satisfaction, and organizational commitment within the intercollegiate athletics setting. Perceptions of three organizational justice components (procedural, distributive, and interactional), overall job satisfaction, and organizational commitment were gathered from head and assistant coaches of NCAA Division I and III baseball, men's basketball, and wrestling programs. Findings indicated the following: (a) significant interactional effects were found between sport type and NCAA Division, (b) a significant interactional effect was found between sport type and job title, (c) no significant differences were present on perceptions of overall …

Comparison Of Clinically Projected And Radiographically Optimal Implant Fixture Placement., William Shane Vaughn 1984-

Electronic Theses and Dissertations

Potential dental implant site assessment is initially determined clinically. Subsequent radiographic assessment also provides information about the quantity of available bone. It was hypothesized that the use of radiographic markers in mandibular stents to project the clinically derived placement of implant fixtures would not correspond to the optimal trajectory of the fixture based on acceptable implant placement criteria applied on Cone Beam Computed Tomography images. A retrospective audit of patients with edentulous mandibles scanned with a surgical guide was completed. A total of 218 potential implant sites in 77 patients were evaluated utilizing an implant planning software package (EZ Guide …

Simulation-Based Metrics Analysis Of An Outpatient Center., Elvin Webb

Electronic Theses and Dissertations

With more and more attention surrounding healthcare, Industrial Engineers have championed the task to help hospitals and outpatient centers operate as efficiently as possible. Simulation is often used to analyze hospital performance measures. The University of Louisville Health Care Outpatient Center is a relatively new building occupying 169,000 ft2 and opened in October of 2008. The clinic is experiencing uneven workloads, over scheduling of Medical Assistants, and highly variable patient waiting times. The Arena Simulation package has been used to develop a model of the outpatient center's current state. Using the data from July 2009 the model has been validated …

Re-Conceptualizing The Bible Belt : Southern Spirituality In The Novels Of James Wilcox., Ashton Moats

Electronic Theses and Dissertations

The following paper is a discussion of religions themes in the novels of James Wilcox, a contemporary Southern author. Through closely examining four of Wilcox's nine novels (along with excerpts from a few others), this project explores the ways in which Wilcox displays the postmodern state of contemporary Southern culture and its effects upon the religious climate of this region. Incorporating a number of literary and religious scholars, in addition to observing some of the ties between Wilcox and Flannery O'Connor, this thesis serves as both an introduction to an author who has not received a great deal of scholarly …

Ribosome Maturation In Yeast Models Of Diamond-Blackfan Anemia And Shwachman-Diamond Syndrome., Joseph Brady Moore 1981-

Electronic Theses and Dissertations

The inherited bone marrow failure syndromes (IBMFS) encompass a heterogeneous collection of rare disorders characterized by hematological abnormalities, generalized growth delays, and an increased incidence of malignant transformation. These disorders include: Diamond-Blackfan anemia (DBA), Shwachman-Diamond syndrome (SDS), cartilage-hair hypoplasia (CHH), and dyskeratosis congenita (DC). Despite sharing overarching similarities, each of these disorders manifests distinct clinical phenotypes. Similar to their clinical features, the molecular underpinnings of the IBMFS have characteristics that are both shared and distinctive. Aberrations in ribosome synthesis have been associated with each of the IBMFS providing a common molecular target for pathogenic mutations in disease related genes. In …

Cardiac Specific Transgenic Inhibition Of Nuclear Factor-Kappab (Nf-Kb) Mitigates Adverse Cardiac Remodeling And Ameliorates Cardiac Dysfunction In Doxorubicin-Induced Cardiomyopathy., Santosh Kumar Sanganalmath 1977-

Electronic Theses and Dissertations

Background The anthracycline doxorubicin (DOX) is widely used as an effective antineoplastic drug. Cardiotoxicity leading to congestive heart failure is the primary factor limiting the clinical use of DOX. However, although a variety of approaches to protect the heart against DOX-induced cardiotoxicity have been attempted; treatment to prevent short and long term DOX-induced cardiac damage remains limited. Currently, there is no specific therapeutic strategy against this severe disease. Cardiac inflammation and myocardial apoptosis is known to contribute to DOX-induced cardiomyopathy. The nuclear factor-kappaB (NF-?B) is a part of the innate immune system and is involved in cardiac stress reactions. Since …

The Impact Of School Culture, Teacher Job Satisfaction, And Student Attendance Rates On Academic Achievement Of Middle School Students., Diane Yvonne Hatchett

Electronic Theses and Dissertations

This quantitative study focused on 760 Kentucky middle school teachers in 28 school districts across the state of Kentucky. The Pearson r was used to determine the relationship between the following variables identified in the study: (a) school culture as measured by the School Culture Triage Survey combined scores, (b) job satisfaction of teachers as measured by the Minnesota Job Satisfaction Questionnaire (MSQ) scores, (c) student achievement scores as measured by the Commonwealth Assessment Testing Score (CATS) accountability index for each school, and (d) student attendance rates. This study utilized correlation analysis to answer questions one through six and multiple …

Perceptions Of Counselor Education Students Regarding Their Reactions To Client Suicide, Renée Anderson

Electronic Theses and Dissertations

The purpose of this study was to measure the differences in perceptions regarding the vignette of a client suicide between master's level counseling students in their first year of coursework and students getting ready to graduate. The participants (N=75) were asked to read a vignette depicting a client suicide and complete the Jones Clinician Suicide Survivor Survey--Adapted. No significant differences were found between the two groups. Based on the results of the analyses, students who are getting ready to graduate show no differences in how they perceive they would react to a client suicide than do students in their first …

Development Of Eeg Gama Indicies Of Cue Reactivity To Assess Functional Outcomes Of Neurofeedback Training In Substance Use Disorder., Timothy Joseph Horrell

Electronic Theses and Dissertations

In 2006 it was estimated by the Substance Abuse and Mental Health Service Administration (SAMHSA, 2007) that 19.9 million Americans used illicit drugs, computing to roughly 8.0 % of the United States population. In 2007, there were 2.1 million active cocaine users, comprising 0.8 percent of the population. The National Institute on Drug Abuse (NIDA) estimates that the total expenditure of drug-related complications is greater than 500 billion dollars when healthcare, legal procedures and job loss are considered. Research has shown that prolonged drug use has a profound effect on the EEG recordings of drug addicts when compared to controls …

Effects Of International Baccalaureate Primary Years Programme On Teacher Philosophy, Perceptions Of Efficacy, And Outlook On Education, Leroy Alfred Getchell

Electronic Theses and Dissertations

Our nation, if it is going to keep a competitive edge versus the rest of the world, must reform the current system of educating children. The purpose of this study is to provide evidence that implementation of one increasingly popular reform effort, the International Baccalaureate Primary Years Programme (IBPYP), changes teachers’ perceptions of what is important about education, the need for international understanding for all students, and the future of education, in general. This dissertation helped answer those questions through an extensive study of relevant literature and the use of an on-line survey to analyze results. This research produced a …

The Pedagogical Role Of Reggio-Inspired Studios In Early Childhood Education, Laura Ann Ganus

Electronic Theses and Dissertations

The influence of the Reggio Emilia philosophy has been present in early childhood programs across the United States for decades, with many programs attempting to adapt the philosophy's concept of a studio, but few studies have examined them. This study describes, interprets, and appraises two Reggio-inspired studios in the United States in order to provide an in-depth analysis and shed new light on such practices.

Four questions guided this study: 1) What is the role of a studio in a Reggio-inspired school? 2) What is happening in the studio? 3) What are children learning in this environment? 4) How does …

Addressing Relational Aggression: Assessing The Merits Of Coeducational And Gender-Specific Bullying Prevention Programs, Rena Dulberg

Electronic Theses and Dissertations

Interviews with eight bullying prevention program directors from around the country reveal the extent to which research findings are reflected in bullying prevention programs currently in operation. Framed as a list of best practices for coeducational and gender-specific bullying prevention curricula, the purpose of the present thesis was to document the most positive contributions made by various approaches to bullying prevention programs to the overall field, and to highlight practices of programs that reflect insight into what is known about gender differences in bullying. Best practices included new approaches to empathy-building, service-learning, confidentiality, cyberbullying, positive reinforcement, reporting systems and youth-driven …

Integrated Conflict Management Systems As Cure And Cause: How Leaders Address Cultural Change And Conflict In Their Organizations, Brian S. Beck

Electronic Theses and Dissertations

Organizations experience the bottom line impact of internal conflicts daily. Conflicts between employees simply drain organizational resources. The idea of Integrated Conflict Management Systems (ICMS) has been introduced to help minimize the impact of these conflicts. ICMS, through the development of policies and procedures to address conflicts, are actually attempting to change the organization's culture, and when organizations attempt cultural changes, conflicts are likely to occur. The primary component of cultural change is the organizational leader.

The study interviews organizational leaders about the conflicts that occur when organizations change cultures and the methods that leaders use to work through those …

A Response To Aid Dependency: Service For Aid, Angela L. Bennett

Electronic Theses and Dissertations

"A Response to Aid Dependency: Service for Aid" by Angela Bennett is a composition reviewing literature on humanitarian assistance and aid dependency. She appraises current programs which delivery humanitarian assistance by utilizing reward incentives for participation in social programs in order to combat dependency on outside sources of support. The author uses her experience as a Peace Corps Volunteer in the Dominican Republic for examples of expectance on aid. The Service for Aid model is proposed as a new approach to humanitarian aid delivery, requiring recipients to participate in capacity and capability building programs in order to earn aid in …

Estimating Economic Activity From Space, Tilottama Ghosh

Electronic Theses and Dissertations

Accurate estimates of the magnitude and spatial distribution of both formal and informal economic activity is necessary to achieve various social and economic goals of societies and countries at different levels of analysis. However, collection of data on economic variables, especially of national and sub-national income levels is problematic due to various shortcomings in the data collection process. Additionally, the informal economy estimates are often excluded from official statistics. Thus, developing alternative methods for estimating these economic activities may prove to be useful and necessary. This research demonstrates the potential of developing spatially explicit estimates of economic activity from nighttime …

The Expressed Emotion Of Mothers Of Children With Fragile X Syndrome, Jeanine M. Coleman

Electronic Theses and Dissertations

A review of the literature revealed that mothers with children with fragile X syndrome (FXS) face many challenges, including managing their child's behavior which is a defining characteristic of children with FXS (Epstein, Riley, & Sobesky, 2002). Parents and professionals have become increasingly aware through research and everyday experiences that children with FXS are often overly sensitive to multiple stimuli (Hagerman, 1999; Hagerman & Hagerman, 2002; Miller et al., 1999). This overstimulation often leads to behavioral challenges that are characterized by tantrums, angry outbursts, and other forms of aggression. Additionally, mothers of children with FXS have their own personal challenges …

Integrating Theory, Practice And Policy The Technical Efficiency And Productivity Of Florida's Circuit Courts, Joseph A. Ferrandino

Electronic Theses and Dissertations

In 1998, Florida voters approved Article V, Revision 7, which changed the funding mechanism of the state circuit court system from a county/state mix to state responsibility. The change was implemented as planned in the 2004/05 fiscal year. Although increased efficiency was a key goal of Revision 7, to date no published studies exist on the impacts of Revision 7 on circuit or system efficiency and/or productivity. This work analyzes Revision 7, integrating the larger debate of increasing judgeships or improving efficiency. The study is a full performance analysis of the Florida circuit courts from 1993 through 2008 that can …

The Contextual Impact Of Income Inequality On Social Capital And Adverse Social Outcomes, Jeannie Schiff

Electronic Theses and Dissertations

An interdisciplinary approach to policy and governance recognizes that many social welfare problems are interrelated, and policy-makers have long recognized a need to address the root causes of these problems. There is much evidence that income inequality is one of these root causes but research suggesting the effect of income inequality is mediated by social capital has complicated the relationship, as have theories of causality that take different approaches. This study takes an ecological approach to these issues to test the relationship between income inequality, social capital and selected adverse outcomes proposed by the relative income hypothesis. The relative income …

Effects Of Health Information Technology Adoption On Quality Of Care And Patient Safety In Us Acute Care Hospitals, Binyam Seblega

Electronic Theses and Dissertations

The adoption of healthcare information technology (HIT) has been advocated by various groups as critical in addressing the growing crisis in the healthcare industry. Despite the plethora of evidence on the benefits of HIT, however, the healthcare industry lags behind many other economic sectors in the adoption of information technology. A significant number of healthcare providers still keep patient information on paper. With the recent trends of reimbursement reduction and rapid technological advances, therefore, it would be critical to understand differences in structural characteristics and healthcare performance between providers that do and that do not adopt HIT. This is accomplished …

(Un)Natural Bodies, Endangered Species, And Embodied Others In Margaret Atwood's Oryx And Crake, Marcy Galbreath

Electronic Theses and Dissertations

The developing knowledge of life sciences is at the crux of Margaret Atwood's Oryx and Crake as she examines human promise gone awry in a near-future dystopia. This thesis examines aspects of posthumanism, ecocriticism, and feminism in the novel's scientific, cultural, and environmental projections. Through the trope of extinction, Atwood's text foregrounds the effects of human exceptionalism and instrumentalism in relation to the natural world, and engenders an analysis of human identity through its biological and cultural aspects. Extinction thus serves as a metaphor for both human development and human excesses, redefining the idea of human within the context of …

The Effects Of Transformational Leadership On Employees' Perceived Leadership Effectiveness In Public Organizations Federal Emergency Management Agency Case, Hasan Karaca

Electronic Theses and Dissertations

As the capacity of public leaders to bring about change is increasingly questioned, public agencies have come under pressure to transform and innovate. More research is needed to identify how leaders who promote innovation, creativity, and adaptability affect the performance of public organizations. Constant improvement of organizations and individuals encourages leaders to innovate, evaluate risks as opportunities, and tackle the status quo. This raises the significance of how transformational leadership contributes to organizational performance and reacts to public agencies‘ environment, and how it might reorganize them. The present study examines the relationship between transformational leadership behaviors and perceived leadership effectiveness …

Is "Good" Good Enough? A Small Area Variation Analysis Of Disparity In Expressed Rates Of Access To And Satisfaction With Child And Adolescent Healthcare Services In East Central Florida, Jay M. Schaefer

Electronic Theses and Dissertations

The purpose of this dissertation research was to explore indications of disparities within the east Central Florida child and adolescent healthcare services market. Structured as a follow-up study to work completed in 2005 under the direction of the Health Council of East Central Florida assessing parental perceptions of community child and adolescent healthcare services, this research extended that evaluation by aggregating participant responses at the county and small area zip code group levels, contextually testing the uniformity of responses in understanding parent perceptions of access to, and satisfaction with, community healthcare service offerings available for children and adolescents. Under a …

Three Waves Of Underground Feminism In "Soft" Conscious' Raising Novels, Jeannina Perez

Electronic Theses and Dissertations

In the chapters of my thesis, I explore how "soft" consciousness-raising novels of the first, second and third-waves of feminism practice underground feminism by covertly exposing women's socio-political issues outside of the confines of feminist rhetoric. In moving away from the negative connotations of political language, the authors enable the education of female audiences otherwise out of reach. Working from and extending on various theorists, I construct a theoretical model for what I term underground feminism. Running on the principal of conducting feminist activism without using feminist rhetoric, underground feminism challenges the notion that "subtle" feminism means weak feminism. In …

Student Attitudes Towards Campus Law Enforcement Exploring Issues Of Confidence And Utilization, Vivian J. Ortiz

Electronic Theses and Dissertations

The assessment of citizen attitudes has, in recent decades, become standard practice within the criminal justice system. However, in assessing the criminal justice system, most research has gathered data on the attitudes and perceptions of specific populations within society (i.e. older citizens) and has not really focused on younger age groups, or more specifically, students enrolled in colleges and universities. The present study examined attitudes of college students in the areas of confidence and utilization of campus police. Utilizing a non-random convenience sample of undergraduate and graduate students (N=393) at a large four-year research institution, participants completed a 21-item survey …

Creating Healthy Communities An Examination Of The Relationship Between Land Use Mix, Neighborhood Public Realm Engagement And Neighborhood Social Capital, William B. Burns

Electronic Theses and Dissertations

This research provides a confirmatory based analysis which begins with the planning concept of land use mix and explores its explanatory affect upon resident perceptions of their built environment in terms of proximity of recreation and retail destinations within their neighborhood public realm. This research further explores the resident’s potential inclination to access these destinations by non motorized active travel modes of walking or bicycling. This research examines the relationship between the propensity for active travel within the neighborhood public realm and levels of resident active engagement (walking and bicycling) and passive engagement (sitting on the front porch) in the …

Potential Energy, Edward Bull

Electronic Theses and Dissertations

Potential Energy. (Under the direction of Pat Rushin.) Potential Energy is a collection of sixteen short stories. They range from the fictional to the autofictional to the entirely non-fictional. In all of them, characters both real and imagined struggle to live and define themselves in a world that is outside their control. They cope with the inevitability of loss, dangers both internal and external, and the passing of their own greatness. Some of these characters become lost while others learn to embrace life on its own terms'to accept 'without hope or expectation.' More often, they are not lost or enlightened, …

Marriage For Some: Explaining The Variation In Gay Rights And Marriage Policy And Opinion Among States And Individuals, Jeffrey Billman

Electronic Theses and Dissertations

This research aims to answer a simple question: Why are some individuals, and some states, more willing to extend protections to same-sex couples than are others? Drawing from the literature, I perform a battery of quantitative tests on variables most commonly associated with gay rights and gay marriage policy development: liberalism, education, age, religiosity, authoritarianism, tolerance, urbanization, and moral traditionalism. While I find that all of these variables have a relationship with gay rights and gay marriage opinion, I argue that those associated with religiosity have the strongest pull. However, religiosity does not act alone; moral traditionalism, age, and ideology …

Family Coping As A Protective Factor For Poor Children, Catherine Decarlo Santiago

Electronic Theses and Dissertations

This study examined family influences on coping and adjustment among 90 low-income Latino middle school children (46% Female; Average age = 11.38, SD = .66) and their primary caregivers (93% Female; Average age = 36.12, SD = 6.13). All participants identified as Hispanic/Latino, with 75% of families identifying as Mexican-origin Latino, 77% of parents identifying as immigrants, and 32% of children identifying immigrants. All children participating in the study were receiving free or reduced lunch, a poverty indicator. Hierarchical linear modeling analyses revealed that family reframing is related to fewer symptoms of psychopathology and that familism enhances the protective effect …

Burdens Of Disclosure: A Pastoral Theology Of Confidentiality, Virginia R. Morgan

Electronic Theses and Dissertations

Receiving confidential disclosures can create burdens for pastoral care providers. This dissertation presents a study of pastoral confidentiality and the burdens associated with receiving confidential disclosures based on interviews with thirteen pastoral providers, a review of historical, legal and pastoral care literature. A thematic analysis of interviews identified three types of burdens associated with receiving confidential disclosures: 1) professional burdens associated with clarifying norms and standards for pastoral confidentiality in light of collegial, denominational and congregational norms; 2) ethical burdens created when the ethical value of pastoral confidentiality comes into conflict with another significant ethical value; and 3) structural burdens …