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The Effect Of Heart Score Risk Stratification Tool On Length Of Stay, Kelly Huffman

Electronic Theses and Dissertations

Abstract

With increasing national health care expenditures, different methods of reducing health care costs, along with supportive evidence-based research, are essential. This research will lead to changes in clinical practice standards including the utilization of tools by emergency room and hospitalist providers to reduce costs by decreasing the length of stay for acute chest pain admissions. The researcher utilized a retrospective review of charts for participants admitted into the acute care setting with the primary diagnosis of acute chest pain, with a focus on determining whether an initial calculation of a HEART Score risk stratification variable was completed and if …

The Impact Of Education On The Attitudes Of Staff Of A Rehabilitation Hospital, Kathryn Voreis, Kathryn G. Voreis

Electronic Theses and Dissertations

Stroke, also known as CVA or cerebrovascular accident, is a major chronic disease worldwide. In the United States, it is the leading cause of disability, costing a billion dollars each year (CDC, 2017). Typically, Western medicine is used for the treatment of stroke in the United States. An approach that has potential to improve general health outcomes, movement, mobility, aphasia, and quality of life includes acupuncture along with the standard therapies. The purpose of this quantitative research was to determine if the staff of a rehabilitation hospital would have a change in attitude after an educational program on acupuncture. The …

The Effect Of Care Coordination On Hemoglobin A1c For Type 2 Diabetes Patients, Lee Ann Hinsky

Electronic Theses and Dissertations

The purpose of the study was to test the impact of care coordinator visits by primary care registered nurses on serum hemoglobin A1c (HbA1c) levels in patients with type 2 diabetes. In the study, the researcher compared 2 groups of type 2 diabetes patients—those who had care coordinator visits from registered nurses and those who did not—through retrospective data collection and analysis from the patients’ electronic medical record from July 2018 through December 2018. An independent samples t test was used to compare the means of the intervention and control groups’ change in HbA1c levels. The intervention and control groups …

A Qualitative Case Study To Investigate How Educators Promote Parent Collaboration And Involvement For African American Elementary Males With Learning Disabilities, Derek E. Pierce

Electronic Theses and Dissertations

The disproportionate identification and achievement gap of African American students and their peers are inexhaustible. African American students continue to lag tremendously behind their Asian and Caucasian peers. There is limited research of African American students with disabilities as it relates specifically to various components of special education. To understand the narrative surrounding African American males, their achievement, and the collaboration between their parents and educators, the researcher will evaluate various components in conjunction with educators’ composition and characteristics and various parent’s attributes and behaviors. The purpose of this qualitative case study is to investigate how educators promote parent collaboration …

Supporting The Affective Needs Of Gifted Readers: An Educational Criticism And Connoisseurship Study, Kimberly G. Freed

Electronic Theses and Dissertations

The purpose of this Educational Criticism and Connoisseurship Study was to analyze the perceptions of parents and teachers of reading supports and barriers on the affective development of gifted readers. The research questions that guided this study were: What do parents and teachers perceive as the most effective reading supports that promote the affective development of young gifted readers? What do parents and teachers perceive as the major barriers that hinder the affective development of elementary gifted readers? How can children’s literature be used to support or hinder the affective development of gifted readers? Participants of this study were parents …

Nyku: A Social Robot For Children With Autism Spectrum Disorders, Dan Stephan Stoianovici

Electronic Theses and Dissertations

The continued growth of Autism Spectrum Disorders (ASD) around the world has spurred a growth in new therapeutic methods to increase the positive outcomes of an ASD diagnosis. It has been agreed that the early detection and intervention of ASD disorders leads to greatly increased positive outcomes for individuals living with the disorders. Among these new therapeutic methods, Robot-Assisted Therapy (RAT) has become a hot area of study. Recent works have shown that high functioning ASD children have an affinity for interacting with robots versus humans. It is proposed that this is due to a less complex set of communication …

A Phenomenological Study Of The Experiences Of Military Families, Who Have Children With Disabilities And Maladaptive Behavior, With School-Based Mental Health Personnel, Londi J. Segler

Electronic Theses and Dissertations

This qualitative study used a phenomenological approach to capture the lived experiences of military families who have children with disabilities and maladaptive behavior to note risk and protective factors that might impede the mental health development of that population of student. Through interviews with at-home-caregivers, I explored their experiences with public school staff, outside mental health services, and school psychologists. Study findings revealed that participants felt they were going to battle with school staff who were not willing to incorporate culturally responsive practices when working with their children. School staff who implemented regular bi-directional communication were more likely to gain …

Navigating Uncharted Waters: An Exploration Of The Social And Emotional Competence Of First-Year Teachers, P. Daniel Riordan Jr.

Electronic Theses and Dissertations

This study is an exploration of the social and emotional competence of first-year teachers with particular attention directed to how these five core competencies influence the way new teachers navigate tension and exercise agency. Tension is embedded into the fabric of a teacher’s first year. New to the field and still learning the complex art of how to teach, novice teachers must navigate an unfamiliar context without a complete understanding of the potential threats to their well-being. The study explores tension experienced by first-year teachers and their social and emotional competence through classroom observations, interviews, and weekly voice memos with …

Iron In Urban Air Pollution, Joseph R. Salazar

Electronic Theses and Dissertations

The processes by which iron is solubilized are largely unknown. There are three hypotheses on how iron is soluble: 1) iron is thought to undergo an acid based solubilization process, 2) iron undergoes an oxidation/reduction process and reduces iron(III) to the more soluble iron(II), and 3) iron is bound to organic molecules, which solubilizes it. The 3 hypotheses on iron water-solubilized are explored by presenting two individual studies.

The first study investigates iron directly from car exhaust. Exhaust particles were collected from 32 vehicles. Iron solubility in these samples ranged from 0%-82% with the average iron solubility being 30%. X-ray …

Building Community In The Classroom For Culturally Linguistically Economically Diverse Gifted Learners, Michelle Elaine Norberto-Whipple

Electronic Theses and Dissertations

The purpose of this study was to explore the perceptions of active community building in a classroom with culturally linguistically economically diverse (CLED) gifted learners in a semirural school district who underachieve. The central research question was, how does actively building classroom community interact with CLED gifted learners who underachieve? The research questions were the following: What are educators’ perceptions of CLED gifted learners who underachieve? How do educators implement community-building in the classroom? What are parents’ perceptions of actively building community in the classroom with CLED gifted learners who underachieve? The four primary categories that emerged were (a) meeting …

What Happens Next? A Grounded Theory Exploration Of The Psychological Impact Of Leaving The Gang, Alana C. Liskov

Electronic Theses and Dissertations

Very little research exists regarding the psychological impacts of gang membership and the mental health needs of gang members. Of the few studies that have been conducted, gang members were found to have increased rates of post-traumatic stress disorder (1.77 odds), current substance abuse (2.58 odds), oppositional defiant disorder, (1.24 odds) and conduct disorder (4.05 odds) (Harris, Elkins, Butler, Shelton, Robles, Kwok, Simpson, Young, Mayhew, Brown, & Sargent, 2013). Violent ruminative thinking, violent victimization and fear of further victimization were also significantly higher in gang members and believed to account for high levels of psychosis and anxiety disorder in gang …

What Remains? An Interpretative Phenomenological Analysis Of Therapists’ Psychological Boundaries In Crisis Work, Dana Santiago

Electronic Theses and Dissertations

Little attention has been given to clinicians who work primarily with clients in crisis. The current study explored therapists’ psychological boundaries in crisis work. Qualitative data was collected from two semi-structured interviews with current mental health crisis professionals (n = 5). An Interpretative Phenomenological Analysis was used to gain access into participants’ perceptions and understandings of their experiences. Findings revealed 4 superordinate themes: Professional Self, Impacted Self, Relational Self and Evolving Self along with 11 subthemes that related to psychological boundaries. Results suggest psychological boundaries are fluid and closely tied with self-awareness and support from other professionals.

Urban Informality, Environmental Xenophobia, And Infrastructures Of Citizenship: The Political Lives Of Nicaraguan Migrants In The Informal Settlement Of La Carpio, Costa Rica, Nikolai Alexander Alvarado

Electronic Theses and Dissertations

This dissertation examines urban politics, environmental justice, and infrastructure from the vantage point of South-South migration. It focuses on the work of Nicaraguan migrants living in the informal settlement of La Carpio in San José, Costa Rica, as they negotiate rights in the form of urban services. Nicaraguans in La Carpio have organized politically since 1993 to self-install, demand, and negotiate services such as potable water and electricity. In the process, they successfully compel local authorities to allocate these services and grant them an implicit recognition of their right to remain and live a decent life, regardless of their status. …

The Eu Ets: A Critical Analysis, Marceline Grey Swan

Electronic Theses and Dissertations

Carbon markets, established via cap & trade programs, are the dominant means by which climate stabilization is currently being pursued worldwide, with many centered around the European Union’s Emissions Trading Scheme. As such, a critical analysis of the EU ETS & its effectiveness is crucial to assess whether the EU carbon market is an effective mechanism to achieve climate stabilization. The effectiveness of the overall program was evaluated via a determination of whether the EU ETS, & to a greater extent the EU carbon market, has allowed for emissions reductions in line with the goal for climate stabilization set by …

Educational Achievement, Engagement, And Persistence In Choctaw Nation: A Study Of The Success Through Academic Recognition Program, Suzanne Delap

Electronic Theses and Dissertations

The Choctaw Nation of Oklahoma has developed a unique initiative to support academic achievement within their tribal territory. The Success Through Academic Recognition (STAR) program is an example of an Indigenously-developed approach to supporting students from grades 2-12, with the hope of promoting achievement, persistence, and engagement. To study the STAR program, a mixed-methods approach was employed to first analyze quantitative demographic and performance data collected from a cohort of high school students from 2014 to 2018. Next, phenomenological interviews were conducted within the same cohort, to describe the lived experiences of STAR students within the Choctaw community. The database …

Epochs Of Ecology: The Transition From Feudalism To Capitalism, Jacob Alexander Tucker

Electronic Theses and Dissertations

The transition from feudalism to capitalism has undoubtedly been one of the most fruitful and complicated debates amongst economic historians in the 20th and 21st centuries. With the advent of global ecological collapse, there is a necessity to examine and theorize the movement from feudalism to capitalism through the lens of ecology. While in mainstream economics the environment is either entirely dismissed or nature’s role in economics remains subsidiary to the human economy, in the field of Marxian economics, human’s interacting through nature is at the core of the entire theory. For that reason, this thesis takes earnestly Marx’s contributions …

Fluid Dynamics Characterization Of Transcatheter Aortic Valves, Mohammed Barakat

Electronic Theses and Dissertations

Aortic stenosis due to degenerative calcific aortic valvular disease is the most reason for aortic valve replacement in developed countries. Aortic stenosis affects up to 7% of the world population, and current clinical data indicate that the number of the affected people could be triple by 2050, due to population ageing and health lifestyle. Transcatheter aortic valve replacement (TAVR) was introduced as a minimal invasive treatment of severe aortic stenosis. Even though surgical aortic valve replacement (SAVR) is considered the golden standard treatment for severe aortic stenosis patients, TAVR showed equivalent or even superior outcome compare to SAVR. Currently, transcatheter …

Brokering Access, Belief And Opportunities: A Phenomenology Of Black Principals’ Leadership Through A Racialized Lens, Natalie Denise Lewis

Electronic Theses and Dissertations

The educational landscape of the twenty-first century currently faces several significant challenges, including widening academic opportunity gaps. These gaps suggest that there is need to examine the perspectives of leaders in the role of principals more deeply. However, as leadership theories continue to develop, there has been limited research conducted on the impact of principals’ racialized experiences and their approach to leadership. The purpose of this phenomenological study was to center race by exploring the essence of Black principals’ understanding of their racialized experiences and its meaning to their leadership and school communities. Findings indicate that Black principals’ (a) understanding …

Perceived Quality Of Clinical Supervision And Level Of Vicarious Trauma In Therapists-In-Training, Jessica L. Mantia

Electronic Theses and Dissertations

This study examined the relationship between perceived quality of clinical supervision and levels of vicarious trauma (VT) and secondary traumatic stress (STS) in a sample of novice therapists who reported working with survivors of sexual trauma. The researcher included therapist’s personal sexual trauma history and history of therapy for sexual trauma as covariate variables. Results did not support the predictive value of clinical supervision in determining level of VT or STS in this population. There were no meaningful differences among groups based on personal history of sexual trauma or participation in therapy. A high percentage of participants in this sample …

Digitizing The Aura: A Systems Update For The Contemporary Art World, Emilie Trice

Electronic Theses and Dissertations

During the digital tide of the last several decades, the material, metaphysical and economic properties of art have evolved in response to the ever-accelerating growth of cybernetics. The contemporary art ecosystem (CAE) has long been considered “the last unregulated financial market”; then cryptocurrency was invented. Now, blockchain technology has entered the cultural zeitgeist and could radically innovate numerous industries, including the art market. The CAE itself is a network, a system that operates within fundamental parameters and, in that sense, it shares much in common with the philosophies underlying computation, such as systems theory, complexity theory and emergent consensus mechanisms. …

The Effects Of Adverse Childhood Experiences On Behavioral Outcomes, Jennifer Thomas

Electronic Theses and Dissertations

This study intends to explore the intersection of two vulnerable populations, early childhood development and risks associated with exposure to adverse childhood experiences (ACEs). This study examines how age plays a role in the long-term relationship between ACEs and internal and external behaviors. This study seeks to answer the question of: How does age influence the relationship between number of ACEs and internal and external behaviors? The participants in this study include those aged 0 – 16 from the National Survey of Child and adolescent Well-Being (NSCAW) dataset. The NSCAW study consists of five waves of data where Wave I …

A Phenomenological Exploration Of Korean Adoptees’ Multiple Minority Identities, Jared Utley

Electronic Theses and Dissertations

Since the end of the Korean War, Korean children have been placed for international adoption due to their marginalized status in South Korea. In the United States, Korean children have predominantly been adopted to White families through transracial adoption (Bergquist, 2003; Lee, 2003). Transracial adoption describes the process of children being placed in a home where there are racial differences with one or both adoptive parents. Through international transracial adoption, Korean adoptees may undergo events that impact the salience and development of multiple minority identities, including: racial, ethnic, cultural, and as an adoptee. These experiences may be shaped by interactions …

Deep Reinforcement Learning For The Optimization Of Building Energy Control And Management, Jun Hao

Electronic Theses and Dissertations

Most of the current game-theoretic demand-side management methods focus primarily on the scheduling of home appliances, and the related numerical experiments are analyzed under various scenarios to achieve the corresponding Nash-equilibrium (NE) and optimal results. However, not much work is conducted for academic or commercial buildings. The methods for optimizing academic-buildings are distinct from the optimal methods for home appliances. In my study, we address a novel methodology to control the operation of heating, ventilation, and air conditioning system (HVAC).

We assume that each building in our campus is equipped with smart meter and communication system which is envisioned in …

Dis/Ableist Consumption: A Critical Thematic Analysis Of Avowed And Ascribed Neuro-Identities In The Classroom, Shaundi C. Newbolt

Electronic Theses and Dissertations

In the United States, faculty and students are publicly claiming neurodivergent identities and support for the neurodiversity movement. This study uses Collier and Hecht’s cultural identity theories with Lang and Chen’s two-step process, critical thematic analysis (CTA), to examine avowals and ascriptions with four diagnostic terms, ASD, ADHD, bipolar disorder, and dyslexia, of students and professors from Rate My Professors (RMP) with Ritter’s frame of RMP as a phenomenon.

A total of 1,022 posts are analyzed to understand how students resist or re-inscribe popular medical model/deficit discourse in the classroom: student avowals (N = 232), professor avowals (N = 51), …

Student Outcomes In Online And Face-To-Face Classes At A Hispanic-Serving Institution (Hsi), Rebecca S. Cottrell

Electronic Theses and Dissertations

As online course enrollments are increasing in higher education in the United States, it is increasingly important to understand student course outcomes in these classes, particularly at Hispanic-Serving Institutions (HSI), where there has been limited previous research. This current study examines online course outcomes in the form of student course grades and student withdrawal rates as compared to outcomes in face-to-face courses. The setting for the study is Russell University, a public university in the Rocky Mountain west, and an HSI. Data used in this study came from a large, deidentified data set of all enrollments in any course offered …

The Interplay Between Economic Growth And The Environment: The Case Of China, Christian D. Carpio-Thomas

Electronic Theses and Dissertations

Historically, economic development has come at the cost of environmental degradation. Since the 1980s, neoliberalism rooted in neoclassical theory has dominated mainstream economic thought. The result has been a dramatic increase in environmental degradation in favor of economic growth. The neoliberal recommendations toward development are encapsulated in the Washington and post-Washington Consensuses which promote the liberalization of trade and foreign investment as well as a reliance on market mechanisms. Ultimately, the goal of neoliberalism is to generate growth regardless of the impact that it places on the environment. The case of China presents an example of an economy which pursued …

@Gretathunberg: Navigating Critique And Identity Within Youth Climate Activism On Twitter, Carina Robin Weadock

Electronic Theses and Dissertations

Youth climate activist Greta Thunberg sat alone on the steps of the Swedish Parliament building in September of 2018, holding a bold black and white sign and demanding action be taken in the face of the climate crisis. Ever since, her activism and Twitter presence have sparked media attention, catalyzed youth activists globally to organize marches and strike from school, and have drawn critique. This thesis employs McKerrow’s (1989) critical rhetoric to uncover dominant discourses within tweets that undermine Thunberg based on identity and to explore the potential that Thunberg’s Twitter presence might or might not hold for future youth …

The Colored Pill: A History Film Performance Exposing Race Based Medicines, Wanda Lakota

Electronic Theses and Dissertations

Of the 32 pharmaceuticals approved by the FDA in 2005, one medicine stood out. That medicine, BiDil®, was a heart failure medication that set a precedent for being the first approved race based drug for African Americans. Though BiDil®, was the first race specific medicine, racialized bodies have been used all throughout history to advance medical knowledge. The framework for race, history, and racialized drugs was so multi-tiered; it could not be conceptualized from a single perspective. For this reason, this study examines racialized medicine through performance, history, and discourse analysis.

The focus of this work aimed …

Black Minds Matter: A Phenomenological Inquiry Examining The Prevalence Of Racial Trauma Among Black Doctoral Students, Jazmyne Markeeva Peters

Electronic Theses and Dissertations

Systemic and institutionalized racism is endemic to life in the United States and contributes to the daily marginalization of Black people. While the negative psychological and physiological effects of racism have been well-documented, the notion that racism can be experienced as a trauma is a newer theory. Racial trauma has been understudied and underappreciated, though it is a theory that clinicians should incorporate when working with Black clients and other clients of color. Exploring the ways in which Black doctoral students attending a predominantly White institution (PWI) have experienced racism is an essential contribution to the existing racial trauma literature. …

Instrument And Application Development In Saturation Recovery And Rapid Scan Electron Paramagnetic Resonance, Joseph E. Mcpeak

Electronic Theses and Dissertations

Enhanced signal sensitivity by the use of Rapid Scan (RS) electron paramagnetic resonance (EPR), a technique that allows for much faster magnetic field scans than traditional field-swept techniques, has facilitated improved data acquisition for many types of samples. For example, irradiated fingernails for radiation dosimetry have been studied using RS-EPR, which resulted in substantial decreases in detection limits. Samarium-mediated reduction mechanisms in organic synthesis have been investigated by RS-EPR providing evidence for a radical intermediate. Spectra of organic radicals exhibiting both narrow lines and closely spaced hyperfine interactions have been recorded via RS-EPR. Well-resolved spectra can be recorded at a …