Digital Commons Network^™

Improving Low Health Literacy In Poststroke Patients By Educating The Health Care Staff, Marthilde Brzycki

Electronic Theses and Dissertations

Abstract

Lack of health literacy in the poststroke patient population is a serious issue; with the addition of the homeless population to that group, the result may be devastating. According to the American Heart Association and American Stroke Association (AHA/ASA, 2016), stroke is considered the primary cause of death and one of the chief reasons for disability in the United States, and nearly75% of strokes occur in those who are 65 years of age or older. Nurse practitioners are vital, providing necessary training and stroke education to the nursing and other health care staff. This DNP project was initiated to …

Relationships Between Education Track, Adverse Childhood Experience, And Recidivism Among Juveniles, Catherine Gammage

Electronic Theses and Dissertations

A high recidivism level, despite attempts by regulatory agencies and various institutions to decrease it, is currently a disturbing problem of the juvenile justice system. Adjudicated youth released from residential treatment centers are often reincarcerated within 3 years after their release. Residential treatment centers provide mandated educational and treatment services for all incarcerated youth. The educational programs offered by residential treatment centers should include academic and career technology programs which support community reintegration. The opportunity for students to receive a high school diploma and industry certifications for career readiness is an important way to decrease recidivism for juveniles. This study …

A Phenomenological Study On The Influence Of A Leadership Living-Learning Community On First-Generation College Student Social Integration, Jeremy Todd Sheffield

Electronic Theses and Dissertations

First-generation college students are a growing and unique population in the United States. First-generation college students face far more barriers to success when compared to their continuing-generation peers. Student retention and success is a primary concern for institutions of higher education in the United States as economic challenges and pressures grow. Therefore, retention and success for the growing number of first-generation college students is a priority for higher education leaders. A vital component of student retention and success is effective social integration. A proven high-impact practice for increasing student social integration is participation in a living-learning community. A descriptive phenomenological …

The Effects And Analysis Of Implant Type And Surgical Approach In Total Hip Arthroplasty Dislocation Resistance, Brittany Marshall

Electronic Theses and Dissertations

Total hip arthroplasty (THA) is one of the most successful orthopaedic surgeries performed, in which the hip joint is reconstructed to decrease pain and to improve the functionality to the joint. Although these surgeries are very successful, there still remain areas for improvement, such as failures due to instability and dislocation of the implanted joint. The purpose of this thesis is to investigate the effect of surgical entrance approach on dislocation, the effect of implant type, and the effect of capsule repair and closure. The need to quantify the resistance to dislocation is important in understanding the effect that each …

In Vivo Data Capture Using Hssr For Calibration Of Computational Models, Thor Erik Andreassen

Electronic Theses and Dissertations

Computational modeling is a vital tool for understanding and evaluating healthy and unhealthy function of the musculoskeletal aspects of the human body. However, the accuracy of the musculoskeletal models depends significantly on the accuracy of the input data used to calibrate various behavioral parameters of the model. To date, most computational models have been built using generic in vitro data, mostly because of a lack of accurate and meaningful datasets from in vivo testing. The next major step in computational modeling is to create subject-specific computational models using calibration data taken from in vivo testing. The overall goal was to …

Ultrasonic-Based Condition Assessment Of Wooden Utility Poles, Yishi Lee

Electronic Theses and Dissertations

More than 300 million utility poles shoulder the utility grid in the United States. However, the ineffectiveness of the current inspection process causes roughly a third of utility poles removed from the service deemed suitable for reuse. Due to the utterly essential role of the power infrastructure, budget shrinkage, and the structural degradation of the modern distribution grid, this Ph.D. dissertation addresses the challenges by proposing a physics-based signal analysis method with a jointly developed ultrasonic UB1000 system c to enhance the objectivity in ultrasonic-based nondestructive evaluation (NDE). The proposed methodology has been deployed commercially in the field and featured …

A Longitudinal Examination Of Biomechanical Balance And Quantitative Multidomain Assessments During Recovery Following Sport-Related Concussion, Moira Kate Pyrhoda

Electronic Theses and Dissertations

Sport-related concussion is an inherent risk to athlete health in contact and collision sports. Both short- and long-term risks are associated with the injury. Short-term, athletes may develop post-concussion syndrome (PCS), the persistence of cognitive, physical, and emotional symptoms for weeks or months after injury. Athletes who return to play (RTP) prematurely are at increased risk for lower extremity injury and repeated concussion injuries. Long-term, history of multiple concussions have been linked to neurodegenerative diseases. Due to these risks, concussion assessments must be sensitive to the injury and useful in the diagnosis, recovery, and RTP phases of the injury.

Sideline …

Design, Synthesis, & Biological Evaluation Of Novel Het-Aromatic/Aromatic Analogs For The Treatment Of Hiv, Cancer, & Cognitive Dysfunctions, Mohit Gupta

Electronic Theses and Dissertations

Cyclophilin A are a class of peptidyl-prolyl isomerases that catalyzes isomerization of the proline residue within a protein. Cyclophilin A plays an instrumental role in the pathogenesis of HIV and HCV virus. Using structure-based drug we designed and synthesized small molecule inhibitors of cyclophilin A. These inhibitors were biologically evaluated for their ability to inhibit WT HIV-1 inhibition.

Mitogen-Activated Protein Kinase signaling cascades plays a critical role in cancer cell survival, metastasis, and chemo-resistance. The MEK5/ERK5 pathway, which is a member of MAPK signaling cascade, is involved in cell survival, anti-apoptotic signaling, angiogenesis, and cell motility. It is found to …

Evaluating Perceptions Of Student Voice And School Membership Of 9th Grade Students And Teachers, Dan Beck

Electronic Theses and Dissertations

Adolescence marks a developmental period of rapid cognitive, emotional, and physical growth where teenagers are tasked with establishing an identity and strong sense of self. Students and parents often report that transition to ninth grade is a formidable social challenge amidst increased academic demands and stress, and some research suggests that females have a more difficult time in the transition to high school than males. Student voice is a range of student opportunities to interact, collaborate, and partner with adults in an exploration of ideas and perspectives. However, student voice opportunities are often only available to a select group of …

The Beliefs Literacy Specialists Hold Regarding Processes That Assist Struggling Readers With The Comprehension Of Informational Text, Marguerite Haldin

Electronic Theses and Dissertations

Children have a basic human right to read. It is the evolving work of the reading/literacy specialists to provide support and build confidence in readers struggling in all components of reading. The purpose of this study is to explore the beliefs of reading/literacy specialists regarding the processes that assist struggling readers with the comprehension of informational text. The methods used were designed to address the research question: What are the beliefs reading/literacy specialists hold regarding processes that assist struggling readers with the comprehension of informational text? Nineteen members of a professional learning group from an intermediate unit in Southwestern Pennsylvania, …

A Study Of Chloride Levels In Pine Creek, Allegheny County, Pa, Selina Prettner

Electronic Theses and Dissertations

Pine Creek is a 22.8-mile long tributary to the Allegheny River draining over 67 square miles of northern Allegheny County, PA. The main stem runs along Route 8 and receives extensive runoff from road salt from deicing. A site near Etna, PA sampled biweekly in 2013 consistently showed elevated conductivity that correlated with increased chloride levels. Winter road deicing runoff produced acute chloride concentrations up to 678 mg/L. Chloride fluctuated in the summer and autumn months but did not exceed the USEPA Secondary Drinking Water Standard (250 mg/L) or the aquatic life criterion for chronic concentrations (230 mg/L). Sampling throughout …

A Case Study Of An Online Teacher Study Group As A Digital Professional Development Tool, Jessica Martin

Electronic Theses and Dissertations

In recent years, there appears to have been a shift in professional development approaches for teachers from short-term workshops to teacher communities of professional practice, which extend over a while and focus on the expert knowledge teachers need to use in their setting (Goya, 2014). A supportive approach to teacher learning communities is a teacher study group. An even more promising and flexible approach to teacher learning communities in a global aspect is an online teacher study group. An online teacher study group provided a universal and flexible venue to engage in collaborative discussion between general education and special education …

Patient Satisfaction With Substance Use Disorder Rehabilitation Services, Trupti Dhumal

Electronic Theses and Dissertations

Background: Patient satisfaction is considered as an important indicator in the evaluation of healthcare quality across an array of treatments and services. It is deemed vital especially in the field of substance use disorder (SUD) research due to an increased emphasis on understanding patients’ perceptions regarding their treatment and the attributes that drive their progress towards recovery. Despite the potential value, gaps have been recognized in the exploration of these satisfaction-related assessments among patients undergoing SUD treatment in residential rehabilitative settings. Thus, there is a need for understanding the dimensions contributing to satisfaction which would facilitate the development of …

Determining Nurse Practitioner Core Competencies Utilizing A Delphi Approach, Tracey Chan

Electronic Theses and Dissertations

Background: Competency-based education (CBE) has been recommended for nurse practitioner (NP) education. To implement CBE, existing NP core competencies need to be reduced in number and refined.

Purpose: This study refined and reduced redundancy in the National Organization of Nurse Practitioner Faculties (NONPF) and American Association of Colleges of Nursing (AACN) NP core competencies through the consensus of experts in NP practice. This study used the current NP Core Competencies (NONPF, 2017), the Essentials of Doctoral Education for Advanced Nursing Practice (AACN, 2006), and the Common Advanced Practice Registered Nurse Doctoral-Level Competencies,(AACN, 2017a) …

A Theological Appraisal Of Marriage In Tiv Culture, Emmanuel Ahua

Electronic Theses and Dissertations

Marriage is humanity’s essential characteristic. It is the essential union between male and female geared towards raising and sustaining rational family life in society. This is what makes people human and differentiate them from other animals. Marriage is a natural institution and a socio-cultural reality in which each group of people should determine, according to their own context. In other words, every institution, society, and culture have a right to choose what type of marriage arrangement that best explains and works for it.

Nevertheless, the Western European understanding of marriage, as adopted by the Catholic Church’s Magisterium in her teaching, …

Midlife Suicide: Examination Through An Ecological And Interpersonal Lens, Jayna Bonfini

Electronic Theses and Dissertations

Suicide has increased over the past decade among midlife adults in the United States. It is the fourth leading cause of death among persons aged 35–54 years and the eighth leading cause of death among persons aged 55–64 years. The primary purpose of this hermeneutic phenomenological study is to examine, describe, and understand the lived experiences of midlife adults who have contemplated suicide and who have sought assistance and support from their peers via an online forum for those with an interest in and/or history of suicidality. Bronfenbrenner’s (1977) bioecological model, Joiner’s (2005) interpersonal theory of suicide, and van Manen’s …

"Frontline In Mental Healthcare": A Discourse Analytic Clinical Ethnography Of Crisis Intervention Team Trainings For Corrections, Daniel Gruner

Electronic Theses and Dissertations

Throughout the criminal justice system operates a discourse of corrections-reform. This responds to prisoner trauma and resistance by converting them into reforms that strengthen prisons and the larger carceral system while discounting issues of race and class that might undermine institutional legitimacy. The recent adoption of Crisis Intervention Team (CIT) Trainings in corrections is exemplary of corrections-reform discourse. ‘Crisis’ comes from the Greek krinein, meaning ‘to decide.’ The crisis in mental health in prisons involves deciding when to implement what “services” or “programming” for whom.

In this discourse analytic clinical ethnographic study, I focus on the trans-disciplinary corrections …

Bureaucratic Modernity And The Erosion Of Practical Reason: A Rhetorical Education As An Antidote, David Impellizzeri

Electronic Theses and Dissertations

To what extent and in what ways does modernity reveal itself through the bureaucratic? This project aims at an interpretive understanding of bureaucratic modernity. The rationalization of society and action in the (late) modern world requires that an increasing number of human activities and domains be explained in allegedly neutral, ‘rational’ terms and without reference to morally substantive ends. Ultimately, this entails a form of epistemic reductionism that elevates instrumental rationality to the exclusion of practical reason and probabilistic ways of knowing. Bureaucratic modernity signifies a decrease in choices that can be legitimized in public on some basis other …

The Impact Of Retention Efforts On The Collegiate Experience Of Students Of Color At A Predominantly White Institution (Pwi), Jeffrie Mallory

Electronic Theses and Dissertations

This dissertation explored perceptions of thirteen stakeholders who participated in the Minority Orientation Program, a pre-entry initiative focused on retaining students of color at a private, four-year university located in the northeast region of the United States. Situated in Vincent Tinto’s Theory of Student Integration and Critical Race Theory, the author qualitatively assessed the Minority Orientation Program’s impact on participating students of color and the program’s influence on their enrollment through the completion of their Freshman year. The study’s findings confirmed that the Minority Orientation Program affects the collegiate experience for students of color in several ways. Positive influences in …

Nanomedicine-Driven Neuropathic Pain Relief In Rat Model Is Associated With Macrophage Polarity And Mast Cell Activation, Muzamil Saleem

Electronic Theses and Dissertations

We explored the immune neuropathology underlying multi-day relief from neuropathic pain in a rat model initiated at the sciatic nerve by using a nanoemulsion-based nanomedicine as a biological probe. The nanomedicine is theranostic: both therapeutic (containing celecoxib drug) and diagnostic (containing near-infrared fluorescent (NIRF) dye) and is small enough to be phagocytosed by circulating monocytes. A model of neuropathic pain is initiated by tying four 1mm spaced knots around the sciatic nerve with chromic gut suture, which results in neuroinflammation, and a resultant pain-like behavior manifests. We show that pain-like behavior reaches a plateau of maximum hypersensitivity 8 days post-surgery, …

Characterization Of The Effect Of Exercise Dose And Integrative Nonpharmacological Therapies In The Treatment Of Chronic Pain, Anna M. Polaski

Electronic Theses and Dissertations

Chronic pain includes debilitating conditions affecting large populations of people throughout the world. These diseases are further complicated by comorbid psychological disorders which make chronic pain conditions difficult to treat. Nonpharmacological treatment options have more recently become an important mainstay of effective therapies and are currently being used to supplement or replace traditional pharmacological treatment methods. Exercise-based therapies in particular are of interest due to their demonstrated success in reducing pain symptoms as well as improving psychological outcomes. Dose is an important factor in being able to effectively prescribe treatments in the context of specific exercise interventions and specific pain …

Natural Law, The Object Of The Act, And Double Effect: Moral Methodology For Catholic Health Care Ethics, Travis Stephens

Electronic Theses and Dissertations

Pope John Paul II’s Encyclical Veritatis Splendor is the first and only magisterial document that systematically articulates a moral methodology for Catholic moral theology. This dissertation makes explicit the methodological connection between Vatican teaching and the United States Bishops’ Ethical and Religious Directives for Catholic Health Care Services. The thesis of the dissertation explains the systematic connection between Natural Law, the Moral Object of the Act, and the Principle of Double Effect and by extension the ethical Principle of Cooperation. Second, the thesis applies this complex moral method of official teaching to health care ethics.

Following the introduction, chapter …

Parental Experiences Participating In The Positive Behavior Intervention And Support Process In Schools, Siddiq Meer Siddiq Ahmed

Electronic Theses and Dissertations

The purpose of this study was to explore the experiences of parents of children with challenging behavior regarding their involvement with, and interest in, the Positive Behavior Intervention and Support (PBIS) process within school systems. The overarching research question was what are the lived (perceived) experiences of parents of children with challenging behavior regarding their involvement in the PBIS process? From this main question, there were five subsidiary questions that were addressed: How do parents of children with challenging behavior involved in the PBIS process describe their lived experiences? In what ways have parents made meaning out of their experiences …

An Exploration Of Motivational Interviewing And Strengths-Based Supervision To Improve Client Session Attendance, Jeremy Abel

Electronic Theses and Dissertations

Clients missing outpatient psychotherapy sessions is a problem that impacts clients, clinicians, and clinics. Scholarly research has shown that clinicians’ use of Motivational Interviewing (MI) may help to increase attendance rates and that most often MI training is done through a single training or workshop, which may not be a sufficient means to adequately prepare clinicians to effectively use MI. The purpose of this study was to determine whether using every other week, MI-focused, strength-based group supervision after an initial MI training can increase client attendance in two community outpatient substance use disorder and mental health treatment clinics. This study …

Perceptions Of Blended Learning In The High School Classroom, Kelli Murphy

Electronic Theses and Dissertations

As innovative technologies and accessibility increase in the K12 environment, teachers are offered opportunities to rethink the paradigm of the instructional and learning process. They are at the forefront of instructional change. One type of change is the use of technology as an instructional strategy. Blended learning is a type of instructional strategy which incorporates both online and face-to-face instruction.

The instructional choices a K12 teacher makes under their own volition to present new content in a technology-rich school is the focus of this study. A quantitative research study was performed in a high school with high technology accessibility. Teachers’ …

Females In Stem: Self-Efficacy Within Women Who Pursue Stem Majors, Lori Grata

Electronic Theses and Dissertations

While many efforts have been made within the United States, women are still underrepresented within STEM. Research within this document shows that women and men score similarly on STEM-related standardized tests. The question remains, why are there still large quantities of men outnumbering women in college majors and career fields of STEM? Looking at female STEM self-efficacy and gender role in culture could provide insight to the problem at hand. A survey was given to investigate self-efficacy and students’ STEM backgrounds of undergraduate female students who are currently in a 4-year STEM-related major within one university.

The Ethical Justification Of Increasing Awareness Of Preventive Medicine Among Healthcare Professionals, Patients And The General Public In The United States, Karishma Ether Moazzam

Electronic Theses and Dissertations

While practiced for centuries, preventive medicine has received increased attention during the recent times. Preventive medicine has a distinct mission to protect, promote, and maintain health as well as to prevent diseases, disabilities, and premature deaths. It aims to fulfill its mission through the combined form of clinical intervention and health promotion. In the recent years, preventive medicine has begun to lean more towards the clinical interventions, taking away from the health promotion. This imbalance has caused preventive medicine to lose its effectiveness in fulfilling its mission. One of the leading causes for such imbalance is the lack of proper …

The Mediating Role Of Differentiation In The Relationship Between Mindfulness And Working Alliance, Caleb P. Thompson

Electronic Theses and Dissertations

This study involved a mediation analysis exploring the relationship of counselor’s perceptions of mindfulness and working alliance through differentiation of self. Sample data (N=80) was collected and analyzed using the PROCESS mediation model to quantitatively determine the indirect effect of counselor’s perceptions of mindfulness and their perceptions of working alliance through the variable of differentiation of self. This indirect effect was not statistically significant, b = .08, 95% CI [-.11, .25], therefore no mediating effect was demonstrated for differentiation. A follow-up moderation analysis was also conducted on these same three variables. Results revealed that at low levels of …

Overcoming Negative Employer Attitudes: Exploring The Lived Experiences Of Employeees With Visual Impairments, James Mcneil

Electronic Theses and Dissertations

Negative employer attitudes toward people with visual impairments who are already employed is a topic that rarely has been discussed in the literature. The purpose of this hermeneutic phenomenological study was to explore, understand, and describe how employees with visual impairments process and overcome perceived negative employer attitudes. Seventeen themes emerged as a result of this study. Some of the themes emphasize the lived existentials (lived time, lived space, lived body, and lived other) connected with being the object of an employer’s negative attitude. Other themes emphasize the risk factors that exist in the environment(s) of employees with visual impairments …

Genetic Analysis Of A Novel Ftsk Homolog, Hfka, In Streptomyces Coelicolor Development-Associated Chromosome Segregation, Sumedha Sethi

Electronic Theses and Dissertations

A quintessential phenomenon occurring during prokaryotic development is accurate segregation of the replicated genomes into the daughter cells. Key energy-dependent processes like chromosome condensation and subcellular partitioning of the genomes are driven by conserved proteins like SMC, ParB, FtsK. During its complex developmental cycle, Streptomyces coelicolor segregates its genomes into chains of unicellular spores when its multigenomic syncytial aerial hyphae undergo division.

A novel ftsK-like gene, hfkA (Homolog of FtsK protein A), was examined for function and localization during development-associated chromosome segregation. Individual deletions did not affect segregation, but a ΔhfkA ΔftsK mutant exhibited 8% anucleate …