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Parental Substance Use And The Need For Family Dependency Treatment Court In Taylor County, Rebekah Rich

Electronic Theses and Dissertations

The impact of parental substance use and the need for Family Dependency Treatment Court in Taylor County are qualitatively explored and described, analyzing interviews of identified key informants. The areas explored are the current practices and process in Taylor County when a substance use issue is identified in a parent during a child welfare case, the impact of parental substance use on the child welfare system, knowledge and opinions regarding treatment options, and knowledge and opinions of Family Dependency Treatment Court. The sample size was 8 professionals who worked as attorney ad litems, Department of Family and Protective Services workers, …

What Are The Barriers To Economic Self-Sufficiency Of Congolese Refugees In Abilene, Texas?, David M. Bayoh

Electronic Theses and Dissertations

Economic self-sufficiency of refugees is critical for refugees but also for the host country, given the potentially negative economic impact of refugees not attaining self-sufficiency. This study examined the predicting factors of economic self-sufficiency in a sample of 108 Congolese refugees who have lived in Abilene, Texas for over a year. This research used a quantitative method for data collection. A multiple logistic regression analysis showed that education (whether outside or inside the U.S.) and ESL attendance were the main predictors of economic self-sufficiency among the sample. This study suggests that the resettlement agencies should develop a mechanism to encourage …

Substance Use Among College Students: Correlations With Intent To Graduate, Academic Integration, And Social Integration, Cecilia M. Clowdus

Electronic Theses and Dissertations

Substance use is one of the greatest concerns for adolescents and emerging adults. The consequences of prolonged substance use can lead to physical, psychological, and financial consequences for those suffering from use as well as their loved ones. One consequence that has not been researched thoroughly is the association between substance use and the decision to leave higher education, which is a decision that could have lasting effects on former students’ ability to obtain satisfactory employment in the future. This research looks at substance use and variables that are associated with the decision to leave college, which are derived from …

Religiosity And Internalized Homonegativity: The Effect Of Religious Conservatism On Depression In Sexual Minorities, Matthew Thaxton

Electronic Theses and Dissertations

Sexual minorities report higher rates of mental illnesses than the general population, most notably depression. This study focuses on the relationship between religious commitment in sexual minorities, internalized homonegativity, and depression. In order to do this, 265 participants answered a survey that consisted of inventories to test for sexual orientation, religious commitment, political and religious views, and internalized homonegativity. Participants came from Abilene Christian University and LGBT groups from the surrounding Abilene, Texas area. Of the 265 participants, 33 self-identified as a sexual minority. The data from those that identified as a sexual minority was analyzed to find correlations between …

Leveling The Playing Field Through Partnerships And Collaboration : Neighborhood Revitalizations And The Influence Of Social Determinants Of Health And Institutional Logics., J. M. Bohn

Electronic Theses and Dissertations

A qualitative study guided by grounded theory was on a Midwest US city (population > 50,000 people), three of its inner city neighborhoods, and community coalition and partnership efforts in neighborhood revitalizations. A two-phase semi-structured interview methodology assessed interviewees’ experiences in initiatives focused on improving social determinants of health in the neighborhoods. Phase I interviews (n= 11) identified the spectrum of partnerships and initiatives while Phase II interviews (n=28) captured detailed experiences of interviewees. Inter-institutional systems and institutional logics theory were applied in the post-data collection analysis. Interviewees were from public and private sectors including: built environment, economic development, residential/commercial property …

Why We Love Music : A Case Study Of High School Principals., D. Benjamin Williams

Electronic Theses and Dissertations

The purpose of this qualitative study was to explore the viewpoints and value of music in the public schools from the perspective of high school principals. Principals from five high schools in an urban school district in a southern metropolitan area were interviewed. All schools that were a part of this study varied geographically and socioeconomically. Each school had a curricular program for band, choir, and orchestra and a highly-qualified teacher directing the programs. Interview questions ranged from their own participation in band, choir, or orchestra when they were in any level of school, what roles they see music as …

La Minga As A Model Of Food Justice? : A Thesis On The Motivations And Practices Of Immigrant And Native-Citizen Growers At La Minga Cooperative Farm In Prospect, Ky., Tyler Austin Short

Electronic Theses and Dissertations

Progressive and radical stakeholders in the local food system call for forms of agricultural production and distribution that dialectically oppose the dominant paradigm of corporate-controlled agribusiness. This ethnographic research engages with the question of whether La Minga is a model of food justice. I collected ethnographic data from May 2015 to March 2016 via informal conversations and semi-structured interviews with members of the farm as well as secondary data gleaned from literature on anarchism, political economy, and food and agriculture. La Minga serves as a small-scale example of immigrants and native-citizens exercising their human right to produce healthy, culturally-appropriate food …

The Influence Of Nutrition Education And Self-Efficacy On Fruit And Vegetable Consumption For Low-Income Women In Rural West Kentucky., Lewatis Darnell Mcneal

Electronic Theses and Dissertations

Objective: To examine how participation in nutrition education programs, self-efficacy to consume fruit and vegetables and predictor of behavior to eat health foods (POB) influences the consumption of fruit and vegetables for low-income women in west Kentucky eligible or participating in federal supplemental nutrition assistance programs. Methods: A comparative study was conducted between low-income women participating in Special Supplemental Nutrition Assistant Program for Women and Children (WIC) and those eligible for SNAP but were not participating. The study examined consumption in six categories of fruit and vegetables, self-efficacy to consume fruit and vegetables, predictor of behavior to eat healthy foods …

Tobacco-Gene Activity Profile In Porphyromonas Gingivalis, Filifactor Alocis And Treponema Denticola., Neelima Chowdary Cherukumalli

Electronic Theses and Dissertations

Smoking is an established risk factor for periodontitis. Prior studies have shown that cigarette smoke extract (CSE) can induce profound phenotypic changes in Porphyromonas gingivalis and alters the virulence of this important periodontal pathogen. We hypothesized that CSE might also alter gene expression in established periodontal pathogens, Porphyromonas gingivalis and Treponema denticola, as well as in the emerging pathogen, Filifactor alocis. Oral bacteria were grown in CSE-conditioned medium (1000 ng/ml nicotine equivalents) or in unconditioned control medium. Total RNA was extracted and CSE-regulated genes were identified by comparison of the mRNA profiles of CSE with control cultures using RNA-Seq …

The Impact Of Medicaid Expansion On Utilization Of Mental Health Services In West Louisville, Kentucky., Susan Theresa Buchino

Electronic Theses and Dissertations

Mental health is an essential component of overall health status, and mental illnesses are a leading cause of disability. In addition to expanding insurance coverage, the Affordable Care Act (ACA) reinforced parity for mental health services in insurance plans. This mixed-methods study assessed mental health service utilization by an urban and predominately African-American population following the successful implementation of the ACA and Medicaid expansion in Louisville, KY. Claims data from one Medicaid Managed Care Organization were analyzed to assess mental health care utilization patterns pre- and post- Medicaid expansion and determine differences in utilization rates between the Medicaid expansion population …

Exploring Differences Between The Health And Wellness Of State Police Officers And Community Corrections Professionals., Rodney Allen Copenhaver

Electronic Theses and Dissertations

This dissertation is a comparison study of health and wellness outcomes for a sample of law enforcement officers and a sample of community corrections professionals within the same state. As such, it is the first attempt to determine and compare the independent variables which are significant predictors of law enforcement officer and community corrections professionals’ health and wellness for criminal justice employees working in the same context. Data used in the research was gathered from nearly identical health and wellness surveys distributed to the sample of law enforcement officers and the sample of community corrections professionals. Logistic, negative binomial, and …

Acrolein Is A Critical Mediator Of Alcohol-Induced Liver And Intestinal Injury In Alcoholic Liver Disease., Wei-Yang (Jeremy) Chen

Electronic Theses and Dissertations

Alcohol consumption can cause alcoholic liver disease (ALD), which remains a major cause of morbidity and mortality in the United States. Chronic alcohol consumption causes a pro-oxidant environment in the liver and increases hepatic lipid peroxidation. Acrolein is the most reactive and toxic aldehyde generated through lipid peroxidation. Acrolein forms protein adducts and triggers endoplasmic reticulum (ER) stress and hepatocyte apoptosis, which are recognized etiologic factors in ALD. Several studies have established the critical role of the gut-liver axis in ALD pathogenesis, wherein alcohol-induced gut barrier dysfunction contributes to liver injury. This study investigates, in vitro and in vivo, the …

Effects Of Sport-Specific Training Conditions On Performance In High School Field Hockey Players., Alexandra Hannah Roberts

Electronic Theses and Dissertations

Many sports (e.g. field hockey, lacrosse, ice hockey) require the use of a mouthguard (MG) and the constraint of carrying a stick during play. Previous research has shown that these two conditions individually can cause decrements to athletic performance; however no research has been conducted into effect of the combination of these two conditions on both aerobic and anaerobic performance parameters. PURPOSE: The purpose of this study was to determine the effects of both chronic (during all conditioning) and acute MG and stick (MG-STK) use on aerobic fitness and anaerobic capacity over the course of a 12-week training and competition …

The Agricultural Growth And Malting Production Of Barley Grains In Northeast Tennessee And Southwest Virginia, Mark Evans Patton Mr.

Electronic Theses and Dissertations

The purpose of this study is to explore the history and production processes of beer and examines the components that contribute to its brewing. The narrative will provide a timeline of the processes that are required to create the product of beer beginning with the agricultural products and following the brewing processes that result in beer as the finished product. I will also examine the business of agriculture and grain processing and will provide some historical perspectives of grain, beer, and malting. I will also consider whether the growing, processing, and malting of grains in the East Tennessee and Southwest …

Biosand Water Filter Evaluation: Meta-Evaluation And Pilot Study Of Field Use Indicators, Bethesda O'Connell

Electronic Theses and Dissertations

Diarrheal diseases are a global public health burden, killing 1.8 million people annually. Diarrhea disproportionately affects children and those in poverty. Most diarrheal cases can be prevented through safe drinking water, basic hygiene and/or sanitation measures, with drinking water interventions having the most impact on reducing diarrheal disease. A meta-evaluation was completed of studies evaluating a specific household water treatment method, the biosand water filter. Results from the meta-evaluation illustrate that biosand water filters improve drinking water quality and reduce diarrheal disease. However, there is no generally agreed upon field method for determining biosand water filter effectiveness that is useable …

Effects Of Lactobacillus Rhamnosus Milk Isolate On The Production Of Inflammatory Cytokines In Enterocytes, Beverly C. Ngeny

Electronic Theses and Dissertations

In the gastrointestinal tract, probiotics have been shown to promote host immunity and to regulate immune signaling pathways. This study used Caco-2 cell line to examine the effects of a Lactobacillus rhamnosus isolate from “amabere amaruranu” a Kenyan traditional cultured milk, on the production inflammatory cytokines in enterocytes. Live Lactobacillus rhamnosus (MRS6AN), its cytoplasmic fraction (CF), filtered spent broth (FSB) or heat inactivated FSB (HIB) were used as treatments on differentiated Caco-2 cell monolayer in transwells. Cytokine content in the cell lysates, apical and basolateral supernatants were determined using ELISA. Caco-2 cell lysate treatments showed significantly increased anti-inflammatory TGF-β (ng/ml) …

The Apoptotic And Inhibitory Effects Of Phylloquinone In The U937 Cell Line, Tesha E. Blair

Electronic Theses and Dissertations

Phylloquinone is a natural analog of vitamin K that has been shown to both inhibit cancer cell growth and induce apoptosis in several cancer cell lines. This study examined these effects in a non-Hodgkin lymphoma cell line, known as U937. Cell growth inhibition and apoptosis were assessed through the quantification of cell density and area, following treatment with several concentrations of phylloquinone. In addition, apoptosis was detected and quantified using immunofluorescent markers of apoptosis (i.e. annexin V, APO-BrdU). Treatment with phylloquinone resulted in reduced overall cell density, increased overall cell area, and an increased frequency of apoptosis in U937 cells. …

Comparison Of In Vivo Simulation Training Compared To Video Simulation Training For Identifying Clinical Markers Of Distress When Feeding Preterm Infants, Emily M. Wagner

Electronic Theses and Dissertations

Preterm infants have multiple health complications due to their underdeveloped neurological systems. Bottle-feeding difficulties are one complication that leads to pulmonary illness secondary to aspiration. Preterm infants exhibit clinical markers when experiencing distress during bottle-feeding. Training caregivers to identify clinical markers reduces the risk for aspiration. Simulation training provides a safe learning environment without harming patients. Twenty-two speech-language pathology and pre-requisite students divided into two simulation groups, video-simulation (N=12) and in-vivo simulation (N=10), were trained to document clinical markers of distress exhibited by preterm infants and make clinical judgments about bottle-feeding. Students rated their levels of anxiety during simulation training. …

An Examination Of The Community School Model In An Urban School Setting, Tanna H. Nicely

Electronic Theses and Dissertations

The topic of educating today’s youth has become an increasing multi-faceted task with rigorous accountability metrics handed down from all of the different branches of government. Schools are faced with providing more than just instructing the three R’s; they are taxed with educating the whole child.

This qualitative study explored the community schools model in an urban elementary school. Specifically, the study attempted to understand the perceived impact this model has on community members, parents, and administrators at one particular elementary school. Data were collected through a series of open-ended interviews and coded for inductive analysis. There were four emerging …

Remembrance: Drink While The Water Is Clean, Marissa Angel

Electronic Theses and Dissertations

This thesis paper supports the Artist’s Master of Fine Arts exhibition held at the Tipton Gallery, located in downtown Johnson City TN from November 30, 2015 through January 22, 2016. The works Included in the exhibition consists of a series of mixed media collage paintings, a large scale etching combined with clay and a site specific installation.

The Exhibit features work that delves into the concept of nature as a subject of beauty, as well as a symbol of the resiliency of life. The work in this exhibit exposes the separation that exists between humanity and the natural world. Through …

A Case Study: The Factors Associated With Student Homelessness, Brittani Hudspeth

Electronic Theses and Dissertations

The purpose of this case study is to identify the factors associated with student homelessness. There are currently more than 1.5 million children who are living in a homeless family (National Center for Family Homelessness, 2009), and a percentage of that number are homeless students living on their own. This study engages existing literature to identify the causes of student homelessness and the impacts it has on the lives of those students. The study was conducted by using quantitative research through a Mood and Feelings Questionnaire (MFQ) and qualitative research by utilizing a psychosocial assessment called the home, education and …

Emergency Room Utilization Disparities Among Older Adults Treated By Rural Health Clinics, Matt Bagwell

Electronic Theses and Dissertations

Examining the persistence of disparities over time is an important obligation in terms of rectifying, maintaining, and improving community health and social well-being for all. This study analyzed the individual factors of (a) race/ ethnicity and (b) dual eligibility, as a proxy measure of socioeconomic status, as well as the environmental factor of (c) place of residence, and the organizational factor of (d) Rural Health Clinic (RHC) type on emergency room (ER) utilization of older adult Medicare patients treated by RHCs within the Department of Health and Human Services' (DHHS) Region 4. A prospective, multi-level, longitudinal design was employed to …

Cardiac Autonomic Control In Patients With Metabolic Syndrome, Jonathan Mitchell

Electronic Theses and Dissertations

Metabolic syndrome (MetS) encompasses metabolic abnormalities that substantially increase risk for chronic illnesses. MetS and stress are closely related; the pathophysiology of MetS involves dysregulated stress response in both the physiological and psychological domains. In an effort to further clarify the relationship between metabolic abnormalities and autonomic dysregulation, we used ambulatory impedance cardiography to examine indicators of cardiac autonomic control (CAC) in a sample of 50 adult primary care patients with and without MetS. Indices of sympathetic and parasympathetic influences on cardiovascular functioning were assessed in the context of psychological stressors and compared across experimental groups and examined in relation …

Neuroprotection Comparison Of Different Nutraceutical Compounds Against Mechanistically Distinct Cell Death Inducing Agents, Faten I. Taram

Electronic Theses and Dissertations

Neurodegenerative diseases like Alzheimer's disease (AD), Parkinson's disease (PD), and amyotrophic lateral sclerosis (ALS), include the progressive loss of structure and function of neurons leading to neuronal death. All of these diseases are fatal, as there is no cure for them. The causes of these diseases are unknown; however, there are many proposed mechanisms that lead to neurodegenerative diseases. Oxidative stress is the leading cause of cell death in neurodegenerative diseases, in addition to other mechanisms including endoplasmic reticulum stress, proteasome inhibition, nitrosative stress, inflammation and excitotoxicity. More understanding of the death mechanisms at work in neurodegeneration is necessary to …

The Association Of Preschool Enrollment And The Predictive Traits Of Special Education Identification, Sarie Elizabeth Ates-Patterson

Electronic Theses and Dissertations

Early childhood education (ECE) consists of educational programs that serve children in the preschool years and are designed to improve elementary school performance. Colorado early childhood education programming has two preschool classifications that include Colorado Preschool Program (CPP) which is determined by a student's risk factors, and the State Preschool Special Education (Preschool SPED) program which is determined by the student's identified disability prior to attending elementary school. For the two cohorts who participated in Colorado preschool programming during 2009-2010 school year, special education and demographic extant data are compared in order to study the subsequent identification for special education …

Aid Effectiveness In Afghanistan: The Role Of Local Human Capacity In Explaining The Health Sector's Success, Ahmad Najim Dost

Electronic Theses and Dissertations

The effectiveness of development assistance is one of the most contested debates in international development studies. While some of its most ardent supporters consider aid as the key to solving the plight of the developing world (e.g. Sachs 2006), its opponents consider it as part of the problem rather than the solution (e.g. Moyo 2009). By investigating the case of Afghanistan as one of the world's largest aid recipients from 2002 to 2014, I show that one reason for arriving at such diametrically opposed conclusions lies in the narrow definition of aid effectiveness as income growth rates. When this definition …

It's A Whole New Ball Game: The Mitchell Report, Performance Enhancing Drugs, And Professional Sports, Brian J. Schrader

Electronic Theses and Dissertations

This dissertation investigates the findings of a congressional investigation into the use of performance enhancing drugs (PEDs) in Major League Baseball, known as the Mitchell Report. It analyzes the primary arguments presented in the report, the argument for integrity, role-models, and apology specifically, through the lens of governmentality and moral regulation. It argues that the report represents a distinct mode of governance that seeks to condemn PED use in a moralizing way. This mode of governance is characterized by its emergence from a variety of locations as opposed to the relatively simple use of the state and its legal apparatus. …

Instructional School Gardens: Opportunities For And Barriers To Scaling, Patricia Sprague

Electronic Theses and Dissertations

When children are engaged in school gardens, they aren’t just digging in the dirt. School gardens have been shown to help improve student health by impacting food preferences and physical activity; to enhance learning in many subject areas; to encourage critical thinking skills by utilizing inquiry-based learning; and to engender a positive association with nature. Children from disadvantaged environments disproportionately may miss out on each of these important experiences. School gardens can serve as venues to enhance social justice by helping marginalized students access these advantageous experiences they otherwise might not have. Given the evidence that school gardens improve the …

Schools As Systems Of Care Supporting Mental Wellness In Schools: Teacher Perceptions And Roles, Tracy Lynn Scanlon Limegrover

Electronic Theses and Dissertations

Schools lack a response system for effectively supporting student mental health needs and there is a substantial research to practice gap in this area. To better understand how to build capacity for schools, with and through teachers, the purpose of this study was to examine teachers' perceptions of current mental health needs in their schools; their knowledge and competencies about mental health issues as well as perceived competencies and barriers that contribute to burnout. Participants included 20 teachers from two local Pittsburgh area Catholic schools. Teachers reported they believe it is their job to support middle school student mental wellness …

Growing Food Security: The Impact Of Community Gardens On Food Security In Denver, Colorado, Grace Catherine Kellner

Electronic Theses and Dissertations

Community gardens increase mental health, physical health and social inclusiveness and cohesiveness, while directly connecting gardeners to their environment. In some U.S. cities gardens additionally increase community and individual food security by providing fresh food to those who struggle to feed themselves and their families. This study examined the relationship between community gardens and increased food security in Denver, and is one of the first studies of its kind in this location. Specifically, I investigated who participates in community gardens, why they participate, whether gardens are accessible, and whether community gardens have the potential to improve individual and community food …