Digital Commons Network^™

Factors Associated With Skin Cancer Prevention: Primary And Secondary Behaviors., Jeanne Ward

Electronic Theses and Dissertations

Skin cancer, seemingly more innocuous than other cancers, maintains the highest incidence among cancers in the United States. While it is treatable early, metastasized melanoma or other carcinomas present severe illness with high mortality rates and disproportionate 5-year survival rates among ethnic/racial groups. Fortunately, most skin cancer is highly treatable when found in the early stages. However, this necessitates prevention tactics to avoid the causative agent, ultraviolet radiation, and regular skin screening to catch the disease in earlier stages. Unfortunately, these tactics are not widely conducted by adults, despite substantial skin cancer awareness. Therefore, motivating people to perform these health …

Identification Of A Role Beyond Iron Acquisition For Yersiniabactin During Yersinia Pestis Infection., Sarah Price

Electronic Theses and Dissertations

Yersinia pestis is a Gram-negative re-emerging bacterial pathogen that is responsible for bubonic, septicemic, and pneumonic plague. Y. pestis and other bacteria require transition metals, such as iron, zinc, and manganese, to maintain intermediary metabolism, transcriptional regulation, and virulence. To inhibit infection, eukaryotic organisms have developed distinct mechanisms, called nutritional immunity, to sequester these important nutrients from invading bacteria. For pathogens to colonize the vertebrate host, they have evolved dedicated acquisition systems for transition metals. During infection, Y. pestis overcomes iron limitation by secreting the siderophore yersiniabactin. Additionally, Y. pestis requires zinc for infection and utilizes high affinity transporters to …

Barriers And Facilitators Of Dairy Consumption Among Individuals With Metabolic Syndrome., Kofi Amoh-Mensah

Electronic Theses and Dissertations

About 35% of the United States adult population meets the criteria for metabolic syndrome, representing about 85 million individuals. Consuming dairy products protects against the development of the metabolic syndrome and protects against the development of complications associated with it. However, approximately 10% of the U.S. population meets the daily recommendation for dairy products. Information about the use of dairy products among people living with metabolic syndrome is relatively unknown, even though it will benefit them the most. About 49% of respondents met the guidance of three servings per day, and the most common facilitator was access to dairy products.

Menstruation Stigma: A Qualitative Exploratory Study Of The Lived Experiences Of Nepali Women., Imisha Gurung

Electronic Theses and Dissertations

Despite the numerous challenges and barriers that menstruation taboos and stigma pose to the health and well-being of Nepali women and girls, this problem has received little attention in Nepal and has been under-researched. This study fills a critical gap in our understanding of the lived menstruation experience of Nepali women utilizing a qualitative descriptive approach in Kathmandu, Nepal. The data collection comprised in-depth, semi- structured interviews with 22 Nepali women. The findings provide various influencing socio- cultural factors at multiple levels of socioecological model that shapes the lived menstruation experiences of Nepali women and the impact on their mental, …

Our Story, Our Song: Assessing And Addressing Black Women's Healthcare Experiences., Jason Deakings

Electronic Theses and Dissertations

Despite advancements in medicine and health sciences, health disparities and declining life expectancy persists among Black women in the United States. Researchers and non-traditional healthcare providers suggest alternative healing (e.g., music and Sister Circles) and research methodologies to achieve a culturally conscious, traumainformed, quality, and holistic care and practice. The intersecting identities and cultural responsibility of Black women highly influences the barriers and facilitators on the uptake of healthcare services. Utilizing a community engaged research approach, this qualitative study assessed the healthcare experiences, as well as the role of music in the lived and retold experiences of Black women navigating …

Neonate Atlantic Sharpnose Shark (Rhizoprionodon Terraenovae) Relative Abundance And Body Condition In Two South Carolina Estuaries Varying In Urbanization, Rileigh E. Hawk

Electronic Theses and Dissertations

Urbanization near estuaries has been shown to affect the growth and survival of juvenile sharks using the system as a nursery. North Inlet and Murrells Inlet, South Carolina, are similarly-sized, tidally-dominated, bar-built estuaries with extensive Sporobolus-lined tidal creeks but differ in degree of human impact. Previously, Murrells Inlet was shown to have a lower abundance and diversity of large sharks than North Inlet and Atlantic Sharpnose Sharks (Rhizoprionodon terraenovae) were shown to use North Inlet as a primary nursery. To examine potential differences in neonate shark abundance and growth between a developed estuary, Murrells Inlet, and a protected estuary, North …

Building Resilience: A Mixed Methods Exploration Of Head Start Teachers Coping During The Covid-19 Pandemic, Ehichoya Edokhamhen

Electronic Theses and Dissertations

The purpose of this study was to explore the resiliency of Head Start teachers during the COVID-19 pandemic. The study explored the role social support (as an external factor of resilience) and self-efficacy (as an internal factor of resilience) played in the resilience of Head Start teachers during the COVID-19 pandemic. This study employed a sequential explanatory mixed methods design involving two phases: a quantitative and a qualitative phase. Participants in this study were 99 teachers in rural eastern Tennessee and some rural parts of Virginia, North Carolina, and New Mexico, who were Head Start teachers during the COVID-19 pandemic. …

A Study Linking Title 1 Strategic Resource Allocation To Student Academic Success In South Carolina Public Schools, Brenton Jerrod Coe

Electronic Theses and Dissertations

Strategic instructional resourcing has become an important topic in public education, the most lucrative and expensive business in the United States. It is estimated which the United States spends about $612.7 billion annually on public education. This study will analyze and synthesize data from Title I schools in South Carolina, specifically in the area of resource allocation and its relationship to student academic success. Historically, public education has provided all citizens with an equal and equitable opportunity to receive an adequate education. Over time, access to strong public education can impact the lives of students with regard to social mobility. …

Profitable, Alternative Income Generation And Improved Quality Of Life Among Global Beekeepers, Chris Honeycutt

Electronic Theses and Dissertations

Interventions that promote alternative income generation (AIG) to address social determinants of health are associated with increased household income and improved health outcomes. Organizations have used beekeeping to address poverty and other development goals with mixed outcomes. Beekeeping presents a viable option to promote AIG. Organizations increase their risk of failing to achieve positive outcomes when beekeeping interventions are inadequate. This project aims to develop an organizational assessment tool that measures organizational position in relation to evidence-based factors for income generation and improved quality of life among global beekeepers. The assessment is organized into seven domains that correspond with PRECEDE-PROCEED …

Cardiovascular Disease In Central Appalachia, An Exploratory Study Of Behavioral, Community, And Patient-Centered Care Influences, Kristy Gagnon

Electronic Theses and Dissertations

The Central Appalachian region of the United States disproportionately experiences higher rates of cardiovascular diseases (CVD) and associated risk factors. Primary risk factors for CVD include hypertension, hypercholesterolemia, and tobacco use, all of which have the potential to be mitigated through lifestyle behavior changes. Dietary and physical activity practices are the two main driving forces for the development of hypertension and hypercholesterolemia, while tobacco use is a behavioral choice on its own. Subsequentially, shifting lifestyle choices to emphasize healthier living has the potential to reduce CVDs within the Central Appalachian region. Considering behavioral choices are not made in isolation and …

Exploring The Food Parenting Practices Among Black Immigrant Mothers In Metro Atlanta, Ga, Phoebe Tchoua

Electronic Theses and Dissertations

Introduction: Children of Black immigrant parents living in the US are at elevated risk of being overweight or obese, thus increasing their risks of morbidity and mortality as they age. Parents play a crucial role in shaping their children's nutrition through their food parenting practices, defined as behaviors or actions that affect the child's dietary habits. Three aims guided this study: (1) To examine food parenting practices among a sample of Black immigrant mothers living in Metro Atlanta using a modified Comprehensive Home Environment Survey (CHES); (2) To assess maternal knowledge, attitudes, beliefs, acculturation, and modeling in relation to …

The Stringent Response In Pseudomonas Aeruginosa Influences The Phenotypes Controlled By The Gac/Rsm System, Michael Shawn Hooker

Electronic Theses and Dissertations

Pseudomonas aeruginosa is a ubiquitous, opportunistic pathogen that causes acute and chronic infections. Infection is typically initiated via motile and virulent strains. After exposure to stressors, acute infections make both genotypic and phenotypic switches to a chronic, sessile strain. This is due to intricate regulatory networks directing gene expression in response to stressors. One network, GacA/GacS, has been established to control virulence factors. The stringent response of bacteria is mediated by alarmones produced primarily by RelA which responds to starvation.

To study the effect of the stringent response on the virulence switch. A series of experiments were run in both …

Inhibiting Survival Of Salmonella During Desiccation Through The Use Of Naturally Occurring Signals, Joseph Headrick

Electronic Theses and Dissertations

A rising problem in agriculture is the increase of antibiotic-resistant Salmonella cases associated with chicken eggs, which transmit infection to humans. To counter this, new approaches to combat Salmonella in chickens and desiccated on eggshells are vital in the prevention of human foodborne illness. Disrupting signaling pathways with naturally occurring compounds provides a potential novel avenue for prevention of Salmonella infections, as this would disrupt sensing of these environments and inhibit subsequent optimal gene expression. Starting with signals identified in previous studies, salicylic acid was found to inhibit Salmonella desiccation survival on both eggshells and plastic. To expand upon this, …

Consuming The World: Poetic Appetite, Memory, And Identity In Li-Young Lee’S Food Poems, Claire Liszka

Electronic Theses and Dissertations

Food is a universal human necessity, yet food often serves more than a biological purpose as it informs individual and communal identities, and even facilitates memory. This thesis explores personal memory, the development of identity, and an almost reverential connection to nature in several food poems by Li-Young Lee in Rose (1986) and Behind My Eyes (2008). Born in 1957, Lee has been writing poetry since he was young, studying under Gerald Stern in the late 1970s, and he is known for writing sublime, transcendent yet incredibly accessible and expressive poetry. This thesis gives an overview of food studies and …

Selecting Classroom Grading Practices: A Qualitative Study Exploring Teacher Experiences, Tallye Gass

Electronic Theses and Dissertations

The purpose of this qualitative research was to understand the experience of selecting grading practices for a high school math or English classroom. There is no existing research related to understanding this phenomenon. This phenomenological study included three participants who were purposefully selected based on specific criteria: They must teach math or English in grades 9, 10, 11, or 12 and have at least three years of teaching experience. The participants were interviewed using videoconferencing software, and the interviews were recorded and transcribed. Open and axial coding was used to analyze the data. The theoretical framework applied for the interpretation …

Healthcare Workers’ Perceptions, Practices, And Knowledge Of Trauma-Informed Care In The Hospital Setting, Emily Gayle Tippens

Electronic Theses and Dissertations

Psychological trauma has become a pervasive term throughout the mental health field but has been slow to gain momentum in the healthcare field. Hospitals have always been a place where people with mental health concerns or psychosis seek help, but hospitals have historically not implemented a trauma-informed care (TIC) approach. As the mental health crisis continues to become more detrimental, trauma-informed care skills will become more valuable. This study measured the knowledge, opinions, perceptions healthcare professionals in West Texas have regarding trauma-informed care. This study hypothesized that healthcare workers in West Texas would benefit from TIC training. This study hypothesized …

Mental Confidence In Alzheimer's Disease, Harrison Adams

Electronic Theses and Dissertations

A simple symptom like forgetfulness can lead to a gradual, subtle decline in the individual’s sense of identity. In dementia, self-efficacy is the foundation that allow individual to prolong their capacity of independence and identity. Alzheimer’s disease (AD) is the most prominent form of dementia with tens of millions in the world currently living with Alzheimer’s disease. AD is most often associated with impaired memory, confusion, language impairment, and unpredictable, agitated, aggressive, and paranoid behavior. While there are many studies examining the quality of life in individuals with AD, there are fewer investigating the psychological effects of AD on the …

Exploring The Upward Transfer Advising Experience Of First-Generation Latinx Community College Students, Lizette Avalos-Morales

Electronic Theses and Dissertations

The purpose of this qualitative study was to investigate the student experience of Latinx first-generation community college students who graduated from a community college and transferred to a 4-year university. The research examined if intrusive advising served as a mechanism to aid academic persistence despite the challenges of first-generation Latinx students. Eleven first-generation community college students who graduated from a Hispanic Serving Institution in southwest Kansas were interviewed. The thematic analysis conducted led to five themes emerging. The themes included family, meaningful relationships, belonging, independence, and embracing uncertainty. The theme of family was separated into two subthemes: family support and …

On Site Healthcare, Amy Roden

Electronic Theses and Dissertations

A productive workforce and retention of employees is an essential part of a company’s reputation and elevation of the company to be the best to the workforce. Healthy and present employees are a key to this productive workforce. Transient workers in the pipeline construction are away from their families and loved ones and can struggle to stay healthy and find quality healthcare while working long hours multiple days a week. Employers on these job sites can help their employees by providing onsite healthcare. The research shows there is a lack of healthcare providers available, especially in more rural areas. The …

Famines, Poverty And Intergenerational Mobility In Developing Countries, Monishankar Sarkar

Electronic Theses and Dissertations

The famine has not ended yet. Though much has been done, famine is still visiting some parts of the globe, ravaging economies, taking lives, and compelling people to experience acute hunger, starvation, and associated diseases. Deadly famines have impacted parts of Asia and the Pacific at different times. China has experienced the most lethal famine in history in terms of severity and fatalities. Africa is still facing famine. There are many countries worldwide, across continents, whose population is still facing hunger and starvation on an alarming scale. Thus, famine is still relevant today.

The effects of famine have been the …

Venous Leg Ulcers: An Analysis Of Nursing Knowledge, Shelia Moore-Miller

Electronic Theses and Dissertations

This project evaluated the knowledge level of wound center nursing staff on venous leg ulcer etiology and treatments after an educational intervention. To determine the effectiveness of the educational intervention, participants completed a pretest and posttest evaluation. Venous leg ulcers (VLUs) are chronic lower extremity ulcers affecting older Americans. VLUs are painful and negatively affect activities of daily living. Inadequate VLU treatment can become an infectious process that can ultimately threaten limb existence. A quantitative, quasi-experimental study was conducted over three weeks in a hospital-based wound care center in central Florida. The theoretical framework applied to this project is Lydia …

Academic Performance Of Low Ses At-Risk Black And Latinx Students: A Case Study Of Teachers’ Perceptions, Shelly Lynn Anderson

Electronic Theses and Dissertations

This study determined the perspective of the teacher when researching low SES at-risk Black and Latinx students’ academic performance. Research, over the years, not only highlight reasons and evidence for the low academic performance and the struggles the low SES at-risk Black and Latinx students face. In addition, research also recommends educational interventions that are not effective in bridging the achievement gap of low SES at-risk Black and Latinx students in comparison to their wealthier, White counterparts. Previous research denotes that school districts desire to implement educational interventions for struggling learners; however, theories, strategies, and interventions often do not translate …

The Perseverance Of Play: An Archaeological Analysis Of Residential Blocks With Preschools At The Amache National Historic Site, Megan Brown

Electronic Theses and Dissertations

The purpose of this project is to expand on the understanding of experiences of Japanese American children, specifically preschool-aged children, within the Amache National Historic Site, a WWII Japanese American internment facility located in Granada, Colorado. Through archaeological methods, GIS analysis, oral histories, and archival research, I analyzed the landscape and material culture of the five residential blocks within Amache that had designated preschools. I then compared these blocks with preschools to residential blocks without preschools to determine if there are any patterns and discernable differences between the two study areas. The findings of this research provide insight into how …

Pediatric Obesity In Primary Care, Lynne C. Liggins

Electronic Theses and Dissertations

The purpose of this evidence-based quantitative quasi-experimental research was to compare if providing the parents with information on the health risk associated with childhood obesity would cause the parents to make healthier food choices and encourage their children to be involved in a full hour of physical activity a day. Participants included parents and pediatric and adolescent children 5 to 18 years of age at a solo practice primary care office in a large city in Southern, California, which specializes in treating pediatric and adolescent patients. A pre- and postquantitative intervention design were used and analyzed using the paired t …

Female Ex-Offenders Transitioning Into Society, Stacey L. Forte

Electronic Theses and Dissertations

The purpose of this qualitative study was to examine female ex-offenders’ perceptions of their lived experience(s) while transitioning into society after incarceration. This study examined risk factors that female ex-offenders faced while transitioning into society asking the question, “What are the lived experiences of female ex-offenders who utilized transitional housing for reentry with regard to their perception of the benefits of certain services/offerings and staff support?” Nine participants were part of the study ranging from 25–64 years of age, with the majority being between the ages of 25 and 55 years old, residing originally in five different states. Sixty percent …

The Effect Of An American Heart Association–Approved Exercise Regimen On Burnout In Nurse Practitioners And Physician Assistants Working In Emergency Departments, Michelle Lee Johnson

Electronic Theses and Dissertations

Burnout is a widely known state of physical and emotional fatigue previously noted to affect as many as 60% of healthcare providers, but one that is understudied in nurse practitioners and physician assistants working in emergency departments. It is imperative that the providers of healthcare recognize in themselves signs of burnout and have resources available to mitigate the condition. A pretest–posttest, quasi-experimental, nonequivalent control group, descriptive research design with descriptive statistics analysis was used to analyze answers to an email-based survey sent to nurse practitioners and physician assistants working for one large emergency medicine staffing company. The intent of this …

Universal Basic Income (Ubi): A Cure-All Or Band-Aid?, Madison Beckner

Electronic Theses and Dissertations

With the triple crisis of capitalism looming and, in the U.S., a poorly performing welfare state, Universal Basic Income (UBI) has returned to popular attention. To assess whether this is warranted and, more importantly, to provide answer on the extent to which a UBI can or should be considered a cure-all, this work, first, examines the historical development of UBI proposals including those stemming from European Social Democrats and Libertarians. Next, pilot programs at the local, state, and national level are critically examined for their methodologies and empirical results. Turning, then, to theory on de-commodification, unpaid labor, and the equality-jobs …

Leveling Up: Implementing Supportive Practices To Address The Needs Of Students Impacted By Trauma In An Urban Charter School, Altovise Boyd

Electronic Theses and Dissertations

Childhood trauma is a worldwide issue impacting children as young as toddlers and infants. Children exposed to traumatic events are at a greater risk of having cognitive and academic concerns. Additionally, children impacted by trauma are more likely to exhibit internalizing and externalizing behaviors than their peers who have not been exposed to a traumatic event. The purpose of this mixed-methods applied research study was to support the social-emotional needs of students impacted by trauma by implementing trauma-informed practices. An action plan was developed and implemented to address the three elements of the action plan. The first element was the …

Construction Of A Restaurant Service Quality Scale In The Front-Of-House, Hayeon Hailey Choi

Electronic Theses and Dissertations

This study aims to develop a measurement scale for restaurant service quality by integrating newly adopted restaurant service attributes (i.e., hygiene and safety practices, technology service, and sustainable practices) and exploring the dimensionality of restaurant service quality, specifically applied to the front-of-house in full-service restaurants. Based on data collected from 403 respondents through surveys, 84 items were subjected to a Principal Confirmatory Analysis, resulting in 34 items distributed among 8 dimensions, including (1) environmentally sustainable practices, (2) hygiene and safety practices, (3) technology service, (4) employee service, (5) physical environment, and (6) food-related sustainable practices, (7) price perceptions, and (8) …

Development And Characterization Of An Intravenous Formulation Containing Paclitaxel-Loaded Lipid Nanoparticles And Doxycycline, Navya Nalajala

Electronic Theses and Dissertations

Ovarian cancer (OC) is the fifth-most common cause of cancer-related deaths among women. It is often difficult to detect in its early stages, leading to a higher mortality rate. There are several types of ovarian cancer, including epithelial ovarian cancer, germ cell ovarian cancer, and stromal ovarian cancer, which is the most common type among all of them. The exact causes of ovarian cancer are not fully understood. Paclitaxel (PTX), a chemotherapeutic agent, is currently used as the first-line agent in combined therapy for epithelial OC. Doxycycline (DOX) is a Tetracycline class of antibiotics, currently emerging as a chemotherapeutic agent …