Digital Commons Network^™

Assessing Best Practices, Perceptions, And Barriers To Breastfeeding In The Appalachian Region, Melissa White

Electronic Theses and Dissertations

Background: Breastfeeding protects against a variety of adverse health outcomes for mothers and babies. Global best practices, known as the Baby-Friendly Hospital Initiative (BFHI), have been developed to support the initiation and exclusivity of breastfeeding during the post-delivery hospital stay. The aims of this study were to explore the literature related to the impact of the BFHI on breastfeeding disparities in the U.S.; compare the impact of exposure to these best practices on exclusive breastfeeding rates in Appalachian and non-Appalachian hospitals; and to understand knowledge, perceptions, and barriers to breastfeeding of postpartum mothers receiving care in a Northeast Tennessee OB/GYN …

Knockdown Of C. Elegans Nad Kinases Nadk-1 Or Nadk-2 Induces An Antioxidant Response Without Affecting Lifespan, Henry Gong

Electronic Theses and Dissertations

Nearly all multicellular organisms show changes in redox balance with aging leading to oxidative damage of macromolecules. This study investigated the role of the [NADP⁺]/[NADPH] redox couple in aging. This redox couple plays an important role in maintaining tissue redox balance and becomes slightly more oxidized in aged tissues. NADPH is a major source of reducing equivalents for enzymes that detoxify hydrogen peroxide. However, catalase detoxifies hydrogen peroxide independently of NADPH. But catalase is absent from mitochondria, a major source of hydrogen peroxide, where instead glutathione plays the major role in hydrogen peroxide detoxification in an NADPH-dependent manner. …

Risk-Prone And Risk-Averse Foraging Strategies Enable Niche Partitioning By Two Diurnal Orb-Weaving Spider Species, Mitchell D. Long

Electronic Theses and Dissertations

Niche partitioning is a major component in understanding community ecology and how ecologically similar species coexist. Temporal and spatial partitioning and differences in foraging strategy, including sensitivity to risk (variance), likely contribute to partitioning as well. Here, we approach this partitioning with fine resolution to investigate differences in overall strategy between two species of diurnal, orb-weaving spiders, Verrucosa arenata and Micrathena gracilis (Araneae: Araneidae), that share similar spatial positioning, temporal foraging window, and prey. Through field observation, we found that V. arenata individuals appear to increase spatial and temporal sampling to compensate for an overall risk-prone strategy that depends on …

Self-Measured Blood Pressure Monitoring In Hypertension Control: The Role Of Social Determinants Of Health, Current State In The United States, And Future Directions, Adekunle Oke

Electronic Theses and Dissertations

Hypertension, a medical condition, predisposes to other cardiovascular diseases, and can be impacted by the social determinants of health (SDOH). Self-measured blood pressure monitoring (SMBP) is an evidence-based approach to hypertension control, but not much is known about the influence of SDOH on SMBP. This dissertation aims to: 1) highlight the SDOH factors whose relationship with SMBP have been explored in research studies; 2) examine the relationship between SDOH and SMBP among United States (U.S.) adults with high blood pressure; and 3) examine the current state of SMBP in the U.S., highlight policy implications from the empirical study and provide …

Early Detection Of Atypical Motor And Neurobehavior Of Infants At Risk Secondary To Opioid Exposure: A Prospective Study, Kara Boynewicz

Electronic Theses and Dissertations

Prenatal opioid exposure has been studied in relation to infants' medical outcomes. However, large gaps exist in the literature supporting early identification of atypical neurobehavior and motor development of infants with prenatal opioid exposure. The purpose of the study was to investigate whether prenatal opioid exposure has a negative influence on a newborn infant’s neurobehavior and motor development to aid in the early identification of potential delays. Using a prospective quasi experimental design, infants motor development using the Test of Infant Motor Performance (TIMP) and neurobehavior using the NICU Neonatal Network Scale (NNNS) was assessed on 58 infants in a …

An Examination Of The Factors Contributing To Academic Resilience Among Socioeconomically Disadvantaged Individuals In Northeast Tennessee, Connie Larissa Trivette

Electronic Theses and Dissertations

The purpose of this study was to gain insight into the factors of resilience that educators could replicate to increase the number of socio-economically disadvantaged students that successfully complete high school and continue to become successful adults. An examination of the factors that socio-economically disadvantaged individuals attribute to their success was conducted in this study. This study used interview data from 15 participants ranging in age from 21 to 80 years old. Nine themes emerged from the interview data that affects the resilience of socio-economically disadvantaged students. The 9 themes identified were 1) Definition of success is different for each …

Perceived Benefits Of Upskilling And Reskilling By Persons Who Are Among The Employed, Underemployed, And Unemployed, Rosalind Marie Evans

Electronic Theses and Dissertations

ABSTRACT The purpose of this research study is to explore the perceived influence, potential impact, and benefits that upskilling, and reskilling have on the employed, underemployed, and unemployed worker. In addition, this study seeks to explore whether the perceived benefits of upskilling and reskilling include moving above the poverty line and therefore, out of poverty in real and sustainable ways. This resulting new position and potential increase in pay could have the positive impact of moving them and their families above the poverty line. The results of this study indicate that participants perceive upskilling and reskilling to be an option …

Creation Care, Human Wellness, And Sustainability, Omoike Eric Aizenofe

Electronic Theses and Dissertations

In this thesis, I argue that creation care contributes to human wellness and to sustainable living on earth. Within contemporary contexts, humans are suffering spiritually, mentally, and emotionally. This distress impairs wellness and reduces peoples’ capacity to contribute to sustainable solutions and earth-positive impacts. Creation care entails conscious and intentional activities that are carried out for the health of the created world. Creation care contributes to human wellness, spiritually, mentally, and emotionally by offering spaces, environments, co-habitations, and interdependency among its components that support human wellness and sustainable living. Creation care helps fight spiritual, mental, and emotional distress so that …

Social-Emotional Learning: A Literature Review, Stella M. Westhoven

Electronic Theses and Dissertations

ABSTRACT

Social-emotional learning targets the development of positive interpersonal relationships, empathy, emotional regulation, healthy identities, personal/collective goal orientation, and responsibility in the decision-making process (CASEL Organization, 2021). Schools, however, have the main objective of ensuring that academic measures are met. Linking social-emotional learning and skills to the school system’s principal goal, academic results, can facilitate the greater implementation of such programs within the school setting. This systematic literature review examined the relationship between social-emotional learning programs in schools and academic outcomes, such as grades, test scores, or grade point averages. Secondly, it explored the relationship between students’ social-emotional skills and …

Utilizing Prams And Healthy People 2020 To Examine Black Women’S Breastfeeding Behavior In Louisiana Prior To The Onset Of The Covid-19 Pandemic, Almetra Amayá Granger

Electronic Theses and Dissertations

No abstract provided.

Facilitators To Becoming And Remaining Open Defecation Free In Uganda: Implications For Community-Led Total Sanitation Programming, Danette Lee Cagnet

Electronic Theses and Dissertations

Poor sanitation behaviors, including open defecation, present risks for diarrhea, which is credited with 600,000 deaths a year in children under age five. Although CLTS is a solution to ending open defecation, more than half of the investment in producing open defecation free (ODF) communities is lost during the maintenance phase. The purpose of this qualitative, case study was to understand stakeholder perceptions of the facilitators and hindrances to becoming ODF certified and maintaining ODF status and sanitary behaviors in a small village community located in Uganda, East Africa. The researcher held individual interviews and in-person focus group discussions to …

Diabetes Education With A Focus On Blood Glucose Self-Management: Impacting The Frequency Of Glucose Monitoring, Jennifer M. Young

Electronic Theses and Dissertations

This quality improvement project was conducted to evaluate whether a focused educational session on self-management of blood glucose monitoring increased the frequency of monitoring for adult type II diabetics who were not taking insulin therapy. The purpose of this improvement project was to add to the body of research from this project. Currently, there are no recommendations for people with type II diabetes who are not taking insulin therapy regarding monitoring their blood glucose. This quantitative project was conducted online to reduce face-to-face contact during the COVID-19 pandemic. It was conducted online through diabetes support groups found on Facebook. Permission …

Understanding How To Promote Healthy Dietary Habits Among Parents Of Adolescents, Jazmine D. Collins

Electronic Theses and Dissertations

Adolescents in the United States today have record-high prevalence rates for childhood obesity and overweight, which are conditions that have lifelong negative health consequences for individuals, and also carry high financial and social costs for the entire nation. The disproportionate burden of obesity and associated health conditions falls on adolescents of racial and ethnic minority group identities and from lower-income households. The increased risk that adolescents have for developing conditions like childhood obesity is closely associated with youth having diets that are unhealthier than in the past. Parents have a large influence on the eating habits and preferences of their …

Community Health Educators’ Perspectives On Curriculum Resources In Newly Adapted Virtual Diabetes Cooking Classes, Rusty Ranay Hohlt

Electronic Theses and Dissertations

The COVID-19 pandemic forced educators with Extension to shift in-person delivery of community health education programs to virtual delivery. One such program, a diabetes cooking class, was developed for in-person programming and included hands-on activities like recipe demonstrations as an important resource for increasing participants’ behavioral skills. The diabetes cooking class also provided opportunities for participants’ social support. The problem in this study is that it is not known if the tools and resources from the in-person diabetes cooking class curriculum are impactful when used in virtual delivery. This study was developed to assess educators’ implementation of the diabetes cooking …

Embodied Cognition In The Music Theory And Aural Skills Classrooms, Leslie Thompson

Electronic Theses and Dissertations

Applying concepts of embodied cognition positively impacts pedagogy in the theory and aural skills classrooms. This thesis defines a holistic view of the student and identifies how classroom instruction from that perspective can benefit student learning as well as overall well-being. The opening chapters provide a brief scientific background and connect concepts of embodied cognition with specific music theory and aural skills examples from an interview. A select survey of the music theory pedagogy literature also illustrates principles of embodied cognition. Based on this background, the final chapter presents new sample lesson plans and discusses how to adapt to student …

Four-Day Modified School Systems In Rural Oklahoma, Bryan D. Akins

Electronic Theses and Dissertations

Over the past 40 years, school districts in rural areas have been forced to move to a modified four-day school schedule. As of 2019, 650 schools in over 25 states operate on a four-day modified school model. The purpose of this qualitative case study was to explore teachers’ and administrators’ perceptions of the four-day school week. Four research questions guided the study: (a) How do teachers and administrators perceive the four-day school system in Oklahoma?, (b) Why do teachers and administrators support or not support a four-day school system in Oklahoma?, (c) How do teachers and administrators perceive the impact …

Exploring Gaps In Understanding And Responding To Ageism: A Conceptual Model, Psychosocial Health, And Racialized Ageism, Andrew T. Steward

Electronic Theses and Dissertations

Ageism is an insidious, prevalent social justice issue which has harmful effects on the health of older adults. This dissertation includes three manuscripts which explore gaps in understanding and responding to ageism through three distinct methodological approaches. Two primary gaps are addressed in the three manuscripts: 1) conceptualizing and testing activities or interventions to reduce internalized ageism and enhance psychosocial health for older adults, and 2) exploring the intersectionality of ageism with racism.

The first manuscript draws from stereotype embodiment theory and theories of successful and productive aging to detail a conceptual model of interventions which may reduce internalized ageism …

Education Finance As A Social Determinant Of Health In The United States, Sydney Mock

Electronic Theses and Dissertations

The purpose of this thesis is to investigate the role of K-12 education finance in the determination of health outcomes in the United States. To accomplish this, first, the differing theoretical perspectives surrounding health outcomes are explored. Second, theoretical literature surrounding public finance of education and cash vs in-kind benefits are explored to establish the grounds for connecting education finance and health. Third, a framework is presented to trace the pathways of how education finance determines health outcomes. Finally, the manuscript brings together a review of the literature on similar benefits and an evaluation of a voucher program in Cleveland, …

Understanding The Impacts Of Urban Agriculture In Gentrifying Neighborhoods In Denver, Kate Johnson

Electronic Theses and Dissertations

Urban Agriculture is prominent in cities across the United States and has been studied in relation to food security, sustainability, and gentrification. Urban agriculture is context specific and can include individual gardens, community gardens, guerilla gardening, and urban farms. Urban agriculture is a product of the community it is based in, depending on politics, history, and social environments. For these reasons, the relationship between urban agriculture and the community is an area where more research is needed. This thesis explores the role visible gardens play in community building, sustainability, and food security in gentrifying neighborhoods in Denver. Through qualitative methods …

"What Works For Whom" In Family Support Programs: Leveraging Administrative Data To Improve Precision Matching, Elly M. Miles

Electronic Theses and Dissertations

Family support programs (FSPs) are designed to stabilize and strengthen families on a range of outcomes to promote well-being. Paradoxically, families with the greatest need are more likely to drop out or experience reduced benefit on average. This study examines patterns of differential benefit for families experiencing elevated stress through a cross-program evaluation of “what works for whom” in FSPs.

Family Resource Center Family Development Services (FDSs), Colorado Community Response (CCR), Promoting Safe and Stable Families (PSSF), Head Start (HS), and SafeCare Case Management Pilot (Safe CMP) contributed data on 15,771 participants enrolled in services from 2014-2020. Program samples were …

Where Virtual Well-Being Becomes Reality, Colleen M. Reilly

Electronic Theses and Dissertations

Strategies to mitigate the spread of COVID-19, specifically quarantine and social distancing protocols, have exposed a troubling paradox: mandated isolation meant to save lives has inadvertently contributed to a decline in America’s well-being. Prolonged isolation due to more remote work and decentralized workplaces has been associated with widespread loneliness and diminished physical and mental health, with effects compounded by limited face-to-face access to social support systems. While remote communication technologies (e.g., video chat) can connect individuals with colleagues and social networks, remote technologies might have limited effectiveness in business and social contexts. This study uses Roger’s Diffusion of Innovation Theory …

Structural And Hemodynamic Analysis Of Transcatheter Aortic Valves, Dong Qiu

Electronic Theses and Dissertations

The transcatheter aortic valve replacement (TAVR) procedure has become a well-established procedure for high, intermediate-risk, and low-risk patients. However, there is limited clinical data on the TAV's long-term durability, unlike SAV devices. Computational simulations can be an alternative way to evaluate the TAV devices. This dissertation aims to conduct structural and hemodynamic analyses on the TAV devices under different conditions using computational simulation approaches.

Initially, the impact of the bicuspid aortic valve on the TAV devices was evaluated. The result indicated that the CoreValve-like supra-annular self-expandable device was likely to have increased stress and strain on the leaflet when it …

Outdoor Early Intervention Services: Current Practices And Future Directions, Tiffany Lee

Electronic Theses and Dissertations

Outdoor play is a crucial in supporting child development, resiliency, social skills, creative thinking, adaptability, family growth, and family engagement. Unfortunately, children are spending less time outside because of technology, parent fears, and other factors. Parents who have a child with a disability have even more challenges when it comes to playing outside. Thus, children with disabilities are spending even less time in outdoor environments. Early Intervention (EI) is a program that is designed for infants and toddlers between the ages of zero to three that have developmental delays and/or disabilities. EI uses a family-center approach in natural environments to …

The Pathophysiological Mechanisms Of Alzheimer's Disease; Investigating Therapeutic Interventions For Disease Onset, Alexandra A. Sandberg

Electronic Theses and Dissertations

Alzheimer’s Disease is a multifarious disease that progressively affects more people as both the proportion of older adults in the population and life expectancy increase in both the United States and worldwide. This devastating disease is a result of rampant neuronal loss in the memory centers of the brain that robs the independence of those who are diagnosed and places a heavy burden on those who care for them. Traditionally speaking, research has focused on the hallmark pathology of amyloid plaques, targeting them to try and prevent disease onset. However, countless failures in clinical trials aimed at this said pathology …

Dismantling The Education-Survival Complex: A Qualitative Case Study Of How High School Youth Resist Whitestream School Policies And Foster School Change Through A Youth-Development Organization, Tracie Trinidad

Electronic Theses and Dissertations

The aim of this study is to critically examine how youth resist whitestream school policies and foster educational change through community sociopolitical youth-development organizations. The methodology for this study is a qualitative case study (Fraenkel & Wallen, 1990; Merriam, 1988), as I am focused on participant perceptions and experiences, and how they make sense of their resistance experience through participation in sociopolitical youth development organizations like Youth for Social and Political Activism (YSPA). In total, eight participants spoke about their racial identity through their lived experiences in public school and YSPA programming.

The data and analysis are presented in the …

Mitigating Weight Stigma In The Medical System: Self-Compassion For Nursing Students, Ellen C. Joseph

Electronic Theses and Dissertations

Weight stigma is a form of oppression that has been shown to have a detrimental impact on the well-being of people with higher weight. Healthcare providers are one of the most common sources of weight stigma, and their stigmatizing beliefs have been found to be associated with differential care for patients with “obesity”. The current study aimed to explore the feasibility of the loving-kindness meditation (LKM) as a brief intervention that reduces weight bias in nursing students by increasing self-compassion, positive, other-focused emotions, and cognitive flexibility, in order to improve compassionate care for patients with higher weight. Participants (189 nursing …

Twice-Exceptional Identification And Identity Formation: A Mixed Methods Study, Robin Goldin Tobin

Electronic Theses and Dissertations

This research study examined the parent perceptions of and relationships among intellectual potential, academic achievement, and the order of identification of exceptionality for twice-exceptional students. Twice-exceptional students exhibit both giftedness and a learning disability or difference. Consistently and equitably identifying and serving twice-exceptional students is a persistent problem of practice in the field of education (Artiles et al., 2010; Gentry et al., 2019; List & Dykeman, 2019; Moon & Reis, 2004; Webb et al., 2019). This study was supported by a community partner, a private educational testing and advocacy agency in a Western state.

This mixed methods study utilized a …

Soil Resilience And Arbuscular Mycorrhizal Fungi: How Fungi Can Inform Climate Change Mitigation And Adaptation In Maya Milpa Management, Courtney Mathers

Electronic Theses and Dissertations

In Mexico’s state of Yucatán, climate change impacts like prolonged and less predictable dry season length are manifesting as threats to agricultural production and food security. Nearly two thirds of Yucatán’s population is indigenous, many of whom live in rural communities that rely on rainfed subsistence agriculture (INEGI 2015). Ensuring sufficient food production in the face of climate change relies on the quality of agricultural soils. With both mismanagement of agricultural soils and climate change posing as threats to food production in Mexico, soil management practices that increase a soil quality should be identified and promoted. The primary objective of …

Framing, Advice-Seeking, And Medical Trust In The R/Keto Community: An Analysis Of The Medical Flair On R/Keto, Sabrina Finke

Electronic Theses and Dissertations

First created in 1921, the ketogenic diet was used as a medical intervention for children suffering from severe epilepsy. However, in recent years, this highly restrictive diet has gained mainstream popularity for a number of illness management, wellness, and weight loss uses. Despite its rise in use and popularity, mainstream medical opinion still views the ketogenic diet as a last resort for severe conditions. Using a content analysis of posts tagged with the “medical” flair on the subreddit “r/Keto,” this thesis found commonalities among posts which praised the ketogenic diet and shared positive personal anecdotes were the most likely to …

Does The Contraction History Of The Muscle Dictate Changes In Strength Following Resistance Training?, Zachary William Bell

Electronic Theses and Dissertations

Within-subject training models, whereby researchers apply an exercise condition to one limb, and a separate exercise condition to the opposing limb, have become routine amongst the exercise literature. However, no study has directly tested whether exercising one limb with a high-load condition will influence strength adaptations within the opposing limb, even when the opposite limb is training. Furthermore, muscle post-activation performance enhancement (PAPE) is representing local level changes, however, more research is warranted to understand if this can be differentially impacted with different types (e.g. low load vs. high load) of resistance training. The purpose of this study was to …