Digital Commons Network^™

Tennessee's Voluntary Prekindergarten (Vpk) Program And Kindergarten Achievement, Kindetta L. Thompson

Electronic Theses and Dissertations

The purpose of this quantitative study was to investigate whether there is a relationship between Tennessee's Voluntary Prekindergarten (VPK) program and kindergarten achievement. I compared the academic growth of who attended a VPK program to students in Title 1 schools who did not attend a VPK program. Kindergarten gives the first easyCBM assessment in the second semester of school. I compared the easyCBM scores of the students who attended a VPK program to the ones who did not attend a VPK program. This could reveal if attending the VPK program is related to the students’ academic growth and the amount …

Examining Predictors Of Attitudes And Knowledge Of Registered Nurses And Nursing Students In Tennessee Toward Pregnant And Perinatal Women With A Substance Use Disorder, Jessica Patrylo

Electronic Theses and Dissertations

Substance use disorders (SUDs) among pregnant and perinatal women continue to be a national public health crisis. Furthermore, nursing students and perinatal nurses have historically negative and punitive attitudes toward this vulnerable population of women. As nurses are primary care providers for pregnant and perinatal women, this is troublesome as perinatal patients express feeling stigmatized by nurses whom they should be able to trust. This contributes to the reluctance of women to seek needed medical and prenatal care. Tennessee was the first state to criminalize drug use in pregnancy and has higher neonatal abstinence syndrome (NAS) rates, which were more …

Implementing Of Phase Potentiation Program With College Triathletes, David Fish

Electronic Theses and Dissertations

The purpose of this study is to determine the effectiveness of an in-season resistance training program on improving measures of strength in female collegiate triathletes. Nine females (age = 19.2 ± 1.1 years, height = 166.5 ± 12.5 cm, body mass = 61.1 ± 9 kg) with limited resistance training experience were examined for this study. Formal RT intervention was monitored for 7 weeks with the athletes being assigned 6 weeks of independent RT prior to the pre-test. Athletes completed a standardized athlete monitoring program pre and post resistance training intervention. Paired sample t-tests were used to determine differences …

Prevalence Of Musculoskeletal Disorders In Third- And Fourth-Year Dental Students At The University Of Tennessee Health Science Center College Of Dentistry, Felisa Jackson

Electronic Theses and Dissertations

The effects of pain suffered from musculoskeletal disorders by dental professionals may lead to reduced work hours, loss of production, and early retirement. Although third- and fourth-year dental students are provided lectures about musculoskeletal disorders, proper positioning and ergonomics, they are at an increased risk of developing MSD. This study was conducted to evaluate the prevalence on musculoskeletal disorders in third- and fourth-year dental students and to determine if third-year dental students experience more MSD pain than fourth-year dental students at the University of Tennessee Health Science Center College of Dentistry. A total of 50 third- and fourth- year dental …

Active Travel For Children And Youth: Lessons From Active Routes To Schools North Carolina, Leah Ferguson

Electronic Theses and Dissertations

This Integrated Learning Experience (ILE) investigates literature regarding the impact of national Safe Routes to School (SRTS) programs and takes a deeper dive into the lessons that can be learned from North Carolina’s Active Routes to School (NC ARTS) programs through an analysis of data collected from 2007 to 2019. This report is focused on understanding the relationship between and among variables included in the Six Es of SRTS framework: Education, Engineering, Encouragement, Enforcement, Equity, and Evaluation. This investigation provides insight that extends understanding of parental comfort and engagement with these programs. A unique theoretical model was developed as were …

Characterization Of Sabp2-Interacting Proteins (Sip) 428: An Nad+-Dependent Deacetylase Enzyme In Plant Abiotic Stress Signaling, Oviavo Nohoesu

Electronic Theses and Dissertations

Abiotic stress leads to a change in the water content of plants. Salinity and osmotic stress affect both the morphology and physiology of plants. Plants have therefore responded to these environmental changes by adapting and tolerating them. The SABP2-interacting proteins (SIP) 428-silenced RNAi transgenic tobacco lines were subjected to various abiotic stresses (salinity, osmotic, and drought). The effect of SIP428-silencing on the tobacco plants subjected to these abiotic stresses was monitored. The results from the root growth data show that the sip428-silenced lines exhibit enhanced tolerance to the stressors compared to the wild-type plants. Interestingly, results of the relative chlorophyll …

Performance Effects Of A Strength Training Program In Collegiate Runners, Alyssa Younker

Electronic Theses and Dissertations

Research has shown that lower limb asymmetries can negatively impact performance and risk of injury. However, there is little research on the effects of lower limb asymmetry on running performance, nor the effects of strength training on lower limb asymmetry in runners. The purpose of this study was to examine the relationship between jumping ability and asymmetry and long distance running performance, as well as to determine the performance effects a strength training program has on collegiate runners. Data from athlete monitoring of 10 collegiate distance runners and 6 sprinters were analyzed. Athletes (Distance Runners n = 10, Sprinters n …

Developing Outpatient, Clinic-Based Education For Patients With Diabetes And Prediabetes, Ruth Ann Slayton

Electronic Theses and Dissertations

Abstract Education and support provided to the newly diagnosed prediabetic or Type 2 Diabetic are inadequate in the outpatient arena. In rural areas, instruction for diabetes is minimal to nonexistent, and patients are paying for this with their health and lives many times. The financial burden of diabetes in the United States is astronomical. The loss of life and life quality is significantly high as well. A systems-based approach to education in the rural health clinic would be of great benefit and has proven to be enough to reverse or avoid the progression of the disease. A clinic or field-based …

Exploring The Challenges And Barriers Of Professional Practice Experience In Health Information Management Education, Darla D. Branda

Electronic Theses and Dissertations

Professional practice experience in health information management education provides students with the opportunity to apply theory to practice and prepare for the workforce. Yet, problems exist with placing and precepting students at healthcare organizations. The purpose of this study was to identify the challenges and barriers that preceptors have with placing and precepting students at their organizations. For this action research study, a qualitative multicase study was carried out. Data were collected from six participants using pre-interview surveys and interviews. The sample population included credentialed health information professionals currently working in acute care hospital settings with a recent history of …

An Evaluation Of Programs And Leadership Practices For Effective Dropout Prevention, Nicole C. West

Electronic Theses and Dissertations

Abstract

This mixed-methods study explored a problem within dropout research which often fails to link characteristics of student subgroups with effective dropout interventions. Considering the characteristics identified in the literature of at-risk learners, the conceptual framework for this study combined the theory of self-efficacy and leadership with emphasis on servant leadership. The purpose of the study was to evaluate dropout intervention and prevention programs in two high schools by examining intervention and leadership practices for students at risk of dropping out of high school. Through causal-comparative and phenomenological approaches, this investigation focused on identifying dropout factors targeted in the intervention …

Empowering Mothers: A Conceptual Model For Promoting Perinatal Mental Wellness Among Women In The United States, Kayla Acklin

Electronic Theses and Dissertations

Globally, there are certain expectations surrounding becoming a mother related to pregnancy and the birth. For many women, the birth of a child represents a natural event filled with joy. Societally, the expectation is that pregnancy, birth, and the transition into motherhood are normal, positive experiences for all women (Davis-Floyd & Cheyney, 2019). However, research shows that some women develop impairments in physical and mental health functioning and wellbeing as a result of the major physical and psychosocial changes that take place during the transition into motherhood (Austin et al., 2010; Ayers & Pickering, 2001; O’Hara et al., 2014).

This …

Professional Ethics For College Health Services, Dessa Mrvos

Electronic Theses and Dissertations

College health services provide a crucial resource for campus communities in the United States, substantially affecting student health, safety, and wellbeing. The impact and quality of campus clinical services impact student life through varied approaches to the delivery of services, health innovations, and business models. The role that campus health services plays in dealing with risk mitigation is essential: well-established public health principles of disease prevention, health promotion, and health education are sustained and advanced by campus clinical health services. Despite the widely recognized importance of college health services, there is very little literature on the contribution of ethics related …

Effect Of Single Vs Accumulated Bouts Of Exercise On Body Composition, Fitness, And Resting Metabolic Rate, Alexander Alvara

Electronic Theses and Dissertations

Obesity and physical inactivity are two factors that have been shown to be correlated with cardiovascular disease (CVD) and diabetes. As people have increasingly busier schedules, they have less time to commit to exercise. Accumulating exercise in small bouts is a schedule-friendly alternative to longer continuous bouts of exercise and may protect against CVD and diabetes. Therefore, the purpose of this study was to examine the effects of accumulated exercise compared to continuous exercise on body composition, fitness, and resting metabolic rate. Nine healthy male (n=4) and female (n = 5) volunteers were randomized into either an accumulated intervention group …

Subepidermal Moisture Measures And Their Relationship To Early Identification Of Pressure Injuries In Both Dark And Light Skin Tones In The Acute Care Setting, Cecilia Zamarripa

Electronic Theses and Dissertations

Background: Pressure injuries are an important quality measure. Most are avoidable and can be prevented by implementing nursing care strategies early. Pressure injury prevention is significant to nursing practice. There is a gap in the ability to detect early skin damage through standard visual skin assessment in dark skin toned individuals. Subepidermal moisture (SEM) values have been shown to detect early tissue damage in people with dark skin, prior to it being detected through standard visual skin assessment.

Objectives: This study sought to explore the relationship between visual skin assessment and SEM as indicators of pressure injury and …

K-12 Economically Disadvantaged Students, Poverty, And Education: Ecological Narratives Of Successful Raised-In-Poverty, Texas Educators, Rebecca N. Morris

Electronic Theses and Dissertations

This research study aimed to understand how successful Texas educators who grew up in poverty understood and improved the educational experience of economically disadvantaged students. This study utilized a structural ecological theory and three theories of social relationships (Social Identity, Standpoint, and Cultural Capital). This phenomenological and qualitative study used a cross-sectional, descriptive, online case study design rooted in narrative nonfiction. Virtual interviews with six successful Texas educators that grew up in poverty were conducted. A narrative method of analysis was utilized to generate codes then organize them into themes, and to construct and compare the narrative findings. The results …

Prageru As A Parasite Public., Ryan A Corso-Gonzales

Electronic Theses and Dissertations

This thesis examines the media corporation PragerU as a parasite public, using the framework provided by Larson and McHendry (2019). Parasitic publics are “reactionary discursive spaces formed residual and institutionalized affectively through the invention, circulation and uptake of demagogic rhetorics” (Larson & McHendry, 2019, p. 517). The purpose of this thesis is to identify and analyze the argumentative tactics used by PragerU in the public sphere. I argue that PragerU utilizes its extensive network to resist counterpublicity and influence the dominant public sphere. This thesis demonstrates the ways in which this PragerU utilizes its unique position in the public sphere …

Particulate Matter Exposure And Community-Acquired Pneumonia Mortality Among Hospitalized Adults With Pneumococcal Pneumonia: Incidence Study (Happi) Participants., Jack Anthony Pfeiffer

Electronic Theses and Dissertations

The role of air pollution as an agent of elevated morbidity and mortality has come under increasingly intense scrutiny in recent years. As the body of literature grows, so too does our understanding of how extensive the harm of such pollutants can be. Particulate matter (PM) particularly harmful due to its small size, ability to travel great distance while airborne, and capacity to infiltrate numerous bodily systems, often to the detriment of those exposed. Besides being associated with increased mortality risk in more heavily exposed populations, PM exposure has also been associated with complications in the respiratory, cardiovascular, and nervous …

Simulation Of Fracture Strength Improvements Of A Human Proximal Femur Using Finite Element Analysis., Waleed Ebraheem Alim

Electronic Theses and Dissertations

The most common hip fracture in the elderly occurs as a result of a fall to the side with impact over the greater trochanter resulting in a fracture of the proximal femur. The fracture usually involves the femoral neck or the intertrochanteric region. It has recently been determined that the fracture crack of a hip fracture typically initiates on the superior-lateral cortex of the femoral neck and then propagates across the femoral neck, resulting in a complete fracture. The strength of the superior-lateral cortex of the femoral neck is likely determined by the combined properties of the generally thin cortex …

Identifying The Cardiovascular Effects Of Multiple Pollutants., Katlyn Elizabeth Mcgraw

Electronic Theses and Dissertations

Cardiovascular disease (CVD) is the leading cause of death from environmental exposures. Although exposure to PM_2.5 is an established risk factor for CVD, the contribution of other hazardous pollutant exposure to CVD is less clear. Overall, this work aimed to examine the effect of pollutants with lesser documented effects on cardiovascular disease using a multi-pronged approach to exposure assessment. The three aims were to examine the relationship between county-level toxic chemical releases and CVD mortality in the contiguous United States between 2002 and 2012, to assess the relationship between individual-level VOC metabolites and vascular function, and to build multipollutant …

Vitamin B12 Deficiency Does Not Stimulate Amyloid-Beta Toxicity In A Ceanorhabditis Elegans Model Of Alzheimer’S Disease, Opeyemi F. Showemimo

Electronic Theses and Dissertations

Alzheimer’s disease (AD) is symptomized by amyloid-beta plaques in the brain and accounts for more than 65 percent of dementia cases. Vitamin B12 (cobalamin) deficiency can result in similar cognitive impairment and roughly 15% of the elderly are vitamin B12 deficient. Vitamin B12 deficiency results in the accumulation of toxic methylmalonic acid and homocysteine. Hyperhomocysteinemia is a strong risk factor for AD. To test if vitamin B12 deficiency stimulates amyloid-beta toxicity, Caenorhabditis elegans expressing amyloid-beta in muscle were fed either vitamin B12-deficient OP50-1 or vitamin B12-rich HT115(DE3) E. coli bacteria. Increased amyloid-beta toxicity was found in worms fed the …

Annealing Of Encapsulated Heavy Metals From Brine Water Utilizing Microwave Enabled Sol-Gel Process, Adam Michael Flynn

Electronic Theses and Dissertations

Various waste encapsulation strategies have been investigated to solidify and stabilize heavy metal wastewater for proper long-term storage. This work aims to enhance a method of novel sol-gel encapsulation of heavy metals from mock brine waters using tetramethyl orthosilicate with the addition of an annealing step at various temperatures in order to reduce leaching of metals from the silica monoliths when exposed to water. The metals tested for encapsulation and leaching were mercury (II) chloride, potassium dichromate, sodium selenite, boric acid, cadmium chloride, and copper (II) acetate. The annealing of the silica monoliths led to an increased degree of for …

“I Done Been Through Hell”: An Existential Phenomenological Study Of The Lived Experience Of Fathers Who Have Lost A Child, Dynisha Wigginson

Electronic Theses and Dissertations

The rise in American pediatric death led to a shift in pediatric end-of-life care from focusing care only on the dying pediatric patient to include focus on the family. Most literature has focused only on mothers’ experiences or the combined experiences of mothers and fathers. Fathers’ experiences at their child’s end of life, as an individual phenomenon, is overlooked and ignored. Hence, significant knowledge gaps exist related to the repeated exclusion of fathers’ individual experiences. This study aimed to begin to fill this gap. Using the lens of Merleau-Ponty, this existential phenomenological study aimed to describe the lived experiences of …

How Nutrition Knowledge Of Coaches, Athletic Trainers, And Strength And Conditioning Specialists Translates To Their Athletes, Alexa Carbone

Electronic Theses and Dissertations

The basis of dietary habits is linked to an individuals’ nutrition knowledge; for collegiate athletes this is the difference between optimal performance and falling short. To understand how nutrition information is disseminated to student-athletes, this research surveyed the athletes themselves and their sports staff (coaches, athletic trainers, and strength and conditioning specialists) on their current knowledge. Sport staff and student-athletes at East Tennessee State University were given the opportunity to participate in a 52-question online survey that tested both their general and sports-related nutrition knowledge. While the study sample size did not allow for statistical analyses required to address all …

Sarcopenia Screening By Registered Dietitian Nutritionists (Rdns) In The United States (U.S.), Madison Marcom

Electronic Theses and Dissertations

Sarcopenia is a disease of muscle wasting primarily seen in older adults. Although this term was first coined over three decades ago, there is a lack of consensus on a definition, screening criteria, and treatment protocol for sarcopenia. The primary purpose of this study is to determine whether registered dietitian nutritionists (RDNs) in the United States (U.S.) screen for sarcopenia. Study participants were recruited through a randomized email list and included RDNs throughout the U.S. Respondents completed a survey questioning knowledge of sarcopenia, screening tools and company protocols in place, and the need and desire for sarcopenia education. Data revealed …

A New All-Natural Wound Treatment Gel Shows Strong Inhibitory Activity Against Staphylococcus Aureus And Other Wound Pathogens, Tasha K. Nelson

Electronic Theses and Dissertations

Skin related injuries are some of the most dangerous forms of wounds. In addition to treating the wound itself, health care providers must be cautious of microbial infections. In this study, we evaluate a novel all-natural antimicrobial gel compound (AMG) designed to kill planktonic bacteria, penetrate bacterial biofilms, and accelerate wound healing. In -vitro experiments demonstrate that AMG is effective in inhibiting planktonic growth and biofilm development of eight common pathogens. LIVE/DEAD staining and confocal microscopy reveal that planktonic growth and three-dimensional structure of biofilms were significantly reduced. Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) was used to investigate a small …

The Camouflaged Crime: Perceptions Of Poaching In Southern Appalachia, Randi Miller

Electronic Theses and Dissertations

The purpose of this study was to explore perceptions of poaching within the Southern Appalachian Region. To date, little research has been conducted on the general topic of poaching and no studies have focused on this Region. Several research questions were pursued, including perceptions of poacher motivations, methods and concern regarding apprehension and punishment. The study gathered data through qualitative interviews with 27 conservation officers and outdoorsmen located in Southern Appalachia to address these questions. Results provided useful information regarding the unique characteristics of the poaching problem within the Region, which are discussed in detail. Implications and directions for future …

“We’Re Sinking And We’Re Sinking Quick”: Family And Feeding Work During The Covid-19 Pandemic For Single, White, Middle-Class Mothers, Debora Garrison

Electronic Theses and Dissertations

This study examines the work of single, white, middle-class women feeding and caring for their families during the COVID-19 pandemic in the year 2020. The study draws from qualitative analyses of one-on-one interviews conducted with seven single mothers. After situating single mothers and family food provision in the academic literature, as well as and current knowledge about the pandemic in the U.S., the author explores ways that the pandemic disrupted family life. Findings indicated that the single mothers were keenly impacted by being cut off from child care, schools, and other social connections they needed to maintain employment. Further, their …

Integrating Interprofessional Education Into Teacher Preparation Curriculum: Reimagining Partnerships From The Inside Out, Jennifer Lauren Rogers Edd

Electronic Theses and Dissertations

This mixed-methods program evaluation sought to identify elements of collaboration within interprofessional education experiences and provide suggestions regarding the future implementation of interprofessional education experiences into the identified teacher preparation program. Program suggestions were informed by the perspectives of current teacher preparation faculty, recent teacher preparation graduates, and other professional stakeholders. Other professional stakeholders are those who have a vested interest in a program. Quantitative data, in the form of descriptive statistics, was collected through a needs assessment tool completed by teacher preparation faculty participants and the Texas Education Agency Principal Survey completed by administrators overseeing first-year teachers who were …

Effects Of Carbohydrate Mouth Rinsing Plus Ingestion On Cycling Time Trial Performance, Henry D. Gebhardt

Electronic Theses and Dissertations

Due to limited glycogen stores, carbohydrate (CHO) consumption during exercise is effective at improving performance in endurance events lasting longer than 90 minutes in duration. Recent research has established that CHO mouth rinsing may improve performance over shorter durations, independent of actual consumption. However, research is lacking in determining if an extended period of mouth rinsing has any additive benefit in conjunction with typical CHO beverage consumption over longer competition durations, where CHO ingestion/consumption is likely warranted. PURPOSE: Determine the effects of CHO mouth rinsing combined with consumption compared to CHO consumption alone on cycling performance. METHODS: Following …

The Effect Of Breastfeeding Education In African American Women On Initiation And Duration Of Breastfeeding, Shalawn F. Harris

Electronic Theses and Dissertations

Abstract

This Doctor of Nursing Practice scholarly project aimed to evaluate the effectiveness of breastfeeding education in African American women on the initiation and duration of breastfeeding. Studies demonstrated that breastfeeding education by providers and a breastfeeding support network positively influenced breastfeeding initiation and continuation in African American women. Breastfeeding education containing information on the decreased risk of breast cancer in African American women may be an even greater motivator for breastfeeding. Participants for this project were African American women, ages 18–50, in their last trimester of pregnancy. The project was approved to be implemented at an urban clinic in …