Digital Commons Network^™

Kujdesi Infermieror Te Pacientët Diabetikë Ambulantor Insulino-Vartës, Valza Gashi

Theses and Dissertations

Numri i të diagnostifikuarve me diabet është çdo ditë në rritje e sipër. Kjo sëmundje prek të gjitha moshat nga të gjitha vendet, përfshirë edhe vendet më të zhvilluara. Sëmundja e diabetit duke filluar nga diagnostifikimi, trajtimi e deri te menaxhimi i sëmundjes kërkon një kujdes të shtuar si nga stafi shëndetësor ashtu edhe nga pacienti. Kujdesi infermieror përbën një rol kyç në menaxhimin e sëmundjes së diabetit dhe edukimin e pacientit lidhur me të. Qëllimi i këtij punimi është të bëhet hulumtimi i nivelit të kujdesit infermieror të dhënë te pacientët diabetikë ambulantor insulino-vartës, ndërsa subjekti i këtij punimi …

Sëmundja Pulmonare Obstruktive Kronike(Spok) Si Problematikë Kirurgjike. Roli I Infermieres Në Kujdesin Postoperator, Selva Rama

Theses and Dissertations

Sëmundja pulmonare obstruktive kronike (SPOK/COPD) është një sëmundje mjaft e përhapur që karakterizohet nga kufizimi i rrjedhës së ajrit në mushkëri që nuk është plotësisht i kthyeshëm. Shkaku kryesor në vendet e zhvilluara është ekspozimi ndaj tymit të duhanit. Simptomat e karakterizuara mirë si dispnea dhe lodhja kanë një ndikim negativ në kualitetin e jetës së pacientëve (QoL) dhe kufizojnë aktivitetin fizik në jetën e përditshme. Ndikimi i simptomave të COPD shpesh nënvlerësohet. Sëmundja kronike obstruktive e mushkërive shoqërohet me morbiditet dhe mortalitet të madh po ashtu siç janë: sëmundjet kardiovaskulare, diabeti i tipit 2, astma. Ndërprerja e pirjes së …

Student Well-Being In The Time Of Covid: Survey Of Online Students’ Coping, Ellen Catherine Coble

Theses and Dissertations

The emergence of the COVID-19 pandemic has presented the global population with a considerable stressor resulting in significant loss of life, impaired health, disrupted social practices, and economic atrophy. While many have been impacted and are currently being studied, a population less frequently considered in the literature is that of online college students. Previous research has indicated the influence of several factors on college students’ well-being when coping with stress under typical circumstances such as coping strategies (e.g., problem-focused, emotion-focused, and avoidant/dysfunctional), experiential avoidance, and social support. Studies performed in the wake of large-scale crises highlight proximity to the crisis …

Egyptian Women’S Agriculture Contribution; Assessment Of The Gender Gap For Sustainable Development, Noha El Khorazaty

Theses and Dissertations

Women’s contribution to the agriculture sector in developing countries is undeniable, yet they do not have equal access to the resources and opportunities they need to be more productive. Sustainable development entails inclusive and effective management of natural resources, this entails gender equity in agriculture. Bridging the gender gap in agriculture far exceeds the benefits of the individual. According to the latest estimates bridging the yield gap in agricultural productivity could possibly decrease the numbers of undernourished people in the world by around 100 – 140 million people. Sustainable agriculture development and gender equity necessitate policy interventions targeting the gender …

Distress In Disguise: Mattering And Marginality Among Selected Students At Rowan University, Charissa M. Burgos

Theses and Dissertations

The purpose of this research study was to determine the attitudes of low-income, first-generation White students' as it relates to their sense of mattering at Rowan University. In addition to a demographic sheet, data were collected using Mattering Inventory (Tovar et al., 2009).

Experimental Pharmacotherapies In Models Of Alcohol Addiction, Mousumi Akter Sumi

Theses and Dissertations

The USA faces $220 billion economic loss and eighty thousand deaths per year due to alcohol abuse while affecting more than 15 million people, making it the third largest life-style related cause of death. The U.S. FDA has approved four medications namely, disulfiram, acamprosate, oral naltrexone, and injectable long-acting naltrexone. These existing drugs are trashed with side effects, have a low success rate, indicating a demand for new potential drugs. We studied the effects of the CB1 negative allosteric modulator, PSNCBAM-1, and the dopamine D4 receptor antagonist, L-745,870 in mouse models of alcohol addiction. PSNCBAM-1 did not significantly reduce CPP …

Instagram Use And Young Women's Body Image And Self-Objectification In Egypt, Sara Hussein

Theses and Dissertations

The present study investigates the effect of Instagram use on young Egyptian women’s body image and how it is related to self-objectification. The aim of this research is to understand how Instagram usage affects women’s body image and makes them dissatisfied with their bodies; besides, it also tests how the comments women receive on their Instagram accounts affect them positively or negatively, and how the more hours they spend on Instagram, the more pressure they face to acquire a better body shape. Additionally, it examines the direct relationship between feministic beliefs and body surveillance and self-objectification. Moreover, self-objectification and Cultivation …

Similarity Measure Selection And Optimization For E-Commerce Product Matching, Maryetta Morris

Theses and Dissertations

Since its birth in 1979, e-commerce has grown to become a generation-defining phenomenon. There are millions of platforms from which online transactions can be made, and billions of products available for purchase. As these numbers continue to grow, there is an increased need to exchange, process, and store data about these products. There are also services such as review aggregators and price comparison sites that rely on collecting and integrating data from all over the web. When combining data from multiple sources, it is important to be able to identify which references refer to the same real-life product. Product matching, …

To Let The Shape Announce The Filling, Sydney Shavers

Theses and Dissertations

A hybrid text with reflections on confections, materiality, language, reality, virtuality, gourmand, celebrity perfume, olfaction, authenticity, cultural contamination, synesthesia, proprioception, positioning, navigating the gap, slippage, constellations, exhaustion, ontology, form, failure, and mindfulness.

A Case Study Of Trauma-Informed Practice And Implementation To Support Mental Health And Learning In Public School In Suffolk County, New York, Mark Leonidas Palios

Theses and Dissertations

The purpose of this study is to examine the readiness of school districts in Suffolk County, New York, to implement a trauma-informed system to address the growing needs of mental health interventions in student populations. A review of the literature will show a historical prevalence of mental health providers and individual student interventions within the school building, or in partnership with community agencies. Recent literature shows an increase in school-related issues have origins in student trauma or adverse childhood experiences. The study will examine the issue by conducting a mixed method analysis, using a survey instrument and focus group interviews, …

The Effect Of Parenting Styles On Depression Among College Students, Manpreet Kaur

Theses and Dissertations

Researchers, during the past few decades have found there to be an association between parenting styles and levels of depression in children, adolescents, and adults. In the current study, the effects of parenting styles on depression among college students was targeted. This current study predicted that: 1. Females will show greater levels of depression than males. 2. Asians will show increased levels of depression. 3. Participants with authoritarian parents will exhibit significantly higher levels of depression as compared to authoritative, permissive, and uninvolved parenting styles. In addition to these, additional exploratory analyses were also conducted. Two hundred eighty-eight college undergraduates …

Keys To Understanding And Serving College Students With Chronic Illnesses, Christine M. Goodwin

Theses and Dissertations

As the fields of medicine and medical technology continue to advance, more students with chronic illnesses will be able to fulfill their dreams of earning a college degree. These students who may be ill or well at any given time have health issues that affect “normal” life activities and require some form of ongoing medical care. The purpose of this study was to obtain a better understanding of serving college students with chronic illnesses through the lens of both institutions and students. It also provides an opportunity to increase awareness of this underserved population and their unique situations. It is …

Immigrants In Writing, Roshny Maria Roy

Theses and Dissertations

Through this autoethnography, I intend to explore and understand how migration impacted and continues to impact my identity along with the languages and literacies I speak, write, and practice. How does the normalized devaluing and valuing of literacies, languages, cultures, and in extension identities play out in the process of migration? The devaluation of languages and cultures is in fact the devaluation of those who identify with them; they are left to “feel undervalued” or “not good enough” in the languages they speak, cultures they identify with, and literacies they practice. To be “good enough” or valued, they have to …

A Timecourse Based Dermatotoxicity Evaluation Of Mechlorethamine On Damage And Repair Related Protein Expression In The Mouse Ear Vesicant Model, Ganming Mao

Theses and Dissertations

Mechlorethamine (HN2) is a type of nitrogen mustard alkylating agent that has been widely applied as an anticancer drug. HN2 is an analog of the corrosive reagent sulfur mustard, which is highly reactive with skin and organisms exposed to HN2 develop significant skin irritation, edema, erythema, and disruption of the dermal-epidermal junction (DEJ). These pathological affects lead to tissue damage, activate wound repair mechanisms and, if unresolved, result in necrosis. The purpose of the present study was to evaluate the time-dependent effects of HN2 on the expression of three different proteins using immunohistochemistry (IHC) and previously prepared and preserved formalin-fixed …

Pharmacological Effects Of Ebselen And Other Novel Organoselenium Compounds In Vitro And In The Mouse Model Of Vulvovaginal Candidiasis, Suvidha M. Menon

Theses and Dissertations

The current era is witnessing the emergence of virulent and resistant Candida and other pathogenic strains that has led to high morbidity and mortality rates on a global scale. Drug resistance has rendered once proven potent and commonly used antifungal drugs ineffective, especially in immunocompromised patients. These reasons justify the need for identifying novel antifungal targets and thereby building the antifungal armamentarium.

Our lab has previously investigated and studied Ebselen (EB), an organoselenium compound for its antifungal mechanism and activity against Candida strains. In vitro studies have shown the growth inhibitory activity (IC50 ˜ 15 µM) for various C. albicans …

The Role Of Transcription Factor Nrf2 In The Toxicity Of Perfluorooctane Sulfonate (Pfos) And Perfluorooctanoic Acid (Pfoa) In Vitro And In Vivo In Wild-Type And Nrf2 Deficient C57bl/6 Mice, Saif A. Alharthy

Theses and Dissertations

Perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA) are members of a family of compounds known as perfluoroalkyl substances (PFAS). This study aimed to determine the protective role of Nrf2 against the toxicity of these agents. Nrf2-/- and wild-type astrocytes from C57BL/6 mice were exposed to PFOS (75-600µM) and PFOA (400-1000µM) for 24 hours. Lactate dehydrogenase (LDH) and Neutral Red (NR) uptake assays showed cytotoxicity being significantly greater in nrf2-/- than in the wild-type astrocytes. Concentrations of 600µM PFOS and 800µM PFOA showed significant increases in reactive oxygen species, lipid peroxidation, and TUNEL positive cells in both cells types with significantly …

The Impact Of Individual And Contextual Factors On L2 Writing Development: The Shifts In Written Corrective Feedback During Covid-19, Jordan Gonzalez

Theses and Dissertations

The novel COVID-19 pandemic has caused a rupture in the trajectory of education worldwide. Students, families and schools are experiencing unprecedented times and are navigating uncharted territory together in how we educate our students. In the U.S., it has been noted that the schism within education as a result of the pandemic is the biggest threat to national security (Choi, 2020), noting the importance of education within our democracy. This includes the trauma experienced by families due to deaths caused by the pandemic, the disproportionality of communities of color losing a parent (Brundage & Ramos-Callan, 2020), and the impact on …

The Perceptions Of English Language Learners On Their Level Of Preparedness To Complete College Courses Taught In English: An Interpretative Phenomenological Analysis Drawing Upon Culturally Responsive Pedagogy, John Blicharz

Theses and Dissertations

As the English language learner (ELL) population in the United States continues to grow and the number of non-native speakers entering institutes of higher education increases, there is a growing need to shift the paradigm on how universities serve ELLs. While there is a body of literature to support K-12 literacy, there is little to support college ELLs. As if the lack of research was not enough, ELLs are suffering on standardized tests, college placement tests are waning, and ELLs are not receiving proper advisement, thus suffering in standard English composition courses and failing out. Drawing upon the framework of …

The Emerging Science Of Wellness In The College Writing Curriculum, Peggy Suzuki

Theses and Dissertations

This dissertation argues that the college writing curriculum – and indeed any educational program---would benefit from an emphasis on human wellness and the arts. Wellness consists of one’s emotional, social, spiritual, physical, intellectual, and vocational well-being. Additionally, students’ environmental circumstances, like home life, finances, diet, exercise, and work obligations play a huge role in balancing personal health, especially in marginalized communities. Since one’s physiological and psychological connection impacts one’s identity and health, improving writing in the classroom requires holistic and creative approaches for rewiring individual thinking. I draw from positive psychology, where concepts like complex optimism and positive emotions nurture …

An Exploration Of American University-Based Tutoring Programs For English Language Learners, Jennifer Melissa Aguilera

Theses and Dissertations

The purpose of this mixed-methods explanatory sequential design study is to better understand university-level foreign students’ motivations for attending tutoring sessions. Forty-eight university students were selected based on their enrollment in a university's intensive English language learning program. This study involved two phases of data collection including surveying these students, and then following up with a focus group interview (Creswell, 2015). The 19-item questionnaire asked about perceptions of tutoring effectiveness, motivations for tutoring, and overall experiences with tutoring. Interview questions were informed by the results of the survey in order to further elicit student perspectives and enrich the overall description …

The Role Of The Economy In Changing The Achievement Gap Between Different Racial And Ethnic 8th Grade Students’ English Language Arts Test Scores, Dominique Limprevil-Divers

Theses and Dissertations

There is a large achievement gap in literacy between Black and White students in the United States that has been found to be mostly due to both differing learning opportunities as well as to income levels. Meanwhile, much of the research on academic performance has focused on race with less attention on the income of the school neighborhood zip code as a mediating factor in test outcomes for racial/ethnic students. This research investigated trends in English Language Arts test scores compared to income in the surrounding communities among New York City schools’ racial/ethnic groups of middle school students; also, whether …

Kujdesi Infermieror Tek Pacientët Me Hipertension, Adifete Tahiri Imeri

Theses and Dissertations

Arsyet të cilat na shtyen të hulumtojmë mbi tematikën për hipertensionin, ngelet padyshim natyra e kësaj dukurie sëmundje tek njerzit që dita ditës po i prek të gjithë padallim.

Fillimishtë u bazuam tek fakti i definicionit i cili shpiegon ne detaje qka dhe si zhvillohet hipertensioni në organizëm.

Hipertensioni oseshtypja e lartë e gjakut është një sëmundje në të cilën shtypja e gjakut ka nivele të larta dhe permanente mbi arterjet.

Ky punim është punim konceptual teorik.

Dihet se presioni arterial nuk është constant dhe në periudha të ndryshme gjatë ditës ndryshon nga vlerat më të larta gjatë sistolës (tkurrje …

Problemet Në Rritje Dhe Zhvillim Të Fëmijëve Në Institucionet Parashkollore Si Pasojë E Ushqyeshmërisë Jo Adekuate, Agon Begaj

Theses and Dissertations

Kequshqyerja tek fëmijët mund të shkaktojë zhvillim dhe rritje të dobët. Ushqyeshmëria adekuate është kyçe për shëndetin dhe zhvillimin e çdo gjenerate. Qëllimi i këtij hulumtimi është për të vlerësuar nivelin e nën-ushqyerjes dhe kequshqyerjes te fëmijët nën moshën 6 vjeçare në Republikën e Kosovës. Hulumtimi është kryer duke marrë për mostër 200 fëmijë në institucionet parashkollore publike dhe private. Instrumentet e përdorura për kryerjen e hulumtimit ishin: pyetësori socio-demografikë, matjet antropometrike duke përfshirë peshë dhe gjatësi, si dhe fleta kontrolluese për zhvillimin e fëmijëve. Rezultatet e arritura treguan se 59% të respodentëve kanë rritje dhe zhvillim mesatar, 20% ishin …

Kujdesi Infermieror Te Pacientët Me Artrit Reumatoid, Valbona Zeqiraj

Theses and Dissertations

Artriti reumatoid është një çrregullim inflamator, sistemik,kronik i cili kryesisht prek nyjet që janë të veshura me synovium. Karakterizohet tipikisht nga një përfshirje simetrike,herë pas here deformuar, poliartriti periferik. Për shkak se është një sëmundje sistemike, mundet gjithashtu ndikojnë në të gjithë trupin, duke përfshirë zemrën, mushkëritë dhe sytë.

Shkaku AR nuk njihet plotësisht. Ka të ngjarë që individët e ndjeshëm gjenetikisht të ekspozohen ndaj një antigjeni të panjohurduke rezultuar në vetë-stimulim të sistemit imunitar (autoimuniteti).

Përgjigja imune reagon në mënyrë të kryqëzuar me indin pritës (membranën synoviale) duke rezultuar në pezmatim të membranës sinoviale (sinovit).Kjo krijon hipertrofi sinoviale.

Ky …

Haven: Support For Mothers, Sarah Kincaid

Theses and Dissertations

This thesis explores how a nonmedical interior environment can provide support and care for mothers during the perinatal period in order to prevent maternal mental health (MMH) issues such as anxiety and postpartum depression.

Cost-Effectiveness Of Interventions Targeting Hard-To-Reach Populations Living With Hiv In Eastern And Southern Africa, Deo Mujwara

Theses and Dissertations

In Eastern and Southern Africa, hard-to-reach populations (e.g., long distance truck drivers and female sex workers), defined as populations that are difficult to interact or engage with due to their unique behaviors and characteristics, are disproportionately affected by the HIV epidemic and are at high-risk of acquiring and transmitting HIV. Further, these populations have substantially low uptake of HIV testing services, and those that have been diagnosed with HIV and on antiretroviral therapy experience high loss-to-follow-up from treatment programs.

Hard-to-reach populations face unique barriers in accessing and utilizing routine HIV care such as provider stigmatization towards sex workers and highly …

Teachers' Views On The Intersectionality Between Culture And Student Behaviors, And Experience Using Culturally-Responsive Behavior Interventions, Toshna Pandey

Theses and Dissertations

Students belonging to racially minoritized groups experience more frequent and intense disciplinary consequences for similar rule violations as their White peers. Factors such as deficit-oriented perceptions and implicit biases among teachers have contributed to the disproportionate exclusion of racially minoritized students, thus negatively affecting their social, emotional, behavioral, and school success. Using semi-structured interviews, this study sought to explore elementary school teachers’ views on the intersectionality between race/culture and student behaviors. Additionally, it also examined their experiences using behavior interventions effective for racially minoritized students. Findings suggest that participants often attributed challenging behaviors to student-level factors such as family and …

Using The Memorial Sloan Kettering Frailty Index To Identify Patients At High Risk For Postoperative Intensive Care Unit Admission, Specialized Advanced Care Unit Admission, And 30-Day Readmission, Timothy J. Donoghue

Theses and Dissertations

Frailty is roughly defined as an accumulation of physiological, emotional, cognitive, and social deficits that impair a person’s response to stressful events. A frailty diagnosis has been associated with poor outcomes following surgical procedures. Cancer surgical patients aged 65 or older represent a vulnerable population susceptible to being frail and the potential associated complications that can accompany frailty. Measuring frailty is an objective risk assessment that identifies increased risk better than age or American Society of Anesthesiologists Physical Status (ASA-PS) score such that frailty can independently predict poor surgical outcomes.

Frailty is not specifically a result of having cancer, disability, …

Knowledge, Perception, And Clinical Management Strategies Of Us Pediatric Dentists On Molar Incisor Hypomineralization, Courtney T. Brashier

Theses and Dissertations

Purpose: The purpose of this cross-sectional, survey-based study is to determine current US pediatric dentists’ knowledge, perceptions, and clinical management strategies for patients with molar incisor hypomineralization (MIH).

Methods: Following appropriate protocol and authorizations, all active pediatric dentists, general dentists, and post-doctoral student members identified by the 2020 American Academy of Pediatric Dentistry’s membership list were invited to partake in an anonymous email survey. Data regarding participants sociodemographic, education, and clinical backgrounds were collected in addition to information obtained from MIH-focused questions. Descriptive statistics and chi-square tests were used to compare and analyze data. A significance level was set at …

Preventing Obesity: A Social Ecological Exploration Of Centers For Disease Control Prevention Strategies And Guidance Toward Healthy Eating, Physical Activity, And Communities, Ryan Kelly

Theses and Dissertations

Abstract

Obesity has reached nearly 40% of the adult public in the United States, costing the citizen taxpayer over $200 billion annually in healthcare costs. Those suffering from obesity deal with multiple physical and mental repercussions. Through a content analysis of four Centers for Disease Control (CDC) documents and guided by the conceptual framework of the social ecological model, this research explores the federal approach to preventing obesity. The analysis finds that CDC solutions to obesity involve connecting people to each other and healthier choices, an orientation toward local public administration, and an emphasis on environmental and infrastructure improvements. The …