Digital Commons Network^™

The Experiences Of Occupational Therapists Working On Interprofessional Primary Health Care Teams: A Case Study., Emma Blake Mcclellan

Online Theses and Dissertations

The aim of this research was to provide evidence on the integration of occupational therapy (OT) intervention in primary care from the perspective of OTs. Typical services provided, experience with team members, and the identified value of OT in primary health care was explored. OT possesses the expertise and skill set to address the most common chronic conditions that primary care providers treat by entry level educational preparation. OT services are based upon a holistic view of individuals creating an affective skill set to participate in and coordinate health care delivery for the client. Currently limited evidence is available to …

Sedentary Behaviors And Physical Activity In Relation To Class Standing In University Students, Codie Monhollen

Online Theses and Dissertations

The researcher studied sedentary behaviors and physical activity (PA) of university students in relation to class standings. Participants were 294 university students for the Sedentary Behavior Questionnaire (SBQ) and 264 students for the International Physical Activity Questionnaire (IPAQ) selected from the College of Health Sciences. Sedentary Behaviors were analyzed using the SBQ, consisting of 9 behavior items, separated into weekday and weekend behavior. Additionally, PA was assessed using the IPAQ. On average students spent 37hr in sedentary behaviors during a normal 5 day week. Statistical significance was found between class standing for playing computer/video games, paperwork/computer, and transportation for weekday …

Preparation And Characterization Of Self-Assembled Monolayers And Mesoscale Protein Patterning, Panae Noomuna

Online Theses and Dissertations

Bottom-up approach was used to develop self-assembled monolayers of octadecyltrichlorosilane (OTS) and undecenyltrichlorosilane(UTS) on Si(100) wafer. Undecenyltrichlorosilane monolayer was oxidized at the vinyl terminal to generate a carboxylic acid group. Lysozyme protein was immobilized on the polar carboxylic acid group. The developed protein patterns were investigated using fluorescence microscopy. Lysozyme has an isoelectronic point of 11.35. At a pH below this value the protein is positively charged making it a good candidate for electrostatic adsorption on the negatively charge -COO- group. Fluorescence images confirm formation of lysozyme across the silicon wafer. The patterned Si(100) wafer can be used as a …

A Qualitative Exploration Of Firefighter Participation In Wellness Programs Within A Career Fire Department In Northern Ohio, Conner O'Halloran

Online Theses and Dissertations

Firefighters respond to dangerous emergencies every day. The physical and mental wellness of firefighters is very important to their overall job performance. To support this, fire departments must have established, comprehensive wellness programs (International Association of Firefighters, 2008). Even with national standard recommendation of wellness programs, one does not exist in a fire department located in Northern Ohio.

The focus of this research is to explore reasons why these highly recommended wellness programs are not established. Successful establishment of a wellness program requires understanding why this fire department is hesitant or unsuccessful in implementing and maintaining a wellness program.

This …

Individuals Who Self Identify As Artists But Work In A Different Career: A Cross Case Analysis, Kelly Lee Price

Online Theses and Dissertations

The purpose of this study was to examine, from their individual perspective, the identity of individuals who self-identify as an artist but work in other careers. The research objectives of this study included: exploring the possible sense of occupational imbalance in an individual’s self-identity, exploring the personal identity of individuals who perceive themselves as artists but work at a different career, and explaining the relationships between art and self-identity including life balance, work ethic, and education. This research was based in an occupational science viewpoint, in that it looked at how occupations help to define life meaning, purpose, and identity. …

A Study Of Academic Performance In Police Basic Training, Robert Ramsey

Online Theses and Dissertations

The purpose of this study was to examine the relationship of formal education and the effect it has on academic performance of the police recruits that attended the Department of Criminal Justice Training (DOCJT) for their basic training academy in Richmond, Ky. This study focused on the academic portion of recruit training only. This study assessed whether education level is a valid predictor of a recruit officers academic performance and will answer if higher education levels give a recruit officer an advantage academically while they are in basic training.

The sample chosen was from recruit classes that attended basic training …

Effectiveness Of Visual-Based Safety Training Compared With Non-Visual Based Safety Training In The Meat Processing Industry For Non-English Speaking, Hispanic Employees, Erika K. Rinehart

Online Theses and Dissertations

The purpose of this research was to identify whether visual-based safety training for non-English, Spanish speaking employees in the meat industry is more effective than non-visual training. The literature review included in this thesis studies the known barriers to training Hispanic workers, the existing training methods out there for safety training, and the best forms of safety training for non-English, Spanish speaking workers.

The methodology in this research evaluated the effectiveness of visual-based training versus a non-visual training for non-English, Spanish speaking employees in the meat industry. Two training sessions with a total of 30 volunteers was organized in order …

Elaborating Borderline And Psychopathic Personality With The Computerized Adaptive Test Of Personality Disorder In A Female Correctional Sample, Chelsea Sleep

Online Theses and Dissertations

Most of what we know about Psychopathic Personality Disorder (PPD) is based upon research with males. Considerably less research has examined female manifestations of the construct, however, some research suggests that Borderline Personality Disorder (BPD) may represent a female phenotypic expression of PPD, particularly among incarcerated offenders. The current study examined distinction and convergence between PPD and BPD. Utilizing a sample of 146 female correctional inmates as well as 109 female college students, the current study employed the Computerized Adaptive Test of Personality Disorder (CAT-PD) as well as other specific indices to explore the extent to which these two personality …

5-0 Is Not Coming To Save You: Examining The Lack Of Police Intervention In Lgbtq Intimate Partner Violence, Lucais Wallen

Online Theses and Dissertations

Intimate partner violence (IPV) has garnered a lot of attention by the criminal justice system, the media and, academia. Intimate partner violence laws have seen drastic changes over the past hundred years often coupled with the changes of culture and society. Though intimate partner violence surely warrants that attention, the growing and important issue of lesbian, gay, bisexual, transgender, and queer (LGBTQ) intimate partner violence has largely been ignored. The ongoing struggle of LGBTQ community for equality has not as of yet been a catalyst for drastic legal change. Utilizing narratives from victims of intimate partner violence from around the …

The Effect Of Antibiotics On Pseudomonas Aeruginosa Biofilm Production, Courtney Paige Turpin

Online Theses and Dissertations

Antibiotic-resistant bacteria have become an increasing burden worldwide. A highly resistant species is Pseudomonas aeruginosa, a nosocomial pathogen that produces a biofilm that enhances its resistance. This project examined the possibility of using bacteriocin, an internal protective toxin produced by some species of bacteria, as a potential treatment for resistant bacteria. In this study, standard broad spectrum antibiotics were used to treat P. aeruginosa to prevent biofilm formation. The biofilm was then analyzed to determine if the biofilm is inhibited or facilitated by each treatment. Optimal concentrations of antibiotics were determined to be effective at a concentration of 0.07mg/mL for …

The Role Of Speech-Language Pathologists In Swallowing Treatment Of Individuals With Hiv/Aids, Sarah Lynn Warner

Online Theses and Dissertations

The role of speech-language pathologists (SLPs) in the assessment and treatment of dysphagia in individuals living with HIV/AIDS is relatively absent from the literature. Dysphagia is described as difficulty swallowing that can be caused by oral indicators, structural dysfunction, and neurological disease (Bladon & Ross, 2007; Bobba et al., 2007; Nkuize et al., 2010). Dysphagia is a prevalent symptom secondary to the HIV/AIDS virus, yet dysphagia in the HIV/AIDS population often goes untreated (Bladon & Ross, 2007). One way to improve assessment and treatment of dysphagia is to ensure medical professionals are knowledgeable of the communication and swallowing disorders that …

The Current Status Of Safety In High School Chemical Laboratories In Kentucky, Ahmed Rashed Alyammahi

Online Theses and Dissertations

This project is construed as a follow-up of the study conducted by Dr. Jack Gerlovich and his team to assess the status of science safety in Kentucky high schools in 2003-2004. The current study gathered online responses to an expanded survey from 57 high school chemistry teachers in Kentucky. The survey was developed to find answers to four main questions: What is the current status of safety in high school chemical laboratory in Kentucky? To what extent has this status improved or deteriorated since the creation and publication of the Total Science Safety-The Kentucky Edition CD in 2003? What are …

Examining The Impacts Of Valley Fills In Stream Ecosystems On Amphibian And Aquatic Insect Communities In Southeastern Kentucky, John Clayton Bourne

Online Theses and Dissertations

Chapter 1. Abstract: Biodiversity is not evenly distributed, and understanding factors that determine spatial patterns of species diversity remains a key question in ecology. Because of their relatively high abundance and complex life cycles, stream salamanders and aquatic insects are important trophic links and serve a critical role in transferring energy. Despite this importance little research has examined their community structure simultaneously in aquatic ecosystems. The primary objective of this research was to determine the structure of these communities across natural areas of southeastern Kentucky and understand what factors impact their abundances and distributions. To address this, we sampled eight …

Everybody Matters: A Mixed-Methods Analysis Of Support Services Available To Survivors Of Human Trafficking In Central Kentucky, Arika Morgan Bow

Online Theses and Dissertations

This research is designed to identify service and capacity gaps that exist and need to be addressed in Central Kentucky to improve the provision of social services for survivors of human trafficking. Relying upon in-depth interviews with individuals from different organizations/agencies (e.g., social service providers, federal and local law enforcement agencies, human trafficking task forces) in Central Kentucky that work on human trafficking and with survivors, this research provides a comprehensive picture of the social services available to survivors of human trafficking, including the need for additional services. This research offers an analysis of the capacity gaps that exist, making …

Dual Credit In Southeast Kentucky: Accelerating Appalachian Success Or A Mode To Regress, Roger A. Bowling

Online Theses and Dissertations

This dissertation is a qualitative study about high school student participation in dual credit programming in the rural Appalachian setting of Southeastern Kentucky. The research region is comprised of resource extraction based communities and the coal markets have plummeted. Void the once robust coal industry, Southeast Kentucky will have to reconstruct a new economy. Today’s students in this region can no longer be prepared to enter an established workforce, they must be able to acclimate to and/or forge new jobs. Sustainability requires a refocusing on education. This dissertation provides a qualitative research contribution to the statistical literature available on Kentucky’s …

The Relationship Between Personality Type And Exercise Motivation, Kayla Michelle Bowman

Online Theses and Dissertations

Purpose: The purpose of this study was to provide further understanding of the complex nature of physical activity motivation. Specifically, the purpose of this study was to analyze personality type and internal/external autonomous regulation. Method: Subjects were college students age 18 years and older who attended the Fitness Five Project. Data collected from the Ten-Item Personality Inventory and the RM 4-FM: Motivation for Physical Activity Questionnaire were analyzed using a bivariate correlation. Results: Statistical analyses revealed the personality traits extraversion, agreeableness, conscientiousness, and emotional stability were positively associated with intrinsic motivation. Results showed the personality trait openness to experience was …

The Relationship Between Administrative Support And Burnout In Turnaround Schools, Kevin Scott Crosby

Online Theses and Dissertations

This study looked at the relationship between administrative support and teacher burnout in two federally funded turnaround middle schools. Teacher burnout indicators include signs of lacking accomplishment, mental and physical fatigue, and depersonalization. Administrative support factors include positive communication, vision, district support, and school support. The major findings of this study showed that school level support played a significant role in predicting teacher burnout. Professional development support played a significant role in predicting teacher burnout, but not to the same extent as school level support. Central office support was not a significant factor in predicting teacher burnout or any burnout …

A Comparison Of Management Strategies For The Federally Endangered Running Buffalo Clover (Trifolium Stoloniferum) On The Blue Grass Army Depot, Ky, Alexi David Dart-Padover

Online Theses and Dissertations

Running buffalo clover (Trifolium stoloniferum) is a federally endangered plant that appears to depend on habitat disturbance, although proposed management strategies such as cattle grazing, mowing, and herbicide application have never been compared in a controlled study. We evaluate the efficacy of these techniques on the Blue Grass Army Depot (BGAD) in Madison County, KY, where one of T. stoloniferum’s largest populations occurs. Fifty-nine patches of T. stoloniferum on the BGAD were treated annually between 2012 and 2014 with combinations of mowing and grass-specific herbicide. Patches of T. stoloniferum also were exposed to one of three types of cattle exposure …

Ucc Minutes, January 27, 2015, University Curriculum Council

UCC Agendas/Minutes

No abstract provided.

Alleviation Of Photosynthetic Inhibition In Copper-Stressed Tomatoes Through Rebalance Of Ion Content By Exogenous Nitric Oxide, Lina Wang, Xiaoyu Yang, Zhonghai Ren, Xiangyang Hu, Xiufeng Wang

Turkish Journal of Botany

Copper (Cu) is an essential element that plays a very important role in plant growth and development. Its accumulation in soil is now considered a serious environmental problem endangering agricultural production and human health. In this study, the influence of exogenous nitric oxide (NO) on photosynthesis, Cu, magnesium (Mg), and iron (Fe) contents was studied in tomato seedlings under Cu stress grown in hydroponic culture. The results showed that the addition of sodium nitroprusside (SNP), a donor of exogenous NO, significantly alleviated photosynthetic inhibition in Cu-stressed tomatoes, including the recovery of photosynthetic pigment content and chlorophyll a fluorescence and the …

Ameliorative Role Of Ss-Estradiol Against Lead-Induced Oxidative Stressand Genotoxic Damage In Germinating Wheat Seedlings, Muci̇p Geni̇şel, Hülya Türk, Serkan Erdal, Yavuz Demi̇r, Ebru Genç, İrfan Terzi̇

Turkish Journal of Botany

In the present study, to determine the effects of β-estradiol on the ability of plants to tolerate lead toxicity, β-estradiol (10 μM) and lead (1.75 mM), singly or in combination, were exogenously applied to wheat seeds. Although lead resulted in a marked increase in the activities of antioxidant enzymes, including superoxide dismutase, guaiacol peroxidase, ascorbate peroxidase, and glutathione reductase (but not catalase), as well as an increase in the level of antioxidant compounds such as ascorbic acid and glutathione, this was insufficient to ameliorate the lead-induced oxidative injury or the superoxide anion, hydrogen peroxide, and malondialdehyde levels. However, β-estradiol was …

Utility Of M30, An Apoptotic Serum Marker, In Liver Diseases, Aki̇f Altinbaş, Şahi̇n Çoban, Ömer Başar, Osman Yüksel

Turkish Journal of Medical Sciences

The aim of this paper is to evaluate the role of apoptosis in some common liver diseases, and the utility of M30, an apoptotic serum marker, in the diagnosis of the severity of underlying hepatic injury. As is widely known, apoptosis is programmed cell death, and its deregulation results in an uncontrolled inflammatory process leading to upregulation of liver fibrogenesis. Both extrinsic and intrinsic pathways are crucial in apoptosis, and caspase cleavage of cytokeratin proteins occurs in both. Therefore, the measurement of caspase-cleaved cytokeratin fragments could be a novel method to assess the intensity of apoptotic cell numbers in epithelial …

Mucocutaneous Manifestations And The Relationship To Cd4 Lymphocyte Counts Among Turkish Hiv/Aids Patients In İstanbul, Turkey, Özlem Altuntaş Aydin, Hayat Kumbasar Karaosmanoğlu, Ramazan Korkusuz, Mehmet Özeren, Özcan Nazlican

Turkish Journal of Medical Sciences

Dermatologic findings differ among countries but no sufficient data about Turkish HIV-infected patients exist in the literature. Therefore, our aim in this study was to document the dermatologic manifestations and their relationships with CD4 cell counts among HIV/AIDS patients visiting our clinic for the first time in İstanbul, Turkey. Materials and methods: A retrospective analysis of 306 HIV/AIDS patients (260 men, mean age: 38.3 years) was done in a tertiary hospital in İstanbul from January 2006 to September 2012. Information on age, sex, transmission routes, socioeconomic and educational status, CD4 counts, and dermatologic findings was collected retrospectively from medical records. …

Salivary Glucose And Antioxidant Defense Markers In Type Ii Diabetes Mellitus, Sayeeda Mussavira, Mala Dharmalingam, Bindhu Omana Sukumaran

Turkish Journal of Medical Sciences

To evaluate salivary antioxidant defense markers, their correlation with salivary glucose, and glycemic status in type II diabetes mellitus (DM). Materials and methods: The study included 53 diabetic patients and 40 healthy subjects. Salivary glucose, blood glucose, and uric acid (UA) were determined by specific enzymatic methods. Total antioxidant activity (AOA), glutathione (GSH), catalase (CAT), superoxide dismutase (SOD), and total protein were determined spectrophotometrically. Results: Salivary UA (3.12 vs. 1.89 mg/dL), GSH (47 vs. 11.92 µg/mL), and total protein (375.12 vs. 202.23 mg/dL) were significantly higher (P < 0.001; r = 0.455, 0.735, 0.498 respectively) and AOA (653.1 vs. 897.3 µmol/L) was significantly lower in the DM group (P < 0.001, r = -0.431) compared to healthy controls. Among the antioxidant enzymes, CAT was significantly lower (1214 vs. 9468.9 kat) in the DM group (P < 0.001, r = -0.886). Spearman correlation analyses within the diabetic group showed a strong positive association between salivary glucose and blood glucose (P < 0.001, r = 0.9), salivary glucose and GSH, and salivary glucose and UA. Salivary glucose showed a negative correlation with AOA and CAT (P = 0.008, r = -0.447) in the diabetic group. Conclusion: Findings of this study, showing a strong correlation between salivary glucose and blood glucose as well as changes in antioxidant components in the DM group, suggest that saliva can be used for the diagnosis and management of DM.

Analysis Of Vaca/Caga Genotypes/Status In Helicobacter Pylori Isolates From Iranian Children And Their Association With Clinical Outcome, Tahereh Falsafi, Afsaneh Khani, Fatemeh Mahjoub, Ezat Asgarani, Nazli Sotoudeh

Turkish Journal of Medical Sciences

More than 50% of Iranian children are infected with Helicobacter pylori; however, no data exist about the association of vacA/cagA genotype/status with disease outcomes in them. We analyzed association of vacA/cagA genotypes/status of children's isolates with gastric inflammation status as the first step in H. pylori pathogenesis. Materials and methods: Antral biopsies for culture and histopathology were taken from 328 children in 1997-2009. vacA (s, m) alleles and cagA statuses of the isolates were determined by PCR. Histopathology was performed according to the Sydney system; gastritis was scored as normal, mild, moderate, severe, and follicular. Results: A total of 159 …

A Cgh Array Study In Nonsyndromic (Primary) Autism Patients: Deletions On16p13.11, 16p11.2, 1q21.1, 2q21.1q21.2, And 8p23.1, Kudret Esen Gümüşlü, Hakan Savli, Deni̇z Sünnetçi̇, Naci̇ Çi̇ne, Bülent Kara, Seda Eren Keski̇n, Rami̇s Ufuk Akkoyunlu

Turkish Journal of Medical Sciences

Background/aim: To detect specific molecular changes of DNA level in primary autism patients by using whole genome CGH array technology. Materials and methods: A cohort of 35 primary autism patients received clinical genetic testing by using an oligonucleotide-based CGH array platform to test for submicroscopic genomic deletions and duplications. Fluorescent in situ hybridization was performed in seven patients for confirmation of the results. Results: We found 16p13.11 deletion in thirteen patients, 16p11.2 deletion in twelve patients, 1q21.1 deletion in ten patients, 2q21.1q21.2 deletion in eight patients, and 8p23.1 deletion in seven patients. Conclusion: Our study indicates that genes in 16p13.11, …

Comparison Of The Analgesic Effects Of Paracetamol And Tramadol In Lumbar Disc Surgery, Mehmet Zi̇ya Yilmaz, Bahri̇ye Bi̇nnur Sarihasan, Ebru Kelsaka, Ni̇lay Taş, Aysun Çağlar Torun, Ersi̇n Köksal, Eni̇s Kuruoğlu

Turkish Journal of Medical Sciences

Background/aim: To compare the postoperative analgesic efficacy and side effects of paracetamol and tramadol in patients undergoing lumbar disc surgery. Materials and methods: Group P (paracetamol group) was given 1 g of paracetamol intravenously 30 min before the end of the operation and 1 g each day at 6-h intervals. Group T (tramadol group) was given 1.5 mg/kg of tramadol as a loading dose and patient-controlled analgesia for 1 day. Hemodynamic parameters, modified Aldrete score, Ramsay sedation scale score, patient satisfaction scale (PSS) score, visual analog scale (VAS) score, nausea/vomiting scale score, and additional analgesic needs/times were recorded. Results: PSS …

Relationship Among Mif, Mcp-1, Viral Loads, And Hbs Ag Levelsin Chronic Hepatitis B Patients, Hayati̇ Güneş, Rafet Mete, Murat Aydin, Bi̇rol Topçu, Mustafa Oran, Mustafa Doğan, Oğuzhan Yildirim, İlknur Erdem, Aynur Eren Topkaya, Ahmet Gürel

Turkish Journal of Medical Sciences

Background/aim: To determine whether macrophage migration inhibitory factor (MIF) and monocyte chemoattractant protein-1 (MCP-1) levels in patients with hepatitis B (HB) are different than in normal individuals and whether the HB surface antigen (HBs Ag) level and viral load are correlated with each other and with the two aforementioned parameters. Materials and methods: Sera were obtained from 52 chronic active HB (CAHB) patients and 33 healthy controls, and their MIF and MCP-1 levels were measured. Statistical analyses were performed. A value of P < 0.05 was considered statistically significant. Results: The MIF and MCP-1 values of the control group were increased compared to those of the CAHB group. The MIF and MCP-1 levels were negatively correlated with HBs Ag levels and viral loads. The MIF and MCP-1 levels were positively correlated. The HBs Ag levels and the log10 of the viral loads were positively correlated. Conclusion: We conclude that the negative correlation of MIF and MCP-1 with viral load and HBs Ag levels may be due to T-cell deficiency, antinuclear antibody seropositivity, and/or inhibition of chemokine ligand 2 receptors by viral antigens. More studies with a greater number of subjects are needed to evaluate the potential role of MIF and MCP in CAHB.

Vitamin And Mineral Deficiency In Children Newly Diagnosed With Celiac Disease, Erdem Topal, Ferat Çatal, Nurdan Yildirim Acar, Hali̇me Ermi̇şteki̇n, Muhammed Selçuk Si̇nanoğlu, Hamza Karabi̇ber, Mukadder Ayşe Seli̇moğlu

Turkish Journal of Medical Sciences

Background/aim: To establish the frequency of vitamin and mineral deficiency in children newly diagnosed with celiac disease. Materials and methods: The files of patients diagnosed with celiac disease in our Pediatric Gastroenterology Clinic from June 2008 to June 2013 were reviewed retrospectively. Results: A total of 52 pediatric patients diagnosed with celiac disease via serology and duodenal biopsy and who fulfilled the study criteria were enrolled in the study. The mean diagnosis age of the patients was 8.5 ± 3.9 years and 33 (63.5%) of the patients were female. Vitamin D, vitamin A, vitamin E, zinc, and iron deficiencies were …

Prevalence Of Helicobacter Pylori Caga, Baba2, And Dupa Genotypes Andcorrelation With Clinical Outcome In Malaysian Patients With Dyspepsia, Hussein Ali Osman, Habsah Hasan, Rapeah Suppian, Syed Hassan, Dzulkarnaen Zakaria Andee, Noorizan Abdul Majid, Bin Alwi Zilfalil

Turkish Journal of Medical Sciences

Background/aim: The severity of disease outcome in dyspepsia has been attributed to Helicobacter pylori virulence genes. The aim of this study was to determine the distribution of H. pylori virulence genes (cagA, babA2, and dupA) and to determine whether or not there arises a significant correlation with clinical dyspepsia outcomes. Materials and methods: H. pylori genotypes cagA, babA2, and dupA were identified by polymerase chain reactions from gastric biopsy samples in 105 H. pylori-positive patients. Results: The positive rates for cagA, babA2, and dupA genes in H. pylori dyspeptic patients were 69.5%, 41.0%, and 22.9%, respectively. cagA was more prevalent …