Digital Commons Network^™

Student Engagement And College Readiness In Mathematics., Leah White

Electronic Theses and Dissertations

The purpose of this study was to determine the relationship between reform practices, student engagement in mathematics class, college readiness in mathematics for high school students, and mathematics teacher Professional Development (PD). Quasi-experimental mixed methodology addressed the research question(s) in a parallel design. Treatment teachers participated in PD where reformed teaching practices were presented, observed, discussed, and analyzed using a Cognitive Apprenticeship (CA) framework. Student’s mathematics readiness was measured distantly and proximally. Student engagement in mathematics class and reform practice implementation were observed, using Reformed Teaching Observation Protocol (RTOP), and compared across groups to assess treatment effects pre and post …

The Effect Of The Patient Protection And Affordable Care Act On The Medicare Part D Coverage Gap As Reflected In Diabetes Medication Adherence., Jennifer A. Forristal

Electronic Theses and Dissertations

This dissertation involves an evaluation of the effect of the Patient Protection and Affordable Care Act (ACA) on diabetic medication adherence for mail order utilizers over 6 years as the Medicare Part D coverage gap begins to close. The study had 3 objectives: 1) to evaluate diabetes medication adherence of health plan members before they reach the coverage gap and then while they are in the coverage gap, 2) to compare diabetes medication adherence between two similar groups with differing benefit structures, one group with a gap in coverage as opposed to a group with no benefit changes within the …

The Relevance Of Client-Healthcare Provider Communication To The Appraisal Of Illness Uncertainty In Women With Fibromyalgia Syndrome., Melody Dawn Reibel

Electronic Theses and Dissertations

Illness uncertainty and impaired client-healthcare provider (HCP) communication are critical healthcare problems for women with fibromyalgia syndrome (FMS). However, the relationship between illness uncertainty and client-HCP communication has not been previously examined. The purposes of this dissertation were to (a) gain a deeper understanding of the lived experiences of women with FMS, (b) to examine the relationships among client-HCP communication, illness uncertainty, helplessness, and subjective well-being (SWB) in women with FMS, and (c) evaluate the psychometric properties of the patient-HCP communication scale (PHCPCS) in women with FMS. A mixed-methods design enhanced validity of the findings. The qualitative pilot study showed …

A Phenomenological Study Of Anticipated Intimacy And Sexual Expression Needs Of Aging Male And Female Baby Boomers., Charles Shawn Oak

Electronic Theses and Dissertations

The purpose of this study was to understand the phenomenon of how heterosexual Baby Boomers define and understand intimacy, sexual expression, along expectations and desires relating to their respective expressions across the lifespan through their individual experiences and reflections. A set of guiding questions were used in a hermeneutic phenomenological qualitative research design. Data was gathered from thirteen subjects (n=13) using the Rappaport Time Line (RTL) that was used to develop individualized semi-structured interviews and follow-up interviews that were professionally transcribed. These were coded to identify emergent themes. Results of the study provided insight into the phenomenon of how heterosexual …

Places In The Polity Of Rhetoric : Topoi, Evolution, And The Fragmentation Of Discourse., Benjamin James Bickel Wetherbee

Electronic Theses and Dissertations

This dissertation integrates classical rhetoric with postmodern understandings of textual fragmentation. “Places in the Polity of Rhetoric” follows two mutually constitutive avenues of inquiry, one of which stresses the importance of understanding textual fragments as rhetorical topoi—that is, as generative “places” that allow writers and speakers to economically evoke larger fields of cultural meaning in the space of a single word, phrase, or image. The other stresses the evolution of rhetorical culture that emerges through the interaction between human agents, who use these topoi for rhetorical ends, and discursive agents (topoi themselves) who use human rhetors to propagate …

The Pedagogy Of Medical Humanities : Using Literature And The Visual Arts To Help Future Caregivers Maintain Their Compassion And Resilience., Lisa Higgins Shugoll

Electronic Theses and Dissertations

This dissertation argues that medical humanities education for students considering careers in healthcare should begin at the general undergraduate level and should have two primary objectives, (1) providing tools that will help students foster therapeutic, compassionate relationships with their patients, and (2) providing strategies that will help students maintain healthy habits of mind that afford resilience against compassion fatigue. I assert that in order for students to practice compassion for themselves and others three core objectives must be met. (1) Students must be exposed to the fundamentals of bioethics in order to understand the virtue of compassion itself, (2) they …

Investigating Disparities In Behavior And Care Between Alaska Native And White Victims Of Sexual Violence: The Importance Of Culturally Competent Nursing Care, Elizabeth Danielle Koster

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Context: According to Alaska’s former governor the sexual violence issue in the state has become an epidemic. Four out of ten women in Alaska have been victims of sexual assault. The purpose of this research was to determine the existence of health care disparities in the treatment of Alaska Native women victims of sexual violence compared to white women victims and address the need for sexual assault nurse examiners (SANEs) to provide culturally competent nursing care. Objective: The specific research questions addressed in this study compared multiple variables between Alaska Native and white women victims of sexual violence: behaviors during …

Visible Tattoos And Professional Nursing Characteristics: A Study On How Appearance Affects The Perception Of Essential Qualities Of Nurses, Darcy M. Boultinghouse

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Previous studies have indicated that nurses with tattoos are viewed less favorably than nurses without tattoos, regardless of gender. Additionally, older adults are more likely to negatively evaluate nurses with tattoos than young adults. Images of male and female nurses with and without tattoos were shown to 128 participants between the ages of 18-80 years on an iPad. Participants selected according to gender which nurse possessed more of the following professional characteristics based on their initial impression of their physical traits, or selected no difference: respectfulness, kindness, trustworthiness, intelligence and competence. The study showed that male nurses with tattoos were …

Problem Solving Skill And Obesity In Children, Caitlin R. Spano

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract:

Introduction: Childhood obesity is a problem that leads to many serious health effects including early maturation, decreased quality of life and increased risk for cardiovascular disease. In 2012, over one third of children were considered obese (Childhood Obesity Facts 2015). Efforts have been made to reduce this number but they have not been fully successful (Nutrition Standards for School Meals 2015, Prevalence of Childhood obesity in the United States 2011-2012 2015). What other factors are causing kids to choose foods that lead to weight gain.

Literature Review: In research regarding psychological motivations of overeating, there has been a correlation …

Recognition Of Oxidized Albumin And Thyroid Antigens By Psoriasis Autoantibodies: A Possible Role Of Reactive-Oxygen-Species Induced Epitopes In Chronic Plaque Psoriasis, Hani A. Al-Shobaili, Ahmed A. Ahmed, Zafar Rasheed

Saudi Medical Journal

Objectives: To investigate the role of reactive-oxygen-species (ROS) induced epitopes on human-serum-albumin (HSA) and thyroid antigens in psoriasis autoimmunity. Methods: This study was performed in the College of Medicine, Qassim University, Buraidah, Saudi Arabia between May 2014 and February 2015. The study was designed to explore the role of ROS-induced epitopes in psoriasis autoimmunity. Singlet-oxygen (or ROS)-induced epitopes on protein (ROS-epitopes-albumin) was characterized by in-vitro and in-vivo. Thyroid antigens were prepared from rabbit thyroid, and thyroglobulin was isolated from thyroid extract. Immunocross-reactions of protein-A purified anti-ROS-epitopes-HSA-immunoglobulin G (IgGs) with thyroid antigen, thyroglobulin, and their oxidized forms were determined. Binding characteristics …

Does Social Support Affect Development Of Cognitive Dysfunction In Individuals With Diabetes Mellitus?, Feride T. Yilmaz, Selma Sabancıogullari, Kadriye Aldemir, Azime K. Kumsar

Saudi Medical Journal

Objectives: To determine cognitive functions and perceived social support (SS) among individuals with diabetes mellitus (DM), and the effects of SS on the development of cognitive dysfunction (CD). Methods: This cross-sectional study was conducted in 121 patients with DM presenting at the Endocrinology Clinic of Cumhuriyet University Health Services Application and Research Hospital, Sivas, Turkey between April and June 2014. Data were collected utilizing the “Patient Assessment Form”, “Standardized Mini Mental State Examination (SMMSE)”, and “Multidimensional Scale of Perceived Social Support (MSPSS)”. Results: The mean score obtained for DM patients from the SMMSE was 21.55±5.7, with 65.3% found to have …

Characteristics And Treatment Outcomes Of Patients With Multi-Drug Resistant Tuberculosis At A Tertiary Care Hospital In Peshawar, Pakistan, Mazhar A. Khan, Sumaira Mehreen, Anila Basit, Raza A. Khan, Faheem Jan, Irfan Ullah, Muhammad Ihtesham, Afsar Khan, Ubaid Ullah, Arshad Javaid

Saudi Medical Journal

Objectives: To determine characteristics and treatment outcomes of multidrugs resistant tuberculosis (MDR-TB) patients and risk factors for poor outcomes in MDR-TB patients in a tertiary care hospital in Peshawar, Pakistan. Methods: This retrospective study was conducted at the Programmatic Management of Drug Resistant TB Unit, Lady Reading Hospital Peshawar, Pakistan and included all MDR-TB patients registered between January 2012 and December 2012. A special proforma was used for data collection. Analysis was performed using SPSS version 16, after exporting data from the proforma. Differences in proportions were assessed using Pearson’s Chi square test whereas for predictors of poor outcomes, multivariate …

Shared Clinical Decision Making: A Saudi Arabian Perspective, Ali I. Alhaqwi, Turki M. Aldrees, Ahmad Alrumayyan, Ali I. Alfarhan, Sultan S. Alotaibi, Hesham I. Alkhashan, Motasim Badri

Saudi Medical Journal

Objectives: To determine preferences of patients regarding their involvement in the clinical decision making process and the related factors in Saudi Arabia. Methods: This cross-sectional study was conducted in a major family practice center in King Abdulaziz Medical City, Riyadh, Saudi Arabia, between March and May 2012. Multivariate multinomial regression models were fitted to identify factors associated with patients preferences. Results: The study included 236 participants. The most preferred decision-making style was shared decision-making (57%), followed by paternalistic (28%), and informed consumerism (14%). The preference for shared clinical decision making was significantly higher among male patients and those with higher …

Wernicke’S Encephalopathy Following Roux En Y Gastric Bypass Surgery, Azra Zafar

Saudi Medical Journal

Wernicke’s encephalopathy (WE) is a serious neurological disorder characterized by a classical triad of acute mental confusion, ataxia, and opthalmoplegia due to thiamine deficiency. It was initially described in chronic alcoholics; however, any condition resulting in poor nutritional status places the patient at risk of WE. Bariatric surgery is now considered as an emergent cause of WE. The number of bariatric surgery is increasing for morbid obesity. We present a case of a 40-year-old male who presented with confusion and difficulty in maintaining the balance while walking 3 months after Roux en Y gastric bypass surgery. Diagnosis of WE was …

Differences In Literacy Scores Among Students Who Attended School-Based Prekindergarten, Head Start, And No Prekindergarten, Melissa Hughes

Doctoral Dissertations and Projects

With no state-funded prekindergarten program in Mississippi, some school districts have chosen to divert Title I funds to the creation of school-based prekindergarten programs. This study looked at archival data to determine differences in the beginning of the year kindergarten scores between students who attended local Head Start programs (n = 41), students who attended school-based prekindergarten programs (n = 64) in schools that use Title-I funds to support such programs, and students who did not attend prekindergarten (n = 31). The study sought to examine the question of whether a difference existed in the overall scaled score of the …

The Impacts Of Work-Family Conflict On Burnout Among Female Lecturers, Zulkarnain Zulkarnain, Elvi Andriana Yusuf, Annisa Vanya Pulungan

Makara Human Behavior Studies in Asia

Indonesian females lecture are expected to perform double roles to do domestic chores and take care of their children. This condition may create conflicts if female lecturers cannot perform their duties as expected by their employers and families. These conflicts then turn into mental pressure and experiences of burnout. The aim of this study is to find out the impacts of family-work conflicts and burnout among female lecturers. The subjects of this study are 160 lecturers who are female, are married, and have children. Research data are generated using family-work conflict scale and burnout scale. The data are analyzed using …

Personality Traits, Sedentariness, And Personal Dilemma As The Dynamic Predictors Of Intention To Use Public Transportation In Greater Jakarta, Juneman Abraham, Muhammad Sahid Wirayudha

Makara Human Behavior Studies in Asia

The management of mass public transportation requires the psychology of transportation in order to design and operate a transportation system which suits the social psychology dimension of urban citizens. The aim of this research is to examine the role of personality traits, sedentariness, and personal dilemma in predicting the intention of a particular group of urban citizens to switch from using private cars to using mass public transportation. This research uses the predictive correlational design, while the research data are analyzed using the multiple linear regression technique in order to identify the main effects and interaction effects of variables which …

Physiological Response To Dissonance In Musicians And Nonmusicians, Angela Beth Biehl

Masters Theses

Knowing the human response to musical dissonance could have important therapeutic implications in the music therapy setting. The listener’s musical experience could significantly impact their response and subsequently its effect in a therapeutic setting. Thus, this study aimed to examine both the psychophysiological and subjective responses to dissonance and the difference in these responses between those with high experience and those with low experience. Participating groups, categorized as high experience (HE) and low experience (LE) in terms of musical knowledge, listened to consonant and dissonant musical excerpts, and rated each excerpt on its pleasantness; their physiologic responses were measured to …

Reversing The Tao: A Framework For Credible Space Deterrence, Christopher Michael Stone

Graduate Theses/Dissertations

This thesis was written to provide the reader with a firm understanding of the realities of the current DoD space deterrence concept, its shortcomings and the threat that these shortcomings pose to the United States and its Allies if a more realistic, credible space deterrence concept is not created and deployed. To highlight these shortcomings, a review of deterrence theory from classical to modern writers were explored to compare and contrast with the DoD's present concept to highlight its lack of deterrence theory. In addition, it was highlighted through an analysis of the Chinese view of deterrence in space, space …

Rational Choice And The Original Position: The (Many) Models Of Rawls And Harsanyi, Gerald Gaus, John Thrasher

Philosophy Faculty Books and Book Chapters

"Rawls proclaims that 'the theory of justice is part, perhaps the nwst significant part, of the theory of rational choice' (T]R, p. 15, emphasis added; see section 2.2.3 below). Many have refused to take this claim literally (or even seriously), by, for example, interpreting the original position analysis as a heuristic for identifying independently true moral principles (see Dworkin, "Original Position," p. 19 and Barry, Theories, pp. 271-82). In this chapter we take this fundamental claim of Rawls at face value. We thus shall defend:

The Fundamental Derivation Thesis: the justification of a principle of justice …

The Impact Of Ciwa-Ar Tool On Healthcare Professionals, Laronda Tinsley

Applied Research Projects

Alcohol is one of the most abused substances worldwide. The regular consumption of alcohol can lead to dependency which depresses the central nervous system. Consequently, when a heavy drinker is no longer consuming alcohol, the central nervous system is no longer suppressed and may go into a hyperexcitable state known as alcohol withdrawal syndrome (AWS). Symptoms can vary from mild to life threatening. Patients who experience alcohol withdrawal symptoms often have a more complicated hospitalization, an extended length of stay, and increased utilization of intensive care and medical services. The Clinical Institute Withdrawal Assessment of Alcohol Scale-revised (CIWA-Ar) is a …

Individual Differences In Anxiety Sensitivity And Emotional Avoidance: Potential Links In The Association Between Internalizing Problems And Peer Victimization, Juventino Hernandez Rodriguez

Graduate Theses and Dissertations

Chronic peer victimization has been linked to short- and long-term problems such as anxiety, depression, and aggression (Hawker & Bouton, 2000; Reijntjes, Kamphuis, Prinzie, & Telch, 2010; Reijntjes, Kamphuis, Prinzie, Boelen, van der Schoot, & Telch, 2011). Most children are able to escape the role of stable victim, but some struggle to end victimization and the negative trajectory associated with it. The present study explored individual differences in anxiety sensitivity and emotional avoidance, developmental vulnerabilities that heighten children’s risk for internalizing problems, as possible predictors of children’s level of peer victimization. Participants were 677 fourth-grade students and their teachers. Multi-informant …

A Descriptive Case Study Of Individuals With Presumed Ocular Histoplasmosis Syndrome Utilizing A Facebook Support Group, Lisa Aimee Thompson

Graduate Theses and Dissertations

This dissertation describes the experiences of people diagnosed with presumed ocular histoplasmosis syndrome as they participate in an online peer-support group on Facebook. This is a descriptive case study of factors related to adjustment, treatment, emotional distress, access to services, and online peer support. Participants were interviewed and observed, and documents were collected to describe this phenomenon.

Image Processing And Visualization Of Terahertz Pulsed Imaging Of Breast Cancer Tumors, Yuhao Wu

Graduate Theses and Dissertations

Terahertz imaging technology has grown substantially in recent years. With new advances made in the generation, manipulation, and detection of terahertz radiation, terahertz imaging has found its application as inspection tools in a wide range of areas including biomedicine, materials science, and aerospace industries. In the field of medical imaging, terahertz (THz) has emerged as a new imaging modality due to some fundamental physical properties of the THz wave. THz imaging has been used to examine various biological structures, and THz tomography has been developed to probe the 3D structures of those samples.

THz pulsed imaging (TPI) is one of …

Shifts In Ritual Response To Loss Due To Death: An Assessment Of Funeral Service Mourning Trends Over Time, Lawrence D. Childress

Electronic Theses and Dissertations

Bereavement, while universal, is experienced and expressed uniquely; it is both ultimate and particular. As the predominant social expression of grief, funerals are purported to be waning and/or transitioning to emergent, less conventional ceremonial forms. In this research, the possible salutary utility of funerals is outlined, and trends relative to the cost, nature (type), and prevalence of funeral services are examined relative to an extant data set from two funeral homes of shared ownership in northeast Tennessee. This data analysis of specific funeral trends in south central Appalachia is juxtaposed against the broader backdrop of current theoretical, clinical, and socio-cultural …

The Role Of Sharing And Information Type In Children's Categorization Of Privileged And Conventional Information, Helana Girgis

Graduate Theses and Dissertations

Categorization is an essential part of our daily lives and an integral part of humans’ ability to function and interact within society. There are large bodies of research that document children’s categorization in domains such as natural kinds, artifacts and human kinds. One domain that has not been investigated is children’s ability to categorize different types of information; specifically conventional information, shareable to others with no restrictions, and privileged information, shareable to only a few. Study 1 investigated 4- and 5-year-olds and adults’ ability to categorize conventional and privileged information. All participants correctly categorized both types of information equally well …

An Assessment Of Primary Care Physician Opinions About Supporting The Independent Autonomous Practice By Advanced Practice Nurses, James Michael Flanigan

Graduate Theses and Dissertations

The Affordable Care Act (ACA) changed the national discussion about who is the decision-maker in healthcare delivery – physicians or others that pay the bill. The federal government is the largest payer of healthcare services while states are responsible for implementing the ACA’s features. Through the ACA, the federal government endorsed non-physician primary care by advanced practice registered nurses (APRN). The research question of this study is: Why do some primary care physicians support independent autonomous practice for advanced practice registered nurses while others do not? The research question should be important to policy-makers because physicians are the predominate purchasers …

The Efficacy Of An Eight-Week Undergraduate Course In Resilience, Asher J. Morgan

Graduate Theses and Dissertations

The purpose of this research was to measure the efficacy of an 8-week undergraduate

course in resilience. Finding useful strategies to understand how college students manage stress

and adversity is important to college administrators. The main topics that were assessed were

resilience, well-being, and assertiveness. Participants for this study included undergraduate

students enrolled either in a 8-week course on Resilience or a Public Health course. The

Connor-Davidson Resilience Scale, Questionnaire for Eudaimonic Well-Being, and the Simple

Rathus Assertiveness Scale were used to determine the efficacy of the 8-week course. Overall,

there was not a significant difference in resilience and well-being, …

Essays On Technology-Mediated Training: Implications For Design And Evaluation, Vishal Satyapal Shah

Graduate Theses and Dissertations

Information technology (IT) is increasingly used to impart a variety training skills, and these skills may range from specific software application operations and computer programming to learning about generic business processes. Using IT to assist training is broadly termed “Technology-Mediated Learning” (TML). Following the three essay model, this dissertation examines training interventions in the context of TML. In Essay 1, a thorough literature survey of technology training in Information Systems (IS) was conducted, resulting in clarification of the nomenclature used in TML. Essay 1 also identified of two leading theories used in TML research: (a) Social cognitive theory (SCT) (b) …

The Anglo-American Reception Of Carl Schmitt From The 1930s To The Early 2000s, Benjamin T. Watkins

History Theses

This thesis examines the Anglo-American reception, from the 1930s to the early 2000s, of the ideas of the German political theorist Carl Schmitt. The introduction provides an overview the key concepts in Schmitt’s writings in the 1920s. Chapter one examines Schmitt’s influence on the German-Jewish émigré political theorists Leo Strauss and Hans Morgenthau, in an attempt to explain how Schmitt’s ideas were initially transported from Germany to the U.S. The second chapter is a more detailed case study of the American leftist journal, Telos, which played a key role in introducing Schmitt’s writings to a broader, English language audience in …