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Bone Mineral Density, Preventative Behaviors And Risk Factors In African American And Caucasian Mother-Daughter Pairs, Mary Haskins Haskins

Electronic Theses and Dissertations

It is expected that by 2030, elderly minorities will comprise 20.2 million of the total 72.8 million population of Americans over 65 years (pollard, 2013). For African American women over the age of 50, 5% have osteoporosis and an estimated 35% have low bone mass (nof, n.d.). It is estimated that while over 40% of African American women over 80 years meet criteria for treatment, yet less than 12% are actually treated (Cauley, 2011). Striking disparities exist between African American and Caucasian women's likelihood for dual-energy x-ray absorptiometry (dxa) referral, the measurement tool that is used to diagnosis osteoporosis. (Hamrick, …

Between Species: Biopolitics, Resistance, And Interspeciesality, Temple Jo Gowan

Electronic Theses and Dissertations

This thesis examines three twentieth-century novels—Carson McCullers’s Reflections in a Golden Eye, Charles Johnson’s Oxherding Tale, and Ruth Ozeki’s My Year of Meats—in the context of posthumanist animal studies. A Foucauldian biopolitical lens foregrounds the inextricably linked ways that both human and nonhuman animal bodies are governed and controlled in a biopolitical era. Each chapter focuses on textual links between speciesism and the oppression of particular human groups based on gender, sexuality, and race, arguing that each novel offers new ways of thinking about both our own species, other animal species, and how humans relate to the nonhuman world.

Seasonal Changes In Biomass Of Two Comfreshwater Wetland Plants: Storage Of Nutrients, Emily Kathryn Mccann

Electronic Theses and Dissertations

In this study, I quantified differences in above- and belowground biomass and storage of nutrients. I hypothesized that storage of phosphorous would be greater in belowground biomass in the non-growing season compared to the growing. I also hypothesized that the storage of phosphorous would be greater in aboveground biomass in the growing season compared to the non-growing season. Furthermore, I hypothesized that the total amount of nutrients in plant tissue would be greater in the growing season, than the non-growing season. Typha latifolia and Carex lurida were placed in mesocosms at the University of Mississippi Field Station (UMFS) and dosed …

A Day In Their Shoes: Lived Experiences Of Five Agricultural Education Teachers Working With English Learners, Julie A. Ketterling

All Electronic Theses and Dissertations

This dissertation took a phenomenological approach in order to take a deeper look into the experiences of five agricultural education teachers that taught English Learner (EL) students and factors that affected those experiences. Dunkin and Biddle’s (1973) Teacher Model provided the conceptual framework and underpinnings for the literature review. The study identified a pilot study teacher with EL experience and 4 agricultural education teachers that taught agricultural education at schools with at least a 15% EL student population. The interviews were semi-structured in nature and each was audiotaped and later transcribed. Each of the transcribed interviews was coded. Through a …

Exploring Anthropological Monism For Pastoral Care Practice In A Local Church, Michael Robert Mcleod

All Electronic Theses and Dissertations

This research project explored the viability and benefits of anthropological monism for pastoral care practice in a local church. Monism, as it relates to human nature, refers to humanity consisting solely of materiality or physicality from which emerge all capacities and functions of the human individual⎯feeling, thinking, relating, acting, or experiencing God, self, others, or the world in general. Biblically and theologically, anthropological monism can point to integration for holism to overcome life disruption and fragmentation due to sin. It can also highlight embodiment and refocus the church towards human physicality and the prominence of resurrection for end-of-life outcomes rather …

The Roles Of Introduced Eucalyptus In The Conservation And Expansion Of Ethiopian Orthodox Church Forests In The Northern Ethiopian Highlands, Janice Liang

Honors Theses

Species of the genus Eucalyptus (common name eucalyptus) are widely planted all across Ethiopia – including on large areas of land previously allocated to food production. In recent decades eucalyptus has also increasingly been planted on lands around and within “church forests,” sacred groves of old-aged Afromontane trees surrounding Ethiopian Orthodox Tewahido churches. These revered holy sites have long been recognized for their cultural values and also for their ecosystem services – including their potential to support species conservation and restoration, as church forests are some of the only remaining sanctuaries for many of Ethiopia’s indigenous and endemic plant and …

The Association Of Cognitive Distortions, Problems With Self-Concept, Gender, And Age In Adults Diagnosed With Attention-Deficit/Hyperactivity Disorder (Adhd), Danielle R. O'Brien

PCOM Psychology Dissertations

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurocognitive condition, which can cause a variety of functional impairments that can result in the development of negative self-perceptions. These maladaptive beliefs often lead to the development of maladaptive thoughts or cognitive distortions. Research suggests that cognitive behavioral therapy (CBT) is an efficacious treatment for adults with ADHD. Yet data on the association between cognitive distortions in adult ADHD is limited, particularly, regarding self-concept. The aim of this study is to evaluate the impact that cognitive distortions, problems with self-concept, gender and age have on symptoms of ADHD in a group of adults (N = …

A Retrospective Comparison Of Adolescent Inpatients With Guardians Demonstrating Varied Levels Of Involvement In Treatment, Jacquelyn D'Amico

PCOM Psychology Dissertations

This retrospective study investigated differences in engagement between adolescent inpatients aged 13 to 17 whose guardians were involved in their treatment to varying degrees. Specifically, this study examined differences between adolescents whose guardians were involved via in-person contact with staff versus communication with staff solely by telephone in percentage of groups attended, number of restraints, and number of prior hospitalizations. Additionally, unit privileges were examined qualitatively. Data were collected and analyzed from 51 charts at a Mid-Atlantic acute inpatient psychiatric facility. Hypotheses concerning guardian involvement were not supported. A significant relationship was found between number of restraints and percentage of …

The Effects Of A Trauma-Informed Care Training Program On Mental Health Professionals Knowledge, Skills, And Attitudes With The Smi, Angelina Pelletier

PCOM Psychology Dissertations

Trauma has been found to be highly prevalent among individuals diagnosed with SMIs. Mental health professionals have been reported to misdiagnose or avoid addressing trauma in this population. There is a need to provide information about trauma and to foster awareness among mental health professionals who are treating individuals diagnosed with SMIs. With a TIC approach, operating from a recovery-oriented philosophy, there have been interventions created to address trauma and SMIs with the aim of developing awareness about trauma and the impact it may have on someone’s life. With these factors in mind, mental health professionals should be competent in …

Neurologists’ Emotional Experiences In Caring For Individuals With Amyotrophic Lateral Sclerosis: An Exploratory Study, Ashley E.P. Hennessey

PCOM Psychology Dissertations

Amyotrophic lateral sclerosis (ALS), or Lou Gehrig’s disease, is a progressive neurodegenerative disease, with a reported incidence of 2 in 100,000 people in Western countries, that has no known cure and results in death. The life expectancy for patients with ALS is approximately 3 years. This study utilized a qualitative research design to explore neurologists’ experiences in caring for patients with ALS and their families. A semistructured interview was conducted with 11 neuromuscular neurologists who treat patients with ALS. This study explored their perceived challenges of caring for patients with ALS and their caregivers, coping strategies for work-related stress, training …

Dynamic Governance In Theory And Application, Part I, Robert L. Glicksman, David L. Markell

GW Law Faculty Publications & Other Works

This article is the first of two that grapple with a central policy challenge facing the administrative state: how to govern in times of dynamic change, when challenges, and opportunities to address them, are both shifting rapidly. The article suggests that, conceptually, process design that is likely to produce effective regulatory governance requires attention to three key distinct but interrelated variables – the actors who are or should be involved in program implementation in different capacities, the mechanisms (legal and otherwise) available to promote good governance, and the tools available to advance desired results. To demonstrate the value of the …

Geo 3820 : Remote Sensing I, Geology/Geography

Approved Course Proposals

No abstract provided.

Cmn 3903 : Rhetoric Of Gender And The Body, Communication Studies

Approved Course Proposals

No abstract provided.

Overcoming Treatment Resistance In Heterogeneous Tumors, Nikhil Hebbar

Theses and Dissertations--Toxicology and Cancer Biology

Most primary tumors are heterogeneous and are often composed of therapy-sensitive and emerging therapy-resistant cancer cells. Rather unexpectedly, treatment of therapy-sensitive tumor cells in heterogeneous tumor microenvironments resulted in apoptosis of the therapy-resistant cancer cells. We identified a novel Par-4 amino-terminal fragment (PAF, which includes amino acids 1-131 of Par-4) that is produced and released by therapy-sensitive cancer cells following therapy-induced caspase-dependent cleavage of the tumor suppressor Par-4. PAF caused paracrine apoptosis in therapy-resistant cancer cells. Unlike Par-4-inducible apoptosis, which is dependent on the cell surface GRP78 receptor, PAF produced cancer-selective apoptosis independent of cell surface GRP78 function. Par-4 contains …

Incidence Of Non-Hodgkin's Lymphoma By Residential Proximity To Superfund Sites In Kentucky: A Multivariate Analysis, William Brent Webber

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Non-Hodgkin’s Lymphoma (NHL) is a category of cancers that arise from the lymphocytes of the immune system. The rates of NHL in the United States and Kentucky began to rise in the mid-20th Century, shortly after the manufacture, use, and disposal of numerous chemical substances began to increase during and after the Second World War. While the etiology of NHL is not fully known, there are several chemical substances for which evidence exists of a possible link between exposures and development of NHL and other cancers. Several of these substances are also present in sites within Kentucky designated by the …

Correlates Of Hepatitis C Serostatus Disclosure In Rural Appalachian Kentucky, Megan G. Hofmeister

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Aim: To identify demographic, behavioral, and interpersonal characteristics associated with hepatitis C (HCV) serostatus disclosure among adult, rural, high-risk people who use drugs (PWUD) in Appalachian Kentucky.

Methods: Laboratory confirmed HCV antibody-positive participants (n=243), drawn from the fifth follow-up assessment of a longitudinal study of rural PWUD, completed interviewer-administered questionnaires eliciting demographic and interpersonal characteristics, risk behaviors, and information on HCV disclosure. Correlates of HCV disclosure were assessed using logistic regression.

Results: Most (69.1%) reported disclosing their HCV-positive status to at least one of their social referents (current or past sex partners, current or past injection drug use (IDU) partners, …

Birth Cohort Effects In Risk Factors For Alzheimer’S Disease, Kingsley Uzodinma

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background and Objectives: The purpose of this study was to assess the presence of birth cohort effects by exploring differences in established risk factors of Alzheimer’s disease (AD) and dementia using case-control designs and also estimate the AD risk among women with respect to their number of biological children.

Methods: This is a case control study design of participants born in 1896 – 1955 and were enrolled in one of the designated Alzheimer’s disease centers (ADCs). The uniform Data Set of the National Alzheimer’s Coordinating center (NACC) include those who had Alzheimer’s disease or mild cognitive impairment (cases) and were …

Drink Switch Program In South La Schools, Lauren Barker

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Sugary drinks, including sports and energy drinks, are the number one source of added sugar in the American diet.1 Excess sugar consumption can lead to health complications such as overweight and obesity, and obesity-related chronic diseases such as diabetes, high blood pressure, and cardiovascular disease.2 Sugary drink consumption among youth in Los Angeles is particularly high, and teenagers in Service Planning Area (SPA) 6 of Los Angeles have some of the highest consumption rates in the county, with one out of two reporting consuming at least one sugary drink per day.3 Based on the correlation between sugar consumption and health, …

Wnc Healthy Teens: A Multi-Level Teen Pregnancy Prevention Initiative, Katharine Macmillan

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

WNC Healthy Teens is a multi-component, community-based teen pregnancy prevention initiative. The program will be targeted in rural areas of Buncombe and Henderson Counties that have aggregate rates showing that over half the population of women aged 15-19 years are giving birth. Sexual education is necessary, but not sufficient to preventing risky sexual behaviors1. Tying multiple levels of evidence-based school interventions together with standardization of adolescent sexual health care will provide a well-rounded approach to address teenage pregnancy. Starting the initiative at age 14, it is anticipated the majority of teens will have yet to initiate sexual activity. Reducing the …

Colorectal Cancer Prevention In The North Slope Borough Of Alaska Utilizing The Flu-Fit Intervention, Jennifer Jenkins

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

The intention of the Flu-FIT intervention is to increase colorectal cancer screening rates by combing two annual activities into one visit that doesn’t necessitate a doctors visit. The original study increased colorectal cancer screening rates by 14 percentage points and this program should be able to show similar results in the North Slope Borough of Alaska. The North Slope Borough has the highest incidence rate of colorectal cancer in the United States, and this proposed intervention could lead to a reduction in that rate by increasing screening and knowledge about colorectal cancer in the community.

Forced Sexual Intercourse And Its Link To Suicide Ideation/Suicide Attempts Among Adolescent Girls: Findings From 2013 Youth Risk Behavioral Survey, Adebukola Helen Adegbite

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Objectives. We sought to assess the association between forced sexual intercourse and suicidal ideation/attempts among adolescent girls ages 14-17.

Methods. We performed secondary data analysis of the 2013 Youth Risk Behavioral Survey, using chi-square tests to examine the association of forced sex and race/ethnicity, with suicide ideation.

Results. We found that there was an association between those who had considered suicide and those who had experienced forced sexual intercourse. Moreover, race/ethnicity was associated with those who had ever considered suicide in the past 12 months before taking the survey. Lastly, we found that there was an association of suicide ideation …

Development Of Multiple Primary Cancers In Lung Cancer Patients: Appalachian Vs. Non-Appalachian Populations Of Kentucky, Vira Pravosud

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

OBJECTIVE: This study examined whether there were differences in the development of multiple primary cancers in lung cancer patients residing in the Appalachian versus Non-Appalachian regions of Kentucky. The study also identified other factors associated with the development of another primary cancer in lung cancer patients.

HYPOTHESIS: Lung cancer patients residing in Appalachian Kentucky are more likely to develop multiple primary cancers compared to patients residing in Non-Appalachian Kentucky.

METHODS: This was a retrospective, population-based cohort study of Kentucky patients (N=26456) aged 20 years and older, diagnosed with primary lung cancer between January 1, 2000 and December 31, 2013. The …

An Examination Of Traumatic Brain Injury As A Risk Factor For Psychiatric Symptoms In Alzheimer’S Disease Patients, Jennifer F. Walch

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Introduction:

Dementia is a major public health issue both in the United States and worldwide. Alzheimer’s disease (AD) is widely considered to be the most prevalent type of dementia. While the hallmark AD symptom is profound memory loss, patients also commonly experience changes in personality and behavior. These changes often include depression, anxiety, social withdrawal, mood swings, irritability and aggression, changes in sleeping habits, and delusions.

Background:

Several studies have established a mechanistic link between traumatic brain injury (TBI) and the development of AD. However, it is unknown whether TBI contributes to the personality/behavior changes observed in many AD patients. …

Are There Rural-Urban Differences In Dentist Supply?, Mutlaq Alotaibi

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

The purpose of this project was to examine the supply of dentists in the Commonwealth of Kentucky at the county level. Counties with shortages in dentist supply were determined and associated factors were examined.

Several county-level variables were analyzed. These included total number of dentists, total county population, dentist to population ratio, dentist supply shortage, median household income, median age, percent of Medicaid enrollees, rurality, oral cancer crude incidence and mortality rates per 100,000 and percent of adults missing six or more teeth.

This project showed that 42 of the 120 counties in Kentucky had shortages in dentist supply. Also, …

Policy And Political Motives For Medicaid Expansion Under The Patient Protection And Affordable Care Act, Ross C. Stanton

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Objective

This study aims to analyze policy-related and political rationales for Medicaid expansion under the Patient Protection and Affordable Care Act (PPACA). More specifically, this study seeks to discover whether states’ decisions regarding Medicaid expansion were likely based on policy implications regarding the uninsured or political motives.

Methodology

The approach is a cross-sectional/observational study of American states and the District of Columbia after the Sebelius decision in 2012. This study compares three variables: (1) whether each state decided to opt into the expansion (“Opted In”), (2) whether each state’s governor and legislature were affiliated with either the Democratic or Republican …

Service Training And Recovery (Star) Program: An Interdisciplinary Community-Based Project To Mitigate Rr-Ptsd Among Kentucky Women, Margaret Melissa Brown

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background: Kentucky has greater prevalence of sexual assault compared to the US overall, 37.5% versus 35.6% of all assault crimes respectively, translating to roughly 638,000 victims within the Commonwealth [1].Research identified sexual violence as the number one factor in development of PTSD among women. There are four times the prevalence of PTSD in victims of sexual violence versus other forms of trauma. [2, 3] The STAR program utilizes skills-based training methods to empower participants through improving a sense of safety and security, self-confidence, and self-efficacy to mitigate RR-PTSD symptoms leading to negative health outcomes.

Literature Review: Existing research …

Circumstances Contributing To Suicides Among Pregnant, Postpartum And Non-Pregnant Women (15 - 54 Years) In Rural And Urban Counties In The U.S., Nvdrs 2003-2012, Akosua Korantema Adu

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Abstract withheld upon request.

Patterns In Dental Health: Investigating Dental Disease At The Archaeological Site Of Kuelap In Chachapoyas, Peru, Vu Tran

Electronic Theses and Dissertations

Social organization influences individual well-being and overall community health, which may lead to health disparities that manifest in teeth. The research in this thesis explores social variability by analyzing patterns in dental disease at the archaeological site of Kuelap in Chachapoyas, Peru. The ancient Chachapoya (AD 900-1535) were a complex society but the nature of that complexity is not well understood based on traditional archaeological correlates. Since burials at Kuelap lack grave goods that are often used to discriminate variation in social status or identity, bioarchaeological dental proxies were tested. The dental remains of 106 individuals (7 subadults, 54 adult …

Chlamydia Trachomatis Transformants Show A Significant Reduction In Rates Of Invasion Upon Removal Of Key Tarp Domains, Christopher Parrett

Electronic Theses and Dissertations

Chlamydia trachomatis is an obligate, intracellular bacterium which is known to cause multiple human infections including nongonococcal urethritis (serovars D-K), lymphogranuloma venereum (serovars L1, L2, L3) and trachoma (serovars A-C). The infectious form of the bacterium, called the elementary body (EB), harbors a type III secreted effector known as Tarp (translocated actin recruiting phosphoprotein) which is a candidate virulence factor and is hypothesized to play a role in C. trachomatis' ability to invade and grow within epithelial cells in a human host. C. trachomatis L2 Tarp harbors five unique protein domains which include the Phosphorylation Domain, the Proline Rich Domain, …

An Investigation Of The Influence Of Cyber-Sexual Assault On The Experience Of Emotional Dysregulation, Depression, Post Traumatic Stress Disorder, And Trauma Guilt., Kelley Holladay

Electronic Theses and Dissertations

Over the past decade, cyber-sexual assault (also known as "nonconsensual pornography" or "revenge porn") has gained the attention of legal experts, the media, and most recently, the counseling profession. Whereas this nonconsensual sharing of sexually explicit images online, through social medial, or other forms of technology has been demonstrated to have significant impacts on victims, researchers have focused heavily upon the legality of these actions (i.e. should there be consequences for posting nude/semi-nude photos of non-consenting adults to the internet), but there has been a lack of attention to the mental health consequences of cyber-sexual assault on victims. The purpose …