Digital Commons Network^™

Medical Homebound Services: Assisting Students With Chronic Illnesses, Melissa Johnson Allgood

Theses and Dissertations

The present action research study examined a group of chronically ill students approved for medical homebound services at a suburban high school located in the southwestern part of South Carolina. Students who have received or are currently receiving homebound services ranging from ninth through twelfth grade along with their teachers and parents/guardians were the subjects of the research. Semi-structured interviews and existing documents provided the data for this research.

The study explored how chronic illnesses affected a group of high school students when they were absent from school as well as ways to improve assisting them through medical homebound services. …

Impact Of Medicare Reimbursement Policy Change On The Utilization, Risks, And Costs Associated With Erythropoiesis-Stimulating Agents In Cancer Patients With Chemotherapy-Induced Anemia, Minghui Li

Theses and Dissertations

Background: Erythropoiesis-stimulating agents (ESAs) are biological drugs used to stimulate the production of red blood cells. ESAs are commonly prescribed for cancer patients with chemotherapy-induced anemia and chronic kidney disease (CKD) patients with low levels of hemoglobin. Due to the increasing safety concerns, Centers for Medicare and Medicaid Services (CMS) issued a Medicare reimbursement policy change for ESAs in cancer patients to regulate the utilization of ESAs. For chemotherapy-induced anemia, when patients had solid tumors, multiple myeloma, lymphoma, or lymphocytic leukemia, ESA treatment is reimbursable by CMS only when the hemoglobin level is < 10g/dL.

Objectives: The objectives of this study were …

Tuberculosis Screening In New Healthcare Employees: A Comparison Of Quantiferon®-Tb Gold In-Tube Test And Tuberculin Skin Test, Mary C. Giovannetti

Theses and Dissertations

Background: Streamlining onboarding processes for new hires to maximize efficiency and reduce costs while meeting regulatory requirements is a constant challenge for healthcare systems’ Employee Health staff. Health screening is a required step and includes obtaining a detailed health history, tuberculosis screening, drug screens, immunizations, fit for duty examinations, obtaining medical records, clarification of disability accommodations, pre-work screens, and other tests which are time consuming and result in delays in hire dates. Faced with a high volume of potential new employee hires a major southeast healthcare system was concerned about delays in new hire start dates. The two-step tuberculin skin …

Adherence Of Nurse Practitioners To Jnc 8 Guidelines, Stephanie E. Averette

Theses and Dissertations

The purposes of the evidence based project were to implement a best practice algorithm for treatment of hypertension (HTN) based on JNC 8 guidelines; compare nurse practitioners HTN pharmacotherapy prescribing practices before and after implementation of a HTN algorithm; and compare hypertensive adult patients’ systolic blood pressure (SBP) readings before and after the implementation of a HTN algorithm. A quasi-experimental pre-test and post-test design was used to collect and analyze data from 61 patient charts to compare nurse practitioner adherence to JNC 8 guidelines for NPs’ prescribing practices and subjects’ blood pressure (BP) outcome before and after the implementation of …

Impact Of Standards-Based Instruction On Achievement Levels Of Students With Moderate To Severe Intellectual Disabilities: An Action Research Study, Amy White Condon

Theses and Dissertations

The primary purpose of this qualitative research study was to describe the perceptions of middle school special education teachers in regards to the implementation of Unique Learning Systems (ULS) curriculum, a standards-based curriculum and assessment system designed to be used with students with moderate to severe intellectual disabilities. The secondary purpose of this study was to describe the perceptions of the special needs students’ parents. The tertiary purpose was to design an action plan that will enable Ocean Front School District (OFSD) special education administrators and teachers to better determine if ULS’ content, instructional strategies, accommodations and modifications are effective. …

Arvo Part, Sieben Magnificat-Antiphonen: A Transcription For Wind Ensemble, Julian Hartridge Sconyers Iii

Theses and Dissertations

Amongst late twentieth and early twenty-first century music, Arvo Pärt’s compositional style is a unique musical voice and has led to the composer becoming the most performed living classical composer for multiple years. His unmistakable tintinnabuli style is often labeled as part of the post-modernist movement, the minimalist genre, sacred minimalism, or even as neo-medieval. Despite any label, his music is as distinctive as it is revolutionary, and many of his works are considered cornerstone works of the late-twentieth and early-twenty-first centuries. However, despite the popularity of his works, most of his music is written for choir, orchestra, small chamber …

In Your Experience: Pathways And Barriers For Female Students Of Stem, Elizabeth J. Hartnett

Theses and Dissertations

This study addresses the gender gap that exists in the STEM professions. The number of jobs in STEM is climbing rapidly, but participation by women is disproportionately low. Although they make up roughly half of the overall population, women account for only about one quarter of the STEM workforce. A similar gap exists among undergraduates majoring in STEM fields. This is an exploratory study intended to identify and explore factors contributing to this gender gap, as perceived by undergraduate students. Through an online survey and follow-up interviews of undergraduates at two universities in the southeastern United States, data were collected …

Lamps, Maps, Mud-Machines, And Signal Flags: Science, Technology, And Commerce In The Early United States, James Russell Risk

Theses and Dissertations

As the United States looked forward to its future as an independent nation at the end of the eighteenth century, many saw commerce as a way to secure the nation’s future. American commerce, however, was plagued by a number of commercial problems. Solving these commercial problems facilitated an interest in science and the practical arts as engineers, inventors, mechanics, public officials, and everyday tinkerers innovated new apparatuses to preserve, promote, and protect American commerce. Many of America’s commercial problems in the early nineteenth century, however, resulted from the young nation’s varied geography and environments. Combating the environment’s unrelenting forces often …

Promoting A Culture Of Collaboration And Reflection Through A Professional Learning Community, Erica Charlanda Russell Murdaugh

Theses and Dissertations

The purpose of this qualitative Action Research Study was to describe eight elementary English Language Arts (ELA) teachers’ perceptions of a Professional Learning Community (PLC). The teacher-participants’ opinions about the PLC were used to improve the existing PLC to promote a more reflective and collaborative environment where ELA teachers could be supportive of each other in their endeavors to improve curriculum and pedagogy and students’ scholarly activity at Next Generation Elementary School (NGES). Data collection strategies included semi-structured interviews conducted with the eight teacher-participants as well as a focus group with the eight teacher-participants to debrief the data collected from …

Socially Assigned Race, Reactions To Perceived Racial Discrimination And Type Ii Diabetes Mellitus, Jourdyn A. Lawrence

Theses and Dissertations

Background: Numerous studies have utilized race to document health inequities. As race is considered a social classification of persons based upon physical traits, studies have begun to consider socially assigned race defined as the race/ethnicity perceived by others. Socially assigned race may serve as the basis for differential or unfair treatment of persons ascribed to historically oppressed groups. Socially assigned race may also provide additional insight into racial health disparities, particularly among Latino populations who are commonly defined by their ethnicity. This study assesses the relationship between self-identified and socially assigned race/ethnicity and tests the moderating effects of emotional and …

Two Essays On The Impact Of Memory On Consumer Well-Being And Self-Definition, Kara Bentley

Theses and Dissertations

Consumer memory is an important variable for marketers to study because it is well documented that memories influence consumer attitudes, preferences, and behavioral intentions (Chattopadhyay and Alba 1988). In my dissertation, I focus on two specific types of consumer memories that are important for consumer well-being and self-definition – memories of shared (social) experiences and memories of special experiences. In my first essay, I contend that shared experiences are remembered better than individual experiences because of their positive impact on consumer well-being, while in my second essay, I investigate the manner in which memories of special experiences, which are inherently …

Sanitary Sewer Overflows In Columbia, South Carolina And Their Impact On Mercury And Metal Cycling, Alison Emmons

Theses and Dissertations

Objectives. Microbial pathogens and their threat to human health have been the primary concern of sanitary sewer overflows (SSO); however, SSOs may also be a source of metals, including methylmercury, to local waterways. We hypothesized that SSOs had elevated concentrations of metals compared to nearby reference creeks.

Methods. Unfiltered and filtered (0.2 μm) surface water samples were collected monthly between November 2015 and March 2016 from three sewage-impacted creeks in Columbia, South Carolina. During this period, three sewage events were captured including an active SSO, a ruptured force main sewer pipe, and one site downstream from SSOs. In October 2016 …

Prenatal Methylmercury Exposure In A South Carolina Coastal Cohort, Alexis Donohue

Theses and Dissertations

Objectives: Methylmercury is a neurotoxin that has the ability to cross the placenta and adversely affect the developing fetus. Our primary objective was to investigate whether prenatal methylmercury exposure varied longitudinally, and whether differences were associated with maternal characteristics.

Methods: Pregnant mothers were recruited in Charleston, South Carolina (8-17 weeks gestation) (n=78). Blood samples were collected during both early (11.8 ± 1.7 weeks) and late (35.3 ± 2.0 weeks) gestation. Blood total mercury and methylmercury concentrations were analyzed. Upon enrollment in the study, mothers filled out a sociodemographic questionnaire that included questions regarding maternal age, race/ethnicity, and education level. Additionally, …

Promotional Effect Of Molten Carbonates On Proton Conductivity And Oxygen Reduction Reaction – An Experimental And Computational Study, Xiaolei Xiong

Theses and Dissertations

Recent research of Solid oxide fuel cells (SOFCs) is aimed to lower the operating temperature to an intermediate temperature (IT) range of 500 to 700^oC, while maintaining a proper performance. This Ph.D. research project investigates the promotional effects of alkaline carbonate eutectics on the proton conductivity of proton conducting electrolytes and cathodic ORR reactivity in SOFCs by both experimental and computational methods. The ionic conductivity of the MC-BZY composite above 500^oC increases with the higher loading of MC. The sample exhibited nearly a factor of two higher conductivity in H₂-containing atmosphere than in air. …

Sustainable, Operations-Enabled Solutions For Reducing Product Waste, Erin C. Mckie

Theses and Dissertations

The traditional linear production system where products are created, used, and then disposed of is no longer a viable business model for many firms. A combination of growing populations, increases in consumerism, and urbanization are placing unprecedented pressures on our world’s natural resources. In addition to these motivations, strong demands from consumers and governments are requiring companies to reevaluate and prioritize their environmental strategies. Fortunately, there are several opportunities for firms to engage in more sustainable business practices throughout their entire supply chain, particularly at the end of their products’ useful lives. However, moving from a linear model to a …

Buy For The Sake Of Your Baby: Guardian Consumerism In Twentieth Century America, Mark Vandriel

Theses and Dissertations

“Buy For the Sake of Your Baby” argues that consumerism for infants in twentieth century America was an exceptional type of consumer society. Because the parents who bought the consumer goods could not effectively communicate with their children who used these products, parents frequently purchased items for their babies as acts of good parenting. These parent consumers wanted to do what was right for their children, but because they could not effectively communicate with their children, they were particularly susceptible to influence from outside groups. Businesses, nongovernmental organizations, and the federal government recognized throughout the twentieth century how to effectively …

The Impact Of Capturing Kids' Hearts On New Teachers’ Perceptions Of Classroom Management, Stephanie L. Burgess

Theses and Dissertations

The present action research study explored how incorporating the classroom management model of Capturing Kids’ Hearts (CKH) impacted first year teachers’ perceptions of classroom management. The problem of practice indicated first year teachers historically had large numbers of discipline referrals. The guiding questions were 1) What is the impact of Capturing Kids’ Hearts on first-year teachers’ perceptions of classroom management? And 2) How can participant feedback after CKH preparation be used to improve current classroom management policy at BHS? The primary purpose of this action research was to determine the impact of CKH professional development on four first-year teachers’ perceptions …

Detracking High School Physical Science Classes Through Teacher Efficacy: An Action Research Study, Vincent Scott Taylor

Theses and Dissertations

This study uses the action research method to determine whether students enrolled in a basic science course (Physical Science College Prep) can be successful learning more advanced material (Physical Science Advanced) by increasing teacher efficacy. Currently, there are three levels of Physical Science courses taught at the study school, a high school in South Carolina, USA. The most basic course, Physical Science College Prep, is comprised of 76% minority students, and 56% who receive a free or reduced-cost lunch. In the spring semester of 2017, a group of students (n = 14) completed two units of study: Unit One - …

The Impact Of Repeated Reading On The Comprehension Level Of Eight Eighth Grade Students At The Middle School Level, Elizabeth C. Dotson-Shupe

Theses and Dissertations

The purpose of this study was to examine the impact of repeated reading on the comprehension level of eight 8th grade students. Incorporating an action research design, data was collected through utilizing a pretest and posttest, timed repeated readings, a reading semi-open ended questionnaire, a Likert-scale questionnaire, observation and the taking of field notes, and weekly assessments. Both qualitative and quantitative data were collected for a total of eight weeks for a period of 20 minutes two times per week, each Tuesday and Wednesday morning. Participants were a combination of eighth-grade regular education and special education students, with the majority …

Smartphone Use And Mindfulness: Empirical Tests Of A Hypothesized Connection, Darren Todd Woodlief

Theses and Dissertations

The current study is the first test of a newly developed conceptual model of the effect of smartphone use on mindfulness. Previous research has shown the capacity for mindfulness is strongly associated with increased psychological well-being (e.g. higher self-esteem and lower perceived stress, anxiety, and psychological distress). We argue that smartphones can be used in an automatic and mindless or experientially avoidant way, and that this use can lead to a decreased capacity for mindfulness, with adolescents being most vulnerable to this potential impact. Components of mindfulness, such as the capacity for sustained attention and the areas of the brain …

Three Essays On Relationships Among Financial Institutions, Chia-Chun Chiang

Theses and Dissertations

dissertation investigates relationships among financial institutions. I examine relationships from three different perspectives: relationships among affiliated banks and life insurers, correlated trading among life insurers, and relationships between insurers and bond dealers in the over-the-counter markets. The primary purpose of my research is to examine the benefits and drawbacks of relationships among financial institutions. The main findings are as follows. First, life insurers with bank affiliates had higher growth rates relative to other life insurers during the 2008 financial crisis. However, these Bank-Life Financial Holding Companies performed worse than Non-Bank-Life Financial Holding Companies during the same period. It indicates that …

Untangling The Interconnected Relationships Between Alcohol Use, Employment, And Offending, Margaret M. Chrusciel

Theses and Dissertations

Both substance use and employment are correlates of crime that are heavily examined by criminological research. Efforts to explore these connections have produced two rich bodies of literature that provide insight into the nuances of the relationship between substance use and offending and the relationship between employment and crime. Research shows that while substance use increases subsequent criminal behavior, employment seems to reduce offending. Given the strong positive association between substance use and crime and the inverse effect of employment on offending, it is possible that drug use and employment interact in their impact on crime. In addition to potential …

Sex Offender Policies That Spin The Revolving Door: An Exploration Of The Relationships Between Residence Restrictions, Homelessness, And Recidivism, Deanna Cann

Theses and Dissertations

Within the past two decades, a variety of specialized sex offender legislation has been implemented across the United States. Typically brought about in attempt to ebb the societal disquiet after notorious sexual assault cases are sensationalized in the media, these policies appear to be based on faulty assumptions, and lack any evidence-based foundation. In fact, empirical research suggests that policies such as sex offender registration, community notification, and residence restrictions do little to prevent sexual offending, and may actually work to increase the risk of these events through a number of collateral consequences. The current study critically examines the rationale …

Association Of Freestanding Dialysis Facility Size, Quality Incentive Program Scores And Patient Survival, Fozia Ajmal

Theses and Dissertations

Background

In 2011, The Centers for Medicare and Medicaid Services (CMS) has introduced a bundled payment reform along with a Quality Incentive Program (QIP) to bring efficiency in End stage renal disease (ESRD) care. The QIP rates facilities using clinical and reporting criteria, but misses out on patient outcomes. It penalizes facilities not achieving a target score by 0-2% of payments. The small facilities are expected to be impacted more by a reduction in payments. We determined the association between ESRD facility size and QIP scores and the association between QIP scores and patient survival.

Methods

We used the Medicare …

Association Between Diabetes And Cancer In Indian And Us Populations Using Longitudinal Study Design, Shraddha S. Vyas

Theses and Dissertations

Background: There is growing evidence of association between diabetes and cancer. No studies have been conducted in India evaluating this association. With the current epidemiologic, nutritional and economic transition in India, it becomes extremely important to examine this association in an Indian population. Additionally, difference in association exists based on different cancer subtypes. Research has shown that diabetes is associated with an increased risk of colorectal cancer. However most of these studies suggest detection bias to be one of the probable reasons for this association. Additionally, the common risk factors shared by both these conditions are considered to one of …

The Association Between Clinical Recognition Of Depression And Unplanned Hospital Readmission Among Older Adults, Karen M. Jones

Theses and Dissertations

Purpose

The likelihood of a depression diagnosis may differ based on whether the patient was seen in an inpatient or outpatient setting. Depression has been associated with an increased risk of a 30-day readmission. The purpose of this study was to determine the level of agreement (concordance) between depression diagnosis as identified by inpatient and outpatient records and examine the relationship between depression diagnostic concordance and 30-day readmission.

Methods

Using universal administrative claims data from South Carolina, we examined inpatient and outpatient records. The analysis was restricted to Medicaid recipients aged 55 years and older with a primary admitting diagnosis …

Best Practice For Screening Adult Patients With Psoriasis For Polyautoimmunity: Celiac Disease, Rheumatoid Arthritis And Crohn’S Disease, Susan Danielle Ashbaugh

Theses and Dissertations

The purpose of this quality improvement project was to determine if screening primary care patients with psoriasis will improve early detection of celiac disease (CD), rheumatoid arthritis, and Crohn’s disease (CrD). The aim of this project is to assess the utility of early screening in patients with psoriasis in order to facilitate earlier diagnosis of CD, RA and CrD, which would consequently initiate earlier treatment and improve long-term patient outcomes. Genetic and population-based studies suggest that individuals with psoriasis have a greater risk of also having CrD, CD or RA, than do individuals without psoriasis. The literature also suggests that …

The Role Of Exercise Dose On Ghrelin Concentration In Postmenopausal Women, Kimberly Bowyer

Theses and Dissertations

Introduction: As obesity continues to be a major public health concern, exercise is continually at the forefront of combating this epidemic. This thesis aims to examine how two different doses of exercise may affect the “hunger hormone”, ghrelin; in postmenopausal, non-obese women. Methods: 54 non-obese postmenopausal women were randomly assigned to either a higher dose (energy expenditure = 14 kilocalories/per kilogram of body weight/per week) or lower dose (energy expenditure = 8 kcal/kg/week) aerobic exercise training group for 16 weeks. Fasting blood samples were taken at baseline and at post intervention for analysis of ghrelin via multiplex immunoassay. Results: Only …

Two Essays On Social Sharing Effects On Consumer Memories, Li Huang

Theses and Dissertations

Social sharing is universal in everyday life. Every day consumers share news, opinions, and personal experiences using different media, including face-to-face communications, cellphones, texting, email, and other social media platforms (e.g. Facebook, Twitter). Word-of-Mouth, a common type of social sharing has been found to be fundamental to marketing and has been shown to significantly impact firms’ sales and revenues. However little is known about the effects of WOM on consumer memories. Since consumer memory is an important variable in marketing due to its significant impact on consumer judgments and decisions, my dissertation addresses this gap and examines the effects of …

Statistical Methods For Multivariate And Correlated Data, Xinling Xu

Theses and Dissertations

A commonly encountered data type in real life is count data, especially in selfreported behavioral studies. One issue of the self-reported count data is the inaccuracy. In the first part of the dissertation, we are going to address one specific type of inaccuracy in bivariate count data–heaping. Copula functions are used for the formulation of the bivariate distribution. Using copula functions for solving data inaccuracy problems is still a new area, which we are going to explore in this dissertation.

We also discuss the methods for variable selection when the explanatory variables are highly correlated. In particular, our method is …