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African American End-Stage Renal Disease And Medication Adherence: What Are The Effects Of Everyday Racism?, Tamara Estes Savage

Theses and Dissertations

This dissertation explored the racial medication adherence disparity in end-stage renal disease (ESRD) patients. Prior research suggests that there are poor rates of medication adherence in the African American ESRD population. However, the reasons for this racial inequity are not understood. This dissertation explored the impact of everyday racism in the healthcare system in general and dialysis centers in particular on medication adherence. To gain an understanding of the possible contribution of everyday racism to medication nonadherence, Critical Race Theory (CRT) was used as the theoretical foundation of the study.

A total of 46 African American ESRD patients participated in …

Student Involvement As A Mediator Of The Relationship Of Peer Leaders In First-Year Seminars To Academic Achievement And Persistence, Liyun Zhang

Theses and Dissertations

Peer leaders as a component of First-Year Seminars (FYS) are designed to assist in the adjustment, satisfaction and persistence of first-year college students. Although previous studies have consistently found the positive and direct impact of peer leaders on first-year students’ academic achievement and persistence, there is still a lack of clear understanding on why peer leaders have this positive relationship with students’ academic achievement and persistence. Thus, drawing on Astin’s theory of student involvement for higher education (1984, 1993, 1996), and Tinto’s interactive theory of departure (1993), this short term longitudinal study examined the process through which peer leaders resulted …

Longitudinal And Geographical Modeling Of Circular Data With An Application To Sudden Infant Death Syndrome, Xinyan Cai

Theses and Dissertations

The aim of this thesis is to study seasonality of death in U.S. infants who died from SIDS. We also propose to investigate secular trends and geographical patterns of seasonal patterns of mortality. The application of circular statistics is used to describe the seasonality of the month of death in infants who died from SIDS in 1990, 2000 and 2010. The secular trends of seasonal patterns of SIDS mortality are investigated using a circular linear regression model after adjusting for potential confounders. The geographical variation in seasonal patterns of SIDS mortality is explored from the U.S. map and quantified by …

Three Studies Of Service-Learning As An Approach To Movement Integration In Elementary Classrooms, Robert D. Michael, Jr.

Theses and Dissertations

This dissertation consists of three studies that examine service-learning (SL) as an approach to incorporating movement integration (MI) in elementary classrooms as part of a comprehensive school physical activity program (CSPAP). All three studies attempt to advance the knowledge base about using partnership approaches to supporting schoolbased physical activity promotion.

The purpose of study one was to examine the perceptions of preservice classroom teachers (PCTs), classroom teachers (CTs), and course instructors who participated in a constructivist-guided university course with a focus on MI and a SL component. Focus groups with 172 PCTs and individual interviews with 7 CTs and 4 …

Applications Of Multimedia Resources Developed As Part Of The Virtual Cell Animation Collection In Undergraduate Introductory Biology, Eric Edward Goff

Theses and Dissertations

Calls for reform in undergraduate STEM education have arisen from an increased need for well-trained biology graduates in the future scientific workforce. To address this need, many institutions have focused on a pedagogical restructuring of instructional practices to promote deeper conceptual understanding of core biological concepts. This study investigates the implementation of multimedia resources as a possible reliable supplement to undergraduate introductory biology and aims to provide empirical evidence on the instructional best practices of their use. As a central part of this study, we focus on one specific multimedia package, the Virtual Cell Animation Collection, due to its developmental …

Analysis Of Food Exposures In Foodborne Disease Outbreaks, Alecia T. Alianell

Theses and Dissertations

Foodborne illness remains a serious public health problem in the United States in general as well as South Carolina in particular. Obtaining good food ingestion histories as well as possible risky environmental exposures is one of the earliest, most important tasks to complete in any foodborne outbreak investigations. Because time is of the essence in investigations, we have evaluated a rarely used biostatistical method, Random Forests, to data obtained from DHEC. Random Forests has the potential to facilitate more rapid identification of foods or environmental exposures that may be associated with outbreaks. We also examined previous cases of salmonellosis using …

Contesting The Generic Refugee: Siv Identity, Community, And Agency During Resettlement, Benjamin J. Sylvester

Theses and Dissertations

This thesis examines the complexity of identity and community formation by Special Immigrant Visa (SIV) holders during resettlement in Columbia, South Carolina. It explores the ways in which identities coalesce around various themes, such as religion, gender, and military service, how these identities serve to create, expand, and claim membership in communities, and how SIVs exercise agency throughout these processes. Through semi-structured interviews with 9 SIVs in Columbia, SC, this qualitative study highlights the unique, highly individualized ways in which a select group of refugees experience resettlement, how they negotiate their placement within socio-economic hierarchies, and exercise agency to obtain …

Adoptees’ Experiences With Direct-To-Consumer Genetic Testing: Emotions, Satisfaction, And Motivating Factors, Anna Childers

Theses and Dissertations

Public awareness of the role of genetics in disease continues to expand along with the use of direct-to-consumer genetic testing (DTC-GT). One subset of customers taking advantage of the growing DTC-GT market is adoptees. Prior research has shown that adoptees appear to be more motivated than non-adoptees to learn about their genetic disease risk but have similar responses to health-related information acquired through DTC-GT. In this exploratory qualitative study, fourteen adoptees were asked about their motivations for pursuing DTC-GT; satisfaction with results; emotions throughout the process; and interest in meeting with a genetic counselor. Motivations for pursuing DTCGT fell into …

The Effects Of A Summer Reading Program On Reading Achievement And Reading Motivation, Marcia Seawright

Theses and Dissertations

Research shows that children who read books often, both in and out of school, are likely to develop better reading skills than children who have fewer opportunities to read. (Allington, 2012). While many school districts are successfully implementing various opportunities to support students’ reading development during the academic year, problems arise when students are away from school during the summer months. Studies also show that students who read below grade level at the end of third grade are six times more likely to eventually leave school without a high school diploma (National Research Council, 1998). The purpose of this combined …

Environmental Negotiations Cherokee Power In The Arkansas Valley, 1812-1828, Cane West

Theses and Dissertations

In the early 19th century, the Arkansas River Valley existed as a borderlands region of powerful Indian nations and immigrant Euro-American and Native American settlers. In the resulting contests over settlement, Cherokee chiefs recreated the Arkansas Cherokees' ecological identity from hunters to agrarians to differentiate themselves from their Osage and white rivals. During the 1820s, Cherokee chiefs expanded on their agrarian rhetoric by appropriating American scientific systems in order to stymie white settlement. By the end of the 1820s, Arkansas Cherokee chiefs had infused their arguments of preferred agricultural lands, appropriate survey methods, and accurate cartography into the debates over …

The Effect Of Social Exclusion On Shoplifting, Christopher Ling

Theses and Dissertations

This dissertation examines the effect of social exclusion on shoplifting. Shoplifting is a serious problem for marketers, yet surprisingly little attention in the literature has been paid to its underlying social factors. The current research therefore seeks to document conditions under which, and the process through which, consumers may engage in aggressive behavior in the form of shoplifting. Supporting the proposition that shoplifting is an antisocial response to social exclusion that depends on prior shoplifting experience, four studies provide evidence that prior shoplifters (vs. nonshoplifters) are more likely to shoplift again when they are socially excluded because they expect that …

Mast Cells And Lipid Cross-Talk In Skin Inflammation, Piper Alexandra Wedman

Theses and Dissertations

Atopic dermatitis (AD) is an inflammatory skin disease whose pathogenic mechanisms remain unclear. Using a validated human AD-like mouse model, we observed that skin remodeling started at a pre-symptomatic stage of AD that included cellular infiltration of the hypodermis, accompanied with activated/degranulated mast cells (MC). Local MC activation was quantified using a novel method of computer-assisted image analysis we developed and reported. Using a variation of this method, we defined morphometric parameters allowing for quantitation rather than scoring of cellular infiltration. Cell recruitment correlated with MC activation, chemokine production and increased levels of sphingolipid sphingosine-1-phosphate (S1P), produced by sphingosine kinase-1 …

An Evaluation Of Scenic Design, William Baxter Engle Iii

Theses and Dissertations

“…Allow me to explain about the theatre business. The natural condition is one of insurmountable obstacles on the road to imminent disaster… Strangely enough, it all turns out well… I don’t know. It’s a mystery” -Tom Stoppard

I embraced this quote a long while ago in a moment of disgust and defeat while working through a flawed process of making theatre. Everything takes too long to complete, nothing works right the first time if ever at all, and ultimately the entire process is a maddening mess. It seems to me that the study and practice of the trade can work …

The Nutrition Assistance Landscape In Afterschool Programs: Understanding The Gap Between Research, Policy, And Practice, Falon Elizabet Tilley

Theses and Dissertations

The Child and Adult Care Food Program (CACFP) aims to increase children’s access to healthful foods in out-of-home care. Approximately half of the 10.2 million children enrolled in afterschool programs (ASPs) are eligible for nutrition assistance through programs like CACFP. Despite awareness of its potential impact on the nutritional status of millions of children, CACFP is underutilized among ASPs and notably understudied in comparison to other federal nutrition assistance programs.

This dissertation addresses key gaps in CACFP research and provides a deeper understanding of the nutrition assistance landscape in afterschool programs by (1) assessing the type of afterschool snacks served …

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 …

Understanding The Relationship Of Contextual Support, Peer Risk Trajectories, And School Outcomes For At-Risk Youth, Emily B. Mancil

Theses and Dissertations

High school dropout (HSDO) is associated with poor life outcomes across many domains. As such, it is crucial to understand and identify the factors that contribute to HSDO risk early to increase the chance of positive student outcomes. Because students at-risk are heterogeneous, researchers recommend using pattern-centered approaches to identify subpopulations with similar risk profiles to better understand various typologies of risk. This may be a more comprehensive and accurate way to understand students atrisk for HSDO and may facilitate the development of more effective interventions. To date, seven empirical studies have used a pattern-centered approach to examine HSDO. However, …

Non-Dischargeability Of Foreign Student Loans, Andrew Brown

Bankruptcy Research Library

(Excerpt)

Educational loans made, insured, or guaranteed by a governmental unit are not dischargeable in a bankruptcy case, unless the debtor obtains a hardship determination. This is true even if the loan is made, insured, or guaranteed by a foreign governmental unit. The rationale behind making it difficult to discharge student loans via the United States Bankruptcy Code (the “Code”) is to prevent abuses of the educational loan system, specifically students filing for bankruptcy shortly after graduation to discharge their loans.

Various circuit courts have adopted two tests when applying the undue hardship provision of section 532(a)(8). In 1987, the …

Chapter 11 Liquidation And Its Effect On Collective Bargaining Agreements, Dylan Coyne

Bankruptcy Research Library

(Excerpt)

Sections 1113 and 1114 of title 11 of the United States Code (the “Bankruptcy Code”) allow a debtor to reject its collective bargaining agreements and payment of retiree benefits, subject to certain statutory conditions being met. These provisions apply to companies that employ unionized workers who receive compensation and benefits pursuant to a collective bargaining agreement. Both sections, however, only apply to a debtor that is “reorganizing.” Moreover, courts have held that section 1114, which governs the payment of insurance benefits to retirees, permits modification of obligations under a statute, such as the Coal Industry Retiree Health Benefit Act …

Unavoidable Pressure Ulcers: An Ethnonursing Study, Catherine M. Clarey-Sanford

Dissertations

Catherine M. Clarey-Sanford

Loyola University Chicago

UNAVOIDABLE PRESSURE ULCER: AN ETHNONURSING STUDY

In an effort to improve patient safety and the quality of care in the acute care setting, there has been an increased focus on the prevention of adverse events believed to be avoidable. Hospital-acquired pressure ulcers (HAPU) have been listed as one of those adverse events, and hospitals are no longer reimbursed for related costs. However, there are patient conditions and clinical situations in which a pressure ulcer can be deemed unavoidable. In acute care, unavoidable means that the patient developed a pressure ulcer even though the provider …

Cellular Determinants Of Coronavirus Entry Routes, James Thomas Earnest

Dissertations

Coronaviruses (CoVs) represent some of the greatest modern threats to global health. CoVs are zoonotic viruses that generally cause respiratory or enteric infections. The ability of CoVs to move between species and into human populations ensures that CoVs will remain important and dangerous pathogens. Therefore, understanding how CoVs infect different hosts is vital to human health.

CoVs are enveloped and must undergo fusion of viral and host membranes to initiate infection. Viral glycoproteins, called Spike (S) proteins, are responsible for host cell binding and carrying out the membrane fusion reaction. S proteins store energy in their folded, pre-fusion conformation that …

We Can Do Better: Evaluating An Intervention Remedying Caseworkers’ Negative Racial Bias Towards African American Families Involved In Child Welfare, Adrianne Michele Fletcher

Dissertations

Given that U.S. history documents the severing of African-American family ties by isolating parents from each other and their children under slavery, it is imperative that the child welfare system be free of any echoes of that holocaust. Yet many scholars and practitioners who lament negative racial attitude, both implicit and explicit, may continue to contribute to the over-representation of African-American children in the U.S. child welfare system. This study proposes to examine a subcategory of practitioner attitudes, those about the caregivers’ race, and how those attitudes can be altered through a reflective educational experience. Drawing from pre-existing research about …

The Effects Of Alcohol And Traumatic Brain Injury On Neural Stem Cell Responses, Son Trung Ton

Dissertations

Traumatic brain injury (TBI) is a major source of disability in modern societies. However, there are no good pharmacological strategies for treating long-term TBI complications because we do not fully understand the injury processes that occur afterward. Moreover, a significant percent of patients entering the emergency room with TBI have a blood alcohol level above the legal limit. Alcohol use and intoxication is a widespread issue in our society. Binge drinking is the most common way in which alcohol is consumed, and alarmingly, Americans of all age groups binge drink on a frequent basis. Despite the prevalence of alcohol intoxication …

Investigating Novel Methods Of Interaction With Pharmaceutically Relevant Enzymes, Cory T. Reidl

Dissertations

Metalloproteins requiring one or more metal ions for normal function make up 30% of all known proteins, and many critical biological pathways contain at least one metallo-enzyme. Di-nuclear metallo-proteins constitute a large class of these proteins yet we currently lack effective methods of inhibiting these enzymes for the development of new medical therapies, particularly for the discovery of new antibiotics. Our work has focused on developing novel functionalities that selectively interact with di-nuclear catalytic centers, and we are targeting three separate di-zinc-metallo-enzymes that are unique to bacteria and play key roles in their growth and development. These enzymes are DapE, …

The Internalization Of The Model Minority Stereotype, Acculturative Stress, And Ethnic Identity On Academic Stress, Academic Performance, And Mental Health Among Asian American College Students, Hanna Yun-Han Chang

Dissertations

Previous studies in Asian American psychology literature on cultural factors of acculturation and ethnic identity have yielded mixed findings in its relation to psychological outcomes. Furthermore, there is a gap in the knowledge base regarding the internalization of the model minority stereotype and its impact on Asian Americans. Due to Asian Americans' tendency to value academic excellence as a result of socialization by cultural values and family upbringings, this study examined the effects acculturative stress, ethnic identity, and the internalization of model minority on academic stress, academic performance, and mental health.

Results of this study indicated that acculturative stress significantly …

Aging Well In 21st Century America: Towards A Theological Ethics Of Aging, Chrisitan Cintron

Dissertations

As Third Agers transition into life after work they are faced with a renewed challenge, living the good life. The normative images emanating from the social and cultural landscape allow Third Agers to either envision and live their new life, or adopt a course set out for them. These new lives require a re-discovery and re-defining of the self, a reinterpretation of one's role in society, and relationship to others. As with other phases of life, individuals need guidance when confronted with images of living well that are contradictory or perhaps antithetical to what they imagined for themselves. Various social …

Simulation Using A Standardized Patient To Measure Perception And Congruency Of Spiritual Care For A Veteran From Three Perspectives To Inform Nursing Education And Practice, Mary E. Desmond

Dissertations

Spiritual care refers to a purposeful process of helping another find meaning and purpose

in life through a mutual connection. Providing spiritual care is a professional nursing mandate, yet nurses report barriers in education and practice. Veterans want spiritual care to promote quality of life, and to cope with military experiences and chronic conditions. Patients report receiving less than desired spiritual care and nurses report infrequent provision of spiritual care. It is also unclear how congruent patients and nurses are in their perceptions of spiritual care. A spiritual care simulation and performance checklist was developed using a review of the …

Exploring The Implications For Educational Leadership: A Case Study Of Cristo Rey St. Martin College Preparatory High School, Julie Lynn Frey

Dissertations

This is a case study of Cristo Rey St. Martin High School, member of the Cristo Rey Network. Cristo Rey St. Martin has been able to make gains in closing the gap with regard to student entrance into college for low-income minority students, making it a unique and appropriate case to study. The purpose of this research was to study the formation of the leadership at Cristo Rey St. Martin College Preparatory High School.

The case study consisted of interviews, observations, shadowing of the principal, and document analysis.

Major finding include mission creation explicit to student achievement, a student centric …

Self-Serving Cognitive Distortions, Externalizing Behaviors, And School Exclusion Among Adolescents With Emotional Disturbance, Claudia Hernandez

Dissertations

Students of color and students with disabilities, especially those with Emotional Disturbance (ED), are at increased risk for exclusionary discipline and juvenile justice involvement (Skiba, Arredondo & Williams, 2014). Within exclusionary discipline research, students' behaviors and discipline referrals are examined, but students' maladaptive thinking patterns or cognitive distortions remain largely unexplored. Within juvenile justice research, however, the cognitive distortions of incarcerated youth have been widely studied. The overarching hypothesis for the current study was that students' self-serving cognitive distortions would be related to their externalizing behaviors, as measured by office discipline referrals (ODRs), and these ODRs would be related to …

The Blackboard And The Colorline Madeline Morgan And The Alternative Black Curriculum In Chicago Schools 1941-1945, Michael Hines

Dissertations

On May 28, 1942, Chicago Public Schools adopted a new curriculum with the rather mundane title Supplementary Units for the Course of Study in Social Studies. Although the title was less than provocative, the content was revolutionary, both for Chicago and for the nation. The Supplementary Units marked one of the first times that a major American public school system had adopted African American history as part of its standard, citywide social studies curriculum. The story of the development, adoption, and implementation of this curriculum intersects issues of race, politics, history, and education. At its center are the efforts of …

Disordered Eating Treatment Programs For Adolescents And Emerging Adults: A Meta-Analytic Review Of Treatment Effectiveness And Moderators Of Treatment Success, Alexandra Kirsch

Dissertations

This meta-analysis systematically reviewed interventions for disordered eating in the adolescent and young adult population. A systematic search identified 30 interventions that could be compared to controls and 88 specific interventions that could be compared to other specific interventions. An in-depth analysis of the current state of the literature is provided. Results indicated that eating disorder interventions were effective overall when compared to control for both eating disorder and non-eating disorder outcomes, with differential effects across diagnoses, outcome categories, and outcome source, as well as some maintenance of effects at follow-up. Additionally, multiple moderators of treatment effectiveness for eating disorder …