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2019

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Examining The Influence Of Skeletal Muscle Oxygen Metabolism On Microvascular Reperfusion In Response To Acute Ischemia, Ryan Phillip Rosenberry Dec 2019

Examining The Influence Of Skeletal Muscle Oxygen Metabolism On Microvascular Reperfusion In Response To Acute Ischemia, Ryan Phillip Rosenberry

Kinesiology Dissertations - Archive

Cardiovascular disease (CVD) is the single leading cause of morbidity and mortality in the United States (and the world), with a death rate greater than cancer and chronic lower respiratory disease (emphysema, bronchitis, asthma) combined. Therefore, it is critically important to continue developing techniques for assessing cardiovascular disease. Reactive hyperemia (RH), the magnitude of tissue reperfusion following a period of transient ischemia, is a common technique that is conventionally interpreted as an index of microvascular function and has been shown to be a sensitive and powerful predictor of cardiovascular risk factors and future cardiac events. In Chapter 2, we provide …


Pathophysiology Of Exercise Intolerance In Breast Cancer Survivors Treated With Anthracycline Chemotherapy, Rhys I. Beaudry Dec 2019

Pathophysiology Of Exercise Intolerance In Breast Cancer Survivors Treated With Anthracycline Chemotherapy, Rhys I. Beaudry

Kinesiology Dissertations - Archive

Anthracyclines emerged as frontline breast cancer adjuvant therapy in the late 1960’s. Within half a decade of their clinical adoption, dose-limiting cardiotoxicity was recognized and cumulative dose limits were established to acceptably balance anti-tumor and cardiotoxic properties. Despite these longstanding dose limits, anthracycline treated breast cancer (BC) survivors have advanced biological aging, as evidenced by a marked impairment in peak oxygen uptake (VO2 peak). Given that the pathophysiology of reduced VO2 peak in BC is poorly understood, the aim of this dissertation was to: 1) develop a non-invasive imaging technique to investigate cardiac function under exercise stress; 2) investigate the …


Factors Associated With Adult Asthma Related Emergency Room Discharges In North Central Texas In 2010 - 2014, Nguyen Cao Dec 2019

Factors Associated With Adult Asthma Related Emergency Room Discharges In North Central Texas In 2010 - 2014, Nguyen Cao

Earth & Environmental Sciences Dissertations - Archive

Asthma is a common chronic disease of the airways characterized by recurrent reversible airway obstruction. More than 25 million Americans have asthma. In this study, factors associated with adult asthma related emergency room discharges in North Central Texas during the period 2010 – 2014 were investigated. This study involved a total of 78,444 cases of adult asthma hospital discharges obtained from the Dallas-Fort-Worth-Hospital Council Foundation, socioeconomic indicators from the U.S. Bureau of Census databases, and air pollution and meteorological data obtained from the Texas Commission on Environmental Quality (TCEQ). A number of important relationships underpinning asthma hospital visits in NCT …


Youth In Africa: Between Marginalisation And Demographic Dividend, Steve Kayizzi-Mugerwa Dec 2019

Youth In Africa: Between Marginalisation And Demographic Dividend, Steve Kayizzi-Mugerwa

Southern African Journal of Policy and Development

Since the 1980s, most African countries have experienced demographic shifts that have resulted in young populations, creating the possibility of youth marginalisation, but also a potential demographic dividend. The lack of social and economic opportunities generates unease about youths’ future and anger and loathing towards society and government, heightening the risk of uprisings as witnessed during the Arab Spring. Governments have become aware of the inefficacy of existing policies designed to advance the welfare of the ever-increasing youth population, and look to change this by formulating inclusive policies, often with support from the international community, to harness youth potential. The …


Roli Dhe Rëndësia E Kompleksit Të Vitaminave B, Almire Shala Dec 2019

Roli Dhe Rëndësia E Kompleksit Të Vitaminave B, Almire Shala

Theses and Dissertations

Vitaminat janë substanca organike, të përhapura në të gjitha ushqimet, si tek bimët, shtazët dhe mikroorganizmat ndërsa njeriu i merr ato nëpërmjet ushqimit. Vitaminat kanë rëndësi të madhe sepse ruajnë dhe mirëmbajnë metabolizmin e organizmit, janë thelbësore për të gjitha funksionet e organizmit përfshirë metabolizmin, rigjenerimin e indeve dhe mirëmbajtjen e shëndetit të njeriut si pjesë aktive e metabolizmit të organizmit. Qëllimi kryesor i punimit ka qenë analizimi i vitaminave B kompleks, roli dhe rëndësisa që kan këto vitamina në organizëm.

Materiali i përdorur për këtë punim është siguruar kryesisht nga interneti, nga faqja me e madhe e publikimeve mjekësore …


Kujdesi Infermieror Te Të Sëmurët Me Cirrozë Të Mëlçisë, Hidajete Baftiu Dec 2019

Kujdesi Infermieror Te Të Sëmurët Me Cirrozë Të Mëlçisë, Hidajete Baftiu

Theses and Dissertations

Ciroza e mëlçisë është një sëmundje kronike që karakterizohet nga një nekrozë e përhapur e qelizave hepatike, kolaps dhe fibrozë e stromës retikulare, rigjenerim nodular i qelizave të mbetura dhe insuficiencës hepatike. Nga kjo rrjedhë se gjatë kësaj sëmundjeje zhvillohën katër procese patoanatomike: 1. Nekroza hepatocelulare, 2. Formimi i shiritave fibrozë, 3. Regjenerimi nodular dhe si pasojë e tyre zhvillohet më pas edhe 4. Çrregullimi i qarkullimit në mëlçi.

Karakteristikë kryesore e kësaj sëmundjeje është dëmtimi ireverzibil i parenhimës së mëlçisë, me rrjedhje deri te fibroza e saj dhe formimi i noduseve. Si pasojë e këtyre ndryshimeve, vjen deri të …


Kujdesi Infermieror Tek Të Sëmurët Me Anemi Sideropenike, Zejnepe Zeqiri Dec 2019

Kujdesi Infermieror Tek Të Sëmurët Me Anemi Sideropenike, Zejnepe Zeqiri

Theses and Dissertations

Anemia paraqet uljen e numrave të eritrociteve në qarkullimin e gjakut, ulje e sasisë së gjakut në trup dhe sasi e zvogluar e hemoglobinës në eritrocite, që natyrisht shkon edhe me ulje të hematokritit.

Eritrocitet janë qeliza të gjakut që shërbejnë për transportimin e oksigjenit dhe dioksidit të karbonit në trupin e njeriut.

Anemia nuk është një sëmundje në vetvete por përshkruan një gjendje organizmi, domethënë ekzistenca e asaj sëmundje. Anemia mund të jetë sëmundje shumë e lodhshme dhe e rëndë për pacientin dhe mund të ndikojë seriozisht në jetën e pacientit.

Në punim do të diskutohet klasifikimi i anemive, …


My Palate Hung With Starlight: A Gastrocritical Reading Of Seamus Heaney’S Poetry, Anke Klitzing Dec 2019

My Palate Hung With Starlight: A Gastrocritical Reading Of Seamus Heaney’S Poetry, Anke Klitzing

Articles

Nobel-prize winning poet Seamus Heaney is celebrated for his rich verses recalling his home in the Northern Irish countryside of County Derry. Yet while the imaginative links to nature in his poetry have already been critically explored, little attention has been paid so far to his rendering of local food and foodways. From ploughing, digging potatoes and butter-churning to picking blackberries, Heaney sketches not only the everyday activities of mid-20th century rural Ireland, but also the social dynamics of community and identity and the socio-cultural symbiosis embedded in those practices. Larger questions of love, life and death also infiltrate the …


Yoga Intervention Benefits And School Setting Applications, Jessica L. H. Olson Dec 2019

Yoga Intervention Benefits And School Setting Applications, Jessica L. H. Olson

Counselor Education Capstones

No abstract provided.


Prevalence And Treatment For Eating Disorders In Young Athletes, Tessa Solberg Dec 2019

Prevalence And Treatment For Eating Disorders In Young Athletes, Tessa Solberg

Counselor Education Capstones

No abstract provided.


Diamond Zoysiagrass Response And Seedhead Control Using Plant Growth Regulators, Silas Ledford Dec 2019

Diamond Zoysiagrass Response And Seedhead Control Using Plant Growth Regulators, Silas Ledford

All Theses

Golfers have steadily increased demands for putting green quality, including distance and smoothness. ‘Diamond’ zoysiagrass has emerged as a viable C4 turfgrass to be used by golf courses as putting greens or fairways and tees. ‘Diamond’ zoysiagrass exhibits multiple benefits over other C4 and C3 turfgrasses, but an undesirable trait is seedhead production.

Three studies were conducted at Clemson University from April 2018 to November 2019 to investigate the effects of plant growth regulators (PGRs) on ‘Diamond’ zoysiagrass’ turf quality (TQ), lateral recovery and seedhead production. Study 1 tested PGRs in a field setting on the TQ, seedhead production and …


Plant-Mediated Interactions Among Above-Ground And Below-Ground Life Stages Of A Root-Feeding Weevil, Emily C. Kraus, Michael J. Stout Dec 2019

Plant-Mediated Interactions Among Above-Ground And Below-Ground Life Stages Of A Root-Feeding Weevil, Emily C. Kraus, Michael J. Stout

Faculty Publications

© 2019 The Royal Entomological Society 1. Interactions among herbivores mediated by plant responses to herbivore injury may have large impacts on herbivore population densities. Responses may persist for weeks after injury and may affect not only the initial (inducing) herbivore, but also herbivores that are spatially or temporally separated from the initial attacker. 2. In many plant–insect interactions, multiple life stages of the insect may be associated with the same plant, and these various stages may interact indirectly with one another via induced responses. The rice water weevil (RWW), Lissorhoptrus oryzophilus, a serious global pest of rice, is one …


Industry Versus Government Regulation Of Food Date Labels: Observed Adherence To Industry-Endorsed Phrases, Brian E. Roe, Danyi Qi, Kathryn E. Bender, Julia Hilty Dec 2019

Industry Versus Government Regulation Of Food Date Labels: Observed Adherence To Industry-Endorsed Phrases, Brian E. Roe, Danyi Qi, Kathryn E. Bender, Julia Hilty

Faculty Publications

© 2019 by the authors. A leading factor in the creation of avoidable household food waste is confusion about food date labels. In the United States, date labels are largely unregulated, resulting in a plethora of date label phrases used in commerce. Federal regulation has been proposed but never passed, while both industry and government have provided voluntary guidance on preferred label phrases. We study food producer adherence to the label phrases endorsed by the Trading Partner Alliance (TPA, an industry group), which includes "Use By" for perishable products subject to a material degradation of critical performance or potential food …


Exploring Perceptions And Attitudes Of Health In Marshallese Adolescents Who Are Overweight In Northwest Arkansas, Lauren Love Dec 2019

Exploring Perceptions And Attitudes Of Health In Marshallese Adolescents Who Are Overweight In Northwest Arkansas, Lauren Love

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Purpose

Childhood obesity is a growing public health problem in the United States. An increasing number of children are becoming overweight or obese and facing the negative health issues from this diagnosis. They might also suffer socially due to their weight because they are more likely to be bullied or picked on. This project explored the perceptions and attitudes of health in Marshallese adolescents that are overweight in Northwest Arkansas. The goal of our project was to investigate themes for commonality amongst adolescents that are overweight about how they perceive their weight and their beliefs towards health and body image. …


Effect Of Two Digestive Enzymes And Ph On The Dsrna Of Endornaviruses Of Bell Pepper And Melon Under In Vitro Conditions, Adair Mccanless, Allison Hultgren, Cesar Escalante, Alyssa Ardt, Rodrigo A. Valverde Dec 2019

Effect Of Two Digestive Enzymes And Ph On The Dsrna Of Endornaviruses Of Bell Pepper And Melon Under In Vitro Conditions, Adair Mccanless, Allison Hultgren, Cesar Escalante, Alyssa Ardt, Rodrigo A. Valverde

Faculty Publications

Purpose: The objective of this investigation was to determine the in vitro effect of two common digestive enzymes, amylase and pepsin, and pH on the integrity of the RI dsRNA of bell pepper endornavirus (BPEV) and Cucumis melo endornavirus (CmEV) evaluated by gel electrophoresis and reverse-transcription PCR (RT-PCR). Methods: We conducted experiments on the in vitro effect of two common digestive enzymes, amylase and pepsin, and pH on the structural integrity of the replicative intermediate (RI) dsRNA of bell pepper endornavirus (BPEV) and Cucumis melo endornavirus (CmEV), evaluated by gel electrophoresis and reverse-transcription polymerase chain reaction. Result: The effect of …


Development Of Milk Powder Containing Lactobacillus Plantarum Ncimb 8826 Immobilized With Prebiotic Hi-Maize Starch And Survival Under Simulated Gastric And Intestinal Conditions, Ronamae Bradford, Vondel Reyes, Franklin Bonilla, Federico Bueno, Bennett Dzandu, Chen Liu, Alexander Chouljenko, Subramaniam Sathivel Dec 2019

Development Of Milk Powder Containing Lactobacillus Plantarum Ncimb 8826 Immobilized With Prebiotic Hi-Maize Starch And Survival Under Simulated Gastric And Intestinal Conditions, Ronamae Bradford, Vondel Reyes, Franklin Bonilla, Federico Bueno, Bennett Dzandu, Chen Liu, Alexander Chouljenko, Subramaniam Sathivel

Faculty Publications

Abstract: The objectives of this study were to develop a probiotic milk powder containing Lactobacillus plantarum NCIMB 8826 immobilized with prebiotic Hi-maize starch and to analyze cell viability after spray drying and exposure to simulated gastric and intestinal conditions. Milk powders containing free L. plantarum and cells immobilized with Hi-maize starch were assessed. Powders were evaluated during storage at 4 °C for 15 days. After spray drying, at 0 and 15 days of storage both treatments had over 8 log CFU/g of viable cells and there were higher viable counts found for immobilized cells compared to free cells after 120 …


Fertilizer Source And Irrigation Depth A¡Ect Nutrient Leaching During Coleus Container Production, Kayla R. Sanders, Jeffrey S. Beasley, Edward W. Bush, Stacia L. Conger Dec 2019

Fertilizer Source And Irrigation Depth A¡Ect Nutrient Leaching During Coleus Container Production, Kayla R. Sanders, Jeffrey S. Beasley, Edward W. Bush, Stacia L. Conger

Faculty Publications

Nutrient leaching during nursery container production can have negative effects on plant growth and the environment. The objective of this study was to evaluate effects of fertilizer source at two irrigation depths on nutrient leaching during coleus [Plectranthus scutellarioides (L.) Codd] ‘Solar Sunrise’ container production to develop best management practices. Coleus received no fertilizer, a controlled-release fertilizer (CRF), or a water-soluble fertilizer (WSF) applied at 0.30 kg N and P per m3 (0.02 lb per ft3) and were irrigated at 1.9 or 3.8 cm.day1 (0.7 or 1.5 in.day1) for 56 days after planting (DAP). Leachate was analyzed every 7 DAP …


Ribbon Cutting Celebration For Andreasen Center For Wellness, Gillian Panigot Dec 2019

Ribbon Cutting Celebration For Andreasen Center For Wellness, Gillian Panigot

Lake Union Herald

No abstract provided.


Live Peabody: An Age-Friendly Action Plan, Caitlin Coyle, Beth Rouleau Dec 2019

Live Peabody: An Age-Friendly Action Plan, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

The vision of the Live Peabody Initiative is to inspire change in the City of Peabody so that residents of all ages and abilities can thrive. The success of this initiative is dependent on the involvement of a dedicated and passionate group of residents and stakeholders that will proactively spearhead this age-friendly effort. These individuals will actively collaborate with civic, business and non-profit organizations as well as state and local government officials to heighten awareness of the age-friendly movement and implementation of the action items outlines in this report—all to spur positive change for the City of Peabody. This report …


Phase Iib, Randomized, Double-Blind Trial Of Gc4419 Versus Placebo To Reduce Severe Oral Mucositis Due To Concurrent Radiotherapy And Cisplatin For Head And Neck Cancer., Carryn M. Anderson, Christopher M Lee, Deborah P. Saunders, Amarinthia Curtis, Neal Dunlap, Chaitali Nangia, Arielle S. Lee, Sharon M. Gordon, Philip Kovoor, Roberto Arevalo-Araujo, Voichita Bar-Ad, Abhinand Peddada, Kyle Colvett, Douglas Miller, Anshu K. Jain, James Wheeler, Dukagjin Blakaj, Marcelo Bonomi, Sanjiv S. Agarwala, Madhur Garg, Francis Worden, Jon Holmlund, Jeffrey M. Brill, Matt Downs, Stephen T. Sonis, Sanford Katz, John M. Buatti Dec 2019

Phase Iib, Randomized, Double-Blind Trial Of Gc4419 Versus Placebo To Reduce Severe Oral Mucositis Due To Concurrent Radiotherapy And Cisplatin For Head And Neck Cancer., Carryn M. Anderson, Christopher M Lee, Deborah P. Saunders, Amarinthia Curtis, Neal Dunlap, Chaitali Nangia, Arielle S. Lee, Sharon M. Gordon, Philip Kovoor, Roberto Arevalo-Araujo, Voichita Bar-Ad, Abhinand Peddada, Kyle Colvett, Douglas Miller, Anshu K. Jain, James Wheeler, Dukagjin Blakaj, Marcelo Bonomi, Sanjiv S. Agarwala, Madhur Garg, Francis Worden, Jon Holmlund, Jeffrey M. Brill, Matt Downs, Stephen T. Sonis, Sanford Katz, John M. Buatti

Department of Radiation Oncology Faculty Papers

PURPOSE: Oral mucositis (OM) remains a common, debilitating toxicity of radiation therapy (RT) for head and neck cancer. The goal of this phase IIb, multi-institutional, randomized, double-blind trial was to compare the efficacy and safety of GC4419, a superoxide dismutase mimetic, with placebo to reduce the duration, incidence, and severity of severe OM (SOM).

PATIENTS AND METHODS: A total of 223 patients (from 44 institutions) with locally advanced oral cavity or oropharynx cancer planned to be treated with definitive or postoperative intensity-modulated RT (IMRT; 60 to 72 Gy [≥ 50 Gy to two or more oral sites]) plus cisplatin (weekly …


Refugee Resettlement In The U.S.: The Hidden Realities Of The U.S. Refugee Integration Process, Bienvenue Konsimbo Dec 2019

Refugee Resettlement In The U.S.: The Hidden Realities Of The U.S. Refugee Integration Process, Bienvenue Konsimbo

Master of Science in Conflict Management Final Projects

From the 1946 to the 1980 Act, more than two million refugees have resettled in the U.S. (Eby, Iverson, Smyers, & Kekic, 2011p.). This has made the U.S. the largest of the 10 resettlement countries (Xu, 2007, p. 38). The U.S. department of state (DOS)’ hope is to give “the refugee a leg up on their journey to self-sufficiency” (Darrow, 2015, p. 92). For these millions of refugees, their expectations are to find “employment, education, to provide a better environment for their children, and to integrate into the community” (Xu, 2007p.38).

However, this pre-package deal is not without repercussions or …


Ricketts, Hunter Christian, B. 1997 (Fa 1382), Manuscripts & Folklife Archives Dec 2019

Ricketts, Hunter Christian, B. 1997 (Fa 1382), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archives Project 1382. Project completed by Hunter Ricketts in fall 2019 regarding Mennonite health practices as part of a WKU folk studies class on Field Methods in Ethnography.


Comparison Of Morphological Traits In Cowpea Pod Length, Seed Number Per Pod, Seed Weight, Seed Color And Seed Density In Usda Germplasm Accessions And Arkansas Breeding Lines, Sora Imamura Dec 2019

Comparison Of Morphological Traits In Cowpea Pod Length, Seed Number Per Pod, Seed Weight, Seed Color And Seed Density In Usda Germplasm Accessions And Arkansas Breeding Lines, Sora Imamura

Crop, Soil and Environmental Sciences Undergraduate Honors Theses

The objective of the study was to compare and correlate the Arkansas cowpea breeding lines to the USDA cowpea germplasm accessions on the following morphological traits: seed color, pod length, number of seeds per pod, 100 seed weight, and seed density. The seed density is defined as the weight of seed in gram per centimeter of pod length. Three hundred seventeen cowpea genotypes were used in this experiment. Out of the 317, 285 germplasm accessions were from the USDA GRIN and 32 lines were from the Arkansas breeding program.

T-test between Arkansas breeding lines and USDA germplasm accessions were done …


The Fundamental Right To Technology, Haochen Sun Dec 2019

The Fundamental Right To Technology, Haochen Sun

Hofstra Law Review

Waves of technological progress in recent decades have tremendously improved quality of life. Meanwhile, concerns about technology-driven injustices, such as unfair distribution of wealth and racial discrimination, have deepened. Experts have cautioned that new technologies could have potentially devastating effects, claiming for instance that artificial intelligence may lead to World War III. We are at a crossroads, and how we harness technology now will determine the future of humanity.

This Article presents a thought experiment, proposing that a new fundamental right to technology be recognized under the U.S. Constitution. Given that technology is of fundamental importance to human dignity and …


Washington Regional Student Nurse Internship-Cardiology, Lillie Watson Dec 2019

Washington Regional Student Nurse Internship-Cardiology, Lillie Watson

The Eleanor Mann School of Nursing Undergraduate Honors Theses

The Student Nurse Internship Program was started as a way to allow nursing students to gain the skill set of patient care and communication while allowing us additional educational opportunities. The first 4 weeks of my internship were the orientation period in which 2 weeks we followed a nurse and then the other 2 weeks we followed a nursing assistant. These initial 4 weeks really gave us the opportunity to have educational opportunities by following the nurse, but also allowing us to work with another nursing assistant before working on our own. Through my internship at Washington Regional, I was …


Emergent Regulatory Systems And Their Challenges: The Case Of Combination Medical Products, George Horvath Dec 2019

Emergent Regulatory Systems And Their Challenges: The Case Of Combination Medical Products, George Horvath

Washington Law Review

Where regulatory systems overlap, courts and scholars often focus on the undesirable aspects of the overlap—the ways in which systems conflict. One such context involves the regulation of prescription drugs and medical devices by the FDA’s premarket evaluation processes and by state common-law tort and products liability actions. FDA regulation and state common law are often described as separate, conflicting regulatory systems. This Article challenges that description by proposing a model in which FDA premarket evaluation and state common law function as a single regulatory system. This model brings order to the Supreme Court’s seemingly inconsistent medical products preemption cases, …


Nurses' Level Of Comfort, Familiarity, And Knowledge About Diabetes Management In Vinmec Central Park International Hospital, Nguyen Thi Xuan Mai Dec 2019

Nurses' Level Of Comfort, Familiarity, And Knowledge About Diabetes Management In Vinmec Central Park International Hospital, Nguyen Thi Xuan Mai

Master's Theses

Clinical nurses have a key role in supporting and management of diabetes patients during hospitalization. The purpose of this study was to evaluate nurses’ level of comfort, familiarity, and knowledge in diabetes management. In this study, 30 full-time nurses working in Vinmec Central Park International Hospital completed a 34-question assessment that included eight questions on comfort, six questions on familiarity, and 20 questions on nursing knowledge. The findings indicated the level of nursing knowledge regarding diabetes management in the hospital was low. The comfort, familiarity, and knowledge scores were not directly proportional to the age, education, and years of clinical …


Addressing Health Literacy Needs Of The Older Adult Focused On Improving Medication Adherence: An Online Education Program For Nurse Practitioners, Angela D. Pickerel Dec 2019

Addressing Health Literacy Needs Of The Older Adult Focused On Improving Medication Adherence: An Online Education Program For Nurse Practitioners, Angela D. Pickerel

Doctoral Scholarly Projects & Capstones

As healthcare providers, nurse practitioners are tasked with assuring patients have a clear understanding of their medical health, know how to navigate the healthcare system, and recognize the need to develop self-care skills. Several populations are known to be at risk for the effects of inadequate health literacy; however, the older adult population is at greater risk because of increased burdens related to negative effects of aging on cognitive skills and increased prevalence of chronic disease requiring complex medication regimens. Inadequate health literacy has been linked to increased risk of hospitalizations, emergency room visits, adverse drug reactions and interaction, and …


Development Of A Clinical Guideline And Algorithm To Enhance Self-Efficacy In Non-Compliant Chronic Disease Patients, Karen Alexander Dec 2019

Development Of A Clinical Guideline And Algorithm To Enhance Self-Efficacy In Non-Compliant Chronic Disease Patients, Karen Alexander

Doctoral Scholarly Projects & Capstones

This scholarly project was a nonexperimental quality improvement project to create a practice care guideline and algorithm with the intention of enhancing self efficacy in non-compliant chronic disease patients within the primary care setting. The objectives of the clinical guideline and algorithm were to assist primary care providers in identifying low self-efficacy in chronic disease patients, provide guidance in selection of interventions to develop or improve self-efficacy in patients, and promote better disease management. The guideline outlines tools and techniques to give primary care providers the information and skills needed to improve strategies to counsel patients to become more active …


Motivational Interviewing For Weight Loss In Primary Care, Hannah Brumbaugh Dec 2019

Motivational Interviewing For Weight Loss In Primary Care, Hannah Brumbaugh

Doctoral Scholarly Projects & Capstones

Obesity is prevalent in this country and leads to many preventable deaths and chronic illnesses, including heart disease, diabetes, and various types of cancers. “Obesity is prevalent in the western world and leads to reduced life expectancy due to increased risk of chronic illness such cardiovascular disease” (Hardcastle, Taylor, Bailey, Harley, & Hagger, 2013, p. 2) It also has been established in the literature that even a small amount of weight loss, as little as 5% of a patient’s total body weight, has statistically meaningful risk reductions, especially those that relate to cardiovascular health. Behavioral interventions such as motivational interviewing …