Digital Commons Network^™

A Phenomenological Examination Of Resilience In Adult Children Of Alcoholics, Marcy Martens

Walden Dissertations and Doctoral Studies

Researchers have identified adult children of alcoholics (ACOAs) as being susceptible to substance abuse, intimate partner violence, mental health instability, and a myriad of psychosocial inadequacies. Growing up within an adverse childhood environment has also imprinted an unwanted stigma among ACOAs. Although there are many studies on the ACOA population, there is a significant gap in the literature between ACOAs exhibiting resilience and those who succumb to the negative characteristics of growing up within an adverse environment. The purpose of this hermeneutic, phenomenological study was to examine the lived experiences of adult children of alcoholics who have succeeded despite their …

Smoking And Surgical Site Infection In Orthopedic Patients' Lower Extremity Arthroplasty, Alicia Y. Mingo

Walden Dissertations and Doctoral Studies

Cigarette smoking has been a public health concern for many years, and the possible impact of smoking on surgical site infection (SSI) has been studied broadly. However, a gap in understanding has persisted concerning whether there is an association between smoking tobacco and the development of SSI among patients who undergo lower extremity surgery, specifically total knee arthroplasty (TKA). The purpose of this study was to examine the association between smoking and lower extremity SSI. Andersen's behavioral model (BM) was used to understand the risk factors relevant to the interaction between smoking and SSI. Application of the BM categories of …

Teachers' Perceptions Of The Adoption Of New Pedagogies In Kazakhstan, Phillipa Schulleri

Walden Dissertations and Doctoral Studies

Kazakhstan has used the Soviet system of education since its independence in 1990. Researchers have noted shortfalls in education reform efforts and documented factors of teachers' resistance to new pedagogies. The purpose of this basic qualitative study was to explore local teachers' perceptions of the new pedagogies in the context of understanding the local-international teacher program in Agrenov international schools (AIS). Three research questions focused on teachers' perceptions of factors for adoption of new pedagogies in an educationally transforming school using the motivational and systems approaches and emotional intelligence conceptual frameworks. A conceptual framework constructed from three theories of motivation, …

Unmet Support Needs Of Informal Caregivers Of Older Adults, Julie Ann Smith Hinders

Walden Dissertations and Doctoral Studies

Due to projected growth of the 65-and-older population and concerns of an impending care gap, reliance on informal caregivers is expected to increase. Improving support for informal caregivers is viewed as a national priority, yet research related to the unmet support needs of informal caregivers is limited. The purpose of this cross-sectional correlational study was to examine predictive relationships between contextual factors (caregiving relationship and type of illness) and environmental factors (rurality) and the unmet support needs (classes, service access, support groups, counseling, and respite) of informal caregivers of older adults. The theoretical framework was Bronfenbrenner's ecological systems theory. Archival …

Interprofessional Intentional Empathy Centered Care (Ip-Iecc) In Healthcare Practice, Deepy Sur

Walden Dissertations and Doctoral Studies

Training interprofessional healthcare teams continues to advance practice for patient-centered care. Empathy research is also advancing and has been explored in social work, psychology, and other healthcare areas. In the absence of understanding empathy in an interprofessional setting, educators are limited in preparing teams to develop empathy as part of core competencies This grounded theory study explored for a theory of how interprofessional healthcare teams conceptualize and operationalize empathy in their practice. Azjen's theory of planned behavior and Barrett-Lennard's cyclical model of empathy framed the study. Data were collected using 6 focus groups and 24 semistructured interviews of varied healthcare …

Bereavement In Online Graduate Students: Perspectives On Academic Success And Interventions, Edythe Marie Bouldin

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to fill an existing gap in research on bereavement and graduate students. The study explored how bereavement and grief affect a person physically, mentally, and cognitively. Prior studies have addressed bereavement in undergraduate college students, but little research has focused on online graduate students and bereavement. This study fills that gap in the literature allowing university personnel and the public access to an understanding as to how online graduate students' bereavement affects their academic performance and how they perceive their university supports them during their time of bereavement. This exploration used a case …

Impact Of Stress Inoculating Training On Police In Aftermath Of Critical Incidents, Russell Ford

Walden Dissertations and Doctoral Studies

Critical incidents (CI) have increased over the last several decades, with police officers experiencing more trauma and a rise in psychological problems. Stress inoculation training (SIT) could possibly lower symptoms of posttraumatic stress experienced by the police officers who have responded to CIs. To date, little research exists specific to using SIT to lower symptomatic effects of CIs in police officers. The purpose of this quantitative ex post facto study was to examine and compare symptoms of posttraumatic stress, depression, and anxiety for police officers who have or have not received SIT prior to a CI. The theoretical foundation was …

Public Health Implications Of Retailer Resale Of Returned Textile Clothing Merchandise, Antonette M. A. Francis-Shearer

Walden Dissertations and Doctoral Studies

Historically, 18th century anecdotal accounts of the decimation of several tribes of U.S. of the Native American population by trading of infected textile blankets alludes to the role of retail in the transmission of infectious disease. This study explores implications of the modern day retail organization practice of reselling returned clothing textiles from a public health infectious disease perspective. A qualitative multi-case study, utilized responses from 20 open-ended, unstructured interviews of retail employees assigned to the returns process. Additionally, several informal observations of select U.S.based, top-ranked clothing retail organizations, identified by the National Retail Federation were completed. Select federal, state, …

Hiv Testing And Black Men Who Have Sex With Men, Stephaun Elite Wallace

Walden Dissertations and Doctoral Studies

HIV incidence among Black men who have sex with men (BMSM) is extremely high in contrast to their estimated population size and compared to other racial groups. Researchers have established that a significant proportion of these new cases annually originate from HIV transmission by BMSM who are unaware of their HIV status. The purpose of the study was to assess the relationship between age, sexual behavior, social support, substance use, internalized homophobia, depression, and HIV test history in BMSM. Guided by the social ecological model (SEM) as the conceptual framework, a quantitative cross-sectional study was designed to analyze secondary data …

Obesity Epidemic In The Military: Implications For Veterans, Tracy Lewis

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine the impact of overweight and obesity on veterans' careers. Obesity, once thought unproblematic for the military, is being recognized as a health concern that has expansive implications for the health and readiness of service men and women, as well as for veterans. There is an abundance of information on obesity within the general population, but research on the impact of obesity on military careers is limited. This quantitative, cross-sectional research study investigated how obesity is a challenge throughout a veteran's career, from enlistment to retirement, using an online survey to gather data …

Perceptions Of Failed Foster Care, Nathaniel Mitchell

Walden Dissertations and Doctoral Studies

Abstract

The purpose of this action research study was to investigate social workers' perceptions of the problems that prevent successful family reunifications after foster care. The study explored social workers' perceptions of barriers that prevent family reunifications in central Mississippi. Using Bronfenbrenner's ecological theory as the framework, the research question explored the problem from multiple levels of practice including family, individual, institutional, and community. The focus group approach aligned with the project goal by allowing participants opportunities to share experiences and perspectives regarding family reunifications. The study used a purposive sample of 10 participants who were practicing licensed social workers …

Implementation Of A Nicotine Assessment Tool To Copd Patients In An Observation Unit, Nilsa Black-Mead

Doctor of Nursing Practice (DNP)

PICOT Question: Does educating clinicians in the use of a smoking cessation survey increase the use of the Tobacco Cessation – Nicotine Addiction Questionnaire (NAQ), and the use of smoking cessation interventions including Nicotine Replacement Therapy (NRT) in COPD patients admitted to an Observation Unit (OU)? Background: COPD is the third leading cause of death, affects more than fifteen million Americans, and causes serious long-term disabilities and premature death. Smoking is the most significant risk factor for developing COPD, accounting for as many as eight out of ten COPD related deaths, harming nearly every organ of the body affecting a …

Improving Quality Of Life In Menopausal Women Through Lifestyle Management : A Web-Based Health Promotion Project, Dana Essner

Doctor of Nursing Practice (DNP)

Introduction: The symptoms of menopause affect 2 million women per year. Patient education and health promotion are key components of the primary care well visit. Lifestyle medicine focuses on behavioral changes to improve health and quality of life. One can use lifestyle medicine to promote wellness in menopausal women, thus improving their mental and physical health. Current data suggests that behavioral counseling enhances the patient education experience. A series of behavioral changes in diet, exercise, and mindfulness can be used. Social media is an effective tool to engage the population at large, while small group or individual counseling works on …

“Standing On The Front Lines And Down In The Trenches With Her”: An Exploration Of The Dialectical Tensions And Competing Goals Of Adult Children Of Mentally Ill Parents, Kelley Hodgson

Theses and Dissertations--Communication

Mental illness is a pervasive health epidemic in the United States and worldwide, and available data suggest that mentally ill adults are statistically more likely to be parents than non-parents. The prevalence and continued growth of parental mental illness means that millions of children in the United States have a parent with some form of mental health issues.

This dissertation contributes to and extends existing literature on children of mentally ill parents by exploring 15 adult children’s subjective perspectives on how they navigate the tension-wrought experience of having a mentally ill parent, and how this has implications for the management …

Effects Of Thermal Stress On Amount, Composition, And Antibacterial Properties Of Coral Mucus, Rachel M. Wright, Marie E. Strader, Heather M. Genuise, Mikhail Matz

Biological Sciences: Faculty Publications

Department of Ecology, Evolution, and Marine Biology, University of California, Santa Barbara, CA, United States of America ABSTRACT The surface mucus layer of reef-building corals supports feeding, sediment clearing, and protection from pathogenic invaders. As much as half of the fixed carbon supplied by the corals' photosynthetic symbionts is incorporated into expelled mucus. It is therefore reasonable to expect that coral bleaching (disruption of the coralfialgal symbiosis) would affect mucus production. Since coral mucus serves as an important nutrient source for the entire reef community, this could have substantial ecosystemwide consequences. In this study, we examined the effects of heat …

Afatinib And Temozolomide Combination Inhibits Tumorigenesis By Targeting Egfrviii-Cmet Signaling In Glioblastoma Cells, Raghupathy Vengoji, Muzafar A. Macha, Rama Krishna Nimmakayala, Satyanarayana Rachagani, Jawed A. Siddiqui, Kavita Mallya, Santhi Gorantla, Maneesh Jain, Moorthy P. Ponnusamy, Surinder K. Batra, Nicole Shonka

Journal Articles: Biochemistry & Molecular Biology

BACKGROUND: Glioblastoma (GBM) is an aggressive brain tumor with universal recurrence and poor prognosis. The recurrence is largely driven by chemoradiation resistant cancer stem cells (CSCs). Epidermal growth factor receptor (EGFR) and its mutant EGFRvIII are amplified in ~ 60% and ~ 30% of GBM patients, respectively; however, therapies targeting EGFR have failed to improve disease outcome. EGFRvIII-mediated cross-activation of tyrosine kinase receptor, cMET, regulates GBM CSC maintenance and promote tumor recurrence. Here, we evaluated the efficacy of pan-EGFR inhibitor afatinib and Temozolomide (TMZ) combination on GBM in vitro and in vivo.

METHODS: We analyzed the effect of afatinib and …

Trefoil Factor(S) And Ca19.9: A Promising Panel For Early Detection Of Pancreatic Cancer, Rahat Jahan, Koelina Ganguly, Lynette M. Smith, Pranita Atri, Joseph Carmicheal, Yuri Sheinin, Satyanarayana Rachagani, Gopalakrishnan Natarajan, Randall E. Brand, Muzafar A. Macha, Paul M. Grandgenett, Sukhwinder Kaur, Surinder K. Batra

Journal Articles: Biochemistry & Molecular Biology

BACKGROUND: Trefoil factors (TFF1, TFF2, and TFF3) are small secretory molecules that recently have gained significant attention in multiple studies as an integral component of pancreatic cancer (PC) subtype-specific gene signature. Here, we comprehensively investigated the diagnostic potential of all the member of trefoil family, i.e., TFF1, TFF2, and TFF3 in combination with CA19.9 for detection of PC.

METHODS: Trefoil factors (TFFs) gene expression was analyzed in publicly available cancer genome datasets, followed by assessment of their expression in genetically engineered spontaneous mouse model (GEM) of PC (KrasG12D; Pdx1-Cre (KC)) and in human tissue microarray consisting of normal pancreas adjacent …

Thyroid Function Screening & Dysfunction In Patients With Heart Failure: An Examination Of Practice At The University Of Kentucky Albert B. Chandler Hospital From 2007-2017, Alexandra Paige Hall

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

Introduction: Heart failure constitutes a global pandemic affecting at least 26 million globally (an estimated 5.7 million of which are Americans), and its burden on our healthcare system is projected to increase.[1] As a result, it is imperative that diagnostics and treatment among that population be evidence based in order to contain costs and optimize patient outcomes. Over the last 20 years, thyroid function screening has been recommended for patients upon initial diagnosis of heart failure by the American College of Cardiology and other professional organizations. However, it remains unclear whether this recommendation is followed by practitioners and how much …

A Comparison Of Pediatric Prevention Policies To Pediatric Health Supervision Codes, Rania Burke

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

The number of policy statements from the AAP presents pediatricians with an increasing amount of advice related to prevention, yet the definition of prevention and well-child visits has not changed for outpatient office visits. Outpatient office visits are the primary means by which preventive care is administered. The objective of this study is to quantify and characterize the prevention policy recommendations that pediatricians are expected to provide patients/guardians beyond the well-child visit. Secondarily, an analysis was completed to demonstrate which prevention policies make recommendations that can be coded for reimbursement as part of a well-child prevention visit.

METHODS The author …

Examining Good-Game Design Mechanics That Enhance Student Motivation: A Case Study Of “The Research Race” Game, Ngoc-Yen Tran

Faculty and Staff Publications

The Research Race (hereon referred to simply as The Race) is an active learning game played in one-shot information literacy sessions. It is an exercise that has students working together in teams to find answers and to locate materials in a friendly competition with their classmates, while also introducing them to the physical and digital spaces of the library. This chapter outlines how to play The Race and gives rationale for how The Race can enhance motivation through the use of good game design mechanics.

Rightful Compensation For A Wrongful Conviction: In Defense Of A Compensation Statute In The State Of Wyoming, Meridith J. Heneage

Wyoming Law Review

No abstract provided.

Traditional Regression Methods Versus The Utility Of Machine Learning Techniques In Forecasting Inmate Misconduct In The United States: An Exploration Of The Prospects Of The Techniques, Fawn T. Ngo, Ramakrishna Govindu, Anurag Agarwal

Criminology Sarasota Manatee Campus Faculty Publications

In the U.S., prison administrators often rely on risk assessment instruments to place and supervise inmates, as well as manage, plan and allocate resources. Hence, any improvement in the accuracy performance of risk assessment instruments is likely to result in significant benefits for offender classification and rehabilitation, management systems, and public safety. To date, researchers have explored the relative predictive performance between regression and non-regression methods and the overall evidence is inconclusive. In this study, we seek to advance the debate regarding the efficacy of traditional regression methods versus the utility of machine learning techniques in forecasting inmate misconduct by …

Does Leadership Exist In Early Childhood Education In Tanzania?, Fortidas Bakuza

Institute for Educational Development, East Africa

Early Childhood Education (ECE) is the part of basic education that lays the foundation to the other levels of education. It is an area that requires leadership specialization based on the importance of this level and the age of children served and the current literature suggest that the nature and context of ECE makes it unique and worthy of independent examination and support mechanisms for quality improvement. This paper presents findings from a larger study conducted in Tanzania, East Africa to assess the differences between stated and implemented policies in Early Childhood Education leadership and it identifies issues such as …

2019 Annual Report, Dmacc

Annual Reports

No abstract provided.

Canis Lupus (Gray Wolf) Pup Survival In Yellowstone National Park, Anne Marie Jehle

Undergraduate Theses, Professional Papers, and Capstone Artifacts

The aim of this study was to describe gray wolf (Canis lupus) pup survival rates throughout the summer months in Yellowstone National Park. Understanding pup survival has implications for trends in pack and population age structure, cooperative breeding ecology and other breeding tendencies, social hierarchies, and population fitness, among other elements of species-specific population ecology. A general understanding of trends in pup survival is also relevant to state and federal land that allow gray wolf harvest. Understanding such trends and survival ecology gives managers and biologists the opportunity to evaluate gray wolf populations at a more comprehensive level and implement …

Asbury Theological Seminary Academic Catalog : 2019-2020, Asbury Theological Seminary

Academic Catalogs

No abstract provided.

First-Generation Students’ Information Literacy In Everyday Contexts, Darren Ilett

University Libraries Publications

Historically, much of the Library and Information Science (LIS) literature on first-generation students (FGS) framed them using deficit thinking, emphasising what they lacked to be successful in higher education. In contrast, recent scholarship has turned to asset-based pedagogies, shifting the focus onto the strengths that FGS bring to college. Further, LIS research on FGS has examined how students engage with information solely in academic contexts, such as completing research papers or navigating higher education procedures. The current study contributes to the discussion of asset-based pedagogies by using a funds of knowledge approach to explore the ways in which FGS at …

Effect Of Process-Oriented Guided-Inquiry Learning (Pogil) On Preservice Elementary Teachers' Understanding Of Biological Classification, Mackenzie Volz

All Graduate Theses, Dissertations, and Other Capstone Projects

This study examined preservice elementary teachers’ biological classification conceptions and whether process-oriented guided-inquiry learning (POGIL) or traditional pedagogies affect preservice elementary teachers’ understanding of biological classification conceptions. A literature review was completed to determine common biological classification conceptions that exist among all researched populations, what misconceptions are present regarding biological classification, and whether POGIL was an appropriate pedagogy to use in the experimental study. The findings from the literature review were used to develop a mixed-method research study. Both quantitative and qualitative data was gathered through the use of pre- and posttests and post-instruction clinical interviews. Participants (n = 47) …

Comparison Between Brief Acceptance And Cognitive Interventions: Assessing Public Speaking Performance In Socially-Anxious Individuals, Soultana Mpoulkoura

All Graduate Theses, Dissertations, and Other Capstone Projects

Social anxiety disorder is one of the most prevalent psychological disorder to date and it is associated with impairments in multiple domains, such as in occupational and academic settings. Although, traditional Cognitive Behavioral Therapy (CBT), aims to reduce distress by altering maladaptive schemas, this approach is not always successful. Recent research has shown ambiguous support for cognitive restructuring as a mechanism of change. Therefore, further research is needed to discover effective treatments. Acceptance and Commitment Therapy (ACT), emphasizes psychological flexibility and values rather controlling negative thoughts. The current study compared brief acceptance and cognitive control based interventions for increasing performance …

Teaching Homer’S Odyssey Through Charles Darwin’S The Descent Of Man: An Ancient Version Of Evolution, Lois A. Cuddy

New England Classical Journal

This paper argues that Homer’s Odyssey was the world’s introduction to ideas about human evolution popularized by Darwin and that these ideas are recognizable in the individuals and communities that the hero and his son encounter on their journeys. Homer represents the stages of human evolution through the characteristics of various social groups described in the Odyssey , such as the Cyclopses, Lastrygonians, Ithacans, Kikones, and Phaeacians, as well as through the characteristics of noteworthy individuals such as Helen and Penelope. This comparison of different communities and individuals seems to mirror Darwin’s hierarchy of evolution in The Descent of Man. …