Digital Commons Network^™

Psychiatric Assessment Of A Spanish Understanding Patient Who Is Deaf – A Literature Review, Vania Nwokolo, Francisco Fernadez

MEDI 9331 Scholarly Activities Clinical Years

Mental illness can be misdiagnosed amongst the population who are deaf or hearing impaired. It is important to have the effective tools and resources necessary to appropriately diagnose mental health diseases within this population. In this paper, the authors present a review of the literature on this topic and its significance.

Non-Thrust Cervical Manipulations Reduce Short-Term Pain And Decrease Systolic Blood Pressure During Intervention In Mechanical Neck Pain: A Randomized Clinical Trial, Emmanuel Yung, Cheongeun Oh, Michael Wong, Jason K. Grimes, Erica M. Barton, Muhammad I. Ali, Allison Breakey

Physical Therapy Faculty Publications

Objectives: To evaluate the association of resting blood pressure with pain response and evaluate the cardiovascular effects of anterior-to-posterior [AP] versus lateral [LAT] techniques of cervical spine non-thrust manipulation [NTM].

Methods: Forty-three (23 females) participants with non-chronic neck pain (mean age 29.00 ± SD 9.09 years) randomly received AP or LAT NTM to the cervical spine. Blood pressure and heart rate were measured before, during, and after the intervention. Disability and pain were measured pre- and post-intervention.

Results: Resting systolic blood pressure (SBP) was significantly associated with average pain reduction two days later on univariate and multivariate analyses (coefficients −0.029 …

Identifying Protective Factors To Early Suicide Markers: The Buffering Effects Of Savoring And Resilience, Matthew Miceli

College of Graduate Studies: Theses & Dissertations

Suicide continues to be one of the leading causes of death in the United States, which highlights the need for researchers to identify protective models through longitudinal designs (Centers for Disease Control and Prevention [CDC], 2019). Importantly, suicide prevention strategies are more efficacious when they target early indicators of suicide and consider risk and protective factors. Desire for death, the combination of thwarted belongingness and perceived burdensomeness proposed by the interpersonal-psychological theory of suicidal behavior (Van Orden et al., 2008), is one such early marker of suicidal behavior. A protect factor is methodologically defined as one that demonstrates an inverse …

The Strong Families Program: Differential Impacts Of Resilience And Parent Management Training, Katie Slusher

College of Graduate Studies: Theses & Dissertations

Childhood behavior problems are pervasive with 50% of non-referred families citing noncompliance and behavior problems as an issue (Achenbach & Edelbrock, 1981). Many behavioral parent trainings (BPTs) treat these behaviors at an early age. Recently, adaptions to BPTs include group formats increasing accessibility and decreasing cost, especially for rural families with limited resources (Niec, Barnett, Prewett, & Stanley Chatham, 2016). Beyond BPTs, Alvord, Zucker, and Johnson Grados (2011) developed the Resilience Builder Program to enhance children’s social, emotional, and behavioral skills through a cognitive behavioral framework. The Resilience Builder Program improves anxious and depressive symptoms and reduces behavior problems in …

An Investigation Of The Competitive Anxiety Experiences Of Adolescent Figure Skaters, Diane Benish

College of Graduate Studies: Theses & Dissertations

Based on the three-factor hierarchical model of competitive anxiety (Jones, Mullen, & Hardy, 2019), the present study explored the relationship between competitive anxiety and performance among a sample of adolescent figure skaters. Participants included 47 figure skating athletes between the ages of 13 – 17 who were participating in a United States Figure Skating Association (USFSA) sanctioned test session. Analyses revealed that the three higher order factors of the Three Factor Anxiety Inventory (TFAI; Jones et al., 2019) along with years of testing experience, test attempt number and months training for a test were not related and therefore were unable …

The Relationship Between Burnout And Personality Traits In Secondary School Athletic Trainers, Marissa Abbondanzio

College of Graduate Studies: Theses & Dissertations

Introduction: Research has found that 30% of Athletic Trainers (ATs) experience burnout in their career. Limited literature has found the effects of burnout on ATs in the secondary school setting, though they account for 18% of the population. Objective: The aim of this investigation was to determine the relationship between burnout and personality traits in secondary school ATs. Methods: Participants included 143 ATs working in the secondary school setting and members of National Athletic Trainers’ Association (NATA). The Maslach Burnout Inventory (MBI) was used to measure level of burnout. The Big Five Inventory (BFI) was used to measure …

Biomechanical Comparison Of "Old" And "New" Cheer Shoes In Collegiate Cheerleaders, Abigail C. Johnson

College of Graduate Studies: Theses & Dissertations

INTRODUCTION: The sport of cheerleading requires that athletes perform with a high degree of flexibility, strength, endurance, and balance. The leading injury in cheerleading is a lateral, inversion, ankle sprain. As footwear serves as an interface between the foot and the surrounding environment, characteristics of shoes should be monitored to determine the effects on proprioceptive communication. No previous literature was found that examined the biomechanical differences between “Old” and “New” shoes in collegiate cheerleaders. PURPOSE: The purpose of this study was to examine the biomechanical differences exhibited by collegiate cheerleaders while performing balance testing and step-down, landing tasks in “old” …

An Examination Of The Relationship Between Community Engagement And Military Spouse Marital Satisfaction, Alexandra N. Gilbert

College of Graduate Studies: Theses & Dissertations

The goal of this research study is to assist in filling the gap in research on military spouses, beyond deployment and employment issues. Marital satisfaction is a known factor in service member retention and job performance, however very little research on what aspects may be related to military spouse marital satisfaction has been conducted. Military communities have been shown to be an important source of social support for military spouses, however few studies have considered spouses’ involvement in their larger communities. This study’s hypothesis states that a relationship between military spouses’ marital satisfaction and their community engagement off-base exists. The …

Who Deserves To Be In Stem? How Threat And Confirmation Of The Gender Hierarchy Impact Helping Behavior Towards Prospective Stem Majors, Samantha A. Gnall

College of Graduate Studies: Theses & Dissertations

Current events that either threaten or confirm the current gender hierarchy may impact people differently. This can depend upon one’s group membership and their attitudes towards a fair and just society. When people are asked to help others while facing uncertainty of the hierarchy, they may choose to help or lash out in an effort to re-establish the hierarchy or dismantle the hierarchy. STEM faculty were presented with information that either did not threaten the gender hierarchy (i.e., maintaining gender inequality) or that threatened the current gender hierarchy (i.e., reaching gender equality). Participants were then given an opportunity to offer …

Attitudes Toward The Hpv Vaccine Among University Students: Identifying Barriers To Vaccine Uptake, Kristina L. Harbaugh

College of Graduate Studies: Theses & Dissertations

Background: In the United States, the Centers for Disease Control and Prevention (CDC) estimates that 32,000 cancers occur annually that can be directly attributable to the acquisition of the Human Papilloma Virus (HPV). Gender specificity data posits that 21,000 of the annual cancer cases are female and the remaining 11,000 cases occur among males. However, because the implementation and trajectory of HPV vaccination and prevention programs have been historically aimed toward women, vaccination rates for men remain significantly lower. The purpose of this study was to assess gender differences in knowledge attitude, subjective norms and perceived behavioral control about HPV …

Resources To Access Health Care For Low Socioeconomic Status Youth Athletes, Stephanie Walsh

College of Graduate Studies: Theses & Dissertations

Background: Approximately 60 million youth participate in organized sports, with 13.5 million receiving care for sports related injuries each year. Most youth sports organizations do not have readily accessible health care resources; relying on parents and guardians to manage injuries. However, a majority of parents and guardians are untrained in appropriate management of injuries, therefore there is a need for understanding the availability of health care resources within the community. Resources necessary to access health care include health services, health insurance, transportation, and communication. Barriers to these resources may affect lower socioeconomic status family’s accessibility to care. Purpose: Investigate the …

Racial Differences In Factors Influencing Childhood Overweight And Obesity In The Us, Brendan C. Ibe

College of Graduate Studies: Theses & Dissertations

Background: Childhood overweight and obesity in the US has persisted as a serious public health concern despite efforts to address it. Children today are now estimated to live shorter life expectancy than their parents due to the consequences of childhood overweight and obesity. The earlier focus on healthy diets and an increase in physical activity have proved inadequate in reversing the trend. Using the social ecologic model (SEM), this study assessed the ecological and behavioral influences on childhood overweight and obesity among Non-Hispanic white, Non-Hispanic black, and Hispanic children. Methods: The study data were derived from the 2016 National Survey …

Nitroxide Human Serum Albumin Incorporated Nanoflowers With Dual Enzyme-Like Activities, Can Cai

College of Graduate Studies: Theses & Dissertations

In this work, nitroxide 2,2,6,6-tetramethylpiperdine 1-oxyl (Tempo), human serum albumin (HSA), CuSO₄ and phosphate buffered saline (PBS) were used to synthesis the hybrid nanoflowers. Scanning electron microscopy (SEM), electron paramagnetic resonance (EPR), and Fourier-transform infrared spectroscopy (FTIR) were used for characterization of the nanoflowers.The SEM spectra illustrated the morphologies of the hybrid nanoflowers. The FTIR spectra corroborated the presence of PNA in the hybrid nanoflowers, while the EPR spectra confirmed the intermolecular interaction of nitroxides bound to the human serum albumin incorporated into the nanoflowers. The catalase mimetic activity and corresponding kinetic parameters of nanoflowers were determined using the …

Assessing The Percieved Barriers To Early Detection, Treatment, And Management Of Cervical Cancer Among Ghanaian Women, Angela D. Blackwell

College of Graduate Studies: Theses & Dissertations

Introduction: The purpose of this study was to assess the perceived barriers and strategies for improvement of timely detection, treatment, and management of cervical cancer among Ghanaian women in a tertiary hospital setting. Methods: Sixty semi-structured interviews, comprised of thirty-five cervical cancer patients and twenty-five healthcare professionals who provide cervical cancer care, were conducted. Two focus groups were conducted, including four healthcare professionals and another with two healthcare professionals—the data were analyzed using NVivo 12. A theoretical thematic analysis was utilized to identify common themes and sub-themes that arose from the participant interviews. The social-ecological model framework was employed to …

Does Dual Enrollment Impact Ctae, Robert J. Dollar

College of Graduate Studies: Theses & Dissertations

The purpose of this study was examine if legislation that greatly impacted the number of students taking dual enrollment courses in the state of Georgia was having an impact of CTAE programs in seven, rural school districts in southeast Georgia. This study employed a mixed methods research design. Quantitative data supplied by the Georgia Department of Education regarding enrollment numbers, as well as qualitative data gathered by the utilization of an open-ended questionnaire, were analyzed conjunctly to ascertain if an impact existed. This study focused on four overarching research questions regarding any potential impacts experienced with the implementation of the …

Standardized Knowledge And Behavior Of Food-Protection Staff To Help Reduce The Potential For Incidences Of Foodborne Illness, Joshua A. Dufresne

College of Graduate Studies: Theses & Dissertations

Background: Environmental public health has always been at the forefront of issues that affect the health and wellbeing of the general public when it comes to food safety. However, with the workforce moving from one of technological laggards toward faster progress toward new and improved systems in performing food service, the question becomes: What are the needs of the environmental health and food safety workforce, and how does one get there? Logically, another question follows: are our current training programs helping to make a difference in the number of foodborne-illness risk-factor violations being issued?

Purpose: This study was to …

Smartphones, Stress, And The Reduction Of Cognitive Resources, Jenay R. Stone

College of Graduate Studies: Theses & Dissertations

Smartphones are a ubiquitous part of daily life for most Americans. They offer an abundance of information, connectivity, and entertainment. Previous research suggests that smartphones are also responsible for cognitive costs in educational, public, private and professional settings when in use or audibly creating stimuli in the environment. Smartphones are also linked to an automatic attenuation of cognitive resources even when not in use and merely salient (Ward, Duke, Gneezy and Bos; Journal of the Association for Consumer Research; 2, 141, 154, 2017). The purpose of the present study was to experimentally test the effect of cell phone salience …

The Effect Of Patient And Hospital-Level Factors On 30-Day Readmission After Initial Hospitalization Due To Stroke, Emmanuel Akowuah

College of Graduate Studies: Theses & Dissertations

Background: Hospital readmissions account for a large part of healthcare costs, especially among stroke patients. Readmission is common among disabled stroke survivors because they often suffer some neurological deficits, functional impairment, and other preexisting cardiovascular conditions. Although previous studies have explored the relationship between hospital readmissions after initial hospitalization due to stroke and a set of predictors using various analytical models, it often remains uncertain which predictors are most influential or essential. This study aimed to assess the effect of patient and hospital-levels factors on 30-day readmission after initial hospitalization due to stroke using the Anderson model of healthcare …

The Impact Of A Division I Volleyball Season On Jumping Performance, Joshua R. Pascal

College of Graduate Studies: Theses & Dissertations

Previous research has been conducted on different performance metrics in collegiate athletes in various sports, including volleyball. These metrics include strength, speed, power output, and jump height. However, little research has examined changes in seasonal jumping performance in volleyball athletes on a weekly basis. Purpose: To examine how Division I Volleyball jumping performance is affected by a competitive season. Methods: 11 female volleyball athletes from one NCAA Division I institution wore VERT sensors during practices for the entire 15-week competitive season. The athletes also completed countermovement Jump Mat testing on the first practice of the week, with the exception of …

Nine Stories And The Society Of The Spectacle: An Exploration Into The Alienation Of The Individual In The Post-War Era, Margaret E. Geddy

College of Graduate Studies: Theses & Dissertations

This thesis analyzes the thematic links between three of J. D. Salinger’s short stories published in Nine Stories (“A Perfect Day for Bananafish,” “Down at the Dinghy,” and “Teddy”), ultimately arguing that it is a short-story cycle rooted in the quandary posed by the suicide of Seymour Glass. This conclusion is reached by assessing the influence of T. S. Eliot’s poem “The Waste Land” on these stories, something that is understood through the Marxist frame of Guy Debord’s The Society of the Spectacle.

Health Behavior In International Student-Athletes, Alison Adams

College of Graduate Studies: Theses & Dissertations

Context: International student-athletes (ISAs) are a unique population that must overcome challenges associated both with being an international student as well as with being a student-athlete(Bradley, 2000; Bentzinger, 2016). These challenges include the increased likelihood of injury and the subsequent need for healthcare. Athletic trainers are responsible for providing and coordinating healthcare for student-athletes when it is needed. In order to provide high-quality care, it is important that they understand the unique values and experiences of each individual athlete (Unruh, 1998).

Objective: The purpose of this study was to examine how cultural factors and past experience impact health behavior in …

Physiological Response Of Elasmobrachs During Propofol Immersion, Matthew Levendosky

College of Graduate Studies: Theses & Dissertations

Sensory experiments require anesthesia so the animal is immobilized, however fish anesthetics have shown to depress sensory responses. Newer anesthetics may offer similar anesthetic relief, but differ in means of action so sensory responses may be unaffected. Propofol has been used intravenously on small elasmobranchs but may provide prolonged effects if used as an immersion anesthetic. Objectives of this study were 1. Determine appropriate concentration of anesthetic to minimize induction and recovery for animals anesthetized at a surgical plane of anesthesia and 2. Measure physiological response of the pupil to light stimuli during anesthetic immersion. To address these objectives, I …

The Relationship Between Servant Leadership And Teacher Retention And Student Achievement, David Earl Murphy

College of Graduate Studies: Theses & Dissertations

This non-experimental quantitative study aimed to determine if servant leadership influenced teacher retention or student achievement and if teacher retention influenced student achievement. This study’s respondents were 145 middle and high school teachers within a contiguous rural region of the Southeastern United States. Survey responses were received and analyzed during the late summer of 2020. Three research questions guided this study: Does servant leadership [high, low] influence teacher retention intention; What is the effect of servant leadership [high, low] on student achievement by categorical population groups as identified by the GaDOE; and lastly, What is the effect of teacher retention …

A Phenomenological Exploration Of Principals' Influence On Teacher Attrition, Kellie E. Gebhardt

College of Graduate Studies: Theses & Dissertations

ABSTRACT

Classroom teachers' decisions to leave the profession negatively affect the educational experience of the students, burden the remaining teachers, and drain school districts of funds that should go to students but instead are spent on recruiting and training. This phenomenological study examined the experiences of former classroom teachers to determine the role their school principals may have played in their decisions to leave the profession. Ten former elementary school teachers from South Carolina participated in the study. The researcher collected data using interviews; a semi-structured interview protocol was created from current literature and designed to align with the research …

Professionalizing Emergency Medical Services (Ems): Still At The Crossroads, B. Jeanine Newton-Riner

College of Graduate Studies: Theses & Dissertations

In this work, I examine the failure of Emergency Medical Services (EMS) to professionalize over the course of its existence as an occupation. I consider how popular culture has contributed to a conflicted identity between what the public sees and how EMS providers view themselves. I believe that EMS has been restrained from professionalization due to oppression by physicians in a manner consistent with how two other allied health professions, pharmacy, and physical therapy, once were. I explore the professionalization of these two occupations to identify similarities and differences that may provide insight into next steps needed by EMS providers …

Factors Associated With Hiv Testing In Liberia: Findings From The 2013 Demographic Health Survey, Miatta M.E. Dennis

College of Graduate Studies: Theses & Dissertations

Human immunodeficiency virus (HIV) is among the world’s most serious challenges. The African region is severely affected with nearly one in 25 adults being HIV infected –accounting for over two-thirds of HIV infected people worldwide. In 2013, approximately three in four men and half of women aged 15-49 had never been HIV tested. In 2018, over 7,000 Liberians were HIV positive. Increasing HIV testing rates is the primary step to reducing HIV infection rates. This study examines factors associated with HIV testing behavior among Liberians using the Knowledge Attitude Behavior (KAB) model as a conceptual framework. The 2013 Liberia Demographic …

Application Of The Andersen Health System Utilization Framework In The Investigation Of The Use Of Traditional Medicine In Kumasi, Ghana, Pascal Felix

College of Graduate Studies: Theses & Dissertations

There is a gap in theoretically-based-research on the use of Traditional Medicine (TM) in Low and Middle-Income Countries (LMIC). The Andersen Health System Utilization (AHU) framework was used to explore the factors associated with TM use among chronically ill patients seeking care from the Komfo Anokye Teaching Hospital (KATH), Ghana, West Africa. Two research questions allowed a focused application of the AHU model. The first research question sought to identify the need, predisposing, and enabling factors associated with TM use. The second research question sought to examine the relationship between TM and perceived health status. Multinomial logistic regression and instrumental …

Association Rules Patterns Discovery From Mixed Data, Welendawa Acharige Charith A. Elson

College of Graduate Studies: Theses & Dissertations

Finding Association Rules has been a popular unsupervised learning technique for dis covering interesting patterns in commercial data for well over two decades. The method seeks groups of data attributes and their values where their probability density of these attributesattherespectivevaluesismaximized. Therearecurrentlywell-establishedmeth ods for tackling this problem for data with categorical (discrete) attributes. However, for the cases of data with continuous variables, the techniques are largely focusing on cate gorizing continuous variables into intervals of interest and then relying on the categorical data methods to address the problem. We address the problem of finding association rules patterns in mixed data by …

Perceptions Of Physical Activity Engagement Among African American Emerging Adults At Georgia Southern University - Statesboro Campus, Addison Mickens

College of Graduate Studies: Theses & Dissertations

Introduction: Physical Activity (PA) is critical to the health and well-being of African American emerging adults, ages 18-25. Research suggests that African American (AA) college students engage in less PA than other racial/ethnic groups. Few studies have examined the relationship between the collegiate built environment (CBE) impact on PA in this population. The Social Ecological Model (SEM) and the Social Cognitive Theory (SCT) were used to show how the environment facilitates influence on the behavior through physical and social factors affecting the behavior of engaging in PA. Methods: The purpose of this cross-sectional, concurrent multi-method study was to determine barriers …

Understanding The Relationships Between Combat-Related Ptsd Symptoms And Drinking Motives On Military Parental Satisfaction, Melissa C. Hinely

College of Graduate Studies: Theses & Dissertations

As of 2017, over 1.3 million Americans are enlisted in the U.S. Armed Forces (Department of Defense, 2017). Military personnel, particularly those exposed to combat, are significantly more likely to experience Posttraumatic Stress Disorder (PTSD; Xue et al., 2015). Furthermore, persons with PTSD are more likely to misuse alcohol, particularly when motivated to drink as a means to cope with negative emotions related to their PTSD symptoms (Simpson et al., 2014). Both PTSD and alcohol misuse have been found to contribute negatively to parental satisfaction and distress (Chesmore et al., 2018; McGraw et al., 2018). Veterans/service members who were parents …