Digital Commons Network^™

Integrated Care For Older Adults And Memory: A Quality Improvement Approach, Haley E. Curt

Antioch University Dissertations & Theses

Integrated care, a combination of medical and behavioral health, is necessary to address the complex needs of the rapidly growing population of adults over the age of 65 (Karel, Gratz, & Smyer, 2012). Cognitive impairment, a common issue associated with aging, is a major concern for aging adults, their caregivers and family members. Comprehensively addressing cognition, whether there is an identified impairment or not, in a primary care setting allows the individual to take advantage of their independence, be an active member of planning care and making decisions, and begin treating their disease earlier when it is more manageable (Callahan …

Client Perceptions Of The Therapy Room: Effects Of Homely Therapeutic Landscapes, Amanda Knapp

Antioch University Dissertations & Theses

There is very limited research exploring the effects of a homely therapeutic landscape design on the psychological wellbeing of clients attending outpatient psychotherapy. In particular, very little is known about the impact of office design on client perceptions of their therapist and the quality of care they anticipate receiving. Ample data support the idea of healing environments; this has important implications for the field of clinical psychology. The theoretical framework underlying this study is the Tripartite Model, which states that people view spaces as most meaningful when they promote positive feelings of comfort, belonging, and security. Focusing on college students …

Ayurvedic And Bionian Theories Of Thinking: Mental Digestion And The Truth Instinct, Jenna Labbe-Watson

Antioch University Dissertations & Theses

This theoretical paper integrates Ayurvedic and Bionian psychoanalytic theories of thinking into a new, integrative understanding of how individuals learn from experience. The relationship between knowledge, emotional experience, and the truth instinct is explored. Ayurvedic and Bionian theories describe the complexity involved in transforming raw sensory and emotional experiences into thoughts that nourish our intelligence and permit us to continually dream ourselves into being. Ayurvedic theories of intrapsychic processes and the anatomy and physiology of the mind will be explicated alongside Bionian concepts of intersubjective projective identification. For the promotion and maintenance of psychological growth, Bionian psychoanalytic thinkers describe the …

A Phenomenological Inquiry Into The Client Experience Of The Psychotherapy Relationship, Mark D. Knutzen

Antioch University Dissertations & Theses

Meta-analyses have indicated that there are likely common factors across varied treatment modalities that account for the effectiveness of psychotherapy. Research has attempted to identify therapist and treatment relationship components that correlate with effective mental health treatment. Yet, there is a paucity of research directly addressing the qualitative experience of the relationship between psychotherapists and their clients.

Eight adult psychotherapy clients were interviewed regarding their experience of the psychotherapy relationship with their mental health therapist. The interviews were analyzed through the use of Interpretative Phenomenological Analysis (IPA). Seven themes emerged. Three themes related to the formation, and overall foundation of …

India’S First Period: Constitutional Doctrine And Constitutional Stability, Madhav Khosla

Faculty Scholarship

Studies on constitutional stability and endurance rarely gesture toward the role of legal doctrine. While the workings of courts are often considered in understanding how a constitutional order might be sustained, this is almost variably achieved by examining the relationship between courts and other institutions. This chapter takes a different approach and studies the way in which constitutional consolidation might also be shaped by the doctrinal orientations and forms of reasoning that courts adopt. It does so by considering the first period of Indian constitutionalism. The focus is on two specific areas: the place of the Directive Principles in India’s …

The Problem Of Humanization: Affect And Investigative Mindset In U.S. Capital Mitigation, Jesse Cheng

Social and Cultural Sciences Faculty Research and Publications

This article has two goals. First, I demonstrate the challenges that “humanization” poses for the defense as an ideal of sentencing mitigation in U.S. capital trials. Capital case procedure largely neutralizes the sympathetic effects of humanization with jurors. In addition, potential mitigation witnesses inhabit affective environs that undermine any inclination to help the defense through sympathetic testimony. Second, I explain how defense advocacy responds to humanization’s challenges. Practitioners adopt an investigative mindset that focuses on forging the conditions to cultivate relationships with mitigation witnesses. This intensive affective labor translates back into the realm of procedure through strategic maneuvers intended to …

Medical Technology And Technique, Sameena A. Mulla

Social and Cultural Sciences Faculty Research and Publications

No abstract provided.

Evaluating Flow Features For Network Application Classification, Carlos Alcantara

Open Access Theses & Dissertations

Communication networks provide the foundational services on which our modern economy depends. These services include data storage and transfer, video and voice telephony, gaming, multimedia streaming, remote invocation, and the world wide web. Communication networks are large-scale distributed systems composed of heterogeneous equipment. As a result of scale and heterogeneity, communication networks are cumbersome to manage (e.g., configure, assess performance, detect faults) by human operators. With the emergence of easily accessible network data and machine learning algorithms, there is a great opportunity to move network management towards increasing automation. Network management automation will allow for a reduced likelihood of human …

The Effect Of Waterpipe/Hookah On Platelet Function And The Impact Of Inhibition Of Gβγ Subunits On Hemostasis And Thrombogenesis, Ahmed Alarabi

Open Access Theses & Dissertations

Abstract (Hookah)

Cardiovascular diseases (CVD’s) is a major public health problem. Among CVD’s risk factors, tobacco smoking is considered the single most preventable cause of death, with thrombosis being the main mechanism of CVD’s mortality in smokers. While tobacco smoking has been on the decline, the use of waterpipe/hookah has been rising, mainly due to the perception that they are “less harmful” than regular cigarettes. Strikingly, there are few studies on the negative effects of waterpipes on the cardiovascular system, and none regarding their direct contribution to thrombus formation. We employed a waterpipe whole-body exposure protocol that mimics real‐life human …

Does The Type Of Housing A Child Lives In Predict Blood Lead Level?, Elizabeth Alvarado Navarro

Open Access Theses & Dissertations

Background and Significance: Childhood lead exposure continues to be a global health problem that can compromise children's long-term health. Identifying factors that predict which children may be at the highest risk of exposure is a strategy that could help focus child lead surveillance. Lead is a natural element found in small amounts in the earth's crust and has been widely used in industry and consumer products since the time of the Romans. Lead, however, is highly toxic for humans and serves no biological purpose in the human body. There is substantial evidence that, even at the lowest levels of exposure, …

Adiposity And Arterial Stiffness: Associations With Prefrontal Cortex Hemodynamic Response And Response Inhibition, John William Capps

Open Access Theses & Dissertations

Obesity is a global health crisis associated with increased arterial stiffness, diminished brain reactivity, and diminished executive functioning. Inhibitory control, a specific domain of executive functioning, is known to be especially important to behaviors influencing health. The current study aimed to determine if increased adiposity and arterial stiffness were associated with performance and brain activation for two inhibitory control subtypes, response restraint, and response cancellation. Carotid-femoral pulse wave velocity, the Cued Go/No-go Task, the Stop Signal Task, and functional Near-Infrared Spectroscopy (fNIRS) were used to investigate these relationships. Pearson correlations indicated that slower stop-signal reaction time was associated with a …

Formulation Strategies To Enhance Solubility And Permeability Of Small Molecules For Drug Delivery Applications, Pradeep Kumar Bolla

Open Access Theses & Dissertations

All the new chemical entities/drug molecules intended for therapeutic use must be administered using an appropriate delivery system/dosage form to achieve maximum bioavailability. However, designing a drug delivery system is complex as several factors such as lipophilicity, molecular mass, crystallinity, ionic charge, polymorphic forms and hydrogen bonding) affect the solubility and permeability of these molecules. Biopharmaceutics drug classification system (BCS) categorizes the existing drugs into four classes based on the aqueous solubility and membrane permeability and it is reported that >70% of the drugs are poorly soluble and belong to BCS class II and BCS class IV. Several physical, chemical …

Morphological Production Accuracy Patterns In Younger And Older Spanish-English Bilingual Children, Isabel Angelica Cano

Open Access Theses & Dissertations

Clinicians require a model of typical bilingual language development. Morphological production accuracy patterns vary in Spanish-English (S-E) bilingual children considering differences in the exposure and use of their two languages compared to their monolingual peers. The purpose of the current study was to examine morphological production accuracy patterns in thirty younger (3- to 4-years old) and older (5- to 6-years old) S-E bilingual children utilizing English and Spanish Morphosyntax subtests from a bilingual language screener. Across development, older bilingual children were more accurate on all forms in both English and Spanish than younger bilingual children. Across languages, all S-E bilingual …

At The Mercy Of The Mexican Supreme Court: The Implications Of Party Capability On Indigenous People's Cases, Alan Cardenas

Open Access Theses & Dissertations

Indigenous Peoples in Mexico have long struggled in securing their rights in colonizing states. Applying party capability theory, this paper seeks to empirically understand the Mexican Supreme Court's behavior in cases pertaining to Indigenous Peoples. This paper thus evaluates the degree to which the Mexican Supreme Court is indeed an impartial actor that produces "equal protection under the law" for everyone (Galanter, 1974). Specifically, this paper examines the questions: To what extent does the Mexican Supreme Court protect Indigenous Peoples' rights? Are Indigenous Peoples legally affected by the power disparity perpetuated by the inequality in the country? This paper thus …

A Mixed Methods Approach To Studying Risk Perceptions Among Latina Patients In The Emergency Department: Gender Roles And Hiv Risk Behaviors, Juliana Cardoso Smith

Open Access Theses & Dissertations

The intersection of race and gender are critical determinants of healthcare experiences. Women from minority groups face unequal access to healthcare, such as HIV testing; consequently, leading to worse outcomes in several health conditions compared to Non-Hispanic White females, including HIV rates. Human Immunodeficiency Virus (HIV) affects an estimated 1.2 million individuals in the United States, disproportionately affecting ethnic minorities. Latinas are estimated to be four times more likely to be diagnosed with HIV compared to white females. Despite the availability of HIV testing in Emergency Departments across the United States, patients may still underreport their HIV risk and have …

Graduate School Application Accessibility For International Students, Estefania Castillo

Open Access Theses & Dissertations

The graduate school application is a time consuming, yet important, process that can often be complicated for students. However, this process is made even more complicated for international students who often face extra steps and other obstacles when applying to graduate programs in the US. Following my own experience of applying to a master's program as an international student, I set out to further explore how international students experienced and navigated this process. This research project explored the graduate school application process through the experiences of international students that were shared in testimonios through platicas, or open and friendly conversations. …

Association Of A Repetitive Manual Task On Inflammatory Biomarker Expression, Heart Rate Variability And Rating Of Perceived Exertion, Daniel Conde

Open Access Theses & Dissertations

The National Institute for Occupational Safety and Health (NIOSH) defines work related musculoskeletal disorders (WMSDs) as a group of disorders involving muscles, tendons, and nerves. The WMSDs symptoms are considered the most common occupational disease, causing limitations in daily activities. Even though there is an association between repetitive manual tasks involving short work cycles, force demanding tasks, and the development of WMSDs, the specific cause of the physiological changes over a long period of time is a cause of debate. The study of mechanisms underlying the physiological changes is essential for the early detection, diagnosis, and appropriate management of WMSDs.

Insulin Restores The Neurochemical Effects Of Nicotine In The Mesolimbic Pathway Of Diabetic Rats, Bryan Cruz

Open Access Theses & Dissertations

This study examined whether insulin modulates the neurochemical effects of nicotine in the mesolimbic pathway of diabetic rats. Rats received vehicle or streptozotocin (STZ) to induce hypoinsulinemia. A subset of STZ-treated rats was implanted with insulin pellets that rapidly normalized glucose levels. Two-weeks later, dialysis probes were implanted into the nucleus accumbens (NAc) and ipsilateral ventral tegmental area (VTA). The next day, dialysate samples were collected during baseline and then following systemic administration of nicotine. Samples were also collected following intra-VTA administration of the gamma-aminobutyric acid (GABA)A receptor antagonist, bicuculline. Dopamine, acetylcholine (ACh), GABA, and glutamate levels were assessed using …

Sensory Integration And Its Role In Behavioral Plasticity In Children Diagnosed With Autism Spectrum Disorder, Clarissa Diaz

Open Access Theses & Dissertations

Although commonly characterized by communicative and social impairments, Autism Spectrum Disorder (ASD) presents a number of developmental deficits related to movement planning and action. The extent of these deficits to the entire neuromuscular system, as well as the individual input/output loops are still not well understood. Given the dynamic interplay between our plans, actions and outcomes lay the foundation for later mature motor behavior, it is critical to understand the unique motor learning processes these nervous systems face while a higher level of training plasticity may be present. A recent study examined the kinematics (acceleration, velocity, smoothness, etc.) of upper …

Juvenile Fluoxetine Treatment Mediates An Anxiogenic Phenotype That Is Ameliorated By Its Re-Exposure In Adulthood, Francisco Javier Flores Ramirez

Open Access Theses & Dissertations

Accumulating preclinical evidence indicates that early-life exposure to psychotropic medications induce an anxiogenic-like behavioral profile in later life. However, these preclinical approaches have been conducted primarily using male subjects. This is problematic since clinical data indicates that women are more likely to be diagnosed with anxiety disorders than their male counterparts, and thus, women are prescribed with psychotropic medications like fluoxetine (FLX), a selective serotonin reuptake inhibitor (SSRI), at significantly higher rates. Therefore, the goal of this Dissertation is to examine whether alterations in behavioral responses to anxiety-eliciting stimuli are exhibited in adulthood, as a result of early-life FLX exposure. …

Principals' Perceptions Of Their Preparedness To Lead Inclusive Schools For Students With Disabilities: An Action Research Study Of A Principal Preparation Program On The U.S.-Mexico Border, Ignacio Estorga Iii

Open Access Theses & Dissertations

In the "age of accountability," every student counts. This includes students with disabilities. Principals play a vital role in ensuring that students with disabilities receive a high-quality education. How are university-based preparation programs preparing aspiring administrators to meet the challenges of ensuring a fair and equal education for every student, including students with disabilities? Nearly 25 years ago, a study of principal preparation programs concluded that most principals were ill prepared when they began their leadership tenure. In 2009, a study found that, although there had been an increase in the number of hours that principal preparation programs required for …

We Are All Green: Stereotypes For Female Soldiers And Veterans, Katherine French

Open Access Theses & Dissertations

As the number of females in the U.S. military continues to rise, the need for research concerning this cohort becomes increasingly important. In consideration of gender role theory, society may assume that soldiers and veterans are male, due to stereotypes. Thus, it was hypothesized that participants would be more likely to implicitly associate military (i.e. prior military or combat veteran) as male compared the neutral condition (i.e. prior Peace Corp volunteer). The current study (N = 174) used gender pronouns as implicit measures of gender assumptions. Participants were assigned to read six gender neutral scenarios; three focal scenarios (i.e. combat …

Identification Of A Novel Single Amino Acid Substitution (V666g) Of Jak1 From A Patient With Acute Lymphoblastic Leukemia Impairs Jak3 Mediated Il-2 Signaling, Alice Hernandez Grant

Open Access Theses & Dissertations

The Janus kinase (JAK) family, notably JAK1, JAK2 and JAK3 are recognized as oncogenic drivers in high risk Acute Lymphoblastic Leukemia (ALL). The bulk of activating JAK mutations are thought to occur within functional hot-spots across Janus Homology (JH) domains. The most frequently mutated regions is the JH2 pseudo-kinase, which provides a negative regulatory role to the adjacent catalytically active JH1 kinase domain. Despite the prevalence of JAK activating mutations and a need for new therapeutic inhibitors, there is a lack of understanding in the allosteric regulation of JAK kinases. Here we sought to identify mutations involved in driving ALL …

Trials Of Belonging: Indigenous Peoples' Struggle With Law And Power In Twentieth-Century North America, Kevin Thomas Guay

Open Access Theses & Dissertations

Spanning multiple fields of scholarly inquiry, the bulk of this study concerns itself with competing notions of sovereignty, citizenship, boundary-making, and belonging in twentieth and twenty-first century Indigenous North America. Situated at the productive confluence of Borderlands history, Native American and Indigenous Studies, Critical Legal Studies, and Immigration history, this Dissertation analyzes the numerous treaties, codes, edicts, bylaws and other expressions of settler colonial jurisprudence that penetrated the everyday lives of Indigenous peoples across North America. These statutes-designed to limit Native power, dissolve Indigenous cultural identity, and strip tribal peoples of their landholdings and personhood-constituted an ongoing settler colonial project …

A Cellulose-Based Biological Sensor For The Quantitative Determination Of Glucose And Glycated Hemoglobin (Hba1c), Gilberto Henao-Pabon

Open Access Theses & Dissertations

ABSTRACT

Importance: Diabetes is a common world-wide disease characterized by insulin resistance and as result there is an increased risk of cardiovascular disease and other metabolic abnormalities, that contribute to irreversible end-organ damage. The cause of diabetes is multifactorial and includes genetic, inflammatory and environmental factors plus lifestyle issues. Because in diabetes there are high levels of glucose and glycated hemoglobin, these molecules are used in clinical settings for the acute and chronic management of diabetic patients.

Objectives: a. To design and build an electrochemical biological sensor using the enzyme Glucose Oxidase (GOX) to detect glucose in biological fluids.

b. …

Remediation And Prevention Of Harmful Algae Blooms (Habs) In Ascarate Lake At El Paso, Texas, Elizabeth Herrera Ortega

Open Access Theses & Dissertations

Ascarate park in El Paso, Texas is an example of an urban ecosystem in the middle of a growing city. It is the largest public-use recreational park in El Paso county and it includes a 48-acre Ascarate lake. The purpose of this study was to prevent harmful algae growth in Ascarate lake using phytoremediation by analyzing different water quality parameters. We installed artificial islands on west cove of the lake with African iris plants to determine the feasibility of remediation to prevent algae blooms in Ascarate lake. Water samples were collected at different points close and away from the islands …

A Social Network Perspective Of Employee Overqualification To Outcomes Relationships In Workgroups, Farid Jahantab

Open Access Theses & Dissertations

Integrating overqualification research with the social network perspective, and emphasizing social exchanges among organizational members, I propose to examine how social networks unpack the relationship between perceived overqualification and organizational outcomes. Specifically, I suggest that perceived overqualification (POQ) has implications for employees' centrality in a friendship network and that friendship network centrality (FRDNC) mediates the relationships between perceived overqualification and organizational outcomes (operationalized as organizational citizenship behaviors directed at coworkers [i.e., OCBI] and turnover intentions). Further, adopting a contingency approach to overqualification, I propose to identify contextual variables that determine the strength of perceived overqualification-social network-outcomes relationships. Social comparison theory …

Isolation And Characterization Of Α-Gal-Containing Extracellular Vesicles (Evs) From Three Major Genotypes Of Trypanosoma Cruzi: Potential Biomarkers Of Chagas Disease, Nasim Karimi Hosseini

Open Access Theses & Dissertations

Chagas disease (ChD) is a neglected tropical disease (NTD) caused by the protozoan parasite, Trypanosoma cruzi. It is transmitted by the insect-vector triatomine (popular known as kissing bug), blood transfusion, organ transplantation, congenitally, and contaminated foods and juices. T. cruzi has evolved several strategies to invade the host cells, including the release extracellular vesicles (EVs), which assist pathogen survival and its replication within the host. T. cruzi is covered with highly glycosylated surface molecules such as glycoproteins and glycolipids, which are shown to be involved in the interaction with host immune cells. These molecules are highly immunogenic and reactive with …

Assessing Attitudes And Knowledge Regarding Voice Modification In Transgender People Among Practicing Speech Language Pathologists (Slps) In Texas, Iliana Renee Lopez

Open Access Theses & Dissertations

The purpose of this cross-sectional study is to examine the attitudes and knowledge of voice modification in TG persons among practicing SLPs in the state of Texas. Thirty-nine individuals completed the 10-minute survey with 38 questions. SLPs in Texas who responded are professionally and personally comfortable working with transgender individuals. Most respondents did not know what was targeted in voice modification services, however are willing to learn. Respondents' attitudes, knowledge and comfort were impacted most by personal values, graduate school education and personal relationships. The results from this study support the need for education and clinical training on cultural competence …

This, My Breath, Suzette Louise Mack

Open Access Theses & Dissertations

This, My Breath, is a creative collection of memories gathered along the seasons in my life-mostly from my formative years. The stories highlight the patient, unconditional love my parents shared, and the way it has influenced me throughout my life. The stories are about life, love, loss, a yearning to belong, and a longing to be both interdependent and independent.

In my family of origin, it was the simple rhythms established through daily life and the honoring of traditions that inspired the deepest meaning, purpose, and hope. The seasons of the year brought my family alive with a flow of …