Digital Commons Network^™

Association Between Pelvic Inflammatory Disease, Infertility, Ectopic Pregnancy And The Development Of Ovarian Serous Borderline Tumor, Mucinous Borderline Tumor And Low-Grade Serous Carcinoma, Louise Stewart, C J.R Stewart, Katrina Spilsbury, P A. Cohen, S Jordan

IHR Papers and Journal Articles

Objective: Risk factors for ovarian borderline tumors and low-grade serous carcinoma (LGSC) are poorly understood. The aim of this study was to examine the association between infertility, pelvic inflammatory disease (PID), endometriosis, ectopic pregnancy, hysterectomy, tubal ligation and parity and the risk of serous borderline tumor (SBT), mucinous borderline tumor (MBT) and LGSC.

Methods: This was a population-based cohort study using linked administrative and hospital data. Participants were 441,382 women born between 1945 and 1975 who had been admitted to hospital in Western Australia between 1 January 1980 and 30 June 2014. We used Cox regression to estimate hazard ratios …

Sprint Acceleration Characteristics Across The Australian Football Participation Pathway, Toby Edwards, Benjamin Piggott, Harry G. Banyard, G Gregory Haff, Christopher Joyce

Health Sciences Papers and Journal Articles

The aim of this study was to compare the force, velocity and power profiles of a maximal sprint acceleration through different competition levels of the Australian Football (AF) participation pathway. One hundred and sixty-two junior AF athletes across five competition levels including State under 18’s (ST 18), State under 16’s (ST 16), local under 18’s (LOC 18), local under 15’s (LOC 15), and local under 14’s (LOC 14) participated in this cross-sectional study. Velocity-time data from maximal sprint accelerations were analysed to derive athlete’s sprint acceleration characteristics and split times. ST 18 showed a more force-orientated profile than the LOC …

The Well-Being Of Carers Of Older Aboriginal People Living In The Kimberley Region Of Remote Western Australia: Empowerment, Depression, And Carer Burden, Dina Logiudice, Cathryn M. Josif, Roslyn Malay, Zoe Hyde, Melissa Haswell, Melissa A. Lindeman, Christopher Etherton-Beer, David Atkinson, Dawn Bessarab, Leon Flicker, Kate Smith

Health Sciences Papers and Journal Articles

Objective: To describe demographic features and well-being of carers of Aboriginal Australians aged ≥45 years in remote Western Australia.

Method: Carer burden, empowerment, and depression were assessed in 124 Aboriginal carers in four remote Aboriginal communities.

Results: Carers were aged 38.8 ± 15.0 years, 73.4% were female, and 75.8% were children or grandchildren of the person cared for. The mean Zarit-6 score was 3.7 ± 3.6. Attending high school (odds ratio [OR] = 0.3; 95% confidence interval [CI] = [0.1, 0.7]) and feeling empowered (OR = 0.2; 95% CI = [0.1, 0.8]) were inversely associated with carer burden; female carers …

Self-Report Motor Competence In Adolescents Aged 12-18 Years In Regional And Rural Victoria (Australia), Mandy S. Plumb, Beth Hands, Fleur Mcintyre, Amanda Timler

IHR Papers and Journal Articles

Background: Poor motor skills are an increasing issue for adolescents in our local communities. In regional Victoria, almost 20% of children starting school in 2018 were considered at risk or developmentally vulnerable in the domain of physical health and wellbeing.

Purpose: The aim of the current study was to examine factors (how adolescents perceive their fine and gross motor skills, activities of daily living, comparison to peers) of motor competence that may be important to adolescents in regional Victoria, Australia, using the Adolescent Motor Competence Questionnaire (AMCQ).

Methods: A sample of 183 Australian adolescents ([138 females ( …

The Ground On Which We All Stand: A Conversation About Menstrual Equity Law And Activism, Bridget J. Crawford, Margaret E. Johnson, Marcy L. Karin, Laura Strausfeld, Emily Gold Waldman

All Faculty Scholarship

This essay grows out of a panel discussion among five lawyers on the subject of menstrual equity activism. Each of the authors is a scholar, activist, or organizer involved in some form of menstrual equity work. The overall project is both enriched and complicated by an intersectional analysis. This essay increases awareness of existing menstrual equity and menstrual justice work; it also identifies avenues for further inquiry, next steps for legal action, and opportunities that lie ahead. After describing prior and current work at the junction of law and menstruation, the contributors evaluate the successes and limitations of recent legal …

Preventing The Curse Of Bigness Through Conglomerate Merger Legislation, Robert H. Lande, Sandeep Vaheesan

All Faculty Scholarship

The antitrust laws, as they are presently interpreted, are incapable of blocking most of the very largest corporate mergers. They successfully blocked only 4 of the 61 largest finalized mergers and acquisitions (defined as the acquired firm being valued at more than $10 billion) that occurred between 2015 and 2018. The antitrust laws also would permit the first trillion-dollar corporation, Apple, to merge with the third largest corporation, Exxon/Mobil. In fact, today every U.S. corporation could merge until just 10 were left – so long as each owned only 10% of every relevant market.

Even though the Congresses that enacted …

From Socrates To Selfies: Legal Education And The Metacognitive Revolution, Jaime Alison Lee

All Faculty Scholarship

Metacognitive thinking, a methodology for mastering intellectually challenging material, is revolutionizing legal education. Metacognition empowers people to increase their mental capabilities by discovering and correcting flaws in their thinking processes. For decades, legal educators have employed metacognitive strategies in specialized areas of the curriculum. Today, metacognition has the potential to transform legal education curriculum-wide.

Current scholarship is rich, generous, and creative in exploring how metacognition can be used to enrich specific sectors of the law curriculum. What is missing, however, is a holistic examination of how metacognitive theory and practice have developed across these different sectors, with the purpose of …

The Sherman Act Is A No-Fault Monopolization Statute: A Textualist Demonstration, Robert H. Lande, Richard O. Zerbe Jr.

All Faculty Scholarship

The drafters of the Sherman Act originally designed Section 2 to impose

sanctions on all monopolies and attempts to monopolize, regardless whether the

firm had engaged in anticompetitive conduct. This conclusion emerges from the

first ever textualist analysis of the language in the statute, a form of interpretation

originally performed only by Justice Scalia but now increasingly used by the

Supreme Court, including in its recent Bostock decision.

Following Scalia’s methodology, this Article analyzes contemporaneous

dictionaries, legal treatises, and cases and demonstrates that when the Sherman

Act was passed, the word “monopolize” simply meant that someone had acquired

a monopoly. …

Straight From The Source: Black College Presidents Tell Their Stories, Steven Purcell

LMU Theses and Dissertations

Students on college and university campuses across the United States are becoming more racially diverse. However, leadership on college campuses is not trending toward more diversity, particularly in higher administrative posts such as the presidency. To better understand this stagnate trend of college president diversity, this critical narrative study examined the lived experiences and insights of six current or former college presidents who identify as Black. The participants in this study are a unique cohort of individuals who have served as presidents/chancellors at institutions where Black students are not the majority ethnic/racial group on campus.

More specifically, this study sought …

Racial Profiling In Education: A Study Of Teacher Perceptions Of Students In Special Education, Cairen D. Ireland

LMU Theses and Dissertations

African American males have performed near the bottom of the educational hierarchy in America for centuries. Though some improvements have been noted in the last several decades, educational statistics illustrate the achievement gap still persists between African American and White students (Hanushek, 2016). Disaggregated data show disparities in academic performance, high school drop-out rates, and college completion rates. African American males as early as kindergarten are also facing harsher discipline in schools and Black boys are often excluded from gifted and advanced placement courses and other educational opportunities (Howard, 2010). Yet, this population is over-referred and overrepresented in special education, …

A Case Study Of Equity And Student Experience In A California Community College, Agyeman Siriboe Boateng

LMU Theses and Dissertations

In California community colleges, students of color reach educational milestones and culminating outcomes disproportionately less often than their peers. In the past decade, the state has committed renewed energy to refining student equity plan regulations requiring individual colleges to identify and develop strategies to close such gaps. This dissertation sought to focus on the intended beneficiaries of these efforts, asking how students themselves define and experience equity. Using semistructured, narrative interviews to explore the experiences of nine students of color at a California community college, this qualitative case was supported by institutional documents, participant observation, and interviews with college personnel. …

Learning From Their Journey: Black Women In Graduate Health Professions Education, Marcia Lynne Parker

LMU Theses and Dissertations

While numerous efforts have been made across different educational contexts aimed towards increasing demographic diversity in STEM education, career decision-making content related to the potential pursuit of health professions education has failed to reach all students. Thus, there is a need for a more consistent and targeted sharing of information, including from the graduate level (where students must meet detailed requirements for specific healthcare disciplines), down to the community college and high school levels where students often make life-changing career-direction decisions without sufficient information to inform these decisions. At the other end of the spectrum, the conventional learning experiences in …

Leading From The Margins: The Educational Leadership Experiences Of Jesuit Directors Of Mission High Schools In The Philippines And The Implications For The Leadership Formation Of Filipino Jesuits, Guillrey Anthony M. Andal S.J.

LMU Theses and Dissertations

Educational leadership preparation is not an explicit priority in the scholastic formation of future Catholic priests in the Philippines. Consequently, there may be those assigned to lead in parochial mission schools early on in their ordained ministry but lack leadership training and experience. Thus, this study sought to answer the following research questions:

• What are the experiences of educational leadership successes and challenges of newly ordained Jesuit priests assigned as directors of Jesuit mission high schools in the Philippines?
• What are the perceptions of newly ordained Jesuit priests assigned as directors of Jesuit mission high schools in the Philippines on …

The Circle Of Care: Supporting The Academic Achievement Of Students Who Reside In Group Homes, Shannon A. Malone

LMU Theses and Dissertations

According to data published in 2018, approximately 20,000 children resided in group homes across the United States. By the nature of their situations, living outside of their familial homes, these children are experiencing trauma while trying to participate in typical childhood activities, such as making friends and attending school. Children who reside in group homes are foster youth. Foster youth consistently show low levels of academic achievement (Vacca, 2008). Children who reside in group homes have many service providers that are responsible for their care, including teachers, social workers, therapists, group home staff; these people make up the child’s circle …

In Their Own Voices: The First-Year College Experiences Of Upward Bound Alumni At Four-Year Postsecondary Institutions, Norma Romero

LMU Theses and Dissertations

Upward Bound (UB) projects provide educational support services to high school students in order to address inequalities in college access for low-income (LI) and first-generation students (FGS). However, access alone does not eradicate systemic barriers to positive collegiate experiences and degree attainment. As a federally funded program, UB regularly collects mandated outcome data; however, little is known about the specific academic, social, and emotional supports these programs provide. Especially lacking are in-depth qualitative studies that follow students into college and focus on students’ own stories. To address this gap in research, this study used in-depth interviews to capture the stories …

Let The Children Come To Me: Accommodating And Embracing Catholic High School Students With Intellectual Disabilities, Hani Zubi

LMU Theses and Dissertations

Current state and federal legislation mandate public schools to provide a vast array of educational services for students with disabilities. Catholic high schools are, for the most part, exempt from laws requiring them to provide those same services. Although many Catholic schools attempt to assist students with disabilities, the students they are willing to accept and accommodate generally have learning disabilities categorized as mild to moderate, who may not need the scope and breadth of services available to them in public schools. However, they are bound by their identity as Catholic to include and embrace all members of the community. …

Temporal Association Between Abdominal Weight Status And Healthy Aging: Findings From The 2011–2018 National Health And Aging Trends Study, Furong Xu, Jacob E. Earp, Geoffrey W. Greene, Steven A. Cohen, Ingrid E. Lofgren, Matthew J. Delmonico, Mary L. Greaney

Kinesiology Faculty Publications

Background/objectives: The longitudinal effect of abdominal weight status (AWS) defined by waist circumference (WC) on healthy aging has not yet been comprehensively examined. Therefore, the purpose of the present study was to examine the temporal association between WC-defined AWS and a comprehensive assessment for healthy aging. Subjects/methods: This study utilized data from 5211 respondents aged 65+ who participated in the National Health and Aging Trends Study from 2011 to 2018. Mixed effects regression models were used to examine the association between baseline AWS and the annual change rate in healthy aging score (HAS) via interaction terms (AWS*round) adjusting for confounding …

Serum Acylglycerols Inversely Associate With Muscle Oxidative Capacity In Severe Copd, Rongsong Li, Alessandra Adami, Chih-Chiang Chang, Chi-Hong Tseng, Tzung K. Hsiai, Harry B. Rossiter

Kinesiology Faculty Publications

Purpose: Chronic obstructive pulmonary disease (COPD) is associated with altered metabolism and body composition that accompany poor outcomes. We aimed to determine whether metabolic derangements in COPD are associated with skeletal muscle deconditioning and/or physical inactivity, independent of pulmonary obstruction.

Methods: We characterized serum metabolites associated with muscle oxidative capacity or physical activity in 44 COPD patients (FEV1=61±4%predicted) and 63 current and former smokers with normal spirometry (CON) (FEV1=93±2%predicted). Medial gastrocnemius oxidative capacity was assessed at rest from the recovery rate constant (k) of muscle oxygen consumption using near-infrared spectroscopy. Step counts and physical activity (average …

Clinical Outcomes Post-Implantation Of Multifocal And Toric Intraocular Lenses, Elizabeth Martha Law

Other Faculty of Health Theses

In order to increase spectacle independence following cataract surgery and intraocular lens (IOL) implantation; correction of spherical refractive error, astigmatic error and presbyopia should all be given careful consideration. There are many premium IOLs, including multifocal intraocular lenses (MIOLs) and toric intraocular lenses (TIOLs), available to surgeons. In order to select the appropriate IOL to meet a patient’s lifestyle and expectations, clinicians must fully understand the characteristics of MIOL and TIOL designs. To date, there remain unanswered questions pertaining to MIOLs and TIOLs and by rigorous comparison of such lenses, this thesis aims to address some of the gaps in …

Development And Characterisation Of An Immunocompetent Three-Dimensional Oral Mucosal Infection Model, Samantha Gould

Other Faculty of Health Theses

Oral mucosal models are valuable tools for studying oral infection. Existing models have been implemented to study pathogen tissue invasion and resultant damage. These models fail to incorporate an innate immune component such as macrophages, essential for study of host response to infection. Macrophages exist within a regulatory to inflammatory polarisation spectrum, whereby the local microenvironment determines their activity, contributing to the overall behaviour of a tissue. Three-dimensional oral mucosal models were formed using primary (POK) or immortalized (HaCaT) keratinocytes seeded upon a human gingival fibroblast (HGF) embedded type-1 collagen matrix. Later, HaCaT based models (3DOMMs) were further developed to …

A Concept Analysis Of Compassion In Healthcare Practice, Sarah Tobin

Other Faculty of Health Theses

The subject of compassion is frequently discussed in healthcare literature but despite this, is potentially poorly understood and lacks consensus in definition. This study sought to clarify what exactly is meant by the term compassion in a healthcare context and how this is defined in both the literature and, crucially, by the behaviour and experience of healthcare staff and the experience of service users. In order to establish a definition of compassion the hybrid approach to concept analysis based on the method described by Schwartz-Barcott and Kim (2000) was adopted, this model combines comprehensive literature review with a fieldwork element …

Lps From Subgingival Plaque And The Periodontal Pathogen Porphyromonas Gingivalis, Its Effect On M1 And M2 Macrophage Responses And Potential As A Biomarker, Alex Strachan

Other Faculty of Health Theses

Chronic periodontitis is an inflammatory disease which, in response to a dysbiotic biofilm results in tissue destruction and ultimately tooth loss. The mechanisms which initiate the disease are poorly understood, as are the effectors which cause periods of exacerbation and remission experienced by sufferers of the disease. Lipopolysaccharide (LPS) is an archetypal microbial molecular pattern that instigates an immune response from macrophages (MΦ), key orchestrators of host immune response. Repetitive exposure Is also demonstrated to induce a quiescent state known as endotoxin tolerance, thought to be a protective mechanism but which may also confer protective benefits to potential pathogens. Several …

Beyond Scaring Them Straight: Assessing Alternative Measures Of Persuasion In Road Safety Campaigns, Clara Alida Cutello

Other Faculty of Health Theses

Worldwide, young drivers are involved in more road traffic collisions than any other age group. Comprehensive driver training and various forms of pre- and- post-test road safety interventions (RSIs) are in place, but young drivers continue to be involved in more at-fault, fatal collisions than older, qualified drivers. The evidence base to date is mixed regarding why young drivers are at a heightened risk of collision and so this thesis aims to provide further understanding about the factors underpinning young drivers’ engagement in risky driving. An evaluation of a young driver RSI, found that young males were less likely than …

Hot Food Takeaways Around Schools: Can Fast Food Be Healthier?, Claire Louise Turbutt

Other Faculty of Health Theses

Obesity is the greatest global health challenge facing this generation; over half of the adult population are overweight or obese. Calls for food environment interventions include recommendations for restriction or banning of new fast food retailers (FFRs). The Takeaway Toolkit was published by the Chartered Institute of Environmental Health and aimed to alter consumption of unhealthy takeaway food through reformulation and behavioural insights. A systematic review assessing evidence on FFRs in the environment around schools in the United Kingdom (UK) was completed and published. This revealed a research gap around food environment interventions. A study was designed to investigate “the …

The Neurotoxic Effects Of Manganese And The Novel Protective Role Of Drp1 In The Autophagy Pathway, Carolina Sportelli

Other Faculty of Health Theses

The precise pathological mechanism of Manganese (Mn) is not yet known however prior evidence suggests a prominent role of mitochondrial dysfunction. Relevant to Parkinson’s disease, Mn is known to bind to α-synuclein and increase its aggregation. Autophagy is also implicated in neurodegeneration however little is known about the effects of Mn on this pathway. The aim of this thesis was to investigate the effects of Mn on autophagy, α-synuclein aggregation and mitochondrial function in multiple paradigms. The effects of inhibiting the mitochondrial fission protein Drp1 were also assessed in these cellular contexts following Mn exposure. Acute exposure to sub-lethal Mn …

Creative Technologies For Behaviour Change, Joana Galvao Gomes Da Silva

Other Faculty of Health Theses

This thesis presents innovative uses of technology to support motivation, using motivational interviewing (MI) and functional imagery training (FIT) scripts developed specifically for remote delivery. MI scripts aimed to develop discrepancy, evoke solutions and promote self-efficacy. FIT scripts included multi-sensory mental imagery exercises at key points in the MI scripts. Four methods of delivery were developed: a human video-counsellor, a NAO robot programmed with Choregraphe software, a video robot counsellor for comparison with the human video-counsellor, and a life-sized two dimensional 'holographic' projection. Four empirical studies tested these developments in participants wanting to become more physically active. Study 1 (N=18) …

An Evaluation Of The Incremental Value Of Computed Tomographic Biomarkers In Cardiovascular Risk Prediction, Chun Lap Pang

Other Faculty of Health Theses

Predicting cardiovascular events is an important subject in the developed world as it is a major cause of morbidity and mortality. Identifying those at risk of developing cardiovascular disease is key as there are treatments available to reduce the risk of future events. The most well-known prediction tool is the Framingham Risk Score (FRS), a multivariate cardiovascular risk prediction model. The Framingham cohort identified some of the most fundamental risk factors that shape modern cardiovascular prevention, however, it is not a perfect model. The imperfect nature of cardiovascular risk prediction based on FRS forms the starting point of this research …

The Skills-Maintenance, Competence Paradigm For The Evolving Role Of A Paramedic, Tristan Henderson

Other Faculty of Health Theses

The UK paramedic profession has undergone significant development since professional regulation almost twenty years ago. Improvement planning within the NHS has also driven change. The result is a large and developing paramedic skill set. The skills performed and incidents attended by paramedics are highly variable in relation to the frequency with which they will be encountered as well as the procedural complexity. This consideration, in the context of the literature around clinical skills practice, competence, confidence and perception of performance invites inquiry in relation to competence of paramedics, as well as their ability to recognise practice issues. The aims of …

Deconstructing, Contextualising And Assessing Management And Leadership Qualities In Dental Professionals: An Ethnographic Study Of Principles In Practice, Sally Hanks

Other Faculty of Health Theses

This study acknowledges the requirement for leadership in dental training and professional standards to improve patient safety, the quality of care and the shaping of culture. Leadership development requires authentic learning outcomes whose meaning and related constructs of leadership are fully understood. The literature is missing empirical studies at operational level; this study addresses that gap. The innovative blended methodology, embedding case study, recording and observation of dentists, and use of the think aloud technique optimised the co-construction of knowledge via the zones of maximum complexity in Video Reflexive Ethnography (VRE) and proximal development in Activity Theory. This bottom-up, context …

Evaluation Of An Orthotic Intervention For The Management Of Pregnancy Related Pelvic Girdle Pain (Pgp), Lee Cameron

Other Faculty of Health Theses

The overall aim of the thesis was to evaluate the effectiveness of a novel orthotic intervention, a customised Dynamic Elastomeric Fabric Orthosis (DEFO), in the management of both antenatal and post-partum pelvic girdle pain (PGP). In the first instance the fabric, from which the DEFO was constructed, underwent testing to determine if the different colour fabrics available possessed the same underlying fabric stiffness and elastic hysteresis to ensure that each orthotic was standardised. Laboratory testing identified significant differences in both fabric stiffness and elastic hysteresis, between colours. The findings of this study enabled standardisation of the intervention by using a …