Digital Commons Network^™

Empowering Lung Cancer Survivors In Post-Treatment Survivorship Care Using Participatory Action Research, Kelly Filchner

Electronic Theses and Dissertations

Purpose: To explore the experiences of lung cancer survivors (LCS) and their informal and professional caregivers with post-treatment care and to empower them to implement action-based study findings.

Participants & Setting: Participants were recruited using purposeful and snowball sampling from an NCI-designated cancer center in Northeastern US.

Methodological Approach: This study used a participatory action research (PAR) four-phase design. Phase one was a focused ethnography; phase two utilized a core group of participants to decide an action to be implemented in phase three; and phase four evaluated the action for the completion of one PAR cycle.

Findings: Twenty-eight categories, eight …

The Ethical Imperative Of Inclusion In Healthcare Innovation: Scaling And Sustaining Digital Health Equity, Lukas E. Chandler

Electronic Theses and Dissertations

The COVID-19 pandemic revealed the harm of digital health exclusion. Excluded groups could not benefit from virtual care due to device access gaps, broadband connectivity, and digital and language literacy levels. A lack of engagement with historically excluded populations in digital health innovation is an ethical harm and a maleficent form of social exclusion. Digital tools in healthcare delivery represent more than just a strategy for promoting health equity; they signify an opportunity to address health inequities in the health technology design process.

The historical focus of healthcare ethics on bedside decision-making issues largely explains why the field lacks concerted …

Perspective Of Nyerere On Self-Reliance: A Transformational Rhetorical For Liberating African Identity In Tanzanian Context, Ayub Mwampela

Electronic Theses and Dissertations

Julius Kambarage Nyerere (1922–1999) was the first president of Tanganyika in 1961 and the founding father of the United Republic of Tanzania, after having merged Tanganyika and Zanzibar in 1964. He died from leukemia on October 14, 1999, in London. He was 77 years old. Among the most memorable events in the life of Nyerere is his involvement in the struggle for the freedom of African people from foreign influences.

The goal of this research is to ask and answer to the following question: How does the perspective of Nyerere on self-reliance contribute to the effort of liberating African identity? …

A Qualitative Study Into Modern Psychoanalytic Joining And Mirroring Through Psychotherapeutic Exchanges, Tricia Shihui Wang

Electronic Theses and Dissertations

This dissertation intends to address current deficits in knowledge regarding the modern psychoanalytic interventions of joining and mirroring, including substantial definition issues in the literature and the absence of current writings on the psychotherapeutic interventions of joining and mirroring in practice. The focus of the study was on the ever-dynamic landscape between modern analytically-informed practitioners and their clients in psychotherapeutic exchange(s) that the practitioners believed encompassed joining and/or mirroring interventions. Participants were six experienced practitioners who described their clinical work as being informed by modern psychoanalysis and who have engaged or were currently engaging in individual psychotherapy with a client. …

Quantum Computations And Molecular Dynamics Simulations: From The Fundamentals Of Antimicrobial Resistance To Neurological Diseases, Angel Tamez

Electronic Theses and Dissertations

Biophysical phenomena are modeled using a combination of quantum and classical methods to interpret and supplement three distinct and diverse problems in this dissertation. In the first project, decarboxylation reactions are ubiquitous across chemical and biological disciplines, yet the origin of non-catalytic solvent effects remains elusive. Specific solvent structure and energetics have not been well described for the monoanion of malonate, nor corrected from the gas-phase charge-assisted intramolecular hydrogen bond model known as “pseudochair”. In the aqueous phase, a low-lying energy conformer known as the “orthogonal conformation” is computed to be preferred by a three-water cluster of hydrogen bonding over …

Examining The Effects Of An Early Mand Training Intervention On Mand Acquisition In Children With Autism Spectrum Disorder (Asd), Maram Alnahari

Electronic Theses and Dissertations

Children with autism spectrum disorder (ASD) often show language delays. Their limited communication skill may lead them to engage in the same disruptive behavior that previously got them what they wanted. Verbal behavior (VB), specifically mand training (MT), is one of the early language intervention strategies used to target language development and facilitate functional communication with young children with autism. This study aimed to examine the effectiveness of an early mand training intervention on mand acquisition in children with ASD. This study specifically targeted the application, the implementation, and their effects. A multiple baseline across participants research design was used …

Redefining Safety: A Reproductive Justice Ethics Of Care Approach To Maternal Health, Elizabeth Balskus

Electronic Theses and Dissertations

This dissertation will argue for the adoption of a multi-dimensional concept of safety in healthcare to include emotional, psychological and communal health. It will then illustrate how this concept of safety is foundational to a dignity-enhancing ethics of care approach that finds its normative grounding in Reproductive Justice and human capabilities, given that both patient and provider need to feel safe in order to fully engage in a dialogical-interpretive process of care and that caring efforts must strive to be equitable on both interpersonal and structural levels. This framework will then be applied to maternal health, showing how an approach …

Synchronous Virtual K-12 Teachers' Use Of Multimedia Principles In Electronic Slide Design, Lisa Beaulieu

Electronic Theses and Dissertations

Hundreds of thousands of K-12 children in the United States are enrolled in online K-12 virtual schools that consistently report poor academic outcomes. There is a need to assess how well instructors in a synchronous online environment present new material to learners in a way that best aligns with how the brain manages and integrates new information into long-term memory. Online K-12 teachers use PowerPoint to design Electronic Slide Presentation (ESP) decks, which are used as their main form of instruction with their students during synchronous classes. The Cognitive Theory of Multimedia Learning (CTML) provides a set of principles which …

Facial Expression Recognition Deficits In Autism Spectrum Disorder, Zachary Friedman

Electronic Theses and Dissertations

Autism Spectrum Disorders (ASD) are an umbrella term for lifelong neurobehavioral disorders characterized by a set of social (verbal and nonverbal) communication challenges and behaviors and restricted, repetitive behaviors. Emotions serve many functions, but primarily they help with the appraisal of stimuli and driving of responses. Emotional processing and facial recognition are integral abilities that influence the acquisition of social skills. For individuals with ASD, it is hypothesized that facial recognition deficits contribute to social communication traits. The bulk of previously conducted research has utilized static images of facial expressions. This study utilized videos of spontaneous expressions. Participants were tasked …

Integrated Marketing Communication As A Discourse: A Problem With Integration, Rana Ramadan

Electronic Theses and Dissertations

Integrated Marketing Communication as a Discourse: A Problem with Integration examines integration within Integrated Marketing Communication (IMC) scholarship in light of Jürgen Habermas’s discourse ethics and related communication ethics literature. Integration is a notion with dual meanings: one is technical, and the other philosophical. Technical integration is a perception management strategy that has been received as the competitive advantage for marketing communication for decades. Habermas’s philosophical/social integration is a communicative act that transmits culturally stored knowledge. It contextualizes norms in an appropriate theoretical framework, and it controls behaviors and personality structures. At the heart of IMC theory is an ambition …

Feel My Story: An Interpretative Phenomenological Analysis Of Latinx Counselors-In-Training Experiences With Psychological Safety, Felishatee Rodriguez

Electronic Theses and Dissertations

An interpretative phenomenological analysis (IPA) was used in the current study to examine how Latinx counselors-in-training (CITs) define and experience psychological safety in their classroom environments while enrolled in CACREP-accredited master’s degree programs in the United States. In the present study, IPA was employed to make sense of the participants’ detailed narratives and discover how Latinx CITs interpreted and made meaning of their experiences with psychological safety in classroom environments. Serving as the theoretical framework, Latino Critical Theory was used to weave together and validate the cultural components of Latinx CITs’ accounts as they orchestrated themselves through their CACREP-accredited master’s …

Covenant-Apocalyptic Soteriology: N. T. Wright’S Apocalyptic Jesus In Conversation With The Liberationist Critique Of Atonement, Joseph Smith

Electronic Theses and Dissertations

This dissertation develops a theory of atonement in accordance with N. T. Wright’s covenant-apocalyptic interpretation of the ministry and message of the historical Jesus. A covenant-apocalyptic atonement theory, in opposition to the trajectory of contemporary soteriology, prioritizes divine causality in the means of salvation, because, as is generally expected from an apocalyptic hermeneutic, it peers behind systems of violence and oppression to the intangible powers that underlie them. Unlike other strands of apocalyptic theology, though, a covenant-apocalyptic soteriology can stand up to a liberationist critique of the escapism and the divine sadism of a certain popular form of Christian soteriology, …

Tabletop Role-Playing Games As Autism Psychotherapy: A Video-Cued Multivocal Clinical Ethnography, Adina Rubin-Budick

Electronic Theses and Dissertations

This qualitative study is a video-cued multivocal ethnography that analyzed the clinical reasoning and perspectives of psychotherapists using Tabletop Role-Playing Games (TRPG) as a therapeutic treatment for children and adolescents diagnosed with Autism Spectrum conditions. With a growing number of TRPG therapists nationwide using this modality in their clinical practices, this study aimed to develop a clearer understanding of the ways in which their therapeutic orientation, gaming practices, and knowledge of Autism Spectrum Conditions informs their use of TRPG psychotherapy with Autistic clients.

Research that focuses on clinical decision-making and the knowledge that informs clinical interventions and technique generally refers …

Situating Heirloom Presence Within The Family Narrative: That Is/Was Then, This Is/Was Now, Rachel Savorelli

Electronic Theses and Dissertations

Intramundane objects often become “intergenerational transfers of contaminated objects,” commonly known as heirlooms (Belk 151; Heisley and Cours 425; Holmes). Rather than priceless possessions, heirlooms are mostly ordinary objects, such as photographs and gardening tools. Regardless of rarity or monetary value, as familial artifacts, heirlooms compel an ethic of responsibility. For this project, the term “heirlooming” is a performance of communicative practices of story-telling, ritualizing, and kin-keeping that contribute to heirloom preservation and continuation. A narrative ethics background structures family communication to both make meaning and make sense of ongoing and changing practices across generations. Heirlooms situated within family narratives …

Thirdspace Leadership: Depicting Fbcoai Leaders’ Transitional Identities And Expe- Riences Of Breaking “Fbcoai Bamboo Ceiling” In Chinese Immersion Programs, Shengnan Yue

Electronic Theses and Dissertations

This qualitative study explores how the transitional identities and experiences of Foreign Born Chinese Origin Asian Immigrant (FBCOAI) leaders influence their leadership practices in American Immersive Chinese Language Program. In the Chinese immersion programs, FBCOAI leaders are those with ethnicity Chinese who entered the United States during adulthood, and immigrated during their adulthood. This study is to explore the Thirdspace leadership, an actual-and-virtual place, where the FBCOAI leaders reconcile their professional development and leadership into practice. FBCOAI leaders are bilingual, experiencing a transitional stage of immigration status, and geographical/cultural/occupational changes. This study stands on “an-Other” perspective to know the FBCOAI …

Staff Council Minutes, Georgia Southern University

Staff Council Meeting Minutes & Agendas

No abstract provided.

Computational Symmetric Grain Boundary Energy Of Thorium Dioxide, Brendan J. Carroll

Honors College Theses

With fossil fuels being depleted at a faster rate than ever, there has been an effort to convert fossil fuel energy to different forms of green energy. One of these forms is nuclear power, and while nuclear power itself is not new, new fuel sources for different types of reactors are being developed. This study aims to do computational experiments on Thorium Dioxide (a potential new nuclear fuel source) to look for the lowest grain boundary energy and what the effect of grain boundary conditions on the energy. Different orientations of the materials grain boundary were modeled and molecular dynamic …

Benthic Macroinvertebrate Pre-Assessment Of A Proposed Restoration In The Grand River, Grand Rapids, Mi, Usa, Matthew L. Bain

Masters Theses

River restoration is the dominant field of applied water resources management in the United States. Ecological improvement should be the goal of all river restorations, though many restoration projects fail to produce positive results due to limited scope or inadequate assessment methodologies. Pre-restoration, biotic data is essential for such projects as it can be paired with post-restoration data to gauge ecological outcomes. A major restoration effort is now underway in Michigan's longest river, the Grand River, where it flows through downtown Grand Rapids. The primary restoration measures will occur in-stream at local scale. We conducted a pre- restoration survey for …

Developing A Healthy Masculinities Program On A University Campus, David A. Scott, Freeman Woolnough, Tony W. Cawthon

New York Journal of Student Affairs

Amid increased concerns about mental health, sexual violence, and substance use among college students, college campuses are looking toward developing targeted programming to help counteract these concerning trends. This practitioner paper highlights the development and impacts of a program at a Canadian institution, which focuses on healthy masculinity and identity development. Although still in the early stages, the feedback and observations are indicative of the powerful potential of this type of programming to improve healthy masculinity on college campuses.

Staff Council Agenda, Georgia Southern University

Staff Council Meeting Minutes & Agendas

No abstract provided.

Addressing The Educational And Interventional Needs Of Wiskott Aldrich Syndrome (Was) Patients And Families, Naomi Tesfaiohannes

Master's Projects and Capstones

Wiskott Aldrich Syndrome (WAS) is an immune system (immunodeficiency) and blood disorder that increases the risk of severe infections and bleeding. A patient with WAS has a significant reduction in the size and number of platelets (micro thrombocytopenia), meaning there is a reduced ability to form blood clots and stop bleeding. WAS affects approximately 1 in 250,000 males in the United States. Public information on WAS is predominantly scientifically based, which makes it difficult for families to fully understand the syndrome, the impacts of severe bleedings on patients’ daily activity, and how to improve the patients’ quality of life. This …

Efl Teachers’ Understandings Of The Role Of Assessment In Second Language Learning, Evelyn Almeida

Language, Literacy, and Sociocultural Studies ETDs

Given the important role of assessment in the process of Second Language Learning (SLL) and framed within Vygotsky’s Zone of Proximal Development (ZPD), this study aims to analyze: (1) how EFL teachers’ understanding of the role of assessment in SLL can be improved, (2) how effective dynamic assessment is in their teaching practices, (3) how EFL teachers’ assessment practices reflect their understanding of the concept of assessment/dynamic assessment, and (4) what strategies can help them understand these concepts. These four points are studied within the context of English classes at a Language Institute in Quito, Ecuador. This project’s contribution brings …

Do Support Groups Mitigate The Effects Of Imposter Syndrome?, Tyler Barnes, Meranda Mayer

Physician Assistant Capstones, 2020-current

Imposter syndrome is defined as the persistent inability to believe that one's success is deserved or has been legitimately achieved as a result of one's own efforts or skills. Small support groups utilized in an academic environment could prove to be effective in mitigating the effects of imposter syndrome. A total of 4 articles were individually reviewed and included for meta-analysis. Each study was conducted on students studying medicine and utilized support groups at the core of their intervention for combating imposter syndrome and improving overall psychological wellness. Results were based on surveys and yielded an overall positive response from …

Risking The Wrist, Tyler Mosier, Evan White

Physician Assistant Capstones, 2020-current

Abstract:

Background: Carpal tunnel syndrome (CTS) is now one of the most common workplace injuries, with nearly 50% of patients eventually requiring CTS release surgery as a permanent solution. With a concern of a younger incidence of CTS developing in a technology dependent society, some patients may fear even a minimal loss of function. To our knowledge there has been no study comparing forearm grip strength before symptoms develop to grip strength after the procedure has been performed.

Objectives: The aim of this study was to determine if there was a significant change in strength of the flexor digitorum superficialis …

An Enhanced Enrollment Process To Impact Appointment Compliance In The Hf-Optimize Clinic, Carolyn Coons, Teri Diederich, Kyana Holder

Doctor of Nursing Practice Projects: College of Nursing

Background The HF-Optimize clinic showed improved utilization of guideline-directed medical therapy (GDMT) along with improved clinical outcomes from 2018 to 2020. Appointment compliance was poor with only 44% of patients completing all HF-Optimize visits. Missed appointments led to worse health outcomes, fragmented care, and provider inefficiencies. Interventions to improve appointment compliance are vital to improving heart failure outcomes. Objective The purpose of this quality improvement project is to evaluate the impact that an enhanced enrollment process has on appointment compliance in a culturally diverse, adult population referred to the HF-Optimize clinic at Nebraska Medicine. Methods This prospective quality improvement project …

Counselor Educator's Perspective On Clinical Supervision Interventions For International Counseling Students, Ah Ram Lee

Dissertations - ALL

The present study employed Q methodology to answer the research question of what the shared subjective understanding of counselor educators (CEs) is about what necessary clinical supervision interventions are for the professional development of international counseling students (ICSs). Based on the review of current clinical supervision literature, the researcher created a Q sort that addresses what ICSs believe as helpful or could have been helpful supervision interventions on improving their professional development. The 32 CEs who participated in the present study ranked the 38 items on the Q sort based on their subjective understanding of the most and least necessary …

Cost-Benefit Analysis Of A Pediatric Patient Blood Management Program, Karen D. Gibbs

Dissertations and Theses (Open Access)

Introduction

Red blood cell (RBC) transfusions can be a life-saving and important intervention used to replace blood loss or manage anemia, but they also come with risks from transfusion-associated adverse events (TAAEs). Patient blood management (PBM) involves a multidisciplinary approach to optimize care of patients who may need a transfusion, including blood conservation modalities, patient-centered decision making, among others. The impact of PBM in the pediatric setting is not well understood, particularly the impact on TAAEs and the economic impact of these programs.

The following specific aims were pursued: (1) To investigate the effect of a PBM program on transfusion …

Graphene Research Highlighted At Global Conference, Erin Garrett

University of Mississippi News

University of Mississippi team joins U.S. senator to showcase cutting-edge work

Familiar Favorites, Fresh Faces Featured At Um Books And Bears, Edwin B. Smith

University of Mississippi News

Continuation of annual toy distribution for employees' families draws volunteers and recipients

Penalty Default Rules In Quebec Contract Law, Zackary Goldford

Journal of Civil Law Studies

Few would deny that contract law is filled with default rules, but there has been a great deal of scholarly debate about their purposes and functions. Some American scholars have argued that there are default rules that do not align with most parties’ expectations; indeed, they impose a burden on one or both parties if they are not departed from. Departing from these default rules typically requires one or both parties to share information that they might have otherwise kept to themselves. These have been called “penalty default rules.” While there is a significant amount of scholarship on penalty default …