Health And Community Resource Book, Gabriela Gonzalez

Electronic Theses, Projects, and Dissertations

ABSTRACT

The High Desert Health and Resource Guide offers an in-dept exploration of the challenges and resources available to support the high desert communities, particularly to include cities of Apple Valley, Phelan and Victorville. These communities are composed of low-income households, and they face significant health disparities and food insecurity. Factors such as limited access to healthcare, mental health services, homeless shelters, and limited availability of health food choices. Additionally, many cities in the region are affected by food deserts, which further hinder resident’s ability to access nutritious, wholesome food. The resource guidebook highlights both the challenges and issues that …

The Outcomes Of School-Based Mental Health Services At A Southern California School District A Proposed Pilot Study, Amanda Smith, Ashley Rodriguez

Electronic Theses, Projects, and Dissertations

In this proposed project we intend to explore and identify empirical evidence-based research on outcomes of school-based mental health provided by a Southern California school district. This study will highlight evidence-based research on the growing concern for school-based mental health. A relevant extraction tool that can be utilized for further research, and a study design to explore existing literature regarding programs and student participation to gauge outcomes.

School-based mental health supports mental well-being and promotes positive protective factors. These include social and cultural connections, resilience, coping strategies, problem-solving abilities, positive development, and a supportive school environment where students feel safe. …

Skills And Strengths Gained From Being A First-Born Daughter In A Latino Household, Astrid Luque, Leesly Angeles Rosas

Electronic Theses, Projects, and Dissertations

This research proposal aims to analyze the perspective first-born daughters in Latino households experience throughout their lives and looks to fill a gap in the literature about what this population faces due to being in the eldest daughter position in the household. The existing literature revealed that first-born daughters in Latino households experience a significantly higher amount of stress due to the role they take on in their households. Some of the responsibilities placed on them included financial burden, caregiving responsibilities, and a general higher expectation compared to their younger siblings. To obtain more knowledge on this topic, an exploratory, …

Parental Knowledge Of Attention Deficit/ Hyperactivity Disorder Medication Side Effects, Vanesa Soto, Monique Alexis Sandoval

Electronic Theses, Projects, and Dissertations

Background: ADHA is the most common neurodevelopmental disorder amongst children. There are many different risk factors that have been found to be associated with the ADHD diagnosis. Overtime medication has become the primary form of treatment for children with ADHD. When a child consumes the medication, there are a wide range of side effects that can be developed. Objective: This proposal aims to explore minority parents’ understanding of ADHD medication side effects when they initially receive a prescription for medication and to identify the sources from which they acquire this knowledge. Methods: We would collect data form participants using a …

Pilot Implementation Of Mom Power In The Appalachian Highlands: Acceptability And Effectiveness Of A Parenting Group For Mothers With High Psychosocial Need, Megan Wolff

Electronic Theses and Dissertations

Children need safe, stable, and nurturing relationships with a caregiver for optimal development. Maternal childhood adversity, traumatic life experiences, and mental health challenges can adversely impact parenting beliefs and behaviors in ways that compromise a caregiver’s ability to create and sustain a healthy caregiving environment for their child(ren). In the professional world of infant and early childhood mental health (IECMH), policies, providers, and programs work together to promote optimal child and family wellbeing to reduce the intergenerational transmission of risk and to empower resilience in families and communities. The present study investigated the feasibility, acceptability, and effectiveness of the pilot …

Career And Technical Education Classes And Time To Graduate For Special Education Students With Specific Learning Disabilities, Susan Steele

Electronic Theses and Dissertations

The purpose of this study was to examine whether special education students with specific learning disabilities (SLD) participating in Career and Technical Education (CTE) classes during high school demonstrate significantly different amounts of time to graduation compared to their peers who do not participate in CTE classes.

Data collection involved using pre-existing information from the district's student information system. An Excel spreadsheet with relevant student demographic and academic information was utilized. The district data manager provided a spreadsheet with 3,567 student records to analyze differences between CTE and non-CTE participants. The results revealed that CTE participation significantly impacted graduation rates, …

College Readiness In Mathematics Related To Student Academic And Belonging Mindsets, Tabitha Sherrell

Electronic Theses and Dissertations

My quantitative study investigated the differences and correlations between students’ academic (growth vs. fixed) mindsets and belonging mindsets when enrolled in a college-level mathematics course or enrolled in both the college-level mathematics and learning support mathematics courses. The study was conducted at a Tennessee community college in the Fall 2021 semester. Sixty-two students completed the paper survey, which consisted of 17 items that measured academic (growth vs. fixed) and belonging mindsets and included demographic items (age and gender) and ACT mathematics scores. I conducted independent t-tests to find any significant differences between academic (growth vs. fixed) mindset scores and belonging …

Finding An Effective Measure Of Religiosity And Substance Use Levels For The Deaf: An Attempted Pilot Study, Angela Masiello

Electronic Theses and Dissertations

The Deaf often lack access to health-promoting services (Meador & Zazove, 2005), though they have an increased risk of developing substance use disorders (Hommes et al., 2018). Communication has been a prominent barrier to the accessibility of healthcare services and participation in research for the Deaf (McKee et al., 2012). Literature has shown multiple methodological challenges when conducting research with the Deaf (Napier et al., 2018). This pilot study used Jones et al.’s (2001) cross-cultural translation model to translate two measures into American Sign Language (ASL). Six bilingual experts in ASL and English translated the RSAS-5 and the TAPS into …

The Moderating Effects Of Duration On The Relationships Among Adverse Childhood Experiences, Perceived Social Support, And Adult Mental Health, Jessica M. Templeton

Electronic Theses and Dissertations

Childhood adversity is a significant predictor of negative mental health outcomes, with prior research primarily focusing on cumulative risk models of adverse childhood experiences (ACEs). This study examines whether the duration of ACE exposure moderates the mediating effect of perceived social support on the relationship between ACEs and adult mental health outcomes, specifically anxiety and depression symptomatology. Using archival data from the Correlates of Adversity and Temperament in Childhood (CATCH) dataset, responses from 230 participants were analyzed. Mediation analyses revealed that perceived social support mediates the relationship between ACEs and both anxiety and depression. Moderated mediation analyses further indicated that …

Beyond Stereotypes: Exploring The Intersection Of Feminist Identity And Societal Expectations In Ama Ata Aidoo’S Changes: A Love Story (1991), Grace Adutwum

Electronic Theses and Dissertations

Changes: A Love Story by Ama Ata Aidoo explores the intersection of feminist identity and societal expectations of African women, specifically Ghanaian women. This work examines how Esi and other characters struggle for love, autonomy, and independence, and reveals how tradition often limits African women’s choices and agency. This research also highlights how Aidoo presents a distinct, context-specific approach to gender roles and pressure from society, rather than viewing feminism as a strict opposition to patriarchy. By using African feminism as a theoretical framework, this work analyzes how marriage, career, and independence shape Esi’s identity. The depiction of polygamy, independence, …

Commitment To The Profession: Elementary Teacher Perceptions Of Self-Determination And Professional Retention In Tennessee, Riley A. Prickett-Armstrong

Electronic Theses and Dissertations

Teacher burnout and loss of teachers in the profession have affected school and district capacity to effectively staff all positions. The pandemic brought about unique changes and challenges to classrooms worldwide, disrupting the educational process for over 94% of the world’s student population. The purpose of this phenomenological study was to examine factors influencing teacher self-determination and retention at the elementary school level in Tennessee school districts to better understand how administrators can support teachers. The central research question investigated elementary teacher perceptions of self-determination and professional retention. A series of in-depth interviews with twelve participants produced data and subsequent …

Assessing The Relationship Between The Incidence Of Campylobacteriosis And Ecological Risk Factors In Tennessee, Emmanuel Angmorteh Mensah

Electronic Theses and Dissertations

Background: Campylobacteriosis although is the leading causes of bacterial diarrheal illnesses, have not gained prominent awareness and there are gaps in the understanding of transmission routes for sporadic, non-outbreak cases and their risk factors at the communal level to humans. This study, therefore, aimed to identify the campylobacteriosis risk factors and risk perception from the existing literature in the United States, determine the incidence and ecological risk factors for campylobacteriosis zip code level in Tennessee, and to perform spatiotemporal analysis of campylobacteriosis incidence cases in Tennessee.

Method: To achieve the first aim, a scoping review was conducted to synthesize …

Exploring Predictors Of Treatment Dropout In Primary Care Behavioral Health Using Andersen’S Behavioral Model Of Health Services, Mara W. Sindoni

Electronic Theses and Dissertations

A recent meta-analysis indicated a 19.7% dropout rate from outpatient mental health care. Andersen’s Behavioral Model of Health Services identifies predisposing, enabling, and need factors as potential predictors of treatment dropout. The Primary Care Behavioral Health (PCBH) model aims to improve accessibility of mental health care but research on dropout in this setting is lacking. This study examined bivariate relationships between Andersen's factors and dropout in PCBH, and interviewed participants about their intentions to attend subsequent PCBH visits. No statistically significant bivariate relationships were found, likely due to small sample size (n = 15). Reflexive Thematic Analysis identified two themes …

Reading Between The Lines: A Mixed Methods Investigation Of Teachers’ Understanding And Implementation Of The Science Of Reading, Karen L. Dumas

Electronic Theses and Dissertations

Throughout the nation, the science of reading (SoR) is sweeping through schools, realigning instructional practices, altering curricula, and causing a shift in educators’ ideologies. Therefore, exploring teachers’ understanding of the science of reading and the classroom implementation may offer valuable insights for school leaders, policymakers, and educators during this period of transition. This explanatory sequential mixed methods investigation researched SoR knowledge and implementation of K-3 general education teachers in Pennsylvania.

This study took place in two phases: quantitative followed by qualitative. During the quantitative phase, 141 K-3 teachers in Pennsylvania participated in the Teacher Understanding of Literacy Constructs and Evidence-Based …

“With Neither Hope Nor Fear”: Continuity In The Life Of Isabella D’Este, Alyssa Murphy

Electronic Theses and Dissertations

Isabella d’Este is traditionally viewed as the most notable female art patron of Renaissance Italy, primarily studied for her excellent taste. This positive interpretation has left her out of the reputational rehabilitation that modern historians have applied to many of her contemporaries, and what recent work has been done focuses on her marriage. However, Isabella outlived her husband by nearly twenty years, and contrary to writers who view that widowhood as an afterthought, she remained a dominant political and cultural figure in her own right. This thesis reassesses Isabella’s letters to argue that the traditional segmentation of her life does …

A Kinetic Analysis On Hydrolysis And Hydrothermal Conversion Of Cellulose To Dodecane, Joel Nyangoka Onyancha

Electronic Theses and Dissertations

Cellulose, the most abundant biomass on Earth, offers a promising pathway for alternative energy through conversion into alkane hydrocarbons. Traditional methods rely on high temperatures and high-pressure hydrogen, often derived from petroleum. In this study, we investigated the conversion of Microcrystalline Cellulose using hydrogen metal oxides (bronzes) under milder conditions. Following ASTM E3417-24 hydrolysis protocols, we employed hydrogen bronzes with toluene for product extraction. This approach enabled conversion at lower temperatures without pressurized hydrogen. Products were analyzed using Gas Chromatography Mass Spectrometer for identification and Gas Chromatography Flame Ionization Detector for quantification. Our findings revealed the formation of a possible …

Rhetorics Of Motherhood In Fiction:Motherhood As Identity And Status-Quo, Brea A. Hudson

All Theses

Motherhood has become a highly politicized and dominant topic in public discourse, with it often being a beacon of good-will and the building block of feminine identity. Lindal Buchanan’s Rhetorics of Motherhood demonstrates how motherhood has been used by all types of political ideologies to make women more palpable in public spaces. Miranda July’s All Fours explores an identity shift in an aging mother. In my collection, I explore these different identities and facets of motherhood and what that looks like for characters who struggle with infertility, loss, and addiction. My collection shows motherhood in a realistic and messy view …

Beyond Just The Negros’ Art: Langston Hughes And The Poetic Renewal Of Black Musical Tradition, Samuel Adewumi

All Theses

Where do we begin the study of Black music in America? Is there even a beginning to it? As a poet, how does Langston Hughes contribute to its continuance during the Harlem Renaissance? These are some of the questions that shape the trajectory of this research. In it, I set a precedent for African orature in future studies of Black music in America. Essentially, I trace the survival of African orature and Langston Hughes’s role in the sustenance and utility of its style and themes in the early 20th century. Through it, I argue that Hughes’s poetry serves not as …

A Qualitative Analysis Of Graffiti Inscriptions At Ecclesiastical Sites In The South Carolina Lowcountry, Hannah Truman

All Theses

The study of graffiti has become a multi-disciplinary study. Historical and modern forms of graffiti offer a unique perspective on the connection people have with religious sites over the span of three hundred years. Within South Carolina, the establishment of twenty-five churches throughout the Lowcountry from 1706 to 1775 offers an understanding of people’s connection to spaces from the beginning of South Carolina’s establishment to the present day. Their beliefs are reflected throughout the space of the building as congregations have left their imprint.

In order to understand the relationship of people to the site over time, various methods were …

Unsettling Femininity In Ottessa Moshfegh’S My Year Of Rest And Relaxation, Audrianna Witcher

All Theses

This thesis covers how Ottessa Moshfegh’s My Year of Rest and Relaxation critiques traditional understandings of femininity and the inadequacy of neoliberal feminism to address the systemic issues that women face. Using Lauren Berlant’s concept of femininity as a genre, this thesis traces how Moshfegh implements disgust and abjection to reject mandates of cleanliness and emotional labor that are central to traditional femininity. Moshfegh also utilizes disgust and the narrator’s attempt at a year-long sleep to resist the ideals of productivity and self-care that are central to neoliberal feminism. In employing these affects, Moshfegh resists the social structures that exploit …

“Raise Your Keffiyeh:” Headdress As A Lens For Understanding The Arab Revolt In Mandatory Palestine, 1936-1939, Kathryn Kf Butler

All Theses

In the fall of 1938, approaching the apex of the most intensive period of violence during the Arab Revolt against the British government in Mandatory Palestine (1936-1939), a seemingly unassuming change occurred for Arab men in cities throughout the region: they donned a new headdress. Sartorial shifts in the early post-Ottoman period were not unique to Palestine. During the Interwar period, changes in male headgear occurred throughout the greater Middle East in Turkey, Afghanistan, Iran, Syria and Iraq, to name a few. These transformations of dress signaled a shift in something either societal or political and oftentimes both. I argue …

"All The Songs I Stole": Ballad Collection And The Conditions Of Collective-Making In Johnny Cash's Prison Concert-Albums, Camryn J. Bruce

All Theses

In the mid-to-late twentieth century, singer-songwriter Johnny Cash recorded and released three live prison concert-albums composed of many ballads and songs drawing upon a ballad tradition. I question the degree to which these albums, as performed and commercialized ballad collections, create realities of unity between Cash and his audiences. Reviewing three ballads for their aspects of balladry and performance, this thesis finds that Cash’s albums echo and make echoes of isolating conditions and possible collectivities, demonstrating a fragility of “folk” in the shifting scenes of music and prison.

Normative Variability In Retinal Nerve Fiber Layer Thickness: Does It Matter Where The Peaks Are?, Sowjanya Gowrisankaran, Ashkan Abbasi, Xubo Song, Joel Schuman, Gadi Wollstein, Bhavna Antony, Hiroshi Ishikawa

Wills Eye Hospital Papers

PURPOSE: Retinal nerve fiber layer thickness (RNFLT), a glaucoma biomarker, has a wide normative range affecting its sensitivity and specificity for abnormality detection. The interindividual RNFLT peak location variability contribution to this wide normative range has not been directly evaluated. The purpose of this study is to assess the effect of RNFLT peak normalization (PN) on normative variability.

METHODS: Circumpapillary RNFLT profiles at 1.7 mm radius from the optic nerve head (ONH) were re-sampled from optical coherence tomography (OCT) volumes (Cirrus HD-OCT, 200 × 200) obtained from one eye of 83 healthy individuals. Fovea-ONH axis (FOA) was calculated from corresponding …

In This Issueoriginal Articlesystematic Reviewsscoping Review

Saudi Medical Journal

No abstract provided.

Breast Cancer Incidence After Hormonal Treatment For Infertility: A Meta-Analysis Of Population-Based Studies, Amal Y. Zaman, Lama S. Alrefai, Dorar F. Alharbi, Rahaf A. Khurmi, Leen M. Abuanq, Ajyal A. Aljohani, Ibrahim M. Dighriri, Nada Elnugomi

Saudi Medical Journal

ABSTRACT Objectives: To comprehensively understand the relationship between infertility medications and the risk of breast cancer (BC) in females. Methods: Relevant literature search using different databases (PubMed, The Cochrane Library, Embase, Scopus, and Web of Sciences) following preferred reporting items for systematic reviews and meta-analyses guidelines was carried out from 2003-2023. Population-based studies comparing the incidence of BC after hormonal fertility treatment and a control group were included. In addition, random and fixed effect models were used to carry out meta-analyses. Results: A total of 15 studies involving 92,555 women were included in this review. The pooled analysis using risk …

Pocket-Creation Method Versus Conventional Method Of Endoscopic Submucosal Dissection For Early Gastric Cancer: A Systematic Review And Meta-Analysis, Min-Min Song, Feng-Bing Wang, Jian-Lin Yang, Hai-Yan Zhang, Tai-Ping Wang

Saudi Medical Journal

ABSTRACT Objectives: To compare the efficacy and safety between 2 endoscopic surgical approaches for early gastric cancer: pocket creation method of endoscopic submucosal dissection (PCM-ESD) and conventional ESD (CM-ESD). Methods: A comprehensive literature search was carried out in PubMed, China National Knowledge Infrastructure, and the Cochrane Library from their inception to July 2024 using medical subject headings and free-text terms, which were “pocket-creation method”, “gastric cancer”, “gastric neoplasms”, and “endoscopic submucosal dissection” or “ESD”. Two independent reviewers carried out the search, screened studies, and extracted data. Results: A total of 578 cases were included in our study, which sourced from …

Clinical Studies On Anti-Obesity Medications In Arab Countries, Haifa F. Alotaibi, Shadan Almuhaidib, Saud Alshagrawi, Abdulmalik Almufarrih, Ola Alalmai, Sahar Alnaserallah, Najla Alodah, Saleh A. Alqahtani, Waleed Alhazzani

Saudi Medical Journal

ABSTRACT Objectives: To identify and summarize studies carried out in Arab countries on anti-obesity medications (AOMs), with a focus on the types of medications investigated, study designs, and the efficacy/effectiveness and safety metrics reported. Methods: We carried out a comprehensive scoping review of primary studies examining the use of AOMs in adult Arab populations. Five databases (Medline, Embase, Cochrane Library, Index Medicus for the Eastern Mediterranean Region, and e-Marefa) were searched for English-language publications up to October 2024. Data extraction was carried out on study characteristics, participant demographics, interventions, and outcomes related to weight reduction, metabolic parameters, and side effects. …

The Risk Factors For Cardiovascular Disease And Chronic Kidney Disease In Patients With Nonalcoholic Fatty Liver Disease In Saudi Arabia, Walaa Mohammedsaeed, Abdullah Al Malki, Salma Alsayed

Saudi Medical Journal

ABSTRACT Objectives: To identify potential risk factors for chronic kidney disease (CKD) and cardiovascular disease (CVD) in Saudi Arabian patients with non-alcoholic fatty liver disease (NAFLD). Methods: A 6-year prospective cohort study was carried out from January 2018 to January 2023, enrolling 1,500 patients. Data were initially collected between January 2018-2019, and follow-up assessments were carried out annually from 2020-2023. Patients were evaluated using biomarker analyses, and medical records were reviewed to assess the incidence of CVD and CKD. Biomarker levels, including blood creatinine, urine albumin, glomerular filtration rate (GFR), atherogenic index of plasma (AIP), and other key parameters, were …

Longitudinal Analysis Of Foodborne Disease Outbreaks In Saudi Arabia: Trends And Demographic Patterns (2017-2023), Hissah A. Alzahrani

Saudi Medical Journal

ABSTRACT Objectives: To explore the long-term patterns of foodborne disease outbreaks (FBDOs) in Saudi Arabia between 2017-2023 using longitudinal data analysis models. Methods: A 7-year longitudinal study was carried out on FBDO data from all 13 regions of Saudi Arabia. This study examined 5 outcomes: the number of FBDOs, FBDO cases, and FBDO cases classified by gender, nationality, and age groups. The analysis used generalized estimating equations and generalized linear mixed models based on a negative binomial distribution. Results: The findings revealed a significant decrease in FBDO counts and cases from 2017-2020, followed by an increase until 2023. Public sources …

The Factors Affecting Comfort And The Comfort Levels Of Patients Hospitalized In The Coronary Intensive Care Unit: A Descriptive-Analytical Study, Esin S. Dogan, Cansu K. Sahin, Meral Besli, Ozlem E. Yildirim

Saudi Medical Journal

ABSTRACT Objectives: To determine comfort levels and the factors affecting the comfort of patients hospitalized in the coronary intensive care unit (CICU). Methods: This descriptive, analytical study was carried out between May 2023 and May 2024 in a university hospital in Manisa, Turkey. The sample consisted of 275 patients. Data were collected using the Patient Information Form and General Comfort (GC) questionnaire. Results: The mean patient overall comfort score was 2.09±0.23. The GC levels were higher in males, those who lived alone, were retired, were hospitalized in intensive care due to myocardial infarction or dysrhythmia, and those hospitalized due to …