Digital Commons Network^™

Mental Health Counselors’ Use Of Complementary And Alternative Approaches For Treating Individuals With Anxiety Disorders, Jane Rose Simmons

Walden Dissertations and Doctoral Studies

Anxiety disorders are one of the most prevalent mental health disorders worldwide. Traditional counseling approaches do not address the evolving needs of individuals with anxiety disorders, and information is scarce regarding counselors’ use of complementary and alternative approaches in treating anxiety disorders. The purpose of this quantitative survey study was to investigate whether counselors’ knowledge, perceptions, intentional practices, and openness predicted their use of complementary and alternative approaches in counseling individuals with anxiety disorders. The integrative mental health model for the conceptual framework guided this study. The research questions examined how five variables—spirituality, specialization, types of anxiety disorders treated, training, …

Nursing Staff Education On The Use Of The American Diabetes Association Guidelines, Terrie Hattie Allen

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus is a complex chronic condition that requires continuous care and management. Approximately 34 million Americans are diagnosed with diabetes and around 90%–95% suffer from Type 2 diabetes. The problem identified in this project was the need to follow the American Diabetes Association guidelines in place at the study site clinic but are not adhered to by the staff. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this project was to plan, implement, and evaluate a nursing staff education program on the use of the American Diabetes Association Guidelines for diabetes. …

Psychosocial Complexities Of American Black Women’S Experiences With Weight Loss Or Obesity, Danielle Atkins

Walden Dissertations and Doctoral Studies

Weight loss and obesity among American Black women (including African American and Caribbean Black women) is a growing issue in the United States. However, a notable gap exists in the literature regarding research into this population’s lived experiences with weight loss or obesity, specifically regarding underlying psychosocial needs, such as cultural influences, self-care, and social networks, which are not being met to support them in making behavioral changes. A greater understanding of the impact of American Black women’s psychosocial underlying experiences may help mental health professionals support them in their efforts toward a healthier lifestyle. Using Bronfenbrenner’s ecological systems model …

Prophylactic Antimalarial Intermittent Preventive Therapy In Pregnancy And Birth Weight In Togo, Epiphane Awokou

Walden Dissertations and Doctoral Studies

In Togo, prophylactic antimalarial intermittent preventive therapy in pregnancy (IPTp) is provided to disrupt suboptimal pathways leading to the issue of low birth weight. However, there is a lack of nationally representative data on the determinants of this adverse birth outcome. The purpose of this quantitative cross-sectional study was to determine pregnancy-related determinants of low birth weight through a nationally representative dataset. Bronfenbrenner’s ecological systems model guided this study to explore potential associations between the covariates IPTp, utilization of long-lasting insecticidal bed nets, age of pregnant women, socioeconomic status of pregnant women, and gravidity type of pregnant women and the …

Economic Challenges Faced By African American Teenage Parents While Parenting During The Coronavirus Pandemic, Peace A. Barrigah

Walden Dissertations and Doctoral Studies

U.S. African American teenage parents are at a disproportionately high risk of experiencing stressors associated with the financial demands of parenting during the COVID-19 pandemic. The purpose of this qualitative descriptive study was to explore the socioeconomic challenges that African American teenage parents living in U.S. northeastern state face during events such the COVID-19 pandemic that limit the provision of human services, which the research question was designed to answer. The framework used in this study was social learning theory. A sample of 10 Black teenage parents residing in the northeastern United States were recruited. Data were collected through interviews …

Policy Sustainability Issues: Case Study Of Cassava Farmers In Ikorodu. Lagos, Nigeria, Medinat Oluwatoyin Adetunji

Walden Dissertations and Doctoral Studies

The inconsistency and lack of continuity of Nigeria's agricultural policies impact the cassava sector. Despite being the world's biggest producer, the country is yet to benefit from the advantage due to a lack of sustainable growth. The situation manifests in terms of low productivity, low production level, and poor income to the farmers. The purpose of this qualitative study was to investigate the experiences and perceptions of the cassava farmers on cassava policies and the effect on their income and livelihoods in the Ikorodu local government of Lagos State. This qualitative study adopted a case study research design using participatory …

Applied Behavior Analysis Therapy For Children With Autism Spectrum Disorder And The Impact Of Environment On Treatment Outcomes, James Adkins

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) effects growing numbers of children and effective treatment is essential for families to overcome the challenges associated with ASD. Applied behavior analysis treatment has been tailored to address the unique learning needs of children with ASD. The purpose of this study was to examine the extent to which treatment environment impacted language milestones and barriers among children with ASD. Behaviorism and applied behavior analysis served as the framework for the study. A nonexperimental quantitative mixed design with two independent variables was used. The between-subjects independent variable was type of treatment environment (home vs. clinic). The within-subjects …

The Biopsychosocial Impact Of Racial Discrimination Among African Americans, Amy Renae Amin

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore the relationship between racial discrimination and anger, stress, and obesity. The stress-disease model provided a theoretical perspective of the biological, psychological, and social pathways from stress. Past research regarding the correlation between racial discrimination, anger, stress, and obesity reported a possible connection, but results have been mixed. This research expanded upon existing literature that proposed that blatant or subtle experiences of racial discrimination are pathways to mental and physical health consequences. The hypothesis was that there was a significant relationship between racial discrimination and the levels of stress, anger, and obesity. Racial …

Perceptions Of Hypertensive Adults With Low Health Literacy About Self-Management Of Hypertension, Ngozi Scholar Chukwuemeka

Walden Dissertations and Doctoral Studies

AbstractHypertension (HTN) is one of the most significant risk factors for morbidity and mortality worldwide and is responsible for the annual deaths of approximately 9 million people globally. A major problem with HTN self-management (SM) is low health literacy (HL), which is associated with poor health outcomes and self-care. The purpose of this explanatory sequential, mixed method study, guided by Pender’s health promotion model, was to explore the perceptions of adults with HTN and low HL about the SM of their HTN. A total of 32 adults with HTN were screened using the Newest Vital Sign health literacy screening tool. …

Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin

Walden Dissertations and Doctoral Studies

Perceived risks and side effects have left some with a lack of confidence in the safety and efficacy of vaccines. This may lead to not adhering to the recommended vaccination schedule and result in outbreaks that have the potential to harm those who are unable to get vaccinated due to age or infirmity. It is vital to seek and address the characteristics that may predict one’s confidence in vaccines. The aim of this study was to identify whether an individual’s alternative diet behavior may be able to predict their confidence in the measles, mumps, and rubella (MMR) vaccine. The theoretical …

Conceptions Of Service Provider Preparedness, Aaron Engstrom

Walden Dissertations and Doctoral Studies

Victims of human trafficking often need a variety of services to recover from their experiences. Service providers are organizations that aim to meet the personal and environmental needs of survivors by providing resources and guidance. However, the efficacy of services offered to survivors has not been robustly studied, which could leave unsuccessful survivor outcomes unnoticed. The purpose of this case study was to learn how service provider employees prepared to meet survivors’ needs. The combination of social cognitive theory and social constructionist theory served as the lens through which service provider employee conceptions of preparedness were explored. Four service provider …

Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit

Walden Dissertations and Doctoral Studies

AbstractHomelessness is a major public health issue in the United States. Every night, thousands of people have no residence to call their own. Most homeless persons turn to homeless shelters for help. Despite the homeless shelters, the problem of homelessness persists. This study examined the concept that the length of time spent at a homeless shelter is related to the homeless persons mitigating their homelessness through home placement, jobs, and healthcare access. Homelessness was examined using the socioecological model with its attendant levels of influence. On the intrapersonal level, socioeconomic status, education, old age, veteran status, and disability were factors. …

Effects Of Peer Relationships On The Relationship Between Avoidant Attachment And Romantic Intimacy Among Adolescents, Selina Johnson

University of the Pacific Theses and Dissertations

Adolescence is a time when interacting with the opposite sex tends to increase and become more serious, and romantic relationships start to form. However, for some adolescents, specifically adolescents who have an avoidant state of mind in regards to attachment, romantic relationships and particularly intimacy is an experience they may find challenging. Given the importance of intimacy in an adolescent’s life, this study proposes to investigate whether the quality of peer relationships can influence romantic intimacy among adolescents with an avoidant attachment. Friendship quality was chosen as a mediating variable in the present study to examine if the quality of …

Optimization Of The Structure Of Ttr Ligands For Half-Life Extension (Tlhe), Guanming Jiang

University of the Pacific Theses and Dissertations

Many potential therapeutic agents face challenges for their clinical development due to short circulation half-life. As a result, prolonging the half-life of therapeutic drugs in circulation while preserving their hydrophilicity and small size will be a key step toward more effective and safe pharmacological molecules. Our lab developed a new approach for enhancing the safety and efficacy of therapeutic agents. By endowing therapeutic agents with a hydrophilic small molecule (a derivative of the clinical candidate, AG10) which reversibly binds to the serum protein transthyretin (TTR), the half-life of the therapeutic agent should be extended by binding to the TTR in …

Regulation Of Ppp1r15a (Gadd34) And Ppp1r15b (Crep) Mrna Expression And Localization In The Unfolded Protein Response, Krithika Giresh

University of the Pacific Theses and Dissertations

The failure to balance protein synthesis, folding, and degradation in the endoplasmic reticulum (ER) leads to the accumulation of unfolded proteins, leading to ER stress. Cells respond to this stress by activating a response signaling pathway known as the Unfolded Protein Response (UPR). One of the branches of the UPR induces the phosphorylation of eIF2α (Eukaryotic Initiation Factor 2) to attenuate global protein synthesis, allowing for a chance to clear misfolded and unfolded proteins. This phosphorylation of eIF2α is opposed by a phosphatase, containing a catalytic subunit, Protein Phosphatase 1, and a scaffolding protein, either GADD34 or CReP. Inhibition of …

Developmental Plasticity Of Stress Tolerance And Life-History Strategy To Artificial Light At Night, Alyssa M. Bonfoey

University of the Pacific Theses and Dissertations

Artificial light at night (ALAN), or ecological light pollution, is increasingly prevalent worldwide. Exposure to ALAN tends to negatively impact animals—particularly, nocturnal animals—but life-history strategies may mitigate these costs. Animals in many regions are also increasingly exposed to climate-related stressors, such as heat and drought. Yet, interactions among ALAN, life-history strategy, and stress tolerance are unknown. Therefore, I determined if developmental ALAN exposure (1) affects development, (2) affects adult phenotype, including heat and desiccation tolerance, and (3) affects and/or interacts with life-history strategy. To address my aims, I used the variable field cricket (Gryllus lineaticeps) because its geographic range is …

Evaluating The Effects Of Client-Set Versus Coach-Set Goals In The Context Of A Health-Coaching Intervention For Physical Activity, J. Logan Gibson

University of the Pacific Theses and Dissertations

Health coaching is a relatively new integrated health role in which practitioners use a combination of behavioral interventions to evoke health-related behavior changes; however, there is a lack of valid evidence to support health-based claims. We investigated the effect of an approximation of a health coaching intervention on three college students' number of steps per day. We provided participants with weekly telehealth coaching sessions focused on goal-setting and feedback and used Fitbits to track the results. We used a multiple baseline across participants design to compare daily steps across four phases; self-monitoring, self-monitoring with experimenter-set goals and feedback, self-monitoring with …

The Interrelationship Between Treatment, Ethnicity, And Structured Exercise In Clinical Populations, Amanda M. F. Lopez

University of the Pacific Theses and Dissertations

Cancer is the second leading cause of death, with about approximately 1.9 million Americans being diagnosed each year. Yet, it has high survival rates with the help of advancing treatments like radiation therapy. Cancer patients and survivors are contingent on experiencing a decline in physical functioning, quality of life, and physiological parameters. Treatment is effective and can prolong life expectancy but can be deleterious to a patient’s health. Parallel with cancer's impact on Americans is cardiovascular disease. Cardiovascular disease is responsible for 1 in 4 deaths. The development of cardiovascular disease is not spread accordantly among all ethnicities. Hispanics are …

Self-Care Practices And Burnout Experiences Of Music Therapists In A Metropolitan City, Sylvester Sroka

University of the Pacific Theses and Dissertations

This thesis examined a phenomenological inquiry into the lived experiences of music therapists in a metropolitan city in the United States. During the study, five music therapists were interviewed about their self-care practices and experiences with burnout. Data included a recorded Zoom transcription of the 30–45-minute open-ended interview. The data was analyzed through Moustakas’ (1994) cluster of themes approach. Four themes emerged from the data analyses of the interviews: living/working in a metropolitan city, self-care practices, advice for entry level music therapists, and knowledge of and experience with burnout symptoms. Respondents associated living and working in a metropolitan city with …

Comparison Of Free Versus Encapsulated Drugs On 3t3 Differentiation, Simon H. Friedrich, Gabriel Volpe

UROP Posters

The scope of this project was to design, synthesize and test targeted nanoparticles containing hydrophobic and hydrophilic drugs that promote browning in adipose tissue. For hydrophilic drugs the use of liposomes and their hydrophilic core is more useful than the PLGA nanoparticles which have hydrophobic cores. The inhibition of the FOXO1 pathway and modulation of autophagy in adipose tissue can promote browning of white adipose tissue, or an energy burning state where excess energy is burned as heat instead of stored in the cell. If successful, these drugs would offer an alternative treatment for obesity where changes to the patient's …

Observing Gravitropism In Brassica Rapa Roots, Trang Ly, Maya O'Callagham, Lan Poeschl, Adil Saeed, George Zorn

UROP Posters

The objective of this experiment is to observe the effect of gravitropism on the orientation of Brassica rapa (B. rapa) roots. Specifically, amyloplasts that reside at the bottom of root tips act as gravity sensors. As plants are disturbed from upright orientation, roots automatically grow according to the downward pull of gravity. It is hypothesized that as the angle of rotation increases, the angle of root growth is inversely proportional. Five plants containing four seeds of B. rapa were grown over the course of 10 days. Each plates, aside from the control, were rotated once 90°, 80°, and 270° to …

Feasibility And Applicability Of Evenson Sedentary Behavior Cut Points Applied To Children With And Wihtout Intellectual And Developmental Disabilities, Bethany Forseth, Paula E. Papanek, Michele Polfuss

Exercise Science Faculty Research and Publications

Aim

Sedentary behavior (SB) is widely studied as it is associated with cardiometabolic health and obesity issues. However, children with Intellectual and Developmental Disabilities (IDD) have been understudied. Accelerometers are commonly used to measure SB in typically developing populations but may be inappropriate for IDD populations due to differences in body movement and physiologic responses to the activity. The use of Evenson sedentary cut-points, created based on typically developing children, has yet to be applied and/or examined in children with IDD.

Purpose

A descriptive cross-sectional study was conducted to (1) Assess the feasibility of applying Evenson sedentary cut-points in children …

Unsexing Breastfeeding, Naomi Schoenbaum

GW Law Faculty Publications & Other Works

For half a century, constitutional sex equality doctrine has been combating harmful sex stereotypes by invalidating laws that treat women as caregivers and men as breadwinners. Yet decades after the constitutional sex equality revolution unsexed parenting roles, one area of parenting has escaped this doctrine’s exacting gaze: breastfeeding. Beginning in the 1990s in the wake of public health efforts to promote breastfeeding, a raft of laws were enacted, from insurance coverage mandates under the Affordable Care Act to workplace accommodations under the Fair Labor Standards Act, that provide substantial breastfeeding protections and benefits, but only to women. Although the sexed …

Induction Immunotherapy Followed By Thoracic Radiation Without Chemotherapy In Unresectable Stage Iii Non-Small Cell Lung Cancer: A Case Series., Srikiran Dasari, Takefumi Komiya Md

PCI Publications and Projects

OBJECTIVE: Although concurrent chemoradiation has been the standard of care for unresectable stage III non-small cell lung cancer (NSCLC) due to increased survival and decreased disease progression, patients with poor performance status cannot tolerate chemotherapy toxicity well. Durvalumab, an immune checkpoint inhibitor targeting the programmed death receptor-1 (PD-1) / programmed death-ligand 1 (PD-L1) axis, demonstrated efficacy as maintenance therapy after definitive chemoradiation. However, the role of immunotherapy in those who cannot tolerate chemoradiation is unclear.

METHODS: This retrospective case series reports adult patients with PD-L1-expressing stage III NSCLC diagnosed at Parkview Cancer Institute from 2019-2021 and treated initially with pembrolizumab …

The Short- And Long-Term Effects On The Microbiome Of Infants Who Are Exposed To Opioids In Utero, Dawson Brown-Ezell

Undergraduate Honors Theses

Introduction: The gut microbiome is believed to have a significant impact on health throughout the lifespan, and the influence of infant nutrition and other environmental factors are of particular interest in its development. The aim of this research project was to learn more about the microbiome and short chain fatty acid (SCFA) composition of toddlers of differing weights, considering birth history, environment, and diet. In East Tennessee, opioid misuse is a growing issue, and a number of participants in this study were exposed in utero. We also hoped to identify related effects on infant’s SCFA composition. Finally, it is known …

Still Awaiting Justice: An Analysis On The Impact Of Anti-Immigrant Sentiment On The Reproductive Autonomy Of Migrant Women, Annays Esperanza Yacaman

Senior Independent Study Theses

My research aims to explain the impact of anti-immigrant sentiment on the reproductive autonomy of migrant women. Legislators typically act as their constituents feel on a certain issue, so I aimed to explore how legislators responded with legislation when their constituents held higher levels of anti-immigrant sentiment, hypothesizing that this would lead to more legislation limiting the reproductive autonomy of migrant women. I explore topics of eugenics and how anti-immigrant sentiment has led to modern day eugenics.

My hypothesis did not manifest itself in the expected way, but the results do provide evidence for a causal link between legislation meant …

Impacts Of The Securitization Of Development In Colombia, Libbie Depastino

Senior Independent Study Theses

In the past few decades, political scientists have noticed a trend of actors linking the issue of development to security in order to emphasize its importance and legitimize action. This discursive act, known as securitization, transforms a lack of development into an existential threat that actors must protect against at all costs. Though scholars agree that this process of framing certain topics as security issues occurs, there is little information on what impact it may have on policy creation or policy outcomes. This study examines how the securitization of development impacts actual development outcomes. I hypothesize that securitization will cause …

Microplastics As Carrier Of Pahs Released From Oil Spills: Measuring Ingestion And Bioaccumulation Rates In Copepods, Manasi Desai

Senior Independent Study Theses

Microplastics (MP; plastics < 5mm) are a growing problem in the marine environment due to a large influx of plastics entering the marine environment through rivers, wastewater and litter from land. MP are known to adsorb nonpolar compounds in the water including polycyclic aromatic hydrocarbons (PAHs) released from oil spills. In this study, I quantified the ingestion rates of a marine copepod (Calanus finmarchicus) on clean polystyrene MP beads (12 um) and phenanthrene loaded MP beads (0.8 pg PAH pellet -1). I measured the phenanthrene load in copepods ingesting phenanthrene sorbed MPs and copepods exposed to phenanthrene only to measure the role of MP as a vector for PAHs into marine food webs. Additionally, I examined the fecal pellets to check the presence of MPs and if phenanthrene was still adsorbed to them. The results showed that microplastics do not act as vectors as there was no significant difference between the body load of phenanthrene in copepods from ingestion of PAH sorbed MPs and the body load from passive uptake of phenanthrene in solution. Copepods ate significantly lower phenanthrene loaded MP (1.81 x 104 beads cop-1 day-1) than microplastics only (2.67 x 104 beads cop-1 day-1) suggesting that copepods can reject particles based on chemical content. Accumulation of phenanthrene within the copepods (GC-MS analysis) showed individual copepods can accumulate between 3.48 to 4.11 ng of PAH which potentially can biomagnify in the marine food web upon predation. Fecal pellet analysis showed that an average of 2013 MP beads are present with a mean phenanthrene load of 0.15 pg bead-1. For the social science research, I conducted a literature review examining the current Indian plastic waste management strategies, legislations and its implementation. My results find that the Indian government over the years has progressively enacted and amended its policies to try to keep pace with the issue of plastic pollution. However, key challenges in the implementation such as poor enforcement, inadequate training for recycling lack of plastic alternatives and proper waste disposal infrastructure all contribute to the unsuccessful management of waste. Usage of plastic in road construction has shown to be a viable option in reducing plastic waste in India and also improving road conditions.

Effects Of Substrate Types On Nitrogen Removal Efficacy And Growth Of Canna Indica L., Arunothai Jampeetong, Pakawat Janyasupab

Applied Environmental Research

Constructed wetlands (CWs), a cost effective technology for wastewater treatment, consist of substrates and wetland plants, which should be selected carefully to gain highest treatment efficiency. However, studies on plant growth and responses to different types of substrates are very few. This study aims to assess the effects of substrate types on growth and root morphology of Canna indica L. and nitrogen (N) removal. Twenty-four similar sized approximately 1 month old C. indica plants were selected and grown on different substrates (gravel, pumice and biochar). All plants were supplied with a standard growth medium to which 14 mg L-1 NH4+, …

Risk Assessment Of Total Mercury (T-Hg) In Commercial Seafood Marketed In Bangkok, Thailand, Irwan Ramadhan Ritonga, Sujaree Bureekul, Penjai Sompongchaiyakul

Applied Environmental Research

Seafood is recognized as the high protein source of human consumption. However, it is hampered by mercury contamination. The objectives of this study are to determine total mercury (T-Hg) levels in edible portions of commercial seafood available in Bangkok’s supermarkets, and to evaluate the potential risks from mercury through seafood consumption. Total 32 species, including 22 fish, 4 cephalopod and 6 shellfish, were purchased from super-markets. Fish samples were dissected in 3 parts comprised of flesh, gill and viscera. While, cephalopod and shellfish were separated for edible tissues. The samples were digested in hot acid and were determined using cold-vapor …