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The Experience Of Affection Expressed Between Black Male Friends, David Manning

Walden Dissertations and Doctoral Studies

AbstractAffectionate communication supports the maintenance and sustenance of long-term relationships for the purposes of survival and procreation. Friendship has been identified as one of the most significant relationships throughout an individual’s lifespan, supporting improved mental and physical health. This qualitative study explored the expressions of affection experienced within Black male friend dyads. Two research questions were posed, what is the experience of Black men receiving and giving affection to other Black men within the context of friendships? Also, are the affectionate needs of Black men being met within their Black male friendships? Affectionate exchange theory and social learning theory were …

Diabetes Self-Management Education For Nurses In The Primary Care Setting, Emilea Emade Mfortow

Walden Dissertations and Doctoral Studies

AbstractDiabetes is a chronic disease that can be controlled by self-management to reduce the risk of acute or long-term complications. Healthcare might encounter many challenges for patients’ lack of adherence to diabetes self-management education. For this reason, lifestyle modification can be applied as a tool in the nursing field to manage adult patients with type 2 diabetes mellitus. This doctoral project addressed the gap in nursing practice for adult patients with type 2 diabetes regarding diabetes self-management education. This project focused on improving the nursing staff’s knowledge to promote evidence-based diabetes self-management education with their patients. The goal was to …

Educating Nurses On The Progression Of Chronic Kidney Disease, Andrea Georgia Mignott

Walden Dissertations and Doctoral Studies

AbstractThe increasing prevalence and incidence of chronic kidney disease (CKD) is a major healthcare burden in developed and developing countries. A gap in nursing practice was identified in a teaching and referral hospital located in Jamaica. Nurses in the organization lacked requisite knowledge and current evidence-based practice guidelines on CKD and therefore could not teach patients diagnosed with CKD. The purpose of this project was to educate nurses regarding the progression of CKD, with the aim of slowing the disease process. This Doctor of Nursing Practice project explored whether educating nurses on the progression of CKD would increase their knowledge …

Needs Assessment Of Diabetes Self-Management Education And Support Within West Virginia From Provider Viewpoints, Kasey M. Yost

Graduate Theses, Dissertations, and Problem Reports (ETD)

Diabetes is a chronic health condition that affects millions of Americans. It can have significant, lasting effects on an individual’s mental and physical wellbeing, especially when it goes unmanaged or untreated. Diabetes has been a growing problem in West Virginia (WV), which has the highest adult rate of diabetes at 15.7% in the US. Furthermore, WV has the highest mortality rate associated with diabetes at 36.2%. An effective method of management is through diabetes self-management education and support (DSMES). DSMES is a critical component of care for all individuals with diabetes. It is defined as the ongoing process of facilitating …

Smallmouth Bass (Micropterus Dolomieu) Population Characteristics And An Evaluation Of Management Responses In Two West Virginia Watersheds, Jacob D. Harrell

Graduate Theses, Dissertations, and Problem Reports (ETD)

Smallmouth Bass (Micropterus dolomieu) population characteristics were examined within the Tygart and Cheat River watersheds of north-central West Virginia. Growth, mortality and recruitment were examined for each individual population prior to modeling potential effects of various management schemes. Smallmouth Bass were sampled for total length and weight, aged using sagittal otoliths and sexed through observations of gonadal or ovarian development. Growth for each population was examined using von Bertalanffy growth models and assessed for variation among populations. Population demographic characteristics differed between and among populations, most noticeably between riverine and lacustrine habitat, whereby growth, mortality and recruitment were higher …

Strategic Management Practices For Responsible Mining In Artisanal And Small-Scale Mining Projects, Cornelius Mireku-Antwi

Walden Dissertations and Doctoral Studies

Irresponsible management practices in the Artisanal and small-scale mining (ASM) industry result in wasteful mineral resource recovery and utilization. The lack of ASM managers' ability to implement responsible mining inhibits the ability to grow revenues and profits. Grounded in Mckinsey’s 7S framework, the purpose of this qualitative multiple case study was to explore strategies ASM managers use to establish responsible mining while also improving revenues and profits. The participants were five ASM managers from five ASM companies in Ghana. Data were collected using semistructured interviews and company public documents such as published annual reports. The four themes from the thematic …

Overeating As A Coping Response To Workplace Gender Discrimination: The Role Of Resilience And Social Support, Rosemarie Charmain Mitchell

Walden Dissertations and Doctoral Studies

Gender discrimination in the workplace continues to be a persistent source of stress for women even after 5 decades of antidiscrimination legislation in the United States. Women are more likely than men to cope with stress by overeating, which is a risk factor for chronic illnesses and obesity. Much less is known about the protective factors that could weaken the association between perceived stress and overeating. The purpose of this quantitative study was to address this gap in the literature by examining whether resilience and social support are moderators of the overeating response for women who have experienced gender discrimination …

Global Engagement Model For Land-Grant Universities, A Grounded Theory., Lorena Ivonne Ballester

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this study is to examine how land-grant universities engage with the public in the era of globalization; to explain the institutionalization of engagement processes accounting for the global context; and, to integrate this analysis into a Global Engagement Model for Land-Grant Universities (GEM) implementing a grounded theory research methodology.

GEM’s foundation is both theoretical and empirical. Applying the intensity sampling method, the universities selected for the empirical base were: The University of California, Davis, Michigan State University, and The Pennsylvania State University. Rather than an exact representation of individual universities’ engagement models, the model is the researcher’s …

Self-Reported And Behavioral Perseverance Associated With The Maintenance Of Health Behaviors, Alivia Kay Frazier

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research has shown that positive psychological traits, such as perseverance, may be associated with the maintenance of health behaviors aimed to prevent commonly fatal diseases (e.g., cardiovascular disease, stroke). Although there is limited research in this area, the current study examined whether there was an association between self-reported perseverance, behavioral perseverance, and distress tolerance with various health behaviors (e.g., sleep, physical activity, nutrition, vaping, alcohol use, general health status, and COVID-19 behaviors). A novel methodology was implemented for this study that employed using the online mirror tracing task as a measure of behavioral perseverance.

A sample of young adult participants …

Body Satisfaction And Self-Efficacy As A Predictor For Obesity Among African American College Women, Sacha Nicole Morris-Dorsey

Walden Dissertations and Doctoral Studies

African American women have the highest rates of obesity when compared to any ethnic group in the United States, and the rates of obesity among this population are expected to continue to increase. In this study, social cognitive theory was used to predict the connection between body satisfaction, self-efficacy, and obesity in 18–24-year-old African American women attending college. The data were analyzed using multiple regression, while controlling for demographic variables, to determine if body satisfaction (Body-Esteem Scale for Adolescents and Adults) and self-efficacy (The Eating Self-Efficacy Scale) predicted obesity among African American women in college. Thirty-three participants completed the survey. …

Family Childcare Providers’ Perspectives On Participating In Quality Improvement Using National Association For Family Child Care Accreditation, Mary Muhs

Walden Dissertations and Doctoral Studies

Few family child care providers attain accreditation in the research state and little research existed as to why family childcare providers make the decision to participate or not in National Association for Family Child Care Accreditation (NAFCC). The purpose of this qualitative study was to explore perspectives and experiences of family childcare providers, in the research state, regarding the decision-making process related to their participation in NAFCC Accreditation. The conceptual framework consisted of both andragogy and growth mindset; guiding the research questions to explore providers’ perspectives and experiences about the decision-making process related to participating in quality improvement initiatives and …

Nursing Education For Central Line-Associated Bloodstream Infections In Intensive Care Units, Carren Sandra Mullings

Walden Dissertations and Doctoral Studies

Central line associated blood stream infections (CLABSIs) are the most acquired hospital infection in the United States. CLABSI is caused by bacteria that enter the bloodstream through a central line. In the United States, CLABSI has a mortality rate of 18%, and every year 250,000 people are infected. Of these, 30,000 patients die due to CLABSI infections, hospital stays are prolonged, and hospital costs are increased. Patients in an intensive care unit (ICU) are more exposed to CLABSI because of procedures that break tissues and skin, such as the insertion of a central line. A gap in practice was identified …

How Teachers Support Students' Nutrition And Healthy Choices To Reduce Childhood Obesity, Angela Munns

Walden Dissertations and Doctoral Studies

Obesity is an issue that negatively effects the health and wellbeing of children across theU.S. The problem addressed by this study was the increasing percentage of obesity among elementary students in a southeastern school district. Guided by Bandura’s social learning theory, the purpose of this basic qualitative study was to explore the perceptions of elementary teachers about increasing student obesity and the challenges they faced in teaching students about health issues in the local school setting. Ten elementary teachers who had knowledge of nutrition and awareness of the student obesity and overweight issues at the study site participated in semistructured …

Screen Media Use Among Children And Adolescents – Applications Of Supervised And Unsupervised Machine Learning And Sentiment Analysis, Yifan Zhang

Graduate Theses, Dissertations, and Problem Reports (ETD)

Screen media has become increasingly pervasive in our everyday lives and has profoundly changed the way people communicate and interact with each other. However, we are still unclear about the long-term influence of screen media use on our physical health, mental health, and social wellbeing. Children and adolescents are in an important stage of brain development and are susceptible to the environmental influence that screen media possess. This dissertation pursued three aims to address research gaps related to screen media use among children and adolescents: 1) identify topics and knowledge gaps in screen media use research among children and adolescents …

A Preoperative Intervention To Improve Glycemic Control In Surgical Patients With Diabetes, Kelsey L. Boyd

Graduate Theses, Dissertations, and Problem Reports (ETD)

Perioperative hyperglycemia is reported in 20-40% of patients undergoing general surgery and is an independent risk factor for negative surgical outcomes. Patients with diabetes presenting to a local community hospital are at risk for negative surgical outcomes due to the lack of strategies to prevent perioperative hyperglycemia. This project aimed to implement and evaluate the usefulness of succinct diabetes education for preoperative total joint surgical patients with diabetes. The intervention was a nurse-led, face-to-face diabetes education session provided to total joint surgical patients with diabetes during a preoperative evaluation appointment, compared to usual care (no preoperative diabetes education). This project …

Barriers And Opportunities To Exiting Prostitution: An Analysis Of Prostitution Diversion Programs, Marina Binti Mohd Hamdan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Problem-solving courts incorporate therapeutic and punitive measures in the court process in the criminal justice system. Prostitution Diversion Programs (PDP) are recognition of women in prostitution's inherent systemic struggles to desist and recover. Specialized Prostitution Diversion in Baltimore City and Project Dawn Court in Philadelphia are two PDPs analyzed through a longitudinal study on participants throughout their involvement as well as after they graduate from the program. By addressing the barriers to exiting prostitution through women’s turning points and providing opportunities to overcome hardships, women are more likely to successfully exit prostitution and maintain their sobriety in the long-term. Findings …

Evaluating Muskellunge (Esox Masquinongy) Catch-And-Release Mortality At Elevated Summer Water Temperature, Ian Taylor Booth

Graduate Theses, Dissertations, and Problem Reports (ETD)

Angling for Muskellunge (Esox masquinongy) has become widespread and increasingly popular throughout the fish’s range. Current management strategies for Muskellunge include high minimum harvest lengths (>1016mm), closed seasons, and catch-and-release regulations. Due to these strategies and angler sentiments, up to 97% of Muskellunge caught today are released by anglers assuming they will live and be caught again in the future. Previous research on catchand-release mortality in Muskellunge has suggested relatively low mortality rates (0%-5%). However, these studies were all conducted within the fish’s thermal optimum and generally at water temperatures25°C during the summer months, representing a need to evaluate …

Adherence To Dietary Recommendations For Adolescents With Cystic Fibrosis, Kristine M. Durkin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Adhering to dietary recommendations and nutritional supplements to ensure adequate absorption of nutrients and malnutrition plays an important role in the health of patients with cystic fibrosis (CF). Non-adherence to the CF care regimen, including nutritional recommendations, is high in adolescents. Therefore, the overall goal of this study was to identify factors related to adherence to nutritional recommendations in adolescents with CF.

Method: A total of 42 adolescents (ages 12-18) were recruited from 5 CF centers across the US. Adolescents completed surveys measuring body image/satisfaction, health literacy, perceived barriers to enzyme use, and self-efficacy, as well as the quality …

Effects Of Depression And Stress On Oral Self-Care Among Perinatal Women In Appalachia: A Longitudinal Study, Jeongwi An

Graduate Theses, Dissertations, and Problem Reports (ETD)

Oral health during the perinatal period has an impact on the health of women and their offspring. Oral self-care behaviors are preventive methods that can be employed to maintain or improve oral health but may be compromised during the perinatal period. Identifying factors affecting oral self-care behaviors might provide direction on how to intervene in oral health during and after pregnancy. The purpose of this study was to investigate independent and interactive effects of depression and stress on oral self-care behaviors of perinatal women in Appalachia, given the burden of oral disease in this region. A total of 1,172 women …

Birthplace Decision Making Experiences Of The Ugep Women Of Southern Nigeria, Thomas Okoi Ofem

Walden Dissertations and Doctoral Studies

The purpose of this basic qualitative study was to explore and describe how behavioral, normative, and control beliefs shape women's birthplace decision-making experiences. The study sought to better understand how Ugep women of southern Nigeria decided where to give birth after attending antenatal care. Using the theory of planned behavior as a framework, a purposeful sample of nine women aged 25 to 35 years who attended antenatal clinic at least twice at the selected primary health facility but gave birth at home during the past year was recruited. Data collection was through face-to-face, semistructured interviews. Audio recordings of interviews were …

Feed Conditioning Effects On Enzymes, Amino Acids, And Subsequent Broiler Performance, Elizabeth Ann Lynch

Graduate Theses, Dissertations, and Problem Reports (ETD)

There are many things that can be done to improve broiler performance including, but not limited to, pelleting, proper Lys inclusion, and exogenous enzyme supplementation. Pelleting has the ability to improve feed form, reduce wastage, improve bird performance metrics, and decrease pathogens within the feed. Pathogen reduction can be further reduced by hygienic pelleting practices which include an increase in temperature or retention time within a conditioner or hygieniser. However, hygienic pelleting can degrade valuable AA and enzymes (more specifically for the current thesis research Lys and phytase) and make them unavailable to the animal. Supplementing Lys to account for …

Role Of Hypertension In Low-Birth-Weight Racial Disparities Among Virginian Women, Ashli Owen

Walden Dissertations and Doctoral Studies

Low birth weight (LBW) is a leading cause of infant mortality globally, but it disproportionately burdens the Black community in the United States, with a rate twice that of White women. Further, hypertensive disorders of pregnancy (HDsP) increase LBW incidence. The purpose of the study was to assess the association between HDsP and LBW, maternal race and LBW, and the moderation effect of HDsP on race and LBW on Black and White women in Virginia. The theoretical framework for this study was based on the lifecourse health development model, which states that health should be viewed as an outcome of …

Associations Of Fast-Food Zoning Policy And Cardiovascular Disease In African American Communities, Starrlett Pena-Johnson

Walden Dissertations and Doctoral Studies

Cardiovascular disease (CVD) remains a major public health concern, causing one in every four deaths in the United States. Despite availability of effective disease management, African Americans bear the burden of incidence and mortality as CVD prevails as the primary cause of disparities in life expectancy, stroke, and heart failure. This cross-sectional study investigated fast-food restaurant (FFR) availability and socioeconomic status (SES; income, occupation, and education) to predict CVD risk scores in African Americans residing in Jackson, Mississippi. The social construction of target populations theory was used to inform this study. Using hierarchical multiple linear regression, a secondary data analysis …

Completion Predictors For Students Who Transfer-In To A Community College, Erin Kristina Reeder

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that the credential completion rate for transfer-in students (TIS) is lower than for first-time, full-time students (FTFT) at Peninsula Community College (PCC, a pseudonym). The purpose of this quantitative study was to determine if the completion input (gender, race/ethnicity, age) and environment (number of transfer credits accepted) variables predict credential completion for credential-seeking TIS at PCC. Astin’s input-environment-outcome model served as the framework, in which a student’s success is a function of the student’s background before enrolling and the experiences while attending college. Deidentified archival data for TIS enrolled in fall …

Comparison Of Antimicrobials And Delivery Methods On The Inactivation Of Listeria Monocytogenes On Apples, Rebecca B. Stearns

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Due to multi-state outbreaks of listeriosis on apples in 2015, 2017, and 2019, Listeria Monocytogenes (L. monocytogenes) has been deemed an emerging, under researched pathogen by the USDA-NIFA. Therefore, this study evaluated the efficacy of SaniDate 5.0®’s (SD) ability to inactivate L. Monocytogenes on apples when delivered through electrostatic sprayer (ES), garden sprayer (GS), and dip methods.

Methods: Organic apples were dip-inoculated with L. monocytogenes for 5 min and then dried for 10 min. Once dried, the inoculated apples were untreated (control), sprayed with water only, or treated with SD, 0.0064, 0.1, 0.25 and 0.50% for 20 …

The Heart Of Everything In The Middle Of Nowhere: The Role Of Rural Identity In The Formation And Deployment Of Political Attitudes In Pennsylvania, Mikaela G. Zimmerman

Graduate Theses, Dissertations, and Problem Reports (ETD)

The world of American politics continues to infiltrate households across the United States as technological advancement extends the reach of breaking news and government action. With this expanding reach, communities all over the country are digesting and contemplating their place in national politics more fervently than ever. At the crux of this discussion is the backbone of political engagement and action—identity and its resulting political attitudes. For decades, partisanship has been a point of contention amongst American citizens. Cities across the nation showcase protests, demonstrations, town hall meetings, and more illustrating citizens’ care for their democratized input in government affairs. …

Amelioration Of Mitochondrial Bioenergetic Dysfunction In Diabetes Mellitus: Delving Into Specialized And Non-Specific Therapeutics For The Ailing Heart, Andrya Jean Durr

Graduate Theses, Dissertations, and Problem Reports (ETD)

Morbidity and mortality of the diabetic population is influenced by many confounding factors, but cardiovascular disease (CVD), remains the leading cause of death. Mitochondrial dysfunction is central in the development of cardiac contractile dysfunction, with decreased mitochondrial bioenergetic function, increased dependence on free fatty acid utilization, and a decrease in glucose utilization having been shown to contribute to contractile dysfunction. Strategies targeting the amelioration of mitochondrial bioenergetic function are attractive for limiting diabetes-induced heart failure, and preserving health-span. The goals of this dissertation were to assess two mitochondrial-centric approaches for the amelioration of mitochondrial and cardiac contractile dysfunction in diabetes …

Zonulin As A Mediator Of Psychological Stress And Periodontal Disease, Casey D. Wright

Graduate Theses, Dissertations, and Problem Reports (ETD)

The prevalence of chronic inflammatory diseases is on the rise. Some have posited the permeability of tight junctions in gastrointestinal epithelium tissues as a potential mechanism for precipitating inflammatory processes throughout the body. Zonulin is the only known modulator of tight junction permeability and has been implicated in numerous chronic inflammatory processes (e.g., proinflammatory cytokine production) and diseases, more generally. The role of zonulin in oral inflammation, however, has yet to be explored. Periodontal disease is the most common oral inflammatory condition and primary perpetrator of tooth loss. Periodontal disease also is associated with a number of other health problems …

Self-Management Support Program For Dialysis Patients, Elmer Sadiang-Abay

Walden Dissertations and Doctoral Studies

AbstractChronic kidney disease (CKD) prevalence rates have been on the rise in recent years, and currently, about 37 million Americans are living with the disease. Most patients with CKD progress to end-stage renal disease (ESRD), resulting in additional treatments, including kidney transplants and hemodialysis (HD). HD treatments depend on patients’ adherence to self-management practices. The practice gap was the lack of guidelines for staff to use with ESRD patients to teach self-management strategies. This project aimed to develop an evidence-based clinical practice guideline (CPG) on a self-management support program for dialysis patients for use by health care providers at the …

Sociodemographic And Behavioral Predictors Of Obesity Among Female Asian Indian Immigrants In The United States, Afiya Saleem

Walden Dissertations and Doctoral Studies

Individuals from low-income countries such as those in the Asian region migrate to high-income countries and adopt obesogenic behaviors like sedentary lifestyles and high fat and sugar intake. This results in increased susceptibility to obesity, diabetes mellitus, cardiovascular disease, and stroke. Previous research has demonstrated that migrants from South Asian countries are at an increased risk of developing obesity, type 2 diabetes, and hypertension; however, little is known about the factors that contribute to this phenomenon. This was a quantitative, cross-sectional study guided by the social-ecological model. This study used secondary data from the National Health Interview survey to investigate …