Arts and Humanities Commons^™

Defining Service Quality In An Outpatient Clinic With Complex Constituency, Swati Verma

USF Tampa Graduate Theses and Dissertations

The 2001 Institute of Medicine's (I.O.M.) landmark report, Crossing the Quality Chasm: A New Health System for the 21st Century observes that, "[though] medical science and technology have advanced at a rapid pace,...the health care delivery system has floundered in its ability to provide consistently high-quality care" (I.O.M. 2001). The report recommended six quality aims for a twenty-first century health care system; one of them being patient-centered care. It explains patient-centered care as "providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions" (I.O.M. 2001). This …

Pastoral Teams And Congregational Health In Smaller Churches, Phillip R. Perkins

ATS Dissertations

No abstract provided.

Immunomodulatory Role Of Flagellin In Antigen-Presenting Cells, Ildefonso Vicente-Suarez

USF Tampa Graduate Theses and Dissertations

Toll-like receptors (TLRs) expressed by cells of the immune system play a central role in the generation of immune responses against pathogens. Following TLR ligation, both pro-inflammatory and anti-inflammatory mediators are produced in order to elicit an immune response that controls the microbial infection while limiting tissue damage. Among these mediators, the proinflammatory cytokine IL-12 and the anti-inflammatory cytokine IL-10 are known to play major roles. Here, we show that in vitro or in vivo stimulation with flagellin, the TLR5 ligand, does not result in IL-10 production. Furthermore flagellin inhibits IL-10 production by other specific TLR ligands at the protein …

The Relationship Between School Connectedness And Bullying Vicitmization In Secondary Students, Janet Urbanski

USF Tampa Graduate Theses and Dissertations

Bullying is a complex behavior that can cause academic and social problems for students and can contribute to a negative school climate. Students who feel isolated or do not feel connected to their school may experience similar risks to those who are victimized by peers. Recent school violence incidents have led to an increase in bullying behavior research. The importance of the school climate is also emerging in educational discourse prompting a growth of research in school connectedness and positive relationships. However, research on the impact that relationships and school connectedness may have on bullying victimization at school is limited. …

Sensitivity Analysis Of The Transit Boardings Estimation And Simulation Tool (Tbest) Model, Dajana Vuckovic

USF Tampa Graduate Theses and Dissertations

Public transportation, although modest in the United States carrying about 2 percent trips, still serves millions of people as the main and only means of transportation. Recently released data set by Census, the 2006 American Community Survey (ACS) shows the main mode of travel for work commute is not surprisingly the automobile with over 86 percent and public transportation with nearly 5 percent users. Transit agencies strive to provide effective, convenient, and desirable transport. Because of the constant changes in our environment, being able to predict the response of riders to different network or system changes is extremely useful. Ridership …

Effect Of A Preoperative Warming Intervention On The Acute Phase Response Of Surgical Stress, Vanda Doreen Wagner

USF Tampa Graduate Theses and Dissertations

When a patient is exposed surgical stress, the endocrine system secretes hormones in response to that stress. These hormones further activate the immune system to release cytokines and other acute phase reactions. These processes are supposed to protect the body by upregulating the innate immune system and producing an inflammatory response that acts to protect and heal. However, uncontrolled surgical stress may cause a weaker immune response that may lead to delayed wound healing. The phenomenon of unplanned perioperative hypothermia is known to expose patients to additional surgical stress. The purpose of this preliminary experimental study was to determine the …

Online Delivery Of Career Choice Interventions: Preferences Of First-Year Students In Higher Education, Melissa Venable

USF Tampa Graduate Theses and Dissertations

Career services professionals are increasingly involved in decisions regarding the use of technology to perform their jobs. The millennial generation, increasingly enrolling in distance education, is characterized as being comfortable with technology, expecting efficient services, and valuing convenience. Understanding the technology-related preferences of today's students is fundamental for those planning and developing student career services. Brown and Ryan Krane (2000) identified five critical interventions important to career decision-making: (a) Written Exercises, (b) Individualized Interpretations and Feedback, (c) Information on the World of Work, (d) Modeling, and (e) Attention to Building Support.

This study investigated the following questions: (1) what are …

Experimental And Analytical Modeling Of The In Vivo And In Vitro Biomechanical Behavior Of The Human Lumbar Spine, Tov I. Vestgaarden

USF Tampa Graduate Theses and Dissertations

This dissertation has two major parts; Analytical and Experimental. The analytical section contains a study using Finite Element Analysis of dynamic instrumentation to demonstrate stress reduction in adjacent level discs. The experimental section contains biomechanical testing of facet fusion allograft technique and finally a comparison between In Vivo and In Vitro intradiscal pressures to determine forces acting on Lumbar spine segment L4-L5. A comprehensive study of available data, technology and literature was done. Conventional fusion instrumentation is believed to accelerate the degeneration of adjacent discs due to the increased stresses caused by motion discontinuity. A three dimensional finite element model …

Narratives Of Lesbian Transformation: Coming-Out Stories Of Women Who Transition From Heterosexual Marriage To Lesbian Identity, Clare F. Walsh

USF Tampa Graduate Theses and Dissertations

Women who have transitioned to a lesbian identity from a previously heterosexual one lack a voice in the academic literature. Identity formation in this subset of women, those who chose a heterosexual marriage, had children, and later in life self identify as lesbian, has not been fully investigated. For this project, eight women were asked to answer this question: How have you negotiated the path from heterosexuality to lesbianism? Four main themes were found dealing with heteronormativity and accountability, relationship with children, transition, and acceptance by the lesbian community. Additionally, I introduce a new term---gender-normativity---to describe these women who only …

Subtyping Psychopathy: Exploring The Roles Of Degree Of Punishment, Cognitive Dissonance And Optimism, John M. Weir

USF Tampa Graduate Theses and Dissertations

For over half of a century, social and behavioral scientists have been investigating the construct of psychopathy. Even so, psychopathy is still a highly misunderstood personality construct. Even though it has been estimated that psychopaths make up only about 1% of the general population, they are believed to consist of 15-25% of the prison population (Hare, 1996). However, not all psychopaths are in prison. Psychopaths can also be found in such fields as the legal profession, the business world and in politics (Babiak, 1995). In terms of criminal behaviors, psychopaths are arrested at earlier ages, have a higher rate of …

The Influence Of Masculinity Ideology On High-Risk Sexual Behavior Among Men Who Have Sex With Men, Christopher Wheldon

USF Tampa Graduate Theses and Dissertations

Epidemiologic evidence shows that the incidence of HIV among men who have sex with men (MSM) is on the rise. high-risk sexual behaviors are the primary mode of transmission and are responsible for increased rates of infection. a growing body of evidence suggests that endorsement of normative beliefs and values regarding manhood and masculinity, or masculinity ideology, may help to explain certain high-risk sexual behaviors. this study investigated the associations between a measure of masculinity ideology and sexual risk taking among a sample of MSM. in addition, indirect pathways in which masculinity ideology may lead to sexual risk taking were …

Evaluating The Effects Of A Reinforcement System For Students Participating In The Fast Forword Language Program, Catherine C. Wilcox

USF Tampa Graduate Theses and Dissertations

A computer-assisted language intervention program called Fast ForWord(R) (Scientific Learning Corporation, 1998) has received a great deal of attention over the past few years. The Scientific Learning Corporation claims that the use of Fast ForWord will improve students' language, reading and learning skills, leading to improved communication skills and increased self-esteem in and out of the classroom. Researchers have explored the effects of Fast ForWord training on reading and spoken language. However, little research has examined the effects on student's reading level and FFW scores when a reinforcement system is used in conjunction with FFW. This study was conducted in …

Pneumatic Tool Hand-Arm Vibration And Posture Characterization Involving U.S. Navy Shipboard Personnel, Charles R. Wilhite

USF Tampa Graduate Theses and Dissertations

The United States Navy incorporates many different occupations to ensure it achieves its overall mission. These occupations are extremely diversified and present a wide spectrum of occupational exposures. Many of these exposures have been well studied and documented. However, shipboard pneumatic tool hand-arm vibration, (HAV) and how it relates to different body postures is an area of occupational exposure that has received little attention. The chief objective of this study was to assess whether there is a difference in hand-arm vibration levels, while working on one of two surface orientations (e.g., horizontal and vertical) among distinctly different pneumatic tools while …

Secondary World History Teachers’ Integration Of Technology Into The Classroom: A Mixed-Method Approach, Shelli A. Whitworth

USF Tampa Graduate Theses and Dissertations

In the social studies classroom, using technology, students may gain access to expansive knowledge, broaden their exposure to diverse people and perspectives, and engage in critical thinking activities necessary for citizenship education (Berson, 1996; Berson & Balyta, 2004; Berson & Berson, 2003; Bolick, McGlinn, & Siko, 2005; NCSS, 1994, 2006; Risinger, 1996; Whitworth & Berson, 2003). 21st Century Skills are valuable for students as they examine vast amounts of content relating to historical events, figures, societies, technological growth and examine the relationship of the content to today's global interactions. Research indicates that there remains a call for documentation of exemplary …

Honor – A Double Edged Sword: An Examination Of The South’S “Culture Of Honor” Wounding Of Two Races, Vernetta K. Williams

USF Tampa Graduate Theses and Dissertations

This work expands the understanding of the "culture of honor" that social psychologists maintain exists in the American South. Social psychologists attribute the higher incidence of violent crimes, especially murder committed by white men in the South as compared to Northern white men, to this "culture of honor." While social psychologists have restricted their work to white men, this work explores how this distinct culture has impacted the Southern black community while uncovering deeper ways in which the culture has affected the Southern white community. Using historically-based literature and film by African Americans, the work provides a more comprehensive look …

Graduate Students/Mothers Negotiating Academia And Family Life: Discourses, Experiences, And Alternatives, Shirlan A. Williams

USF Tampa Graduate Theses and Dissertations

This study examines the experiences and perceptions of graduate students who are mothers. Based on discourse analysis, one-on-one interviews, and focus groups, this study argues that institutional discourses and practices place graduate students who are mothers in untenable and irreconcilable positions between "mom" and "student," between "family" and "the academy," between "self" and "success." These irreconcilable differences are created in discourse, enacted in institutional policies, and lived by the participants. The study offers action-based alternatives to the status quo policies of the university based on the self-described needs of these women. It reveals that support from all fronts--the home, the …

Technology And Older Faculty: A Descriptive Study Of Older Florida Community College Faculty, Christopher D. Van Der Kaay

USF Tampa Graduate Theses and Dissertations

Institutions of higher learning across the United States are experiencing an aging faculty population. A significant proportion of college and university faculty are over 55, a growth expected to continue in future years. Parallel to this growth and change has been an expanding use of technology in higher education. Despite this trend and potential implications, few studies have provided in-depth insight into older faculty and technology. The study used a quantitative descriptive design to provide a comprehensive look at older community college faculty and various aspects of technology. Areas examined included older faculty's perceptions of technology, their attitudes toward institutional …

Hospitalizations Associated With Pneumococcal Infection Within The Medicare Population Among Vaccinated And Non-Vaccinated Patients, Silky Fanyelle Webb

USF Tampa Graduate Theses and Dissertations

BACKGROUND: Streptococcus pneumoniae is the primary causative agent of pneumonia in older adults. Vaccination is the only tool to protect against pneumococcal infection; however, vaccination rates remain far below the Healthy People 2010 objective of 90% coverage. The number one reason for such low rates is attributed to controversy over the protective efficacy of the vaccine in preventing nonbacteremic pneumonia (eg, community-acquired pneumonia [CAP]). OBJECTIVES: The primary objectives of this study were to assess the incidence of pneumonia, pneumonia requiring hospitalization, and pneumonia hospitalization costs. METHODS: In this retrospective cohort study of Medicare beneficiaries aged 65 years in 2003, subjects …

Effect Of Personal And Practice Contexts On Occupational Therapists' Assessment Practices In Geriatric Rehabilitation, Mirtha Montejo Whaley

USF Tampa Graduate Theses and Dissertations

Despite considerable debate surrounding an age associated cognitive decline in non-demented elders, recent studies indicate that changes attributable to normal aging affect cognitive processes and fluid abilities. Additionally, studies indicate that factors such as physical illness, depression, neurological damage, medication side effects, drug interactions, and the effects of surgery and anesthesia may also cause varying degrees of cognitive impairment. Impairment of cognitive function is known to affect treatment and rehabilitation outcomes for older persons, and increase their likelihood of institutionalization. Although proper screening and identification of cognitive deficits in geriatric patients are crucial in developing treatment plans, there is evidence …

A New Questionnaire To Determine The Frequency And Severity Of Symptoms Caused By Inhaled Odors, Chemicals And Irritants In Normal Subjects And Their Relation To Health-Related Quality Of Life, Stephen E. Williamson

USF Tampa Graduate Theses and Dissertations

Individuals may develop symptoms in response to inhaled odors, chemicals, and irritants. This may affect their quality of life. Little is known about the prevalence and severity of symptoms that result from exposure to odors, chemicals and irritants. This study demonstrates the development of a new respiratory questionnaire to detect the prevalence and severity of symptoms experienced upon exposure to chemicals, odors, and irritants, and relates these symptoms to quality of life. This questionnaire was submitted to 96 volunteers at the University of South Florida College of Public Health who responded to items regarding symptoms developed in response to exposure …

Signaling In Natural Killer Cells: Ship, 2b4 And The Kinome, Joseph A. Wahle

USF Tampa Graduate Theses and Dissertations

The NK cell is a large granular lymphocyte that plays a key role in protecting the body against numerous pathogens including parasites, intracellular bacteria, viral infections, as well as showing anti-tumor activity and playing a role in the rejection of allogeneic BM. Unlike other lymphocytic cell types, that utilize rearranging receptors, NK cells are regulated by a complex array of germ line encoded activating and inhibitory receptors. NK cells are often described as a front line or rapid defense given their response to stimuli can be immediate, although they also maintain functions that extend their role well into the adaptive …

It Takes More Than Sun, Sea And Sand: The Case Of Tourism In The Tampa Bay Region, Circa 1970-2000, Joshua Wolf

USF Tampa Graduate Theses and Dissertations

Coastal counties in the United States have placed a new emphasis on tourism related employment. The shift away from normal maritime work, such as fishing and import/export shipping has ushered in an era of service-oriented economies and communities scattered along the US coast lines. This trend which is associated with the transition from Fordism to post-Fordism can be seen most prevalently in Florida's Tampa Bay region. The counties that make up Tampa Bay include Citrus, Hernando, Hillsborough, Manatee, Pasco, Pinellas, and Sarasota.The lure of sandy beaches and blue seas are the obvious tourist draws to any tropical locale, including the …

Thomas Hardy's Siren, Sarah A. Wray

USF Tampa Graduate Theses and Dissertations

The Sirens episode in The Odyssey is comparably short, but it is one of the most memorable scenes in the epic. Sirens are trying to stop the male narrative, the male quest of Odysseus with their own female "narrative power" (Doherty 82). They are the quintessential marginalized, calling for a voice, a presence, an audience in the text of patriarchy. The knowledge they promise, though, comes with the price of death. They are covertly sexual in Classical antiquity, but since the rise of Christianity, a new Siren emerged from the depths of the sea; instead of the sexually ambiguous embodiment …

Caregivers’ Perceptions Of The Effectiveness Of The Helping Our Toddlers, Developing Our Children’S Skills Parent Training Program: A Pilot Study, Jillian Leigh Williams

USF Tampa Graduate Theses and Dissertations

This study was designed to evaluate a parent training curriculum: Helping Our Toddlers Developing Our Children's Skills (HOT DOCS© ) using archival data collected between August 2006 and April 2007. The evaluation studied the impact of specific components of the parent training program on both participants' knowledge and attitudes and their perceptions of targeted children's behavior. One-hundred-forty-six caregivers of children between the ages of 14 months and ten years of age participated in the parent training program and were included in the analyses. Measures included a pre/post knowledge test, rating scales of child problem behavior, weekly progress monitoring forms for …

Physical, Kinetic, And Immunological Studies Of Monomeric (Periplaneta Americana) And Dimeric (Isostychopus Badonotus) Arginine Kinases, Brianne Wright-Weber

USF Tampa Graduate Theses and Dissertations

Arginine kinase catalyzes the reversible phosphorylation of arginine using ATP. This phosphotransferase is found throughout invertebrate species; whereas a homologous enzyme, creatine kinase, is found in both vertebrate and invertebrate species. Arginine kinases are found as monomers of 40 kDa or 80 kDa and dimers of 80 kDa while creatine kinases are found as dimers of 80 kDa, monomers of 150 kDa, or octamers of 320 kDa. The significance or advantage of the dimeric state or various quaternary structures is still not understood for this family of enzymes. Here, arginine kinase from Isostychopus badonotus muscle was purified to homogeneity and …

Effects Of Extreme Events On Residual Circulation For Tampa Bay, Florida, Monica Wilson

USF Tampa Graduate Theses and Dissertations

A numerical circulation model of Tampa Bay, Florida is used to simulate the flow field and tidal residual circulation for 2001-2004. This model is used to investigate the effects of extreme events on the residual circulation of the bay. The three extreme events that are used in this study are: Hurricane Frances, Hurricane Jeanne, and an extreme winter frontal passage that occurred on December 26, 2004. Each extreme event was divided into phases that were chosen by wind peaks and times of velocity inflow and outflow. There were three phases to the hydrodynamics effect of Frances on Tampa Bay. Hurricane …

Functional Characterization Of Roles Of Histone Deacetylases In The Regulation Of Dna Damage Response, Zhigang Yuan

USF Tampa Graduate Theses and Dissertations

Histone deacetylases (HDACs) are a family of enzymes whose functions have been overwhelmingly associated with gene expression and chromatin dynamics by modifying the histone tails. In recent years, intensive studies have demonstrated that many non-histone proteins also could serve as substrates for HDACs. And their functions and activities have been found to be regulated by posttranslational acetylation on the ε-amino group of lysines. Here, we report that two DNA repair factors including NBS1 (Nijmegen breakage syndrome 1) and ATDC (Ataxia-Telangiectasia Group D Complementing) are acetylated proteins. SIRT1 could maintain NBS1 in a hypoacetylated state, which is required for ionizing radiation-induced …

Tourist, Shopertainment, Eatertainment, Edutainment, Nature Tourism, Mass Tourism, Stephanie Tomita Wong

USF Tampa Graduate Theses and Dissertations

Predictive models for diffusion-controlled particle dissolution are important for designing advanced and efficient solid products for controlled release applications. A computer-aided modeling framework was developed to derive the effective dissolution rates of multiple particles as the solid surface material eroded gradually into the surrounding liquid phase. The mathematical models were solved with numerical methods using the computational software MATLAB. Results from the models were imported into COMSOL Script to create three-dimensional plots of the particle size data as a function of time. The release model found for the monodispersed particles was manipulated to incorporate polydisperse solids, as these are found …

Synthesis, Characterization, And Applications Of Cvd Micro- And Nanocrystalline Diamond Thin Films, Zhenqing Xu

USF Tampa Graduate Theses and Dissertations

In this thesis, a systematic study has been carried out on the synthesis, characterization and applications of microcrystalline diamond (MCD) and nanocrystalline diamond (NCD) thin films deposited by the chemical vapor deposition (CVD) method. Firstly, an overview of diamond films synthesized from carbon-containing gas plasmas is presented. A parameter study was performed to grow diamond thin films. The transition from micro- to nanocrystallinity of diamond grains was achieved by controlling the Ar/Hydrogen gas ratio. The nanocrystallinity is the result of a new growth mechanism which involves the insertion of carbon dimmer into carbon-carbon and carbon-hydrogen bonds. Secondly, characterization of diamond …

Comparison Of Student Outcomes In Distance Learning Internships Versus Traditional Dietetic Internships, Lauri Y. Wright

USF Tampa Graduate Theses and Dissertations

One way in which higher education is responding to technology advances, demographics changes, and economic pressures is through the development of distance learning. Distance learning represents one of the most prominent trends in higher education today. Understanding the impact of this technologically driven change on student outcomes is unmistakably important. One example of this trend in higher education is the distance learning internship in dietetic training programs. The purpose of this study was to compare student outcomes in distance learning dietetic internships to student outcomes in traditional dietetic internships. The pass rate of the registration exam for dietitians, levels of …