Education Commons^™

An Interprofessional Prediabetes And Diabetes Self--Management Education Quality Improvement Project Among Vulnerable Populations At A Tuberculosis Hospital, Robert Saul Castro Natal

Doctor of Nursing Practice

Background. Patients greatly benefit from diabetes self-management education (DSME) as it boosts knowledge and self-efficacy, decreases body weight, fasting blood sugar, and hemoglobin A₁C levels, and improves overall health outcomes in a cost-effective manner. Unfortunately, many individuals with prediabetes and diabetes who qualify for DSMEs do not attend these classes nor receive sufficient prediabetes and diabetes support elsewhere to attain guideline recommended metrics. However, individuals from vulnerable populations and without DSME education experience disproportionate diabetes-related complications worsening health outcomes. Aims: Increase general prediabetes and diabetes knowledge, facilitate behavior change, improve glycemic, metabolic, and lipid values, and increase …

Addressing Obstacles In Following Prescribed Medication Regimens In Patients With Type 2 Diabetes Mellitus, Cristina Sarro

Doctor of Nursing Practice

Background. Type 2 diabetes is the ninth leading cause of death in the United States. Micro/macro vascular complications are common in diabetes. Purpose. To implement an evidence-based protocol addressing obstacles for patients with type 2 diabetes in following their prescribed medication regimens to reduce glycosylated hemoglobin levels. Evidence. Failure to follow treatment plans increases diabetes complications. Perceptions and complexities of treatment plans, side effects of therapies, and cost contribute to patients not taking their medications as prescribed. Goals. To increase the number of patients with type 2 diabetes who follow their prescribed medication regimen and reach their targeted glycosylated hemoglobin. …

The Black Male Triumph Story: Successfully Achieving Graduate Degrees, Albert Charles Furlow Iii

Theses & Dissertations

Research Focus. In post-baccalaureate education, Black males have historically and continuously been underrepresented and misrepresented; however, this research was focused on abstracting the positive characteristics that were similar among successful post-baccalaureate Black male graduates. My research looked at the post-baccalaureate attainment of 16 Black male participants in a nuanced way by pinpointing the common positive attributes of the successful scholars. Specifically, I explored the importance of informing educators about necessary tools that contributed to the success of Black males in graduate school. The goal of my study was to target policymakers in education, present and future researchers, practitioners, and faculty …

The Role Of Student Services In Student Retention: A Case Study Of A Ugandan Private University, Olive Kajoina

Theses & Dissertations

Student services plays an essential role in higher education not only by reducing student dropout rates, but also by increasing student retention. This study explored the role of student services in promoting student retention which in turn addresses the problem of college student drop out at a private, non-profit Ugandan university. The purpose of the study was to identify the types of student services available at the university and understand how such are utilized to meet student needs and promote student retention. A qualitative case study method was be used to understand the role of student services in student retention …

Faculty And Staff Perceptions Of Their Roles In Preparing Students For College And Career Readiness: A Qualitative Exploration Of High Schools, Community Colleges, And Universities, Monica Ruiz

Theses & Dissertations

In 2020, nearly half of Texas’s 385,000 public high school graduates were unprepared for college-level reading or math. Limited research reveals K-12 faculty perceive limited roles and responsibilities in the college process, relying heavily on guidance counselors and college admissions counselors for preparing students for college and careers. The purpose of this study was to help fill this gap by answering the central research question: How do high school and college-level faculty and staff prepare high school students for college and careers? I chose a qualitative, interpretive design to explore educators’ individual and shared social meanings and interpretations. I used …

Nursing Students' Knowledge Of And Attitudes Towards Near-Death Experiences, Laura Lee Varela

Theses & Dissertations

Incidence of reported near-death experiences (NDEs) has increased over decades; however, they continue to be inappropriately pathologized or dismissed. These types of responses to disclosures of NDEs by patients can potentially lead to them having problems integrating the experience into their lives. The purpose of this study was to assess undergraduate nursing students’ levels of accurate knowledge of and attitudes towards NDEs and to determine the predictors of nursing students’ knowledge of and attitudes toward NDEs. Additionally, I explored the sources in which nursing students acquire NDE knowledge. I accomplished this by using a cross-sectional, correlational research study design. I …

An Autoethnograpy Of A Baby Boomer In Higher Education: Challenges And Catalysts For Change, Deborra Finlan

Theses & Dissertations

Higher education as a baby boomer brings mental, physical, and economic adjustments, concerns, and insecurities. Additionally, life delivers unexpected challenges and barriers which can cause hardships requiring various types of motivation. Fortunately, there are also catalysts which can contribute toward successes. Literature from four major elements were the focus in this study: motivation, adult learning, challenges, barriers, and catalysts. Theorists and theories included Vroom’s expectancy theory of motivation with the added factor of cost, and Ryan and Deci’s theory on self-determination; Mezirow’s transformative learning and Knowles’s self-directed learning; Cross’s theory on educational barriers—situational, dispositional, and institutional; and Cobb’s social support …

Thank You To Our 2021-2022 Reviewers, Paul B. Freeman Od

Optometric Clinical Practice

Thank you 2021-2022 Reviewers!

Book Review: Applied Concepts In Vision Therapy 2.0, Paul B. Freeman Od

Optometric Clinical Practice

Press LJ, Taub MB, Schnell PH. Applied Concepts in Vision Therapy 2.0. Santa Ana: Optometric Extension Program; 2022, $159.00, 543 pages, Paperback, ISBN: 9780929780542

Ischemic Cranial Nerve Iii Palsy: Diagnosis, Management, And Follow-Up, Brittney M. Brady Od

Optometric Clinical Practice

Background: Acquired cranial nerve III palsies (CN3P) can be ischemic in nature due to underlying vasculopathy, trauma, or by compressive damage due to aneurysm or tumor. In most cases, neuroimaging is completed to rule out a life-threatening etiology. This case outlines an acute oculomotor palsy due to ischemic microvascular disease with the appropriate diagnostic testing, treatment, and follow-up course.

Case Report: A 67-year-old African American female presented with complaints of a drooping left eyelid and intermittent diagonal diplopia. She had a known diagnosis of type 2 diabetes and hypertension. Entering visual acuity was 20/25-1 in the right eye (OD) and …

Occult Adenocarcinoma Presenting As Presumed Periorbital Cellulitis, Kirk Halvorson Od, Jonathon Thomas Od, Jennifer Prunty Od, Omaya H. Youssef Md, Mba

Optometric Clinical Practice

Background: Orbital tumors are uncommon entities seen by optometrists. They may initially present as common, benign conditions, but if not appropriately diagnosed can lead to devastating results.

Case Report: This case report demonstrates an atypical presentation of adenocarcinoma that was initially diagnosed as preseptal cellulitis. The patient in this case was ultimately referred for imaging and biopsy to reveal the correct diagnosis. Despite treatment, this patient died about 1 year after his clinical presentation.

Conclusion: The detection of orbital tumors and the subsequent management of patients with orbital tumors can be challenging. When considering orbital tumors as a possible diagnosis, …

Diagnosis And Excision Of A Solitary Trichoepithelioma, Leonid Skorin Jr., Do, Od, Ms

Optometric Clinical Practice

Abstract

Background: Solitary trichoepithelioma is a rare benign tumor of hair follicle origin. Although trichoepithelioma has a predilection for the face and neck, it is not usually found on the eyelids. It has similar clinicopathological features to basal cell carcinoma. Surgical excision and histopathologic analysis is helpful for correct diagnosis.

Case Report: A 59-year-old Caucasian female presented with a raised, reddish oval mass on the right lower eyelid. The mass had telangiectatic blood vessels on its surface, was non-pigmented and slightly umbilicated. It was in close approximation of the eyelid margin causing distortion and poor apposition of the lid to …

A Reactivation Of Ocular Toxoplasmosis During Pregnancy, Brett Garee Od, Ms, Sarah Dieter Od, Pete Liette Od

Optometric Clinical Practice

Background: Toxoplasma gondii is a parasite estimated to affect over 500 million people worldwide. The feline is the definitive host for the parasite and infection may be acquired or congenital via maternal transmission. Humans may acquire the infection by ingestion of raw or undercooked meats and vegetables, contaminated water, or exposure to infected cat feces. The infection is often benign, self-limiting, and asymptomatic for humans, but potentially life threatening to infants or the immunocompromised patient.

Case Report: A 22 year-old Caucasian female, pregnant at 12 weeks gestation, presented to the optometry service with acute symptoms of hazy vision …

Minimum Rim Width And Lamina Cribrosa Depth In Non-Glaucomatous And Glaucomatous U.S. Veterans, Jacob Hillard Od, Rachel Druckenbrod Od, Baharak Asefzadeh Od

Optometric Clinical Practice

Purpose: Assess the utility of the MRW and lamina cribrosa depth measurements for detecting differences between non-glaucomatous and glaucomatous U.S. Veterans. Compare inter-eye differences of individuals with glaucoma.

Method: 38 subjects were recruited per group: Group 1 included one eye of non-glaucomatous participants, and Group 2 included each qualifying eye of participants with glaucoma. Analysis compared Group 1 with the more affected eye only of Group 2 participants, and separately between the more and less affected eyes of group 2 participants. MRW measurements were obtained with Heidelberg Eye Explorer© (HEYEX). Average lamina cribrosa depths were measured manually utilizing HEYEX.

Results: …

Just When You Thought It Was Safe To Go Back In The Water, Paul B. Freeman Od

Optometric Clinical Practice

Letter from the Editor

A Comparative Exploration Into First Time In College Student Academic Performance In Face-To-Face Versus Remote Learning Environments, Ashley Click

Theses & Dissertations

In spring 2020, the COVID-19 pandemic forced educational systems to transition into an emergency remote learning modality. This quantitative study compared retention and productive grade rates of two 16-week academic semesters and compared face-to-face (fall 2019) and remote (fall 2020) emergency remote instruction. The study sample was drawn from the core courses of History, English, and Speech at San Antonio College. Those courses were selected in part due to the high proportion of first time in college students who were considered a vulnerable population regarding performance and persistence. Additional variables (i.e., gender, veteran status, first-generation status, and socio-economic status) were …

Impacts Of Granite Quarrying: The Case Of Subsistence Farmers In The São Pedro River Valley, Isabelle Poupard Santizo

Theses & Dissertations

Granite quarrying constitutes an occupational hazard that compromises workers’ health, destroys the environment and negatively affects nearby communities (Azevedo et al., 2020; Ibrahim et al., 2019; Oktriani, Darmajanti, & Soesilo, 2017; Shaik et al., 2015). But the demand for granite and other decorative stones continues to grow (Gupta, 2018). Despite a decrease in imports/exports due to Covid-19 (Alves et al., 2020), today Brazil remains the number 1 granite exporter to the United States (US Geological Survey, 2021). In the last 30 years, the extraction of granite in Brazil has been continuous, particularly in the states of Espírito Santo (ES) and …

Understanding Perceptions Of Professional Development In A Multi-Generational Learning Environment Among High School Teachers, Gina Pagano

Theses & Dissertations

In today’s workforce, individuals are staying in their respective professions longer and retiring at ages past 67, resulting in a generationally diverse workforce. Currently, teachers range from 21-80 years of age, working in the same profession and receiving the same professional development. Considering adult learning and the dynamics associated with individuals, it is important to understand that, historically, the professional development provided to this workforce is facilitated in a one-size-fits-all arrangement (Gregson & Sturko, 2007), instead of using diverse adult learning styles (Malik, 2015). The purpose of this study is to understand individual teachers’ perceptions of the efficacy of professional …

How Romantic Relationships Impact Athletic Performance In Student-Athletes In Higher Education; A Regression Analysis, Heriberto Justin Chacon Iv

Theses & Dissertations

The purpose of this quantitative regression analysis was to test examine the association between romantic relationships to athletic performance, after controlling for gender, sport, grade, and partner athlete status for student athletes at a private catholic university in South Texas. Being a student-athlete comes with a lot of pressure and expectations. Research has shown how performance from a student-athlete is crucial from keeping their scholarship from being on thin ice (Gord, 2018). Studies have helped point how relationships can influence athlete performance in some way, whether it is family, coach, teammates and friends, or romantic (Bolter & Weiss, 2012; Moll, …

The Successful Military Retirement Transition: A Phenomenology Of A Journey To Becoming Full, Ann Lee

Theses & Dissertations

Research Focus. Change and transition are life constants and are uniquely defined by the individual experiencing them—whether expected or unexpected, positive, negative, or neutral. Only the individual can determine the nature and impact of a transition experience. Military members transitioning from the military environment to civilian life after retirement experience change and transition on several levels—a career shift, a forfeiture of role and status as a military member, a lifestyle change, financial instability, a culture shift, and a loss of military community and friendships, to name a few. This transition represents an exit from, not just a job, but a …

Latinas Abriendo Caminos: Stories Of Latina Women To The Doctoral Degree, Jessica Ballesteros

Theses & Dissertations

Research Focus. Most of the current research focusing on Latinas succeeding academically has been conducted at the undergraduate and master’s level. The purpose of this study was to gain an understanding of the experience of Latinas in their doctoral program and what leads them to complete a doctoral degree. Latinas currently have low completion rates in doctoral degrees compared to all other ethnicities in the U.S. Thus, the goal of this research study was to identify factors that contribute to these Latinas succeeding academically.

Research Methods.

I used both Critical Race Theory (CRT) and Latino Critical Race Theory (LatCrit) to …

Factors For Success Of International Female Doctoral Students In Science In The United States, Maria Patricia Cantu

Theses & Dissertations

Factors for Success of International Female Doctoral Students in Science in the United States

Many international doctoral female students in the sciences in the United States do not obtain a degree despite their large investment in time, effort, and financial resources. The loss of highly prepared and credentialed international female doctoral students, who have a genuine interest in science but who choose not to pursue their studies to graduation or switch careers due to real or perceived barriers, signifies such a loss not just for the women themselves and their families but for their countries of origin, their hosts universities, …

Book Review: The Ophthalmic Laser Handbook, William L. Miller Od, Ms, Phd

Optometric Clinical Practice

Book Review: Freisberg L, Lighthizer N, Skorin, Jr. L, Stonecipher K, and Zimmerman A. The Ophthalmic Laser Handbook. First Edition. Wolters Kluwer Health; 2021. $102.00, 350 pages, Paperback ISBN: 978-1975170172, e-book ISBN: 978-1975170219

Case Report: Bartonella Quintana-Associated Neuroretinitis, Kelly Seidler Od, Kelly A. Malloy Od

Optometric Clinical Practice

Background: Neuroretinitis is a self-limiting condition which typically causes monocular vision loss with good potential for visual recovery. It may be idiopathic or associated with infectious or inflammatory conditions which can carry systemic implications. Neuroretinitis classically presents with disc edema followed by development of a macular star pattern of exudates. It is most commonly attributed to Cat Scratch Disease, or Bartonella henselae infection. However, there have been few published reports of Bartonella quintana associated neuroretinitis.

Case Report: A 60-year-old patient presented with unilateral vision loss preceded by flu-like illness. The patient had exposure to a recently adopted cat. …

Bilateral, Full-Thickness Macular Holes While Undergoing Chemotherapy, Sarah Dieter Od, Brett Garee Od Ms, Susan Zacatelco Od, Julie Henry Od

Optometric Clinical Practice

Background: Bilateral, full-thickness macular holes are a rare condition that can substantially affect quality of life. Macular hole diagnosis and treatment is key for these patients.

Case Report: A 71 year old Caucasian male presented with a chief complaint of distance blur in both eyes, worsening over the past 1-2 weeks. He had no diagnosis of diabetes. He added that his prostate cancer had spread and that his last treatment ended 9 days ago. He was ultimately diagnosed with bilateral, full-thickness macular holes. Referral to a retinal specialist for surgical management yielded good results.

Conclusion: This is …

Cefuroxime-Induced Toxic Maculopathy: A Cataract Co-Management Conundrum, Leonid Skorin Jr., Do, Od, Ms

Optometric Clinical Practice

Background: Cefuroxime-induced toxic maculopathy can occur when an incorrect dilution is injected intracamerally after cataract surgery. This results in a guarded visual prognosis. Cefuroxime-induced toxic maculopathy can also occur sporadically even when the medication dilution is the standard correct dosage. These patients usually recover their vision by the first postoperative week.

Case Report: A 72-year-old Caucasian female developed cefuroxime-induced toxic maculopathy after uneventful cataract surgery. Investigation of the case confirmed that she had a sporadic response to the cefuroxime. It was verified that she received the standard correct dilution of cefuroxime intracamerally. The patient showed a significant improvement in her …

Medication-Induced Oculomotor Dysfunction: A Report Of Two Cases, Eric Lee Od

Optometric Clinical Practice

Background: Consideration of current medications and their interactions as a source of new onset oculomotor dysfunction is imperative for providing good eye care. Medication etiology should be particularly suspected when the symptoms begin with the initiation of a new medication and resolved with discontinuation of the same medication.

Case Reports: Presented are two cases demonstrating that it is prudent to be aware of medications capable of inducing oculomotor dysfunction. Each case reveals instances of acute oculomotor dysfunction after the initiation of a central nervous system affecting medication. Case 1 details a partial pupil sparing third nerve palsy after initiating the …

Longstanding Crystalline Retinopathy Secondary To Intravitreal Triamcinolone Injection, Katherine Thomas Od, Jeffery Curry Od

Optometric Clinical Practice

Background: Crystalline retinopathy has many disparate etiologies with varying potentials in visual outcome. Due to the potential severity of these outcomes, differentiation of etiology is critical to guide both follow up and treatment regimen. Diagnosis can be facilitated with a thorough medical history, clinical presentation, and imaging such as optical coherence tomography (OCT).

Case Report: This case demonstrates a rare incidence of crystalline retinopathy in a 65-year-old male attributed to a single intravitreal triamcinolone acetonide (IVTA) injection with 8 year follow up data, followed by a review of other types of crystalline retinopathy secondary to pharmaceutical agents.

Conclusion: A complete …

It’S As Easy As Learning To Fly A Plane, Paul B. Freeman Od

Optometric Clinical Practice

Letter from the Editor-in-Chief

"Advancing Together." 15th Annual Research Week: Event Proceedings, University Of The Incarnate Word

Research Week Archived Proceedings

Presentations of completed and ongoing research activity conducted by graduate students, undergraduate students, and faculty at University of the Incarnate Word. Includes poster, podium, visual arts, interactive demo, creative and performing arts presentations. Coordinated and presented by the Office of Research and Graduate Studies.