Medicine and Health Sciences Commons^™

Supervisor Workplace Violence Against Young Workers By Victim's Race/Ethnicity, Camryn Lopez

Boise State University Theses and Dissertations

Working is often seen as an integral aspect of growing up in the United States. Due to the increased desire for independence and financial gain, many adolescents decide to pursue the expansion of their job skills by entering the labor force. Adolescents crave financial independence and freedom. However, many are unaware of the risks that accompany working. The perpetrators of adolescent workplace violence are generally thought to be customers or coworkers. But what if it was the supervisor?

The main objective of the study is to determine whether abusive supervision of young workers differs depending on the worker’s race/ethnicity. Using …

Unheard Victims Of Covid-19: The Impact Of Mask Use On Communication For D/Deaf And Hard Of Hearing People, Kym Couch

Boise State University Theses and Dissertations

Masks are effective at preventing the spread of COVID-19, but they also impact communication for d/Deaf and hard of hearing (DHH) people. This research is a mixed methods approach to analyzing the impact that the widespread use of masks in response to COVID-19 has had on DHH people. Building on the allowance for nuance and paradox presented by Deborah Stone in her book Policy Paradox: The Art of Political Decision Making (2012) and holding to the Social Model of Disability, this research involves the qualitative and quantitative analysis of a survey of one-hundred and ninety-eight (198) DHH people, interviews with …

An Exploratory Study On Institutional Belonging And Its Effects On Mental Health Outcomes And Academic Success, William Cooney

Boise State University Theses and Dissertations

BACKGROUND

Belonging in higher education is a growing field of research, however there is limited available literature. Institutional belonging encompasses many factors of the college campus environment such as social relationships, extra-curricular activities, academics, institutional support and how they affect a college student’s sense of belonging (Hausmann et al., 2007). The purpose of this exploratory study is to further understand institutional belonging and its relationships with mental health and academic success.

METHODS

This study utilized data from the ACHA-NCHA III, Spring 2020 survey that was randomly given to undergraduate and graduate students (N=5,000) attending a Northwest regional state university. The …

The Theory Of Mattering: Implications For Adolescent Depression And Suicidal Ideation, Josie Lucretia Bryan

Boise State University Theses and Dissertations

Recent studies have suggested that mattering may influence both self-esteem and depression, and the perception of not mattering can lead to suicide ideation, attempts, or completion. When young people perceive they matter to those in their social environment, that sense of mattering can act as a protective factor. Existing research supports the notion that mattering is salient to adolescent development and, importantly, potentially malleable which could make it a prevention/intervention factor. The current study endeavored to identify contributing factors to adolescent perceived mattering and to test the Theory of Mattering in an adolescent population when predicting mental health outcomes. A …

Identifying Factors Impacting The Intention To Use Videos Of Authentic Patient Encounters By Ems Educators, Melisa Martin

Boise State University Theses and Dissertations

The cornerstones of prehospital provider education include didactic instruction, psychomotor skills training, and hospital and ambulance clinical rotations. Increasing enrollment in healthcare education programs, limited clinical opportunities, and an increasingly technologically savvy student body are compelling educators to pursue supplementary techniques for teaching and learning. Although high fidelity simulators are becoming increasingly commonplace, other educational technologies are less widely adopted. Concomitantly, little research has been conducted exploring rationale and motivating factors for adoption and utilization of technology by EMS educators. Videos of authentic patient encounters recorded in clinical settings (VAPE) have the potential to provide students an opportunity to learn …

Autophagy Regulation By Lipid Factors With Implications For Parkinson's Disease, Alejandro Soto-Avellaneda

Boise State University Theses and Dissertations

Parkinson’s disease is the second most common neurodegenerative disorder. It is characterized by the death of dopaminergic neurons in the substantia nigra and a series of debilitating motor symptoms. Macroautophagy (hereafter referred to as autophagy) is a cellular process by which cells degrade proteins, lipids, organelles or dysfunctional components. Autophagy is thought to play an important role in Parkinson’s disease, because it is the only cellular process known to remove large protein aggregates, such as those seen in Parkinson’s disease pathology. Historically, a large body of work has focused on reporting on protein effectors of autophagy, and regulation of autophagy …

The Impact Of Virtual Radiographic Positioning Simulation On 1St Year Radiography Students’ Clinical Preparedness Through The Lens Of Activity Theory: A Mixed Method Approach, Christopher Ira Wertz

Boise State University Theses and Dissertations

Radiography education programs are designed to prepare students to perform radiographic examinations and acquire diagnostic medical images of real patients in the clinical setting. Radiographic Science (RS) education, like all healthcare education, is uniquely different from education in other professional fields. Students must not only acquire the technical, cognitive learning required, but they must also master the psychomotor skills necessary to apply didactic knowledge to patients in a clinical setting. In medical imaging, when students are hesitant or lack knowledge and skills they are prone to produce images with decreased quality or expose patients to unnecessarily high amounts of radiation. …

Movement Integration In Classrooms: Factors Associated With The Adoption And Implementation Of Physical Activity In Us Elementary Schools, R. Blake Densley

Boise State University Theses and Dissertations

The intentional integration of movement in elementary school classrooms—including both brief instructional breaks for physical activity, or the integration of physical activity with lessons—can benefit children’s physical health and education outcomes. Teachers are key implementation agents, but despite movement integration (MI) being considered an educational best practice, many classroom teachers do not regularly use it. The aim of this study was to obtain updated nationally-representative prevalence estimates in US public elementary schools, regarding four key outcomes pertaining to teachers’ implementation of physical activity: 1) school adoption of physically active lessons (PALs); 2) school adoption of physical activity breaks (PABs); 3) …

Relationships Between Intimate Partner Violence, Pregnancy, Maternal Mental Health And Infant Care Behaviors, Brooke Ambrose

Boise State University Theses and Dissertations

Background: Intimate Partner Violence (IPV) is a public health issue that is known to have deleterious health effects for pregnant women and their babies. Women who experience IPV during pregnancy are also likely to develop and exacerbate already existing mental health conditions. Experiences with IPV are thought to impact health behaviors, particularly how a mother copes or cares for her baby. The objective of this study is to explore the potential relationships between experiencing IPV (before and/or during pregnancy), maternal mental health, and health-related infant care behaviors (i.e., breastfeeding initiation, breastfeeding duration, well-child visits).

Methods: Data from phases 6 (years …

Adolescent Substance Use: Risk And Protective Factors Of Family, School, Peer, And Leisure, Tara Woodward

Boise State University Theses and Dissertations

BACKGROUND

Adolescent substance use has long been a global public health issue. In this study, we explored developmental contexts that correspond with protective and risk factors associated with adolescent substance use. The developmental contexts of interest are the family domain, the school domain, the peer domain, and the structured and unstructured leisure domains. The leisure domain is of particular interest as it often corresponds with protective and risk factors different from those associated with the other domains. The purpose of this study was to assess whether the identified domains are associated with adolescent alcohol use and cannabis use.

METHODS

This …

Rational Design Of 2,4-Disubstituted Quinazoline Small Molecules To Inhibit The Inflammatory Cytokine Oncostatin M, Riley Olsen

Boise State University Theses and Dissertations

Inflammation is one of the body's most important natural defense mechanisms involved in wound healing. It is usually triggered by a harmful event, such as physical trauma or exposure to external stimuli including bacteria, fungi, viruses, harmful chemicals, or environmental particulates. The inflammatory process brings blood containing inflammatory mediators consisting of leukocytes, hormones, and cytokines to the site of trauma to begin healing. However, the lack of a proper inflammatory response or an overactive response can lead to further progressive tissue damage resulting in chronic inflammatory conditions or death. The cytokine oncostatin M (OSM) is of particular interest due to …

Decellularization Of Porcine Cartilage Promotes Chondrogenic Differentiation Of Human Chondrocytes, Roxanne Nicole Stone

Boise State University Theses and Dissertations

Knee osteoarthritis (knee OA) is the most common type of osteoarthritis (OA) and accounts for 70% of arthritis-related hospital admissions and 23% of clinical visits. Major limitations in both the current non-surgical and surgical methods are that they only relieve pain and show no evidence for restoring natural tissue anatomy. Leaders in the field propose that a stem cell treatment approach holds promise for the regeneration of a greater proportion of hyaline-like tissue at the repair site. (Cross et al., 2014; Escobar Ivirico, Bhattacharjee, Kuyinu, Nair, & Laurencin, 2017; Helmick et al., 2008; Toh, Foldager, Pei, & Hui, 2014).

It …

Countermovement Jump Assessment For Monitoring Prolonged Fatigue In Collegiate Female Soccer Players, Jeffrey A. Wilkins

Boise State University Theses and Dissertations

Introduction: Females are 4 to 6 times more likely to sustain an anterior cruciate ligament (ACL) injury than their male counterparts during running and cutting sports, such as soccer. This sex disparity is thought to result from altered lower limb neuromuscular control that females present when fatigued at the end of practice or games. Yet, current fatigue monitoring techniques typically vary in their reliability, applicability and efficiency. Purpose: The purpose of this study is to test the feasibility of the countermovement jump (CMJ) to quickly and reliably monitor fatigue in female soccer athletes. Methods: Twenty-two (age: 19.3 ± 1.1 yrs, …

Agricultural Workplace Compliance With The Environmental Protection Agency's Worker Protection Standard: An Idaho Analysis, Rachel Phinney

Boise State University Theses and Dissertations

Agricultural workers are at high risk for occupational pesticide exposure and pesticide-related illness. The Worker Protection Standard (WPS) is the primary federal regulation aimed at reducing pesticide exposure among agricultural workers. Agricultural employers are responsible for complying with the nearly 100 WPS requirements, including the provision of pesticide safety training, personal-protective equipment, and decontamination supplies to employees.

Despite the potential health implications of WPS violations, information is limited regarding compliance levels in Idaho. We aim to fill this gap by describing compliance trends according to WPS inspection results archived by the Idaho State Department of Agriculture (ISDA). We analyzed 557 …

Communication In Healthcare Settings: Access And Barriers To Care Experienced By Deaf Patients, Elizabeth Schniedewind

Boise State University Theses and Dissertations

Deaf persons who use American Sign Language (ASL) as their primary form of communication are members of a cultural and linguistic minority that experiences significant health disparities yet are not recognized as a health disparity population by the National Institutes of Health. Studies have reported ineffective communication in healthcare interactions and reduced access to care experienced by Deaf patients. Requests for sign language interpreters in healthcare encounters are frequently denied, despite federal mandates to provide effective communication. Comprised of three articles, this dissertation investigates the diminished access to communication in healthcare settings experienced by Deaf patients and qualitative research methods …

Analyzing Change-Of-Direction And The Laterally Resisted Split Squat: Incorporating A Lateral Vector Into The Single Leg Squat, Derek Maddy

Boise State University Theses and Dissertations

Improving change of direction (COD) with the use of strength training has led to mixed results. To date, the modified single leg squat (MSLS) and the bilateral squat (BS) have been successfully used to improve COD, with equal improvement. COD is primarily performed at a 45-75° frontal plane angle; however, the MSLS and BS are performed at a 90° frontal plane angle. Based on the force vector theory, it is proposed that a more mechanically similar strength training exercise, the Laterally Resisted Split Squat (LRSS), be used. The purpose of this study is to compare COD with the LRSS, MSLS, …

Influence Of Provider Characteristics On Opioid Prescribing Behavior Among Idaho Veterinarians, Tara A. Jones

Boise State University Theses and Dissertations

Opioid addiction and misuse have become widespread in the U.S. over the past decade, causing a rise in opioid related mortality. High opioid prescribing rates have led public health agencies to examine provider prescribing practices. Research has identified provider characteristics such as gender, age, and years of experience are predictive of opioid prescribing in human medical providers. Veterinarians are frequently licensed to prescribe opioids, yet less is known about the prescribing practices of veterinarians. From a public health perspective, it is important to explore the potential connection between veterinary medicine and the opioid epidemic. The current study assessed whether variations …

The Presence Of Legionellae In Respiratory Devices: Convenience Sampling Of Idaho Long Term Care Facilities, Andrew Nutting

Boise State University Theses and Dissertations

Legionella is a bacterium found naturally in moist environments. Persons can become infected when they inhale airborne droplets of water containing such bacteria. Legionellosis cases associated with the use of respiratory devices such as Continuous Positive Airway Pressure (CPAP) units, jet nebulizers, portable room humidifiers, and respiratory ventilation equipment have been identified in context of a Legionellosis outbreak. However, a systematic search for the presence of Legionella bacteria in respiratory devices outside of a Legionellosis outbreak has not been reported. The goal of this study was to carry out such a survey on different types of respiratory devices in long …

Change In Muscle Stiffness Using Shear Wave Elastography, Range Of Motion, And Perceived Pain Following A Cupping Therapy Treatment In Physically Active Adults, Molly Mccullough

Boise State University Theses and Dissertations

Introduction- Cupping therapy originated in Eastern medicine practices, became renowned in international sports, and is now utilized as a therapeutic device for treating musculoskeletal issues in a wide variety of physically active individuals. As with any modality, there is a question of efficacy. This study focused on the effect of cupping therapy on muscle stiffness (MS), active dorsiflexion (DF), and perceived pain. Purpose- The purpose of this study was to examine changes in MS, active DF, and perceived pain on the medial gastrocnemius following a cupping therapy treatment. Methods- Twenty physically active, healthy participants completed an exercise protocol to induce …

Pharmacist Perceptions Toward Screening, Brief Intervention, And Referral To Treatment For Prescription Opioid Misuse: Initial Instrument Reliability And Validity, Tara Fouts

Boise State University Theses and Dissertations

Prescription opioid misuse has become a growing problem in the United States, and there has been a significant increase in the number of nonfatal overdose and overdose deaths since the 1990s. Idaho has also experienced an increase in the number of drug-induced deaths over time, increasing nearly 30% from 2012 to 2016. The Centers for Disease Control and Prevention indicates overprescribing and dispensing of prescription opioids is a main driver to the increase in overdoses. Evidence-based early intervention methods, such as screening, brief intervention, and referral to treatment (SBIRT), can be utilized in health care settings to identify risky behaviors …

Sex Effects On Ankle Biomechanics During Sports-Relevant Tasks And Peroneal Muscle Parameters, Wyatt D. Ihmels

Boise State University Theses and Dissertations

Introduction: Ankle sprains from excessive inversion are the most frequent sports- related injury. Common ankle prophylactics are designed to prevent injury by limiting excessive ankle inversion, yet may restrict other ankle motions leading to repeated re-injury. Females are twice as likely as males to suffer an ankle sprain, however, it is unknown if a sex dimorphism in ankle biomechanics exists when wearing ankle prophylactics, and whether differences in the peroneal musculature exist between sexes. Purpose: To quantify the ability of ankle prophylactics (Ankle Roll Guard (ARG), Brace, Control, and Tape) to prevent excessive ankle inversion during a sudden inversion event, …

Investigating The Effects Of Social And Temporal Dynamics In Fitness Games On Children's Physical Activity, Ankita Samariya

Boise State University Theses and Dissertations

Obesity in children has more than doubled in the last four decades. A variety of fitness technologies such as activity trackers, exergames, and mobile applications are available to promote physical activity, but few are designed adequately to meet children's specific needs. In my initial research, I found that children prefer having social interaction, a narrative, and flexibility while interacting with such technologies. Other research has shown that persuasive displays encouraged adults towards physical activity. As a part of this work, a collection of mobile applications, collectively known as KidFit Suite were developed. These applications encourage children to be physically active …

Validity Of The Polar M430 Among Females Of Varying Fitness Levels, Body Fat Percentage, And Reported Physical Activity, Kevin Earl Miller

Boise State University Theses and Dissertations

Introduction: The Polar M430 is a heart rate monitor that uses a non-exercise prediction method to predict one’s V̇O_2max. Research has revealed that this method will overestimate predicted V̇O_2max among females. Studies have investigated the validity of this method, however, these studies have not taken into account how physical activity (PA) levels, body fat percentage, or measured V̇O_2max could affect the prediction value. Purpose: The purpose of this study was to investigate the validity of the Polar M430 in predicting V̇O_2max amongst females of varying PA levels, body fat percentages, and fitness levels. Methods: Forty-eight …

The Relationship Between Perfectionism And Self-Determined Motivation In Collegiate Division I Athletes, Christian Sengfelder

Boise State University Theses and Dissertations

Introduction: An athlete’s performance is dependent on both psychological and physical factors. Perfectionism and motivation are two psychological factors that can influence performance of athletes in a positive or negative manner. The relationship between perfectionism and motivation has been studied previously, but the relationship has not been studied with sport specific measurements and the collegiate athlete population has largely been ignored. Purpose: To investigate the levels of perfectionism and motivation in collegiate Division I student-athletes and determine how the forms of perfectionism (adaptive versus maladaptive) are related to the different levels of motivation (controlled vs autonomous forms) in this …

Structure-Based Drug Design Of Novel Therapeutics Targeting Oncostatin M, Kelsey Skluzacek

Boise State University Theses and Dissertations

At 30% of all new diagnoses, the most prevalent malignancy for women is breast cancer, which in the United States will result in an estimated 266,000 new cases this year alone. Of the patients diagnosed with breast cancer, approximately 10-15% will develop distant metastases within three years of the initial detection of a primary tumor. For comparison, the five-year survival rate for localized breast cancer is 99%, whereas, the survival rate for metastatic breast cancer drops drastically to only 27%. The significant difference in survival rates is indicative of a need for a novel treatment strategy for metastatic breast cancer. …

The Effects Of Formative And Summative Assessment On Student's Connectedness, Satisfaction, Learning And Academic Performance Within An Online Healthcare Course, Thomas J. Wing

Boise State University Theses and Dissertations

The quantitative study presented here evaluates the effects of formative and summative assessment on student’s connectedness, satisfaction, learning and academic performance within a university three-credit 400 level online healthcare course. Literature exploring the role that formative assessment plays within an online environment is currently lacking. Additionally, understanding how assessment practices can help support the goals of online healthcare education is vitally important given the rise in popularity of this delivery format.

This study investigated student outcomes in the form of connectedness, satisfaction, learning and academic performance. Four cohorts of students were included in this study. Two cohorts were provided with …

Potent And Potentially Non-Cardiotoxic Anthracyclines: Their Synthesis, Biological Evaluation, And Comparison Of Hydrozone-Mediated Reductions, Jerrett Holdaway

Boise State University Theses and Dissertations

After nearly half a century since medical approval, the anthracycline doxorubicin (DOX) remains one of the most potent and clinically useful anticancer agents. In spite of its long history, however, the cytotoxic mechanisms of DOX have been debated and remain controversial. Several well-supported mechanisms will be discussed, such as the potential to intercalate DNA and induce apoptosis through topoisomerase poisoning, free radical formation, and DNA cross-linking. While DOX has substantial medical importance, it is plagued by a life-threatening dose-dependent cardiotoxic side effect associated with several structural groups. A number of modifications to DOX have been accomplished to attempt to remove …

Total Synthesis Of 6,7-Dimethyl-N-Methyl Aziridinomitosene, Thaaer N. Muhammed

Boise State University Theses and Dissertations

Mitomycin C (MC) is a naturally occurring antitumor agent isolated from a soil bacterium. MC is effective against solid hypoxic tumors that respond poorly to radiotherapy, such as colorectal, gastric, and lung tumors. Also, it has a role in the treatment of bladder, head and neck, and non-small cell lung cancers in combination with other chemotherapeutic.

MC and other members of the mitomycin family of antitumor agents fight cancer by forming DNA interstrand crosslinks (ICLs), which leads to apoptosis. In order to form ICLs, MC requires a reductive activation step that produces reactive oxygen species. This activation step is proposed …

Social Learning Biases In The Use Of Complementary And Alternative Medicine, Marie Denell Letourneau

Boise State University Theses and Dissertations

In the United States, the use of complementary and alternative medicine (usually referred to as CAM) has increased dramatically over the last three decades. However, theoretically informed explanations about why people decide to use CAM therapies are lacking. The purpose of this study is to determine if there is enough statistical evidence to justify additional research on the relationship between social learning and the decision to use CAM. Working on the assumption that people make decisions based on information they have or can obtain, I applied the concept of learning bias in order to examine the ways in which people …

Sex Differences In Lower Limb Biomechanics During A Single-Leg Cut With Body Borne Load, Auralea Carylon Fain

Boise State University Theses and Dissertations

Introduction: Musculoskeletal injuries are ever-increasing in military personnel, particularly females. These musculoskeletal injuries are attributed to adaptations in lower limb biomechanics while performing routine military tasks, such as a single-leg cut, with the addition of body borne load. However, it is unknown if females and males exhibit similar lower limb biomechanics with the addition of body borne load during these tasks. This study sought to compare the lower limb biomechanical adaptations exhibited by females and males performing a single-leg cut with body borne load. Methods: Eleven females and 17 males had lower limb biomechanics quantified during a single-leg cut with …