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    Influence of attitudes toward health care involvement on length of time returning to work post microscopic discectomy surgery Czarzasty, Nancy Lesnick The purpose of this study was to examine the influence of individual's attitudes toward Health Care Involvement on length of time returning to work for post microscopic discectomy patients. A sample of 20 subjects who had undergone microscopic discectomy surgery provided the convenience sample for the study. This study used a correlational design to examine the relationship between the subject's level of Health Care Involvement and his or her length of time returning to work after surgery. It was predicted that the subject's length of time returning to work was predicted to be less if the subject had a high degree of Health Care Involvement. The findings demonstrated a weak correlation between the concepts of Information Seeking, Behavioral Involvement and length of time returning to work. In this study, Behavioral Involvement demonstrated a greater impact on length of time to return to work than did Information Seeking.

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    The lived experience of decision making that leads to pregnancy in the female teenager Claros, Deborah Marlene The phenomenon of teenage pregnancy in the United States is increasing and can be a challenge to the parents, the infant, and to society. This study used a phenomenological research approach to describe the lived experience of the female teenager's decision making that leads to pregnancy. The research question was: What is the essential structure of the lived experience of the decision making that leads to pregnancy in the female teenager? The researcher interviewed four teenagers between the ages of 16 and 18, who were pregnant for the first time. Analysis of audio-taped and transcribed interviews resulted in significant statements. Using Colaizzi's method adapted by Haase, themes, theme clusters, theme categories, an exhaustive description, and an essential structure of the lived experience emerged. The theme categories derived from the data analysis were: Decision to Become Pregnant, I'm Pregnant, Teen Life, and Considering Motherhood. The essential structure indicated that the lived experience of decision making that leads to pregnancy in the female teenager was a passive process. Becoming pregnant was unplanned but had a marked effect on relationships and future life goals.

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    Christian Science : an ethnographic look at perceptions of health and health care Bryning, Susan Mary Christian Science: An Ethnographic Look at Perceptions of Health and Health Care addresses the questions: 1. What do Christian Scientists believe about health and health care? and 2. What is the Christian Scientist's perception about illness? These questions were answered by using participant observation and ethnographic interviews. Participant observation took place in several different settings and three informants participated individually through ethnographic interviews. Seven domains of meaning and six cultural themes were identified from the data collected. Examples of domains include: Individual Beliefs About Being Healthy, and Culture of Health in the Christian Science Church. One of the cultural themes was: Staying healthy requires Spiritual nourishment. The Christian Scientist's connectedness to God through their spiritual beliefs contribute to their overall health. Recommendations for health care workers as well as recommendations for future, more in depth study about Christian Science and health are presented.

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    Physical health impairment, depression and health care utilization among older adults Billing, Ann The purpose of this research was to identify differences in demographic characteristics, illness characteristics, and health care utilization among four groups of older adults with varying levels of physical health impairment and depression. Data were used from an earlier study (Badger, 1993) where eighty older adults completed questionnaires regarding demographic characteristics, physical health impairment, depression, and utilization of health care services. There were statistically significant increases in utilization of some services when depression and increased physical health impairment were present. There were also some trends between usage of some services and depression alone or depression combined with moderate to severe physical health impairment. These data suggest interventions designed to alleviate depression in the elderly may reduce health care utilization and therefore reduce health care costs.

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    Predictors of caregiver burden among wife caregivers: a partial replication study Sharrah, Karen Marie This study was a partial replication of an earlier study by Robinson ( 1990) who investigated burden for wife caregivers with social support and burden as the guiding theoretical framework. A secondary analysis of data from a previous work by Phillips, Komnenich, & Killeen ( 1994) was utilized as the data set for this study. 9 This study was a correlational investigation which included 31 wife caregivers of disabled husbands. The purpose of the study was to gain a better understanding of how subjective and objective burdens are related to the caregiver's health, past marital adjustment, social status, number of years of the elder/caregiver marriage, number of elder's remarriages, and receipt of social support. Past marital adjustment was significantly correlated at p20 years.

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    Indigenous lay health workers in rural Arizona May-Garcia, Stephanie Ann Indigenous, trained health workers or community health advisors (CHAs) serve as a liaison between community and professional health providers. Particularly in rural communities, where differences of culture, perspective, or language may distance professional health care providers from clients, CHAs can serve as a bridge to reduce barriers of access and acceptability of health care services. This study was a secondary analysis of data from a larger study (Ferketich, Phillips, and Verran, 1990.) The purpose of this study was to describe the activities, services, and clients of one generalist CHA, called a promotora, in one small, rural, southwestern town. Qualitative and quantitative data from three sources were individually analyzed and then triangulated for results.

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    Pet therapy for the elderly in residential care homes Ruggles, Deborah This study examined the presence of depression and life satisfaction in the elderly living in residential care facilities and the effect of pet therapy. A Solomon Four-Group design was used in this study. Two puppies were taken in to the homes for an hour a week for six weeks. Demographic and pretest data were obtained prior to the intervention. Posttest data were obtained once the intervention was complete. After an extensive review of the literature, no studies were found in residential care facilities , as defined by the State of Arizona, examining the relationship of depression, life satisfaction, and pet therapy. The results of this study did not show a statistically significant relationships between pet therapy, depression and life satisfaction in the elderly living in residential care homes. However, the study did indicate a high prevalence of depression in the facilities and the need for further research.

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    Deaf mothers' views of family life in families with deaf parents and hearing children Quick, Shawn The purpose of this study was to describe Deaf mothers' perceptions of family life in families with Deaf parents and nondeaf children. The study represented a secondary analysis of data from a larger study entitled "Family Functioning: Deaf Parents with Nondeaf Children" (Jones, 1990). Interviews based on an ecological family systems approach were analyzed utilizing the organizational framework of Parse' s conceptual model of nursing. Categories that emerged from interview analysis supported the themes of structuring meaning, patterns of relating, and transformation found in Parse' s model. The results of the study suggested a process whereby Deaf women structured meaning, patterned relationships, and lived the transformations of adulthood and motherhood using the vehicle of American Sign Language (ASL). Health care providers must be aware of the many forms of non-verbal communication, and understand that ASL is the primary language of the Deaf community.

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    Blood glucose and participation in yoga/health education by Yaquis with type II diabetes Greenwood, Kim Anderson The purpose of this study was to compare the relationship between blood glucose, blood pressure, weight, and participation in a 12 week low impact yoga/health education class by Yaquis (N = 11) with non-insulin dependent diabetes mellitus. The Neuman Systems Model was the conceptual framework for this study. The data analysis addressed the difference in each of the measures before and after the yoga/health education class intervention. These measures included glycosylated hemoglobin, mean one week finger stick blood glucose levels, mean arterial pressure, and weight of the participants completing the prescribed course. Results revealed a statistically significant drop in mean one week finger stick blood glucose levels. No significant change was found in measures of glycosylated hemoglobin, mean arterial pressure, or weight. Prevalence of diabetes in the Yaqui population is high, requiring maximum use of Yaqui Health Department resources. This study provides a background for decisions on allocation of Yaqui Health funds.

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    Variables influencing community cardiopulmonary resuscitation course participation Mulkerin, Patrick Owen This study investigated variables influencing community cardiopulmonary resuscitation (CPR) course participation. Fifty-one adults, 18 male and 33 female, participated in a descriptive study. A treatment groupof25 attended a free CPR class. A comparison group of26 did not attend the class. All subjects completed four questionnaires testing demographic characteristics, beliefs, experience, and intrinsic motivation to perform CPR. The only significant difference between treatment and comparison groups was that females were more likely to attend than males ( p ~ .05 ). Intrinsic motivation measured by the Health Self Determinism Index ( HSDI) failed to separate treatment and comparison groups. Motivation may be less important in participation in CPR training than more personal variables, or the HSDI may not be adequate to test feelings about learning CPR. In future research, increased sample size from more diverse populations may yield more useful information.

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    Mobility as a factor in incontinence in elderly men in long term care Herman, Kyle Colleen This was a two group comparison study. It compared the specific aspects of mobility: strength, balance, walking ability and manual dexterity in incontinent and continent elderly men who reside in a VA long-term care setting. Orem┬Ěs Self-care framework provided the theoretical base for the study. Student's t tests were used to test for differences between continent and incontinent subjects for three aspects of mobility: strength, balance and walking ability. A chi-square was used to test for differences in manual dexterity. Group differences in demographics were analyzed. No significant differences were found between the two groups on study variables. Small sample .size was the major limitation to the study. However, this study provides a basis for future research on a complex major problem facing the elderly. It also provides useful clinical measures, with evidence of reliability and validity with elders, for use by nurse clinicians in assessing mobility.

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    Nurses assisting families with the uncertainty of traumatic brain injury Peterson, Ingrid Leigh In the intensive care unit (ICU), registered nurses are one of the primary educators and support providers for families. This study examined nurses' perceptions of education and support provided to families of patients with traumatic brain injury (TBI). The research tool, questionnaire, was modified from Campbell's (1988) questionnaire, that was used to assess families' needs after TBI. The findings indicated that the majority of the nurses perceive they are educating the families about the ICU environment, physical care, patient condition, prognosis, and offering comfort and support, but only 40% and 50% of the time respectively are families being offered guidance to communicate and a sense of hope consistently. Thirty-five percent of the nurses felt they were not adequately educated about the pathophysiology and prognosis of TBI. Further research should explore what educational and supportive assistance families receive from nurses, and what education nurses need to work with these families.

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    A life apart : the experience of depression in older lesbians Barnard, Amy G. Depression is an affective mood disorder that has reciprocal relationships with social interaction, intimacy, self-esteem, and overall quality of life. Identification and treatment of depression is dependent upon an understanding of the phenomenon as individuals experience it. The experience of depression is effected by social and personal factors. Research had been conducted on the experience of depression in the older female population but the effects of lesbianism have never been considered. This study developed a theory of the experience of depression in older lesbians using grounded theory methodology. Four self-identified lesbians over the age of 58 participated in this research. The theory, A LIFE APART, emerged from the data analysis. Older lesbians live a marginalized life and marginality effects their experiences of depression. Findings indicate there are four stages in lesbian sexual development. Depression was experienced in each stage. The sources of depressive feelings are based in both internal and external negative attitudes toward lesbianism. Depression is rooted in feelings of fear and rejection and results in emotional and physical distancing. Distancing and negative attitudes effect social support systems. The implications of the relationship between marginality and depression are significant for practitioners working with older lesbians attempting to provide culturally congruent health care. The findings are significant and warrant further research in this area.

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    Uncertainty, spirituality, religiosity, and psychosocial outcomes among culturally diverse, younger women with breast cancer Barroero, Linda Sue The purpose of this descriptive-exploratory, secondary analysis of data from the Self-Help Intervention Project (SHIP) was to explore the ability of the factors, uncertainty, spirituality, and religiosity, among young Hispanic and Anglo women with breast cancer, to differentiate between those who demonstrated psychosocial maladjustment and those who did not. The sample consisted of low income, younger (M=41. 75) Anglo (n=93) and Hispanic (n=96) women recently diagnosed with breast cancer. Discriminant analysis with stepwise selection procedures was used to identify the predictor variables of psychosocial adjustment as measured by the social and psychological self-report domains of the PAIS. This study supported a positive relationship between uncertainty levels and psychosocial adjustment, demonstrating high prediction accuracy of nonmaladjustment (social=92.3%, psychological=85.2%) but with less accuracy for maladjustment (29.3%, 43.1 %). Spirituality and religiosity were entered with uncertainty yielding limited additional explanatory power for the group as a whole or the Hispanic women. However, three items entered for social adjustment among the Anglo women, improving prediction of maladjustment to 58.30% and for non-maladjustment, 92.60%. The addition of spirituality and religiosity among the Anglo women for psychological adjustment only improved prediction for the non-maladjusted group. Implications and limitations are discussed.

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    The lived experience of being battered and pregnant Clark-Titley, Janna Ruth Domestic violence occurs in many forms often beginning or escalating during a woman's pregnancy. The experience of being battered and pregnant was studied using the qualitative research approach of phenomenology. The researcher interviewed three women who were English-speaking, age 18 or older, and who had been involved in a relationship of battering while pregnant. The research question was: "What is the lived experience of being battered and pregnantT These interviews generated narrative data regarding their lived experience. The data were analyzed using Colaizzi's steps of phenomenoiogical research~ with Haase's analysis modifications. The theme categories that emerged were: In the Beginning, Signs and Symptoms of Impending Doom~ The Dark Side of the Relationship-The Abusive Period, The Mixed Signals from Family Members and Community Systems, and In Pursuit of a New Life. 'The essential structure of this lived experience indicated that this chapter of life was one of entrapment. The battered pregnant woman endures various degrees of mental and physical abuse that continue until she is able to leave her abusive partner. Nursing implications include direct routine screening for domestic violence followed by safety planning, appropriate community referrals, and the facilitation of recovery.

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    Neighborhood Connectivity, Walkability and Safety in Tucson, AZ Pilli, Leslie This research compares two neighborhoods in Tucson, with similar amenities, and age cohorts but one has adequate sidewalk infrastructure while the other does not. The neighborhoods included are Hedrick Acres and West University. Satellite imagery was used to measure the pathways and categorize them into paved, unpaved and nonexistent. A t-test two-sample assuming unequal variances with the interpretation of a two-tail p-value was done to see if there was a statistically significantly difference between the categories of pathways. It was found that two of the pathway categories had statistically significant findings, unpaved (p-value: 0.0049) and not present (p-value: 0.0181). In addition, this research looks at the effects of inadequate infrastructure through social capital, connectivity, and safety. Sustainable Built Environments Senior Capstone Project

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    Hydroponic Towering Agriculture vs Traditional Soil Farming in Southern Arizona Browne, Alexa The purpose of this study is to define the sustainable differences between vertical agriculture and traditional soil based farming. In order to first understand what hydroponic towering agriculture, historical research will aid in explaining how technology and agriculture have advanced to create such sustainable farming techniques. Readily available food is a privilege that people take for advantage and forget that much of the world is not so fortunate. An analysis of nutriment deficiency is an important subject to discuss which will pave the path for the exploration of alternative types of farming. As populations are on a continuous rise, less space will be available for agriculture due to increased demand in houses and city sprawl. The concept of vertical agriculture is not only benefiting food availability but it also has the ability to beautify a city. It is important now more than ever to begin looking towards alternative sustainable ways of life so that there is a future that generations after us can enjoy. Hydroponics and aquaponics are advancements in agricultural technology that, if implemented correctly, could have tremendous long term benefits. This capstone is heavily based on qualitative information with quantitative data to support such results. Combining all of the data, through a mixed methods analysis, it will assist someone in understanding the importance of alternative agriculture.

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    Nurse case management of clients in the Air Force weight management program Prince, Melanie Ann Purposes were to describe nurse case management effect on a weight management program, compare weight and body fat changes in clients receiving usual services vs . enhanced services, and describe goal attainment. Using a quasi-experimental design, experimental group received case management and military weight program; the control group, military weight program. Data analysis employed paired t-test, two sample t-test, and chi-square analysis. Paired t-tests indicated significant weight loss in experimental group (p =.01 ), but not in control group (p = .16). Two sample independent t-tests indicated no difference between group means (t = .57, df = 24, p =.58). Paired t-tests indicated significant difference in fat loss in both groups (p = .01, p =.00). Two sample independent t-tests indicated no difference between group means (t= . 71, df = 24, p =.49). There was no relationship between the two groups on goal attainment x^2 (1, N = 26) = .02, p =.90).

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  • 12/31/22--16:00: The populist movement
  • The populist movement Montgomery, Winona

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    The economic aspects of child labor in agriculture Sung, Chieh

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