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Title: Improving Chronic Kidney Disease Care with Group Visits.
Creator: Montoya, Vicki, Sole, Mary, Norris, Anne, Wink, Diane, Abbott, Lionel, University of Central Florida
Abstract / Description: First year death rates remain unacceptable high for the end-stage renal disease (ESRD) population. New effective methods are vital to improve first year morbidity and mortality outcomes for the population transitioning from Stage 4 chronic kidney disease (CKD) to ESRD)/Stage 5 CKD. Based on current methods, evidence-based recommendations made by nephrology providers are frequently not heeded by patients in Stage 4 CKD. Low levels of patient knowledge, self-efficacy, and a poor ability to self...
Show moreFirst year death rates remain unacceptable high for the end-stage renal disease (ESRD) population. New effective methods are vital to improve first year morbidity and mortality outcomes for the population transitioning from Stage 4 chronic kidney disease (CKD) to ESRD)/Stage 5 CKD. Based on current methods, evidence-based recommendations made by nephrology providers are frequently not heeded by patients in Stage 4 CKD. Low levels of patient knowledge, self-efficacy, and a poor ability to self-manage CKD negatively influence a patient's ability to follow provider recommendations. The group visit (GV) intervention has demonstrated improvements in disease-related outcomes through increased levels of patient knowledge, self-efficacy, and disease self-management for other chronic diseasses such as diabetes and congestive heart failure (CHF). No data are available for the use of GVs in CKD.The purpose of the study was to develop and test a nurse practitioner-facilitated chronic CKD GV model versus usual nephrology care for Stage 4 CKD patients (knowledge, self-efficacy/self-management, physiological data, and satisfaction). As classified by the National Kidney Foundation's (NKF) staging system, Stage 4 CKD is considered severe kidney disease, with a decrease in the functional capacity of the kidney as determined by a glomerular filtration rate (GFR) of 15-30 ml/min. It is common for patients with Stage 4 CKD to progress to Stage 5 CKD/end-stage renal disease (ESRD), requiring dialysis or transplantation to survive.Preliminary instrumentation and feasibility studies were conducted prior to a pilot study of a CKD GV model. The development and validation of the Stage 4 CKD Knowledge Instrument was completed with 59 Stage 4 patients. Findings supported reliability (Kuder-Richardson-20 [KR] = .89) and content validity (I-CVI = .97, S-CVI= 1.0) Feasibility of the CKD GV model was assessed with a single group, pretest-posttest design using a convenience sample of eight Stage 4 patients. Results demonstrated an improvement in knowledge of CKD from a median of 69% to 86% (p =.012). No improvements were noted in self-efficacy scores (p = .230). GV satisfaction ranged from very good to excellent. Feasibility was supported by a high retention rate (100%). No barriers to participant recruitment or GV implementation were encountered.The pilot study used a two-group, repeated measures experimental design, with a sample of 30 Stage 4 CKD patients from two office locations of an outpatient nephrology practice. Patients were randomized to the GV intervention or to usual nephrology care. CKD-knowledge, self-efficacy, and self-management scores were collected at baseline, six months, and nine months. Physiological data were measured at baseline, six months, and nine months. GV satisfaction was obtained after the completion of GVs (six months). Nephrology practice satisfaction was obtained from by both groups at nine months. MANOVA for repeated measures was calculated for data collected at the three time points.Twenty-six of 30 patients completed the study, with four patients ineligible to complete the study due to progression to ESRD and dialysis initiation. GV attendance was 92%. CKD knowledge was statistically improved for both groups (F(1.498, 34.446) = 6.363, P = .008). While not statistically significant, a favorable upward trend in the mean scores for the subscales of self-management (communication, partnership in care, and self-care) was demonstrated in the GV patients, with a lack of improvement found in the usual care group for these subscales. Self-efficacy scores revealed a non-significant improvement in mean scores for the GV patients during the GVs, not seen with usual care patients. GV satisfaction was again high with the vast majority of patients requesting use of GVs in their future nephrology care. Current methods of intervention in the Stage 4 CKD population have made little impact on reducing first-year ESRD mortality and morbidity rates. Opportunities to intervene in the poor outcomes begin in the predialysis care of Stage 4 patients. Based on the documented success of multidisciplinary approaches in predialysis care, of GVs in other chronic diseases, and of chronic illness care based on the CCM, a high probability for success exists with the application of GVs in CKD. Although limited by a small sample size, promising improvements in the subscales of disease self-management, self-efficacy, CKD knowledge, and high satisfaction with the GV model for GV participants were revealed in this study. Further research is warranted for the CKD GV model on a larger randomized sample in other locations. Much needed data would be provided on which to base decisions for use of the CKD GV intervention in the predialysis care of Stage 4 patients.
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Date Issued: 2013
Identifier: CFE0004724, ucf:49827
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0004724

Title: POLITICAL ECOLOGY OF MEDICINAL PLANT USE IN RURAL NEPAL: GLOBALIZATION, ENVIRONMENTAL DEGRADATION, AND CULTURAL TRANSFORMATION.
Creator: Dovydaitis, Emily, Vajravelu, Rani, University of Central Florida
Abstract / Description: Prior to the advent of biomedicine, rural communities in Nepal relied on phytochemically active compounds in medicinal plants as their primary source of medicine; however, ethnobotanical practices have shifted over time due to economic, environmental, and sociocultural stimuli. Findings from 2016 fieldwork conducted in Dumrikharka, Nepal and Tutung, Nepal are compared to existing literature to describe the political ecology of medicinal plants in rural Nepal. Anthropogenic climate change...
Show morePrior to the advent of biomedicine, rural communities in Nepal relied on phytochemically active compounds in medicinal plants as their primary source of medicine; however, ethnobotanical practices have shifted over time due to economic, environmental, and sociocultural stimuli. Findings from 2016 fieldwork conducted in Dumrikharka, Nepal and Tutung, Nepal are compared to existing literature to describe the political ecology of medicinal plants in rural Nepal. Anthropogenic climate change threatens individual plant species and ecosystem biodiversity. Globalized markets unabated by weak conservation programs place increasing demands on medicinal plants. As indigenous plants become overharvested and more difficult to access, Nepalis incorporate non-indigenous plants into the local pharmacopeia. Novel use of non-indigenous plants illustrates both the dynamic, resilient nature of traditional medicine systems and a loss of biodiversity. Social changes, including outmigration to other countries, notions of modernity, and preference for pharmaceutical drugs, reduce potential candidates to learn and preserve ethnobotanical knowledge. Waterborne pathogens caused by inadequate sanitation infrastructure continue to endanger Nepali populations. The dearth of clinical facilities throughout rural areas, when coupled with the decline ethnobotanical knowledge and traditional healers, poses a gap in healthcare jeopardizing vulnerable, marginalized populations. These factors reinforce the unequal distribution of resources in one of the world's poorest countries, buttressing power inequalities and economic inequities.
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Date Issued: 2017
Identifier: CFH2000240, ucf:46008
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000240

Title: PRE-LICENSURE NURSING STUDENT ATTITUDES TOWARD PHYSICIAN-ASSISTED SUICIDE.
Creator: Cox, Stephanie K, Conner, Norma E., Loerzel, Victoria, University of Central Florida
Abstract / Description: Physician assisted suicide (PAS) has been a legalized presence in the United States since Oregon first passed the Death with Dignity Act in 1994. Now PAS is legalized in six states and it is realistic that nurses may encounter PAS during their career. This project explores pre-licensure nursing student attitudes toward PAS. A mixed method design incorporating descriptive correlation and thematic analysis of an open-ended question was used. Surveys were sent to 550 nursing students enrolled in...
Show morePhysician assisted suicide (PAS) has been a legalized presence in the United States since Oregon first passed the Death with Dignity Act in 1994. Now PAS is legalized in six states and it is realistic that nurses may encounter PAS during their career. This project explores pre-licensure nursing student attitudes toward PAS. A mixed method design incorporating descriptive correlation and thematic analysis of an open-ended question was used. Surveys were sent to 550 nursing students enrolled in the UCF nursing program asking participants to complete the 34-question survey. This survey included a 12 item "Domino scale" on student nursing opinions toward physician-assisted suicide, and a 23-item demographic scale. Complete, usable results were obtained from 231 participants. Demographic data revealed that the typical participant was between 18 and 25 years of age (80%), female (82%), single (87%), white (69%), in their first two semesters of the nursing program (60%), and unemployed (56%). The total scores for the Domino scale indicated a mean of 40. Regression analyses found that participant experience of someone having asked for help with PAS, and participant religiosity were significant predictors (F = 9.82, p = .0019; and F= 160.36, p < .0001) respectively of nursing student opinions on PAS as measured by the Domino scale. Qualitative analysis produced the following themes related to participant opinion on the nurse's role in PAS: ways nurses can help with PAS, nurses should not be involved with PAS, clarification and delineation of the PAS process, the preservation of autonomy, the need for more education and inaccurate assumptions of PAS. This study showed that nursing students are moderately in support of PAS and willing to provide care to patients who are terminally ill regardless of a his or her personal decisions regarding PAS. Participants also comment that they desire additional education. Suggestions for further education, practice enhancements, research and policy development are discussed.
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Date Issued: 2018
Identifier: CFH2000387, ucf:45921
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000387

Title: EXPLORING ENVIRONMENTAL HEAT INJURIES IN THE PEDIATRIC POPULATION.
Creator: Bowman, Jennifer, Heglund, Stephen, University of Central Florida
Abstract / Description: Children are considered a vulnerable population in society. While thermoregulation in children is similar to that of an adult, children are vulnerable to heat-related illness. Student athletes have been found to be particularly vulnerable to heat-related illness for numerous reasons, including intense outdoor play. Football players are perhaps the most at-risk population of student athletes due to the intense physical requirements, outdoor practice during the hottest months of the year, and...
Show moreChildren are considered a vulnerable population in society. While thermoregulation in children is similar to that of an adult, children are vulnerable to heat-related illness. Student athletes have been found to be particularly vulnerable to heat-related illness for numerous reasons, including intense outdoor play. Football players are perhaps the most at-risk population of student athletes due to the intense physical requirements, outdoor practice during the hottest months of the year, and the extensive protective equipment required. By conducting a literature review on the subject of pediatric heat illness, the purpose of this thesis is to explore evidenced based research and guidelines regarding heat-related illness prevention. This review of literature was conducted through the utilization of the University of Central Florida's online databases using the EBSCOhost platform of: CINAHL Plus with Full Text, Cochrane Database of Systematic Reviews, ERIC, Health Source: Nursing/Academic Edition, MEDLINE, PsycINFO and SPORTDiscus. This thesis is unique because it does not focus on an individual sport; rather, it focuses on pediatric athletes from various disciplines. The prevalence, pathophysiology, prevention, and treatment of heat-related injuries are complex phenomena requiring the attention of law makers, athletic associations, school officials, coaches, athletic trainers, parents, and students.
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Date Issued: 2019
Identifier: CFH2000568, ucf:45667
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000568

Title: THE USE OF MOBILE APPLICATIONS IN PREVENTIVE CARE AND HEALTH-RELATED CONDITIONS: A REVIEW OF THE LITERATURE.
Creator: Ringer, Naomi, D'Amato-Kubiet, Leslee, University of Central Florida
Abstract / Description: The purpose of this review of literature was to understand the role of mobile device applications in health related conditions and to analyze their effects on health outcomes related to the management of chronic illnesses. Implications for future use of applications in client-centered care and interpretation of the data by health care providers was also explored. Peer-reviewed, English-language research articles published from 2008 to present were included for synthesis. Study results...
Show moreThe purpose of this review of literature was to understand the role of mobile device applications in health related conditions and to analyze their effects on health outcomes related to the management of chronic illnesses. Implications for future use of applications in client-centered care and interpretation of the data by health care providers was also explored. Peer-reviewed, English-language research articles published from 2008 to present were included for synthesis. Study results revealed positive outcomes when health-related mobile applications were used in practice and support clinicians' use of mobile applications as a tool for monitoring symptoms and communicating with individuals. The literature indicated nurses play a significant role in providing feedback, which reinforces self-care strategies and adherence, with the potential for improving outcomes. Additional research is needed to evaluate the long-term effects of applications on patient outcomes, nurses' perspectives, and feasibility of implementation into practice.
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Date Issued: 2014
Identifier: CFH0004660, ucf:45280
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004660

Title: A Mixed-Methods Approach to Examining the Memphis Crisis Intervention Team (CIT) Model: An exploratory study of program effectiveness and institutionalization processes.
Creator: Magers, Megan, Potter, Roberto, Rosky, Jeffrey, Adams, Kenneth, Lin, Hefang, University of Central Florida
Abstract / Description: The present study utilized a mixed-methods strategy to examine the effectiveness, diffusion, and institutionalization of the Memphis Crisis Intervention Team (CIT) model. To evaluate the effectiveness of the training component of the CIT model, a panel research design was employed in which a sample of 179 law enforcement officers and 100 correctional officers in nine Florida counties were surveyed on the first day of training (pretest), the last day of training (posttest), and one month...
Show moreThe present study utilized a mixed-methods strategy to examine the effectiveness, diffusion, and institutionalization of the Memphis Crisis Intervention Team (CIT) model. To evaluate the effectiveness of the training component of the CIT model, a panel research design was employed in which a sample of 179 law enforcement officers and 100 correctional officers in nine Florida counties were surveyed on the first day of training (pretest), the last day of training (posttest), and one month following their completion of CIT training (follow-up). These surveys measured the extent to which CIT training achieved several officer-level objectives, including increased knowledge of mental illness and the mental health referral process, improved self-efficacy when responding to mental health crises, and enhanced perceptions of verbal de-escalation skills, mental health services in the community, and the mental health referral process. The results of these surveys revealed officers experienced a statistically significant increase on every measure of training effectiveness between the pretest and posttest data collection points. However, a significant decline was found among the 117 officers that responded to the follow-up survey on the measures associated with self-efficacy and perceptions of verbal de-escalation, which points to a measurable decay in the effectiveness of the training in the intermediate timeframe with regard to these two measures. To examine the extent to which the diffusion of the CIT model resembles a social movement in the field of criminal justice and to explore the impact of CIT institutionalization on the organizational structure of criminal justice agencies, an online survey was distributed to 33 representatives of law enforcement and correctional agencies known to participate in the CIT program in the nine Florida counties in which officers were surveyed. The results of this survey indicate interagency communication and external pressure from mental health providers and advocates largely contribute to the decision of criminal justice agencies to adopt the CIT model. In addition, the findings of this survey suggest criminal justice agencies modify their organizational structure in a number of different ways to internalize and institutionalize the CIT model. By coupling a training program evaluation with an assessment of diffusion and institutionalization, this study makes a unique contribution to organizational and evidence-based literature.
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Date Issued: 2013
Identifier: CFE0004884, ucf:49671
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0004884

Title: SPIRITUALITY AND EXPECTATIONS OF CARE PROVIDERS OF OLDER PATIENTS WITH CHRONIC ILLNES IN NORTH CENTRAL FLORIDA.
Creator: Sherman, Myra, Wink, Diane, University of Central Florida
Abstract / Description: A qualitative design was used to explore the use of spirituality and prayer by older adults who have chronic illness and reside in a rural community. Thirteen individuals responded to a flyer soliciting participation in a study of the use of spirituality as part of health care. Participants were at least 60 years of age, had at least one chronic illness and resided in North Central Florida. Twelve participants then responded to six open-ended questions based on an adaption of an instrument...
Show moreA qualitative design was used to explore the use of spirituality and prayer by older adults who have chronic illness and reside in a rural community. Thirteen individuals responded to a flyer soliciting participation in a study of the use of spirituality as part of health care. Participants were at least 60 years of age, had at least one chronic illness and resided in North Central Florida. Twelve participants then responded to six open-ended questions based on an adaption of an instrument used by Dr. Shevon Harvey in her doctoral dissertation. The data was analyzed to identify themes and answer four research questions. The four research questions were 1) how do older adults living with chronic illness describe spirituality? 2) how do older adults use spirituality while living with chronic illness? 3) how can health care providers assist older individuals with chronic illness to meet their spiritual needs?, and 4) do patients feel that their spiritual needs are being addressed during their outpatient health care? The interview responses demonstrated that several different practices, including prayer and scripture readings as well as adherence to medication, diet, and exercise recommendations were used as coping mechanisms by study participants. The majority of participants want their health care providers to address spirituality and/or refer them to spiritual advisors for counseling. The study showed that some participants stated that their spiritual needs were met, but there were some who did not want spirituality addressed in the outpatient setting. Four themes were identified, which suggest that 1) spiritual practices were frequently used coping measure for these individual with chronic illness, 2) health care providers are supportive of their patients' spirituality, 3) participants with chronic illness consider adherence to medication, diet, and exercise a coping measure, and 4) participants with chronic illness want their health care providers to recognize their spiritual needs. The findings indicated that individuals who self identify as individuals from whom spiritual life is important and who have chronic illnesses and have spiritual needs that can be addressed in the outpatient setting. The findings also demonstrated use of non spiritual coping measures and the importance of health care provider's acceptance of spirituality in this specific population. Recommendations for further research are made.
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Date Issued: 2011
Identifier: CFE0003740, ucf:48794
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0003740

Title: Estimation and clustering in statistical ill-posed linear inverse problems.
Creator: Rajapakshage, Rasika, Pensky, Marianna, Swanson, Jason, Zhang, Teng, Bagci, Ulas, Foroosh, Hassan, University of Central Florida
Abstract / Description: The main focus of the dissertation is estimation and clustering in statistical ill-posed linear inverse problems. The dissertation deals with a problem of simultaneously estimating a collection of solutions of ill-posed linear inverse problems from their noisy images under an operator that does not have a bounded inverse, when the solutions are related in a certain way. The dissertation defense consists of three parts. In the first part, the collection consists of measurements of temporal...
Show moreThe main focus of the dissertation is estimation and clustering in statistical ill-posed linear inverse problems. The dissertation deals with a problem of simultaneously estimating a collection of solutions of ill-posed linear inverse problems from their noisy images under an operator that does not have a bounded inverse, when the solutions are related in a certain way. The dissertation defense consists of three parts. In the first part, the collection consists of measurements of temporal functions at various spatial locations. In particular, we studythe problem of estimating a three-dimensional function based on observations of its noisy Laplace convolution. In the second part, we recover classes of similar curves when the class memberships are unknown. Problems of this kind appear in many areas of application where clustering is carried out at the pre-processing step and then the inverse problem is solved for each of the cluster averages separately. As a result, the errors of the procedures are usually examined for the estimation step only. In both parts, we construct the estimators, study their minimax optimality and evaluate their performance via a limited simulation study. In the third part, we propose a new computational platform to better understand the patterns of R-fMRI by taking into account the challenge of inevitable signal fluctuations and interpretthe success of dynamic functional connectivity approaches. Towards this, we revisit an auto-regressive and vector auto-regressive signal modeling approach for estimating temporal changes of the signal in brain regions. We then generate inverse covariance matrices fromthe generated windows and use a non-parametric statistical approach to select significant features. Finally, we use Lasso to perform classification of the data. The effectiveness of theproposed method is evidenced in the classification of R-fMRI scans
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Date Issued: 2019
Identifier: CFE0007710, ucf:52450
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0007710

Title: The Johnson family visit the Dahoman village.
Date Created: 1893
Identifier: DP0015450
Format: Set of related objects
PURL: http://purl.flvc.org/ucf/fd/DP0015450

Title: DEMAND STUDY FOR DENTAL HYGIENE BACHELOR DEGREE PROGRAM.
Creator: Driscoll, Annelise, Liberman, Aaron, University of Central Florida
Abstract / Description: The following is a study to determine if sufficient demand exists to start a Bachelor of Science and Master of Science degree program in dental hygiene through a joint agreement for completion degrees between Valencia Community College and the University of Central Florida. To accomplish this objective two survey instruments were administered to randomly selected licensed dentists and dental hygienists in the state of Florida. Dental hygienists represented the potential student base for the...
Show moreThe following is a study to determine if sufficient demand exists to start a Bachelor of Science and Master of Science degree program in dental hygiene through a joint agreement for completion degrees between Valencia Community College and the University of Central Florida. To accomplish this objective two survey instruments were administered to randomly selected licensed dentists and dental hygienists in the state of Florida. Dental hygienists represented the potential student base for the proposed programs, and dentists represented the potential and prospective employers of graduated students of the proposed programs. To determine demand and demand characteristics, one survey instrument was mailed to 1,000 dental hygienists who were randomly selected using SAS software from a population of N=12,066 dental hygienists actively licensed to practice in the state of Florida. This sample of hygienists was approximately 8.3% of the total population. Of the 1,000 samples, 134 (or 13.4%) were returned. Of the 134 surveys returned, 123 (n=123) were included in this study. Eleven surveys were not included because of a majority of missing data or because the respondent indicated he or she already possessed a Bachelor or Master degree. A Likert-scale questionnaire was sent to each group of actively licensed dentists and actively licensed dental hygienists from the state of Florida. Responses from dental hygienists were overwhelmingly positive towards the addition of the Bachelor of Science degree program with an online distance-learning component. Those in favor of the Bachelor of Science degree program also provided a favorable response towards adding a Master of Science degree program in dental hygiene. The dentists, as potential future employers, also showed strong support in their responses for the additional degree programs with an additional management track component and believed it would elevate the professional standards of the dental hygiene field.
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Date Issued: 2009
Identifier: CFE0002842, ucf:48048
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0002842

Title: Zora.
Creator: Tyrrell, Genevieve, Roney, Lisa, Rushin, Patrick, Scott, John, University of Central Florida
Abstract / Description: This mixed-media memoir uses a variety of forms from short epigrammatic essays to straightforward stories and graphic narratives to explore the author's coming-of-age experiences augmented by chronic illness. Trying to succeed in the film industry, romance, and family situations, the young female narrator navigates the often unexpected or disappointing consequences of having an autonomic nervous system disorder. Relationships between conflicting identities emerge(-)between healthy versus sick...
Show moreThis mixed-media memoir uses a variety of forms from short epigrammatic essays to straightforward stories and graphic narratives to explore the author's coming-of-age experiences augmented by chronic illness. Trying to succeed in the film industry, romance, and family situations, the young female narrator navigates the often unexpected or disappointing consequences of having an autonomic nervous system disorder. Relationships between conflicting identities emerge(-)between healthy versus sick self, projected/envisioned versus actual self, and tough versus vulnerable self(-)as the narrator journeys toward a more complete and accepting self-understanding.
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Date Issued: 2013
Identifier: CFE0004763, ucf:49777
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0004763

Title: Lonely Monsters.
Creator: Davis, Patricia, Rushin, Pat, Thaxton, Terry, Neal, Mary, University of Central Florida
Abstract / Description: Lonely Monsters is a full-length feature screenplay that explores the ways in which a classic damsel narrative may be reconsidered. It offers ideas on how death and girlhood may find symmetry. The characters within Lonely Monsters deal with loss, identity of the self versus the world's ideas on self-identity, place, gender, and class. Utilizing the elements of a fairy tale, the narrative seeks to complicate the roles of gender in a cautionary tale. Set in the fictional Florida town of Puerto...
Show moreLonely Monsters is a full-length feature screenplay that explores the ways in which a classic damsel narrative may be reconsidered. It offers ideas on how death and girlhood may find symmetry. The characters within Lonely Monsters deal with loss, identity of the self versus the world's ideas on self-identity, place, gender, and class. Utilizing the elements of a fairy tale, the narrative seeks to complicate the roles of gender in a cautionary tale. Set in the fictional Florida town of Puerto Palmera, an economic divide between the Estates and the Glades makes for a ripe, troublesome environment for a foul modern-day aristocrat who masquerades as a grandiose and romantic prince. The story's protagonist, Fisher Franklin, loses two key relationships(-)as well as her sound mind(-)in the wake of the false prince's folly. Utilizing her experiences as a child within the lavish lives of the Estates(-)at the desire of a wealthy and secretive benefactor with motives of her own(-)Fisher creates a persona who becomes entangled in a lustful and dangerous liaison with Wyatt Sharpe, the villainous playboy. By assuming this persona, Fisher recasts herself as the damsel, the monster, and the heroine.
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Date Issued: 2015
Identifier: CFE0005600, ucf:50232
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0005600

Title: Jail Mental Health Innovations: Factors Influencing Mental Health Services Innovations for Jails.
Creator: Clayton, Orville, Wan, Thomas, Anderson, Kim, Winton, Mark, Zhang, Ning, University of Central Florida
Abstract / Description: ABSTRACTThe U.S. is recognized for uniquely high incarceration rates. Over recent decades, there has been a concurrent dramatic increase of jail detainees with mental disorders. Provision of adequate mental health services for jail inmates is constitutionally mandated, and has legal, ethical, quality of care, and fiscal implications for jails, families, communities, and detainees. Significant variation exists in the provision of mental health services across jails, and increased understanding...
Show moreABSTRACTThe U.S. is recognized for uniquely high incarceration rates. Over recent decades, there has been a concurrent dramatic increase of jail detainees with mental disorders. Provision of adequate mental health services for jail inmates is constitutionally mandated, and has legal, ethical, quality of care, and fiscal implications for jails, families, communities, and detainees. Significant variation exists in the provision of mental health services across jails, and increased understanding of the factors that influence the adoption of such services may help guide jails to implement beneficial services, and ensure that such services reflect, reflect quality standards. This study used a mixed methods strategy to examine the influence of theoretically determined variables on the adoption of jail mental health services, and the quality assessment of such services. Data was gathered by survey instrumentation, secondary data review, and in-depth interviews with jail leaders. The study found that isomorphism has a significant effect on the structural adequacy of jail mental health services, innovation characteristics have a negligible relationship to structural adequacy and process integrity, structural adequacy mediates the effects of isomorphism on process integrity, and jail size has a significant effect on structural adequacy. This study advances the knowledge base in its specification of the roles of internal, external, and demographic factors in the adoption of jail mental health services, and in the testing and application of Donabedian's healthcare model to assess the quality of such services.
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Date Issued: 2017
Identifier: CFE0006866, ucf:51755
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0006866

Title: Labor's martyrs: Haymarket 1887, Sacco and Vanzetti 1927.
Creator: Marcantonio, Vito
Date Issued: 1937
Identifier: 1927054, CFDT1927054, ucf:4807
Format: Document (PDF)
PURL: http://purl.flvc.org/FCLA/DT/1927054

Title: Mirrors and Vanities.
Creator: Salas, Leslie, Rushin, Patrick, Poissant, David, Bartkevicius, Jocelyn, University of Central Florida
Abstract / Description: "Mirrors and Vanities" is a multi-modal collection which showcases the diversity of working in long and short storytelling forms. Featured in this thesis are fiction, nonfiction, graphic narrative, and screenplay.Using unconventional approaches to storytelling in order to achieve emotional resonance with the audience while maintaining high standards for craft, these stories and essays explore the costs inherent to the subtle nuances of interpersonal relationships. The fiction focuses on the...
Show more"Mirrors and Vanities" is a multi-modal collection which showcases the diversity of working in long and short storytelling forms. Featured in this thesis are fiction, nonfiction, graphic narrative, and screenplay.Using unconventional approaches to storytelling in order to achieve emotional resonance with the audience while maintaining high standards for craft, these stories and essays explore the costs inherent to the subtle nuances of interpersonal relationships. The fiction focuses on the complications of characters keeping secrets. A husband discovers the truth behind his wife's miscarriage. A girl visits her fianc(&)#233; in purgatory. A boy crosses a line and loses his best friend. Meanwhile, the nonfiction centers on self-discovery and gender roles associated with power struggles. A schizophrenic threatens to ruin my mother's wedding. I rediscover my relationship with my father through food writing. Sword-work teaches me to fail and succeed at making martial art. The title work of the thesis is a collaged story highlighting the tribulations of a physicist fixated on recovering his lost love by manipulating the multiverse. The multi-modal format implicates the nebulosity of physics theories and how different aspects of the narrative can be presented in various formats to best suit the nature of the storytelling.Through the interactions of characters in mundane and extraordinary circumstances, the works in this thesis examine the consequences of choice, the contrast between reality and expectation, coming of age, and the Truth of narrative.
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Date Issued: 2013
Identifier: CFE0004745, ucf:49789
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0004745

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