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Articles 871 - 900 of 18116
Full-Text Articles in Entire DC Network
The Association Between Advanced Technology Use And Quality Of Life Among Those With A Disability, Sarah Antus
The Association Between Advanced Technology Use And Quality Of Life Among Those With A Disability, Sarah Antus
Walden Dissertations and Doctoral Studies
Advanced medical technology use among individuals with physical disabilities remains understudied, creating a significant gap in understanding its impact on quality-of-life (QoL) outcomes across demographic and age groups. Guided by the social ecological model, the purpose of this quantitative study was to examine associations between advanced medical technology use, disability status, demographic factors (age, gender, and race/ethnicity), and QoL outcomes using 2017–2018 National Health and Nutrition Examination Survey data. The sample included 9,254 individuals age 6 years and older with physical functional limitations and complete technology-use and QoL data. Advanced medical technology use was significantly associated with improved QoL (p < .001). Disability status demonstrated a statistically significant but modest association with technology use, OR = 0.84, 95% CI [0.83, 0.85], p < .001. Age-stratified analyses indicated that advanced technology use significantly predicted improved QoL among adults aged 20 years and older, OR = 6.90, 95% CI [6.89, 6.91], p < .001, but not among youths aged 6–19 years (p = .929). Gender was a significant predictor of technology use, with females having higher odds than males, OR = 1.07, 95% CI [1.06, 1.08], p < .001. Race/ethnicity was also significantly associated with technology use; compared with non-Hispanic White adults, Mexican American (OR = 0.43, 95% CI [0.42, 0.44], p < .001), other Hispanic (OR = 0.58, 95% CI [0.57, 0.59], p < .001), and non-Hispanic Black adults (OR = 0.79, 95% CI [0.78, 0.80], p < .001) had lower odds of advanced medical technology use. The study may inform health care stakeholders about strategies to promote equitable access to advanced medical assistive technologies for social change
At-Home Computational And Data Literacy For Pre-K–5 Students: A Review Of The Literature, Marc Sager, Sarah Miller, Zarek Drozda
At-Home Computational And Data Literacy For Pre-K–5 Students: A Review Of The Literature, Marc Sager, Sarah Miller, Zarek Drozda
Journal of Educational Research and Practice
This systematic review investigates best practices for promoting data literacy development in pre-K–5 learners, with a specific focus on caregiver involvement in at-home learning environments. A comprehensive search and screening process identified 42 studies for inclusion. The studies were analyzed to determine effective strategies for fostering early data literacy. Key findings emphasize (1) early, developmentally appropriate engagement with attention to equity; (2) core learning outcomes in computational and data literacy; (3) learning approaches integrating real-world contexts and hands-on experiences; (4) balanced use of digital tools and unplugged activities; and (5) essential parental and caregiver involvement. The review highlights integrating data …
When How We Teach Is What We Teach: Teacher Educators As Instructional Models For Novice Teachers, William Waychunas
When How We Teach Is What We Teach: Teacher Educators As Instructional Models For Novice Teachers, William Waychunas
Journal of Educational Research and Practice
Teacher education programs have struggled to overcome the apprenticeship of observation, or the tendency for preservice teachers (PSTs) to replicate the traditional or problematic forms of teaching from their K–12 experience. However, the field tends to assume that PSTs draw only on instructional models from K–12, overlooking higher-education instructors such as professors, other faculty, and teacher educators as sources of pedagogical inspiration and guidance. This study uses data from a longitudinal investigation tracing the development of nine secondary social studies teachers to focus on how the modeling and demonstration of practice within coursework by teacher educators shaped PSTs’ understanding, impressions, …
Family-Owned Small And Medium Enterprises And The Influence Of Social Capital Dimensions On Innovative Performance, Dawn Renee Proctor
Family-Owned Small And Medium Enterprises And The Influence Of Social Capital Dimensions On Innovative Performance, Dawn Renee Proctor
Walden Dissertations and Doctoral Studies
Family-owned businesses in the United States encounter innovation and performance challenges that may contribute to unsustainable business practices. Owners and managers of family-owned small and medium-sized enterprises (SMEs) must understand these challenges, as failure to do so may indicate missed opportunities to leverage innovation through dimensions of social capital. The purpose of this quantitative, non-experimental, correlational study was to measure investment levels within social capital dimensions (structural, relational, and cognitive) that impact family-owned SMEs’ innovative efforts and performance capabilities in the West and Midwest regions of the United States. The theoretical foundation was social capital theory. There were four research …
Strategies To Improve Colorectal Cancer Screening In Rural Primary Care Clinics, Brenda Sue Holland
Strategies To Improve Colorectal Cancer Screening In Rural Primary Care Clinics, Brenda Sue Holland
Walden Dissertations and Doctoral Studies
Colorectal cancer (CRC) screening rates are lower in rural areas than in urban settings. Individuals in rural areas have lower screening rates due to geographic isolation, provider shortages, and socioeconomic barriers. The purpose of this integrative review was to identify and synthesize best practices for implementing evidence-based strategies to increase CRC screening rates in rural primary care clinics. A systematic literature search across multiple databases identified 24 relevant articles published between 2019 and 2025. The Johns Hopkins Evidence-Based Practice Model (JHEBPM) rated articles for evidence and quality, while the Theoretical Domains Framework (TDF) guided the analysis. Thematic analysis identified four …
Strategies To Address Employee Shortages In Allied Health, John O. Delozier
Strategies To Address Employee Shortages In Allied Health, John O. Delozier
Walden Dissertations and Doctoral Studies
Continuing shortages of allied health (AH) workers have become a critical business challenge for health care organizations, driven by an aging population, rising service demand, and the lasting effects of the COVID 19 pandemic. AH leaders remain concerned about meeting essential staffing requirements, as persistent recruitment and retention difficulties threaten the delivery of high-quality health care. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies successful health care leaders used to recruit and retain skilled AH employees. The participants were seven Maryland health care leaders with experience successfully implementing recruitment and retention strategies …
Administrative Burden: The Hidden Costs Associated With Participating In The Department Of Veterans Affairs’ Disability Compensation Process, Christopher Anthony Campagno
Administrative Burden: The Hidden Costs Associated With Participating In The Department Of Veterans Affairs’ Disability Compensation Process, Christopher Anthony Campagno
Walden Dissertations and Doctoral Studies
The U.S. Department of Veterans Affairs (VA) has characterized the Appeals Modernization Act (AMA) as a procedural success, citing reductions in remand rates and increases in grant rates. However, VA’s reporting on AMA performance has generally focused on adjudicatory outcomes and has not addressed the administrative burden costs veterans incur while navigating the disability compensation process. Although current scholarship documents administrative burden in other public programs, little empirical work has examined how it manifests in VA’s disability compensation process. The purpose of this general qualitative study was to examine how veterans describe the learning, psychological, and compliance costs they experienced …
Fast-Food Consumption And Metabolic Syndrome Risk In African Children And Adolescents, Norkinsha Willis
Fast-Food Consumption And Metabolic Syndrome Risk In African Children And Adolescents, Norkinsha Willis
Walden Dissertations and Doctoral Studies
Childhood obesity and excessive fast-food intake represent a significant public health concern among African American children. Grounded in the social-ecological model, this quantitative, cross-sectional study examined whether frequency of fast-food or pizza meal consumption and reliance on low-cost food was associated with total cholesterol (mg/dL) and waist circumference among African American children and adolescents aged 6–15 years while controlling for key sociodemographic factors (age, gender, parental education status, and annual household income). Secondary data from the 2017–2018 National Health and Nutrition Examination Survey were analyzed (N=184). Descriptive statistics, nonparametric analyses, and a multiple linear regression model were used to analyze …
Systemic Poverty Amongst Puerto Ricans In New Jersey, Karen M. Acevedo-Quintana
Systemic Poverty Amongst Puerto Ricans In New Jersey, Karen M. Acevedo-Quintana
Walden Dissertations and Doctoral Studies
Puerto Ricans account for over 20% of Hispanics in New Jersey. It is estimated that 27.8% live below the poverty line. The poverty rate amongst this community is higher than the state average. Prior to this study, no known study examined what advocates for improving socioeconomic conditions amongst Puerto Ricans in New Jersey believed were the barriers to and/or facilitators of reducing poverty. The purpose of the generic qualitative study was to identify and analyze the perceptions of expert advocates regarding the current barriers to and/or facilitators of reducing poverty amongst Puerto Ricans in New Jersey using interpretivism through the …
Long-Term Impact Of Covid-19 On Burnout, Turnover, And Job Satisfaction Among Hospital Nurses, Delaney Corona Martinez
Long-Term Impact Of Covid-19 On Burnout, Turnover, And Job Satisfaction Among Hospital Nurses, Delaney Corona Martinez
Walden Dissertations and Doctoral Studies
Hospital industry workforce separation has remained a persistent concern in the United States, with uncertainty regarding how national hospital industry separation patterns changed following the COVID-19 pandemic. The purpose of this quantitative, nonexperimental retrospective study was to examine whether national hospital industry monthly separation rates differed between the prepandemic period (2018–2019) and the postpandemic period (2023–2024), whether separation rates demonstrated a statistically significant linear trend from 2018 through 2024, and whether separation rate variance differed between periods. The conceptual framework for this study was grounded in Maslach’s Burnout Theory and Herzberg’s Two-Factor Theory of Job Satisfaction, which explain how workplace …
Psychosocial Experiences Of Custodial And Caregiving Grandparents With Adjudicated Violent Offending Grandchildren, Clifton George Burns Jr
Psychosocial Experiences Of Custodial And Caregiving Grandparents With Adjudicated Violent Offending Grandchildren, Clifton George Burns Jr
Walden Dissertations and Doctoral Studies
Primary caregivers of teenage violent offenders play a vital role in identifying and addressing safety concerns, providing emotional and financial support, and meeting individual developmental and psychosocial needs. As more grandparents assume the role of primary caregiver, the need for targeted interventions to support their emotional and psychosocial health continues to grow, emphasizing the increasing importance of population-specific support for grandparents caring for their grandchildren. Problems arise when grandparents take on this role without access to interventions or resources that are designed for caring for adjudicated teen violent offenders. This qualitative generic study involved exploring emotional challenges faced by custodial …
Lived Experiences Of Shingles Vaccine-Hesitant Adults Over Age 50 In Riverside County, California, Michelle Beatrice Loomis
Lived Experiences Of Shingles Vaccine-Hesitant Adults Over Age 50 In Riverside County, California, Michelle Beatrice Loomis
Walden Dissertations and Doctoral Studies
Shingles (herpes zoster) causes substantial morbidity, especially among adults over age 50 in the United States. There is a need to better understand the reasons behind low vaccination rates among adults over age 50 given the associated risks for infection and adverse health outcomes that can reduce their quality of life. This qualitative interpretative phenomenological study explored how individuals’ perceptions of the benefits, barriers, susceptibility, and severity of shingles influence vaccine intentions and identified what factors influence vaccine uptake. The health belief model was used to guide the study. Data were collected from one-on-one semistructured virtual interviews with eight adults …
Influence Of Moral Development, Religiosity, Achieved Belongingness, And Collective Narcissism On Conspiracy Theory Beliefs, Barbara Mahoney Lee
Influence Of Moral Development, Religiosity, Achieved Belongingness, And Collective Narcissism On Conspiracy Theory Beliefs, Barbara Mahoney Lee
Walden Dissertations and Doctoral Studies
Belief in conspiracy theories has been linked to prejudice and societal instability, underscoring the importance of understanding the psychological factors that shape such beliefs. This quantitative correlational survey research examined the extent to which moral development, religiosity, achieved belongingness, collective narcissism, and political party affiliation predict conspiracy theory beliefs. Wood’s three-tier model of conspiracy theory beliefs provided the conceptual framework for the study. Using validated quantitative measures in an anonymous, demographically stratified sample (N = 279), a stepwise regression analysis assessed how individual and group-level factors contribute to conspiratorial thinking. Although political party affiliation was not an initial focus, preliminary …
Improving Medication And Lifestyle Adherence Through A Standardized Clinical Practice Guideline, Chazemba Shamaila
Improving Medication And Lifestyle Adherence Through A Standardized Clinical Practice Guideline, Chazemba Shamaila
Walden Dissertations and Doctoral Studies
Medication and lifestyle nonadherence remains a persistent and costly problem within healthcare systems and represents a critical gap in nursing practice. Approximately half of adults prescribed long-term medications do not adhere to recommended regimens, contributing to poor disease control, preventable hospitalizations, increased mortality risk, and substantial healthcare expenditures. These challenges are particularly pronounced in outpatient mental health settings, where symptom burden, cognitive impairment, treatment complexity, and social determinants of health further compromise adherence. Addressing medication and lifestyle nonadherence aligns with nursing priorities related to patient safety, quality improvement, and health equity. This Doctor of Nursing Practice (DNP) project focused on …
Preschool Special Educators' Perceptions On Using Role-Play To Improve Language Development For Preschoolers With Autism, Ini Udosen
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that preschool special educators are not consistently integrating role-play strategies when teaching language development to children with autism spectrum disorder (ASD) at ABC district (a pseudonym), a district in the southeastern United States. Grounded in Vygotsky’s social learning construct, the purpose of this study was to explore the perceptions of preschool special educators on using role-playing exercises to model proper communication behaviors and to improve learning skills as well as other advantages of role-play activities for children with ASD at ABC district. For this basic qualitative study, semistructured interviews were conducted …
Effective Community Awareness Strategies For Nonprofit Sustainability And Performance, Lina Gabrielle Rugova
Effective Community Awareness Strategies For Nonprofit Sustainability And Performance, Lina Gabrielle Rugova
Walden Dissertations and Doctoral Studies
The absence of formalized governance, measurement systems, and standardized processes in nonprofit organizations can limit performance, accountability, and long-term sustainability. Nonprofit executive leaders and board members are concerned about fulfilling their responsibilities for organizational effectiveness and community social effectiveness. Grounded in the Baldrige Excellence Framework and the resource-based view theory, the purpose of this qualitative single case study was to explore strategies nonprofit leaders use to improve organizational performance and governance effectiveness. The participants were six organizational leaders and board members from a Canadian nonprofit training organization. Data were collected through semistructured interviews and analysis of organizational documents, and were …
Mean Length Of Stay Based On Original, Financial, And Vision Workflows, Richard Wyatt
Mean Length Of Stay Based On Original, Financial, And Vision Workflows, Richard Wyatt
Walden Dissertations and Doctoral Studies
The healthcare industry faces a persistent challenge to balance financial, vision-based, and regulatory goals while maintaining the capacity to serve the public. Healthcare leaders need to understand the impact of using a particular type of workflow redesign to improve their ability to manage patient satisfaction, costs, and length of stay (LOS). Grounded in the Baldrige Excellence Framework, the purpose of this quantitative, quasi-experimental, comparative study was to compare runtime LOS across encounters for three workflows: original (WF-O), time/cost-based (WF-F), and vision-based (WF-V). The data set included 1 year of intensive care unit admissions from the Physio.Net database. ANOVA was conducted …
The Impact Of Police Corruption On National Security In Liberia, Yontonson Deddeh Kollie Kesselly
The Impact Of Police Corruption On National Security In Liberia, Yontonson Deddeh Kollie Kesselly
Walden Dissertations and Doctoral Studies
African countries are grappling with policies and laws to mitigate widespread police corruption. However, for decades, corruption within the police force has drawn intense criticism from citizens. Prior research has indicated that state officials are likely to benefit from police corruption, including bribery, thereby undermining Liberia's economic and social stability and prosperity. The issue that prompted this research is that despite extensive police reforms in Liberia’s national police, corruption cases remain prevalent, raising national security concerns. The purpose of this generic qualitative study was to investigate Liberians' perceptions of the impact of police corruption on national security in Liberia through …
Evaluating The Relationship Between Vitamin D Supplementation, Lifestyle, Social Determinants Of Health, Asthma, And Respiratory Tract Infections, Yun O'Donnell
Walden Dissertations and Doctoral Studies
Hypovitaminosis D is a significant public health concern in the United States associated with inadequate sunlight exposure and insufficient dietary intake. Asthma is a chronic respiratory condition that progressively worsens over time. While asthma is typically managed through individual-level treatment approaches, population-level strategies such as vitamin D supplementation and food fortification policies have not been implemented. A five-tier Public Health Impact Pyramid theoretical foundation guided this nonexperimental quantitative cross-sectional study. Data from 2013-2014 and 2017-2018 NHANES (n = 1,456) was evaluated for relationships between vitamin D supplementation, duration of sunlight exposure, and food security index, with asthma, asthma exacerbation severity, …
Staff Education To Improve Mental Health Staff Knowledge On Mobile Health Applications For Medication Adherence, Chipasha Chingwengwezi
Staff Education To Improve Mental Health Staff Knowledge On Mobile Health Applications For Medication Adherence, Chipasha Chingwengwezi
Walden Dissertations and Doctoral Studies
Despite rising evidence supporting the efficacy of mobile health (mHealth) applications to enhance medication adherence among individuals with mental health conditions, there is little utilization of these applications within mental health facilities. This project aimed to address the issue of implementing an interactive education program to enhance the knowledge of mental health staff and skills in the application of mHealth apps to enhance medication adherence. The main objective of this project was to fill the gap between conducting research and implementing its outcomes by providing staff with the knowledge and skills to incorporate mHealth applications into their daily practice. The …
Staff Education To Improve Mental Health Access For Underserved Populations Through Telehealth, Kafayat Olabisi Oluwole
Staff Education To Improve Mental Health Access For Underserved Populations Through Telehealth, Kafayat Olabisi Oluwole
Walden Dissertations and Doctoral Studies
This staff education doctoral project evaluated whether structured telehealth training improves psychiatric nurses’ knowledge in delivering care to underserved populations. A gap in practice was identified, as many psychiatric nurses lacked formal training in providing culturally competent and effective virtual mental health services. Guided by the ADDIE model and the Johns Hopkins evidence-based practice framework, a structured educational intervention was implemented with 25 psychiatric nurses. Participants completed pre- and posttests to assess knowledge gained. Results demonstrated an increase in mean scores from 62.8% to 77.4%, reflecting a 14.6% improvement. A paired t test indicated statistical significance (p < .05), confirming the effectiveness of the intervention. These findings suggest that targeted telehealth education enhances psychiatric nurses’ readiness to deliver high-quality, culturally responsive care. This project supports positive social change by improving access to equitable mental health services for underserved populations.
Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton
Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton
Walden Dissertations and Doctoral Studies
Pain is one of the most common reasons that patients seek medical care, and chronic pain is a major health problem. The goal of this project was to address a lack of current, evidence-based knowledge of nurses regarding pain reassessment. The context for this project was a medical-surgical area in a rural hospital. The Doctor of Nursing Practice project attempted to answer the practice focus question on whether education improved knowledge related to improving pain reassessment. The project framework utilized in the doctoral project was the analysis, design, development, implementation, and evaluation model. An education program was designed with the …
Determining Factors Leading To Sobriety In Native American Graduates Of A Joint-Jurisdictional Court Program, Ryan Fisher
Determining Factors Leading To Sobriety In Native American Graduates Of A Joint-Jurisdictional Court Program, Ryan Fisher
Walden Dissertations and Doctoral Studies
The issue of driving under the influence (DUI) is a continuous problem in rural communities, especial those in Indian Country. Alcohol use and abuse has long been a health concern for these communities contributing to higher mortality rates and increased incarceration rates for American Indian / Alaskan Native (AIAN) populations. Wellness courts, using the problem-solving court model, have been successful in helping DUI offenders achieve sobriety and wellness. While the model has been successful, there remains a lack of qualitative research into why participants find success in these programs; especially marginalized populations such as AIAN. This phenomenological qualitative study was …
Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill
Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill
Walden Dissertations and Doctoral Studies
Health misinformation on social media is a global public health concern. Research has shown that health misinformation causes significant harm in communities, especially for vulnerable populations with existing health disparities. Nurses have been urged to play a more significant role in combating health misinformation. Existing research has shown that nurses are hesitant to correct health misinformation on social media, but attitudes among current nursing students have not been examined. The purpose of this qualitative descriptive study was to explore nursing students' attitudes about correcting health misinformation on social media. Guided by Ajzen’s theory of planned behavior and Paterson and Zderad’s …
Effective Digital Presence Strategies For Certified Public Accountant Organization Leaders To Attract And Retain Clients, Ian Claude Pounall
Effective Digital Presence Strategies For Certified Public Accountant Organization Leaders To Attract And Retain Clients, Ian Claude Pounall
Walden Dissertations and Doctoral Studies
Nonprofit professional associations often face challenges in sustaining organizational excellence and member engagement within resource-limited environments. Certified public accountant (CPA) organizational leaders are concerned with identifying effective strategies to enhance performance and ensure long-term organizational service relevance. Grounded in the Baldrige Excellence Framework and resource-based view theory, the purpose of this qualitative single case study research project was to identify and explore strategies that online CPA organizational leaders can use to develop a comprehensive digital presence framework to attract and retain organizational clients. The participant was a single Canadian CPA organizational leader. Data were collected through semistructured interviews and analysis …
Alignment Of Projects With Business Strategy, Lyndon Leathan Martin
Alignment Of Projects With Business Strategy, Lyndon Leathan Martin
Walden Dissertations and Doctoral Studies
Some organizations lack strategies to ensure that project outcomes are aligned with organizational objectives. Business leaders are concerned when project outcomes are misaligned with organizational objectives, as this can lead to decreased profitability and a loss of competitive advantage. Grounded in Porter’s Five Forces model, the purpose of this qualitative, pragmatic inquiry was to explore the strategies business leaders use to ensure project outcomes are profitable and aligned with organizational objectives. The participants were six executive leaders of real estate and development companies in the Caribbean, purposefully selected because their organizations had successfully fulfilled organizational objectives through project outcomes. Data …
Examining Predictors For Surgical Site Infection Following Abdominal Hysterectomy Among Women In New York, Nicole Henry
Examining Predictors For Surgical Site Infection Following Abdominal Hysterectomy Among Women In New York, Nicole Henry
Walden Dissertations and Doctoral Studies
Surgical site infections (SSIs) remain one of the most frequent and preventable complications following abdominal hysterectomy. Existing literature has focused on clinical and procedural risk factors, while less is known about how social conditions shape surgical outcomes. This gap is especially concerning for women in New York State (NYS) where differences in income, marital status, primary payer, rurality, and county-level food insecurity may influence postoperative outcomes and subsequent care. The socioecological model provided the foundation for this retrospective cohort study by examining how social drivers of health (SDoH) are associated with SSI incidence following abdominal hysterectomy, and whether food insecurity …
U.S. Pharmacists’ Perceptions Of Getting The Covid-19 Vaccine And How That Affects Their Interactions With The Public, Megan Boals
U.S. Pharmacists’ Perceptions Of Getting The Covid-19 Vaccine And How That Affects Their Interactions With The Public, Megan Boals
Walden Dissertations and Doctoral Studies
Pharmacists play a pivotal role in public health, particularly in promoting vaccination. However, vaccine hesitancy among pharmacists significantly undermines their willingness to provide effective patient counseling and to advocate for vaccination, potentially eroding public trust in vaccines. This descriptive-phenomenological study sought to understand the factors contributing to pharmacists’ COVID-19 vaccine hesitancy and how this hesitancy affected their willingness to recommend vaccines to patients. Twenty practicing pharmacists were interviewed via Zoom between September 23 and October 14, 2025. The health belief model helped interpret the study findings. Thematic analysis, as described by Braun and Clarke, was conducted to identify and interpret …
Teachers And Administrators’ Perspectives Of Teacher Retention Rates During The First 5 Years Of Employment, Seth Hay
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was the high percentage of novice teachers leaving the profession during the first 5 years of teaching in a Southwestern state. Grounded in Mitchell et al.'s job embeddedness theory, the purpose of this qualitative study was to explore K-12 teachers’ perspectives on factors influencing their decision to remain in the education profession, as well as K-12 administrators’ perspectives on influencing novice teachers’ decisions to persist in the education profession in a Southwestern state. For this basic qualitative design, data were collected from 10 teachers and three administrators and analyzed using Braun and …
The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett
The Experiences Of Faith-Based Non-Profit Human Services Professionals In The Implementation Of Parental Resources For Homeless Mothers, Latasha Sublett
Walden Dissertations and Doctoral Studies
No abstract provided.