Digital Commons Network^™

The Relationship Of Financial Performance, Quality Indicators, And The Role Of Nurse Executives In Virginia Nursing Homes, Jeany V. Murphy

Health Services Research Dissertations

Problem statement. The dynamic nature of the healthcare industry has triggered changes in nurse executive functions. The job has expanded into entrepreneurial roles to be able to provide the most cost effective services while maintaining good quality outcomes for the residents. The new responsibility requires a different set of knowledge and competencies that is usually achieved through advanced education. It is not known whether nurse executives in long term care in Virginia possess the skills to influence both the financial and quality outcomes of the facility.

Methods. This descriptive research study examined the relationship of the nurse executives' technical, human, …

Justice Stevens And The Expert Executive, Deborah Pearlstein

Articles

No abstract provided.

Effects Of Home Exercise On Immediate And Delayed Affect And Mood Among Rural Individuals At Risk For Type 2 Diabetes, Kevin S. Masters, Glen I. Spielmans, Rick A. Lacaille, Jason T. Goodson, Brian T. Larsen, Edward M. Heath, Andrea Knestel

Journal of Social, Behavioral, and Health Sciences

Physical activity is important for reducing overweight and obesity and related health consequences. This study examined changes in mood following 16 weeks of exercise in a sample of 29 individuals residing in a rural area and at risk for developing Type 2 diabetes mellitus (T2DM). Significant positive mood changes were detected, with moderate to large effect sizes. Assessments also revealed significant delayed postexercise positive emotion changes. These findings extend research on the mood benefits of exercise to individuals residing in rural settings and at risk for T2DM and suggest that to gain a full understanding of the exercise-affect relation, investigators …

Predictors Of Snack Food Consumption Among Upper Elementary Children Using Social Cognitive Theory, Paul Branscum, Manoj Sharma

Journal of Social, Behavioral, and Health Sciences

This study examined the extent to which the constructs of social cognitive theory (SCT) can predict snack food consumption among elementary school-age children. A valid and reliable 22-item instrument was administered to 212 children. Snack food consumption was evaluated by asking children to recall and report all foods consumed outside of meals in the previous 24 hours. On average, the children consumed 513 calories from snack foods per day. Most came from sugar-sweetened beverages and calorically dense snacks. Fruit and vegetable snacks were positively predicted by self-control ( R2

= 0.017), and sugar-sweetened beverage snacks were negatively predicted by …

Constitutionality Of The Patient Protection And Affordable Care Act Under The Commerce Clause And The Necessary And Proper Clause, Wilson Huhn

Akron Law Faculty Publications

The Patient Protection and Affordable Care Act is a comprehensive federal statute that attempts to extend health insurance coverage to tens of millions of Americans and to expand health insurance coverage by eliminating exclusions for preexisting conditions, increase medical loss ratios, abolish annual and lifetime limits, and other reforms. A necessary provision of this law (the individual mandate) requires most individuals to maintain health insurance coverage. The individual mandate has been challenged in a number of lawsuits on the ground that Congress lacks the power under the Constitution to require individuals to purchase health insurance. The power of Congress to …

Fungal Communities On Speleothem Surfaces In Kartchner Caverns, Arizona, Usa., Michael J. Vaughan, Raina M. Maier, Barry M. Pryor

International Journal of Speleology

Kartchner Caverns, located near Benson, Arizona, USA, is an active carbonate cave that serves as the major attraction for Kartchner Caverns State Park. Low-impact development and maintenance have preserved prediscovery macroscopic cavern features and minimized disturbances to biological communities within the cave.. The goal of this study was to examine fungal diversity in Kartchner Caverns on actively-forming speleothem surfaces. Fifteen formations were sampled from five sites across the cave. Richness was assessed using standard culture-based fungal isolation techniques. A culture-independent analysis using denaturing gradient gel electrophoresis (DGGE) was used to assay evidence of community homogeneity across the cave through the …

Clearing And Trade Execution Requirements For Otc Derivatives Swaps Under The Frank-Dodd Wall Street Reform And Consumer Protection Act, Willa E. Gibson

Akron Law Faculty Publications

This paper examines Title VII of the Dodd-Frank Wall Street Reform and Consumer Protection Act entitled the “Wall Street Transparency and Accountability Act of 2010” (the “Act”). The Act provides a comprehensive regulatory framework for swap transactions that designates the Commodities Futures Trading Commission (CFTC) and the Securities and Exchange Commission (SEC) as the primary regulators of the OTC derivatives swap market. The Act provides a very broad definition of swaps to include most OTC derivatives transactions, and it grants the CFTC regulatory jurisdiction over them with the exception of security-based swaps to which the SEC is granted regulatory jurisdiction. …

A Child Rights-Based Approach To Reconstruction In Haiti, Jonathan Todres

Intercultural Human Rights Law Review

The January 2010 earthquake in Haiti created a major humanitarian crisis for all of Haiti's population, not least for its children. The devastation resulting from any large scale natural disaster raises numerous children's rights issues. Immediately following the Haiti earthquake, however, public attention focused largely, and selectively, on only certain issues confronting children, most notably the threat of trafficking. Anti-trafficking initiatives are essential, but isolating trafficking as an issue can lead to overlooking the structural issues that heighten children's vulnerability to being trafficked as well as other equally pressing children's rights violations. This article proposes a more holistic rights-based approach …

Getting To Know You: Key Clinical Concepts In Relationship-Based Interventions And Neurobehavioral Observations With Young Infants, Yvette Blanchard

All PTHMS Faculty Publications

The newborn infant is a social organism, pre-disposed to interact with his caregiver and able to elicit the kind of caregiving necessary for successful adaptation. The earliest developmental task of the newborn is to organize behavior to be able to play an active role in influencing the caregiving environment and eliciting the kind of support needed for development. This task is accomplished through the attainment of self-regulation or balanced neurobehavioral functioning of the infant's autonomic, motor, state, and responsivity behavioral dimensions as described by Als.

Goodhealthtv : A Viewer's Perspective, Sierra A. Davis

Undergraduate Theses and Senior Projects

No abstract provided.

Prevalence And Cause Of Caries In Children Under The Age Of 18 And Subsequent Effects, Amy Sue Rosinsky

Undergraduate Theses and Senior Projects

No abstract provided.

Impact Of A Balanced Breakfast On Daily Cognitive Activity, Brittany K. Bohrer

Undergraduate Theses and Senior Projects

No abstract provided.

We Are What We Eat : Discovering The Key To Preventive Healthcare, Megan Riederer

Undergraduate Theses and Senior Projects

No abstract provided.

Alternatives To Industrial Work Placement At Technological University City, Catherine Bates, Elena Gamble

Staff Articles and Research Papers

In the current economic crisis, higher education graduates need transferable professional skills more than ever. They need resourcefulness, an ability to work reflectively, a sense of civic awareness and an impressive curriculum vitae. This case study analyses how Technological University City’s Programme for Students Learning With Communities provides cost-effective, sustainable solutions to these needs, offering an alternative to industrial work placement. Community-based learning and research involve collaboration between staff and/or students and community partners to design real-life, course-based projects which meet the learning needs of the students and those of the community. The programme not only enriches the curriculum; it …

Spoliation Of Electronic Evidence: Sanctions Versus Advocacy, Charles Adams

Articles, Chapters in Books and Other Contributions to Scholarly Works

This Article proposes that courts should refrain from imposing adverse inference jury instructions as sanctions for the spoliation of evidence. This proposal bears some similarity to the approach taken twenty years ago by the 1993 amendments to Rule 11, which constrained courts' ability to sanction. Instead of imposing an adverse jury instruction as a sanction for spoliation of evidence, courts should allow evidence of spoliation to be admitted at trial if a reasonable jury could find that spoliation had occurred and if the spoliation was relevant to a material issue. If a court allows the introduction of evidence of spoliation …

Virginia Dental Journal (Vol. 88, No. 3, 2011)

Virginia Dental Journal

No abstract provided.

The Role Of Parents' Medication Beliefs, Religious Problem-Solving, And Risks For Treatment Nonadherence In Urban Families With Asthma, Sue K. Adams, Karla Klein Murdock, Elizabeth L. Mcquaid, Lori-Ann Lima

Human Development and Family Science Faculty Publications

Childhood asthma is highly prevalent, affecting approximately nine million children in the United States. Negative effects of pediatric asthma are disproportionately experienced by ethnic minorities living in low-income, urban settings. Given the great diversity in families' ways of addressing children's asthma symptoms, sociocultural factors underlying asthma disparities must be examined. The current study investigated associations among parents' beliefs about conventional and holistic/alternative medications, parents' religious problem-solving strategies and childrens' risks for asthma treatment nonadherence. The sample included 66 parents of ethnically diverse children with asthma living in urban settings. Factor analysis of the Religious Problem Solving Questionnaire yielded two factors, …

Portland Mercado: Community Economic Development To Revitalize, Uplift, And Empower, Abigail Cermak, David Ruelas, Bridger Wineman, Ellen Wyoming

Master of Urban and Regional Planning Workshop Projects

Realizing public goals of an inclusive and vibrant society requires an advocacy approach to urban planning and economic development. Adelante Planning outlines strategies based on research and case studies to successfully implement a Mercado as an economic development and business incubation strategy for Portland’s Latino community. A Mercado is a strategic planning approach targeted toward Latino populations and other minorities, particularly in gentrifying locations of the Portland Metro region.

This project was conducted under the supervision of Ellen Bassett, Lisa Bates, Karen Gibson, Ken Pirie, and Sumner Sharpe.

The Experience Of Menopause As Reported By Sedentary Women, April Elizabeth Ann Rietdyk

Walden Dissertations and Doctoral Studies

Limited research exists on the experiences of sedentary women as they transition through menopause. This gap creates difficulty for public health practitioners as they strive to develop resources, implement programs, or influence policy change at the community level for this group of marginalized women. Keeping women healthy throughout the aging process, including menopause, improves their quality of life and decreases the impact aging has on the health care system. This phenomenological study, through in-depth interviews, provided the opportunity for sedentary women to share their thoughts and experiences of menopause. Thirteen sedentary women between the ages of 40 and 60, experiencing …

Clergy Stress : A Study Of Stressors And Stress-Relieving Practices Among United Methodist Clergy Across Three Districts Of The Western North Carolina Conference, Claude J. Kayler

ATS Dissertations

No abstract provided.

Structural Racism And The Law In America Today: An Introduction, William M. Wiecek

Kentucky Law Journal

No abstract provided.

Forcing Life On The Dead: Why The Pregnancy Exemption Clause Of The Kentucky Living Will Directive Act Is Unconstitutional, Kristeena L. Johnson

Kentucky Law Journal

No abstract provided.

The Influence Of Military Culture And Veteran Worldviews On Mental Health Treatment: Practice Implications For Combat Veteran Help-Seeking And Wellness, Eugenia Weiss, Jose E. Coll

School of Social Work Faculty Publications and Presentations

The influence of military cultural values consisting of unit cohesion (or the subordination of individual needs over the needs of the collective)the devotion to duty and to the mission,stoicism (emotional restraint)and the importance of adhering to the chain of command become guiding belief systems for military personnel.In fact,military culture has been recognized as a distinct sub-culture of American civilian society.

Senior Capstone Project Final Research Report : Breastfeeding Friendly Businesses, Jazmin Meza

Capstone Projects and Master's Theses

As a Women Infants and Children agency Intern, I had the opportunity to collaborate with Salinas Business Union Association to pilot local business owners into finding ways to becoming breastfeeding friendly. Owners were given an educational brochure regarding breastfeeding laws, lactation accommodation and creation of breastfeeding friendly environments for current and future mother employees as well as clients. A breastfeeding friendly logo was also created to be posted on businesses windows to show the community of Salinas their support of breastfeeding. The main goal of this project was to raise awareness about the importance and acceptance of breastfeeding, as well …

Ovarian Hormones, Aging And Stress On Hippocampal Synaptic Plasticity, Michael R. Foy

Psychological Science Faculty Works

The ovarian steroid hormones estradiol and progesterone regulate a wide variety of non-reproductive functions in the central nervous system by interacting with molecular and cellular processes. A growing literature from studies using rodent models suggests that 17β-estradiol, the most potent of the biologically relevant estrogens, enhances synaptic transmission and the magnitude of long-term potentiation recorded from in vitro hippocampal slices. In contrast, progesterone has been shown to decrease synaptic transmission and reduce hippocampal long-term potentiation in this model system. Hippocampal long-term depression, another form of synaptic plasticity, occurs more prominently in slices from aged rats. A decrease in long-term potentiation …

The Institute Of World Mission: Forty-Five Years And Counting, Patricia Jo Gustin

Journal of Adventist Mission Studies

No abstract provided.

The Performance Of Performance Standards, James J. Heckman Editor, Carolyn J. Heinrich Editor, Pascal Courty Editor, Gerald Marschke Editor, Jeffrey A. Smith Editor

Upjohn Press

Using a variety of data sources, the contributors explore how performance standards and incentives affect the behavior of public managers and agency employees, their approaches to service delivery, and ultimately, the outcomes for participants.

Prenatal Programming Of Human Neurological Function, Curt A. Sandman, Elyssia Poggi Davis, Claudia Buss, Laura M. Glynn

Psychology Faculty Articles and Research

The human placenta expresses the genes for proopiomelanocortin and the major stress hormone, corticotropin-releasing hormone (CRH), profoundly altering the "fight or flight" stress system in mother and fetus. As pregnancy progresses, the levels of these stress hormones, including maternal cortisol, increase dramatically. These endocrine changes are important for fetal maturation, but if the levels are altered (e.g., in response to stress), they influence (program) the fetal nervous system with long-term consequences. The evidence indicates that fetal exposure to elevated levels of stress hormones (i) delays fetal nervous system maturation, (ii) restricts the neuromuscular development and alters the stress response of …

Not Of Woman Born: A Scientific Fantasy, Jennifer S. Hendricks

Case Western Reserve Law Review

No abstract provided.

Geriatric Care As An Introductory Pharmacy Practice Experience, Joseph A. Woelfel, Eric Boyce, Rajul A. Patel

School of Pharmacy Faculty Articles

Objective. To describe the design, delivery, and impact of a geriatric introductory pharmacy practice experience (IPPE) to develop students’ skills related to consultant pharmacists’ roles and patient care responsibilities.

Design. A required 2-unit geriatric IPPE, involving 40 hours in a geriatric-care facility, 5 reflection hours, and 12 classroom-discussion hours, was developed for first- and second-year pharmacy students. Students interviewed patients and caregivers, reviewed patient charts, triaged patient needs, prepared care plans, and performed quality-assurance functions.

Assessment. After completing the IPPE, students’ geriatric- and patient-care abilities were enhanced, based on review of their interactions, care plans, reflections, and examinations, and they …