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Preparing Mental Health Professionals For Work In Collaborative Care Settings, Angela G. Hester

Loma Linda University Electronic Theses, Dissertations & Projects

There has been a significant shift regarding how health and illness are conceptualized. In decades past, the biomedical model predominated. Factors other than biological were not seen as important with regard to the diagnosis and treatment of illness; mind and body were viewed as separate. Engel’s 1977 article challenged the biomedical perspective with the biopsychosocial model, suggesting the reciprocal nature of biological, psychological and social factors on patients’ experience of health and illness, and responsiveness to treatment interventions. While viewing individuals holistically was not a new concept at that time, several factors led the biopsychosocial model to gain wide acceptance …

Family Support: A Buffer For Parenting Stress Among Ethnic Minority Parents Of Children With Dd, Susanna Luu

Loma Linda University Electronic Theses, Dissertations & Projects

Adapting to a new culture is a stressful experience for some ethnic minorities. Lower acculturation in ethnic minorities is related to high levels of stress. Parents of children with developmental delays (DD) typically experience high levels of stress, particularly parenting stress. Therefore, ethnic minority families of children with development delays may be at risk for especially high levels of parenting stress due to the additive stress of adapting to a new culture. Currently, there is uncertainty within the field about the relationship between acculturation and parenting stress given that studies have found both low and high levels of acculturation to …

Expression And Function Of Ca2+-Activated K+ Channels In Uterine Arteries, Ronghui Zhu

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic hypoxia during pregnancy is one of the most common insults to the maternal cardiovascular system and fetal development, and is associated with increased uterine vascular tone and heightened risk of preeclampsia and fetal intrauterine growth restriction (IUGR). The present study tested the hypothesis that calcium-activated potassium (KCa) channels play an essential role in uterine vascular adaptation to pregnancy, which is inhibited by chronic hypoxia during gestation. Uterine arteries (UAs) were isolated from nonpregnant ewes (NPUAs) and near-term pregnant ewes (PUAs) that had been maintained at sea level (~300 m) or exposed to high altitude (3,801 m) for 110 days. …

Student Healthcare Providers' Illness Narratives: Impact On Family-Focused Care, Lindsey Ann Lawson

Loma Linda University Electronic Theses, Dissertations & Projects

In this study, we interviewed 30 students training for three areas of healthcare: medicine, nursing, and medical family therapy (MedFT). Through grounded theory analysis of these interviews, we looked to understand how these providers connected their own experiences with illness to their clinical work, particularly in including patients’ family members in care. The majority of participants, and especially those in medicine and nursing disciplines, described a tension between their desire to connect with patients and families and their developing definition of professionalism. For others, the impact of students’ personal experiences with illness seemed to provide a different definition of professionalism, …

Radiosensitization Of Head & Neck Carcinoma Cells By Linifanib, A Receptor Tyrosine Kinase Inhibitor, Heng-Wei Hsu

Loma Linda University Electronic Theses, Dissertations & Projects

Tumor angiogenesis is a hallmark of advanced cancers and promotes invasion and metastasis. Over 90% of head and neck squamous cell carcinomas (HNSCC) express angiogenic factors such as vascular endothelial growth factor (VEGF). Since radiotherapy is one of the most commonly used treatments for HNSCC, it is imperative to identify the interactions between antiangiogenic therapy and radiotherapy, and to develop combination therapy to improve clinical outcome. The mechanisms between antiangiogenic agents and ionizing radiation are complicated and involve many interactions between the vasculature, tumor stroma and tumor cells. The proliferation and metastasis of tumor cells rely on angiogenesis/blood vessel formation. …

An Examination Of The Governance Policies Of Maine Nonprofits As They Relate To Endowment And Cash Reseve Accounts, Kenneth S. Spirer

Muskie School Capstones and Dissertations

For my Capstone project, I examined whether Maine nonprofit organizations have established policies to manage their endowment and cash reserve funds. Based on survey responses and a literature review, I have identified governance policies that represent best practices for nonprofit organization’s responsibilities for the endowment assets. I also have drafted a sample Investment Policy Statement “template” for small nonprofits to use as a basis for developing their own policies.

Consequences Of Prenatal Ethanol Exposure And Maternal Stress On Offspring, Miranda C. Staples

Biomedical Sciences ETDs

Extensive evidence in humans suggests that exposure to insults during gestation, such as ethanol or maternal stress, can negatively impact the developing fetus in manners which can last into adulthood. These deleterious effects can include various behavioral challenges including cognitive impairments and increases in anxiety. These findings have been replicated in animal models of prenatal ethanol exposure and prenatal stress exposure, but little work has been conducted on measuring the interactive effects of the two prenatal insults in combination. Currently, there is no animal model of combined prenatal ethanol and prenatal stress exposures which has been utilized to systematically evaluate …

The Voice Of Latino Adolescent Parents: A Focus Group Approach, Brenda Pereda

Biomedical Sciences ETDs

Background Adolescent Latina mothers are at high risk of rapid repeat pregnancy with poor economic, educational and health outcomes. Identifying barriers to use of the most effective contraception—long acting reversible contraceptives (LARC)—in adolescent Latino parents may help in the development of strategies to reduce unintended pregnancy in this high risk group. Objectives Primary Aim: • To identify the barriers to use of LARC by Latina adolescent mothers. Secondary Aims • Understand the context of contraceptive conversations and decision making. • Explain factors that influence contraceptive adoption and adherence. • Explore the Latino adolescent males perspective on contraception. Methods A sequential, …

Gene-Environment Interactions Affect Long-Term Depression (Ltd) Through Changes In Dopamine D2 Receptor Affinity In Snap25 Haplodeficient Mice, Michael J. Baca

Biomedical Sciences ETDs

Genes and environmental conditions interact in the development of cognitive capacities and each plays an important role in neuropsychiatric disorders such as attention deficit/hyperactivity disorder (ADHD) and schizophrenia. Multiple studies have indicated that the gene for the SNARE protein, SNAP-25 is a candidate susceptibility gene for ADHD, as well as schizophrenia, while maternal smoking is a candidate environmental risk factor for ADHD. In this study, mice heterozygous for a Snap25 allele and deficient in SNAP-25 expression were utilized to model genetic effects in combination with prenatal exposure to nicotine to explore genetic and environmental (G x E) factors and interactions. …

"A Christmas Carol" Promotion, Central Theatre Ensemble, Central Washington University

CWU Theatre Programs

"A Christmas Carol" was performed by the Central Theatre Ensemble at Central Washington University in December 2013. The production was written and directed by Brenda Hubbard, Scenic design was by Marc Haniuk. Costume design was by Kelsey Sheppard. Wig design by Caitlin Cardinale. Lighting design by Amanda Lehr. Sound design by Brenda Hubbard and Ashley Thayer. Choreography by Brenda Hubbard and Carly Hutchison. The properties master was Josh Tavenner. The dialect coach was Michael J. Smith. The assistant director was Kate Gregory, and the stage manager was Kathleen Jones.

"A Christmas Carol" Program, Central Theatre Ensemble, Central Washington University

CWU Theatre Programs

"A Christmas Carol" was performed by the Central Theatre Ensemble at Central Washington University in December 2013. The production was written and directed by Brenda Hubbard, Scenic design was by Marc Haniuk. Costume design was by Kelsey Sheppard. Wig design by Caitlin Cardinale. Lighting design by Amanda Lehr. Sound design by Brenda Hubbard and Ashley Thayer. Choreography by Brenda Hubbard and Carly Hutchison. The properties master was Josh Tavenner. The dialect coach was Michael J. Smith. The assistant director was Kate Gregory, and the stage manager was Kathleen Jones.

Solomon Islands Standardised Tests Of Achievement (Sista). English And Mathematics. Year 4 And Year 6. Report 1 Main Study 2013, Australian Council For Educational Research (Acer)

Assessment and Reporting

The SISTA program is a key monitoring tool of the Solomon Islands Ministry of Education and Human Resource Development and has the capacity to serve multiple functions to a wide range of educational stakeholders. This report provides analysis of year 4 and year 6 Literacy and Numeracy of SISTA 2013. The SISTA results contain a wealth of data about how well students have responded to items that are indicators of curriculum attainment. The observed improvements in overall performances may be attributed to: a. Better tests and improved alignment of the tests with the target population; and b. In the case …

Brother's Dying, Mary Dengler

Pro Rege

No abstract provided.

Receiving The John Calvin Award, Mary Dengler

Pro Rege

No abstract provided.

Poem On The Occasion Of Pastor Herm Van Niejenhuis’S Retirement, David Schelhaas

Pro Rege

No abstract provided.

The Nature Of Distributed Research: Narratives Of Shifting Experience, Jingjing Zhang

Journal of Educational Technology Development and Exchange (JETDE)

Distributed work over geographical distance is not new, but this century has witnessed a rapid extension of this kind of work (Juan, Daradoumis, Roca, Grasman, & Faulin, 2012). In academia, it seems that the use of many technologies has inevitably led to an increasing trend of distributed research. In an attempt to explore this phenomenon, a qualitative study involving 24 senior researchers was conducted, and their lived and told stories illustrated that they worked together privately and publicly, informally and formally, with a high degree of reciprocity and with written records of their discourse. All forms of research activities, mediated …

Book Review: The Construction Of Commercial Contracts By J. W. Carter, Yihan Goh

Research Collection Yong Pung How School Of Law

The Construction of Commercial Contracts by Professor J.W. Carter is an ambitious book. Its stated aim is to "explain as a coherent whole the principles which regulate the construction of commercial contracts". As will be seen, it more than meets this lofty aim, and is a valuable contribution to an area of work that is not only difficult, but also of immense practical importance. The book achieves its aim by explaining construction as constituting three separate stages: the identification of context (and terms), the determination of the meaning (and legal effect) of a contract, and, finally, the application of a …

Note – The True Man & The Battered Woman: Prospects For Gender Neutral Narratives In Self-Defense Doctrines, Katelyn E. Keegan

UC Law Journal

The recent rise of controversial Stand Your Ground laws has sparked discussions on self-defense law. Comparing the new Stand Your Ground laws with another self- defense doctrine—Battered Women’s Syndrome—it becomes apparent that the law solidifies gender stereotypes by assessing when an individual is justified in using deadly force against an aggressor. “True men” are empowered to use deadly force in public without a duty to retreat, while a battered woman often must provide expert testimony on her psychological condition to prove the reasonableness of her use of deadly force in light of her severe helplessness. At their extremes, both of …

Evaluating Flexibility In International Patent Law, Sarah R. Wasserman Rajec

UC Law Journal

Global patent law has raced toward harmonization over the past decades. Countries with vastly different industries, values, and levels of development now offer robust patent rights with similar contours through membership in the World Trade Organization and consequent adoption of the Agreement on Trade-Related Aspects of Intellectual Property Rights (“TRIPS”). However, patent law is still far from harmonized among countries or static within countries. Jurisdictions tailor their patent laws to accommodate differences between industries, unforeseen inefficiencies, and diverse views of the costs and benefits associated with offering patent rights to stimulate innovation. Prior scholarly work consists of either doctrinal analyses …

Characterization Of Hypothetical Proteins Sas0760 And Sas1738 From “Community Associated Staphylococcus Aureus” Mssa476, Anupama B. Ramalinga

All-Inclusive List of Electronic Theses and Dissertations

No abstract provided.

Citizenship Education: The Perceptions Of Social Studies Omani Student Teachers, Saif N. Almaamari, Ian Menter

Journal of Educational and Psychological Studies

The purpose of this study was to investigate the perceptions of Omani student-teachers of social studies major about citizenship and citizenship education. Interviews were used to achieve this purpose. Ten students participated in the study: 5 females and 5 males. Data were analyzed qualitatively using analytic induction and interpretive analytic framework. Qualitative results show a wide range of interesting views on citizenship that highlighted the influence of the social, cultural and political context in shaping the meaning of citizenship and citizenship education. The results from interviews can be classified into five categories: (a) Citizenship is a multi-faceted concept; (b) Citizenship …

Teacher Evaluation In Oman: Policy, Implementation, And Challenges, Hamed H. Al-Yahmadi

Journal of Educational and Psychological Studies

Teacher evaluation is a significant means for ensuring accountability and promoting teacher professional development. However, the road to good implementation of teacher evaluation system rarely goes without challenges and constraints. The fourteen interviewees who participated in this study faced several constraints in implementing teacher evaluation in the Sultanate of Oman. Some of these obstacles were: Lack of incentives; inadequate evaluators’ training; heavy burden of administrative duties with less empowerment; lack of teachers and evaluators’ commitment towards teacher evaluation system. These organizational and technical factors inhibit the performance of teachers and evaluators alike. The study recommends that teachers and evaluators must …

Social Networks Sites: Usage And Effects, Ahmed Y. Abdelraheem

Journal of Educational and Psychological Studies

The aim of this paper is to explore the students’ use of social networks sites (SNSs) and its effects on students’ achievement. A questionnaire using a Liker type scale was distributed to a sample of 120 undergraduate students who participated in the study. The results show that students use SNSs for social matters more than for academic purposes. In this regard, there is no significant difference in the use of social network sites between female and male students. Students with smart mobile phones use SNSs more than those with normal mobiles. Facebook was the most used site. There is no …

The Research Skills Of Graduate Students In The Master Degree Of Education At Kuwait University, Wafaa S. Al-Yaseen

Journal of Educational and Psychological Studies

The aim of this study was to identify theresearch skills of graduate studentsin the College of Education at Kuwait University.The study sample comprised of 68 graduate students. For the purpose of the study, the researcher developed a questionnaire that consisted of 48 items covering two domains: required research skills, and research difficulties. The validity of the questionnaire was checked by agroup of professors in the College of Education. Cronbach's alpha reliability coefficientwas found to be adequate. Results revealed that MA students have certain needs which should be fulfilled to be able to conduct research properly. In addition, they encounter certain …

Yea Or Neigh? The Economics, Ethics, And Utility Of The Horsemeat Filet, L. Leon Geyer, Dan Lawler

Journal of Food Law & Policy

While staying surprisingly low profile amongst the general populace, the issue of horse slaughter has become hotly contested in the last decade, evolving into a multifaceted controversy that intertwines questions regarding ethics, international commerce, and contemporary law and politics. Horses were slaughtered in the U.S. in United States Department of Agriculture (USDA) regulated plants until 2007, when an appropriations bill suspended funding for federal inspections of horsemeat. The U.S. was home to three domestic slaughterhouses - two in Texas and one in Illinois - that slaughtered an average of about 115,003 horses per year from 1990 to 2007. Currently, American …

13th Meeting Of The States Parties To The Anti-Personnel Mine Ban Convention (2013), Apmbc

Global CWD Repository

The 13MSP was a formal meeting of the 161 States which have accepted the 1997 Convention on the Prohibition of the Use, Stockpiling, Production and Transfer of Anti-Personnel Mines and on their Destruction. It was held in accordance with Article 11 of the Convention and pursuant to the decisions of the 2009 Second Review Conference and the 2012 Twelfth Meeting of the States Parties (12MSP).

The 13MSP was important because it was the last annual assessment of the application of the Cartagena Action Plan 2010-2014 prior to Convention’s Third Review Conference in 2014. This assessment of challenges encountered and work …

The Broadsheet- Issue 4, Merrimack College

The Broadsheet

Merrimack College's English Department newsletter.

This issue features:

• Senior Seminar Editorial
• Why Literature Matters
• Writers House Coffee House
• Seamus Heaney Memorial
• Upcoming Events
• Student Profile: Jackie Bagley
• New Courses 2014

Treatment Goals For Patients Who Elect Surgical Vs. Pessary Treatment For Symptomatic Pelvic Organ Prolapse, Mamta Muralidhar Mamik

Biomedical Sciences ETDs

Objective: The objective of this study is to assess differences in self-described goals for treating symptomatic pelvic organ prolapse for women that choose surgery compared to women who choose pessary. Methods: Women who had symptomatic stage 2 prolapse or greater presenting for care of pelvic organ prolapse to the Urogynecology Clinic at the University of New Mexico were recruited. These patients listed up to three goals they had of their treatment and rated the goals from 0 to 10, with 10 being the most important. In addition, patients completed the short forms of the established Pelvic Floor Distress Inventory (PFDI-20), …

Delivering Access: Home Birth For Women Of Families Of Color In New Mexico, Micaela Lara Cadena

Architecture and Planning ETDs

This thesis examines the access that low-income women of color have to home birth in New Mexico through qualitative research with home birth providers, New Mexico Licensed Midwives. New Mexican women and families have been birthing their children in homes and community settings for generations. In contemporary New Mexico, pregnant women can birth at home, in a free-standing birth center, or in a hospital setting. This thesis seeks to explore: 1) The central tenets of home birth, as explained by Licensed Midwives; 2) The factors that impact access to home birth in New Mexico as perceived by Licensed Midwives; 3) …

Narcotic Administration And Fall-Related Injury In The Hospital: Implications For Patient Safety Programs And Providers, J Rush Pierce Jr, M Shirley, E F. Johnson, H Kang

Hospital Medicine

Objective: Identify factors that predict fall-related injury in hospitalized adults. Design: Retrospective cohort study. Setting: 435-bed university hospital. Participants: Inpatients with reported falls in 2010. Results: Medical records were available for 286/293 (98%) of reported falls in 251 patients. 25% (63/286) of falls were associated with injury, 4% (11/286) with serious injury. Compared to all fallers, patients with injury did not differ by gender or age. In univariate analysis, patients who reported hitting their head, had pre-fall confusion, or who received narcotics within 24 hours before falling were more likely to suffer injury (estimated odds ratios 6.04, 2.00 and 5.1, …