Digital Commons Network^™

Strategies To Overcome The Nursing Shortage, Edward A. Mehdaova

Walden Dissertations and Doctoral Studies

Nursing shortage is a growing problem in the healthcare industry as hospital leaders are experiencing difficulties recruiting and retaining nurses. Guided by the PESTEL framework theory, the purpose of this case study was to explore strategies healthcare leaders use to overcome a nursing shortage. Participants were 5 healthcare leaders who have the knowledge and experience in recruitment and retention of registered nurses in a healthcare facility in Seattle, Washington. Data were collected through audio-recorded semistructured interviews and document review of the Hospital Employee Education and Training Program. Data analysis consisted of documenting the data, organizing and categorizing the data, connecting …

Government Rule Compliance, Safety, And The Influence Of Regulation On Railroad Trainmen, Carlos Mendoza, Phd

Walden Dissertations and Doctoral Studies

Operational testing of railroad trainmen on federal government safety rules is a daily occurrence on every railroad in the United States. This constant testing and resulting discipline distracts trainmen from the task at hand, causing a loss of focus which could lead to injury or accidents. Using the social construction framework, this research sought to gain an understanding of trainmen's perception on how operational testing impacts their workplace safety, as well as how they perceive the U.S. federal government influences regulation and discipline. This phenomenological study investigated a segment of railroad employees, the trainmen, because they are operationally tested more …

Students' Perceptions Of Persistence In A Florida Associate Degree Nursing Program, Shivanie Saith

Walden Dissertations and Doctoral Studies

At a community college in Florida, the associate of science in nursing (ASN) program has experienced low persistence rates especially after the first semester of study. Framed by Jeffreys's nursing undergraduate retention and success model, a mixed-method approach was used to investigate first-semester and final-year ASN students' perceptions of factors influencing persistence and successful persistence strategies. In the quantitative sequence, first-semester students (N = 95) completed the Student Perception Appraisal-Revised-2 (SPA-R2) survey measuring perceptions of 5 persistence factors (environmental, institutional integration, personal academic, college academic, and friend support persistence). ANOVA and t tests were conducted by age, gender, language, ethnicity, …

Factors Associated With Provider Utilization Of The Heath Information Exchange In The State Of Hawaii, Kris K. Wilson

Walden Dissertations and Doctoral Studies

In a context where technology is increasingly being incorporated into health care practice, many U.S. health care providers and organizations are finding it challenging to connect disparate electronic documentation systems to retrieve patient information when coordinating care across providers and heath care entities. Local and regional health information exchange (HIE) systems were created to facilitate collecting information into one integrated patient record to address information transfer between heath care providers. Yet, adoption and use of HIEs have been low. The purpose of this study was to review the predictive factors accounting for physicians' use of a HIE in the U.S. …

Factors Influencing African American Women To Undergo/Forego Reconstruction After Mastectomy, Senetta Jean Hunt

Walden Dissertations and Doctoral Studies

The factors associated with the decision of African American women to undergo/forego breast reconstruction after mastectomy has not been well researched. The purpose of this quantitative, correlational study was to determine the extent to which certain factors (age, religion, confidence level, and education) were associated with the decision to forgo or undergo breast reconstruction after mastectomy among African American women. Using the social-cognitive theory as the framework, the study focused on the decision-making process regarding breast reconstruction after mastectomy among African American women in Florida. The research questions for this study were to determine to what extent age, religion, confidence …

Special Education Teachers' Voices On Co-Planning In A Suburban School District, Corinne Jeffers

Walden Dissertations and Doctoral Studies

Limited co-planning between special education and general education co-teaching partners has been documented in professional literature as a significant problem. Special education teachers do not adequately co-plan for the implementation of accommodations for students with disabilities educated in the general education classroom. The purpose of this study was to collect and analyze the perceptions of special education teachers in one suburban elementary school district in the United States regarding co-planning with regular education teachers. The theory of self-efficacy was utilized as the conceptual framework to understand how teachers' beliefs and experiences influenced planning and goal setting for special education students. …

Responsibilities Of General And Special Education Teachers Serving Students With Learning Disabilities, Antonia Lynn Kittrell

Walden Dissertations and Doctoral Studies

Third-grade students in a small rural school district in North Carolina are not meeting reading benchmarks on End-of-Grade Tests. Parents and educators have concerns regarding the service delivery plan for students with disabilities who have deficits in reading. The purpose of this qualitative study was to examine the roles and responsibilities of special education and general education teachers in relation to Common Core Reading Standards instruction for students with disabilities. Vygotsky's theory of social constructivism and concept of the zone of proximal development formed the conceptual framework for the exploration of how students' academic needs are met with appropriate support …

The Role Of Humility In Promoting Forgiveness Through Expressive Writing, Henrika M. Marshall-Youquoi

Walden Dissertations and Doctoral Studies

Forgiveness is an important characteristic of a healthy relationship. Several factors have been shown to be connected to forgiveness, but other factors may play a significant role in the forgiveness process. Little is known about how humility affects forgiveness in the context of an interpersonal conflict. Expressive writing, when combined with humility, may help counselors and other mental health providers in understanding how to better foster forgiveness among individuals and help them cope with stressful events and relational problems. The primary purpose of this study was to examine whether expressive writing involving humility regarding a minor offense leads to increased …

Patterns Of New Physical Problems Emerging In Long-Term Care Residents With Dementia, Christine R. Kovach, Julie L. Ellis, Crystal-Rae Walton

College of Nursing Faculty Research and Publications

Individuals receiving skilled nursing care have multiple comorbid conditions that impact comfort and resource use. The current study describes variations in the trajectories of new physical problems emerging over 8 weeks and the predictive value for future health and behavior in a sample of 72 residents with dementia. Residents had two to 37 new physical problems occurring over 8 weeks. Sixty-five percent of the sample had five or more new problems and were identified by three unstable trajectories. Common problems, illnesses, and symptoms accounted for 28.2% of the variance in subsequent new physical problems (p < 0.001) and 25.7% of the variance in subsequent agitation (p < 0.001). This study found more new problems than earlier studies that only examined new acute illness. Findings suggest a higher intensity of need for skilled assessment and treatment than may be available in many long-term care organizations.

2017-2018 Graduate Bulletin, Rochester Institute Of Technology

RIT Digital Archives

No abstract provided.

2017-2018 Undergraduate Course Descriptions, Rochester Institute Of Technology

RIT Digital Archives

No abstract provided.

Surgical Treatment Of Pulmonary Arteriovenous Malformations, Pinar Biçakçioğlu, Seli̇m Şaki̇r Erkmen Gülhan, Ebru Sayilir, Hakan Ertürk, Yetki̇n Ağaçkiran, Sadi̇ Kaya, Nuretti̇n Karaoğlanoğlu

Turkish Journal of Medical Sciences

Background/aim: Pulmonary arteriovenous malformations (PAVMs) are direct communications between the branches of pulmonary arteries and veins. This study evaluates surgically treated cases of pulmonary arteriovenous malformations. Materials and methods: We retrospectively examined 41 cases of PAVM that were operated in our clinic between 1995 and 2012. We obtained the clinical, radiological, and surgical data of the patients from their files. Results: The 41 cases comprised 27 males and 14 females. Their mean age at diagnosis was 39.8 years (range: 9-71). The symptoms were hemoptysis in 28 cases, dyspnea in five, cough in three, and epistaxis in two; three patients were …

Assessment Of Plasma Amino Acid Profile In Autism Using Cation-Exchange Chromatography With Postcolumn Derivatization By Ninhydrin, Mona Mohamed Zaki, Hala Abdel-Al, Mohamed Al-Sawi

Turkish Journal of Medical Sciences

Background/aim: Autism is a heterogeneous neurodevelopmental disorder. This study aimed to assess the clinical significance of amino acid profile assay in autism using cation-exchange chromatography with ninhydrin postcolumn derivatization. Materials and methods: This study included 42 autistic children and 26 apparently healthy children. All participants were subjected to the assay of plasma amino acids (essential, nonessential, and nonstandard) using cation-exchange chromatography with postcolumn derivatization by ninhydrin. Results: The levels of most of the essential amino acids were significantly lower in autistic children than controls. As regards nonessential amino acids, significantly lower levels for plasma cysteine, tyrosine, and serine and significantly …

A Descriptive Study Of Adherence To Lifestyle Modificationfactors Among Hypertensive Patients, Fadwa Alhalaiqa, Ahmad Al-Nawafleh, Abdul-Monim Batiha, Rami Masa'deh, Aida Abd Al-Razek

Turkish Journal of Medical Sciences

Background/aim: Healthy life style recommendations (e.g., physical activity, healthy diet, and decreased cholesterol levels) play an important role in controlling blood pressure (BP). This study aimed to assess lifestyle modification factors among patients diagnosed with hypertension. Materials and methods: A descriptive-survey design was used. Data were collected using four questionnaires; one was the Beliefs about Medication questionnaire (BMQ) and the rest were developed to collect data about demographic and clinical characteristics and lifestyle modification factors. Results: In total 312 questionnaires were completed. The results revealed that our participants did not follow the healthy lifestyle recommendations; for example, the mean blood …

Effect Of Preprandial Consumption Of Cacao Nibs Vs. Pecans On Appetite, Rebecca Borjas, Khadeja Ghaniezadeh, Eunice Tay

Loma Linda University Research Reports

PURPOSE. The purpose of this graduate student research study is to compare the differential effects of cacao nibs and pecans on calorie intake. METHODS. Participants (n=34) were asked to log food intake for three days (Tuesday through Thursday) for three weeks. They were instructed to consume an intervention (cacao nibs or pecans) 15‐30 minutes prior to mealtime with one 8 oz cup of water. During week one, participants were asked to complete questionnaires. During week two they were asked to log their usual intake. During week three, they consumed cacao nibs as intervention. During week four, they consumed pecans as …

Green Synthesis Of Copper Oxide Nanoparticles In Aqueous Medium As A Potential Efficient Catalyst For Catalysis Applications, Waad Mohsen, M. A. Sadek, Hany A. Elazab

Chemical and Biochemical Engineering Faculty Research & Creative Works

In this research, we have developed a reliable green method for the synthesis of copper oxide nanoparticles as a potential efficient catalyst for several catalysis applications. In our experimental approach, microwave-assisted synthesis technique was used in order to perform chemical reduction of copper salt using hydrazine hydrate as a strong reducing agent. The prepared catalyst was characterized using various techniques showing the formation of well dispersed copper oxide nanoparticles. The synthesized Copper oxide catalyst shows many advantages including the use of environmentally benign solvent systems, green synthetic approach, and mild reaction conditions.

Mediating Intimacies Through Mobile Communication: Chinese Migrant Mothers’ Digital ‘Bridge Of Magpies’, Yang Wang, Sun Sun Lim

Research Collection College of Integrative Studies

This chapter introduces a closer investigation of the quotidian routines of mobile communication by Chinese study mothers and their families in their home country, with a particular focus on the contextual constraints that shape their transnational communication practices. It seeks to demonstrate how transnational life situations posed significant constraints on the migrants' expression of intimacies, while also showing that the migrants could be highly creative in circumventing these contextual limitations. Similar to the romantic Chinese legend of the weaver girl and the cowherd who reunite only once a year on a bridge formed by magpies, transnational families who are separated …

Geophysical Interpretation And Static Reservoir Modeling Of Structurally Complex Reservoir, Rg Oil Field Area, Sirte Basin, Libya, Abdalla A. Abdelnabi

Doctoral Dissertations

"Cambrian-Ordovician and Upper Cretaceous reservoir formations are found in the central western Sirte Basin, the main oil producing region in the Sirte Basin, Libya. As a result of changes in sedimentary environments and structural activities, a number of irregularities in reservoir continuity have developed, which negatively affected the overall performance of the reservoir. Effective simulation of such complex reservoirs can be achieved by integrating geophysical, geological, and petrophysical data to construct a reliable full-field static model, which has the potential to simulate the vertical and lateral variations in the reservoir formations. In this study, 2D and 3D seismic data acquired …

Stranglehold Refoulment: Fear Of Constructively Forced Returns Of Burmese Refugees As Consequence Of Thailand's Combined Human Rights Violations, Zach Hudson

Fordham International Law Journal

No abstract provided.

The Culture War: A Look At The Cultural Exception Principle In International Trade Law, Liz Schéré

Fordham International Law Journal

In studying the concepts of trade and culture in the context of international law, it appears at first that the two are at odds: the cultural exception approach vouches for protectionism and national sovereignty while trade defends liberalization and globalization. However, within this distinction lies a misconception. Culture doesn’t necessarily reject trade. The word “exception” does. This study presents and analyzes the notion of cultural exception within the framework of international trade law, specifically examining the legal protections and recourses offered by the World Trade Organization (“WTO”) and alternative treaties and agreements (e.g. Canada-U.S. Free Trade Agreement (“CUSFTA”), United Nations …

Practical Approaches To Cybersecurity In Arbitration, Jim Pastore

Fordham International Law Journal

No abstract provided.

‘Bending To Uniformity’: Eu Financial Regulation With And Without The Uk, Niamh Moloney

Fordham International Law Journal

No abstract provided.

What Is Dead May Never Die: The Uk’S Influence On Eu Company Law, Martin Gelter, Alexandra M. Reif

Fordham International Law Journal

No abstract provided.

The United Kingdom's Contribution To European Union Competition Law, Giorgio Monti

Fordham International Law Journal

No abstract provided.

Brexit And Implications For Privacy, Kurt Wimmer, Joseph Jones

Fordham International Law Journal

No abstract provided.

Maintaining Power By Manipulating Memory In Rwanda, Thomas Kelley

Fordham International Law Journal

No abstract provided.

Mend It, Don't End It: How To Improve Securities Arbitration In The United States By Adopting Best Practices From The United Kingdom And Australia, Alina Gatskova

Fordham International Law Journal

No abstract provided.

Through The Lens Of The Reviewer: Information Literacy, An Lms, And Peer Review, Wendi M. Kappers

Publications

This research paper describes the use of peer review to improve information literacy. Peer-reviewed assignments for learning have been seen favorably within the literature. The articulated benefits range from students feeling more engaged, having expressed less anxiety, or found to be better equipped to perform in unfamiliar areas outside their current learning environments. However, minimal research examines the benefits specifically for the feedback provider (reviewer) when a more modern tool, such as the Canvas Learning Management System (LMS) is used. During the fall 2015 semester, a study was conducted to examine the peer review process from the vantage point of …

Modal Based Bga Modeling In High-Speed Package, Shuai Jin

Doctoral Dissertations

"In the Section 1, the improved "Root-Omega" method for extracting dielectric properties from fabricated multilayer printed circuit boards is proposed. Based on the electrical properties of fabricated transmission lines, the improved "Root-Omega" method applied to cases with smooth and rough conductors is validated using simulations. Error sensitivity analysis is performed to demonstrate the potential errors in the original "Root-Omega" procedure and the error sensitivity is significantly reduced by the proposed improvements.

In the Section 2, a fast modal-based approach is developed to accurately and efficiently capture the proximity effect. Image theory is also applied in the proposed approach to reduce …

Efficient Algorithms For Analyzing Large Scale Network Dynamics: Centrality, Community And Predictability, Sima Das

Doctoral Dissertations

"Large scale networks are an indispensable part of our daily life; be it biological network, smart grids, academic collaboration networks, social networks, vehicular networks, or the networks as part of various smart environments, they are fast becoming ubiquitous. The successful realization of applications and services over them depend on efficient solution to their computational challenges that are compounded with network dynamics. The core challenges underlying large scale networks, for example: determining central (influential) nodes (and edges), interactions and contacts among nodes, are the basis behind the success of applications and services. Though at first glance these challenges seem to be …