Digital Commons Network^™

Predictors Of Uti Antibiotic Resistance For Female Medicaid Recipients In U.S. Ambulatory Care Settings, Wendy Denise Wiesehuegel

Walden Dissertations and Doctoral Studies

Urinary tract infections are diagnosed in female populations primarily in ambulatory care settings in the United States. Yet, published evidence documents that many of the antibiotics prescribed in these settings are unnecessary, erroneous, or, inappropriately prescribed. Improper management of uncomplicated urinary tract infections in nonpregnant women has resulted in higher morbidity rates due to antibiotic resistance. The purpose of this retrospective observational cohort study was to explore a current national database for associations between nonpregnant American female patients who were exposed to poverty and at risk for urinary tract infection antibiotic resistance in an ambulatory care setting. Krieger's ecosocial theory …

Reflector Magazine, Georgia Southern University, Student Media

Reflector Magazine

• Gnat's Landing: A Place You'll Always Want To Come Back To
• Food For Thought
• A Town For Recovery
• Basics of Birth Control
• Hop Into This Spring's New Trends
• Basics of Birth Control
• Hop Into This Spring's New Trends
• Kratom: The Lesser-Known Herb Fighting for Equality
• Traveling in Your 20's
• Career Tips For College Students
• Paying the Price for Higher Education
• Pros vs. Cons: A Glance at Business vs Liberal Arts Degrees
• Underground Statesboro
• The Art of Fiction: The Importance and Relevance of Political Media

Telemedicine: An Augmentation Strategy To Mitigate The Primary Care Shortage, Kevin Jeffrey Mckinnon

Walden Dissertations and Doctoral Studies

According to the Association of American Medical Colleges, the primary care workforce shortage in 2025 will exceed 46,000 primary care physicians. Healthcare business leaders in Gwinnett County, Georgia have not evaluated the advantages and disadvantages of telemedicine (TM) to mitigate the workforce shortage. The purpose of this qualitative descriptive study was to determine factors primary care physician administrators consider when deciding to implement TM as a potential solution for the growing physician shortage. A purposive sample of 20 primary care physician administrators located in Gwinnett County, Georgia was drawn. The theory of disruptive technology was the conceptual framework. Data collected …

Strategic Law Avoidance Using The Internet: A Short History, Tim Wu

Faculty Scholarship

We are now some twenty years into the story of the Internet's bold challenge to law and the legal system. In the early 2000s, Jack Goldsmith and I wrote Who Controls the Internet, a book that might be understood as a chronicle of some the early and more outlandish stages of the story. Professors Pollman and Barry's excellent article, Regulatory Entrepreneurship, adds to and updates that story with subsequent chapters and a sophisticated analysis of the strategies more recently employed to avoid law using the Internet in some way. While Pollman and Barry's article stands on its own, …

Women And Coronary Artery Disease, Gwendolyn Yvonne Stancell-Smith

Walden Dissertations and Doctoral Studies

Heart disease, including coronary artery disease, affects approximately 42 million women in the United States. Many of those affected are not aware they have the condition. Contributing to the problem is the fact that women are more likely than men to be misdiagnosed and undertreated for heart disease. Morbidity and mortality are high in women affected by heart disease, making the problem important to address. The purpose of this project was to understand the coronary artery or heart disease risk and the treatment for the condition provided for 31 participants at a cardiology service in the Northeast U.S. The project …

Literacy Training In An Urban High School Professional Learning Community, Vicki Sandra Ross-Norris

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore the essence of professional learning experiences shared by teachers who participated in a professional learning community (PLC) at a New York City high school in the South Bronx. Guided by Hord's PLC characteristics and Bruner's constructivism theories, this phenomenological study addressed the research questions of what PLC practices urban high school teachers employ to support the academic-literacy achievement of their students of low social economic status (SES); the role of administration in the PLC process; and the roles of a shared mission, values, vision, norms, and collaborative knowledge on the functioning of …

Examining The Culturally Responsive Teaching Self-Efficacy Of Teacher Candidates In Hawaii, Kathleen Evans

Walden Dissertations and Doctoral Studies

As achievement gaps for indigenous, low SES, and ethnically diverse students widen, teacher education programs in Hawaii continue to be charged with preparing teachers to meet the needs of an increasingly diverse student population. Despite efforts to expand accreditation diversity requirements for teacher education programs, it is unknown whether these programs provide the preparation needed for teachers to develop culturally responsive teaching self-efficacy. Guided by self-efficacy theory, this mixed methods study examined teacher candidates' culturally responsive teaching self-efficacy (CRTSE) beliefs, their relationships with demographic and other variables, and candidates' perceptions of factors that might affect these beliefs. Teacher candidates (N …

Recruitment Strategies For Manufacturers In Northwest Louisiana, Markey W. Pierre

Walden Dissertations and Doctoral Studies

Acquiring information about successful human resources strategies that help to effectively recruit skilled labor is critical for manufacturers. Manufacturing is the backbone of the United States, yet 6 of 10 skilled labor jobs are unfilled because traditional methods and strategies used by human resource leaders to recruit are inadequate. Guided through the lens of strategic human resource management and using the concepts and views of resource-based theory, the purpose of this multiple case study was to explore strategies that manufacturing human resource professionals use to successfully recruit skilled labor in Northwest Louisiana. The data collection for this case study was …

Environmental Relocation Policy As Experienced By One Eastern Missouri Dioxin-Contaminated Community, Susan Annette Olsen

Walden Dissertations and Doctoral Studies

Research on environmental relocation is scant and narrow, focusing on a few aspects of permanent relocation and social impacts of natural disasters. As a result, little is known about the long term social impacts of the Environmental Protection Agency's (EPA) environmental relocation policy. A combined conceptual and theoretical framework of Walter's placeways; Ullberg's disaster memoryscapes; Richardson's remembrance and memorialization; Dynes' social capital; and, Norris, Stevens, Pfefferbaum, Wyche, and Pfefferbaum's work on community resilience guided this phenomenological study with the purpose of better understanding competing and complementary roles of each of these constructs in the context of environmental relocation of one …

Leadership Among Directors Of Social Services At Rehabilitative Healthcare Chains, John Paul Tuanqui Abenojarj

Walden Dissertations and Doctoral Studies

Rehabilitation and healthcare centers (RHCs) provide ongoing care to the elderly and chronically ill. To maximize the quality of this care, RHC staff must be properly trained to respond to patient care crises and communicate across departments. Although researchers have studied the leadership styles, strategies, and interactions of facility administrators and nursing directors, there is a substantial gap in the literature on the leadership styles and strategies employed by directors of social services (DSSs). The aim of this phenomenological study was to address this gap in the research by exploring how DSSs influenced leadership policies, prepared subordinates for crisis intervention …

Student Perspectives Of An Off-Reservation Residential Program, Lucia Rose Mitchell

Walden Dissertations and Doctoral Studies

Navajo students who attend residential schools that are located off the reservation and hours away from their homes, communities, and tribes may experience issues with development of a meaningful cultural identity. The purpose of this study was to better understand and identify key themes related to how Navajo students' cultural identity may be affected while living in an off-reservation residential hall. Phinney's ethnic identity development theory was used to explain the psychosocial process of developing industry and identity in adolescents. The primary research question addressed how former students' experiences of living in an off-reservation residence hall affected their development of …

Overreach And Innovation In Equality Regulation, Olatunde C.A. Johnson

Faculty Scholarship

At a time of heightened concern about agency overreach, this Article highlights a less appreciated development in agency equality regulation. Moving beyond traditional bureaucratic forms of regulation, civil rights agencies in recent years have experimented with new forms of regulation to advance inclusion. This new "inclusive regulation" can be described as more open ended, less coercive, and more reliant on rewards, collaboration, flexibility, and interactive assessment than traditional modes of civil rights regulation. This Article examines the power and limits of this new inclusive regulation and suggests a framework for increasing the efficacy of these new modes of regulation.

Rural Haitian Women's Experiences With Poor Health Through Poverty, Geralda Felix

Walden Dissertations and Doctoral Studies

People living in rural Haiti lack access to basic health care services due to poverty. Rural poverty in Haiti particularly affects women's health because Haiti has had the highest maternal mortality and infant mortality rates in the Americas, in addition to some of the worst health statistics in the Western Hemisphere. The purpose of this phenomenological study was to cultivate a greater understanding of the poverty factors that affect access to health care services specifically among poor women living in rural Haiti. This study was based on the social ecological model for population health development, theorizing that a person's health …

Balancing Career And Family: The Nigerian Woman's Experience, Ngozi Eze

Walden Dissertations and Doctoral Studies

Nigerian women have become more integrated into the workforce, but this integration has led to conflicts between work and family responsibilities. The purpose of this phenomenological study was to explore the lived experiences of Nigerian women regarding challenges and strategies in management and leadership positions in relation to their domestic lives and responsibilities. Liberal and social feminist theory and gendered leadership theory were used as the conceptual framework of the study. The findings of this study came from data obtained from semistructured interviews with 15 Nigerian women in leadership and management positions regarding their perceptions and lived experiences of balancing …

Snack Food Reinforcement During Work And Non-Work Hours Among U.S. Office Workers, Sherise Larks

Walden Dissertations and Doctoral Studies

The current epidemic of overweight and obesity has been partly credited to a growing trend for snacking and sedentary work behaviors. The purpose of this quantitative, cross-sectional survey was to investigate whether the difference between snack food reinforcement during work and non-work hours and work food motives predicted BMI among U. S. office workers. This study was based on the theoretical framework of the individual differences theory, in the context of the behavioral choice theory and reinforcement theory. The independent variables were food reinforcement and food motives; the dependent variable was BMI. Descriptive, correlational, and exploratory analyses were used. The …

Teaching Abroad And Implementing Culturally Appropriate Instructional Practices, Denise Ryan Mason

Walden Dissertations and Doctoral Studies

The increasingly diverse population of the United States is reflected in classrooms across the country. Teachers often struggle with understanding students' cultural differences in the classroom and therefore also struggle with implementing culturally appropriate instructional strategies. The results of this study provide educational leaders with a viable option to enhance intercultural competence for implementing culturally appropriate instructional practices through the experiences gained in teaching abroad programs like Apufram International. This exploratory case study investigated how teaching experiences abroad contributed to implementing culturally diverse instruction in multicultural classroom settings. The multicultural educational theory of Banks was the theoretical framework used for …

Mandated Continuing Education And The Competency Of Illinois Physical Therapists, Denise Lynn Hunter Ethington

Walden Dissertations and Doctoral Studies

Continuing education (CE) mandate laws are passed by states because it is in the public interest. The intent behind the passage of Illinois's CE law for physical therapists is to protect public health and safety through ensuring the competency of providers. However, studies into the impact of mandated CE on competency have been mixed. The problem addressed by this study was whether Illinois's CE law was effective in improving the competency of physical therapists and its impact on patient care. The purpose of this study was to understand what role mandated CE played in developing the competency of physical therapists …

Breaking The Silence: Postpartum Depression Among Reproductive-Aged Women In Akwa Ibom State, Nigeria, Atim Henshaw

Walden Dissertations and Doctoral Studies

Postpartum depression (PPD) is internationally recognized as one of the most prevalent and severe but neglected maternal mental health complications of childbirth. Previous studies have indicated that there is a high burden of disease associated with PPD in both developed and developing countries. However, there remain gaps in the current literature regarding the recognition and management of PPD in remote parts of the developing world. Therefore, the purpose of this study was to understand the perceptions, attitudes, and beliefs of health professionals towards PPD and examine the factors that either facilitated or hindered its recognition and management in a remote …

Challenges To Implementing Differentiated Instruction In Middle School Classrooms With Mixed Skill Levels, Kristin Joy Lunsford

Walden Dissertations and Doctoral Studies

Implementing differentiated instruction in classrooms with students who have mixed skill levels often results in teachers facing many challenges. The purpose of this qualitative case study was to explore social studies teachers' perceptions of the challenges they faced when implementing differentiated instruction in classrooms with mixed skill levels and what teachers perceived they needed to help overcome these challenges. This project study was guided by the conceptual frameworks of constructivism from Piaget and Bruner along with the theoretical framework of Vygotsky's zone of proximal development. The research questions focused on the viewpoints of teachers on implementing differentiated instruction in their …

The Value Of A Collegiate Far Part 141 Jeopardy-Crew Resource Management (Crm)-Simulation Event, Samuel M. Vance

Journal of Aviation/Aerospace Education & Research

This article explores the viability of using a FAR Part 141 collegiate crew resource management (CRM) flight simulator scenario event as a jeopardy event (a graded, syllabus item) in an upper-level professional pilot curriculum course. Ultimately, the objective is to suggest this approach as a value-added curriculum consideration for other collegiate professional pilot programs. The selection of four CRM criteria to be examined was made by the course professor. Using the four principles, the students assembled the grading rubric for their event. The simulator scenario placed students in airspace, geography and weather dissimilar to that in which they were training …

Puerto Rican Women Living With Hiv And Experiencing Intimate Partner Violence, Sharon Danesa Cuba-Rodriguez

Walden Dissertations and Doctoral Studies

Puerto Rican women experience increased risk of bio-psychosocial challenges due to their ethnicity. This phenomenological study examined Puerto Rican HIV-positive women's perceptions of intimate partner violence (IPV), which consists of physical, sexual, verbal, and psychological abuse. Although HIV-positive status and IPV have been a focus of previous research, specific research examining the phenomenological experiences of HIV-positive Puerto Rican women who experienced IPV has not been studied. The basis of the study was feminist intersectionality theory, which supported the process used to explore and understand the essence of the participants' experiences. Feminist intersectionality theory examines intersecting social systems including gender, ethnicity, …

Rural Community Health Needs Assessment Findings: Access To Care And Mental Health, Sabrina Cherry, Ayanna Robinson, Jared Jashinsky, Grace Bagwell-Adams, Michelle Elliott, Marsha Davis

Journal of Social, Behavioral, and Health Sciences

This article highlights the qualitative results from focus groups conducted as part of a Community Health Needs Assessments in two rural Georgia communities. Four 1-hr focus groups were facilitated with 32 community stakeholders. Sessions were audio recorded and transcribed verbatim. Thematic analysis identified two primary themes: mental health and barriers to accessing health care. Focus group participants discussed mental health challenges as they related to substance abuse and suicide. Participants acknowledged barriers to access, including no health insurance, cost, eligibility gaps for government-sponsored programs, the low availability of specialty care, and poverty. Addressing mental health and access to care in …

Modeling Algae Powered Neighborhood Through Gis And Bim Integration, Florina Dutt, Steven Jige Quan, Erik Woodworth, Daniel Castro-Lacouture, Ben J. Stuart, Perry Pei-Ju Yang

Civil & Environmental Engineering Faculty Publications

This paper aims to propose a modeling method for algae powered neighborhoods through GIS-BIM integration. In the first part of the paper, the applicability of different types of algae systems in an urban neighborhood are studied. The various systems of algae provide different strengths and weakness that affect their performance and suitability for given urban scenarios. Through extensive literature review, the variables that affect the performance of the micro-algae in the built environment are identified, with a focus on flat-panel photo bio-reactors and tubular photobioreactors. A previous GIS model for data management, performance analysis and design of the algae systems …

How Bicycling Sharing System Usage Is Affected By Land Use And Urban Form: Analysis From System And User Perspectives, Ahmadreza Faghih-Imani, Naveen Eluru, Rajesh Paleti

Civil & Environmental Engineering Faculty Publications

There is a rapid growth of bicycle-sharing systems (BSS) around the world. Cities are supporting these systems as a more sustainable transport mode for short trips. Given the relatively recent adoption of BSS, there is substantial interest in understanding how these systems impact urban transportation. In this paper, we examine the functioning of the hugely successful New York City CitiBike system. We focus on the interaction of BSS with land-use and built environment attributes and the influence of weather condition and temporal characteristics on BSS usage. Towards this end, CitiBike system is analyzed along two dimensions: (1) at the system …

Heavy Metal Distribution And Groundwater Quality Assessment For A Coastal Area On A Chinese Island, Sha Lou, Shuguang Liu, Chaomeng Dai, An Tao, Bo Tan, Gangfeng Ma, Roman Sergeeyvich Chalov, Sergey Romanovich Chalov

Civil & Environmental Engineering Faculty Publications

Chongming Island is located in the lower Yangtze Estuary in China. Due to the Leachate from a refuse landfill and the hydrodynamics of the Yangtze Estuary, the groundwater environment is particularly complicated on Chongming Island. Field observations were carried out around the landfill disposal site. The groundwater table, temperature, pH, salinity, and dissolved oxygen were measured in the field by portable equipment, and 192 water samples were collected at eight groundwater sites and one surface water site. Through laboratory analysis we found the highest measured concentration of Cr to be 54.07 μg/L, and the measured concentration of Zn was in …

The Influence Of Values On The Intention And Usage Of Mobile Phone Technology:A Case Of Tanzanian Smes, Renatus Mushi, Almar Ennis, Deirdre Lillis, Said Jafari

Conference papers

Mobile phone technology has been relied upon in performing a number of activities in the SMEs. In less developed regions, computing infrastructures are very poor thereby depending highly on mobile phones. The improvement of technology in the mobile phones has seen more applications and services being accessed through them. This gives SMEs, especially in developing countries, a preferable alternative to desktop computing technology. However, to maximise the usability of mobile phone technology in SMEs context, key factors which influence users’ perception on its acceptance need to be explained clearly. This study explains the factors influencing employees’ intentions and use of …

The American Pastoral Tradition And The Stories Of Breece D'J Pancake, Christopher Blackburn

College of Graduate Studies: Theses & Dissertations

In the late twentieth century, Breece Pancake carried on the American pastoral tradition by both featuring and modifying characteristics of early American pastoral literature. Breece Pancake does not directly imitate his predecessors, but instead brings the spirit of the nearly 200-year-old tradition in which he participates to a twentieth-century audience. Part of the enduring relevance of the literature in the American pastoral tradition, including The Stories of Breece D’J Pancake, is that at the heart of these stories is a theme that has defined and continues to shape the American experience: the struggle with living in liminal spaces.

Α-Eleostearic Acid Extraction By Saponification Of Tung Oil And Its Subsequent Polymerization, Amanda Murawski

College of Graduate Studies: Theses & Dissertations

The goal of environmentally sound research is to provide alternatives that are more sustainable and renewable, such as vegetable oil-based polymers, than the current petroleum-based products. Vegetable oil-based polymers have received a lot of attention recently due their multifaceted properties, which are simply achieved by adjusting the monomer or resin composition. The carbon-carbon double bonds in unsaturated oils are ideal reactive sites for the free radical or cationic polymerizations. Most vegetable oils must be modified before polymerization due to the low reactivity of their non-conjugated fatty acid chains. Tung oil (TO) contains ~83% of a triply conjugated fatty acid ( …

Evolutionary Linkage Of Mimetic And Non-Mimetic Color Traits In A Coral Snake Mimicry Complex, John D. Curlis Jr

College of Graduate Studies: Theses & Dissertations

Color polymorphism in aposematic mimicry systems is a perplexing phenomenon for evolutionary biologists, as theoretically the benefits of converging on a model phenotype should constrain the evolution of phenotypic diversity in these systems (i.e., color polymorphism should not occur). Nevertheless, color polymorphism in mimicry systems is prevalent throughout many taxa. In some of these systems, the evolution of color polymorphism results in the existence of non-mimetic morphs, such as those that are cryptic. The case of ground snakes (Sonora semiannulata) is unique in that color polymorphism encompasses both mimetic and cryptic morphs, as well as individual mimetic and …

Variation In Larval Behavior Across The Ecologically Distinct Host Populations Of The Cactophilic Drosophila Mojavensis, Joshua Coleman

Theses

Ecological host shifts likely have a major impact on the evolution of species. The host shift can result in an organism being faced with significant chemical, nutritional, volumetric, and other challenges, which may lead to adaptation. Host shifts can lead to speciation by prezygotic isolation, and even reinforcement through postzygotic isolation. This study looks at behavioral differences in terms of larval activity in populations of Drosophila mojavensis which have experienced host shifts. The mean speed of the four populations of D. mojavensis larvae were measured, and considered in the ecological context. A single nucleotide polymorphism (SNP) DNA library was prepared …