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2017

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Ellen White, Health, And The Third Angel’S Message: Part 1–Improving Health Through Reducing Transmissible Diseases, Warren A. Shipton Jan 2017

Ellen White, Health, And The Third Angel’S Message: Part 1–Improving Health Through Reducing Transmissible Diseases, Warren A. Shipton

Journal of the Adventist Theological Society

"A systematic approach to Ellen White’s statements on health, particularly in the physical realm, has shown that her words need not be misunderstood and are as sound today as when they were given. She conveyed a profound sense of reverence for God’s word and His instructions on health. Her statements were meant to amplify the principles contained in the Scriptures. I could find no evidence of deficiency in either source. The claim that modern science has discounted her views on such things as leprosy114 is inaccurate. White was more aware of things happening in her day than some modern-day writers …


Development Of Health Education Materials To Prevent Sexually Transmitted Infections Among University Of Southern Maine Students, Lily Parenteau Jan 2017

Development Of Health Education Materials To Prevent Sexually Transmitted Infections Among University Of Southern Maine Students, Lily Parenteau

Muskie School Capstones and Dissertations

The purpose of this project was to develop health education materials that can be used to educate college students about the risks, symptoms, and prevention measures associated with chlamydia and gonorrhea infections, as well as provide information about current disease information in the state of Maine.


Foodborne Illness Risk Factor Study: Phase Iii, Brianna Nalley Jan 2017

Foodborne Illness Risk Factor Study: Phase Iii, Brianna Nalley

Muskie School Capstones and Dissertations

According to the Centers for Disease Control & Prevention (CDC), every one in six Americans contracts a foodborne related illness, and more than half of those foodborne related illnesses are affiliated with restaurants (2013). This study focuses on the risks of foodborne related illnesses for Portland, Maine and the identification of the five most violated inspection items by local restaurants. Based on the data analysis and literature review, it is recommended that the City of Portland conduct trainings and advanced certifications around food safety protocols for local restaurants. Evidence shows that repetition of food safety education is the most successful …


A Secondary Analysis In Support Of The Community Health Needs Assessment For Oasis Free Clinics, Jillian Wheeler Jan 2017

A Secondary Analysis In Support Of The Community Health Needs Assessment For Oasis Free Clinics, Jillian Wheeler

Muskie School Capstones and Dissertations

Oasis Free Clinics offer free medical and dental services to uninsured, low income adults living in Sagadahoc County, Maine (with the exception of the town of Richmond) and the towns of Brunswick, Freeport, and Harpswell in Cumberland County and Durham in Androscoggin County. Oasis has filled a critical need in providing affordable health care to the working poor with the absence of Medicaid expansion in the state of Maine. The clinic offers wellness checks, women's wellness, prenatal care, chronic disease management, limited mental health counseling, a prescription assistance program and dental care.

Oasis Free Clinics will conduct a Community Health …


The Effects Of Tca Cycle Mutations On The Virulence Of Vibrio Aguillarum Strains M93sm And Nb10sm, Edward Spinard Jan 2017

The Effects Of Tca Cycle Mutations On The Virulence Of Vibrio Aguillarum Strains M93sm And Nb10sm, Edward Spinard

Open Access Dissertations

Vibrio anguillarum is an extracellular bacterial pathogen that is a causative agent of vibriosis in finfish and crustaceans. Mortality rates range from 30% to 100% and systemic infection usually causes fish to die within 1-4 days of initial infection. The primary routes of infections are through the skin, gills and intestines. Chemotactic motility and the metalloprotease EmpA have been shown to be important virulence factors during the invasion stage while the siderophore anguibactin, flagellin subunits and lipopolysaccharides were shown to be important for persistence in the host during the post-invasion stage. Three secreted proteins that are cytotoxic against epithelial cells …


Prevalence Of Salmonella Spp. Contamination In Hen Egg And Relationship Among Sociodemographic Knowledge And Behavior Of The Egg Consumer In Bangkok Thailand, Pollawat Sriruengsuk Jan 2017

Prevalence Of Salmonella Spp. Contamination In Hen Egg And Relationship Among Sociodemographic Knowledge And Behavior Of The Egg Consumer In Bangkok Thailand, Pollawat Sriruengsuk

Chulalongkorn University Theses and Dissertations (Chula ETD)

Hen egg is the main of protien source in food ingredient and frequently contaminated by Salmonella spp. This research was aimed to study about the prevalence of Salmonella in egg sold in Sukhumvit area and the relationship between socio-demographic knowledge and behavior of the egg consumer in Bangkok, Thailand. This study was collected the egg samples of each grade such as Ordinary, Salmonella free and Chemical free grades that being sold in fresh market or supermarket in Sukhumvit area. Then all samples were isolated to detect Salmonella spp. according ISO6579 method. For the second part to find the relationship between …


Involucrin Expression In Three-Dimentional Cell Culture And Prognostic Parameters Of Canine Cutaneous Squamous Cell Carcinoma (Scc) In Canine Patients And In Ultraviolet Radiation Induced Cultured Cells, Nongnut Assawawongkasem Jan 2017

Involucrin Expression In Three-Dimentional Cell Culture And Prognostic Parameters Of Canine Cutaneous Squamous Cell Carcinoma (Scc) In Canine Patients And In Ultraviolet Radiation Induced Cultured Cells, Nongnut Assawawongkasem

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objectives of this study are 1) to demonstrate the involucrin (INV) expression and prognostic parameters in normal skin and cutaneous squamous cell carcinoma (CSCC), 2) to develop the artificial epidermis in dog and 3) to study the effect of INV expression on pathogenesis of ultraviolet radiation induced CSCC in dog.The first experiment is to determine the protein expression by Immunofluorescence technic (IFC) and mRNA expression of INV,Cytokeratin 10 (CK10), Ki67 and p53 normal skin(n=6) and CSCC (n=6) in dog.The protein expression pattern was demonstrated that INV and CK10 were positive in intra-cytoplasmic pattern in nucleated epidermis. While, intra-nuclear pattern …


Microrna-155 Attenuates Late Sepsis-Induced Cardiac Dysfunction Through Jnk And Β-Arrestin 2, Yu Zhou, Yan Song, Zahir Shaikh, Hui Li, Haiju Zhang, Yi Caudle, Shouhua Zheng, Hui Yan, Dan Hu, Charles Stuart, Deling Yin Jan 2017

Microrna-155 Attenuates Late Sepsis-Induced Cardiac Dysfunction Through Jnk And Β-Arrestin 2, Yu Zhou, Yan Song, Zahir Shaikh, Hui Li, Haiju Zhang, Yi Caudle, Shouhua Zheng, Hui Yan, Dan Hu, Charles Stuart, Deling Yin

ETSU Faculty Works

Cardiac dysfunction is correlated with detrimental prognosis of sepsis and contributes to a high risk of mortality. After an initial hyperinflammatory reaction, most patients enter a protracted state of immunosuppression (late sepsis) that alters both innate and adaptive immunity. The changes of cardiac function in late sepsis are not yet known. MicroRNA-155 (miR-155) is previously found to play important roles in both regulations of immune activation and cardiac function. In this study, C57BL/6 mice were operated to develop into early and late sepsis phases, and miR-155 mimic was injected through the tail vein 48 h after cecal ligation and puncture …


The Progression Of Lyme Disease In The State Of Virginia, Margaret Michel Jan 2017

The Progression Of Lyme Disease In The State Of Virginia, Margaret Michel

Honors Theses

Lyme disease has spread in the United States from the northeast to more southern and western parts of the country. It has been shown that the tick which most often carries the Lyme disease pathogen (Borrelia burgdorferi) in North America, Ixodes scapularis, has also spread to these new areas of concern. In Virginia, the disease has progressed from the eastern shore to the western, more mountainous regions. Through obtaining historical museum specimens of mice from 11 locations in Virginia, we seek to determine whether the Lyme disease causing pathogen, B. burgdorferi, has always been present in …


Hepatitis C Serosorting Among People Who Inject Drugs In Rural Puerto Rico, Ian Duncan, Ric Curtis, Juan Carlos Reyes, Roberto Abadie, Bilal Khan, Kirk Dombrowski Jan 2017

Hepatitis C Serosorting Among People Who Inject Drugs In Rural Puerto Rico, Ian Duncan, Ric Curtis, Juan Carlos Reyes, Roberto Abadie, Bilal Khan, Kirk Dombrowski

Department of Sociology: Faculty Publications

Due to the high cost of treatment, preventative measures to limit Hepatitis C (HCV) transmission among people who inject drugs (PWID) are encouraged by many public health officials. A key one of these is serosorting, where PWID select risk partners based on concordant HCV status. Research on the general U.S. population bySmith et al. (2013) found that knowledge of one's own HCV status facilitated serosorting behaviors among PWID, such that respondents with knowledge of their own status were more likely to ask potential partners about their status prior to sharing risk. Our objective was to see if this held true …


Social Determinants Of Hiv/Hcv Co-Infection: A Case Study From People Who Inject Drugs In Rural Puerto Rico, Roberto Abadie, Melissa L. Welch-Lazoritz, Bilal Khan, Kirk Dombrowski Jan 2017

Social Determinants Of Hiv/Hcv Co-Infection: A Case Study From People Who Inject Drugs In Rural Puerto Rico, Roberto Abadie, Melissa L. Welch-Lazoritz, Bilal Khan, Kirk Dombrowski

Department of Sociology: Faculty Publications

Worldwide there are an estimated 130 million people infected with hepatitis C (HCV), 40 million living with HIV, and between 4 and 5 million co-infected with HIV and HCV (Alter, 2006; Perz, Farrington, Pecoraro, Hutin, & Armstrong, 2004; WHO. AIDS epidemic update, 2004). In Western Europe and the United States, co-infection tends to concentrate among people who inject drugs (PWID) mainly driven by blood contained in shared syringes and contaminated injection equipment (Hahn, Page-Schafer, Lum, et al., 2002; Doerrbecker, Behrendt, Matheu-Gelabert et al., 2013). Epidemiological data shows wide discrepancies in HIV/HCV prevalence among PWID across the world (Bao & Li, …


Predicting Spatial Spread Of Rabies In Skunk Populations Using Surveillance Data Reported By The Public, Kim M. Pepin, Amy J. Davis, Daniel G. Streicker, Justin W. Fischer, Kurt C. Vercauteren, Amy T. Gilbert Jan 2017

Predicting Spatial Spread Of Rabies In Skunk Populations Using Surveillance Data Reported By The Public, Kim M. Pepin, Amy J. Davis, Daniel G. Streicker, Justin W. Fischer, Kurt C. Vercauteren, Amy T. Gilbert

United States Department of Agriculture Wildlife Services: Staff Publications

Background - Prevention and control of wildlife disease invasions relies on the ability to predict spatio-temporal dynamics and understand the role of factors driving spread rates, such as seasonality and transmission distance. Passive disease surveillance (i.e., case reports by public) is a common method of monitoring emergence of wildlife diseases, but can be challenging to interpret due to spatial biases and limitations in data quantity and quality.

Methodology/Principal findings- We obtained passive rabies surveillance data from dead striped skunks (Mephitis mephitis) in an epizootic in northern Colorado, USA. We developed a dynamic patch-occupancy model which predicts spatio-temporal spreading …


Development Of Known-Fate Survival Monitoring Techniques For Juvenile Wild Pigs (Sus Scrofa), David A. Keiter, John C. Kilgo, Mark A. Vukovich, Fred L. Cunningham, James C. Beasley Jan 2017

Development Of Known-Fate Survival Monitoring Techniques For Juvenile Wild Pigs (Sus Scrofa), David A. Keiter, John C. Kilgo, Mark A. Vukovich, Fred L. Cunningham, James C. Beasley

United States Department of Agriculture Wildlife Services: Staff Publications

Context. Wild pigs are an invasive species linked to numerous negative impacts on natural and anthropogenic ecosystems in many regions of the world. Robust estimates of juvenile wild pig survival are needed to improve population dynamics models to facilitate management of this economically and ecologically important invasive species. Despite this critical knowledge gap, to date no successful known-fate study of wild piglet survival (age) has been conducted, due to a lack of appropriate method for this species.

Aims. To aid in locating and tagging neonates, we piloted the use of vaginal implant transmitters (VITs) in adult wild pigs and …


Evidence Of Leptospirosis In The Kidneys And Serum Of Feral Swine (Sus Scrofa) In The United States, K. K. Pedersen, T. D. Anderson, S. N. Bevins, K. L. Pabilonia, P. N. Whitley, D. R. Virchow, T. Gidlewski Jan 2017

Evidence Of Leptospirosis In The Kidneys And Serum Of Feral Swine (Sus Scrofa) In The United States, K. K. Pedersen, T. D. Anderson, S. N. Bevins, K. L. Pabilonia, P. N. Whitley, D. R. Virchow, T. Gidlewski

United States Department of Agriculture Wildlife Services: Staff Publications

Leptospirosis is the most widespread zoonosis in humans worldwide. In the United States, widespread detection of antibodies to leptospirosis have been identified in feral swine (Sus scrofa) with the highest detection of serovars, Bratislava, Icterohaemorrhagiae, and Pomona. Over the past few years, feral swine populations have expanded their geographical range and distribution in the United States with reports in at least 39 of 50 states. Since feral swine serve as reservoirs for serovars that can infect humans, it is important to understand the risk of transmission. In order to learn more about the probability that feral swine shed infectious …


Comparison Of A Micro-Neutralization Test With The Rapid Fluorescent Focus Inhibition Test For Measuring Rabies Virus Neutralizing Antibodies, Todd G. Smith, Amy T. Gilbert Jan 2017

Comparison Of A Micro-Neutralization Test With The Rapid Fluorescent Focus Inhibition Test For Measuring Rabies Virus Neutralizing Antibodies, Todd G. Smith, Amy T. Gilbert

United States Department of Agriculture Wildlife Services: Staff Publications

The rapid fluorescent focus inhibition test (RFFIT) is routinely used in the United States to measure rabies virus neutralizing antibodies (rVNA). RFFIT has a long history of reproducible and reliable results. The test has been modified over the years to use smaller volumes of reagents and samples, but requires a 50 μL minimum volume of test serum. To conduct pathogenesis studies, small laboratory animals such as mice are regularly tested for rVNA, but the minimum volume for a standard RFFIT may be impossible to obtain, particularly in scenarios of repeated sampling. To address this problem, a micro-neutralization test was developed …


High Prevalence Of Angiostrongylus Cantonensis (Rat Lungworm) On Eastern Hawai`I Island: A Closer Look At Life Cycle Traits And Patterns Of Infection In Wild Rats (Rattus Spp.), Susan I. Jarvi, Stefano Quarta, Steven Jacquier, Kathleen Howe, Denzi Bicakci, Crystal Dasalla, Noelle Lovesy, Kirsten Snook, Robert Mchugh, Chris N. Niebuhr Jan 2017

High Prevalence Of Angiostrongylus Cantonensis (Rat Lungworm) On Eastern Hawai`I Island: A Closer Look At Life Cycle Traits And Patterns Of Infection In Wild Rats (Rattus Spp.), Susan I. Jarvi, Stefano Quarta, Steven Jacquier, Kathleen Howe, Denzi Bicakci, Crystal Dasalla, Noelle Lovesy, Kirsten Snook, Robert Mchugh, Chris N. Niebuhr

United States Department of Agriculture Wildlife Services: Staff Publications

The nematode Angiostrongylus cantonensis is a zoonotic pathogen and the etiological agent of human angiostrongyliasis or rat lungworm disease. Hawai`i, particularly east Hawai`i Island, is the epicenter for angiostrongyliasis in the USA. Rats (Rattus spp.) are the definitive hosts while gastropods are intermediate hosts. The main objective of this study was to collect adult A. cantonensis from wild rats to isolate protein for the development of a blood-based diagnostic, in the process we evaluated the prevalence of infection in wild rats. A total of 545 wild rats were sampled from multiple sites in the South Hilo District of east …


Cytolytic Toxin Production By Staphylococcus Aureus Is Dependent Upon The Activity Of The Protoheme Ix Farnesyltransferase, Emily Stevens, Maisem Laabei, Stewart Gardner, Greg A. Somerville, Ruth C. Massey Jan 2017

Cytolytic Toxin Production By Staphylococcus Aureus Is Dependent Upon The Activity Of The Protoheme Ix Farnesyltransferase, Emily Stevens, Maisem Laabei, Stewart Gardner, Greg A. Somerville, Ruth C. Massey

School of Veterinary and Biomedical Sciences: Faculty Publications

Staphylococcus aureus is a medically important pathogen with an abundance of virulence factors that are necessary for survival within a host, including the production of cytolytic toxins. The regulation of toxin production is mediated by the Agr quorum sensing system, and a poorly defined post-exponential growth phase signal independent of Agr. As part of a recent genome wide association study (GWAS) to identify novel loci that alter the expression of cytolytic toxins, a polymorphism in the cyoE gene, which encodes a protoheme IX farnesyltransferase, was identified. This enzyme is essential for processing heme into the electron transport chain for use …


Teaching The Hipaa Privacy Rule: Illustrative Comparisons, Stacey A. Tovino Jan 2017

Teaching The Hipaa Privacy Rule: Illustrative Comparisons, Stacey A. Tovino

Faculty Articles

Twenty years ago, President Clinton signed the Health Insurance Portability and Accountability Act of 1996 (HIPAA) into law. Over the past two decades, the federal Department of Health and Human Services (HHS) has published several sets of rules implementing the Administrative Simplification provisions within HIPAA as well as the Health Information Technology for Economic and Clinical (HITECH) Act within the American Recovery and Reinvestment Act (ARRA). These rules include, but certainly are not limited to, a final rule published on January 25, 2013, governing the use and disclosure of protected health information by covered entities and their business associates (the …


Global Perinatal Nursing Research: Sustainable Development Goals Update, Lynn Clark Callister, Cheryl A. Corbett Jan 2017

Global Perinatal Nursing Research: Sustainable Development Goals Update, Lynn Clark Callister, Cheryl A. Corbett

Faculty Publications

Global health experts suggest that there is an urgent need for research supporting healthcare for childbearing women that is both respectful and evidence-based beyond “too little, too late and too much too soon.” The purpose of this editorial is to describe global perinatal research priorities, provide examples of global collaborative networking and research, identify global perinatal nursing research priorities, and describe exemplary global maternal health nursing research.


Completion Characteristics Of Non-Hispanic Blacks With Tuberculosis And Hiv, Vernard Darrell Green Jan 2017

Completion Characteristics Of Non-Hispanic Blacks With Tuberculosis And Hiv, Vernard Darrell Green

Walden Dissertations and Doctoral Studies

Tuberculosis (TB) and human immunodeficiency virus (HIV) are difficult conditions to manage, in tandem they pose even more challenges to public health programs in identifying coinfection to ensure that all TB cases are treated to completion of therapy (COT). The purpose of this study was to test variables that predicted COT among the HIV/TB coinfected population of non-Hispanic, U.S.-born Blacks alive at the time of diagnosis. Social determinants of health were the theoretical foundation used to guide the study based on data from the Report of Verified Cases of TB (RVCT) between 2009 and 2014. Relationships were tested between ethnic/racial …


Occupational Exposure To Blood And Bodily Fluids Among Health Care Workers, Riyadh Alhazmi Jan 2017

Occupational Exposure To Blood And Bodily Fluids Among Health Care Workers, Riyadh Alhazmi

Graduate Theses, Dissertations, and Problem Reports (ETD)

Health Care workers (HCWS) must handle with a variety of occupational exposure. One significant exposure for HCWS in a hospital and Emergency Medical Services (EMS) providers in out of hospital expose to blood and bodily fluids during the performance of their duties , resulting in concerns regarding transmission of blood-borne pathogens such as hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). To manage the unpleasant effects of exposure to blood and bodily fluids, HCWs including EMS providers and other health care occupations must completely comply with standard precautions (SPs) recommendations and to attend continuing education …


Impact Of Social Support Networks On Level Of Stress And Self-Esteem Among Canadian Immigrants, Jackie Williamson Jan 2017

Impact Of Social Support Networks On Level Of Stress And Self-Esteem Among Canadian Immigrants, Jackie Williamson

Walden Dissertations and Doctoral Studies

Immigration may be an effective survival strategy for individuals from countries involved in war or political unrest.However, the immigration process may exacerbate a number of physical and psychological health symptoms. There are limited data on the health status of new Canadian immigrants, and some social support networks are not formally connected to settlement programs.The purpose of this cross-sectional quantitative study was to assess the level of stress and self-esteem of 400 recent and older immigrants in Canada, and to investigate the impact of social support networks on the mental well-being of recent immigrants.Cultural care and general adaptation theory provided the …


Strategies For Reducing The Effects Of Employee Absenteeism On Organizational Profitability, Marjorie D. Waye Jan 2017

Strategies For Reducing The Effects Of Employee Absenteeism On Organizational Profitability, Marjorie D. Waye

Walden Dissertations and Doctoral Studies

Employee absenteeism is a significant threat to organizational profitability. Finding solutions to mitigate the adverse effects of employee absenteeism on organizational profitability is critical to the success of organizations. The purpose of this case study was to explore the strategies human resource leaders used to mitigate the adverse effects of employee absenteeism on organizational profitability. The conceptual framework was performance prism theory. Data were gathered from in-depth interviews and publicly available organizational documents, including wellbeing program resources and annual investment presentations and Securities and Exchange Commission (SEC) reporting documents. Participants included 4 human resource managers and a third party service …


Initial Findings Of A Medicare Annual Wellness Visit Program, Hesper B. Nowatzki Jan 2017

Initial Findings Of A Medicare Annual Wellness Visit Program, Hesper B. Nowatzki

Walden Dissertations and Doctoral Studies

Despite the emphasis of benefits on preventive health, many older adults are not receiving the recommended age specific, evidence based screenings and vaccinations. The Medicare Annual Wellness Visit (AWV) is designed to address modifiable risk factors with aging adults and close gaps in care not captured in routine office visits. Although a free Medicare benefit to patients, and a reimbursable service to health care providers, participation in the AWV is low nationwide. The purpose of the project is to introduce an AWV program to a rural health clinic in Northwest Illinois that has a population consisting of over 25% of …


Restaurant Management Strategies To Comply With Food Safety Regulations, Dr. Carlos Juan Calcador Jan 2017

Restaurant Management Strategies To Comply With Food Safety Regulations, Dr. Carlos Juan Calcador

Walden Dissertations and Doctoral Studies

The recent economic crisis in Puerto Rico has created decreased health department fiscal capabilities, adding more responsibilities to health department officials in charge of restaurant inspections without adding more operational funds, which in turn led to less regulatory capacity. This situation instigated increased food safety regulation violations, and food safety legislation changes, imposing more economic pressure to restaurant owners, which leads to a lack of restaurant sustainability. The purpose of this case study was to explore strategies six business visionaries, smart entrepreneurs, who have positioned themselves as successful restaurateurs, in the restaurant industry in Puerto Rico. They were key factors …


Determinants Of Hiv Screening Among Adults In New Jersey After Hurricane Sandy, Nathaniel R. Geyer Jan 2017

Determinants Of Hiv Screening Among Adults In New Jersey After Hurricane Sandy, Nathaniel R. Geyer

Walden Dissertations and Doctoral Studies

HIV screening is recommended to destigmatize the condition, prevent partner transmission, and postpone AIDS progression. However, determinants associated with implementation of opt-out HIV screening are not well understood. The purpose of the study was to examine determinants that predicted odds of HIV screening for persons impacted by Hurricane Sandy, and how these factors differed according to demographic characteristics, geographical attributes, health-related quality of life score, access-to-care, and health insurance status. The social ecologic model provided the framework for this multilevel cross-sectional study that included New Jersey data from the Behavior Risk Factor Surveillance System. Bivariate chi-square, simple logistic regression, and …


Safe Quality Food Certification And Producing Safe And Quality Food Products, Adeniyi Adedayo Odugbemi Jan 2017

Safe Quality Food Certification And Producing Safe And Quality Food Products, Adeniyi Adedayo Odugbemi

Walden Dissertations and Doctoral Studies

The food sector accounts for $1 of every $6 in the U.S. economy, with more than $700 billion in revenue every year. However, incidents of food safety and substandard quality continue to rise. Consumers are beginning to mistrust and have lower confidence in the food supply chain. Food manufacturers need to address this issue to remain profitable. One approach includes the introduction of food policy programs that allow for independent auditing and certifications such as the Safe Quality Food (SQF) certification. The SQF certification was established as a rigorous and credible benchmark for food handlers to enforce food safety and …


Relationship Between Caregivers' Quality Of Life And Childhood Tuberculosis In Nigeria, Haruna Ismaila Adamu Jan 2017

Relationship Between Caregivers' Quality Of Life And Childhood Tuberculosis In Nigeria, Haruna Ismaila Adamu

Walden Dissertations and Doctoral Studies

In Nigeria, childhood tuberculosis (TB), a debilitating and deadly disease, is highly prevalent and case reporting is poor due to weak health systems. Globally, children account for at least 10 percent of the TB burden, yet they remain neglected in TB prevention and control efforts. Research studies integrating family and community-centered strategies have been recommended by stakeholders to address the paucity of current local prevention and management strategies for childhood TB. This observational cross-sectional study explored the relationship between caregivers' quality of life (QOL), gender, and socioeconomic status (SES) and the incidence of TB in children aged 0-14 years. Using …


Offender Recidivism: A Quantitative Study Of Motivational Risk Factors And Counseling, Nazak Dadashazar Jan 2017

Offender Recidivism: A Quantitative Study Of Motivational Risk Factors And Counseling, Nazak Dadashazar

Walden Dissertations and Doctoral Studies

The prison system releases over 590,000 inmates annually, adding to the current 5 million ex-offenders on supervised release. The purpose of this study was to explore the problem of increasing recidivism by identifying ex-offenders' dynamic risk and criminogenic need factors using the Level of Service Inventory-Revised (LSI-R), coupled with or without mental health services during reentry in relation to recidivism. This quantitative, nonexperimental, cross-sectional study included data collected from a sample of 128 male recidivist and nonrecidivist federal ex-offenders currently on supervised release, who were recruited during probation office meetings within the South Texas region. Regression analysis yielded statistical significance …


Leadership Strategies For Addressing U.S. Pharmaceutical Drug Shortages And Supply Chain Disruptions, Adrian Grant Scioli Jan 2017

Leadership Strategies For Addressing U.S. Pharmaceutical Drug Shortages And Supply Chain Disruptions, Adrian Grant Scioli

Walden Dissertations and Doctoral Studies

Health care providers in the United States expend more than $400 million in unnecessary direct costs annually managing the effects of widespread drug shortages. Based on the theory of complexity and complex adaptive systems, the purpose of this exploratory multiple case study was to identify the strategies that health care pharmaceutical procurement leaders from the Eastern region of the United States use to address widespread drug shortages. Data were collected from 5 semistructured interviews with pharmaceutical procurement leaders, recorded field notes, and a review of public documents from company websites. Data analysis included deductive and open coding techniques. Emergent themes …