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Leadership Style And Organizational Citizenship Behavior In Community-Based Mental Health Facilities, Paula Ann Lucey

Walden Dissertations and Doctoral Studies

A dramatic and historic evolution has occurred as mental health care has shifted from institutional-based care to community-based care. Framed by the social exchange theory, the purpose of this study was to identify the correlation of the leadership style of supervisors in residential care facilities with the organizational citizenship behavior of the residential care workers. The research questions focused on the correlation between the leadership styles and organizational citizenship behavior (OCB) with a secondary focus specifically on transformational leadership. Residential care workers in 3 states working in 65 facilities within a single organization completed 2 surveys: the Multifactor Leadership Questionnaire …

Culturally Competent Nutrition Counseling And Health Outcomes Of Patients On Emergency Dialysis, Edlyn Geraldine Bustamante

Walden Dissertations and Doctoral Studies

Undocumented end stage renal disease (ESRD) patients in the United States only have access to emergency dialysis. To compensate for the lack of regular dialysis these patients must follow strict renal dietary restrictions. However, nutrition counseling by a dietitian is not part of the renal management of patients on emergency dialysis. The purpose of this quantitative quasi-experimental treatment-control study was to assess how the application of nutritional counseling that is both culturally and linguistically competent affects dialysis frequency and biochemical lab values such as serum potassium, phosphorus, and vitamin D of patients in emergency dialysis. The study was grounded on …

Development Of An Evidence-Based Protocol For The Management Of Acute Vertebral Fragility Fractures, Shannon De Ann Carey

Walden Dissertations and Doctoral Studies

Vertebral fragility fractures are common, affecting approximately 50% of all postmenopausal women and 33% of men over the age of 50, and are the most common type of fracture seen in osteoporosis. The management of vertebral fragility fractures in the acute care setting is lacking in standardization, in the use of evidence-based practice, and in addressing the underlying cause of osteoporosis. The purpose of this project was to develop an evidence-based protocol to standardize the care of the vertebral fragility fracture in the acute care setting. This protocol included patient education, fall risk assessment, screening for osteoporosis, and follow up …

Impacts Of Observing Live Open Heart Surgery On Young Adults' Health Behaviors, Muhammad Musa Qarizadah

Walden Dissertations and Doctoral Studies

Having a heart healthy lifestyle at a younger age is beneficial in reducing the risk of coronary heart disease (CHD) in adulthood and various health education programs for CHD prevention exist to persuade young adults to adopt a heart healthy lifestyle. Little is known, however, about the influence of watching live open heart surgery on young adults' adoption of a heart healthy lifestyle. To address that gap in knowledge, this study was conducted at a health facility in Virginia where students came to observe live open heart surgery. The purpose of the study was to understand whether watching live open …

Effect Of Multiple Skin-To-Skin Experiences On Exclusive Breastfeeding Rates, Joanna Horst Horst

Walden Dissertations and Doctoral Studies

Breastmilk feeding at birth demonstrates short- and long-term medical and neurodevelopmental advantages. Infants who are exclusively breastfed demonstrate less nausea, vomiting, and diarrhea, and they experience less upper respiratory and ear infections than do infants who are not breastfed. One strategy that supports breastfeeding initiation is providing skin-to-skin contact (STS) with mothers and newborns immediately upon birth. The purpose of this project was to evaluate the impact of a second session of STS on the postpartum unit on exclusive breastfeeding rates at discharge. A retrospective comparison design using Swanson's caring model was used to guide the evaluation study that examined …

Characterization Of Staphylococcal Nuclease And Tudor Domain Containing Protein 1 (Snd1) As A Molecular Target In Hepatocellular Carcinoma And Non-Alcoholic Steatohepatitis, Nidhi H. Jariwala

Theses and Dissertations

CHARACTERIZATION OF STAPHYLOCOCCAL NUCLEASE AND TUDOR DOMAIN CONTAINING PROTEIN 1 (SND1) AS A MOLECULAR TARGET IN HEPATOCELLULAR CARCINOMA AND NON-ALCOHOLIC STEATOHEPATITIS

Nidhi Jariwala, PhD

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Integrative Life Sciences

Virginia Commonwealth University, 2017

Devanand Sarkar, M.B.B.S., PhD.

Associate Professor, Department of Human and Molecular Genetics

Virginia Commonwealth University

Richmond, Virginia

SND1, a subunit of the miRNA regulatory complex RISC, has been implicated as an oncogene in hepatocellular carcinoma (HCC). Oncoprotein SND1 regulates gene expression at a post-transcriptional level in multiple cancers including hepatocellular carcinoma (HCC). …

Length Of Stay And Reimbursement Rates For Medicare Patients, Wandella Ezell

Walden Dissertations and Doctoral Studies

Medicare reimbursement rates across the United States have varied by as much as 49-130% across healthcare facilities. Geographic adjustments and severity of medical diagnoses attribute to some dissimilarity; however, the source of longer hospitalization and higher re-admission rates among Medicare patients requires financial consistency. The research encompassed (N = 3000) patients with hypertension as the focus for the study because this is a critical group of Medicare patients with a chronic disease that has been identified as a silent killer. The principal goal that drove this research study was to explain the variations in length of stay for Medicare patients …

The Anatomy Of Cbpr: A Case Study Of Cbpr Implementation For Health Promotion With The Peer Community, Cory R. Cummings

Theses and Dissertations

This case study is a qualitative examination of a health promotion project conducted in collaboration with members of the mental health peer community. More specifically, it explores the community based participatory research (CBPR) implementation process used to conduct this health promotion project to gain a deeper understanding of the mechanisms at work in the implementation process. While there has been considerable attention to the principles that guide CBPR (Braun et al., 2012; Israel et al., 2008; LaVeaux & Christopher, 2009), there remains important work to be done in bridging these principles to implementation; what processes or mechanisms translate these principles …

Welfare Dependency And Work Ethic: A Quantitative And Qualitative Assessment, Yvonne M. Christopher

Browse all Theses and Dissertations

This study examined relationships between work ethic and welfare dependency. The 65-item Multidimensional Work Ethic Profile (MWEP) (Miller, Woehr, & Hudspeth, 2002) and the 28-item MWEP (Meriac, Woehr, Gorman, & Thomas, 2013) with attached socioeconomic surveys were administered to n=338 and n=247 adult subjects, respectively. A negative correlation between the two variables was anticipated, so that as levels of agreement with work ethic increase, reported use of welfare benefits decrease. After running correlation matrices to examine Pearson’s r, hierarchical regressions were conducted, culminating in a model which partially predicts the connection between the variables. Bivariate analyses for the 65-item MWEP …

Extracellular Microvesicles As A Novel Biomarker For Wound Healing, Walid Omran Mari

Browse all Theses and Dissertations

Introduction: Wound healing is a sophisticated dynamic process that involves complex coordination among a variety of resident cells in a suitable extracellular environment. Chronic wounds are defined as wounds that fail to heal within a period of 3 months. Negative pressure wound therapy (NPWT) is a closed suction drainage system is used to enable mass transport of fluid from the body as an adjunct to surgical procedures. (Oasis-ultra) is a triple layer extracellular matrix containing different types of glycosaminoglycans (GAGs) like heparin sulfate, hyaluronic acid and chondroitin sulfate. In addition, it has adhesion molecule such as fibronectin and laminin along …

Detection And Analysis Of Polyurethane Biodegradation Due To Cryptococcus Laurentii, Tyler Jacob Zicht

Browse all Theses and Dissertations

Current United States aircraft are equipped with a multitude of protective coatings on the interior and exterior of the vehicle, ultimately enhancing their ability to ensure a safe and effective mission. Aircraft, over the course of their lifetime, will experience impact, corrosion, weathering, and microbial damage to its defensive structures, rendering it vulnerable to attacks. Damaged coatings are then repaired on the aircraft once detected in inspection or replaced in accordance to the lifecycle of the material on the aircraft. However potentially harmful threats such as bacteria are not considered by the Air Force to be dangerous. Therefore, the purpose …

Amixicile Inhibits Anaerobic Bacteria Within An Oral Microbiome Derived From Patients With Chronic Periodontitis, Kane Ramsey

Theses and Dissertations

Periodontitis is a chronic inflammatory disease caused by pathogenic bacteria residing in a complex biofilm within a susceptible host. Amixicile is a non-toxic, readily bioavailable novel antimicrobial that targets strict anaerobes through inhibition of the activity of Pyruvate Ferredoxin Oxidoreductase (PFOR), a major enzyme mediating oxidative decarboxylation of pyruvate. Our study aimed to evaluate the efficacy of amixicile, when compared to metronidazole, in inhibiting the growth of bacteria present in a microbiome harvested from patients with chronic periodontitis.

Plaque samples were harvested from patients with severe chronic periodontitis and cultured under anaerobic conditions. The microbiomes were grown in the presence …

Exploring The Impact Of Mental Health On Infant Growth In Urban West Bengal, India :: A Retrospective Cohort Study Exploring The Association Of Mental Health Status Of Parents With A Deterioration In Weight For Age Z Score (As An Indicator Of Under-Nutrition) Of Children Under The Age Of 4 In A Cohort Living In An Impoverished Urban Community In West Bengal, India, Noah E.C. Levinson

Theses, Dissertations, and Projects

Underweight malnutrition is considered the underlying contributing factor in 45% of all child deaths worldwide. Employing a retrospective cohort study design, we explored the association of mental illness symptoms of parents with a deterioration in weight for age z score (as an indicator of under-nutrition) of their children under the age of 4 in a cohort living in an impoverished urban community in West Bengal, India. Results, inconsistent with other studies, indicate that the association is not statistically significant among the studied population. The likely explanation is the intensive, multi-faceted nutrition interventions of Calcutta Kids, an organization working for many …

Exploration Of The Use Of Sensory Diets In Occupational Therapy, Allison Hunt, Morganne Peterson, Emily White

Student Research Posters

The purpose of this study was to fill the gap in literature and further examine the use of sensory diets in the field of occupational therapy. This study investigated the use of sensory diets among California occupational therapy practitioners. A mixed-methods design was used to collect data through a SurveyMonkey survey. The survey was sent out to members of the Occupational Therapy Association of California (OTAC) and received 98 respondents within one month. Participants worked among various clinical settings and implemented sensory diets with various client populations. Practitioners reported using terms such as “sensory strategies,” “sensory tools,” and “sensory supports” …

Occupational Therapy In The Intensive Care Unit, Michelle Chan, Kelsie Colombini, Kristen M. Henderson, Courtney Malachowski

Student Research Posters

In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) currently lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, interventions are frequently guided by professional experience and clinical reasoning instead of current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this vision, an extensive review of current literature was conducted and applied to develop an evidence-based clinical …

Government Auditing Standards And Single Audit Developments, 2017/18; Audit Risk Alerts, American Institute Of Certified Public Accountants (Aicpa)

Industry Guides (AAGs), Risk Alerts, and Checklists

No abstract provided.

2017-2018 Nursing Graduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2017-2018 Graduate Student Handbook for the Department of Nursing at Morehead State University.

Interprofessional Collaboration Within Teams Comprised Of Health And Other Professionals: A Systematic Review Of Measurement Tools And Their Psychometric Properties, Julia Jacob, Kobie Boshoff, Rebecca Stanley, Hugh Stewart, Louise Wiles

Internet Journal of Allied Health Sciences and Practice

Background and Purpose: Measuring collaboration within interprofessional teams allows professionals to evaluate their practice, set benchmarks and improve outcomes. In the context of healthcare, most research has focused on teams comprised solely of health professionals, with limited attention given to collaboration between health and other professionals. Given the escalating complexities of healthcare, and the growing need for interprofessional collaborative practice involving team members external to health care, this represents a considerable gap in the literature. Therefore, the purpose of this review was to identify tools that measure collaboration within interprofessional teams comprised of members from health and other disciplines, and …

Implementation Of Competency Based Educational Strategies Into A First-Year Seminar For Interprofessional Healthcare Science Majors, Melissa M. Snyder, Amy Murphy-Nugen, Amy Rose, Gayle Wells, Carol Mackusick

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Introduction: The Health Educators Academy at Western Carolina University was developed by the Dean of the College of Health and Human Sciences. Interdisciplinary fellows in the 2015 HEA focused on competency based education (CBE), which naturally incentivizes collaborative, interdisciplinary and interprofessional work. The 2015 Health Educator Academy Fellows researched healthcare competencies and designed curriculum changes that aligned within these parameters. This article discusses the creation of a first-year, interprofessional healthcare course that emphasizes CBE as well as interprofessional practice. Interprofessional Goals: The 2015 Academy Fellows believed that a collaborative course in the first-year curriculum that builds upon integral …

Perceptions Of Non-University Affiliated Dietetic Internship Program Directors Regarding Education Requirements To Obtain A Master’S Degree As An Entry-Level Dietitian, Abigail Sullivan, Roschelle A. Heuberger

Internet Journal of Allied Health Sciences and Practice

Purpose: The Commission on Dietetic Registration announced that entry-level eligibility requirements to become a registered dietitian would increase to include obtaining a Master’s degree. The objective of this study was to explore perceptions of non-university affiliated dietetic internship program directors regarding proposed education requirements. Methods: Directors participated in a phone survey of structured questions related to the topic. The population of focus was non-university affiliated dietetic internship program directors. Results: Program directors expressed viewpoints of positive, negative, and mixed regarding the increase in education requirements. Diversity and autonomy were among concerns expressed by program directors. Conclusion: The research found that …

Tennessee Highway Safety Office 2016 Annual Report, Tennessee. Department Of Safety & Homeland Security.

Highway Safety Office

No abstract provided.

Using Exogenous Hormone Application To Suppress Axillary Shoot Development In Tobacco, W. Jesse Carmack

Theses and Dissertations--Plant and Soil Sciences

The variability in the number of basal axillary shoots (ground suckers) among all tobacco (Nicotiana tabacum L.) varieties, has increased since the hydroponic transplant production system became the standard. The larger root ball of hydroponically produced transplants compared to traditionally produced transplants potentially generates a difference in the ratio of auxin (inhibits axillary shoot formation) to cytokinin (promotes lateral branching), that induces basal axillary shoot development. Starting in 2014, studies were conducted to investigate whether the addition of synthetic auxins or cytokinins to hydroponic transplant production could prevent ground sucker formation. Different tobacco cultivars, with high or low ground sucker …

The Case For Gmos: Dealing With Clashes Between Property Rights And Health And Safety Concerns, Kline C. Moore

Vanderbilt Journal of Transnational Law

A comparative analysis of international decisions concerning genetically modified organism (GMO) controversies reveals the judicial inconsistency that is often applied to the property rights of GMO producers and researchers. Courts often find that there are strong property right interests in GMOs, but when these rights clash with health and safety concerns, they are often minimized or completely forgotten; therefore, future growth in biotechnology is inhibited. This Note proposes a solution to this issue that better takes into account all stakeholders and allows for future investment and research into GMOs. The solution draws upon the lessons learned from current regulatory and …

Service-Learning: An Interpretive Case Study Of Teachers’ Perspectives And Planning Strategies, Cory Susanne Miller

Theses and Dissertations

This interpretive case study focused on elementary teachers who were implementing a service-learning project in their classroom. Research suggests that service-learning is beneficial for students and is becoming more prevalent in high schools and universities. Current literature, however, provides little evidence for the use of service-learning at the elementary level. The purpose of this study was to explore and gain insight in to how elementary school teachers use service learning and to examine underlying factors that shape and influence how teachers plan for and implement service learning projects. This study aims to provide a planning model to support elementary teachers …

Creating Equitable Access Pathways For All Students In South Carolina? A Study Of Sc International Baccalaureate Diploma Programs, Diane D. Padula

Theses and Dissertations

This case study adds insight to the idea of equitable access as it relates to advanced coursework available to students in public high schools in South Carolina. The International Baccalaureate Diploma Program (IBDP) has become a viable choice since secondary-level magnet programs in SC have taken root for over thirty years. The IBDP originally developed in SC to attract the global elite, however in the recent decade, the IBDP has morphed into a program meant for all students. The concept of IB for All is marketed as a college readiness program within South Carolina IBDP schools. Access is multidimensional; it …

The Decision-Making Process For Individuals At Risk For Hereditary Diffuse Gastric Cancer, Alexa Prose

Theses and Dissertations

Hereditary diffuse gastric cancer (HDGC) is caused by mutations in the CDH1 gene. Individuals who carry mutations in the CDH1 gene have as high as an 80% lifetime risk for gastric cancer. To reduce the high lifetime risk of gastric cancer, CDH1 mutation carriers are recommended to undergo a prophylactic total gastrectomy (TG). Individuals within this at-risk population face a difficult task of deciding whether to have genetic testing for the CDH1 mutation and to have a prophylactic TG. Currently, there is little research that examines the factors influencing decision-making for this population and their specific informational and support needs. …

A Qualitative Exploration Of The Meaning And Understanding Of Male Partner Involvement In Pregnancy-Related Care Among Men In Rural South Africa, Motlagabo G. Matseke, Robert A. C. Ruiter, Violeta J. Rodriguez, Nicole A. Barylski, Stephen M. Weiss, Deborah L. Jones, Karl Peltzer, Geoffrey Setswe, Sibusiso Sifunda

Journal of Social, Behavioral, and Health Sciences

Male partner involvement (MPI) during antenatal care has been promoted as an effective intervention to improve maternal and newborn health outcomes. Although MPI is commonly defined as men attending antenatal clinic visits with their female partner, few men attend antenatal clinic visits in rural communities in the province of Mpumalanga, South Africa. The study aimed to qualitatively explore the meaning and understanding of MPI as perceived by men visiting primary health care clinics in rural communities in Mpumalanga. Six focus groups discussions (n = 53) were conducted, digitally recorded, simultaneously transcribed, and translated verbatim into English. Data were analyzed …

The Relationship Between Physical Fitness And School Performance, Jamie A. Donnelly

Journal of Social, Behavioral, and Health Sciences

Past research has indicated a significant relationship between physical fitness and standardized test scores; however, the relationship between physical fitness and other aspects of school performance has yet to be empirically examined in a population specifically composed of middle school girls. Because girls have a harder time transitioning through the middle school years, they are an important group to study in this context. This study examined several factors that contribute to school success, such as classroom behavior, attendance, and grades, in relation to physical fitness among a group of adolescent girls. It was specifically designed to examine the statistical relationship …

Strafford County 2016 Annual Report Of The Commissioners, Treasurer, Other County Officers And The Strafford County Delegation Strafford County, New Hampshire For The Year Ending December 31, 2016., Stafford County Representatives

Strafford County, NH Annual Reports

This is an annual report containing vital statistics for a county in the state of New Hampshire.

Doing Equity In Bankruptcy, Daniel J. Bussel

Emory Bankruptcy Developments Journal

This intriguing Article by Professor Daniel J. Bussel argues that in some cases a non-debtor's right to specific relief should be treated as a 'claim,' monetized, given pro rata treatment and discharged. Notwithstanding this idea and the text of the Bankruptcy Code, many courts have concluded that an injunction or other equitable remedy is not a 'claim' unless the court's decree can be satisfied by the payment of money under nonbankruptcy law. This Article argues that consistent with the Code's text and policy, injunctions or other forms of equitable relief should be presumptively treated as 'claims,' even if nonbankruptcy law …