Digital Commons Network^™

Identifying Barriers To Implementing Guidelines For Monitoring Metabolic Syndrome In Patients Prescribed Second-Generation Antipsychotics In Incarcerated Populations, Carol-Ann Margaret Cenac

Yale School of Nursing Digital Theses

Individuals with serious mental illness (SMI) have increased rates of cardiovascular disease (CVD) and mortality. Also, the evidence indicates that second-generation antipsychotics (SGAs, a conventional treatment) increase the risk of metabolic syndrome (MetS) often leading to weight gain, cardiovascular disease (CVD) and type 2 diabetes (DM 2). U. S. correctional institutions, faced with increased rates of mental illness in its population, are confronted with the need to assure adequate monitoring for its patients treated with SGAs. This paper reviews guidelines for monitoring incarcerated patients to ensure early intervention that can improve clinical outcomes. Characteristics of the incarcerated population and institution-related …

Identifying Barriers To Implementing Guidelines For Monitoring Metabolic Syndrome In Patients Prescribed Second-Generation Antipsychotics In Incarcerated Populations, Carol-Ann Margaret Cenac

Yale School of Nursing Digital Theses

Individuals with serious mental illness (SMI) have increased rates of cardiovascular disease (CVD) and mortality. Also, the evidence indicates that second-generation antipsychotics (SGAs, a conventional treatment) increase the risk of metabolic syndrome (MetS) often leading to weight gain, cardiovascular disease (CVD) and type 2 diabetes (DM 2). U. S. correctional institutions, faced with increased rates of mental illness in its population, are confronted with the need to assure adequate monitoring for its patients treated with SGAs. This paper reviews guidelines for monitoring incarcerated patients to ensure early intervention that can improve clinical outcomes. Characteristics of the incarcerated population and institution-related …

Team-Based Care To Support Physiologic Birth: A Review Of Literature, Annemarie Heath

Yale School of Nursing Digital Theses

Abstract

Introduction: Physiologic birth practices support the normal processes of childbirth, are associated with improved outcomes, and can prevent unnecessary intervention. Defensive maternity practice contributes to the overuse of medical interventions and decrease in physiologic birth practices. Team-based maternity care has been studied as a method to improve safety through improved communication and teamwork skills. The purpose of this literature review was to explore whether team-based care can be used as a strategy to promote physiologic birth through decreasing defensive maternity practices.

Methods: The search engines OVID, CINAHL, Pub Med, Google Scholar and the Cochrane Library were used to identify …

Srs Feature: Two Stars From The Other Side Of The Globe Explore Globe To Chart Their Futures, C. Ralph Adler, Globe U.S. Coordination Office

Publications and Media

No abstract provided.

Immunohistochemical P21 Expression In Breast Cancer: Association With Patient And Tumour Characteristics, Benjamin N. Njihia

Master of Medicine in General Surgery

Introduction: Molecular characterisation of the breast cancer has allowed for targeted therapies that are improving outcomes. The gains achieved by these treatments have fuelled the search for other targets, including cyclin-dependent kinase inhibitors such as p21. p21 expression in breast cancer has been shown to be variably associated with clinical and pathological parameters in different populations. It is possible that either methodological or biological differences underlie these variations. Objective: The current study sought to determine the association of p21 expression and clinico-pathological parameters in breast cancer patients at the Aga Khan University Hospital in Nairobi, Kenya. Methods: Clinically annotated tissue …

Molecular-Level Design Of Nanoscale Environments For Enhanced Single-Molecule Sensing, Julie Christine Whelan

Open Access Dissertations

Single molecule studies depend upon precise control over the chemical and physical structure of the nanoscale sensing instrumentation and environment, and this demand is particularly stringent in the case of nanopores, a unique tool for single-molecule sensing and manipulation. The size and shape of the nanopores are critical to their function, and each facet, alone, presents experimental hurdles; this dissertation contains an approach to address both, simultaneously. A method for electroless deposition of gold onto solid-state silicon nitride nanopores has been developed to provide a foundation for precision tailoring of surface properties and nanopore size to study single analyte molecules …

A Study Of Chinese Consumer Preferences For Sustainably Farmed Seafood, Chao Zou

Open Access Dissertations

Sustainable seafood programs have developed and evolved for approximately two decades as a market-based mechanism to complement the traditional “command and control” fishery management scheme. In some cases, they have successfully incentivized fishmen/fish farmers around the world to implement more environmentally sustainable production practices. It is not a perfect system capable of solving every fishery management issue immediately, but it is unequivocally one of the most promising mechanisms to slow down the degradation of wild fishery stocks or reduce environmental impacts from aquaculture, while improving the resilience of coastal fishery communities. As wild fishery stocks continue to decline, aquaculture production …

Challenging And Supportive Factors Encountered By Underrepresented Minority Doctoral Students In Science, Technology, Engineering, And Mathematics, Tessy Tatiana Pumaccahua

Open Access Dissertations

The purpose of the present study was to examine the supportive and challenging factors underrepresented minority students encounter in an academic setting as they obtain doctoral degrees in STEM disciplines. The study also explored the impact of students’ multiple social identities on their educational experiences, as well as the recommendations these students would provide to incoming doctoral students of color in STEM. Participants in this study consisted of 12 self-identified students from underrepresented minority backgrounds enrolled in STEM doctoral degree programs at predominately White institutions in the U.S.. Qualitative methods were utilized in this study. Specifically, the data was obtained …

Tradition And Progress: California Fire Technology Directors Beliefs And Values, Rodney A. Slaughter

Theses and Dissertations

This study explores the basic assumptions, beliefs, and occupational values of California Fire Technology Directors as they influence and socialize the next generation of firefighters entering the fire service. Definitions of industry culture, occupational culture, and organizational culture were applied to the fire service as well as the influence that heritage, traditions, values, meaning, and context play in the socialization process. Research methodology included emic and etic data collection techniques that documented the opinions and observations of the study group. Data from the Organizational Culture Assessment Instrument (OCAI) along with descriptive data collected during an ethnographic interview provides a window …

Prediction Of Local Quality Of Protein Structure Models Considering Spatial Neighbors In Graphical Models., Woong Hee Shin, Xuejiao Kang, Jian Zhang, Daisuke Kihara

Department of Biological Sciences Faculty Publications

Protein tertiary structure prediction methods have matured in recent years. However, some proteins defy accurate prediction due to factors such as inadequate template structures. While existing model quality assessment methods predict global model quality relatively well, there is substantial room for improvement in local quality assessment, i.e. assessment of the error at each residue position in a model. Local quality is a very important information for practical applications of structure models such as interpreting/designing site-directed mutagenesis of proteins. We have developed a novel local quality assessment method for protein tertiary structure models. The method, named Graph-based Model Quality assessment method …

Nitrate-Rich Beetroot Juice Selectively Lowers Ambulatory Pressures And Ldl Cholesterol In Uncontrolled But Not Controlled Hypertension: A Pilot Study., Conor Kerley, Eamon Dolan, Liam Cormican

Articles

Background Dietary nitrate has been shown to increase nitrate/nitrite levels in multiple populations, with potential blood pressure lowering effects. However, there are few reports among hypertensives. Aims We aimed to assess the effect of daily nitrate in subject with controlled hypertension vs. uncontrolled hypertension. Methods On day 0, hypertensives wore an ambulatory BP monitor (ABPM) for 24h and fasting blood was taken. Subjects then consumed concentrated beetroot juice (12.9mmol nitrate) for 14 consecutive days. On day 14 subjects consumed their last nitrate dose after fasting blood was drawn and again had an ABPM for 24h. Results According to baseline ABPM, …

Carbon Dioxide Sources From Alaska Driven By Increasing Early Winter Respiration From Artic Tundra, Roisin Commane, Jacob Lindaas, Joshua Benmergui, Kristina Luus, Rachel Chang, Bruce Daube, Eugenie Euskirchen, John Henderson, Anna Karion, John Miller, Scot Miller, Nicholas Parazoo, James Randerson, Colm Sweeney, Pieter Tans, Kirk Thoning, Sander Veraverbeke, Charles Miller, Steven Wofsy

Articles

High-latitude ecosystems have the capacity to release large amounts of carbon dioxide (CO2) to the atmosphere in response to increasing temperatures, representing a potentially significant positive feedback within the climate system. Here, we combine aircraft and tower observations of atmospheric CO2 with remote sensing data and meteorological products to derive temporally and spatially resolved year-round CO2 fluxes across Alaska during 2012-2014. We find that tundra ecosystems were a net source of CO2 to the atmosphere annually, with especially high rates of respiration during early winter (October through December). Long-term records at Barrow, AK, suggest that CO2emission rates from North Slope …

Speaking Truth To Power: Stand-Up Comedians As Sophists, Jesters, Public Intellectuals And Activists, Jillian Belanger

Open Access Dissertations

Stand-up comedians are rhetors who use humor as a rhetorical tool to inform and persuade mass audiences in the classical rhetorical tradition. In this dissertation, I work to recover the rhetorical motives of stand-up comedy, just as rhetoric and composition scholars before me have reread and recovered the legacy of the Sophists. To that end, I align stand-up comedians first with the historical heritage of Sophists and jesters, and then with the more contemporary tradition of public intellectuals and social activists. Using excerpts from stand-up comedy performances, I demonstrate how stand-up comedians are able to persuade and educate with humor. …

Stage Managing Bali Agung: The Possibility Of Hybridity In An Intercultural Production, Susan Fenty Studham

Research outputs 2014 to 2021

This paper explores notions of hybridity within an intercultural large-scale show in Bali, including levels of innovation, synthesized processes, scenery and safety considerations. As the original stage manager, I will discuss the mounting of the show from a technical production perspective, giving attention to the use and management of the stage space and its supporting environments. The focus is on hybridity in the context of the term ‘syncretic theatre’, which “integrates performance elements of different cultures into a form that aims to retain the cultural integrity of the specific materials used while forging new texts and theatre practices” (Lo & …

More Than “Sluts” Or “Prissy Girls”: Gender And Becoming In Senior Secondary Drama Classrooms, Kirsten Lambert, Peter R. Wright, Jan Currie, Robin Pascoe

Research outputs 2014 to 2021

This article examines the relationships between the embodiment of dramatic characters, gender, and identity. It draws on ethnographic data based on observations and interviews with 24 drama teachers and senior secondary drama students in Western Australia. We explore how student becomings in year 12 drama classrooms are mediated and constituted through socially overcoded gender binaries in a dominant neoliberal culture of competitive performativity. We ask the questions: What constructions of femininity and masculinity are students embodying from popular dramatic texts in the drama classroom at a critical time in their social and emotional development? Are these constructions empowering? Or disempowering? …

Genetic Variability Within Seagrass Of The North West Of Western Australia: Report Of Theme 5 - Project 5.2 Prepared For The Dredging Science Node, Kathryn Mcmahon, Udhi Hernawan, Kor-Jent Van Dijk, Michelle Waycott, Ed Biffin, Richard Evans, Paul Lavery

Research outputs 2014 to 2021

This study was the first of its kind to examine the patterns of genetic diversity in seagrasses in the Pilbara region of WA. Three species were assessed: Halophila ovalis (6 populations), Halodule uninervis (8 populations) andThalassia hemprichii (3 populations) at a range of spatial scales, within a meadow (centimetres−metres), among meadows at a local scale (2−60 km) and among meadows at a regional scale (up to 500 km). Due to the varied distribution of species all species across the same spatial scale and range of environments could not be sampled, so a nested approach was designed, with sites …

Outcrop Mapping Using Unmanned Aerial Systems And Modeling Of The Shannon Sandstone In The Powder River Basin, Emily Grace Sundell

Theses and Dissertations

Mapping steep outcrops by hand is dangerous, time consuming and gathering images parallel to a cliff face is difficult to nearly impossible. Wyoming has many extensive, steep, surface outcrops that in the subsurface are petroleum-producing formations. The Powder River Basin (PRB) of Wyoming has been a prolific producer of petroleum since the late 1800s, and with continual advances in technology production continues to increase. During the Cretaceous, the PRB was inundated by the Western Interior Seaway. Sand-clay sequences corresponding to transgressions and regressions were deposited and resulted in the Campanian Shannon Member of the Cody Formation. The Shannon Member thickens …

Investigation Of The Multidimensional Well-Being Assessment (Mwa) In A Sample Of African Americans, Gera Anderson

Theses and Dissertations

Existing models and measures of well-being tend to be based on an individualistic, western worldview. In addition, when cross-cultural comparisons are made, diverse cultural groups within the same national border are typically not examined. The Multidimensional Well-Being Assessment (MWA) was developed because of the absence of a culturally relevant measure to assess the well-being of those whose worldview is more consistent with collectivism. Although much attention has been given to detrimental forces in the lives of African Americans, less consideration has been given to assessing well-being in this population. In this study, a nonrandom sample was used to examine the …

The Development Of Therapy Suggestions For Addressing Issues Of Creativity In Individuals Diagnosed With Bipolar Disorder, Sean Agopian

Theses and Dissertations

The aim of the present study was to generate a set of therapy suggestions specifically for use in the treatment of creative individuals diagnosed with bipolar disorder. In order to achieve this end, the author collected information from bodies of literature that focused on three general research areas: (a) the relationship between bipolar illness and creativity, (b) the treatment of bipolar individuals, and (c) psychotherapy treatment of creative individuals. The information gleaned from these three areas was synthesized and used to inform the general treatment suggestions. This study examined several of the existing approaches to the treatment of bipolar disorder …

Cognitive Knowledge, Attitude Toward Science, And Skill Development In Virtual Science Labratories, Mahya Babaie

Theses and Dissertations

The purpose of this quantitative, descriptive, single group, pretest posttest design study was to explore the influence of a Virtual Science Laboratory (VSL) on middle school students’ cognitive knowledge, skill development, and attitudes toward science. This study involved 2 eighth grade Physical Science classrooms at a large urban charter middle school located in Southern California. The Buoyancy and Density Test (BDT), a computer generated test, assessed students’ scientific knowledge in areas of Buoyancy and Density. The Attitude Toward Science Inventory (ATSI), a multidimensional survey assessment, measured students’ attitudes toward science in the areas of value of science in society, motivation …

Evaluating Change In Depression And Well-Being In A Multi-Ethnic Sample Receiving Services Through A Community-Based Outreach And Engagement Program, Melanie Ashfar

Theses and Dissertations

The experience of depression and overall well-being for multi-ethnic individuals is influenced by numerous factors including immigration experience, acculturative stress, English language proficiency, perceived discrimination, and ethnic identity. Multi-ethnic individuals are at a heightened risk for mental health difficulties due to limited access to resources within the community and mental health stigma. Lack of social support and culturally appropriate services magnify this disparity for this population. This study evaluates the impact of the Multi-ethnic Collaborative of Community Agencies (MECCA) Outreach & Engagement (O&E) program, a community-based program that provides culturally-responsive services, support, and resources for marginalized ethnic specific communities. Services …

Best Practices In Adult Online Learning, Autumn Luscinski

Theses and Dissertations

Students in the United States are obtaining more college degrees than ever before. In 1975, 21.9% of Americans held bachelor’s degrees, and in 2012, 33.5% of Americans held bachelor’s degrees (Rampell, 2013). A study in 2011 indicated that Americans possessing a bachelor’s degree earn approximately $2.27 million, those with master’s degrees earn $2.67 million and those with doctoral degrees earn $3.65 million over their adult lifetime, dwarfing those with some college, who earn $1.55 million, or no college, who earn $1.30 million (Burnsed, 2011). Unfortunately, the increase in college degree attainment in the United States does not include all Americans. …

Best Leadership Practices Of Turnaround K-12 Administrators, Etame Henri R. Same

Theses and Dissertations

Leadership as organizational practice and its study as a phenomenon have been traced to the beginning of civilization. In the landscape of the 21st century, executives who lead their companies to thrive in the global economy are challenged to have and effectively apply a broad range of leadership skills in their daily work in a constantly changing environment. They have to continuously adapt their behaviors and those of their organizations in order to develop a corporate culture and sustain their competitive edge. Change once was episodic; deliberate, planned, and executed. But in today’s turbulent environment, change is constant and the …

International Economic Law, Gender Equality, And Paternity Leave: Can The Wto Be Utilized To Balance The Division Of Care Labor Worldwide?, Taylor Stoneman

Emory International Law Review

Women and men have never been treated equally when it comes to the division of care labor worldwide, and international law replicates this inequality. While women are more empowered now than ever before, women still bear the primary responsibility for caring for children and performing housework. In order to combat global gender inequality, international law must embrace more gender-neutral standards. One way to do so is to link labor to trade through the World Trade Organization, incorporating gender-neutral labor standards in a way that imposes substantive obligations on Member States. As a result, the imposition of paid paternity leave at …

Using The Federal Public Trust Doctrine To Fill Gaps In The Legal Systems Protecting Migrating Wildlife From The Effects Of Climate Change, Hope M. Babcock

Georgetown Law Faculty Publications and Other Works

Not unlike before the biblical flood, the world stands on the brink of catastrophe awaiting rescue by a virtual ark. The most vulnerable to this looming catastrophe are the world’s wildlife. Changes in global temperature and precipitation as well as sea level rise and acidification of the ocean are already affecting wildlife by limiting the availability and quality of habitat and the abundance of prey, and by increasing predation and disease. Sea level rise and unstable storm patterns threaten coastal wildlife, while changing precipitation and temperature patterns are drying out habitat, making some habitat more susceptible to wildfires, and other …

Addressing Cultural Bias In The Legal Profession, Debra Chopp

Articles

Over the past two decades, there has been an outpouring of scholarship that explores the problem of implicit bias. Through this work, commentators have taken pains to define the phenomenon and to describe the ways in which it contributes to misunderstanding, discrimination, inequality, and more. This article addresses the role of implicit cultural bias in the delivery of legal services. Lawyers routinely represent clients with backgrounds and experiences that are vastly different from their own, and the fact of these differences can impede understanding, communication, and, ultimately, effective representation. While other professions, such as medicine and social work, have adopted …

From Elements To Function: Toward Unifying Ecological Stoichiometry And Trait-Based Ecology, Cedric L. Meunier, Maarten Boersma, Rana El-Sabaawi, Halvor M. Halvorson, Emily M. Herstoff, Dedmer B. Van De Waal, Richard J. Vogt, Elena Litchman

Faculty Publications

The theories developed in ecological stoichiometry (ES) are fundamentally based on traits. Traits directly linked to cell/body stoichiometry, such as nutrient uptake and storage, as well as the associated trade-offs, have the potential to shape ecological interactions such as competition and predation within ecosystems. Further, traits that indirectly influence and are influenced by nutritional requirements, such as cell/body size and growth rate, are tightly linked to organismal stoichiometry. Despite their physiological and ecological relevance, traits are rarely explicitly integrated in the framework of ES and, currently, the major challenge is to more closely inter-connect ES with trait-based ecology (TBE). Here, …

Effect Of Fuel Deposition Rate On Departure Fuel Load Of Migratory Songbirds During Spring Stopover Along The Northern Coast Of The Gulf Of Mexico, Frank R. Moore, Kristen M. Covino, William B. Lewis, Theodore J. Zenzal Jr., Thomas J. Benson

Faculty Publications

Migrants are generally assumed to minimize their overall migration time by adjusting their departure fuel loads (DFL) in relation to anticipated and experienced fuel deposition rates (FDRs). We utilized a 21-yr long migration banding station dataset to examine the relationship between FDR and DFL during spring migration in six Nearctic-Neotropical migratory songbird species during stopover along the northern coast of the Gulf of Mexico (GOM) following trans-gulf flight. Estimates of fuel stores, stopover durations, and FDRs from our long term migration data set were combined to determine DFL. We expected and found that migrants across all six species adjust their …

A New Remedy For Junk Science: Article 11.073 And Texas's Response To The Changing Landscape In The Forensic Sciences., Trevor Rosson

St. Mary's Law Journal

Abstract Forthcoming.

Does Personality Similarity In Bottlenose Dolphin Pairs Influence Dyadic Bond Characteristics?, Kelsey R. Moreno, Lauren Highfill, Stan A. Kuczaj

Faculty Publications

Social structures are critical to the success of many species and have repercussions on health, well-being, and adaptation, yet little is known about the factors which shape these structures aside from ecology and life history strategies. Dyadic bonds are the basis of all social structures; however, mechanisms for formations of specific bonds or patterns in which individuals form which types of bonds have yet to be demonstrated. There is a variety of evidence indicating personality may be a factor in shaping bonds, but this relationship has not been explored with respect to bond components and is yet to be demonstrated …