Digital Commons Network^™

Developing And Validating Learning Domains, Competencies, And Evaluation Items For Global Health Clinical Immersion Practicums For Graduate-Level Nursing Programs, Tracy Kelly

Yale School of Nursing Digital Theses

Aim: To identify and validate learning domains, competencies, and evaluation tool for experiential nursing global health programs at the graduate level.

Background: Standard competencies have not been synthesized and delineated nor have evaluation tools been developed for global health programs at the graduate level.

Design: An integrative review of the literature to identify evidence-based learning domains, competencies, and evaluation items and expert consensus panels to validate the results.

Method: Used the Whittemore and Knafl (2005) integrative literature review methodology to identify learning domains, competencies, and evaluation items. The NLM and CINAHL databases were searched for articles relevant to graduate-level global …

Developing A Next Generation Strategic Structure For Sustainable Safety Culture: Utilizing "Leading A Culture Of Safety: A Blueprint For Success", Kami Rapp

Yale School of Nursing Digital Theses

During the first generation of patient safety, healthcare leaders began to learn about, assess, and try to improve their organization’s safety culture. However, they never developed or agreed upon an evidenced-based tool containing proven strategies to improve safety culture (NPSF, 2015). Though they were successful in making incremental steps toward improvement, safety is not currently an organizational value completely embedded within the healthcare industry (ACHE & NPSF LLI, 2017). As such, the National Patient Safety Foundation’s Lucian Leape Institute, a part of the Institute for Healthcare Improvement, partnered with the American College of Healthcare Executives to write “Leading a Culture …

Adolescent Prep Administration: An Education Curriculum For Providers, Caroline Carnevale

Yale School of Nursing Digital Theses

Background: On May 15, 2018, the Federal Drug Administration (FDA) approved once daily tenofovir/emtricitabine (TDF/FTC) for use as preexposure prophylaxis (PrEP) for adolescents (weighing greater than 35kgs) engaging in high-risk sexual behavior (Gilead, 2018). This decision was largely based on the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) 113 which demonstrated that PrEP was well tolerated among the adolescents, age 15-17, enrolled in the study (Hosek, 2017). The use of TDF/FTC for PrEP in adults (18 and older) was approved by the FDA in 2012 after its safety and efficacy had been demonstrated in multiple international clinical trials (FDA, …

Novel Methods Of Utilization, Elimination, And Description Of The Distortion Power In Electrical Circuits, Hussein Kamal Anwer Al-Bayaty

School of Engineering, Computing and Mathematics Theses

Firstly, this thesis investigates the electrical power harmonics in an attempt to utilize harmonic current and its distortion power in a novel idea to reconvert the distortion power into useful power. This is done, in order to feed different DC or AC loads in single and three-phase power system by using passive or active filters and accordingly, develop a new topology of hybrid active power filter (HAPF). In addition, this circuit can be considered as a power factor corrector (PFC) because it reduces the total harmonic distortion (THD) and improves the power factor (PF). Secondly, this thesis works on a …

Insulin Resistance Is Higher In Prepubertal Girls But Switches To Become Higher In Boys At Age 16: A Cohort Study (Earlybird 57), Sc Jeffery, Joanne Hosking, An Jeffery, Michael J. Murphy, Linda D. Voss, Terence J. Wilkin, Jonathan Pinkney

Peninsula Medical School

No abstract provided.

Diagnosis Of Lethal Or Prenatal‐Onset Autosomal Recessive Disorders By Parental Exome Sequencing, Karen L. Stals, M Wakeling, Júlia Baptista, Richard Caswell, Andrew Parrish, Julia Rankin, Carolyn Tysoe, Garan Jones, Adam C. Gunning, Allen H Lango, Lisa Bradley, Angela F. Brady, Helena Carley, Jenny Carmichael, Bruce Castle, Deirdre Cilliers, Helen Cox, Charu Deshpande, Abhijit Dixit, Jacqueline Eason, Frances Elmslie, Andrew E. Fry, Alan Fryer, Muriel Holder, Tessa Homfray, Emma Kivuva, Victoria Mckay, R Newbury‐Ecob, Michael Parker, Michael Parker, Claire Searle, Nora Shannon, Deborah Shears, Sarah Smithson, Ellen Thomas, Peter D. Turnpenny, Vinod Varghese, Pradeep Vasudevan, E Wakeling, Emma L. Baple, Sian Ellard

Peninsula Medical School

AbstractObjectiveRare genetic disorders resulting in prenatal or neonatal death are genetically heterogeneous, but testing is often limited by the availability of fetal DNA, leaving couples without a potential prenatal test for future pregnancies. We describe our novel strategy of exome sequencing parental DNA samples to diagnose recessive monogenic disorders in an audit of the first 50 couples referred.MethodExome sequencing was carried out in a consecutive series of 50 couples who had 1 or more pregnancies affected with a lethal or prenatal‐onset disorder. In all cases, there was insufficient DNA for exome sequencing of the affected fetus. Heterozygous rare variants (MAF < 0.001) in the same gene in both parents were selected for analysis. Likely, disease‐causing variants were tested in fetal DNA to confirm co‐segregation.ResultsParental exome analysis identified heterozygous pathogenic (or likely pathogenic) variants in 24 different genes in 26/50 couples (52%). Where 2 or more fetuses were affected, a genetic diagnosis was obtained in 18/29 cases (62%). In most cases, the clinical features were typical of the disorder, but in others, they result from a hypomorphic variant or represent the most severe form of a variable phenotypic spectrum.ConclusionWe conclude that exome sequencing of parental samples is a powerful strategy with high clinical utility for the genetic diagnosis of lethal or prenatal‐onset recessive disorders. © 2017 The Authors Prenatal Diagnosis published by John Wiley & Sons Ltd.

Can Practitioners Use Patient Reported Measures To Enhance Person Centred Coordinated Care In Practice? A Qualitative Study, Hannah Wheat, Jane Horrell, Jose M. Valderas, James Close, Ben Fosh, Helen Lloyd

Peninsula Medical School

No abstract provided.

More Than Skin-Deep: Reading Past Whiteness In Hemingway’S “Hills Like White Elephants”, Laura Valeri

Writing & Linguistics: Faculty Publications (1990-2022)

The author argues a much neglected element in the seminal Hemingway's story "Hills Like White Elephant." Reading the story by taking into context a subtext of racial bias lends new interpretation to the story.

Crisis Intervention Team Training And The Protection Motivation Theory, Monique Allen, Greg Campbell

Journal of Sustainable Social Impact

The problem addressed in this phenomenological study was the lack of documentation that supported the lived experiences of crisis intervention team (CIT)-trained police officers related to their field encounters with persons with mental illnesses. The purpose of the study was to explore the lived experiences of officers among CIT-trained police officers to address the problem. The protection motivation theory was aligned closest with the teachings of CIT training as described by the study participants’ lived experiences. Participants provided the study’s collected data, which was composed of completed questionnaires and transcribed interviews. The empirical theoretical framework method of analysis used was …

Leadership In Community Public-Private Partnership Health And Social Care Initiatives, Hawa Yatera Mshana, Magdeline Aagard, Cheryl Cullen, Patrick A. Tschida

Journal of Sustainable Social Impact

Although the public–private partnerships in health have been adopted as the best pathway to improving health outcomes in many developing nations, implementation lacks collaborative leadership. The purpose of this empirical qualitative case study was to determine key factors that promote leadership synergy (LS) between partners that enhance ownership and accountability of community health and social initiatives in Tanzania. The diffusion of innovation theory and public–private integrated partnership module were the theoretical framework guided this study. Diffusion of innovation theory is based on the importance of effective communication to spread new ideas and foster change in behavior in a social group …

The Intersection Of Civic Engagement And Civic Attidues Among Latino Youth Through A Factor Analysis, Nicole Webster, Erica Sausner, Bader Alotaibi, Ashley Patterson

Journal of Sustainable Social Impact

The extent to which civic and citizenship education captures the ways Latino youth perceive their roles as social change agents is largely absent from academic literature. This article examines how youth perceptions of and interactions with civic education define the civic lens they apply to their societies. The article examines a new way of interpreting the International Civic and Citizenship Study data and how it investigates new ways to view the civic lens of youth within three Latin American countries. Results of the exploratory factor analysis indicate a three-factor structure of civic lenses and show that youth who have been …

Amygdala-Frontal Connectivity Predicts Internalizing Symptom Recovery Among Inpatient Adolescents, Amanda Venta, Carla Sharp, Michelle Patriquin, Ramiro Salas, Elizabeth Newlin, Kaylah Curtis, Philip Baldwin, Christopher Fowler, B Christopher Frueh

Staff and Researcher Publications

Background: The possibility of using biological measures to predict the trajectory of symptoms among adolescent psychiatric inpatients has important implications. This study aimed to examine emotion regulation ability (measured via self-report) and a hypothesized proxy in resting-state functional connectivity [RSFC] between the amygdala and frontal brain regions as baseline predictors of internalizing symptom recovery during inpatient care.

Methods: 196 adolescents (61% female; Mage = 15.20; SD = 1.48) completed the Achenbach Brief Problem Monitor (BPM) each week during their inpatient care. RSFC (n = 45) and self-report data of emotion regulation (n = 196) were collected at baseline.

Results: The …

Clinical Utility Of The Dsm-5 Alternative Model For Borderline Personality Disorder: Differential Diagnostic Accuracy Of The Bfi, Scid-Ii-Pq, And Pid-5, J Christopher Fowler, Alok Madan, Jon G Allen, Michelle Patriquin, Carla Sharp, John M Oldham, B Christopher Frueh

Staff and Researcher Publications

Background: With the publication of DSM 5 alternative model for personality disorders it is critical to assess the components of the model against evidence-based models such as the five factor model and the DSM-IV-TR categorical model. This study explored the relative clinical utility of these models in screening for borderline personality disorder (BPD).

Methods: Receiver operator characteristics and diagnostic efficiency statistics were calculated for three personality measures to ascertain the relative diagnostic efficiency of each measure. A total of 1653 adult inpatients at a specialist psychiatric hospital completed SCID-II interviews. Sample 1 (n=653) completed the SCID-II interviews, SCID-II Questionnaire (SCID-II-PQ) …

Non-Alj Adjudicators In Federal Agencies: Status, Selection, Oversight, And Removal, Kent H. Barnett, Russell Wheeler

Scholarly Works

This article republishes—in substantively similar form—our 2018 report to the Administrative Conference of the United States (ACUS) concerning federal agencies’ adjudicators who are not administrative law judges (ALJs). (We refer to these adjudicators as “non-ALJ Adjudicators” or “non-ALJs.”) As our data indicate, non-ALJs significantly outnumber ALJs. Yet non-ALJs are often overlooked and difficult to discuss as a class because of their disparate titles and characteristics. To obtain more information on non-ALJs, we surveyed agencies on non-ALJs’ hearings and, among other things, the characteristics concerning non-ALJs’ salaries, selection, oversight, and removal. We first present our reported data on these matters, which …

Towards A Jurisprudence (And Pedagogy) Of Access: A Reflection On 25 Years Of The Public Interest Practicum, Alex Scherr, Elizabeth M. Grant, Graham Goldberg

Scholarly Works

The Public Interest Practicum (PIP), a course at the University of Georgia School of Law, fosters awareness among law students of the demand for access to justice. For more than 25 years, PIP has served many purposes: to explore a street level jurisprudence; to challenge students’ professional identities; to generate new models of clinical legal education; to inculcate the habit of public service; and to help individuals with legal problems. Through its many iterations, PIP has consistently exposed future lawyers to ways of helping those in need. This reflection traces the history of PIP as a course, contextualizes it within …

International Order Between Governance And Contract, Harlan G. Cohen

Scholarly Works

What is international law for? Is the goal to achieve cooperation in providing global public goods, such as managing the environment, providing peace and security, alleviating poverty, controlling the spread of diseases, protecting basic human rights, and supplying best-practices and standards on health and labor? Or is it about managing conflict and competition between states and others by setting expectations and channeling disputes between them into agreed-upon fora for peaceful settlement?

These two types of purpose are often treated as complementary, with international institutions like the World Trade Organization (WTO) or United Nations often justified on both counts. But they …

Household Determinants Of Malaria In Mutasa District Of Zimbabwe, David Takudzwa Zinyengere

Walden Dissertations and Doctoral Studies

Malaria is a vector borne, acute febrile illness, caused by Plasmodium parasites. Malaria impacts the medical and socioeconomic development programs of affected communities, as it diverts both individual and national resources into managing the disease burden. The purpose of this study was to explore and evaluate household determinants of malaria in Mutasa District, Zimbabwe. The precede-proceed theoretical model guided the study. Secondary data from Demographic Health Survey and District Health Management Information System, and current data from household determinant questionnaires, were used to evaluate the influence and significance of identified household determinants. Multiple logistic regression models were used to examine …

Socially Accountable Medical Education: An Innovative Approach At Florida International University Herbert Wertheim College Of Medicine, Fiu Herbert Wertheim College Of Medicine Affiliates

All Publications

PROBLEM:

Despite medical advances, health disparities persist, resulting in medicine's renewed emphasis on the social determinants of health and calls for reform in medical education.

APPROACH:

The Green Family Foundation Neighborhood Health Education Learning Program (NeighborhoodHELP) at Herbert Wertheim College of Medicine provides a platform for the school's community-focused mission. NeighborhoodHELP emphasizes social accountability and interprofessional education while providing evidence-based, patient- and household-centered care. NeighborhoodHELP is a required, longitudinal service-learning outreach program in which each medical student is assigned a household in a medically underserved community. Students, teamed with learners from other professional schools, provide social and clinical services to …

Review Of Child-Custody Standards And Its Effects On Children Of Cohabitating And Non-Cohabitating Fathers, Jermaine Rahsaan Jackson

Walden Dissertations and Doctoral Studies

The involvement of fathers in the daily activities of their children has proven to be a substantial factor in nurturing children's speech and language development, fine motor skills development, gross motor skills development, social and emotional development, and cognitive development. The purpose of this quantitative study was to investigate fathers and the time spent involved in the daily activities of their children. Guided by Rawls's social contract theory, the research question sought to determine whether there is a statistically significant relationship between the living arrangements (cohabitating and non-cohabitating) of fathers and the time spent involved in the daily activities of …

Carl Linnaeus: A Timeline, James P. Smith Jr

Botanical Studies

No abstract provided.

Smartear: Smartwatch-Based Unsupervised Learning For Multi-Modal Signal Analysis In Opportunistic Sensing Framework, Debanjan Borthakur, Andrew Peltier, Harishchandra Dubey, Joshua Gyllinsky, Kunal Mankodiya

Electrical, Computer, and Biomedical Engineering Faculty Publications

Wrist-bands such as smartwatches have become an unobtrusive interface for collecting physiological and contextual data from users. Smartwatches are being used for smart healthcare, telecare, and wellness monitoring. In this paper, we used data collected from the AnEAR framework leveraging smartwatches to gather and store physiological data from patients in naturalistic settings. This data included temperature, galvanic skin response (GSR), acceleration, and heart rate (HR). In particular, we focused on HR and acceleration, as these two modalities are often correlated. Since the data was unlabeled we relied on unsupervised learning for multi-modal signal analysis. We propose using k-means clustering, GMM …

Food Insecurity In Northwest Arkansas: In-Depth Interview Summary, Kevin Fitzpatrick, Matthew Spialek, Diana Cascante

Food Insecurity

This summary is based on 20 face-to-face interviews among individuals selected by local service providers that were representative of clients in Northwest Arkansas that have previously been, currently are, or may be at risk to experience food insecurity. The interviews were held throughout Northwest Arkansas, often in the participant’s home, at restaurants, Genesis Church, or 7 Hills Homeless Center, during June and July 2018. Participants were compensated $100.00 for completing a 60- to 90-minute interview. As with all qualitative research, the following insights should be taken as directional in nature and not as measurable, objective facts. However, observations that are …

Toward A Sociology Of Forensic Knowledge: A (Supplementary) Response To Cole, David S. Caudill

Faculty Publications

No abstract provided.

State Of The University Annual Report - 2017-2018, Office Of The President, East Tennessee State University, University Marketing And Communication, East Tennessee State University

Office of the President State of the University Annual Report

No abstract provided.

Estimating Exploitation Rates In The Alabama Red Snapper Fishery Using A High-Reward Tag–Recapture Approach, Dana K. Sackett, Mattgew Catalano, J. Marcus Drymon, Sean P. Powers, Mark Albins

University Faculty and Staff Publications

Accurate estimates of exploitation are essential to managing an exploited fishery. However, these estimates are often dependent on the area and vulnerable sizes of fish considered in a study. High-reward tagging studies offer a simple and direct approach to estimating exploitation rates at these various scales and in examining how model parameters impact exploitation rate estimates. These methods can ultimately provide a better understanding of the spatial dynamics of exploitation at smaller local and regional scales within a fishery—a measure often needed for more site-attached species, such as the Red Snapper Lutjanus campechanus. We used this approach to tag 724 …

Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway, Elizabeth Holloway

Student Articles, Chapters, Presentations, Learning Objects

A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group. This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program. The research design used a combination of an instrumental case study and critical incident technique (CIT). Using interviews and the Outcome Questionnaire 45.2, the study explored in-depth the experiences of 17 young adults who were alumni of a young adult transition program. The objective was to better understand the transition experience from a participant perspective and, through the findings, …

Back On The Block: Spousal Transitional Difficulties In Military Retirement, Rhianna Kelsey Flohr

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

Service members who serve active duty for 20 years qualify for military retirement with retired pay. This study examined whether sociodemographic and clinical factors are associated with higher levels of transitional difficulty in spouses of retired military service members following at least 20 years of active duty service. Veteran research has shown that a variety of sociodemographic and clinical factors influence the ease with which the service member transitions back into a civilian lifestyle. Factors contributing to greater transitional difficulties for veterans include: (a) experience of a traumatic event, (b) probable post-traumatic stress disorder (PTSD), (c) race and ethnicity, (d) …

Police, Race, And The Production Of Capital Homicides, Jeffrey A. Fagan, Amanda Geller

Faculty Scholarship

Racial disparities in capital punishment have been well documented for decades. Over 50 studies have shown that Black defendants more likely than their white counterparts to be charged with capital-eligible crimes, to be convicted and sentenced to death. Racial disparities in charging and sentencing in capital-eligible homicides are the largest for the small number of cases where black defendants murder white victims compared to within-race killings, or where whites murder black or other ethnic minority victims. These patterns are robust to rich controls for non-racial characteristics and state sentencing guidelines. This article backs up the research on racial disparities to …

A Practical Guide To Meta-Synthesis Method For Identifying Professional Competencies Of Teachers In Teaching Nature Of Science, M. Mohammadi, M. Saberi, Gh. Salimi, Noushin Nouri

Teaching and Learning Faculty Publications

Qualitative meta-synthesis is a new interpretive integration of qualitative findings that provide coherent descriptions or explanations of phenomena, events, or concepts. Considering the increasing rate of qualitative research, such interpretive synthesis is vital to provide a cohesive vision or a new theory with putting all scattered research together. Therefore, in the present study, the practical guide to the methodology, principles, steps, and other details of the meta-synthesis are explained using the six steps of meta-synthesis presented by Sandelowski and Barroso (2007). Along with each step of the methodological description, the process of presenting a model for the professional competencies of …

Impact Of Patient Demographics And Health Insurance On Hospital Discharge, Ana Acosta

Open Access Theses & Dissertations

Based on discharge data collected with 241 patients who received medical care from a fall injury between 2014 and 2015 at the emergency room in a general hospital in El Paso, Texas, I will examine whether individuals over age 55 have health insurance and the type of care that is recommended to patients after being discharged. In particular, I will examine demographics, including ethnicity, age, and language on whether the patient paid with insurance and the disposition of discharge from the emergency department after a fall. Additionally, I will examine which demographic factors are associated with disposition of discharge- facility, …