Digital Commons Network^™

Factors Associated With Hospital Readmissions Among United States Dialysis Facilities, Amber B. Paulus

Theses and Dissertations

Hospital readmissions are a major burden for patients with end stage renal disease (ESRD). On average, one in three hospital discharges among patients with ESRD are followed by a readmission within 30 days. Currently, dialysis facilities are held accountable for readmissions via the ESRD Quality Incentive Program standardized readmission ratio (SRR) clinical measure. However, little is known about facility-level factors associated with readmission. Additionally, unlike other standardized measures of quality in the dialysis setting, incident patients within their first 90-days of dialysis are included in the performance calculation. This study analyzed CMS Dialysis Facility Report data from 2013 to 2016 …

Development And Application Of Big Data Platform For Garlic Industry Chain, Weijie Chen, Guo Feng, Chao Zhang, Pingzeng Liu, Wanming Ren, Ning Cao, Jianrui Ding

Computer Science Student Research

In order to effectively solve the problems which affect the stable and healthy development of garlic industry, such as the uncertainty of the planting scale and production data, the influence factors of price fluctuation is difficult to be accurately analyzed, the difficult to predict the trend of price change, the uncertainty of the market concentration, and the difficulty of the short-term price prediction etc. the big data platform of the garlic industry chain has been developed. Combined with a variety of data acquisition technology, the information collection of influencing factors for garlic industry chain is realized. Based on the construction …

An Introduction To Glaciated Margins: The Sedimentary And Geophysical Archive, D. P. Le Heron, K. A. Hogan, E. R. Phillips, M. Huuse, M. E. Busfield, A. G. Graham

Marine Science Faculty Publications

A glaciated margin is a continental margin that has been occupied by a large ice mass, such that glacial processes and slope processes conspire to produce a thick sedimentary record. Ice masses take an active role in sculpting, redistributing and reorganizing the sediment that they erode on the continental shelf, and act as a supply route to large fan systems (e.g. trough mouth fans, submarine fans) on the continental slope and continental rise. To many researchers, the term ‘glaciated margin’ is synonymous with modern day areas fringing Antarctica and the Arctic shelf systems, yet the geological record contains ancient examples …

A New 30 Meter Resolution Global Shoreline Vector And Associated Global Islands Database For The Development Of Standardized Ecological Coastal Units, Roger Sayre, Suzanne Noble, Sharon Hamann, Rebecca Smith, Dawn Wright, Sean Breyer, Kevin Butler, Keith Van Usa, Charlie Frye, Deniz Karagulle, Dabney Usahopkins, Drew Stephens, Kevin Kelly, Zeenatul Basher, Devon Burton, Jill Cress, Karina Atkins, D. Paco, Beverly Friesen, Rebecca Allee, Tom Allen, Peter Aniello, Irawan Asaad, Mark John, Kathy Goodin, Peter Harris, Maria Kavanaugh, Helen Lillis, Eleonora Lillis Lillis, Frank Muller-Karger, Bjorn Nyberg, Rost Parsons, Justin Saarinen, Jac Steiner, Adam Reed

Marine Science Faculty Publications

A new 30-m spatial resolution global shoreline vector (GSV) was developed from annual composites of 2014 Landsat satellite imagery. The semi-automated classification of the imagery was accomplished by manual selection of training points representing water and non-water classes along the entire global coastline. Polygon topology was applied to the GSV, resulting in a new characterisation of the number and size of global islands. Three size classes of islands were mapped: continental mainlands (5), islands greater than 1 km2 (21,818), and islands smaller than 1 km2 (318,868). The GSV represents the shore zone land and water interface boundary, and is a …

“How Can He Be So Cruel?” Examining Issues Of Trust In School Improvement Efforts, Jacqueline R. Wettlaufer, Steve Sider

Education Faculty Publications

In this case, a high school vice-principal encounters tension and anger when she rewrites a staff member’s report card comments without his knowledge. The case narrative examines the conflict that arises when, under time constraints and pressures to produce student reports, the vice-principal acts on a decision she believes is ethically correct only to find that she incurs a significant setback with staffing relationships largely due to wavering of trust. The analysis examines how transformational leadership builds self-efficacy in all staff founded on trusting relationships. Professional reflection provides a conduit through which educational leaders can assess their own practice and …

The Common Law As Silver Slippers, Bridget J. Crawford

Elisabeth Haub School of Law Faculty Publications

Professor Anita Bernstein's book, The Common Law Inside the Female Body, is an erudite investigation into the history and operation of the common law. Bernstein's careful and wide-ranging study leads to her arresting thesis: The common law--an old, unpredictable, and slow system that has been there all along--has tremendous power to support and even advance women's legal claims to personal liberty. In other words, women have always had the common law right to be treated equally to men. We simply have not realized it.

Bernstein makes a convincing argument that the common law tradition has a unifying theoretical commitment: “[T]he …

Kids Count: The State Of The Child In Tennessee [2019], Policy And Issue Guide, Tennessee Commission On Children And Youth

Kids Count/State of the Child in Tennessee Reports

This report provides an overview of information on healthy infants, children and teens; child/teen well-being; education; economic security; and demographics.

Belonging While Black At Lake Merritt: The Black Spatial Imaginary And Place-Making In Oakland, Ca, Betel Solomon Tesfamariam

Pomona Senior Theses

This thesis aims to demonstrate how the processes of gentrification and displacement are interrelated processes that invent new ways of perpetuating anti- blackness in the U.S. I demonstrate this through an engagement with Christina Sharpe’s (2016) analysis of the imagery of the wake, the ship, the hold, and the weather as axis points that position Black life in the afterlife of slavery—how the conditions of slavery are ongoing today—presenting the racist encounters at Lake Merritt as illustrative examples. In her most recent book, In the Wake: On Blackness and Being, Sharpe (2016) deploys an interdisciplinary approach to critically theorize …

Changes In Farmland Ownership In Oregon, Usa, Megan Horst

Urban Studies and Planning Faculty Publications and Presentations

The ownership of agricultural land has important implications for food systems, the environment, farmer livelihoods, and rural economies, communities, and landscapes. This article examines the changing ownership of agricultural lands in the United States, specifically focusing on Oregon, a state with a history of family farm ownership. I first review historical and recent trends in farmland ownership, including private enclosure, consolidation, investor purchase, development, and rising farmland prices. Next, I examine the county records for all Oregon farm properties that sold between 2010 and 2015. I provide summary statistics about the volume and pace of transactions, price per acre, and …

Scandal In The Us And Australian Wine Industry! Trademarks And Gis As A Consumer Magnet?, 118 J. Marshall Rev. Intell. Prop. L. 421 (2019), Sarah Hinchliffe

UIC Review of Intellectual Property Law

In a dense global market, wine is heavily reliant on catering to the needs of consumers. Consumers, as part of the decision-making process, rely on information – comprising information type, and the way that it is portrayed. This article identifies branding opportunities for New World wineries – particularly in the United States and Australia – to capitalize on without compromising innovation in branding nor breaching IP law. It highlights that wineries in the New World have a plethora of opportunity to create a spunk and pizazz effect in their branding. At the same time, it cautions what wineries should avoid …

Leadership Characteristics In Flexible Information Technology Environments, Chrisilia Bristow

Walden Dissertations and Doctoral Studies

Researchers have found that a positive correlation exists between information technology (IT) flexibility, IT effectiveness, and strategic alignment in organizations. It has been determined that within inflexible IT environments maintainability is reduced and key business factors become at risk. An IT flexibility measurement matrix was developed to assess IT flexibility however leadership characteristics were not identified for measurement with that model. Determining the leadership characteristics needed for IT flexibility was the purpose of this multiple case study. Leveraging the empowerment, situational leadership, IT-business equilibrium, and complexity change theories, the research questions were focused on the leadership characteristics exhibited by organizational …

Retention Strategies To Prepare And Maintain Talent For Future Leadership Roles, Shagranda M. Traveler

Walden Dissertations and Doctoral Studies

Retaining qualified talent is essential to organizational leaders' ability to maintain a

competitive advantage. The purpose of this multiple case study was to explore the

retention strategies that financial managers used to prepare and maintain talent to assume

future leadership roles. The conceptual framework that grounded this study was the

transformational leadership theory. The research participants were financial managers

from 5 financial services businesses located in the southern region of the United States

with a minimum of 5 years of management experience and at least 3 direct reports. Data

were collected from semistructured interviews, observations, and review of annual

reports, …

Gis Suitability Analysis To Situate Recreational/Retail Marijuana Stores In Denver, Colorado, Aniekan Okon Akpanekong

Walden Dissertations and Doctoral Studies

On October 1, 2013, the city of Denver adopted bill CB 570 allowing state-licensed retail marijuana businesses. Section 6-211(b) of the Denver Code of Ordinance codified distance separations between licensed retail marijuana sites and prohibited locations. Using distance decay theory coupled with Geographic Information systems (GIS)-based multicriteria analyses, Denver's licensed retail marijuana stores were evaluated in relation to their proximity compliance with �6-211(b). Using GIS topology testing from 1000 feet to 650 feet, current retail marijuana stores had a compliance percent ranging between 29% to 56% from each other, 2% to 7% from licensed medical marijuana stores, 39% to 68% …

The Alchemy Of Sustaining New Business Ventures, Alicia R. Hooks

Walden Dissertations and Doctoral Studies

The high failure rates of new business ventures (NBV) negatively affect employment and potential contributions to the economic health of communities. The high NBV failure rate is essential, as NBV sustainability influences job creation and increases employment rates in communities surrounding the NBV. The purpose of this qualitative single case study, using the effectuation conceptual framework, was to explore strategies organization leaders in the state of Missouri used for sustaining NBV operations beyond 5 years. The sample consisted of 6 NBV consultants from a single Missouri NBV consulting firm who have sustained NBVs beyond 5 years. The 6 NBV consultants …

Factors Influencing Racially Ethnic Minority Youth Participation In Snow Sports, Jennifer N. Whitehead

Walden Dissertations and Doctoral Studies

Low participation of racially ethnic minority youth in snow sports activities may be caused by racism through structural and symbolic factors. The purpose of this study was to explore the lived experiences of teachers from school-based programs and resort ski school programs as well as coaches from afterschool club and community-based organizations regarding the structural and symbolic influences on the participation of racially ethnic minority youth in snow sports. Using critical race theory as the conceptual framework, a qualitative, phenomenological inquiry was centered on the experiences of racially ethnic minority youth related to potential racism in structural and symbolic factors …

Physical Activity, Healthcare Use, And Medication Use In Diabetes Patients, Julie Kwon Evans

Walden Dissertations and Doctoral Studies

Physical Activity, Healthcare Use, and Medication Use in Diabetes Patients

by

Julie Kwon Evans

MS, The Chicago School of Professional Psychology, 2013

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Psychology

Walden University

November 2019

A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong

Walden Dissertations and Doctoral Studies

The average age-adjusted incidence and mortality rates of lung and bronchus cancer is 55% and 56% higher in Kentucky than the national averages in the United States, respectively. Populations with low income and educational attainment, and those who live close to the mining regions across Kentucky are more affected by the high prevalence and resulting mortality rates of lung and bronchus cancer. This study was conducted because of the high incidence of lung and bronchus cancer and resulting mortality rates in the state of Kentucky that may not be caused solely by social and demographic factors. The theoretical foundation for …

Development Of A Tele-Healthcare Clinical Practice Guideline For Diabetic Patients, Kathy J. Montgomery

Walden Dissertations and Doctoral Studies

Lack of access to healthcare in rural communities has resulted in increased morbidity and mortality rates among diabetic patients. The problem identified in this project was the lack of access to healthcare among diabetic patients living in rural southeast Ohio. Tele-healthcare is a strategy that provides healthcare remotely and has been introduced into the rural setting and offers an appropriate healthcare delivery mode for the rural community. The purpose of the project was to develop a tele-healthcare clinical practice guideline, including smart phone applications, for the management of diabetic patients. An expert panel consisting of 2 advanced practice nurses in …

Embracing Ujima: A Grounded Theory Of African Americans Choosing The Counseling Profession, Rashida Karriem Fisher

Walden Dissertations and Doctoral Studies

Racial and ethnic diverse populations experience discrimination in educational and career attainment and remain underrepresented in the counseling profession. The current literature provides limited guidance for the counseling profession and academic institutions for successfully recruiting racial and ethnic minority students in a master's level counselor training program. Social Constructivist theory and Adlerian/ Individual Psychology are the theoretical foundations of the study. This constructivist grounded theory study sought to understand the career decision-making process of African Americans choosing to enter in the counseling profession and the influence of racial and ethnic identity on this decision-making process. Utilizing semistructured interviews via video-conferencing; …

Relationship Between Perceived Usefulness, Ease Of Use, And Acceptance Of Business Intelligence Systems, Christina Ndiwa Sandema-Sombe

Walden Dissertations and Doctoral Studies

In retail, the explosion of data sources and data has provided incentive to invest in information systems (IS), which enable leaders to understand the market and make timely decisions to improve performance. Given that users’ perceptions of IS affects their use of IS, understanding the factors influencing user acceptance is critical to acquiring an effective business intelligence system (BIS) for an organization. Grounded in the technology acceptance model theory, the purpose of this correlational study was to examine the relationship between perceived usefulness (PU), perceived ease of use (PEOU), and user acceptance of business intelligence systems (BIS) in retail organizations. …

Analysis Of Control Measures Used During Cholera Outbreaks Among Internally Displaced Persons, Nicole Devine Carneal-Frazer

Walden Dissertations and Doctoral Studies

Cholera remains a major public health problem affecting high-risk populations such as camps of internally displaced persons. During a cholera outbreak, it is essential to reduce transmission and minimize new infections. The Miasma theory, host-agent-environment model and Ecosocial theory were utilized for this study. This study was a retrospective comparison to determine whether historical cholera control measures are effective during current cholera outbreaks within camps of internally displaced persons. A quantitative approach ascertained changes in incidence and mortality rates following implementation of primary and/or secondary control measures. Cholera outbreaks were identified from the World Health Organization's (WHO) Disease Outbreak News …

African American Women's Experiences And Understanding Of Secondary Infertility, Claudelle Parchment

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological study was to describe the lived experiences of African American women with secondary infertility, defined as an inability to conceive or carry a baby to term after a previous conception. Research on secondary infertility has ignored the prevalence of the condition in African American women. The implications of secondary infertility in African American women have immediate and far-reaching health and psychosocial consequences. African American women rely on interconnectedness and social networks; therefore, social networks and social support served as the key concepts underwriting the study's conceptual framework. Social networks and social support underscore the connection …

Importance Of Perceived Social Support For Black Mothers Of Preterm Babies, Anita Lynn Brentley

Walden Dissertations and Doctoral Studies

Social support represents a network that provides for family, relatives, and friends and is an important predictor of future health and well-being. A knowledge gap exists in the literature regarding a need for social support for Black mothers of preterm babies. This qualitative study explored the perception of social support for Black mothers of preterm babies in Southwest Ohio. The phenomenological method of inquiry was used to gain an in-depth understanding of social support Black mothers receive after preterm birth. The social ecological theory provided a framework for understanding how individual, interpersonal, community, organizations, and policy affect a Black mother's …

Impact Of A Geography-Literature Collaborative On Secondary School Pedagogy, John Matthew Mccormick

Walden Dissertations and Doctoral Studies

Geography education has been relegated to a subset of social studies standards in most of the United States and has been overshadowed by a history-centered curriculum. Student achievement in geography has not improved for several decades due to the focus on history content in the social studies curriculum. Rooted in a conceptual framework encompassing elements of self-efficacy and the whole teacher approach, the purpose of this case study was to examine the impact of the West Virginia Geographic Alliance (WVGA) professional development workshop on teachers' practices in delivering cross-disciplinary geography education. The research questions addressed teachers' perceived self-efficacy in delivering …

Self-Directed Learning And Technology Adoption By Principals, Travis Fitzgerald Taylor

Walden Dissertations and Doctoral Studies

The changes in educational technology present challenges for K-12 principals leading students and faculty who are more engaged with classroom technology. The role of self-directed learning and how K-12 principals adopt the technology while leading the deployment and implementation of classroom technologies is not known due to a limited amount of empirical research. The purpose of this study was to investigate the relationship between technology adoption and self-directed learning by K-12 principals. Using the Unified Theory of Acceptance and Use of Technology as the theoretical framework, a quantitative cross-sectional study was designed. The survey instruments, Unified Theory of Acceptance and …

Mentor Teacher Development During A Co-Teaching Model Of Student Teaching, Jeanne M. Delcolle

Walden Dissertations and Doctoral Studies

In a co-teaching model of student teaching, mentor teachers are presented with opportunities for professional growth because extensive collaboration occurs with the teacher candidate throughout the process. Despite the proliferation of co-teaching programs, mentor teachers often lack formal training for their role. Further, insufficient evidence fails to show how collaboration between mentor and candidate contributes to professional growth for the mentor. The purpose of this qualitative study was to examine such growth in 9 mentor teachers who hosted teacher candidates during 1 semester of student teaching to determine how a co-teaching model affected mentor teachers' own teaching and mentoring skills. …

Sustainability Strategies Of Barber Salons, Kouassi Gilles Mevo

Walden Dissertations and Doctoral Studies

Many barber salons and other small businesses in the United States fail to succeed beyond the first 5 years. The factors responsible for the low survival rate of salons may include the limited training and education levels mandated by state certification requirements. The purpose of this multiple case study was to identify business strategies successful barber salon owners use to overcome the business management and staffing challenges associated with a small pool of skilled barbers and the high turnover in a low wage profession. The theory of transformational leadership served as the conceptual framework. The data collection included interviews of …

Care Intervention And Reduction Of Emergency Department Utilization In Medicaid Populations, Eno J. Rouse

Walden Dissertations and Doctoral Studies

Expansion of Medicaid and private health insurance coverage through passage of the Affordable Care Act of 2010 was expected to increase primary care access and reduce emergency department (ED) use by reducing financial burden and improving affordability of care. The aim of this study was to examine the differences in utilization patterns that exist among the Medicaid population that participated in an optimal level of care (OLC) intervention inclusive of appointments scheduled to primary care providers. Using the integrated behavior model as a theoretical framework, the key research question focused on determining if there was a difference in ED use …

Hypertension Experience Of Foreign-Born West African Immigrant Women In The United States, Assumpta Onyinye Ude

Walden Dissertations and Doctoral Studies

Foreign-born African immigrants (FBAI) have a high rate of severe hypertension (HTN) and psychosocial-cultural factors have underlying roles in this, as in other chronic diseases. Literature lacks studies on FBAI women living with HTN. This study explored the HTN experience of FBAI women in the Washington Metropolitan area. This qualitative phenomenological study, was guided by a theoretical framework that included the Health Belief Model, Patient Centered Access to Health Care and the Transactional Model of Stress and Coping. Highly educated health care professional of 15 women participated in in-depth interviews. Thematic analysis was used for data analysis. Key findings included …

Cancer Treatment Decision Making In Aging Minorities, Patrice Kemp

Walden Dissertations and Doctoral Studies

Cancer incidence is high for aging minority and underserved populations, yet research is limited about patient-provider communications with aging racial and ethnic minority populations. Achieving high-quality cancer care is crucial to reducing health disparities for this population. However, potential shortages in professional health personnel, the cost to treat cancer, a strained health care system, and large aging populations contribute to the problem. The purpose of this qualitative study was to understand the personal experiences of aging minorities during cancer treatment decision making when communicating with their cancer care providers. Purposive sampling methods were used to recruit 10 minority women and …