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"Evaluation Of Medication Adherence Through The Use Of Home Assisted Telemanagement", Kingsley Ezihe Ngameduru

Walden Dissertations and Doctoral Studies

Medication nonadherence can have serious consequences for patient outcomes. Home-automated telemanagement systems have supported increased levels of adherence among patients. This project explored whether the use of a home telemanagement program (HTM) would improve medication adherence in clinic patients diagnosed with hypertension (HTN). The health belief model, social learning theory, the self-regulation model and the theory of reasoned action guided this project. Providers in a primary care clinic completed the 4-question Morisky, Green, and Levine adherence scale with 50 HTN patients previously enrolled in a HTM. Survey results revealed that after 2 years in the program, patients were still forgetting …

Cybersecurity Strategies For Universities With Bring Your Own Device Programs, Hai Vu Nguyen

Walden Dissertations and Doctoral Studies

The bring your own device (BYOD) phenomenon has proliferated, making its way into different business and educational sectors and enabling multiple vectors of attack and vulnerability to protected data. The purpose of this multiple-case study was to explore the strategies information technology (IT) security professionals working in a university setting use to secure an environment to support BYOD in a university system. The study population was comprised of IT security professionals from the University of California campuses currently managing a network environment for at least 2 years where BYOD has been implemented. Protection motivation theory was the study's conceptual framework. …

Education Program For Critical Care Nurses On Preventing Catheter-Associated Urinary Tract Infections, Olatunde Olatunji

Walden Dissertations and Doctoral Studies

Catheter-associated urinary tract infections (CAUTIs) are the most frequently reported hospital-acquired condition, affecting more than 560,000 patients each year. CAUTIs prolong hospital stays and increase health care costs, and they can result in patient morbidity and mortality. Nurses can be empowered by receiving education and knowledge to manage and identify urinary catheters that are not clinically indicated. The purpose of this project was to develop an education program on CAUTI prevention for critical care nurses using the teach-back method. The conceptual framework that guided this project was Knowles's adult learning theory. The theoretical model was based on 4 fundamental assumptions …

Law Enforcement Perception Of Social Media As An Influence In Mass Shootings, Jazma Mekelle Parker

Walden Dissertations and Doctoral Studies

Mass shootings have been a persistent issue in the United States, and the underlying factors that continue to influence this crime are not yet evident. This study explored the effects of social media as an influence on mass shootings in the United States. Its purpose was to address the role of social media in spreading opinionated ideologies. The research question addressed the role of social media in influencing the actions of perpetrators of mass shootings in the United States. The study framework was based on the social-ecological model to facilitate classification of the susceptibilities of social media users to adverse …

The Perceptions Of Transgender Patients Toward Nursing Care, Debra Ann Quenga

Walden Dissertations and Doctoral Studies

Transgender individuals present unique issues when seeking care that many nurses are not prepared for. Nursing education is lacking in transgender care for both nursing students and practicing nurses, which may delay care or lead to patients not disclosing their gender if they feel their needs are not understood or that there is bias toward them. Due to the limited research available, educators are not prepared to include transgender care in their nursing curricula, leading to a lack of knowledge and skills needed to care for this population. The purpose of this qualitative study was to explore the perceptions of …

Lesbian, Gay, Bisexual, Transgender, And Questioning Youth Services In Urban Homeless Shelters, Rajahm Sellers

Walden Dissertations and Doctoral Studies

Homeless shelter administrators provide shelter, food, and other basic needs to the homeless population. Because policies, environments, and services adhere to the general population, lesbian, gay, bisexual, transgendered, and questioning (LGBTQ) youth suffer when homeless shelter administrators do not address specific needs. The purpose of this study was to examine the perceptions of homeless shelter administrators and bridge the gap in knowledge about the policies and environments that impact the homeless LGBTQ youth community. The theoretical framework for this study was Tajfel and Turner's theory of social identity. Research questions included significant differences between developed shelter policies and environments based …

Director Of Nursing Role Conflict And Ambiguity, Commitment, And Intent To Stay, Amy Elizabeth Thiesse

Walden Dissertations and Doctoral Studies

High rates of turnover and the limited tenure of directors of nursing (DONs) in long-term care creates instability in the nursing workforce and the quality of care provided. Organizations, industry, and stakeholders have made little progress to change this turnover crisis. The purpose of this quantitative study, guided by organizational role and social exchange theories, was to determine if there was a difference in levels of affective organizational commitment and intent to stay mediated by leader-member exchange in long-term care DONs with different levels of role conflict and role ambiguity. The key variables were measured with the Role Questionnaire, Leader-Member …

A Conflictive Triuvirate Consruct Of Epidemiologic Systems Failure, Ngozi Lois Ulinwa

Walden Dissertations and Doctoral Studies

Epidemiologic systems failure (ESF) is a major hurdle in minimizing the spread of infectious diseases during outbreaks. The reasons for ESF include the technical limitation of personnel handling epidemic crises, strictly defined health policies that limit the actions of epidemiologists, and personal perspective's reservations towards the intentions of health agencies. The purpose of this triumvirate mixed-methods case study was to examine factors of infectious disease control mechanisms useful for determining ESF. Three juxtaposed pre-emptive factors (technical [T], organizational [O], and personal [P] perspectives were used to determine how the multiple perspectives inquiring systems and fuzzy logic revealed factors causing ESF …

Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment, Narue Jaynelle Wright-Jegede

Walden Dissertations and Doctoral Studies

In the United States, asthma remains a major cause of frequent urgent care visits, hospitalizations, and preventable deaths among children. Nationwide, the chronic disease continues to fall disproportionately on minorities, mostly residing in urban localities. When a child is diagnosed with asthma, the parents are typically tasked with managing the child's condition. Establishing a collaborative partnership between parents and their child's primary physician is significant for improving asthma self-management among youth. Using the theory of reasoned action as a theoretical framework, this mixed-methods study examined whether a relationship exists between parental perceptions of physician cultural sensitivity and parental care in …

Jamaican Kindergarten And First Grade Teachers’ Expectations For Readiness Skills, Sadie Henrietta Harris-Mortley

Walden Dissertations and Doctoral Studies

Children’s readiness to meet demands in Grade 1 is a common concern in most primary schools in Jamaica. Teachers have voiced their expectations that students should display a level of mastery in readiness skills so that they can be engaged in academic tasks when they transition from the kindergarten to Grade 1. The purpose of this qualitative case study, guided by social constructivism, was to explore kindergarten students’ readiness for Grade 1 based on the perceptions of kindergarten teachers compared to Grade 1 teachers on readiness skills, instructional practices, and expectations of students’ competency. The research questions were designed to …

Table Of Contents

Touro Law Review

No abstract provided.

Foreword To The Symposium: Current Issues In Disability Rights Law, Samuel J. Levine

Touro Law Review

No abstract provided.

Every Student Succeeds Act: Are Schools Making Sure Every Student Succeeds?, Laura Adler-Greene

Touro Law Review

No abstract provided.

Free Appropriate Public Education After Endrew F. V. Douglas County School District (2017), Terrye Conroy, Mitchell L. Yell

Touro Law Review

No abstract provided.

Advocating For Children With Disabilities In Child Protection Cases, Joshua B. Kay

Touro Law Review

No abstract provided.

Let’S Try Again: Why The United States Should Ratify The United Nations Convention On The Rights Of People With Disabilities, Arlene S. Kanter

Touro Law Review

No abstract provided.

The Future Of Disability Rights Protections For Transgender People, Kevin M. Barry, Jennifer L. Levi

Touro Law Review

No abstract provided.

Preschool And Lead Exposed Kids: The Idea Just Isn’T Good Enough, Karen Syma Czapanskiy

Touro Law Review

No abstract provided.

Revisiting Ashley X: An Essay On Disabled Bodily Integrity, Sexuality, Dignity, And Family Caregiving, Julia Epstein, Stephen A. Rosenbaum

Touro Law Review

No abstract provided.

“Some Things Are Too Hot To Touch”: Competency, The Right To Sexual Autonomy, And The Roles Of Lawyers And Expert Witnesses, Michael L. Perlin, Alison J. Lynch, Valerie R. Mcclain

Touro Law Review

No abstract provided.

What’S The Craic? Health Care For Deaf People In Northern Ireland, Michael A. Schwartz

Touro Law Review

No abstract provided.

Canines In The Classroom Redux: Applying The Ada Or The Idea To Determine Whether A Student Should Be Allowed To Be Accompanied By A Service Animal At A Primary Or Secondary Educational Institution, Rebecca J. Huss

Touro Law Review

No abstract provided.

Why America Is Better Off Because Of The Americans With Disabilities Act And The Individuals With Disabilities Education Act, Peter Blanck

Touro Law Review

No abstract provided.

Fake News, Alternative Facts, And Disinformation: The Importance Of Teaching Media Literacy To Law Students, Marin Dell

Touro Law Review

No abstract provided.

Disability Patterns Over The First Year After A Diagnosis Of Epilepsy, Ying Xu, Dennis R. Neuen, Nick Glozier, Armin Nikpour, Ernest Somerville, Andrew Bleasel, Carol Ireland, Craig S. Anderson, Maree L. Hackett

Medical Papers and Journal Articles

Objective: To determine the patterns and predictors of disability over the first 12 months after a diagnosis of epilepsy.

Patients and methods: The Sydney Epilepsy Incidence Study to Measure Illness Consequences (SEISMIC) was a prospective, multicenter, community-based study of people with newly diagnosed epilepsy in Sydney, Australia. Disability was assessed using the World Health Organization’s, Disability Assessment Schedule (WHODAS) 2.0 12-item version, at baseline (i.e. within 28 days of diagnosis) and 12 months post-diagnosis. Demographic, socioeconomic, clinical and epilepsy-related data, obtained through structured interviews, were entered into multivariable linear regression and shift analysis to determine predictors of greater disability.

Results: …

James Annesley Of Madras Medical Service (1800-1838) On Cholera In Madras Presidency In 1825, Ramya Raman, Anantanarayanan Raman

Medical Papers and Journal Articles

James Annesley from Ireland spent nearly four decades in Madras, first as an assistant and later as a senior surgeon attached to the Madras Medical Establishment. During this span of service he published the book in 1825 on the most prevalent diseases of India comprising a treatise on the epidemic cholera of the East. This paper recounts the epidemiology of cholera and the efforts made to manage it in the Madras Presidency in the 1820s, keeping in view the life of Annesley and the contents of his book.

Kbg Syndrome Presenting With Brachydactyly Type E, Renata Libianto, Kathy H.C Wu, Sophie Devery, John A. Eisman, Jackie R. Center

Medical Papers and Journal Articles

We report the case of a young woman who presented at age 10 years with height on the tenth centile, brachydactyly type E and mild developmental delay. Biochemistry and hormonal profiles were normal. Differential diagnoses considered included Albright hereditary osteodystrophy without hormone resistance (a.k.a pseudopseudohypoparathyroidism), 2q37 microdeletion syndrome and acrodysostosis. She had a normal karyotype and normal FISH of 2q37. Whole genome sequencing (WGS) identified a mutation in the ANKRD11 gene associated with KBG syndrome. We review the clinical features of the genetic syndromes considered, and suggest KBG syndrome be considered in patients presenting with syndromic brachydactyly type E, especially …

Undetectable Mannose Binding Lectin Is Associated With Hrct Proven Bronchiectasis In Rheumatoid Arthritis (Ra), Krista Makin, Tracie Easter, Monica Kemp, Peter Kendall, Max Bulsara, Sophie Coleman, Graeme J. Carroll

Medical Papers and Journal Articles

Aim: The aim of this study was to ascertain whether mannose binding lectin deficiency is implicated in coexistent rheumatoid arthritis and bronchiectasis and to determine whether undetectable mannose binding lectin confers poorer long-term survival in coexistent rheumatoid arthritis and bronchiectasis or in rheumatoid arthritis in general.

Materials and methods: A retrospective audit was conducted in a rheumatoid arthritis cohort in which mannose binding lectin had been measured by enzyme linked immunosorbent assay from 2007–11. Rheumatoid arthritis patients with physician diagnosed HRCT proven bronchiectasis were recruited during this time and compared to those with uncomplicated rheumatoid arthritis. Survival from disease onset …

Developing A Practice-Based Research Agenda For Grief And Bereavement Care, Ashton Hay, Christopher W. Hall, Margaret Sealey, Elizabeth Lobb, Lauren J. Breen

Medical Papers and Journal Articles

We aimed to identify practitioners’ perspectives on current research priorities in grief and bereavement care. Grief and bereavement care providers were invited to participate in a three-phase Delphi study to create expert consensus on the top priorities for grief and bereavement research. A total of 140 participants completed Phase 1, 84 completed Phase 2, and 70 completed Phase 3. These top 10 research priorities form the basis of a practice-based research agenda for grief and bereavement care to enable researchers to respond to key issues in grief and bereavement care that will ultimately improve the lives of bereaved people.

Characteristics Of Gay, Bisexual And Other Men Who Have Sex With Men With Multiple Diagnoses Of Infectious Syphilis In British Columbia, Canada, 2005-2014, Stephanie Konrad, Donna B. Mak, Troy Grennan, Bernadette Zakher, Bobbi Brownrigg, Gina Ogilvie, Muhammad Morshed, Mark Tyndall, Mark Gilbert, Mel Krajden, Jason Wong

Medical Papers and Journal Articles

Background: Infectious syphilis has increased substantially over the past decade. Targeting limited public health resources toward subpopulations with multiple reinfections may have a large impact in reducing onward transmission within a community.

Methods: A chart review was conducted for individuals with 4 or more infectious syphilis diagnoses between 2005 and 2014 (the top 1% of all syphilis diagnoses in British Columbia, Canada). We characterized the sociodemographics, partner notification outcomes and social network.

Results: Between 2005 and 2014, there were 30 individuals with 4 or more syphilis diagnoses, accounting for 139 diagnoses. All were men who have sex with men and …