Digital Commons Network^™

Adiposity, Hepatic Triglyceride, And Carotid Intima Media Thickness During Behavioral Weight Loss Treatment In Antipsychotic-Treated Youth: A Randomized Pilot Study, Ginger E. Nicol, Rachel Kolko, Eric J. Lenze, Michael D. Yingling, J. Philip Miller, Amanda R. Ricchio, Julia A. Schweiger, Robert L. Findling, Denise Wilfley, John W. Newcomer

Open Access Publications

No abstract provided.

A Qualitative Study Identifying Barriers And Facilitators Of Physical Activity In Rural Communities, Amanda S. Gilbert, Dixie D. Duncan, Alan M. Beck, Amy A. Eyler, Ross C. Brownson

Open Access Publications

No abstract provided.

Relationship Between Device Acceptance And Patient-Reported Outcomes In Left Ventricular Assist Device (Lvad) Recipients, Crispino Tosto, Luigi Adamo, Heidi Craddock, Maria Di Blasi, Rosario Girgenti, Francesco Clemenza, Robert M. Carney, Gregory Ewald

Open Access Publications

No abstract provided.

Mapping Brain Function During Naturalistic Viewing Using High-Density Diffuse Optical Tomography, Andrew K. Fishell, Tracy M. Burns-Yocum, Karla M. Bergonzi, Adam T. Eggebrecht, Joseph P. Culver

Open Access Publications

No abstract provided.

Genetic Variation Across Rna Metabolism And Cell Death Gene Networks Is Implicated In The Semantic Variant Of Primary Progressive Aphasia, Celeste M. Karch, Natalie L. Wen, Et Al.

Open Access Publications

No abstract provided.

Risks Of Harm With Cannabinoids, Cannabis, And Cannabis-Based Medicine For Pain Management Relevant To Patients Receiving Pain Treatment: Protocol For An Overview Of Systematic Reviews, Ian Gilron, Fiona M. Blyth, Louisa Degenhardt, Marta Di Forti, Christopher Eccleston, Simon Haroutounian, Andrew Moore, Andrew S.C. Rice, Mark Wallace

Open Access Publications

No abstract provided.

Tourette Syndrome Research Highlights From 2018 [Version 1; Peer Review: 2 Approved], Olivia Rose, Andreas Hartmann, Yulia Worbe, Jeremiah M. Scharf, Kevin J. Black

Open Access Publications

No abstract provided.

Comorbid Conditions Explain The Association Between Posttraumatic Stress Disorder And Incident Cardiovascular Disease, Jeffrey F. Scherrer, Joanne Salas, Beth E. Cohen, Paula P. Schnurr, F. David Schneider, Kathleen M. Chard, Peter Tuerk, Matthew J. Friedman, Sonya B. Norman, Carissa Van Den Berk-Clark, Patrick J. Lustman

Open Access Publications

No abstract provided.

Socio-Anthropological Methods To Study The Feasibility And Acceptability Of The Minimally Invasive Autopsy From The Perspective Of Local Communities: Lessons Learnt From A Large Multi-Centre Study, Maria Maixenchs, Rui Anselmo, Guillermo Martínez Pérez, Kelvin Oruko, Selidji Todagbe Agnandji, Pamela Catherine Angoissa Minsoko, Kounandji Diarra, Mahamane Djiteye, Zulfiqar Ahmed Bhutta, Shujaat Zaidi

Department of Paediatrics and Child Health

The minimally invasive autopsy (MIA), an innovative approach for obtaining post-mortem samples of key organs, is increasingly being recognized as a robust methodology for cause of death (CoD) investigation, albeit so far limited to pilot studies and research projects. A better understanding of the real causes of death in middle- and low-income countries, where underlying causes of death are seldom determined, would allow improved health planning, more targeted prioritization of available resources and the implementation of coherent public health policies. This paper discusses lessons learnt from the implementation of a Feasibility and Acceptability (F&A) study evaluating the MIA approach in …

Antitrust In Digital Markets, John M. Newman

Articles

Antitrust law has largely failed to address the challenges posed by digital markets. At the turn of the millennium, the antitrust enterprise engaged in intense debate over whether antitrust doctrine, much of it developed during a bygone era of smokestack industries, could or should evolve to address digital markets. Eventually, a consensus emerged: although the basic doctrine is supple enough to apply to new technologies, courts and enforcers should adopt a defendant-friendly, hands-off approach.

But this pro-defendant position is deeply- and dangerously- flawed. Economic theory, empirical research, and extant judicial and regulatory authority all contradict the prevailing views regarding power, …

How Courts In Criminal Cases Respond To Childhood Trauma, Deborah W. Denno

Faculty Scholarship

Neurobiological and epidemiological research suggests that abuse and adverse events experienced as a child can increase an adult’s risk of brain dysfunction associated with disorders related to criminality and violence. Much of this research is predictive, based on psychological evaluations of children; few studies have focused on whether or how criminal proceedings against adult defendants consider indicators of childhood trauma. This Article analyzes a subset of criminal cases pulled from an 800-case database created as part of an original, large-scale, empirical research project known as the Neuroscience Study. The 266 relevant cases are assessed to determine the extent to which, …

Revitalizing The Meaning Of Diversity For Racial Justice In Education, Tanya K. Hernandez

Faculty Scholarship

The concept of diversity undermines the true spirit of any affirmative action policy, which is to remedy society's racism and promote racial justice and equality. This is because “diversity” detached from racial justice can signify any human difference unrelated to social inequality. Infusing the notion of “diversity” with the insights from implicit bias research would mean instead considering the goal of “diversity” as a device for making admissions procedures more equitable and justified amidst the continuing implicit bias that can be actually measured. Furthermore, connecting the diversity goal as a device for procedurally addressing

implicit bias in admissions decisions and …

Implementing Guidelines To Improve Hand Hygiene Compliance, Doreen Millicent Currie

Walden Dissertations and Doctoral Studies

Hand hygiene is the term for removing microorganisms with disinfecting agents, alcohol-based rub, or soap and water. Evidence supported the low rates of hand hygiene compliance among health care workers. This project addressed this gap in practice at a large acute care facility through an educational training program. Data from the facility on hand hygiene compliance revealed a compliance rate of 63%. The problem question explored whether an educational program on hand hygiene improve compliance. The focus of the program was to provide education on the World Health Organization's My 5 Moments for Hand Hygiene and the 7-step technique for …

Residential Counselor Turnover: The Effects Of Burnout, Vicarious Trauma, Environment, And Self-Care, Kristine Edmonds

Walden Dissertations and Doctoral Studies

Most youth receiving care in residential treatment centers (RTCs) have experienced significant childhood trauma and require intensive mental health treatment to recover from their traumatic childhood experiences. Staff turnover is one factor that can negatively affect outcomes for these children and adolescents. Understanding factors that predict the turnover of professional counselors providing counseling to youth in RTCs can help counselors, supervisors, and counselor educators address barriers to staff retention. The purpose of this quantitative cross-sectional study was to explore the relationship between the turnover of professional counselors providing counseling to youth in RTCs and their perception of the work environment, …

Strategies Of Competitive Advantage For Small Businesses In The Service Industry, Lakeshia Marie Gardner

Walden Dissertations and Doctoral Studies

Small business owners play a leading role in the United States economy by creating jobs. However, small businesses have a high failure rate, with approximately 50% going out of business during the first 5 years. The purpose of this multiple case study was to explore the competitive advantage strategies that owners of small businesses used to sustain their businesses longer than the first 5 years. A sample of 6 small service industry business owners in Houston, TX that have been in business for 5 years or more participated in semistructured interviews. Additional data were collected from company documents and the …

Resiliency Of Students Who Failed The State Of Texas Assessments Of Academic Readiness Exam, Tetaime Sherie Green

Walden Dissertations and Doctoral Studies

The purpose of this study was to investigate former high school students' resilience following the administration of the State of Texas Assessments of Academic Readiness (STAAR) exam based on the comparison of male and female students who passed the STAAR exam the first time and those who failed it at least 2 times. This study fills a gap in the literature by offering additional data and increased knowledge about the relationship of resiliency to school performance. A total of 133 adults aged 18-29 years who had been enrolled in 3 high schools in a large metropolitan area in Texas were …

The Nurse And Certified Nursing Assistant Perception Of Person-Centered Care, Latonya Dickerson Hughes

Walden Dissertations and Doctoral Studies

Over the last decade, long-term care facilities have transitioned from institutional care models that focus on person-centered care, in which the resident is the center of the care. The purpose of this study is to explore the nurse and certified nursing assistant perception of the person-centered care services they deliver. Jean Watson's theory of human caring is the theoretical framework that guided this study. The theory focusing on the human caring experiences and person-centered care is being characterized as a caring feeling. The carative factors of Watson's theory, the fundamental concept of caring, has been associated with improved outcomes for …

Perceptions Of Higher Education Health Science Faculty On Debriefing After Simulation-Based Activities, Maureen Ellen Johnson

Walden Dissertations and Doctoral Studies

Health science faculty striving to be academically competitive can adopt debriefing after simulation-based activities to help transition occupational therapy and physical therapy students from classroom skills to clinical competence. The purpose of this qualitative study was to discover the perceptions and experiences of health science faculty during and after their adoption of debriefing after simulation-based activities. The theory of diffusion and experiential learning theory were used as a conceptual framework. The research questions related to the perceptions and experiences of faculty from their training sessions and implementing debriefing sessions after simulation-based activities in their courses and how these experiences related …

Factors Affecting Health Care Access And Utilization Among U.S. Migrant Farmworkers, Melinda R. Kelly

Walden Dissertations and Doctoral Studies

There are over 3 million seasonal and migrant farmworkers in the U.S. agricultural industry with a significant percentage of farmworkers documented or native to the United States. Migrant farmworkers live below the federal poverty levels at high rates and experience low health care access and utilization. Guided by the fundamental cause theory, the purpose of this phenomenological study was to examine the lived experiences of migrant farmworkers and identify the factors impacting their health care access and utilization. Face-to-face interviews were conducted with 12 migrant farmworkers who had worked in Southwest Texas agricultural stream. Data were analyzed and coded to …

The Lived Experiences Of Adult Male Trauma Survivors With Dance Movement Therapy, Jeanne Langston

Walden Dissertations and Doctoral Studies

In the United States, approximately 7.7 million individuals are affected by posttraumatic stress disorder (PTSD) at any given time. Though women are likelier to develop PTSD symptoms, men are exposed to more traumatic events in their lifetimes. Empirically- supported PTSD options exist, however clinical application of these treatments may not consistently culminate in beneficial outcomes. Dance Movement Therapy (DMT) has demonstrated positive treatment outcomes for a variety of mental and physical disorders. Nonetheless, there is a lack of robust research related to the treatment experiences of men who have participated in DMT for trauma-related symptoms. The purpose of this phenomenological …

Valuation Of Ex-Offender Motivation For Participation In A Restorative Justice Praxis, Kenneth Lang

Walden Dissertations and Doctoral Studies

Restorative justice (RJ) is an emerging concept of justice in the American penal system that seeks equality for all stakeholders involved. While RJ is vastly under researched--especially concerning RJ and violent offenses--current studies have only focused on determining victims' motivations for participating in RJ. Determining and evaluating offender motivations for participating in RJ remains unexplored. The purpose of this study was to explore the possible motivations of criminal offenders and their willingness to participate in RJ. The social construction framework and the narrative policy framework were employed to understand the social context. A mixed-method approach was used that began with …

The Relationship Between Race-Related Stress And Coping Strategies Of African American Men, Rynata Trevyce Leach

Walden Dissertations and Doctoral Studies

The purpose of this research was to identify coping mechanisms that African American men use when they perceive race-related stressors. Race-related stress derives from the occurrence of racism and discrimination that individuals, generally African Americans in the United States, experience in addition to daily life stress. Race-related stress may involve cultural racism, individual racism, or institutional racism. The coping mechanisms used by African American men when perceiving race-related stress were identified through the use of an online survey that consisted of 3 instruments: The Index of Race-Related Stress-Brief Version (IRRS-B), Brief Coping Orientation to Problems Experienced Inventory (Brief COPE), and …

Determinants Of Compassion Fatigue In Acute Care Nursing, Sherry Levering

Walden Dissertations and Doctoral Studies

Nurses experiencing compassion fatigue (CF) are emotionally exhausted, which contributes to decreased nurse retention and patient satisfaction. The focus of this project was to identify factors that contribute to CF. A systematic review was conducted to identify demographic factors that contribute to CF in the acute care setting, clarify the types of care situations that increase CF, and describe the social support networks of nursing units influencing CF. The review included peer-reviewed journal articles published between 2007 and 2018 that focused on registered nurses in the acute care setting. Using the grading of recommendation assessment development and evaluation format, 3 …

Strategies To Reduce Employee Turnover To Increase Profitability In A College Workplace, Cremaya Pariscene Lewis-Wilson

Walden Dissertations and Doctoral Studies

Employee turnover disrupts organizational functioning, service delivery, and administration. The purpose of this qualitative single case study was to explore strategies that some college administrators used to reduce employee turnover in the workplace to increase profitability. The population for the study included 3 administrators in a senior (4-year) college in the southeastern region of the United States who developed and implemented successful strategies to reduce employee turnover. Data were collected from semistructured interviews with college administrators and from publicly available organizational documents. Transformational leadership was the conceptual framework for this study. Data analysis included inductive analysis guided by transformational leadership …

Understanding Parents' Disease-Managing Strategies For Children With Sickle Cell Disease, Michelle Noble Mackey

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is one of the most difficult and stressful chronic diseases for parents of afflicted children to manage. Managing SCD can be traumatic for parents particularly if they have no specific coping strategies for managing the disease or ensuring the child visits the doctor as scheduled. The use of certain coping strategies may affect the parents' and patients' perceptions of the illness and influence their decisions regarding treatment, which can have a lasting impact on their lives. Effective parental strategies such as positive thinking can aid in disease management, but there is limited research on the coping …

Perspectives Of Patients With Comorbidity On The Use Of Ehealth Technology For Self-Management At Kenyatta National Hospital, Dorcas Waithira Maina

Walden Dissertations and Doctoral Studies

Health care systems still focus on single disease management and ignore the complexities of multiple conditions management. Though self-management is the focus of chronic disease management, patients with comorbidities face challenges in meeting their self-management goals. The purpose of this study was to explore the perspectives of patients with comorbid conditions on the use of eHealth technology to promote self-management. The research was grounded on the technology acceptance model. I sought to explore the participants' understanding of self-management, the challenges to self-management and their perspectives on the use of eHealth for self-management. In this phenomenological study, 10 interviews were conducted …

Millennial Retail Employees Experiences And Perceptions Of Leaders With Body Image Modifications, Jennifer Mcclure

Walden Dissertations and Doctoral Studies

Millennials in retail account for a large portion of the U.S. workforce and have the highest number of body image modifications from tattoos, piercings, and/or gauges. Following Moustakas concept of perception, the purpose of this transcendental phenomenology study was to explore how Millennial-aged retail employees describe and experience leaders with body image modifications from tattoos, piercings, and/or gauges. Participants were sought from various retail locations and were required to be born between 1981 and 1996. Data were collected through interviews with 6 participants and the data were analyzed using Moustakas modification of the Van Kamm Method. The results showed that …

Teachers' And Principals' Perceptions Regarding The Implementation Of Project Based Learning, Kenneth Ray Moore Ii

Walden Dissertations and Doctoral Studies

The majority of teachers in a medium-sized, rural, low socioeconomic high school in the U.S. state of Arkansas were not implementing mandated project-based learning (PjBL) or were not implementing the method with fidelity, which was problematic because students may not have been reaping benefits associated with the method. The reasons underlying those conditions were not well understood. Therefore, the purpose of this study, which was reflected in the study's 2 main research questions, was to better understand why teachers at the focus school were not implementing PjBL or were not implementing PjBL with fidelity and to generate potential solutions for …

Perceptions Of Barriers To Oral Care Among African American Families In Durham, North Carolina, Samuel Motto

Walden Dissertations and Doctoral Studies

Dental caries is one of the biggest issues of concern for healthcare providers in Durham, North Carolina due to the high prevalence of dental caries in African Americans. Many researchers have identified socio-economic, low income, poor education, psychological behavior, awareness, allied diseases, environment, unhealthy diet, obesity, type II diabetes, and inadequate health facilities as the possible reasons for its high prevalence, yet literature lacks information regarding how African Americans perceive the problem of oral health. Knowledge of the perceived factors may help to identify the actual cause of dental caries through the eyes of African Americans. The purpose of this …

Predictive Nature Of Teacher Traits On Academic Achievement Of African-American Students, Lacoñia Rayelle Nelson

Walden Dissertations and Doctoral Studies

Historically, biases, a lack of cultural diversity in teacher and administrative staff and misunderstanding about methods for teaching low socioeconomic students have related to the underperformance of African-American students when compared with their European American peers. Therefore, this quantitative, cross-sectional study was conducted to explore the impact of teachers' ethnicity, years of experience, and motives of hope and fear on the academic success of African-American students in reading and math. Data were collected from 55 7th- and 8th-grade teachers from a charter school system (25 reading teachers and 30 math teachers) using a survey and the Multi Motive Grid. Forward …