Digital Commons Network^™

Loving The Unloveable: A Biblical Approach For The Local Church To Homosexuality In A Morally Declining Society, Robert Jonathan Archer

Doctoral Dissertations and Projects

This thesis will strive to prove that local churches worldwide have been highly ineffective at providing true recovery for parishioners that struggle with homosexuality often ostracizing them as a diseased product rather than a creation of the Father. The goal is to help the church discover, assess, and address the sin, healing, and recovery for homosexuals in their ministry in a healthy biblical manner that promotes freedom in Christ and true recovery. This will allow the local church to partake in the healing process of broken parishioners promoting evangelism and discipleship that will in turn extend into the communities of …

The Impact Of A Christian Accommodated Mindfulness Protocol On Depression, Anxiety, Stress, Spiritual Well-Being, And Attachment To God, Tonya Thompson Gardner

Doctoral Dissertations and Projects

Best practices require those who work in the counseling field to ensure sensitivity to cultural norms and preferences among clients. While considering appropriate therapeutic interventions and treatment protocols, it is imperative that counselors remain aware of the personal beliefs of their clients. Thus, accommodating treatments to incorporate clients’ religious preferences seeks to enhance the effectiveness and provide the greatest benefit to each client as an individual. The purpose of this study was to investigate the impact of a Christian accommodated mindfulness (CAM) protocol in a Christian sample and provide further evidence of the impact of Christian accommodated mindfulness protocol by …

Modern-Day Korahites In Crisis: Causes And Consequences Of Moral Failure In Worship Leaders, Adely Thelus Charles

Doctoral Dissertations and Projects

In the Bible and throughout the history of Christianity, examples of moral failure in ministry leadership demonstrate a negative impact on the leader's family, congregations, faith traditions, and ministry efficacy. This qualitative study examines the causes and consequences of moral failure in worship leadership by considering the biblical account of Old Testament leaders who morally failed and apply psychological principles to assess moral fragility that may be faced by some worship leaders. Finally, this study offers biblical principles and practical strategies that target the potential pitfalls of leadership in an effort to hinder moral failure among worship leaders.

Self-Induced Moral Injuries, Sexual Shame, And Well-Being: The Moderating Role Of Self-Forgiveness, Teresa Lynn Phillips-Harris

Doctoral Dissertations and Projects

Self-induced moral injuries caused by compulsive sexual behavior can result in experiences of sexual shame. Shame is a pervasive experience of unworthiness, and it can become a significant obstacle to life and relationship satisfaction because it leads to negative cognitions and isolating behaviors. Self-induced moral injuries occur when a person's wrongdoing challenges their worldview and spiritual beliefs. Moral injuries impact the individual's affect, cognition, and behavioral responses to morally traumatic events. Individuals who morally injure themselves and others struggle to take responsibility, make cognitive and behavioral changes, and forgive themselves. Several research studies have examined the impact of shame on …

Refilling The Oilpots: Developing A Program To Reverse Stagnancy In African-American Churches, Mancil Carroll

Doctoral Dissertations and Projects

Many African American churches in America are experiencing a decline in attendance and participation. The typical church goes through a life-cycle that includes the church's birth, infancy, maturity, stagnation, and death. However, it is possible to create a rebirth process that will restart the life-cycle from the beginning. This thesis develops a strategic plan to initiate church rebirth and build momentum for the congregation. This project's research approach will include interviews with the leaders of a medium-size African American church in Dallas's suburbs. The project will also include survey questionnaires to congregants, former church members, and random subjects selected through …

Acute Right Ventricular Dysfunction In A Critically Ill Patient With Covid-19, Chakradhar Venkata, Senthil Aruchamy, Jan Kasal

2020-Current year OA Pubs

• Right ventricular dysfunction is common in critically ill patients with COVID-19. • Echocardiography is crucial for diagnosing hemodynamic complications of COVID-19. • Pulmonary embolism and acute cor pulmonale can complicate SARS-CoV-2 infection.

Equitable Allocation Of Covid-19 Vaccines: An Analysis Of The Initial Allocation Plans Of Cdc's Jurisdictions With Implications For Disparate Impact Monitoring, Harald Schmidt, Rebecca Weintraub, Michelle A. Williams, Alison Buttenheim, Emily Sadecki, Helen Wu, Lawrence O. Gostin, Angela A. Shen

Georgetown Law Faculty Publications and Other Works

Major global and national vaccine allocation guidelines urge planners to allocate vaccines in ways that recognize, and ideally reduce, existing societal inequities within countries. However, allocation plans of the US will be determined individually by each of the CDC’s 64 jurisdictions (states, the District of Columbia, five cities, and territories). We analyzed whether jurisdictions have incorporated novel approaches to reduce inequity, based on plans published by the CDC in early November 2020 (63 summaries [98% of all jurisdictions] and 47 full guidance documents [73% of all, including all 50 states]).

Eighteen states adopted a novel proposal to use a disadvantage …

Injustice Is An Underlying Condition, Yael Cannon

Georgetown Law Faculty Publications and Other Works

Race, poverty, and zip code serve as critical determinants of a person's health. Research showed the links between these factors and poor health and mortality before COVID-19, and they have only been amplified during this pandemic.

People of color experience higher rates of asthma, heart disease, diabetes, and other chronic conditions. People of color who live in poverty are even more likely to suffer from poor health; they face a “double burden” of health disparities associated with both racial and socioeconomic marginalization. Neighborhoods with concentrated poverty and with residents who are primarily people of color have even faced a life …

Adaptation Of The Parent Readiness For Hospital Discharge Scale With Mothers Of Preterm Infants Discharged From The Neonatal Intensive Care Unit, Naiire Salmani, Marzieh Zare Marvast, Somayeh Kahdouei, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Aims and objectives

To evaluate the psychometric properties of a new Persian translation of the Readiness for Hospital Discharge Scale.

Background

Globally, one in 10 newborns are born preterm and many require care in a neonatal intensive care unit (NICU). A primary role of NICU nurses is to assure parents are well prepared to take their newborns home from the hospital. Assessment of parent perception of discharge readiness provides important input into discharge decisions. The availability of reliable and valid instruments tested within the geographical and cultural context is needed for a comprehensive assessment of predischarge readiness, so that parent …

Assessing The Quality Of Intervention Reporting In Dermatology Randomized Controlled Trials Using The Tidier Checklist, Richard Bindernagel, Courtney Cook, Cole Wayant, Samuel Jellison, Matt Vassar

Student Publications

No abstract provided.

Depression, Periodontitis, Caries And Missing Teeth In The Usa, Nhanes 2009–2014, Muath Aldosari, Mohammad Helmi, Erinne Kennedy, Riddhi Badamia, Satomi Odani, Israel Agaku, Constantine Vardavas

Faculty and Staff Publications

Purpose

This study aimed to investigate the association between self-reported depressive symptoms and oral diseases in US adults, including periodontitis, caries, missing teeth and untreated dental caries.

Design

This study was designed as a secondary data analysis of a cross-sectional survey. We conducted descriptive, multivariable logistic and Poisson regression analyses on weighted data.

Setting

US National Health and Nutrition Examination Survey 2009–2014 data.

Participants

Individuals aged ≥30 years who completed a periodontal examination and depression screening (n=9799).

Results

21.6% (28.9 million) of adults aged ≥30 years reported depressive symptoms, with a higher prevalence among females, current smokers and participants with …

Student Perceptions Of Online And In-Person Microbiology Laboratory Experiences In Undergraduate Medical Education, Ross M. Brockman, John M. Taylor, Larry Segars, Veronica Selke, Tracey A.H. Taylor

Faculty and Staff Publications

Background:

Universities are facing increased budget constraints, often resulting in reduced funds to support microbiology laboratories. Online mock laboratory activities are often instituted as a cost-effective alternative to traditional wet labs for medical students.

Objective:

The purpose of this study was to examine students' perceptions of online and in-person microbiology lab learning experiences.

Design:

We investigated undergraduate medical student perception of the in-person and online microbiology lab experience; 164 first-year medical students participated in newly designed online labs, while 83 second-year medical students continued to use in-person labs. An online survey was administered to collect student opinions of the lab …

Conservation Conversations Webinar Summary - Conservation And Outdoor Recreation: Challenges And Solutions To Keeping Our Parks And Public Lands From Being Loved To Death, Jordan W. Smith

All Current Publications

Americans love their public lands. They have turned to them to connect with their families, to maintain an active lifestyle, and to escape 24-hour news cycles that seem to bring nothing but bad news. The recreational use that our public lands receive is not a new trend however. Over the past 10-years, visitation to all types National Park Service units (e.g., parks, monuments, historic sites, etc.) has increased by 16%, with national parks alone seeing a 28% increase in visitation. Visitation to many national parks reaches record levels every year. At the same time, the ecosystems of our parks and …

Form And Substance In Singapore Constitutional And Administrative Law, Kenny Chng

Research Collection Yong Pung How School Of Law

This paper proposes to study constitutional and administrative law in Singapore through the lenses of Atiyah’s and Summers’ concepts of form and substance in order to discern fruitful avenues for the development of Singapore constitutional and administrative law. While the concepts of form and substance in the context of constitutional law are often associated with constitutional interpretation, they can also be fruitfully applied to other areas of constitutional and administrative law to shed light on the potential trajectories of Singapore law. The intent of this paper is to apply Atiyah’s and Summers’ concepts of form and substance to Singapore constitutional …

Mediation And Appropriate Dispute Resolution, Nadja Alexander, Shou Yu Chong

Research Collection Yong Pung How School Of Law

2019 was a significant year for mediation. On 7 August 2019, 46 states – an unprecedented number – came together in Singapore to sign the United Nations Convention on International Mediated Settlement Agreements Resulting from Mediation (“Singapore Convention”). The Convention, which comes into force on 12 September 2020, provides a legal framework for the recognition and enforcement of mediated settlement agreements across borders and thereby addresses one of the major criticisms of international mediation, namely, the lack of an internationally recognised expedited enforcement mechanism. The Singapore Convention aims to be for mediation what the Convention on the Recognition and Enforcement …

International Moots And The Demands Of Modern Legal Practice: Relooking The Role Of Firms, Siyuan Chen

Research Collection Yong Pung How School Of Law

The demands of modern legal practice are such that the young law graduate is expected to be as practice-prepared as possible right off the bat: able to analyse, research, draft, write, advise, and even advocate on complex issues that do not always present clear demarcations in doctrines, jurisdictions, and cultures – and this is without mentioning other important soft skills required to thrive in practice. International moot competitions used to be the main means to bridge the school-versus-practice and theory-versus-application divides, but that landscape has transformed radically in the past decade. Considering too the competitiveness of the legal market today …

The Future Is Urban: The Progressive Renaissance Of The City In Eu Law, De Maartje Visser

Research Collection Yong Pung How School Of Law

For much of the European integration process, local authorities have been on the legal margins. Yet many amongst this group, and cities in particular, consider themselves as important players in realising the Union’s overarching policy objectives. This view is slowly but surely fi nding traction with the EU’s political institutions. This article suggests that the future architecture of the European Union’s (EU’s) operating system will evince a rapprochement between the socio-economic clout of local authorities, notably cities, and their legal-political recognition at Union level. It further suggests that there is room for greater conceptual clarity along two lines when interrogating …

Joint Statement On Data Protection And Privacy In The Covid-19 Response

Saudi Medical Journal

No abstract provided.

The Battle Against Coronavirus Disease 2019 (Covid-19) In The Kingdom Of Saudi Arabia: Public Health Perspective, Sultan T. Al-Otaibi

Saudi Medical Journal

Coronavirus disease 2019 (COVID-19) which was initially reported in the Chinese city of Wuhan has now spread unprecedented all over the world, including the Kingdom of Saudi Arabia (KSA). The World Health Organization declared this outbreak as a public health emergency of international concern during late January 2020 while the announcement of this viral infectious condition was made as COVID-19 disease during February 2020. As of late May 2020, the global death rate due to COVID-19 was 357,714 and 441 in KSA alone. This review provides an overview of COVID-19 and the public health measures adopted by KSA in the …

A Preliminary Study Of Cytokine Gene Polymorphism Effects On Saudi Patients With Colorectal Cancer, Sarah A. Althubyani, Afrah F. Alkhuriji, Manal F. El-Khadragy

Saudi Medical Journal

Objectives: To determine the possible associations of polymorphisms in interleukin (IL)-8 ( rs4073 T/A), IL-10 ( rs1800896 A/G), IL-22 ( rs1179251 C/G and rs2227485 C/T), IL-27 ( rs17855750 T/G), and transforming growth factor beta 1 (TGFß1) ( rs1800469 C/T) with colorectal cancer (CRC) susceptibility in Saudi patients. Methods: The case-control study was carried out between July 2019 and January 2020 in King Khaled University Hospital, Riyadh, Saudi Arabia. A total of 70 patients with CRC and 70 healthy controls were included in the study. Single nucleotide polymorphisms of promoter regions were determined using TaqMan genotyping assays. Results: A statistically significant …

Thyroid Neoplasm In Makkah Region, Saudi Arabia: A Retrospective Epidemiological Study, Haddad H. Alkaff, Bayan O. Besharah, Deemah H. Bukhari, Suhail I. Sayed, Mohammad A. Alessa, Sherif K. Abdelmonim, Saeed A. Alghamdi, Fares E. Alghamdi, Anas H. Al-Tammas, Rajab A. Al-Zahrani, Osama A. Marglani, John C. Heaphy, Osama A. Bawazir, Ameen Z. Alherabi

Saudi Medical Journal

Objectives: To improve our local data and demographics of thyroid neoplasm in Makkah region, Kingdom of Saudi Arabia and provide some basic statistics for future studies in our local community. Methods: A record based retrospective epidemiological study was conducted and included 314 thyroid disease patients who were presented to our centers at Makkah region, Kingdom of Saudi Arabia between December 2009 and December 2019. Results: A descriptive statistical analysis was carried out. The average age was 42.77 years, with a female-to-male ratio of 3:1, and most of the patients were Saudi (77%). Fifty-seven percent of cases were benign, while in …

Assessing The Cognitive Status Of Older Adults Attending Primary Healthcare Centers In Saudi Arabia Using The Mini-Mental State Examination, Sulaiman A. Alshammari, Adel A. Alhamdan, Saad M. Bindawas, Maysoon M. Al-Amoud, Saada M. Al-Orf, Philip C. Calder

Saudi Medical Journal

Objectives: To assess the cognitive status of older adults in Saudi Arabia. Methods: This was a cross-sectional, multistage, stratified study of older individuals (≥60 years of age) attending primary healthcare centres in Riyadh, Saudi Arabia between January 2015 and April 2017. We collected data using a structured questionnaire, which incorporated questions regarding demographic and anthropometric variables, the Arabic version of Mini-Mental State Examination, the Mini-Nutritional Assessment tool, and the Modified Katz Index of Independence in activities of daily living. Results: Of the 1299 participants, 914 (70.4%) were male, with a mean age of 66.2 ± 5.9 years. Approximately 79.1% of …

Stress And Psychological Resilience Among General Surgery Residents During Covid-19 Pandemic, Yasser M. Aljehani, Sharifah A. Othman, Nosibah K. Telmesani, Raghad A. Alghamdi, Hussah M. Albuainain, Zeead M. Alghamdi, Hazem M. Zakaria, Farouk T. Alreshaid, Saleh A. Busbait, Abdullah A. Alqarzaie, Turki M. Alharbi, Ruba K. Alnajim

Saudi Medical Journal

Objectives: To evaluate the impact of coronavirus-19 (COVID-19) pandemic and its consequences on general surgery residents. Methods: Cross-sectional, survey based study including surgical residents in Kingdom of Saudi Arabia and Kingdom of Bahrain. Results: Surgical trainees who participated in our survey (n=234) were young (mean age 28), single (53.8%), and males (65.8%). Approximately half (50.4%) have been deployed to cover the staff shortage in intensive care units (ICUs) or emergency departments (EDs). Half of our trainees (117) scored positive in the screening tool of generalized anxiety disorder (GAD). There was a significant association between experiencing anxiety and male gender ( …

The Impact Of An Education-Based Intervention Program (Ebip) On Dyspnea And Chronic Self-Care Management Among Chronic Obstructive Pulmonary Disease Patients: A Randomized Controlled Study, Ayşe Çevirme, Gönül Gökçay

Saudi Medical Journal

Objectives: To evaluate the impact of dyspnea and chronic self-care management outcomes of an Education-Based Intervention Program (EBIP) compared to routine care. Methods: The population of the study consisted of self-care management scale of 61 patients diagnosed with chronic obstructive pulmonary disease (COPD) stage 2 and within one month after discharge. A total of 51 conforming patients were divided into experimental and control groups for a single-blind randomized trial. Data were collected using an introductory information form, the baseline dyspnea index (BDI), pulmonary function test (PFT), the self-care management process in chronic illness (SCMP-G) scale and body mass index (BMI). …

The Relation Between Regular Outpatient Follow-Up And Frequency Of Emergency Department Visits In Sickle Cell Pediatric Patients, Abeer F. Ismail, Raghad A. Tarawah, Zainab Y. Azzouni, Lojain T. Alharbi, Raghad M. Altayyar

Saudi Medical Journal

Objectives: To evaluate the relationship between the frequency of ED visits and outpatient department (OPD) follow-up in sickle cell disease (SCD) pediatric patients. Methods: A retrospective cohort study included 247 SCD pediatric patients between January 2016 and December 2018 at the Maternity and Children Hospital, Department of Pediatrics, Al Medinah Al Munawarah, Saudi Arabia. Data were extracted from electronic medical record system; patient demographics, medications, frequency of emergency department (ED) and OPD visits. Pearson correlation coefficient, linear regression and independent sample t-test were applied. Results: There was no significant correlation (95% CI [-0.013- 0.233]; p =0.07) between the frequency of …

Natural Immunity To Influenza A And B Among Saudi Blood Donors In Al Madinah Al Munawarah, Saudi Arabia, Waleed H. Mahallawi, Nadir A. Ibrahim, Khalid S. Alahmadi, Abdullah K. Al-Harbi, Mohammed A. Almughthawi, Omar A. Alhazmi, Fayez H. Alsehli, Omar F. Khabour

Saudi Medical Journal

Objectives: To investigate the seroprevalence of influenza viruses (A and B) among blood donors in Kingdom of Saudi Arabia. Methods: The present investigation was conducted between April 2019 and July 2019. Participants were healthy adults recruited from the central blood bank Al Madinah Al Munawarah, Kingdom of Saudi Arabia. Immunoglobulin G (IgG) levels against influenza A and B were measured in serum samples using ELISA. Results: The results showed that 29.2% of the sample had significant concentrations of influenza A IgG antibody, whereas 38.6% had significant concentrations of influenza B IgG antibody. A strong correlation was found between the levels …

A Loxoscelism Case Received Therapeutic Apheresis And Hyperbaric Oxygen Therapy, Ali Cetinkaya, Kaniye Aydin, Hatice A. Sirakaya, Rumeysa Yilmaz

Saudi Medical Journal

Loxosceles reclusa (L.reclusa) is known to bite humans, and its venom includes several enzymes that cause clinical symptoms. Loxoscelism, a condition due to being bitten by Loxosceles spiders, commonly known as recluses, can involve a range of clinical conditions, from local cutaneous lesions to severe systemic involvement. The diagnosis of loxoscelism is usually made by anamnesis and clinical findings. Magnetic resonance imaging is recommended for patients at high risk of necrotizing fasciitis. Treatment modalities are still controversial and there is no standardized treatment approach. Reported here, our case of loxoscelism involved a 24-year-old man presenting with a Loxosceles spider bite, …

The Road To Inclusion: Special Education In The United States And Mexico, Elena Hammann

Honors College Theses

This report addresses the laws, views, funding, and school system policies in the United States and Mexico. Children with disabilities are typically subject to misrepresentation, prejudice, and a lack of opportunities. The best chance these children have to succeed is an adequate education. The intention of both countries for the last five decades is to provide an equitable and inclusive education for students with disabilities. Although educational planners and policy makers in each country pass federal legislation and educational policy, there is further work for improvement. The results of current research through a questionnaire shows continued negative social bias towards …

Rev-Erbα Mediates Complement Expression And Diurnal Regulation Of Microglial Synaptic Phagocytosis, Percy Griffin, Patrick W. Sheehan, Julie M. Dimitry, Chun Guo, Michael F. Kanan, Jiyeon Lee, Jinsong Zhang, Erik S. Musiek

Open Access Publications

The circadian clock regulates various aspects of brain health including microglial and astrocyte activation. Here, we report that deletion of the master clock protein BMAL1 in mice robustly increases expression of complement genes, including

A Management Framework For Left Sided Endocarditis: A Narrative Review, Francesco Nappi, Cristiano Spadaccio, Marc R. Moon

Open Access Publications

Left sided endocarditis (LSE) can include the entirety or portion of mitral and/or aortic valve and the structures in their anatomical contiguity and represent a significant portion of emergency surgical activity. Literature and guidelines on the management of LSE relies mainly on observational studies given the difficulty in designing randomized trials in emergency settings. Heart teams (HT) are often called in to difficult decisions on the most appropriate strategy to adopted in case of LSE. Decision-making should take into account the localization and the extension of the infection, patient preoperative status and comorbidities, presence of a previous valve prosthesis and …