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2020

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Inpatient Stays Involving Mental Illness And Substance Use Disorders, Latonya Smith Jan 2020

Inpatient Stays Involving Mental Illness And Substance Use Disorders, Latonya Smith

Walden Dissertations and Doctoral Studies

Nearly one-third of Americans suffer from a mental illness. Twenty-three million people are affected by substance use or a dependency issue and the length of stay for patients enrolled in treatment services is rising. Mental health issues and substance use are rising within the United States and are associated with increased healthcare costs and the need for healthcare services. The purpose of this quantitative study was to determine the association between inpatient services, residential, outpatient, age, and payer source on substance use and mental health services using the 2017 Substance Abuse and National Mental Health Services Administration survey. The Donadebian …

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Strategies For Reducing Civil Servant Turnover Within The U.S. Federal Government, Tewanda Leshae Wooten Jan 2020

Strategies For Reducing Civil Servant Turnover Within The U.S. Federal Government, Tewanda Leshae Wooten

Walden Dissertations and Doctoral Studies

Voluntary turnover has increased in the United States federal government in recent decades. Employees are voluntarily leaving organizations sooner than expected, leaving the remaining employees to complete their tasks and posing a possible loss of revenue until the employee is replaced or retrained. The purpose of this study was to understand the reasoning behind the upward trend in turnover rates within the federal government and assist with strategies to retain government employees in the future. Herzberg’s two-factor theory was used as the theoretical framework to heighten understanding of the high levels of turnovers within the federal government. The primary research …

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Child Marriage: Parents' Lived Experience Of Decision-Making Processes And Consequential Health Effects, Hadiza Yakub Jan 2020

Child Marriage: Parents' Lived Experience Of Decision-Making Processes And Consequential Health Effects, Hadiza Yakub

Walden Dissertations and Doctoral Studies

Child or early marriage is increasingly recognized as a public health concern that poses significant health challenges for a young bride. This qualitative research explored child marriage among Hausa-Fulani ethnolinguistic communities in Northeastern Nigeria. Qualitative interviews were conducted with parents who married off their underage children. The central research questions relied on a theoretical foundation of social values theory and interpretative phenomenological analysis. The study results provide an in-depth understanding of the child marriage phenomenon by exploring parents' lived experiences and the role of a child bride's health in the decision-making process and illustrates how social values and norms drive …

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Strategies To Retain Mental Health Workers In Community Mental Health Clinics, Debbie L. Young Jan 2020

Strategies To Retain Mental Health Workers In Community Mental Health Clinics, Debbie L. Young

Walden Dissertations and Doctoral Studies

In 2017, the United States employee turnover rate for mental health workers with 2 or more years of experience was more than 50%. High turnover rates among these mental health workers are associated with inadequate quality of care for patients with mental health issues in community mental health clinics. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple case study was to explore retention strategies used by health care administrators to retain their mental health workers with more than 2 years of experience. The participants consisted of 6 health care administrators who successfully implemented strategies to minimize high …

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Professor Perceptions Of Grit In Baccalaureate Online Education, Erica Marie Aiken Jan 2020

Professor Perceptions Of Grit In Baccalaureate Online Education, Erica Marie Aiken

Walden Dissertations and Doctoral Studies

Undergraduate students who enroll in online courses and degree programs often struggle to make progress. Researchers have suggested that noncognitive traits like grit may contribute to student success. However, findings on grit have been conflicting and there is no research on professors’ perceptions. The purpose of this basic qualitative study was to explore professor perceptions of the role of grit in online baccalaureate education, particularly its role in student progress and if there were any implications for teaching practice. Dewey’s pragmatism, Garrison et al.’s CoI framework, and Rogers’ diffusion of innovations theory came together to form the conceptual framework for …

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Teacher Preparedness, Stress, And Subjective Well-Being In Alternative And Traditional Certification Route Teachers, Shuchemia Nicole Bradley Jan 2020

Teacher Preparedness, Stress, And Subjective Well-Being In Alternative And Traditional Certification Route Teachers, Shuchemia Nicole Bradley

Walden Dissertations and Doctoral Studies

Many educators who enter the teaching profession via the traditional route leave the profession early. As a result, many school districts rely on alternative certification programs to fill the teacher shortage. Though the traditional route of teacher certification contains instruction parallel to pedagogical theories and produces candidates with the opportunity to gain experience through practicums, the alternative route allows candidates to move directly into the classroom to fill teacher vacancies. The purpose of this study was to examine possible differences in teacher job-related stress and teacher subjective well-being as a function of teacher certification route. In addition, possible differences in …

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Eating Disorders And The Gap Of Education, Sara Jane Camden Jan 2020

Eating Disorders And The Gap Of Education, Sara Jane Camden

Walden Dissertations and Doctoral Studies

Eating disorders are described as excessive dieting, limiting food intake, and withholding of food. Over 30 million people suffer from eating disorders. Some people may also have preconceived notions that this disease is easily fixable and that eating more and stopping dieting will solve the problem. Registered nurses struggle with having preconceived ideas, a lack of confidence in their assessment skills, and fear of using the eating disorder diagnosis. Barriers that have surrounded the eating disorder mental health disease need to be addressed. The staff development project was based on the question if nursing knowledge would improve on eating disorders …

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Therapeutic Communication Skills For Nurses Working With People Living With Hiv, Charaine Ferguson Jan 2020

Therapeutic Communication Skills For Nurses Working With People Living With Hiv, Charaine Ferguson

Walden Dissertations and Doctoral Studies

Internalized stigma experienced by people living with HIV (PLWH) has been associated with numerous untoward health outcomes. Nurses' and healthcare professionals’ ability to effectively communicate can significantly affect the experience of stigma in PLWH. The practice-focused question was whether an interactive educational project could improve the knowledge and intent to use collective communication skills in nurses. This project uses concepts from Peplau's interpersonal relationship theory, principles of therapeutic communication, and unconscious bias. Online training content included patient testimonials related to stigma, discussions of unconscious bias by the Institute for Healthcare Improvement and Mayo Clinic professionals, review of Harvard University’s Implicit …

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Leadership Strategies To Maintain Hospital Business Office Productivity During A Merger, Scott Alan Hughes Jan 2020

Leadership Strategies To Maintain Hospital Business Office Productivity During A Merger, Scott Alan Hughes

Walden Dissertations and Doctoral Studies

In 2017, healthcare system mergers in the United States set a record with 115 deals made and 11 involved sellers with net revenue of at least $1 billion; however, it is common for hospital business office productivity to suffer during a merger. Grounded in the theory of business process re-engineering, the purpose of this qualitative single case study was to explore strategies hospital leaders in the southeastern United States used to maintain business office productivity as they completed a merger. A review of documentation from archival records supplemented in-depth interviews with 7 purposively selected hospital leaders. Yin’s 5-step analysis guided …

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Supply Chain Leaders’ Strategies For Selecting Performance Measures, Elizabeth Brush Nohe Jan 2020

Supply Chain Leaders’ Strategies For Selecting Performance Measures, Elizabeth Brush Nohe

Walden Dissertations and Doctoral Studies

There is a performance gap between supply chain leaders versus laggards in critical areas such as service and shareholder value. Although research indicates that the reasons for the performance differences are choosing the wrong performance measures and setting goals too low, there remains a lack of knowledge and understanding regarding the decision-making strategies used by supply chain leaders in selecting key performance measures and goals for their respective organizations. The purpose of this descriptive phenomenological study was to improve the understanding of the decision-making strategies used by supply chain leaders in their selection of key performance measures and associated goals. …

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Coping And Support Strategies Portrayed In Rheumatoid Arthritis Illness Blogs, Folasade Bolanle Alagbada Jan 2020

Coping And Support Strategies Portrayed In Rheumatoid Arthritis Illness Blogs, Folasade Bolanle Alagbada

Walden Dissertations and Doctoral Studies

The symptoms of rheumatoid arthritis (RA), such as pain, fatigue, stiffness, and inflammation, limit individuals’ abilities to care for themselves, participate in social events, and complete tasks associated with gender norms. RA is a chronic and debilitating disease that people struggle to cope with physically, mentally, emotionally, socially, and financially, but many have not established effective coping and support strategies. The purpose of this hermeneutic phenomenological qualitative study guided by a combination of Orem’s theory of self-care and Watson’s theory of the human caring was to explore the coping mechanisms and support strategies of women and men with RA as …

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Environmental Barriers To Accessing Tertiary Prevention Among Hispanics Diagnosed With Type 2 Diabetes, Stella B. Biira Jan 2020

Environmental Barriers To Accessing Tertiary Prevention Among Hispanics Diagnosed With Type 2 Diabetes, Stella B. Biira

Walden Dissertations and Doctoral Studies

In the United States, Hispanics diagnosed with type 2 diabetes (T2DM) have not accessed tertiary level prevention, which is critical in diabetes management and the prevention of further complications. The purpose of this quantitative study was to examine the association between neighborhood crime, the absence of community health centers, the lack of culturally competent providers, the lack of public transportation, the residential setting, the distance to T2DM education classes, and access to tertiary prevention among Hispanics diagnosed with T2DM. The research was guided by the Andersen behavioral model. A sample size of N = 4,977 was used in the study, …

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Technology Business Leaders' Strategies To Increase Employees' Engagement, Desmond J. L. Browne Jan 2020

Technology Business Leaders' Strategies To Increase Employees' Engagement, Desmond J. L. Browne

Walden Dissertations and Doctoral Studies

AbstractEmployee disengagement is costly and reduces an organization's ability to meet its full potential to produce business results. Technology business leaders who have engaged employees can positively alter the company's rapid transformation to be more competitive. Grounded by the social exchange theory, the purpose of this qualitative single case study was to explore strategies 6 technology leaders in the Atlanta metropolitan area use to engage employees. Data were collected through semistructured interviews and company documents. Data were analyzed using Yin's 5-step data analysis process. Three themes emerged: communicate with transparency, provide offerings for training and rewards, and identify and implement …

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Relationship Between Transformational Leadership Style And Financial Sustainability, Tameika R. Campbell Jan 2020

Relationship Between Transformational Leadership Style And Financial Sustainability, Tameika R. Campbell

Walden Dissertations and Doctoral Studies

Only 50% of the U.S. small businesses opened in 2011 were able to maintain financial sustainability. Small business owners struggle with identifying the type of leadership style needed to increase financial sustainability. Grounded in the transformational leadership theory, the purpose of this correlational study was to examine the relationship between idealized influence, inspirational motivation, intellectual stimulation, individualized consideration, and financial sustainability. The participants consisted of 76 small business owners located in Arkansas, California, Louisiana, Maryland, Texas, and Virginia. The business owners completed a survey containing the Multifactor Leadership Questionnaire and the Financial Capability Scale. The data were analyzed using multiple …

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The Relationship Between At-Home Reading Literacy Activities And Reading Literacy Scores Of Beginning Kindergarteners, Shera Chantel Caviness Jan 2020

The Relationship Between At-Home Reading Literacy Activities And Reading Literacy Scores Of Beginning Kindergarteners, Shera Chantel Caviness

Walden Dissertations and Doctoral Studies

Approximately 33% of U.S. prekindergartners have trouble recognizing the English alphabet and their associated sounds. To compete and succeed globally today, children start early with English alphabet recognition and phonics instruction to develop fluent reading skills. The purpose of this study was to investigate the relationship between parental recollection of at-home reading literacy activities of prekindergartners and beginning kindergarteners’ reading literacy scores. Vygotsky’s theory of social interaction and Piaget’s theory of child development provided the theoretical basis for this study. The key research question focused on the relationship between parental recollection of at-home reading literacy activities of prekindergarteners and beginning …

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Beyond Borders: Nigerian Diaspora, Men's Experiences Of Intimate Partner Violence, Christiana Ifeyinwa Chineme Jan 2020

Beyond Borders: Nigerian Diaspora, Men's Experiences Of Intimate Partner Violence, Christiana Ifeyinwa Chineme

Walden Dissertations and Doctoral Studies

Culture and social structures are factors in the way people view or think of intimate partner violence (IPV). A significant gap exists in the current literature regarding whether changes exist in IPV experience because of continuous and direct contact between individuals from different cultural origins. Despite the increasing emphasis on the social and structural determinants of IPV-related behaviors, research and interventions lag on how people view IPV while they live in their native country and when they migrate and are exposed to a different culture and social structure. The purpose of this qualitative phenomenological research was to explore the IPV …

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Principals Managing The Expectations Of Instructional Leadership, Shonda Ham Collins-Richey Jan 2020

Principals Managing The Expectations Of Instructional Leadership, Shonda Ham Collins-Richey

Walden Dissertations and Doctoral Studies

Researchers have shown that principals are second only to teachers in their impact on student learning. The problem studied was principals’ abilities to balance their responsibilities as operational managers while placing primary focus on instructional leadership. The purpose of this qualitative study was to explore the processes established by school principals to balance the expectation of managing their buildings while being instructional leaders and how their sense of self-efficacy influenced their ability to establish and adhere to those processes and structures. The theories of complexity self-efficacy guided this study. Data were collected using structured and semistructured interviews with six elementary …

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Parental Perceptions Of Mobile Device Learning For Students In Special Education, Persjha T. Conry Jan 2020

Parental Perceptions Of Mobile Device Learning For Students In Special Education, Persjha T. Conry

Walden Dissertations and Doctoral Studies

The purpose of this generic qualitative study was to explore parents’ perceptions of the use of mobile devices as tools for learning for their children in special education settings. Research literature on mobile-device use in special education indicates that little is known regarding parents’ perception of mlearning. While studies provided information on teachers’ perspectives of mlearning in their special education classrooms, parents’ perspectives on mlearning to support their children’s needs remained unexplored. The conceptual frameworks used included Rogers’s diffusion of innovation theory and Hoover-Dempsey and Sandler’s theory of parental involvement. Individual semistructured interviews of eight parents of elementary students in …

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Importance Of Early Recognition Of Extrapyramidal Symptoms (Eps) In A Community Mental Health Clinic, Jamil E. Davis Jan 2020

Importance Of Early Recognition Of Extrapyramidal Symptoms (Eps) In A Community Mental Health Clinic, Jamil E. Davis

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this project was to address the lack of knowledge of nurses in recognizing extrapyramidal symptoms during the early stages of clinical presentation in patients taking antipsychotic medication. Nursing staff need to be properly training to be effective. Maslow's hierarchy of human needs informed this project. The primary goal of this project was to identify if an instructional seminar regarding EPS symptoms and management would increase the knowledge of the nursing staff. The project had a sample size of 7 and the criteria for inclusion included licensed professional nurses working in the clinical setting of mental health. The …

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Family Rejection And Unprotected Sex Inlatino Gay Men, Juan Alejandro De Llano Montano Jan 2020

Family Rejection And Unprotected Sex Inlatino Gay Men, Juan Alejandro De Llano Montano

Walden Dissertations and Doctoral Studies

The present work explored the role of family rejection on the sexual behavior of Latino gay men under the guidance of the minority stress model. Family rejection was analyzed as a distal stressor, self-esteem as a proximal stressor, and unprotected sex as the outcome. The hypotheses were tested using regression, mediation, and multiple regression of secondary data from the Latino men who have sex with men (MSM) community involvement project. The results suggested that family rejection is a weak predictor of low self-esteem and engaging in receptive unprotected sex with more partners. Low self-esteem did not mediate the relationship between …

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Precursors To Human Trafficking, Aleta J. Eldridge Jan 2020

Precursors To Human Trafficking, Aleta J. Eldridge

Walden Dissertations and Doctoral Studies

AbstractThe problem addressed in this phenomenological study was the lack of documentation of the supported lived experiences of the precursors that children exhibit prior to being groomed by a sex trafficker into human sex trafficking. The purpose of this study was to explore the lived experiences of adults, whom as a child, were groomed into sex trafficking due to being bullied, experienced familial abuse and had used illegal drugs, concurrent. Using Ostrom's institutional analysis theory (IAT) and Shaw and McKay's social disorganization theory (SDT), this study examined the three precursors of human trafficking that occurred, concurrently, prior and during the …

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Treatment Disparities In Black And Hispanic Children With Attention-Deficit Hyperactivity Disorders, Charlotte Seiji Frey Jan 2020

Treatment Disparities In Black And Hispanic Children With Attention-Deficit Hyperactivity Disorders, Charlotte Seiji Frey

Walden Dissertations and Doctoral Studies

Disparity in diagnosis and treatment of attention deficit hyperactivity disorder (ADHD) among children has been studied; however, no known studies examining disparities based on severity of symptoms have been investigated. The purpose of this study was to assess the racial disparities in diagnosis and treatment that exist among children based on severity of symptoms. This cross-sectional quantitative analysis used data from the 2016 National Survey of Children's Health and the theoretical foundation was guided by the behavioral model of healthcare utilization and help-seeking behavior for ADHD. Binomial logistic regression analysis showed an overall association between race and the diagnosis and …

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An Educational Activity For Primary Care Providers Treating Older Veterans With Sexually Transmitted Infections, Beatrice Fannie Grant Jan 2020

An Educational Activity For Primary Care Providers Treating Older Veterans With Sexually Transmitted Infections, Beatrice Fannie Grant

Walden Dissertations and Doctoral Studies

AbstractComprehensive sex education is an effective method of promoting sexual health. Because primary care providers conduct the initial health need assessment of veterans, it is important that providers understand how to approach the subject of sexual health and the prevention of sexually transmitted infections. The purpose of this evidence-based project was to implement and evaluate an educational activity for primary care providers. The health belief model was used as theoretical framework. This project was introduced to a federal primary care clinic in the Mid-Atlantic United States. Twenty-five participants completed a pretest prior to the start of the educational activity that …

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Safety Design Management Processes To Mitigate Design Errors, Hernan Guadalupe Jan 2020

Safety Design Management Processes To Mitigate Design Errors, Hernan Guadalupe

Walden Dissertations and Doctoral Studies

Some organizations lack processes to mitigate design errors that may result in potential accidents or loss of life during building construction. Managers are concerned about preventing injuries and accidents, which may promote safer working conditions during construction. Grounded in the transformation-flow-value theory of production, the purpose of this qualitative single case study was to explore safety design management processes that managers use to mitigate errors. The participants included 7 members from 1 design firm with business operations in the United States northeastern region. Data were collected from semistructured interviews and company document reviews. Data were analyzed using Yin's 5-phase, where …

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Effective Strategies To Reduce Employee Absenteeism Amongst Canadian Female Employees, Sue Haywood Jan 2020

Effective Strategies To Reduce Employee Absenteeism Amongst Canadian Female Employees, Sue Haywood

Walden Dissertations and Doctoral Studies

High absenteeism in female employees costs Canadian hospitals millions of dollars annually. Leaders of Canadian hospitals who lack strategies to reduce absenteeism in female employees witness significant financial losses in their organizations. Grounded in Herzberg's two-factor theory, the purpose of this multiple case study was to explore strategies Canadian hospital leaders used to reduce absenteeism in female employees. Data were collected from semistructured interviews, annual reports, and publicly available datasets relating to hospital retention strategies and were analyzed using a thematic analysis. Four themes on strategies to reduce absenteeism emerged: creating a supportive stance towards absenteeism, investing in mental health …

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Neighborhood Factors, Depression, And Body Mass Index Among Patients With Lupus In Georgia, Aisha L. Hill Jan 2020

Neighborhood Factors, Depression, And Body Mass Index Among Patients With Lupus In Georgia, Aisha L. Hill

Walden Dissertations and Doctoral Studies

Elevated BMI (overweight and obesity) is a common health-related issue and affects more than half of the lupus population. Weight issues lead to additional health-related issues, such as heart disease and disabilities in the lupus population. To address the shortage of research focusing on this specific issue in the lupus population, one approach is a novel outlook on how neighborhood factors have the capability of determining or altering behaviors, such as physical activity, healthy eating, and healthy social relationships. Another variable to consider is depression and its capability of altering interactions, relationships, self-esteem, or even the inflammatory state of the …

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Understanding The Young Adult African American Male's Perceptions Of Civic Engagement, Carl Lee Jackson Jan 2020

Understanding The Young Adult African American Male's Perceptions Of Civic Engagement, Carl Lee Jackson

Walden Dissertations and Doctoral Studies

AbstractCivic engagement and political involvement of the greater portion of the population of democratic societies are important to the maintenance of the quality of life of all members. Although 100% participation in these activities is rare, higher levels of involvement across all affected demographic groups will support a more equitable political environment in urban communities. In the midwestern metropolitan community that is the focus of this study, young adult African American males were found to participate in all forms of civic engagement at lower rates than any other demographic group. Using a critical race theory foundation, the purpose of the …

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Student Satisfaction And Educational Experience With Collaborative Learning Teams, Jacquelyn Lee Jenkins Jan 2020

Student Satisfaction And Educational Experience With Collaborative Learning Teams, Jacquelyn Lee Jenkins

Walden Dissertations and Doctoral Studies

AbstractThe use of collaborative learning teams is successful at many traditional higher education institutions. However, the use of collaborative learning teams at 3 University X campuses was noted as a source of frustration for students and may affect student satisfaction. Lower satisfaction rates equate to lower rates of success, graduation, referrals, and retention. The purpose of this study was to explore student satisfaction with the use of collaborative learning teams and how learning teams affect students' educational experiences at University X. Vygotsky's social learning theory and Astin's theory of student involvement framed the study. The mixed-method design included a quantitative …

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The Friday Night “Who Is Driving?” Debate Will Soon Come To An End: How Autonomous Vehicles Are Changing Our Lives And Societal Norms, Nicholas Calabria Jan 2020

The Friday Night “Who Is Driving?” Debate Will Soon Come To An End: How Autonomous Vehicles Are Changing Our Lives And Societal Norms, Nicholas Calabria

Touro Law Review

No abstract provided.

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The “Foul” Protection For A Photographer’S Original And Creative Choices In A Photograph: Exploring The Implications Of Rentmeester V. Nike, Inc. On Creativity In Photography, Olivia Lattanza Jan 2020

The “Foul” Protection For A Photographer’S Original And Creative Choices In A Photograph: Exploring The Implications Of Rentmeester V. Nike, Inc. On Creativity In Photography, Olivia Lattanza

Touro Law Review

No abstract provided.

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