Digital Commons Network^™

Global Health At The Local Level: Innovative Approaches For Preventing Hiv/Aids Among Adolescent Girls In Botswana With Evidence From An Evaluation Study On Perceptions Of Cross Generational Sex And Edu-Tainment Strategies, Rebecca L. Upton

Sociology & Anthropology Faculty publications

In Botswana, cross-generational sex (CGS) accounts for a disparity in incidence and prevalence rates of HIV infection between young men and women in the country. Ministry of Health quantitative data and ethnographic research indicate that almost one third of college-aged girls in urban cities had high-risk sex with a partner over ten years older in the past year. Described as “Mma 14s” (in the past this was often translated as “mothers at age 14” or “women at 14”) these girls are caught between cultural imperatives that emphasize the “traditional” and global consumption and goals of being a “modern” person. Rates …

Medicine And Surgery Residents' Perspectives On The Impact Of Covid-19 On Graduate Medical Education., Tanvi Rana, Christopher Hackett, Timothy Quezada, Abhishek Chaturvedi, Veli Bakalov, Jody Leonardo, Sandeep Rana

COVID-19 Papers, Posters, and Presentations

The COVID-19 crisis has had an unprecedented impact on resident education and well-being: social distancing guidelines have limited patient volumes and forced virtual learning, while personal protective equipment (PPE) shortages, school/daycare closures, and visa restrictions have served as additional stressors. Our study aimed to analyze the effects of COVID-19 crisis-related stressors on residents' professional and personal lives. In April 2020, we administered a survey to residents at a large academic hospital system in order to assess the impact of the pandemic on residency training after >6 weeks of a modified schedule. The primary outcome was to determine which factors or …

Improving Suicide Screening And Safety Plan Documentation Rates In Behavioral Health Clinics, Brandi Hrasdzira

Doctor of Nursing Practice

Suicide is the 10th leading cause of death in the United States with over 47,000 people dying in 2017 from suicide alone (NIMH, 2019). In the United States, one in three people who die by suicide were seen by a behavioral health provider within the same year (McCabe et al., 2018). The purpose of this project was to determine if suicide screenings and safety plans are being completed and documented properly; how many patients are refusing to complete the patient health questionnaire (PHQ-9) and is there a pattern present in these patients. Objectives are to improve the rates of suicide …

Implementation Of A Guideline For Major Depressive Disorder In A Private Practice Clinic, Doreen Phillips

Doctor of Nursing Practice

Major depressive disorder (MDD) is a chief mental health illness that carries a profound economic burden. Many who suffer from MDD find little to no relief with traditional pharmacological interventions.The 2010 American Psychiatric Association Guidelines for Treatment of Patients with MDD recognized TMS as a second-line treatment choice. Several double-blind, randomized controlled trials illustrated the efficacy and safety of TMS as a viable treatment option for MDD. The purpose of this project was to implement standardized processes through the use of a treatment guideline to help provide comprehensive treatment options for patients suffering from moderate to severe major depressive disorder …

Increasing Adherence To Measurement-Based Depression Management In Primary Care, Renad Saadat

Doctor of Nursing Practice

Background and Review of Literature. Approximately 11 million Americans 18 years or older experienced a severe symptom of depression leading to impairment in 2017. The severity of depressive symptoms is often miscalculated in primary care as measurement-based tools for the diagnosis and ongoing reassessment varies. Purpose. The purpose of the project was to increase provider adherence in using the patient health questionnaire-9 (PHQ-9) for ongoing evaluation of the severity of depressive symptoms in patients with depression at a primary care clinic in San Antonio, Texas. Objectives. The main objective of this Doctor of Nursing Practice project is …

Blackness As Fighting Words, Etienne C. Toussaint

Faculty Publications

The resurgence of worldwide protests by activists of the Movement for Black Lives (BLM) has ushered a global reckoning with the meaning of this generation’s rallying cry – “Black Lives Matter.” As citizens emblazon their streets with this expression in massive artistic murals, the Trump administration has responded with the militarized policing of non-violent public demonstrations, revealing not merely a disregard for public safety, but far worse, a concerted dismantling of protestors’ First Amendment rights. Nevertheless, BLM protests have persisted. Accordingly, this Essay considers the implications of this generation’s acclamation of Black humanity amidst the social tensions exposed during the …

Burden Of Care As Perceived By Informal Caregivers Of The Patients Receiving Chemotherapy In Tertiary Care Hospital Of Karachi, Pakistan, Asher Ghori, Rubina Barolia, Naghma Rizvi, Ghulam Qadir

School of Nursing & Midwifery

Background: Almost 32.5 million people are diagnosed with cancer annually. The huge number of cancer patients with deteriorating health renders a far greater number of informal caregivers bearing the burden of care in different forms and magnitude. The main purpose of the study was to explore the types of burden perceived by the informal caregivers and the factors associated with the caregiving burden.
Methods: A quantitative descriptive cross-sectional study design was adopted to answer the research questions from April to May 2016. Around 200 informal caregivers were recruited from one of the tertiary hospitals of Karachi, Pakistan. The modified ZBIS …

The Impact Of A Digital Intervention On Perceived Stress, Resiliency, Social Support, And Intention To Leave Among Newly Licensed Nurses: A Randomized Controlled Trial, Lisa Concilio

Electronic Theses and Dissertations

The nursing shortage has been deemed a public health crisis with the turnover rate of newly licensed nurses (NLNs) growing (Robert Wood Johnson Foundation, 2014). One out of five NLNs are leaving the profession due to work dissatisfaction and feelings of inadequacy (National Academy of Medicine, 2017). NLN attrition during the first year of hire has been associated with feelings of overwhelming stress and decreased sense of support which negatively impact patient safety (Spence Laschinger et al., 2016). As seasoned nurses are attempting to retire amidst a nursing shortage (American Association of Colleges of Nursing, 2018), NLNs require more support …

Trauma Informed E-Newsletter: Issue 3, Jeanne Williamson, Brianca Smith-Austin

Student Counseling

No abstract provided.

National Coral Reef Management Fellows Newsletter Volume 3 | Issue 2, National Oceanic And Atmospheric Administration (Noaa) Coral Reef Conservation Program

National Coral Reef Management Fellowship Newsletter

No abstract provided.

Impact Of Need For Cognitive Closure On Framing, Omar Yanouri

McNair Scholars Research Journal

No abstract provided.

Parent Well-Being In Divorce Education, Sharon E. Powell, Sarah Cronin, Ellen Mccann, Jenifer Mcguire, Emily Becher, Eugene Hall

Journal of Family Strengths

Objective. To describe the role of parent well-being in divorce education and to explore the relationship between parent well-being, coparenting, and child outcomes. Design. Data was analyzed using multiple regression from pre, post, and follow-up surveys from 272 parents who took the Parents Forever divorce education course. Results. Changes in positive and negative coparenting significantly predicted changes in child well-being over time, accounting for 8% of the variance in change in child well-being. Parent-well-being significantly predicted changes in child well-being over and above coparenting and, when entered into the regression model, an additional 7.2% of the variance in changes in …

Applications Of Statistical Methods Studying The Impact Of Mobilization Regimes On The Total Collection Yield Of Hematologic Stem Cell, Mengchen Ding

Dissertations and Theses (Open Access)

Hematologic malignancies are cancers that develop in the blood, bone marrow, and lymph nodes. Hematopoietic stem cell transplantation (HSCT) is a critical therapeutic approach that contributes to offer a potential cure for hematologic cancers and other hematologic disorders by replacing abnormal bone marrow with healthy bone marrow components to help bone marrow function recovery. Peripheral blood is the primary resource for collecting hematopoietic stem cells (HSCs). The collection yield of HSCs is critical for successful transplantation. Few articles have discussed this topic that the collection of stem cells not only from healthy donors but also from donors with a hematologic …

The Comparative Effect Of Automated Reminders/Recalls Interventions On The Appointments Rate Of Adolescent Wellness Care Visit, Biai Dominique Elmir Digbeu

Dissertations and Theses (Open Access)

An Adolescent Wellness Care (AWC) visit is an annual preventive doctor visit predestined to assess the overall health of adolescents aged between 12 and 21 years old. Compared to their younger counterparts, adolescents who are using public insurance are at risk of not completing AWC visits due to several factors related to age or providers disparities in their living environment. This research was a quasiexperimental study aiming to compare two methods of automated Reminders/Recalls (RR) interventions, ‘phone-only’ versus ‘phone-and-text’, in order to evaluate which method is more effective in helping parents/guardians or young adults to schedule an AWC visit. A …

2020-December-01-Going Places, University Marketing And Communication, East Tennessee State University

ETSU News

Rebecca Fugate is a family-focused solutions counselor with the Center for Community Outreach and Applied Research. She was previously a travel counselor with World Travel Service Inc. She holds an M.A. in psychology-clinical counseling from The Citadel.

Bridget Garland is an assistant HIPAA compliance officer in the Office of HIPAA Compliance and Security after serving ETSU Physicians as EHR director. She holds a master’s degree in English from ETSU.

Brianne A. Hayes is the bursar in Business and Finance after serving as bursar at the University of Memphis. She holds a B.S. degree in accounting from the University of South …

A Graphical Eda Tool With Ggplot2: Brinton, Pere Millán-Martínez, Ramon Oller

The R Journal

We present brinton package, which we developed for graphical exploratory data analysis in R. Based on ggplot2, gridExtra and rmarkdown, brinton package introduces wideplot() graphics for exploring the structure of a dataset through a grid of variables and graphic types. It also introduces longplot() graphics, which present the entire catalog of available graphics for representing a particular variable using a grid of graphic types and variations on these types. Finally, it introduces the plotup() function, which complements the previous two functions in that it presents a particular graphic for a specific variable of a dataset. This set of functions is …

Testing The Equality Of Normal Distributed And Independent Groups’ Means Under Unequal Variances By Doex Package, Mustafa Cavus, Berna Yazıcı

The R Journal

In this paper, we present the doex package contains the tests for equality of normal distributed and independent group means under unequal variances such as Cochran F, Welch-Aspin, Welch, Box, Scott-Smith, Brown-Forsythe, Johansen F, Approximate F, Alexander-Govern, Generalized F, Modified Brown-Forsythe, Permutation F, Adjusted Welch, B2, Parametric Bootstrap, Fiducial Approach, and Alvandi Generalized F-test. Most of these tests are not available in any package. Thus, doex is easy to use for researchers in multidisciplinary studies. In this study, an extensive Monte-Carlo simulation study is conducted to investigate the performance of the the tests for equality of normal distributed group means …

Has The Pandemic Brought About A Healthier Lifestyle Among Adults?, Amirul Roslee

Introduction to Research Methods RSCH 202

This study is the first in Singapore to examine how the lockdown had an impact on lifestyle habits among adults above 18 years old in Singapore. The results were collected through an online survey consisting of 18 questions. Linear Regression is used to find the relation between healthier people and the variables. The data analysis determined whether significant differences exist between essential workers and non-essential workers. The proposed research will aim to gain a deeper understanding of the lifestyle changes affected by the lockdown mainly with regards to exercise, sleeping habits, and mode of working.

The Five Stages Of Team Development, Caitlin Collins, Ethan Castro

Goal 3: Interpersonal Intelligence Narrative

Purpose: Provide students an introduction to existing business/psychology teachings on group dynamics and the five distinct stages of team development likely to be experienced in any group setting.

How Peer Support Specialists Uniquely Initiate And Build Connection With Young People Experiencing Homelessness, James Erangey, Connor Marvin, Danielle Maude Littman, Meredith Mollica, Kimberly Bender, Tom Lucas, Tara Milligan

Graduate School of Social Work: Faculty Scholarship

Young people experiencing homelessness are often apprehensive to engage in conventional service systems due to prior mistreatment by providers and others in their lives, as well as stigma associated with accessing services. Even when relationships between service providers and young people are initiated, they often end prematurely. Mutual aid, or peer-to-peer support, has a long and promising history within the mental health field, yet has received little empirical attention in work with young people experiencing homelessness. The present study used participatory qualitative methods to understand how peers uniquely initiate and build connection with young people experiencing homelessness. Through interviews and …

Determining The Molecular Events Underlying The Role Of Estradiol In Mediating Sex Differences In Cocaine Reward., Saurabh Sanjeev Kokane

Psychology Dissertations - Archive

Research has demonstrated that women rapidly progress from recreational cocaine use to dependence, consume greater quantities of cocaine, experience more positive subjective effects of cocaine and have higher incidences of relapse during abstinence. These effects have been well replicated in animal models of cocaine addiction and indicate an enhanced sensitivity and therefore, vulnerability of females to cocaine addiction. This increased vulnerability of women and female animals to cocaine addiction has been attributed to enhanced cocaine reward. Furthermore, it has been demonstrated that the female hormone estradiol (E2) is a key mediator of the aforementioned effects of cocaine in women and …

Humility And Leadership Potential: Testing A Moderated Moderated Mediation Model, Christa Mason

Psychology Dissertations - Archive

Despite the growing research on humble leadership, views on humility remain mixed and little is known about how humble individuals become leaders. To address this gap, this study examined how expressed humility was related to perceptions of an aspiring leader’s warmth, competence, and leadership potential. It tested a moderated moderated mediation model to assess: (1) if perceived warmth and competence explained the relationship between humility and leadership potential, and (2) if this relationship varied based on an aspiring leader’s perceived dominance and gender. Professionals with hiring experience (N = 187) evaluated male and female leadership candidates who demonstrated different combinations …

The Pain In The Pleasure: Electrophysiological Analysis Of The Tail Region Of The Ventral Tegmental Area (Tvta), Akshay Parchure

Psychology Dissertations - Archive

The mesolimbic (midbrain) reward system is well documented to be involved with the analgesic effects of opioids, which involves the ventral tegmental area (VTA) causing release of dopamine (DA). The dopamine neurons from the ventral tegmental area (VTA) directly innervate the nucleus accumbens (NAc) and the prefrontal cortex via D1 DA Receptors. GABAergic inhibition of VTA DA system occurs regularly, but in 1990s Johnson and North showed the administration of opioids led to hyperpolarization of GABA interneurons in the VTA removing this inhibition, further leading to the “disinhibition model”. However, more recent studies have defined a new structure heavily influencing …

An Examination Of School Characteristics, Shooter Characteristics, And Incidental Characteristics Of School Mass Shootings, Amber Elizabeth O'Dell

Criminology & Criminal Justice Theses - Archive

School Mass Shootings (SMS) continue to be an ongoing issue for k-12 schools, technical/vocational schools, and on college campuses in the United States. Recent studies have shown that these crimes are increasing in both frequency and lethality. However, SMS are still considered to be statistically rare events making them difficult to study quantitatively. Many extant studies use an exclusive definition of SMS where an incident must have four or more deaths to be categorized as this type of crime. The present study utilizes an inclusive definition of 2 or more deaths, where every four injuries count as a death in …

Health Literacy, Illness Perception, And Diabetes Self-Management In Korean-Speaking Immigrants With Diabetes, Su Won Park

Nursing Dissertations - Archive

Type 2 diabetes mellitus (DM) is becoming an increasingly common disease with aging. As the prevalence of DM increases, the need for self-management is emphasized as a way to control DM and prevent its complications. According to the common-sense model, DM self-management is explained as an illness-related coping behavior that is affected by an individual's illness perception (IP). No studies were found that evaluated IP in Korean adults with DM in the United States, or that evaluated the association of health literacy (HL) with their IP and DM self-management. The purpose of this study was to examine the relationships between …

Smoking Cessation Within The Federal Employee Population, Brenda Ross Swilley

Nursing Dissertations - Archive

This article-based dissertation consists of two complete manuscripts related to smoking cessation within the federal employee population. In the first manuscript, the self-determination theory was described and evaluated using Walker and Avant’s criteria. A demonstration of how the theory has been used in previous research, as well as the application of the theory to federal employees who smoke was also presented in the article. There was no theoretical framework for administrators or clinicians to use when developing, implementing, or evaluating smoking cessation. Manuscript one addresses the need for a theoretical framework. As theory creates the foundations of nursing practice, occupational …

Family Law By The Numbers: The Story That Casebooks Tell, Laura T. Kessler

Utah Law Faculty Scholarship

This Article presents the findings of a content analysis of 86 family law casebooks published in the United States from 1960 to 2019. Its purpose is to critically assess the discipline of family law with the aim of informing our understandings of family law’s history and exposing its ideological foundations and consequences. Although legal thinkers have written several intellectual histories of family law, this is the first quantitative look at the field.

The study finds that coverage of marriage and divorce in family law casebooks has decreased by almost half relative to other topics since the 1960s. In contrast, pages …

Owner Sex And Human–Canine Interactions At The Park, Shelly Volsche, Elizabeth Johnson, Bianca Reyes, Cecelia Rumsey, Kayla Murai, Deisy Landeros

Anthropology Faculty Publications and Presentations

The purpose of this exploratory study was to investigate if and what types of differences exist between men and women when interacting with their dogs in a “natural” setting. In the case of this study, we defined “natural” as visiting a public park with their dog. To do this, we completed a series of 10-minute focal follows (n = 177) on human–canine dyads at local leashed and off-leash dog parks from December 2018 to March 2019. Data collection included counting incidences of 14 specific interactions (i.e., “baby talks to dog” or “scolds/speaks harshly to dog”), observable demographics (sex of …

Exploring Student Perceptions Of Flipgrid In Online Courses, Patrick R. Lowenthal, Robert L. Moore

Educational Technology Faculty Publications and Presentations

Asynchronous video-based discussions have affordances that can address some of the constraints of asynchronous text-based discussions. However, little research has been conducted on the use of asynchronous video-based discussions in online courses. As a result, the purpose of this exploratory study was to investigate students’ perceptions of using Flipgrid for asynchronous video-based discussions in fully online courses. We used a cross-sectional survey design to survey 79 students who used Flipgrid in a fully online course. Students overall reported that they liked using Flipgrid, it was easy to use, and that it helped improve social presence. In this paper, we will …

Office Of Equity And Inclusion Newsletter - December 2020, Office Of Equity And Inclusion, East Tennessee State University

Office of Equity and Inclusion Newsletters

No abstract provided.