Digital Commons Network^™

Knowledge And Perceptions Of Antibiotic Resistance Stewardship Among Prehealth And Agriculture Students, Claudia Maria Da Silva Carvalho

Walden Dissertations and Doctoral Studies

The global threat of antibiotic resistant infection has resulted in health organizations to compile an antibiotic stewardship program, in which the education of current/future medical prescribers and farmers is central for the preservation of current and future antimicrobial treatments. The purpose of this study was to assess and compare the knowledge and perceived threat of antibiotic and antibiotic resistance, as well as the perceived benefit of antibiotic stewardship, among undergraduate students in biology and agriculture at a state university in Kansas. Framed by the health belief model, a cross-sectional study was conducted using a structured online survey of 136 undergraduate …

Exploring The Influences Of Culture On Hand-Hygiene Beliefs Of Foreign-Born Healthcare Workers, Sheila Blanche Davis

Walden Dissertations and Doctoral Studies

AbstractThe hand-hygiene practices of nonadherent health care workers (HCWs) are a major threat to patient safety and thus continue to be a concern for healthcare leaders and administrators worldwide. Healthcare-associated infections (HAIs), which are linked to HCWs' unclean hands, are prevalent throughout global healthcare settings. Global migration in the nursing profession and intercontinental travel among direct patient care providers make it challenging for healthcare leaders to sustain HCWs' adherence to hand-hygiene practices. The purpose of this grounded study was to explore the influence of the cultural beliefs about hand-hygiene practices of foreign-born HCWs. The theory of planned behavior was used …

Middle School Classroom Teachers' Use Of Technological Tools To Teach Scientific Inquiry, Victoria Gamble

Walden Dissertations and Doctoral Studies

This study focused on middle school science teachers' experiences in using technological tools to teach scientific inquiry skills in the middle school science classroom. Technological tools have been increasingly used in middle schools, but knowledge is lacking as to which tools are efficient in teaching scientific inquiry skills. The purpose of this study was to gather information about the technological tools that could be adopted to make the teaching of scientific inquiry skills in middle school science classrooms more meaningful and gainful to students. The conceptual framework applied in the study was the technological, pedagogical, content knowledge (TPACK) model, as …

Stress Perceptions And Verbal Commands For Law Enforcement In High-Stress Situations, John Kenneth Gibson

Walden Dissertations and Doctoral Studies

Acute stress can have a negative effect on the physiology and cognitive performance of peace officers when they are engaged in high-stress situations. This could lead to injury or loss of life if a mistaken perception occurs or incorrect decision is made by the officer or suspect. The purpose of this qualitative phenomenological study was to explore the perceptions of stress for peace officers who issue verbal commands to an aggressive role-playing suspect in a use-of-force scenario. The theoretical framework was Lazarus and Folkman's transactional theory of stress and coping. Data were collected from observations, field notes, and semi-structured interviews …

Trauma Barriers To Substance Abuse Treatment Engagement Among Formerly Incarcerated Males, Eleonora Vlasta Juliana

Walden Dissertations and Doctoral Studies

This study explored treatment engagement among formerly incarcerated adult males in a community-based substance abuse treatment program who experienced barriers related to sexual and violent trauma histories. Fully engaging in treatment requires a readiness to become and remain sober, and for those who suffer from trauma, such readiness may be absent, and continued substance use may be their way to cope with pain. This study explored a gap in the literature concerning how sexual and violent trauma might play a role as barriers to engaging in substance abuse treatment among formerly incarcerated males. Understanding how such traumas impact treatment engagement …

The Art Of Concession In General Lotto Games, Rahul Chandan, Keith Paarporn, Dan Kovenock, Mahnoosh Alizadeh, Jason R. Marden

ESI Working Papers

Success in adversarial environments often requires investment into additional resources in order to improve one’s competitive position. But, can intentionally decreasing one’s own competitiveness ever provide strategic benefits in such settings? In this paper, we focus on characterizing the role of “concessions” as a component of strategic decision making. Specifically, we investigate whether a player can gain an advantage by either conceding budgetary resources or conceding valuable prizes to an opponent. While one might na¨ıvely assume that the player cannot, our work demonstrates that – perhaps surprisingly – concessions do offer strategic benefits when made correctly. In the context of …

Partnership, Democracy, And Self-Rule In Jewish Law, Daniel J.H. Greenwood

Touro Law Review

Liberal political theory has long relied on a metaphor of contract: autonomous adults coming together to agree, by unanimous consent, on the basic structure of a just society. But contract is a strange metaphor with which to explain society. Contract law is based on a morality of strangers acting at arms-length. In contrast, decent societies and the governments they set for themselves must be based on a commitment of mutual responsibility. What makes us fellow citizens—fellows of any variety—is accepting that we are all in this together. Jewish legal and midrashic traditions can be a useful corrective to the atomistic …

Development And Psychometric Examinations Of A Simplified Chinese Mandarin Translation And Adaptation Of The Adjustment Scales For Children And Adolescents, Gary L. Canivez, Yi Ding, Paul A. Mcdermott

Archives of Assessment Psychology

An absence of empirically validated scales limits the assessment of youth psychopathology in Chinese schools. The present study reports on the development and initial assessment of psychometric properties of a simplified Chinese Mandarin translation and adaptation of the Adjustment Scales for Children and Adolescents, a teacher-report behavior rating scale with a representative U.S. standardization sample. Comparisons of a large sample (n = 554) of Chinese elementary school students (Grade 1-6) with an age and grade matched sample (n = 709) from the ASCA standardization data found similar base rates of positive behaviors, rare problem behaviors, and common problem behaviors, suggesting …

Patient-To-Nurse Sexual Harassment, Erin Frances Micale

Yale School of Nursing Digital Theses

Patient to nurse sexual harassment is an issue that can have significant effects on nurses physical and mental health, occupational function, and patient outcomes. It is an under-researched and often unaddressed issue, leaving many nurses unsure of what sexual harassment by a patient is and how to respond to it. This paper reviews the literature related to patient to nurse sexual harassment and the development and effectiveness of a webinar on recognizing, preventing, intervening, and coping with patient to nurse sexual harassment. The webinar is a two-hour educational program that covers topics related to what sexual harassment is, risk assessment …

Evaluation Of A Nursing-Led Telephonic Self-Management Program For Patients With Copd On Health Care Utilization, Esther Pavlovsky

Yale School of Nursing Digital Theses

In 2010, it was estimated that the U.S. spent approximately $50 billion to treat chronic obstructive pulmonary disease (COPD). Nurse-driven interventions are essential in value-based care. The purpose of this quality improvement (QI) project is to reduce the number of preventable COPD-related admissions and emergency department (ER) visits by implementing a telephonic nurse-led evidence-based COPD self-management program. A 50-patient pilot has been initiated. A pre-and-post test will be used to evaluate the effect on preventable hospitalizations and ER visits. If the outcomes of the program are unfavorable, a root cause analysis will be conducted to obtain nursing feedback on perceived …

Preventing Recurrent Falls In Elderly Home Bound Health Plan Members, Debra Sylvester

Yale School of Nursing Digital Theses

Falls have become a major public health concern. As the population ages, the prevalence of falls among older adults continues to increase, as does mortality and morbidity. Evidence-based assessment and intervention tools are widely available, though in practice, providers experience challenges utilizing them. Homebound older adults are at particular risk since they have mobility and transportation barriers that prevent access to community fall screening and primary care sites. This project focused on the provision of fall assessment, interventions, and coordination of fall-prevention services for community-dwelling, homebound older adults covered by a managed health plan. A standardized fall assessment and intervention …

Designed And Biologically Active Protein Lattices, Shih-Ting Wang, Brian Minevich, Jianfang Liu, Honghu Zhang, Dmytro Nykypanchuk, James Byrnes, Wu Liu, Lev Bershadsky, Qun Liu, Tong Wang, Gang Ren, Oleg Gang

Advanced Science Research Center

Versatile methods to organize proteins in space are required to enable complex biomaterials, engineered biomolecular scaffolds, cell-free biology, and hybrid nanoscale systems. Here, we demonstrate how the tailored encapsulation of proteins in DNA-based voxels can be combined with programmable assembly that directs these voxels into biologically functional protein arrays with prescribed and ordered two-dimensional (2D) and three-dimensional (3D) organizations. We apply the presented concept to ferritin, an iron storage protein, and its iron-free analog, apoferritin, in order to form single-layers, double-layers, as well as several types of 3D protein lattices. Our study demonstrates that internal voxel design and intervoxel encoding …

Breakdown Of Universal Scaling For Nanometer-Sized Bubbles In Graphene, Renan Villarreal, Pin-Cheng Lin, Fahim Faraji, Nasim Hassani, Harsh Bana, Zviadi Zarkua, Maya N. Nair, Hung-Chieh Tsai, Manuel Auge, Felix Junge, Hans C. Hofsaess, Stefan De Gendt, Steven De Feyter, Steven Brems, E. Harriet Åhlgren, Erik C. Neyts, Lucian Covaci, FrançOis M. Peeters, Mehdi Neek-Amal, Lino M. C. Pereira

Advanced Science Research Center

We report the formation of nanobubbles on graphene with a radius of the order of 1 nm, using ultralow energy implantation of noble gas ions (He, Ne, Ar) into graphene grown on a Pt(111) surface. We show that the universal scaling of the aspect ratio, which has previously been established for larger bubbles, breaks down when the bubble radius approaches 1 nm, resulting in much larger aspect ratios. Moreover, we observe that the bubble stability and aspect ratio depend on the substrate onto which the graphene is grown (bubbles are stable for Pt but not for Cu) and trapped element. …

Interpretive Entrepreneurs, Melissa J. Durkee

Scholarly Works

Private actors interpret legal norms, a phenomenon I call "interpretive entrepreneurship." The phenomenon is particularly significant in the international context, where many disputes are not subject to judicial resolution and there is no official system of precedent. Interpretation can affect the meaning of laws over time. For this reason, it can be a form of "post hoc" international lawmaking, worth studying alongside other forms of international lobbying and norm entrepreneurship by private actors. The Article identifies and describes the phenomenon through a series of case studies that show how, why, and by whom it unfolds. The examples focus on entrepreneurial …

Originalism From The Soft Southern Strategy To The New Right: The Constitutional Politics Of Sam Ervin Jr, Logan E. Sawyer Iii

Scholarly Works

Although originalism’s emergence as an important theory of constitutional interpretation is usually attributed to efforts by the Reagan administration, the role the theory played in the South’s determined resistance to civil rights legislation in the 1960s actually helped create the Reagan coalition in the first place. North Carolina Senator Sam Ervin Jr., the constitutional theorist of the Southern Caucus, developed and deployed originalism because he saw its potential to stymie civil rights legislation and stabilize a Democratic coalition under significant stress. Ervin failed in those efforts, but his turn to originalism had lasting effects. The theory helped Ervin and other …

One Child Town: The Health Care Exceptionalism Case Against Agglomeration Economies, Elizabeth Weeks

Scholarly Works

This Article offers an extended rebuttal to the suggestion to move residents away from dying communities to places with greater economic promise. Rural America, arguably, is one of those dying places. A host of strategies aim to shore up those communities and make them more economically viable. But one might ask, “Why bother?” In similar vein, David Schleicher’s provocative 2017 Yale Law Journal article, Stuck! The Law and Economics of Residential Stagnation urged dismantling a host of state and local government laws operating as barriers to migration by Americans from failing economies to robust agglomeration economies. But Schleicher said little …

The Settlement Trap, Lindsey Simon

Scholarly Works

Mass tort victims often wait years for resolution of their personal injury claims, but many who successfully navigate this arduous process will not receive a single dollar of their settlement award. According to applicable bankruptcy and state law, settlement payments may be an asset of the estate that the trustee, exercising its significant authority, administers and distributes to creditors instead of a claimant who had filed for bankruptcy. This distribution power maximizes repayment, a critical counterbalance to the robust protections and benefits that debtors receive in bankruptcy.

Setting aside the perceived unfairness of taking desperately needed money from tort victims, …

The Relationship Between Sexual Orientation Outness, Heterosexism, Emotion Dysregulation, And Alcohol Use Among Lesbian, Gay, And Bisexual Emerging Adults, Lillianne Villarreal, Ruby Charak, Rachel M. Schmitz, Claire Hsieh, Julian D. Ford

Psychological Science Faculty Publications

Introduction

Research demonstrates that both proximal personal characteristics (e.g., outness, emotion dysregulation) and distal stressors (e.g., heterosexism) may be associated with harmful alcohol use among lesbian, gay, and bisexual (LGB) individuals. No study has systematically examined the factors linking LGB identity outness to harmful alcohol use. The current cross-sectional study bridges this gap by testing a sequential mediation model wherein heterosexist experiences (HE) and emotion dysregulation (ER) were hypothesized to mediate the relationship between outness and alcohol use.

Method

Participants were 264 LGB emerging adults in the age range of 18-29 years (M/SD = 25.46/2.74; 16.7% lesbian, 23.1% gay, …

State Of The University Annual Report - 2020-2021, Office Of The President, East Tennessee State University, University Marketing And Communication, East Tennessee State University

Office of the President State of the University Annual Report

No abstract provided.

Optimization And Assessment Of Phytoplankton Size Class Algorithms For Ocean Color Data On The Northeast U.S. Continental Shelf, Kyle J. Turner, Colleen B. Mouw, Kimberly J.W. Hyde, Ryan Morse, Audrey B. Ciochetto

Graduate School of Oceanography Faculty Publications

The size structure of phytoplankton communities influences important ecological and biogeochemical processes, including the transfer of energy through marine food webs. A variety of algorithms have been developed to estimate phytoplankton size classes (PSCs) from satellite ocean color data. However, many of these algorithms were developed for application to the global ocean, and their performance in more productive, optically complex coastal and continental shelf regions warrants evaluation. In this study, several existing PSC models were applied in the Northeast U.S. continental shelf (NES) region and compared with in situ PSC estimates derived from a local HPLC pigment data set. The …

On The Road To Translanguaging In A Dual Language Classroom: Teaching Math And Science In Mandarin And English, Xiaodi Zhou

Bilingual and Literacy Studies Faculty Publications

This article examines the evolving instructional practice of one Chinese dual language instructor in the US as she employs a translanguaging-inspired approach in her math and science Mandarin medium classes. Contrary to the school language allocation policy requiring 90% Mandarin in her Chinese classes, she encourages the utilization of English as well as Mandarin in her instruction. This offers comprehensible input to learners, also making possible greater student participation. Findings from observations and interviews reveal how a focus on meaning-making in instruction resulted in the gradual evolution of bilingual language use and effective communication of content by students and the …

Strategies And Barriers To Work Behavior Changes: Perceptions Of Prevocational Rehabilitation Professionals, Yuleinys A. Castillo, Kathryn Rinehart, Jerome Fischer, William Weber

School of Rehabilitation Services & Counseling Faculty Publications

Adequate work behavior can increase job retention and job satisfaction for employees with disabilities. Employment modification strategies are practicable tools to address challenging work behavior negatively affecting employment of individuals with disabilities in rural areas. The purpose of this study was to conduct a phenomenological qualitative study of prevocational rehabilitation professionals in a focus group concerning rehabilitation services and training needs for rural vocational services for people with disabilities. Three themes emerged: (a) strategies to improve employment retention; (b) strategies to develop employment skills; and (c) barriers to the implementation of strategies provided. Results also suggested that training rehabilitation programs …

The Effect Of The Vocabulary Spelling City App On Student Performance In Spelling, Vocabulary, And Reading Comprehension In Grades 5-8 At Glenview Adventist Academy, Fernando Oleynick Lista

Dissertations

Problem and Purpose

Students in fifth through eighth grades at Glenview Adventist Academy (GAA) presented difficulties in the subjects of spelling, vocabulary and reading comprehension. The school had not followed the previous 10-year trend of technology implementation in the classroom, in spite of conclusive research on its advantages. This study was conducted to determine to what extent teaching methodology and the use of technology could affect academic performance in the areas of spelling, vocabulary, and reading comprehension. Research on the implementation of software and the use of tablets (iPad Minis) in the classroom has been scarce and contradictory in the …

Marketing Adventist Higher Education In North America : College Choice - Motivators And Barriers, George Charles Dart Jr.

Dissertations

Purpose/Problem

It is estimated more than 75% of Seventh-day Adventist (SDA) college-bound students (rising freshmen) who live in the North American Division (NAD) do not attend an SDA college/university. This is a major challenge for the NAD colleges/universities. Discovering motivators and barriers for SDA college-bound students is vital in understanding what influences this population in their college choice selection.

Method

This is a quantitative, cross-sectional, comparative study. An electronic survey using Qualtrics was sent to over 14,000 students with 461 respondents as the sample size. Respondents were sorted into four study groups, using the type of high school attended and …

How Faculty And Student Preferences For Active And Traditional Instructional Methods Relate To Their Beliefs, Quantity, And Quality Of Experiences, Knowledge Of The Benefits, And Professional Training, Tammy R. Shilling

Dissertations

Purpose

The complexity of preparing students for clinical practice and the mitigating factors that influence pedagogical preferences impact the current realities of health professional education. The purpose of this quantitative, correlational study is to explain the relationships between faculty preferences and student preferences for active over traditional methods and their beliefs, the frequency and positiveness of their experiences, and the amount and extent of the knowledge or training they have had regarding active and traditional teaching methods. Results may further inform and refine health professional education infrastructure changes to support faculty in pedagogical change as they prepare students with the …

Healthcare Leadership In The Context Of Cognitive Diseases Of Aging: A Community-Based Participatory Research Model, Dean Sherzai

Dissertations

The Problem

The world is facing a tsunami of chronic diseases of the brain such as dementia, Parkinson's, and stroke. But all populations are not affected equally. Though we are all at greater risk of developing these diseases, minority communities such as the Black and Hispanic populations are at much greater risk of succumbing to these conditions. To date we have spent billions of dollars on research and public health measures that have repeatedly failed, but over the last decade it has become evident that much of these diseases can simply be averted through effective public health and community-based measures …

Servqual Measurement In A Healthcare Setting: Before And After Corrective Strategy Implementation, Jerome Christia, Aaron Ard, Lorraine Runion

Atlantic Marketing Journal

In the United States, the most dominant industry is services, yielding the highest volume of total employment and gross domestic product. Due to this insight, academics and business professionals continue to research and apply strategies to achieve distinctive competitive advantages in the services arena. The steady growth and increasing significance of the service sector in the United States and other developed markets has resulted in a sizeable body of related research addressing a variety of issues such as service quality and its characteristics. Healthcare is an impactful service industry that has received a considerable amount of attention. In the healthcare …

Hello, Are You There? Creating And Measuring Online Student Engagement, Kirsten Passyn

Atlantic Marketing Journal

Engaging students in an online environment is frustrating for faculty and a concern of administration. Faculty and students report lower levels of satisfaction and lower engagement in online versus face to face learning. Dropout rates in fully online courses are often two times higher than face to face courses. This research attempted to engage online students by embedding a gamification-based scavenger hunt in an online course. Engagement was measured using a combination of quantitative and qualitative measurements. Although the scavenger hunt didn't significantly engage low performing students, it did motivate and deepen top-performing students' engagement. Interestingly, qualitative-based engagement measures proved …

Resilience In Nicaragua: Preliminary Factor Analysis And Validation Of The Cyrm-28, Kelly B.T. Chang, B. Cameron Stumpf

Faculty Publications - Psychology Department

Objectives: The current study used factor analytic techniques to examine the performance of the Child and Youth Resilience Measure (CYRM-28) in Nicaragua.

Methods: Nicaraguan youth from Managua, León, Chinandega, and Granada (n = 2,764) completed the CYRM-28 and the Personal Wellbeing Index (PWI-A). The CYRM-28 and PWI-A are self-report measures that were translated into Spanish in previous studies.

Results: A confirmatory factor analysis on the CYRM-28 did not support the eight-factor model from previous research. An exploratory factor analysis yielded a six-factor model: Social Belonging, Cultural Context, Caregiver Context, Social Skills, Spiritual Context, and Responsibility. Seven items …

An Analysis And Comparison Of The Missional Doctrine Hermeneutics Of Kevin J. Vanhoozer And Veli-Matti KäRkkäInen, With Emphasis On Their Notions Of God, Eschatology, And Mission, Elmer Arrais Guzman

Dissertations

This dissertation analyzes Veli-Matti Kärkkäinen’s and Kevin J. Vanhoozer’s theological method, in order to understand its structural elements, and thereby to facilitate comprehension of their missional doctrinal hermeneutics, and the ramifications of those hermeneutics for the construction and development of Christian theology. Missional doctrinal hermeneutical models conceive the missional dimension of doctrine in various ways. Some privilege the maintenance of theological identity cohering with the foundational sources of theological authority. Others privilege theological constructions that assimilate the context and the missional situational framework of understanding. This dissertation strives to examine the diverging missional hermeneutics of Kärkkäinen and Vanhoozer, the foundational …