Using Nominal Group Technique Among Resident Physicians To Identify Key Attributes Of A Burnout Prevention Program, Vicki Nelson

Loma Linda University Electronic Theses, Dissertations & Projects

Physician burnout is a work-related syndrome characterized by emotional exhaustion, depersonalization, and a sense of reduced personal accomplishment. It is present in epidemic proportions and is estimated to occur in over 50% of practicing physicians and in up to 89% of resident physicians. While there have been numerous burnout studies and many prevention or intervention programs introduced, the rates of utilization in resident physicians remain low and the rate of burnout continues to increase. Therefore, the purpose of this study is to generate an understanding of burnout prevention attribute preferences within a resident physician population using Nominal Group Technique (NGT). …

The Evolution Of Income Risk And Consumption Insurance In South Korea Over The Last Two Decades, Taehyun Ahn, Chung Gu Chee, Seonghoon Kim

Research Collection School Of Economics

Using data from the Korea Labor Income Panel Study, we study the evolution of income risk and consumption insurance against transitory and permanent income shocks in South Korea over the last two decades. We find a decreasing trend in both income and consumption risks. Furthermore, we estimate that 47.6% of permanent income shocks and 9.8% of transitory income shocks pass through to consumption. We also provide evidence of substantial improvements in consumption insurance among the less educated and the older cohort nearing retirement. Our results suggest that recent developments of social safety net and welfare system may have played an …

Government Management Capacities And The Containment Of Covid-19: A Repeated Cross-Sectional Study Across Chinese Cities, Wenchao Li, Jing Li, Junjian Yi

Research Collection School Of Economics

Objectives: Better understanding of the dynamics of the COVID-19 (2019 novel coronavirus disease) pandemic to curb its spread is now a global imperative. While travel restrictions and control measures have been shown to limit the spread of the disease, the effectiveness of the enforcement of those measures should depend on the strength of the government. Whether, and how, the government plays a role in fighting the disease, however, has not been investigated. Here, we show that government management capacities are critical to the containment of the disease. Setting: We conducted a statistical analysis based on cross-city comparisons within China. China …

Characterization And Bioactive Properties Of Young And Mature Soybean And Their Protein Hydrolysates, Amna Khalifa Alnuaimi

Theses

Soybeans are known for their high protein content that could be substituted for animal proteins. The potential bioactive properties of mature soybean (MS) proteins and their hydrolysates have been widely explored. The aim of this study was to investigate and compare various in-vitro bioactive properties (antioxidant, anti-diabetic, anti-obesity, and anti-inflammatory) of young soybean (YS) and MS flour and their protein hydrolysates when subjected to in-vitro simulated gastrointestinal digestion (SGID) and enzymatic hydrolysis, respectively. In the first phase, SGID of YS and MS flour was carried out to mimic the human digestion, while in the second phase, enzymatic hydrolysis of the …

Geo-Spatial Modeling Of Carbon Sequestration Assessment In Date Palm, Abu Dhabi: An Integrated Approach Of Fieldwork, Remote Sensing, And Gis, Basam Saeed Dahy

Dissertations

The United Arab Emirates (UAE) has undertaken huge efforts to green the desert and afforestation projects (planted mainly with date palms) hence, reducing its carbon footprint, which have never been accounted for, because of lack of implemented mechanisms and tools to assess the amount of biomass and carbon stock (CS) sequestered by plants in the country. The purpose of this dissertation is to implement a new approach towards assessing the carbon sequestered by date palm (DP) plantations in Abu Dhabi, in both their biomass compartment as well as the soils under beneath, using geospatial technologies (RS and GIS) assessed by …

Transcriptomic Analysis Of The Glycophytic Crop Ipomoea Aquatica Under Salinity Conditions Compared To Its Wild Halophyte Relative Ipomoea Pes-Caprae, Ruwan Saeed Aljneibi Husam Saeed Aljneibi

Theses

This study focuses on the glycophytic crop Ipomoea Aquatica (commonly known as water spinach) and its wild halophytic relative Ipomoea pes-caprae. I. Aquatica is a crop with economic value; however, it is unable to tolerate high levels of salinity. Whereas its relative Ipomoea pes-caprae is able to grow and thrive in the harsh environment of the UAE. The main aim of this study is to analyze the genetic differences underlying the variation in the two plants’ response to salinity and determine the genetic components that can be used to enhance I. Aquatica's tolerance to salinity. Accordingly, the plants were subjected …

Effect Of High-Pressure Processing On Quality And Shelf Life Of Green Fresh Juice Produced From A Blend Of Fruit And Vegetable, Ahlam Abdulla Al Hammadi

Theses

Background: The technology of high hydrostatic pressure (HPP) in food processing started to take a huge attention in food industries due to its ability to increase the shelf life of processed products by inactivating food-borne microorganisms and undesired enzymes that cause changes not acceptable by the consumers. Because of the treatments take place at low temperature and because no chemical preservatives are added, advantageous and gives more value to the product and matches consumer demand for healthy products.

Aims: The aim of this thesis was to study the effect of HPP on certain quality parameters of green fruit juice compared …

Preventing Colorectal Cancer: Pathway To Achieving An 80% Screening Goal In The United States: Overview And Proceedings Of A Population Health Advisory Board., David B. Nash, Raymond J. Fabius, Alexis Skoufalos

College of Population Health Faculty Papers

No abstract provided.

How Can School Leaders Support Teachers In Becoming Culturally Proficient? Lessons From Teachers And School Leaders That Support Culturally Relevant Teaching Practices, Sherri Simek Rodriguez

Dissertations

This study was a program evaluation of educator cultural proficiency in a suburban school district in Illinois from 2019-2020. The primary research question explored was how school leaders can support teachers to become culturally proficient in order to support underserved students. Employing a qualitative research methodology, with data gathered from school leader and teacher interviews, and document analysis, this study identified key components to improve culturally proficient practices. Policy implications and recommendations highlight the following: ensure that all staff members examine and eliminate institutional beliefs, policies, practices, and teaching that perpetuate racial inequalities; implement culturally relevant practices; and prepare all …

Studying The Impact Of Grit In The Learning Of Young Children By Way Of Implementing A Student-Teacher Mentorship Program In Elementary Grades, Azra Naqvi

Dissertations

ABSTRACT

Children are born with the potential to become successful in life, provided their developmental needs are met. One component is developing the foundational skills, behavior, and attitude that will remain essential ingredients for a successful life. While most children entering school are prepared to learn, there may be some who lack foundational skills that prevent them from learning. The change leadership model developed by Wagner, Kegan, Lahey, Lemons, Garnier, Helsing, and Ark (2006) was used to assess the culture, context, conditions, and competencies of a small, nonpublic Islamic school located in a suburban area. This study aimed to explore …

George E. Banister, Casandra Gutierrez

Methods of Historical Research: Spring 2021 (Archived)

Whenever we think about African American history, we put our focus straight to slavery or the civil rights era, though it is much more than that. African American history in San Antonio has impacted the city’s business and economics, education, religion, migration, and foodways. Regarding foodways, I chose to research the life of George Banister, an African American man who became a well-known fraternalist and chef from working at the Argyle Hotel for over 30 years. George Banister used his expertise as a chef to offer support to the education system, church, social clubs, and actively integrating Black foodways into …

Moderate Heat-Assisted Gene Electrotransfer For Intradermal Dna Vaccination And Protein Replacement Therapy In The Skin, Chelsea Marie Edelblute

Biomedical Sciences Theses & Dissertations

Gene electrotransfer (GET) holds great promise for the delivery of therapeutic agents. The skin serves as an attractive target for GET due to its availability and unique cellular composition. Protein replacement therapy and DNA vaccination are potential applications for intradermal GET. The combination of moderate tissue preheating and GET has been shown to achieve elevated gene expression levels while reducing the necessary applied voltage. In the current work, we utilized a 16-pin multi-electrode array (MEA) and incorporated nine optical fibers, connected to an infrared laser, to pre-heat the tissue to 43°C before application of GET. In a guinea pig model, …

It's All About Pasta: Protectionism, Liberalization, And The Challenge For Quality And Sustainability Of Made In Italy, Fernanda Giorgia Nicola Dr., Gino Scaccia

Scholarly Articles in Law Reviews & Journals

This article traces the evolution of the regulation of Italian pasta from the beginning of the twentieth century until today. We show how during Fascism the production of wheat became a national battle, and pasta turned out to be the traditional product promoted by Mussolini's propaganda. During the 1960s, new regulations of Italian pasta made exclusively with durum wheat contributed to strengthening the Italian industry during the nation's economic boom. Spaghetti became a global symbol of the Dolce Vita, linking Italian pasta to a fashionable and aesthetically desirable way of life. The Italian Parliament adopted a law that obligated the …

Anisotropic Scaffolds For Peripheral Nerve And Spinal Cord Regeneration, Wen Xue, Wen Shi, Yunfan Kong, Mitchell Kuss, Bin Duan

Department of Mechanical and Materials Engineering: Faculty Publications

The treatment of long-gap (>10 mm) peripheral nerve injury (PNI) and spinal cord injury (SCI) remains a continuous challenge due to limited native tissue regeneration capabilities. The current clinical strategy of using autografts for PNI suffers from a source shortage, while the pharmacological treatment for SCI presents dissatisfactory results. Tissue engineering, as an alternative, is a promising approach for regenerating peripheral nerves and spinal cords. Through providing a beneficial environment, a scaffold is the primary element in tissue engineering. In particular, scaffolds with anisotropic structures resembling the native extracellular matrix (ECM) can effectively guide neural outgrowth and reconnection. In …

Pre-Existing Anxiety And Vestibular Symptoms: The Relationship To Coordination, Balance, And Reaction Time In College Athletes, Sydney Danielle Hurt

Theses and Dissertations

A growing body of literature suggests that certain pre-existing physical and mental health conditions can contribute to significant differences in important areas of performance among athletes, such as reaction time and balance. These findings have important implications for concussion testing protocols, as factors that potentially skew performance could place the health of athletes at risk by resulting in inaccurate diagnosis or premature return to play following a head injury. Symptoms of both anxiety and vestibular dysfunction, such as dizziness and vertigo, are frequently reported problems in the adult population, and research has documented notable symptom overlap between these two conditions. …

Pastoral Leadership Strategies For A Multisite Church In A Small Church Setting In The African American Community, Lionel Reynard Catchings

Doctoral Dissertations and Projects

There are many mega churches that are moving to multisite facilities. This project focuses on the small church that wishes to establish multisite facilities to spread the gospel of Jesus Christ. The project will provide a guide for small churches who may desire to embrace multi worship sites for their congregations. It will identify strengths of small churches and the challenges they face when they seek to found multisite churches, and ultimately demonstrate that small church multisite facilities are possible and feasible. This project will also validate the importance of teamwork in recruiting, enlisting and training volunteers for multisite responsibilities. …

The Creative Arts Personal Growth Group For Eating Disorder Recovery: An Embodiment-Focused Feminist Phenomenological Study, Sandra Dena Noble

Doctoral Dissertations and Projects

Eating disorders are complex mental and physical health disorders that impact every area of one’s life, and standard treatment protocols often fail to meet the multifaceted needs of eating disorder recovery. Studies indicate that relapse rates remain high following standard treatment and demonstrates that treatment often reinforces the body-centric and behavioral values of the disorder. Using the theoretical framework of feminist phenomenological lens and the hermeneutic phenomenological approach for data analysis, this study explored the use of the Creative Arts Personal Growth Group for Eating Disorder Recovery (CAPG-E), a group counseling protocol for eating disorder treatment that focuses on decreasing …

Saudi Experts’ Recommendation For Rsv Prophylaxis In The Era Of Covid-19: Consensus From The Saudi Pediatric Pulmonology Association, Adel S. Alharbi, Mohamed Alzahrani, Abdulrahman N. Alodayani, Mohamed Y. Alhindi, Saleh Alharbi, Abdulrahman Alnemri

Saudi Medical Journal

Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis and viral pneumonia in pediatrics worldwide. In the Kingdom of Saudi Arabia (KSA), the prevalence of RSV is 23.5% in pediatric patients with acute lower respiratory tract illness. Coronavirus disease (COVID-19) poses critical public health and socioeconomic challenges in KSA. The Saudi Pediatric Pulmonology Association (SPPA), a subsidiary of the Saudi Thoracic Society (STS), developed a task force to determine the potential challenges and barriers to the RSV immunoprophylaxis program during the era of COVID-19 and to compose a practical, nationwide, and multidisciplinary approach to address these challenges. Some …

Adversity Is Linked With Decreased Parent-Child Behavioral And Neural Synchrony, Caroline P Hoyniak, Laura E Quiñones-Camacho, M Catalina Camacho, Jenna H Chin, Elizabeth M Williams, Lauren S Wakschlag, Susan B Perlman

Open Access Publications

Parent-child synchrony-parent-child interaction patterns characterized by contingent social responding, mutual responsivity, and co-regulation-has been robustly associated with adaptive child outcomes. Synchrony has been investigated in both behavioral and biological frameworks. While it has been demonstrated that adversity can influence behavioral parent-child synchrony, the neural mechanisms by which this disruption occurs are understudied. The current study examined the association between adversity, parent-child behavioral synchrony, and parent-child neural synchrony across lateral prefrontal cortical regions using functional near-infrared spectroscopy hyperscanning during a parent-child interaction task that included a mild stress induction followed by a recovery period. Participants included 115 children (ages 4-5) and …

Meal-Induced Symptoms In Children With Dyspepsia-Relationships To Sex And The Presence Of Gastroparesis, Liz Febo-Rodriguez, Bruno P Chumpitazi, Salma Musaad, Andrew C Sher, Robert J Shulman

Children’s Nutrition Research Center Staff Publications

Objectives: To test the hypothesis that in children with dyspepsia, prospective symptom severity following ingestion of a meal would correlate with percent gastric retention, and those ultimately diagnosed with gastroparesis would report worse symptoms.

Study design: Prospective, single-center study with 104 children with dyspepsia completing a prospective dyspepsia symptom questionnaire before and after eating a standardized Tougas meal during gastric emptying scintigraphy. Main outcomes included correlation between gastric retention and symptoms and comparison of symptom severity between those with and without gastroparesis.

Results: Fifty-two children (50%) had gastroparesis (gastroparesis: 12.5 ± 2.9 years, 65% female; nongastroparesis: 13.0 ± 2.9 years, …

Assessment Of Nutritional Status In Children With Kidney Diseases-Clinical Practice Recommendations From The Pediatric Renal Nutrition Taskforce., Christina L. Nelms, Vanessa Shaw, Larry A. Greenbaum, Caroline Anderson, An Desloovere, Dieter Haffner, Michiel J S Oosterveld, Fabio Paglialonga, Nonnie Polderman, Leila Qizalbash, Lesley Rees, José Renken-Terhaerdt, Jetta Tuokkola, Johan Vande Walle, Rukshana Shroff, Bradley A. Warady

Manuscripts, Articles, Book Chapters and Other Papers

In children with kidney diseases, an assessment of the child's growth and nutritional status is important to guide the dietary prescription. No single metric can comprehensively describe the nutrition status; therefore, a series of indices and tools are required for evaluation. The Pediatric Renal Nutrition Taskforce (PRNT) is an international team of pediatric renal dietitians and pediatric nephrologists who develop clinical practice recommendations (CPRs) for the nutritional management of children with kidney diseases. Herein, we present CPRs for nutritional assessment, including measurement of anthropometric and biochemical parameters and evaluation of dietary intake. The statements have been graded using the American …

State Fragility And Sustainable Development Goals In Egypt, Mahmoud Elmakkawe

Theses and Dissertations

This study discusses the problem of state fragility in Egypt and its relationship with sustainable development goals from 2006 to 2016 through utilizing data from relevant literature and reports. Qualitatively analyzing the indicators of the two main variables: fragility and sustainable development goals, the study concludes that Egypt remains politically fragile despite various relative advancements on sustainable development goals recorded. While some progress has been made on multiple socioeconomic indicators throughout the period specified, Egypt still shows an alarming level of fragility, particularly, when it comes to political aspects of democratic governance that include security, justice, rule of law, and …

The Impact Of Short Sleep On Food Reward Processes In Adolescents, Kara Mcrae Duraccio, K. N. Krietsch, N. Zhang, C. Whitacre, T. Howarth, M. Pfeiffer, D. W. Beebe

Faculty Publications

Short sleep has been linked to adolescent obesity risk, but questions remain regarding the dietary mechanisms by which this occurs. We tested whether mildly shortening sleep influences how rewarding and appealing healthy adolescents find several kinds of foods. Eighty-eight healthy adolescents completed a within-subjects crossover sleep experiment comparing 5 days of Short Sleep (6.5 hour sleep opportunity) vs. 5 days of Healthy Sleep (9.5 hour sleep opportunity). Following each condition, adolescents completed measures of food appeal and reinforcing value of food across five food types: sweets/desserts, fruits/vegetables, lean meats/eggs, fast food entrees, and processed snacks. Adolescents averaged 2.2 hours/night longer …

The Conceptualization Of Women’S Empowerment By Microlenders In Egypt And Its Link To Sustainable Development, Yasmina Abdellatif

Theses and Dissertations

This study examines how microlenders in Egypt conceptualize women’s empowerment and how they see it contributing to achievement of the UN sustainable development goals. Ten Egyptian microlenders were interviewed to understand how they defined and assessed empowerment, the strategies they used to support empowerment, and which sustainable development goals they felt their programs were addressing. Results revealed that, overall, microlenders sought to empower women in economic, social, psychological, and familial ways, and that they used indicators to measure empowerment under each area. They also supported empowerment through mentoring, training and follow-up with their beneficiaries, and by working to include men. …

The Poverty In Usa: An In-Depth Analysis Of The Last Two Decades, Sara Negri

Economics Theses & Dissertations

Poverty is a global problem that affects not only the undeveloped states but also the most developed ones. This research paper will analyze this problem in depth, trying to summarize several definitions, several causes that can lead to an increase in the poverty rate, and policies implemented by the government in order to reduce the total number of poor people. The author analyzed the poverty rate in each state of the United States from 1990 to 2019 using a panel data analysis. She found out that California is the state with the highest value of poor people in the U.S. …

Dean's Update, April 2021, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

Improving Engagement And Literacy Skills With Choice Literacy Centers, Katelin Laugen

School of Education and Leadership Student Capstone Projects

As students transition to middle and high school, opportunities for student choice within curriculum become limited, and there is a need for students to have authentic literacy and decision-making opportunities. Key influences during research of this project include Kelly Gallagher, Gail Boushey and Joan Moser, and Linda Gambrell and Lesley Mandel Morrow’s Best Practices in Literacy Instruction. Research indicates that benefits of literacy centers include fostering engagement, literacy skill growth, opportunities for small-group instruction, and developing student autonomy. The curriculum designed for this project took the form of student choice literacy centers. The purpose of this project was to design …

Building Collective Ownership In The School Community Through Authentic Engagement Of Latino Families And Students: A Professional Development For School, Molly Barajas

School of Education and Leadership Student Capstone Projects

Research has shown that students who have parents that are involved in their education have higher school attendance, school participation and graduation rates. The professional development series developed for this project focuses on the most effective methods teachers and support staff can utilize to authentically engage Latino families in their child's education. In the past, teachers and support staff have expressed frustration at what they perceive as lack of participation in school activities by English Language Learner families. This project discusses traditional and non traditional methods for authentically engaging Latino parents in their children’s education. These methods first require staff …

Urban Teachers Program: Culturally Responsive Middle School Teachers Describe Their Competencies, Kristina Sterling

All Theses And Dissertations

The purpose of this study was to document ways that Urban Teachers’ candidates enact culturally responsive teaching practices in an effort to combat the opportunity gaps in education and increase students’ achievement rate. This study focused on documenting responses to the questions: How do Urban Teachers enact culturally responsive teaching practices in their classrooms? How do teachers in the Urban Teachers program describe overcoming perceived barriers to implementing culturally responsive teaching in an urban school district? The problem of the study was a lack of evaluation of culturally responsive teaching (CRT) practices of those Urban Teachers once they entered the …

Experiences Of Successful African American And Hispanic Non-Traditional Single Mothers At An Urban Community College, Gerald Maitre

All Theses And Dissertations

Single parents who are public welfare recipients and seek to complete a college degree face many obstacles to persist and stay enrolled. Factors such as (a) being custodial parents of a child(ren), (b) juggling a job and family responsibilities, and (c) dealing with financial strains, to name a few, can create role overload which can be daunting (Weber & Tribe, 2019). Because these barriers are present, it is essential to know the motivational orientation of the single parent who has persisted and stay enrolled. Besides documenting the research on programming and policies, the present study explored what motivation students needed …