Anti-Modalities, David E. Pozen, Adam Samaha

Faculty Scholarship

Constitutional argument runs on the rails of “modalities.” These are the accepted categories of reasoning used to make claims about the content of supreme law. Some of the modalities, such as ethical and prudential arguments, seem strikingly open ended at first sight. Their contours come into clearer view, however, when we attend to the kinds of claims that are not made by constitutional interpreters – the analytical and rhetorical moves that are familiar in debates over public policy and political morality but are considered out of bounds in debates over constitutional meaning. In this Article, we seek to identify the …

The 100-Year Life And The New Family Law, Elizabeth S. Scott, Naomi Cahn

Faculty Scholarship

This draft book chapter, prepared as part of a symposium on The 100-Year Life by Linda Gratton and Andrew Scott, reflects on the future of family law in an era of longer lives. Our analysis leads us to conclude that the 100-year life is indeed likely to have an impact on the nature, scope, and definition of family law, but that families will continue to function as the primary setting for intimacy and for caregiving and caretaking, whatever form those families take. Further, the importance to both individual and social welfare of family support throughout life points to a need …

Re-Reading Chevron, Thomas W. Merrill

Faculty Scholarship

Though increasingly disfavored by the Supreme Court, Chevron remains central to administrative law doctrine. This Article suggests a way for the Court to reformulate the Chevron doctrine without overruling the Chevron decision. Through careful attention to the language of Chevron itself, the Court can honor the decision’s underlying value of harnessing comparative institutional advantage in judicial review, while setting aside a highly selective reading that unduly narrows judicial review. This re-reading would put the Chevron doctrine – and with it, an entire branch of administrative law – on firmer footing.

Mine The Gap: Using Racial Disparities To Expose And Eradicate Racism, James S. Liebman, Kayla C. Butler, Ian Buksunski

Faculty Scholarship

For decades, lawyers and legal scholars have disagreed over how much resource redistribution to expect from federal courts and Congress in satisfaction of the Fourteenth Amendment's promise of equal protection. Of particular importance to this debate and to the nation given its kaleidoscopic history of inequality, is the question of racial redistribution of resources. A key dimension of that question is whether to accept the Supreme Court's limitation of equal protection to public actors' disparate treatment of members of different races or instead demand constitutional remedies for the racially disparate impact of public action.

For a substantial segment of the …

Legal Internalism In Modern Histories Of Copyright, Shyamkrishna Balganesh, Taisu Zhang

Faculty Scholarship

Legal internalism refers to the internal point of view that professional participants in a legal practice develop toward it. It represents a behavioral phenomenon wherein such participants treat the domain of law (or a subset of it) as normative, epistemologically self-contained, and logically coherent on its own terms regardless of whether the law actually embodies those characteristics. Thus understood, legal internalism remains an important characteristic of all modern legal systems. In this Review, we examine three recent interdisciplinary histories of copyright law to showcase the working of legal internalism. We argue that while their interdisciplinary emphasis adds to the conversation …

The Right To Mental Health In Yemen, Waleed Alhariri, Amanda Mcnally, Sarah Knuckey

Faculty Scholarship

Mental health issues are all too common consequences of conflict and atrocity crimes, often causing upwards of one-quarter of the post-conflict, post-atrocity population to suffer from physical and mental sequelae that linger long after weapons have been silenced. After more than six years of ongoing conflict, Yemen’s already weak health care system is on the brink of collapse, and population resilience has been severely stressed by indiscriminate attacks, airstrikes, torture, food insecurity, unemployment, cholera, and now the COVID-19 pandemic. This paper examines Yemen’s responsibilities regarding the right to mental health and details the few actions the government has taken to …

Large Scale Organizational Intervention To Improve Emergency Department Throughput In A Community Hospital, Karen Elliott

DNP Scholarly Projects

Abstract

BACKGROUND: Emergency Department boarding is a well-documented systemic problem across the country. ED-2b, the time from decision to admit a patient to Emergency Department departure, is specified by the Joint Commission as a quality measure for Emergency Department boarding. ED-2b metrics have been a longstanding challenge at this community hospital outside the nation’s capital. The aim of this study was to reduce median ED-2b times by 10% compared to fiscal year 2020 (FY20). To accomplish the reduction in time, a multidisciplinary throughput committee was developed with subsequent action plans designed to improve Emergency Department throughput.

METHODS: The Plan Do …

Impact Of A Comprehensive Clinician Educational Program On Health Literacy And Patient Satisfaction, Jennifer Yokopenic

DNP Scholarly Projects

BACKGROUND: The Institute of Medicine has defined health literacy as “the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions”. Health literacy is a significant social determinant of overall health and can be particularly challenging in the critical care environment. According to the U.S. Department of Health and Human Services, only 12% of adults have proficient health literacy, 53% have intermediate health literacy, 21% have basic health literacy ability, and 14% have below basic health literacy (AHQR.gov, 2008).

METHODS: A pre- and post-intervention survey of satisfaction with clinician communication and assessment of …

Improving Care Transitions For Individuals With Suicide Risk After Discharged From Acute Unit, Maureen Ndu

DNP Scholarly Projects

Background: Suicide is a public health problem and the 10th leading cause of death in the US. Suicide accounted for more than 47,5000 deaths in the US in 2017, translating to about 130 suicide deaths each day. An average of 20 veterans commits suicide each day compared to 93 suicides in the general population in the US. Individuals with suicide risks are 300 times at an increased rate of suicide death in the first week and 200 times in the first month of hospital discharge. Nurses are in a strategic position to improve the care transition of individuals with suicide …

Using A Psychopharmacology Education Program To Increase Primary Care Provider Comfort With Treating Basic Psychiatric Disorders, Latesha Reed

DNP Scholarly Projects

BACKGROUND: Almost 1 in 5 people have been diagnosed with a mental health illness but the supply of psychiatric providers does not meet patient’s needs. Multiple reasons contribute to this shortage and nurse practitioners are part of the solution. Even with nurse practitioners specializing in psychiatric mental health there is still a shortage. Primary care is where most patients first present their mental health issues.

METHODS: Literature review informed the development of the educational intervention presented to the primary care providers using a digital, asynchronous learning format. A gap analysis of organizational needs and weaknesses was used to determine the …

Improving Employee Engagement On An Inpatient Unit: A Quality Improvement Project, Holly Mccormack

DNP Scholarly Projects

BACKGROUND: Engaged employees are paramount to the success of an organization. They are more invested in their organization and the unit on which they work. This investment in the organization results in higher patient satisfaction and safety, less staff turnover, and improved quality. According to the literature, generational differences may be necessary to consider when improving employee engagement. To successfully lead a multigenerational workforce, nurse leaders should consider these differences and incorporate them into their strategic plan for employee engagement.

METHODS: A pilot survey was conducted on a medical-surgical unit to assess a perceived lack of engagement. Subsequently, work engagement …

Implementing A Transitional Care Protocol To Reduce Psychiatric Rehospitalizations, Charles Wangui

DNP Scholarly Projects

Readmission rates in hospitals across the country are at an all-time high. Patients being
discharged from the hospital may feel fearful, especially if they are experiencing a new onset of
illness. Many patients wonder how they will deal with or manage their illness once they return
home. The goal for hospitals should be to reduce readmissions by addressing the factors that
impact readmission. Improved care coordination is one of the goals of transitional care. Patients'
functioning and quality of life increase when hospital readmissions are reduced. Readmissions
can be reduced by addressing care management before and after discharge in all …

Improving Employee Mental Health: Addressing Depression At The Workplace, Gerald G. Chia Dr.

DNP Scholarly Projects

Abstract Background: Depression is a serious mental health challenge in the US. As frontline workers who are responsible for taking care of a myriad of patients daily, health workers are usually exposed to depressive situations which eventually results in them developing the mental health condition. The purpose of the current project was, therefore, to develop an intervention which helps to improve employee mental health in healthcare settings with focus on depression and examine workplace factors which influence depression among employees of the Outpatient Mental Health Clinic in Washington District of Columbia. Methods: A pre-intervention survey was conducted among 43 employees. …

Improving The Diagnosis Of Major Depression In A Primary Care Practice Using The Patient Health-9 Questionnaire, Chukwudi C. Orji

DNP Scholarly Projects

Abstract

Background: Major depression is a serious health problem that affects both children and adults. It is a leading cause of disability worldwide. Most cases of major depression are treated in primary care settings. Many cases of major depression presenting in primary care are missed. Many PCPs do not routinely use screening tools. The aim of this project is to improve the diagnosis of major depression in adults in a primary care practice through routine use of the Patient Health Questionnaire-9 (PHQ-9) during initial encounter with patients and during follow-up visit for patients who are receiving treatment for depression to …

Addressing Medical Mistrust In In-Patient Psychiatric African American (Aa) Patients, Eselle Molua

DNP Scholarly Projects

Abstract

Background: Medical Mistrust (MM) is associated with patient dissatisfaction, treatment nonadherence, and poor health outcomes. In the United States, MM is prevalent in African American patients in In-Patient Psychiatric settings. Caregiver training and education on MM and cultural sensitivity can help identify mistrust and provide strategies to increase trust and reduce mistrust.

Purpose: The aim of this project was to implement an educational tool to improve caregiver awareness about knowledge of MM. By doing so, it was the goal to enhance cultural sensitivity skills and patient-centeredness in the African American population at the adult psychiatric unit in Northwest …

Assessment Of The Impact Of Tardive Dyskinesia In Clinical Practice: Consensus Panel Recommendations, Richard Jackson, Matthew N Brams, Leslie Citrome, Amber R Hoberg, Stuart H Isaacson, John M Kane, Rajeev Kumar

Faculty, Staff and Students Publications

PURPOSE: Tardive dyskinesia (TD) is a hyperkinetic movement disorder in which patients experience abnormal involuntary movements that can have profound negative impacts on physical, cognitive, and psychosocial functioning. Use of measures to assess the functional impact of TD in routine clinical practice is lacking. To address this gap, an advisory panel of experts in psychiatry and movement disorder neurology was convened to develop consensus recommendations on assessment of the impact of TD on patients' functioning that can be used in clinical practice.

METHODS: An advisory panel provided recommendations using an iterative process, beginning with a narrative literature review regarding current …

Deep Simulation Of Facial Appearance Changes Following Craniomaxillofacial Bony Movements In Orthognathic Surgical Planning, Lei Ma, Daeseung Kim, Chunfeng Lian, Deqiang Xiao, Tianshu Kuang, Qin Liu, Yankun Lang, Hannah H Deng, Jaime Gateno, Ye Wu, Erkun Yang, Michael A K Liebschner, James J Xia, Pew-Thian Yap

Faculty, Staff and Students Publications

Facial appearance changes with the movements of bony segments in orthognathic surgery of patients with craniomaxillofacial (CMF) deformities. Conventional bio-mechanical methods, such as finite element modeling (FEM), for simulating such changes, are labor intensive and computationally expensive, preventing them from being used in clinical settings. To overcome these limitations, we propose a deep learning framework to predict post-operative facial changes. Specifically, FC-Net, a facial appearance change simulation network, is developed to predict the point displacement vectors associated with a facial point cloud. FC-Net learns the point displacements of a pre-operative facial point cloud from the bony movement vectors between pre-operative …

A White Matter Connection Of Schizophrenia And Alzheimer’S Disease, Peter Kochunov, Artemis Zavaliangos-Petropulu, Neda Jahanshad, Paul M. Thompson, Meghann C. Ryan, Joshua Chiappelli, Shuo Chen, Xiaoming Du, Kathryn Hatch, Bhim Adhikari, Joanne E. Curran, John Blangero

School of Medicine Publications

Schizophrenia (SZ) is a severe psychiatric illness associated with an elevated risk for developing Alzheimer’s disease (AD). Both SZ and AD have white matter abnormalities and cognitive deficits as core disease features. We hypothesized that aging in SZ patients may be associated with the development of cerebral white matter deficit patterns similar to those observed in AD. We identified and replicated aging-related increases in the similarity between white matter deficit patterns in patients with SZ and AD. The white matter “regional vulnerability index” (RVI) for AD was significantly higher in SZ patients compared with healthy controls in both the independent …

Quantum Inspired Concepts In Decision Making, Qizi Zhang

Doctoral Dissertations

"In this study, several new applications of quantum-inspired techniques are presented to advance the state of the art in decision making. In the first part, a quantum boost scheme for multiple-model filters based on extended Grover’s algorithm is presented for fault detection and parameter estimation. The quantum boost scheme accelerates the convergence of the posterior probabilities in the multiple-model filter. Stability proofs for the quantum boost scheme is presented and its performance is analyzed using benchmark examples. In the second part, the scope of application is extended to modeling human decision making. The open quantum system cognition model is applied …

A Fuzzy Clustering Methodology To Analyze Interfaces And Assess Integration Risks In Large-Scale Systems, Josh Henry Goldschmid

Doctoral Dissertations

“Interface analysis and integration risk assessment for a large-scale, complex system is a difficult systems engineering task, but critical to the success of engineering systems with extraordinary capabilities. When dealing with large-scale systems there is little time for data gathering and often the analysis can be overwhelmed by unknowns and sometimes important factors are not measurable because of the complexities of the interconnections within the system. This research examines the significance of interface analysis and management, identifies weaknesses in literature on risk assessment for a complex system, and exploits the benefits of soft computing approaches in the interface analysis in …

The Role Of Social Media In Human Trafficking Victimization, Alicia Marie Terwilliger

Theses and Dissertations

Human trafficking is the recruitment, transportation, transfer, harboring, and receipt of people. Humans are one of the only global commodities that can be sold and used repeatedly (Jones et al., 2007), helping to make trafficking a multi-billion-dollar industry worldwide. There are several types of trafficking, including forced labor, debt bondage, organ harvesting, and sexual exploitation. Often, trafficking includes threats, the use of force, coercion, abduction, and fraud for exploitation, labor, harvested organs, or sex. Human trafficking occurs domestically and across international borders, with over 45 million victims globally (Bonilla & Mo, 2019). Every state in the United States is affected …

The Experiences Of Nontraditional Students At Public Post-Secondary Institutions In Florida- A Qualitative Study, Michael Deneus

Theses and Dissertations

This phenomenological study was designed to provide an understanding of the lived experiences of nontraditional students who utilized support services at a public post-secondary institution in the State of Florida. From this study, findings identified the specific resources that these participants are using or have used during their time of enrollment, the obstacles and challenges they faced, and some recommendations that could potentially alleviate some issues nontraditional students face at postsecondary institutions. The sample population consisted of six participants, four of which are currently enrolled at a post-secondary institution and the other two graduated from a post-secondary institution within the …

Teaching Strategies Leading To Success In Self-Contained Classrooms, Sonja Michelle Robinson-Madden

Theses and Dissertations

This applied dissertation addressed the strategies used in self-contained classrooms that lead to the success of students with intellectual disabilities in Jamaica. The study was prompted by the poor performance of primary schools in teaching delivery as evidenced in the National Inspectorate Report. The views of successful teachers were collated in order to provide meaningful research data that can be used to improve the effectiveness of teachers regarding their teaching strategies and engagement of their students in the teaching-learning process. In addition, the research findings may be used to inform policies regarding the education of special needs students who are …

Retaining Employees In Public Sector Organizations, Marlon Javier Rivera

Theses and Dissertations

This research study focused on the attrition rate among employees at a large public sector organization within a large state in the southeastern United States. The study identified factors contributing to the problem and identify possible solutions to minimize or alleviate the problem. The literature identified motivation as one of the factors largely contributing to increasing attrition rates.

Motivation has become a rather slow-paced factor in this large public sector organization and was reflected in work performance and productivity (Director, 2019). Cooperation between departments and individuals of higher positions tended to be deficient and communication was minimal (Director, personal communication, …

Therapists' Perspectives On Aiding Individuals To Maintain Social Connection While Struggling With Health Concerns, Shari Howington-Carlin

Theses and Dissertations

This applied dissertation was designed to explore therapists’ perspectives on aiding individuals to maintain social connection while struggling with health concerns. Social relationships support physical and psychological well-being, yet individuals struggling with physical or mental health issues often have difficulty maintaining their relationships. Therapists, as health professionals, often discuss physical as well as emotional health concerns with their patients, including components of physiological and psychological heath care. Emerging neuroscience is aiding in understanding how research in this field supports early intervention for health outcomes around healthy social and family relationships during chronic disease or illness onset.The researcher conducted a phenomenological …

Mindfulness, Self-Inquiry, And Artmaking, Mark Graham, Rebecca Lewis

Faculty Publications

This article describes a qualitative study of pre-service art education students that was designed to explore relationships between mindfulness, self-inquiry, and artistic practices. The researchers, who are art educators, were curious about how mindfulness practices might connect, overlap or influence the personal artistic practice of the participants. Although mindfulness is often used as an intervention to counter the stresses of school and teaching, mindfulness can also be thought of as a counter cultural phenomenon that explores possibilities of a critical pedagogy. While mindfulness and self-care practices can have important positive benefits and may lead to deeper personal understanding, these practices …

Recruiting And Retaining School Psychologists: The Role Of District Level Administrative Supervisors, Ellie L. Young, Rachel Butler, Timothy B. Smith, Sterling Hilton, Alivia Smith

Faculty Publications

A shortage of school psychologists has been evident since the profession was initially recognized as a distinct field, and there is insufficient research on what current administrative supervisors are doing to address this problem. This qualitative study examined the perceptions of district level administrative supervisors regarding recruitment and retention of school psychologists. Participants reported the following: (a) school psychology graduate programs not producing enough school psychologists, (b) challenges of finding school psychologists to hire, (c) competing with neighboring school districts, and (d) trying to recruit and retain in a worker’s market that favors the school psychologist. These administrative supervisors also …

Forgiveness And Gratitude As Mediators Between Religious Commitment And Well-Being Among Latter-Day Saint Polynesian Americans, Davis Kealanohea Kane, G. E. Kawika Allen, Timothy B. Smith, M Ming, Aaron Jackson, Derek Griner, Elizabeth Cutrer-Parraga

Faculty Publications

An abundance of research has investigated well-being as it relates to religiosity and character strengths, such as forgiveness and gratitude. However, few studies have investigated how increases in forgiveness and gratitude might explain why religious commitment enhances well-being, particularly for U.S. ethnic/racial minority populations. This study investigated if the character strengths of forgiveness and gratitude mediated the relationship between religious commitment and well-being among Latter-day Saint Polynesian Americans – a fast growing, yet understudied, population. Results indicated that forgiveness and gratitude fully mediated the relationship between religious commitment and self-esteem, and gratitude partially mediated the relationship between religious commitment and …

Illness Perception And Social Support Among Cardiac Patients Attending Rehabilitation Programme And Their Experiences, Sukhbeer Kaur Darsin Singh

Student Works (2020-2029)

Cardiovascular disease (CVD) and coronary heart disease (CHD) have emerged as the leading causes of death in Malaysia. In developed countries, heart disease is the leading cause of death in men and women in Europe, CHD accounts for an estimated 1.95 million deaths each year. In Europe, according to the World Health Organisation (WHO 2012), it is recorded that 42 percent of deaths were caused by CVD and 41 percent was by CHD which was 2,655,364 people has died. Secondary prevention through cardiac rehabilitation (CR) is a key component of the ongoing care of these patients, immediately following discharge from …

Parental Report Of The Association Between Screen Time And Social Emotional Development Of Children Aged 18 And 36 Months Old In The District Of Gombak, Malaysia, Catherine Thamarai Thamarai

Student Works (2020-2029)

The increasing popularity of screen-based media has raised public health concern on potential effects of their excessive usage among developing children. The World Health Organization (WHO) and American Academy of Pediatrics (AAP) call for limitation of screen time to one hour per day for children aged two to five years old and children below the age of two are encouraged for screen time avoidance. This study is aimed to determine the influence of screen-based media on early childhood social emotional development from an ecological techno-subsystem perspective. Divided into two phases, the first phase of study involves translation into Malay language …