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2021

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Primary Care Providers’ Perceptions Of Adolescent Friendly Health Services In Relationship To Adolescent Pregnancy, Jill Marie Ensminger Jan 2021

Primary Care Providers’ Perceptions Of Adolescent Friendly Health Services In Relationship To Adolescent Pregnancy, Jill Marie Ensminger

Walden Dissertations and Doctoral Studies

According to recent research, adolescent health continues to be a public health concern. The purpose of this qualitative research was to identify the perceptions of primary care providers regarding adolescent friendly health services and the relationship to adolescent pregnancy. The theoretical and conceptual framework used for this research included the social ecological model and the recommendations of the World Health Organization (WHO) for providing adolescent friendly health services. Using a phenomenological qualitative research approach, interviews were conducted over the telephone. Data analysis included hand coding with emerging themes and subthemes in relationship to each research question. The results of the …


Examining Clinicians' Perspectives Screening For Depression In Patients With Type 2 Diabetes Mellitus, Vickie Lavette Bland Jan 2021

Examining Clinicians' Perspectives Screening For Depression In Patients With Type 2 Diabetes Mellitus, Vickie Lavette Bland

Walden Dissertations and Doctoral Studies

The United States has a significant diabetes problem. This chronic disease affects the body physically and mentally. One of the emotional effects of diabetes is depression. Depression is often present in individuals with diabetes, chiefly in those with type 2 diabetes mellitus (T2DM). While depression is common in T2DM and can interfere with treatment adherence, clinician screening for depression in T2DM patients is low. The purpose of this study was to examine clinicians' attitudes, behaviors, and perceptions concerning screening patients with T2DM for depression. Through a qualitative case study approach centered on reasoned action theory, 3 physicians and 5 nurse …


Students' Perceptions Of Persistence In Two-Year Radiologic Technology Programs, Billie Jo Huffstetler Jan 2021

Students' Perceptions Of Persistence In Two-Year Radiologic Technology Programs, Billie Jo Huffstetler

Walden Dissertations and Doctoral Studies

Obtaining a health care degree benefits individuals and society; however, 2-year radiologic technology programs in a metropolitan area of the southern United States continue to struggle with student persistence from enrollment to graduation. Exploring student persistence is important to college administrators, faculty, and students because of the predicted growth in the profession of radiologic technology. The purpose of this basic qualitative study was to explore students' perceptions of their experiences at the local college that encouraged them to persist to graduation or quit attending. Deci and Ryan's self-determination theory and Bean and Metzner's nontraditional undergraduate attrition model served as the …


Mental Health Disparities In Social Work Practice Of Minority Youth Offenders, Beverly Ann Rivera Jan 2021

Mental Health Disparities In Social Work Practice Of Minority Youth Offenders, Beverly Ann Rivera

Walden Dissertations and Doctoral Studies

AbstractA large number of minority youths placed in the juvenile justice system across the United States have mental health disorders. Most of these youths do not receive mental health services or support within the system, which increases risk factors such as undiagnosed and untreated mental illness and adverse outcomes such as recidivism. This action research sought to uncover whether mental health disparities in social work practice in the juvenile justice system were due to race and ethnicity and asked social workers to recommend strategies to improve mental health availability, access, and provision. Participants in the study were social workers who …


A Sese Uta, Ia Tonu Tai: Local Government Management For Climate Change Adaptive Practices, Casuallen Iulieta Atuatasi Jan 2021

A Sese Uta, Ia Tonu Tai: Local Government Management For Climate Change Adaptive Practices, Casuallen Iulieta Atuatasi

Walden Dissertations and Doctoral Studies

American Samoa remains highly vulnerable to the effects of climate change and has not developed the adaptive capacity to ensure resiliency. The current regulatory system influences the policy decisions of local policy leaders and therefore affecting the territory’s adaptive capacity to climate change impacts. The purpose of this general qualitative interview-based study was to investigate the current governance framework and describe the factors in the territorial relationship that impact policy action of local policy leaders on climate change issues. The research question examined what major aspects of the current regulatory framework impact the policy action of local policy leaders on …


Predictors Of Depression Screening Among Cancer Patients In U.S. Ambulatory Settings, Joseph Oluyinka Fawole Jan 2021

Predictors Of Depression Screening Among Cancer Patients In U.S. Ambulatory Settings, Joseph Oluyinka Fawole

Walden Dissertations and Doctoral Studies

Depression is a common mental health comorbidity in cancer diagnoses, affecting 8-24% of cancer patients. Despite the high prevalence of depression among cancer patients, it is often unrecognized and untreated, thereby representing an enormous psychological distress source among the cancer patient population. The purpose of this study was to explore and establish the factors that predict depression screening among cancer patients in the ambulatory care setting in the United States. The health belief model guided the study. Secondary data from the National Ambulatory Medical Care Survey were analyzed to evaluate the predictors of depression screening in patients diagnosed with cancer. …


Strategies For Implementing Internet Of Things Devices In Manufacturing Environments, Todd Efrain Hernandez Jan 2021

Strategies For Implementing Internet Of Things Devices In Manufacturing Environments, Todd Efrain Hernandez

Walden Dissertations and Doctoral Studies

The Internet of Things (IoT) has been exploited as a threat vector for cyberattacks in manufacturing environments. Manufacturing industry leaders are concerned with cyberattacks because of the associated costs of damages and lost production for their organizations. Grounded in the general systems theory, the purpose of this multiple case study was to explore strategies electrical controls engineers use to implement secure IoT devices in manufacturing environments. The study participants were eight electrical controls engineers working in three separate manufacturing facilities located in the Midwest region of the United States. The data were collected by semistructured interviews and 15 organizational documents. …


Educating Clinicians In A Nursing Facility To Proactively Manage Urinary Tract Infections, Setha Joseph Jan 2021

Educating Clinicians In A Nursing Facility To Proactively Manage Urinary Tract Infections, Setha Joseph

Walden Dissertations and Doctoral Studies

AbstractUrinary tract infections (UTIs) have been identified as the most common reason for hospital visits among adults. The Centers for Disease Control and Prevention indicates that the prevalence of UTIs in long-term care facilities ranges from 20%-50%. The purpose of this staff education project was to implement an educational program to increase staff knowledge of proactive management of urinary tract health with the ultimate goal of reducing acute illnesses at the skilled nursing facility (SNF). Knowles theory of adult learning informed curriculum development and Kirkpatrick's levels of training evaluation guided program evaluation. The project team planned, developed, implemented, and evaluated …


Clarifying The Relationship Of Dissociative Experiences To Suicide Ideation And Attempts: A Multimethod Examination In Two Samples, Mikayla C. Pachkowski, Megan L. Rogers, Boaz Y. Saffer, Nicole M. Caulfield, E. David Klonsky Jan 2021

Clarifying The Relationship Of Dissociative Experiences To Suicide Ideation And Attempts: A Multimethod Examination In Two Samples, Mikayla C. Pachkowski, Megan L. Rogers, Boaz Y. Saffer, Nicole M. Caulfield, E. David Klonsky

Faculty Publications

Fears of pain, injury, and death may represent key barriers to acting on suicidal thoughts. Dissociation, which involves a disconnection from one's body, may reduce fears and sensations of pain associated with harming the body, in turn facilitating suicide attempts. This study examined whether dissociation differentiated individuals with a history of suicide attempts from those with a history of suicide ideation, and investigated whether other relevant constructs explain this relationship. Sample 1 included 754 undergraduates (Mage = 21, 79% female) who completed a battery of self-report measures. Sample 2 included 247 undergraduates (Mage = 19, 74% female) who completed a …


Phylogeography, Diversification, And Historical Demography Of The White-Toothed Rats (Berylmys) In Indochina, Kristy Lee Tuttle Jan 2021

Phylogeography, Diversification, And Historical Demography Of The White-Toothed Rats (Berylmys) In Indochina, Kristy Lee Tuttle

Graduate Research Theses & Dissertations

Berylmys, the White-toothed rats, and other members of the Rattus sl (Rattus, Maxomys, Leopoldamys, Niviventer, Bandicota, and Sundamys) evolved from 3-5 million years ago during a period of dynamic landscape change in Indochinese south Asia wherein climatically stable, warm forests of Miocene and Pliocene Indochina transitioned to a modern landscape regime. From the late Pliocene through the terminal Pleistocene, climate changes, ecological shifts, rising and falling sea levels, and tectonic uplift drove adaptive radiation within Rattus sl, in complex interactions that are still not completely understood. The goal of this study is to understand species relationships and population structure in …


Site-Search Process For Synaptic Protein-Dna Complexes, Sridhar Vemulapalli, Mohtadin Hashemi, Yuri L. Lyubchenko Jan 2021

Site-Search Process For Synaptic Protein-Dna Complexes, Sridhar Vemulapalli, Mohtadin Hashemi, Yuri L. Lyubchenko

Journal Articles: Pharmaceutical Sciences

The assembly of synaptic protein-DNA complexes by specialized proteins is critical for bringing together two distant sites within a DNA molecule or bridging two DNA molecules. The assembly of such synaptosomes is needed in numerous genetic processes requiring the interactions of two or more sites. The molecular mechanisms by which the protein brings the sites together, enabling the assembly of synaptosomes, remain unknown. Such proteins can utilize sliding, jumping, and segmental transfer pathways proposed for the single-site search process, but none of these pathways explains how the synaptosome assembles. Here we used restriction enzyme SfiI, that requires the assembly of …


Sex-Specific Gene Expression In Flupirtine-Treated Cln3Δex7/8 Mouse Brain, Joelle Makoukji, Sara Saab, Katia Maalouf, Nadine J. Makhoul, Angelica V. Carmona, Nihar Kinarivala, Paul C. Trippier, Rose-Mary Boustany Jan 2021

Sex-Specific Gene Expression In Flupirtine-Treated Cln3Δex7/8 Mouse Brain, Joelle Makoukji, Sara Saab, Katia Maalouf, Nadine J. Makhoul, Angelica V. Carmona, Nihar Kinarivala, Paul C. Trippier, Rose-Mary Boustany

Journal Articles: Pharmaceutical Sciences

Gene expression is a powerful tool to understand structure-function relationships in the nervous system. This study reports global gene expression changes induced by flupirtine in brain of male and female Cln3Δex7/8 mice, exposing potential flupirtine targets at the molecular level. Gene expression analysis of male and female Cln3Δex7/8 mouse brain was determined following oral administration of flupirtine for 14 weeks, using Mouse Genome 430 2.0 array Chips and an Affymetrix platform. Fifty-six genes in males and 79 in females were differentially expressed in flupirtine- versus vehicle-treated Cln3Δex7/8 mouse brain. Flupirtine altered several pathways in Cln3Δex7/8 mouse brain: apoptosis, the complement …


Cd4+ Effector T Cells Accelerate Alzheimer's Disease In Mice, Jatin Machhi, Pravin Yeapuri, Yaman Lu, Emma Foster, Rupesh Chikhale, Jonathan Herskovitz, Krista L. Namminga, Katherine E. Olson, Mai Mohamed Abdelmoaty, Ju Gao, Rolen M. Quadros, Tomomi Kiyota, Liang Jingjing, Bhavesh D. Kevadiya, Xinglong Wang, Yutong Liu, Larisa Y. Poluektova, Channabasavaiah B. Gurumurthy, R. Lee Mosley, Howard Gendelman Jan 2021

Cd4+ Effector T Cells Accelerate Alzheimer's Disease In Mice, Jatin Machhi, Pravin Yeapuri, Yaman Lu, Emma Foster, Rupesh Chikhale, Jonathan Herskovitz, Krista L. Namminga, Katherine E. Olson, Mai Mohamed Abdelmoaty, Ju Gao, Rolen M. Quadros, Tomomi Kiyota, Liang Jingjing, Bhavesh D. Kevadiya, Xinglong Wang, Yutong Liu, Larisa Y. Poluektova, Channabasavaiah B. Gurumurthy, R. Lee Mosley, Howard Gendelman

Journal Articles: Pharmacology & Experimental Neuroscience

BACKGROUND: Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterized by pathological deposition of misfolded self-protein amyloid beta (Aβ) which in kind facilitates tau aggregation and neurodegeneration. Neuroinflammation is accepted as a key disease driver caused by innate microglia activation. Recently, adaptive immune alterations have been uncovered that begin early and persist throughout the disease. How these occur and whether they can be harnessed to halt disease progress is unclear. We propose that self-antigens would induct autoreactive effector T cells (Teffs) that drive pro-inflammatory and neurodestructive immunity leading to cognitive impairments. Here, we investigated the role of effector immunity and …


Not Just One, Many: Emasculation, Foreign Impositions, And The Crisis Of Masculinity In Máximo Soto Hall’S El Problema (1899), Greg C. Severyn Jan 2021

Not Just One, Many: Emasculation, Foreign Impositions, And The Crisis Of Masculinity In Máximo Soto Hall’S El Problema (1899), Greg C. Severyn

Decimonónica

Máximo Soto Hall’s 1899 novel El problema raises several debates: Is this Costa Rica’s first novel, despite the fact that Soto Hall was originally from Guatemala? Is this the first anti-imperialist novel in Latin America? Is this novel anti-imperialist at all, or is it pro-Yankee?1 Literary critic Álvaro Quesada Soto approaches these questions with a lighthearted one of his own: “¿No será la ambigüedad parte misma de un problema ideológico-discursivo que genera y da título al texto?” (“Aporías” 126). Quesada Soto refers, in part, to the ideological crisis facing Costa Rica in the novel, where the viability of the …


Shifting Critical Approaches To The Elusive Jewishness Of María By Jorge Isaacs, Naomi Lindstrom Jan 2021

Shifting Critical Approaches To The Elusive Jewishness Of María By Jorge Isaacs, Naomi Lindstrom

Decimonónica

This study examines and evaluates the ways in which critics have dealt with the question of a Jewish thematic current, self-awareness, or perspective in the much-reprinted 1867 novel María by the Colombian writer Jorge Isaacs (1837-1895). While scholars have long exhibited an awareness of Isaacs’s paternal Jewish descent and at times made observations concerning Jewish references or a Jewish outlook in the novel, it was Doris Sommer’s 1989 article “El mal de María: (Con)fusión en un romance nacional,” later included in her influential Foundational Fictions: The National Romances of Latin America (1991), that launched the current discussion over Jewish themes …


Assembly And Function Of The Polycystin Receptor-Ion Channel Complexes And The Otop1 Proton Channel, Bin Li Jan 2021

Assembly And Function Of The Polycystin Receptor-Ion Channel Complexes And The Otop1 Proton Channel, Bin Li

Theses and Dissertations

Polycystin complexes, or TRPP/PKD complexes, made of transient receptor potential channel polycystin subfamily proteins (TRPP) and polycystic kidney disease (PKD) proteins, play key roles in coupling extracellular stimuli with intracellular Ca2+ signals. For example, the TRPP2/PKD1 complex has a crucial function in renal physiology, with mutations in either protein causing autosomal dominant polycystic kidney disease (ADPKD). In contrast, the TRPP3/PKD1L3 complex responds to low pH and plays a potential role in sour taste. It has been previously shown that the protein partners interact via association of the C-terminal or transmembrane segments, with consequences for the assembly, surface expression, and function …


Pathways To Coastal Resiliency: The Adaptive Gradients Framework, Elisabeth M. Hamin, Pamela K. Judge Jan 2021

Pathways To Coastal Resiliency: The Adaptive Gradients Framework, Elisabeth M. Hamin, Pamela K. Judge

Engineering, Computing & Construction Management Faculty Publications

Current and future climate-related coastal impacts such as catastrophic and repetitive flooding, hurricane intensity, and sea level rise necessitate a new approach to developing and managing coastal infrastructure. Traditional “hard” or “grey” engineering solutions are proving both expensive and inflexible in the face of a rapidly changing coastal environment. Hybrid solutions that incorporate natural, nature-based, structural, and non-structural features may better achieve a broad set of goals such as ecological enhancement, long-term adaptation, and social benefits, but broad consideration and uptake of these approaches has been slow. One barrier to the widespread implementation of hybrid solutions is the lack of …


Russian Caviar: A Delicacy In Jeopardy, Bronwyn Galloway Jan 2021

Russian Caviar: A Delicacy In Jeopardy, Bronwyn Galloway

Renée Crown University Honors Thesis Projects - All

No abstract provided.


Gold & Blue, Fall 2020/Winter 2021, St. Mary's University- San Antonio, Texas Jan 2021

Gold & Blue, Fall 2020/Winter 2021, St. Mary's University- San Antonio, Texas

Gold & Blue

This is the Fall 2020/Winter 2021 edition of Gold & Blue which is St. Mary's University's official school publication.


Provider Perspectives On The Management Of Hidradenitis Suppurativa In Pregnancy – A Survey Study, Erin K. Collier, Kyla N. Price, Tristan Grogan, Jennifer M. Fernandez, Justine R. Seivright, Raed Alhusayen, Afsaneh Alavi, Iltefat H. Hamzavi, Michelle A. Lowes, Martina J. Porter, Vivian Y. Shi, Jennifer L. Hsiao Jan 2021

Provider Perspectives On The Management Of Hidradenitis Suppurativa In Pregnancy – A Survey Study, Erin K. Collier, Kyla N. Price, Tristan Grogan, Jennifer M. Fernandez, Justine R. Seivright, Raed Alhusayen, Afsaneh Alavi, Iltefat H. Hamzavi, Michelle A. Lowes, Martina J. Porter, Vivian Y. Shi, Jennifer L. Hsiao

Dermatology Articles

No abstract provided.


A Free Pass On Racism: Immigration And The Equal Protection Doctrine, Kara Hartzler Jan 2021

A Free Pass On Racism: Immigration And The Equal Protection Doctrine, Kara Hartzler

Maryland Journal of International Law

No abstract provided.


From Apology To Action: A Comment On Transitional Justice In The United States And Canada, Victoria Roman Jan 2021

From Apology To Action: A Comment On Transitional Justice In The United States And Canada, Victoria Roman

Maryland Journal of International Law

No abstract provided.


Public Health Challenges Of Delivering Covid-19 Vaccines, Anthony D. So Jan 2021

Public Health Challenges Of Delivering Covid-19 Vaccines, Anthony D. So

Maryland Journal of International Law

No abstract provided.


Foreword: The Milkmaid’S Tale, Melissa Murray Jan 2021

Foreword: The Milkmaid’S Tale, Melissa Murray

Faculty Articles

Book review of Skimmed: Breastfeeding, Race, and Injustice, by Andrea Freeman, Stanford University Press, 2019.


Adapting Federal Regulatory Approaches To Advances In Agricultural Biotechnology, Alan Sachs Jan 2021

Adapting Federal Regulatory Approaches To Advances In Agricultural Biotechnology, Alan Sachs

Maryland Law Review Online

No abstract provided.


Emerging Investigator Series: Moving Beyond Resilience By Considering Antifragility In Potable Water Systems, Joseph E. Goodwill, Patrick Ray, Destenie Nock, Christopher M. Miller Jan 2021

Emerging Investigator Series: Moving Beyond Resilience By Considering Antifragility In Potable Water Systems, Joseph E. Goodwill, Patrick Ray, Destenie Nock, Christopher M. Miller

Civil & Environmental Engineering Faculty Publications

It is inherently difficult to plan water systems for a future that is non-predictive. This paper introduces a novel perspective for the design and operation of potable water systems under increasing water quality volatility (e.g., a relatively rapid and unpredicted deviation from baseline water quality). Increased water quality volatility and deep uncertainty stress water systems, confound design decisions, and increase the risk of decreased water system performance. Recent emphasis on resilience in drinking water treatment has partly addressed this issue, but still establishes an adversarial relationship with change. An antifragile system benefits from volatile change. By incorporating antifragility, …


Carbon Dioxide And Particulate Matter Concentration On Hampton Roads Air Quality, Gregory Hubbard Jan 2021

Carbon Dioxide And Particulate Matter Concentration On Hampton Roads Air Quality, Gregory Hubbard

OUR Journal: ODU Undergraduate Research Journal

Hampton Roads has been a maritime crossroads for the last 400 years. Industrialization has impacted the coastal region for the last 250 years. The expansion of the Port of Virginia in 2019 has created dense traffic in the region resulting in impacts to air quality. Two waste products that affect humans are particulate matter and carbon dioxide. Both respective emissions can cause adverse effects on humans, such as asthma, some lung cancers, and other respiratory distress. Scientists and health practitioners are studying the effects of particulate matter on human health. Hampton Roads, in particular, because of its unique location on …


Reckoning: Dialogue About Racism, Antiracists, And Business & Human Rights, Erika George, Jena Martin, Tara Van Ho Jan 2021

Reckoning: Dialogue About Racism, Antiracists, And Business & Human Rights, Erika George, Jena Martin, Tara Van Ho

Faculty Articles

Video of George Floyd's death sparked global demonstrations and prompted individuals, communities and institutions to grapple with their own roles in embedding and perpetuating racist structures. The raison d'tre of Business and Human Rights (BHR) is to tackle structural corporate impediments to the universal realization of human rights. Yet, racism, one of the most obvious of such barriers, has been a blind spot for BHR. While the field has contended with gender inequality, there have only been tokenistic nods to intersectional harms caused by business activities. The failure to address racism seriously undermines both the promise of BHR generally and …


Annual Report, 2020-2021, University Of Arkansas, Fayetteville. College Of Education And Health Professions Jan 2021

Annual Report, 2020-2021, University Of Arkansas, Fayetteville. College Of Education And Health Professions

College of Education and Health Professions Annual Reports

Beginning in 2004/2005- issued in online format only


Unbecoming Adversaries: Natural Resources Federalism In Wyoming, Tara Righetti, Robert B. Keiter, Jason Robison, Temple Stoellinger, Sam Kalen Jan 2021

Unbecoming Adversaries: Natural Resources Federalism In Wyoming, Tara Righetti, Robert B. Keiter, Jason Robison, Temple Stoellinger, Sam Kalen

Wyoming Law Review

No abstract provided.