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2023

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Training In Eight Low-And Middle-Income Countries: Lessons Learned From A Pilot Study Using The Who-Tdr Dissemination And Implementation Massive Open Online Course, Ashlin Rakhra, Victor Davila-Roman, Ana A Baumann, Et Al. Jan 2023

Training In Eight Low-And Middle-Income Countries: Lessons Learned From A Pilot Study Using The Who-Tdr Dissemination And Implementation Massive Open Online Course, Ashlin Rakhra, Victor Davila-Roman, Ana A Baumann, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Non-communicable diseases (NCDs) are a leading cause of morbidity and mortality in low-and middle- income countries (LMICs). Despite this, a lack of funding, training and mentorship for NCD investigators in LMICs exists. In an effort to gain knowledge and skills to address these gaps, participants from the Global Research on Implementation and Translation Science (GRIT), a consortium of studies in eight LMICs and their networks, attended the dissemination and implementation (D&I) massive open online course (MOOC) developed by the Special Programme for Research and Training in Tropical Diseases at the World Health Organization to strengthen D&I capacity building. Here, …

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Aromatic Amino Acid Metabolites Alter Interferon Signaling And Influenza Pathogenesis, Gautam Anand, Colin Clark-Dinovo, Alexandra M Perry, Victoria M Goodwin, Emma St Raymond, Sonia Sakleshpur, Ashley L Steed Jan 2023

Aromatic Amino Acid Metabolites Alter Interferon Signaling And Influenza Pathogenesis, Gautam Anand, Colin Clark-Dinovo, Alexandra M Perry, Victoria M Goodwin, Emma St Raymond, Sonia Sakleshpur, Ashley L Steed

2020-Current year OA Pubs

The ability of gut microbial metabolites to influence the host is increasingly recognized. The microbiota extensively metabolizes the three aromatic amino acids, tryptophan, tyrosine, and phenylalanine. Previously we have found that a metabolite of tyrosine, 4-OH-phenylpropionic acid, can enhance type I interferon (IFN) signaling and protect from influenza pathogenesis in a murine model. Herein we screened 17 related aromatic amino acid metabolites for effects on IFN signaling in human lung epithelial cells and monocytes alone and in the presence of IFN-β, influenza, and LPS. While the tryptophan family metabolites reduced IFN signaling in both cell types, the tyrosine and phenylalanine …

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Investigating The Security And Accessibility Of Voyage Data Recorder Data Using A Usb Attack, Avanthika Vineetha Harish, K Tam, K Jones Jan 2023

Investigating The Security And Accessibility Of Voyage Data Recorder Data Using A Usb Attack, Avanthika Vineetha Harish, K Tam, K Jones

School of Engineering, Computing and Mathematics

Voyage Data Recorders (VDR) or 'black boxes' for ships hold critical navigational and sensor data that can be used as evidence in an investigation. These systems have proven extremely useful in determining the cause of several previous shipping accidents. Considering the importance of the VDR and the increasing number of cyber-attacks in the maritime sector, the likelihood of it being attacked is high. This paper examines the security and accessibility of VDR data through a malicious USB device. A USB device is used after a series of tests, detailed in this paper, found it to be a viable way to …

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Understanding Coastal Change From Noisy Satellite-Derived Shoreline Datasets: Influence Of Tide And Runup Correction And Spatial Averaging, B Castelle, V Marieu, A Ritz, G Masselink, Tim Scott, C Stokes, A Konstantinou, An Lerma, M Vandenhove, S Bujan Jan 2023

Understanding Coastal Change From Noisy Satellite-Derived Shoreline Datasets: Influence Of Tide And Runup Correction And Spatial Averaging, B Castelle, V Marieu, A Ritz, G Masselink, Tim Scott, C Stokes, A Konstantinou, An Lerma, M Vandenhove, S Bujan

School of Biological and Marine Sciences

Free-of-charge publicly available optical satellite imagery can now be used to provide short-term to multi-decadal shoreline satellite-derived shoreline(SDS) data, with errors typically under 10 m on microtidal beaches. However, SDSaccuracy dramatically worsens at high-energy and/or meso to macrotidal lowgradient beaches, which challenges a robust assessment of shoreline variability and trends. In this contribution we demonstrate that, on such beaches, water level (tide + runup) correction and/or an adapted space-averaging of uncorrected (noisy) SDS dataset can substantially reduce uncertainties and thus allow addressing the timeand space variability of shoreline change and their primary drivers.

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Coastal Typologies To Support Coastal Change Adaptation Management: A Study Of The South West Coast Of England, Ja Kirby, G Masselink, T Poate, T Scott Jan 2023

Coastal Typologies To Support Coastal Change Adaptation Management: A Study Of The South West Coast Of England, Ja Kirby, G Masselink, T Poate, T Scott

School of Biological and Marine Sciences

Sea-level rise, increased coastal erosion and flooding due to climate change is threatening coastal communities across the world. Globally, coastal change management policies include zonation of the coast to restrict development in areas susceptible to coastal change. Defining the extent of the coastal change area can be problematic and is often done using large-scale (>1 km) coastal classifications and estimates of coastal retreat. In this study, we investigate the south west coast of England, using a high-resolution (0.1 km) coastal classification to determine coastal types and their response to sea-level rise. Nine coastal typologies were defined in the study …

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Satellite-Based Shoreline Detection For Macro-Tidal Coasts: Impacts Of Morphological And Hydrodynamic Setting, A Konstantinou, T Scott, G Masselink, C Stokes, D Conley, B Castelle Jan 2023

Satellite-Based Shoreline Detection For Macro-Tidal Coasts: Impacts Of Morphological And Hydrodynamic Setting, A Konstantinou, T Scott, G Masselink, C Stokes, D Conley, B Castelle

School of Biological and Marine Sciences

Earth observation (EO) coupled with novel image analysis techniques have demonstrated the potential of EO for long-term, local, regional, and even global scale investigations of shoreline change. However, satellite-derived shoreline (SDS) data is associated with large uncertainties relating to environmental factors, tidal range, and wave action among other factors. This contribution investigates the impacts of morphological and hydrodynamic setting on the accuracy of SDS in macrotidal, highenergy coasts. Results revealed significant differences in SDS accuracy between the two morphologically contrasting sites in terms of the level of error and the optimal water level correction. We show that SDS accuracy at …

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Ocean Acidification Has A Strong Effect On Communities Living On Plastic In Mesocosms, X Zhang, P Zhang, Zichao Deng, Ruiping Huang, D Zhang, Yang Tian, N Wang, He Li, X Wang, Xiaowen Jiang, Jiazhen Sun, Qianqian Fu, Xiangqi Yi, Liming Qu, Cong Zhou, Yuming Rao, Xiaorong Zeng, Jm Hall‐Spencer, G Gao, K Gao, Xin Lin Jan 2023

Ocean Acidification Has A Strong Effect On Communities Living On Plastic In Mesocosms, X Zhang, P Zhang, Zichao Deng, Ruiping Huang, D Zhang, Yang Tian, N Wang, He Li, X Wang, Xiaowen Jiang, Jiazhen Sun, Qianqian Fu, Xiangqi Yi, Liming Qu, Cong Zhou, Yuming Rao, Xiaorong Zeng, Jm Hall‐Spencer, G Gao, K Gao, Xin Lin

School of Biological and Marine Sciences

We conducted a mesocosm experiment to examine how ocean acidification (OA) affects communities of prokaryotes and eukaryotes growing on single-use drinking bottles in subtropical eutrophic waters of the East China Sea. Based on 16S rDNA gene sequencing, simulated high CO2 significantly altered the prokaryotic community, with the relative abundance of the phylum Planctomycetota increasing by 49%. Under high CO2, prokaryotes in the plastisphere had enhanced nitrogen dissimilation and ureolysis, raising the possibility that OA may modify nutrient cycling in subtropical eutrophic waters. The relative abundance of pathogenic and animal parasite bacteria also increased under simulated high CO2. Our results show …

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Marine Environmental Effects On A Graphene Reinforced Epoxy Adhered Single Lap Joint Between Metals And Cfrp, Rudi Fry-Taylor, Maozhou Meng, Xinyu Wang Jan 2023

Marine Environmental Effects On A Graphene Reinforced Epoxy Adhered Single Lap Joint Between Metals And Cfrp, Rudi Fry-Taylor, Maozhou Meng, Xinyu Wang

School of Engineering, Computing and Mathematics

This study investigates the marine environmental effects on the bonding strength of graphene nanoplatelets (GNPs) reinforced adhesive for a metal/composite single lap joint. Samples were immersed for periods of 1, 2 and 3 weeks in a 50 °C, 3.5% NaCl solution, with the purpose of the heat being the creation of an environment in which simulated an increased ageing period in the joint structure. In a dry condition, the use of GNPs produced a slight increase in lap shear strength of 17% and 14% in the carbon fibre reinforced plastics (CFRP) composite laminate to aluminium and stainless-steel joints respectively. Post …

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Chloride Penetration In Concrete With Trilinear Binding Isotherm, D Li, P Li, L-Y Li Jan 2023

Chloride Penetration In Concrete With Trilinear Binding Isotherm, D Li, P Li, L-Y Li

School of Engineering, Computing and Mathematics

Chloride binding in concrete is an important factor and it can significantly affect the penetration speed of chlorides in concrete and thus the service life of concrete structures. In this paper a new chloride binding isotherm is proposed to be included in the diffusion model of chlorides in concrete. Instead of the use of the traditional Freundlich or Langmuir isotherm, the present chloride binding model uses a trilinear function to describe the chloride binding in concrete. The trilinear binding isotherm not only reflects the nonlinear binding feature of chlorides in concrete when it is exposed to a chloride environment, but …

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Cardiovascular Risk Factors In Secondary Progressive Multiple Sclerosis: A Cross‐Sectional Analysis From The Ms‐Stat2 Randomized Controlled Trial, Thomas Williams, Nevin John, Alberto Calvi, Alessia Bianchi, Floriana De Angelis, Anisha Doshi, Sarah Wright, Madiha Shatila, Marios C. Yiannakas, Fatima Chowdhury, Jon Stutters, Antonio Ricciardi, Ferran Prados, David Macmanus, Marie Braisher, James Blackstone, Olga Ciccarelli, Cam Gandini Wheeler‐Kingshott, Frederik Barkhof, Jeremy Chataway, Jeremy Hobart Jan 2023

Cardiovascular Risk Factors In Secondary Progressive Multiple Sclerosis: A Cross‐Sectional Analysis From The Ms‐Stat2 Randomized Controlled Trial, Thomas Williams, Nevin John, Alberto Calvi, Alessia Bianchi, Floriana De Angelis, Anisha Doshi, Sarah Wright, Madiha Shatila, Marios C. Yiannakas, Fatima Chowdhury, Jon Stutters, Antonio Ricciardi, Ferran Prados, David Macmanus, Marie Braisher, James Blackstone, Olga Ciccarelli, Cam Gandini Wheeler‐Kingshott, Frederik Barkhof, Jeremy Chataway, Jeremy Hobart

Peninsula Medical School

Background and purpose.There is increasing evidence that cardiovascular risk (CVR) contributes to disability progression in multiple sclerosis (MS). CVR is particularly prevalent in secondary progressive MS (SPMS) and can be quantified through validated composite CVR scores. The aim was to examine the cross‐sectional relationships between excess modifiable CVR, whole and regional brain atrophy on magnetic resonance imaging, and disability in patients with SPMS. Methods. Participants had SPMS, and data were collected at enrolment into the MS‐STAT2 trial. Composite CVR scores were calculated using the QRISK3 software. Prematurely achieved CVR due to modifiable risk factors was expressed as QRISK3 premature CVR, …

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Poo Matters! A Scoping Review Of Impact Of Constipation On Epilepsy, Alexandra Gabrielsson, Samuel Tromans, Lance Watkins, Lisa Burrows, Richard Laugharne, Rohit Shankar Jan 2023

Poo Matters! A Scoping Review Of Impact Of Constipation On Epilepsy, Alexandra Gabrielsson, Samuel Tromans, Lance Watkins, Lisa Burrows, Richard Laugharne, Rohit Shankar

Peninsula Medical School

BACKGROUND: Epilepsy is a common neurological disorder which frequently presents with co-morbid physical health conditions, including constipation. However, the nature of the relationship between the two conditions has not been well defined. AIM: To quantify constipation's relationship with epilepsy and anti-seizure medication (ASM). METHOD: A scoping review registered on PROSPERO (CRD42022320079) with suitable search terms was conducted and reported in accordance with PRISMA guidance. CINAHL, Embase, PsycInfo and MEDLINE electronic databases were searched by an information specialist. The Joanna Briggs Institute (JBI) critical appraisal tools alongside the Oxford Centre for Evidence Based Medicine (OCEBM) levels of evidence were used to …

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Fast-Track Extubation After Orthotopic Liver Transplant Associates With Reduced Incidence Of Acute Kidney Injury And Renal Replacement Therapy: A Propensity-Matched Analysis, J Fabes, G Wells, Z Abdi, R Bhatia, P Muehlschlegel, M Fortune-Ely, D Krzanicki, S Rahman, M Spiro Jan 2023

Fast-Track Extubation After Orthotopic Liver Transplant Associates With Reduced Incidence Of Acute Kidney Injury And Renal Replacement Therapy: A Propensity-Matched Analysis, J Fabes, G Wells, Z Abdi, R Bhatia, P Muehlschlegel, M Fortune-Ely, D Krzanicki, S Rahman, M Spiro

Peninsula Medical School

Introduction Liver transplantation is the only available definitive treatment for end-stage liver disease and subtypes of hepatocellular carcinoma. Patient outcomes have significantly improved alongside developments in surgical technique, peri-operative patient optimisation and post-transplantation management [1]. However, it remains a high risk procedure with significant morbidity and mortality attributable in the short term largely to surgical complications and rejection, and in the longer term to organ dysfunction and malignancy, often related to immunosuppressive medication [2,3]. Due to the challenges inherent to the surgical procedure, traditional post-operative management has been to maintain a period of clinical observation while the patient remains mechanically …

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Using Multi-Theory Model To Explain Hiv Screening Behaviors Among College-Aged People, Joshua David Kamimoto Jan 2023

Using Multi-Theory Model To Explain Hiv Screening Behaviors Among College-Aged People, Joshua David Kamimoto

Walden Dissertations and Doctoral Studies

There is a need to examine novel approaches that explain the association between the initiation and sustenance of HIV screening behavior. This quantitative, cross-sectional study was used to examine if the components of the multi-theory model (MTM) of health behavior change can explain the initiation and sustenance of HIV screening behavior among college-aged people. A convenience sample of 151 consenting college-aged people between the ages of 18 and 34 in a western US state completed a self-administered 44-item instrument. Multiple regression analysis was used to assess the correlation between the constructs of the multi-theory model of health behavior change (independent …

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A Qualitative Study Of Urban Male Perception And Definition Of Respect For Law Enforcement Officers, Kyla Duckworth Lurry Jan 2023

A Qualitative Study Of Urban Male Perception And Definition Of Respect For Law Enforcement Officers, Kyla Duckworth Lurry

Walden Dissertations and Doctoral Studies

Among African American males, deaths are alarmingly high for reasons that cannot be completely pinpointed. The purpose of this study was to analyze the definition and perception of respect and law enforcement by an African American male and to determine if Goffman’s dramaturgical model is sufficient to explain the social acceptance respect phenomena. Micro-sociological assessments of everyday social interactions are often based on dramaturgy, a sociological perspective. In a dramaturgical model, social interaction is analyzed as an actor’s performance on stage. This study employed a qualitative design so that the research questions could be answered. Based on the findings of …

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Business Functions Capabilities And Small And Medium Enterprises’ Internationalization, Henry Mbidde Jan 2023

Business Functions Capabilities And Small And Medium Enterprises’ Internationalization, Henry Mbidde

Walden Dissertations and Doctoral Studies

Ineffective global expansion can adversely affect small and medium enterprises (SMEs) business outcomes. Business leaders are concerned with developing effective global expansion strategies to penetrate potential international markets, thus enhancing sustainability. Grounded in the business management systems theory, the purpose of this qualitative multi-case study was to explore strategies that leaders of Sub-Saharan Africa manufacturing SMEs use for global expansion. The participants were five manufacturing value-adding SME leaders participating in export markets. Using Yin’s five steps data analysis process, six themes emerged: (a) enterprise characterization, (b) understanding the enterprise’s product, (c) intra-enterprise factor-based strategies for export participation, (d) the enterprise’s …

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Human Service Professionals’ Experience With Vicarious Trauma, Saundra Mcglothan Jan 2023

Human Service Professionals’ Experience With Vicarious Trauma, Saundra Mcglothan

Walden Dissertations and Doctoral Studies

The purpose of this generic qualitative study was to explore the vicarious trauma (VT)experiences of nonlicensed human service professionals (HSPs) between the ages of 30 and 65 from Central Texas who work with male intimate partner violence (IPV) victims. The conceptual framework that guided this study was the constructivist self-development theory. A purposive sample of 11 HSPs who experienced VT because of working with male IPV victims was obtained through flyers posted on social media. Huberman and Miles’s approach to thematic analysis was used to analyze the data and create codes, categories, and themes. The 13 themes that were identified …

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Strategies For Maximizing The Use Of Electronic Health Records Systems In Medical Clinics, Alexandra Nieves Rivera Jan 2023

Strategies For Maximizing The Use Of Electronic Health Records Systems In Medical Clinics, Alexandra Nieves Rivera

Walden Dissertations and Doctoral Studies

Ineffective leadership can negatively impact the use of electronic health records (EHR) systems in medical clinics. Healthcare managers who fail to maximize the use of EHR systems are missing out on the opportunity to optimize the quality of medical care that their clinic provides. Grounded in complexity leadership theory, the purpose of this qualitative multiple-case study was to explore strategies healthcare managers use to maximize the use of EHRs systems. Participants comprised six healthcare managers who successfully implemented strategies to maximize the use of EHRs systems. Data were collected from semistructured interviews and publicly available information. Thematic analysis was used …

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Emotional Intelligence And Toxic Leadership In Police Departments, Lisa Sorensen Jan 2023

Emotional Intelligence And Toxic Leadership In Police Departments, Lisa Sorensen

Walden Dissertations and Doctoral Studies

Effective leadership in law enforcement is critical for the overall success andeffectiveness of law enforcement personnel. Police leaders need to effectively guide officers through unparalleled social, technological, and life and death challenges. Although scholarly research indicates a positive connection between leadership effectiveness and emotional intelligence, understanding the specifics of this relationship has not been clearly identified. This research was an attempt to better understand how emotional intelligence impacts the perception of leaders demonstrating toxic behaviors and the relationship quality between police leaders and their direct reports. Data was collected from 63 law enforcement leaders and 162 direct reports in small …

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The Quality Of Life Of Menopausal Women With Polycystic Ovary Syndrome, Glendoria Stephens Jan 2023

The Quality Of Life Of Menopausal Women With Polycystic Ovary Syndrome, Glendoria Stephens

Walden Dissertations and Doctoral Studies

Polycystic ovarian syndrome (PCOS) is a severe public and clinical health issue that puts a strain on health care resources and adversely affects the health of women throughout their life span. The syndrome has adverse reproductive and metabolic features linked to infertility, heart disease, cancer, diabetes, and psychological problems. The literature provides evidence that the quality of life (QoL) and psychological well-being of PCOS reproductive-age women is compromised due to comorbidities related to both the reproductive and metabolic features of the syndrome. Little research has been conducted to investigate the QoL of menopausal women ages 48–65 who were diagnosed with …

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Perspectives Of Middle School Teachers About The Use Of Virtual Reality For Learning Spanish, Betty N. Ukera-Kajoh Jan 2023

Perspectives Of Middle School Teachers About The Use Of Virtual Reality For Learning Spanish, Betty N. Ukera-Kajoh

Walden Dissertations and Doctoral Studies

Foreign language education in the United States has historically produced poor outcomes, with very few language learners achieving communicative competence. The increasing global demand for multilingual professionals makes the issue a salient one. The purpose of this basic qualitative study was to explore the perspectives of U.S. middle school Spanish teachers about the use of virtual reality (VR) as an instructional tool for developing communicative competence in Spanish language. The research question, which was informed by Canale and Swain’s communicative competence theory, and educational technology theory by Huang, et al., addressed middle school Spanish teachers’ perspectives regarding their use of …

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Comparing Accelerated Bachelor Of Science In Nursing Rns’ And Traditional Bachelor Of Science In Nursing Rns’ Professional Socialization, Motivation, Resilience, And Intent To Stay, Dorothy Uhurebor Jan 2023

Comparing Accelerated Bachelor Of Science In Nursing Rns’ And Traditional Bachelor Of Science In Nursing Rns’ Professional Socialization, Motivation, Resilience, And Intent To Stay, Dorothy Uhurebor

Walden Dissertations and Doctoral Studies

AbstractProfessional socialization is an adaptation process during which RNs learn new roles and adapt to becoming members of the nursing profession, which creates a significant effect on the RN’s professional development. Demographic factors such as prior work-related experience, gender, and education affect an RN’s intent to stay in the nursing profession. The purposes of this three manuscript study, guided by the London career motivation model and Grotberg’s resilience theory, were to determine (a) if there are differences in accelerated Bachelor of Science in Nursing (ABSN) RNs’ and traditional Bachelor of Science in Nursing (TBSN) RNs’ professional socialization process as measured …

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Evaluating Church Hurt In The Black Church, Sheriyse Williams Jan 2023

Evaluating Church Hurt In The Black Church, Sheriyse Williams

Walden Dissertations and Doctoral Studies

The Black Church has been a significant source of support for many African Americans and has served as a protective factor while meeting religious and spiritual needs. However, some studies have suggested that the Black Church can also be a source of trauma, betrayal, and abuse for some African Americans. The purpose of the present study was to examine the effects between emotional manipulation, gender discrimination, spiritual bullying, and spiritual neglect on outcomes associated with church hurt and understand occurrences of church hurt using betrayal trauma theory. A nonexperimental, quantitative, correlational research design was used evaluate data from 155 African …

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Gender-Based Hiv Epidemic, Care Retention, And Medication Adherence In South-South Nigeria, Iniobong U. Akai Jan 2023

Gender-Based Hiv Epidemic, Care Retention, And Medication Adherence In South-South Nigeria, Iniobong U. Akai

Walden Dissertations and Doctoral Studies

AbstractWomen 15-24 years of age globally have a 60% higher rate of human immunodeficiency virus (HIV) infection than men and account for over half of the population of people living with HIV worldwide. In Akwa Ibom State (AKS), Nigeria, more women than men are infected and living with HIV despite being the minority. The socioecological model and HIV treatment cascade framework formed the theoretical foundation for the study. The purpose of the study was to explore the impact of gender on the drivers of the HIV epidemic in AKS using data from the AKS AIDS Indicator Survey. I examined the …

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Strategies Information Technology Leaders Used In Implementing Remote Work During The Covid-19, Jouliana Kamal Barghouth Jan 2023

Strategies Information Technology Leaders Used In Implementing Remote Work During The Covid-19, Jouliana Kamal Barghouth

Walden Dissertations and Doctoral Studies

With the imposed lockdown in many countries due to the spread of COVID-19, many leaders were forced to adopt online technologies in transitioning employees to remote work. Leaders not adopting online technologies or remote work during a pandemic are highly susceptible to business closure. Grounded in the technology acceptance model, the purpose of this qualitative single case study was to explore strategies information technology (IT) leaders in Kuwait used to successfully transition employees to remote work during the pandemic. The participants were six IT leaders from a single multinational IT organization who contributed to strategy development during the pandemic to …

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Improving Nurse-Patient Communication Through Motivational Interviewing In A Step-Down Unit, Ana G. Becker Jan 2023

Improving Nurse-Patient Communication Through Motivational Interviewing In A Step-Down Unit, Ana G. Becker

Walden Dissertations and Doctoral Studies

AbstractPatient satisfaction is an essential component in assessing the quality of nursing care. Often monitored through patient satisfaction surveys, this doctorate in nursing practice project (DNP) was developed to improve the problem of low Press Ganey nurse-patient communication scores for a medical-surgical step-down unit. The aim of the project was to develop a staff education program for the purpose of introducing motivational interviewing as an intervention to improve nurse-patient satisfaction scores. Lewin’s change model, Knowles’ adult learning theory, and the analysis, design, develop, implement, and evaluate (ADDIE) model were used to guide the development of the DNP project. Conducted over …

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A Clinical Practice Guideline For Managing Behavioral Problems In Persons With Dementia, Ken J. Brinker Jan 2023

A Clinical Practice Guideline For Managing Behavioral Problems In Persons With Dementia, Ken J. Brinker

Walden Dissertations and Doctoral Studies

AbstractAs the baby boom generation ages, the demand for effective nursing care for patients diagnosed with dementia has greatly increased. The challenges associated with dementia include a patient’s inability to focus, pay attention, and follow conversations. Patients often become forgetful, angry, frustrated, and aggressive with family members and caregivers. The medical providers and administrators at a long-term care facility needed assistance in developing a clinical practice guideline for managing behaviors demonstrated by patients with dementia. The project question centered on the identification of current evidence supporting a clinical practice guideline for nursing practice for unpredictable behaviors demonstrated by residents diagnosed …

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Primary Teacher Experiences With Kinesthetic And Tactile Learning In Virtual Settings, Audrey Lorraine Bryant Jan 2023

Primary Teacher Experiences With Kinesthetic And Tactile Learning In Virtual Settings, Audrey Lorraine Bryant

Walden Dissertations and Doctoral Studies

The primary grade levels traditionally consist of highly kinesthetic and tactile activities supporting learning and student engagement. During the COVID-19 pandemic, teachers urgently transitioned these learning activities to virtual settings. However, research shows a need for more literature on primary teacher experiences and their move toward innovative learning activities during the COVID-19 pandemic. The purpose of this study was to explore primary teacher experiences with kinesthetics and tactile activities in virtual settings. The combined conceptual framework of the study were Dewey’s theories on active learning and Siemens’ theory on the changing curriculum and learning in virtual settings. Eight primary teachers …

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Perceived Multicultural Self-Efficacy As A Predictor Of Competency In Social Justice Advocacy Among U.S. School Counselors, Damon D. Chambers Jan 2023

Perceived Multicultural Self-Efficacy As A Predictor Of Competency In Social Justice Advocacy Among U.S. School Counselors, Damon D. Chambers

Walden Dissertations and Doctoral Studies

School counselors who engage in advocacy work may experience barriers when attempting to challenge oppression; hence, they need specific skills to advocate efficiently and effectively. Despite the trend in conceptual articles surrounding school counselor advocacy, little is known about how school counselors’ multicultural self-efficacy predicts school counselors’ social justice advocacy practices. This study addressed this gap in the literature by exploring factors related to school counselor social justice advocacy; that is, multicultural self-efficacy. Multicultural self-efficacy and advocacy competence have had an integral role in fostering school counselors’ abilities to identify and support the needs of diverse student populations within the …

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Experiences And Perceptions Of Hospital Social Workers Regarding Discharge Planning And Readmission, Kenshara Cravens Jan 2023

Experiences And Perceptions Of Hospital Social Workers Regarding Discharge Planning And Readmission, Kenshara Cravens

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid Services created the Hospital Readmission Reduction Program in 2010 to decrease the problem of hospital readmissions. This program reduces hospital reimbursements from Medicare or Medicaid when patients with specific diagnoses are readmitted within 30 days of discharge. This generic qualitative study explored hospital social workers’ experiences and perceptions of the impact of discharge planning on hospital readmission. Meleis’s transitions theory provided the conceptual framework for this study. Data were collected from semistructured interviews with 10 female medical social workers. Data analysis entailed categorizing and classifying the data into emerging themes to answer the research …

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Assessing The Impact Of Domestic Violence Upon The Lives Of African American Women, Meleh Duarto Jan 2023

Assessing The Impact Of Domestic Violence Upon The Lives Of African American Women, Meleh Duarto

Walden Dissertations and Doctoral Studies

Domestic violence is a public health problem in the United States. It can be associated with physical, mental, emotional, and psychological problems for the victims. African American (AA) women experience this type of violence more than any other ethnicity or race. The purpose of this phenomenological qualitative study is to identify and report AA women’s lived experiences of domestic violence. Even though research devoted to understanding domestic/intimate partner violence’s consequences is limited, this problem has devastating consequences for AA women. This problem needs immediate attention. Likewise, there is limited empirical research done on the topic: Why do African Americans experience …

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