Digital Commons Network^™

Staff Education Project Staff Education To A Medical Surgical Unit, Kay-Ann Wilson-Phipps

Walden Dissertations and Doctoral Studies

This Doctor of Nursing (DN) project aimed to educate staff on set protocols for preventing catheter-associated urinary tract infection (CAUTI) in a medical-surgical unit. The CAUTI rates in the unit were rising beyond the national standards. The purpose of this project was to effectively reduce the CAUTI rates by at least 25% by providing knowledge in the form of best practices to the nursing staff about catheter insertion, care, and removal. The practice-focused question attempted to answer whether staff education on CAUTI protocols would increase knowledge. Thirty-seven staff members voluntarily participated in the education project, including nursing staff, infection control …

Reducing Attrition In Medication-Assisted Treatment: Strategies From Behavioral Health Leaders, Tony Shaw

Walden Dissertations and Doctoral Studies

This qualitative case study explores strategies to reduce attrition rates in medication-assisted treatment programs, drawing on the perspectives of behavioral health leaders and guided by the principles of the Baldridge Excellent Framework. It aims to implement effective strategies to enhance client retention and improve treatment outcomes. Drawing from 18 years of professional experience in behavioral health, this research analyzes current practices and identifies interventions to improve program effectiveness. Data collection includes case studies, surveys, and interviews with behavioral health leaders, providing a comprehensive view of the challenges and opportunities within these programs. The study revealed several key factors affecting retention …

Medical School Watercooler Newsletter - December 18, 2024, Lindsay Hughes

Watercooler Newsletter

This is the Wednesday, December 18, 2024 edition of the Frederick P. Whiddon College of Medicine's newsletter -- Watercooler.

Contents include:

• 3D-printed implants help customize spine surgery
• First cohort graduates from Healthcare Leadership Certificate Program
• Internal Medicine residents collect donations for Goodwill's Care Closet
• Medical student presents research on opioid education program at AAMC conference

Time Reversal Delivery Of Long Duration Noise To A Targeted Location: Achieving Higher Amplitude While Maintaining A Desired Spectral Shape And Maximizing The Spatial Extent, Rylee Scott Russell

Theses and Dissertations

Time Reversal (TR) is a signal processing technique that can be used to focus acoustic waves to a specific location in space, with most applications aiming to create an impulsive focus. This study instead aims to focus long-duration noise signals using TR. This thesis seeks to generate higher amplitude noise at a desired location over an existing method of broadcasting equalized noise. Additionally, this thesis explores various characteristics associated with focusing long duration noise using TR. The dependence of the focal amplitude on the duration of the focused signal is explored as well as the implications of using multiple sources …

Anastasios Smalis V. Commissioner Of Internal Revenue

2024 Decisions

Tax Court

Henry Washington V. Robert Gilmore

2024 Decisions

USDC for the Western District of Pennsylvania

Jerry Daniels V. Dauphin County District Attorney\'S Office

2024 Decisions

USDC for the Middle District of Pennsylvania

Jerome Washington V. John E. Wetzel

2024 Decisions

USDC for the Western District of Pennsylvania

Quality Interpretation, Quality Interpretation Assessment, Back Translation, Communication Breakdown, Sense-Based Theory, Liyenja Mwinuka

Journal of Humanities and Social Sciences

This study assesses the quality of English-Kiswahili Sermon interpretation in church settings in Dar es Salaam, Tanzania, with a specific focus on the accuracy of vocabulary interpretation and its impact on effective communication between preachers and audiences. Conducted in two purposively selected Pentecostal churches, the study employed the Sense-Based Theory as its guiding framework. Data were gathered through interviews, non-participant observation, and video recordings; and were analysed qualitatively. The findings reveal frequent misinterpretation of preachers’ English vocabulary by Sermon interpreters, leading to significant communication breakdowns between preachers and their audiences. The incorrect interpretations of vocabulary were primarily attributed to the …

An Assessment Of Macroeconomic Effects Of Financial Liberalization In Tanzania: 1990-2022, Cornel Joseph

Journal of Humanities and Social Sciences

This study provides a comprehensive analysis of the effects of financial liberalization on key macroeconomic indicators in Tanzania, specifically focusing on savings, investment, and economic growth. Utilizing extensive annual time series data from 1990 to 2022, the research employs the Autoregressive Distributed Lag (ARDL) method and incorporates bound testing procedures to ensure robust results. The analysis reveals several significant findings: financial liberalization has a positive impact on savings and promotes economic growth in the long-run, demonstrating its role as a catalyst for economic advancement in Tanzania. However, the study also uncovers a concerning trend: while savings and growth benefit from …

Community, State And Professionalism: Negotiating The Experience Of Community Health Workers In The Provision Of Maternal And Child Health Services In Tanzania, Chakupewa Joseph Mpambije

Journal of Humanities and Social Sciences

Research on community health workers (CHWs) has been on the increase in the past decades in Tanzania, focusing on the provision of maternal and child health (MCH) services. While performing their tasks, CHWs work within three constructs: the community, the state, and their professionalism. However, as CHWs work within these constructs, there exists scanty literature which discourses their experiences within the realm of the community, the state and their professionalism. This review aimed to articulate how these constructs facilitate or inhibit CHWs’ performance in improving MCH services. It employed a scoping review method in which peer-reviewed articles and grey literature …

Ad Hominem Arguments In Zimbabwean Political Discourse: An Analysis Of Political Argumentation, Jack Mutsvairo, Mawande Dlali

Journal of Humanities and Social Sciences

The article investigates the motivation behind the prevalent use of the subtypes of ad hominem (personal attacks) arguments in Zimbabwe political discourse in the build-up to the 2023 harmonised council, parliamentary and presidential elections. This qualitative case study research looks at the use of ad hominem arguments by Zimbabwean politicians. Using analytical tools and concepts from informal logic and pragma-dialectical argumentation theories, this article focuses on identifying, analysing, and evaluating ad hominem arguments used in Zimbabwean political discourse, particularly in parliamentary debates and broadcast interviews. Data were purposively sampled and gathered from Hansard records, and a television interview transcript. It …

Reputation Management: Branding A Higher Education Graduate Program To Increase Visibility, Vanderbilt Artaxerxes Brabson Iv

Student Theses and Dissertations

This capstone project offers a comprehensive training tool for non-communication professionals working in higher education programs. Its main goals are to give users (1) a summary of valuable research on higher education reputation management, branding, and strategic communication, and (2) an online toolkit for non-communication professionals to boost the visibility and impact of their educational initiatives. By providing practical, actionable resources, these tools help higher education professionals effectively handle the challenges of strategic communication management. The toolkit is especially useful because it delivers evidence-based strategies and methods that can be directly applied to improve communication efforts in higher education. It …

Mild Traumatic Brain Injury In Justice-Involved Individuals And Executive Function Consequences On Transition And Reintegration Into The Community, Alaina L. Randerson

Student Capstone Papers

The United States has the highest documented incarceration rate in the world (Carson, 2022), with an increasing number of justice-involved individuals (JII) potentially affected by mild traumatic brain injury (mTBI). Despite the high prevalence of mTBIs in the general population, limited research exists on the prevalence and impact of mTBIs in JII. Preliminary evidence suggests that the prevalence of mTBIs in incarcerated individuals is 50 times higher than in the general public (Siegler et al., 2017). This study aimed to explore the lived experiences of JII with mTBI, focusing on the origin of mTBIs, executive dysfunction, and the occupational barriers …

Transforming Growth Factor-Beta Is Increased In Sputum From Individuals With Rheumatoid Arthritis-Associated Pulmonary Fibrosis, Timothy M. Wilson, Matthew Bolt, Andrew Stahly, Joyce S. Lee, Tami J. Bang, Peter B. Sachs, Kevin D. Deane, Stephen M. Humphries, Joshua J. Solomon, M. Kristen Demoruelle

Division of Rheumatology Faculty Papers

BACKGROUND: Interstitial lung disease (ILD) develops in 5-10% of patients with RA and contributes significantly to morbidity and mortality, particularly in those with a fibrotic phenotype. Yet, biomarkers to reliably identify RA patients with underlying pulmonary fibrosis are inadequate. Herein, we used sputum to identify lung-based biomarkers that distinguish RA patients with underlying pulmonary fibrosis and may better inform underlying pathogenesis in RA-ILD.

METHODS: We included 37 RA patients with pulmonary fibrosis (RA-PF) and 30 RA patients without ILD (RA-no-ILD). Induced sputum and serum were tested for TGF-β levels by immunoassay. DNA was extracted to determine presence of the MUC5B …

Mild Traumatic Brain Injuries In Justice-Involved Individuals And Executive Function Consequences On Transition And Reentry Into The Community ​, Alaina L. Randerson, Michael Sutcliffe, Cassandra Nelson, Ariana Gonzalez

Fall 2024 OTD Capstone Symposium

The United States has the highest documented incarceration rate in the world (Carson, 2022), with an increasing number of justice-involved individuals (JII) potentially affected by mild traumatic brain injury (mTBI). Despite the high prevalence of mTBIs in the general population, limited research exists on the prevalence and impact of mTBIs in JII. Preliminary evidence suggests that the prevalence of mTBIs in incarcerated individuals is 50 times higher than in the general public (Siegler et al., 2017). This study aimed to explore the lived experiences of JII with mTBI, focusing on the origin of mTBIs, executive dysfunction, and the occupational barriers …

Navigating Life After The Nicu: A Developmental Guide For Preterm And High-Risk Infants And Toddlers, Reagan Lachaussee, Mary Jan Greer Phd, Otr, Theresa Mensi

Fall 2024 OTD Capstone Symposium

Premature and medically fragile infants are at high risk for developmental delays and benefit from ongoing support. Parents often feel overwhelmed and uncertain about how to support their child’s development at home. This project addressed gaps in caregiver education and support by developing the PEARLS Program (Promoting Early Achievements, Resilience, and Life Skills), a practical resource tailored to the needs of families and healthcare providers.

A needs assessment and provider feedback guided the program’s development, identifying challenges such as information overload, confusion around corrected age, and feeding difficulties. The PEARLS Program empowers families with digestible, actionable resources, including …

Evaluations Of Digital Public Health Interventions In The Who Southeast Asia Region: A Systematic Literature Review, Nachiket Gudi, Elstin Anbu Raj, Beate Jahn, Uwe Siebert

Open Access archive

Introduction Digital health technologies have been enhancing the capacity of healthcare providers and, thereby, the delivery of targeted health services. The Southeast Asia Region (SEAR) has invested in strengthening digital public health. Many digital health interventions have been implemented in public health settings but are rarely assessed using the holistic health technology assessment (HTA) approach. Methods A systematic literature review was performed to provide an overview of evaluations of digital public health interventions in the World Health Organization (WHO) SEAR. Searches were conducted on four electronic databases. Screening title abstracts and full texts was independently conducted by two reviewers, followed …

Briar Hill Realty Llc V. Reisner

All Decisions

In this nonpayment proceeding, the landlord obtained a default judgment against the tenant. The tenant moved to vacate the default judgment, arguing that the landlord's agent misled him into believing he did not need to respond to the court proceedings. The court granted the tenant's motion, finding that the landlord's agent's actions constituted extrinsic fraud, which warranted vacating the judgment even without a showing of a meritorious defense. The court emphasized the importance of preserving the integrity of the legal process and preventing situations where parties are misled into believing they do not need to defend themselves in court.

Enhanced Lsmc For Valuation Of Options, Amr Mekawy

Theses and Dissertations

In the world of finance, whether you are a hedger or a speculator, a risk-adverse or a risk-advocate, the use of financial instruments and derivatives will remain pertinent to providing new opportunities for mitigating risks as well as generating profit. Among these instruments are Options, which regardless of their complexity, can be an extremely versatile tool to be utilized across a wide range of different markets.

An option is a derivative that gives the holder the right, but not the obligation to buy or sell the underlying asset either before or at the maturity date of the contract. There are …

Staff Education Project Staff Education To A Medical Surgical Unit, Kay-Ann Wilson-Phipps

Walden Dissertations and Doctoral Studies

This Doctor of Nursing (DN) project aimed to educate staff on set protocols for preventing catheter-associated urinary tract infection (CAUTI) in a medical-surgical unit. The CAUTI rates in the unit were rising beyond the national standards. The purpose of this project was to effectively reduce the CAUTI rates by at least 25% by providing knowledge in the form of best practices to the nursing staff about catheter insertion, care, and removal. The practice-focused question attempted to answer whether staff education on CAUTI protocols would increase knowledge. Thirty-seven staff members voluntarily participated in the education project, including nursing staff, infection control …

Reducing Attrition In Medication-Assisted Treatment: Strategies From Behavioral Health Leaders, Tony Shaw

Walden Dissertations and Doctoral Studies

This qualitative case study explores strategies to reduce attrition rates in medication-assisted treatment programs, drawing on the perspectives of behavioral health leaders and guided by the principles of the Baldridge Excellent Framework. It aims to implement effective strategies to enhance client retention and improve treatment outcomes. Drawing from 18 years of professional experience in behavioral health, this research analyzes current practices and identifies interventions to improve program effectiveness. Data collection includes case studies, surveys, and interviews with behavioral health leaders, providing a comprehensive view of the challenges and opportunities within these programs. The study revealed several key factors affecting retention …

The Psychological And Physical Impact Of The Opioid Crisis On Families, Adrienne Antoinette Hunter Wells Green

Walden Dissertations and Doctoral Studies

Many rural areas in the United States have experienced an opioid crisis. Social support programs could be created to address social support for the families affected by opioid addiction. The purpose of this non-experimental, cross-sectional research study was to examine the possible relationship between (a) prescription or non-prescription addiction; (b) opioid addiction or another addiction; (c) the amount of family social support of a family member who has ongoing interactions with the individual struggling with addiction; and (d) stress of the family member in a rural area. Bowen’s family systems theory provided the theoretical framework for the study. A non-probability …

Achieving Inter- And Transdisciplinarity In Ecohealth: Insights From A Rodent-Borne Disease Project In A Polycrisis Era, Isabelle Arpin, Clémence Massart, Vincent Bourret, Guillaume Castel, Valeria Carolina Colombo, Jana Eccard, Jasmin Firozpoor, Maciej Grzybek, Heikki A. Henttonen, Herwig Leirs, Andrew Mcmanus, Ben Roche, Tarja Sironen, Vincent Sluydts, Peter Stuart, Annetta Zintl, Nathalie Charbonnel

Publications

Introduction: Inter- and transdisciplinary research (ITDR) is increasingly promoted to address “wicked problems”, particularly in health sectors adopting approaches like Ecohealth. Our Ecohealth-inspired project on rodent-borne diseases, initiated just before the COVID-19 pandemic, provided an opportunity to evaluate ITDR implementation.

Methods: We employed a recently developed semi-quantitative evaluation method to measure our project’s success in achieving ITDR and analyzed factors influencing this achievement.

Results: The project showed strengths in system description, team task allocation, and data sharing, but had lower scores in engaging societal actors throughout the project cycle.

Discussion: We identified the underexplored influence of problem wickedness as a …

Invasion Stress Mitigates Climate Stress In A Brackish Marsh Amphipod, Lorna E. Haworth, Sarah Nancollas, Susie N. Landa, Anne E. Todgham, Richelle L. Tanner

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

1. Organisms in coastal brackish ecosystems face not only highly variable environmental conditions, but the intensity and stochasticity of these environmental conditions are anticipated to increase due to climate change. While environmental changes are often presented unilaterally as stressors, there are some anthropogenic environmental transformations, such as the introduction of habitat forming plant species, that may mitigate physiological stress imposed by warming. In Suisun Marsh in the California Delta, native plant canopies allow light and heat to penetrate to the understory yet the canopies of the introduced Phragmites australis reed block out sunlight and heat for organisms living below.
2. We set …

Reversing Chronic Disease Through Functional Medicine: Acknowledging Privilege And Seeking Justice, Rosalynn A. Vega

Anthropology Faculty Publications

This piece is based on twenty-eight months of digital-auto-ethnographic research. While my research methods included traditional ethnographic research in face-to-face settings and digital ethnography, my personal experience is also embedded in the work. In this piece, you will find “interludes” that provide glimpses into my healing journey. When writing in this autoethnographic register, I provide “thick descriptions” (Geertz 3) of how I experienced illness and recovery. By including my own story, I am acknowledging that the observed and the observer are inextricably intertwined. All ethnography is relational. Ethnographic data results from a trusting relationship between ethnographer and participant. Furthermore, in …

Strategies Small Business Leaders Use To Retain Employees To Reduce Turnover Costs, Karla Gilchrist-Saunders

Walden Dissertations and Doctoral Studies

Failure to retain employees negatively affects organizational financial sustainability. Small business leaders become concerned when their organizations fail to retain employees, resulting in increased costs and decreased competitiveness, organizational knowledge, team dynamics, and valuable human resources. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry study was to identify and explore leadership strategies some small business leaders use to retain employees to reduce turnover costs. The participants were six small business leaders in the Washington, DC, metropolitan area with successful strategies used to retain employees to reduce turnover costs. Data were collected from semistructured interviews and publicly …

The Psychological And Physical Impact Of The Opioid Crisis On Families, Adrienne Antoinette Hunter Wells Green

Walden Dissertations and Doctoral Studies

Many rural areas in the United States have experienced an opioid crisis. Social support programs could be created to address social support for the families affected by opioid addiction. The purpose of this non-experimental, cross-sectional research study was to examine the possible relationship between (a) prescription or non-prescription addiction; (b) opioid addiction or another addiction; (c) the amount of family social support of a family member who has ongoing interactions with the individual struggling with addiction; and (d) stress of the family member in a rural area. Bowen’s family systems theory provided the theoretical framework for the study. A non-probability …

Influenza Knowledge And Barriers To Vaccination In Immunosuppressed Patients In The Pediatric Rheumatology Clinic., Julia G. Harris, Leslie Favier, Jordan T. Jones, Maria Ibarra, Michael J. Holland, Emily Fox, Kelly Jensen, Ashley K. Sherman, Ashley M. Cooper

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Most patients with a pediatric rheumatic disease are at increased risk of influenza due to immunosuppressive medication use. Despite initial quality improvement efforts, our influenza vaccination rate plateaued at 72%, which prompted a survey of patients and families to assess provider vaccine recommendations, influenza knowledge, and barriers to influenza vaccination.

METHODS: Patients on immunosuppressive medication or their parent were eligible to complete a survey between July 2019 and January 2020. Survey questions assessed demographics, rheumatology diagnosis, immunosuppressive medication(s), influenza vaccination recommendation, patient/parent influenza knowledge, and barriers to influenza vaccination. Influenza vaccination rates for immunosuppressed patients were acquired each influenza …

Strategies Small Business Leaders Use To Retain Employees To Reduce Turnover Costs, Karla Gilchrist-Saunders

Walden Dissertations and Doctoral Studies

Failure to retain employees negatively affects organizational financial sustainability. Small business leaders become concerned when their organizations fail to retain employees, resulting in increased costs and decreased competitiveness, organizational knowledge, team dynamics, and valuable human resources. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry study was to identify and explore leadership strategies some small business leaders use to retain employees to reduce turnover costs. The participants were six small business leaders in the Washington, DC, metropolitan area with successful strategies used to retain employees to reduce turnover costs. Data were collected from semistructured interviews and publicly …