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A New Paradigm In Hospital Medicine: Evaluating The Effects Of Geographical Cohorting On Health Care Delivery, Vasu Gupta, Bhupinder Singh, Kanishk Aggarwal, Ayushi Garg, Rhea Kanwar, Fnu Anamika, Inder Preet Kaur, Rohit Jain

HCA Healthcare Journal of Medicine

Background

Geographical cohorting in hospital settings represents a significant shift from traditional patient rounding practices and aims to enhance the efficiency of health care delivery. This model assigns hospitalists to a particular inpatient unit, where most of their patients are located. While this model has several benefits, including streamlining health care procedures, optimizing resource allocation, and fostering better provider communication, its implementation is not without its challenges.

Methods

Our methodology for researching geographical cohorting involved a comprehensive literature review of peer-reviewed studies, surveys, and retrospective analyses. We utilized academic databases, such as PubMed, JSTOR, and Google Scholar, to identify relevant …

The Centennial Of Meyer And Pierce: Parents’ Rights, Gender-Affirming Care, And Issues In Education, Ira C. Lupu

The Journal of Contemporary Legal Issues

This paper was prepared for a Symposium, held in March 2024, marking the centennial of the Supreme Court’s decisions in Meyer v. Nebraska (1923) and Pierce v. Society of Sisters (1925). At their inception, Meyer and Pierce reflected constitutional principles of economic freedom and parental control of their children’s education. Part I traces the path of ideas put in motion by Meyer and Pierce. These include the decline of their economic freedom component and the broader grounding of their doctrines of parental authority. Eventually, the chameleon-like legacy of Meyer and Pierce stretched to include First Amendment concerns of religious …

Fhsu Telemental Health Initieative Poised To Improve The Quality Of Life In Rural Kansas, February 28, 2025, Tisa Mason Ed.D.

Heart of a Tiger Columns

No abstract provided.

Participant Experiences With Mobile Integrated Health In Underserved Communities While Managing Chronic Disease: Grounded Theory, Margaret Piwowar

Walden Dissertations and Doctoral Studies

Individuals in underserved communities face barriers to the management of chronic disease compounded by the lack of consideration of the social determinants of health in health education interventions. This qualitative study explored the perspectives and experiences of adults living in underserved communities who have graduated from an integrated program in a large metropolitan area in the United States. Mobile integrated health programs, conducted by community paramedics, work in underserved communities within citizens' homes, managing chronic disease. Limited research exists regarding the perspectives of participants who have received interventions from integrated programs and the perceived impact these interventions have on reducing …

The Influence Of Service Marketing Mix On Customer Loyalty Towards Travel Agents Post Covid-19 Pandemic, Omar Abdulaziz Sultan Abdullah, Junainah Binti Mohd Mahdee, Nurazlin Binti Mohd Fauzi

International Journal of Management, Finance and Accounting

This study examines the impact of the service marketing mix on customer loyalty towards travel agents in Oman after the COVID-19 pandemic. The study seeks to comprehend the influence of the service marketing mix (7Ps: Product, Price, Place, Promotion, People, Process, and Physical Evidence) on customer loyalty to travel agents in Oman in the post-COVID-19 pandemic era in a swiftly changing market. The study uses a quantitative research methodology, sending a self-administered survey questionnaire to travel agencies in Oman. The data are examined using Partial Least Squares Structural Equation Modelling (PLS-SEM) to evaluate the presented hypotheses. The results are anticipated …

Exploring The Lived Experiences Of African American Professors In Predominantly White Universities In The Southern United States: A Phenomenological Research Design, Jeniaka Spencer Hames

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to understand the personal and professional journeys of African American professors through consideration of the self-perceived challenges and opportunities encountered while employed at predominantly White southern universities. The theory guiding this study is critical race theory (CRT), which provides a framework for analyzing the racial dynamics in academic institutions. The central research question guiding this inquiry is: What are African American professors’ lived experiences in predominantly White universities in the Southern United States regarding their roles and responsibilities within academic institutions? The methodology involves a qualitative approach, utilizing semi-structured interviews with African American …

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Marine Terrace Staircases Of Western Iberia: Uplift Rate Patterns From Rocky Limestone Coasts Of Central Portugal (Cape Raso - Abano Beach And Cape Espichel), Martin Stokes

School of Geography, Earth and Environmental Sciences

The Western Iberian Peninsula is undergoing compressive tectonic reactivation, resulting in spatial and temporal variations of surface uplift. Uplift quantification can be undertaken in coastal settings using staircases of shore platforms developed onto rocky headlands. This study analyses two marine terrace staircases in central Portugal: Cape Raso - Abano beach and Cape Espichel. Geomorphic and stratigraphic analyses identified marine terraces/shore platforms developed below a culminant shore platform, four at Cape Raso and eleven at Cape Espichel. The terrace chronology was obtained by using ESR and pIRIR dating. Using the interactions between the elevation, age and global mean sea-level elevations, the …

Microplastics And Nanoplastics In Tea: Sources, Characteristics And Potential Impacts, Neamatollah Jaafarzadeh Haghighi Fard, Faezeh Jahedi, Andrew Turner

School of Geography, Earth and Environmental Sciences

Recent scientific studies have raised concerns about the presence and potential impacts of microplastics and nanoplastics (MNPs) in tea-based drinks. This review critically examines publications relating to MNPs in tea, with focus on the type of sample involved, methods and techniques employed to isolate and identify MNPs, and the main qualitative and quantitative findings. Sources of MNPs in tea include production water, plastic packaging and contaminated tea leaves but the most important source is teabags when steeped in boiling water. Here, more than 10⁹ MNPs have been reported to be released per plastic teabag. However, significant quantities of MNPs …

The Spread Of Tuberculosis Cases In The Highlands And Coastal Areas Of Padang, Rapitos Sidiq, Indang Dewata, Heldi Heldi, Nurhasan Syah, Linda Handayuni, Al Asyary

Kesmas

The current tuberculosis (TB) worldwide situation is very concerning in terms of the number of cases and the death toll, as well as the environmental factors that contribute to its transmission. This has driven policy decisions that aim to enhance contemporary TB control efforts. This study aimed to map the pattern of TB spread based on geographic location, particularly in the highland and coastal areas of Padang City, West Sumatra Province, Indonesia. This study employed a quantitative descriptive analysis using secondary data from 6 primary health care (PHC) from April 2022 to March 2023, comprising 896 cases. Data analysis was …

Arctic Militarization: How The United States Developed The Arctic At The Cold War’S Beginning, 1945-1965, Daniel J. Morris

Doctoral Dissertations and Projects

At the Cold War’s start, the United States conducted a robust Arctic militarization policy for North American defense against the Soviet Union. U.S. officials feared an Arctic invasion or an over-the-North-Pole attack. The Arctic policies created Alaskan statehood, the distant early warning (DEW) line radar stations, Greenland military installations, failed Arctic diplomacy, the International Geophysical Year of 1957-1958 (IGY), and Arctic military activities. In 1945, the United States started its Arctic militarization programs as its international relationship with the Soviet Union deteriorated. First, Alaska transitioned from a U.S. territory to a state, which federal money entered Alaska for national defense. …

Examining The Nexus Of School Leadership And Teacher Retention: A Phenomenological Study, Melvina A. Murray

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the influence of school leadership on teacher retention for public school teachers at Helam Public School District. The phenomenon of the influence of school leadership on teacher retention encompasses various interconnected factors that significantly affect the decision of teachers to remain in or leave the profession. The historical, social, and theoretical context of teacher retention were highlighted in the introduction. The theory guiding this study was the transformational leadership theory. The central research question aimed to understand the school leadership experiences of retained public school teachers at Helam Public School District. …

Importing Educators: A Phenomenological Study Examining The Community Mentorship Experiences Of First-Year Jamaican Immigrant Teachers Across Schools In The Southeastern United States, Nadralee Bixler

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the community mentorship experiences of first-year Jamaican immigrant teachers at schools in the Southeastern United States. The theory guiding this study is McMillan and Chavis's theory of sense of community, which provided a framework for understanding the critical factors of community, a sense of belonging, shared values, influence, and fulfillment of needs that contribute to an inclusive community for first-year Jamaican immigrant teachers. This qualitative research utilized a transcendental phenomenological approach, which enabled me to delve into the shared elements and the essence of the participants' experiences around community mentorship. Jamaican …

Exploring Rapport-Building In Coaching Relationships: Coach's Perspective, Tanya Devereaux

Doctoral Dissertations and Projects

This dissertation examines rapport-building strategies and challenges executive coaches face in their interactions with clients, with an emphasis on demographic influences. By employing a qualitative phenomenological approach, the study captures the subjective experiences of 14 active executive business coaches. These coaches discussed techniques for rapport-building, such as pre-meeting engagement, setting expectations, and creating safe environments during initial sessions. The findings reveal that demographic factors—such as race, gender, and cultural background—impact the coach-coachee dynamic, often necessitating adaptive strategies to align with the unique needs of each client. The themes that emerged from the research aligned with existing literature, and professional experience …

Celtic Pagan Influence In The Early Irish Church: The Conversion Of Ulster, Cassidy M. Mcnally

Doctoral Dissertations and Projects

This dissertation explores the influence of Celtic Pagan traditions on the early Irish Church in Ulster, from the introduction of Christianity in the late fourth century to the Viking invasions of the twelfth century. By integrating historical texts, archaeological findings, and comparative religious studies, it investigates how pre-Christian beliefs and rituals were assimilated into early Christian practices. The study begins by examining the arrival of Christianity in Ulster, highlighting how Celtic Paganism, characterized by its pantheon, nature worship, and druidic traditions, shaped the Christian framework. It delves into how early Christian leaders, such St. Patrick and St. Brigid, navigated these …

Building Capacity For Trauma-Informed Care: Enhancing Knowledge, Attitudes, And Practice Of Trauma-Informed Care Among Nurses, Kim G. Cudjoe

Doctoral Dissertations and Projects

Exposure to trauma is a global and pervasive phenomenon that is known to have negative consequences on the health, health outcomes, and well-being of individuals and at-risk populations to include Veterans. The implementation of trauma-informed care concepts and principles in the delivery of healthcare services among all staff and across the span of healthcare allows healthcare professionals to realize the impact of trauma on individuals, to recognize the signs and symptoms of trauma, to respond to trauma through improved practices, procedures, and policies; and to prevent re-traumatization while receiving care. The purpose of this evidence-based project is to develop and …

Cover And Forewords, C. Nicholas Raphael

The Geographical Bulletin

Cover and Forewords

Notch Formation Due To Freeze-Thaw Action In The North-Facing Valley Cliff Of The Asama Volcano Region, Japan, Yukinori Matsukura

The Geographical Bulletin

There are notches at the base of vertical cliffs located at the foot of Asama Volcano, Japan. In the north-facing cliff, frost weathering is frequently observed on the notch surface in winter. Mean air temperature is below freezing point in winter. There are many fine days in winter, but the sunshine cannot hit the northfacing cliff due to its orientation. These conditions gradually cool the notch zone and make a frozen layer which grows parallel to the notch surface. The maximum frost penetration depth is estimated to be 20 to 30 cm in one winter season. Exfoliation occurs in spring …

Volume 32-2 Complete Issue, C. Nicholas Raphael

The Geographical Bulletin

Volume 32-2 Complete Issue

Factors Controlling Ground Water Flow To Wells In Crystalline Rocks Based On A Principal Components Analysis, Southeastern Piedmont Of Georgia, Joseph E. Garcia, George A. Brook

The Geographical Bulletin

In a study of the geologic and topographic factors influencing well productivity in the crystalline southern Piedmont region of Georgia, Garcia et al. (1990) found that three variables explained 65 percent of the variation in well productivity. However, many of the nine variables examined could not be included in modeling because of high intercorrelation detracting from the interpretive if not the predictive value of the result. To overcome this problem, data from Garcia et al. (1990) were subjected to a principal components analysis. This technique was used to transform the set of nine highly correlated variables into three uncorrelated components. …

Spatial Patterns Of Visitor Behavior: A Case Study Of The North Carolina Zoological Park, Maurice L. Mckenzie, Keith G. Oebbage

The Geographical Bulletin

This paper explains the spatial patterns of visitor behavior at the North Carolina Zoological Park (NCZP). The NCZP is one of the top ten tourist attractions in the state, but it is unclear what factors influence each individual's decision to visit the zoo. The research reported in this paper partially confirmed many of the theoretical expectations about visitor behavior. Based on the results of a visitor survey, the NCZP is a family attraction that caters to a largely well-educated and affluent audience. Most of those surveyed came from the nearby urban centers, while the rural counties immediately adjacent to the …

Interstate Migration Of Students To Professional Schools, James F. Fryman

The Geographical Bulletin

Among the college student population, those attending professional schools are the most likely to cross state lines to attain a degree. The focus of the present investigation was threefold: first, to describe the components of the interstate migration system based on college student migration to professional schools; second, to determine the degree of association between those components; and third, to determine to what extent, the number of professional schools and the variety of programs, affects the net migration of students. Results indicated a lack of uniformity in professional school location and in the variety of professional programs offered. Net migration …

The Geography Of Rockfall Hazards In Glacier National Park, Montana, David R. Butler

The Geographical Bulletin

Glacier National Park, Montana, has a long history of falling rock and rockfall accidents. The recent history of rockfall activities and accidents in the Park is documented here. Rockfalls are frequent in spring and autumn months, when temperatures fluctuate across the freezing point. Summer rockfall activity is primarily associated with heavy rainfall. Hazardous rockfalls may occur on any slope aspect, especially in areas where stratigraphic dip parallels the slope. Numerous accidents from falling rock have occurred, but are spatially concentrated in two major and two minor highway zones, as well as i., the backcountry. Visitors to the Park are effectively …

Editorial Comments Facilitating Field Research, H. J. De Blij

The Geographical Bulletin

All of us remember the favorite sayings of some of our teachers. When I was a first-year student at the University of the Witwatersrand, Professor J. H. Wellington would start many a lecture by stating "Geography is a field science. What I am about to tell you comes from my field notes. When you go on to graduate school, your success or failure will depend on your ability to do original field research." When I was in the Master's degree program at Northwestern University, a visiting professor, A. E. Moodie, liked to say that "If you cannot map it, it …

A Comparison Of Regional Drought Patterns In The Contiguous United States Using Four Measures Of Drought Severity, Peter T. Soule

The Geographical Bulletin

The primary objectives of this study are 1) to identify spatially homogeneous drought (moisture) regions in the contiguous United States using four different measures of drought severity, and 2) to determine whether these regional drought patterns are consistent across the drought types represented by these indices. Data used include monthly values of the Palmer Hydrologic Drought Index (PHDI)' Palmer Drought Severity Index (PDSI)' Palmer Moisture Anomaly Index (ZINX), and standardized scores (zscores) of precipitation (PREZ), for the period 1931-1985. A series of S-mode principal components analyses and a VARIMAX rotation are used to search for aggregations of climatic divisions that …

Cover And Forewords, C. Nicholas Raphael

The Geographical Bulletin

Cover and Forewords

Native Texans' Perception Of Yankees, Byron D. Augustin, Dennis E. Fitzsimons

The Geographical Bulletin

Texas now ranks as the third most populous state in the United States. Over the past 40 years, much of the population growth can be attributed to migration from outside the state's boundaries. Not all native Texans look favorably on the new growth patterns. "Yankee" is a term which some native Texans tend to label any new resident who does not enter from Mexico. The purpose of this paper is to delineate those states which are perceived by native Texans to produce Yankees. A second goal is to provide insight into the perception that native Texans have regarding the word …

Volume 32-1 Complete Issue, C. Nicholas Raphael

The Geographical Bulletin

Volume 32-1 Complete Issue

Heat Island Of The Akron Canton Regional Airport, Ohio, Nirmala Kochar, Thomas W. Schmidlin

The Geographical Bulletin

Air temperatures measured by the National Weather Service at rural airports may not represent the temperatures of the surrounding rural areas because of extensive paved surfaces, buildings, sparse vegetation, and the flow of surface traffic at the airport. These factors may cause the presence of a heat island which is generally an urban phenomenon. The temperature and wind of the Akron-Canton Airport and eight nearby rural sites was studied between December 1987 and October 1988. The results showed that the airport was a heat island for 83% of the calm, clear evenings. An airport heat island did not exist under …

Comparison Of Temporal Differences In Models Of Soil Moisture And Plant Biomass Variability In The Southern Great Plains Of The United States, Stephen J. Walsh

The Geographical Bulletin

Multiple regression models of soil moisture at 15, 61, and 91 cm depths, and for above-ground plant biomass explained 92, 90, 92, and 88 percent of the variability, respectively, through field data collected in 1986. Multiple regression models developed for soil moisture and plant biomass, through data collected in 1985, answered 83, 91, and 82 percent, and 85 percent of the variability, respectively. Field data were collected along a 200 km transect in west-central Oklahoma from May through August 1985 and 1986: four sites were eliminated in 1986 and sampling was changed from weekly to bi-weekly. Air temperature, precipitation levels, …