Digital Commons Network^™

Measuring The Clinical Effectiveness Of Telenutrition Medical Nutrition Therapy Among American Indian And Alaska Native Adults Newly Diagnosed With Type 2 Diabetes, Charisse Lindsey Holiday

Theses and Dissertations

The COVID-19 global pandemic was the impetus of the transition from in-person medical nutrition therapy (MNT) visits to telephone MNT. This occurred without evaluation of its clinical effectiveness, especially for American Indians and Alaska Natives (AI/AN). It is known that in-person MNT is clinically effective at lowering hemoglobin A1c (A1c) and that people with diabetes who experience food insecurity have poorer health. However, research characterizing food insecurity among AI/ANs is limited. This retrospective observational analytical study was conducted at the Phoenix Indian Medical Center (PIMC) in Phoenix, Arizona to assess the clinical effectiveness of telephone delivered MNT services by a …

The Wicked Problem Of Moral Distress: Exploring The Experiences Of Rural Clinic Nurses, Sydney Rae Johnson

Theses and Dissertations

Background: Moral distress is an occupational hazard for nurses that can negatively impact nurses, patients, and the healthcare system. Moral distress has been well documented in high-risk care environments. Each nursing care environment has its own unique triggers for moral distress, but these triggers are unknown in rural clinic nurses. Design and Purpose: This convergent mixed methods study sought to gain a broader understanding of moral distress in nurses working in rural clinic settings.

Methods: Convergent mixed methodology was used to gain a broader understanding of moral distress in nurses working in rural clinic settings. Following ethical approvals, informed by …

Artificial Intelligence And Machine Learning Models To Increase Colorectal Cancer Detection For American Samoa Adults, Va'atausili Tofaeono

Theses and Dissertations

Colorectal cancer (CRC) remains a leading cause of morbidity and mortality among Indigenous and Pacific Islander populations, particularly in American Samoa, where screening rates are critically low due to cultural barriers, limited healthcare infrastructure, and geographical isolation. This dissertation explores the potential of an Artificial Intelligence and Machine Learning (AI/ML) predictive model to enhance CRC screening and early detection among American Samoan adults. By leveraging widely available clinical data, such as complete blood count (CBC) results, age, and gender, the AI/ML model aims to identify high-risk individuals for targeted interventions, thereby improving early detection and treatment outcomes.The dissertation comprises three …

Gender-Based Perceptions Of Confronting Prejudice In The Classroom, Mary Hamilton

Theses and Dissertations

Disparities exist between men and women in academia at the faculty and student level. Academically, women are judged as being weaker and inferior, and many describe experiences of sexism, often within the classroom setting. Few studies have investigated the impact of an instructor confronting sexism in the classroom. The current study examined the effects of an instructor’s gender, student’s gender, and instructor’s confrontation decision on students’ perceptions of the instructor, classroom environment, and the moderating effect of self-reported sexism. Participants read one of four vignettes describing an act of sexism in the classroom where a male (or female) instructor confronts …

The Weapon Focus Effect On Memory For Male And Female Perpetrators, Faith Christel Aasen

Theses and Dissertations

Previous research on the weapon focus effect suggests that weapon presence causes reduced memory accuracy for perpetrator details due to weapons being surprising and unexpected. The unusualness hypothesis suggests that a stronger weapon focus effect should occur when the perpetrator defies typical gender stereotypes, such as a woman holding a gun. The current study sought to examine how the weapon focus effect impacts eyewitness memory for male and female perpetrators, specifically exploring the magnitude of the effect on female perpetrators. The current study further investigated whether the own gender bias attenuates the weapon focus effect on memory for female perpetrators. …

Assessment Of Medical Laboratory Science Student Motivation And Perceived Transfer Of Knowledge Towards Information Literacy, Shannon Jongeward

Theses and Dissertations

Information literacy skills are a cornerstone of higher education as they allow students to effectively locate, evaluate, and utilize information from various sources. Evidence-Based Practice, a process commonly used in healthcare for decision making, incorporates using the best available research, one’s clinical expertise, and the patient’s values. Information literacy is foundational to developing evidence-based practice skills. Medical Laboratory Scientists (MLS) utilize evidence-based practice to assist in making decisions about clinical laboratory tests and processes to ensure quality in testing and the appropriate use of resources; therefore, it is important for MLS programs to include elements of evidence-based practice into their …

Exploring University Students’ Reasons For Not Working While Studying: Implications For Employability, Carl Evans, Jonathan Lean

Plymouth Business School

The purpose of this paper is to examine the behaviours and perceptions of university students who do not work part-time while studying. A structured, online questionnaire was issued to Business Management students at a UK university. A total of 123 responses were received, of which 64 indicated that they were not working while studying. While non-working students were mindful of the importance of work to developing employability skills, greater importance was attached to their degree studies. Most work to date has focused on the motivations and behaviours of university students who undertake work while studying. Little work has been carried …

Stent Thrombosis: A Contemporary Guide To Definitions, Risk Factors, And Management, Ambre Flowers, Bernard Evenhuis, Benjamin Gabanic, Allison Weiss, Scott Eisenberg, Riyan Siddiqui, Affan Rizwan, Iqra Riaz, Hafeez Ul Hassan Virk, Mahboob Alam, Muzamil Khawaja, Markus Strauss, Chayakrit Krittanawong

Faculty, Staff and Students Publications

Stent thrombosis remains a major complication following percutaneous coronary intervention, with significant morbidity and mortality implications. Despite advancements in drug-eluting stents and optimized pharmacotherapy, real-world registry data indicate that definite or probable stent thrombosis occurs in approximately 0.5% of percutaneous coronary intervention cases, with a 30-day mortality rate approaching 25% and a long-term risk exceeding 30% at 10 years. Stent thrombosis is classified based on timing into acute, subacute, late, and very late thrombosis, with subacute and very late stent thrombosis being the most prevalent. Clinical consequences include myocardial infarction, emergent revascularization, and heightened cardiovascular risk, necessitating timely recognition and …

Causality Of Circular Supply Chain Management In Small And Medium-Sized Enterprises Using Qualitative Information: A Waste Management Practices Approach In Indonesia, Ming-Lang Tseng, Shu-Xian Li, Ming K. Lim, Tat-Dat Bui, Muhamat R. Yuliyanto, Mohammad Iranmanesh

Research outputs 2022 to 2026

Circular supply chain management (CSCM) is a promising way to achieve economic and environmental sustainability and address the waste problem. However, developing a fully circular supply chain system is costly and time-consuming, especially for small and medium-sized enterprises (SMEs). SMEs need to achieve better CSCM by implementing waste management practices. This study aims to (1) critically validate the hierarchical structure of CSCM for SMEs; (2) identify the causal interrelationships among the attributes; and (3) determine the practical attributes for SME improvement in Indonesia. An approach consisting of the fuzzy Delphi method (FDM), best worse method (BWM), and fuzzy decision-making trial …