Digital Commons Network^™

Staff Education Program On Strategies To Manage Disruptive Patient Behavior, Lazare Ngah Shadzeka

Walden Dissertations and Doctoral Studies

The practice concern was the absence of a consistent method of providing structured training on the management of disruptive patient behaviors to staff in a mental health ambulatory care clinic. This clinical gap is important because it heightens the risk of workplace violence, staff burnout, and suboptimal patient care outcomes. The doctoral project practice-focused question was, How does a focused staff education program on dealing with disruptive patient behavior impact nursing staff abilities and confidence in an outpatient clinic setting? Thus, the purpose of this doctoral nursing project was to develop and implement a staff education program aimed at enhancing …

Advanced Age Worsens Phenotypes Of Ocular Hypertension In Mice, Priyamvada M Pitale, Solomon E Gibson, Caroline C Keehn, Arman T Yazdian, Guofu Shen, Benjamin J Frankfort

Faculty, Staff and Students Publications

Glaucoma is a neurodegenerative disorder of the optic nerve and retinal ganglion cells (RGCs) and a major cause of blindness. The two most important risk factors for glaucoma are ocular hypertension (OHT) and advanced age. In this study, we explored the combined impact of aging and OHT on retinal neuronal and microvasculature health. We induced OHT using the bead-injection model in 12 week old (young) and 1.5 year old (old) mice and monitored intraocular pressure (IOP) for 2 weeks. We then explored vascular phenotypes, blood retinal barrier components, RGC counts, and electroretinogram (ERG) changes. Aged mice displayed reduced retinal microvasculature …

Consideration Of Anesthesia Techniques For Deep Brain Stimulation Implantation In The Treatment Of Drug-Resistant Epilepsy: A Narrative Review, Alan D. Kaye, Benjamin Esneault, Shreya Deshpande, Joseph Wentling, Shahab Ahmadzadeh, Pooja Potharaju, Sahar Shekoohi

School of Medicine Faculty Publications

Epilepsy is a neurological disorder characterized by recurrent, unprovoked seizures, affecting millions worldwide. While anti-seizure medications serve as first-line treatment, approximately one-third of patients develop drug-resistant epilepsy (DRE), necessitating alternative interventions. Deep brain stimulation (DBS) has emerged as a promising therapy for DRE, particularly for patients who are ineligible for resective surgery. DBS involves stereotactic implantation of electrodes into target brain regions, such as the anterior nucleus of the thalamus (ANT), centromedian nucleus (CMT), and hippocampus (HC), to modulate aberrant neural activity and to reduce seizure frequency. Anesthesia plays a critical role in DBS implantation, influencing both patient safety and …

2025-05-28 Pride Funding Deficits Emphasize Importance Of Community, Caleb Stipkovits, Abdullah El-Sherbeeny

The Spectator Online

No abstract provided.

2025-05-28 Alliteration Abounds At Mathematics Senior Presentation Sumsssss, Dylan Berman

The Spectator Online

No abstract provided.

Integrating A Stakeholder-Centric Approach Into Dynamic Adaptation Policy Pathways For Equitable Coastal Flood Risk Management In East Boston, Shailee M. Desai

Graduate Doctoral Dissertations

This research aims to illustrate a methodology incorporating diverse stakeholder values in adaptation planning to promote equitable outcomes using a hypothetical case study of the Lower Border Street area in East Boston, using the Dynamic Adaptive Policy Pathways (DAPP) framework for managing coastal flood risk. It offers three significant contributions to the field of adaptation planning: (i) It demonstrates how to integrate a stakeholder-specific assessment within the DAPP framework and illustrates individual impacts to a variety of stakeholders, including high- and low-income residents, commercial actors, government actors, and coastal landowners hoping that the planning process remains transparent and motivates local …

"We Walk The Same Path But Have On Different Shoes: Wounded Healers And A Halfway House In Boston, Ma", Julie Labagnara

Graduate Doctoral Dissertations

This study explores the processes, procedures, and relationships in a women’s reentry house, the New Hope Home (NHH), in the Grove Hall neighborhood of Boston, MA while also examining the evolution of the home and the relationships within the NHH.  This project is based on interview and participant observation data of the staff and residents of the home to ascertain multiple viewpoints and experiences of people critical to the home’s existence and success or struggles. The home opened in April 2022.  This research begins at the grand opening of the home and continues through early 2025.  Finally, neighborhood resident interviews …

Investigating Testosterone And Cortisol In Romantic Relationships, Rylei Donovan

Graduate Doctoral Dissertations

Romantic relationships are a primary relationship in adulthood. Relationship satisfaction has been suggested to decline over time across couples with and without children but explanations as to what might lead to decreased relationship satisfaction are lacking. Combining internal factors with external factors is likely to provide a more thorough understanding of what relationship satisfaction looks like after the major life change that is parenthood. The current dissertation focuses on understanding how hormones (i.e. testosterone and cortisol) and interpersonal interactions such as social support and partner investment might help explain what romantic relationship satisfaction looks like in parents. This project uses …

Elbow Patches To Eye Patches: A Phenomenographic Study Of Scholarly Practices, Research Literature Access, And Academic Piracy, Lance Eaton

Graduate Doctoral Dissertations

Changes to academic publishing in the form of digital technologies and copyright law over the late 20th century have created increasing roadblocks for scholars to consistently and conveniently access research literature in their pursuit of scholarly work. As a result, academic pirate networks (APNs) such as Sci-Hub and Library Genesis have risen to fulfill the unmet needs of scholars. This study examined the experiences of scholars using APNs with a focus on how scholars make sense of their experiences with participating on APNs. By identifying meanings that scholars attributed to their participation on these networks, the study clarifies how these …

The Mediation Effect Of Resilience And The Moderation Effect Of Hospital Magnet Status On The Relationship Between The Practice Environment And Turnover Intentions Among Acute Care Nurses, Elizabeth Fraser

Graduate Doctoral Dissertations

ABSTRACT

THE MEDIATION EFFECT OF RESILIENCE AND THE MODERATION EFFECT OF HOSPITAL MAGNET STATUS ON THE RELATIONSHIP BETWEEN THE PRACTICE ENVIRONMENT AND TURNOVER INTENTIONS AMONG ACUTE CARE NURSES

May 2025

Elizabeth Helena Fraser, B.S.N., Elms College

M.S.N., Emmanuel College

Ph.D., University of Massachusetts Boston

Directed by Professor Sun S. Kim

The U.S. healthcare system has long suffered a critical nursing shortage, intensified since the coronavirus disease 2019 (COVID-19) outbreak. The shortage is a complex national crisis compounded by the high turnover of qualified nurses. Turnover is when a nurse leaves an organization for another nursing position or leaves the profession …

Give Them Their Roses: Honoring Student Affairs Professionals Of Color Combatting Secondary Racial Battle Fatigue At A Historically White Institution, Julián X. Latshang, Julián X. Latshang

Graduate Doctoral Dissertations

This dissertation explores the phenomenon of Secondary Racial Battle Fatigue (SRBF) and its impact on student affairs professionals of color in higher education. Grounded in critical qualitative inquiry and the lived experiences of participants, this study examines how emotional, behavioral, and physiological effects of SRBF manifest both through professionals’ direct racialized experiences and their roles supporting students enduring racial trauma. Framed by Racial Battle Fatigue (Smith, 2010) and Secondary Traumatic Stress (Figley, 1995), the research addresses three guiding questions: (a) How does SRBF manifest in professionals of color? (b) In what ways does it emerge when supporting racially traumatized students? …

From Erasure To (Re)Vision: Blackgirls In Education, Nicole E. Mclaren

Graduate Doctoral Dissertations

Blackgirls can grow up, attend school, and never have a teacher who looks like them. Their teachers may never tell them they could become great teachers someday, or school may not be an affirming place they can imagine returning to as educators. Black women make up only 6% of K-12 teachers, and this research shares the life stories of fourteen Blackgirl educators from that notable group, highlighting the challenges they faced on their journey to becoming teachers. This interview-based study uncovers some of the emotional and institutional scars Black women carry. Findings show that the path to and staying in …

Multilingual English Teaching: Challenges And Possibilities In The Secondary Mainstream Classroom, Vannessa Quintana Sarria

Graduate Doctoral Dissertations

This dissertation examines how multilingual English language teachers (MLETs) reshape mainstream secondary education through asset-based, linguistically inclusive pedagogies. Using an ethnographic, participatory design grounded in second-generation Cultural Historical Activity Theory (CHAT), the study investigates a Sheltered English Immersion (SEI) program at East Summer High (ESH), a public, four-year high school located northwest of Boston, Massachusetts. ESH serves approximately 1,394 students and offers a range of academic and vocational programs, including structured SEI pathways that support English Learners (ELs) at various proficiency levels, such as SEI-1, SEI-General Education, and SEI-Special Education. Over three years of immersive fieldwork, data sources include in-depth …

Primary Teacher Perspectives Of Multileveled System Of Supports/Response To Intervention Framework, Alicia Wash

Walden Dissertations and Doctoral Studies

Primary general education teachers are critical stakeholders in the special education identification process (SEIP) when using the multilevel system of support (MLSS) and response to intervention (RTI) frameworks. Previous research has included primary general education teachers and other stakeholder perspectives on using the MLSS/RTI framework during SEIP; however, primary general education teachers’ perspectives on the topic have not been the sole focus of previous research. Guided by Goodson’s educational change theory, the purpose of this basic qualitative study was to explore primary general education teachers’ perspectives on the usefulness of the MLSS/RTI framework during the SEIP. Qualitative data were collected …

The Experience Of Mental Health Care Access Of Immigrants From Cameroon Residing In The United States, Geraldine Gike

Walden Dissertations and Doctoral Studies

Immigrants from Cameroon residing in the United States are at risk of mental and psychological distress; however, very few of these immigrants seek appropriate treatment for their existing mental health conditions. Limited research exists on this population’s experiences of mental health care access in the United States. This qualitative study aimed to improve understanding of the mental health care access experience of immigrants from Cameroon residing in the United States. The theoretical and conceptual frameworks underpinning this research were Douglas’ cultural theory and Andersen’s health services model. The research question for this qualitative descriptive inquiry asked how Cameroon immigrants describe …

Enhancing Staff Knowledge On Fall Prevention For Elderly Patients In Home Care Settings, Through Staff Education Initiatives, Anna Ngwafu

Walden Dissertations and Doctoral Studies

Summary Falls are one of the leading causes of injury for older patients in homecare settings, affecting patient safety and quality of care. Patient falls contribute to morbidity, mortality, and healthcare costs. A fall often results in injuries which can be fatal. Over 30% of individuals who are 65 years or older experience falls on an annual basis. In these older adults, the leading cause of death is unintentional falls. Although there are evidence-based strategies for preventing falls, there are still gaps in staff knowledge. The purpose of the DNP project was to develop, implement, and evaluate a staff education …

Investigating The Role Of Aerosols In Extreme Precipitation Events Along The Gulf Coast Of The U.S.A., Wenjia Cao

LSU Doctoral Dissertations

Atmospheric aerosols have been found to influence tropical cyclone (TC) and flood event development. In this study, the Weather Research and Forecasting model is applied to investigate specific microphysical impacts and aerosol sensitivity to heavy precipitation and TC events in the U.S. Gulf Coastal area. The Thompson aerosol-aware scheme with regular and adjusted aerosol concentration scenarios is used to quantify precipitation, wind field, horizontal/vertical structures, and track variations, by aerosol mixing ratio. In general, results for the three storms analyzed (the 2016 Baton Rouge, Louisiana, flood event (Chapter 2); Hurricane Harvey in 2017 (Chapter 3); and an idealized storm event …

From Decriminalization To Social Legitimization: The Lived Experiences Of Non-Conforming Individuals In India, Heeya Datta

LSU Doctoral Dissertations

This dissertation explores how queer and non-conforming individuals in urban India navigate, resist, and reimagine dominant norms of kinship, intimacy, and family. Drawing on 18 in-depth interviews, it examines the lived experiences of LGBTQ+ individuals in the aftermath of legal reforms such as the decriminalization of Section 377 and the Transgender Persons (Protection of Rights) Act. While these reforms mark symbolic progress, queer individuals continue to face social stigma, legal exclusions, and familial rejection. The study is divided into three chapters: the first analyzes the dual role of homosociality as both a space of refuge and constraint; the second investigates …

Methylation Risk Score Of C-Reactive Protein Associates Sleep Health With Related Health Outcomes, Ziqing Wang, Danielle A Wallace, Brian W Spitzer, Tianyi Huang, Kent D Taylor, Jerome I Rotter, Stephen S Rich, Peter Y Liu, Martha L Daviglus, Lifang Hou, Alberto R Ramos, Sonya Kaur, J Peter Durda, Hector M González, Myriam Fornage, Susan Redline, Carmen R Isasi, Tamar Sofer

Faculty, Staff and Student Publications

C-reactive protein (CRP) reflects inflammation status and is linked to poor sleep, metabolic and cardiovascular health. Methylation (MRS) and polygenic risk scores (PRS) reflect long-term systemic inflammation, and genetically-determined CRP, respectively. To refine understanding of inflammation-linked sleep and health outcomes, we construct PRS-CRPs using GWAS summary statistics and a previously-developed MRS-CRP in the Hispanic Community Health Study/Study of Latinos. Via survey-weighted linear regression, we estimate associations between blood-, PRS-, and MRS-CRP, with multiple sleep and health outcomes (n = 2217). MRS-CRP and PRS-CRPs are associated with increasing blood-CRP level by 43% and 23% per standard deviation. MRS-CRP is associated with …

Creating And Validating An Aphasia-Friendly Measure Of Marital Relationships: Preliminary Pilot Testing, Jasmine Espinoza

Theses and Dissertations

This study aimed to modify and validate an aphasia-friendly questionnaire that can be used to assess marital attachment for couples impacted by aphasia. Twenty participants (10 people with aphasia and their spouses) participated across two sessions. The study consisted of two phases. Phase 1 focused on modifying the Brief Accessibility, Responsiveness, and Engagement Scale (BARE) into an aphasia-friendly format through collaboration with an expert panel. Phase 2 involved piloting the revised questionnaire on participants with aphasia and their spouses along with a cognitive interview to obtain qualitative and descriptive data to assess the questionnaire's face validity and preliminary test-retest reliability …

China Maritime Report No. 47: The People Of China's Navy And Other Maritime Forces: Extended Summary Of Conference Findings, Andrew S. Erickson

CMSI China Maritime Reports

Main Findings

• Xi Jinping has played a direct and active role in China’s naval buildup. He is China’s first great navalist statesman, the world’s greatest navalist leader today, and among the world’s greatest navalist statesmen in modern history.
• Notwithstanding major advances in ships, submarines, aircraft, and other hardware, Chinese military leaders believe that the People’s Liberation Army Navy (PLAN) continues to lag behind in human factors.
• Since Xi Jinping came to power in 2012, the PLAN has dismissed (or is rumored to have dismissed) eleven flag officers. Beyond combating outright dysfunction, these removals are intended to prevent potential disloyalty and …

2025-05-28 Mormon Wives Review: Will Momtok Survive This?, Naja Johnson

The Spectator Online

No abstract provided.

Loper Bright And Judicial Review Of Ratemaking, Alison Gocke, Nathaniel Glass

Seton Hall Law Review

No abstract provided.

The Aftermath Of Loper Bright: The Demise Of Deference Will Make No Difference In Securities Law, Dan M. Berkovitz

Seton Hall Law Review

No abstract provided.

Deference And Discretion In Bank Regulation, Heidi Mandanis Schooner

Seton Hall Law Review

No abstract provided.

Loper Bright’S Deregulatory Synergies, Renee Farmer, Daniel G. Aaron

Seton Hall Law Review

No abstract provided.

The Ministerial Exception And The Fair Labor Standards Act, William Grabas

Seton Hall Law Review

No abstract provided.

Pleas And Prejudice: Examining Ineffective Assistance Of Counsel In Plea Bargaining After The Supreme Court’S Denial Of Certiorari In Davis V. United States, Casey R. Morrison

Seton Hall Law Review

No abstract provided.

The Routledge Handbook Of Cultural Ecosystem Services, Pamela D. Mcelwee, Karen E. Allen, Rachelle K. Gould, Minna Hsu, Jun He

Open Access Fund Publications

The Routledge Handbook of Cultural Ecosystem Services provides an overview of Cultural Ecosystem Services (CES), which are the nonmaterial aspects of benefits that people derive from nature. These diverse and multifaceted contributions can include experiences, capabilities, and identities, among others. The Handbook addresses how these CES are valued, how they reflect human–nonhuman relationships, and what roles they can play in improved human well-being, ecosystem management, and trajectories towards sustainability.

This Handbook presents a wide array of perspectives on the roles CES can play in understanding relationships to nature, and on how those relationships might translate into policy. The Handbook includes …

Vol 5 May '25 Cover, Publishing, And Table Of Contents, Donna L. Williams

Journal of the Louisiana Public Health Association

No abstract provided.