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Medication Beliefs And Behaviors Of Hypertensive Caribbean Immigrants Living In New York City, Nadia Williams Jan 2021

Medication Beliefs And Behaviors Of Hypertensive Caribbean Immigrants Living In New York City, Nadia Williams

Walden Dissertations and Doctoral Studies

Hypertension remains a worldwide health phenomenon with serious health consequences including heart attack, stroke, aneurysm, and heart failure. Beliefs about medicines have been shown to influence hypertension outcomes. Medication adherence has emerged as a vital component of hypertension control and management. However, there has been limited research which addresses beliefs about medicines and medication adherence in Blacks of Caribbean origin. The purpose of this quantitative cross-sectional study was to identify the beliefs about medications held among hypertensive Caribbean immigrants living in New York City using the Beliefs about Medicines Questionnaire to identify what factors/barriers were related to these specific medication …


Sentencing Length Disparity Across Gender And Race For Drug Offenses, Alexis Griggs Jan 2021

Sentencing Length Disparity Across Gender And Race For Drug Offenses, Alexis Griggs

Walden Dissertations and Doctoral Studies

Research on sentencing outcomes have concentrated on disparities between gender and race with a range of influences in legal decision making. This study was an examination of whether the same form of sentencing inconsistency is found with offenders who were convicted of drug offenses. A quantitative method (ANCOVA) was used to analyze the difference in sentencing outcomes. Data from the United States Sentencing Commission from 2016 fiscal year were used to investigate the role of gender and race in sentencing disparity and examine whether an offender’s prior sentencing history and drug amount influences sentencing outcomes. The results of this study …


Demographics And 30-Day Readmissions For End-Stage Renal Disease Patients, Shelia Concepcion Perez Jan 2021

Demographics And 30-Day Readmissions For End-Stage Renal Disease Patients, Shelia Concepcion Perez

Walden Dissertations and Doctoral Studies

End-stage renal disease (ESRD) is increasingly a problem in the United States, and factors such as race/ethnicity and gender may not only worsen the risk of the disease but also correspond to worse treatment access. This is significant because ESRD is a heavy economic burden not only on patients, but on caregivers and the health care system, especially as disparities remain between different demographic groups. The purpose of this quantitative nonexperimental, historical, correlational design was to determine the extent to which gender and race/ethnicity predict 30-day readmission rates after hospitalization for ESRD patients. The theoretical framework for the current study …


Discovery Of Novel Reductive Elimination Pathway For 10-Hydroxywarfarin, Dakota L Pouncey, Dustyn A Barnette, Riley W Sinnott, Sarah J Phillips, Noah R Flynn, Howard P Hendrickson, S Joshua Swamidass, Grover P Miller Jan 2021

Discovery Of Novel Reductive Elimination Pathway For 10-Hydroxywarfarin, Dakota L Pouncey, Dustyn A Barnette, Riley W Sinnott, Sarah J Phillips, Noah R Flynn, Howard P Hendrickson, S Joshua Swamidass, Grover P Miller

Open Access Publications

Coumadin (R/S-warfarin) anticoagulant therapy is highly efficacious in preventing the formation of blood clots; however, significant inter-individual variations in response risks over or under dosing resulting in adverse bleeding events or ineffective therapy, respectively. Levels of pharmacologically active forms of the drug and metabolites depend on a diversity of metabolic pathways. Cytochromes P450 play a major role in oxidizing R- and S-warfarin to 6-, 7-, 8-, 10-, and 4'-hydroxywarfarin, and warfarin alcohols form through a minor metabolic pathway involving reduction at the C11 position. We hypothesized that due to structural similarities with warfarin, hydroxywarfarins undergo reduction, possibly impacting their pharmacological …


Distribution, Bars, And Arcade Stars: Joe Anthony’S Entrepreneurial Expansion In Houston’S Gay Media Industries, Finley Freibert Jan 2021

Distribution, Bars, And Arcade Stars: Joe Anthony’S Entrepreneurial Expansion In Houston’S Gay Media Industries, Finley Freibert

Faculty and Staff Scholarship

This article develops the concept of "gay useful media" to explore a case study of gay entrepreneurship in Houston, Texas, of the 1970s. A father and son developed a gay media empire in the city, which spanned bars, bookstores, distribution, and vending. One of the pair's key establishments was Houston's legendary gay bar Mary's at 1022 Westheimer (also known as Mary's Lounge, Mary's, Naturally, and Mary's…Naturally).


A History Of New Deal Archaeology In Alabama: Labor And Science In Economic Reform, Caleb Ross Butz Jan 2021

A History Of New Deal Archaeology In Alabama: Labor And Science In Economic Reform, Caleb Ross Butz

All ETDs from UAB

This thesis is a history of New Deal archaeology within the state of Alabama. It was designed to facilitate research with New Deal-era collections by providing a comprehensive contextual background. This thesis explores the relationship between the Works Progress Administration (WPA) laborers and the archaeological institutions of the period within the context of the Great Depression and the social democratic reforms of the New Deal. Labor, labor-time, and logistical information were gathered from the WPA Quarterly Progress Reports prepared by David L. DeJarnette from 1936 to 1942. An inventory of over 130 archaeological sites was compiled based on field reports …


Surficial Geology Of The Continental Shelf Off New Hampshire: Morphologic Features And Surficial Sediment, Larry G. Ward, Zachary S. Mcavoy, Maxlimer Coromoto Vallee-Anziani, Rachel C. Morrison Jan 2021

Surficial Geology Of The Continental Shelf Off New Hampshire: Morphologic Features And Surficial Sediment, Larry G. Ward, Zachary S. Mcavoy, Maxlimer Coromoto Vallee-Anziani, Rachel C. Morrison

Center for Coastal and Ocean Mapping

The continental shelf off New Hampshire (NH) in the Western Gulf of Maine (WGOM) is extremely complex and includes extensive bedrock outcrops, marine-modified glacial deposits, marine-formed shoals, seafloor plains, and associated features that are composed of a range of sediment types from mud to gravel. Furthermore, the physiography and composition of the seafloor frequently changes dramatically over relatively short distances (tens of meters). The complexity of the WGOM seafloor results from the interplay of glaciations, sea-level fluctuations, and marine processes (waves and currents). High-resolution multibeam echosounder (MBES) bathymetry and backscatter surveys, along with ground truth consisting of archived seismic reflection …


Exploring Standardized Persons' Expectations For Practice-Readiness Among Student Pharmacists, Channing R. Ford, Kevin N. Astle, Kimberly B. Garza, Erika L. Kleppinger Jan 2021

Exploring Standardized Persons' Expectations For Practice-Readiness Among Student Pharmacists, Channing R. Ford, Kevin N. Astle, Kimberly B. Garza, Erika L. Kleppinger

Research, Publications & Creative Work

Although patient expectations and preferences for healthcare selection have been described in the literature, there are no studies exploring what qualities and behaviors standardized persons (SPs) identify for the practice-ready pharmacist. This manuscript explores those qualities and behaviors within an objective structured clinical examination (OSCE) to determine SP interest in having the student as their pharmacy provider. Methods: Using open-ended questions via a Qualtrics survey, SPs were asked to provide qualities and behaviors they associated with each of three practice-readiness rating levels. Using a constant comparative approach, the researchers coded the collected data over multiple stages to allow for authentic …


Whose Line Is It Anyway? Rhetoric, Pathology, And The Jewish Race In Late Victorian England, Stephanie G. Pokras Jan 2021

Whose Line Is It Anyway? Rhetoric, Pathology, And The Jewish Race In Late Victorian England, Stephanie G. Pokras

Senior Independent Study Theses

This thesis examines how both late Victorian Anglo-Jews and Gentiles used rhetoric of race science and Jewish pathology to encode lines of difference, as well as the relationship between these discourses. My first chapter analyzes the role of Gentile discourse of disease and disability as the foundation of late Victorian anti-Semitism. My second chapter focuses on Jewish ‘expert’ engagement with race science. In this chapter, I argue that contrary to the dominant historical narrative, not only was the Jewish community engaged with race science, but their scholarly conversations were dynamic and diverse. Ideas about race and pathology became central to …


Monumentos A Dictadores: La Memoria Histórica Del Valle De Los Caídos Y El Museo Presidente Pinochet, Sofia Sequoia Biegeleisen Jan 2021

Monumentos A Dictadores: La Memoria Histórica Del Valle De Los Caídos Y El Museo Presidente Pinochet, Sofia Sequoia Biegeleisen

Senior Independent Study Theses

Este estudio independiente discute la teoría de la memoria historia en relación con dos casos de estudio: el Valle de los Caídos en España y el Museo Presidente Pinochet en Chile. El primer capítulo introduce textos que explican la importancia de la memoria histórica y establecen su utilidad para comprender una cultura. Esta información proporciona un contexto para entender las conexiones entre los casos de estudio y las populares narrativas históricas en España y Chile. El análisis del Valle discute la creación del monumento, su estilo arquitectónico y la influencia que la arquitectura tiene en el significado simbólico del sitio, …


The Criminalization Of Foreign Relations, Steven Arrigg Koh Jan 2021

The Criminalization Of Foreign Relations, Steven Arrigg Koh

Faculty Scholarship

Overcriminalization has rightly generated national condemnation among policymakers, scholars, and practitioners alike. And yet, such scholarship often assumes that the encroachment of criminal justice stops at our borders. This Article argues that our foreign relations are also at risk of overcriminalization due to overzealous prosecution, overreaching legislation, and presidential politicization—and that this may be particularly problematic when U.S. criminal justice supplants certain nonpenal U.S. foreign policies abroad. This Article proposes three key reforms— presidential distancing, prosecutorial integration, and legislative de-escalation—to assure a principled place for criminal justice in foreign relations.


On Bankruptcy’S Promethean Gap: Building Enslaving Capacity Into The Antebellum Administrative State, Rafael I. Pardo Jan 2021

On Bankruptcy’S Promethean Gap: Building Enslaving Capacity Into The Antebellum Administrative State, Rafael I. Pardo

Scholarship@WashULaw

As the United States contends with the economic crisis triggered by the COVID-19 pandemic, federal bankruptcy law is one tool that can be used to resolve the financial distress suffered by individuals and businesses. When implementing this remedy, the question arises whether the law’s application should be viewed as limited to addressing private debt matters, without regard for the public interest. This Article answers the question by looking to modern U.S. bankruptcy law’s first forebear, the 1841 Bankruptcy Act, which Congress enacted in response to the depressed economic conditions following the Panic of 1837. That legislation created a judicially administered …


Recontextualisation And The Teaching Of Subjects, Jim Hordern Jan 2021

Recontextualisation And The Teaching Of Subjects, Jim Hordern

Plymouth Institute of Education

AbstractThis paper interrogates the concept of recontextualisation and discusses its relevance for understandings of the knowledge required for teaching subjects. While various distinctive approaches to recontextualisation can be identified, this analysis primarily draws on the work of Bernstein, with recontextualisation discussed in the broader context of work on the sociology of educational knowledge. It is argued that Bernstein's approach to recontextualisation can be usefully extended by absorbing insights derived from recent work conceptualising expertise and practice, through a reconsideration of disciplinarity, and by reflecting on historical studies of the transformation of specialised practical knowledge. It is suggested that recontextualisation can …


Toward A Ubiquitous Learning Media: Encouraging Understanding By Virtual Reality-Based Learning, Idris Idris, Agus Purnomo, Bayu Kurniawan Jan 2021

Toward A Ubiquitous Learning Media: Encouraging Understanding By Virtual Reality-Based Learning, Idris Idris, Agus Purnomo, Bayu Kurniawan

Library Philosophy and Practice (e-journal)

The use of mainstream media is no longer attractive to students. They enjoy more and are more enthusiastic about virtual learning which provides the greatest possible opportunity for direct contact or as if to experience directly the object of the material being studied. This study aimed to develop an Android-based application with virtual reality (VR) in the material kingdom and Hindu-Buddhist heritage (SijarVi-information system of virtual reality-based learning). This product was intended to provide anti-mainstream learning media, which provides opportunities for students to be directly involved and see directly the object being studied. This development used research and development method …


The Need For Aerospace Structural Health Monitoring: A Review Of Aircraft Fatigue Accidents, Luke Pollock, Ayah Khalid Abdelwahab, John Murray, Graham Wild Jan 2021

The Need For Aerospace Structural Health Monitoring: A Review Of Aircraft Fatigue Accidents, Luke Pollock, Ayah Khalid Abdelwahab, John Murray, Graham Wild

Research outputs 2014 to 2021

Aircraft accidents involving catastrophic fatigue failure have the potential for significant loss of life. The aim of this research was to investigate trends in aircraft fatigue failure accidents to inform aerospace Structural Health Monitoring (SHM) system Research and Development (R&D). The research involved collecting 139 aircraft fatigue failure accident reports from the Aviation Safety Network database, which were coded using a directed content analysis. The trends and features of the categorical data were then explored using an ex-post facto study. The results showed that fatigue failure accidents have increased at a rate of (3.4 ± 0.6)×10-2 per year since the …


Navigating The Wreck: Writing Women’S Experience Of The Japanese Occupation Of Singapore. Salvaged From The Wreck: A Novel -And- Diving Into The Wreck: A Critical Essay, Dawn Nora Crabb Jan 2021

Navigating The Wreck: Writing Women’S Experience Of The Japanese Occupation Of Singapore. Salvaged From The Wreck: A Novel -And- Diving Into The Wreck: A Critical Essay, Dawn Nora Crabb

Theses: Doctorates and Masters

This thesis is in two parts. The first and major part consists of a historical novel followed, in part two, by an essay. The title of this thesis, “Navigating the Wreck”, refers metaphorically to the Fall of Singapore in 1942, the ensuing human tragedy unleashed on the people of Singapore and Malaya, and the literary and historical processes of exploring, interpreting and depicting the past. The Japanese occupation of Singapore has, to date, been described mostly by Western historians and former prisoners of war who have forged a predominant patriarchal narrative. In that narrative—despite the all-encompassing nature of the occupation …


Effects Of Chlorhexidine Mouthwash On The Oral Microbiome, Zoë L.S. Brookes, Louise A. Belfield, Ann Ashworth, Patricia Casas-Agustench, Mahwish Raja, Alexander J. Pollard, Raul Bescos Jan 2021

Effects Of Chlorhexidine Mouthwash On The Oral Microbiome, Zoë L.S. Brookes, Louise A. Belfield, Ann Ashworth, Patricia Casas-Agustench, Mahwish Raja, Alexander J. Pollard, Raul Bescos

Peninsula Dental School

No abstract provided.


The Ethics Of Aerial Bombardment In International Conflicts: From Douhet To Drones, Rauan Zhaksybergen Jan 2021

The Ethics Of Aerial Bombardment In International Conflicts: From Douhet To Drones, Rauan Zhaksybergen

Graduate Theses, Dissertations, and Problem Reports (ETD)

In this thesis, I demonstrate how the question of ethics in aerial bombardment has been evolving and transforming since its inception at the beginning of the twentieth century to contemporary targeted killings/assassinations by drones. I interact with early airpower theories from Douhet, Trenchard, Mitchell, and contemporary air tactics in order to establish a crucial sequence between these early theories and practices of aerial violence and modern ones conducted by armed drones. I show how the evolution of aerial bombardment challenged, influenced, and transformed essentials of conventional warfare, as well as dispersed boundaries between combatants and non-combatants. Contemporary legally uncontrolled targeted …


Rabbi Lamm, The Fifth Amendment, And Comparative Jewish Law, Samuel J. Levine Jan 2021

Rabbi Lamm, The Fifth Amendment, And Comparative Jewish Law, Samuel J. Levine

Scholarly Works

Rabbi Norman Lamm’s 1956 article, “The Fifth Amendment and Its Equivalent in the Halakha,” provides important lessons for scholarship in both Jewish and American law. Sixty-five years after it was published, the article remains, in many ways, a model for interdisciplinary and comparative study of Jewish law, drawing upon sources in the Jewish legal tradition, American legal history, and modern psychology. In so doing, the article proves faithful to each discipline on its own terms, producing insights that illuminate all three disciplines while respecting the internal logic within each one. In addition to many other distinctions, since its initial publication, …


Mau Mau’S Moral War: The Sacralization Of Kenya’S Anticolonial Struggle, 1952–1956, Henry Muoki Mbunga Jan 2021

Mau Mau’S Moral War: The Sacralization Of Kenya’S Anticolonial Struggle, 1952–1956, Henry Muoki Mbunga

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation is a study of the ethical and religious history of the Mau Mau War in Kenya, 1952–1956. It breaks with a historiographical tradition that reduces Mau Mau’s ritual activities to stage props and backdrops on the historical stage. The project investigates two central questions: (1) why did Mau Mau members invent a variety of rituals during the anticolonial struggle in Kenya? and (2) how did the ethical and religious convictions of Mau Mau members shape their military campaign? Using rare archival sources and the oral histories and published memoirs of Mau Mau War veterans, this study argues that …


Advancing The Spatial Turn In History Through Deep Mapping: Ghost Maps, Neogeography, And Frederick Jackson Turner, Jessica L. Mathai Jan 2021

Advancing The Spatial Turn In History Through Deep Mapping: Ghost Maps, Neogeography, And Frederick Jackson Turner, Jessica L. Mathai

Graduate Theses, Dissertations, and Problem Reports (ETD)

The permeation of the spatial turn into the humanities, and in particular history, has both imbued scholarship and opened up new areas for research. This dissertation examines the conceptual and theoretical implications of advancing the spatial turn in history and evaluating existing approaches such as Historical GIS and ghost mapping as a foundation for deep mapping. The resulting deep map developed in this study utilizes Neogeography and web technology in the form of JavaScript Application Programming Interfaces (APIs) to develop a prototype that overcomes many of the limitations that occur when simultaneously integrating multiple sources of data and software functionality, …


Legal Internalism In Modern Histories Of Copyright, Shyamkrishna Balganesh, Taisu Zhang Jan 2021

Legal Internalism In Modern Histories Of Copyright, Shyamkrishna Balganesh, Taisu Zhang

Faculty Scholarship

Legal internalism refers to the internal point of view that professional participants in a legal practice develop toward it. It represents a behavioral phenomenon wherein such participants treat the domain of law (or a subset of it) as normative, epistemologically self-contained, and logically coherent on its own terms regardless of whether the law actually embodies those characteristics. Thus understood, legal internalism remains an important characteristic of all modern legal systems. In this Review, we examine three recent interdisciplinary histories of copyright law to showcase the working of legal internalism. We argue that while their interdisciplinary emphasis adds to the conversation …


Policy Considerations Regarding Student Loan Debt And Higher Education, Todd R. Niemczyk Esq. Jan 2021

Policy Considerations Regarding Student Loan Debt And Higher Education, Todd R. Niemczyk Esq.

UNF Graduate Theses and Dissertations

Within the last 30 years, the policy considerations regarding student loan debt and higher education have become a series of strong opinions, heated debate, and partisan politics. Key stakeholders including the United States Government, both for-profit and traditional higher- educations institutions, financial organizations, special interest groups, and students all have interests. More so, all branches of Government, the Legislative, Judicial, and Executive, are areas where policy is both born and challenged. Some are aligned, and some are competing such that crafting sound policy regarding the lending and management of student loan debt has created a difficult situation that may well …


Taxation Policy And Land Reforms In Colonial Malaya, Avazbek Ganiyev Dec 2020

Taxation Policy And Land Reforms In Colonial Malaya, Avazbek Ganiyev

The Light of Islam

During the 18th-19th centuries, British influence started to change the situation of the economy and the society of Malaya as a whole. Steps towards the further expansion of the tin mining industry was a turning point, which affected the whole society. The British Straits Settlements of Penang, Malacca, and Singapore were established between 1786 and 1825 and were governed by the East India Company. The tin trade was thrown open to private individuals. Further developments required more labor and funds involvement and as a result, the Chinese came to the central scene and started to invest hugely in Sungei Ujong …


Religion And Rural Internationalism In The Nineteenth-Century Middle West: The Global Consciousness Of Rural Dutch Middle Westerners,1865–1901, Andrew Klumpp Dec 2020

Religion And Rural Internationalism In The Nineteenth-Century Middle West: The Global Consciousness Of Rural Dutch Middle Westerners,1865–1901, Andrew Klumpp

Religious Studies Theses and Dissertations

This project asks: How did underlying religious worldviews inform the local, national, and global engagement of rural middle western Dutch communities in the nineteenth century, which are often characterized as isolated and provincial? More broadly, it queries, if the local, national, and global are united by this broad religious worldview, how does that transform our understandings of rural middle western ethnic enclaves and who contributed to the rich internationalism of the nineteenth century and from where?

Close examination of these rural middle western ethnic enclaves reveals not only an ambitious vision for building local institutions but also for extending Dutch …


Opioid Free Anesthesia, Sarah Medina Dec 2020

Opioid Free Anesthesia, Sarah Medina

Doctor of Nursing Practice Projects

Patients undergoing surgery are often given opioids intraoperatively. Administration of opioids is associated with untoward side effects that include nausea, respiratory depression, constipation, ileus, hyperalgesia, prolonged length of stay, and the potential for dependence (Garimella & Cellini, 2013). Emerging research on the topic of opioid-free anesthesia (OFA) is available and indicates several benefits of OFA, including reduction in postoperative pain, reduction in postoperative nausea and vomiting, reduction in postoperative shivering, and improved oxygen saturation levels (Mulier et al., 2018). This quality improvement project aimed to advance anesthesia providers' understanding of OFA by creating an OFA guideline and providing a learning …


Major-General Roger Rowley And The Failure Of Military Reform, 1958-1969, Peter Kasurak Dec 2020

Major-General Roger Rowley And The Failure Of Military Reform, 1958-1969, Peter Kasurak

Canadian Military History

Many consider the pre-Unification Canadian Army to have achieved the apogee of professionalism, but long-term progress did not result. Major-General Roger Rowley led three major reforms of the Canadian Army and the Canadian Forces during the 1958-1969 period: the reform of the Canadian Army Staff College, the restructuring of the Army through the Army Tactics and Organization Board and the reform of the military profession and officer development through the Officer Development Board. The failure of Rowley’s initiatives reveals the limits of knowledge-based professionalism, collegial decision making and the development of a national strategic perspective in the armed forces of …


“That Those Hearing Or Reading Might Strive To Imitate”: Donative Intent, Positive Triangular Mimetic Desire, And The Portrayal Of The Mediator-Divine (Non)Object Relationship In Richard Rolle, Julian Of Norwich, And Richard Crashaw, Steven Geitgey Dec 2020

“That Those Hearing Or Reading Might Strive To Imitate”: Donative Intent, Positive Triangular Mimetic Desire, And The Portrayal Of The Mediator-Divine (Non)Object Relationship In Richard Rolle, Julian Of Norwich, And Richard Crashaw, Steven Geitgey

Electronic Theses and Dissertations

Mystical texts often present themselves as possessing a “donative” intent, in which the writer aims to share the significance of their own experience. This dissertation will show how a consideration of donative intent and its textual results can enrich the study of medieval and early-modern mystical writings, approaching them from the broad concept of triangular mimetic desire in conjunction with other theoretical insights in order to examine the methods through which writers seek to portray their mediator-object relationship with God and inspire reading subjects’ mimetic desire.

I will elucidate Richard Rolle’s portrayal of his mediatorial purpose and unique experiences, and …


Mapping Changes To The Songs In The Gentle Shepherd, 1725-1788, Brianna E. Robertson-Kirkland Dec 2020

Mapping Changes To The Songs In The Gentle Shepherd, 1725-1788, Brianna E. Robertson-Kirkland

Studies in Scottish Literature

Examines the varying ways in which the songs in Allan Ramsay's ballad-opera The Gentle Shepherd were published between the 170s and the 1780s, noting variation in how particular songs were titled, in which songs were included and how they were placed within the dramatic text, in which tunes were used for which song-texts, and in how words were related to music in editions providing both. The discussion is supported by extensive tables and lists of 18th century Ramsay editions, and illustrated with transcriptions of the music in two editions. Concludes that the addition of the music in later editions served …


Growth Strategies Through Mergers And Acquisitions In Knowledge-Based Companies – The Case For Architect/Engineer (A/E) Professional Service Firms (Psfs), Terry A. Ruhl Dec 2020

Growth Strategies Through Mergers And Acquisitions In Knowledge-Based Companies – The Case For Architect/Engineer (A/E) Professional Service Firms (Psfs), Terry A. Ruhl

College of Business Theses and Dissertations

Analyses of mergers and acquisitions (M&A) across industries are prevalent in the literature. Yet, this research reveals that at least half, if not more, of all M&A activity fails to meet strategic, operational, and financial objectives, and can result in declining employee and customer satisfaction. The research herein develops a model framework for alternative growth strategies in the architecture/engineering (A/E) industry, with a specific focus on the antecedents of successful M&A among A/E professional service firms (PSFs).At the center of the model is the Resource Based View of the Firm, where leadership capacity, cash, and capital flows yield an affordable …