Digital Commons Network^™

Healthcare Disparities In Rural Veterans, Matthew Johnson

Doctor of Nursing Practice Projects

Veterans, as a population, tend to have higher levels of disability than the civilian population. The Veterans Affairs (VA), as an organization, is infamous for the bureaucratic challenges it presents to those seeking services. The complicated, confusing, and lengthy process of accessing care through the VA often presents a barrier in and of itself. Due to these and many other factors, veterans suffer from higher rates of disability, chronic illness, and mental illness compared to the general population. Rural veterans face additional barriers to healthcare based on their locale, including increased physical distance to care, and a shortage of general …

Improving Continuity Of Mental Health Care For Women: Jail Release To Community Re-Entry, Janin Khaleel

Doctor of Nursing Practice Projects

Introduction: This formative Delphi study assesses 1) potential policy changes most needed to support mental health care continuity for women being released from two urban jails, 2) barriers to women obtaining mental health services after release, and 3) understanding what community resources are promoting continuity of mental health care after jail release.

Methodology: This is a policy project that uses the Delphi method. In phase one, a primarily qualitative survey was administered to jail health experts to explore project aims. Results were analyzed with thematic analysis, and themes were used to develop a primarily quantitative second survey with Likert scale …

Building Resources For Transgender And Non-Binary Youth: A Sexual Health Toolkit, Emma Lieuwen

Doctor of Nursing Practice Projects

Background: Transgender and nonbinary (TGNB) youth make up almost two percent of the student population in the United States (Johns et al., 2019). They face usual challenges of adolescence, including identity, relationships with parents and peers, and body image, but also must navigate stigma, discrimination, and difficulties accessing necessary resources and information (Tankersley et al., 2021). Particularly, the sex education TGNB youth receive is often inadequate in relevant content for navigating puberty, sex, and relationships (Haley et al., 2019; Pampati et al., 2020). Youth may be left feeling ill-prepared for intimacy, puberty, or coming out, and be more likely to …

Identifying And Addressing Racial Disparities At Step’S Suboxone Clinic Program Requirements, Maye Ismail

Doctor of Nursing Practice Projects

Problem: In 2017 the United States declared the opioid epidemic a public health emergency. Since then, the opioid epidemic has been worsening and the rate of overdose deaths by drugs has been rising. In 2020, 91,799 drug overdoses were reported compared to 70,630 overdose deaths in 2019. Death by opioid and synthetic opioid overdose is prevalent among all racial and ethnic groups, however, not all people have equal access to treatment. Buprenorphine is an effective first-line medication for opioid use disorder that reduces the risk of overdose and serious opioid related complications. People of color receive a significantly lower amount …

Optimizing Food Access In The Enhanced Shelter Environment: A Policy Evaluation Project, Reanna Moore

Doctor of Nursing Practice Projects

In the unhoused population, food access is a basic human need important not only for adequate nutrition, but also reducing feelings of food insecurity. Enhanced shelters are well poised to impact food access by providing meals and storage options for shelter residents. However, food hoarding behaviors, food safety concerns, and limited budget add complication to this problem. Shelter policies that optimize the availability of meals, food storage, and kitchen use have the potential to positively impact food security, but must be balanced with the individual needs of the shelter. It is important for enhanced shelters to identify best practices and …

Best Practices For Health Equity And Antiracism Curriculum For Healthcare Workers Regarding Sb 5229, Amanda Osei, Iman Yunis

Doctor of Nursing Practice Projects

Interpersonal racism, bias, and discrimination can often directly contribute to poor healthcare outcomes. Their correlation can be seen in infant mortality, maternal mortality, life expectancy, heart disease, cancer, and more (Bailey et al., 2017; Gee & Ford, 2011). The COVID-19 health pandemic reinforces this pattern of health inequity. Structural inequalities during the pandemic further emphasized racial and ethnic disparities in BIPOC populations. BIPOC populations are more likely to have conditions associated with increased risk of illness from COVID-19 relative to their white counterparts (Raifman et al., 2020). Barriers to achieving health equity include lack of policy addressing health inequities and …

Mindfulness For Inpatient Psychiatric Clinical Staff: Designing And Evaluating A Pilot Intervention To Reduce Stress And Burnout, Daniel Brusser

Doctor of Nursing Practice Projects

Background: The COVID-19 pandemic has both highlighted and compounded a burnout crisis among the healthcare workforce. Healthcare professionals are experiencing workplace stress and professional burnout in substantial numbers, which has resulted in multiple negative consequences including decreased productivity, poor staff retention, and increased organizational costs. While effective multi-pronged approaches to address stress and burnout among healthcare professionals account for the problem at all levels from individual to organizational, a growing evidence base supports the implementation of mindfulness-based interventions as one strategy to reduce stress and burnout and build resiliency.

Objectives: The purpose of this DNP project was to design …

Legal Fiction: Reading Lolita As A Sentencing Memorandum, Christina Frohock

Articles

No abstract provided.

Learning To Manipulate A Financial Benchmark, Megan Shearer, Gabriel V. Rauterberg, Michael P. Wellman

Law & Economics Working Papers

Financial benchmarks estimate market values or reference rates used in a wide variety of contexts, but are often calculated from data generated by parties who have incentives to manipulate these benchmarks. Since the London Interbank Offered Rate (LIBOR) scandal in 2011, market participants, scholars, and regulators have scrutinized financial benchmarks and the ability of traders to manipulate them.

We study the impact on market welfare of manipulating transaction-based benchmarks in a simulated market environment. Our market consists of a single benchmark manipulator with external holdings dependent on the benchmark, and numerous background traders unaffected by the benchmark. We explore two …

Pandora’S Loot Box, Sheldon Evans

Faculty Publications

The emerging trend of loot boxes in video game platforms continues to expand the shifting boundaries between the real and virtual world and presents unique insights into the impact each world should have on the other. Borrowing their design from the gambling industry, loot boxes operate as a hybrid between slot machines and trading cards. A consumer pays real-world money to buy a virtual box without knowing its contents. Upon opening the box, the consumer receives a virtual good that may be of great value, but more commonly is of little or no value.

This Article contributes a novel theory …

The Lived Supervision Experiences Of Disabled Music Therapists, Emma Martin

Theses and Dissertations--Music

Within and outside of the music therapy field, there has been a recent push for more conversations and literature on social justice. However, disability has been largely left out of this dialogue. Disabled individuals have unique worldviews, and their voices as individuals and practitioners should be an integral part of social justice within music therapy. This study examined disabled music therapists' supervision experiences. All music therapists receive supervision during their education and clinical training, and many go on to supervise. Supervision therefore presents an opportunity to advance the profession by striving to understand disabled music therapists’ perspectives. The purpose of …

Choosing Alternative Repertoire: Pedagogical Considerations For Robert Fuchs's Cello Sonata No. 2, Op. 83, Jerram Isaac John

Theses and Dissertations--Music

This document serves to promote Robert Fuchs's Cello Sonata No. 2, Op. 83, as a study piece for the cello, piano, and collaborative duo, showing the pedagogical benefits of this Romantic sonata. This project will begin with a biography of Fuchs and background of the work, followed by an analysis that establishes the piece in the Romantic tonal tradition. The next section will discuss the pedagogical benefits of the cello part, the technical accessibility in the piano part, and the collaborative opportunities encountered in the piece, comparing it with other Romantic sonatas in the standard repertoire. Additionally, I will be …

Trialling Hyflex At Tu Dublin – Stakeholders’ Voices And Experiences, Frances Boylan, Geraldine Gorham, Catherine Gorman, Jen Harvey, Louise Lynch, Niall Minto, Ziene Mottiar

Irish Journal of Academic Practice

HyFlex is a multi-modal instructional approach that offers students the opportunity to engage with modules face-to-face and online in a mode that best suits their learning style and situation. Covid-19 forced many universities and lecturers to offer HyFlex opportunities. This emergency flip and required agility to deliver HyFlex provides the opportunity to learn from the experiences of using this mode of teaching and learning.

This research presents the results of a survey of 44 lecturers who were part of the HyFlex Community of Practice (COP) or who were employing HyFlex in their practice, and 490 students who engaged with HyFlex …

Damocles' Sword But It Served To Remind Me Of What I Love Doing: A Supported Journey To Advance He Fellowship At Dublin City University, Lisa Donaldson

Irish Journal of Academic Practice

‘Sword of Damocles’ and a ‘marathon’, just some of the descriptions used by Advance HE Fellowship applicants on the first Supported journey to Fellowship at Dublin City University. In spite of such descriptions, this paper explores the successful journey to Fellowship for twenty one DCU applicants. It examines their motivations and the impacts of the journey, as well as comprehensively outlining the supportive building blocks designed to enable all applicants achieve Fellowship recognition. These building blocks include the creation of a knowledge base, Triad support and Work in Progress sessions.

The study indicates that Fellows who were supported in this …

Turkey's Largest Cinereous Vulture Population In A Recently Discovered Breeding Area Innorth-West Anatolia, Şafak Arslan, Ci̇hangi̇r Ki̇razli

Turkish Journal of Zoology

Studies regarding the cinereous vulture (Aegypius monachus), classified globally as near threatened, have recently accelerated in Turkey. Comprehensive studies particularly about the northwestern Anatolian population, have been conducted. Also, the genetic studies carried out, have revealed that the cinereous vulture population in Turkey is panmictic and that it has recently suffered a bottleneck. The main aim of this study conducted across the Köroğlu Mountains in Bolu was to determine the population size and the breeding success of the species. A total of 37 field surveys in 2018 and 2019 have revealed Turkey's largest breeding cinereous vulture colony and have detected …

Blocking The Acquisition Of Ethanol-Induced Conditioned Place Preference With 11, 21-Bisphenyl-19-Norpregnane (Pt150) In Coturnix Quail, Mia Radevski

Theses and Dissertations--Psychology

Alcohol use disorder (AUD) has been associated with a dysregulated stress system. Therefore, regulating stress hormones has been investigated as a potential therapeutic target for AUDs. The purpose of the current study was to investigate whether a stress hormone receptor antagonist, PT150, would block the rewarding properties of ethanol. Quail were used as subjects because a conditioned place preference (CPP) apparatus that utilized visual cues was used, and quail readily attend to visual cues. Visual cues in the environment have been shown to become associated with alcohol effects and later induce craving. Starting on day one, quail were pretreated with …

The Role Of Affective Heterogeneity On Treatment Effects For Youth With Conduct Problems, Pevitr Singh Bansal

Theses and Dissertations--Psychology

Conduct problems (CP) are a class of disruptive and aggressive behaviors (e.g., aggression, vandalism) comprised of both oppositional defiant and conduct disorder. CP are highly heterogenous and one vital factor that parses out this heterogeneity is affect, specifically the affective traits of irritability (IRR) and limited prosocial emotions (LPE). The current study examined how IRR and LPE predict distinct aspects of treatment efficacy including (1) treatment response (i.e., magnitude of change from week 1 to week 5); (2) trajectories (i.e., shape of symptom change); and (3) time-out (i.e., behavioral and emotional reactions to time-out). Participants were 49 youth aged 7-12 …

Examining The Indirect Effect Of Trauma On Obsessive-Compulsive Symptoms Through Responsibility/Threat Beliefs, Emily E. Fenlon

Theses and Dissertations--Psychology

Inflated responsibility beliefs and threat estimations have been implicated in the etiology and maintenance of obsessive-compulsive (OC) symptoms. Research suggests that early life experiences that involve actual or perceived serious harm to oneself or others may lead to inflated responsibility/threat beliefs and OC symptoms. Research has yet to explore if traumatic experiences influence responsibility/threat beliefs or if the associations between trauma and OC symptoms are at all dependent on trauma’s influence on responsibility/threat beliefs. The present study aims to examine associations among exposure to potentially traumatic events (PTEs), responsibility/threat beliefs, and OC symptoms. A sample of 886 undergraduate students completed …

“We Choose To Go To The Moon”: An Analysis Of A Cold War Means-Developing Strategy, David Christopher Arnold

NWC Case Studies

Strategists often ask “With the means available right now, what end can we achieve?” However, in strategy design it can be more appropriate to ask, “What is the desired end, and what means are available to achieve it?” The answer to this question may be, “If this is the desired end, first this new capability has to be created.” This case study examines how Kennedy determined he could achieve his ends (beat the Soviets in the world competition) in a particular way (shape the world conversation) using means yet to be created (the moon landing).

Morphological And Molecular Characterization Of Banana Clones Growing In Turkey, Fi̇li̇z Baysal, Sezai̇ Erci̇sli̇

Turkish Journal of Botany

This study was conducted to estimate genetic relationships among banana clones growing in Turkey via some morphological parameters and two molecular marker systems. In terms of yield parameters such as bunch weight, hand number, fruit weight, and total fruit number, Grand Nain (GN) clone came to the forefront with the highest values. It was followed by Azman (AZ), Dwarf Cavendish (DC), and Erdemli Yerli (EY) clones, respectively. To see the variation between clones more clearly, 24 RAPD (Random Amplified Polymorphic DNA) primers and 48 SRAP (Sequence Related Amplified Polymorphism) primer combinations were used in molecular analysis. The total number of …

Stachys Istanbulensis (Lamiaceae) A New Species From Turkey: Evidence From Morphological, Micromorphological And Molecular Analysis, Özal Güner

Turkish Journal of Botany

Stachys species show high morphological diversity and their main diagnostic characteristics are calyx and corolla length, ratio of tooth to calyx, and verticillaster arrangement. This manuscript describes and provides detailed morphological, micromorphological and molecular information about a new species, Stachys istanbulensis Ö. Güner, and its close relatives. The new species resembles S. recta complex, but is distinguished by its procumbent flowering stems, shorter calyx and teeth, congested verticillasters, creamy yellow corolla and oblong-obovoid nutlets. Moreover, the periclinal surfaces of S. istanbulensis nutlets are usually wrinkled, while those of S. recta are smooth. In addition, nrITS DNA region sequences were used …

Plasmonic-Based Biosensor For The Early Diagnosis Of Prostate Cancer, Thakshila Liyanage, Bayan Alharbi, Linh Quan, Aurora Esquela-Kerscher, Gymama Slaughter

Bioelectrics Publications

A tapered optical fiber (TOF) plasmonic biosensor was fabricated and used for the sensitive detection of a panel of microRNAs (miRNAs) in human serum obtained from noncancer and prostate cancer (PCa) patients. Oncogenic and tumor suppressor miRNAs let7a, let-7c, miR-200b, miR-141, and miR-21 were tested as predictive cancer biomarkers since multianalyte detection minimizes false-positive and false-negative rates and establishes a strong foundation for early PCa diagnosis. The biosensing platform integrates metallic gold triangular nanoprisms (AuTNPs) laminated on the TOF to excite surface plasmon waves in the supporting metallic layer and enhance the evanescent mode of the fiber surface. …

It's About Time: Emphasizing Temporal Dynamics In Dynamic Personality Regulation, Joshua Wilt

Faculty Scholarship

People change over time. These changes are thought to represent some self-regulatory, dynamic processes. However, dynamic processes need to be distinguished from mere stochastic variation. Just as the Brownian motion of a dust mote does not help us understand the basic principles of classical physics, neither does random variation within an individual describe the complexity of self-regulatory processes. This regulation implies solving the problem of competing goals and desires within the constraints of situational presses. And what people feel, think, and do at one moment affects what they feel, think and do in the next moment. Thus, describing and explaining …

“I Bet You Don’T Get What We Get”: An Intersectional Analysis Of Technology-Facilitated Violence Experienced By Racialized Women Anti- Violence Online Activists In Canada, Nasreen Rajani

Canadian Journal of Law and Technology

Despite growing attention to violence that women face in online settings, a relatively small proportion of academic work centres on the experiences and perspectives of racialized women in Canada. Informed by an intersectional framework, I draw on semi-structured interviews with nine women across Canada, all of whom are involved in anti-violence online activism, about their experiences of technology-facilitated violence (TFV). Their experiences revealed less prominent narratives, including instances of TFV beyond instances of intimate partner violence (IPV) and beyond sources of anonymous trolling by supposed white men, such as violence perpetrated by peers, white women, and racialized men. In this …

Intimate Images And Authors’ Rights: Non- Consensual Disclosure And The Copyright Disconnect, Meghan Sali

Canadian Journal of Law and Technology

This article responds to a brand of legal realpolitik that says using property law to respond to the non-consensual distribution of intimate images (NCDII) is appropriate and even necessary, because its remedial frameworks are well developed and provide the relief that is often most sought after by targets of an assault: the immediate removal of photos from online platforms. While some targets are not considered the ‘‘authors’’ of their intimate images, most of the images that are the subject of NCDII are selfies, taken by the target themselves. In these cases, that person rightfully owns the copyright in those images …

On The Internet, Nobody Knows You Are A Dog: Contested Authorship Of Digital Evidence In Cases Of Gender-Based Violence, Suzie Dunn, Moira Aikenhead

Canadian Journal of Law and Technology

We examine various aspects of digital evidence at GBV trials, drawing on relevant Canadian criminal case law. First, we describe some of the unique challenges related to electronic documents generally with respect to determining authorship. Second, we review some of the historical and ongoing practices within the criminal justice system that rely on harmful gendered myths about GBV and note the potential for these myths to emerge in relation to digital evidence. Third, we discuss the duty of investigating police officers to gather the necessary available digital evidence to demonstrate authorship and note potential gaps in current investigatory practices that …

Responding To Deficiencies In The Architecture Of Privacy: Co-Regulation As The Path Forward For Data Protection On Social Networking Sites, Laurent Cre ́Peau

Canadian Journal of Law and Technology

Social Networking Sites like Facebook, Twitter and the like are a ubiquitous part of contemporary culture. Yet, as exemplified on numerous occasions, most recently in the Cambridge Analytica scandal that shook Facebook in 2018, these sites pose major concerns for personal data protection. Whereas self-regulation has characterized the general regulatory mindset since the early days of the Internet, it is no longer viable given the threat social media poses to user privacy. This article notes the deficiencies of self-regulatory models of privacy and contends jurisdictions like Canada should ensure they have strong data protection regulations to adequately protect the public. …

Artificial Intelligence In Canadian Healthcare: Will The Law Protect Us From Algorithmic Bias Resulting In Discrimination?, Bradley Henderson, Colleen M. Flood, Teresa Scassa

Canadian Journal of Law and Technology

In this article, we canvas why AI may perpetuate or exacerbate extant discrimination through a review of the training, development, and implementation of healthcare-related AI applications and set out policy options to militate against such discrimination. The article is divided into eight short parts including this introduction. Part II focuses on explaining AI, some of its basic functions and processes, and its relevance to healthcare. In Part III, we define and explain the difference and relationship between algorithmic bias and data bias, both of which can result in discrimination in healthcare settings, and provide some prominent examples of healthcare-related AI …

Felony Disenfranchisement And Voting Rights Restoration In The States, Manoj Mate

Journal Articles

No abstract provided.

Does The Novel Coronavirus Use The Ocular Surface As An Entrance Into The Body Or As An Infection Site?, Remzi Karadag, Alp Kayiran, Christopher J Rapuano

Wills Eye Hospital Papers

This study attempts to review whether the coronavirus disease-2019 (COVID-19) is transmitted through the ocular surface and examine the symptoms and signs of ocular disease. Considering that COVID-19 is transmitted by airborne droplets and close contact with infected individuals, we will also review the conditions to which eye clinics and ophthalmologists should pay attention to prevent the transmission of the disease. Although some researchers have argued that COVID-19 transmission cannot occur through the ocular surface, most of them are of the opinion that the ocular surface is a potential pathway of transmission. Until date, ocular signs and symptoms have been …