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Neurological Assessment Skills For Acute Care Nursing Staff, Kathleen Libke Jan 2025

Neurological Assessment Skills For Acute Care Nursing Staff, Kathleen Libke

Walden Dissertations and Doctoral Studies

The ability to perform a rapid and comprehensive neurological assessment is an important tool for the nurse at the bedside when a patient has changes in their neurological state. According to the American Heart Association, it is essential for the bedside nurse to ensure they have the necessary skills to improve recovery, survival, and quality of life when experiencing changing neurological symptoms. The focus of this project was to answer the question of whether a self-learning staff education program on neurological assessment increases staff knowledge towards the ultimate goal of increasing competence when conducting a focused neurological assessment. The project …

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Impact Of Social Determinants Of Health On Preterm Births Among Black Women, Tashara Coakley Jan 2025

Impact Of Social Determinants Of Health On Preterm Births Among Black Women, Tashara Coakley

Walden Dissertations and Doctoral Studies

Reducing preterm birth (PTB) in Black women is a public health priority. The purpose of this quantitative, cross-sectional study was to analyze the association between selected Social Determinants of Health (SDoH) and PTB types, both spontaneous and provider-initiated in Black women using the SDoH framework. A logistic regression analysis used secondary data from the 2018 Natality Public Use File. In the adjusted models, higher paternal education, college degree or higher (OR = .791, 95% CI [.637, .982]) was associated with reduced odds of provider-initiated PTB. Fewer prenatal visits, seven to eleven visits OR = 2.301 (95% CI [2.034, 2.601]) and …

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Southern Californian Clinicians’ Perspectives Of Online Treatment For Adolescents With Eating Disorders, Sandra Mcintyre Jan 2025

Southern Californian Clinicians’ Perspectives Of Online Treatment For Adolescents With Eating Disorders, Sandra Mcintyre

Walden Dissertations and Doctoral Studies

Treatment for eating disorders in adolescents is constantly changing and improving. With the recent COVID-19 pandemic, there has been a major transition to telehealth treatment. Studies on the efficacy and experience of telehealth have mainly focused on clients and families, leaving out clinician perspectives. Little research has also been done on how telehealth can be improved on now that it is more commonly used. Lewin’s field theory formed the framework for this qualitative study to explore clinicians’ suggestions to improve telehealth treatment for eating disorders. Ten specialized mental health clinicians provided data collected using two sequenced questionnaires. Analysis of the …

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Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola Jan 2025

Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola

Walden Dissertations and Doctoral Studies

Hyperlipidemia is one of the modifiable risk factors for cardiovascular diseases (CVD), the leading cause of death among minority populations in the United States, including foreign-born people. Therefore, preventing and treating hyperlipidemia alongside other CVD risk factors is critical for avoiding CVD. Prior research examined disparities in health insurance coverage, length of stay, and blood cholesterol with mixed observations over time with new immigrants. This study aimed to determine if there was a statistically significant association between language spoken at home, length of stay in the United States, having health insurance coverage or none, and high cholesterol level status among …

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Depression Screening, Heather Apling Rowell Jan 2025

Depression Screening, Heather Apling Rowell

Walden Dissertations and Doctoral Studies

Depression is a common but serious mood disorder and healthcare professionals need to include depression screening during routine health visits. The gap in practice at a primary care clinic was the lack of routine screening and the lack of knowledge of the medical assistant staff in conducting and documenting depression screening. The purpose of this project was to develop, implement, and evaluate an education program on depression screening and appropriate documentation in the patient’s electronic medical record (EMR). The practice-focused question centered on whether healthcare staff demonstrated increased knowledge of depression screening and how to appropriately document in the patient’s …

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Exploring The Predictive Powers On Instructional Domain Scores For Universal Prekindergarten Programs, Nicole Marie Ickes Jan 2025

Exploring The Predictive Powers On Instructional Domain Scores For Universal Prekindergarten Programs, Nicole Marie Ickes

Walden Dissertations and Doctoral Studies

The problem addressed in this quantitative study was that 80% of universal prekindergarten (UPK) programs in the Northeast United States did not meet the quality threshold in the instructional supports (IS) domain of the Classroom Assessment Scoring System (CLASS). This study was grounded in systems theory and Garira’s unified framework for education quality to examine the relationship between child-to-teacher ratios and IS domain scores, with student-gender ratios as a moderating factor. Two research questions guided this study: (a) How does the child-to-teacher average UPK program ratios predict the UPK programs’ IS domain score of CLASS? and (b) How does the …

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Pediatric Immunization Program To Lessen The Lack Of Services In Rural Communities, Shannon London Nowiski Jan 2025

Pediatric Immunization Program To Lessen The Lack Of Services In Rural Communities, Shannon London Nowiski

Walden Dissertations and Doctoral Studies

The lack of resources in rural communities encourages new programs to improve outcomes in health and wellness. This project aimed to reduce the vaccination barriers of transportation and time by bringing vaccines to the children in the existing medical clinic. The purpose of this doctor of nursing practice project was the development of a sustainable vaccination program for rural communities. The practice-focused question was: Can a community team develop a sustainable plan to provide education and the provision of vaccines in a rural community? This included proposing clinical practice guidelines (CPGs) for providers regarding the education of patients, families, and …

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The Role Of School-Based Law Enforcement Officers In Student Discipline, Marlaina Mahler Jan 2025

The Role Of School-Based Law Enforcement Officers In Student Discipline, Marlaina Mahler

Walden Dissertations and Doctoral Studies

An increase in police presence in schools has led to an increase in research covering school police. The purpose of this qualitative study was to investigate the overall role of SBLE officers, specifically their role in student discipline. This narrative inquiry study answered two research questions about the narrative experiences of SBLE officers as law enforcers, educators, and mentors in Texas public schools and how might Texas SBLE officers’ lived experiences benefit their peers’ understanding of their role regarding student discipline. Role theory and role conflict theory were used as the theoretical foundation. Data were collected through interviews with ten …

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Lived Experience Of African American Males Upon Community Reentry Postincarceration In California, Dan Ugochukwu Duru Jan 2025

Lived Experience Of African American Males Upon Community Reentry Postincarceration In California, Dan Ugochukwu Duru

Walden Dissertations and Doctoral Studies

Lived Experience of African American Males Upon Community Reentry Postincarceration in California by Dan Ugochukwu Duruobishiri MS, Walden University, 2021 MA, National University, La Jolla, California, 2004 BS, California State University, Long Beach, 1998 AS, El Camino College Torrance, California, 1995 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy in Clinical Psychology Walden University October, 2024 The research on the experiences of African American Black males in the criminal justice system has been a focus of scholars since the early 20th century. Researchers have demonstrated that this population faces high rates of incarceration …

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Body Dysmorphia In Post-Weight Loss Surgery Patients, Theresa M. Niles Jan 2025

Body Dysmorphia In Post-Weight Loss Surgery Patients, Theresa M. Niles

Walden Dissertations and Doctoral Studies

Although there is a known link between weight loss surgery and body dysmorphic disorder, research has not been conducted on the experiences of individuals experiencing these two phenomena. Using a phenomenological approach, this study examined the research question: What are the lived experiences of post-weight loss surgical patients with diagnosed body dysmorphia? Self-discrepancy theory was used as the overarching theoretical framework. Interviews were conducted with ten participants, and the data were analyzed using Quirkos software and inductive coding, examining clusters of themes within the narrative transcripts. Themes emerging included focusing on physical rather than mental health in the post operative …

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A Qualitative Exploration Of The Milwaukee Chapter Of My Brother’S Keeper Community Challenge Program, Courtney Santanna Hayward Jan 2025

A Qualitative Exploration Of The Milwaukee Chapter Of My Brother’S Keeper Community Challenge Program, Courtney Santanna Hayward

Walden Dissertations and Doctoral Studies

Although the mayor of Milwaukee and other stakeholders launched and committed resources to the My Brother’s Keeper (MBK) program, it was unclear whether the program was meeting its goal of increasing graduation rates and college readiness of young Black males in Milwaukee. The purpose of this generic qualitative study was to explore administrators’ perspectives on whether the current funding resources of the MBK program in Milwaukee were adequate to ensure the program’s ability to meet its goal of increasing graduation rates and college readiness of its participants. Resource dependence theory and the teleological process theory guided the study. Braun and …

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Assessing The Influence Of An Eastern State's Disciplinary Alternative Education Program On Secondary Student Behavior, Alicia Michelle Gallaway Jan 2025

Assessing The Influence Of An Eastern State's Disciplinary Alternative Education Program On Secondary Student Behavior, Alicia Michelle Gallaway

Walden Dissertations and Doctoral Studies

Services at the local disciplinary alternative education program (DAEP) include counseling and behavioral services to referred secondary students, aiming to improve their behavior. The problem addressed in this quantitative study was that a DAEP was in place in the local district since 2009, but there had been no formal assessment to determine whether differences in student discipline occurred in the semester before and the semester after students attended the DAEP. Guided by Bandura’s social cognitive theory, the purpose of this ex post facto, causal-comparative, quasi-experimental study was to investigate if there was a difference in student discipline as measured by …

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The Experience Of Help Seeking For African American Pastors In Personal Crises, Jason Leon Hanna Jan 2025

The Experience Of Help Seeking For African American Pastors In Personal Crises, Jason Leon Hanna

Walden Dissertations and Doctoral Studies

The U.S. population faces enormous challenges coping with disease, financial stress, failure, and general mental health concerns. Rather than seeking care from psychotherapists, increasing numbers of people in religious communities seek help from clergy, who must then balance the needs of their constituents while navigating their own personal crises and need for support. The purpose of this qualitative study was to explore the meaning of help-seeking for African American clergy during personal crises, guided by Ajzen’s theory of planned behavior. Semistructured interviews were conducted with 20 African American senior pastors of congregations in the United States. Study participants defined help-seeking …

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Examining Workplace Performance And Training For Organizational Sustainability In The Fashion Industry, Stephanie Lynne Bilderback Jan 2025

Examining Workplace Performance And Training For Organizational Sustainability In The Fashion Industry, Stephanie Lynne Bilderback

Walden Dissertations and Doctoral Studies

Underused employee retail training programs in the western U.S. fashion industry are a challenge for improving workplace performance and organizational sustainability. Executive management of retail organizations in the fashion industry is perceived as not maximizing available retail training to improve employee and manager performance for organizational sustainability in the western United States. The purpose of this quantitative correlational study was to determine the relationship between retail training and employee performance and manager performance as perceived by executive management at retail organizations in the fashion industry for organizational sustainability in the western United States. Appelbaum et al.’s ability, motivation, and opportunity …

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Strategies To Manage Supply Chain Disruptions In The Aircraft Manufacturing Industry, Tanya V. Payne Jan 2025

Strategies To Manage Supply Chain Disruptions In The Aircraft Manufacturing Industry, Tanya V. Payne

Walden Dissertations and Doctoral Studies

Supply chain disruptions result in reduced organizational productivity. Supply chain leaders in the aircraft manufacturing industry who cannot manage supply chain disruptions risk financial losses from reduced organizational productivity. Grounded in Lewin’s change management theory, the purpose of this qualitative pragmatic inquiry study was to explore strategies aircraft manufacturing industry supply chain leaders use to manage disruption in the supply chain process to maximize organizational productivity. The participants were six supply chain leaders from Fortune 500 aircraft manufacturing companies located in South Carolina and California who successfully managed disruption in the supply chain disruptions to enhance productivity. Data were collected …

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High School Administrative Staff Experiences During The Covid-19 Pandemic, Woodrow Goss Jan 2025

High School Administrative Staff Experiences During The Covid-19 Pandemic, Woodrow Goss

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic impacted administrative staff members throughout the school system in Texas. The purpose of this study was to explore the experiences of high school administrative staff members who participated in the transition from a traditional high school education delivery environment to an online, distance-based education delivery environment during the COVID-19 pandemic. Self-determination theory was the theoretical foundation for this study and guided the research question and data analysis. The research design was a basic qualitative design using a generic qualitative approach. Purposeful sampling was used to recruit 10 participants from a pool of high school educators who worked …

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Neurological Assessment Skills For Acute Care Nursing Staff, Kathleen Libke Jan 2025

Neurological Assessment Skills For Acute Care Nursing Staff, Kathleen Libke

Walden Dissertations and Doctoral Studies

The ability to perform a rapid and comprehensive neurological assessment is an important tool for the nurse at the bedside when a patient has changes in their neurological state. According to the American Heart Association, it is essential for the bedside nurse to ensure they have the necessary skills to improve recovery, survival, and quality of life when experiencing changing neurological symptoms. The focus of this project was to answer the question of whether a self-learning staff education program on neurological assessment increases staff knowledge towards the ultimate goal of increasing competence when conducting a focused neurological assessment. The project …

Go to article

Impact Of Social Determinants Of Health On Preterm Births Among Black Women, Tashara Coakley Jan 2025

Impact Of Social Determinants Of Health On Preterm Births Among Black Women, Tashara Coakley

Walden Dissertations and Doctoral Studies

Reducing preterm birth (PTB) in Black women is a public health priority. The purpose of this quantitative, cross-sectional study was to analyze the association between selected Social Determinants of Health (SDoH) and PTB types, both spontaneous and provider-initiated in Black women using the SDoH framework. A logistic regression analysis used secondary data from the 2018 Natality Public Use File. In the adjusted models, higher paternal education, college degree or higher (OR = .791, 95% CI [.637, .982]) was associated with reduced odds of provider-initiated PTB. Fewer prenatal visits, seven to eleven visits OR = 2.301 (95% CI [2.034, 2.601]) and …

Go to article

Southern Californian Clinicians’ Perspectives Of Online Treatment For Adolescents With Eating Disorders, Sandra Mcintyre Jan 2025

Southern Californian Clinicians’ Perspectives Of Online Treatment For Adolescents With Eating Disorders, Sandra Mcintyre

Walden Dissertations and Doctoral Studies

Treatment for eating disorders in adolescents is constantly changing and improving. With the recent COVID-19 pandemic, there has been a major transition to telehealth treatment. Studies on the efficacy and experience of telehealth have mainly focused on clients and families, leaving out clinician perspectives. Little research has also been done on how telehealth can be improved on now that it is more commonly used. Lewin’s field theory formed the framework for this qualitative study to explore clinicians’ suggestions to improve telehealth treatment for eating disorders. Ten specialized mental health clinicians provided data collected using two sequenced questionnaires. Analysis of the …

Go to article

Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola Jan 2025

Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola

Walden Dissertations and Doctoral Studies

Hyperlipidemia is one of the modifiable risk factors for cardiovascular diseases (CVD), the leading cause of death among minority populations in the United States, including foreign-born people. Therefore, preventing and treating hyperlipidemia alongside other CVD risk factors is critical for avoiding CVD. Prior research examined disparities in health insurance coverage, length of stay, and blood cholesterol with mixed observations over time with new immigrants. This study aimed to determine if there was a statistically significant association between language spoken at home, length of stay in the United States, having health insurance coverage or none, and high cholesterol level status among …

Go to article

Depression Screening, Heather Apling Rowell Jan 2025

Depression Screening, Heather Apling Rowell

Walden Dissertations and Doctoral Studies

Depression is a common but serious mood disorder and healthcare professionals need to include depression screening during routine health visits. The gap in practice at a primary care clinic was the lack of routine screening and the lack of knowledge of the medical assistant staff in conducting and documenting depression screening. The purpose of this project was to develop, implement, and evaluate an education program on depression screening and appropriate documentation in the patient’s electronic medical record (EMR). The practice-focused question centered on whether healthcare staff demonstrated increased knowledge of depression screening and how to appropriately document in the patient’s …

Go to article

Exploring The Predictive Powers On Instructional Domain Scores For Universal Prekindergarten Programs, Nicole Marie Ickes Jan 2025

Exploring The Predictive Powers On Instructional Domain Scores For Universal Prekindergarten Programs, Nicole Marie Ickes

Walden Dissertations and Doctoral Studies

The problem addressed in this quantitative study was that 80% of universal prekindergarten (UPK) programs in the Northeast United States did not meet the quality threshold in the instructional supports (IS) domain of the Classroom Assessment Scoring System (CLASS). This study was grounded in systems theory and Garira’s unified framework for education quality to examine the relationship between child-to-teacher ratios and IS domain scores, with student-gender ratios as a moderating factor. Two research questions guided this study: (a) How does the child-to-teacher average UPK program ratios predict the UPK programs’ IS domain score of CLASS? and (b) How does the …

Go to article

Pediatric Immunization Program To Lessen The Lack Of Services In Rural Communities, Shannon London Nowiski Jan 2025

Pediatric Immunization Program To Lessen The Lack Of Services In Rural Communities, Shannon London Nowiski

Walden Dissertations and Doctoral Studies

The lack of resources in rural communities encourages new programs to improve outcomes in health and wellness. This project aimed to reduce the vaccination barriers of transportation and time by bringing vaccines to the children in the existing medical clinic. The purpose of this doctor of nursing practice project was the development of a sustainable vaccination program for rural communities. The practice-focused question was: Can a community team develop a sustainable plan to provide education and the provision of vaccines in a rural community? This included proposing clinical practice guidelines (CPGs) for providers regarding the education of patients, families, and …

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Immuno-Bioinformatics Study Of Secondary Metabolites From Watercress Nasturtium Officinale As Immunostimulant In Whiteleg Shrimp Litopenaeus Vannamei By Targeting Peroxinectin And Scavenger Receptor Class B, Qurrota A’Yunin, Muhaimin Rifa’I, Maftuch Maftuch, Yoga Dwi Jatmiko, Muhammad Hermawan Widyananda, Triyanto Triyanto, Muhammad Tegar Handrianto Jan 2025

Immuno-Bioinformatics Study Of Secondary Metabolites From Watercress Nasturtium Officinale As Immunostimulant In Whiteleg Shrimp Litopenaeus Vannamei By Targeting Peroxinectin And Scavenger Receptor Class B, Qurrota A’Yunin, Muhaimin Rifa’I, Maftuch Maftuch, Yoga Dwi Jatmiko, Muhammad Hermawan Widyananda, Triyanto Triyanto, Muhammad Tegar Handrianto

Karbala International Journal of Modern Science

The viral disease affects the whiteleg shrimp (Litopenaeus vannamei) and causes losses. Immunostimulants are recognized as a more environmentally friendly approach to disease management and antimicrobial properties of aquatic organisms. Watercress (Nasturtium officinale) is an aquatic plant species that contains antioxidant properties that can protect the organism from disease and boost the immune system. Shrimp rely heavily on innate immunity to combat infectious agents due to their absence of adaptive immunity. Peroxinectin and scavenger receptor class B (SRB) play essential roles in the shrimp defense system. This research employs a bioinformatic to assess the immunostimulatory potential …

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Effectiveness Of Various Modified Vegetable Fibers For Oil Spill Removal, Walaa M. Thabet, Samir M. Nasr, Ola Abdelwahab Jan 2025

Effectiveness Of Various Modified Vegetable Fibers For Oil Spill Removal, Walaa M. Thabet, Samir M. Nasr, Ola Abdelwahab

Blue Economy

Natural fibers are among the alternatives for oily wastewater treatment due to their simplicity, excellent oil removal properties, environmentally friendly characteristic and easy availability and feasibility. In this study, three different types of fibrous adsorbents materials were used for the removal of diesel, crude and vegetable oil. All oils were characterized by GC- Mass. Luffa cylindrical; LC, Palm fibers, PF and Peanut hull husk (PHL) were used. Adsorption capacity and water uptake were examined for the fibers. Various methods were used for modification of adsorbents via physical and chemical modifications to enhance their oil adsorption capability. It was found that, …

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Lost In Transmission: Where Ercot Went Astray And How It Can Find Its Way, Dylan Brown Jan 2025

Lost In Transmission: Where Ercot Went Astray And How It Can Find Its Way, Dylan Brown

Florida Law Review

The Electric Reliability Council of Texas (ERCOT) is the entity responsible for overseeing the primary electric grid for most of the state of Texas. The ERCOT grid is contained entirely within Texas, serves almost 75% of the state’s land area with its 52,700 miles of transmission lines, and provides 90% of the energy used by consumers in the state. Over the last half-century, the ERCOT grid has increasingly experienced intermittency issues that have caused Texas residents major heartaches. After each event, the Texas Legislature and ERCOT have taken steps to ensure that they do not reoccur. Thus far, though, they …

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Disrupting Creativity: Copyright Law In The Age Of Generative Artifical Intelligence, Ryan Abbott, Elizabeth Rothman Jan 2025

Disrupting Creativity: Copyright Law In The Age Of Generative Artifical Intelligence, Ryan Abbott, Elizabeth Rothman

Florida Law Review

Over the last few years, due largely to breakthroughs in deep learning technologies, artificial intelligence (AI) has begun to step into the shoes of human content generators and make valuable creative works at scale. Before the end of the decade, a significant amount of art, literature, music, software, and web content will likely be created by AI rather than traditional human authors. Yet the law lags behind this technological evolution by prohibiting copyright protection for AI-generated works. The predominant narrative holds that even if AI can automate creativity, this activity is not the right sort of thing to protect, and …

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Intimate Privacy In A Post-Roe World, Danielle Keats Citron Jan 2025

Intimate Privacy In A Post-Roe World, Danielle Keats Citron

Florida Law Review

Now that the Supreme Court has revoked the constitutional right to abortion, we must reckon with the risks presented by our surveillance economy. Individuals, companies, and governments have access to, and information about, every detail of our intimate lives, including where we go (including a clinic or hospital), whether we have a health condition (including being pregnant), what we search, read, and purchase (including abortion pills), and what we communicate (including via text message or email). That information is being wielded against pregnant individuals, people helping individuals obtain abortions, and healthcare workers. It is being exploited to support criminal and …

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"Blurred Lines" On The "Stairway To Heaven": How The Sound Of Music Can Clarify Substantial Similarity In Music Copyright Cases, Lindsey O'Brien Jan 2025

"Blurred Lines" On The "Stairway To Heaven": How The Sound Of Music Can Clarify Substantial Similarity In Music Copyright Cases, Lindsey O'Brien

Florida Law Review

Copyright law sits at the heart of the multibillion-dollar music industry. Recently, the Ninth Circuit has served as a common venue for resolving disputes between musical artists in alleged copyright infringement cases. However, the logic surrounding legal decisions is often contrary to the realities of the music industry, and results have been inconsistent even within the same circuit. The unpredictability of legal outcomes leaves the “best” standard for evaluating music copyright infringement unclear. This Note argues that, when considering copyright law’s historical underpinnings, a literal application of existing doctrine proves less-than-ideal in the context of music. The law’s emphasis on …

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Travel In A Snap: Addressing Transportation Barriers In Snap Recipients To Increase Food Security, Megan Saia Jan 2025

Travel In A Snap: Addressing Transportation Barriers In Snap Recipients To Increase Food Security, Megan Saia

Florida Law Review

Over thirty-eight million Americans experience food insecurity each year. The Supplemental Nutrition Assistance Program (SNAP)—the largest food assistance program in the United States—seeks to eliminate this statistic. As evidenced by the prevalence at which Americans continue to experience food insecurity, SNAP is far from reaching its goal. This shortcoming has sparked proposals to reform SNAP. These proposals are mainly aimed at increasing SNAP benefits so recipients can afford to purchase more food and thus become more food secure. Although many people agree that current SNAP benefits are inadequate, a widespread benefit increase is not feasible given the political fragility of …

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