Digital Commons Network^™

Crm As A Psychosocial Intervention For Cancer Patients, Lauren Wakabayashi

Loma Linda University Electronic Theses, Dissertations & Projects

The present treatment manual is intended to outline the implementation of an intervention to manage psychological distress in cancer patients. Cancer patients suffer from psychological distress, in part due to physical symptoms that impact well-being. This can create a cycle of poor mental and physical health that is bidirectionally affected by poor responses to physical treatments. Thus, it is necessary to implement interventions for cancer patients that can combat these and other psychological symptoms. The Community Resiliency Model (CRM) has recently emerged as a set of wellness skills that can promote physiological and psychological well-being, as well as minimize negative …

Insufficient Sleep And Onset Of Coronary Artery Disease, Pooja S. Raghani

Loma Linda University Electronic Theses, Dissertations & Projects

Coronary artery disease (CAD), a consequence of coronary atherosclerosis, is the most common form of cardiovascular disease. Recent research suggests that compared to individuals with normal sleep duration, those with insufficient sleep, defined as short sleep duration (i.e., less than 6 hours per 24-hour period) have a 79% higher risk of developing coronary artery disease. In this review, selected physiological factors (including vascular inflammation, sympathetic overactivity, and increases in blood pressure), behavioral factors (including sedentary behavior and dietary choices), psychological factors (including hostility, fatigue, and major depressive disorder/depressive affect), and sociocultural factors (including race/ethnicity, socioeconomic status, and health literacy) were …

Power: A Qualitative Exploration Of Pows In Captivity And Their Responses To Loss Of Control, Sean Michael Roche

Loma Linda University Electronic Theses, Dissertations & Projects

This qualitative study explored how American Prisoners of War (POWs) from the Vietnam War coped with the dramatic imbalance of power between them and their North Vietnamese captors. Semi-structured interviews with POWs (n = 16) were analyzed using phenomenological and grounded theory approaches to identify major themes and coping strategies embedded in their experiences of powerlessness. POWs shared emergent themes of Communication, Connection, Heroic Leadership, Establishing Our Routine, and Honor and Loyalty, which were then linked with components of Emerson’s theory of power-dependence relations. Many of these strategies functioned interdependently, which allowed these men to more effectively combat imbalances of …

Mental Health In Coptic Orthodox Communities: Needs Assessment, Marina Zaky

Loma Linda University Electronic Theses, Dissertations & Projects

In order to better understand the contributing factors to low visibility and an overall lack of representation of Coptic Orthodox individuals within the field of mental health, a needs assessment was conducted. Previous research studies have focused on the low visibility of the Coptic Orthodox population within the field of mental health but have focused primarily on stigma, without determining other needs and contributing factors. This needs assessment utilized the Delphi method of data collection in order to conceptualize the needs of the community from the perspectives of experts within the group. An extensive literature review was completed in order …

Medical Student Experiences Implementing Bias Reduction Strategies: A Qualitative Study, Chrysan Hoyt

Loma Linda University Electronic Theses, Dissertations & Projects

Research has shown that health care provider bias negatively impacts the provider-patient relationship and health outcomes. Studies have identified strategies effective at reducing bias, but there is minimal research implementing these strategies in health care settings, and little is known about effective curricular interventions to teach strategies to medical students. The purpose of the present study was to explore medical students’ experiences implementing evidence-based bias reduction strategies with their patients after participating in a bias reduction didactic. The study aimed to 1) determine which bias-reduction strategies medical students most frequently used, and 2) explore student perceptions of the effects of …

Community Resiliency Model Treatment Manual For Loma Linda University Healthcare, Ann White

Loma Linda University Electronic Theses, Dissertations & Projects

Burnout is a national phenomenon on the United States, effecting between 60% and 78% of healthcare professionals (21) across a variety of settings. Burnout results in increased cost to the healthcare industry, significantly decreased quality of patient care, and increased malpractice claims. At the same time, healthcare providers are increasingly under demands to their time that limit their ability to access wellness resources to mitigate the effects of burnout, such as outpatient psychotherapy. In order to address this growing crisis and respond to the specific needs of healthcare providers, we have utilized the biological basis and six skills comprising the …

Dsm-5 Eating Disorders And Disordered Eating Behaviors In The Lgbt Population, Lacie Parker

Loma Linda University Electronic Theses, Dissertations & Projects

According to Meyer’s sexual minority stress model (2003), LGB individuals experience a higher prevalence of psychopathology, which is attributable to the increased stress (i.e., stigma and prejudice) adult sexual minority individuals experience. This model was later adapted by Hendricks and Testa (2012) to include transgender and gender non-conforming individuals. More specifically, this literature review examined the empirical literature regarding the rates and types of, and risk and protective factors for eating disorders and disordered eating behaviors in the general LGBT adolescent and adult populations, in addition to each individual subgroup (i.e., lesbians, gay men, bisexuals, transgender individuals). The results of …

Biology Through The Lens Of Trauma: An Empirical Review Of Trauma Treatments, Adela Gharabeki

Loma Linda University Electronic Theses, Dissertations & Projects

The present literature review aims at mending the research to practice gap for the treatment of Post-Traumatic Stress Disorder (PTSD). Biological mechanisms of the stress response system are explored as they pertain to trauma and its subsequent effects on the brain and body. In addition, American Psychological Association (APA) recommended evidence-based treatments for PTSD are reviewed as well as more recent emerging somatic therapies. There is a critical need for further development in the area of both topdown and bottom-up interventions. Biological working mechanisms remain unknown for a majority of treatments and physiological measures are scarcely used in treatment outcome …

Parent-Child Relations, Sleep, And Externalizing Problems In Clinical Youth, Tiffany Thao Vo

Loma Linda University Electronic Theses, Dissertations & Projects

Sleep problems are a major prevailing concern in clinical youth populations. Research has shown that poor sleep is correlated with mental health problems, while parent-child relationships are associated with externalizing behaviors. The aim of this study was to (1) replicate these findings; (2) extend on previous research on the relationships between sleep, parent-child relationships, and externalizing problems; and (3) analyze moderating effects of parent-child relationships on the relationship between sleep and externalizing problems in youth (N = 25) ages 6 to 11 presenting to mental health treatment. Bivariate analyses indicated average objective sleep duration is related to parent-child relations and …

Legal And Ethical Issues In Telepsychology: A Handbook For Psychologists, Dexter Chia

Loma Linda University Electronic Theses, Dissertations & Projects

This doctoral project sought to examine the various aspects of the modality of telepsychology in a handbook that can be referenced by licensed psychologists. Telepsychology’s growth in the general psychology community has caused greater attention towards its unique legal and ethical considerations when working with clients. We analyze legal and ethical issues inherent to the domains of licensure, clinical practice liability coverage, billing/payment, competence, client welfare, consent, confidentiality, and boundary navigation. After this analysis, we introduce a series of scenarios for readers to apply the discussed considerations to exercise critical thinking.

Dietary Fatty Acids And The Brain: Mechanisms Behind Neurodegeneration And Neuroprotection, Bianca Kdeiss

Loma Linda University Electronic Theses, Dissertations & Projects

The impact of dietary fat intake on cognitive function has generated growing interest as the incidence of neurodegenerative disorders continues to increase. No known cures for neurodegenerative disorders exist at this time and available pharmacological treatments are limited in their efficacy. As such, prevention and early detection have been emphasized, particularly in the context of modifiable lifestyle factors, such as diet. Despite a recognized association between dietary fat intake and cognition, limited research exists delineating the impact of different types of fat on cognitive function. In this review, research examining the association between cognition and specific dietary fatty acids—such as …

Shelter Staff Perceptions Of Physicians Seeking Services For Intimate Partner Violence, Gabriela Bagnara

Loma Linda University Electronic Theses, Dissertations & Projects

Research indicates there are a significant number of instances of intimate partner violence (IPV) in the United States, with current prevalence rates impacted by a substantial amount of underreporting due to stigma, difficulty disclosing, and complex love and fear of abusive partners (Breiding et al., 2014; Ellsberg & Heise, 2005; Overstreet & Quinn, 2013). A large body of IPV research exists more generally, but there is little understanding about the help-seeking behaviors of high socioeconomic status (SES) individuals within IPV shelter systems. While several studies have demonstrated the equal impact of abuse across demographic contexts (Satyen, Rogic, and Supol, 2018; …

Stress And The Validity Of Parent Report Measures, Katharine Fabro

Loma Linda University Electronic Theses, Dissertations & Projects

Data collected from self-report measures can be problematic as participants may misunderstand questions, misremember information, or misrepresent themselves when answering questions. Bias in self-report data is particularly concerning for parents of children with DD, as these measures are often used as part of diagnostic decisions and service allocations. Parents of children with DD typically experience higher levels of stress than parents of typically developing children. Stress has been shown to decrease cognitive functioning and bias parent perceptions, making it more likely that parents will inaccurately respond to self-report measures inquiring about their own parenting behaviors and their child’s maladaptive behaviors. …

The Community Resiliency Model In Health Decision-Making, Michelle Ngo

Loma Linda University Electronic Theses, Dissertations & Projects

This doctoral project reviews the literature to support the utilization of the Community Resilience Model (CRM) for health-related decision making, such as health behavior change and medication adherence. Research has shown that decision-making under significant stress can lead to making less advantageous choices, as the nervous system becomes dysregulated. The evidence in this literature review suggests that self-regulation using skills in the CRM Model can increase one’s ability to effectively making decisions.

Parent Treatment Manual For Adolescent Self-Harm, Miriam Mokhless Rizk

Loma Linda University Electronic Theses, Dissertations & Projects

This doctoral project is a treatment manual that was created for parents of self-harming adolescents. To date, no treatment manual currently exists to aide these parents in fostering healthy environments for adolescents completing Dialectical Behavioral Therapy (DBT) intensive outpatient treatments; however, the literature describes the importance of creating validating environments as an important factor in positive treatment outcomes of adolescents who self-harm. This ten-week treatment manual was designed to provide these parents with DBT skills in order to learn the foundations of providing a positive environment in the home. The results of this treatment manual are projected to reduce parenting …

Effects Of Parents’ Mbsr On Internalizing Problems In Children: Asd As Moderator, Hadley Mcgregor

Loma Linda University Electronic Theses, Dissertations & Projects

Children with autism spectrum disorders (ASD) are at high risk for increased levels of behavior problems and developing internalizing problems. Previous literature has highlighted the impact of parental stress on the development of behavioral problems in children with ASD; however, little research has examined the relation between parenting stress and internalizing problems in children with ASD. The current study utilized data from the Mindful Awareness for Parenting Stress (MAPS) study which consisted of families of 80 preschool children with developmental delays (DD) (N = 31) and children with ASD (N = 49) whose parents reported high levels of stress. Specifically, …

Effects Of Dietary Nitrate Supplementation On Performance And Muscle Oxygenation During Resistance Exercise In Men, Rachel Tan, Adam Pennell, Katherine M. Price, Sean T. Karl, Noelle G. Seekamp-Hicks, Keonabelle K. Paniagua, Grant D. Weiderman, Joanna P. Powell, Luka K. Sharabidze, Isabella G. Lincoln, Justin M. Kim, Madeleine F. Espinoza, Maya A. Hammer, Richie P. Goulding, Stephen J. Bailey

All Faculty Open Access Publications

The purpose of the current study was to assess the effects of acute and short-term nitrate (NO3−)-rich beetroot juice (BR) supplementation on performance outcomes and muscle oxygenation during bench press and back squat exercise. Fourteen recreationally active males were assigned in a randomized, double-blind, crossover design to supplement for 4 days in two conditions: (1) NO3−-depleted beetroot juice (PL; 0.10 mmol NO3− per day) and (2) BR (11.8 mmol NO3− per day). On days 1 and 4 of the supplementation periods, participants completed 2 sets of 2 × 70%1RM interspersed by 2 min of recovery, followed by one set of …

A Novel Laboratory Method To Simulate Climatic Stress With Successful Application To Experiments With Medically Relevant Ticks, Caleb Nielebeck, Sang Hyo Kim, Lauren Dedmon, Mark Pangilinan, Jahred Quan, William Ota, Javier D. Monzón

All Faculty Open Access Publications

Ticks are the most important vectors of zoonotic disease-causing pathogens in North America and Europe. Many tick species are expanding their geographic range. Although correlational evidence suggests that climate change is driving the range expansion of ticks, experimental evidence is necessary to develop a mechanistic understanding of ticks' response to a range of climatic conditions. Previous experiments used simulated microclimates, but these protocols require hazardous salts or expensive laboratory equipment to manipulate humidity. We developed a novel, safe, stable, convenient, and economical method to isolate individual ticks and manipulate their microclimates. The protocol involves placing individual ticks in plastic tubes, …

The Good-Faith Doubt Test And The Revival Of Joy Silk Bargaining Orders, Brandon R. Magner

University of Michigan Journal of Law Reform

The last fifty-two years have borne witness to the swift degradation and virtual irrelevance of the bargaining order. By the end of the twentieth century even pro-enforcement officials in the NLRB were acknowledging the difficulty of obtaining an enforceable bargaining order, and the remedy rarely appears these days in the agency’s published decisions.

This is not the product of the usual economic or political factors cited as reasons for the labor movement’s and its attendant regulating schema’s diminishment. Rather, the decline of the bargaining order can be explained almost entirely by the disappearance of the so-called Joy Silk doctrine from …

Liability For Toxic Workplace Cultures, Dana Florczak

University of Michigan Journal of Law Reform

Title VII is meant to protect employees from discrimination and has historically been a crucial tool for creating social change in the workplace. But when considering modern-day workplace discrimination wrought by “toxic workplace cultures” defined herein, Title VII’s frameworks for confronting systemic discrimination prove outdated and ineffective. This Note proposes the codification of a new theory of discrimination under Title VII targeting toxic workplace cultures, with substantive and procedural elements working in tandem to better enable plaintiffs to collectively bring actions to hold employers accountable for fostering discriminatory environments. Part I defines toxic workplace cultures and walks through case studies …

Wrong Line: Proposing A New Test For Discrimination Under The National Labor Relations Act, Joshua D. Rosenberg Daneri, Paul A. Thomas

University of Michigan Journal of Law Reform

There has long been a consensus among scholars and union-side practitioners that the National Labor Relations Act (NLRA) is under-enforced. As a result, employers often treat violations of the NLRA as a cost of doing business rather than a serious violation of a federal statute. Calls for reform have historically tended to propose legislative amendments to the NLRA to constrain employer conduct and impose greater consequences for discrimination violations. However, little attention has been given to improving the flawed legal test by which such discrimination is analyzed, Wright Line, 251 N.L.R.B. 1083 (1980), enforced 662 F.2d 899 (1st Cir. 1981), …

Sexual Orientation, Gender Identity, And Homelessness Post-Bostock, Alaina Richert

University of Michigan Journal of Law Reform

Housing discrimination on the basis of sexual orientation and gender identity is a critical problem facing LGBTQ+ people in the United States. In addition, LGBTQ+ people, particularly transgender people, disproportionately suffer from homelessness and face discrimination by homeless shelters on the basis of sexual orientation and gender identity. This homelessness and discrimination both disproportionately affect transgender people of color. This Note makes two contributions that would enable courts to grant meaningful relief in these contexts. First, it argues that “sex” in the Fair Housing Act includes sexual orientation and gender identity after the holding in Bostock v. Clayton County. Second, …

Avoiding Unfavorable Results Of The Favorable Tax Treatment Of Cares Act Withdrawals: An Unexpected Problem, Emily Cokeley, Michelle Freeman

ETSU Faculty Works

No abstract provided.

Rightsizing Chinese Military Lessons From Ukraine, Joel Wuthnow

Strategic Forums

Russia’s failures in the early phases of the 2022 Ukraine conflict, and Ukraine’s successes, have raised questions about the implications for China’s People’s Liberation Army (PLA). U.S. and other foreign analysts have identified several lessons the PLA could learn from the Ukraine conflict that would improve China’s prospects in a future conflict with Taiwan and the United States or potentially with a different regional rival. The PLA has made it frustratingly difficult to answer these questions using direct evidence: several months into the conflict, PLA officers have produced almost nothing detailing their views on the implications of the conflict for …

Valuing Community Engagement Throughout The Faculty Recruitment Process, Lynn Pelco, Derek Miller, Todd R. Lookingbill

Other Publications

Department chairs and search committees play critical roles in recruiting community-engaged scholars to higher education institutions. This report summarizes some of the benefits of hiring community-engaged scholars across disciplines. The report also provides concrete strategies departments can use to both plan and execute a faculty search process that results in the hiring of a community-engaged scholar who brings the skills and experiences needed to succeed in the position and thrive in both the university and community.

Annual Report 2022, Tennessee. Department Of Correction.

Annual Report

No abstract provided.

Statistical Abstract Fiscal Year 2022, Tennessee. Department Of Correction.

Annual Statistical Abstract

No abstract provided.

Creating Broadband Equity In Rural Wisconsin, Brian T. Coe

Marquette Benefits and Social Welfare Law Review

Over 430,000 people throughout the state of Wisconsin cur-rently do not have access to the internet. This "digital divide" is even more prominent in rural communities where broadband is either too slow, too expensive, or simply not available. Wisconsin state law cur-rently restricts local governments from providing this vital utility to their residents. The purpose of this Comment is to help readers un-derstand the impact of Wisconsin law surrounding local government public broadband programs, and how they can be changed to offer a more equitable menu of internet access to rural communities. This Comment will discuss the restrictive statutes that …

No Leave To Grieve: How Misfit Frameworks And America's "Grief Tsunami" Require Better Bereavement Policy, Katherine S. Hanson

Marquette Benefits and Social Welfare Law Review

The COVID-19 pandemic fueled America’s recent death surge: 2021 has become the deadliest year on record in the United States. Scholars and commentators claim that the American workplace re-mains unprepared for the impending “grief tsunami” in the wake of such pervasive loss. Likewise, American law is ill-equipped for workplace grief. Bereavement, while medically “normal,” lacks a substantial foothold in workplace benefits and in the law. Currently, organizations bear the burden of developing their own policies—and where available, these policies remain insufficient to accommodate the myriad logistical and emotional complexities associated with the loss of a loved one. In the event …

Certified Fair Wage®: Utilizing Certification Marks In The Fight Against Wage Theft, Anne E. Parrish

Marquette Benefits and Social Welfare Law Review

This paper argues utilizing certification marks in the fight against wage theft is a powerful consumer-side approach to the wage theft crisis, building public attention, fostering a social norm against wage theft, bolstering current approaches to the crisis, and spurring meaningful political action. Current approaches to the wage theft cri-sis are floundering, and certification marks, a subset of trademarks “used to show . . . goods and[] services . . . meet certain standards,” offer a unique approach to the problem. By highlighting certification marks’ unique attributes, showcasing other labor movements’ suc-cessful adaptation of certification marks, and utilizing a hypothetical …