27392 research outputs found
Sort by
Sustainability In Global Shrimp Supply Chains
No full textThis chapter explores sustainability challenges within the global shrimp supply chain, comparing the environmental impacts of wild-caught shrimp trawling and shrimp aquaculture. While trawling has historically met global demand, its high levels of bycatch and damage to marine ecosystems make it increasingly incompatible with modern environmental standards. In response, aquaculture now supplies more than half of global shrimp production and is becoming a preferred sourcing option for major buyers.
From a supply-chain perspective, the chapter examines how trade dependence, regulatory pressure, and ESG commitments are shifting procurement strategies toward farmed shrimp. Using examples from large retailers, it shows how buyer-driven standards can influence upstream production practices. The chapter concludes that while aquaculture carries its own risks, stronger governance, certification, and long-term sourcing partnerships position it as the most viable pathway toward a more sustainable and resilient shrimp supply chain
Examining Readiness for Patients and Their Companions to Transfer From Hospitals to Skilled Nursing Facilities in Saudi Arabia
No full textAbstract
Purpose/Aim: This study assessed the readiness of chronically ill patients in Saudi Arabia for transfer from hospitals to skilled nursing facilities (SNFs). It aimed to identify factors that influence this readiness and provide suggestions for making transitions easier.
Background: Maintaining chronic patients\u27 ability to transition from hospitals to SNFs is critical for healthcare continuity and quality. However, patients\u27 preparedness for this transition may vary by various factors, including clinical status, caregiver support, and demographics.
Conceptual Framework: This study is based on Meleis\u27s Transitional Theory, which highlights the significance of understanding the processes and factors that affect transitions in healthcare environments. This framework is especially pertinent for analyzing the transfer of patients with chronic illnesses from hospitals to SNFs in Saudi Arabia.
Methods: A descriptive correlational cross-sectional design was employed. A convenience sample of 123 chronic patients and their companions (families) in hospitals was recruited and enrolled in Saudi Arabia hospitals. After providing informed consent, participants completed surveys that included standardized measures to assess chronic patients\u27 readiness to transition from hospitals to SNFs. The study utilized descriptive and inferential statistical analyses to evaluate variables such as sociodemographic characteristics, clinical profiles, caregiver support, and perceived barriers to transition.
Findings: Education, income, chronic illness, self-rated health, and caregiver preparedness significantly predicted readiness to transfer patients from hospitals to SNFs in Saudi Arabia. Education level, income, and self-reported health predicted greater readiness; caregiver involvement positively influenced transition quality. Length of stay, age, and sex made no difference. The findings underscore the importance of interventions to improve caregiver training, financial support, health literacy, and standardizing discharge planning to improve patient transitions.
Implications: Policy interventions are needed to help the patient transition from hospital to SNFs in Saudi Arabia. The most common recommendations addressed improving caregiver education, financial support resources, resource allocation using a standardized discharge planning process, and caregiver training programs promoting preparedness. In line with Saudi Arabia\u27s Vision 2030, these measures are intended to create patient-centered care, create fewer obstacles to readiness, and improve overall healthcare outcomes
Sixty-Eighth Conferral of Law Degrees
Get PDFEach year, USD educates approximately 840 Juris Doctor and graduate law students from throughout the United States and around the world. The law school is best known for its offerings in the areas of business and corporate law, constitutional law, intellectual property, international and comparative law, public interest law, environmental law, and taxation. USD School of Law is one of the 88 law schools elected to the Order of the Coif, a national honor society for law school graduates. The law school’s faculty is a strong group of outstanding scholars and teachers with national and international reputations and currently ranks 34th nationally among U.S. law faculties in scholarly impact and 55th nationally in past-year faculty downloads on the Social Sciences Research Network (SSRN). The school is accredited by the American Bar Association and is a member of the Association of American Law Schools. Founded in 1954, the law school is part of the University of San Diego, a private, independent, Roman Catholic university chartered in 1949
Sixty-Sixth Graduate Commencement
Get PDFClass of 2025 Graduate I Ceremony
School of Leadership and Education Sciences and Professional and Continuing Education
Sunday, May 18, 2025, 9 a.m.
Class of 2025 Graduate II Ceremony College of Arts and Sciences, Hahn School of Nursing and Health Science, Joan B. Kroc School of Peace Studies, Knauss School of Business and Shiley-Marcos School of Engineering
Saturday, May 24, 2025, 9 a.m
Policy Proposal for Integrating Pediatric Mental Health into Nursing Practice in Uganda
Get PDFAbstract
Background: Mental health disorders affect over 1 in 7 individuals aged 10 to 19 globally. In low- and middle-income countries like Uganda, limited access to mental health specialists and pervasive stigma exacerbate the gap in care. Nurses, often the first point of contact, typically lack adequate pediatric mental health training. The proposal aims to address this gap by equipping nurses with the knowledge and competencies to identify, intervene, and support children with mental health disorders. Purpose: This proposal advocates for implementing targeted, continuing education in pediatric mental health for Ugandan nurses. The goal is to enhance the quality of care, alleviate the burden on specialized mental health services, and create a more supportive healthcare environment. Methods: Consultations with stakeholders, identified critical knowledge gaps, cultural beliefs, and systemic challenges. The evidence-based curriculum will focus on early identification and intervention, delivered in accessible formats using local and international expertise. Intervention: The proposal draws on global best practices to enhance nurses’ competencies in symptom identification and psychosocial support. It integrates culturally sensitive approaches aimed at reducing stigma and strengthening Uganda’s mental health system. Results: The program will assess improvements in nurses’ knowledge, behavior, and patient care using tools such as Kirkpatrick’s four-level model and the Mental Health Knowledge Questionnaire (MHKQ). Expected outcomes include improved assessment and management of pediatric mental health disorders. Conclusion: Integrating targeted pediatric mental health education into nursing practice in Uganda is both essential and strategic. Culturally relevant, evidence-based training can improve care delivery, reduce stigma, and contribute to strengthening Uganda’s healthcare infrastructure.
8 Keywords: pediatric mental health, nursing education, Uganda, low-resource settings, mental health training, health policy, RE-AIM framework, stigma, mental health intervention, community healthcare, evidence-based practice, nurses\u27 trainin
Implementation of One Key Question® Screening Tool to Increase Reproductive Life Planning at a Community Health Clinic
No full textIntroduction: This evidence-based practice project implemented and evaluated the One Key Question® (OKQ) screening tool to improve pregnancy intention screening and reproductive health counseling in primary care. The goal was to better identify reproductive health needs among women of reproductive age and enhance provider engagement in preconception and contraceptive counseling.
Background: Nearly half of all pregnancies in the U.S. are unintended, and many women do not receive timely reproductive health counseling. Despite national recommendations, pregnancy intention screening is often missed in primary care. Early identification of reproductive goals supports better outcomes through tailored education, contraception, or preconception care. OKQ is a validated, patient-centered tool designed to normalize and guide these conversations.
Methods: This quality improvement project took place at a Federally Qualified Health Center in Southern California using a pre-post-intervention design. Medical assistants administered a paper-based OKQ screening during annual physicals, and providers used responses to guide counseling. Data were collected from electronic health records before and after implementation.
Results: Before implementation, 37% of patients were screened for pregnancy intention and 37% received counseling. After implementation, 100% were screened and 68% received counseling, reflecting a 31% improvement. This increase was statistically significant (p = 0.031). Follow-up scheduling improved by 17%, though not statistically significant (p = 0.245).
Evaluation: The project significantly improved reproductive health screening and counseling. OKQ was successfully integrated into routine care with minimal disruption. Ongoing efforts should focus on expanding staff involvement, integrating the tool into the electronic health record, and applying screening to all visit types
Painting the Other: Mary Cassatt\u27s Spanish Portraits and the Feminine Gaze
Get PDFThe historical viewing of women artists, in conjunction with Mary Cassatt’s biography and later depictions of women and children, suggests that Cassatt\u27s gender is identified within the art historical canon as an essential component to the interpretation of her work. The language attached to Cassatt\u27s work is most often taken from discourses surrounding female-produced artwork of the nineteenth century, attaching passive and stereotypically feminine attributes like \u27delicate,\u27 \u27light,\u27 and \u27tender\u27 to the style, composition, and subjects of her works. These characteristics were among the accepted nineteenth-century descriptions of artworks, with inherent femininity translating to inherent domesticity.
Rather than further reducing Mary Cassatt to an artist representing women of her own social class, I argue that her gender and class intersect in more complex ways that shape her approach to both subject matter and representation. This complexity is evident in her early Spanish portraits After the Bullfight (1873) [Figure 1], The Flirtation: Aa Balcony in Seville (1872) [Figure 2], and Offering the Panal to the Bullfighter (1872) [Figure 3]. In these works, her subjects engage in relational dynamics that extend beyond the traditional maternal motif most often associated with her work, revealing broader social themes of gender expectations, societal structures and authority within male-to-female relationships.
With consideration towards intervening on the wider narrative of Impressionist art history, this thesis aims to view Mary Cassatt\u27s work through an expanded lens that reaches beyond the existing analysis most commonly associated with her portraiture. By examining her earlier, far less popularized portraits featuring male figures, I seek to show how Cassatt offers a different depiction of relationship in the form of masculine and feminine interaction, straying away from her often attributed sentimental aspects towards a bolder and sensuous presentation of her art. Having received formal art education in America before traveling across Europe and ultimately settling in Paris, Cassatt’s status as part of both the American and European bourgeoisie granted her the power to observe members of the lower class and elaborate her observations in a way that diverged from typical upper-class behaviors of nineteenth-century Europe.
To further understand Cassatt\u27s early Spanish works and their place within the Impressionist canon, I will employ theory from feminist art historical and theoretical frameworks, including those articulated by Griselda Pollock, Linda Nochlin, and Tamar Garb, with analysis that is rooted in sustained relooking. The body of this research will examine the three aforementioned portraits done by Cassatt during her stay in Seville, Spain from 1872-1873, that reflect a nuanced negotiation of class and gender, and which manifests apart from her canonization in depictions of the mother and child
