Digital Commons Network^™

Assumptions, Resources, And Inputs To Case Management: Implications For California’S Regional Center System, Jonathan Flint

Master's Projects

This project adds to knowledge of case management assumptions, resources, and inputs for California’s Regional Center system by surveying members of the Service Access and Equity working group, formed by the Department of Developmental Services (DDS). It recommends development of a logic model to evaluate case management activities because their intended societal impacts are difficult to directly measure. Additionally, it adds to the debate on health equity and racial disparities in Medicaid long-term services and supports (LTSS). In 1969, passage of the Lanterman Developmental Disabilities Services Act (The Lanterman Act) led to the first and still only entitlement to community-based …

Implementation Of A Peer Support Program To Increase Resilience In Nurse Managers In Acute Care Hospitals: A Pilot Study, Juana Castillo

Doctoral Projects

Background: Nurse managers are at risk for experiencing stress and burnout. The peer support program was implemented to increase resilience among nurse managers.
Methods: A one-group pretest and posttest design was employed to examine the impact of peer support on nurse manager resilience. The nurse managers participated in bi-weekly 30-minute peer sessions over 12 weeks. The Connor-Davidson Resilience Scale was utilized prior to and following the intervention along with demographic and satisfaction surveys.
Results: There were six nurse managers who participated in the peer support program; however, only four completed both the pre- and post-survey. The peer support program intervention …

Evaluation Of A Care Management Program On Family Caregivers Of Persons With Dementia, Victoria L. Jackson

Doctoral Projects

Dementia due to Alzheimer’s and other disease is a growing concern for healthcare providers as the number of individuals in the U.S. population ages. Persons with dementia (PWDs) rely on caregivers, primarily family caregivers (FCGs), for basic and instrumental activities of daily living as the disease progresses. There may be negative outcomes, such as depression, strain, and distress for FCGs of PWDs. Routine assessment and intervention by healthcare providers can address needs of FCGs of PWDs. There are multiple interventions that have demonstrated effectiveness in caring for PWDs and FCGs; one such intervention is care management. The University of California, …

Utilization Review And Utilization Of Evidence-Based Guidelines, Rosetta E. Hairston

Doctoral Projects

The quality improvement project focused on determining why utilization review nurses submitted epidural steroid injection treatment requests within evidence-based guidelines to peer review. The study reviewed six months of data from June 2022 through December 2022 to develop a pre-training baseline for the number of epidural steroid injection treatment requests approved by the nurse and approved by peer review. Deming's method for quality improvement was identified as the framework for implementing changes. The UR nurses were provided four weeks of refresher training on applying evidence-based guidelines to epidural steroid injection treatment requests. Post-group training sessions reflected a 91% increase in …

Does The Enhanced Recovery Pathway Decrease Length Of Stay And Readmission Rates In Patients Undergoing Gynecologic Surgery?, Trinh T. Nguyen

Doctoral Projects

The Enhanced Recovery After Surgery (ERAS) pathway promotes an early recovery after surgery using an evidence-based multidisciplinary approach. The ERAS protocol is aimed at standardizing care to improve patient outcomes. There is consistent evidence that ERAS pathways reduce hospital length of stay (LOS) and readmission rates, decrease healthcare costs, and improve patient satisfaction and outcomes. By attenuating the surgical stress response and supporting the return of physiological function, the ERAS pathway achieves its effectiveness. This scholarly project aimed to evaluate how ERAS improves patient outcomes in gynecology patients at a county hospital. A standardized method for improving patient recovery was …

Implementation Of Web-Based Patient Education In Newly Transplanted Kidney Recipients, Tabo Mwikisa-Kelly

Doctoral Projects

Kidney transplantation is the preferred treatment for patients suffering from kidney failure. It is a complex process that is intended to improve one’s quality of life by adhering to a lifelong treatment plan of immunosuppressant therapy. Therefore, it is essential for patients or their caregivers to have adequate knowledge to care for themselves following post-transplant, which can contribute to better patient outcomes. In a metropolitan Bay area hospital in Northern California, the current state of practice involves educating newly transplanted kidney recipients through face-to-face interactions with the patient and handing out a transplant booklet during their initial transplant hospital stay. …

Nurse Practitioner-Led Hepatitis C Virus Education In A Central Valley Opioid Treatment Program, Nikiesha Thomas Redus

Doctoral Projects

Introduction Viral hepatitis has been classified as a worldwide public health threat and it is estimated that 130-150 million people worldwide are infected with viral hepatitis. In the United States, increases in hepatitis C infections can be attributed to intravenous drug use and associated behaviors. Many people who inject drugs are unaware of their serostatus and access to accurate hepatitis C virus (HCV) information and education is limited. However, opioid treatment programs are well positioned to fill hepatitis C services gap among people who inject drugs by providing education, to raise hepatitis C awareness and lead to services and treatment …

Nursing Professional Development Practitioner’S Experience Of Use Of Instructional Design Industry Standards, Denise Renfro

Doctoral Projects

Instructional design (ID) is a critical skill for nursing professional development practitioners (NPDs). Instructional design seeks to solve gaps in knowledge or skill by identifying both the educational issue and the outcomes by designing how to achieve the outcomes. There are complex and advanced instructional design needs for problem solving that requires an educational foundation in instructional design and experience. The purpose of the quality-improvement project was to assess the changes in NPD practitioners’/nurse educators’ adaptation to industry standards for ID pre- and post-implementation of a standardized instructional design model. The Nurse Educator Self-Assessment in Measuring Learning survey was developed …

Examining The Effectiveness Of Physical Activity Patient Education In Improving Hba1c, Nadieh Samiaei

Doctoral Projects

Regular physical activity plays an important role in maintaining good health and managing and reducing HbA1c among type 2 diabetes patients. The goal of this study is to examine the effectiveness of physical activity in reducing the HbA1c among the type 2 diabetes patients of a local community health center in San Leandro, California. A quasi-experimental, pretest-posttest single site design project was conducted among a sample of 24 patients who had type 2 diabetes. The participants were selected to attend regular patient education classes promoting physical activity, diet, and lifestyle change as a measure of controlling diabetes. A paired sample …

Experiences Of Transitioning Medics And Hospital Corpsman, David Renfro

Doctoral Projects

Approximately 2,000 medics transition from military service to civilian jobs annually, and the civilian workforce currently does not have a mechanism to utilize the skills of these transitioning veterans. Medics and Hospital Corpsmen are not licensed or certified, making transferring into employment in the community difficult. The Veterans Affairs (VA) has an intermediate care technician (ICT) program that provides employment for previous active-duty medics and hospital corpsmen. Understanding the transition of medics and hospital corpsmen better positions the Department of Defense and the VA leadership to support the transitioning veteran.
This DNP project used a quality improvement framework, and a …

Standardizing Initial Inpatient Palliative Care Consultations For Patients Receiving Left Ventricular Assist Devices At A Large Urban Hospital, Deborah A. Szeto

Doctoral Projects

For patients with advanced heart failure (HF) ineligible for or awaiting heart transplantation, left ventricular assist device (LVAD) implantation can be considered. LVADs have helped to improve recipients’ survival rates and quality of life. However, LVAD patients are at risk for complications such as stroke, bleeding, infection, and right ventricular failure. Moreover, events such as end-stage malignancy or progression of a neurodegenerative disorder may occur. Such complications and repeated hospitalizations can pose questions about the acceptability of LVAD therapy. As such, both the Centers for Medicare and Medicaid Services and The Joint Commission require that palliative care (PC) be part …

Implementation Of An Online Suicide Prevention Training Program With Undergraduate And Graduate Students At A California State University, Cheryll May P. Villamor

Doctoral Projects

Background: One of the leading causes of death in the college age population is suicide. While colleges provide opportunities in the acquisition of knowledge and skills for future careers; those same opportunities can also bring about challenges that put students at risk for suicide such as: dealing with their mental health issues, finding and maintaining support system, financial costs, and the pressure from ensuring academic success. One of the ways to help student at risk for suicide is by early intervention by connecting them with mental health support system such as crisis counselors. Question, Persuade, and Refer (QPR) is a …

Expanding Labor Support Education To Nurses Caring For Women In Labor, Ana L. Viera-Martinez

Doctoral Projects

The ability to provide emotional and physical support to a patient during one of the most significant moments of her life is a privilege afforded to intrapartum nurses who attend to laboring and delivering mothers. Labor support improves birth outcomes, reduces cesarean birth rates, and decreases anesthesia use. More labor support education needs to be made available to intrapartum nurses. Within the hospital context, this quality improvement (QI) project investigated the effects of educating intrapartum nurses about labor support and providing them with hands-on training. Surveys, including the Self-Efficacy Labor Support Scale, were as given pre- and post-education to evaluate …

Health Promotion Module For Migrant Youth Adults In Obesity Prevention: A Pilot Project, James Chongsu Wong

Doctoral Projects

The obesity epidemic continues to worsen. It is estimated there are over one half billion adults worldwide struggling with obesity. In the United States of America, 42% of the adults and over 15 million children are obese. Obesity leads to a myriad of other chronic diseases such as diabetes mellitus, hypertension, and hyperlipidemia. With an annual spending exceeding 173 billion dollars, obesity not only has a negative impact on quality of life but also a huge economic impact on the health care system.
This quality improvement project utilized 4 educational modules as intervention and measured the mean changes using a …

An Evaluation Of A Structural Competency Training For School Nurses, Rachel J. Torres

Doctoral Projects

The aim of this quality improvement project was to use structural competency as a tool to highlight the broad social, political, and economic structures that influence health and subsequent inequities and disparities. A one group, pre-and post-design quality improvement project was used to determine whether the Structural Competency Working Group curriculum influenced school nurses’ thought processes regarding the factors that influence health outcomes. The curriculum was adapted to a 1.5-hour training and delivered to a group of school nurses from a highly populated and socially, economically, and culturally diverse urban county in northern California. The results showed that after the …

Improving Breastfeeding Rates Through Education, Julianna Youssef

Doctoral Projects

Background: Breastfeeding is beneficial for newborn babies, but there are many challenges that new mothers face that prevent them from exclusively breastfeeding.
Objective: To evaluate if re-educational training in RN’s and LVN’s is an effective way to increase the exclusive breastfeeding rates in the hospital setting.
Methods: We utilized a pretest/post-test quasi-experimental design and had the goal sample size was about 50 nurses. The nurses were given an educational PowerPoint at a monthly staff meeting. Pretests were given to the staff immediately before and posttests two weeks later. Additionally, exclusive breastfeeding rates were monitored for the three months before the …

Speak Up For Hand Hygiene And Decrease Healthcare Associated Infections, Bernadette Priya Pandya-Orozco

Doctoral Projects

Background: Hand hygiene (HH) is one of the most cost-effective and simplest ways to reduce healthcare associated infections (HAIs). Incorporating Speak Up for hand hygiene enables healthcare workers (HCW) to communicate without fear when they observe noncompliance with HH requirements.
Objective: To increase HH compliance by utilizing Agency for Healthcare Research and Quality (AHRQ) TeamSTEPPS education to encourage Speak Up for HH and lead to reduction in HAIs.
Methods: The researcher provided educational training on “Speak Up for Hand Hygiene” and performed regular audits to examine its effects on one hospital unit in a California Bay Area healthcare system. A …

Security And Routing In A Disconnected Delay Tolerant Network, Anirudh Kariyatil Chandakara

Master's Projects

Providing internet access in disaster-affected areas where there is little to no internet connectivity is extremely difficult. This paper proposes an architecture that utilizes existing hardware and mobile applications to enable users to access the Internet while maintaining a high level of security. The system comprises a client application, a transport application, and a server running on the cloud. The client combines data from all supported applications into a single bundle, which is encrypted using an end-to-end encryption technique and sent to the transport. The transport physically moves the bundles to a connected area and forwards them to the server. …

Spartan Price Oracle: A Schelling-Point Based Decentralized Pirce Oracle, Sihan He

Master's Projects

Nakamoto’s Bitcoin is the first decentralized digital cash system that utilizes a blockchain to manage transactions in its peer-to-peer network. The newer generation of blockchain systems, including Ethereum, extend their capabilities to support deployment of smart contracts within their peer-to-peer networks. However, smart contracts cannot acquire data from sources outside the blockchain since the blockchain network is isolated from the outside world. To obtain data from external sources, smart contracts must rely on Oracles, which are agents that bring data from the outside world to a blockchain network. However, guaranteeing that the oracle’s off-chain nodes are trustworthy remains a challenge. …

Enhancing The Security Of Yioop Discussion Board, Prajna Gururaj Puranik

Master's Projects

Yioop is an open-source web portal that serves as a search engine and a discussion board, enabling users to create, join, and share content within groups. Data security is a critical concern for Yioop, as it involves storing and accessing user-generated data and generating statistical data. Yioop has an existing security mechanism in place, but continuous enhancements are needed to protect against potential vulnerabilities and cyber threats.

This project aims to strengthen the security of Yioop by implementing additional security measures that build upon the existing security mechanism. To prevent statistical attacks, this project extends differential privacy to mask the …

Static Taint Analysis Via Type-Checking In Typescript, Abhijn Chadalawada

Master's Projects

With the widespread use of web applications across the globe, and the ad- vancements in web technologies in recent years, these applications have grown more ubiquitous and sophisticated than ever before. Modern web applications face the constant threat of numerous web security risks given their presence on the internet and the massive influx of data from external sources. This paper presents a novel method for analyzing taint through type-checking and applies it to web applications in the context of preventing online security threats. The taint analysis technique is implemented in TypeScript using its built-in type-checking features, and then integrated into …

Nosql Databases In Kubernetes, Parth Sandip Mehta

Master's Projects

With the increasing popularity of deploying applications in containers, Kubernetes (K8s) has become one of the most accepted container orchestration systems. Kubernetes helps maintain containers smoothly and simplifies DevOps with powerful automations. It was originally developed as a tool to manage stateless microservices that run seamlessly in containers. The ephemeral nature of pods, the smallest deployable unit, in Kubernetes was well-aligned with stateless applications since destroying and recreating pods didn’t impact applications. There was a need to provision solutions around stateful workloads like databases so as to take advantage of K8s. This project explores this need, the challenges associated and …

Insecure Deserialization Detection In Python, Aneesh Verma

Master's Projects

The importance of Cyber Security is increasing every single day. From the emergence of new ransomware to major data breaches, the online world is getting dangerous. A multinational non- profit group devoted to online application security is called OWASP, or the Open Web Application Security Project. The OWASP Top 10 is a frequently updated report that highlights the ten most important vulnerabilities to web application security. Among these 10 vulnerabilities, there exists a vulnerability called Software and Data Integrity Failures. A subset of this vulnerability is Insecure Deserialization. An object is transformed into a stream of bytes through the serialization …

Cabg Vs. Pci: Greater Outcomes For Severe Coronary Artery Disease, Haejin Cho

Master's Projects

Coronary artery disease is the leading cause of mortality in the United States. The lifetime probability of developing coronary artery disease after 40 is 40% in men and 32% in women. Cardiac revascularization for patients with complex coronary artery disease is performed commonly. Two common procedures for cardiac revascularization are coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI). The purpose of this systemic review is to compare long-term outcomes of CABG and PCI in patients with severe artery disease. This review concluded that PCI was associated with higher rate of repeat revascularization compared to CABG, but the incidence …

A Roadmap To Safer Hyaluronic Acid Injections, Mandi Lonergan

Master's Projects

Non surgical aesthetic treatments have become increasingly more popular in the United States (2020 Plastic Surgery Statistics Report 2021). Hyaluronic acid (HA) fillers are the second most popular non-surgical aesthetic treatment behind Botulinum toxin injections (The Aesthetic Society, 2021). The increased use of these fillers has led to increased rates of complications With the release of new long lasting fillers in 2014, providers began to see an increase in delayed onset nodules (DON). A DON is considered in the aesthetic field to be a nodule that occurs 30 days to years after filler injection (Convery et al., 2021). A …

On The Memory Scalability Of Spectral Clustering Algorithms, Ran Li

Master's Projects

Spectral clustering has lots of advantages compared to previous more traditional clustering methods, such as k-means and Gaussian Mixture Models (GMM), and is popular since it was introduced. However, there are two major challenges, speed scalability and memory scalability, that impede the wide applications of spectral clustering. The first challenge has been addressed recently by Chen [1] [2] in the special setting of sparse or low dimensional data sets. In this work, we will first review the recent study by Chen that speeds up spectral clustering. Then we will propose three new computational methods for the same special setting of …

Untraining Gender Bias: An Eye-Tracking Study, Ripujit S. Bamrah

Master's Projects

In recent years, social cognitive theory has emphasized the role of cognitive processes in shaping perceptions and behavior related to gender bias. By examining the impact of targeted training interventions, this study seeks to better understand the influence of such processes on decision-making in the context of character selection. This human-computer interaction study explores the potential of intervention-based training to untraining gender bias in character selection. With an increasing need to address gender bias in various domains, understanding the impact of gender-based training becomes crucial. According to our hypothesis, exposure to masculine characters would boost people’s preference for female- intellectualized …

High Performance Distributed File System Based On Blockchain, Ajinkya Rajguru

Master's Projects

Distributed filesystem architectures use commodity hardware to store data on a large scale with maximum consistency and availability. Blockchain makes it possible to store information that can never be tampered with and incentivizes a traditional decentralized storage system. This project aimed to implement a decentralized filesystem that leverages the blockchain to keep a record of all the transactions on it. A conventional filesystem viz. GFS [1] or HDFS [2] uses designated servers owned by their organization to store the data and are governed by a master service. This project aimed at removing a single point of failure and makes use …

Multimap Implementation In Openjdk, Nishant Yadav

Master's Projects

A key-value pair is an elementary data model in which a unique key is associated with a given value. This association between the key and the value allows for a quick lookup of data based on the key and hence is extensively used in programming languages, NoSQL databases, caches, session management, etc. In Java OpenJDK, this elementary data model is implemented by the interface Map, which allows efficient storage and retrieval of data but can only store a single value against each key. In this project, we have implemented a MultiMap data structure in OpenJDK which allows associating multiple values …

The Effects Of Nursing Bedside Shift Report On Patient Safety And Satisfaction: A Systematic Review Of The Literature, Alyssa Wong

Master's Projects

Introduction: Nursing bedside shift report is a recommended strategy to promote the effective exchange of accurate patient information during the handoff process with the goal of decreasing communication errors and adverse patient events. However, adopting this handoff method into nursing practice has been challenging in the clinical setting. This systematic review aims to understand the rationale behind nursing bedside handoff by identifying the advantages and barriers to implementation and exploring how this affects patient safety and experience.
Methods: A systematic review was conducted by searching through electronic databases and Google Scholar to identify English-language peer-reviewed journal articles published between 2012 …