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A Multisample Path Analysis Including A Novel Psychological Indicator, Attitude Toward Life, After The First Wave Of Covid-19, Fan Li, Haiping Gu, Umit Tokac, Kimberly Werner, Anne F. Fish, Qingqing Lou

Nursing Faculty Works

Introduction: During the COVID-19 outbreak, China applied a unique volunteerism system in which nurses and physicians traveled to the epicenter to care for patients. During the same period, another group, nurse and physician nonvolunteers, stayed at their home hospitals outside of the epicenter and cared for patients without COVID-19. Yet only one Chinese study examined psychological responses comparing these groups. Objective: To explore whether relationships among compassion satisfaction, general health, attitude toward life, satisfaction with life, perceived stress, and posttraumatic stress disorder (PTSD) symptomatology differ between volunteers and nonvolunteers. Attitude toward life is examined for the first time in COVID-19 …

The Aimag Project: Using Machine Learning To Predict Crustal Magnetic Anomaly Values, Xavier Gobble, Marlie Mollett, Dr. Dawn King, Dr. Cory Reed, Erin Knese

Undergraduate Research Symposium

A detailed model of the Earth’s total magnetic field is important for acquiring the means for GPS-alternative, magnetic anomaly-based navigation. The Earth’s total magnetic field is an amalgam of 5 mechanisms: the geodynamo generated by the rotation of the Earth’s molten iron core, the fields induced by the flows of electric current in the atmosphere and oceans, the disturbance of the ionosphere by solar wind, and local anomalies attributable to ferromagnetic minerals present in the crust; the lattermost compose the crustal magnetic field. The EMAG2v3 dataset comprises a compilation of satellite, shipborne, and airborne magnetic measurements differenced from the Comprehensive …

Exploring The Early Solar System: Cometary Chemical Fingerprints: A Study Of Comet C/2022 E3 (Ztf) Via Near-Infrared Spectroscopy, Grace Puchalski

Undergraduate Research Symposium

Comets are small, icy remnants from the solar system formation (4.5 billion years ago). Their interior composition should reflect the composition and conditions presented in the mid-plane of the protoplanetary region where (and when) they formed. These small objects predominantly reside in two major reservoirs, the Oort cloud and the Kuiper belt. Comets coming from the Oort cloud have long orbital periods while comets from the Kuiper belt have short orbital periods (< 200 years). An overarching goal in astronomy is to understand the conditions presented in the planetary region in the early solar system. Since comets lack a known mechanism of self internal heating, any processes that have changed their composition should only affect a few meters deep, which is believed to be excavated over a course of a perihelion passage into the inner parts of the solar system. As comets get closer to the Sun, solar irradiation causes their ices to sublime, leaving a formation of a freely expanding atmosphere (coma). Depending on the science interest, astrophysicists use different techniques for data collection, a common one being spectroscopy. Using iSHELL spectrograph at the NASA-Near-Infrared Telescope Facility (IRTF), we examine the primary chemical composition (e.g., H2O, CO, CH4, C2H6, C2H2, H2CO, NH3, CH3OH, OCS, and OH) of cometary coma in bright comet C/2022 E3 (ZTF). Our preliminary results indicate the H2O production rate of ~3.4E28 (molecules per second), which corresponds to the rotational temperature of 86 (K). Cometary atmospheres are dense enough that molecules in the inner coma are thermalized by collision (Local Thermodynamic Equilibrium), thus 86 (K) is a physical parameter of coma. We compared the production of the rest of species with that of water (in %) and our results indicated that comet E3 was typical (close to average) in mixing ratios of all volatile species. By mapping the intensity of light with distance from the nucleus,we were able to examine the spatial distribution of volatiles and dust in E3’s coma which were consistent with production directly from the nucleus.

The Holodomor: Death By Hunger, Marco Spann

Undergraduate Research Symposium

The Holodomor was a man-made famine used by Stalin’s regime against the nation of Ukraine. This deliberate famine was both politically and ethnically motivated for the purpose of progressing the Communist Revolution. Stalin believed there was a growing issue of separatism in Ukraine which threatened the unity of the Soviet Union. Stalin’s regime used collectivization, a system of violent seizure of land, people, and resources, to boost industrialization within the Soviet Union as well as to terrorize Ukrainians into submission. The Soviet Union enacted strict censorship of the Holodomor, setting back conversations on it by decades. The attack on the …

Partial Purification Of Alzheimer’S Amyloid-𝛽 Specific Antibody Using Ammonium Sulfate, Noor Yousaf

Undergraduate Research Symposium

Alzheimer's disease (AD) is the most common neurodegenerative disease. The trigger for AD is the accumulation of amyloid-beta protein (Aβ) as senile plaques in the brain. Prior to forming the fiber-like structures found in the plaques, Aβ undergoes an oligomerization process that produces intermediate structures called protofibrils. Substantial data from the Nichols laboratory demonstrated that soluble Aβ protofibrils were highly inflammatory compared to other forms of Aβ. Based on these findings, a serum polyclonal antibody, named Antibody St. Louis or AbSL, was developed to target Aβ protofibrils. A significant challenge with serum antibodies is the presence of many other biological …

Covid Lockdown Impact On Education: Analyzing Test Scores By State And Age, Angel Watson, Abby Jenson, Hannah White

Undergraduate Research Symposium

The COVID pandemic lockdowns gave rise to profound changes around the world. From remote jobs to mask mandates, the US had to find ways to combat the pandemic. One of these ways was to enact lockdowns where people had to stay home if they were not “non-essential workers” and remain at least 6 feet away in public spaces. Some states implemented longer lockdowns with stricter mask mandates while others had no rigid mandates or lockdowns. This led to the mass shift to remote learning in school around the US. This study examines the relationship between lockdown length in the different …

Cognition And Inflammation In Youth With Perinatal Hiv, Megan Niehaus, Julie Mannarino, Jacob Bolzenius, Tori Frerichs, Robert Paul

Undergraduate Research Symposium

Background: Perinatally acquired HIV (PHIV) remains a major global health challenge. Approximately 90% of the global population of PHIV reside in low- or middle-income countries (LMICs) where access to antiretroviral therapy (ART) remains incomplete, particularly for PHIV. With PHIV, the brain is exposed to the virus during critical periods of brain development without the immunological benefits from ART. Unlike adults with horizontally acquired HIV whose nadir CD4+ Tcell count is a strong correlate of cognitive difficulties that persist after sustained use of ART, cognitive symptoms among PHIV youth are independent of traditional HIV disease metrics. Prior studies indicate that PHIV …

Should California Have Banned Red Dye 3? An Economic Cost-Benefit Analysis, Kaley Ware

Undergraduate Research Symposium

On October 7, 2023, California passed the “California Food Safety Act,” which banned four food additives including Red Dye 3. This research explores whether California made the right decision to ban Red Dye 3 based on an economic Cost-Benefit Analysis. The major costs to California as a whole include the cost to food manufacturers and the cost of implementing the legislation. On the other hand, the major benefits to California residents include the reduced risk of thyroid cancer and fewer ADHD symptoms. After monetizing these costs and benefits, this Cost-Benefit Analysis results in a net gain (net present value) of …

Characterizing Border Associated Macrophages During Spinal Cord Regeneration, Addison Vogt, Dana Shaw, Mayssa Mokalled

Undergraduate Research Symposium

The human central nervous system has limited regenerative ability, with injuries to the spinal cord (SC) often resulting in paralysis. Alternatively, zebrafish have enhanced innate regenerative capacity and regain full motor function following spinal cord injury (SCI). Immune activation following SCI is necessary to provide a permissive environment for tissue repair, but the immune pathways necessary for SC regeneration are not well characterized. In previous data, we have found that while immune activation is persistent into the chronic phases of SCI response in mammals, zebrafish achieve full immune clearance within 48 days post SCI. We hypothesize that one key distinction …

River City Blues: The Quest For Municipal Home Rule & Economic Security In St. Louis, Josef Wibbenmeyer

Undergraduate Research Symposium

The Great Divorce in St. Louis, the separation of the City and County of St. Louis in 1876 is one of the most impactful events in the region’s history. Most people will think of the Great Divorce in simple terms like "The County didn't like the City." or "The City didn't want to pay tax money that went to the County alone." Few, however, go further and ask why. Why didn't the City want to pay taxes to the County? The answer is economics. I found in my research compelling evidence that the City leadership believed that the municipal relationship …

Employment Status & Opioid Use Frequency, Muhammad Mirza, Jake Sauer, Ryan Carpenter

Undergraduate Research Symposium

Previously submitted; simply submitting poster

The Impact Of Hourly Safety Rounding On Pediatric Fall Rates, Natalie Doskal-Poe

Dissertations

The Impact of Hourly Safety Rounding on Pediatric Fall Rates

Abstract

Problem: Falls are a common adverse event in the inpatient pediatric setting and are a significant risk to patient safety. Environmental factors, such as unclear pathways, bed rails down, beds in high position, and call lights out of reach, are considered avoidable causes of patient falls. The site’s fall data in a 12-month period from January 2023 to January 2024 showed (n=9) patient falls occurred with (n=5, 55.6%) due to environmental factors. The purpose of this Quality Improvement (QI) pilot project was to assess the …

Self-Harm In Female Youth With Undiagnosed Adhd: Implementing American Academy Of Pediatrics Screening Guidelines, Roselie M. Woodard

Dissertations

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. If undiagnosed or untreated, ADHD can lead to severe psychosocial issues such as academic failure, substance abuse, unplanned pregnancy, and incarceration. The financial burden in the U.S. from diagnostic errors creates an immense, rising fiscal impact. Early diagnosis and management are crucial to prevent these complications.

Females with ADHD, particularly those with the inattentive subtype, often face diagnostic challenges due to symptom masking and over-compensation. This results in poorer cognitive functioning and self-esteem compared to males with ADHD. ADHD is linked to autonomic nervous …

The Impacts Of Authentic Learning On Student Outcomes, Evan Sheppard, Cameron Conner

Dissertations

This dissertation explores the evolving American education system, emphasizing the role of authentic learning in bridging the gap between schooling and employment, especially in the context of the modern post-pandemic student. Authentic learning, characterized by hands-on activities and real-world applications, is posited as a solution to the skilled labor shortage impacting the economy. This study delves into the history and current practices of authentic learning, examining various programs and strategies implemented in educational settings. Utilizing a phenomenological approach, qualitative data was collected through interviews with recent high school graduates to assess the impact of authentic learning on their post-secondary trajectories. …

Ethical Leadership And Moral Foundations Congruence, Sarah Willey

Dissertations

Research has examined follower perceptions of ethical leadership, but rarely accounts for the (mis)alignment between a follower’s sense of ethics and morality and that of a leader. This research examined the effects of a leader’s expression of each of the five Moral Foundations dimensions on ethical leadership perceptions, moderated by the respondent’s preferences for each of these foundations. To address this question, a policy capturing design was used to manipulate leaders’ high and low levels of each of the five foundations. The results of multilevel analyses indicate that at least for some dimensions of Moral Foundations, a follower’s evaluation of …

Implementation Of Chlorhexidine Gluconate Dressings And The Effect On Bloodstream Infections In Extracorporeal Membrane Oxygenation Patients At A Pediatric Hospital, Kaitlin Vernier

Dissertations

Extracorporeal membrane oxygenation (ECMO) is an advanced lifesaving therapy used for patients with significant cardiorespiratory failure not responding to conventional therapies. The most common and life-threatening complications associated with ECMO are blood stream infections (BSIs). In addition to increased mortality, BSI's increase patient length of stay and cost. Chlorhexidine Gluconate (CHG) is known to be a significant factor in BSI reduction. The purpose of this quality improvement project is to assess the utilization of CHG-impregnated dressings on the incidence of BSI rates in pediatric ECMO patients. The setting was a 40-bed pediatric intensive care unit (PICU) and a 30-bed cardiac …

Interdisciplinary Medication Reconciliation Approach For Arabic-Speaking Patients, Rebecca Rodman

Dissertations

Abstract

Problem: Limited English Proficiency (LEP), which includes Arabic speakers, presents challenges in healthcare and can impact medication reconciliation and adherence. Interdisciplinary collaboration involving patients and interpreters is crucial for improving medication reconciliation and adherence. This project aimed to examine the impact of an interdisciplinary medication reconciliation approach on medication adherence with Arabic-speaking patients ages 18-99 over three months.

Methods: This quality improvement (QI) pilot project utilized a descriptive cohort design. A translated validated Morisky, Green, and Levine (MGL) adherence survey consisting of four questions was administered pre- and post-implementation to a convenience sample of Arabic-speaking patients 18 years …

Wiping Out Central Line Associated-Bloodstream Infections: Cleaning High Touch Surfaces In The Picu, Emily Heth

Dissertations

Problem: Central line-associated bloodstream infections (CLABSIs) are a significant, preventable healthcare-related complication of hospital admission and medical management of critically ill and medically complex patients. CLABSIs result in significant adverse outcomes such as increased morbidity and mortality, prolonged length of stay (LOS) in the intensive care unit (ICU) and in the hospital, increased cost of treatment, and increased rates of readmission. Direct and indirect contact within the patient’s hospital environment are potential means of transmission for microorganisms, increasing the inherent risk of acquiring a CLABSI.

Method: For this quality improvement (QI) project, a pre-post design was utilized to evaluate the …

Improving Mental Health Outcomes For Amputees, Zachary Elmore

Dissertations

Problem: depression, anxiety, and other mental health disorders are more commonly diagnosed in the amputee population related to changes in mobility, activities of daily living, and quality of life (Turner et al., 2020.) As the amputation population is projected to reach over 3 million Americans in the next 25 years, additional screening is imperative to identify patients at high-risk for mental health deterioration (Ziegler-Graham et al., 2018).

Methods: this was a project that included screening all patients with the Personal Health Questionnaire for Depression (PHQ-8) meeting the inclusion criteria of being admitted to 7500 Vascular Surgery at Barnes-Jewish …

Implementing A Brief Intervention For Smoking Cessation In An Inpatient Psychiatric Facility, Erika Gotway

Dissertations

Abstract

Problem: Smoking is a leading cause of various preventable diseases, and those who experience mental illness smoke cigarettes at a higher rate than the general population. Brief intervention is a type counseling that has proven successful in encouraging smokers to quit. The “5 A’s” is a type of brief intervention which stands for: Ask, Advise, Assess, Assist, Arrange. Addressing the smoking epidemic among individuals with mental illness is not only essential for improving their overall well-being, but also for reducing health disparities and enhancing the effectiveness of existing mental health interventions.

Methods: The approach to this project was a …

Implementation Of Home Blood Pressure Monitoring, Sarah Gutzke

Dissertations

Approximately 48.1% of adults in the United States have high blood pressure. Providers may encourage patients to monitor and log their blood pressure at home. Still, patients often fail to bring this information to appointments, leading to reliance on less comprehensive in-office measurements. This quality improvement project aimed to increase adherence to home blood pressure logs using a Blood Pressure Toolkit. A descriptive, observational design was utilized to record patient adherence of taking home blood pressure measurements and increase the number of patients who brought their blood pressure logs to their healthcare provider visits over two months. A convenience sample …

Bridging The Gap: Psychopharmacologic Education And Side Effect Screening For Non-Prescribing Mental Health Professionals, Elaine Fitzgerald

Dissertations

Abstract

Problem: The United States is experiencing a growing demand for pediatric mental health support. Surges in mental health diagnoses and psychotropic medication prescriptions have occurred, compounded by a shortage of psychiatric providers. Non-prescribing mental health professionals are well-positioned to recognize psychotropic medication side effects. However, psychologists and counselors lack formal pharmacology education.

Methods: The quality improvement (QI) initiative was guided by the Plan-Do-Study-Act (PDSA) model. The evidence-based psychopharmacologic education for non-prescribers utilized a quasi-experimental pre- and post- test design. Data collected from clinicians included knowledge, confidence, and skill concerning psychotropic medications. The Psychotropic Medication Monitoring Checklist (PMMC) screen clients …

Neonatal Hyperbilirubinemia And Phototherapy: The Implementation Of Seminal Clinical Practice Guidelines, Christina Coleman

Dissertations

Problem: On a postpartum care and pediatric unit from February 2022 to December 2023, the average monthly percentage of neonatal patients greater than 35 weeks gestation with hyperbilirubinemia who were treated with phototherapy before it was medically supported by the current guidelines was 42.855% (N=668). The department’s goal was to decrease this number to 10%. Initiation of phototherapy with a subthreshold bilirubin level exposes many infants to an unnecessary treatment modality which can prolong the infant’s length of stay in the hospital and can be associated with adverse effects, such as maternal-infant bonding and breastfeeding rates.

Methods: The …

A Guideline-Based Approach To Increase Early Mobilization In The Pediatric Patient Following Cardiothoracic Surgery, Kayla Keeven

Dissertations

A Guideline-Based Approach to Increase Early Mobilization in the Pediatric Patient Following Cardiothoracic Surgery

Problem: Prolonged bedrest during the post-operative period contributes to complications that lengthen hospital stay and increase mortality and medical costs. Early mobilization is recognized as safe and feasible in critically ill children. However, there is no standardized procedure nor method of identifying patients who are safe to mobilize in a pediatric cardiac intensive care unit (ICU).

Method: The quality improvement (QI) project employed a descriptive observational design utilizing a retrospective-prospective method to assess the effects of implementing an early mobilization guideline in a pediatric cardiac ICU. …

Management Of Post-Extubation Dysphagia Using The Yale Swallow Protocol, Nicole West

Dissertations

Abstract

Problem: Post extubation dysphagia (PED) increases the patient’s risk for long term complications contributing to increased healthcare cost. Intensive care settings rarely use standardized swallow screening assessments for patients post extubation leading to variation in the evaluation of PED. Variation in the assessment of swallowing post extubation can lead to the missed diagnosis of patients with dysphagia.

Methods: This quality improvement (QI) project was a prospective cohort study implementing an evidence-based swallow screening protocol, the Yale Swallow Protocol (YSP), in an intensive care unit. This study was conducted over four months, which included a pre survey, education, implementation, and …

Improving Identification Of Complicated Alcohol Withdrawal Syndrome Using The Prediction Of Alcohol Withdrawal Severity Scale, Kristin Hagopian

Dissertations

Problem: Individuals who drink alcohol excessively are at great risk for alcohol withdrawal syndrome (AWS) when hospitalized. Symptoms and their severity differ for everyone, and research shows that the identification and treatment of AWS is challenging and often inadequate. Mild AWS is often overtreated, while moderate to severe AWS is often underdiagnosed and undertreated, placing individuals at risk for longer hospital stays, more time needed in critical care units, and a variety of unintended consequences.

Methods: This evidence-based practice project had a pre-post intervention design in which the Prediction of Alcohol Withdrawal Severity Scale (PAWSS) was implemented to promptly identify …

360 Degree Clinical Competence Evaluation For Pediatric Hospitalist Advance Practice Provders, Elizabeth A. Schickler

Dissertations

Problem: Advanced practice provider (APP) peer reviewed clinical competencies is an expected part of professional, organizational, and The Joint Commission (Joint Commission) requirements, however, is not well defined and subject to organizational application and interpretation. Providers favor peer review as a means to improve professional practice. There is a lack of data to support frequency of feedback and method of feedback to support readiness to change practice and comfort giving and receiving feedback.

Methods: The quality improvement project utilized an analytical experimental design.

The Cardin Hospitalist Advanced Practice Provider - Readiness Assessment (CHAPP-RA) tool was implemented to a convenience sample …

Restraint Reduction Using The Brøset Violence Checklist, Deanna Kappelmann

Dissertations

Abstract

Problem: Patient aggression, restraint usage and assaults against healthcare workers have numerous negative health outcomes. Patient aggression and restraint usage on inpatient psychiatric units can be identified early with imminent violence predicative tools such as the Brøset Violence Checklist (BVC), where patient de-escalation interventions can subsequently occur.

Methods: This quality improvement project was conducted using a cohort design with a retrospective and prospective chart review. The IHI PDSA model was used for this project. The BVC was administered to male and female patients ages 18 to 64 years old on the adult inpatient psychiatric unit during the implementation period. …

Depression Screening And Education For Immigrants To Increase Access To Care, Viktoriya Ivantsova

Dissertations

Abstract

Problem: Immigrants are at risk for developing mental health disorders due to multiple factors including social, cultural, or economic factors. This can result in a lower quality of life and an increased chance of further disabilities. Although immigrants are at increased risk for the development of mental health disorders, studies show that utilization of available services and resources are low. Additionally, organizations that provide services to immigrants may not be implementing screening and psychoeducation.

Methods: This quality improvement (QI) project followed a descriptive, observational design along with an educational intervention. Using convenience sampling for recruitment, Russian and/or Ukrainian adults …

Developing Expertise And Multiculturally Informed Supervision Practices, Mary Martha Abernathy

Dissertations

The American Counseling Association (Media Kit, 2023) records state that 62% of their membership is made up of master’s level clinicians, with 18.92% holding a doctorate and another 5.07% enrolled in a doctoral program. Membership is largely skewed toward master’s level professionals and only 7.44% of ACA members report working in a counselor education setting (Media Kit, 2023). However, most research regarding supervision is based on supervisors practicing in an academic setting (Cook et al., 2018; Jones et al., 2019; Kemer et al., 2014; Kemer et al., 2017; Kemer, 2020). The objective of these studies is to understand how master’s …