Digital Commons Network^™

Annual Report Salisbury, New Hampshire 2023., Salisbury Town Representatives

Salisbury, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Exploring Lexical Stress Perception: An Investigation Across Varied Listener Experience With Prosody, Olivia J. Pride

Honors Theses and Capstones

Prosody is a characteristic of speech that allows others to understand emotion, emphasis, and meaning of language more deeply. Perceptual accuracy by speech-language pathologists is critical to diagnosing speech disorders. This study examined perceptual abilities of three different groups in identifying lexical stress across groups. Four SLPs, 6 SLP graduate students, and 6 untrained listeners listened to 396 audio files elicited in a prior study using the lexical stress tasks from the Prosodic Profiling Elements of Prosody in Speech-Communication (PEPS-C) and the naturalistic lexical stress (NLS) tasks. Listeners were asked if syllable stress was on the first syllable, second syllable, …

Consumer Preference In Politics: Polarization In The Us Two-Party System, Jocelyne Y. Bisson

Honors Theses and Capstones

This paper uses marketing analytics to analyze the current segmentation and positioning of the US two-party political system. In the literature review, the political parties will be illustrated as they exist in 2024 after a brief historical outline beginning with party politics post WWII. The current 2024 platforms and most polarizing issues will also be outlined in this section. This research aims to answer the following questions. Can marketing segmentation and positioning reveal the most and least polarizing party issues in the United States today? How do current presidential front runners fit into the larger US two-party system? Do their …

Nursing Education And Comfort Level In Caring For Patients With Eating Disorders, Jaylyn E. Jewell

Honors Theses and Capstones

Nurses are integral to providing care to patients with eating disorders, who often present to the generalized hospital setting related to physical complications from their disorder. Despite the vital role nurses play, a lack of education is cited. This project sought to assess knowledge on eating disorders of nurses at a local hospital through dissemination of a survey. A total of n=18 responses were gathered. Results supported the fact that many nurses have received inadequate education on eating disorders, and consequently have low knowledge and competency in the care of these patients. This project seeks to identify this lack of …

Investigating The Relationship Between Politics And Education, Alaina M. Winrow

Honors Theses and Capstones

This paper looks into how politics plays a role in the public K-12 education system in the United States, specifically looking at the state of New Hampshire. Federal, state, and local governments provide important resources through funding to schools and create the laws that govern them. However, educational politics can be controversial at times. Within the past several years, there have been more tense school board meetings and divisive laws being passed or considered around the nation. Overall, the divisive political climate has influenced much of the discussion surrounding education and has created more stress for educators, administrators, school staff, …

Judging Our New Judges: Why We Must Remove Artificial Intelligence From Our Courtrooms Now, Kieran Duffy Newcomb

Honors Theses and Capstones

In this paper, I explore some of the ways in which artificial intelligence might enhance the sentencing process through recidivism prediction technology. Notably, this technology can increase the accuracy of risk predictions and the speed with which sentencing decisions are reached. I then show, however, that the recidivism prediction technology is likely to turn into what data scientist Cathy O’Neil calls a Weapon of Math Destruction. The potential harmfulness of this technology is due not to the inherent nature of the technology, but the symbiotic relationship it will have with our already harmful criminal justice system. I argue that the …

Social Workers In Human Resources, Alexandra H. Pogany

Honors Theses and Capstones

No abstract provided.

Artificial Intelligence And The Entertainment Industry, Caroline Rae Mccarthy

Honors Theses and Capstones

Artificial intelligence is a fast-growing technology that is quickly taking over many industries, such as the entertainment industry. Artificial intelligence has the capability to replicate voices, create fake videos and photos, called deepfakes, of just about anything, and can practically bring people back to life. This technology, as it stands now, is similar to the wild west because in the vast majority of places, it’s lawless. Artificial intelligence is growing so rapidly that lawmakers haven’t had a chance to keep up. This paper explains more of what AI does in everyday life, and how its abilities can impact the entertainment …

Prospective Associations Of Fish Consumption In Cognitive Function And Depressive Symptoms Among Puerto Rican Adults, Johanna Grace Koroma

Honors Theses and Capstones

Johanna Koroma, Anne Bodenrader, and Sherman Bigornia

Objectives

Fish intake has been linked to certain neural benefits, specifically in slowing cognitive decline and attenuating depressive symptoms. However, existing evidence is conflicting and insufficient. The present study aimed to investigate the association of fish consumption with depressive symptoms and cognitive function among Puerto Rican adults.

Methods

Data is acquired from the Boston Puerto Rican Health Study, comprised of 1517 adults residing in the Boston Metro Area. Dietary patterns were evaluated using a validated food frequency questionnaire (FFQ) with follow-up surveys conducted 2 years from baseline. Consumption was organized into quartiles based …

The Influence Of Drd2 Polymorphism Exon 8 C/T (Rs6276) On Manifestations Of Delirium Tremens & Alcohol Withdrawal Seizures, Naomi Schneider

Honors Theses and Capstones

This study explores the correlation between the DRD2 Polymorphism exon 8 C/T (rs6276) and manifestations of delirium tremens (DT). DT is a condition that is clinically diagnosed utilizing two characteristic symptom manifestations: the presence of delirium and severe alcohol withdrawal. It is not entirely understood why DT can occur in some patients, but evidence has suggested that genetic predisposition can play a role. Utilizing the National Institutes of Health (NIH) All of Us Research database and performing a secondary analysis of existing genomic data, this candidate gene association study aims to determine the genotype frequencies within three cohorts: a healthy …

Who Is "Women's Health" For? Lgbtq+ Inclusion In Sexual And Reproductive Health Care, Evan Thomas England

Doctoral Dissertations

Throughout modern Western history, access to fully affirming and supportive sexual and reproductive health care (SRH) has been denied to most women and sexual and gender minorities. Also, as demonstrated by the ubiquity of the term “women’s health,” SRH often reflects a cisgender heterosexual (cishet) women-centered approach, alienating transgender, non-binary, gender nonconforming, and sexual minority individuals who are not cishet women but are in equal need of the same life-saving screenings, treatments, and counseling services. Due to the operationalization and reproduction of gendered ideologies and unequal social hierarchies within SRH, inadequate access to quality sexual health education for youth, and …

Sepsis Screening And Bundle Adherence: Staff Education As An Intervention To Increase Knowledge In A Medical Surgical Clinical Microsystem, Nicole Elise Maheu

Master's Theses and Capstones

Background: Sepsis-related deaths outnumber those caused by opioids, breast cancer, and prostate cancer combined (Nguyen, 2020). Sepsis places a significant health burden and cost burden on both an individual and a systemic level, emphasizing the need for proper care of the sepsis patient in all inpatient settings.

Local Problem: Within a medical-surgical microsystem, it was found that care of the sepsis patient was inadequate. A pre-intervention survey was conducted which demonstrated a lack in knowledge of the inpatient sepsis workflow, including use of the sepsis best practice advisory (BPA) within EPIC® and the sepsis bundle of care. Additionally, according to …

Utilizing Health Literacy Universal Precautions And The Teach-Back Method To Improve Hospitalized Patients' Experience With Medication Education: A Quality Improvement Project, Kathleen Meyer

DNP Scholarly Projects

BACKGROUND: Patients, especially the elderly, are at high risk for post hospital complications related to poor medication adherence. Addressing health and medication literacy limitations during their inpatient encounter closes critical gaps in a patient’s understanding of their medication regimen. The project goal was to improve the patient experience related to communication about medicines during their inpatient encounter. The intervention implemented was the introduction of health literacy universal precaution concepts and teach-back methodology for medication education.

METHODS: Interdisciplinary educational sessions were created and implemented for nurses, hospitalists, and respiratory therapists. Additionally, at the elbow support was provided throughout the implementation phase …

The Multidisciplinary Approach To The Development Of Quality Clinical Practice Guidelines: Piloting Management Of The Patient Requiring Inhaled Nitric Oxide For Acute Pulmonary Hypertension In The Neonatal Intensive Care Unit, Amanda Koennecke

DNP Scholarly Projects

BACKGROUND: Clinical practice guidelines communicate recommendations to health care professionals. Poor quality guidelines decrease compliance, foster differences in practice, discordance with resources, and compound inequity in healthcare. The goal of this project was to develop a clinical practice guideline and chronicle the process. The intervention implemented was the creation of a clinical practice guideline with a family integrated and equity endorsing approach.

METHODS: A multidisciplinary team was formed and worked collaboratively to write a clinical practice guideline for inhaled nitric oxide for the management of acute pulmonary hypertension in neonates. The guideline was evaluated using the AGREE II instrument and …

Reducing Wait Times In The Medical Clinic Of The Homeless Intake Center: A Quality Improvement Project, Otuodichinma Christy Nwankpa, Otuodichinma Christy Nwankpa

DNP Scholarly Projects

Background: Homelessness in the U.S. is a critical issue, with New York City experiencing significant challenges due to an increasing number of families requiring shelter. The Department of Homeless Services (DHS-NYC) faces operational inefficiencies, particularly in the medical clinic at the intake center, leading to prolonged wait times.

Local Problem: Families with children experience long wait times in the DHS-NYC medical clinic, which impacts their overall health and well-being. Reducing these wait times is essential for improving service delivery and families satisfaction.

Purpose:

This quality improvement project aims to reduce wait times for families with children at the medical clinic …

Assessing Barriers And Facilitators To School Nurse Recommendations Of Human Papillomavirus Vaccination, Amy E. Dark

DNP Scholarly Projects

Background Vaccine hesitancy among students and caregivers is a pervasive challenge for educational leadership and school health staff, leaving the school community at risk for vaccine preventable disease. The human papillomavirus (HPV) vaccine is an underutilized primary prevention strategy against six HPV related cancers.

Purpose The purpose of this quality improvement (QI) project was to measure the effect of an evidence-based educational intervention and facilitated role play on the knowledge and confidence of school nurses (SNs) when discussing HPV vaccination.

Methods This QI project was performed using a brief educational presentation with facilitated role play and a pre/post survey design. …

Implementation Of An Electronic New Patient Intake Questionnaire (E-Npiq) In A Child Development Clinic: A Quality Improvement Project, Wilma Hyde

DNP Scholarly Projects

BACKGROUND: A rural academic medical center child development clinic in New Hampshire experienced high volumes and inefficient workflows, causing delays in care. With a referral rate at 5-fold capacity, the need to create an efficient intake process that allowed for triage and data collection was apparent.

PURPOSE: Institute an integrated electronic new patient intake questionnaire (e-NPIQ) to improve work efficiency.

METHODS: A literature review on barriers and enablers for patient uptake of electronic questionnaires guided best practices for workflow redesign. The project instituted an integrated e-NPIQ while simultaneously creating a standardized new patient intake process. A mixed methods approach analyzed …

The Lighthouse Keepers Daughter: The Life And Work Of Celia Laighton Thaxter, Haley J. Parker

Honors Theses and Capstones

Living on the edge of the American empire, Celia Thaxter explored the dimensions of her life in ways that transcended, yet never fully abandoned traditional gender boundaries by cultivating her lifelong relationship with nature through creative expression. The lighthouse keeper's daughter constructed her identity based on the experiences that shaped her on the very edge of civilization. Coming of age on the Isles of Shoals, Celia reveled in flexibility and unrestricted freedom of her natural environment isolated from the cultural spheres on the mainland that reinforced the ideology of domestic femininity. This ideology was dominant in the 19th century in …

Developing A Gender Diverse Stimulus Set For Emotion Expressions, Amir Robertson

Honors Theses and Capstones

Much past research has demonstrated that gender plays an important role in emotion perception, such that gendered stereotypes about emotion seem to shape how we perceive and interpret the emotion expressions of men and women. However, the stimulus sets that are typically used in the vast majority of this research have been based on binary ideas of gender, and purposefully limit common elements of gender presentation, with models posing with limited accessories or personal aesthetic choices. In everyday life, however, individuals’ gender and gender presentation are not limited in these ways and likely contribute in important ways to how we …

Olli Spring 2024 Catalog, Toniann Leavitt

Osher Lifelong Learning Institute

No abstract provided.

‘Routines’ And ‘Formulaic Language’ In Conversation Analysis (Author's Extended Data), Danielle M. Pillet-Shore

Faculty Publications

Though the field of conversation analysis (CA) was founded upon examinations of interactional “routines” such as conversation openings and closings, conceptualizing and categorizing communicative phenomena as “formulaic” is anathema to CA. This chapter details how, since its inception, CA work has empirically elucidated how participants to recorded episodes of naturally occurring social interaction actively and collaboratively accomplish conversational activities as ‘routine’ or not by selecting from available action alternatives, spontaneously coordinating their selections vis-à-vis one another. Taking a multimodal CA approach, this chapter reviews state-of-the art literature on how people open and close in-person and telephone conversations, showing the immense …

Neurodiversity In Workplace, Jacqueline L. Zindell

M.S. in Leadership

This research paper explores the intricate relationships between neurodiverse and neurotypical individuals within the workplace. Through an exploration of the literature, the research focuses on the specific challenges faced by neurodiverse individuals, including those with conditions such as autism, attention-deficit/hyperactivity disorder (ADHD), and dyslexia. The topic of neurodiversity will provide support to leaders in navigating interactions with neurodiverse individuals and fostering inclusivity in the workplace. This research serves as a foundational step towards creating a toolbox for the workplace. A survey was conducted using Survey Monkey to gauge respondents' familiarity with the concept of Neurodiversity and to identify effective strategies …

United States V. Sioux Nation Of Indians: A History Of Indigenous Diplomacy In The Black Hills, Elliott Lelaure

Master's Theses and Capstones

This thesis traces the history of Sioux-American competition for the Black Hills region of South Dakota from the Lakota’s discovery of the mountains in 1776 to the aftermath of United States v. Sioux Nation of Indians, a landmark 1980 Supreme Court case that awarded financial compensation to the tribes for the unconstitutional seizure of sacred lands. It argues that treaty negotiations in the nineteenth century – and attempts to resolve treaty-based disputes in the twentieth – testify to an international quality in the Sioux-American relationship. Far from passive victims of American expansion, it shows that Lakotas have consistently developed, debated, …

The Economic Impacts Of Digital Nomads In Medellin, Colombia, Bernadette Patricia Farmer

Honors Theses and Capstones

As a result of increasing internet accessibility and the rise in popularity and possibility of remote work following the COVID-19 pandemic, workers from advanced economies have applied the work-from-home routine while visiting different countries. These destination cities have lower living costs and remote workers can experience increased purchasing power and new cultures. To fully take advantage of their professional autonomy, these workers, known as digital nomads, stay in each international location for one to three months before traveling elsewhere – conveying their propensity for nomadism. Digital nomads (hereafter referred to as DNs) have economic impacts on their host cities in …

Improving Patient Safety And Continuity Of Care By Educating Nurses About Standardized Handoffs In The Post-Anesthesia Care Unit: A Quality Improvement Project, Remi Dos Santos

Master's Theses and Capstones

Background: Effective communication during patient handoffs is crucial for ensuring patient safety and continuity of care. The I-PASS handoff tool has been identified as an effective method to standardize communication and reduce errors during these critical transitions.

Local Problem: In the Post-Anesthesia Care Unit (PACU) of a hospital in New England, the lack of standardized procedures for nurse handoffs posed a risk to patient safety and care quality.

Methods: A quality improvement project was conducted using the Plan-Do-Study-Act (PDSA) cycle to implement and evaluate an educational intervention aimed at improving PACU nurses' proficiency with the I-PASS handoff tool. Pre- and …

Increasing Patient Awareness About Fall Risk Through Patient Education Pamphlets On A Medical-Surgical Floor: A Quality Improvement Project, Nicole Madden

Master's Theses and Capstones

Introduction At a nonprofit hospital located in New Hampshire, a thorough 5P Assessment was executed to identify the root cause behind an increase in falls occurring on a medical-surgical floor. Subsequently, a comprehensive quality improvement initiative was launched with the dual goals of minimizing falls and enhancing patients' awareness regarding their susceptibility to experiencing a fall during their length of stay. Patient falls are the most common adverse events reported in hospitals and are considered a sentinel event (LeLaurin & Shorr, 2019). Hospitals need to adopt a multifaceted approach to minimize the risk of patients experiencing falls during their inpatient …

Improve Dysphagia Screening In Patients With Neurological Conditions Through Education: A Quality Improvement Project, Kendra Mcintosh

Master's Theses and Capstones

Background: A macrosystem in Southern Massachusetts faces challenges in patients with neurological conditions recieveing a dysphagia screening prior to anything enter the patients mouth in the Emergency Room.

Local Problem: The educational gap identified in Registered Nurses regarding the frequency of screening being completed and the knowledge of the indications for a dysphagia screening.

Methods: Using the Plan-Do-Study-Act model, an educational intervention was implemented. An educational poster was displayed in the microsystem. Data was collected pre-and post-intervention through a survey to measure change.

Interventions: The educational poster was displayed in high-traffic areas of the microsystem. This educational poster included …

Enhancing Chest Pain And Oxygen Supplementation Protocol Adherence Through Nurse Education In The Emergency Department For Patients With Acute Coronary Syndrome And Unspecified Chest Pain: A Quality Improvement Project, Leah Gamble

Master's Theses and Capstones

Abstract Background: Acute Coronary Syndrome (ACS) and unspecified chest pain are common presentations in the Emergency Department (ED). Proper management, including appropriate oxygen supplementation, is crucial for optimal patient outcomes. However, discrepancies between current practice and evidence-based guidelines have been identified, highlighting a need for targeted educational interventions.

Local Problem: In the ED, knowledge gaps among nurses regarding the correct administration of supplemental oxygen for patients with ACS and unspecified chest pain have been observed. This inconsistency with the American Heart Association (AHA) and American College of Cardiology (ACC) guidelines may lead to poor patient outcomes.

Methods: The Plan-Do-Study-Act (PDSA) …

Enhancing Postpartum Depression Screening Tools To Improve Maternal Mental Health Outcomes: A Quality Improvement Initiative, Jillian Squires

Master's Theses and Capstones

Abstract

BACKGROUND:

Postpartum depression (PPD) is a prevalent and serious condition affecting new mothers, often underdiagnosed due to challenges in traditional screening methods. Early detection and intervention are crucial for improving maternal and infant health outcomes.

LOCAL PROBLEM:

On the maternity unit, existing PPD screening processes were insufficient, with significant barriers including patient reluctance to disclose mental health concerns, leading to missed or inadequately addressed PPD cases.

METHODS:

This quality improvement (QI) project utilized the Plan-Do-Study-Act (PDSA) framework. Pre-intervention surveys were conducted to identify current challenges and perceptions. An at-home PPD screening tool using the Edinburgh Postnatal Depression Scale (EPDS) …

Marketing Water Friendly Services, Julia Peterson

UNH Cooperative Extension

No abstract provided.