Digital Commons Network^™

Telehealth Delivery Of Acceptance And Commitment Therapy And Recreational Therapy: Supporting People With Chronic Pain During The Covid-19 Pandemic, Grace L. Roy

Honors Theses and Capstones

Chronic pain is a significant public health problem that requires person-centered and comprehensive care to address the many socioecological factors that contribute to pain. Within the context of the COVID-19 pandemic, telehealth options for chronic pain management can help more people access the care that they need. The purpose of the current pilot study was to investigate the efficacy and feasibility of delivering a 6-week Acceptance and Commitment Therapy (ACT) and recreational therapy intervention via telehealth for a group of seven participants with chronic pain. It was found that TeleACT-RT was associated with positive behavioral outcomes including increased psychological flexibility, …

Affective Forecasting And Mood Disorder Symptoms: How Clinical Symptoms Relate To The Prediction Of Future Emotions, Madison R. Bouchard-Liporto

Honors Theses and Capstones

The ability to accurately predict future feelings and emotions, termed affective forecasting, is an important skill as it has a significant impact on the decisions individuals make throughout daily life. Previous research has suggested that depression and anxiety symptoms may be linked to biases in affective forecasting. Here, we hypothesized that greater symptom severity of depression and anxiety would be associated with increased predictions and experiences of negative affect in response to negative stimuli and decreased predictions and experiences of positive affect in response to positive stimuli among a random sample of undergraduate college students. Participants read descriptions of 20 …

College Of Health And Human Service Faculty’S Confidence And Inclusion Of Lgbtq+ Health Content In Curriculum, Carley S. Kanter

Honors Theses and Capstones

In the health care system, those who identify as lesbian, gay, bisexual, transgender, queer, (LGBTQ+) face discrimination and health disparities. Students who are better prepared in higher education to provide care for this population have higher levels of confidence in LGBTQ+ health content than those who have less exposure. Therefore, faculty who teach curriculum related to health and wellness have an opportunity to prepare students to provide high quality, patient centered care by teaching culturally competent care that is inclusive of LGBTQ+ populations. The aim of the study is to determine whether the degree of confidence in teaching LGBTQ+ health …

A Comparison Of Perceptions Of Labor Support Before And During The Covid-19 Pandemic, Sarah Grace Krein

Honors Theses and Capstones

Satisfaction with the experience of birth has been shown to be affected by the quality of support received by the birthing individual and how closely the experience aligns with their expectations. This is important because the hospital and societal restrictions put in place during the COVID-19 pandemic may have altered individuals’ experiences of birth during this time. This is further concerning as there is a known correlation between a negative birth experience and the risk for postpartum depression. This study aimed to identify birthing parents’ perceptions of support during birth and how the COVID-19 pandemic impacted support practices. A survey …

Finding The Best Predictors For Foot Traffic In Us Seafood Restaurants, Isabel Paige Beaulieu

Honors Theses and Capstones

COVID-19 caused state and nation-wide lockdowns, which altered human foot traffic, especially in restaurants. The seafood sector in particular suffered greatly as there was an increase in illegal fishing, it is made up of perishable goods, it is seasonal in some places, and imports and exports were slowed. Foot traffic data is useful for business owners to have to know how much to order, how many employees to schedule, etc. One issue is that the data is very expensive, hard to get, and not available until months after it is recorded. Our goal is to not only find covariates that …

Review Of Age-Related Trends Of Infection Among People Hospitalized Hospitalized For Infection With Concurrent Substance Use, Julia Catherine Lucia Gregorio

Honors Theses and Capstones

Background: Opioids and related injections are the most common drug associated with infection (Capizzi et al., 2020). Overall, data overwhelmingly shows infection and overdose rates on the rise in recent years (Kaiser Family Foundation, 2019).

Methods: The aim of this study was to identify trends between age and concurrent infection rates related to substance use from 2012 to 2019. This quantitative study utilized data from the NH Hospital Discharge Summaries (Office of Health Statistics, 2021). Specifically, trends among three age groups (young adults (18-34), middle-aged (35-54), and older adults (55+)) who were admitted to an inpatient unit or the emergency …

Sustainability In The New England Ski Industry, Sydney E. Gendreau

Honors Theses and Capstones

The goal of this study is to explore the extent to which sustainable investments are worthwhile for the New England ski industry. Research has shown that the New England ski industry will be greatly impacted by the effects of climate change within the near future. Anthropogenic climate change over the next several decades will cause frequent low snow winters, increases in night time winter temperatures, and overall shorter winters. Detailed economic analysis has shown that low snow and warm winters result in roughly $54 million in lost revenue for the New Hampshire ski industry in the past (Burakowski, Magnusson, 2012). …

Review Of Age-Related Trends Of Infection Among People Hospitalized For Infection With Concurrent Substance Use, Julia Catherine Lucia Gregorio

Honors Theses and Capstones

Abstract

Background: Opioids and related injections are the most common drug associated with infection (Capizzi et al., 2020). Overall, data overwhelmingly shows infection and overdose rates on the rise in recent years (Kaiser Family Foundation, 2019).

Methods: The aim of this study was to identify trends between age and concurrent infection rates related to substance use from 2012 to 2019. This quantitative study utilized data from the NH Hospital Discharge Summaries (Office of Health Statistics, 2021). Specifically, trends among three age groups (young adults (18-34), middle-aged (35-54), and older adults (55+)) who were admitted to an inpatient unit or the …

Implementing Daily Schedules To Prevent Episodes Of Agitation In Pediatric Patients Boarding In The Emergency Department With Behavioral Health Diagnoses., Alex W. Carbone, Kathleen Kiley Bsn, Rn, Cpen, Anne Meginniss Msn, Fnp-Bc, Kerry Nolte Phd, Fnp-C, Debra Lajoie Jd, Phd, Msn, Rn, Esq.

Honors Theses and Capstones

Abstract

Background: Pediatric psychiatric emergencies have been recognized as a national crisis in the United States (Roman et al., 2018). Emergency department (ED) visits for pediatric behavioral health (BH) conditions rose 31% from April 2020 to October 2020 (Bartek et al., 2021). This increase in ED visits for BH concerns, matched with overwhelmed inpatient psychiatric treatment centers and lacking community support programs, has resulted in an increase in BH ED boarders (Bartek et al., 2021). This population of patients who remain in the ED while awaiting placement at a psychiatric care program are at risk for prolonged boarding durations in …

A Review Of Monte Carlo Methods And Their Application In Medical Physics For Simulating Radiation Transport, Joe Shields

Honors Theses and Capstones

Monte Carlo methods are used to calculate statistical behavior through the use of random number generators and probability density functions. They have been used extensively in medical physics for research in radiotherapy, designing technology, dosimetry, and advanced clinical applications. This paper provides a background on Monte Carlo methods and a review of radiation therapy physics and dosimetry. Additionally, there is a discussion of the different ways Monte Carlo methods are used in medical physics as well as a review of current research related to Monte Carlo methods. The final portion of this paper contains my own Monte Carlo simulation using …

The Effect Of Post-Meal Walking On 24-Hour Central Blood Pressure In Young Women With And Without Excess Adiposity, Maison P. D'Amelio, Bilal A. Chaudhry, Ciana B. Lazu

Honors Theses and Capstones

Post-meal walking (PMW) performed after breakfast, lunch, and dinner has been demonstrated to reduce blood glucose. However, no studies have examined the potential additive benefits of post-meal walking exercise on daytime central blood pressure (BP) in young women. METHODS: Thirteen physically inactive, non-hypertensive women (Age: 20±1 years; percent body fat: 28.2±13%) completed the study during the early follicular or placebo phase of their contraceptive cycle. Participants completed a control day (CON; no exercise/excess physical activity) and PMW day (3 bouts x 15 minutes of brisk walking) over five days in random order. Daytime ambulatory BP and accelerometry data (to estimate …

“The Real Cost Of Mining: How Digging For Rare Earth Metals Could Pose A Greater Cost Than Evs Can Save”, Brahim Khalil Yatim

Honors Theses and Capstones

The Paris Climate Agreement proposes to have 20% of all road transport vehicles be electric by the year 2030. Implementation of this policy is critical to help obtain a 2 degrees Celsius reduction in the increase of global temperatures by 2030. This paper dives into the true costs of taking on a project that large scale. This study finds that though the benefits of this project would result in a 351,785,600 tons of GHG saved by the electric conversion there are significant environmental and human costs associated with the mining necessary to complete the agreement's goal. With current technologies and …

Predicting Covid-19 Vaccination Status And Rule Following And Violating: Psychosocial Measures, Coping Styles, And Vaccine Myth Beliefs, Paxton Morley

Honors Theses and Capstones

Since the beginning of 2020, the whole world has been significantly impacted by COVID-19. People have been asked to be vaccinated, wear masks and maintain social distance. The purpose of this research is to predict COVID-19 rule-following, rule-violating, and vaccination status behaviors (yes, no) from the following variables: psychosocial factors, coping styles, and belief in COVID-19 vaccine myths. It was predicted that Psychosocial factors will negatively impact vaccination status, but these effects will be mediated by belief in vaccine myths. Psychosocial factors will negatively impact the COVID-19 rule following, but these effects will be mediated by coping strategies. Lastly, psychosocial …

Environmental And Societal Impacts In New England Following A Potential Yellowstone Eruption, Serena L. Butler

Honors Theses and Capstones

Yellowstone National Park is famously known for its history of “super-volcano” eruptions. From the evidence of volcanic deposits, scientists know that the ash cloud that erupted from Yellowstone covered most of the western U.S. states, but until recently, models have not shown the ash could also have reached eastern states. The scope of this investigation is to determine what would happen to New England if Yellowstone were to erupt today in terms of health, agriculture, transportation, relocation, economy, and climate. In order to do so, three significant eruptions during human history are considered as case studies in order to compare …

The State Of Our Community Social Capital In Kensington, New Hampshire, Sawyer B. Rogers

Honors Theses and Capstones

This study investigates the transformation of social capital over time, using the example of a small New England town: Kensington, New Hampshire. National social capital assessments indicate a substantial decline in social capital since the post-WW2 era. Kensington does not follow this extreme decline in social capital, with a significant rise during the 90s and into the early 2000s. Additionally, Kensington has high levels of social capital when compared to New Hampshire residents overall. Survey findings point to strong trust, yet weak social infrastructure in Kensington. Therefore, the most consistent way to maintain social capital between shifts is to create …

Sensory Scouting: An Analysis Of Supports For Sensory Needs Of Children In Local Businesses, Alison Whitman

Honors Theses and Capstones

Families with children with challenging sensory needs may experience a decline in community participation, leading to decreased quality of life, personal feelings of well-being, and identity as a member of the community (Little et al., 2015 & Silverman & Tyszka, 2017). The purpose of this study was to examine and report the sensory experiences such as the sights, sounds, and physical movement opportunities within local businesses in the Seacoast New Hampshire area. To accomplish this, nine family-focused businesses were evaluated using the Sensory Scout Business Assessment-4^th Edition (SSBA). Many businesses were found to have potentially overwhelming movement, auditory and …

Review Of Gender Related Trends Among People Hospitalized For Infections With Concurrent Substance Use, Meghan Lotti

Honors Theses and Capstones

Abstract

Background: The opioid epidemic has been on the rise in the past decades, and with the rise of opioid use, infections related to substance use has also been on the rise. Infection trends in relation to gender currently have little evidence on how they affect each other.

Methods: Data was gathered from the New Hampshire Discharge Dataset on patients aged 18 to 85 who were admitted to any hospital with an infection diagnosis and concurrent substance use, from the years 2012 to 2019. This data was then graphed to analyze the trends.

Results: Infection rates had a consistent rise …

The Association Between Knowledge And Confidence Related To Lgbtq+ Health Topics Among University Educators, Chloe Kilkelly

Honors Theses and Capstones

Introduction: Many healthcare professionals may have inadequate knowledge or training to care for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) patients. Educational curriculum based on LGBTQ+ populations has been found to be inadequate in higher education. Little is known about how university educators' knowledge of LGBTQ+ topics or how that knowledge relates to their confidence in teaching this material. This study aims to explore how the healthcare educators' knowledge of LGBTQ+ topics impacts their confidence teaching this material.

Methods: Data was collected via an online survey sent to University of New Hampshire faculty. Respondents were asked to answer 12 knowledge …

Prevalence Of Vaping And The Association With Cardiometabolic Risk In College Students, Brittney Rose Nalesnik

Honors Theses and Capstones

Vaping is a growing public health concern; however, most reported prevalence rates have only focused on youth. The purpose of this study was to investigate prevalence rates among undergraduates (18–24 years old) and examine differences in cardiometabolic parameters between vapers and non-vapers. Students (n= 267) were recruited from an introductory nutrition course during Fall 2021 to participate in the College Health and Nutrition Assessment Survey. Prevalence data were collected through a self-reported wellness survey. More than half (55.1%) reported ever vaping. During the past 3 months, 7.9% reported zero use, 18.4% 1x/2x, 3.4% monthly, 10.5% weekly, and 15.0% daily/almost daily; …

Uncovering The Interest Of Private Landowners In Learning More About Landscaping With Native Plants, Catherine A. Taylor

Honors Theses and Capstones

Increasing populations in New England and the subsequent residential development associated with this growth has had profound impacts on local ecosystems. Residential development often results in habitat loss and fragmentation (Radeloff et al, 2009). Habitat fragmentation, or dividing habitat into smaller, less dense parts, can induce the decline of local populations of native species and interrupt vital ecosystem services. Important services offered by functioning ecosystems include carbon sequestration, flood reduction, and water purification. It has been shown that benefits can be restored to local ecosystems through strategies to restore ecosystem functions (Burghardt et al, 2008). On an individual household scale, …

Morality-Based Messaging? An Examination Of State Health Departments’ Facebook Posts In Advertising Covid-19 Vaccines, Kylee R. Casner

Honors Theses and Capstones

COVID-19 vaccination is an important public health tool in curbing the COVID-19 pandemic, but vaccination rates in the U.S. are inadequate for reaching herd immunity, leaving public health officials to develop strategies to increase vaccination rates. The field of public health has historically used stigmatizing messaging to encourage health behaviors. Through a content analysis COVID-19 Facebook posts made by the Alabama Public Health, Mississippi State Department of Health, Rhode Island Department of Health, and Vermont Department of Health, this study explores the types of messaging used to influence COVID-19 vaccination behavior and looks to determine if stigmatization of non-vaccination is …

Enhancing Peripheral Intravenous Line Maintenance Practices Among Nurses In A Critical Care Setting: A Quality Improvement Project, Jaylene Velasquez

Honors Theses and Capstones

Abstract

Background: One of the major risks of infection lies in a patient’s intravenous (IV) access. On a cardiac intensive unit, a Levell II trauma center, preventing adverse events (i.e. infections, sepsis, etc.) is essential within this unit due to the nature of these health conditions. To ensure patient safety, nurses must abide by evidence-based practices and facility guidelines regarding intravenous line management. This quality improvement (QI) project implemented interventions to enhance nursing practices for peripheral intravenous therapy.

Methods: This project included statistical analysis and audits to measure the impact of the interventions. The variables being observed in this project …

Coastal Wave Powered Reverse Osmosis System, Alexander Raymond Charest, Joeseph Daniel Camobreco, Tori Sweet, Sam Williams, Andrew Lepage, Devan Sack, Meagan Wiggin, Chelsea Kimball, Brendan Reagan

Honors Theses and Capstones

Part of the Marine Energy Collegiate Competition (MECC) is the optional Build and Test Challenge where teams are encouraged to build a portion of their proposed solution. After the conducted testing the laboratory results are compared to the simulated and calculated models. For the MECC the University of New Hampshire (UNH) team decided to use a wave energy converter to produce pressurized water. The pressurized water would be filtered through a reverse osmosis membrane to make it potable. Our system uses the power of the ocean waves to move a float up and down in heave motion. This motion drives …

Nursing Student Self-Efficacy In Clinical Skills, Levels Of Anxiety, And Utilization Of Alternative Education Experiences During The Covid-19 Pandemic, David Hart

Honors Theses and Capstones

Background: Higher education students, especially those studying nursing, faced many challenges during the COVID-19 pandemic. Many higher education institutions decided to transition their clinical experiences into a virtual, e-learning format (Chandratre, 2020). As an area of study with high levels of stress and anxiety to begin with, these emotions may have been exacerbated during the pandemic for those studying nursing. Sudden changes in clinical format caused increased anxiety levels in senior nursing students (García-Gonzalez et al., 2021). Graduating students are entering a workforce of healthcare workers who have battled the COVID-19 illness and exposed themselves and their families to this …

The Health Effects Of Anthropogenic Pm2.5 Emissions, Andrew Charles Meyer

Honors Theses and Capstones

This study analyzes the health impacts of particulate matter 2.5 (PM2.5), a common anthropogenic pollutant resulting from vehicles, manufacturing, and wood burning. PM2.5 is an emission of particular concern given its small size of roughly 2.5 micrometers, allowing it to stay in the atmosphere for up to 10 days and penetrate the deepest area of the lungs, the alveoli. This penetration can lead to adverse respiratory and cardiovascular health outcomes, and ultimately lead to an increased mortality rate. This study utilizes data from 1,885 counties in the U.S. between 2001 and 2017, and included health outcome, PM2.5 , and demographic …

The Newsworthiness Of Increasingly Expected Murder: Foreign Press Coverage Of The Parkland Shooting, Jasmine Skye Taudvin

Honors Theses and Capstones

No abstract provided.

Narratives About The Role Of Recreation, Place Attachment, And Community Attachment And Their Effects On Youth Future Orientation In New Hampshire, Hannah Joy Falcone

Honors Theses and Capstones

No abstract provided.

Mindfulness And Pain Regulation: The Role Of Acceptance And Commitment Therapy For Individuals With Chronic Pain, Ariana C. White

Honors Theses and Capstones

Chronic pain is a significant and widely prevalent health condition which requires comprehensive care to address the many facets contributing to symptomatology. In 2016, 20% of American adults (about 50 million) reported experiencing chronic pain, of which 7.4% indicated that chronic pain frequently limited their life and participation in activities within the past 3 months (CDC, 2018). As a result, many individuals with chronic pain turn to opioid-based medication for pain relief, but long-term use of opioids actually increases pain sensation (Tobin, 2019). Moreover, opioid medication is unable to target underlying mental health components which emerge as part of chronic …

Reintegration Of Licensed Practical Nurses Into The Acute Care Setting: Impact On Patient Perception Of Care, Darius J. Love

DNP Scholarly Projects

Background: Licensed Practical Nurses (LPNs) were reintegrated into the acute care setting of a hospital in Florida. The addition of this skill set was implemented in response to the national Registered Nurse shortage, and the need to increase resources at the bedside; with the goal of, maintaining high quality care and not compromising the patient’s perception of care received. Research supports that adequate bedside nursing resources has a direct impact on patient outcomes and patient perception as it relates to the quality of care they received during the course of their inpatient stay.

Objective: The objective of this project is …

Replicating Nature: Functional And Morphological Biomimicry As Blueprints For Synthetic Macromolecular Structures, Erinn Kay Reville

Doctoral Dissertations

The aim of this dissertation is to provide insight into synthetic materials that replicate the function and structure of natural materials. First, a comprehensive overview of the challenges and recent advances in tailored synthetic molecular recognition through molecularly imprinted polymers (MIPs) will be presented. Chapter 2 of this work discusses the synthesis of azlactone-based homopolymers as functional polymers tuned for the detection of opioid molecules. Through the rapid and efficient ring-opening reaction of azlactone pendant chains with primary amines, customized functionalization of the homopolymers with receptor-like moieties was achieved post-polymerization. Chapter 3 explores the use of functionalized diblock copolymers as …