An Analysis Of Excise Taxes On Wine In The United States, William A. Saunders

Honors Theses and Capstones

Excise taxes are a form of tax that are applied specifically to certain goods, and are charged by the wholesaler to the retailer; they are then usually passed onto the consumer through price increases. Throughout the history of the United States, this form of taxation has transformed and taken on a variety of different roles before arriving at its modern role; a tool to implement certain tax systems, such as the Pigovian system, as well as to influence consumer behavior. The purpose of this research is to evaluate the purpose of excise taxes on wine within the United States by …

Buddhist Approaches To Environmentalism And Food Insecurity, Grace N. Stott

Honors Theses and Capstones

Buddhism is a religion deep-rooted in history, most prevalent in Cambodia, Thailand, Myanmar, Bhutan, and Sri Lanka. ³ These countries are “developing countries” and may not have the necessary infrastructure to succeed economically and have increased health risks, one of which is food insecurity.⁴ With climate change an increased threat, these areas of the world are more susceptible to environmental problems. The Buddhism religion strongly values sustainability, in both the environment and food insecurity. It values helping others, both humans and nature. Despite the adversity they face, Buddhists have dealt better than communities in similar situations of poverty and …

Just Post It: A Critical Discourse Analysis On Nike’S Instagram, Jillian Cataldo

Honors Theses and Capstones

No abstract provided.

The Cholera Crisis In Yemen: Case Studies On Vulnerability And Resilience In Sana'a, Al Hudaydah, And Ma'areb, Noor Albannein A. Al-Saad

Honors Theses and Capstones

The largest recorded cholera epidemic in history is happening right now in Yemen, a country which has reported over 2 million cases of cholera as of 2020. Yemen has a history of endemic cholera, but prolonged conflict in the country has led to deteriorating conditions that have triggered massive outbreaks of the disease. The purpose of this study is to investigate the direct and indirect causes of the cholera epidemic in Yemen by proposing factors that may confer vulnerability and resilience in Yemeni governorates. Case studies were constructed for three governorates: Sana’a and the inner municipality of Amanat Al Asimah; …

The Fate And Removal Of Pharmaceuticals And Personal Care Products Within Wastewater Treatment Facilities Discharging Upstream From The Great Bay Estuary, Alexandria Christine Hidrovo

Master's Theses and Capstones

Pharmaceuticals and personal care products (PPCPs) are contaminants of emerging concern that derive primarily from combined sewer overflows and discharges from industrial and municipal wastewater treatment facilities (WWTFs). One major concern of PPCPs in surface water is their potential toxicity to sensitive receptors, such as aquatic organisms, at trace concentrations due to their incomplete removal from conventional wastewater treatment technologies. However, most PPCP removal occurs during secondary treatment through biodegradation by a diverse aerobic microbial community (activated sludge). Additionally, studies have shown secondary treatment designs that effectively remove nutrients tend to exhibit a positive relationship on PPCP removal. In this …

Unless The Lord Build The House, Alicia L. Maimone

Honors Theses and Capstones

"Unless the Lord Builds the House" is a work of creative nonfiction about two years of my life as my chronic Lyme disease altered how I had to live and how I thought about my life . There are three major threads that I explore.

The first theme is about losing my old self. There was an old Alicia and a new Alicia, and I explore my frustration at losing the old Alicia. I explore this by talking about building. I see myself as a house under renovation, and I write about my struggle to let go of my past …

A Rush Of Refugees: How The United States And Canada Have Responded, Tayla A. George

Honors Theses and Capstones

No abstract provided.

The Role Of Socio-Economic Status On The Language Output Of 3-6 Year Old's During A Naturalistic Museum Study, Serena K. Mueller

Honors Theses and Capstones

Over the past 50 years, the lexical nature of young children’s multi-word utterances has been disputed. We ask how socioeconomic status (SES) impacts content and function word usage, and how function word use impacts MLU. Findings show that SES positively correlates with content word production and MLU, which contributes to our knowledge on how SES shapes language and highlights the need for its consideration across settings.

Analysis Of Jamie Dimon: Impact Of Leadership And Culture At J.P. Morgan Chase & Co., Abigail Elisabeth Chapman

Honors Theses and Capstones

Jamie Dimon is one of Wall Street’s most effective and intelligent leaders who has transformed J.P. Morgan Chase into one of the largest and most well-respected banks in the world. To understand why this is, it’s important to analyze Dimon’s leadership style and how this has impacted the performance of J.P. Morgan. This paper investigates the performance of J.P. Morgan Chase under Dimon, how his character embodies both a Transformative and Transactional leadership style, and how his leadership has transformed the culture and performance of J.P. Morgan today.

The Effect Of Pensions On Fortune 500 Companies And The Market, Ivana Korusiakova

Honors Theses and Capstones

This paper is an attempt at identifying the effects of pension changes and negative news associated with pensions on the stock market. This identification is carried out through an extensive review and analysis of the literature on the causes and reasons for different pension techniques and the economics behind pensions. In addition, four major corporations were analyzed after announcing they would either be altering or discontinuing their pension plans due to the coronavirus pandemic. After conducting further analysis, it was found that pensions do cause major shifts in the stock market due to negative news surrounding them.

Examining The Relationship Between Adverse Childhood Experiences (Aces) And Health-Risk Behaviors Among Adolescents In New Hampshire, Riana S. Malik

Honors Theses and Capstones

Adverse Childhood Experiences (ACEs) are traumatic instances in the first 18 years of life including abuse, neglect, and household dysfunction. The Centers for Disease Control and Prevention (CDC) has outlined priority health-risk behaviors among adolescents as substance use, violent behaviors, unhealthy diet, physical inactivity, and unsafe sexual behaviors. Previous research has linked both ACEs and health-risk behaviors to negative health outcomes including disability, chronic disease, and substance use. That said, understanding and preventing risky behaviors among adolescents and working to reduce the lasting harm caused by ACEs can lead to healthier adults and communities going forward.

This research defines ACEs …

The Relationship Between Social Media Engagement And Psychological Well-Being In College Students At The University Of New Hampshire, Emily G. D'Antonio

Honors Theses and Capstones

Social media use has increased substantially in recent years, and for the college-aged population, social media is often the leading method of communication. Research indicates this reliance on digital connection could have a negative impact on the health of young adults (Bagroy et al., 2017). The college years are a time of personal growth and defining actions, yet can also be burdened by mental health issues related to stress, anxiety, and depression (Hunt & Eisenberg, 2010). Acknowledging these trends, the current study explores how college students’ specific frequency and intentionality while interacting on social media relates to their psychological well-being. …

2019 Town Of Deering, New Hampshire Annual Report Of The Town Officials, Departments And Committees., Deering Town Representatives

Deering, NH Annual Reports

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

Adults On The Autism Spectrum: A Quality Improvement Project To Develop A Patient-Centered Nursing Care Guideline For The Acute Care Setting, Elizabeth Cirelli

DNP Scholarly Projects

Abstract

Background: Incidence of autism spectrum disorder is increasing. Current prevalence rate is 1 in 59 people, which translates to roughly 1% of the U.S. population. These adults have higher rates of epilepsy, gastrointestinal disorders, obesity, cardiac dysfunction, and mental health disorders. Healthcare system utilization is resultantly greater than their neurotypical counterparts, coupled with longer lengths of stay and decreased patient satisfaction reports.

Purpose: Most nurses report little to no formal training about the disorder or how to develop interventions sensitive to the needs of this population yet are crucial care givers to ensure patient-centeredness. A guideline to …

Fat In The Academy: Reimagining The Experience Of The Fat Academic, Danielle Marie Lavendier

Doctoral Dissertations

This dissertation gives teachers with stigmatized bodies space to enter into a conversation that is often had without them by media and medical providers. Fat bodies are maligned in contemporary American society and, for a number of reasons, including American ideas about independence and self-control, European-based standards of beauty, media representation, and more, fat people (especially women) are seen as pathological, out-of-control and as draining to the greater society. Within academia, there are pressures for fat folks, as well. This qualitative interview-based study focuses on self-identified fat, female professors and graduate students in Composition and Rhetoric. These women are high …

Computational Studies Of Small Molecule Transport And Binding, Yong Liu

Doctoral Dissertations

In this thesis, I have studied two classes of systems using molecular dynamics (MD) simulations as a primary approach. The first class of systems is responsible for transport of small molecules. Specically, I have investigated diffusion pathways of inhibitory gas CO within the enzyme FeFe-hydrogenase as well as water transport in articial water channels. The second class of systems are biological proteins and their interactions with ligands. I have focused on Regulators of G-protein Signaling (RGS) proteins and their binding to thiadiazolidinone (TDZD) based small-molecule inhibitors as well as phosphosdiesterase 6 (PDE6) binding with cyclic guanosine monophosphate (cGMP).

Specically, I …

Effects Of Rumen-Protected Amino Acids And Levels And Sources Of Energy On Milk Production And Nutrient Utilization In Dairy Cattle Fed Metabolizable Protein-Deficient Diets, Yu Zang

Doctoral Dissertations

Lactating dairy cows are characterized by poor N efficiency and dietary N not captured in milk protein is excreted in urine and feces, which then contribute to environmental N pollution. Nitrogen losses also shrink profit margins for dairy producers due to costly protein sources. Additionally, the dairy industry is an important anthropogenic source of greenhouse gases such as CO2 and CH4, with CH4 representing a potent greenhouse gas and non-negligible energy losses in dairy cattle. Thus, my PhD program has focused on developing nutrition-based approaches to improve milk production efficiency (e.g., milk yield/dry matter intake) and reduce N excretion and …

A Quality Improvement Initiative To Manage Shingrix Vaccine Inventory In Ambulatory Clinics, Tracy Colburn

DNP Scholarly Projects

Abstract

Background: Inventory control practices for adult vaccines, specifically Shingrix, in ambulatory clinics are not well known or researched. This quality improvement project takes place at a small healthcare organization consisting of a hospital and thirteen ambulatory clinics in Northern New England. Seven of the thirteen clinics have the Shingrix vaccine in their inventory.

Purpose: The aim of this quality improvement project was multifaceted. The first matter was the establishment of a two-week PAR level at seven of the thirteen ambulatory clinics connected to the organization. The second was the design and implementation of a Shingrix vaccine management program …

Timely Follow Up Care After Initiation Of Adhd Medication In Children: A Quality Improvement Project, Rebecca Haas

DNP Scholarly Projects

Background: Enhancing medication safety, strengthening compliance and mitigating side effects requires close monitoring. A child, defined by Centers for Medicare and Medicaid Services, as being between the ages of 6 years and 12 years of ages, with Attention Deficit Hyperactivity Disorder (ADHD) must have an initial medication visit within 30 days of a first-time trial of ADHD medication. Increasing staff awareness of organizational policy of expected timeframe for medication checks and annotating appointment slots as initial medication checks will decrease the number of days between the first-time trial of ADHD medication and a child’s medication assessment. Methods: The Model for …

Optimizing The Effectiveness Of Naloxone Distribution In The State Of New Hampshire: A Program Evaluation, Lisa M. Armes

DNP Scholarly Projects

In order to develop an understanding of the state-funded community naloxone distribution program in New Hampshire, a program evaluation was conducted. The project collected data on distributed naloxone and opioid overdose deaths between the years of 2014-2018 but focused primarily on comparing data from 2017 and 2018. There were 409 opioid deaths in 2017 and 399 opioid overdose deaths in 2018 in New Hampshire. Between 2017 and 2018, naloxone supply was increased by 38%-493%, varying widely across New Hampshire counties. Statistically significant increases in naloxone distributed to target users occurred only in Hillsborough and Strafford counties. Significant changes in death …

Engaging Patients With Dementia In The Acute Care Setting: A Quality Improvement Initiative For Staff, Andrea Lee

DNP Scholarly Projects

Caring for dementia patients in the acute care setting can be challenging. Staff is trained to manage the acute illness and the symptoms of dementia can impact that care. Training for the care and management of the patient with dementia is not routinely provided for the acute care setting. According to the Alzheimer’s Association (2018), 5.7 million people are living with Alzheimer’s Dementia with the numbers projected to continue to rise. Training in the management of symptoms can alleviate stress and complications for not only the patient but staff members as well. The goal of this project is to educate …

Templated Single-Chain Polymer-Based Electrochemical Sensing, Habib Muhammad Nazir Ahmad

Master's Theses and Capstones

A target receptor is an essential component in developing selective biological and chemical sensors. Among various approaches in receptor implementation, templated polymers are synthetic biochemical receptors that mimic natural molecular recognition. They have the favorable arrangement of polymer structures to be steady in harsh conditions and can also be custom tailored to exhibit target affinity as well as interfacing with transducers. Effective templated polymer synthesis depends on the co-polymerization of functional monomers which will interact with the sensing molecule. This thesis proposes a rational design approach towards the integration of templated polymers with electrochemical sensing. The synthesized single-chain label-free flexible …

Family Preservation And Fatalities: The Effect Of Policy On Child Maltreatment Deaths, Madison N. Sundberg

Master's Theses and Capstones

National estimates suggest that between 1,600 and 1,800 children are victims of CMFs each year (USDHHS, 2020), though it is believed that this number is an underestimation of the true figure (Douglas and Finkelhor, 2005; Yampolskaya, Greenbaum, and Berson, 2009). Two belief systems in protecting children have arisen over the past decades, influenced both by sensational cases of child abuse and research. One side argues that every effort must be made to keep the family intact: the family preservation approach. Alternatively, some argue that by attempting to preserve the family structure and failing to remove victims expeditiously, we leave children …

Developing Chenopodium Ficifolium As A Diploid Model System Relevant To Genetic Characterization And Improvement Of Allotetraploid C. Quinoa, Madhav Subedi

Master's Theses and Capstones

Quinoa, Chenopodium quinoa Willd., is a potential new high-value crop for Northern New England (NNE) because of its excellent nutritional qualities and its ability to grow in diverse agroecosystems. However, quinoa field trials have not been successful thus far in NNE because of some major issues such as downy mildew disease, severe lodging (bending over), excessive branching, overly long maturation time, and immature grains at harvest. Quinoa is an allotetraploid (2n=4x=36) species of genome composition AABB, and thus has two distinct diploid ancestors. This study reports foundational genetic studies in the BB diploid (2n=2x=18) ancestor, Chenopodium ficifolium, as a potential …

Promoting A Culture Of Civility Among Oncology Nurses In The Ambulatory Care Setting To Improve Patient Safety And Nurse Retention, Sheila Evans

DNP Scholarly Projects

INTRODUCTION: Nurse incivility is a well-documented phenomenon discussed in the literature and woven into the nursing lexicon. Nurse incivility results in negative consequences for nurses, patients and organizations. Adding to its complexity is the fact that nurses may be unable to identify and address covert uncivil behaviors and lack an effective tactic to mitigate situations.

AVAILABLE KNOWLEDGE: The nursing literature describes the existence of nurse-to-nurse incivility and its correlation with negative outcomes. Regulatory bodies such as The Joint Commission (TJC) also recognize the adverse outcomes resulting from civility and issued two alerts addressing workplace behavior. Additionally, the American Nurses Association …

Using The Bedside Care Conference To Improve The Patient Experience, Eileen Keefe

DNP Scholarly Projects

Abstract

Improving the patient experience of hospital care is a priority for nursing leaders. The terms patient satisfaction and patient experience have been used interchangeably to define the patient’s unique perspective on care quality and the impact of patient engagement on health outcomes. Patients and families experience suffering when their expectations are not congruent with their care in the hospital setting, and there are significant cost and financial implications for organizations that do not reach performance thresholds. Communication with nurses is highly correlated to overall patientsatisfaction in the Center for Medicare and Medicaid (CMS) Hospital Consumer Assessment of Providers and …

Creating Buy-In From Nurse Leaders To Implement Inpatient Education And Screening For Human Trafficking: A Quality Improvement Initiative, Andrea Macdonald

DNP Scholarly Projects

BACKGROUND: Human trafficking is an under-recognized healthcare issue affecting an

estimated 20 to 40 million individuals globally. Professional nursing organizations, healthcare

regulatory bodies and legislators have declared the need for education and screening practices. A

quality improvement initiative designed to create buy-in from nurse leaders to create and

implement education, screening and a protocol to guide care of human trafficking victims who

may present to inpatient and clinic settings at the organization was developed to bridge gaps in

knowledge and inform evidence-based practice.

METHODS: Literature review informed the development of an education intervention presented

to nurse leaders using multi-modal learning …

Integrating Yoga Into A Medication Assisted Treatment Program To Improve Retention, Linda Davidson

DNP Scholarly Projects

Background: In 2017, Health and Human Services declared the opioid epidemic a public health emergency (US Department of Health & Human Services, 2017). As a response, access to medication assisted treatment (MAT) programs was encouraged. In 2016, a community health center in Western North Carolina started a MAT program integrating buprenorphine treatment with behavioral health (BH) services. Data from May 2018 through May 2019 demonstrated retention in the MAT program ranged from 65-75% at a given time with behavioral health attendance under 50%.

Aims: The aim of this quality improvement project was to examine if integrating yoga, an …

Moving A Licensed Practical Nurse To A Registered Nurse In New Hampshire: A Health Policy Initiative, Vicki Gamez

DNP Scholarly Projects

Background: The United States is expected to experience a shortage of Registered Nurses (RN) due to a demand for more nurses to care for an aging population. Not only is there a current deficit in the number of RNs, but there is also a lack of ethnic and racial diversity among RNs. Licensed Practical Nurse (LPN) transition programs increase workforce mobility and allow LPNs to build upon their education and clinical experience as they transition to the RN roles. Therefore, the aim of this DNP project was to implement a health policy change initiative that addresses the barriers of workforce …

Improving Transitions In Care: Focus On The Revocation Of Conditional Discharge Process In New Hampshire, Stacy A. Sorrell

DNP Scholarly Projects

Background: At this time there is no standardized education for providers of New Hampshire Hospital addressing the Revocation of Conditional Discharge Process. Psychiatric patients in New Hampshire most at risk for harm to self or others are managed through Involuntary Commitment Orders. These orders are intended to support those most at risk of destabilization and treatment non-compliance. The Revocation of Conditional Discharge Process is one of the procedures used to re-hospitalize a patient whose care is managed through an Involuntary Commitment Order when needed. The psychiatric providers at New Hampshire Hospital must complete this last step in the revocation process, …